Pre & Post Workout Supplements; Chicago Sports Summit; Replacing Opiods with Physical Therapy

Episode 17.23 with Hosts Steve Kashul and Dr. Brian Cole. Broadcasting on ESPN Chicago 1000 WMVP-AM Radio, Saturdays from 8:30 to 9:00 AM/c.

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Segment One (01:31): Personal Trainer & Sports Nutritionist, Alex Carneirofrom Optimum Nutrition helps us understand how to sort out all the information available on supplements to select the best for our training program; the role of protein supplements, caffeine, branched-chain amino acid and resveritrol for building muscle, fueling our workout and recovery.

As an international leading fitness authority, Alexandre Carneiro has spent the last decade educating others on the meaning of fitness, health, and connecting those two things with a healthy mind. With a bachelor’s degree in kinesiology and nutrition, along with positive, motivating philosophies, Carneiro has helped people all over the world achieve their fitness goals. From celebrities to military personal and everyday people, Alexandre has worked and helps expand his philosophy that fitness only needs one thing; a changing mindset.


Segment Two (13:33): Dr. Cole announces the 2nd Annual Chicago Sports Summit, a half-day event featuring some of Chicago’s heaviest hitters. Participants will speak about how sports and after school activities empower youth to engage in positive behavior to help reduce Chicago’s violence.

Executives will also discuss how they use sports marketing and celebrities to grow their business. Attendees will learn about new developments in sports science and how these advances impact an athlete’s endurance, performance and injury prevention.

October 4th, 2017 - 8AM to Noon Hyatt Regency Hotel, 151 East Upper Wacker Drive, Chicago ILCLICK HERE TO REGISTER


Segment Three (20:08): Dr. Wajde  Dabah from Pain Therapy Associates and Dr. Brian Cole discuss the use of physical therapy, as provided by ATI Physical Therapy, for an alternative to Opiods in managing pain.

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Wajde Dabah, MD, is a board-certified anesthesiologist and pain medicine specialist. He has special expertise in spinal cord stimulation as well as treatment of complex regional pain syndrome, musculoskeletal pain and peripheral neuropathy.

Dr. Dabah believes that chronic pain is a disease no different than hypertension or diabetes and that with time, commitment and partnership with his patients, they will take back control of their lives and overcome their chronic pain.

Dr. Dabah is also the medical director for transcranial magnetic stimulation, innovative technology for the treatment of depression.

Tracking Patient Outcomes; Tips for the Aging Athlete; Active Father finds Healing after Tissue Transplant

Episode 17.21 with Hosts Steve Kashul and Dr. Brian Cole. Broadcasting on ESPN Chicago 1000 WMVP-AM Radio, Saturdays from 8:30 to 9:00 AM/c.

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Segment One (01:20): Dr. Nikhil Verma from Midwest Orthopaedics at Rush discusses the importance of tracking patient outcomes: value based care; measuring quality ofnikhil verma care vs cost; which techniques work best based on patient outcomes; how the outcomes meet specific conditions and expectations.

Dr. Verma is a Professor and Director, Division of Sports Medicine, Fellowship Director, Sports Medicine, Department of Orthopedics, Rush University Medical Center, Team Physician, Chicago White Sox/Chicago Bulls.

Dr. Verma specializes in treatment of the shoulder, elbow and knee with an emphasis on advanced arthroscopic reconstructive techniques of the shoulder, shoulder replacement, knee ligament reconstruction and articular cartilage reconstruction and meniscal transplantation.

Midwest Orthopaedics at Rush is widely recognized as the regional leader in comprehensive orthopedic services. 

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Segment Two (11:23): Dr. Leython Williams from Athletico Physical Threrapy discusses the benefits of accepting and adjusting to the inevitability of aging. Aging gracefully is linked to healthy diet, regular exercise and good genes.

Athletes both professional and amateur often refuse to let age slow them down. However, even the most elite athletes are not immune to aging; rebuilding bone and gaining muscle; trading intensity for duration; cooling down for gradual decrease in intensity.

Dr. Williams is a Doctor of Physical Therapy and facility manager for Athletico Physical Therapy at their Lincolnshire facility. He is a former Division 1 athlete that infuses his experience as an elite athlete into his evidence-based practice in the outpatient orthopedic setting.

Dr. Williams is an expert in musculoskeletal function and rehabilitation as he seeks to restore functionality and decrease pain. His mission aligns with Athletico is providing progressive outpatient therapy through personalized care that emphasizes patient education and injury prevention.

Schedule a Complimentary Injury Screen


Segment Three (21:07): Cartilage transplant Phil Pizzano is an active husband, father and former Division I soccer player discusses his tissue transplant with Steve and Dr. Cole.

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In 2012, he began to suffer from debilitating knee pain. After enduring years of pain and surgery, he met with a doctor who told him he was a candidate for an osteochondral allograft transplant. In the two and a half years since that surgery, he’s been able to keep up with his two children and even picked up CrossFit.

Learn More at Allograft Possibilities

Youth Sports Injuries

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Your child may be one of the estimated 50 million children participating in organized sports throughout the country. Sports programs are great in teaching the children about teamwork, competition, and providing much needed exercise.  However, statistics show that 1 in 3 of these children will be injured enough to miss a practice or a game and over a million are expected to visit an emergency room this year for a sports related injury with medical expenses costing over a billion dollars a year.

The majority of organized sports related injuries occur during practice rather than games. The top sports for injuries are football, basketball, soccer, baseball, volleyball, wrestling, cheerleading, gym, and track and field.

The most common injuries are to the head, face, fingers, knees, and ankles. The most common injury diagnoses are sprains/strains, fractures, contusions/abrasions, concussions, lacerations, and dislocations.

Concussions in particular, have received much attention recently and appropriately so. There is no longer any doubt about the short term and potential long term dangers of this injury, especially to the young developing brain. We now have very specific guidelines about when to allow a child with a head injury to return to games or practices, as well as how best to treat a child with a significant head injury/concussion.

Symptoms of a concussion are loss of consciousness no matter how brief, headache, vomiting, memory loss, and behavioral changes especially confusion and/or feeling “foggy”.  Any of these symptoms necessitate prompt medical attention.

There is also the issue of overuse injuries involving tendons, bones, and joints. This is due to playing the same sport and performing the same movements too often, too hard, and at too young an age without adequate rest and recovery.

Sports related injuries are inevitable, but there are some things that can be done to help prevent and treat injuries. Be sure your child is involved in a sports program that is properly maintained and adequately coached. Coaches should be certified in CPR and have a plan to respond to emergencies.

Make sure your child has and uses proper gear for a particular sport in order to reduce the chance of injury.

Encourage your child to perform warm up and cool down routines prior to and after sports participation. The warm up will make the body’s tissues warmer and more flexible and the cool down will loosen muscles that may have tightened during exercise.

Be sure your child has access to adequate liquids during exercise and while playing. Emphasize the importance of maintaining hydration to prevent dehydration and heat illness.

Encourage liberal use of sun screen to protect the skin from the sun’s damaging rays and help to prevent future melanoma.

Get professional help if you think your child’s injury is serious, such as when you suspect a fracture or dislocation of a joint, severe pain or swelling.

Statistics show that only 1 in 4 young athletes become elite players in high school and only 1 in 1600 high school athletes go on to professional status. Therefore the emphasis in youth sports should be in the enjoyment and long term involvement in exercise and sports. And remember to match your child’s abilities to the sport and not to push him or her too hard into a sport they may not like or be incapable of doing.

Valley Doctor

Health Related Articles by Terry Hollenbeck, M.D.

PITCH SMART RECOMMENDATIONS FOR YOUTH BASEBALL

By Dev K. Mishra, M.D., President, Sideline Sports Doc, Clinical Assistant Professor of Orthopedic Surgery, Stanford University

Key Points:

  • Young pitchers are at risk for arm injuries due to a number of factors, and pitching while fatigued is perhaps the biggest risk for injury
  • MLB’s Pitch Smart guidelines are designed to reduce injury risk while still allowing for the competitive development of the young player.
  • Parents, coaches, and league administrators would be wise to implement the Pitch Smart recommendations for their pitchers

As spring and summer baseball is ramping up, I’d like to remind our readers of a terrific Grant Lewisresource for the young pitcher- MLB’s Pitch Smart guidelines. I’ve written about pitch counts, the “100 inning rule”, and pitching injuries in several other blog posts but it is worth pointing out some of the reasons why we should revisit this topic. Pitch Smart is an effort by Major League Baseball to critically evaluate factors responsible for injury risk to young pitchers and then create guidelines to minimize that risk. Pitch Smart is partnered with many of the brightest minds in sports health for throwers and has produced a set of recommendations based on evidence and experience.

The result of their effort is a set of age appropriate recommendations designed to keep young pitchers as healthy as possible.

We’ve definitely made progress in recognizing and putting in place recommendations to reduce injury risk, but as the website points out we still have some work to do. For example, a survey of youth pitchers published in 2014 showed that of the pitchers responding to the survey many were engaging in behaviors that risk the health of their arms:

  • 45% pitched in a league without pitch counts or limits
  • 5% pitched on consecutive days
  • 4% pitched on multiple teams with overlapping seasons
  • 2% pitched competitive baseball for more than 8 months per year

Those published statistics are a few years old and hopefully we’ve made some progress in this area thanks to the efforts of Pitch Smart and others.

Take a look at the age-specific guidelines. They are divided into 5 age groups. For example, in the 15-18 year group which would cover most of our high school aged athletes some of the key recommendations are:

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Players can begin using breaking pitches after developing consistent fastball and changeup

  • Do not exceed 100 combined innings pitched in any 12 month period
  • Take at least 4 months off from competitive pitching every year, including at least 2-3 continuous months off from all overhead throwing
  • Make sure to properly warm up before pitching
  • Set and follow pitch-count limits and required rest periods
  • Avoid playing for multiple teams at the same time
  • Avoid playing catcher while not pitching
  • Players should not pitch in multiple games on the same day
  • Make sure to follow guidelines across leagues, tournaments and showcases
  • Monitor for other signs of fatigue
  • A pitcher remaining in the game, but moving to a different position, can return as a pitcher anytime in the remainder of the game, but only once per game
  • No pitcher should appear in a game as a pitcher for three consecutive days, regardless of pitch counts

In my opinion, Pitch Smart’s recommendations are another example of much neededSideLineSportsDoc changes designed to keep young players playing longer and healthier. These are recommendations rather than rules, but if you are a league administrator I’d urge your league to have a close look at these recommendations and adopt them for your players.