The Role of a Team Physician

Image result for white sox injuries

Dr. Nikhil Verma from Midwest Orthopaedics at Rush talks with Steve Kashul about his role as the Chicago White Sox Team Physician.

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.

A graduate of the University of Pennsylvania School of Medicine, Dr. Verma completed his orthopedic residency at Rush-Presbyterian-St. Luke’s Medical Center. He then completed a fellowship at the Hospital for Special Surgery in sports medicine and shoulder surgery. While in New York, he served as an assistant team physician for the St. John’s University Athletic Department. He also received specialized training in treatment of shoulder and elbow disorders in the overhead throwing athlete.

Currently, Dr. Verma maintains an active clinical practice performing over 500nikhil verma procedures per year. He is Director of the Division of Sports Medicine and Director of the Sports Medicine Fellowship Program. In addition, he serves as a team physician for the Chicago White Sox and Chicago Bulls, and Nazareth Academy. In addition to his clinical practice, Dr. Verma is actively involved in orthopedic research with interests in basic science, biomechanics and clinical outcomes, and has recently received funding for his work from Major League Baseball.

He has authored multiple peer-reviewed manuscripts in major orthopedic and sports medicine journals, numerous book chapters, and routinely serves as teaching faculty for orthopedic courses on advanced surgical techniques. He frequently serves as an invited speaker or guest surgeon for national and international orthopedic sports medicine meetings.

Share this:

Youth Pitching Study: The Effect of a Strengthening Program

Image result for core strengthening exercises

WHAT IS THE STUDY?

This study is examining the effect of a 6-week hip and core strengthening program on shoulder and elbow motion during pitching. Participants are 13-18 years old who pitch in at least one game per week on average during the season. Players will either be assigned to the control group or the strengthening program group. In the strengthening group, players will be taught a hip and core strengthening program and will be expected to complete it daily for 6 weeks. In the control group, players will continue to train as they were before enrolling in the study.

WHY HIP AND CORE STRENGTHENING?

The forces generated by the hip muscles during throwing are vital to the initiation and transfer of power to the arm. Electromyography (EMG) has shown that the legs and trunk provide rotational momentum for the arm and create over 50% of the total force and kinetic energy in a tennis serve. Other studies have shown that as a game progresses, players first show fatigue in their hip and core muscles and then lose their correct pitching form. In order to keep the same speed of their pitch while tired, players often use poor form and place themselves at risk for injury. We hope that using this conditioning program will strengthen the hip and core muscles and allow pitchers to continue pitching with proper form, therefore decreasing injuries.

WHAT WILL THE PLAYER BE EXPECTED TO DO?

When the player and parents decide to participate, the player will have baseline measurements taken, including hip range of motion, hip strength and the single leg squat test. Next, players will pitch while there are 1-inch markers attached to their arms and legs, which help us track body movements. If assigned to the strengthening group, players will be instructed on the proper completion of 10 exercises and will be instructed to do these daily before their regular practice sessions for 6 weeks. The program takes 10-15 minutes to complete. Players will also fill out a weekly compliance log of how often they do the exercises. The same tests will be repeated after the player has finished the 6 week program and then again after 6 months.

WHERE WILL THE TESTING TAKE PLACE?

The testing will take place at the new Rush University Medical Center Sports Training Facility in Oak Brook, IL.  If you believe you or your patients might qualify for one of our clinical trials or wish to be evaluated, please contact our research administrator, Kavita Ahuja, MD at (312) 563-2214 or kavita.ahuja@rushortho.com.

WHAT ARE THE RISKS AND BENEFITS?

There is minimal risk associated with participating. Risks include injury from pitching, muscle soreness or discomfort associated with completing the hip and core strengthening program. Potential benefits include improvement in the players’ pitching mechanics and/or velocity. However, that result cannot be guaranteed.

Research Graphic

Share this:

Cubs’ Yu Darvish Suffers Season-Ending Setback

Brian Cole MD of Midwest Orthopaedics at Rush & Steve Kashul discuss Chicago Cubs’ Yu Darvish’s season ending injuries due to stress reaction in elbow.

Click here to have your question addressed live by Dr. Brian Cole on an upcoming show.

Sports Medicine Weekly on 670 The Score

Share this:

White Sox phenom Michael Kopech likely needs reconstructive elbow surgery, will miss 2019 season

Chicago Tribune-September 8, 2018- Phil Rogers

Michael Kopech

Michael Kopech, the White Sox’s new Superman, has been cut down by a pitcher’s version of Kryptonite. He is believed to have torn the ulnar collateral ligament in his elbow, which could force him to undergo elbow reconstruction surgery and be sidelined until 2020.

It’s the same diagnosis that forced the Cubs’ Kerry Wood to undergo surgery after his Rookie of the Year season in 1998. More recently, the ligament transplant procedure known as Tommy John surgery has sidelined a long list of active major-leaguers, including Stephen Strasburg, Jacob deGrom, Yu DarvishJohnny CuetoCarlos CarrascoMichael Pineda and Adam Wainwright.

“Unfortunately, in this day and age, it’s a regular part of the game with pitchers,’’ Kopech said Friday. “Personally I never thought it would be something I would be going through. But it’s part of it.’’ Kopech becomes the fifth right-handed prospect ranked in the preseason top 100 by MLB Pipeline to suffer a serious elbow injury. He joins the Angels’ Shohei Ohtani, Cardinals’ Alex Reyes, Ray’s Brent Honeywell and Reds’ Hunter Greene in having their development delayed by Tommy John surgery.

The success rate of the surgery is good, especially for pitchers who haven’t had a previous elbow reconstruction, and the White Sox are confident Kopech will remain a major part of their future despite the specter of major elbow surgery. “This is by no means the last we’ve seen of Michael Kopech,’’ Sox general manager Rick Hahn said. “This is the last we’ve seen of him for ’18 and very likely for ’19, but he’s still going to play a significant role on what we project to be some very, very good White Sox teams in the future.”

Kopech experienced his first rough start in the major leagues on Wednesday night, giving up four home runs to the Tigers. It was seen as a minor blip until Friday, when orthopedic surgeon Nikhil Verma examined him and found a torn ulnar collateral ligament.  Hahn said an exam Friday “revealed a rather significant tear in his ulnar collateral ligament.’’ He will receive a second opElbow Thumbnailinion next week but it seems the only question is who will perform the surgery.

This development comes as a shock to both the team and Kopech, who at 22 has been one of the most intriguing young pitchers in baseball. “It has been a whirlwind of emotions for me in the past couple of weeks obviously,’’ Kopech said. “From just about my absolute peak to the absolute rock bottom. To say it’s unexpected would be an understatement.’’


Related Articles:

See more UCL articles on Sports Medicine Weekly here>>>

Share this: