Dr. Kathleen Weber Featured on BullsTV Pre-Game Live

Dr. Kathleen Weber, sports medicine primary care physician and team physician for theMORGif-180x150-link Chicago Bulls joined BullsTV host Steve Kashul during Bulls Pre-Game Live on December 19th, 2016. Dr. Weber discussed the NBA’s new Concussion Protocol and the efforts being made to protect all players from returning too soon to the court.

Kashul and Dr. Weber also talked about how the physicians at Midwest Orthopaedics at Rush all work together in treating the Chicago Bulls players.

 

35 Benefits of Excercising During Pregnancy

Should you keep exercising after you become pregnant? This is the question many women who work out or who play sports ask themselves as soon as it happens. Many mothers-to-be believe pregnancy is a time to nest, relax, and let the baby grow. However, it is possible to continue to do some exercises while pregnant. In fact, many now believe that it is a vital part of maintaining both the health of the mother and of the baby too.

Naturally, the range of sports and exercises becomes more limited when a baby is on board, but it does not rule all of them out. Before deciding which sports to do be it Tai Chi or something else, it is important to understand why you should be doing exercises in the first place.

Of the many benefits, there are 4 main categories – physical health while pregnant, mental and emotional health, benefits to both the baby and the mother, and post-delivery health benefits. To find out the 35 most common reasons for exercising during pregnancy, check out this article.

Contributed by Jessica Walter


Carpal Tunnel Syndrome

Carpal tunnel syndromeCarpal tunnel syndrome causes a dull ache in the wrist and forearm with pain which may radiate into the hand and fingers. It is often worse at night.

We explain the symptoms, causes and treatment options including surgery available.

Symptoms

Symptoms usually increase gradually over time and may initially only be present at night. It can occur in one or both wrists at the same time. A dull ache in the wrist and forearm is felt with pain which may radiate into the thumb and four fingers of the hand, but not the little finger.

The patient may feel sensations of tingling or burning in the hand or four fingers. Pain is often worse at night and can radiate into the forearm, elbow or shoulder. In addition weakness in the fingers and hands may be experienced.

Carpal tunnel tests

Specific tests can be done to reproduce symptoms and help diagnosis:

  • Phalen’s sign is where the patient bends the wrists to push the backs of the hands together, holding for 1 minute. If the test is positive then tingling that radiates into the thumb, index finger and the middle half of the forth finger will be felt.
  • Tinel’s sign is where the therapist taps with two fingers over the palm side of the wrist. Carpal tunnel syndrome could be considered if there is a tingling sensation or other symptoms are reproduced.
  • Investigations may also be performed to confirm the diagnosis including MRI scan, ultrasound imaging, electromyography or a nerve conduction study.

Causes

Symptoms are caused by compression of the median nerve in the wrist as it passes through a narrow channel in the wrist called the carpal tunnel along with the tendons of the flexor digitorum superficialis and flexor pollicis longus muscles of the forearm. The tunnel can narrow creating pressure on the nerve for a number of reasons:

  • Traumatic wrist injury such as wrist sprains and broken wrists.
  • Repetitive strain injury or RSI caused by over use of the wrist.
  • Pregnancy which causes fluid retention in the wrist.
  • Use of vibrating machinery which may cause damage or inflammation to the soft tissues.
  • It may be congenital meaning some people naturally have a smaller, narrower carpal tunnel.
  • Arthritis.

All of these conditions can cause a narrowing of the space through which the median nerve passes. Symptoms are three times more common in women, probably because they have a smaller carpal tunnel. It also has a higher prevalence in people with diabetes and other conditions which directly affect the nervous system. It usually occurs first in the dominant hand and sometimes but not always occurring as well in the non dominant hand. Some professions are more at risk of developing carpal tunnel syndrome, especially people working on an assembly line, who are continually repeating the same movement.

Carpal tunnel syndrome treatment

Treatment should initially be conservative which means without surgery. If after conservative treatment has been tried for a few weeks and not been successful then surgery is often considered.

Rest

Rest from activities which cause pain or make it worse. Continuing to use a painful wrist will not allow inflammation to settle down and soft tissues to heal. This may include work related activities such as typing at a keyboard, DIY or sport specific training including racket sports. If you are an athlete then use this opportunity to work on another aspect of your game or maintain fitness with aerobic exercise.

Carpal tunnel wrist splint

A carpal tunnel wrist splint can be worn to immobilize the wrist joint helping you to rest the joint whilst allowing some function of the hand. The wrist splint is usually made of a thick supportive neoprene material and have a metal spoon or support along the wrist to prevent movement.

Ice or cold therapy

If there is inflammation and swelling present, using a form of cold therapy will help to relieve this. Applying ice or a specialist cold wrap to the wrist area for 10 minutes at a time can be done hourly in the early stages, reducing in frequency as required.

Medication

Your Doctor may also prescribe anti-inflammatory medication such as ibuprofen to reduce inflammation, or diuretics to clear fluid retention.

Exercises

Wrist stretchFollowing a period of immobilization, stretching and strengthening exercises can be used to help prevent symptoms returning. All exercises should be performed pain-free. If pain occurs, go back a step or rest for longer. Initially mobility and gentle stretching exercises should be done to restore full pain free range of motion at the joint. Later static strengthening exercises can begin which do not involve movement and finally normal strength can be restored by dynamic exercises involving movement with resistance bands or dumbelle weights.

Acupuncture

Other treatments, which may be worth trying include acupuncture which has been linked to an improvement in carpal tunnel syndrome symptoms. Acupuncture is performed by inserting needles of various lengths and diameters into specific points over the body. The needle is usually inserted, rotated and then either removed immediately or left in place for several minutes.

Injections

If symptoms do not improve other options include Corticosteroids or lidocaine injections. If all of this treatment fails and symptoms persist over a 6 month period, surgery may be required.

Surgery

Wrist surgery interviewA carpal tunnel release is a very common operation, which involves cutting the carpal ligament to make more space for the median nerve. This can either be done as an arthroscopic operation (keyhole), or as an open release, where a 5-6cm incision is made. It is a straightforward procedure which is usually carried out on an outpatient basis. Your hand and wrist will be bandaged and may be placed in a sling for a few days to help it rest and reduce swelling.


John J. Fernandez, M.D., Hand, Wrist & Elbow Orthopedic Surgeon, AssistanDr. John Fernandezt Professor, Rush University Medical Center.

Dr. Fernandez has created and innovated some of the advanced surgeries currently popularized in the treatment of the hand, wrist, and elbow. His original research has led to techniques minimizing surgical trauma while maximizing outcomes. As an inventor, he holds patents in some of the very implants developed for these minimally invasive surgeries.

NFL Films Presents: Carson Palmer’s Doner

An incredible story about the woman whose tendon went on to help NFL quarterback Carson Palmer and the amazing bond donation created between these two families!

carsonpalmerdoner

QB Carson Palmer’s ACL Injury in the past resulted in a unique connection with his donor’s family.

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Treatment Options for Small Articular Cartilage Lesions

Jack Farr II, MD, (Indianapolis, IN) and Brian Cole, MD, MBA, (Chicago, IL) review the treatment options for small articular cartilage lesions. The available treatment options include debridement, marrow stimulation with the PowerPick™ instrument, Osteochondral Autograft Transplantation (OATS® technique) and BioCartilage® Cartilage Extracellular Matrix to augment a traditional microfracture or marrow stimulation procedure.

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