When Cebrina went to see her doctor for ongoing foot pain, she never imagined that her doctor would diagnose her with a rare bone disorder. A bone scan revealed a four-inch tumor in Cebrina’s femur. Her diagnosis was Fibrous Dysplasia, an uncommon bone disease that causes bone pain, deformities and fractures. It can go unnoticed for years and can eventually cause bones to bow or fracture. Her foot pain was unrelated to the Fibrous Dysplasia, but if not for the bone scan, the tumor in her leg could have continued to grow until it caused a bone fracture.

Cebrina’s tumor had likely been growing for many years. Cebrina’s doctor told her the tumor, though benign, was changing the shape of her femur and needed to be removed. After removing the tumor, her surgeon used cortical and cancellous chips, types of bone allografts, to fill the void in her femur. Bone allografts are created from tissue provided by generous donors who have passed away.

“You take your health for granted until something like this happens,” she said. “As I’m healing and getting better, I’m so appreciative of what I have.” After surgery, Cebrina used crutches and eventually a cane to help her walk. She was determined to stay active and walked her dog along their usual route, even though it took two hours instead of one. Through exercise and physical therapy, she eased back into her normal routine. Three weeks after surgery, Cebrina returned for half days to her busy job as the Audio Visual Administrative Assistant and Production Assistant for the Illinois Farm Bureau.

Cebrina reflected on receiving donated tissue during her procedure, and said that following surgery she double-checked her own donor status. “I figured that someone gave to me and I want to pay that back someday,” she said. Cebrina gauges her improvement by how long her walking route takes her, and she is happy to report her route is back to one hour. Her family encouraged her throughout the recovery process and bought her a stationary bike, so she could stay active. She is thankful for her health and for the donor who helped make her recovery possible.

Tips for a Healthy Post-Marathon Recovery

By Brian Rog and Doug Adams (PT, DPT, SCS, OCS, CSCS) for ATI Physical Therapy

Tips for a Healthy Post-Marathon Recovery

In just a few short days, the streets of downtown Chicago will be filled with thousands of runners lining up for the 40th running of the Chicago Marathon. For those competing in this grueling 26.2 mile event, the spotlight shines on their abilities to power through the marathon and eclipse personal records, while remaining injury-free. However, through the training process, some runners seemingly place more emphasis on getting through the race and less emphasis on battling the compromising affects after the event.

In doing this, once the adrenaline dissolves and fatigue and achiness settles in, the days and weeks following the race may present a wave of challenges for a runner as the body’s muscles recover from the intensity of the race. The good news is that overcoming these challenges and preparing your body for the post-marathon recovery is well within reach. ATI’s Doug Adams (PT, DPT, SCS, OCS, CSCS) breaks down some post-marathon recovery tips to help alleviate the agonizing marathon aftershock.

What happens to the body after a marathon?

  • Rhabdomyolysis (breakdown of muscle tissue) and muscle damage
  • Changes in blood volume with 29-50 percent of people showing symptoms of acute stage 1 kidney injury
  •  Immunity is down after a race for up to three days. Be careful around sick relatives and friends who came out to cheer you on, they might give you more than a high five

How long does it typically take to recover from a marathon?

  • Typically, muscle strength is restored in 14 days
  • Cellular recovery of mitochondria (produces energy currency of the cell) in 3-4 weeks
  • Improved markers of recovery evident within 8-12 weeks

What can a runner do to speed up the recovery process?

  •  Before the race
    • Proper training is key, which can include levels of cross and strength training
    • Know your sweat rate for the race environment
  •  During the race
    •  Sports drink with CHO (carbohydrate) concentration of 6-8 percent
    •  Avoid hyponatremia (low sodium level in the blood) as much as you can by limiting fluid intake – 13 percent of Boston marathon runners suffered from this 

Overcoming dehydration

  •  After the race
    • Immediate nutrition intake is crucial 30-60 min after the race: 4:1 Carb to protein ratio drink (chocolate milk) to help restore depleted glycogen stores
    •  Tart Cherry Juice shows evidence of reduced inflammation and quicker returns of strength
    •  Compression reduces soreness for the first 24 hours and improve running function two weeks after the marathon, but no physiological changes
    • Make sure you stretch and/or use a foam roll
    • Consider an ice bath
    •  Within 3-4 hours, consume a large meal

When should someone return to running after a marathon?

  •  This varies depending on experience levels, though we suggest taking a complete week off from running and rest for at least 3-4 days – depending on how you feel, a short walk may help with active recovery.
  •  Around the 14-day mark when muscle function is beginning to reach pre-marathon levels, you may incorporate some short, low-intensity cross training exercises.

What to do if you’ve sustained an injury?

Lower body injuries following a major race are not uncommon. While it’s important to rest to help reduce damaged tissue, your body will still remain vulnerable to reinjury. Injuries tend to be unique by nature, so self-treatments may not be the most effective option for your body. Consider stopping by your nearest ATI clinic to undergo a complimentary screening or call us at (855) 692-8478 to schedule an appointment.

The Importance of Sleep for Dancers; Treating Hand & Wrist Injuries

Episode 17.26 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.

new host image

Segment One (01:25): Julie O’Connell PT, DPT, OCS, ATC, Performing Arts Medicine importance of sleep for dancersProgram Manager at Athletico-River North talks dancers vs other athletes regarding sleep; what happens during sleep for dancers and useful tips for quality sleep. While the days are getting shorter, rehearsals are getting longer and cutting into valuable time meant for counting sheep.

Julie specializes in the treatment of dancers and performing artists and has extensive experience working with organizations like The Joffrey Ballet, Hubbard Street Dance Chicago and Broadway in Chicago.

The CDC recommends 8-10 hours of sleep for teens 13-18 years old, and 7 or more hours per night for adults 18-60 years old. This can be difficult to achieve for dancers, whose rehearsals consist of specialized physical activity of high volume, frequency and intensity throughout the week. Dancers also don’t usually have an off-season, which can contribute to increased incidence of altered sleep-wake rhythms, illness and musculoskeletal injuries. More>>

Segment Two (13:11): Dr. John Fernandez from Midwest Orthopaedics at Rush describes microsurgery; recent innovations in hand and wrist surgery; re-plantation and transplantation of limbs; types of hand injuries experienced by athletes at all levels.

Dr. John FernandezDr. 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.

As director of microsurgery for Midwest Orthopaedics at Rush, he has performed hundreds of successful microsurgical procedures. These have included replantation of amputated arms, hands, and digits, as well as complex reconstructions for deformity and wounds.

He is a board certified member of the ABOS and holds the highest distinction in hand surgery with a certificate of added qualification in hand and microsurgery. He is a fellow of the American Academy of Orthopaedic Surgeons and a member of the American Association for Hand Surgery as well as the American Society for Surgery of the Hand.

13 Things You May Not Know About Athletic Trainers

By Kele Cioflec for Athletico Physical Therapy

If you’ve been at an interscholastic event, you’ve likely seen an athletic trainer at work and probably didn’t even know it. The National Athletic Training Association (NATA) states that “athletic training encompasses the prevention, examination, diagnosis, treatment and rehabilitation of emergent, acute or chronic injuries and medical conditions.”

Every year the NATA has a theme for National Athletic Training Month. This year’s theme is very true and close to the hearts of Athletico’s athletic trainers – “Your Protection is Our Priority.” To help celebrate the month, check out these facts that you may not know about athletic trainers:

1. Athletic Trainers go to school for four years at a CAATE accredited college to complete a Bachelor’s degree. After graduation, athletic trainers take the Board Of Certification (BOC) exam, which covers everything that was learned in college. Passage of the BOC is a requirement for the practice of athletic training in most states.1

2. 70 percent of Certified Athletic Trainers have a Master’s Degree.

3. The American Medical Association, Health Resources Services Administration and the Department of Health and Human Services recognize Athletic Training as an allied health care profession.

4. Athletic Trainers are licensed/regulated in 49 states and the District of Columbia.

5. Every two years athletic trainers are required to complete 50 Continuing Education Units to maintain their athletic training certification with the BOC.

6. Athletic trainers aren’t just at high schools, colleges and youth sporting events. A few of the other settings you can find these professionals include physician offices, health care administrations, law enforcement, theaters, industrial sites and the military.

7. The Athletic Training Profession started in the 20th century and the National Athletic Trainers’ Association (NATA) was founded in 1950.

8. Athletic Trainers can apply for a National Provider Identifier (NPI)as mid-level health care professional. The NPI is a unique, 10-digit identification number issued to health care providers in the U.S. by the Centers for Medicare and Medicaid Services.

9. Athletic trainers abide by HIPAA laws just like all medical professionals. An athlete’s injury (and recovery) is between the athlete, the athletic trainer, a parent/guardian if the athlete is under 18 and a doctor (if the athlete is seeing one).

10. The priority of athletic trainers is to protect the athletes they work with. Their goal is to help athletes get back to 100 percent health as fast and safely as possible.

11. Athletic trainers get just as excited for game days as athletes do! They may even have their own “game day rituals.”

12. Athletic trainers do a lot of “behind the scenes” work. Some of the duties outside of game time assistance include organizing physicals and assist with administrative duties, keeping meticulous notes on injuries, and pre- and post-game/practice treatments.

13. Athletic trainers are here to help everyone on the teams they work with!

Celebrating NATM

Athletico Certified Athletic Trainers are highly skilled and educated health professionals who work to provide optimal health care to athletes. If your organization is in need of an athletic trainer, please click the button below.

⇒Athletic Training Outreach