fyi from oci - orthocenter illinois · year’s $5,000 scholarship recipient is 2016 williamsville...

FYI from OCIA quarterly publication from the Orthopedic Center of Illinois

July/August/September 2016

2013, 2014, 2015, 2016“Best Orthopedic Care”

Meet Dr. Mulshine• The Benefits of Massage

Continuing Education

Inside this issue:

to3400 W. Washington Street • Springfield, IL 62711 • (217) 787-9600

www.LewisMemorialChristianVillage.org

lewis memorial christian village

E xpansion Coming Soon!to

The OasisShort-Term Rehabilitation Center

on the campus of

Relationships are just one thing we build well.

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Springfield OfficeRonald R. Romanelli, M.D.Board CertifiedOrthopedic Surgeon

Rodney J. Herrin, M.D.Board CertifiedOrthopedic Surgeon

Karolyn M. Senica, M.D.Board CertifiedOrthopedic Surgeon

Leo K. Ludwig, M.D.Board CertifiedOrthopedic Surgeon

Timothy A. VanFleet, M.D.Board CertifiedOrthopedic Surgeon

Barry T. Mulshine, M.D.Board CertifiedOrthopedic Surgeon

Joseph L. Williams, M.D.Board CertifiedOrthopedic Surgeon

Christopher W. Maender, M.D.Board CertifiedOrthopedic Surgeon

D. Gordon Allan, M.D.Board CertifiedOrthopedic Surgeon

O.B. Idusuyi, M.D.Board CertifiedOrthopedic Surgeon Ashkon Razavi, M.D.Board Eligable Orthopedic Surgeon

John O. Watson, M.D.Board CertifiedPhysiatrist

Frank J. Bender, M.D.Board CertifiedPhysiatrist

Matthew G. Michaels, M.D.Board CertifiedPhysiatrist

Doug Eastham, P.A.-CKim Lashway, P.A.-CMarty Wilson, P.A.-C

Jacksonville OfficeBarry A. Werries, M.D.Board CertifiedOrthopedic Surgeon

St. Francis Hospital, LitchfieldTracy Painter, M.D.Board CertifiedOrthopedic Surgeon

Dear Friends,

School is out and the summer months are upon us, meaning longer days, filled with more outdoor activities for children and adults alike. More time outside, often means more injuries. Our Fracture and Injury Center is faster than the hospital emergency room for sports injuries, dislocations or broken bones. Each of our compassionate super specialists strives to provide a superior level of quality medical services. Our highly trained and experienced orthopedic surgeons use the latest and most minimally invasive procedures to repair fractures and tears. When possible, we treat injuries

with pain management and a physical therapy program. If surgery is required, we perform arthroscopic procedures as frequently as possible to minimize the strain on your body as well as your recovery time. If you find yourself with an unfortunate injury this summer, put your trust in our board certified physicians to get you back to your summer fun!

At OCI, we know that one way to insure our continued ability to provide the best in patient care is to support the next generation of health care providers. Through our Orthopedic Center of Illinois Foundation (OCIF) scholarship, we are able to encourage students who are passionate about health care and who might need a little financial help to join the field and contribute in a meaningful way. This year’s $5,000 scholarship recipient is 2016 Williamsville High School graduate, Tucker Hirsch, son of Amelia and Trey Zibutis. Tucker plans to attend Washington University to study Pre-Medicine in the fall. Congratulations Tuckers, all of us at OCI look forward to your promising future.

This time of year also allows us to expand our focus from “strengthening” our patients to include “strengthening” the community through the non-profit network in central Illinois. Now in its thirteenth year, our charity golf outing supports an annual $20,000 grant to an area non-profit for programming focused on community health and education. To date, this event has put more than $220,000 back into our community. We are currently in the process of carefully reviewing the wonderful pool of grant applications to determine this year’s grant recipient. Be sure to “like” us on Facebook to see which deserving organization is chosen in mid July, and please visit www.ocif.net to find out how you can partner with us to continue to give back.

We know you have a choice in your orthopedic care, Ask for OCI. Thank you, as always, for believing in our passion for excellence.

Have a safe, fun summer.

www.OrthoCenterIllinois.com

A Passion for Excellence

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A Passion for Excellence

Whether you are a serious athlete or a weekend warrior, injuries to the foot and ankle are common with participation in many types of sports. Acute injuries, such as ankle sprains or fractures will cause problems suddenly, but other overuse injuries such as tendinitis and stress fractures, can have a more gradual onset. This article will review some of the more common sports-related foot and ankle problems typically seen in our clinic.

Achilles TendinosisThe Achilles tendon is the largest, strongest tendon in the body. It connects two large muscles in the calf, the gastrocnemius and the soleus, to the back of the heel, so that when these muscles contract the ankle plantar flexes, or pushes downward. This is necessary to generate the push-off power needed for running and jumping. Because of the high stresses transmitted through this tendon, and its rather unprotected location behind the ankle, the Achilles tendon is somewhat prone to injury in athletes.

Achilles tendinosis (sometimes referred to as tendinitis) commonly occurs as an overuse injury among athletes. This is typically caused by prolonged running or jumping. Inflammation along the lining of the tendon will result in visible swelling of the tendon, pain, and sometimes a scratching feeling with motion. Initially this will present as pain after strenuous activities, and may then progress to pain with everyday activities and even at rest.

Non-operative treatment is successful in 70-75% of patients and is directed at relieving symptoms. It is important to correct any training errors and alignment problems. Physical therapy to improve flexibility and strength may be beneficial.

In acute tendinopathy controlling inflammation is recommended. Modified rest, cross-training, and icing the affected area is important. Anti-inflammatory medications may have a role for acute tendinitis, but are less helpful for chronic

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Cont’d on page 6

tendinopathy. There is controversy regarding the effectiveness and safety of various types of injections. Studies investigating injections of cortisone, sclerosing agents, and platelet-rich plasma (PRP) have not demonstrated convincing benefits.

For the approximately 25% of patients that continue to have pain despite conservative treatment surgery may be considered. In most cases the tendon can be debrided through a small incision or even percutaneously. This involves removing adhesions and scarring around the tendon, jumpstarting the blood supply to the weakened area. This is successful 75-100% of the time. If there is an area of significant damage to the tendon, more invasive surgery may be needed to reconstruct the damaged tissue.

Achilles Tendon RuptureA complete tear of the Achilles tendon can occur if the calf muscles quickly contract while the ankle is being forced into dorsiflexion. This is most common in middle aged men, the so-called “weekend warriors.” Sometimes this can occur when trying to jump, or during a slip or stumble. Sometimes an audible crack or pop can be heard. The pain is usually more severe in the calf than by the ankle. Patients will often report that they thought someone had kicked or struck them in the calf. Initially, walking is difficult and painful, although the pain does gradually improve with time.

It is very important that treatment begin immediately after an Achilles rupture, so early evaluation by an orthopedic surgeon is critical. Patients that wait 4-6 weeks to seek treatment because they self-diagnosed an ankle sprain will have poorer outcomes. Acutely, the diagnosis can usually be made without an MRI except in some equivocal cases.

The proper treatment for acute tendon ruptures is somewhat controversial. Traditionally, non-operative treatment was recommended for ruptures in older and less active patients, and open surgical repair of the tendon recommended for younger,

more active patients. Non-operative treatment consisting of casting and crutches for 6 weeks had pretty good results, but with a higher rate of repeat ruptures compared to surgical repair. Newer non-operative protocols involving early motion and earlier weight-bearing have – somewhat counterintuitively – yielded better outcomes. In fact, some studies have shown very similar outcomes compared with surgical treatment, without the risk of wound-healing problems.

For more athletic patients desiring surgical treatment, there are newer less invasive techniques that reduce the risk of wound problems, and allow for earlier weight-bearing than traditional open surgical repair. Sutures can be placed into the tendon through puncture holes in the skin and brought together using a special instrument inserted through a small incision over the torn tendon. The sutures can either be tied together to repair the tendon, or can be attached directly to the heel bone with bone anchors.

The key to obtaining good outcomes with Achilles tendon ruptures is prompt diagnosis, and quickly initiating treatment, be it operative or non-operative.

Stress FracturesIn the same way that tendinitis is often an overuse injury of a tendon, a stress fracture is an overuse injury of a bone. Since the bone is a living tissue, it continuously responds to the stresses that are applied to it during activities. In response to repeated stress, such as from exercise, the bone will gradually get stronger. Unfortunately, bone cannot strengthen itself very quickly – this is a gradual process. If someone begins a new exercise program or rather suddenly increases the length or duration of workouts, this repetitive trauma could cause a localized weakening of a particular bone. Common locations for stress fractures are the 2nd metatarsal, 5th metatarsal, tibia, and the navicular.

The first sign of a stress fracture is pain and swelling during or after exercise. There is usually tenderness

4Would you like to join our mailing list? Do so by visiting our website and scrolling to the bottom of the page: www.OrthoCenterIllinois.com


Why did you decide to go into Orthopedics?I enjoy the hands-on, mechanical aspect of orthopedic surgery that allows me to physically “fix” what is wrong. This allows me to see the beneficial results of my work in a quicker, and usually much more visible way than is possible in other fields of medicine.

Why did you choose your sub-specialty?During my residency, it seemed that the foot and ankle was a somewhat neglected area of orthopedics. I decided that an additional level of fellowship training in this area would allow me to provide better care to my patients with foot and ankle problems. I still enjoy practicing the rest of general orthopedics as well.

What are the most rewarding aspects of your job?Being able to help a patient with a painful, disabling musculoskeletal problem become pain-free and able to resume activities that were previously difficult or impossible is very rewarding. I feel very blessed when I know that I have been able to play a role in helping to improve someone’s life in this tangible way.

What do you do to relax when you’re not in the office?My wife and I have three boys, so when I’m not working I enjoy spending time with my family. I also like reading, biking, and running. In that order!

• Graduated from Southern Illinois University School of Medicine,

Springfield, Illinois

• Internship, Southern Illinois University School of Medicine,


• Residency, Southern Illinois University School of Medicine,


• Certified by the American Board of Orthopedic Surgery

• Diplomat, National Board of Medical Examiners

• Member, American Academy of Orthopedic Surgeons

• Member, American Medical Association

Meet Barry Mulshine, M.D.

“ “5 A Passion for Excellence


Puzzledirectly over the affected area of the bone itself. X-rays may not show the fracture for the first 3-4 weeks after the onset of symptoms.

The key to treatment for stress fractures is relative rest. The key is to reduce activities enough to prevent the pain. Sometimes using a stiff-soled shoe or boot is necessary. The recovery will become more prolonged if an athlete tries to “play through the pain.” In certain instances surgery may become necessary.

Peroneal Tendon ProblemsThere are two peroneal tendons, peroneus brevis and peroneus longus, that are located along the outside part of the ankle. The function of these tendons is to stabilize the ankle and prevent inversion. Sometimes they can be damaged during a twisting injury to the ankle, or tendinitis may occur with overuse, such as running on uneven surfaces.

Peroneal tendinitis may resolve with rest and icing the affected area. A brace, heel wedge, or certain shoe modifications is sometimes necessary. If the problems persist an MRI may be indicated to evaluate for a tear of one of the peroneal tendons. If the symptoms persist, surgery may be needed.

Cont’d from page 4

Solution on page 9

Starting with any number on the top row, make your way to the bottom, adding the numbers as

you go.

Each time you go to the next row, you can move straight down, or one place to the left or right.

What is the highest total you can make? What is the lowest?

6For more information about Dr. Maender or other physicians, visit our website: www.OrthoCenterIllinois.com.

Massage is one of the oldest healing arts: Chinese records dating back 3,000 years document its use; the ancient Hindus, Persians and Egyptians applied forms of massage for many ailments; and Hippocrates wrote papers recommending the use of rubbing and friction for joint and circulatory problems. Today, the benefits of massage are varied and far-reaching. As an accepted part of many physical rehabilitation programs, massage therapy has also proven beneficial for many chronic conditions, including low back pain, arthritis, bursitis, fatigue, high blood pressure, diabetes, immunity suppression, infertility, smoking cessation, depression, and more. And, as many millions will attest, massage also helps relieve the stress and tension of everyday living that can lead to disease and illness.

So What Is It Exactly?Massage and bodywork are defined as the application of various techniques to the muscular structure and soft tissues of the human body. Specifically:

Massage: The application of soft-tissue manipulation techniques to the body, generally intended to reduce stress and fatigue while improving circulation. The many variations of massage account for several different techniques.

Bodywork: Various forms of touch therapies that may use manipulation, movement, and/

or repatterning to affect structural changes to the body. What exactly are the benefits of receiving massage and bodywork treatments? Useful

for all of the conditions listed below and more, massage can:• Alleviate low-back pain and improve range

of motion.• Assist with shorter, easier labor for

expectant mothers and shorten maternity hospital stays.

• Ease medication dependence.• Enhance immunity by stimulating lymph

flow—the body’s natural defense system.• Exercise and stretch weak, tight, or atrophied

muscles.• Help athletes of any level prepare for, and

recover from, strenuous workouts.• Improve the condition of the body’s largest

organ—the skin.• Increase joint flexibility.• Lessen depression and anxiety.• Promote tissue regeneration, reducing scar

tissue and stretch marks.• Pump oxygen and nutrients into tissues and

vital organs, improving circulation.• Reduce postsurgery adhesions and swelling.• Reduce spasms and cramping.• Relax and soften injured, tired, and overused

muscles.


7 A Passion for Excellence

The Benefits of Massage

Therapy by Tamara Taylor, Massage Therapist

Midwest Rehab at OCI

Tamara is a nationally certified and licensed massage therapist and has been in practice since 2012. Her wide range of services include therapeutic, deep tissue and sports massage.

• Release endorphins—amino acids that work as the body’s natural painkiller.

• Relieve migraine pain.

A Powerful AllyThere’s no denying the power of bodywork. Regardless of the adjectives we assign to it (pampering, rejuvenating, therapeutic) or the reasons we seek it out (a luxurious treat, stress relief, pain management), massage therapy can be a powerful ally in your healthcare regimen.

Experts estimate that upwards of ninety percent of disease is stress related. And perhaps nothing ages us faster, internally and externally, than high stress. While eliminating anxiety and pressure altogether in this fast-paced world may be idealistic, massage can, without a doubt, help manage stress. This translates into:• Decreased anxiety.• Enhanced sleep quality.• Greater energy.• Improved concentration.• Increased circulation.• Reduced fatigue.

Furthermore, clients often report a sense of perspective and clarity after receiving a massage. The emotional balance bodywork provides can often be just as vital and valuable as the more tangible physical benefits.

Profound EffectsIn response to massage, specific physiological and chemical changes cascade throughout the body, with profound effects. Research shows that with massage:• Arthritis sufferers note fewer aches and

less stiffness and pain.• Asthmatic children show better pulmonary

function and increased peak air flow.• Burn injury patients report reduced pain,

itching, and anxiety.• High blood pressure patients demonstrate

lower diastolic blood pressure, anxiety, and

stress hormones.• Premenstrual syndrome sufferers have

decreased water retention and cramping.• Preterm infants have improved weight gain

Research continues to show the enormous benefits of touch—which range from treating chronic diseases, neurological disorders, and injuries, to alleviating the tensions of modern lifestyles. Consequently, the medical community is actively embracing bodywork, and massage is becoming an integral part of hospice care and neonatal intensive care units. Many hospitals are also incorporating on-site massage practitioners and even spas to treat postsurgery or pain patients as part of the recovery process.

Increase the Benefits with Frequent VisitsGetting a massage can do you a world of good and getting massage frequently can do even more. This is the beauty of bodywork. Taking part in this form of regularly scheduled self-care can play a huge part in how healthy you’ll be and how youthful you’ll remain with each passing year. Budgeting time and money for bodywork at consistent intervals is truly an investment in your health. And remember: just because massage feels like a pampering treat doesn’t mean it is any less therapeutic. Consider massage appointments a necessary piece of your health and wellness plan. Call Midwest Rehab at (217)547-9108 to schedule an appointment with Tamara.


8Check out our blog for health tips, articles from our doctors and more! www.OrthoCenterIllinois.com


id one of our staff members go above and beyond to make your experience at OCI a great one? Please consider nominating him or her for Employee of the Month! You can nominate a staff member online or ask a receptonist for a form.

Did one of our staff members go above and beyond to make your experience at OCI a great one? Please consider nominating him or her for Employee of the Month! You can nominate a staff member online or ask for a form at reception desk.

Register at OCI for the all-in-one personal health record and patient portal.

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Receive e-mail care reminders

Requestappointments

Request Rx refills

Send and receive secure messages

Rx

Did You Know?

We accept walk-ins at our Springfield office for injuries sustained in the past 48 hours every day during normal business hours!

Monday- Friday, 8am to 5pm | Saturday, 8am to 11am

OCI Employees of the Month

April:Terry Kochmann Patient Accounts

May:Cindy KielRN- Dr. VanFleet

June:Jennifer FinleyPatient Accounts Manager

Puzzle Solution Answer: Highest = 24. Lowest = 12.

9 A Passion for Excellence

Raising Money for a Good Cause to Celebrate Five Years in New Location

After 12 years and nearly 13,000 knee and hip replacements, Memorial JointWorks isn’t just one of the most advanced orthopedic programs in the region – we’re a national leader. Memorial JointWorks is certified by the Joint Commission in knee and hip replacement surgery, proof that we continue to set and achieve

the highest standard of safe, high-quality care for our patients. This high standard of care is strengthened by our partnership with

orthopedic surgeons in the region and honored by being named a Blue Distinction Center by the Blue Cross Blue Shield Association.

Choose the orthopedic team that’s a national leader. Choose Memorial. Visit JointWorksMemorial.com today to learn more.

ORTHOEXCELLENCE


11 We’d love to hear from you! Fill out a patient comment card or leave your feedback onlineat www.OrthoCenterIllinois.com

www.OrthoCenterIllinois.com www.OrthoCenterIllinois.com

12Sign up for our new patient portal, FollowMyHealth, at our offices!

Continuing Education

Ron Romanelli, M.D.American Association of Orthopedic Surgeons Annual Meeting March 2016| Orlando, FL

Leo Ludwig, M.D.American Association of Orthopedic Surgeons Annual Meeting March 2016| Orlando, FL

Joseph Williams, M.D.AAOS/AAHKS The Knee Society Innovative Surgical Techniques: Partial, Total and Revision Knee Arthroplasty Course May 2016| Chicago, IL

Karolyn Senica, M.D.The Journal of Bone and Joint Surgery Recertification Review CourseMarch 2016

Barry Mulshine, M.D.American Orthopedic Foot and Ankle Society Advanced Foot and Ankle Course April 2016| Cleveland, OH

Christopher Meader, M.D.Orthopedic Trauma Association Review Course March 2016| San Diego, CA

John Watson, M.D.Maintenance of Certification for Physical Medicine & Rehabiliation March 2016

OCI is committed to supporting community groups in the Springfield area to improve the landscape of where our patients live and work.


Ingredients• 1 cup sliced red onion • 3 tablespoons red wine vinegar• 1 tablespoon sugar• 1/4 teaspoon kosher salt• 2 teaspoons extra-virgin olive oil• 1 (3/4-inch-thick) slice seedless watermelon (from a 9-inch diameter watermelon)• 1 ounce creamy blue cheese, crumbled (about 1/4 cup)• 2 tablespoons coarsely chopped pecans, toasted• 2 tablespoons small basil leaves

Did you

Directions1.Heat a grill or grill pan to medium-high heat

2. Combine onion, vinegar, sugar, and salt in a medium bowl; let stand 15 minutes or until onion is softened, tossing occasionally. Combine 2 teaspoons brining liquid and two teaspoons olive oil, stirring with a wisk. Drain onion, and discard remaining liquid.

3. Brush olive oil mixture onto both sides of watermelon slice. Grill watermelon 3-4 minutes on each side, until well marked and juicy; place on a serving platter or cutting board. Top watermelon evenly with pickled onions, blue cheese, and pecans. Sprinkle with basil. Cut into 8 wedges.

Grilled Watermelon PizzaFrom www.cookinglight.com

I’m POSSIBLE150 years ago, Hanger Clinic was founded by the first amputee of the Civil War as a local company specializing in prosthetic devices. Today, in addition to embracing our heritage, Hanger Clinic is the premier provider of orthotic and prosthetic services and products in Illinois and the US. Offering the most advanced technology available, combined with unsurpassed customer service, Hanger Clinic provides the following solutions:

• Ampushield™ Post-Amputation Program • Prostheses • ComfortFlex™ Socket Technology • Pediatric Prostheses and Orthoses• Microprocessor-Controlled Prostheses • Orthoses

Always accepting new patients. Visit or contact us for an appointment and free evaluation.

© 2015 Hanger Prosthetics & Orthotics, Inc.

Facebook.com/HangerNews

Twitter.com/HangerNews

YouTube.com/HangerNews

EmpoweringAmputees.org 217-789-1450 | HangerClinic.com355 W. Carpenter Street, Suite B, Springfield, IL 62702

14-HGRM-13597_Springfield IL 4C Ad.indd 1 12/7/15 9:14 AM

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OCI held a supply drive for the Ronald McDonald House of Central Illinois and cooked dinner in May.

Did you receive treatment at OCI and have a great outcome? Submit your success story on our website: www.OrthoCenterIllinois.com

I’m POSSIBLE150 years ago, Hanger Clinic was founded by the first amputee of the Civil War as a local company specializing in prosthetic devices. Today, in addition to embracing our heritage, Hanger Clinic is the premier provider of orthotic and prosthetic services and products in Illinois and the US. Offering the most advanced technology available, combined with unsurpassed customer service, Hanger Clinic provides the following solutions:

• Ampushield™ Post-Amputation Program • Prostheses • ComfortFlex™ Socket Technology • Pediatric Prostheses and Orthoses• Microprocessor-Controlled Prostheses • Orthoses

Always accepting new patients. Visit or contact us for an appointment and free evaluation.

© 2015 Hanger Prosthetics & Orthotics, Inc.

Facebook.com/HangerNews

Twitter.com/HangerNews

YouTube.com/HangerNews

EmpoweringAmputees.org 217-789-1450 | HangerClinic.com355 W. Carpenter Street, Suite B, Springfield, IL 62702

14-HGRM-13597_Springfield IL 4C Ad.indd 1 12/7/15 9:14 AM

PROUD TO BE AFFILIATED WITH ORTHOPEDIC CENTER OF ILLINOIS

Providing our community with the most advanced sports medicine

to athletes of all ages

HSHS St. John’s AthletiCareTM

SPRINGFIELD • DECATUR • LITCHFIELD

(217) 744-PLAY (7529)

Athletic Training • Acceleration® ProgramNon-Operative Sports Medicine • Orthopedic Surgery

HSHS St. John’s TherapyCareSPRINGFIELD • CHATHAM • ROCHESTER • VIRDEN

(217) 535-3685

Physical Therapy

fyi from oci - orthocenter illinois · year’s $5,000 scholarship recipient is 2016 williamsville...

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