Special Olympics Illinois Named 2016 Orthopedic Center of Illinois Foundation Chip In Fore Charity $20,000 Grant Winner

The Orthopedic Center of Illinois Foundation (OCIF) today announced that Special Olympics Illinois was selected to receive $20,000 as the beneficiary for the 13th Annual OCIF Open: Chip in fore Charity. The community impact grant will be funded through proceeds from the OCIF annual golf outing scheduled for September 19 at Illini Country Club.

“We are very excited to honor Special Olympics Illinois and the work they do in our community for children and adults with intellectual disabilities,” said OCIF Board Member Ron Romanelli, M.D. “Many very deserving organizatioSO_ILL_Mark_Center_2c-Black-22ns applied for the grant, but ultimately the mission of Special Olympics Illinois paralleled that of the Foundation: to provide educational opportunities about health initiatives that impact our community.”

Special Olympics Illinois, Area 17 was founded in 1981 and provides programming for people in the counties of Macoupin, Menard, Morgan and Sangamon and is currently serving just under 600 athletes. Their mission is to provide year-round sports training and athletic competition in a variety of Olympic-type sports for children and adults with intellectual disabilities, giving them continuing opportunities to develop physical fitness, demonstrate courage, experience joy and participate in a sharing of gifts, skills and friendship with their families, other Special Olympics athletes and the community. “

“We are beyond excited and feel very grateful to be the recipient of the Orthopedic Center of Illinois Foundation’s generous gift,” said Lynde Pavich, Area Director, Special Olympics Illinois. “Being the recipient of this grant means we are well on our way to reaching our top three goals of serving more athletes, providing more revenue to support our athletes and the ability to offer our athletes with the best experience possible!”

This year marks the 13th Chip in fore Charity and to date, OCIF has granted $245,000 to Springfield area organizations.  Past grant recipients include: ThinkFirst (2015), Illinois Senior Olympics (2014), genHkids (2013), Springfield Sharefest (2012), Camp Care-A-Lot (2011),  Springfield YMCA (2010), Sangamon County Child Advocacy Center (2009), Big Brothers Big Sisters (2008), Southwind Park (2007), Contact Ministries (2006), Boys and Girls Club of Springfield (2005), and Central Illinois Foodbank (2004). For more information on the Foundation or to be a sponsor at this year’s event, please visit the OCIF website:  www.ocif.net or call (217) 547-9100.

THIS EVENT HAS BEEN POSTPONED: Community Education & Facebook Live Event: “Playing with Pain”

THIS EVENT HAS BEEN POSTPONED TO A LATER DATE. -Thank you for your interest in this event. We are currently working to reschedule to a later date. Check back soon for further details.


Join Bryan Jasker, PT, Director of Midwest Rehab and Dr. Matthew Michaels, MD, Physical Pain and Rehabilitation, for a discussion about assessment and rehabilitation after a sports injury:

  • How well do you move? Probably not as well as you think.891813-001
  • History of injury? What is the likelihood of re-injury or another injury?
  • Is pain limiting your performance?
  • Learn about screens and assessments that helps us better “see” an athlete’s movement.

Wednesday, July 27, 6:00 – 7:00 PM

Orthopedic Center of Illinois / MidWest Rehab
1301 S. Koke Mill Rd., Springfield

Two options to join in on this discussion:
Reserve you seat today by calling (217)547-9100

Join on Facebook Live by going to the OCI Facebook Page
*Participants on Facebook Live will have the opportunity to ask questions and interact with the presenters. 

The Benefits of Massage Therapy

by Tamara Taylor, Massage Therapist 
Midwest Rehab at OCI

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 images (1)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.
-Release endorphins—amino acids that work as the body’s natural painkiller.
-Relieve migraine pain.

A Powerful Ally
There’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 Effects
In 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 Visits
Getting 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.

Sports Related Injuries of the Foot and Ankle

By Barry Mulshine, M.D.

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 Tendinosis20100817140900308
The 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 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 Rupture
A 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 Fractures
In 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 directly 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 Problems
There 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.

Enjoy Festive Fireworks without Blasting Injuries this 4th of July

From the American Academy of Orthopedic Surgeons

Fireworks in the summer signify the celebration of Independence Day in communities
across America. In addition to local neighborhood shows and iconic displays in large cities, people also celebrate with family, friends and fireworks, increasing the risk for injury.

The American Academy of Orthopedic Surgeons (AAOS) urges celebrators to follow safety precautions when using fireworks to avoid injury to body parts like fingers, hands, arms or even the face.

A significant number of injuries due to fireworks are reported every year. In 2015, according to the Consumer Product Safety Commission (CPSC), fireworks caused:

  • More than 29,200 injuries treated among people of all ages, including 10,181 emergency department visits.
  • Total medical expenses of more than $166 million.

Expert advice:
“Consider going to a professional display in your neighborhood instead of handling fireworks yourself,” said AAOS spokesperson and orthopedic hand and wrist specialist Nina R. Lightdale-Miric, MD. “But if you decide to use them, carefully read and follow the caution label on the packaging before use to help reduce your risk of serious injury. Not doing so can result in injuries to various parts of your body, especially your hands and can cause permanent burn scars on your face.”

Follow these simple tips to ensure safety for yourself and for those around you:

  • Check with your local police department to determine if fireworks are legal in your area. If so, find out which types, and also verify that there is not a burn ban in effect in your community for fire hazard conditions.
  • Never purchase or use illegal fireworks. Their quality cannot be assured.
  • Only adults should light fireworks.
  • Always have water handy in case of a fire, such as a hose hooked to a faucet, or a nearby bucket of water.
  • Wear safety eyewear when using fireworks.
  • Soak used fireworks in water before discarding to prevent unintentional fires.
  • Never try to relight a firework.
  • If you are injured using fireworks, seek immediate medical attention.
  • Never allow young children to play with or go near fireworks, including sparklers. They seem harmless but sparklers can reach temperatures of more than 1,000 degrees.
  • Never handle fireworks if you are under the influence of drugs or alcohol.