Orthopedics

Dr. David Raab, Fellow Athlete & Orthopedic Surgeon Specializing in Sports Medicine

Posted in Orthopedic News, Orthopedics, Morton Grove Division on Tuesday, 18 March 2014

Dr. David Raab

If you're an athlete with an injury, you want the best care you can find. If that exceptional care is from a fellow athlete, you've found someone who understands your pain - and your passion.

Dr. David J. Raab is that kind of caregiver. He is an avid athlete who played competitive basketball and now plays competitive tennis and paddle. He's a founder of IBJI and a board-certified orthopedic surgeon specializing in sports medicine. Dr. Raab understands sports injuries and works closely with athletes of all ages - children and adults.

"Sports are a big part of my life. I enjoy maintaining an active and healthy lifestyle with my wife and four children. I know what it feels like to be sidelined by an injury; it's painful and frustrating and you wonder if you'll ever regain your prior level of play,” explains Dr. Raab, “Fortunately, we have many treatment options to restore people to the activities and sports they love after an injury.”

Dr. Raab treats multiple sports injuries of the knee and shoulder including ACL and meniscal pathology, rotator cuff and labrum tears using state-of-the-art techniques. He also performs total knee and hip replacements using minimally invasive procedures to speed recovery times and reduce discomfort.

"I rely on evidence based medicine to make sound and ethical treatment recommendations. I pursue non-surgical options including medications, physical therapy and other modalities before discussing possible surgical intervention," says Dr. Raab.

Dr. Raab sees patients at IBJI's Buffalo Grove, Des Plaines, Highland Park and Morton Grove locations. To make an appointment, please call 847-375-3000.

 

Tags sports medicine, Illinois Bone & Joint Institute, Dr. David Raab

Three Common Causes of Osteoporosis

Posted in Orthopedics, Autoimmune on Tuesday, 11 February 2014

Osteoporosis, a condition in which the bones become brittle, frail, and prone to fracture, is a potentially debilitating disease that affects many women and men. Women are particularly predisposed to developing osteoporosis for a variety of reasons. However, men can also be at risk for osteoporosis, as are smokers and people with low body weight. There are three common causes of osteoporosis:

1. Estrogen Deficiencies in Women

Women typically suffer estrogen deficiencies during perimenopause and menopause. Younger women can suffer from estrogen deficiency if they have stopped menstruating or if they have had a reproductive organ surgically removed. When estrogen levels are low, bone loss accelerates, as the bones are no longer able to replenish mineral stores as efficiently as needed. This leads to bones becoming less dense, porous, and more likely to fracture. Proper hormone therapy can help curb estrogen deficiency in women.

Tags Osteoporosis, Osteoporosis causes, Calcium Deficiencies

4 Common Shoulder Problems that Cause Pain

Posted in Orthopedics on Tuesday, 28 January 2014

Shoulder injuries are fairly common and affect millions of people a year. The shoulder is the most mobile joint in the body and this mobility allows us to do things like scratch our own backs, throw things, make pushing movements and lift things over our head. Proper functionality of the shoulder joints is essential in our day to day activities. Can you imagine cleaning the house without being able to move your shoulder?  What about driving your car or carrying a bag of groceries? Yes, the shoulders are essential and highly functional, but the flexibility of the shoulder joint comes at a cost. The shoulder joint is unstable, which puts the shoulder at high risk of injury.  Below are some of the most common shoulder issues:

Bursitis

Bursitis is the swelling and irritation of a bursa. It is commonly referred to as shoulder bursitis or rotator cuff tendonitis and both phrases refer to inflammation of a certain area of the shoulder (bursitis and tendonitis are different conditions). Bursitis is often caused by a shoulder injury and the tendons and bursa become inflamed. From that point, the inflammation causes thickening of the tendon, which cause the bursa to be pinched even more.

Impingement

An impingement of the shoulder (Shoulder Impingement Syndrome) occurs when there is excessive rubbing of the shoulder muscles against the acromion. This will usually cause pain when doing activities that require you to reach above your head. The cause of an impingement is often linked to repetitive overhead activities like a football quarterback or any job that requires you to repeatedly lift things over your head. 

Tags shoulder pain, bursitis, arthritis

Minimally Invasive Spine Surgery: What We’ve Learned So Far

Posted in Orthopedics on Thursday, 23 January 2014

Dr Mark Mikael is an orthopedic surgeon at IBJI specializing in spinal injury treatment.By: Mark M. Mikhael, M.D.

Initial interest in minimally invasive spine surgery dates back several decades and has since been based on the primary goal of finding novel techniques in order to facilitate similar or better clinical outcomes to those of conventional open spine surgery. This concept is driven by the theoretical benefits of less injury to nerves, vessels and muscle around the spine, decreased blood loss, decreased post-operative pain, smaller incisions, decreased scarring, shorter length of stay and faster recovery times. However, there is still a lack of clear evidence that minimally invasive spine surgery has truly better long-term outcomes than traditional open surgery.

The modern tools and techniques used in minimally invasive spine surgery have been adapted from technology used in many other surgical fields. Despite the level of sophistication of current imaging, limited exposures and specialized tools, it is imperative that the surgeon ensures that the proposed goals of the surgical procedure are actually achieved. Current advances in minimally invasive spine surgery can be divided in to four main topics: microscopic technique, small incisions, specialized tools, and special imaging.

The goal of all minimally invasive techniques is to perform the necessary procedure with minimal injury to soft tissue. Thus, the basic tenet of this type of surgery is to accomplish your goal through the smallest window possible. The adaptation of the operating microscope in spine surgery dates back to the late 1960s and, since that time, it has been used in a variety of minimally invasive spinal procedures because it provides superior lightening and magnification power in addition to providing both the surgeon and assistant with a three dimensional view of the operative site. Such technology has facilitated the surgeon to perform the most delicate tasks in very tight spaces and supported the use of very fine sutures and microscopic instruments.

To accomplish the goal of adequate visualization with minimal soft tissue injury, there have been several advances in obtaining smaller incisions. These technologies range from fiberoptic cameras and video systems to special tube retractors placed through small incisions. Specialized instruments need to be used in conjunction with tube retractors given the limited working area. These microsurgical approaches have allowed access to the spinal cord, spinal nerves, disk spaces, and vertebral bodies.

Procedures performed with these techniques include both cervical and lumbar discectomy and decompression of pinched nerve roots, and in limited circumstances fusion procedures in the cervical, thoracic, and lumbar spine. Some studies suggest that this affords the patient minimal invasion, decreased surgical time, less blood loss, lower morbidity, better cosmesis, and decreased length of hospitalization, while others suggest that there does not seem to be a definitive advantage over mini-open exposures.

Tags minimally invasive spine surgery, advances in minimally invasive spine surgery

Keinbock's Disease

Posted in Orthopedics on Tuesday, 14 January 2014

Keinbocks disease can cause a lot of pain in the wrist for patients.Do you have pain in your wrist when turning your hand upward? Is your wrist swollen? Is it difficult to grip things? There are many conditions that could cause such symptoms, but one of the lesser known conditions is Keinbock’s Disease.  A disease that is usually found in young adults, Keinbock's Disease is a condition wherein the blood supply to the lunate (a small bone in the wrist) is blocked or interrupted.  The lack of blood flow may cause deterioration to the lunate or may result in the death of the lunate bone cells.  

Causes of Keinbock’s Disease

There are many theories on what causes Keinbock’s Disease, but the exact cause is unknown. Some of the theories suggest that a predisposing factor is a trauma to the wrist; however, in many cases the disease cannot be linked to a specific traumatic event.

Diagnosis

In addition to the difficulty in understanding what causes the disease, it’s also very difficult to diagnose as well, mainly because the symptoms are very similar to other common wrist injuries like a wrist sprain. Usually a physician will discuss the symptoms and medical history and use imaging tests like X-rays or MRI scans to diagnose Keinbock’s Disease.   

Tags wrist pain, Keinbocks Disease

Trigger Finger

Posted in Orthopedics on Thursday, 05 December 2013

Trigger finger can be a very painful condition that limits the movement of the affected finger. The phrase “trigger finger” comes from the quick snapping or sudden popping of the finger when it unlocks from a bent position, similar to releasing a gun trigger. Patients usually have complaints of soreness at the base of the affected finger. This is then followed by catching or locking of the finger, which usually gets worse with time. On occasion, straightening the trigger finger my require assistance from the other hand.

What causes trigger finger?

Trigger finger usually happens when a tenosynovium, a protective coat on a tendon, is inflamed causing the tendon to become stuck and unable to move freely inside the tenosynovium. The inflammation of the tenosynovium can cause the space between the tendon sheath to narrow and become restricted. When the tendon struggles to slide through the sheath, the finger may experience the trigger sensation.

Health conditions like arthritis and diabetes may cause trigger finger, as well as repeated use of the finger or hand. Occupations or hobbies that require constant use of the fingers, like a guitarist, may also be affected by trigger finger due to repeated use and strain on the fingers for long periods of time.

Symptoms of Trigger Finger

The most common symptom of trigger finger is the locking and snapping of the finger, but here are some additional symptoms:  

  • Snapping sensation as you attempt to straighten your finger
  • Grasping objects may cause the finger to lock
  • Finger stiffness in the morning
  • Bump at the base of the affected finger

Treating Trigger Finger

Treatment of trigger finger depends on the severity of the injury. Minor cases may only require rest, ice and anti-inflammatory medications. However, moderate cases may require splinting and physical therapy, and in severe cases surgery may be required. 

In severe cases doctors may also recommend a procedure called percutaneous trigger finger release, which is when doctors use a needle to release the locked finger.

Reduce or eliminate your pain

Trigger finger can be a very painful condition that affects your everyday life and your hands are vital to your independence. If you are suffering from any of the above symptoms, see an orthopedic physician immediately. The physicians at IBJI are experts at can help to reduce or eliminate your finger pain, and retain functionality of your hand. Contact an IBJI physician today.

Tags trigger finger, trigger finger release, stenosing tenosynovitis

Golf elbow – Getting Rid of a painful swing

Posted in Orthopedics on Tuesday, 19 November 2013

Golf elbow can put a cramp in your game.

For many, golf is a relaxing game that allows us to have a little fun on the weekend, and get some much needed exercise. There’s nothing like hitting the greens with a couple of friends (or even just the driving range) and perfecting your game. There is, however, something that can make golfing very frustrating and that’s pain. Many golfers (and weekend warriors) have pain in their elbow when swinging but don’t know much about the injury. Almost everyone is familiar with tennis elbow, but have you heard of Golf elbow?

What is Golf Elbow?

Golfer’s Elbow (Medial Epicondylitis) is a condition related to inflammation in the elbow. When the elbow becomes inflamed, it can be a very painful injury. For most patients the pain will be in one elbow, and may be a result of stressing the tendon when making a golf swing.

What causes Golfer’s Elbow?

For those who play a lot of golf and the elbow is under repetitive stress, the act of swinging the club may be the cause of pain. And although the condition is commonly referred to as Golf Elbow, you can suffer from the same symptoms without ever swinging a club. Any injury to the elbow or sport that requires repetitive pressure and stress on the elbow can cause symptoms – symptoms like pain and tenderness on the inside of the elbow, weakness in hands or wrist, and numbness and/or tingling that radiates into fingers.  Golf Elbow is also commonly referred to as Pitcher’s Elbow and Climber’s Elbow as elbow pain is common for baseball pitchers and rock climbers.

Tags golf elbow, golfers elbow, medial epicondylitis

Swollen Ankles and Feet – Why are my ankles swollen?

Posted in Orthopedics on Thursday, 14 November 2013

Swollen ankles can be an indicator of something more serious.

Swollen ankles can be a cause for concern, especially if the ankles have been swollen for an extended period of time. However, most people who suffer from swollen ankles or feet have little to worry about. While swollen ankles and feet are fairly common, if you suffer from this condition, it is best you make an appointment with your orthopedic physician to rule out any serious health problems.  Often swollen ankles are not painful but may be very uncomfortable. However, the pain is dependent on how and why the ankles are swollen. Below are some of the most common reasons:

Acute Ankle Injury

Twisting or spraining an ankle is a very common cause for swelling. In the case of ankle sprain, depending on the grade of ankle sprain, (there are 3 grades of ankle sprain – 3 being the worst) the swelling is usually accompanied by pain or extreme discomfort. It’s common for athletes or people who exercise to tweak their ankle during physical activity. Usually a misstep or jumping and landing on an uneven surface causes the ankle sprain, and the swelling will typically occur within a 48 hour period. 

Tags swollen ankles, ankle pain

Lupus – Common Symptoms

Posted in Orthopedics, Autoimmune on Wednesday, 06 November 2013

What is Lupus?

Lupus (lupus erythematosus) is an autoimmune disease that attacks the body’s tissues and organs.  Lupus usually irritates the skin and may cause inflammation in multiple areas including: skin, joints, kidneys, heart and lungs, and the blood cells. Generally, when someone gets sick, like having a “cold,”  your body’s immune system will create antibodies to fight off the germs and bacteria that are making you sick. In the case of a Lupus patient, the immune system is unable to decipher between foreign cells, such as viruses, and the cells and tissues that make up the body. Without this ability to tell the difference between foreign bacteria and the cells and tissues, the immune system, wrongly attacks the body.  

What are the Symptoms?

It can be very difficult to diagnose Lupus as the symptoms are often similar to those in other diseases and ailments. For instance, a lupus patient may feel fatigued or have a fever, but there are many ailments that may cause these symptoms.  Someone with a cold or flu may be both fatigued and have a fever, and sometimes, simply not eating healthy food and getting proper rest can cause you to feel fatigued. With that said, typically a specific butterfly looking facial rash, along with the other symptoms may help your physician diagnose your condition.

Tags lupus, lupus symptoms, chronic fatigue

Arthritis Discussion with Dr. Baxamusa

Posted in In the News, Orthopedics, Morton Grove Division on Sunday, 03 November 2013

In the third and final segment of neuro.RAPT's three part series dedicated to Our Hands, IBJI's Orthopedic Surgeon Dr. Taizoon Baxamusa covers the topic of arthritis - how it interferes with our daily lives, the correlation between x-ray imaging and severity, basilar joint arthritis, and treatments.

Tags Illinois Bone & Joint Institute, Dr. Taizoon Baxamusa, Hand, Orthopedics, Arthristis

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