Chronic Lateral Foot Pain – Symptoms, Causes and Treatments

Posted in Orthopedics on Wednesday, 09 July 2014

Chronic Lateral Foot Pain Chicago


What is Chronic Lateral Foot Pain?

Chronic lateral foot pain is the term used to describe recurring pain that runs along the outside of the foot and along the outside of the ankle. It can present itself before, during or after activities that use this part of the foot, such as during exercise and walking.

 Symptoms of Chronic Lateral Foot Pain

There are numerous symptoms, most of which depend upon what part of the foot is causing the pain. The most common symptom is pain on the outer side of the ankle. It may remain for a moderate duration or require pain management before it goes away. Other symptoms include instability of the foot, difficulty walking, a susceptibility to ankle sprains, inability to stand properly on the foot, swelling and tenderness.

Tags Chronic Lateral Foot Pain

Illinois Bone & Joint Institute Debuts New Technology That Significantly Improves Patient Experience

Posted in What's New, In the News, Orthopedic News, Orthopedics, Imaging & Diagnostics, Chicago Division on Wednesday, 11 June 2014

Vantage Titan from Toshiba

New Magnetic Resonance System is Faster, Quieter and Delivers Higher Quality Results

Chicago, IL (June 10, 2014)–Illinois Bone & Joint Institute (IBJI) has introduced the latest in magnetic resonance (MR) technology by installing the Vantage Titan from Toshiba*. This innovative system, which has just been made available at IBJI’s new Chicago facility in Logan Square, is a major improvement over traditional MR systems for patients requiring this type of sophisticated imaging. Notably, the Toshiba Vantage Titan offers:

  • Significant reductions in noise and vibration during the scanning process; noise has been identified as the most significant cause of patient discomfort during MR exams
  • A larger bore size, which gives patients a greater feeling of openness while inside the scanner

Physicians and imaging specialists using the new system report that patients are much more comfortable and are better able to keep still during imaging. This can dramatically improve the quality of the data that is obtained. Michelle Flaherty, Administrator at IBJI-Chicago, agrees: “The Vantage Titan is a dramatic step forward from traditional systems. It offers the widest bore available and is much quieter. This creates a faster and better scan experience for all patients, especially those with claustrophobia.” The larger bore size also increases the range of patient body types that can be imaged with MR and eliminates the need to sedate patients with anxiety.

The Vantage Titan technology is an important addition at IBJI-Chicago, which is the first orthopaedic specialty group in the Chicago area to offer the new platform to its patients. Its innovative noise reduction solution, known as Pianissimo™, lowers noise levels by as much as 90 percent during an exam compared to other systems. IBJI-Chicago offers a full range of on-site orthopaedic specialty care including immediate injury care, optimal imaging using x-ray and MR technologies, physical and occupational therapies, rehabilitation and workers compensation services.


Tags mri, Illinois Bone & Joint Institute , Magnetic Resonance System, Vantage Titan, Pianissimo, Toshiba Medical Systems

Shoulder Impingement Syndrome – Symptoms, Diagnosing and Treating

Posted in Orthopedics on Wednesday, 11 June 2014

Shoulder impingement syndrome is a painful condition that involves the rotator cuff muscles. The syndrome commonly occurs after a person endures an acute shoulder injury. A person can injure his or her shoulder falling awkwardly or performing a wide variety of tasks such as: lifting weights, playing sports or just by reaching out and extending the arm. The swelling within the joint usually causes pain and the small blood vessels endure a great deal of pressure from the swelling.  

Tags Shoulder Impingement Syndrome, shoulder pain,

Osteoporosis in Men – Are Men at Risk?

Posted in Orthopedics on Wednesday, 21 May 2014

Older man with wife

Osteoporosis is a medical condition which causes the bones to thin and become weak and brittle. The condition is commonly associated with older women but men are at risk too. In fact, over two million men already have osteoporosis.  Due to a lack of knowledge about the condition (in men) and lack of symptoms, men are not taking the proper steps to help prevent or slow the progression of osteoporosis.

Who is at Risk?

Women are commonly warned about the dangers of osteoporosis but over twelve million men are also at risk. Older men above the age of 50 are likely to develop osteoporosis and should have regular visits with an orthopedic physician due to the lack of symptoms.  

Symptoms of Osteoporosis

Osteoporosis patients experience loss of bone density which results in fragile and porous bones.  Unfortunately, there may be little to no symptoms during the early stages, but as the condition progresses fractures are likely to occur. While there are many different ways to categorize fractures, osteoporosis patients are prone to compression fractures.  A compression fracture is a complete bone break. The problem with compression fractures is, while some can be very painful, others are not painful at all and can go undetected until discovered in a diagnostic exam.  This is one of the reason it is critically important to schedule an office visit with your orthopedic physician, especially if you are a male over the age of 50 years old.


Lifestyle changes, exercise and diet may help control osteoporosis. Patients can seek treatment from physicians to control pain, prevent further fractures and minimize bone loss. One of the most prescribed medications for osteoporosis is bisphosphonates, which help prevent the loss of bone mass. In addition to bisphosphonates, hormone replacement therapy is an option. As one of the causes for osteoporosis in men is the loss of testosterone, in some cases testosterone replacement therapy may help increase and improve bone mass and density.  However, this is something you will need to discuss with your orthopedic physician.

Get Help Today

Osteoporosis is a serious medical condition that may cause severe pain. As the bones lose density and weaken, the patient is more susceptible to painful fractures. Unfortunately, most men are not concerned with osteoporosis until they have already broken a bone.  The best thing you can do is get diagnosed early and get a proper treatment plan in place that will help slow or minimize the progression of the osteoporosis. Regular visit to your physician and check-ups are great ways to maintain good health.

Schedule an appointment with an IBJI physician today and speak with your doctor about osteoporosis prevention.  

Tags Osteoporosis, Osteoporosis in Men, fractures

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

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.

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 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.


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

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.

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.


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.   

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

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