Volume 1 Issue 1
Healthy
Living
Lincoln Orthopaedic Center, P.C.
Dedicated Surgical Expertise
• Professional, Friendly Staff
• 3 Convenient Lincoln Locations
NORTH - 27th & Superior 476-2600
EAST- 70th & Van Dorn 483-4709
SOUTH -14th & Pine Lake 421-2700
We have more board
certified specialists
than any other
Physical Therapy
clinic in Lincoln!
Tom Harmon, PT, OCS
Dan Creal, PT, CHT
Andrew Creal, PT, OCS
Sarah Linderman, PT
Alan Thompson, PT
Chad Wemhoff, PT,
SCS, CSCS
Doug Kavanaugh, PT, OCS
Michelle Aylor, PT
Nick Armentrout, PTA
Jeff Creal, PT
Visit us online at: www.lincolnpt.org
Welcome Message
from Lincoln Orthopaedic Center
Inside This Issue
Orthopaedic Center
4. Lincoln
offers a Less Invasive
Approach to Total Hip
Replacement
5.
8.
Eugene Simpson Recaps
Benefit of Anterior Approach
to Hip Replacement
Our Physicians
10. Our Locations
Life Becomes a Pain in
11. When
the Neck
for Younger
14. Exercises
Athletes
This is the premier issue of, Lincoln Orthopaedic Center Healthy Living Magazine. Our goal with this publication is
to provide valuable orthopaedic and sports medicine news
and to keep you current on Lincoln Orthopaedic Center
services, physicians and current events.
Patrick Ganyo, CMPE
Administrator
2010 has been a good year! We increased our list of
outreach clinics to 9! These new clinics are in David City and
we introduced our spine surgeon to the existing Beatrice
clinic. They have both been well received by residents and
physicians in these two areas. Thank you!
LOC saw a growing need to help area athletic directors, coaches and staff with sports
injury education, prevention and treatment. During the course of 2010 LOC and
BryanLGH embarked on a shared initiative to expand sports medicine coverage for
Lincoln and surrounding areas. The results have been very positive!
We are very proud to provide coverage for:
•
Lincoln Saltdogs, Lincoln Stars
•
Concordia, Doane, Wesleyan
•
Lincoln Lutheran Schools, Seward Public Schools, Lincoln
Christian School, Lincoln Northeast Summer Basketball League
•
Eastern Nebraska Officials Association, Lincoln Rugby Club, Lincoln Midget
Football League and Lincoln Youth and High School Hockey Clubs
LOC is fortunate to have an exceptional group of people who work hard to make
our patients’ experience positive. Our group is comprised of 9 surgeons, 5 physician
assistants, 4 athletic trainers and a support staff of 70. Our physicians continually strive
to be on the cutting edge of their profession. For example, LOC is now the
only orthopaedic practice in Nebraska to offer the anterior approach to total
hip replacement.
Last but certainly not least, we extend a big “thank you” to our advertisers. Without
your generous support this publication would not be possible. LOC appreciates the
opportunity to serve our patients and referring providers and we welcome your feedback
for future issues of LOC Healthy Living.
Sincerely
Patrick Ganyo, CMPE
Administrator
Lincoln Orthopaedic Center’s Healthy Living
Magazine is designed and published by
Medical
Custom Medical Design Group. To advertise
in an upcoming issue please contact us at:
800.246.1637 or www.CustomMedicalMagazine.com. This publication
may not be reproduced in part or whole without the express written
consent of Custom Medical Design Group. Custom Medical Design Group
does not endorse the contents of this journal.
www.ortholinc.com
3
Lincoln Orthopaedic Center
offers a Less Invasive Approach to Total Hip Replacement
Muscle Sparring Approach to Hip Replacement: The Anterior Approach.
hen debilitating pain and stiffness in your
hip limits your daily activities, you may be a
candidate for hip replacement. Hip replacement
has been one of the most successful orthopaedic
procedures in the last 40 years. Even with the high success
rate the traditional approach to total hip replacement has
drawbacks. Traditional approaches are typically done from
the side or back of the hip and require cutting or detaching
of muscle from the pelvis or femur. This can lead to a longer
recovery as well as an increased risk of dislocation and limp.
Drs. Doug Koch and Scott Bigelow of Lincoln Orthopaedic
Center have been performing hip replacements with the
direct anterior approach.
Eugene Simpson from Lincoln has undergone two
total hip replacement surgeries. His
first hip replacement was done with the
traditional approach. Eugenes’ second hip was
done at LOC with the direct anterior approach.
Read about his positive experience with
the anterior hip approach on page five.
The anterior approach for total hip arthroplasty has
been used successfully in Europe for decades. Recently
the anterior approach has been gaining popularity in the
United States. It is a great alternative to traditional hip
replacement surgery. This technique approaches the hip
joint from the front as opposed to the side or back. Unlike
traditional hip surgery, the surgeon can work between your
muscles without detaching them from the hip or thigh
bones. These important muscles are left undisturbed and
are therefore typically spared a lengthy recovery.
Potential advantages of the anterior approach includes
less pain, immediate weight bearing, significantly faster
return to a normal gait, no need for traditional dislocation
precautions, and precise leg length measurement. Lastly
and most importantly, since patients are lying on the
operative table on their back, x-ray can be used to confirm
proper sizing and exact placement of the implants. This
exact placement of the prosthesis is directly related to
the longevity of the total hip replacement. Traditional
approaches require the patient to be placed on their side
and therefore use of x-ray is difficult and rarely used.
4
Candidates for the
procedure are people
suffering from arthritis,
hip pain, stiffness and
limited hip movement. Anterior approach to total hip
replacement does have certain limitations with regard to
patient size. Extremely obese and very muscular individuals
may not be candidates for this approach.
The performance of a total hip replacement depends on
your age, weight, activity level and other factors. The anterior approach for hip replacements may be “less invasive,”
but all hip replacements are major operations that come
with real risks that you should discuss with your surgeon.
Call 436-2000 to see if you are a candidate for anterior
approach hip replacement.
Eugene Simpson Recaps Benefits of
Anterior Approach to Hip Replacement
fter having had total hip
replacement surgery in 2006,
I was not exactly jumping
for joy with the necessity
of having the right hip done
also. The first recovery was long
and painful – about average as far
as surgical recoveries went. I did
not want to repeat that experience
again. I started investigating if there
was any alternative to the standard
hip replacement surgical method
performed on me the first time.
‘Minimally invasive’ sounded good to
me. I checked the internet and got
a lot of conflicting reviews of new,
‘minimally invasive’ procedures.
I got exactly what I needed. I cannot praise Dr.
Bigelow enough. A job well done! He delivered!!
I attended a joint replacement
seminar at St. Elizabeth Hospital
and was given the name of Dr.
Bigelow, who was performing the,
‘anterior hip replacement’ surgery
along with the standard hip
replacement. I was impressed with
Dr. Bigelows’ quiet competence
and reassurances that I was, in fact,
a candidate for the ‘anterior’ hip
approach. We scheduled surgery.
The first two weeks of recovery for
both procedures were about the
same…swelling, pain and feeling like
an invalid. But, two weeks after the
anterior hip surgery I was walking
with a cane and getting around much,
much better than the previous surgery.
And the milestones started coming
quicker and much more closely spaced
than the first surgery.
At the end of two weeks, I could
walk three laps, (with cane) at my
gym. At the end of six weeks, I could
clock a twenty-minute mile, without
a cane! The nerves and muscles of
my upper thigh and hip suffered less
trauma with the anterior total hip
replacement. I was able to get up and
get going much, much faster than the
first surgery. I am a very self-directed
person and knew what I wanted
and did NOT want when it came to a
second surgery.
To find out if you are a good candidate
for anterior approach hip
replacement contact us at
402-436-2000.
www.ortholinc.com
5
Experience It!
Experience
the excitement
that is Lincoln
Stars hockey.
Tickets are on sale
now for all Lincoln
Stars home games in
the 2010-2011 season.
Order your tickets online at
lincolnstars.com or by
calling the Stars Ticket Office
at (402) 474-7827, ext. 1.
For information on the 2010-2011 schedule, season tickets,
group rates and skybox rentals, visit us online at lincolnstars.com
Because your knees
support your game.
If you have osteoarthritis (OA) of the knee, and pain relievers aren’t helping, there is a
non-surgical option that may help keep you moving and get your knees back in the game.
ORTHOVISC® provides up to 6 months of knee pain relief with just three injections.
Made from ultra-pure natural hyaluronan, which is found in healthy joints, ORTHOVISC®
acts to cushion, protect and lubricate your knee.
As an Official Health and Fitness Provider for the PGA TOUR and CHAMPIONS TOUR,
ORTHOVISC® may be just what you need to get back on the course.
To learn more, call DePuy Mitek at 1-800-382-4682 or visit www.orthovisc.com
AN OFFICIAL HEALTH AND FITNESS PROVIDER
Important Safety Information
ORTHOVISC® is for patients who do not get adequate pain relief from simple pain relievers like acetaminophen
or from exercise and physical therapy. ORTHOVISC® is not for use in people with known allergy to hyaluronate
preparations, to gram bacterial proteins, with infections or skin diseases in the area of the injection site or joint.
Common side effects include joint pain, back pain, headaches and pain or redness at the injection site.
ORTHOVISC® is manufactured by and is a registered trademark of Anika Therapeutics, Inc.
6
Lincoln Orthopaedic Center, P.C.
www.ortholinc.com
Meet O
John C. Yeakley, m.d.
General Orthopaedics
Joint Replacement
Arthroscopic Surgery
Scott D. Bigelow, m.d.
Joint Replacement
Arthroscopic Surgery
Sports Medicine
Anterior Approach
to Hip Replacement
Matthew C. Reckmeyer, m.d.
Joint Replacement
Arthroscopic Surgery
Sports Medicine
Hip Resurfacing
Nicholas K. Gove, m.d.
Hand and Microsurgery
Wrist and Elbow
Reconstruction
Douglas P. Tewes, m.d.
Sports Medicine
Arthroscopic Surgery
Knee and Shoulder
Reconstruction
Bruce Miller, m.d.
Orthopaedic Surgeon
Our Physicians
Robert A. Vande Guchte, m.d.
Spinal Disorders and Reconstruction
Trauma Surgery
Disc Arthroplasty
Keith W. Lawson, m.d.
Joint Replacement
Arthroscopic Surgery
General Orthopaedics
Sports Medicine
Douglas A. Koch, m.d.
Joint Replacement
Arthroscopic Surgery
Sports Medicine
Anterior Approach
to Hip Replacement
Dedicated Surgical Expertise
Outreach Clinic Locations
Auburn Outreach Clinic
Nebraska City
Outreach Clinic
Nemaha County Hospital
2022 13th Street
Auburn, NE 68305
Phone: (402) 274-4366
St. Mary’s Hospital
1314 3rd Avenue
Nebraska City, NE 68410
Phone: (402) 873-3321
Beatrice Outreach Clinic
103 S. 9th Street
Beatrice, NE 68310
Phone: (402) 228-5969
Seward Outreach Clinic
David City Outreach Clinic
Butler County Health Care Center Outpatient Department
372 South 9th Street
David City, NE 68632
Phone: (402) 367-1265
Henderson Health Care Services
1621 Front Street
Henderson, NE 68371
Phone: (402) 723-4512
Memorial Hospital
300 N. Columbia Avenue
Seward, NE 68434
Phone: (402) 643-2971
Tecumseh Outreach Clinic
Johnson County Hospital Specialty Clinic
202 High Street
Tecumseh, NE 68450
Phone: (402) 335-6372
For more information email:
[email protected]
York General Specialty Clinic
Marysville Outreach Clinic
Community Memorial Healthcare
708 N. 18th Street
Marysville, KS 66508
Phone: (785) 562-2314
York County Hospital
2222 N. Lincoln Avenue
York, NE 68467
Phone: (402) 362-0420
David City, NE 68632
Phone: (402) 367-1265
Locations
6900 A Street • Lincoln, Nebraska 68510 • Phone: (402) 436-2000 • Fax: (402) 436-2085
When Life Becomes a Pain in the Neck
By George Joseph
HAVE been living with chronic neck pain for 15
years,” says a woman named Joyce. “Nearly every
remedy I have tried, including surgery, has produced
little or no relief.”
Joyce is not alone. One survey of adults ranging from 45
to 75 years of age revealed that 20 percent of men and 25
percent of women were suffering from current neck pain.
All told, about 50 percent of men and women are expected
to be afflicted at some point in life. For them, life is quite
literally a pain in the neck.
All things considered, the neck is a complex piece of
equipment. Taking a broad view, it is controlled by the
cervical spine, which contains 37 joints that help provide
mobility to the head and neck. The cervical spine takes
quite a beating, considering that the average human
moves his or her neck some 600 times per hour. “No
other part of the musculoskeletal system is
in such constant motion,” says
the American
College of Rheumatology. “The cervical spine is subject to
stress and strain in ordinary everyday activities—speaking,
gesturing, rising, sitting, walking, turning about, even
at rest lying down.” Virtually everything that requires
movement—from running to frowning and everything in
between—is controlled by the cervical spine. In normal
situations, all movements take place without any damage
to the spinal cord.
But things don’t always go so easily. Sometimes the
muscles, ligaments, and nerves that support the
spine have abnormalities. Not to be overlooked
is the fact that the neck must support a
15-pound head, making it highly
vulnerable to injury. Neck
pain is often the
result.
CAUSES AND DIAGNOSIS
Neck pain can be either acute (shortterm) or chronic (persistent). Acute neck
pain can have a number of causes. One
is bad posture. Not surprisingly, neck
pain is common in office workers who
spend much of their day in front of a
computer in a ‘bent-forward’ position.
Another manifestation of neck injury
is called torticollis, or “wry neck.” In
this case, the neck is turned to such
an extent that it becomes twisted to
one side and difficult to move back.
Sometimes this occurs while sleeping.
The pain usually subsides within
a few days and does not need
further treatment.
Neck pain can also result from injuries
or sprains to the neck muscles or
ligaments. Whiplash injuries, for
example, are quite common in the wake
of car accidents. “About 20 percent of
people involved in rear-end collisions
later experience symptoms that center
in the neck region,” reports the American
Academy of Orthopaedic Surgeons.
“Although most of these people recover
quickly, a small number develop chronic
conditions that result in severe pain and
sometimes disability.”
People who suffer from whiplash often
experience headaches, low back pain,
dizziness, ringing in the ears, sleep
disturbances, and—of course—neck
pain and stiffness.
TREATMENT
Treatment of neck conditions is best
handled by an orthopaedist. The
American Academy of Orthopaedic
Surgeons says: “Orthopaedists are
specifically trained in the workings
of the musculoskeletal system,
including the diagnosis, treatment, and
prevention of problems involving the
muscles, bones, joints, ligaments and
tendons. While some orthopaedists
confine their practices to specific
areas of the musculoskeletal system,
most treat a wide variety of diseases,
injuries and other conditions, including
neck pain.”
In simple cases, where pain is acute and
there is no evidence of neurological
problems, anti-inflammatory medication
and exercise under the guidance of
a professional should be sufficient. It
is important to note, however, that
medication does not take the place of
exercise. It merely provides the patient
with the comfort level needed so that
the muscles can be strengthened.
“Promoting functional ability is
important,” says the Chicago Institute
of Neurosurgery and Neuroresearch. “Prolonged rest and immobilization
weaken muscles and promote
deconditioning and more disability.”
The same is true with whiplash injuries.
“In the past,” says the American
Academy of Orthopaedic
Surgeons, “whiplash injuries were often
treated with immobilization in a cervical
collar. However, the current
trend is to
encourage early movement, rather
than immobilization. The soft collar
may be used for a short term and on an
intermittent basis.”
In many cases, a good stretching
program can help improve mobility
of the neck. Besides exercise, those
who suffer from neck pain can benefit
from massage, electrical stimulation,
and traction.
Surgery is an option in some cases,
but it should not be part of the game
plan until other measures have been
taken. “If the problem really is simply
a pain problem,” says Dr. B. Theo Mellion,
“then treating it conservatively should
be the first step before surgery is even
considered. … For people with
neck problems and an
absence of
neurologic deficit, conservative
treatment is often the solution.”
The prognosis, with treatment, is quite
encouraging. Joyce, mentioned at the
outset, found that her therapy program
worked something akin to a miracle. “It
has been amazing,” she says, “to realize
that at the end of the day, I have been
pain free all day.” She adds: “This has
changed my life.”
Please call 436-2000 today and schedule
your appointment with our Spine
Specialist, Dr. Vande Guchte.
S
Exercises for
Younger Athletes
taying injury-free throughout the sports season requires
a proper conditioning and exercise program. Here are
taying
injury-free
throughout
the sportsby
season
requires a
some
stretching
exercises developed
the American
proper conditioning
and
exercisethat
program.
Here are some
Academy
of Orthopaedic
Surgeons
young athletes
stretching
developedinby
the
American
Academy of
can
perform exercises
before participating
any
athletic
activity.
Orthopaedic Surgeons that young athletes can perform before
participating
in must
any athletic
Athletes
do eachactivity.
one of the exercises carefully,
speed is not important. Once the exercise routine is learned,
Athletes
must
do eachshould
one of
theno
exercises
carefully,
speed is
the entire
program
take
longer than
10 minutes.
not important. Once the exercise routine is learned, the entire
program
should
take no longer
10 minutes.
It also
is important
to warmthan
up before
doing any of
these exercises. Good examples of warm up activities are
It also
is important
to warm
beforefordoing
of these
slowly
running in place
andup
walking
a fewany
minutes.
exercises. Good examples of warm up activities are slowly running
in place and walking for a few minutes.
Seat Side Straddle
Seat Stretch
Lying, Quad Stretch
SitSitdown;
place soles of feet together and drop knees toward floor. Place forearms on
down; place soles of feet together and drop knees toward floor. Place
inside
of
knees
and push knees to the ground. Lean forward, bringing chin to feet. Hold
forearms on inside of knees and push knees to the ground. Lean forward,
for
five
seconds.
Repeat three to six times.
bringing chin to feet. Hold for five seconds. Repeat three to six times.
SitSitwith
spread; place
place both
bothhands
handson
onsame
sameankle.
ankle.Bring
Bring chin to knee, keeping
with legs spread;
the
legtostraight.
Hold for
Repeat
to six times. Repeat exercise on
chin
knee, keeping
thefive
leg seconds.
straight. Hold
for fithree
ve seconds.
opposite
leg. to six times. Repeat exercise on opposite leg.
Repeat three
with legs
legs together,
ankles.
Bring
chinchin to knees. Hold for five
SitSitwith
together,feet
feetflexed,
flexed,hands
handsonon
ankles.
Bring
to
knees.
Hold
for
fi
ve
seconds.
Repeat
three
to
six
times.
seconds. Repeat three to six times.
Custom Publishing Design Group ®
Seat Straddle Lotus
Lieon
onback
backwith
with one
one leg
leg straight,
with
hiphip
turned
in and
kneeknee bent. Press
Lie
straight,the
theother
otherleg
leg
with
turned
in and
bent.
Press
knee
to
fl
oor.
Hold
for
fi
ve
seconds.
Repeat
three
to
six
times.
knee to floor. Hold for five seconds. Repeat three to six times.
Knees to Chest
Forward Lunges
Side Lunges
Cross-Over
Lie on back with knees bent. Grasp tops of knees and
Lie
on back with knees bent. Grasp tops of knees and bring them out toward the
bring them out toward the armpits, rocking gently. Hold
armpits,
rocking gently. Hold for five seconds. Repeat three to five times.
for five seconds. Repeat three to five times.
Kneel
legforward
forwardatataaright
rightangle.
angle.Lunge
Lunge
forward, keeping the
Kneelon
onleft
left leg;
leg; place
place right
right leg
forward,
back
straight.
Stretch
should
be felt
on the
groin.
for five
keeping
the back
straight.
Stretch
should
be left
felt on
the Hold
left groin.
Holdseconds. Repeat three
toforsixfive
times.
Repeat
on opposite
leg.times. Repeat on opposite leg.
seconds.
Repeat
three to six
Standwith
with legs
legs apart;
leaning
toward
thethe left. Keep the back
Stand
apart; bend
bend the
theleft
leftknee
kneewhile
while
leaning
toward
left.
Keep
the
back
straight
and
the
right
leg
straight.
Hold
for
fi
ve
straight and the right leg straight. Hold for five seconds. Repeat three to six times.
seconds.
three
Repeat
onRepeat
opposite
leg.to six times. Repeat on opposite leg.
Stand with legs crossed; keep feet close together and
Stand with legs crossed; keep feet close together and legs straight. Touch toes. Hold for
legs straight. Touch toes. Hold for five seconds. Repeat
five seconds. Repeat three to six times. Repeat with opposite leg.
three to six times. Repeat with opposite leg.
Standing Quad Stretch
Stand
foottotobuttocks.
buttocks.Hold
Hold
Standsupported.
supported. Pull
Pull foot
forfor five seconds. Repeat three to six times.
five seconds. Repeat three to six times.
Please call 436-2900 to see how Lincoln Orthopaedic/BryanLGH Sports Medicine
Program
can help your athlete or team.
Source:
Thank You to Our Sponsors
COPIC Insurance
Lincoln Stars Hockey
Depuy Mitek
Midlands Financial Benefits, Inc.
Husker Rehabilitation and Wellness, PC
Saint Elizabeth Regional Medical Center
Lincoln Physical Therapy Associates
SEE THE TRAINER – Sports Medicine Stores
2711 S. 48th St., Suite 104, Lincoln, NE 68506
M-Th: 10am-7pm, Fri: 10am-6pm, Sat: 10am-4pm
P: (402) 484-5665 • F: (402) 484-5827
www.seethetrainer.com
Medical
Cathy Dorenbach
Employee Benefit Specialist
Call us if you’d like to purchase
an advertisement in this magazine.
800.246.1637
CustomMedicalMagazine.com
Midlands Financial Benefits, Inc.
7101 S 82nd Lincoln NE 68516
(402) 434-8050 Fax (402) 434-8051
www.midfin.com
Ice Safety Tips
Winter brings ice, and an increased chance for slips and
falls. Follow these tips to reduce your chance of injury due
to falling on the ice:
 Wear shoes or boots that fit appropriately.
COPIC Insurance Company
233 S. 13th St., Ste. 1200, Lincoln, NE 68508
(800) 421-1834 • callcopic.com
I am
strong.
 Use closures (laces, velcro or buckles) to ensure a
secure fit.
 Depth and sole pattern is important in snow, but
the material of the outsole is most important.
Rubber soles grip best in colder temperatures.
 Use commercial products to melt ice and increase
grip on driveways, walks and stairs.
 The addition of commercial grit paint to concrete
stairs can help.
Saint Elizabeth Regional Medical Center has CyberKnife,®
Nebraska’s ultimate cancer fighting machine. Greater accuracy,
fewer treatments and almost no side-effects. CyberKnife,®
an intense radiation delivery system, one step closer to making
inoperable cancer, operable.
 When needed, use aids such as canes, walking
sticks or walkers.
 Bring a cell phone, whistle or noise device to call for
help if you have fallen and are injured.
CAN
 Use traction devices such overboots.
15
Lincoln Orthopaedic Center
Dedicated Surgical Expertise
Specialties include:
•
•
•
•
•
Anterior Approach Hip Replacement
Arthroscopic Surgery
Sports Medicine
General Orthopaedics
Arthritis Surgery
•
•
•
•
•
Fracture Care
Hands/Wrist/Elbow
Total Joint Replacement
Spinal Surgery
Direct Lateral Spine Fusion
Proud to be team physicians for:
Eastern Nebraska
OFFICIALS
Lincoln Rugby Club
Seward Public Schools
www.ortholinc.com •
Lincoln Christian Schools
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