Lincoln Orthopaedic Center, P.C. Dedicated Surgical Expertise • Professional, Friendly Staff • 3 Convenient Lincoln Locations

Volume 1 Issue 1 Healthy Living

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 Doug Kavanaugh, PT, OCS Nick Armentrout, PTA

Alan Thompson, PT Chad Wemhoff, PT, Michelle Aylor, PT Jeff Creal, PT SCS, CSCS Visit us online at: www.lincolnpt.org Welcome Message from Lincoln Orthopaedic Center

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.

Inside This Issue 2010 has been a good year! We increased our list of outreach clinics to 9! These new clinics are in David City and Lincoln Orthopaedic Center 4. Patrick Ganyo, CMPE we introduced our spine surgeon to the existing Beatrice offers a Less Invasive Administrator clinic. They have both been well received by residents and Approach to Total Hip physicians in these two areas. Thank you! Replacement LOC saw a growing need to help area athletic directors, coaches and staff with sports Eugene Simpson Recaps injury education, prevention and treatment. During the course of 2010 LOC and 5. Benefit of Anterior Approach BryanLGH embarked on a shared initiative to expand sports medicine coverage for to Hip Replacement Lincoln and surrounding areas. The results have been very positive!

We are very proud to provide coverage for: Our Physicians • Lincoln Saltdogs, Lincoln Stars 8. • 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 10. Our Locations 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 When Life Becomes a Pain in only orthopaedic practice in Nebraska to offer the anterior approach to total 11. the Neck 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 Exercises for Younger opportunity to serve our patients and referring providers and we welcome your feedback 14. Athletes 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.

Visit us online at: www.lincolnpt.org 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 Candidates for the traditional hip surgery, the surgeon can work between your procedure are people muscles without detaching them from the hip or thigh suffering from arthritis, bones. These important muscles are left undisturbed and hip pain, stiffness and are therefore typically spared a lengthy recovery. limited hip movement. Anterior approach to total hip replacement does have certain limitations with regard to Potential advantages of the anterior approach includes patient size. Extremely obese and very muscular individuals less pain, immediate weight bearing, significantly faster may not be candidates for this approach. return to a normal gait, no need for traditional dislocation precautions, and precise leg length measurement. Lastly The performance of a total hip replacement depends on and most importantly, since patients are lying on the your age, weight, activity level and other factors. The ante- operative table on their back, x-ray can be used to confirm rior approach for hip replacements may be “less invasive,” proper sizing and exact placement of the implants. This but all hip replacements are major operations that come exact placement of the prosthesis is directly related to with real risks that you should discuss with your surgeon. the longevity of the total hip replacement. Traditional approaches require the patient to be placed on their side Call 436-2000 to see if you are a candidate for anterior and therefore use of x-ray is difficult and rarely used. approach hip replacement.

4 Eugene Simpson Recaps Benefits of Anterior Approach to Hip Replacement

fter having had total hip replacement surgery in 2006, I was not exactly jumping I got exactly what I needed. I cannot praise Dr. for joy with the necessity Bigelow enough. A job well done! He delivered!! of having the right hip done also. The first recovery was long and painful – about average as far I attended a joint replacement The first two weeks of recovery for as surgical recoveries went. I did seminar at St. Elizabeth Hospital both procedures were about the not want to repeat that experience and was given the name of Dr. same…swelling, pain and feeling like again. I started investigating if there Bigelow, who was performing the, an invalid. But, two weeks after the was any alternative to the standard ‘anterior hip replacement’ surgery anterior hip surgery I was walking hip replacement surgical method along with the standard hip with a cane and getting around much, performed on me the first time. replacement. I was impressed with much better than the previous surgery. ‘Minimally invasive’ sounded good to Dr. Bigelows’ quiet competence And the milestones started coming me. I checked the internet and got and reassurances that I was, in fact, quicker and much more closely spaced a lot of conflicting reviews of new, a candidate for the ‘anterior’ hip than the first surgery. ‘minimally invasive’ procedures. approach. We scheduled 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 ExperienceExperience It!It!

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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

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6 Lincoln Orthopaedic Center, P.C. www.ortholinc.com Meet Our Physicians

John C. Yeakley, m.d. Matthew C. Reckmeyer, m.d. Douglas P. Tewes, m.d. General Orthopaedics Joint Replacement Sports Medicine Joint Replacement Arthroscopic Surgery Arthroscopic Surgery Arthroscopic Surgery Sports Medicine Knee and Shoulder Hip Resurfacing Reconstruction

Scott D. Bigelow, m.d. Nicholas K. Gove, m.d. Bruce Miller, m.d. Joint Replacement Hand and Microsurgery Orthopaedic Surgeon Arthroscopic Surgery Wrist and Elbow Sports Medicine Reconstruction Anterior Approach to Hip Replacement Meet Our Physicians

Robert A. Vande Guchte, m.d. Keith W. Lawson, m.d. Douglas A. Koch, m.d. Spinal Disorders and Reconstruction Joint Replacement Joint Replacement Trauma Surgery Arthroscopic Surgery Arthroscopic Surgery Disc Arthroplasty General Orthopaedics Sports Medicine Sports Medicine Anterior Approach to Hip Replacement

Dedicated Surgical Expertise Outreach Clinic Locations Auburn Outreach Clinic Nebraska City Nemaha County Hospital Outreach Clinic 2022 13th Street St. Mary’s Hospital Auburn, NE 68305 1314 3rd Avenue Phone: (402) 274-4366 Nebraska City, NE 68410 Phone: (402) 873-3321 Beatrice Outreach Clinic 103 S. 9th Street Beatrice, NE 68310 Seward Outreach Clinic Memorial Hospital Phone: (402) 228-5969 300 N. Columbia Avenue Seward, NE 68434 David City Outreach Clinic Phone: (402) 643-2971 Butler County Health Care Center - Outpatient Department 372 South 9th Street Tecumseh Outreach Clinic For more information email: Johnson County Hospital - David City, NE 68632 [email protected] Phone: (402) 367-1265 Specialty Clinic 202 High Street Henderson Health Care Services Tecumseh, NE 68450 1621 Front Street Phone: (402) 335-6372 Henderson, NE 68371 Phone: (402) 723-4512 York General Specialty Clinic York County Hospital Marysville Outreach Clinic 2222 N. Lincoln Avenue Community Memorial Healthcare York, NE 68467 708 N. 18th Street Phone: (402) 362-0420 Marysville, KS 66508 David City, NE 68632 Phone: (785) 562-2314 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 College of Rheumatology. “The cervical spine is subject to years,” says a woman named Joyce. “Nearly every stress and strain in ordinary everyday activities—speaking, remedy I have tried, including surgery, has produced gesturing, rising, sitting, walking, turning about, even little or no relief.” at rest lying down.” Virtually everything that requires movement—from running to frowning and everything in Joyce is not alone. One survey of adults ranging from 45 between—is controlled by the cervical spine. In normal to 75 years of age revealed that 20 percent of men and 25 situations, all movements take place without any damage percent of women were suffering from current neck pain. to the spinal cord. All told, about 50 percent of men and women are expected to be afflicted at some point in life. For them, life is quite But things don’t always go so easily. Sometimes the literally a pain in the neck. muscles, ligaments, and nerves that support the spine have abnormalities. Not to be overlooked All things considered, the neck is a complex piece of is the fact that the neck must support a equipment. Taking a broad view, it is controlled by the 15-pound head, making it highly cervical spine, which contains 37 joints that help provide vulnerable to injury. Neck mobility to the head and neck. The cervical spine takes pain is often the quite a beating, considering that the average human result. 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 CAUSES AND DIAGNOSIS Neck pain can be either acute (short- term) 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 encourage early movement, rather neurologic deficit, conservative there is no evidence of neurological than immobilization. The soft collar treatment is often the solution.” problems, anti-inflammatory medication may be used for a short term and on an and exercise under the guidance of intermittent basis.” The prognosis, with treatment, is quite a professional should be sufficient. It encouraging. Joyce, mentioned at the is important to note, however, that In many cases, a good stretching outset, found that her therapy program medication does not take the place of program can help improve mobility worked something akin to a miracle. “It exercise. It merely provides the patient of the neck. Besides exercise, those has been amazing,” she says, “to realize with the comfort level needed so that who suffer from neck pain can benefit that at the end of the day, I have been the muscles can be strengthened. from massage, electrical stimulation, pain free all day.” She adds: “This has “Promoting functional ability is and traction. changed my life.” important,” says the Chicago Institute of Neurosurgery and Neuroresearch. Surgery is an option in some cases, Please call 436-2000 today and schedule “Prolonged rest and immobilization but it should not be part of the game your appointment with our Spine weaken muscles and promote plan until other measures have been Specialist, Dr. Vande Guchte. deconditioning and more disability.” taken. “If the problem really is simply a pain problem,” says Dr. B. Theo Mellion, The same is true with whiplash injuries. “then treating it conservatively should “In the past,” says the American be the first step before surgery is even Academy of Orthopaedic considered. … For people with neck problems and an Surgeons, “whiplash injuries were often absence of treated with immobilization in a cervical collar. However, the current trend is to Exercises for

tayingYounger injury-free throughout the Athletessports season requires a proper conditioning and exercise program. Here are Stayingsome injury-free stretching throughout exercises developed the sports by season the American requires a Academyproper conditioning of Orthopaedic and Surgeons exercise that program. young athletesHere are some canstretching perform exercisesbefore participating developed in by any the athletic American activity. Academy of Orthopaedic Surgeons that young athletes can perform before participatingAthletes in mustany athleticdo each activity. one of the exercises carefully, speed is not important. Once the exercise routine is learned, Athletesthe entire must program do each should one of take the no exercises longer than carefully, 10 minutes. speed is not important. Once the exercise routine is learned, the entire programIt alsoshould is important take no longerto warm than up before 10 minutes. doing any of these exercises. Good examples of warm up activities are It alsoslowly is important running in placeto warm and up walking before for doing a few any minutes. of these exercises. Good examples of warm up activities are slowly running in place and walking for a few minutes.

Seat Straddle Lotus SitSit down; down; placeplace soles soles of feet together and and drop drop knees knees toward toward fl oor. floor. Place Place forearms on insideforearms of knees on inside and of push knees knees and pushto the knees ground. to the Lean ground. forward, Lean bringing forward, chin to feet. Hold forbringing five seconds. chin to feet.Repeat Hold three for fi tove sixseconds. times. Repeat three to six times. Seat Side Straddle SitSit with with legslegs spread; placeplace bothboth hands hands on on same same ankle. ankle. Bring Bring chin to knee, keeping thechin leg to straight. knee, keeping Hold for the five leg seconds.straight. Hold Repeat for fi threeve seconds. to six times. Repeat exercise on Seat Stretch oppositeRepeat three leg. to six times. Repeat exercise on opposite leg.

SitSit with with legslegs together, feet feet fl exed,flexed, hands hands on on ankles. ankles. Bring Bring chin chin to knees. Hold for five seconds.to knees. Repeat Hold for three fi ve seconds.to six times. Repeat three to six times. Lying, Quad Stretch LieLie on on back back with with oneone leg straight, the the other other leg leg with with hip hip turned turned in and in and knee knee bent. Press kneebent. to Press floor. knee Hold to forfl oor. five Hold seconds. for fi ve Repeatseconds. three Repeat to six three times. to six times. Custom Publishing Design Group ® Custom Publishing Design Group

Knees to Chest Lie on back with knees bent. Grasp tops of knees and Liebring on backthem without toward knees thebent. armpits, Grasp rocking tops of gently. knees Holdand bring them out toward the armpits,for ﬁ ve seconds. rocking gently.Repeat Holdthree forto ﬁfive ve times. seconds. Repeat three to five times.

Forward Lunges KneelKneel on on left left leg;leg; place rightright legleg forwardforward at at a a right right angle. angle. Lunge Lunge forward, forward, keeping the backkeeping straight. the back Stretch straight. should Stretch be felt should on the be leftfelt ongroin. the Holdleft groin. for five Hold seconds. Repeat three tofor six ﬁ vetimes. seconds. Repeat Repeat on opposite three to sixleg. times. Repeat on opposite leg.

Side Lunges StandStand with with legslegs apart; bend thethe left left knee knee while while leaning leaning toward toward the the left. Keep the back straightleft. Keep and the the back right straight leg straight. and the Hold right forleg fivestraight. seconds. Hold fRepeator fi ve three to six times. Repeatseconds. on Repeat opposite three leg. to six times. Repeat on opposite leg. Cross-Over 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 fi ve seconds. Repeat five seconds. Repeat three to six times. Repeat with opposite leg. three to six times. Repeat with opposite leg. Standing Quad Stretch StandStand supported. supported. Pull footfoot to to buttocks. buttocks. Hold Hold for for five seconds. Repeat three to six times. fi ve 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 SEE THE TRAINER – Sports Medicine Stores 2711 S. 48th St., Suite 104, Lincoln, NE 68506 Depuy Mitek Midlands Financial Benefits, Inc. M-Th: 10am-7pm, Fri: 10am-6pm, Sat: 10am-4pm Husker Rehabilitation and Wellness, PC Saint Elizabeth Regional Medical Center P: (402) 484-5665 • F: (402) 484-5827 www.seethetrainer.com Lincoln Physical Therapy Associates

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Cathy Dorenbach Employee Benefit Specialist

Call us if you’d like to purchase an advertisement in this magazine. Midlands Financial Benefits, Inc. 7101 S 82nd Lincoln NE 68516 COPIC Insurance Company 800.246.1637 (402) 434-8050 Fax (402) 434-8051 233 S. 13th St., Ste. 1200, Lincoln, NE 68508 CustomMedicalMagazine.com www.midfin.com (800) 421-1834 • callcopic.com

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15 Lincoln Orthopaedic Center Dedicated Surgical Expertise

Specialties include: • Anterior Approach Hip Replacement • Fracture Care • Arthroscopic Surgery • Hands/Wrist/Elbow • Sports Medicine • Total Joint Replacement • General Orthopaedics • Spinal Surgery • Arthritis Surgery • Direct Lateral Spine Fusion

Proud to be team physicians for:

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