脱衣直播

Some of the most common complaints we hear are about lower back or neck pain. We treat all disorders related to the spine with compassion and urgency.  

Most spine complaints can be addressed by our excellent staff of physical therapists, along with the use of medications when needed. But sometimes surgical expertise is needed.  

One of the conditions we see most often is a herniated disc in the lumbar spine. The disc is the shock absorber to the spine, and over the years, it may become more brittle and easier to rupture. Our orthopedic doctors make every effort to treat this condition without surgery. But patients often need further treatment, and microsurgery may be prescribed.  

During microsurgery, an orthopedic surgeon uses an operative microscope, which lets them make a smaller skin incision and leads to less trauma to the surrounding soft tissues of the spine. This and other newer, minimally invasive surgical techniques allow for shorter hospital stays and less pain after operations.

Another common complaint is chronic lower back pain due to degenerative disc disease. Normally caused by an aging spine, it can also result from trauma that happened many years ago. Sometimes this disorder may need surgical management.  

Surgery may involve spinal fusion or even disc replacement. Spinal fusion limits the movement of a painful disc segment. It's the standard method of surgical treatment for disorders like spondylolisthesis (slipped spine) and fractures, and it's sometimes used to treat degenerative disc disease.  

Disc replacement is currently an option for single segment degenerative disc disease. A disc replacement is an FDA-approved, implanted mechanical device that helps the disc segments maintain motion.

Shoulder pain is one of the most common reasons why patients see an orthopedic physician. When your doctor evaluates your shoulder, they will work to find the source of pain, which can be caused by several issues.

The shoulder joint is made up of the humeral head or ball at the top of the bone of the upper arm, the glenoid or socket of the shoulder joint, the acromion or upper part of the shoulder blade, and the clavicle or collar bone.  

The muscles that power movement of the shoulder include the muscles of the rotator cuff and the large deltoid muscle, which makes the rounded contour of the shoulder. The ligaments of the shoulder provide stability to the joint and keep the humeral head from dislocating from the glenoid.  

Any one of these bones, ligaments or muscle groups can be a source of shoulder pain or disability.

Some common sources of shoulder pain that your physician will evaluate you for include the following:

• Rotator cuff tear
• Rotator cuff impingement
• Torn ligaments of the shoulder
• Biceps tendon injuries
• Arthritis involving the shoulder joint

Our specialists can diagnose and treat all these injuries, among others, to help restore your shoulder function and decrease your pain.

In fact, Rush Orthopaedics & Sports Medicine is on the leading edge of treatment for complex shoulder problems. Arif Saleem, MD, our shoulder and elbow subspecialist, was the first surgeon to perform a "reverse" shoulder replacement in the Fox Valley area. This innovative procedure gives new hope to patients with unrepairable rotator cuff tears and shoulder arthritis.  

Our physicians also perform advanced arthroscopic shoulder surgery to provide you with the least invasive procedure available. Along with our highly trained physicians, our physical therapy team has expertise in dealing with shoulder rehabilitation and can provide the best hands-on care available, giving you a speedy and full recovery.

The elbow is a very complex joint that involves the movement of three bones. The end of the humerus moves with the radius and ulna bones of the forearm to allow for the extension and rotation of your elbow. Several muscles surround the elbow joint including the biceps, triceps, forearm extensor and forearm flexor muscles.

Like the ligaments of the shoulder, ligaments in the elbow provide stability to the joint. The most common elbow problems include the following:

• Lateral epicondylitis (tennis elbow)
• Medial epicondylitis (golfer's elbow)
• Biceps tendon tears
• Triceps tears
• Ligament injuries
• Elbow fractures

As with shoulder injuries, our physicians can diagnose your elbow problem and begin treatment. Our skilled surgeons perform advanced elbow procedures, including the following:

• Ulnar collateral ligament reconstruction (i.e. "Tommy John procedure")
• Lateral ulnar collateral ligament reconstruction
• Complex fracture repair
• Elbow arthroscopy
• Elbow replacement

We also have a dedicated hand therapist who specializes in treating difficult hand and elbow problems.

Hand surgery involves the care of patients with injuries and disorders of the upper extremity below the elbow, including the hand, fingers, wrist and forearm.  

Commonly treated injuries include tendon and nerve lacerations (cuts), broken bones, dislocated joints and torn ligaments or tendons. Chronic disorders are often diagnosed and include tendonitis and other overuse syndromes.  

We also evaluate, diagnose and treat the following conditions:  

• Carpal tunnel syndrome
• Ganglion cysts
• Trigger fingers
• Cubital tunnel syndrome
• Arthritis of the hand, wrist and fingers

We treat a wide variety of patients with occupational or industrial injuries due to work-related accidents. Our practice sees patients of all ages, including geriatric and pediatric patients with hand disorders.

Not all patients need surgery to manage their hand and wrist problems. In fact, most patients are treated with a combination of non-surgical methods, including education and modification of activities, physical and/or hand therapy, cortisone injections, splinting and orthotic fabrication. Our goal is to provide maximum pain relief and return our patients to the highest possible functional level.

Many patients come back for hand care after being treated by one of our physicians for another orthopedic problem. New patients are frequently referred to our practice by friends or neighbors, or upon referral by their personal physician or the emergency room.  

We are pleased to provide all hand care services under one roof, including diagnostic facilities, hand therapy services and outpatient surgery.

The hip and knee joints are found at the opposite ends of the body鈥檚 largest bone, the thigh bone or femur.  

The hip joint, a ball and socket joint that allows movement in many directions, is formed by the ball at the top of the femur and the socket, which is part of the pelvic bone. The knee joint, a hinge joint that allows movement in only one plane, is formed between the lower end of the femur and the upper end of the tibia or shin bone.  

The surface of each bone at the joint is covered by a layer of smooth cartilage, which allows an undamaged joint to move smoothly with little friction. In the knee there is another kind of cartilage called 鈥渕eniscus鈥� that is a rubbery cartilage that serves as an actual cushion between the bone ends.  

Ligaments, thick bands of tissue around the joints, support the joints and prevent excessive movements, such as a knee moving side-to-side instead of just up and down. Tendons are the parts of muscles that attach to bones near the joints, and the muscles make joints move.

Because the joints are so complex, it鈥檚 no wonder that many conditions can affect them, including the following:  

• Tendonitis, such as jumper鈥檚 knee, is inflammation of a tendon and is generally caused by chronic overuse. It usually responds to treatment by some combination of rest, medication and therapy.  
• A strain is an injury to a tendon that is overstressed in a single injury. If there is enough force, the tendon can actually be torn completely and need surgery to repair.  
• A sprain is an injury to a ligament that is stretched beyond its limits. It can vary in how severe it is from a mild stretch to a complete tear, such as a torn anterior cruciate ligament (ACL) in the knee. An ACL tear can sometimes be treated with physical therapy and rehabilitation. But some need ACL surgery, especially athletes who want to continue playing sports. Surgery involves ACL reconstruction where the torn ligament is removed and replaced with tissue from a tendon. The tendon tissue can come from another part of the patient鈥檚 knee or from a tissue donor.
• A torn meniscus in the knee is usually treated by arthroscopic surgery. Wearing of the cartilage surfaces in joints is called arthritis. Mild cases may respond to activity modification, medication, bracing or injections while more severe cases may necessitate joint replacement.

Our physicians have the expertise to treat the entire range of hip and knee problems from simple to complex.

The foot is a complex structure that helps support and move the body. With 26 bones in each foot, the feet account for nearly a quarter of all bones in the human skeleton. These bones are positioned and kept aligned by ligaments, tendons and muscles, including some muscles in the lower leg, which have tendons that cross the ankle and lead into bones in the feet.

The amount of vertical force on the foot while walking normally is greater than the force of total body weight by at least 20%. This number is much higher when jogging or running. Any abnormal foot alignment or body position can also raise this force.

Increased force can cause trauma to the foot when it is greater than soft tissue structures can tolerate. This can lead to more imbalances between the bones and muscles of the foot.  

These malalignments may cause many problems, including the following:

• Pronation (flat feet)
• Bunions
• Hammertoes
• Corns
• Calluses
• Repeated ankle sprains
• Back and neck pain

Our board-certified orthopedic surgeons or sports medicine physicians can treat your ankle pain.  

If you or a member of your family has foot pain, we have also have a board-certified podiatrist whose entire practice is dedicated to the diagnosis and treatment of diseases, injuries and abnormalities of the foot. He is available to discuss surgical and nonsurgical treatment of all foot ailments from toenail problems to heel pain, bunions to skin lesions, and prescription orthotics to shoe modifications.   

Orthopedic surgeons treat millions of fractures each year in the United States. Treatment methods vary and depend on things like patient age, bone quality, fracture pattern and location, and surgeon preference.  

Over the past century, traditional methods of surgery have reliably healed fractures and helped patients recover function. But recent innovations have the potential to increase healing rates. Our physicians and staff provide comprehensive treatment of fractures or dislocations using the most reliable and up-to-date methods available.

Fractures are treated and classified by the amount of displacement or separation of the bone ends of the fracture site. Most fractures are nondisplaced and only need a splint or cast to prevent them from moving until the bone is healed.  

But many fractures need reduction, where the fractured bone ends need to be realigned. Closed reduction involves moving and aligning the bones without making cuts in the skin and is usually done with anesthesia.

Other fractures have enough separation at the bone ends or misalignment of bone fragments to need a surgical procedure. This involves making an incision to properly expose and realign the fracture. Often pins, screws, plates, rods, nails or wires are used to hold the reduced fragments in place until bones repair themselves.

Fractures are unfortunate but fairly common occurrences. Proper exercise and a diet with enough calcium and vitamin D content can help increase bone mass and greatly reduce the risk of fracture.

More people are becoming physically active due to the many health benefits that exercise offers. For some, these benefits can come with a price 鈥� sports injuries. Fortunately, most sports injuries can be treated, and most people are able to get back to their usual activities.  

Some of the most common sports injuries are sprains, strains, fractures and dislocations.

• A sprain is a stretch or tear of a ligament. A ligament is a band of connective tissue that joins the end of one bone to another. The severity of a sprain can range from a mild stretch to a full tear. Signs of a sprain include pain, swelling, bruising and joint looseness or instability.
• A strain is a twist, pull or tear of a muscle or tendon. A tendon is a cord of tissue connecting a muscle to a bone. Some signs of a strain include pain, muscle spasms and loss of strength or function.
• A fracture is a break of a bone. A fracture can happen suddenly or develop over time. Sudden or acute fractures usually cause pain, swelling, bruising and loss of function. If a break of the skin occurs with a fracture, it is a medical emergency. A stress fracture is a type of broken bone that can develop over time. The most common symptom of a stress fracture is pain at the site of the fracture with weight bearing activity. This type of fracture is usually associated with repetitive activities.
• A dislocation happens when two bones that come together to form a joint separate. It is usually caused by a sudden traumatic collision. A joint dislocation is an emergency and requires urgent medical treatment.

Whether an injury is acute or chronic, there is never a good reason to try to 鈥減lay through鈥� the pain. Continuing the activity can cause further harm. You should seek medical care in the following cases:

• The injury causes severe pain, swelling, or numbness
• You cannot tolerate weight on the area
• The pain or dull ache of an old injury is accompanied by increased swelling or instability

Often, the initial treatment of a sports injury should include the use of the RICE method. The following four steps should be started as soon as possible after the injury and continue for at least 48 hours:

• Rest: Reduce regular exercise or activities of daily living as needed. Support the injured area to avoid weight bearing or further injury.
• Ice: Apply an ice pack to the injured area for 20 minutes at a time, four to eight times per day. To avoid cold injury or frostbite, do not apply the ice for more than 20 minutes at a time every two hours.
• Compression: Compression of the area may help reduce swelling. You may need a simple elastic wrap or compression splint. Applying the wrap or splint too tightly could cause decreased circulation and numbness or more severe injury.
• Elevation: If possible, keep the injured area elevated on a pillow and above the heart to help decrease swelling.

Though RICE can be helpful, sometimes further treatment is needed. For example, medications such as nonsteroidal anti-inflammatory drugs (NSAIDs) can reduce pain and swelling. Immobilization in a sling, splint, brace or cast can reduce movement, which may reduce pain and facilitate healing. Physical therapy or home exercises are sometimes recommended to increase the speed of recovery and to help the patient return to sports. Surgery also may be needed to stabilize or repair the injured area. Fortunately, most sports injuries do not need surgery.

Our sports medicine doctors will fully assess your injury and organize your treatment plan. Our professional services also include X-ray, MRI, physical therapy, hand therapy and surgery.

Sports-related concussion or mild traumatic brain injury (MTBI) happens at all levels of sports 鈥� and at epidemic proportions. The Centers for Disease Control estimates that at least 1.6 to 3.8 million sports-related and recreation-related concussions occur each year.

Participation in competitive sports, especially full contact sports, increases the risk for MTBI. High risk sports include football, ice hockey, wrestling, soccer and lacrosse.

A concussion happens when a bump, blow or jolt to the head or body causes the brain to move rapidly and crash into the skull. This doesn鈥檛 cause a structural injury of the brain, but it causes an impairment of brain function. Since CT and MRI scans only show structural or bleeding injuries of the brain, they are always normal and not helpful in ruling out a concussion.

The signs and symptoms of concussion vary. An athlete may show only one symptom, or they may show several. Signs include the following:

• Varying levels of consciousness
• Disorientation
• Balance problems or dizziness
• Memory and concentration problems
• Change in personality
• Inappropriate emotions
• Headaches
• Nausea
• Ringing of the ears
• Visual difficulties
• Sensitivity to light and noise
• Feeling 鈥渙ut of it鈥� or 鈥渉azy鈥�

Treatment is directed at resting the injured brain. This includes restricting sports and other physical activities. On occasion, a young, concussed athlete may need to remain home from school. Medications for headaches are not recommended at first following a concussion.

Managing MTBI involves using computer-based neurocognitive testing to find out whether the concussion has resolved. This allows doctors to not just rely on self-reporting of symptoms by athletes.

ImPACT (Immediate Post concussion Assessment and Cognitive Testing) is one of these tests. It assesses brain function by measuring performance in verbal memory, visual memory, reaction time and processing speed. The 鈥渢est scores鈥� are compared to the athlete's baseline or pre-injury test results.  

Patients tend to score worse following concussive injuries. The test scores return to baseline as they recover from the injury, which shows that their brain functions are returning to normal.

A concussion has resolved when symptoms fade and neurocognitive test scores are normal. Under no circumstances should an athlete return to play if they still have symptoms.

ImPACT baseline testing is recommended for all athletes before they are injured, especially for those who participate in contact sports or for athletes with a prior history of concussion. Athletes with learning disabilities should also consider baseline testing.

Joints are usually at the junction of two or more bones. The ends of the bones are connected by thick tissues, such as the joint capsule and ligaments, and are often surrounded by muscles and tendons that aid in joint movement.  

For example, the knee joint is a hinge joint formed between the lower end of the femur, or thigh bone, and the upper end of the tibia, or shin bone. The hip is a ball and socket joint, formed by the upper end, or head, of the femur 鈥� the ball 鈥� and a part of the pelvis called the acetabulum 鈥� the socket.

The surface of each bone at the joint is covered by a layer of smooth cartilage that allows the joint to move smoothly with little friction.  

Normally, the motion of our joints should be painless. When a joint becomes arthritic, which can happen for many reasons, the cartilage gets worn or damaged. This often leads to joints becoming stiff and painful.  

The capsule surrounding the joint is also often lined by tissue called synovium. The synovium produces fluid that provides nutrients to the joint and helps reduce friction. The synovium often becomes inflamed in arthritic or damaged joints and can cause pain and swelling.

Joint pain can get so severe that a person will avoid using the joint. This process may lead to loss of motion 鈥� stiffness or contractures 鈥� and weaken the muscles around the joint, making further motion even more difficult.  

A physical examination, X-rays and other tests performed by your surgeon can show the extent of damage to the joint. When other treatment options won't relieve the pain and disability, specialists may consider joint replacement, also called joint arthroplasty.

When a joint becomes arthritic, the smooth surface cartilage gets severely worn or damaged. Joint replacement involves removing the arthritic or damaged portions of a joint and replacing the surface of the joint with an artificial one, called a prosthesis. The goals of joint replacement are to restore function and relieve the pain caused by the inflamed, worn, or damaged bone and cartilage.

Our surgeons have vast expertise in joint replacement from your shoulder and elbow to your hip and knee. They were the first to perform the Birmingham Hip Resurfacing procedure at Rush Copley. They perform the latest in both partial and total joint replacements.  

With access to the most advanced robotic technology available, they can optimize and customize the placement and performance of your joint replacement. They are highly skilled at all forms of minimally invasive joint replacement surgery, which can help with recovery. They can also revise, or re-do, a previously performed joint replacement that has failed or become painful.  

Each patient and joint are unique and need specialized attention. 

Arthroscopic surgery, or arthroscopy, is a minimally invasive technique used to test and treat joint disorders. By inserting a slender camera through a small incision, your surgeon can perform several diagnostic and therapeutic procedures.  

The knee, shoulder, elbow, wrist and ankle are the most commonly treated joints. Our Surgery Center has state-of-the-art technology to treat these joints, including digital photography and high-definition video displays.

Arthroscopic surgery has many advantages. Smaller incisions lead to less postoperative pain, quicker recovery time and less scarring. Since the joint is continually washed with sterile irrigation, infection rates are very low. Most procedures allow the patient to go home the same day.

Arthroscopic techniques continue to evolve. Until recently, most standard shoulder surgery was done through a large incision and sometimes involved detaching the muscle to expose the joint.  

Now most shoulder issues can be addressed arthroscopically, which reduces damage to surrounding soft tissue. Rotator cuff repair, shoulder stabilization, removal of bone spurs and decompression are just a few of the shoulder procedures our surgeons are experts at treating.

Some of the most common arthroscopic knee procedures that we perform include anterior cruciate ligament (ACL) reconstruction, treatment of meniscal pathology, removal of loose bodies and limited or extensive joint debridement.  

Our expert physicians, Surgery Center and our top-of-the-line equipment let us provide a variety of arthroscopic procedures to get you well as quickly and painlessly as possible.  

Many therapy services for the upper extremity, especially the hand, are provided not by physical therapists but rather by specialists called occupational therapists.  

Our certified hand therapy specialist is an occupational therapist who focuses solely on caring for patients with disorders of the hand, wrist, forearm and elbow.  

The hand is such an important part of the body that even minor issues can have a big impact on a person鈥檚 ability to perform routine activities, from self-care to work to leisure activities and sports.  

Our certified hand therapist begins with an evaluation not just of a patient鈥檚 injury or impairment but also an assessment of their needs. A violinist and a truck driver, for instance, may have entirely different needs. He then uses a holistic approach, creating a custom therapy program designed to promote recovery.

The mission of our hand therapy program is to provide accurate assessment and effective treatment so our patients can return to their daily activities as soon as possible. 

Physical therapy is an important part of recovery for many patients who have had orthopedic conditions, injuries or surgeries. We have a team of experts to help guide you through your rehabilitation when you need it.  

The physical therapists on staff have over 100 years of combined experience. They have a variety of expertise and collaborate on patient care plans.

A few things that set our physical therapy department apart from others include the following:

• Expertise: Your therapist is an expert in outpatient orthopedic rehabilitation. While their initial training included a wide range of treatments and conditions, they specialize in one area. Our therapists all routinely attend continuing education programs to learn and provide the most updated techniques in their specialty.
• Individuality: You鈥檒l have one therapist working with you throughout your course of treatment. You won鈥檛 be bumped around from therapist to therapist.
• Professionalism: We don鈥檛 have physical therapy aides or assistants. So each time you attend therapy, your care will be provided by a licensed, registered, professional physical therapist.
• Experience: Our therapists intimately know the routines and preferences of each surgeon in the practice and how patients normally progress through their course of treatment. They can easily see when these routines change and adjust therapy or conveniently consult with the physician right on site. 

Magnetic resonance imaging (MRI) is a tool for diagnosis that creates detailed views of the body without the use of X-rays or radioactive dyes. While it鈥檚 not appropriate for every medical condition, it is very useful in orthopedics. But not all MRI scans are created equal.

MRI technologists are the ones who actually perform scans, and they need to be experts in using that technology. Our MRI technologists have decades of combined medical imaging experience, and they have each exclusively done orthopedic MRI imaging for the last several years.  

MRI scans aren鈥檛 actual pictures that are taken. They are images made by a computer using data gathered when magnetic fields are passed through the body. Software programs create the images, and our programs are constantly upgraded to make the most detailed and clear images. Our MRI facility is also accredited by the American College of Radiology, which means it adheres to the highest standards of imaging quality.

The radiologists who read our scans specialize only in advanced imaging of the musculoskeletal system. That is their sole focus, making them experts in their field.

A: Orthopedics is a branch of medicine that treats diseases and injuries of the muscles, bones, joints, tendons and ligaments, also known as the musculoskeletal system. It can address deformities, congenital conditions, sports injuries, degenerative diseases, tumors and many other issues. Some treatment options may include medication, surgery, physical therapy or pain management.

A: You should see an orthopedist if you experience any of the following:

• Chronic pain that lasts more than three months
• Pain or stiffness that affects your ability to walk or do normal activities
• Achiness or joint pain that worsens when standing
• Soft tissue injury that has not healed after several days
• Injuries to the muscles, tendons or ligaments
• Swelling, bruising or signs of infection around a joint or the site of an injury
• Reduced range of motion
• Knee or hip arthritis 

A: In most cases, you don鈥檛 need a referral to see an orthopedist and can make an appointment directly. But some insurance providers require a referral, so you may need to speak to your primary care physician first. It鈥檚 best to check with your insurance provider for details on which services require a referral. 

A: Patients who have fractures can call in and get same day appointments for treatment. We also offer same-day knee, hip or shoulder surgery to patients with referrals. Most other patients are seen within ten days after calling. 

To get an appointment, you can call the following numbers:

• (630) 978-3800 for our Aurora Ogden location
• (630) 892-4286 for our Aurora Highland location
• for our Yorkville location

Rush patients can also make an appointment through . 

A: Second opinions can help you confirm your diagnosis and original plan of care or provide a different perspective on your treatment options. This can help you make confident decisions about your care. To get a second opinion, you can call the following numbers:

• (630) 978-3800 for our Aurora Ogden location
• (630) 892-4286 for our Aurora Highland location
• for our Yorkville location

If you are already a Rush patient, you can also make an appointment through .