Newsroom/2008_NewsTue, 06 Apr 2010 16:39:43 GMTCopyright 2010. All rights reserved.Pyron Technologies SuiteFin CMSTue, 17 Nov 2009 17:40:21 GMTBOOMER aches & pains They don't have to give up their athletic activities By CONNIE MIDEY • Gannett Newspapers • November 4, 2008 The last thing Manuela Canada, 56, wanted to hear from her doctor was that knee problems would mean the end of tennis. Fortunately, "don't do it if it hurts" is last on the list of advice sports-medicine physician John Kearney would give to the Phoenix woman. Nor would he give it to Mike Riggs, 49, of Phoenix, whose pain threatened to keep him off the golf course. "A lot of patients think they have to rest if something hurts," says Kearney, of the CORE Institute (Center for Orthopedic Research and Education) in Sun City. "But often it's just the opposite, even with knee arthritis. The more you exercise -- in the right way -- the better your symptoms become. That's very counterintuitive to most people." With new treatments and new attitudes about remaining active in the face of physical setbacks, staying fit in your 40s and beyond needn't be a pain. Instead of throwing in the towel, you may be able to set things right by easing off a little, modifying routines and practicing preventive measures. That's welcome news for Boomers who exercise to bolster health and slow aging, only to find themselves with joint injuries from their shoulders to their feet. Orthopedic surgeon Nicholas DiNubile of the University of Pennsylvania Health System coined and trademarked the term "boomeritis" when he noted a surge in such injuries in people born between 1946 and 1964. Arlene Polakof, a podiatrist and medical director of specialty care for Cigna Medical Group in Phoenix, says she knows what's behind the surge. She sees it in some of the 40-and-older patients who show up in her office complaining of foot or ankle pain. "People who are no longer very athletic dig an old pair of shoes out of the back of their closet," she says. "The shoes may not fit anymore, or they may be worn out. Then they go out and try to cram several years' worth of athletic activity into a short period of time." The result often can be an ankle sprain, strain or fracture. It also could be plantar fasciitis or a stress fracture in the foot. Kearney commonly treats sedentary Boomers who experience pain during normal activity and active Boomers suffering from overuse of their shoulders and knees. "A lot of them are starting to retire and have newfound freedom to pursue hobbies and passions," he says. "They go from not doing anything to going at warp speed." Canada, who has had mild rheumatoid arthritis for years and has begun showing signs of osteoarthritis, developed a swollen, painful knee after she participated in an intensive tennis clinic recently. She has played the game since she was 34 and dreaded having to give it up. "Playing tennis socially has been the healthiest thing I've done for myself," Canada says. Until pain in his hips and back made taking breaks increasingly necessary, Riggs stayed fit with golf, yard work and fix-it projects. "I push myself," he says. "I don't think of myself as 49, and therefore I tend to do things that are not 49-year-old things." But with physical therapy, Riggs can be a 49-year-old who plays golf pain-free, and Canada can continue playing tennis for years to come on knees that are stronger than ever, Kearney says. Joints work better when the muscles surrounding them are strengthened, he says, and exercise usually is enough to accomplish that. Kearney says treatments such as patches that increase blood flow to the affected tissues and injections that stimulate tissue growth also are helping patients. Brian Gruber, an orthopedic surgeon at the CORE Institute's Paradise Valley clinic, tells patients they don't have to resign themselves to the physical limitations posed by aging. "The tissues start to degenerate a little bit and become maybe a little more susceptible as we age, but an active lifestyle keeps us healthy," he says. From weight management to steroid injections, much can be done to prevent boomeritis and to treat it without surgery, if preventive measures fail, Gruber says. He wouldn't dissuade people from participating in activities they love. "If your quality of life depends on being able to run, then we work with it," Gruber says. "Getting people back to doing what they like to do is important." Christine Keith / Gannett Newspapers Sports-medicine physician John Kearney evalutes patient Mike Riggs at the Center for Orthopedic Research and Education Institute in Sun City, Ariz. With new treatments and new attitudes about remaining active in the face of physical setbacks, staying fit in your 40s and beyond needn't be a pain. http://www.dailyrecord.com/apps/pbcs.dll/article?AID=/200811040405/LIFE/811040305 http://thecoreinstitute.com/Newsroom/2008_News?id=38Tue, 17 Nov 2009 17:39:28 GMTMixing work and play, over 120 sports medicine-related professionals participated in a unique lecture format hosted by the Arizona Sports Medicine Society (AZSMS) on September 29th, 2008. The event, held at the Fox Sports Grille in Scottsdale, Arizona, featured a variety of topics related to common football injuries including, concussions, c-spine, shoulder dislocation and vascular complexities of knee injuries. The lecture program commenced with an hour of networking with fellow colleagues and a roster that included athletic trainers, physicians, physical therapists, coaches, medical students and residents. The event later moved to a private room where a packed-house enjoyed four relevant lectures by fellowship-trained surgeons of The CORE Institute, a premier Phoenix-based orthopedic practice and research center. Providing this free educational lecture, CORE Institute Drs. John Kearney, Brian Gruber, Jeffrey Lyman and Jason Scalise focused on recognizing the injuries most common in athletes and provided insight on the best treatments for better outcomes on and off the field. All physicians are contributors of the new nonprofit professional membership organization called AZSMS. Utilizing monthly morning meetings, the organization seeks to foster ongoing education within the sports medicine profession by providing speakers that are the best in their field. Providing complementary CEU and CME credits since its launch in April of 2008, the AZSMS plans to launch membership tiers and two local chapters in 2009. AZSMS was launched with the help of The CORE Institute to promote better understanding throughout the sports medicine community. The CORE Institute was founded in 2005 to fulfill a vision of orthopedic excellence encompassing the entire spectrum of orthopedic sciences. With over 30 physicians on staff, The CORE Institute pioneers orthopedic research and development that advances orthopedic knowledge to combine cutting edge technology and excellence in patient care. All CORE physicians are fellowship- and subspecialty trained and about half are part of the sports medicine program, serving athletes all over the state and around the country, from the little leaguer to the professional athlete. http://thecoreinstitute.com/Newsroom/2008_News?id=37Fri, 26 Mar 2010 16:56:15 GMT http://thecoreinstitute.com/Newsroom/2008_News?id=58Tue, 17 Nov 2009 17:38:30 GMTThe CORE Institute has been named a recipient of Arizona Business Magazine’s Fast 15 Award as one of the state’s 15 fastest growing companies. The CORE Institute will be honored at Arizona Business Magazine’s awards ceremony on May 29, 2008 at the Ritz Carlton. Additionally, The CORE Institute will be featured with the fourteen (14) other awardees in the magazine’s June issue. http://thecoreinstitute.com/Newsroom/2008_News?id=36Tue, 17 Nov 2009 17:34:20 GMTGilbert gets hip with new options for surgery East Valley Tribune April 5, 2008 As more medical facilities locate in Gilbert, residents are seeing more health care options, including the most up-to-date procedures in hip replacement surgery. GRAPHIC: Hip resurfacing versus total hip replacement In mid-February, the Core Institute opened its first East Valley branch in a medical office building just outside Mercy Gilbert Medical Center. The institute, which is the largest network of orthopedic doctors and surgeons in the state, provides some of the newest technology available for hip replacements and other orthopedic surgeries aimed at helping patients recover more quickly. Dr. Steven Myerthall, an orthopedic surgeon at the institute, said the office has already gotten busy due to the need for services in the Gilbert area. "It's not only a growing need," he said. "It's a need for orthopedics in the Valley. Lots of people are retiring out here, and there are lots of young families with athletic injuries." A free public seminar is planned at 9 a.m. May 9 to educate the public on new ways to treat hip and other orthopedic injuries. The seminar will focus on computer-assisted technology that helps lead surgeons in such a way to cut minimal muscle and make the surgeries less invasive, and on new technologies that are making the surgery less destructive to bones. Some of the procedures, such as hip resurfacing, have just begun to gain popularity in the United States. The procedure allows younger sufferers of hip disease or injury to have hip replacements that remove less bone, making it easier for patients to recover and have less traumatic follow-up procedures in decades to come as they grow older, he said. In the procedure that has long been popular in the United Kingdom, the femoral head is reshaped and resurfaced, and a new, metal femoral head, which is larger in diameter, reduces the risk of hip displacement that can happen with full hip replacements, Myerthall said. http://www.eastvalleytribune.com/story/113088 http://thecoreinstitute.com/Newsroom/2008_News?id=35Tue, 17 Nov 2009 17:33:30 GMTCOYOTES ANNOUNCE 2007-08 TEAM AWARD WINNERS Doan named Team MVP Phoenix Coyotes Thursday, April 3, 2008 The Phoenix Coyotes announced the winners of the club's 2007-08 season team awards. Coyotes' captain Shane Doan earned the team MVP Award, the Coyotes’ Leading Scorer Award and the Hardest Working Player Award. Goaltender Ilya Bryzgalov won the 3-Star Award and defenseman Derek Morris won The CORE Institute Man of the Year Award and the inaugural Beth Champie Memorial Award. Doan, in his 12th NHL season (all with the Coyotes/Winnipeg Jets), led all Coyotes players with 28-49-77 in only 77 games to win the team's Leading Scorer Award and Hardest Working Player Award as voted on by fans through PhoenixCoyotes.Com. Doan was also selected as the team MVP by the Coyotes traveling media (The Arizona Republic, East Valley Tribune, and the Coyotes' broadcast team). In addition to leading the Coyotes in goals, assists, and points, Doan became just the third player in franchise history to score at least 20 goals in eight straight seasons. Ilya Bryzgalov earned 35 “3-Star” points throughout the 2007-08 Coyotes regular season to earn the 3-Star Award. Bryzgalov was selected as the game’s 1st star five times this season and recorded career highs in game played, wins and shutouts. Morris earned The CORE Institute Man of the Year Award and Beth Champie Memorial Award by demonstrating dedication, commitment and passion to the community during the 2007-08 season. Morris was the Coyotes' most active player in the community during the season, making numerous appearances to local area schools. He also found time to visit many of the young patients at Phoenix Children's Hospital and Banner Children's Hospital, providing the children with hope and memorable experiences. http://thecoreinstitute.com/Newsroom/2008_News?id=34Tue, 17 Nov 2009 17:32:23 GMTThe CORE Institute is proud to announce that William Ciccone, MD was recently named a “Master in Shoulder Arthroscopy” by the Arthroscopy Association of North America (AANA). With this distinguished ranking, Dr. Ciccone will instruct surgeons and residents in arthroscopic surgical techniques at courses sponsored by the AANA, such as Advanced Shoulder Arthoscopy at the Orthopedic Learning Center in Chicago. Dr. Ciccone will also continue teaching at other national courses alongside nationally recognized shoulder experts. http://thecoreinstitute.com/Newsroom/2008_News?id=33Tue, 17 Nov 2009 17:31:19 GMTRoom to grow Daily News-Sun March 28, 2008 Roskamp partners and The CORE Institute broke ground Thursday morning on a 38,200-square-foot medical facility on the Sun Health Del E. Webb Hospital campus at the corner of Granite Valley Drive and Routzahn Way in Sun City West. The facility will house The CORE Institute's Sun City West practice. Space also will be dedicated to the planned Sun Health Research Institute-CORE Motion Analysis Laboratory and the Sun Health Del E. Webb Hospital Ambulatory Surgery Center. Completion of the facility is slated for October. The Roskamp partners own more than 650,000 square feet of medical office space on Sun Health's Boswell and Del E. Webb Hospital campuses. Through its partnership with Sun Health, the Roskamp partners manage and develop specialized properties designed for medical practices. In addition, the Roskamp partners and Sun Health own and manage senior residential living communities. "We are excited about this opportunity to partner with the Roskamp partners and expand our practice in Sun City West," said Dr. David Jacofsky, chairman of the CORE Institute. "We are looking forward to a new state-of-the-art facility that will allow us to continue our research and education in the field of orthopedics in addition to further meeting the medical needs of Arizona residents." "The development of this new facility in Sun City West represents a strong partnership between two organizations that have focused their efforts on improving the health and lives of Arizona residents in the northwest Valley," said Jane Thompson, representative of the Roskamp partners. Roskamp Arizona Management & Development  asked DevMan Co. to oversee the development and construction of the site. http://thecoreinstitute.com/Newsroom/2008_News?id=32Tue, 17 Nov 2009 17:29:15 GMTRare transplant surgery gives Yuma teen chance to walk ABC 15 News March 25, 2008 Someone died so she could walk again. Rachel Palombo, 18, of Yuma understands the gravity of her meniscus, or knee cartilage transplant surgery, and she's thankful. "I know that someday my stuff will go to help somebody else, just like me," Rachel said. At an operating room in Paradise Valley Hospital, Rachel's life soon will change, going from struggling to walk to having the hope that one day she'll again walk, run and even dance. "You don't realize how much you do walk, and then when you can't that's really hard," she said. Rachel injured her knee cartilage at age 16 while running cross country for her school, and later, it tore in half while playing softball. She's seen the inside of an operating room three times hoping to fix it. This is the fourth time, and she hopes her last. "It's actually a relief," said her mother KC Hoffman. "It's like a light at the end." Orthopedic Surgeon Dr. Brian Gruber said the surgery is a rare one, but because the menisicus heals poorly, it's one that's necessary. "The meniscus is so important because it serves as a shock absorber to the knee," Gruber said. Gruber and Dr. Jeffrey Lyman spent three hours in surgery working to fix Rachel's knee. The hardest part, Gruber said, was making sure it fit. "You have to cut it down to exact specification of the knee," Gruber said. If Rachel hadn't undergone the transplant, he said, she probably would have been in pain for much of her life and experience early arthritis. http://thecoreinstitute.com/Newsroom/2008_News?id=30Tue, 17 Nov 2009 17:30:31 GMTRoskamp Partners Team Up with The CORE Institute to Break Ground on State of the Art Medical Facility EVLiving.com March 25 , 2008 Sun City West, Arizona – Meeting the medical needs of a growing west Valley, the Roskamp partners and The Center for Orthopedic Research and Education (CORE) Institute will break ground on a new 38,200-square-foot medical facility on Thursday, March 27th at 8:00 AM. This new facility, located on the Sun Health Del E. Webb Hospital Campus at the corner of Granite Valley Drive and Routzahn Way in Sun City West, will be co-owned by the Roskamp partners and The CORE Institute, and will house The CORE Institute’s Sun City West practice. Space also will be dedicated to the planned Sun Health Research Institute-CORE Motion Analysis Laboratory and the Sun Health Del E. Webb Hospital Ambulatory Surgery Center (ASC).  The ASC is being planned in association with local surgical partners. The Roskamp partners own more than 650,000 square feet of medical office space on Sun Health’s Boswell and Del E. Webb Hospital campuses. Through its partnership with Sun Health, the Roskamp partners manage and develop specialized properties designed for medical practices. Additionally, the Roskamp partners and Sun Health own and manage senior residential living communities. David Jacofsky, MD, Chairman of The CORE Institute says, “We are excited about this opportunity to partner with the Roskamp partners and expand our practice in Sun City West. We are looking forward to a new state-of-the-art facility that will allow us to continue our research and education in the field of orthopedics in addition to further meeting the medical needs of Arizona residents.” “The development of this new facility in Sun City West represents a strong partnership between two organizations that have focused their efforts on improving the health and lives of Arizona residents in the northwest Valley,” states Jane Thompson, representative of the Roskamp partners. Roskamp Arizona Management & Development has asked DevMan Company to oversee the actual development and construction of the site. Working hand in hand with Southwest Architectural Builders (S.A.B.), DevMan will move toward an estimated completion date of October 2008 for the facility. About The CORE Institute The CORE Institute is a private medical practice that specializes in a wide range of orthopedic services including compassionate patient care, research, community service and medical education. Beyond patient care, CORE actively participates in research and medical education.  In just over three years, The CORE Institute has grown from three physicians to more than thirty physicians specializing in orthopedic medicine and delivering state-of-the-art care to “keep life in motion.” Visit CORE online at www.thecoreinstitute.com. About Roskamp Arizona Management & Development Roskamp Arizona Management & Development provides development and management services to senior residential, commercial medical office buildings and other related projects in the northwest Phoenix area. Roskamp Arizona was established in 2002 and has over 450 employees. It currently manages over 650,000 square feet of medical office space, two continuing care retirement communities (378 units) and has a third continuing care retirement community under construction (358 units). Visit Roskamp online at www.RoskampArizonaRealty.com. http://thecoreinstitute.com/Newsroom/2008_News?id=31Tue, 17 Nov 2009 17:28:20 GMTMatthew Hansen, MD, was published in the February 2008 issue of the Journal of Bone and Joint Surgery for his article, Biomechanics of Massive Rotator Cuff Tears--Implications for Treatment. Contributing original artwork to this article is The CORE Institute's own Kari Guilbault. http://thecoreinstitute.com/Newsroom/2008_News?id=29Tue, 17 Nov 2009 17:26:34 GMTThe CORE Institute is proud to announce that Jason J. Scalise, MD was named the Recipient of the 2007 Cleveland Clinic Innovator Award for his work on the “Use of Virtual Bone Model to Measure Bone Loss and Preoperative Surgical Simulator.” Dr. Scalise utilized a 3-D, computer aided bone modeling technique which allows for the precise measurement of shoulder anatomy and bone loss due to arthritis, as a pre-operative planning tool for people undergoing shoulder replacement surgery.Additionally, Dr. Scalise’s article titled “Glenohumeral Arthrodesis After Failed Prosthetic Shoulder Arthroplasty” was recently published in the January 2008 issue of the Journal of Bone and Joint Surgery. http://thecoreinstitute.com/Newsroom/2008_News?id=28Tue, 17 Nov 2009 17:25:11 GMTBryan Wall, MD has been named the winner of "The Mel Post Award for Excellence in Clinical Research" by the American Shoulder and Elbow Surgeons (ASES). Dr. Wall's paper, Scapular Notching in Reverse Shoulder Arthroplasty will be presented and recognized during the 6th Biennial AAOS/ASES Meeting, April 3-6, 2008 in Orlando, Florida. http://thecoreinstitute.com/Newsroom/2008_News?id=27Tue, 17 Nov 2009 17:24:35 GMTLifesaving uses of the hormone agents are overshadowed by athlete scandals Jan. 22, 2008 12:00 AM by Connie Midey | The Arizona Republic For every Marion Jones, stripped of her 2000 Olympics medals in track after admitting to steroid use, there are countless people like Jayce Pangilinan whose lives depend on steroids. The doctor-prescribed steroids Pangilinan uses aren't the kind athletes abuse. She takes them not to build muscle but to manage lupus, an incurable autoimmune disease with which she was diagnosed at age 13. "People do (act alarmed) when you say you're taking steroids," the Chandler 17-year-old says. "All they know is the type athletes take. All steroids can have bad side effects, but the type I'm taking save my life, too." Her physician, Paul Howard of Arthritis Health in Scottsdale, says patients also are alarmed when he recommends the drugs. "Many have heard steroids are not good things," he says, "but I wouldn't practice rheumatology without them being available for critical situations." Steroids are hormones produced naturally in the body and available in synthetic versions by prescription, he says. They're classified in types that have little in common but a name made infamous by allegations of abuse, most recently in former Senate Majority Leader George Mitchell's report, which accused slugger Barry Bonds and almost 80 other baseball players of using steroids to gain an advantage over rivals. Anabolic steroids, the kind the ballplayers are accused of taking, build tissue | from simpler molecules in the body and are used legitimately to treat a handful of uncommon medical conditions. The male sex hormone testosterone is a steroid with anabolic effects, capable of spurring muscle growth. Corticosteroids, produced by the adrenal glands, are catabolic. They break down tissue and serve as potent anti-inflammatory agents, Valley allergy and asthma specialist Duane Wong says. They're the kind Pangilinan takes. When Wong, of Arizona Allergy Associates, prescribes steroids to reduce inflammation in an asthmatic's airways, patients and family members often express confusion. "They think they're going to end up looking like Barry Bonds, with a big head and very muscular," he says. That won't happen with corticosteroids. In fact, he says, "You need a little bit of (natural) steroids in your body every day, or you won't survive." When larger amounts are needed to control the inflammation typical of conditions such as asthma, eczema, lupus and rheumatoid arthritis, synthetic corticosteroids sometimes are prescribed. "These are medications we're very, very careful with," Wong says. "But over a short period of time, they can be lifesaving." Taken in high doses, for an extended time or without careful medical monitoring, however, corticosteroids can stunt growth, thin bones and cause cataracts. Side effects are more likely with corticosteroids taken orally, Wong says, because they're absorbed throughout the body, not just in a targeted area as with topical cream, nasal spray, or inhaled or injected forms of the drug. "A lot of people are very steroid-phobic, and rightly so," Wong says. Sharing that concern, doctors typically prescribe corticosteroids as "rescue therapy," in the smallest dose and for the shortest time possible to create the needed effect, rheumatologist Howard says. In breaking down substances in the body, corticosteroids "put the brakes on an overactive immune system," he says. They protect the lungs, heart, kidneys and other parts of the body when excessive inflammation must be controlled quickly or can't be controlled by other means. Howard prescribed the corticosteroid drug prednisone to dampen Pangilinan's immune system and ease her severe fatigue, joint pain and skin rash, decreasing the dosage when her disease went into remission. In lupus, the immune system - unable to tell the difference between foreign substances and its own body - makes antibodies that attack healthy cells and tissues, according to the Lupus Foundation of America. But relief came at a cost in the beginning. "At 13, you're trying to build up your confidence and deal with body-image problems," Pangilinan says. "It doesn't help that your body changes. The prednisone gave me a kind of moon face, and I gained 30 pounds and got stretch marks all over my legs and on my abdomen." The drug also made her shaky and moody, and it stimulated growth of body hair, including on her face. Compounding her insecurities, much of the hair on her head fell out after she had chemotherapy to stop lupus-related kidney inflammation. "At first I was shy about telling people what was happening," she says. "No one (except family) knew why my hair was falling out and I was gaining weight, but it was hard to bring it up in conversation, to just go up to someone and say, 'Oh, hey, I have lupus.' " With anabolic steroids, side effects can be equally devastating, more so when the drugs are obtained illegally and not doctor-supervised for a medical condition. Conditions treated legally with anabolic steroids include delayed puberty, hypogonadism (a condition in which the sex glands produce little or no hormones) and body-wasting in people with AIDS. John Kearney, a sports-medicine physician with CORE Institute (Center for Orthopedic Research and Education), with offices Valley-wide, says heart problems are the most serious of anabolic steroids' documented ill effects. But if he wants to get teenage boys' attention, he reminds them that taking the drugs to bulk up for sports will make their testicles shrink, cause depression and mood swings, spoil their social life and impair their school performance. In teen girls and women, anabolic steroids also can disrupt menstrual cycles, deepen the voice, promote facial-hair growth similar to men's and cause male-pattern baldness. "We know the dangers in kids," says Kearney, on the medical staff at Sun Health Boswell Hospital in Sun City and the faculty at Phoenix Baptist Hospital. "But when you talk with them, you have to talk about instant gratification." Synthetic anabolic steroids mimic the muscle-building ability of testosterone produced naturally in the testicles, he says. But they also affect the brain and perhaps every system in the body, disrupting natural checks and balances. "If you tilt that too far to suit your needs," Kearney says, "you can get really bad results, just because your body doesn't know how to react. With so many long-term health effects, the trade-off isn't worth it." For Pangilinan, there isn't a choice, at least until researchers find an equally effective alternative to the steroids she takes by prescription. She looks forward to that day. The medicine that controls her lupus also makes her susceptible to a long list of ills, including infection, thinning of the skin, depression, salt retention, high blood pressure and muscle weakness. So participating on cheer squad, strenuous and with outdoor practices, is out. And pool parties are decidedly less fun now, covered as she must be in SPF-50 sunscreen, a long-sleeve shirt and long pants in 100-degree weather. But corticosteroids keep her alive, and knowing that makes it a little easier to swallow the prednisone, plus the blood-pressure medicine, immunosuppressants, vitamins and minerals, 16 pills in all, that she takes every day. They make it possible for her to get out of bed every morning, take honors classes at Basha High School, work part time at In-N-Out Burger and volunteer at Mercy Gilbert Medical Center with pain and fatigue in check. "When everything's under control," Pangilinan says, "I try to take advantage of that and make good use of the time, instead of sitting around. I believe I'm blessed. There are times when you just want to be normal, but having lupus makes me appreciate when I'm healthy enough to do what I want to do." http://thecoreinstitute.com/Newsroom/2008_News?id=26