Services

Foot and Ankle Clinic

Have you experienced foot pain?

According to a survey conducted by the American Podiatric Medical Association, 77% of Americans have experienced foot pain, but only a third of those affected have gone to a podiatrist for treatment. MidAmerica’s state of the art Foot and Ankle Clinic and our foot and ankle specialists aim to change that by offering excellent care and improving quality of life for the enormous population of Americans who suffer from foot conditions.

Patient Education

MidAmerica believes that patient education is vital to providing the highest quality care for those who have foot and ankle pain.

Click on a title to learn more about common foot and ankle conditions and treatments.

Common Conditions of the Foot and Ankle

Click a heading to learn more about the most common conditions that Dr. Zats treats at MidAmerica.

Foot and Ankle Fractures

Foot and Ankle Fractures

A foot or ankle fracture can range from a crack in the bone to severe breakage. The symptoms are pain, swelling, and difficulty walking; severity and longevity of any of these symptoms should lead a patient to see a doctor immediately. People with certain conditions like arthritis or osteoporosis (reduced bone density) are at a higher risk for foot and ankle fractures.

A patient who sees a doctor for a foot or ankle fracture can expect that their doctor will check change of motion and may ask them to walk around. Treatment can range from immobilization in a cast to surgery, in the case of serious fractures. Recovery time varies from around six months for minor cracks, to possibly years for severe cases.

 

Bunions

Bunions

A bunion is a bump in bone that grows at the base of one’s toe. One toes pushes against another, forcing a toe joint to swell and grow disproportionately large. Skin over bunions becomes red and sore. Bunions can be caused by inherited foot shape or injury to the foot that pushes toes together.

Nonsurgical treatments for bunions include changing shoes, using shoe inserts, or using padding or splints that guide the toes into growing correctly. In severe cases, a doctor may need to perform surgery to remove a bunion. This surgery can involve removing an affected bone, straightening or realigning a bone, or fusing joints together.

 

Achilles Tendonitis

Achilles Tendonitis

The Achilles tendon is a band of tissue that connects the heel to the muscles at the back of the leg. This tendon can become strained and sometimes torn from overuse; strain to the Achilles tendon is called Achilles tendonitis. This condition is common in runners and athletes. Doctors attempting to diagnose Achilles tendonitis use x-rays and ultrasound to look at the tendon and determine a course of treatment.

Treatment often involves lifestyle changes; orthopaedic inserts and physical therapy are used to change the way a patient moves their leg, reducing strain on the Achilles tendon. In cases where the Achilles tendon is torn, a doctor may recommend surgery.

 

Plantar Fasciitis

Plantar Fasciitis

Plantar Fasciitis is the inflammation of a band of tissue (called the plantar fascia) that runs from the toes to the heel. It manifests through a stabbing pain in the heel. It is common in runners and athletes; repeated stress on the plantar fascia causes small rips and tears that can cause extreme pain. Plantar fasciitis can lead to chronic heel pain, or changes to one’s walk that lead to back, neck, and other problems.

 

Other common foot and ankle conditions treated at MidAmerica include:

Examination at MidAmerica

A patient coming to MidAmerica with foot or ankle pain can expect their physician to conduct a physical examination. When examining the feet and ankles, physicians look for:

  • Conditions of the skin

    calluses, ulcers, blisters, and dry or flaky skin can all be signs of common foot conditions.
  • Foot Shape

    bunions, hammer toes, and swelling can all be signs of underlying conditions. The physician will also check the foot’s arch for fallen arches or flat foot.
  • Tenderness to Pressure

    pain or tenderness in the feet can indicate plantar fasciitis, rheumatoid arthritis, or other foot conditions.
  • Flexibility

    one of the early signs of joint damage from rheumatoid arthritis is limited flexibility.

If the physician sees any of these warning signs, they will conduct further tests like X-Rays, CTs and MRI scans to diagnose the patient’s condition.

Treatment at MidAmerica’s Foot and Ankle Clinic

MidAmerica offers a variety of treatments for foot and ankle conditions, with both surgical and non-surgical options. Some of the treatments offered at MidAmerica are:

Non-Surgical:

Surgical:

  • Fusion (fusing two joints together)
  • Operations to correct bunions and hammer toe
  • Achilles surgeries
  • Total ankle replacement
  • Fracture repair
  • Tendon repair
Recovery

After foot or ankle surgery, the patient needs to take a period of rest. Experts recommend stocking up on food and supplies before surgery, as driving and walking become difficult afterward.

Patients can apply for a Temporary Disabled Placard (the sign one hangs in their car that allows them to park in disabled spaces) for the period after their surgery.

Some ride-share companies offer disability-accessible vans that can be helpful to patients after foot or ankle surgery.

Recovery times vary, but tenderness and swelling from minor procedures generally resolve within 3-4 months. Recovery from complicated procedures can take a year or more. Patients should stay in contact with their doctors. At MidAmerica, physicians will schedule follow-up visits to evaluate post-surgery progress, and determine any next steps a patient needs to take in the course of their healing.

At MidAmerica, physicians, surgeons, and physical therapists are all in one location, all constantly communicating. This allows specialists to coordinate patient care from the moment a person walks in for an examination, through choosing a treatment, over recovery, and into healing. Call (708) 237-7200 to learn more.

Specialists
Dr. Svetlana Zats

Foot and Ankle Specialist

Dr. Svetlana Zats is MidAmerica’s foot and ankle specialist. She is an expert in both common and complex injuries of the feet. She specializes in diagnosis and treatment of common conditions such as plantar fasciitis, tendonitis, foot and ankle fractures, and bunions.

Dr. Zats works with her patients to find both surgical and non-surgical treatment plans that work best for them. She is a member of the American College of Foot and Ankle Surgeons and the American Podiatric Medical Association.

Read more

Read more: Foot and Ankle Clinic

MidAmerica’s Orthopaedic Pediatric Clinic

Located in Palos Hills and Mokena

Our Focus and Philosophy

Your child’s health is more important than anything else. For expert orthopaedic care for your little one, turn to MidAmerica’s Pediatric Clinic at our Palos Hills and Mokena locations. We focus on orthopaedic conditions of children and young adults ages 0-18 and have the most experience in Chicagoland with arthroscopic hip preservation procedures as well as sports medicine, trauma, scoliosis and general orthopaedics.

At MidAmerica, we aim to provide the highest-quality care based on experience and continuing education. Our pediatric specialists work closely with families to develop the best treatment plan possible. They will explain all available treatment options, discuss the benefits and risks of each, and provide an expert opinion on the best course of action.

Patient Education

MidAmerica believes that patient education is vital to providing the highest quality of care for orthopaedic pediatric conditions and injuries.

Click on a title of a common condition or procedure to learn more.

Pediatric Orthopaedic Conditions Treatable at MidAmerica’s Pediatric Clinic

CLICK A HEADING TO LEARN MORE ABOUT EACH Pediatric Orthopaedic Condition.

Sprains & Strains

Sprains & Strains

Sprains & Strains - common injuries among young athletes that share similar symptoms but involve different parts of the body. A sprain is a stretching or tearing of ligaments, whereas a strain is a stretching or tearing of muscle. These most often occur in athletes whose sports require repetitive motions, such as running or throwing, and can be caused due to a lack of flexibility. Treatment for both strains and sprains includes rest, ice, compression and elevation. These kind of injuries typically resolve on their own, over time.

 

Concussion

Concussion - an injury to the brain usually as a result of a significant blow to the head and most commonly occuring during contact sports such as football, boxing, hockey and/or soccer. Symptoms include headache, nausea, disorientation, loss of balance, dizziness and difficulty focusing. Concussions may also involve a lack of consciousness and symptoms may appear slowly over a matter of days or weeks. Most patients return to normal within a few weeks after a concussion occurs, but multiple concussions may cause permanent damage.

Scoliosis

Scoliosis - a condition that causes the spine to curve sideways. While there are several varieties of scoliosis that affect children and adolescents, the most common type is “idiopathic,” which means the cause is unknown. Scoliosis usually develops between age 10 and the time the child is fully grown. This condition is rarely painful and may only be noticed during a school screening or after a check-up with a pediatric specialist at MidAmerica. Many cases of scoliosis do not require treatment, while severe cases may require the child to wear a brace or have surgery to restore normal posture.

Clubfoot

Clubfoot

Clubfoot - a rare deformity of the foot present at birth, affecting one or both feet. A child with clubfoot has an abnormally positioned foot, causing the ankle to turn inward. While this condition is rarely painful during infancy, if left untreated, the child will be unable to walk properly, wear normal shoes, or participate in sports. Currently the Ponseti Method is the most widely applied non-surgical treatment, although surgical correction of clubfoot is also an option.

 

Hip Dysplasia

Hip Dysplasia - a condition in which an infant’s hip joint did not form properly. Specifically, the “ball joint” component of the hip does not fit properly into the socket component. This can lead to problems walking or lead to multiple hip dislocations. This condition is more common in young girls and may run in families. Treatment for this condition depends on age and severity, and may require the patient to wear a special harness that allows the hip joint to re-form properly. In more severe cases, surgery may be required.

Cerebral Palsy

Cerebral Palsy

Cerebral Palsy - a term used to describe a group of chronic conditions affecting body movement, posture, and muscle coordination, ranging from severe to hardly detectable. This condition is usually caused by brain damage that happens prior to a child’s birth, or during the first 3-5 years of their life. Motor impairment can be accompanied by a seizure disorder and problems with sensation, cognition and respiratory function. While there is no cure for cerebral palsy, a combination of physical therapy, medication, and surgery may help a child reach their full developmental potential.

Legg-Calve-Perthes Disease

Legg-Calve-Perthes Disease - a childhood condition affecting the hip in which the blood supply to the femoral head (ball joint) of the hip is temporarily interrupted. A lack of sufficient blood flow causes the bone to begin to die, which makes it more prone to breakage and less likely to heal properly. A variety of non-surgical options are available for treating this condition, such as crutches, leg casts and/or physical therapy. Surgery is an option in severe cases, and is aimed at improving the shape of the hip joint to prevent the development of arthritis later in life.

Procedures at MidAmerica’s Pediatric Clinic

The fellowship-trained Pediatric Orthopaedic Specialists in our MidAmerica Pediatric Clinic use current nonoperative and operative techniques to treat patients. Many pediatric orthopaedic conditions are treatable through nonsurgical methods while more severe conditions may require surgery. Listed below are surgeries and nonoperative techniques used to treat a variety of pediatric conditions at our Palos Hills and Mokena locations.

CLICK A HEADING TO LEARN MORE ABOUT EACH Pediatric Orthopaedic Procedure.

Clubfoot Casting without Tenotomy

Clubfoot Casting without Tenotomy - Nonoperative treatment of clubfoot in children is usually successful, with the Ponseti Method being the most popular approach. The Ponseti Method refers to gentle manipulations of the affected foot through various castings lasting approximately 6-8 weeks. While widely successful, achilles tenotomy, or the surgical cutting of the achilles tendon, is required in approximately 90% of patients.

Dr. Gourineni has developed a correctional method for clubfoot that does not require achilles tenotomy and allows for fewer cast changes. First, the forefoot is corrected with a soft fiberglass cast, then is replaced with a long-leg, soft fiberglass cast to account for 50 degrees of abduction and 10-20 degrees of ankle dorsiflexion, or moving the toes so they are closer to the knee. Finally, the child maintains correction with a Denis-Brown bar over the course of several months.

View Video on Clubfoot (Talipes Equinovarus)

Hip Arthroscopy

Hip Arthroscopy - a surgical procedure that allows doctors to view the hip joint without making a large incision through the skin or other soft tissue. This technique is used to treat a wide variety of hip conditions, including fractures. During the procedure, the surgeon inserts a small camera into the hip joint, which displays pictures on a video monitor. The surgeon uses these images to guide small surgical instruments in treating the condition. This results in less pain and shorter recovery times for patients.

Hip Osteotomy

Hip Osteotomy - refers to a surgical procedure in which the hip bone is divided and shifted for better alignment. This is a common procedure for young adults in treating hip dysplasia, legg-calve perthes disease, and cerebral palsy. Patients are usually hospitalized for 3-5 days after surgery, are walking with crutches 6-8 weeks after surgery, and are completely healed 3-6 months after surgery. This procedure has been known to completely cure hip dysplasia.

Why MidAmerica?

The pediatric specialists at MidAmerica are recognized experts in the field, but don’t take our word for it.

At MidAmerica, we aim to provide the highest quality care marked by courtesy, respect and integrity. To make an appointment at the Pediatric Clinic, or to learn more about MidAmerica’s Palos Hills, and Mokena clinics and the different treatment options available to you, call (708) 237-7200. Most insurance plans are accepted.

Specialists
Dr. Prasad Gourineni

Pediatric Orthopaedic Specialist

Dr. Prasad Gourineni, MidAmerica’s Pediatric Orthopaedic Specialist, has extensive experience in open and arthroscopic hip preservation procedures as well as general pediatric orthopaedics. He completed his fellowship in Pediatric Orthopaedics & Scoliosis at the Texas Scottish Rite Hospital, is board-certified by the American Board of Orthopaedic Surgery and is the founder of the Hip Preservation Society. He enjoys working alongside families and uses the most up-to-date technology and equipment to treat his patients.

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Dr. Chris Chapman

Pediatric Orthopaedic & Sports Medicine Specialist

Dr. Chris Chapman, MidAmerica’s Pediatric Orthopaedic & Sports Medicine Specialist, works directly with sports-related injuries such as sprains, strains and simple fractures. He emphasizes healthy alternatives to surgery such as therapy and rehabilitation. He is board certified in pediatrics, completed his pediatric residency at Hope Children’s Hospital in Oak Lawn, and holds a teaching position at Advocate Christ Children’s Hospital where he educates pediatric and family practice residents. Dr. Chapman enjoys working with a young population and aims to return his patients to their active lifestyles.

Read more

Read more: Pediatric Clinic

Concussion Clinic

At MidAmerica Sports Medicine Clinic

What are the Signs and Symptoms of Concussion?

Most people with a concussion diagnosis have a good recovery from symptoms experienced at the time of the injury. But for some people, symptoms can last for days, weeks, or longer. In general, recovery may be slower among older adults, young children, and teens. Those who have had a concussion in the past are also at risk of having another one and may find that it takes longer to recover if they have another concussion.

Patient Education

MidAmerica believes that patient education is vital to providing the highest quality care for those who may have sustained or have symptoms of a concussion. Click on a title to learn more about concussions and the anatomy of the brain.

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Symptoms of Concussion

Symptoms of concussion usually fall into four categories. Click the headings below for details.

Thinking/Remembering

  • Difficulty thinking clearly
  • Feeling slowed down
  • Difficulty concentrating
  • Difficulty remembering new information

Physical

  • Headache, fuzzy or blurry vision
  • Nausea or vomiting (early on), dizziness
  • Sensitive to noise or light
  • Balance problems
  • Feeling tired, having no energy

Emotional/Mood

  • Irritability
  • Sadness
  • More Emotional
  • Nervousness or anxiety

Sleep

  • Sleeping more than usual
  • Sleep less than usual
  • Trouble falling asleep

Some of these symptoms may appear right away, while others may not be noticed for days or months after the injury, or until the person starts resuming their everyday life and more demands are placed upon them. Sometimes, people do not recognize or admit that they are having problems. Others may not understand their problems and how the symptoms they are experiencing are impacting their daily activities. The signs and symptoms of a concussion can be difficult to sort out. Early on, problems may be missed by the person with the concussion, family members, or doctors. People may look fine even though they are acting or feeling differently.

When to Seek Immediate Medical Attention for Possible Concussion Treatment

Danger Signs in Adults In rare cases, a dangerous blood clot may form on the brain in a person with a concussion and crowd the brain against the skull. Contact your health care professional or emergency department right away if you have any of the following danger signs after a bump, blow, or jolt to the head or body: Headache that gets worse and does not go away Weakness, numbness or decreased coordination Repeated vomiting or nausea Slurred speech The people checking on you should take you to an emergency department right away if you: Look very drowsy or cannot be awakened Have one pupil (the black part in the middle of the eye) larger than the other Have convulsions or seizures Cannot recognize people or places Are getting more and more confused, restless, or agitated Have unusual behavior Lose consciousness (a brief loss of consciousness should be taken seriously and the person should be carefully monitored)

Danger Signs in Children Take your child to the emergency department right away for possible concussion treatment if they received a bump, blow, or jolt to the head or body, and: Have any of the danger signs for adults listed above Will not stop crying and cannot be consoled. Will not nurse or eat Do not return to sports until cleared by a medical professional.

Specialists

Dr. Adam F. Meisel, sports medicine and arthroscopy specialist, strives to help his patients regain and maintain their active lifestyles - from competitive athletes to weekend warriors - by offering both non-operative and operative approaches to treatment. He received fellowship training in Sports Medicine and Arthroscopy at the Southern California Orthopaedic Institute, has published multiple peer-reviewed articles and textbook chapters regarding meniscal tears, ankle cartilage injuries, and transplants. He is currently active in research related to hip arthroscopy and rotator cuff repairs.

Dr. Beverlee A. Brisbin, sports medicine and non-operative orthopaedic specialist, works closely with her patients for whom surgery is not an option with the aim of improving their quality of life and getting them back to the activities they enjoy. She is also the team sports medicine doctor to the USA Women’s Soccer Team and many area high schools. She completed her sports medicine residency at the Rush University Medical Center and possesses a board-certified CAQ in sports medicine.

Dr. Chris Chapman, MidAmerica’s Pediatric Orthopaedic & Sports Medicine Specialist, works directly with sports-related injuries such as sprains, strains and simple fractures. He emphasizes healthy alternatives to surgery such as therapy and rehabilitation. He is board certified in pediatrics, completed his pediatric residency at Hope Children’s Hospital in Oak Lawn, and holds a teaching position at Advocate Christ Children’s Hospital where he educates pediatric and family practice residents. Dr. Chapman enjoys working with a young population and aims to return his patients to their active lifestyles.

Why MidAmerica?

At MidAmerica Orthopaedics, we are committed to providing prompt care for you or your loved ones who may have sustained or have symptoms of a concussion. Our dedicated staff of highly skilled physicians and staff are here to help you with concussion diagnosis and treatment options.

Related Articles

Read more: Concussion Clinic

Minimally Invasive Spine Clinic

Why Choose Minimally Invasive Spine Surgery?

Spine surgery is traditionally done as "open surgery," meaning the area being operated on is opened with a long incision to allow the spine surgeon to view and access the anatomy. In recent years, however, technological advances have allowed more back and neck conditions to be treated with a minimally invasive surgical technique.

Because minimally invasive spine surgery (MISS), does not involve a big incision, it avoids significant damage to the muscles surrounding the spine. In most cases, this results in less pain after surgery and a faster recuperation.

Spine surgery is typically recommended only when a period of conservative nonsurgical treatment — such as medications and physical therapy — has not relieved the painful symptoms caused by your back problem.

In addition, surgery is only considered if your doctor can pinpoint the exact source of your pain, such as a herniated disk or spinal stenosis.

Minimally invasive techniques are beginning to be used for a wider range of spine procedures, and have been used for common procedures like decompression and spinal fusion since the 1990s. Decompression relieves pressure put on spinal nerves by removing portions of bone or a herniated disk. Spinal fusion corrects problems with the small bones of the spine (vertebrae). The basic idea is to fuse together the painful vertebrae so that they heal into a single, solid bone. This article focuses on decompression and fusion with a minimally invasive technique.

Patient Education

MidAmerica believes that patient education is vital to providing the highest quality of care for spinal conditions and injuries.

MidAmerica Orthopaedics now offers Platelet Rich Plasma (PRP) Therapy to help treat things like whiplash and chronic back pain.

Click on a title of a common condition or procedure to learn more.

Conditions Treated Using MIS Procedures

Recovery

Minimally invasive procedures can shorten hospital stays. The exact length of time needed in the hospital will vary with each patient and individual procedure, but generally, MISS patients go home in 2 to 3 days.

Because minimally invasive techniques do not disrupt muscles and soft tissues, it is believed that post-operative pain is less than pain after traditional, open procedures. You should still expect to feel some discomfort, however, advancements in pain control now make it easier for your doctor to manage and relieve pain.

To help you regain strength and speed your recovery, your doctor may recommend physical therapy. This will depend on the procedure you have had and your general physical condition. Specific exercises will help you become strong enough to return to work and daily activities.

If you have had a fusion procedure, it may be several months before the bone is solid, although your comfort level will often improve much faster. During this healing time, the fused spine must be kept in proper alignment. You will be taught how to move properly, reposition, sit, stand, and walk.

How long it will take to return to your daily activities after MISS depends upon your individual procedure and condition. Your doctor will evaluate you after your surgery to make sure that your recovery is progressing as expected.

Specialists
Dr. Gurpal Pannu

Orthopaedic Spine Surgeon

Dr. Gurpal Pannu, orthopaedic spine surgeon, cares deeply about his patients and believes that the most important quality a patient should look for in a physician is to be seen as a person, with specific needs and fears, rather than as a medical condition. His expertise encompasses both adult and pediatric care, so he treats a wide range of patients. Dr. Pannu is well informed about alternatives to surgery and advises patients to explore these options before deciding whether to have surgery. He guides patients through non-surgical processes such as physical therapy, steroid shots, and nerve treatments before helping them to explore surgical options.

Read more

Why MidAmerica?

At MidAmerica, we aim to provide the highest quality care marked by courtesy, respect and integrity. To make an appointment for the Minimally Invasive Spine Clinic, or to learn more about the different spine treatment options available to you, call (708) 237-7200. Most insurance plans are accepted.

Read more: Minimally Invasive Spine Surgery

Physical Medicine & Rehabilitation

What is Physical Medicine and Rehabilitation?

Physical Medicine and Rehabilitation (PM&R) physicians, also known as physiatrists, evaluate and treat injuries, illnesses, and disability, and are experts in designing comprehensive, patient-centered treatment plans. Their goal is to decrease pain and enhance performance without surgery.

PM&R physicians treat a wide variety of medical conditions affecting the brain, spinal cord, nerves, bones, joints, ligaments, muscles, and tendons. Physiatrists utilize cutting-edge as well as time-tested treatments to maximize function and quality of life.

Patient Education

MidAmerica believes that patient education is vital to providing the highest quality care.

MidAmerica Orthopaedics also offers Platelet Rich Plasma (PRP) Therapy as well as Prolotherapy to help treat conditions like whiplash and chronic back pain.

Click on a title of a common condition or procedure to learn more.

Conditions & Treatments

PM&R physicians (or physiatrists) evaluate and treat patients with short- or long-term physical and/or cognitive impairments and disabilities that result from musculoskeletal conditions (neck or back pain, or sports or work injuries), neurological conditions (stroke, brain injury or spinal cord injury) or medical other conditions.

Physiatrists Perform

Especially in the inpatient setting, physiatrists provide general medical treatment similar to internal medicine to maintain medical stability and provide secondary prevention of disability. Physiatrists do not perform surgery, yet have many procedural opportunities for diagnosis and treatment. Many of these procedures may require fellowship or advanced training to perform.

CLICK A HEADING TO LEARN MORE ABOUT EACH PROCEDURE.

EMG (Electromyography)

The inserting of fine needle electrodes in muscles and observing the recorded motor unit potentials when the muscles are activated to help distinguish whether weakness is due to muscle or nerve dysfunction (i.e., myopathy vs. neuropathy).

Learn more about MidAmerica's on-site EMG service.

NCS (Nerve Conduction Studies)

The use of electrodes to record motor and sensory responses that are propagated by electrical stimuli. This test can help distinguish location of a nervous system lesion (radiculopathy, peripheral neuropathy, motor neuron disease, or neuromuscular junction).

Learn more about MidAmerica's on-site NCS service.

Peripheral Joint Injections

Injections to help diagnose and treat bone and soft tissue disorders often seen in orthopedic, rheumatologic, and sports medicine disorders such as knee osteoarthritis, rotator cuff tendinopathy, and epicondylitis.

Trigger Point Injections

Lidocaine or dry needling can be used as an adjunct to proper exercise and physical therapy to treat trigger points, thought to be sources of chronic myofascial (soft-tissue) pain.

Musculoskeletal Ultrasound

Although it has been used for decades as a modality to deliver deep heat in therapies, ultrasound is now increasingly being used in the outpatient setting to supplement the musculoskeletal evaluation. Ultrasound may be used to evaluate for soft tissue abnormalities in commonly examined joints and structures. This technology is also now frequently used to guide injections, as it allows for improved placement of needles for delivery of treatment without exposure to ionizing radiation.

Learn more about MidAmerica's on-site Ultrasound service.

Spasticity Management

Spasticity is a common complication related to central nervous system (CNS) injury (e.g., SCI, stroke, cerebral palsy). Physiatrists treat spasticity by using oral antispasticity agents, botulinum toxin injections, phenol injections, and intrathecal baclofen pump management to improve function and decrease pain.

Interventional Spinal Therapeutics

Image-guided spinal diagnostics and injections, including:

These techniques are being used as a non-surgical pain-relieving intervention for back pain and radiculopathy.

Additional Procedures

Other procedures performed by some physiatrists include:

Specialists
Dr. Robert Metzler
Dr. Robert Metzler

Physical Medicine and Rehabilitation/Pain Management

Dr. Metzler is a physical medicine and rehabilitation physician and aims to find out what goals are important to his patients, and ultimately help them achieve their goals. He prides himself on listening to his patients, and will always treat you with compassion and open-mindedness.

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Total Joint Clinic

What is Total Joint Replacement?

Greater activity levels, longer life expectancies, and advances in artificial joint technology have made total joint replacement an extremely popular choice when it comes to treating joint problems and disease.

Total joint replacement is a surgical procedure in which certain parts of an arthritic or damaged joint, such as a hip, shoulder or knee, are removed and replaced with a plastic or metal device called a prosthesis.

The prosthesis is designed to enable the artificial joint to move just like a normal, healthy joint.

Patient Education

MidAmerica believes that patient education is vital to providing the highest quality of care.

MidAmerica Orthopaedics also offers Platelet Rich Plasma (PRP) Therapy to help treat hip and knee arthritis, chronic knee pain, and achilles tendon pain.

Click on a title of a common condition or procedure to learn more.

Hip Replacement

Hip replacement involves replacing the femur (head of the thighbone) and the acetabulum (hip socket). Typically, the artificial ball with its stem is made of a strong metal, and the artificial socket is made of polyethylene (a durable, wear-resistant plastic).

Learn more about total hip replacement

Total Knee Replacement

In total knee replacement, the artificial joint is composed of metal and polyethylene and it is used to replace the diseased joint. The prosthesis is anchored into place with bone cement or is covered with an advanced material that allows bone tissue to grow into it.

Learn more about Total Knee Replacement

Total Shoulder Replacement

In shoulder replacement surgery, the artificial shoulder joint can have either two or three parts, depending on the type of surgery required.

  • The humeral component (metal) is implanted in the humerus
  • The humeral head component (metal) replaces the humeral head at the top of the humerus
  • The glenoid component (plastic) replaces the surface of the glenoid socket

Learn more about total shoulder replacement

Total joint replacements of the hip, knee, and shoulder have been performed since the 1960s. Today, these procedures have been found to result in significant restoration of function and reduction of pain in 90 to 95% of patients. While the expected life of conventional joint replacements is difficult to estimate, it is not unlimited. Today’s patients can look forward to potentially benefiting from new advances that may increase the lifetime of the prostheses.

Specialists
Dr. Sarkis Bedikian

Orthopaedic Surgeon/Hip & Knee Specialist

MidAmerica’s orthopaedic surgeon and hip & knee specialist, Dr. Sarkis Bedikian, specializes in hip and knee replacement surgery. He has received honors and awards including recognition for medical leadership and induction into academic honor societies. Dr. Bedikian’s goal is to return his patients to a full, active lifestyle, striving to dramatically improve their overall quality of life.

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Dr. Adam F. Meisel

Sports Medicine/Arthroscopy Specialist

MidAmerica’s Sports Medicine and Arthroscopy Specialist Dr. Adam F. Meisel strives to help his patients regain and maintain their active lifestyles—from high level competitive athletes, to the recreational weekend warrior—by offering both operative and non-operative approaches to treatment. He feels it is important to stay on the cutting edge of medicine in order to provide the best possible care for his patients.

Read more

Why MidAmerica?
At MidAmerica, we aim to provide the highest quality care marked by courtesy, respect and integrity. To make an appointment at The Total Joint Clinic, or to learn more about the different treatment options available to you, call (708) 237-7200. Most insurance plans are accepted.

Read more: Total Joint Clinic

Palos Hills Surgery Center

An integral part of MidAmerica Orthopaedics
Palos Hills 3rd Floor Lobby

Orthopaedic Ambulatory Surgery Center

Palos Hills Surgery Center is an integral part of MidAmerica Orthopaedics organization, with its comprehensive program of high quality, cost-effective, and patient-centered care. Our practice emphasis is about your healing, well-being, and restoring your quality of life.

More than 50 percent of all orthopaedic procedures are now performed on an ambulatory basis. You will have comfort knowing that our dedicated team of professionals are onsite to ensure that your experience at Palos Hills Surgery Center exceeds your expectations.

Attention to detail, personalized care, and our advanced orthopaedic equipment and techniques will help you meet your goals of returning to work, sports, and everyday activities in as timely a manner as possible.

Advantages of
Palos Hills Surgery Center
  • Lower Cost

    30-40% lower than hospital-based or hospital-owned outpatient facilities
  • Lower Infection Rates

    As much as 10x lower infection rates than hospital-based facilities

Procedures performed at Palos Hills Surgery Center

Palos Hills Surgery Center is a licensed facility in the state of Illinois. Our surgery patients come to us from the surrounding communities of Evergreen Park, Burbank, Alsip, Bridgeview, Frankfort, Tinley Park, Orland Park, Homer Glen, New Lenox, Oak Lawn, and Worth.

  • Emergency Surgery
  • Knee Surgery
  • Foot and Ankle Surgery
  • Pain Management
  • Hand Surgery
  • Shoulder Surgery
  • Arthroscopic Surgery
  • Wrist Surgery
  • Elbow Surgery

Read more: Palos Hills Surgery Center

General Orthopaedics

Moving You at the Speed of Life

Dedicated to Your Entire Family: Pediatric to Adult Orthopaedic Care

MidAmerica’s Orthopedic Specialists are dedicated to providing comprehensive orthopaedic care for your entire family. Kindness, compassion, and exceptional quality are the hallmarks of our practice. Your care will be provided at our “Centers of Excellence” in Palos Hills and Mokena which offers comprehensive orthopaedic care including on-site physical therapy and occupational therapy, Open MRI, and EMG studies.

Non-operative treatment is the mainstay of orthopaedic care. However, should surgery be required our specialists are trained in the most up to date minimally invasive and conventional surgical procedures. Palos Hills Surgery Center is our dedicated Orthopaedic Ambulatory Surgery Center which is located at our Roberts Road Facility. We understand the debilitating effects that arise from both acute and chronic orthopaedic conditions. We focus on returning you to an active lifestyle and preserving your independence as rapidly as possible. We welcome patients from Homer Glen, New Lenox, Oak Lawn, Worth, Evergreen Park, Burbank, Alsip, Bridgeview, Frankfort, Tinley Park and Orland Park.

Read more: General Orthopaedics

Hand to Shoulder Clinic

Don't take your hands for granted

Where do you turn for specialized care?

We take our hands for granted. That is until an injury or painful condition develops limiting our ability to work, participate in sports, or perform our normal daily activities.

The Hand to Shoulder Clinic is a subspecialty division within MidAmerica Orthopaedics which is devoted exclusively to treating patients with injuries and conditions of the Hand and Upper Extremity, including:

  • the hand (Carpal Tunnel, Dupuytren’s contracture, Thumb Arthritis, DeQuervain’s)
  • the shoulder (rotator cuff tear, shoulder dislocation, shoulder impingement syndrome)
  • the elbow (elbow tendonitis, dislocated elbow)
  • the wrist (wrist injuries, carpal tunnel syndrome)

Our Fellowship trained physicians are recognized experts throughout the Chicagoland region who use the most current non-operative and operative techniques in the care of their patients.

Our on-site certified hand and physical therapists, who work under the direct supervision of our orthopedic specialists, are an integral part of our team approach to achieving the results you desire and returning you to work, sports, or your daily activities in the timeliest manner possible.

Our hand and shoulder patients come to us from Tinley Park, Orland Park, Homer Glen, New Lenox, Oak Lawn, Worth, Evergreen Park, Burbank, Aslip, Bridgeview and Frankfort.

Patient Education

MidAmerica believes that patient education is vital to providing the highest quality of care for hand and shoulder conditions and injuries.

MidAmerica Orthopaedics now offers Platelet Rich Plasma (PRP) Therapy to help treat things like shoulder pain.

Click on a title of a common condition or procedure to learn more.

Common Conditions of the Hand, Wrist, Elbow, Shoulder

Specialists
Dr. Anton J. Fakhouri

Hand and Upper Extremities Specialist

Dr. Fakhouri believes strongly in respect between doctors and patients, and works with his patients to determine the best course of action for their condition. Dr. Fakhouri is certified by the Orthopedic Surgery Board and by the UCLA Hand and Microsurgery department. He specializes particularly in treating carpal tunnel syndrome, tennis elbow, and tendon conditions.

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Dr. Gary Kronen

Hand and upper extremity surgeon

Dr. Kronen has been recognized by America’s Top Surgeons as one of the best hand surgeons in the country. Dr. Kronen treats common conditions, like carpal tunnel syndrome, tennis elbow, and trigger finger. In addition, he specializes in traumatic hand injuries, which include fractures, tendon, and nerve injuries. He keeps his patients as informed as possible and makes sure that they have an active role in choosing their course of treatment.

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Danil A. Rybalko

Hand and Upper Extremities Specialist

Dr. Rybalko is a fellowship-trained orthopaedic surgeon specializing in hand and upper extremity surgery. He works closely with his patients to formulate a plan to get them back to activities that are important to them. He utilizes both non-surgical, and when needed, surgical means to achieve this goal. Dr. Rybalko makes sure that his patients fully understand their condition, as well as all of the options that are available to them and guides them every step of the way.

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Dr. Adam Meisel

Sports Medicine & Arthroscopy Specialist

Dr. Adam F. Meisel, sports medicine and arthroscopy specialist, strives to help his patients regain and maintain their active lifestyles - from competitive athletes to weekend warriors - by offering both non-operative and operative approaches to treatment. He received fellowship training in Sports Medicine and Arthroscopy at the Southern California Orthopaedic Institute, has published multiple peer-reviewed articles and textbook chapters regarding meniscal tears, ankle cartilage injuries, and transplants. He is currently active in research related to hip arthroscopy and rotator cuff repairs.

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Aimee Bobko, MD

Shoulder and Elbow Surgeon

Joining MidAmerica August 2022

Dr. Bobko is a fellowship-trained orthopaedic surgeon specializing in Shoulder & Elbow Surgery. The shoulder and elbow joints offer the largest and most complex range of motion within the human body. If either your shoulder or elbow stop functioning normally, it can prevent you from participating in sports or work. If more severely affected, activities such as combing your hair, getting dressed, cooking, or sleeping can become difficult. Dr. Bobko focuses on restoring mobility with compassionate care and shared decision making with her patients. She pursues medically proven nonoperative treatments and operative options when necessary that include the latest medical technology and techniques to provide the best possible outcome.

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Read more: Hand to Shoulder Clinic

Sports Medicine at MidAmerica Orthopaedics

Whether you are a young athlete, dedicated sports participant or weekend warrior, injuries, both acute and chronic, can put you on the sideline.

MidAmerica Orthopaedics Sports Medicine Clinic is designed to get you back in the game in the quickest time frame possible. Our fellowship trained physicians and surgeons provide unsurpassed clinical expertise in the field of Sports Medicine.

Meet Our Sports Medicine Physicians

Dr. Brisbin is team physician to USA Women’s Soccer Team and many area high schools. Learn more about Dr. Brisbin.

Dr. Meisel strives to help patients regain and maintain their active lifestyles—from high level competitive athletes, to the recreational weekend warrior—by offering both operative and non-operative approaches to treatment. Learn more about Dr. Meisel.

Treatment of Sports Injuries Requires the Following:

  • Prevention
  • Diagnosis
  • Treatment
  • Rehabilitation

MidAmerica Sports Medicine Clinic
Keeping you moving at the Speed of Life

How does our Sports Medicine Clinic meet these challenges?

An Integrated Approach

MidAmerica Orthopaedics “Center of Excellence” allows our sports medicine physician specialists to make a timely diagnosis, order advanced imaging techniques if necessary, and institute definitive care, to maximize your recovery and get you back into the game.

MidAmerica Orthopaedics Sports Medicine Clinic: “Keeping you moving at the Speed of Life”

To learn more about MidAmerica Orthopaedics Sports Medicine Clinic or to schedule an appointment with one of our sports medicine physician specialists, please call us at (708)-237-7200. Our sports medicine patients come to us from Orland Park, Homer Glen, New Lenox, Oak Lawn, Worth, Evergreen Park, Burbank, Alsip, Bridgeview, Frankfort and Tinley Park.

Orthopaedic Immediate Care

Direct to Specialist: THE FIRST TIME

When An Injury Occurs

Orthopaedic Immediate Care provides direct to specialist care for acute orthopaedic injuries with our walk-in clinic. Seeing one of our Orthopedic Specialists at the time of your injury provides for timely, cost effective, diagnosis and definitive treatment of your acute orthopaedic injury without the need for long emergency room waits or secondary specialist referrals.

Conditions Treated

Acute Hand Trauma, Hand Injury Lacerations, Tendon Injuries Knee, Leg, Ankle, and Foot Injuries Pediatric Injuries Sprains Fractures (Ankle/Femur) Dislocations (Shoulder/Elbow/Knee/Finger) Hand, Wrist, Elbow, and Shoulder Injuries Back and Neck Injuries For more information or to schedule an appointment, please call us at (708) 237-7200. Our immediate care patients come to us from Worth, Evergreen Park, Burbank, Alsip, Bridgeview, Frankfort, Tinley Park, Orland Park, Homer Glen, New Lenox and Oak Lawn.

Advantages of Orthopaedic Immediate Care

Direct to Specialist Care Definitive Care Specialist Co-pay (office visit) Lower Copays – than Emergency Room or Hospital-owned Immediate Care

Learn More: Why Orthopaedic IME

Read more: Orthopaedic Immediate Care

MidAmerica Services

Our medical team has unmatched knowledge and expertise in treating all musculoskeletal conditions, Occupational and Sports Medicine injuries from a non-operative and operative perspective.

Conditions Treated

Work Injuries Sports Injuries Hand Injury, Wrist Injuries, Dislocated Elbow and Shoulder Injuries Knee Injuries, Femur Fracture, Ankle Fracture and Foot Injuries Back and Neck Injuries Fractures, Sprains and Dislocations Lacerations, Nerve and Tendon Injuries, Ganglion Cyst To assist our physicians and healthcare professionals in understanding the nature of your condition we offer on-site state of the art ancillary services such as: Open MRI scan X-rays Comprehensive Physical and Hand Therapy This allows us to diagnose, formulate, and institute an effective treatment plan in a timely manner. Our dedication to addressing your health care needs does not stop here. Osteoporosis screening is available both to diagnose and follow the response to treatment for those at risk for fractures and or complications of bone demineralization.

Make An Appointment

To make an appointment with one of our orthopedic specialists, please call (708) 237-7200. Our patients come to us from Oak Lawn, Worth, Evergreen Park, Burbank, Alsip, Bridgeview, Frankfort, Tinley Park, Orland Park, Homer Glen and New Lenox.

Read more: MidAmerica Services

When an Injury Occurs

Direct To Specialist The First Time

Our Mission is to foster hope, healing, and well-being through our compassionate team-delivery approach by trusted experts who are committed to restoring the quality of life to individuals of all ages.
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