Using Pins and Needles to Get Rid of That Feeling of Pins and Needles

By any measure, Dee Larson and her husband Dale lived a pretty good life. Dee was an executive assistant. Dale was a pharmacist.  With two grown children, doing very nicely in distant cities, Dee and Dale regularly played golf together. When they weren’t golfing or socializing, they traveled to warm and sunny places on land and enjoyed the occasional cruise.

But about 10 years ago, something happened. Dee noticed her legs were tired and thought something was happening to her nerve endings that made her feel like something was crawling in her leg. Sometimes it felt like pins and needles.

It was disrupting her sleep. “I was tossing and turning constantly,” said Dee. “It was affecting my husband’s sleep, too.”

For those who don’t recognize these symptoms, Dee suffered from what is known as “restless leg syndrome” or RLS.  It affects about 10% of the population, mostly women in their 50s, and is a neurological condition characterized by unpleasant and painful sensations, like those Dee experienced, and an irresistible urge to move the leg. Maddeningly, lying down activates the symptoms and, left untreated, RLS can cause fatigue and exhaustion, impair memory and concentration, and make travel difficult. Dee did seek treatment. “I tried every kind of medication,” said Dee. “But I didn’t like how they made me feel—and they didn’t help that much.” But there was something worse. “I had terrible dreams.” Her life was becoming a nightmare.

Dee stopped taking medicine and found a surprising treatment:  acupuncture.   And it worked.

Life, as it happens, takes unforeseen turns and sometimes what you need is unexpectedly at hand.  Dee set up an appointment for acupuncture with  K.C. Chang, MD, a physiastrist specializing in non-surgical treatment of the spine at Orthopedic Institute. Twenty five years ago he integrated acupuncture into his practice.  He is one of a few medical doctors practicing acupuncture in the state of South Dakota. Dr. Chang, who has treated about 20 patients for RLS began to treat her.  Dee said things got “progressively better with each session until I felt I didn’t need it anymore.”

Indeed, one day, no more pins and needles. Which is ironic since acupuncture uses needles to stimulate “meridians,” or energy pathways, in order to modulate the neurological states that apparently cause RLS. Ironically, later, after Dee had knee surgery, the RLS returned. Again: Dr. Chang and acupuncture to the rescue.

Once again, life is good.

Thank You for Voting Orthopedic Institute “The Local Best”

Congratulations goes out to Orthopedic Institute’s Physical Therapy and Occupational Therapy departments for being voted THE LOCAL BEST 2015-16!

Our physical therapists, all of whom have advanced training are:

The Occupational Therapy clinic at Orthopedic Institute specializes in upper extremity evaluation and treatment.  Our therapists are able to provide care for each patient’s individual needs.  Our occupational therapists have master level degrees in occupational therapy along with clinic study and years of experience.

  • Nationally certified by the National Board for Certification in Occupational Therapy
  • Licensed by the state of South Dakota
  • Certified in use of therapeutic modalities
  • Trained in the specialized area of upper extremity rehabilitation and therapeutic interventions
  • Find out more:  Hand Therapy or Occupational Therapists

 

 

Orthopedic Institute Teaming Up with Two Great Partners to Offer Wellness Screening

November 2nd from 4-8PM
November 7th from 8AM-12PM
at GreatLIFE Woodlake

  • 30-minute screening
  • $25 – pay by cash, check or credit card at the time of your screening

GreatLIFE members may have the fee charged to their account. If you have DAKOTACARE coverage you may use your Flex Spending Account.

 

Functional Movement Screening provided by Orthopedic Institute:

  • One-on-one consultation with a physical therapist/athletic trainer to assess quality of movement and injury risk

Biometric Health Screening provided by DAKOTACARE Health Coaches:

  • Lab testing (total cholesterol, LDL & HDL, triglycerides, cardiac risk ratio, blood glucose)
  • Blood pressure
  • Body composition (body mass index and waist circumference)
  • Personal/family health history
  • Lifestyle review
  • One-on-one consultation with a nurse

Limited space available.
Sign up at GreatLIFE
Woodlake today!

At your screening, enter to win a GreatLIFE Massage,
Personal Training Session, or XLBT Wireless Headphones!

For more information or to sign up contact:

GreatLIFE Woodlake Athletic Club

4600 S Tennis Lane

Sioux Falls, SD 57106

605.361.0445

Aquatic Therapy: Treatment Offers Gentle Alternative for Some Orthopedic Patients

Article by Darcie Bontje, Sioux Falls Woman

While physical therapy is the prescribed course of treatment for many orthopedic injury sufferers, a land-based regimen is not suitable for some patients.

Brad Pfeifle, vice president of Sports Medicine and Rehab Services at Orthopedic Institute, says that’s where OI’s new aquatic therapy program fits in. “This is a great adjunct to our current physical therapy services for patients who can’t tolerate ground-based rehabilitation services.”

Through its partnership with GreatLife Malaska Fitness Club, Orthopedic Institute now offers aquatic therapy at GreatLife Woodlake Athletic Club, 4600 Tennis Lane in Sioux Falls.

Aquatic therapy allows patients who are unable to fully weight bear to ambulate sooner because they are more buoyant, Brad says.

The treatment minimizes swelling, improves range of motion, gently builds strength and decreases the impact on joints.  It can be used independently, where a patient is gradually transitioned to land-based therapy, or in combination with a ground-based program.

Benefits of aquatic therapy:

  • Reduce pain
  • Minimize swelling
  • Improve range of motion
  • Gently build strength and muscle tone
  • Reduce fall risk
  • Improve circulation
  • Decrease impact on joints

Orthopedic Institute’s licensed physical therapists provide one-on-one sessions for patients in Woodlake’s therapy pool, which ranges from 84-86 degrees Fahrenheit and features a wheelchair lift.  The pool depth ranges from 3.5-6 feet.

The Woodlake facility also caters to privacy.  “Patients can go from the locker room to the pool and back to the locker room without having to walk around the facility.  This unique setup really takes away the intimidation factor,” he says.

We have been building this program for more than a year,” says Brad, who adds that standardized therapy protocols will be closely followed.  “This is great for the community and something that people are really going to benefit from.”

Insurance does provide reimbursement for aquatic therapy and OI accepts outside referrals, he says.

“Whether someone is a surgical or nonsurgical patient, our ultimate goal at Orthopedic Institute is to get them back to an active, healthy lifestyle,” Brad says.  “Water therapy is a great median for that.”

For more information on aquatic therapy, call 605-977-6845.

Common Foot Problems: Plantar Fasciitis

Plantar fasciitis is a common cause of heel pain. This chronic problem is an inflammation of the plantar fascia, a ligament-like structure that passes from the heel to the forefoot. The inflammation is caused by the fascia partially tearing or pulling away from the heel. A bony spur may also develop where the fascia and heel bone meet.

Self-care includes over the counter arch supports or heel pads, exercises, massage and heat or ice.

Doctor’s care may involve anti-inflammatory medications, custom-made orthotic supports or heel cups, night splints, physical therapy, and, if necessary, a cortisone injection. Complete recovery may take months.

Surgery can be performed to release the fascia in severe cases. It can be done traditionally (open surgery) or endoscopically (using a telescope-like instrument and small incisions).

If your foot flattens too much, the plantar fascia may overstretch and become inflamed.

If your foot doesn’t flatten, the plantar fascia may be pulled too tight, eventually causing pain.

What Orthopedic Institute offers with pedorthic care:

  • Custom Orthotics
  • Running/Walking Analysis
  • Shoe Recommendations
  • Diabetic Foot Care
  • Amputee Foot/Toe Filler
  • Custom Bracing/ AFO
  • Shoe Modifications
  • External/Internal Heel Lifts

Dr. Watson specializes in foot and ankle medicine, and also general orthopedics.  He completed his fellowship in foot and ankle surgery at GIKK in Omaha and the University of Nebraska Medical Center.

Reid Herrboldt, MS, ATC, CPED

Our pedorthist, Reid Herrboldt, has many years of field experience and specializes in diabetic care, athletics, and pediatric care for orthotics and bracing.

To make an appointment to see one of our specialists please call 605.331.5890 or 888.331.5890 E-mail: contactus@ortho-i.com

Common Foot Problems: Heel Pain

Heel pain is a common problem that can affect people of all ages. Over time, problems with the way you walk or stand can cause painful changes in ligaments and other tissues. The heel and ankle bones can be affected too. Heel pain also can result from an injury or a health problem, such as arthritis, that affects the entire body.

Self-care includes warm soaks and rest. Wear shoes that support your arches and have cushioned insoles. Stretching exercises and massage may also help.

Doctor’s care may involve oral medication to reduce inflammation, and stretching exercises. To relieve pressure, you may be given a special pad to wear in the heel of your shoe, or a removable heel cup or other orthotic support. If these methods don’t work, you may be given a cortisone injection.

Surgery is not common.

What Orthopedic Institute offers with pedorthic care:

  • Custom Orthotics
  • Running/Walking Analysis
  • Shoe Recommendations
  • Diabetic Foot Care
  • Amputee Foot/Toe Filler
  • Custom Bracing/ AFO
  • Shoe Modifications
  • External/Internal Heel Lifts

Dr. Watson specializes in foot and ankle medicine, and also general orthopedics. He completed his fellowship in foot and ankle surgery at GIKK in Omaha and the University of Nebraska Medical Center.

Reid Herrboldt, MS, ATC, CPED

Our pedorthist, Reid Herrboldt, has many years of field experience and specializes in diabetic care, athletics, and pediatric care for orthotics and bracing.

To make an appointment to see one of our specialists please call 605.331.5890 or 888.331.5890 E-mail: contactus@ortho-i.com

Common Foot Problems: Hallux Rigidus

Hallux rigidus at base of right big toe

Hallux rigidus is characterized by loss of motion, pain, redness, and swelling at the base of the big toe. It’s a chronic condition caused by arthritis, often brought on by an old injury.

Doctor’s care may include using pads and an oral medication to relieve the inflammation, or cortisone may be injected directly into the joint.

Surgery is performed in severe cases. Bony spurs and part of the joint at the base of the big toe may be removed. Sometimes the joint is fused, rebuilt, or replaced.

What Orthopedic Institute offers with pedorthic care:

  • Custom Orthotics
  • Running/Walking Analysis
  • Shoe Recommendations
  • Diabetic Foot Care
  • Amputee Foot/Toe Filler
  • Custom Bracing/ AFO
  • Shoe Modifications
  • External/Internal Heel Lifts

Dr. Watson specializes in foot and ankle medicine, and also general orthopedics. He completed his fellowship in foot and ankle surgery at GIKK in Omaha and the University of Nebraska Medical Center.

Reid Herrboldt, MS, ATC, CPED

Our pedorthist, Reid Herrboldt, has many years of field experience and specializes in diabetic care, athletics, and pediatric care for orthotics and bracing.

To make an appointment to see one of our specialists please call 605.331.5890 or 888.331.5890 E-mail: contactus@ortho-i.com

Common Foot Problems: Bunions/Bunionette

Bunion X-ray

A bunion is an unsightly bump at the base of the big toe. Because bunions don’t fit most shoes, the skin in the area can become irritated and swollen.  Bunions, hammer toes, and metatarsalgia often appear together. Although bunions tend to be hereditary, wearing shoes with too narrow a forefoot or too high a heel can bring bunions on years sooner. Sometimes bunions develop with arthritis.

Self-care begins with wearing shoes that have a low heel and don’t cramp your bunion. You may be able to have shoes stretched to fit a bunion.  If your symptoms don’t improve, see a foot specialist.

Doctor’s care may start with recommendations about specific changes to your regular shoes, such as wearing shoes with a wider forefoot or using devices such as pads. If these measures fail, you might consider surgery.

Surgery involves realigning the big toe. Part of the first metatarsal bone may be removed or reconstructed. A wire may hold the new alignment. You may have a walking boot or surgical shoe.

Bunionette

Bunionette is like a bunion, but occurs at the base of the little toe. Treatment may include wearing shoes with a wider fore-foot.

Surgery involves the removal of the bony prominence.

What Orthopedic Institute offers with pedorthic care:

  • Custom Orthotics
  • Running/Walking Analysis
  • Shoe Recommendations
  • Diabetic Foot Care
  • Amputee Foot/Toe Filler
  • Custom Bracing/ AFO
  • Shoe Modifications
  • External/Internal Heel Lifts

Dr. Watson specializes in foot and ankle medicine, and also general orthopedics.  He completed his fellowship in foot and ankle surgery at GIKK in Omaha and the University of Nebraska Medical Center.

Reid Herrboldt, MS, ATC, CPED

Our pedorthist, Reid Herrboldt, has many years of field experience and specializes in diabetic care, athletics, and pediatric care for orthotics and bracing.

To make an appointment to see one of our specialists please call 605.331.5890 or 888.331.5890 E-mail: contactus@ortho-i.com

Orthopedic Institute Earns ACR Accreditation

 

Congratulations to our imaging team at  Orthopedic Institute.   They have been awarded a three-year term of accreditation in magnetic resonance imaging (MRI) as the result of a recent review by the American College of Radiology (ACR). MRI is a noninvasive medical test that utilizes magnetic fields to produce anatomical images of internal body parts to help physicians diagnose and treat medical conditions.

The ACR gold seal of accreditation represents the highest level of image quality and patient safety. It is awarded only to facilities meeting ACR Practice Guidelines and Technical Standards after a peer-review evaluation by board-certified physicians and medical physicists who are experts in the field. Image quality, personnel qualifications, adequacy of facility equipment, quality control procedures, and quality assurance programs are assessed. The findings are reported to the ACR Committee on Accreditation, which subsequently provides the practice with a comprehensive report they can use for continuous practice improvement.

The ACR is a national professional organization serving more than 36,000 diagnostic/interventional radiologists, radiation oncologists, nuclear medicine physicians, and medical physicists with programs focusing on the practice of medical imaging and radiation oncology and the delivery of comprehensive health care services.

Orthopedic Institute/ D1 Groundbreaking

Announcing (weather permitting this time),  the groundbreaking of our new D1 Sports training facility! Along with our other partners, we will be holding a groundbreaking ceremony Thursday, June 25th, 2015 at 4:30 p.m.

Location: NW corner of 69th and Southeastern.

AGENDA
Welcome………………………………………………………………Tom Simmons, Master of Ceremonies
Past Chairman
Board of Directors, Sioux Falls Development Foundation
Remarks:
Council Member Southeast District
City of Sioux Falls………………………………………………………………………..Honorable Rick Kiley

Treasurer
Sioux Falls Area Chamber of Commerce……………………………………………………….Tyler Haahr

Senior Principal
Legacy Development and Consulting Co………………………………………………………Norm Drake

CEO
GreatLife……………………………………………………………………………………………………….Tom Walsh

Orthopedic Surgeon and Sports Medicine Specialist
Orthopedic Institute
OI-D1 Sports Training of Sioux Falls, LLC……………………………..Keith Baumgarten, M.D.

CEO
Sioux Falls Specialty Hospital (Midwest Family Care)………………………….Blake Curd, MD.

CEO/President
Sioux Falls Storm……………………………………………………………………………………..Todd Tryon

The Groundbreaking

Closing Comments—Tom Simmons