NWI Health and Wellness by NWIHealthandWellness

NWI HEALTH& WELLNESS Spring 2014 Issue

THE IMPORTANCE OF ORAL CANCER SCREENING Zivile Z. Chirban, D.D.S. Peter T. Harnois, D.D.S., p. 2

THE KEYS TO FULL RECOVERY AFTER KNEE AND SHOULDER SURGERY ATI Physical Therapy, p. 6

SKIN CARE SOLUTIONS FOR PROBLEM ACNE

Dr. Cristina Steil M.D., p. 9

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Ask the Expert

State of the Art Dental Technologies

Emerging dental technology has the potential to continually improve our dentistry and aid our Hinsdale Dentistry staff in making your next appointment the most comfortable yet. Our dentists strive to educate themselves on the most effective new technologies and incorporate them into our dental practice. Oral Cancer Screenings are crucial In addition to checking for cavities and determining oral health, our dentists will screen for oral cancer during your bi-annual dental exam with the VELscope Vx. Though not often discussed, oral cancer is potentially fatal and merits our close attention.

Q: Why screen for oral cancer? A: As with every illness, early detection is vital to the eradication of the

problem. Hinsdale Dentistry’s VELscope Vx oral cancer screening identifies cancerous cells at the earliest stages of their growth, before they become visible to the naked eye. Oral cancer is only one of three cancers on the rise, and occurs at three times the rate of cervical cancer.

Q: What will my oral cancer screening be like? A: Oral cancer screenings are simple and speedy with the VELscope Vx.

Oral cancer develops inside the lips and mouth, on the tongue, at the back of the throat, and on tonsils or salivary glands. We will focus on these areas with a low-energy blue light to cause healthy tissues to fluoresce (i.e., emit light). Any tissue that responds abnormally to the light will merit further examination and treatment. Screening takes just two minutes, and is painless. General Dentistry Lasers Ensure Patient Comfort Laser dentistry is emerging as the most precise way to administer comfortable dental care. Hinsdale Dentistry employs a variety of dental lasers in a variety of ways to provide our patients with their remarkable benefits no matter the treatment.

Zivile Chirban, DDS

Peter Harnois, DDS

don’t require shots of anesthesia for laser treatment. No drill, no shot, no pain and no noise. -Soothing to those with dental anxiety: Not only are lasers more comfortable, they don’t share any of the anxiety-producing aspects of drills. They are quiet and don’t place pressure on your teeth or gums. Patients who have long suffered a fear of dental treatment find work with a laser doesn’t trigger their nerves. Our Waterlase iPlus is the state-of-the-art laser that allows us to perform cavity preps without pain or shots. -Minimized recovery time: Lasers sterilize and cauterize tissue as they cut, eliminating bacteria, minimizing bleeding, and reducing the possibility of infection. Our Biolase Epic laser for soft tissue produces bio stimulation that promotes a healthier, faster healing rate. -Enhanced teeth whitening: Lasers aren’t just for use in treatment of cavities. Our new Biolase laser activates whitening gel to speed a whitening session up to just a half hour—without affecting sensitive teeth.

Q: Just what are the benefits of dental lasers? A: Precision: The narrow beam of a laser in the hand of a skilled dentist will

affect only the desired tooth area. There will be no uncomfortable side effects resulting from treatment, and healthy tissue will be left untouched. -Anesthesia rendered unnecessary: Lasers reduce tissue via vaporization rather than friction (unlike a traditional dental drill). This eliminates heat and much of the pain involved with tooth preparation. Many patients

Complimentary Oral Cancer Screening Hinsdale Dentistry invites you to come for one complimentary visit during the month of April for an oral cancer screening and a fluorescent screening. Please call to schedule an appointment for your comprehensive exam. We are celebrating our first anniversary at our new location, and we look forward to seeing you soon. Dr. Harnois, Dr. Chirban and Staff.

911 N. Suite 230, Hinsdale, IL | 630-323-4468

UNIVERSITY DERMATOLOGY, CARDIOLOGY AND VEIN CENTER LOCATIONS 8110 S. Cass Avenue | Darien, IL 630-920-1900 4605 W. Golf Road | Skokie, IL 847-679-5199 2570 W. Niles Road | St. Joseph, MI 269-428-5199 WEBSITE university-dermatology.com university-med.com Consultations Available by Appointment Accepting Most Major Insurances Accepts Medicare Assignment

UNIVERSITY DERMATOLOGY physician specialists are leading

From Left: Vassilios (Bill) Dimitropoulos, MD. Clarence William (Bill) Brown, MD. Stamatis (Tom) Dimitropoulos, MD.

DR. VASSILIOS (BILL) DIMITROPOULOS has been board-certified as a dermatologist for eight years. Dr. Dimitropoulos utilizes the most advanced skin-cancer removal technique—Mohs Micrographic Surgery. This surgery is performed in an outpatient setting under local anesthesia, minimizing the amount of healthy skin taken when removing skin cancer, thus minimizing scarring while maximizing the overall cosmetic result. Dr. Dimitropoulos earned his M.D. at RUSH University Medical Center in Chicago, before completing a dermatology residency at the University of Michigan.

authorities in their field, and use their expertise to offer compassionate care and state-of-the-art medicine, treating all diseases of the skin, hair, and nails for patients of all ages, infancy to elderly. UNIVERSITY CARDIOLOGY AND VEIN CENTER focuses on the prevention, diagnosis and treatment of leg diseases, including lower extremity swelling, ulceration, varicose veins and painful legs. DR. CLARENCE WILLIAM BROWN, JR., has been practicing as a board-certified dermatologist for 13 years. Dr. Brown utilizes the most advanced technique to remove skin cancer—Mohs Micrographic Surgery—which enables him to map and remove cancerous areas in thin layers with unprecedented precision. After earning his M.D. from the University of Pittsburgh, Dr. Brown completed residency training at RUSH University Medical Center in Chicago. Dr. Brown also previously served as the Co-Director of the Dermatologic Surgery Program at RUSH.

DR. STAMATIS (TOM) DIMITROPOULOS is a board-certified cardiologist who has been practicing as a physician for seven years. Dr. Dimitropoulos completed his medical training, internal medicine residency, and cardiovascular disease fellowship at RUSH University Medical Center in Chicago. Dr. Dimitropoulos employs advanced techniques in treating leg veins and ulcers, including endovenous thermal ablation, sclerotherapy, and ambulatory phlebectomy. These specialized techniques are performed without sedation in an outpatient setting, thereby minimizing the patient’s down-time. After receiving treatment, patients can drive themselves home.

MIDWEST BONE AND JOINT SPECIALISTS strives to provide its patients with compassionate, individualized, state-of-the-art medical care that will result in the best outcome. Midwest Bone & Joint cares for most orthopaedic conditions, including arthritis, sports injuries, carpal tunnels, trigger fingers and fractures, and its practitioners have advanced skills in joint replacement, arthroscopy, sports injuries, shoulder and knee pain, and complex fracture reconstruction. AMBER DREGER completed her Masters of Science in Physician Assistant Studies at Midwestern University. DR. JOHN LEE is a board-certified orthopaedic surgeon who specializes in shoulder and knee injuries. Dr. Lee has been practicing since 1994, and opened Midwest Bone & Joint Specialist in 2008. Dr. Lee is affiliated with Adventist Hinsdale Hospital, Adventist La Grange Memorial Hospital and Adventist Bolingbrook Hospital. He completed his undergraduate and medical studies at Wright State University in Dayton, Ohio, and both his internship and residency at Stanford University in Palo Alto, Calif. He also completed a fellowship in sports medicine in Lake Tahoe, Calif., as well as a knee fellowship at Oxford University in England. Dr. Lee takes

an interest in sports medicine, having served as the team physician for a local university and local high school in the past. DR. KEVIN HILTON is a board-certified orthopaedic surgeon who specializes in joint replacement and joint revision surgery, performs MAKO surgery, anterior hip replacements, and is affiliated with Adventist Hinsdale Hospital, Adventist La Grange Memorial Hospital and Adventist Bolingbrook Hospital. After receiving his M.D. from Loyola University, Dr. Hilton completed an Orthopaedic Residency at the University of Illinois at Chicago and Orthopaedic Fellowship in joint replacement revisions at Rush University. DR. CHARLES PAIK is a board-certified orthopaedic surgeon affiliated with Adventist Hinsdale Hospital, Adventist La Grange Memorial Hospital and Adventist Bolingbrook Hospital. Dr. Paik graduated from medical school at Indiana University School of Medicine, and then completed his orthopaedic surgery residency at the University of Illinois at Chicago Hospital and an orthopaedic trauma fellowship at Washington University-Barnes Jewish Hospital in St. Louis. He has been with our practice for over two years.

From Left: Amber Dreger PA-C ; John Lee, M.D.; Kevin Hilton, M.D.; Charles Paik, M.D. Photo by Marcello Rodarte

Midwest Bone and Joint Specialists LOCATION 12 Salt Creek Lane Suite 105 Hinsdale, IL fax: 630-323-4201 630-759-1248

Ask the Expert

ONE GOAL:

to make you feel better! I just recently had knee surgery. What should I be aware of before I attempt to play Paddle Tennis this fall? For a full return to sport after having a knee surgery, many factors need to be considered. The type of surgery performed is the biggest contributing factor in returning to high-level activities. Most often, a menisectomy is needed. This type of surgery is commonly called a “scope”, and the meniscus (either medial or lateral meniscus) is “cleaned up” after sustaining a tear. Many surgeons will allow patients to return to normal activities within 4-6 weeks. This all depends, though, on the severity of the tear, any arthritic changes that may be occurring in the joint, and, of course, pain. Returning to paddle tennis after a knee surgery requires the ability to run, cut, jump and lunge. Before being able to perform those tasks, however, full range of motion and strength of the knee must be achieved. The main muscle of the knee, the quadriceps (front of the thigh) is often the weakest after having a surgery. This muscle is responsible for controlling your kneecap when you bend and straighten your knee, and is essential for your stability during sports. One’s proprioception is also affected by a knee scope – this is, for example, one’s ability to sense where their leg position is relative to the rest of the body. Full return to playing paddle tennis after a knee scope can be expedited by a course of physical therapy, where a Physical Therapist can assist in regaining range of motion, full strength, balance, proprioception, and confidence to return to the court without risk of re-injury!

Last year I injured my shoulder (rotator cuff), and the Paddle Tennis motion of serving aggravates it. What is the best way of strengthening it? Strengthening the shoulder can be tricky, as it involves not only the rotator cuff muscles, but the muscles surrounding the shoulder blade as well. Maintaining proper form is vital to achieving the desired results. Performing the right exercises with improper form can actually promote further rotator cuff pathology. Proper posture while strengthening can be described as “setting the shoulder blades down and back on the ribcage”, or “pulling the shoulder blade down toward the opposite back pocket”. While in this position, it is important to strengthen the main scapular retractors (rhomboids and middle trapezius), as well as the main posterior cuff muscle (infraspinatus). Exercises such as rowing and shoulder external rotation (with a resistive band or while lying on your side) are the two most common exercises

that are vital to proper shoulder strengthening. I recommend using light resistance and performing high repetitions (eg. 2x30 reps Strengthening the other muscles of the shoulder can also be beneficial, but only after the shoulder blade and posterior cuff muscle strengthening has been properly addressed.

7191 S Kingery Hwy • Willowbrook, IL • (630) 455-6630 • www.atipt.com

11 Salt Creek Lane, Suite 100, Hinsdale IL 60521 The Hearing Aid Center of Hinsdale is an affiliate of the Ear Institute of Chicago, LLC. Together, the physicians and audiologists offer a collaborative approach to provide services for patients with any type of hearing loss. Using our state-of-the-art facility, our services include: • Hearing Aid Evaluations/Fittings/Checks • Comprehensive Hearing Evaluations • Tinnitus Evaluation and Treatment • C ustom Earmolds: Swim plugs, iPod earmolds, Musician plugs, and noise protection

COME SEE WHAT WE HAVE TO OFFER FOR INVISIBLE HEARING SOLUTIONS ON JUNE 15-JUME22 AT OUR OPEN HOUSE. CALL 630-789-3110 TO SCHEDULE YOUR APPOINTMENT TODAY! www.nwihealthandwellness.com ~ 09/18/13 ~ All Rights Reserved ~ To Advertise Call 219-916-1358 Today!

Audiologists: Kathleen Highhouse, Au.D. Vasilike Rauch, Au.D. Krystine Mullins, Au.D. Jill Messina, Au.D. Carly Williams, Au.D. Physicians: Dr. Richard Wiet Dr. Robert Battista Dr. Arvind Kumar Dr. R. Mark Wiet

Holman Chiropractic Get your Body Moving

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Ask the Expert

Dr. Steil answers some of your most common summer skin care questions. Do you have some summer skin care advice for acne?

Dr. Steil: You know your oily skin and clogged

pores only get worse with the heat of the summer. Cleansing your skin this time of year is extremely important so you can stay ahead of your acne. For starters, if you have sensitive skin, use a soap-free cleanser or cleansing cloth after working out. Why? because after sweating your skin more easily absorbs products like salicylic acid or benzoyl peroxide, and your skin will become more easily irritated. Treat your acne but be smart. If you do use a benzoyl peroxide based acne product, apply it in the evening only. That’s because benzoyl peroxide, when exposed to sunlight, can cause a sunburn-like reaction. If you use an oral antibiotic to control your acne and you spend a lot of time outdoors, let your dermatologist know. He or she may change your medication to one that does not react with sunlight. But don’t give up on treating your acne just because it’s summer, even in the hottest months oily skin can be managed. Think in terms of topical oil absorbers, and use special cleansers that soak up oil and decrease shine. Topical retinoids (think “Retin-A” and its cousin “retinol”) are safely used in summer. These work by causing your skin to shed the dead layer and keep pores unclogged. But make sure you use a good sunblock (which you should be using anyway!) if you are also using retinoids, as these can make your skin more sensitive to the sun. Make sure your sunscreen is labeled non-comedogenic–meaning it won’t cause breakouts–and cleanse with a product like a glycolic or salicylic acid. These are great for gently exfoliating and keeping pores clear of dead skin cells that can cause breakouts. Is there an effective lasting treatment or remedy for Melasma?

Dr. Steil: Melasma is patchy dark areas

of skin that develop with just a little bit of sun exposure. Unfortunately, it’s a serious skin problem for many women and a few men. This pigmentation can form because of birth control pills and pregnancy, or just because you are genetically prone. If you suffer from Melasma, you must be especially careful about avoiding the sun, and always use a product to prevent pigmentation. What does that mean? Well, in the last few years, researchers have developed products that suppress the skin’s ability to produce pigment and are safe to use on a daily basis. Melasma prone skin makes pigment constantly, so if you have it you must treat your skin every day. In addition, new plant-based products that gently remove pigment have also been developed. These products replace or can be used in addition to the prescription hydroquinone to lighten the dark patches. During the summer, microdermabrasion can be used to promote exfoliation and lift pigment. In the fall, gentle Melasma specific pigment peels can be used to restore the skin. But Melasma can be tricky, and the best treatment is prevention, because there can be cases that become resistant. That means stay out of the sun, and treat any hint of Melasma early!

Steil Dermatology Dr. Christina Steil, MD 40 S. Clay, Suite 210E | Hinsdale, IL 630-455-0045 | STEILDERM.com

you are not tan). This will eliminate your need to shave, and also end the vicious cycle of ingrown hairs. If you have this annoying problem, here are a few tips: Shave regularly; don’t allow the hairs to become long enough to curl and grow back into the skin; always use a sharp razor and shave with the grain, not against it; use a nonirritating shaving cream, making sure your skin is well-hydrated prior to shaving. If you do get some bumps, apply a small amount of hydrocortisone to calm the redness. Moisturize your skin with an alpha hydroxy acid-based moisturizer to keep your skin healthy. There are also some prescription based products that can be used to prevent the bumps. If you continue to have a problem, visit your skin doctor to make sure you do not have an infection of the hair follicle or another underlying condition.

How do I get rid of razor bumps and ingrown hairs on my legs?

Dr.

Steil: The first answer is, get laser hair removal in the fall (when

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