Northwestern Medicine’s New Center
for Comprehensive Orthopaedic & Spine Care

Center features multidisciplinary caregivers and advanced technology in newest pavilion on Northwestern’s downtown campus

Northwestern Medicine® recently launched the Center for Comprehensive Orthopaedic and Spine Care, a multidisciplinary center offering patients all aspects of musculoskeletal care in one convenient location. The Center is housed at 259 E. Erie Street in a new one million square foot outpatient pavilion on the health system’s downtown medical campus, home to Northwestern Memorial Hospital and Northwestern University’s Feinberg School of Medicine.

Exam room at New Center for Comprehensive Orthopaedic and Spine Care

State-of-the-art exam room at Northwestern Medicine’s New Center for Comprehensive Orthopaedic & Spine Care | © 2011 Northwestern Memorial Hospital

The center for Comprehensive Orthopaedic and Spine Care offers expert care for orthopaedic and musculoskeletal issues, treatment for sports injuries and a specialized center for neck, back and spine. Featuring state-of-the-art imaging and operating room facilities, the Center is staffed by a diverse team of medical specialists including orthopaedic surgeons, neurological surgeons, primary care sports medicine physicians, physiatrists, physical therapists and a dedicated radiologist.

“Our goal is for the patient to see the right specialist at the right time – we’ll have all the disciplines working together to provide the best patient care,” said Terrance Peabody, MD, chair of the department of orthopaedic and the Edwin Warner Ryerson professor of orthopaedic surgery. “This model fosters an ideal collaborative environment where a more comprehensive continuum of care helps ensure more accurate diagnoses, better patient outcomes and a streamlined process.”

The Center uses a unique model for spine care where orthopaedic surgeons and neurological surgeons practice in the same clinic and collaborate to offer enhanced patient care. The neurological and orthopaedic surgeons have access to the same images and can come up with a patient care plan together, said Peabody.

Designed specifically for the orthopaedic and spine patients – a population that often has limited mobility – the Center’s layout minimizes the amount of walking and standing required for patients.

Terrance Peabody, MD

Terrance Peabody, MD, Chair of the Department of Orthopaedic, Northwestern Medicine Center for Comprehensive Orthopaedic & Spine Care | © 2011 Northwestern Memorial Hospital

“Everything that the patient needs is in the same location including attached parking and an expedited check in process,” said Peabody. “They will have all their care in one place from their initial appointment and imaging to any necessary therapies and surgeries, as well as rehabilitation and physical therapy.”

Other highlights of the Center are advanced diagnostics and imaging, including capabilities to take full-body x-rays in less than a minute. There is also education space to prepare patients for total joint replacement surgery and a physical therapy and rehabilitation gym.

To learn more about the Center for Comprehensive Orthopaedic and Spine Care or make an appointment, visit its website or call 855-4NM-SPINE (855-466-7746). To stay updated on the latest news from the Center, like its page on Facebook. Northwestern Medicine features an expanded outpatient presence for orthopaedic and spine care through coordinated programs at Northwestern Medicine Lake Forest Hospital, Northwestern Medicine Grayslake Outpatient Center, Northwestern Medicine Glenview Outpatient Center and Elmhurst Hospital.

NorthShore University HealthSystem
Mom on the Move: Healing Crippling Arthritis

Diagnosed with rheumatoid arthritis (RA) at age 16, Saira Marquez still had a self-described normal, active life including a love of dance. But when she became pregnant with her son Julian, everything changed. Crippled with debilitating pain in her hips that left her in a wheelchair and barely able to walk, Marquez hoped that following her son’s birth her body would return to normal. But her RA only got worse.

Three months after her son was born, Marquez could no longer tolerate the pain. She also developed a limp that made her self-conscious. “I didn’t even want to go out, I was so depressed. The pain was horrible. Even getting out of bed to go to the bathroom at night was extremely painful,” she recalled.

Dr. Lalit Puri, NorthShore Orthopaedic Institute

Dr. Lalit Puri is Division Chief of Adult Reconstruction at NorthShore Orthopaedic Institute | © Jonathan F. Hillenbrand (NorthShore University HealthSystem)

Lifesaving Expertise
Her rheumatologist urged the 24-year-old Marquez to see NorthShore Orthopaedic Institute Surgeon Lalit Puri, MD, MBA. “He saved my life,” Marquez said, after having both hips replaced by Dr. Puri. She has since gained a new lease on life.

“I wasn’t even scared of the surgery. As soon as I met Dr. Puri he completely explained the situation and the benefits of the operation and I went for it. I wanted to be done with the pain.”

While it is not necessarily the norm for patients as young as Marquez to undergo hip replacement, it was her only option, said Dr. Puri, Division Chief of Adult Reconstruction.

“By the time I met Saira she was dealing with crippling RA and such severe hip pain that limited her ability to do even the simplest things we take for granted. She had obviously failed conservative therapies and total hip replacement was the only answer,” he said.

Dr. Puri performed the first minimally invasive hip arthroplasty on Marquez’s right hip in June 2014 and initially thought he would wait up to six months before the second surgery to replace her left hip. But Marquez was a model patient, working diligently with her physical therapists and healing rapidly.

Saira Marquez at Zumba class shortly after hip surgery

“I go to Zumba every day. It’s amazing to be able to do what I like again.” – Saira Marquez following a double hip replacement to ease her crippling rheumatoid arthritis. | © Jonathan F. Hillenbrand (NorthShore University HealthSystem)

“They make you stand up the same day of the surgery and I was amazed. I was immediately able to start walking without pain,” Marquez said.

“She made a remarkable recovery,” Dr. Puri said. “NorthShore’s surgical care team including nurses and physical therapists was a large part of that, but Marquez also gets a lot of credit for her recovery. She was incredibly upbeat about all the hills she would have to climb, and that’s half the battle.”

Dr. Puri performed Marquez’s second hip replacement three months later. “I wanted to go back to my normal life as soon as possible,” Marquez said.

Integrated Care Team
The minimally invasive surgery allows for quicker recovery times, and NorthShore’s multidisciplinary team approach—including specially trained total joint replacement nurses and physical therapists—maximize benefits for patients, explained Dr. Puri. The entire patient care team, including pain control specialists in anesthesiology and experienced nurses, from pre-op through post-surgery and home care are all important to patients’ success, he added.

“I was at Skokie Hospital for three days and everyone there was great,” Marquez said. “They are really nice and interested in what’s going on with you as a person. The therapists explained exactly what I needed to do. I did my physical therapy at home because of my son, and the home care people were so helpful.”

Saira Marquez and her son Julian playing

After expert orthopaedic surgery at NorthShore, Saira Marquez is better able to keep up with her young son Julian. | © Jonathan F. Hillenbrand (NorthShore University HealthSystem)

Dr. Puri continues to be a part of Marquez’s care team, which includes her NorthShore Rheumatologist Justin Gan, MD, who is successfully managing her RA with medication. “To see her walk with confidence now is so gratifying,” said Dr. Puri. “Despite the fact that she has RA, she’s capable of doing whatever she wants to do.”

Marquez hopes to go back to school and study to become an ultrasound technologist, but for now she is enjoying time with her young son. “I’m a normal mom now. With the RA it’s a little hard to carry him for a long time, but I can get on the floor and play with him. I go to Zumba almost every day. I can danceand move—music has always been a big part of my life. It’s amazing to be able to do what I like again!”



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New Center for Orthopedic and Specialty Care:
Presence Center for Advanced Care, St. Joseph Hospital

PresenceHealthNewPresence Saint Joseph Hospital in Chicago is offering much more in sports medicine and pain management to the community than any time in its history. It is bringing together some of the best physicians and physical/occupational therapists across a wide range of areas at the new Center for Orthopedic and Specialty Care. The Center is part of the Presence Center for Advanced Care at Saint Joseph Hospital which opens in September. The new facility will be home to an impressive array of knowledge and talent in advanced clinical care while also improving the way it communicates with the hospital, its patients and their families.

The Center’s physicians include a primary care sports medicine physician with athletic trainer assistant and orthopedic surgeons who work with athletes in the clinic as well as in training rooms. It has specialists in spine problems and pain management who care for patients in the clinic and will performprocedures using advanced imaging tools, including ultrasound guided injections. Ultrasound helps physicians determine soft tissue problems and treat them quickly in the office, instead of ordering anMRI which typically takes more time and up to one hour to several days for insurance plans to approve. The Center will also be incorporating chiropractic and alternative approaches such as acupuncture, Reiki, and massage therapy when the Center opens in September.

The Center for Orthopedic and Specialty Care therapists have advanced training in sports, orthopedics,hand injuries and pain assessment and care and have been working with both weekend and professional athletes for many years. They use video motion analysis software to help them test and treat movement problems that contribute to pain. The video system can pick up problems with how the foot hits the ground for a runner with a painful knee, and allows visual feedback on how to adjust techniques to relieve stress on the tissues. This can be applied to pitchers, bicyclists, golfers or to the stay-at-home Dad whose knees hurt when climbing stairs.

This summer the Center for Orthopedics and Specialty Care will be reaching out to the community, providing education for community therapists, athletic directors, ATCs, parents and physicians. In June, the center will launch sessions on how to return to function after an ACL injury, and in August it will be hosting sessions focused on concussions. For more information on the Center for Orthopedic and Specialty Care at Presence Saint Joseph Hospital, please call 773-665-8400.

Portions of this article were furnished by Megan McCann of Northwestern Memorial Healthcare, Susan J. White of NorthShore University HealthSystem and James P. O’Connell, Presence Saint Joseph Hospital for which is most appreciative.