DuPage Medical Group Orthopaedic Surgeon Performs Innovative Endoscopic Hip Procedure

January 31, 2018

DOWN­ERS GROVE, Ill. — DuPage Med­ical Group orthopaedic sur­geon Dr. Rueben Nair recent­ly per­formed a suc­cess­ful, min­i­mal­ly inva­sive Endo­scop­ic Glu­teus Min­imus Repair surgery, which was the first of its kind to be com­plet­ed at Edward Hos­pi­tal in Naperville. DMG remains the largest inde­pen­dent, mul­ti-spe­cial­ty physi­cian group in the Chica­go area, and Dr. Nair is the only orthopaedic physi­cian at DMG who per­forms this procedure.

Endo­scop­ic Glu­teus Medius/​Minimus Repair surgery is per­formed most com­mon­ly on a spe­cif­ic patient pop­u­la­tion, usu­al­ly 60 years or old­er, suf­fer­ing from Greater Trochanteric Pain Syn­drome in the glu­teus medius or min­imus. Locat­ed in the lat­er­al hip area of the body, the glu­teus medius/​minimus is one of three mus­cles in the but­tocks, sit­u­at­ed out­side the hip and used to help sta­bi­lize the pelvis, per­form hip abduc­tion and help in hip rotation.

Patients with Greater Trochanteric Pain Syn­drome diag­no­sis are typ­i­cal­ly rec­om­mend­ed by their physi­cian to take a con­ser­v­a­tive approach in treat­ment, which includes phys­i­cal ther­a­py or a Cor­ti­sone injec­tion to help relieve the pain or inflam­ma­tion. If pain con­tin­ues in the lat­er­al hip despite con­ser­v­a­tive man­age­ment, and if an MRI shows dam­age to the glu­teus medius/​minimus ten­dons, then repar­a­tive surgery may be an option.

When this min­i­mal­ly inva­sive pro­ce­dure is per­formed, the sur­geon makes three small poke-hole inci­sions around the hip joint and uses a scope to repair the tear using bone anchors. After the sur­gi­cal pro­ce­dure is com­plete, the inci­sions are closed with sutures. The patient goes home the same day and wears a pro­tec­tive brace and uses crutch­es for approx­i­mate­ly four weeks. With a full recov­ery peri­od of any­where from three to six months, the patient will begin phys­i­cal ther­a­py focused on motion, strength and then func­tion­al reha­bil­i­ta­tion to grad­u­al­ly get back to every­day activities.

Dr. Nair suc­cess­ful­ly per­formed the surgery in mid Decem­ber 2017 on Eileen Schedel, a nurse prac­ti­tion­er and moth­er of three. At 52 years old, Eileen is active with high school-aged sons and need­ed to find relief from sig­nif­i­cant pain after a hip surgery proved unsuc­cess­ful some years ago.

Fol­low­ing an eval­u­a­tion by Dr. Nair and an MRI scan, Eileen was informed by Dr. Nair that she had two options to treat her recur­rent pain, which most like­ly was being caused by a wors­en­ing tear. The first option was to con­tin­ue con­ser­v­a­tive man­age­ment with more phys­i­cal ther­a­py, and the sec­ond option was to under­go the Endo­scop­ic Glu­teus Min­imus Repair pro­ce­dure. Eileen elect­ed to have the surgery and was treat­ed by Dr. Nair at Edward Hos­pi­tal on Dec. 15. Eileen is now on the road to full recov­ery, close­ly fol­low­ing Dr. Nair’s rules for dai­ly stretch­ing and phys­i­cal ther­a­py, so she can return to her active lifestyle of Pilates, swim­ming and col­lege cam­pus vis­its with her boys.

Dr. Nair has a lot of great things to offer,” said Eileen. He has a great bed­side man­ner and comes to DMG with inno­v­a­tive approach­es. I real­ly appre­ci­ate that he thinks out­side of the box,” she con­tin­ued. I made the right deci­sion. I did­n’t need to go to a uni­ver­si­ty set­ting for my pro­ce­dure, because he pro­vid­ed exact­ly what I need­ed. In fact, if he was at DMG a few years ago when I need­ed my ini­tial surgery, I would have cho­sen Dr. Nair sooner.”

Dr. Nair joined DMG in August 2017 after com­plet­ing his sports med­i­cine fel­low­ship at UC Health Stead­man Hawkins Clin­ic — Den­ver, an insti­tu­tion known for treat­ing high-lev­el” ath­letes, includ­ing pro­vid­ing care for the Den­ver Bron­cos and Col­orado Rock­ies pro­fes­sion­al sports teams. There, he was trained on many of the lat­est sur­gi­cal tech­niques, includ­ing Endo­scop­ic Glu­teus Medius/​Minimus Repair surgery.

To learn more about Dr. Nair, the Endo­scop­ic Glu­teus Medius/​Minimus Repair pro­ce­dure, oth­er DMG physi­cians or to sched­ule an appoint­ment, vis­it DupageMed​ical​Group​.com.

About DuPage Med­ical Group

Found­ed in 1999, DuPage Med­ical Group is the largest inde­pen­dent, mul­ti-spe­cial­ty physi­cian group with more than 700 physi­cians in over 100 sub­ur­ban Chica­go loca­tions. DMG is a patient-cen­tered orga­ni­za­tion focused on improv­ing access to con­ve­nient, qual­i­ty health care using the lat­est tech­nol­o­gy and treat­ment options. For more infor­ma­tion, vis­it www​.duly​healthand​care​.com.