Dr. Joseph McGinley credits luck and his background in mechanical engineering for fostering the idea of Botox treatments for exertional compartment syndrome.
It was 2011 and McGinley was practicing out of Casper (Wyo.) Medical Imaging, where he is still based. He was contacted by the parents of Laura Stamp, who excelled in soccer, cross country and Nordic skiing for Natrona County High School.
Here's how McGinley described the birth of his revolutionary procedure in a recent telephone interview:
"I didn't know much about compartment syndrome. We had a young girl in Casper, an excellent high school athlete, a multi-sport state champ, diagnosed with compartment syndrome. Her parents had sought every type of alternative treatment to prevent the (fasciotomy) surgery because they knew the risk and they knew the consequences. But they finally threw in the towel and conceded they were going to go have surgery.
"I happened to be giving a lecture in town on vascular compression and I was talking about artery entrapment. One of my colleagues said, 'My daughter is playing soccer with a really good athlete who has similar symptoms to that and I don't think they included that in their workup.' I said, 'Send her in, I'll work it up and make sure it's not artery entrapment.'
"She came in and we did the imaging study and by chance the technologist scanned a little bit higher in the leg than we typically would. What I noticed was that she was compressing her veins and not her artery. I thought that looked a little bit funny and atypical. I thought about it a little bit. From a fluid mechanics standpoint it made sense because blood flow was getting into the calf, but as the veins were being compressed, blood flow is not getting out. That could cause symptoms similar to compartment syndrome. That had never been proven or discussed or mentioned before.
"I did a quick procedure using Lidocaine to stop the function of the muscle that was compressing the vein. We retested that patient and she got better immediately. We could not make her symptomatic no matter how hard we tried. But the Lidocaine wore off.
"It took me a little while to figure out 'How do I stop a muscle from compressing a vessel yet still let an athlete play?' Botox came to me as an option. Once I had that idea I called the parents. I talked to the mom and said, 'Don't hang up on me, I have a great idea on what we can do to treat this. I'm not crazy.'
"They happened to be scientifically based engineers and things like that, and they loved the idea. Botox is a relatively safe drug. Worse-case scenario it doesn't work. There's really no harm in doing it. So we tried it. Two weeks later once the Botox kicked in, she got better. She completed her entire season of soccer, ran a half-marathon, stuff she could have never done before. It was a great story from the start. Some of it was luck and some of it was applying mechanics to solve the problem instead of just a flow chart of symptoms."
There is a Facebook page that offers support for those with such symptoms. Search for Chronic Exertional Compartment Syndrome Support on Facebook and ask to join.To read more or comment...
Marla Ridenour takes a closer look at the victories for Ohio State and the Browns. She offers some insights on Buckeyes quarterback J.T. Barrett and Browns coach Mike Pettine. She looks ahead to the next few weeks on both teams schedules, too.
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Dan Casara wasn't supposed to walk again, let alone play golf.
But he got that chance on a bigger stage than he ever thought possible Wednesday.
Casara was one of two pro-am partners of Keegan Bradley at the Quicken Loans National at Congressional Country Club in Bethesda, Md., who were double amputees playing on prosthetic legs.
Casara hit his approach to about 6 feet on the 523-yard, par-4 18th hole and putted for the group.To read more or comment...
Canal Fulton’s Justin Lower, a Northwest High School and Malone University graduate, shot a hole-in-one Thursday in the first round of the Web.com Tour’s Cleveland Open.
Playing the 151-yard, par-3 16th hole (his seventh hole) at Lakewood Country Club in Westlake, Lower called his 8-iron shot “just the perfect swing.”
“It’s nice when they end up that way,” he said.
It was Lower’s third hole-in-one in competition and the seventh of his career. He said his last came during a tournament in 2011 when he was still an amateur.To read more or comment...
An eagle putt by Ben Curtis at the 15th hole that missed by just a few inches might have made his day more exciting, but the Kent resident was encouraged by his tie for sixth in the Memorial Tournament, his best finish in 12 appearances.
The former Kent State All-America and 2003 British Open champion got to 10-under par on Sunday, but a bogey at 18 left him at 9-under 279. It earned him $215,450, nearly surpassing his season earnings of $241,759 coming in.
Curtis had missed the cut in his last four events, with his previous best finish a tie for 12th at the Shell Houston Open. It was his first top 10 since he tied for second at the 2012 Players Championship.
“It’s nice,” Curtis said afterward. “I had a decent finish in Houston and felt like I was going to get some momentum going, then had a bad three weeks, really a couple bad rounds more than anything. I had a couple decent rounds in there – second round at Charlotte and the first round at New Orleans (both rounds of 70). It was just a matter of time, getting somewhere comfortable, getting good thoughts in my head with the swing. I obviously had it going this week.To read more or comment...