spring exercise

It’s spring! Get out and get moving

With more daylight and warmer temperatures beckoning, many people are ready to say goodbye to the winter doldrums and get active. If you’ve been holed up since Thanksgiving, however, lacing up your running shoes and heading out for a two-mile run may not be the best way to ease into a new exercise routine.

Spring is a great time to get moving, and our five-step guide can help you create a successful  and enjoyable  fitness plan.

Step 1: Talk with your doctor

Before you start working up a sweat, schedule a visit to your doctor to gauge on your overall health. Discuss any aches, pains or limitations that might impact your plans to get active. Talk about how to build a cardiovascular foundation that will lend itself to further activity.

Step 2: Make a plan

Exercise should be planned for a time in the day when you feel rested and have the most energy. If you are planning to exercise outside, avoid extreme temperatures (warmer than 85° F or colder than 32° F). Remember to dress appropriately for the weather and wear comfortable, supportive footwear. An indoor contingency plan for exercise can help you stay active even during spring showers.

Step 3: Warm up and cool down

Aerobic exercise, such as walking or biking, is recommended for those getting started with a new routine. Your exercise session should start with a warm-up period of slow walking or low-resistance bicycling and end with a cool-down segment at similar intensity. At the end of exercise, stretch the major muscle groups used by holding each stretch for 20-30 seconds. This can minimize injury and fatigue and increase flexibility.

Step 4: Make it manageable

Begin your exercise routine with an amount of time that is manageable, something as short as a five-minute walk around the neighborhood. Once you’re comfortable exercising for that long, slowly increase the duration of your sessions. Don’t push yourself too hard, either. You should be able to maintain a conversation at all times of exercise without experiencing breathlessness.

Step 5: Stay active

Exercise shouldn’t be a slog, so make sure you’re doing something that you enjoy and makes you feel good. A successful start of a new routine will keep you motivated to continue and progress. Fitness trackers and fitness apps are additional options to stay engaged and monitor progress. Enlisting a companion for exercise will add an element of support and keep the activity enjoyable.


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After experiencing a life-changing car accident, Baylee Booth underwent a miraculous recovery, allowing her to return to cheerleading.

Ky. high school cheerleader honored by UK Sports Medicine

A high school cheerleader who, in 2014, was severely injured in a car crash, has been named the UK Sports Medicine Comeback Athlete of the Year.

In June 2014, Baylee Booth, now a senior at Russell Independent High School in Greenup County, was in a car accident that changed her life. The accident left her with head trauma and multiple skull and facial fractures. She was in a coma for almost a week. The Comeback Player of the Year Award is given to a student-athlete who has overcome adversity that affected their ability to participate in Kentucky High School Athletic Association-sanctioned sports.

After the crash, Booth had to relearn how to walk, speak and feed herself. In the fall of 2014, Booth was able to return to the sport she loved – cheerleading. During the 2015-16 cheer season, Booth participated in competitions and was on the sideline cheering for her team at every game, including the girls state basketball tournament. She’s even back to stunting and tumbling practice twice a week.

“I would like to dedicate this award to people that have supported me since my TBI [traumatic brain injury]. Without my coaches, teachers, teammates, family, friends and countless medical professionals, I would not be here today,” Booth said. “They never gave up on me, and I would like to thank each and every one.”


Next steps:

Dr. Kim Kaiser not only serves patients in the UK Orthopaedics and Sports Medicine clinic, she’s also the team physician fora number of sports at UK.

Listen: UK team physician discusses working with student-athletes

Each year, college athletes flip, dunk and swim their way to wins and national titles. Working behind the scenes are countless staff members keeping these student-athletes healthy and in shape before, during and after their competitions.

UK’s Dr. Kim Kaiser is one of these specialists. She not only treats patients at the UK Orthopaedic Surgery & Sports Medicine clinic, she’s also the team physician for UK gymnastics, cheerleading, women’s soccer, swimming and diving, and volleyball and the sideline physician for women’s basketball.

In the latest episode of UK’s podcast Behind the Blue, Kaiser discusses how she works with athletes to ensure they’re in shape and feeling healthy for class and at game time. She also provides insights into how research being done at UK might help reduce and prevent the long-term effects of repeated head injury and concussion.


Next steps:

UK Shriners

UK Pediatric Orthopaedics, UK Advanced Eye Care moving into new Shriners building

The new Shriners Hospitals for Children Medical Center ‒ Lexington building on the UK HealthCare campus, which broke ground in March 2015, will open this spring.

In addition to Shriners, the building will be home to UK Pediatric Orthopaedics and will provide leased space for UK Ophthalmology (now renamed UK Advanced Eye Care).

Current locations of UK Advanced Eye Care along with the UK HealthCare Optical (formerly known as University Optical) will close March 17. They will reopen in the Shriners Building on March 20.

Pediatric orthopaedics patients will be seen in the new Shriners facility beginning April 17, although there will be a period of transition during which patients may be seen at either the current clinic within the Kentucky Clinic building or in the new Shriners space. During this transition, which is expected to last four weeks, parents whose children have a pediatric orthopaedics appointment are encouraged to call 800-444-8314 (toll-free) in advance to confirm where they will be seen.

Inpatient care for pediatric orthopaedics patients will be provided at Kentucky Children’s Hospital.

Members of UK health plans, including the UK-HMO and PPO/EPO options, will see no change in their copay/out-of-pocket charge with this move.

The new Shriners, which will be an outpatient surgical and rehabilitation center, was built on land that Shriners leased from UK. It remains a separate entity that is not owned or managed by UK.

UK Orthopaedic Surgery & Sports Medicine providers serve as the pediatric orthopaedic specialists for Shriners, an arrangement that has been in place since the 1970s.

The proximity of Shriners to Kentucky Children’s Hospital will facilitate collaboration of Shriners’ pediatric orthopaedic expertise and UK HealthCare’s specialty and subspecialty care for children with complex conditions.

Patients and families with appointments in the new facility will park in the UK HealthCare Parking Garage located just across Conn Terrace from Shriners. The building can be accessed via a pedestrian bridge at Level C of the garage.


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Nutrition and athletic performance

Fuel your body like an athlete

Dr. Kimberly Kaiser

With spring fast approaching, many people will begin running races, playing tennis, hiking and enjoying other outdoor activities. It can be difficult to navigate the plethora of information on eating to improve athletic performance, but it is possible to make adjustments that work for you.

We sat down with Dr. Kimberly Kaiser, a doctor at UK Orthopaedic Surgery & Sports Medicine and UK Family & Community Medicine, to get the answers to some frequently asked questions about nutrition and athletic performance.

Should I eat before I exercise?

Your body needs energy in the form of calories to maintain exercise. However, too much food or the wrong food can cause gastrointestinal issues especially in endurance athletes.

As a general rule, the closer you are to a workout, the simpler the meal should be. If you eat two to three hours before exercise, food will have time to digest and be absorbed from the GI tract into the blood. A good pre-workout meal contains both complex and simple carbs, such as whole wheat toast with a banana or a smoothie made with Greek yogurt, granola and fruit.

What should I eat to help my body recover after exercise?

Dietary proteins are effective for the maintenance and repair of skeletal muscle proteins. They also serve as a source of energy in conjunction with carbs and fats. Eating whole foods high in protein like beef, poultry, fish, beans, nuts, eggs or dairy are better in general than supplementing. Typically, a well-balanced diet will eliminate the need to ingest extra protein.

Will fat help or hurt my performance?

Fat is a necessary fuel for endurance exercise along with carbohydrates. Your carbohydrate stores are depleted within one to two hours of strenuous exercise, so your body then uses fat as energy. Fats are also necessary to help absorb fat-soluble vitamins A, D, E and K.

Try to limit your how much saturated fat you consume. Eating too much can increase your risk for heart disease.

Do I need to take vitamins to perform better?

Eating whole foods whenever possible is ideal. A food diary can help identify if there are deficiencies in your normal diet that can then be supplemented under the direction of a physician and/or sports dietician. In general, taking a daily multivitamin is a safe way to ensure you are meeting vitamin and mineral needs. It’s important to remember that supplements are not regulated by the FDA; thus, most claims are not backed by scientific studies, and purity is not guaranteed.

We aren’t all destined for the Olympics, but many of us set our own athletic goals that we hope to achieve. By eating well, food can help you achieve those goals and make you feel like you won the gold!


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MACI knee

UK orthopaedic surgeon performs first knee surgery of its kind in Kentucky

Christian Lattermann, MD

Dr. Christian Lattermann, director of UK’s Center for Cartilage Repair and Restoration in UK Orthopaedic Surgery & Sports Medicine, recently became the first surgeon in Kentucky and in the Midwest to perform a Matrix Associated Chondrocyte Implantation (MACI). The procedure is a less invasive version of cartilage repair surgery that allows patients to recover more quickly. The technology for this new procedure is the first new cartilage technology to be approved by the U.S. Food and Drug Administration (FDA) since 1996.

A different approach to cartilage repair

The MACI technology uses a patient’s own cartilage cells to create the MACI scaffold which, unlike preceding technology, can be glued into the cartilage defect. That means this procedure can be done through smaller incisions, which Lattermann said offers a significant improvement in operating time as well as an easier path to recovery for patients. The MACI technology is new in the U.S. but has an almost 10-year track record in Europe, with excellent results.

On Feb. 15, Victoria Long was the first patient to receive this treatment at UK. An 18-year-old student who had suffered from a cartilage loss in the knee as a consequence of multiple falls onto her knee cap, Long had been experiencing pain for more than a year and had been receiving nonoperative treatment during that time. At her follow-up appointment on Feb. 21, she was recovering from the surgery and was excited to begin the recovery process.

While the procedure is new, Lattermann is familiar with it. Over the past 10 years, he has helped advance the MACI technology through regulatory agencies and receive FDA approval. During that time, he has performed more than 150 Autologous Chondrocyte Implantations, a less sophisticated version of the MACI procedure.

Becoming a major referral center

When Lattermann joined UK Orthopaedics and Sports Medicine a decade ago, he was tasked by Dr. Darren Johnson, chair of UK Orthopaedic Surgery and Sports Medicine, and UK Executive Vice President for Health Affairs Dr. Michael Karpf, with building the Center for Cartilage Repair and Restoration. The goal was to make UK a referral center for complex and difficult-to-treat injuries in patients at the crossroads between joint restoration and joint replacement.

“We have been on the forefront of treating these defects for several years,” Lattermann said. “Every year, a couple of thousand patients in the U.S. require a true cartilage restoration, and we have become a major referral center for these patients and, at this point, regularly serve patients from Kentucky, Tennessee, West Virginia, and parts of Ohio and Indiana.”


Next steps:

When Jennifer Thomas, a nurse at UK HealthCare, injured her knee, her work became nearly impossible. But an orthopaedic clinical trial offered hope.

Orthopaedic clinical trial helps UK nurse regain mobility

Working as a bedside nurse requires extensive physical effort – pushing wheelchairs, twisting and lifting, and standing for long periods. Jennifer Thomas, who’s been a nurse at UK HealthCare for six years, can attest to this. In fact, it was while assisting a patient from a wheelchair that she badly injured her knee.

“The pain was excruciating – a sharp, stabbing burn,” Thomas said. “It was constant regardless of sitting or walking. My sleep was interrupted due to the discomfort, stairs were next to impossible to navigate and playing with my newborn grandbabies – be it pushing a stroller or carrying them from room to room – was difficult at best.”

The injury also made it difficult to do her job as a pre-op nurse. Sometimes she’d be walking into a patient’s room when her knee would give out, causing her to fall. She had trouble standing for the long enough to assist with epidurals and nerve blocks, and her knee would swell after long days.

Thomas cycled through the standard treatment options: cortisone shots, physical therapy and two surgeries. These treatments required time off work and extended periods of rest, but they didn’t provide relief. The only way to reduce the pain was to stay off her knee and keep her feet elevated.

Participating in a clinical trial

In November 2015, a year after her original injury, Thomas was referred to Dr. Christian Lattermann, director of UK’s Center for Cartilage Repair and Restoration in UK Orthopaedic Surgery & Sports Medicine. In order to fix Thomas’ injury, Lattermann need to perform a cartilage transplant. Unfortunately, many patients who undergo this type of procedure experience muscle weakness afterward. To combat this problem, Lattermann, along with co-principal investigator Caitlin Whale, are leading a clinical trial to investigate how muscle stimulation using a device called the Phoenix Device could improve muscle strength following surgery.

“Weakness in the thigh musculature after this procedure is a big problem that we have not been able to improve,” Lattermann said. “[The Phoenix Study] is a way to find better techniques to treat this weakness.”

Thomas was eligible to participate in the clinical trial. First, Thomas’ strength and functional performance were measured. She then underwent an osteochondral allograft, a surgical procedure where a living piece of cartilage and bone from a cadaver is implanted in the knee. After surgery, Thomas had nine weeks of rest. Within days of surgery, she began a home treatment program, and a couple of weeks after surgery, she began participating in physical therapy. After completing the 12-week home treatment, Thomas’ strength and function were measured, and then again at six months and one year.

Lattermann’s team is still collecting data for this study, which will help them evaluate post-surgical treatment programs and how muscle stimulation can improve recovery.

“The basis for any clinical treatment has to be evidence-based research, and that’s what we’re doing here,” Lattermann said. “Our goal is for every patient being seen clinically to be enrolled into a research study or register as a research participant.”

Meeting her goals

After 12 months of treatment, Thomas feels she’s achieved the goals set out at her first appointment, even if she’s not exactly where she was before the injury.

“I am not 100 percent, but I understand Dr. Lattermann never promised or expected 100 percent,” she said. “I believe we met the goals he had hoped we would achieve. There are still some things I can’t do and some things I will never be able to do again. Aside from those few downfalls, I can walk, play with my grandchildren, stroll in a park or mall, get around my house, wear normal shoes and boots. I can live my live without falling to the ground, limping and enduring horrid pain.”

This was Thomas’ first time participating in research, an experience she describes as extremely positive. She felt comforted by the fact that she would leave each appointment with a plan of care and established treatment goals.

“I’ve had a lot of experiences with a lot of surgeons, and there’s no one like Dr. Lattermann,” Thomas said. “I can’t begin to express the gratitude I have for him and his team.”

Thomas now works as a nurse case manager, which is less strenuous for her knee. She says her own experience as both a patient and research participant have made her better at her job.

“I’m thrilled to be in the position I am and honored to be able to continue nursing,” she said. “I have yet another experience I can share with my patients. Understanding and personal knowledge are among the best gifts a nurse can share with her patients.”


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It’s been six years since the UK football team played in a college bowl game, and this year's team doctors also are excited about the trip.

UK’s team doctors ready to bring their expertise to bowl game sideline

It’s been six years since the UK football team played in a college bowl game, and this year’s team doctors from UK Orthopaedics & Sports Medicine also are excited about the trip.

After a 7-5 season, including four wins against SEC teams and a win over in-state rival University of Louisville, the Cats are making a trip down south. UK will play Georgia Tech in the Tax Slayer Bowl in Jacksonville, Fla., at 11 a.m. on Saturday, Dec. 31. The team doctors responsible for keeping the team in tip-top shape and ready for another win include:

Dr. Darren Johnson, chair of UK Orthopaedic Surgery & Sports Medicine​, who for 20 years has worked as the head team orthopaedic surgeon with UK Football. The upcoming bowl game will be the eighth one he has had the chance to attend. Johnson has appreciated the way fans have rallied around the team; he thinks it helps the team feel encouraged and motivated. He’s especially looking forward to the game because he thinks it will be a chance for everyone to really see how much work goes into a winning season. “No one knows how many hours these people put in to make this all happen,” Johnson said. (Learn more about Dr. Johnson here.)

Dr. Robert Hosey, professor of UK Family & Community Medicine, has been with UK since 1998. He has worked as a team doctor since joining the department and began working with UK Football in 2002. While transporting what Hosey described as “essentially a traveling sports medical clinic” can be difficult, he says the athletic training staff does a great job making sure they have everything they need to ensure the team is in great shape. Hosey is looking forward to traveling to Florida. This is the first time he’s had the chance to attend a bowl game since he began working with the football team.

Dr. M. Kyle Smoot, UK Orthopaedic Surgery & Sports Medicine and Family Medicine, is in just his second year at UK.  However, this isn’t the first team he’s worked with or the first time he’s attended the Tax Slayer Bowl as a team doctor. The last bowl trip he made was with the University of Iowa when they played in the same bowl in 2014.


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UK chaplain returns to work with renewed spirit following cycling accident

Exactly five months ago today, Laura Babbage had a devastating accident while biking through the French Alps with her 22-year-old son Brian.

Babbage, a chaplain at UK HealthCare, suffered a traumatic brain injury during the accident, which required months of treatment and rehabilitation. With the help of her care team at UK HealthCare and the prayers of friends and family, Babbage has returned to her work more than six months ahead of doctors’ estimates.

Babbage’s accident happened in France, she was airlifted back to Lexington and was treated at UK HealthCare. She completed her inpatient and outpatient rehabilitation at Cardinal Hill Hospital.

Babbage knows that many of her UK HealthCare family know her story, because she has heard of the many staff who prayed outside the door of her ICU bed and has delighted at the numerous people who’ve stopped her in the halls with a “welcome back!” smile or a hug.

“I’m overwhelmed by how much people rooted for me,” Babbage said. “There was an ocean of prayer entire churches I’d never heard of were praying for me. And I believe prayer, in all its forms, does matter.”

Read Babbage’s open letter of thanks to the UK doctors, nurses and staff who cared for her.

Using her experience for others

Since her return to chaplaincy about two weeks ago, Babbage has gone about her work with the grace and empathy that all who know her recognize: She is a patient and willing listener, she is trained to develop a relationship of trust without judgment and to add dimension to the skilled care provided by physicians and staff.

While Babbage acknowledges that, at least in the beginning, this ordeal was easiest on her – “I don’t remember a thing, but my family was sorely tested,” she said – she knows that this experience will help her do her job better.

“I am always aware of and sensitive to the desire for a visit from a chaplain as well as for prayer,” she said. “Chaplains are a listening presence for patients and families to help them begin to make sense of their situation. We are available for prayer if requested. Often we simply meet someone in the midst of their pain and suffering, aware of this special privilege.

“But now I have a deeper appreciation for families and their experience with their ill or injured family member since I’ve returned to work,” she explained. “Chaplains listen far more than we talk, allowing time and space for families to grasp the gravity of the moment. I have a heightened tenderness for family members now that I recognize what my own family experienced during my hospital stay. Like other chaplains, I will continue to learn.”

Returning to the patient’s bedside

Babbage and Joe Alverson, UK HealthCare’s director of pastoral care, were very careful to make sure she was prepared to meet and address patient and family needs.

“We wondered what would happen if I was needed to minister to a patient or family who’d experienced a trauma similar to mine,” Babbage said. “But we’ve been trained to eject ourselves from any situation if necessary – sometimes you’re not the right person for that patient, and sometimes they don’t want you there at all.  I felt I’d still be able to do that.”

Alverson remembers the shock and disbelief he felt when he learned that “one of our own” was in serious trouble.

“My first thought was for her – and my second thought immediately after that was for her family,” he said.  “As chaplains we see the sickest of the sick, and her condition was a huge worry for us.”

The pace of Babbage’s recovery was “beyond belief,” Alverson said.

“The first time I saw her was after she’d completed inpatient rehab at Cardinal Hill in September, and the first words out of her mouth were ‘When can I come back?'” he said. “I was excited for her, for me and for the hospital as well.”

Alverson knows that Babbage will make good use of her experience as she continues to care for others.

“We work in the midst of trauma and chaos every day, but to actually live that makes it more real,” he said. “I really look forward to seeing how her experience changes the trajectory of her work, but regardless of the exact path, I know it will be a good one.”

“We’re just thrilled to have her back.”

Media inquiries: Laura Dawahare, University of Kentucky Public Relations and Marketing, laura.dawahare.uky.edu


Next steps:

  • Learn more about Pastoral Care at UK HealthCare, where our chaplains are available to help patients, families and staff deal with spiritual and emotional challenges associated with medical events and crises.
  • The world-renowned doctors at UK Neurosurgery provides diagnosis and management of a wide range of conditions involving the brain, spine and nervous system. Learn more about the care we provide.
Making the Rounds with Dr. Stephen Duncan

Meet Dr. Stephen Duncan, renowned orthopaedic surgeon and avid cyclist

Making the RoundsIn our latest edition of Making the Round, we spoke with Dr. Stephen Duncan, a nationally recognized surgeon at UK Orthopaedic Surgery & Sports Medicine.

Dr. Duncan specializes in hip surgery and hip preservation and sees patients of all ages. He’s also an avid cyclist who appreciates the importance of an active lifestyle.

What is your care philosophy when you meet a new patient?

I’m not an operate-first, meet-you-second doctor. I want to get to know you and figure out what’s the best treatment for you. And whether that’s doing medication or physical therapy or surgery, the biggest thing is getting to know you and what’s going to work for you.

What’s your favorite hobby outside of work?

Running and biking. I’ve been biking for 13 years. I used to bike competitively but now with the demands of being employed and having kids, I can’t really do it as much anymore. If I wasn’t a doctor, though, I’d be a bike mechanic.

Tell us about your family.

My wife is a pediatrician here at UK. We have two boys; they’re 5 and 7. The biggest challenge is trying to keep them out of the orthopaedic clinic. The best part of being a parent is that I get to be a kid with them.

What’s your favorite type of music?

Country. I lived in Nashville for eight years and it kind of grows on you there and then it finally just sinks in. You can actually hear the stories behind the music if you listen to it. It helps keep my blood pressure low.

What do you enjoy most about your work at UK HealthCare?

The biggest thing that gives me satisfaction is when I’ve seen that I was able to immediately help a patient in their life. When a patient comes in who has a lot of pain, and depending upon if we needed to operate on them or just do a simple injection, if they come back and give me a hug, I enjoy that.


Check out our video interview with Dr. Duncan below. He tells us more about the types of hip injuries he treats and why he chose orthopaedics as a specialty.


Next steps:

  • Duncan is hosting a public lecture about hip and knee arthritis on Dec. 8 at the Eastside Branch Public Library in Lexington. The event is free. Please call 800-333-8874 to reserve your seat.
  • Learn more about the comprehensive care for patients of all ages offered at UK Orthopaedic Surgery & Sports Medicine.