Family vacation guide: How to plan, prepare and avoid travel disruptions


Family vacations can be rewarding, but unexpected challenges often arise. With thoughtful planning, clear communication and flexibility, families can create smoother, more enjoyable travel experiences.

Yellow street car travels through San Francisco in the morning

Photo: William Doll II/PEXELS

Every vacation is more than an opportunity to get away from it all. It is a chance to learn how to travel better the next out, and improve you or your family's future vacation experiences.

by Casey Cartwright
Contributing Writer


Families often approach vacations with high expectations, yet the reality of travel introduces a range of variables that can disrupt even the most carefully arranged plans. Before setting out on your next trip with your loved ones, it’s important to prepare thoughtfully. Read on to learn how families can avoid challenges on their next vacation.

Build a Practical Itinerary

The L line in downtown Chicago
Photo: PhotoNews/Clark Brooks

A practical itinerary gives families a clear sense of direction before a trip begins. Identifying key destinations, travel times and must-see activities helps reduce uncertainty and keeps everyone aligned. When families outline expectations in advance, they spend less time negotiating decisions in the moment and more time engaging with the experience itself.

Careful planning also helps prevent common travel stressors such as missed reservations, rushed transitions or overlooked details. Mapping out routes, estimating time between stops and building in breaks allows the day to unfold at a manageable pace. This level of preparation creates a steady framework that supports both efficiency and comfort.

At the same time, a successful itinerary leaves space for flexibility. Unplanned discoveries, local recommendations and moments of rest often become the most memorable parts of a trip. Effective family vacation planning balances structure with openness, ensuring that plans guide the experience without limiting opportunities for spontaneity.

Preparing Financially for the Unexpected

Budgeting for a vacation should extend beyond transportation and lodging. Families frequently encounter unplanned expenses, including medical needs, vehicle repairs or last-minute changes in accommodations. Preparing for these contingencies ensures that financial stress does not overshadow the experience.

Financial preparedness also strengthens your decision-making. When families anticipate additional costs, they maintain control over their choices and avoid reactive spending that can lead to long-term strain.

Ensure Your Vehicle Is Reliable

Road travel remains a central part of many family vacations, particularly in the Midwest. Ensuring a vehicle operates reliably is critical to avoiding disruptions. Routine maintenance checks, including fluid levels, tire condition and transmission performance, should occur well before departure.

Mechanical issues can emerge without warning, yet many problems show early indicators. That makes it important to be aware of symptoms, including the warning signs of a clogged transmission filter.

Reliable transportation supports both safety and peace of mind. When families can trust their vehicle, they can focus more fully on the experience rather than potential risks.

Manage Health and Wellness on the Road

Travel introduces changes in routine that can affect both physical and mental well-being. Long periods of sitting, irregular meals and disrupted sleep patterns contribute to fatigue and irritability. Families can benefit by maintaining elements of their daily routines wherever possible, even while away from home.

Simple habits such as staying hydrated, planning regular meals and allowing time for rest can make a noticeable difference in how each person feels throughout the trip. Scheduling breaks during long drives and encouraging movement helps reduce discomfort and keeps energy levels steady.

When each family member recognizes the importance of pacing, rest and basic self-care, the group functions more smoothly. You will avoid unnecessary strain that can take away from the overall experience.

Avoid Overuse of Devices

Technology plays an essential role in modern travel, from navigation to communication. However, overreliance on devices can create new challenges, including distractions and reduced engagement with surroundings. Families must strike a balance between using technology as a tool and allowing it to dominate the experience.

Connectivity issues also frequently arise in rural areas across Illinois and neighboring states. Preparing offline maps and confirming reservations in advance helps prevent complications when service becomes unreliable.

Thoughtful use of technology enhances travel without diminishing it. Families who set boundaries around device usage can build more meaningful memories of their vacations.

Address Conflict Before It Escalates

Another way families can avoid challenges on their next vacation is by addressing disagreements before they escalate. Conflicts remain a natural part of group travel, particularly when individuals have different preferences and energy levels. By tackling these frustrations early, you can prevent them from escalating into larger conflicts that could affect the entire trip.

Families benefit from establishing simple communication practices. Encouraging open dialogue and active listening allows concerns to surface before they intensify. When families respond constructively, they create an environment where challenges become manageable rather than disruptive.

Choose Accommodations Thoughtfully

Photo: PhotoNews/Clark Brooks

Look for comfortable hotels in walking distance to your destination to enjoy your trip.

Lodging decisions can influence comfort, convenience and overall satisfaction. Families should consider factors such as location, accessibility and available amenities rather than focusing solely on cost. A well-chosen accommodation supports rest and reduces logistical challenges.

For example, prioritize hotels or motels near key destinations, especially when visiting urban centers or attending events. Reducing commute time allows families to maximize their experience without unnecessary strain.

Plan for Weather and Environmental Factors

Weather conditions can significantly affect travel plans, especially in regions known for variability. Families who monitor forecasts can prepare for different scenarios and avoid last-minute disruptions and safety concerns.

Seasonal changes across the Midwest require particular attention. Sudden temperature shifts, storms or road conditions can alter travel routes and schedules. Preparing appropriate clothing and contingency plans ensures that families remain adaptable.

Environmental awareness supports both safety and enjoyment. When families anticipate changing conditions, they respond confidently rather than react under pressure.

Prepare Your Travel Essentials

Families shouldn’t wait until the last moment to organize travel documents and essential items. Identification, insurance cards, reservations and emergency contacts should remain easily accessible throughout the trip.

Consider creating a consistent system for storing and checking essential items before departure and during transitions. This habit reduces confusion and allows families to move efficiently between destinations, especially during longer trips.

Strong preparation habits reinforce family vacation planning by ensuring that logistics support the experience rather than complicate it. When families keep their essentials organized, they avoid preventable delays and maintain focus on the purpose of their trip.

Reflect and Adjust for Future Trips

Every vacation provides an opportunity to learn and improve future experiences. Families who take the time to reflect on what worked well and what didn’t can develop stronger planning strategies over time.

Whether refining travel schedules, choosing different destinations or improving communication, each insight contributes to more successful trips. Reflection reinforces the value of preparation. As your family refines its approach, you will improve the chances of a smoother trip next time.

Families who prepare, remain flexible and stay aware will reduce the likelihood of common disruptions and create more meaningful experiences together. By focusing on communication, safety and thoughtful decision-making, each trip becomes more manageable and more rewarding for everyone involved.


Casey Cartwright is a passionate copyeditor highly motivated to provide compelling SEO content in the digital marketing space. Her expertise includes a vast range of industries from highly technical, consumer, and lifestyle-based, with an emphasis on attention to detail and readability.




TAGS: family vacation planning tips, how to avoid travel problems with kids, preparing for a stress free family trip, road trip tips for families Midwest, vacation planning checklist for families

Ready to hit the links? Tips to avoid common golf injuries at the beginning of a season


As golf season begins, OSF HealthCare physical therapist Michael Hahndorf recommends beginning with home stretching routines and practice swings before visiting the driving range, starting with small buckets rather than large ones. Key elements of injury prevention include proper swing posture and daily stretching routines.

Golfer practices her swing on a practice tee

Photo: Kampus Productions/PEXELS

That first swing of golf season can come with risk if your body isn't ready. Tips for preventing injuries include stretching routines and practice swings maintaining proper posture throughout your swing.

by Paul Arco
OSF Healthcare
Every year, more than 500 million golf rounds are played on courses across the country. And while anxious golfers are racing to local courses for a quick round, that first swing of the season can come with a risk if your body isn’t ready.

“I think about the low back, especially the population that plays golf tends to be a little bit older sometimes,” says Michael Hahndorf, a physical therapist with OSF HealthCare. The lower back, the shoulders. You think about the arms and wrists are important, but you don't want to forget about your foundation as well – your legs, your ankles, your knees, your hips, all that is important too. It goes back to just stretching and being more prepared for what's coming when you do play.”

Hahndorf recommends starting a stretching routine. Before starting any round, give yourself at least 10-15 minutes to properly stretch your back, hamstrings, abdominals, arms and shoulders to stay flexible. And make sure to get plenty of practice swings in before you head over to the first tee. Start with the smaller irons and work your way up to the driver and not just on the first hole with the first swing.

Walking nine or 18 holes can be challenging, especially if you’ve been mostly sedentary for the past several months. Even carrying a golf bag can cause back and shoulder pain.

Start walking to warm up

“Start to walk nice and easy. Get your body used to kind of physical activity again, taking some swings at home without even going to the driving range,” Hahndorf says. “It could be something as simple as going to the driving range and hitting a small bucket versus large, and then kind of working your way into nine holes for a little bit, and then slowly transitioning to those 18 holes. Because it's going to be a big change of pace from nine to 18 over the course of time.”

Photo: Sentinel/Clark Brooks
Walking after months of inactivity can be challenging. To get back into top form, start with stretching and work up gradually to prevent early-season golf injuries.
For the most part, golf is a relatively safe sport, but injuries can happen, especially because of not using proper form or technique. The keys of a good swing include good posture, a stable lower back, and a slow relaxed swing. An early-season injury, especially during cooler temperatures, can really set back a golfer for a few days to weeks.

“When it comes to a good golf swing, you think about having good posture and having a flat back,” Hahndorf says. “Have your hips tucked underneath you, have your knees bent a little and those arms straight down. Posture plays a role importantly there, because it's going to allow for that rotation.”

And remember to spend some time stretching again following when the round is over. “It's important to stretch before to warm up but also afterwards, so you can kind of get ahead of some of that soreness. Because it can be tough for the first couple rounds,” says Hahndorf. “Just maintain just a gentle stretching routine for five to 10 minutes a day to keep that low back, hip, shoulder mobility kind of where it was when you ended.”

A little soreness is expected early in the golf season. But any pain that lingers or gets worse might call for physical therapy. Touch base with your medical provider with any nagging concerns.

“Just take care of your body. If something hurts, pay attention,” Hahndorf says. “You know how things are supposed to feel. So, if it feels off make sure you're reaching out if you need to.”




TAGS: golf injury prevention tips stretching routine, lower back pain golf season prevention, OSF HealthCare physical therapy golf injuries, how to prepare body for golf season

He couldn't walk to Starbucks, now he's stronger than ever thanks to spine surgery


Tyler Stratman spent years in debilitating back pain, unable to walk a city block without stopping — until a minimally invasive spine procedure gave him his life back the same day he had surgery.


by Colleen Reynolds
OSF Healthcare

PEORIA - After years of chronic pain stripped away his active lifestyle, 36-year-old Tyler Stratman of Clinton, Illinois, says he has finally reclaimed his life thanks to a specialized spine procedure now available in Central Illinois.

Stratman, who once ran several miles a day while living in Chicago, says his life changed dramatically when persistent back pain began about two and a half years ago. What started as discomfort escalated into debilitating immobility. Active lifestyle disrupted by chronic back pain


I don’t think I slept for probably four to five days...

The pain prompted Stratman to completely stop his habit of running four to five miles a day.

“Even walking down the street to get Starbucks, my whole entire body would just kind of charley horse. I would have to stop in between blocks and kind of do hamstring stretches and things like that. And you know I was only 33 years old. And so, it was a huge, huge part of my life taken away.”

An MRI eventually revealed a severe herniated disc in his lower spine. At its peak, Stratman describes unbearable pain and sleepless nights.

“I don’t think I slept for probably four to five days,” Stratman explains. “I would have to go out in the middle of the night. We have a treadmill and I would have to go out at like three or four in the morning to walk just to relieve something – just so I wouldn’t feel pain.” Minimally invasive spine surgery offers new option in Central Illinois

Photo provided
Dr. Sohail Syed, MD
After exhausting non-surgical options including physical therapy, steroid injections and chiropractic care, Stratman was referred to neurosurgeon Sohail Syed, MD, who specializes in minimally invasive endoscopic spine surgery.

Spine surgeons at OSF HealthCare Illinois Neurological Institute (OSF INI) Spine Institute perform approximately 1,000 spine surgeries each year, more than any other hospital system in the area and is the second largest program in Illinois. OSF HealthCare began using new minimally invasive spine surgery technology in June 2024, expanding treatment options for patients with certain spinal conditions. Since then, fellowship-trained spine surgeon Dr. Syed has performed 50 non-invasive spine surgeries using this advanced approach.

The endoscopic approach uses a small camera and specialized instruments inserted through a narrow pathway, avoiding the need for large incisions or significant tissue disruption.

Dr. Syed notes that in traditional spine surgery, surgeons often must remove bone and move a nerve aside to reach the problem area – steps the endoscopic technique can often minimize or avoid.

Endoscopic spine surgery reduces damage and recovery time

“Rather than going through all that, you can sneak underneath the nerve. And the endoscopic camera has an angle on it so it lets you look around the corner and work in the natural hole that exists in the spine without removing any bone or tissue and go right to the disc, remove the disc that’s pushing on the nerve or the bone spur and be in and out just using a one to two centimeter incision.”

Dr. Syed emphasizes that surgery is typically a last resort after conservative treatments fail but says Stratman was an ideal candidate due to both his condition and mindset.

“He was a great candidate for endoscopic spine surgery because of the type of disc herniation he had, the location, his age and his attitude,” Dr. Syed emphasizes, “He was really willing to do the work required after to get the best benefit from the surgery.”

Stratman ultimately chose the less invasive option that allowed surgeons to access his spine through a natural pathway while he remained partially awake. Though initially daunting, he says the decision became clear after years of suffering.

It offered him hope and following a two-and-a-half-hour procedure, the results were almost immediate. Finding immediate relief

Non-invasive spine surgery

“It was an instant relief. The kind of like nugget charley horse I just felt like I had in my back for those years – it was just gone. I didn’t feel it anymore,” he explains.

Stratman was also relieved he didn’t have to travel to St. Louis or Chicago for the innovative surgical approach. He was back home the same day – seven hours after his surgery.

Dr. Syed notes that while some people experience immediate improvement, recovery timelines can vary depending on the severity and duration of nerve compression.


Doctor showing how disc compression works
Photo: Courtesy OSF

Surgery removes whatever’s causing an injury, but Dr. Syed reminds people the procedure doesn’t repair injury.

The body has to heal on its own, and that can take time. For some older patients, Dr. Syed cautions it could mean a few months before they feel significantly better.

“While the nerve is being hurt, so is the muscle, so is the skin and for all of that to recover, it can take time – especially for older patients. So, if you wake up feeling great, that’s awesome. But if you don’t, give it at least three months.”

Now several months post-surgery, Stratman says he feels stronger and more mobile than ever.

“I’m better than I’ve ever been. I feel stronger than I ever have. My mobility is better than it ever has been. I feel more flexible and [I’m] sleeping fantastic.”

Stratman is not ready to start running again. Instead, he has adapted his routine with other forms of exercise, such as strength training and fast walking. He remains focused on long-term health.

For others facing similar decisions, both Stratman and Dr. Syed stress the importance of persistence, trust and informed care.

And for Dr. Syed, the ultimate goal is simple: meaningful improvement in patients’ lives.



minimally invasive spine surgery Central Illinois | endoscopic spine surgery for herniated disc | OSF HealthCare spine surgery Bloomington | back pain treatment without major surgery Illinois

Metal bristle grill brushes recalled nationwide due to safety risk


Weber has recalled millions of metal wire grill brushes after reports of detached bristles causing injuries. Check your model number.


PALATINE - On a warm evening, the sound of a wire brush scraping across hot grates is as familiar as the sizzle that follows. It is a ritual repeated in backyards across the country. This week, that routine came with a warning.

Weber-Stephen Products LLC announced a recall of about 3.2 million metal wire bristle grill brushes after reports that small bristles can detach, cling to grill grates or cooked food, and pose an ingestion hazard. According to the company, at least 38 reports and reviews described bristles separating from the brushes. Four consumers reported swallowing the metal fragments and seeking medical treatment to have them removed from the throat or digestive tract.

The recall (Recall number: 26-282) involves brushes with plastic or wood handles measuring between 12 and 21 inches long. Affected model numbers include 6277, 6278, 6463, 6464, 6493 and 6494, with distribution dates ranging from 2011 through 2026 depending on the model. The brushes were sold for between $10 and $17 at retailers including Lowe's, The Home Depot, Ace Hardware and Target, as well as online through Amazon and Weber’s website. Some have also appeared on resale platforms such as eBay. Made in China and Cambodia, the brushes were imported into the United States vy Weber-Stephen Products LLC based in Palatine, Illinois.

Consumers are urged to stop using the recalled brushes immediately. Weber is offering a replacement cold-cleaning nylon bristle grill brush and is asking customers to discard the metal wire versions. The company can be reached toll-free at 877-597-9588 from 8 a.m. to 5 p.m. ET Monday through Friday, or online through its recall page.

The recall was conducted in cooperation with the U.S. Consumer Product Safety Commission, the federal agency responsible for protecting the public from unreasonable risks associated with consumer products. Federal law prohibits the sale of products subject to a recall.


TAGS: Weber metal wire bristle grill brush recall 2026, CPSC Weber grill brush ingestion hazard warning, recalled Weber grill brushes model numbers 6277 6278 6463 6464 6493 6494, how to replace recalled Weber grill brush, grill brush bristle injury recall information

The Sentinel On This Day |
February 14


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Sentinel Article Archive for February 14


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TAGS: Covid Testing in 2022, preparing for a healthy pregnancy, Unity & SJO wrestlers qualify for IHSA state tournament, Unity boys basketball team eye conference title, using multiple AI platforms gives you better results, Parker Fitch leads SJO again

Playing it safe, the most common injuries football players suffer from


While protective equipment and rule changes have made strides in safety, injuries are an ever-present risk for novice to veteran football players.

Photo: PhotoNews Media/Clark Brooks



by Casey Cartwright
Contributing Writer


Football, a sport celebrated for its intensity and athleticism, demands immense physical exertion from its participants. Players push their bodies to the absolute limit during games and practices. This high-impact nature makes football a source of great spectacle and, unfortunately, a source of frequent injuries.

The constant collisions, rapid direction changes, and explosive movements create a perfect storm for physical harm. From minor sprains to major structural damage, the risks are an inherent part of the game.

An awareness of the common injuries football players suffer from can help everyone involved, from coaches to staff, with prevention and treatment. It allows for better preparation, smarter play, and more effective recovery protocols when issues arise. This knowledge forms the foundation for a safer and more sustainable approach to a beloved sport.

Ankle Sprains

Ankle sprains are among the most frequent injuries that football athletes experience on the field. They happen when a player's foot rolls, twists, or turns in an awkward manner. This action can stretch or even tear the tough ligaments that help stabilize the ankle joint.

These injuries often result from sudden stops, cuts, or landing incorrectly after a jump. A player might step on another's foot or land on an uneven surface, causing the sprain. Proper taping or bracing can provide some support and possibly lower the risk of this injury.

Hamstring Strains

A hamstring strain occurs when a player overstretches or tears one of the hamstring muscles. These muscles run along the back of the thigh from the hip to the knee. This injury is quite common for players who need explosive speed and power for their position.

Sprints, jumps, or sudden accelerations can place excessive stress on these important muscle groups. A strain can range from a mild pull to a complete rupture of the muscle tissue. Warm-ups and flexibility exercises can help prepare the muscles for the demands of the game.

Concussions

Concussions represent a serious traumatic brain injury that affects brain function for a short time. They result from a forceful blow to the head or an impact that shakes the head. Helmets reduce skull fracture risk but do not completely prevent concussions from happening.

Symptoms include headaches, confusion, dizziness, and sometimes a loss of consciousness after the impact. Immediate removal from play and a thorough medical evaluation are necessary for player safety. Recovery protocols require rest and a gradual return to activity to protect brain health.

Strokes

Concussions can increase the risk of strokes due to the damage they inflict on blood vessels and the brain. The brain may experience swelling or disruptions in normal blood flow, which can lead to the formation of blood clots or hemorrhages. These complications greatly raise the likelihood of a stroke, particularly with repeated trauma or insufficient recovery time between injuries.

Learning the connection between concussions and strokes highlights the critical importance of proper diagnosis, treatment, and monitoring of head injuries to prevent long-term neurological consequences. Understanding the key aspects of stroke recovery will ensure the best possible outcome for the individual.

Knee Ligament Injuries (ACL Tears)

An anterior cruciate ligament, or ACL, tear is a devastating injury for any football player. The ACL is a key ligament inside the knee that provides stability during rotational movements. This injury often requires surgery and a long rehabilitation period for the athlete to return.

These tears typically happen without contact during a sudden change of direction or a sharp pivot. An athlete might also suffer an ACL tear from landing awkwardly from a significant jump. Strength programs that focus on the lower body can help build support around the knee.

Quadriceps Strain

The quadriceps are a large group of muscles located at the front of the thigh. A quadriceps strain, or a pulled quad, is a tear in these important muscles. This injury often occurs during explosive movements like kicking, jumping, or sprinting down the field.

Players may feel a sudden, sharp pain in the front of their thigh upon injury. The severity can vary from a small tear to a complete rupture of the muscle. Adequate warm-up routines and proper conditioning help lower the risk of such a strain.

Achilles Tendon Injuries

The Achilles tendon connects the calf muscles to the heel bone, a vital link for movement. An Achilles tendon injury can range from inflammation, known as tendonitis, to a full rupture. These injuries can sideline a player for an extensive amount of time, sometimes an entire season.

A rupture often feels like a kick to the back of the leg, with sharp pain. It usually happens with a sudden push-off motion, a common action in football plays. Proper stretching and avoiding overexertion are key preventive measures for athletes to take.

Shoulder Dislocations

A shoulder dislocation happens when the top of the arm bone pops out of the shoulder socket. Football players, especially quarterbacks and linemen, face this risk from falls or direct hits. This type of injury causes severe pain and makes the shoulder joint completely immobile.

Immediate medical attention is necessary to put the bone back into its proper place. Rehabilitation focuses on the restoration of strength and stability to the shoulder joint. Exercises that strengthen the rotator cuff muscles can help prevent future dislocation events.

Wrist and Hand Fractures

Fractures to the wrist and hand are some of the most common injuries football players suffer from due to the nature of the sport. Players use their hands for blocking, tackling, and catching, which exposes them to high impacts. A fall onto an outstretched hand is a frequent cause of a wrist fracture.

The small bones in the hands and fingers are also vulnerable to breaks from hits. Protective gear like gloves can offer some padding, but cannot eliminate the fracture risk. Treatment depends on the bone and the severity, sometimes needing casts or surgical intervention.

Groin Pulls

A groin pull is a strain of the adductor muscles on the inside of the thigh. These muscles are essential for movements that bring the legs together and for stabilization. Sudden changes in direction or quick side-to-side movements can cause this painful injury.

The pain is usually felt in the inner thigh area and can be quite sharp. Rest and ice are the initial treatments, followed by gentle stretching and strengthening. A thorough warm-up is an effective way to prepare the muscles for intense activity.

Football remains a physically taxing sport, and injuries are an unfortunate reality of the game. The list of common ailments, from ankle sprains to severe ligament tears, is extensive. Each injury presents a unique challenge for the player, demanding specific treatment and a dedicated recovery process.

While protective equipment and rule changes have made strides in safety, the fundamental risks persist. The path back to the field is often long and requires discipline, patience, and expert medical care. The goal for every team should be to minimize these risks through smart training, better equipment, and a deep respect for the physical toll the game takes on its athletes.


Casey Cartwright is a passionate copyeditor highly motivated to provide compelling SEO content in the digital marketing space. Her expertise includes a vast range of industries from highly technical, consumer, and lifestyle-based, with an emphasis on attention to detail and readability.

TAGS: Concussion can increase stroke risk later in life, the dreaded ACL tear is season-ending injury, football injuries happen frequently to athletes, Common football injuries for high school students athletes

High premiums, low awareness: Navigating Illinois health insurance


More than 2 million adults in Illinois have a mental health condition. Most don't know what their healthcare plan covers.


Photo: Vitaly Gariev/Unsplash


by Judith Ruiz-Branch
Public News Service


With health insurance costs reaching an all-time high, experts are urging Illinoisans to know and use all of the health benefits they pay for.

Research shows more than half of Americans do not know the full scope of what their health insurance offers.

Paula Campbell, associate vice president of health access and emergency preparedness for the Illinois Primary Healthcare Association, said with Illinoisans facing an average 28% spike to their premiums, it has never been more important for people to be proactive about using all of their benefits.

She noted in Illinois, certified navigators like herself can help.

"Wellness programs is a very common one that is added to plans where they might get a gym membership discount, fitness trackers, or rewards for completing certain health screenings," Campbell outlined.

The state’s parity laws ensure all health plans cover mental health services at the same rate as medical services. Campbell added navigators can help identify and connect consumers with appropriate mental health providers within their plan networks.

Experts said more than 2 million adults in Illinois have a mental health condition.

Amy Jordan, vice president of consumer experience for UnitedHealthcare, said unique challenges in the behavioral health space continue to create gaps in care.

"We're seeing mental health on the rise, and it's certainly become a challenge and it's continued to be a sustained challenge," Jordan emphasized. "A lot of employers are looking at the opportunities to put specific resources in place to help get over the barrier."

Jordan noted UnitedHealthcare is focused on improving access to behavioral health services through partnerships and offering additional resources and tools for easier out-of-network reimbursement.




Low-dose radiation offers new option for osteoarthritis treatment in East-Central Illinois


Low-dose radiation therapy has been used for decades in Europe to treat joint pain and inflammatory conditions. OSF HealthCare Bobette Steely Hegeler Cancer Center is expanding its services to include low-dose radiation therapy for osteoarthritis.


DANVILLE - Long known for cancer care, OSF HealthCare Bobette Steely Hegeler Cancer Center is expanding its services to include low-dose radiotherapy, or LDRT, for patients living with osteoarthritis and other inflammatory or degenerative conditions affecting joints, tendons and soft tissues.

The therapy uses radiation at doses far lower than those used in cancer treatment to reduce inflammation and pain. While the approach may be unfamiliar to many U.S. patients, LDRT has a long clinical history and is widely used in parts of Europe to treat noncancerous musculoskeletal conditions.


Radiation Oncologist Dr. Edie Krueger at OSF
Photo provided


Edie Krueger, MD
Radiation Oncologist
Hegeler Cancer Center




“People who have tried other treatments but are not ready for surgery are great candidates for LDRT,” said Dr. Edie Krueger, a radiation oncologist at Hegeler Cancer Center. “This is a safe, effective and noninvasive treatment that can significantly reduce pain and stiffness, possibly avoiding the need for surgery.”

A century-old idea gaining renewed attention

Low-dose radiation has been used for more than 100 years to treat painful inflammatory conditions, predating many modern medications and surgical techniques. For decades, it has been applied to disorders such as plantar fasciitis, tennis elbow and other degenerative joint diseases. In recent years, interest has returned as researchers reexamined its anti-inflammatory effects and potential role in managing osteoarthritis, the most common form of arthritis.

Osteoarthritis affects an estimated 32.5 million adults in the United States. It occurs when cartilage that cushions joints gradually wears down, leading to pain, stiffness and reduced mobility. Knees and hips are most commonly affected, often limiting daily activities and quality of life.

“People with painful knee osteoarthritis often face a difficult choice between the risks of side effects from pain medications and the risks of joint replacement surgery,” said Dr. Byoung Hyuck Kim, a radiation oncologist at Seoul National University College of Medicine and principal investigator on a recent clinical trial. “There’s a clinical need for moderate interventions between weak pain medications and aggressive surgery, and we think radiation may be a suitable option for those patients, especially when drugs and injections are poorly tolerated.”

How LDRT works

Unlike cancer radiotherapy, which targets and destroys malignant cells, LDRT is believed to work by modulating the body’s inflammatory response. Researchers say low doses of radiation can reduce the production of pro-inflammatory cytokines and influence immune cells involved in chronic joint inflammation.

The precise biological mechanism is still being studied, but current evidence suggests LDRT dampens inflammation without damaging healthy cartilage. Reviews of experimental and clinical studies have found either neutral or beneficial effects on joint tissue when low doses are used.

“There is a misconception that medicinal, or therapeutic, radiation is always delivered in high doses,” Kim said. “But for osteoarthritis, the doses are only a small fraction of what we use for cancer, and the treatment targets joints that are positioned away from vital organs, which lowers the likelihood of side effects.”


Photo courtesy OSF Healthcare

The linear accelerator at OSF is a medical device that uses microwave technology to accelerate electrons to near light speed used for cancer treatment. The TrueBeam® model pictured was installed in 2022.

Who may benefit

Doctors say LDRT is best suited for patients with chronic joint pain who have not found sufficient relief from medications, physical therapy or injections, but who are not ready for — or are not candidates for — surgery.

“This therapy does not change the joint structure itself,” said Dr. Matthew Harkenrider, a radiation oncologist at Loyola Medicine. “Instead, it helps relieve the inflammation that contributes to pain.”

Research suggests about 70 percent of osteoarthritis patients experience some level of pain reduction or improved joint function after LDRT, according to Loyola Medicine. Many patients report improvements in mobility, allowing them to return to activities such as walking, gardening or golfing with less discomfort.

Side effects and safety

LDRT is generally considered well tolerated. Most studies report only mild, temporary side effects, such as slight skin irritation or short-term fatigue. Serious adverse effects have not been commonly observed in clinical trials.

Because radiation exposure is involved, the risk of secondary cancers is often raised as a concern. However, researchers note that the total doses used in LDRT — typically between 3 and 6 gray — are well below levels associated with a significant increase in cancer risk. In addition, treatment is localized to joints, which are not considered highly susceptible to malignancy, and most patients treated for osteoarthritis are older adults, reducing long-term risk.

Use beyond the United States

Low-dose radiation therapy for joint pain is widely accepted in countries such as Germany and Spain, where it is routinely offered as part of standard care. Awareness remains lower in the United States, partly due to limited large-scale randomized trials in the past and lingering assumptions about radiation risks.

Recent studies and growing clinical experience, however, have renewed interest among U.S. providers seeking noninvasive options for patients with chronic joint pain.

“For many osteoarthritis patients, low-dose radiation therapy offers a safe, effective and well-tolerated treatment that improves mobility and enhances overall quality of life,” Harkenrider said.

As OSF HealthCare Bobette Steely Hegeler Cancer Center expands its offerings, clinicians hope LDRT will fill a treatment gap for patients caught between temporary pain relief and major surgery, providing another option to manage chronic joint pain closer to home.

Treatment at Hegeler Cancer Center

At OSF HealthCare Bobette Steely Hegeler Cancer Center, LDRT treatments are delivered using the TrueBeam® linear accelerator, installed in 2022. The system allows clinicians to precisely target affected joints while minimizing exposure to surrounding tissue.

Each treatment session lasts about 15 minutes. Most patients undergo six treatments over a two-week period, followed by a check-in three months later. Depending on symptom response, a physician may recommend an additional round.

Patients must have a referral from a health care provider. Those interested are encouraged to speak with their care team or call the cancer center at (217) 431-4290. The center is located at 806 N. Logan Ave. on the campus of OSF Sacred Heart Medical Center.




TAGS: low-dose radiation therapy osteoarthritis Illinois, OSF HealthCare joint pain treatment, noninvasive osteoarthritis therapy Danville, Hegeler Cancer Center LDRT, radiation therapy for inflammatory joint conditions

Illinois to receive $193M annually for rural health care, but providers warn of Medicaid impact


Illinois will receive $193 million a year for the next five years to expand health care access in rural areas. The funding comes from a new federal program created to offset Medicaid cuts included in H.R. 1.


by Nikoel Hytrek
Capitol News Illinois


SPRINGFIELD - Illinois will receive $193 million for each of the next five years to expand health care access for the approximately 1.9 million people in rural areas — or about $101 annually for every rural Illinoisan.

The money comes from the $50 billion federal Rural Healthcare Transformation Program fund, which Congress created to offset federal Medicaid spending cuts included in the One Big Beautiful Bill Act, or H.R. 1, that passed last summer.

But health care organizations said the money will not be enough to compensate for Medicaid cuts.


Photo by PEXELS/RDNE Stock Project

Illinois has 85 small and rural hospitals that serve as hubs for access to healthcare. Hospitals could be forced to reduce services like obstetrics, cut staff, or close entirely if government funding isn't sufficient.

“These funds are good, and we're going to put them to good use, but it's not a solution,” said Jordan Powell, senior vice president of health policy and finance for the Illinois Health and Hospital Association. “It's not going to mitigate the impact of the significant Medicaid cuts that are coming our way.”

The Illinois Department of Healthcare and Family Services said between 190,000 to 360,000 Medicaid recipients are at risk of losing coverage in Illinois because of new work requirements.

H.R. 1 also imposes a tighter cap on how much money states can raise for their Medicaid programs through provider taxes. The new limits will be phased in, starting in fiscal year 2028, and could reduce total Medicaid funding in Illinois by $4.5 billion a year by fiscal year 2031.

“Long term, we know a number of HR 1 provisions will have a devastating impact on healthcare in our state and present significant challenges with respect to maintaining equitable access to high-quality healthcare coverage for all Illinois residents,” the department said in a statement.

Illinois has 85 small and rural hospitals that serve as hubs for access to care for people who can’t travel long distances. Nearly 30% operate at a deficit, though, and most of the patients they serve are on Medicare or Medicaid, according to the Health and Hospital Association.


Photo: Anna Shvets/PEXELS

Increasing the workforce at rural hospitals is a priority that needs to be addressed.

Powell described the new federal money as a bandage, not a permanent solution for the cuts Illinois hospitals will face. As Medicaid reimbursement decreases, he said, hospitals could be forced to reduce services like obstetrics, cut staff, or close entirely.

Rural population is only a small part of grant consideration

The amount each state received ranged from $147 million for New Jersey to $281 million for Texas, and rural population appeared to be only a small factor in the equation.

That means states like Texas, with the largest rural population in the country, got far less per rural resident than states like Rhode Island, which has the smallest. Texas received $66 per rural resident and Rhode Island, with a total award of $156 million, received $6,305 per rural resident.

Half of the total $50 billion was awarded to states equally, but the other half was awarded based on specific factors such as a state’s current or planned policies for rural health care and proposed ideas that align with federal Make America Healthy Again priorities.

Among its neighbors, Illinois has the second-lowest award amount. Michigan, with its $173 million award, is the only state with less.

In the Midwest, Michigan’s rural population is slightly larger than Illinois’, but it received only $83 per person compared to Illinois’ $101. Iowa, with fewer rural residents than Illinois, got $139 per rural person.

Illinois’ Priorities

When filling out the application to the federal government, Illinois’ HFS consulted provider associations, rural hospitals, community health centers, community mental health centers, universities and community colleges, legislators and vendors.

According to the department, the state’s application focused on:

  • Increasing the number of health care workers in rural areas with education, scholarships, training and incentive programs.
  • Removing the barriers that rural residents face to getting health care by investing in mobile and telehealth services.
  • Changing the way rural health care systems run by creating regional partnerships.

The federal government indicated a preference for “transforming systems,” not just supporting ongoing operating expenses.

HFS said the hospital transformation grants will be a good tool for expanding its existing Healthcare Transformation Collaboratives to rural areas. The state launched the collaborative effort in 2021 to improve health care outcomes and reduce disparities across the state. It involves providers sharing resources to meet the health needs of multiple communities and expand access to services like preventative and specialty care.

“Team-based care, in partnership with hospitals and primary care practices, looks to improve access to care for rural residents by building out infrastructure and technology in order to increase access to specialty services, transform healthcare delivery, and overcome known geographic barriers for these communities,” the agency said in an emailed statement.

Powell said increasing the workforce and cybersecurity at hospitals are some of the top priorities. After that, he said, expanding rural broadband internet and upgrading electronic health records are important.

“Workforce and technology were two of the main things that we heard from our members,” he said. “I think the state wants to emphasize better partnerships and collaboration between providers.”

‘Not a long-term fix’

Despite allowing rural hospitals and health systems to make needed improvements, Powell said he still doesn’t think the money will be enough to make up for losing Medicaid payments.

“It’s kind of like supplemental funding that’s going to help them survive just a little bit longer,” he said. “I would actually say a significant portion of them are facing slim to negative margins, as is. And so this is funding that, again, will maintain some stability and viability for these organizations. But it's not a long-term fix.”


Capitol News Illinois is a nonprofit, nonpartisan news service that distributes state government coverage to hundreds of news outlets statewide. It is funded primarily by the Illinois Press Foundation and the Robert R. McCormick Foundation.





TAGS: Illinois rural health care funding, Medicaid cuts impact Illinois hospitals, rural hospitals Illinois federal grants, Illinois Medicaid work requirements health care, Rural Healthcare Transformation Program Illinois

You, too, can live to be over 100 years old


Having a sense of purpose can lead to increased energy, motivation, emotional stability and resilience on the road to a longer life.

Photo: Ghasoub Alaeddin from Pixabay

StatePoint Media - Living to 100 may sound extraordinary, but research suggests it’s more achievable—and enjoyable—than many people think. Studies show the majority of centenarians rate their health as good, and large numbers of people in this age group are mobile, active and optimistic.

According to the American Medical Association, adopting these seven habits can improve longevity and quality of life:

1. Eat healthy. Think of food as medicine. Choose nutritious, whole foods. Eat more fruits that are dark in color — blue, purple and red — to get the most nutrients, as well as fiber-rich vegetables, especially non-starchy vegetables such as broccoli, carrots and leafy greens. Incorporate whole grains, nuts, seeds, lean meats and fish. Drink more water, or as an alternative, flavored or sparkling water with no added sugar.

Reduce your intake of sugar-sweetened beverages and unhealthy ultra-processed foods, especially those with added sodium and sugar. Drinking sugary beverages, even 100% fruit juices, is associated with a higher mortality risk, according to a study published in JAMA Network Open. Eat fewer processed meats, which tend to be high in fat and heavy on added salt and preservatives. Limit your intake of refined grains, such as breads, crackers, baked goods and white rice. Drink less alcohol.

2. Exercise. Adults should aim for at least 150 minutes of moderate-intensity activity or 75 minutes of vigorous-intensity activity weekly. A recent study published in JAMA found that putting down the television remote and walking can improve healthy aging — highlighting the importance of small everyday habits.

3. Get enough sleep. Adequate sleep improves memory, reduces stress, improves mood, and primes the body’s natural defenses against disease. But sleep quality decreases with age. Improve your sleep quality by setting a regular bedtime and wake-up time, insulating your bedroom against noise, avoiding exercise within an hour of bedtime, maintaining a cool and dark bedroom, and limiting fluids within two hours of bedtime. Also avoid alcohol before bedtime and make your bedroom a tech-free zone as screen-time can impact your ability to fall asleep and stay asleep.

4. Live with purpose. A sense of purpose can lead to increased energy, motivation, emotional stability and resilience. Take time for self-reflection and try meditation or yoga. Prioritize your values and beliefs and put them into action toward a goal that’s meaningful to you and benefits others.

5. Stay positive. To bust stress, take a break from decisions, connect with others, pet your dog or cat, write a to-do list (stick to three items), take time to recharge, laugh, sing, curb clutter, set boundaries, perform mindfulness exercises, practice gratitude, and seek help from a professional when stress becomes overwhelming.

6. Stay connected. Research shows that having social connections is a significant predictor of longevity and better physical, cognitive and mental health, while social isolation and loneliness are significant predictors of premature death and poor health. Unfortunately, there is a nationwide loneliness epidemic that medical experts consider a major public health concern. Combat loneliness with social clubs and community groups, or by taking up a hobby, learning something new or volunteering. If you’re struggling with loneliness, reach out to a professional, your doctor, family member or friend. You can also call the 988 crisis helpline for support

7. Get screened. Schedule preventive care, tests and health screenings to help your doctor spot certain conditions before they become more serious. Your doctor can recommend needed tests based on your age, gender and health conditions — including colonoscopies, mammograms, gynecological and prostate exams, and vision screenings.

Today, there are many at-home screening options available. Some are more effective than others, and all work best – and minimize stress around results – when taken in consultation with a doctor.

For more resources on staying healthy, visit http://www.ama-assn.org.

“Everyone strives to live longer, but the goal should be to live as healthy as possible for as long as we live,” says AMA CEO John Whyte, MD, MPH. “Simple steps today – eating well, staying active, sleeping enough, and seeing your doctor – can add quality years, or even decades, to your life.”



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