Derrick Twardoski v. Illinois Department of Corrections, et al.

District Court, N.D. Illinois·Decided July 17, 2026·No. 1:22-cv-07163·Unknown

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF ILLINOIS EASTERN DIVISION

DERRICK TWARDOSKI Plaintiff,

v. No. 1:22-cv-07163 ILLINOIS DEPARTMENT OF Hon. Judge Franklin U. Valderrama CORRECTIONS, et al.

Defendants.

ORDER Plaintiff Derrick Twardoski, an inmate at Sheridan Correctional Center (Sheridan), an Illinois Department of Corrections (IDOC) facility, suffers from painful conditions affecting his ability to walk. A physician at Sheridan prescribed knee braces for Twardoski with a lockable hinge. Sheridan refused to issue the knee braces. Moreover, Twardoski’s requests for accommodations for his condition have repeatedly been denied. Twardoski sued IDOC, Ryan Woods, Sheridan’s Warden, and Latoya Hughes, Director of IDOC (collectively Defendants), among others, under 42 U.S.C. § 1983 alleging that his treatment violated the Eighth Amendment as well as the Americans with Disabilities Act (ADA), 42 U.S.C. § 12131 et seq., and the Rehabilitation Act, 29 U.S.C. § 794 et seq. R1. 160, Sixth Amended Complaint (SAC).

1Citations to the docket are indicated by “R.” followed by the docket number or filing name, and, where necessary, a page or paragraph citation. Before the Court is Defendants’2 Motion to Dismiss the SAC3 pursuant to Federal Rule of Civil Procedure 12(b)(6). R. 121, Motion to Dismiss. For the reasons that follow, the Court grants Defendants’ motion in part and denies it in part.

Background4 Twardoski is an inmate at Sheridan, who suffers from ligament laxity, a painful condition that at times makes walking difficult or practically impossible. SAC ¶¶ 1, 11. Woods is the Warden at Sheridan. SAC ¶ 3. Hughes is IDOC’s Director. Id. ¶ 4. A common treatment for ligament laxity is the use of knee braces. Id. ¶ 12. In December 2021, a physician at Sheridan examined Twardoski and diagnosed chronic

bilateral knee pain and prescribed Twardoski knee braces. Id. ¶ 13. In July 2022, a physician at Sheridan determined that Sheridan did not have the type of knee brace Twardowski needed and directed that it be ordered. Id. ¶ 18. The knee braces were ordered. Id. ¶ 19. As of August 2022, the knee braces had not yet been provided to Twardowski. Id. ¶ 21. Sheridan requires Twardoski to walk the medline to buildings for meals and to obtain medications, including those for his knee and other conditions.

2While the introduction of the motion states it is brought on behalf of Defendant Hughes and Woods, the body of the motion also includes arguments on behalf of IDOC. R. 168, Mot. Dismiss at 1.

3Defendants’ motion to dismiss was originally directed at Twardoski’s Fifth Amended Complaint. R. 121, Mot. Dismiss at 1. Twardoski subsequently moved to amend the complaint, indicating that the amendments to the complaint do not impact Defendants’ motion and that the motion can apply to the SAC. R.159, Minute Entry.

4The Court accepts as true all the well-pled facts in the complaint and draws all reasonable inferences in favor of Twardoski. Platt v. Brown, 872 F.3d 848, 851 (7th Cir. 2017). Id. ¶ 31. Twardowski was concerned about the delay and filed a grievance regarding Sheridan’s failure to provide him with the replacement knee braces. Id. ¶¶ 22–23. Twardowski was subsequently informed that the knee braces with the lockable

hinge had been received, but associate Warden Donald Terry refused to issue them to Twardowski. Id. ¶ 24. Terry was concerned that the braces having removable metal supports could be weaponized. Id. ¶ 25. In December 2023, Twardoski again complained about the failure to provide him with knee braces. Id. ¶ 35. A physician at Sheridan noted Twardoski’s joint laxity and ordered x-rays. Id. ¶ 36. The x-rays revealed degeneration of Twardoski’s right

knee. Id. ¶ 37. Twardoski continued to complain of severe leg pain and in July 2024, a physician diagnosed Twardoski with iliotibial band syndrome (IT Band syndrome), a condition which involves irritation of a tendon from rubbing against hip or knee bones. Id. ¶¶ 40, 42. IT Band syndrome can result from excessive rotation of the legs, including from hyperextension of the knee. Id. ¶ 43. It was not until December 2024, when Twardoski was referred to an orthopedic surgeon to address his IT Band syndrome. Id. ¶ 44. The orthopedic surgeon recommended physical therapy and

informed Twardoski that the IT Band syndrome would have to be resolved before his ligament laxity could be addressed. Id. ¶ 45. The physician also found that Twardoski had a meniscus tear in his knee. Id. Twardoski’s physical condition has deteriorated to the point where he often finds it too painful to walk to obtain his medications, including his medications for his knee pain. Id. ¶ 55. In February 2025, Twardoski requested a permit for a medical lay-in. Id. ¶ 51. A medical lay-in means that a nurse would provide him with his meals and medication in his cell. Id. Twardoski’s request for a medical lay-in was denied initially but later approved by a physician in April 2025. Id. ¶¶ 52–53.

Twardoski’s medical lay-in resulted in meals delivered to his cell, but not his medications. Id. ¶ 54. Twardoski requested that the lay-in includes the delivery of medication as well, but that request was ignored. Id. ¶¶ 55–56. As a result, Twardoski went without medication and was cited several times by Sheridan staff for failing to walk to the medical building. Id. ¶¶ 57, 60. On June 23, 2025, Dr. Albert Kahn, the attending physician at Sheridan prescribed Twardoski a “permit for medical lay-in

due to severe pain in legs for meds.” Id. ¶ 61. Twardoski’s medical lay-in permit was set to last until April 2026. Id. ¶ 68. However, on June 24, 2025, Dr. Kahn’s prescription for medical lay-in was stricken with a notation stating “error permit cancelled.” Id. ¶ 63. On information and belief, Twardoski believes Sheridan was at least partly responsible for overruling the prescription for a medical lay-in. Id. ¶ 64. Twardoski did not learn about the revocation until July 2025. Id. ¶ 68. As a result of the revocation, Twardoski went without meals when he could not walk to

the dining facility. Id. In July 2025, a physical therapist recommended a wheelchair for Twardoski to avoid walking long distances, Id. ¶ 70, but Twardoski’s requests for a wheelchair have been repeatedly denied. Id. ¶¶ 70, 72, 74. Sheridan continued to require Twardoski to walk the medline and to issue citations against him for failures to walk the medline. Id. ¶¶ 80–81. Twardoski faced disciplinary action because of the citations for failing to walk the medline. Id. ¶ 65. Twardoski requested Dr. Kahn to testify as a witness, but his request was denied by the disciplinary committee. Id. ¶ 66. Twardoski also requested

the committee review his medical records but was also denied. Id. Twardoski sued Defendants, among others, alleging violations of his Eighth Amendment rights for failing to provide adequate medical care. Id. ¶¶ 84, 100–103 (Count V). Before the Court is Defendants’ fully briefed Motion to Dismiss Twardoski’s SAC under Federal Rule of Civil Procedure 12(b)(6). Legal Standard

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Derrick Twardoski v. Illinois Department of Corrections, et al., (N.D. Ill. 2026).

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