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Today’s First Option for Treating Stress Incontinence & Pelvic Organ Prolapse Has a Long History Medically reviewed by Dr. Gary Emerson, McLeod OB/GYN Associates
In the 5th Century BC, physicians in the age of Hippocrates were treating urinary incontinence by inserting pomegranate fruits in the vaginas of female patients. Today’s pessary – a silicone or plastic support – is one of the most widely used options for women suffering from Stress Incontinence or Pelvic Organ Prolapse. In much the same way that an underwire bra can help support breasts, the pessary supports the bladder when inserted in the vagina, helping stop urine leakage.
Medically Reviewed by Rodney Alan, M.D. McLeod Orthopaedics
Millions of people are enjoying the quality of life and end of pain that a total knee or hip joint replacement delivers. Many of those people will also experience the need for a second replacement – also called a “revision” – of their artificial joint.
Medically reviewed by Alan Blaker, MD
“The heart and blood vessels comprise an extraordinarily complex system,” says McLeod Cardiologist Alan Blaker, MD. “As a result, a large team of very focused specialists stands ready to diagnosis and treat cardiovascular issues. There are so many specialties, a patient can be confused.” Here’s a quick overview of some of the specialists you may see and a description of their role:
Medically reviewed by Gregory Jones, MD
“In many cases, the high mortality rate of lung cancer is related to a late diagnosis,” says McLeod Cardiothoracic Surgeon Dr. Gregory Jones. “Other cancers we hear about – colon, breast and prostate – have screening tests. With the new guidelines, maybe we can detect lung cancer earlier.”
Medically reviewed by Adam Ploeg, MS, ATC McLeod Sports Medicine
Does your knee hurt? It could be a bad joint that’s calling out for replacement. Or it might be a stretched or sprained ligament. Before we discuss injuries and treatments, let’s take a quick course in “knee ligament basics.” (Refer to the image with this article to better understand the importance of knee ligaments.) “Ligaments help connect bones to other bones,” says Adam Ploeg, Certified Athletic Trainer with McLeod Sports Medicine. “In the knee, there are 4 ligaments that help to stabilize the knee and connect the portion of the leg above the knee (thigh) to the leg below the knee. These ligaments can sometimes look like a bundle or intertwined rope and vary from the thickness of a pencil to a thickness of 3 fingers.”
Medically reviewed by Michael Sutton, DO McLeod Orthopaedics Dillon
“Two of the primary benefits of a total knee or hip joint replacement are less pain and more life, thanks to the ability to move again,” says Orthopedic Surgeon Dr. Michael Sutton of McLeod Orthopaedics Dillon. “As more joint replacements are being performed on young and younger patients, a key question they ask is: ‘When can I get back to work?’”Let’s layout a possible timeline for your recovery after joint replacement surgery:
Medically reviewed by Dr. Nathan Almeida
Popular Painkillers Raise Risk of Heart Attack, Stroke...“Ouch?! That muscle hurts! Wow, my joints ache!” It’s nearly a reflex reaction for many of us to automatically reach for some ibuprofen or similar medication when aches and pains arise. As we grow older, daily doses tend to become a fact of life. But we need to be careful.
Medically reviewed by Dr. Eric Heimberger McLeod Orthopaedics Seacoast
All eyes turned as Donna walked in. Her face was beautiful. The silhouette, striking. And those high spike heels! Whew! Every man – and a few women – inhaled sharply, losing interest in their year-old magazines. Donna smiled sweetly, knowing that she was causing a ruckus – and thinking to herself, If only my knees didn’t hurt so much. Well, maybe when the nurse calls my name, the orthopedic specialist can tell me what the problem is. “A number of studies have shown the increased risk from high heels of developing osteoarthritis in your knees,” says McLeod Orthopedic Surgeon Dr. Eric Heimberger. “The knee joint deteriorates, possibly leading to total joint replacement.”
Medically reviewed by Dr. Mark Fox
Congestive Heart Failure is the medical description of a heart that is slowly losing its ability to pump blood throughout the body. Thanks to medical advances more and more patients are surviving until they are in “late-stage heart failure” when they may experience pain, anxiety and have trouble breathing. Unlike cancer – where the patient seems to have a steady decline – in Congestive Heart Failure (CHF) a patient’s decline may be marked by a series of incidents, where the heart staggers, then rallies. During this decline, more than 75% of CHF patients report not only pain and difficulty in breathing, but also fatigue, depression and accumulation of liquid in the body (edema).
Medically reviewed by Dale Lusk, MD
Squeeze….and release. Squeeze…and release. Among the effective non-surgical treatments for female urinary incontinence, the Kegel is one of the simplest. At its simplest, the Kegel involves squeezing your pelvic muscles, as if you are trying to stop the urine flow. And it’s best when performed numerous times during the day. “Yes, but how am I supposed to remember?” You might ask. “Stick it,” says Gynecologist Dale Lusk, M.D. of Advanced Women's Care. “I tell patients to buy some of those little red, green or blue sticky dots that they can get at the office supply or discount store. Take a marker and write a big ‘K’ on each one. Then, stick it on your TV remote. Whenever you see the dot, do a few Kegels. Stick one on your car’s rear view mirror. Every time you hit a red light, do a few Kegels. Stick one inside the refrigerator. Open the door; do a Kegel or two. Stick one on a book you’re reading. When you sit down to read, do a few Kegels.”
Medically reviewed by Dr. David Lukowski McLeod Orthopaedics Seacoast
Last year, nearly 54,000 people had their vacations ruined by luggage-related injuries. Most of those injuries involved lifting bags in a hurry (probably in a rush to or at the airport) that were too heavy, over packed, or just plain bulky. “The most common injuries are to the shoulder, neck, wrist and back,” says McLeod Orthopedic Surgeon Dr. David Lukowski. “However, luggage handling can also aggravate existing knee and hip problems by exerting extra stress on these joints or creating bad posture.” Here are some tips from the American Academy of Orthopaedic Surgeons that can help keep your vacation healthy and enjoyable:
Medically Reviewed by Taylor Holmes, DPT, STAR-C
Surgery is the gold standard for pelvic repair to “cure” urinary leakage or stress incontinence. However, following the diagnosis, nearly every gynecologist will start with a series of non-surgical options.
Modifying behavior and the way a woman reacts to her body’s signals has been the focus of clinical attention in the US for several decades. One of these – biofeedback – can be used in conjunction with Pelvic Muscle Exercises – also known as kegels.
Medically reviewed by Dr. Mark Fox
Now – more than ever before – survival is a realistic possibility for cancer patients, thanks to new technology, drugs and therapies. PALLIATIVE CARE. While cancer specialists treat the disease (with survival as the goal), palliative care specialists can treat the patient’s pain, nausea, fatigue, anxiety and depression associated with cancer. A study has shown that use of palliative care may even improve a cancer patient’s survival. Unfortunately, not all cancers can be cured. And there may come a point -- no matter how good your cancer doctors, available treatments or even clinical trials – where therapies are no longer controlling the disease.
Medically reviewed by Dr. Pat Denton, Pee Dee Orthopaedic Associates
Hip Joint? Bad Knee? Leg Cramps? Torn Muscle? Hairline Fracture? Inflamed Tendon? “In medical terms, those questions are the beginning of a differential diagnosis,” says McLeod Orthopedic Specialist Dr. Pat Denton of Pee Dee Orthopaedic Associates. “For most people, the term leg pain can be the key to a multitude of medical issues – some minor, some serious. Many – but not all – are handled by Orthopedic Specialists.” Let’s try to sort things out a bit. Orthopedic Specialists primarily deal with problems related to your bones, joints, muscles, ligaments, tendons and nerves. Below are some common leg pain issues treated by Orthopedic Specialists:
Medically reviewed by Dr. Gavin Leask
Americans love numbers. We rate baseball players with a range of statistics. We rank golfers. We grade ourselves on everything from academics to attractiveness (“He’s a 9 out of 10.”) Another set of numbers important to everyone are how much things we do (or don’t do) increases our risk of heart disease – 200% (2x) to 600% (6x). “It’s good to know how your lifestyle is affecting the possibility that you will suffer heart disease or die of a heart attack,” says McLeod Cardiologist Gavin Leask, MD. "The following list shows you which actions (or lack of) increase your heart risk.”
Medically reviewed by Dr. Brad Campbell
A woman’s reproductive organs can be affected by five main types of cancer, identified by the location where it started: ovarian, cervical, uterine, vaginal and vulvar. This article looks at symptoms associated with ovarian cancer. A woman has two ovaries in her pelvis, located on either side of her uterus. They produce the eggs for reproduction as well as some female hormones. There is no simple, reliable test for ovarian cancer, in the way a Pap test can identify cervical cancer. Making it even more confusing for a woman, many of the symptoms are typical of other non-cancerous problems.
Medically reviewed by Rommel Lu, MD
Cancer patients often feel tired physically, mentally and emotionally. Not surprising, given the struggle and stress of testing, surgery, radiation therapy and the attack of chemotherapy on cancer cells. “X-rays and lab tests can’t tell us about a cancer patient’s fatigue,” Says McLeod Oncologist Dr. Rommel Lu. “It’s the patients who tell us. They complain of heaviness in arms and legs. They also have trouble concentrating and completing everyday tasks. They might be irritable and take less care in their personal appearance. Knowing more about the problem can help cancer patients deal with their fatigue.”