Summer Outdoor Exercises Benefit Your Joint Health

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Daily exercise keeps joints flexible and strong, which can delay the progression of arthritis and prevent the need for joint replacement surgery.

Arthritis and Exercise

Pain is common in all forms of arthritis, but research indicates that regular physical activity can help delay the advancement of the condition and enhance joint mobility. Regular body movement helps improve balance, heart health and muscle strength.

“Our joints and muscles get nutrition through movement,” said A. Lynn Millar, PhD, a professor of physical therapy at Winston Salem State University in Winston-Salem, North Carolina. “Once you start to move around a little, you’ll improve the lubrication and circulation around that joint.”

Although it is crucial to stay active to alleviate arthritis symptoms, it is essential to cease activity if you experience severe or persistent pain. Stretching first can help reduce strain on joints and prevent injury, but you must listen to your body and take breaks as needed.

Exercising Outside Has Added Benefits

Exercise and spending time in nature both enhance brain cognition. However, the combined benefit of exercising outdoors has “an additive impact on brain function.”

A study published in Nature found that a 15-minute outdoor walk significantly improved attention and working memory compared to an indoor walk. The research concluded that, if pressed for time, people may benefit more from getting outside for a short walk than “hitting the gym.”

Types of Joint-Healthy Outdoor Activities

If you have been inactive for a while, you should begin by walking. Once you can work out for 35 to 45 minutes, you can begin to add intensity.

Here are 10 outdoor, joint-friendly activities that will improve your health and enhance cognition:

  1. Walking in an outdoor pool — Walking in the pool reduces joint strain by 50 percent compared to walking on pavement or grass.
  2. Cycling in the park — Biking works all muscle groups in the lower body. If you have back or knee problems, consider buying a recumbent bike.
  3. Yoga — Many health clubs offer outside yoga. Studies show yoga can reduce symptoms of fibromyalgia and rheumatoid arthritis.
  4. Bocce ball — If you have hip or knee pain, bocce ball can be a good option because you play the game in a mostly upright position.
  5. Golf — This activity has a double benefit. Swinging the club works your shoulders, legs and upper back. In addition, you’ll get in all your steps from walking between holes.
  6. Walking — Whether you are hiking a trail or strolling on the sidewalk of your neighborhood, walking will tone the muscles around arthritic joints as well as reduce mental stress.
  7. Outdoor Pilates — You can do Pilates in your own backyard with a mat and YouTube video. Work at your own pace and enjoy the spinal stretches and breath work.
  8. Tai chi — You can do standing moves if you are concerned about joint pain. You can always limit your range of motion.
  9. Shuffleboard — Playing outdoor shuffleboard works your arms and legs as you push the weighted puck forward.
  10. Swimming — This sport may be the perfect, whole-body workout. The water’s buoyancy reduces joint strain, yet you challenge every muscle group.

Aging and Arthritis Can Increase the Risk of Debilitating Falls

Falls are the leading cause of fatal and nonfatal injuries among seniors. More than 25 percent of Americans over 65 fall each year. Those who suffer from arthritis are even more likely to fall because arthritis causes pain, stiffness and decreased joint mobility.

Many seniors are afraid of falling, and they limit their daily activity level to reduce the risk of injury. Choosing a sedentary lifestyle usually causes further physical decline, loneliness and dependence on others.

Incorporating Physical Exercise into Your Day

A regular exercise program can help improve balance and coordination to prevent hip fractures and life-threatening falls. According to the Centers for Disease Control and Prevention, adults are advised to engage in at least 150 minutes of moderate-intensity physical activity each week, along with two days of muscle-strengthening exercises.

You can meet your activity goal by exercising 30 minutes a day for five days a week, 22 minutes seven days per week, or any other time increment that fits in your schedule. If you are trying to lose some weight to lessen the impact on your joints, your doctor can help you create a customized exercise plan.

Remember that any kind of movement can be exercise. Even gardening and house cleaning can provide an excellent, low-impact workout. Consider taking a walk during conference calls or asking a friend to go for a walk instead of going out to lunch. You can incorporate movement into most parts of your day if you are intentional.

Talk to an Orthopedist about Total Joint Replacement

Being physically active is the most effective non-drug treatment for osteoarthritis. If you feel pain when exercising, it’s best to see a doctor so you don’t cause further injury. An orthopedist can talk you through treatment options that will offer you pain relief and increased mobility.

You may want to consider total joint replacement to remove the damaged joint and replace it with an artificial one. Knee and hip replacements are common, safe procedures that have high success rates. If you have tried nonsteroidal anti-inflammatory drugs, weight loss, cortisone shots and physical therapy, talk to your orthopedist. You may be able to schedule a joint replacement before the year ends.

How to Prevent and Manage Constipation

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Constipation can be a frustrating and uncomfortable condition that affects many individuals at some point in their lives – but it doesn’t have to. At Gastrointestinal Specialists, P.C., we understand the importance of digestive health and want to provide you with effective strategies to prevent and manage constipation.

Here are some expert tips to help you maintain regularity and alleviate symptoms:

Understanding Constipation

Constipation is characterized by infrequent bowel movements (for what is “regular” for you) or difficulty passing stools. It can be caused by various factors, including a low-fiber diet, lack of physical activity, dehydration, certain medications, and underlying medical conditions such as Irritable Bowel Syndrome (IBS) or other disorders.

Preventing Constipation

It’s easier to manage constipation when you can know what steps to take to prevent it!

  1. Increase Fiber Intake: Consuming a diet rich in fiber from fruits, vegetables, whole grains, and legumes can help add bulk to your stool and promote regular bowel movements. Aim for at least 25-30 grams of fiber per day.
  2. Stay Hydrated: Adequate hydration is essential for softening stools and easing passage. Drink plenty of water throughout the day, and limit caffeinated and alcoholic beverages, which can contribute to dehydration.
  3. Regular Exercise: Physical activity stimulates the muscles in your intestines, promoting bowel movements. Aim for at least 30 minutes of moderate exercise most days of the week (and discuss any exercise changes with your doctor).
  4. Manage Stress: Stress and anxiety can contribute to constipation, so work on practicing relaxation techniques such as deep breathing, yoga, or meditation to help reduce stress levels.

Managing Constipation

If you are already experiencing constipation, these tips can help manage and alleviate symptoms:

  1. Prunes or Prune Juice: It’s not just an old wives’ tale – Prunes contain natural laxatives and sorbitol, which can help soften stools and promote bowel movements.
  2. Probiotics: Probiotics (like those found in yogurt) are beneficial bacteria that promote digestive health. They may help regulate bowel movements and alleviate symptoms of constipation. Discuss with your doctor before starting any probiotic supplements.
  3. Medication Review: Certain medications, such as opioids and some antidepressants, can cause constipation as a side effect. Talk to your healthcare provider about adjusting your medications if constipation is a concern.
  4. Medical Evaluation: Sometimes, there’s something else going on. If constipation is persistent, severe, or accompanied by other symptoms such as abdominal pain, bleeding, or unintended weight loss, it’s important to seek medical evaluation from the doctors here at Gastrointestinal Specialists, P.C., so we can assess underlying causes and recommend appropriate treatment.

How’s your gut? Find out today!

At Gastrointestinal Specialists, P.C., in Troy, Mich., we are committed to promoting digestive health – so if anything is amiss, contact us today to schedule an appointment and we can help you determine the cause and best treatment. If you have concerns about constipation or other gastrointestinal issues, don’t hesitate to reach out to our experienced team for personalized care and guidance.

A New Light: Cataract Surgery Patient Thanks Doctor and ASC Staff With Donation to Aid the Visually Impaired

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Bob Puzio did not know how the world really looked until he saw it in a new light.

A husband, father and retiree, Puzio lives a busy life in Roxbury Township, New Jersey, traveling with family and pursuing his hobbies as a documenter and collector of craft brewing memorabilia.

So, it was a surprise when, during a comprehensive eye exam, Puzio was diagnosed with both glaucoma and cataracts in both eyes.

“One thing you find out [during an eye exam] is that you could be clueless that your vision is anything but normal,” he said. “If anything, I thought my vision was getting better as I aged.”

As Puzio’s sight improved following months of treatment, he wanted to thank the people who gave him the vision he thought he always had.

But how? A card or a small gift would be more than most people offer, but Puzio had an idea, one that could help others see the world in a new light.

“There’s this Bible quote about how 10 lepers were cured, but only one said, ‘Thank you,’ and I wanted to be the one to say thank you,” Puzio said. “You can buy people donuts and coffee, but I had to do more than just say, ‘Thank you. Good job.’”

“A Triple Whammy” Diagnosis

To say the findings from his eye exam caught Puzio off guard would be an understatement.

“I joked that the diagnosis was a triple whammy,” Puzio said. “Glaucoma and cataracts in both eyes were not what I was prepared to hear.”

A cataract is a hazing of the eye lens that impedes passing light into the eye. At first, the cloudiness may affect only a small part of the lens, and you may be unaware that you are developing vision loss.

Cataracts are the leading cause of vision loss among people older than 55. According to the American Academy of Ophthalmology, over half of all Americans will develop cataracts by age 75.

Cataracts can impair vision or destroy it if left untreated. At first, stronger eyeglass prescriptions can help with cataracts. Puzio’s ophthalmologist, Dr. Erin Mann noted that many patients may reach a point where surgery becomes the only option.

“We can often tweak glasses to work around different changes in prescriptions, but at some point, glasses can’t be tweaked any further,” Dr. Mann said. “Robert had received steady changes to his prescription, but he was still presenting issues, and we couldn’t run the risk of waiting too long and there being complications.”

Patient Undergoes Cataract Surgery

Unlike other eye diseases like glaucoma, doctors can remove cataracts to restore eyesight. The operation includes removing the clouded lens and replacing it with an artificial one, called an intraocular lens (IOL). The construction of an IOL involves using silicone, acrylic or other plastic materials and frequently applying a protective coating against UV rays.

“Cataracts are a natural clouding and graying of that lens inside the eye,” Dr. Mann said. “Patients describe it as a fuzz or blur you’d normally fix by cleaning your eyeglasses. But it’s not glasses: it’s the lens inside your eye that’s turning gray, and we can go in and replace that with a man-made lens.”

In late 2023, Puzio received an injection to treat his glaucoma procedure and reduce eye pressure at an ambulatory surgery center (ASC). Two cataract surgeries — one in each eye — followed, performed by Dr. Mann in January and February 2024.

Puzio said the improvement to his vision was obvious in the weeks between his cataract procedures. Taking advantage of a snowfall that had blown through his area, he tested what his “new” right eye could see.

“Just for kicks, I put my hand to my right eye, and the snow looked like it was yellow straw colored through my left eye,” Puzio remarked. “I did the opposite and that same snow looked as bright as an LED light.

“Seeing the difference in my vision was a total ‘woah’ moment.”

Helping Others to See a Way Forward

A hub for service dog training, the neighboring town of Morristown, New Jersey, is home to The Seeing Eye, an internationally recognized nonprofit dedicated to training service dogs. For nearly a century, the local charity has raised generations of dogs to help the blind achieve greater independence and freedom.

To thank those responsible for his improved vision, Puzio made multiple donations to The Seeing Eye, including gifts on behalf of Dr. Mann and his ASC staff.

“[The ASC staff] did something grand for me, so the least I could do is pay it forward,” Puzio said. “The Seeing Eye is local, so I see them training around town, and I know the great work they do. What better way to say thanks than to benefit others?”

Dr. Mann said Puzio’s gesture signified something more profound than a simple positive review.

“People who have a good experience usually leave a positive review, but Robert’s case is unique,” Dr. Mann said. “It’s almost spiritual to want to connect with something bigger.

“[Puzio] was able to have a surgery to see better, and he paid that forward by providing resources so that others could get back a different kind of sight.”

Now months removed from treatment, Puzio is back at his hobbies and enjoying spending time with his wife and children. Cataract surgery, he said, has changed the way he sees the world.

“When Dr. Mann told me that I needed surgery as soon as possible, I thought, ‘Why?’” he said. “But now, everything I see is sharper, brighter and clearer.

“I’m really seeing the world in a completely new light.”

Get a Comprehensive Eye Exam

How long has it been since your last comprehensive eye exam? A dilated eye exam is the only way to properly diagnose cataracts. All adults older than 40 should get a complete eye exam with dilation.

Your doctor will give you a visual acuity test, look for refractive errors and evaluate your most recent prescription for glasses or contact lenses. Not all vision problems are obvious. Many conditions that affect your vision have no symptoms in the early stages. Eye exams are the best way to detect and diagnose common eye diseases like glaucoma, diabetic retinopathy and age-related macular degeneration.

Make an appointment with your eye doctor to evaluate your eye health and screen for cataracts. Don’t miss out on seeing the world in a new light. Get screened for cataracts and say “yes” to clear vision!

PATIENT TESTIMONIAL: Cataract Surgery Restores Eyesight, Improves Quality of Life

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An avid golfer, Brad Schneider spends many weekend hours out on the course with his friends.

Three years ago, the Henderson County Kentucky judge-executive noticed subtle changes in his eyesight during his golf game.

“I began to notice I had a challenge with distance vision. With each progressing year, it got harder for me to follow my golf ball,” he said. “When you are out playing with your buddies and you can’t find the darn ball because, 40 yards away from you, you lose sight of it, it’s not fun.”

During a comprehensive eye exam last year, Schneider’s optometrist discovered cataracts developing in both eyes. Cataracts form when proteins clump together and create a cloudy or blurry spot on the lens of the eye.

“We noticed that changes in my prescription glasses — which I’ve worn since I was eight years old — weren’t really helping the vision in my left eye anymore. And, in fact, it was getting cloudier,” Schneider said.

Schneider learned that increasing the prescription on his glasses would not be a long-term solution for his vision.

“Cataracts were the culprit,” he said. “That diminished vision, the cloudiness, was not going to improve without cataract surgery.”

Eye Trauma May Lead to Cataracts

Brad Schneider before cataract surgeryCataracts are the leading cause of vision loss in the U.S. The good news is surgery can remove cataracts and correct vision problems caused by cataracts.

Most cataracts form as a natural part of aging. The trauma from a collegiate baseball injury in the mid-1980s may have accelerated the development of a cataract in Schneider’s left eye, according to his doctor.

One day during batting practice for the University of Evansville Purple Aces, Schneider turned to bunt a baseball coming out of a pitching machine. The ball tipped off his bat into his left eye.

“The blow tore my iris and my eye filled with blood, blinding me for a few days,” Schneider said. “It was scary, but the blood finally dissipated, and my vision returned. To this day there’s a tiny, loose flap on the edge of my left iris, a remnant of the injury.”

Up to 65 percent of eye traumas lead to cataract formation, resulting in significant short- and long-term vision loss. Studies show traumatic cataracts may occur acutely or develop slowly over time.

“Normally, age 58 is not when you really notice the effects of cataracts, but that injury sped up the timeline a little for me,” Schneider said.

Choosing Cataract Surgery and Intraocular Lenses

Cataracts affect more than 20.5 million Americans aged 40 and older. The U.S. Centers for Disease Control and Prevention estimates about 39 million Americans will have cataracts by 2032.

Surgery is the only treatment option to medically remove a cataract and address the effect on your eyesight. Doctors perform nearly four million cataract surgeries annually in the U.S.

Schneider elected to undergo cataract surgery on both eyes at EyeCare Consultants Surgery Center, an ambulatory surgery center in Evansville, Indiana.

“It really gave me confidence that this could be something that would make the rest of my life much more enjoyable, and if I followed their instructions on recovery, […] I would really be pleased with the outcome,” he said. “And that is absolutely what happened.”

During cataract surgery, a doctor replaces the cloudy lens of a patient’s eye with an artificial lens. This intraocular lens (IOL) is a clear, plastic lens that becomes a permanent part of the eye.

Several IOLs are available, depending on your visual needs and lifestyle.

  • Monofocal IOLs help with distance vision, but you may still need glasses for reading or if you have astigmatism. Medicare and other insurance plans usually cover these.
  • Astigmatism-correcting Monofocal Lenses correct your astigmatism as well as your cataracts during one simple procedure. Most people only need glasses for reading after surgery.
  • Multifocal or Extended Depth of Focus Lenses can help you see both near and far, so you may be able to go glasses-free after surgery.

Schneider chose extended depth of focus IOLs for his eye surgery, even though his health insurance did not cover the cost. He hoped this would eliminate the need for glasses after the procedure.

Surgeries Yield Positive Results

Schneider’s first cataract surgery was on Nov. 30, 2023. Three days later, his vision began to clear in his left eye after the initial swelling had subsided.

“I stepped out the back door, and the vision out of my left eye almost startled me how good it was at that point,” he said. “I remember looking up at the trees in our backyard and not only could I see the leaves at the very top of the trees, but I could [also] see the points in the leaves at the top of the trees. That was not an experience I’d ever had without glasses, and it was revelatory. It really was. It took me aback, and I couldn’t wait to get the right [eye] done at that point.”

Two weeks later, the cataract was removed successfully from Schneider’s right eye.

Having worn prescription eyeglasses since he was a child, Schneider now no longer needs them. Just six months after cataract surgery, he said his vision is the best it has been in adulthood and his golf game has improved.

“Let’s just say that I do a good job of following my drives into the trees much better now than I used to,” he laughed. “Still going to the trees, but I can find it now.”

Choose an ASC for Cataract Surgery

If you are planning to undergo cataract surgery, ambulatory surgery centers (ASCs) have offered safe, high-quality outpatient medical procedures for decades.

Schneider, now 59, said he would recommend surgery to anyone who has vision problems caused by cataracts.

“I would recommend having cataract surgery. It’s changed my life.”

Schedule a Comprehensive Eye Exam

Now is the perfect time to focus on your vision and schedule a comprehensive eye exam. Your eye doctor will check your prescription, test your vision and look for eye conditions like cataracts or glaucoma. If you need additional treatment or surgery, your eye doctor will explain your options and create a customized plan for your eyes.

This article is designed for educational purposes only. The information provided should not be used for diagnosing or treating a health concern or disease. It is not a substitute for professional care. If you have or suspect you may have a health concern, you should consult your healthcare provider.

Take a Google 360 Virtual Tour of Tampa Bay Endoscopy Center

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Tampa, FL – Tampa Bay Endoscopy Center invites you to experience the exceptional care and inviting atmosphere of our entire facility. Known for excellence in healthcare, our center’s clean and welcoming environment underscores our dedication to patient comfort and care.

Take the Google 360 Tour

Discover the comprehensive care we offer through an immersive 360 virtual tour, meticulously captured by a certified Google 360 photographer. From the welcoming reception area to our state-of-the-art procedure rooms and tranquil recovery spaces, every detail is designed with your well-being in mind. Transparency is one of our core values, and we want you to see the quality of care patients receive every day. This virtual experience exemplifies our commitment to transparency, allowing you to explore our entire facility, reducing pre-visit anxiety and fostering trust.

Why Tampa Bay Endoscopy Center?

  • Comprehensive and Inviting Facilities: Experience healthcare in an environment where cleanliness and comfort are paramount, from the lobby to the procedure rooms.
  • Personalized Care: Our skilled professionals are dedicated to your unique health needs, ensuring a patient-centered approach throughout your visit.
  • Informed Decisions: The virtual tour and detailed photography gallery offer insights into our center, promoting transparency and confidence in your healthcare choices.

At Tampa Bay Endoscopy Center, we blend unparalleled medical care with an environment that prioritizes your comfort and peace of mind. We invite you to discover the difference at our meticulously maintained facility.

 

Practice Fireworks Safety and Prevent Cataracts

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Eye trauma and injuries can cause vision loss or blindness, so protect your eyes by watching a professional fireworks display.

Fireworks Are a Common Cause of Summer Injuries

It is exciting to see explosions of bright colors in the night sky! Americans have been using fireworks to celebrate freedom since the first organized Independence Day celebration on July 4, 1777, in Philadelphia. Although firecrackers and sparklers play a major role in summer celebrations, they pose a critical risk to eye safety.

Fireworks cause thousands of injuries each year, and the majority of accidents occur from May to July. According to the American Academy of Ophthalmology, almost 300 people go to the emergency room each year due to fireworks-related eye injuries during the weeks surrounding July 4.

Hospital emergency rooms treated 10,200 fireworks injuries in 2022, and 73 percent happened around the Fourth of July. Burns were the most common injury, and 28 percent of all injuries were to children younger than 15.

Body parts most often injured:

  • Fingers and hands (29 percent)
  • Face, head and ears (19 percent)
  • Legs (19 percent)
  • Eyes (16 percent)
  • Torso (12 percent)
  • Arms (5 percent)

How Can Fireworks Damage the Eyes?

Fireworks can damage any part of the body, but the eye is susceptible to chemical, thermal or blast injuries. Injuries to the eye can range from minor scratches on the cornea and objects stuck in the conjunctiva to cuts on the eyelid, retinal detachment, broken eye socket and penetrating eye wounds. Explosives can also cause burns around the eyes, facial lacerations, fractures and scarring.

“Chemicals found within fireworks cause the amazing display of colors and explosions that we see during celebrations, but these can be harmful to the eye,” said Grayson W. Armstrong, MD, MPH, director of ophthalmology emergency services at Mass Eye and Ear and board member of the American Society of Ophthalmic Trauma. “The eye needs to remain at a normal pH, and if there is acidic or basic material exposed to the eye, it can lead to chemical burns and sometimes long-term problems such as limbal stem cell deficiency, scarring, cataract, glaucoma and even retinal toxicity.”

Protect Your Vision and Prevent Ocular Damage

Fireworks may be legal, but it does not mean they are safe. Legally purchased fireworks can contain modified fuses, dangerous chemicals and unsafe levels of explosive materials. Explosives can misfire, ignite all at once or discharge in the opposite direction.

Watching a show in the crowd also poses some risk because 65 percent of fireworks injuries are to bystanders who were too close to the action. Many believe sparklers are safe for kids, but they can reach temperatures up to 2,000 degrees and result in over 600 injuries annually.

You can protect your eyes by following these safety tips:

  • Attend a professional fireworks show.
  • Purchase non-toxic glow sticks for children and grandchildren to wear during the show.
  • View fireworks from at least 500 feet away.
  • Do not touch unexploded fireworks.

Cataracts May Impede Your View of Colorful Fireworks

Do you miss the vivid pop of brilliant color you used to enjoy during fireworks displays? If you’re noticing colors don’t appear as bright as they used to, you may be developing cataracts, or a clouding of the eye lens. Having cataracts can affect your vision by making vivid hues look yellow or faded.

Cataracts are a normal part of the aging process. However, eye trauma or eye injury can also cause cataracts. Up to 65 percent of eye injuries lead to cataract formation and can cause short and long-term vision loss.

Traumatic cataracts can form quickly or develop slowly over time. Acute injuries like blunt or penetrating trauma, electric shock or chemical injuries can damage or rupture the lens, leading to partial or complete cataracts and blindness.

You should call your ophthalmologist right away if you experience symptoms of cataracts:

  • Blurred vision
  • Double vision
  • Seeing halos around lights
  • Glare at night
  • Fading or yellowing of colors

Cataract Surgery Can Restore Clear Vision and Your Ability to See Brilliant Color

Cataract surgery can restore most cataract-related vision problems. It is one of the safest and most common procedures, and has a success rate of 97 percent or higher when performed in appropriate settings.

Cataract surgery is usually an outpatient procedure and requires a short recovery period. It usually takes less than 30 minutes, and patients can return home after a few hours.

The surgeon will remove the cloudy lens and replace it with a customized artificial lens called an intraocular lens (IOL). The incision is so small that stitches are rarely necessary. Most patients find they can resume their normal activities the following day.

Schedule a Comprehensive Eye Exam Before the End of the Year

All adults over 40 should have a comprehensive eye exam every year. During a vision examination, the optometrist will assess your visual acuity, check for any refractive errors and examine for all types of cataracts, glaucoma, diabetic retinopathy and macular degeneration.

Have you been putting off vision testing or an eye procedure? The second half of the year is a good time to schedule procedures because you may have already reached your deductible. Call your insurance company to find out how close you are to meeting your deductible and then call your eye doctor. Your eye procedure may cost less than you thought.

Warm-ups Help Prevent Joint Injury When Playing Tennis and Golf

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Tennis and golf can improve your fitness, but it is essential to warm up, stretch and wear proper footwear to protect your joints and prevent overuse injury.

Summer Sports Enhance Physical and Mental Wellness

Summer is an ideal time to try outdoor sports like tennis and golf. Engaging in these activities can provide a range of advantages, such as reducing heart rate and blood pressure, enhancing cognitive function and boosting overall mood and positivity. Even though sports like golf are low impact, you still can sustain injuries like sprains, fractures and strains.

Arthritis Can Increase the Risk of Overuse Injury

You are even more prone to injury if you suffer from any form of arthritis. Repetitive motions and stress can cause joint damage to the shoulders, hips, knees and elbows.

Repetitive stress injuries (RSI) can occur from repeatedly swinging a golf club or hitting a tennis ball, causing pain and affecting the joints in the shoulder, elbow and knee. Cumulative trauma disorder (CTD) is a small injury to a ligament, tendon, muscle or bone and occurs when exerting too hard or not allowing your muscles to recover.

Common Overuse Injuries

Tennis and golf can make you more susceptible to overuse injuries, such as the following:

  • Shin splints — Shin splints are overuse injuries that cause inflammation and tenderness in the inner shin. The tissue around the shin can throb or feel like dull pain.
  • Runner’s knee — This condition does not just affect runners. Playing a sport on uneven or hard surfaces can cause swelling and pain around the patella (or kneecap).
  • Shoulder impingement — When a tendon in the shoulder rubs against surrounding tissue or bone, it can cause persistent pain. Shoulder impingement can affect the rotator cuff and lead to weakness and decreased mobility.
  • Tennis/golfer’s elbow — Gripping a tennis racket or golf club during a swing can increase muscle strain and cause tendons to get microscopic tears. Inflammation builds over time and causes the tendon to break down.

Proper Equipment Protects Your Joints during Golf and Tennis

Quality footwear can help reduce your risk of joint injury during sports. Golf shoes are typically more rigid than athletic shoes. The grip — provided by a unique sole design or detachable studs crafted from durable materials like hard rubber, plastic or alternative non-metal options — ensures the foot stays secure for an extended period.

Tennis requires different footwear. Because of all the lateral movement of tennis, you need shoes with a high level of support and cushioning. The soles of the shoes are flat to keep the foot stable and prevent ankle rolling and knee injury.

Choosing lighter tennis rackets and golf clubs can help reduce the risk of tennis elbow, wrist tendonitis and rotator cuff tears. Using a bigger racket head can also help by reducing strain on the arm when hitting the ball in the middle of the racket, rather than the edges of the frame.

Gripping too tightly to clubs and rackets can increase vibration load on your arm, so remind yourself to loosen your grip. Reducing string tension can also make a significant difference.

Warm Up and Stretch Before You Begin Playing Sports

Doing simple stretches before exercise will help protect your joints, reduce pain and prevent injury.

Try these easy warm-ups before stepping out on the golf course or tennis court:

  1. Shoulder rolls
  2. Leg swings
  3. Torso twists
  4. Toe touches
  5. Body weight squats
  6. Split stance rotations
  7. Speed swings
  8. Standing calf stretch
  9. Hamstring stretch
  10. Hip flexor stretch
  11. Arm circles
  12. Wrist extensor stretch

It is also essential to take regular breaks during exercise to allow your knee, hip and shoulder joints to rest. You should also be intentional about hydrating your body and wearing SPF protection for your skin.

How to Recover from Overuse Injuries

Rest is the best prescription for recovering from an overuse injury. Avoid activities that cause discomfort and may injure you further. You may need physical therapy to strengthen the affected muscles and regain range of motion.

How Soon Can You Resume Physical Activity after Joint Surgery?

Many people choose joint surgery to help them regain mobility they have lost due to joint deterioration. It is imperative to allow the affected joint adequate time to heal. Jonathan Levy, MD, director of the Levy Shoulder Center at the Paley Orthopedic and Spine Institute in Boca Raton, Florida, led two studies about returning to golf, pickleball and tennis after shoulder surgery. Dr. Levy found it took most patients about six months to play at their former level.

“It’s not an extraordinarily painful recovery,” Dr. Levy said. “If people are taking pain medication, it’s for a very short time. It’s just going through the stages of recovery where you go through healing, stretching and then strength recovery and return to activity.”

Returning to play sports often depends on how much stress you put on the new joint and the type of sport you play. Golf usually causes less strain than activities like pickleball and tennis or biking and skiing.

Make an Appointment with Your Orthopedist Before the End of the Year

If you are suffering from persistent pain caused by overuse, it is advisable to contact either your orthopedist or orthopedic surgeon. You may need physical therapy, medication or a small procedure to alleviate discomfort. You may also be a candidate for total joint replacement.

Procedures like rotator cuff surgery or total knee or total hip replacement surgery may help you regain or improve mobility and allow you to resume the daily activities you previously enjoyed. Following joint replacement surgery, numerous patients report experiencing a notable improvement in their quality of life, as they regain a sense of independence.

Call today to make an appointment before the end of the year. You may want to call your insurance company to ask if you have already met your deductible. Your out-of-pocket costs may be less than you anticipated, so do not delay in scheduling a consultation.

Stool Tests May Require Colonoscopy Follow-Up

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A recent study found that fewer than half of patients who had an abnormal stool-based colon cancer screening test completed a follow-up colonoscopy within six months.

Colon Cancer Screening Tests Vary in Effectiveness and Accuracy

It’s always good to have options when making important decisions. When it comes to testing for colorectal cancer (CRC), you have many choices. There are several types of screenings, from stool tests to colonoscopy. However, some screenings are more thorough and comprehensive than others.

Stool-based screening tests (SBTs) are non-invasive and efficient, but a positive stool test requires a follow-up colonoscopy. A new study published in JAMA Network Open found that 52 percent of patients did not follow through with colon cancer screening recommendations when blood was found in their stool samples.

Study Finds Poor Follow-Through with Positive Stool Test Results

Elizabeth L. Ciemins, PhD, MPH, from the American Medical Group Association in Alexandria, Virginia, led a quality improvement study to analyze whether screening-eligible adults chose to get a follow-up colonoscopy after an abnormal stool test.

Dr. Ceimens and her research team looked at data from 38 healthcare organizations for 20,581 patients aged 50 to 75 years who received abnormal results from a colorectal cancer SBT. They looked at metrics including race, ethnicity, sex and insurance. The team found 47.9 percent had a follow-up colonoscopy within a median follow-up time of 53 days.

The study found follow-up colonoscopy screening rates were highest among White patients, at 49 percent. Rates were lower among Black patients (37.1 percent), Hispanic patients (38.4 percent) and patients with Medicare and Medicaid (49.2 and 39.2 percent, respectively).

“Use of SBTs may increase overall screening rates, but abnormal results must be followed up with a colonoscopy to diagnose CRC — ideally as soon as possible, but definitely within the six months after an abnormal test result,” the research authors wrote.

Advantages of Colonoscopy Over a Stool-Based Test

Stool-based tests offer many advantages in colon cancer screening because patients can perform them at home. SBTs do not require fasting, bowel prep, transportation or sedation, and patients do not need to take time off from work.

However, SBTs, like fecal immunochemical testing (FIT), guaiac-based fecal occult blood test (gFOBT) and multi-target stool DNA (mt-sDNA) tests, detect blood or abnormal chemicals in the stool. They do not identify the source. Patients should follow up with a colonoscopy within six months of a positive SBT. If the stool test is negative, it needs to be repeated in one to three years, depending on the test performed.

Another limitation of SBTs is that they can be inaccurate. One study found that 10 percent of fecal immunochemical tests could not be processed due to patient errors in collecting the specimen.

“We hope to learn more about where the blame lies,” Rasmi Nair, assistant professor in the Peter O’Donnell Jr. School of Public Health at UT Southwestern Medical Center in Dallas, told Healio. “Is it more patient-related? Did the patient not understand the instructions with regards to FIT or was it more system- or provider-related? Although our research is great at identifying the issue, we still are not able to pinpoint the exact problem.”

A visual exam like colonoscopy can detect and even prevent colon cancer because a doctor visually inspects the lining of the colon with a scope and can remove abnormal tissue called precancerous polyps during the exam. A negative colonoscopy often means the patient does not have to repeat the test for another 10 years. Colonoscopy is a smart option for many patients due to its accuracy and less frequent need for repetition compared to other methods.

Tips to Improve Your Colonoscopy Prep and Exam

Are you concerned about getting a colonoscopy? Or perhaps you have recently received an abnormal SBT and you’re wondering if you should schedule a colonoscopy or skip it.

A colonoscopy has never been easier. The new prep solutions are low volume, more palatable and easier to consume. You also only need to take one day off from work. Below are some tips to prepare for a successful colonoscopy.

The day before prep day:

  1. Eat a big breakfast, a light lunch and a snack dinner.
  2. Start a low-fiber diet three days before your colonoscopy.
  3. Start hydrating several days before prep day.

On prep day:

  1. Chill the prep beverage and drink it through a straw.
  2. Chase the prep solution with cold water.
  3. Enjoy all the clear liquids you like, including black coffee, tea, sodas, juices, popsicles, gelatin, hard candy, Italian ice and gummy bears. (Avoid anything with red or blue dye because it may make it more difficult to examine the colon).
  4. Use baby wipes, Vaseline or diaper rash cream to give you relief.
  5. Save your favorite TV show to binge-watch on prep day.

Begin Colon Cancer Screening at Age 45 If You Are at Average Risk

Colon cancer is a leading cause of cancer death in the United States, but one-third of Americans are overdue for a colon cancer screening.

The U.S. Preventive Services Task Force recommends that all adults who are at average risk for colon cancer begin screening at age 45. Individuals with a family history of colorectal cancer, colon polyps, inflammatory bowel disease, Lynch syndrome or Familial Adenomatous Polyposis (FAP) should consider starting screening at a younger age due to their increased risk of developing colon cancer.

Talk to your doctor about when you should begin colon cancer screening. If you experience symptoms like blood in the stool, abdominal pain or cramping, nausea or unexplained weight loss, don’t delay in calling your physician. Most colon cancer is treatable when diagnosed at an early stage, so call today to make an appointment if you are due for a screening.

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A U.S. News & World Report Best Ambulatory Surgery Center!

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Recently, Raleigh Endoscopy Center – Cary was named as one of the Best Ambulatory Surgery Centers nationwide by U.S. News & World Report. The debut ratings of outpatient surgical centers offer patients a data-informed resource when seeking outpatient surgical care.

As an AMSURG affiliated surgery center, we are at the forefront of gastroenterology. AMSURG is a leader in ambulatory surgery center services with 57 of its surgery centers being recognized by U.S. News.

“Every day, AMSURG surgery centers provide worldclass care for patients, making us a leader in multiple outpatient surgery operations,” said Jeff Snodgrass, president and chief executive officer of AMSURG. “U.S. News’ recognizing 57 AMSURG Partners highlights the excellent work accomplished day in and out by our teams across the country. Congratulations to all those named to the Best Ambulatory Surgery Centers list for 2024.”

U.S. News and its partner CareJourney rated nearly 5,000 surgery centers across the country on several criteria, including how successfully they avoided complications, ER visits, unplanned hospitalizations and other undesirable outcomes; patient outcomes; risk-adjustment and more. Ambulatory Surgery Centers were evaluated in four separate specialty areas, including Gastroenterology, Orthopedics and Ophthalmology.

Click here for more information, and for more on the U.S. News Best Ambulatory Surgery Centers ratings, explore Facebook and Instagram using #BestASCs.

A U.S. News & World Report Best Ambulatory Surgery Center!

by

Recently, Mid Atlantic Endoscopy LLC Center 2 – Oregon Pike was named as one of the Best Ambulatory Surgery Centers nationwide by U.S. News & World Report. The debut ratings of outpatient surgical centers offer patients a data-informed resource when seeking outpatient surgical care.

As an AMSURG affiliated surgery center, we are at the forefront of gastroenterology. AMSURG is a leader in ambulatory surgery center services with 57 of its surgery centers being recognized by U.S. News.

“Every day, AMSURG surgery centers provide worldclass care for patients, making us a leader in multiple outpatient surgery operations,” said Jeff Snodgrass, president and chief executive officer of AMSURG. “U.S. News’ recognizing 57 AMSURG Partners highlights the excellent work accomplished day in and out by our teams across the country. Congratulations to all those named to the Best Ambulatory Surgery Centers list for 2024.”

U.S. News and its partner CareJourney rated nearly 5,000 surgery centers across the country on several criteria, including how successfully they avoided complications, ER visits, unplanned hospitalizations and other undesirable outcomes; patient outcomes; risk-adjustment and more. Ambulatory Surgery Centers were evaluated in four separate specialty areas, including Gastroenterology, Orthopedics and Ophthalmology.

Click here for more information, and for more on the U.S. News Best Ambulatory Surgery Centers ratings, explore Facebook and Instagram using #BestASCs.