- Surgery, WellnessGeneral Page Tier 3BlogIf you’re one of the millions of people suffering from chronic back and neck pain, figuring out how to get relief can feel like, well.....a pain in the neck! From lifestyle changes to medications, several approaches can help. But when chronic back and neck pain interferes with your daily life and keeps you from the activities you love, it may be time to talk to your doctor about other options, including surgery. Understanding your options for treatment and working with a specialist who will build a treatment plan just for you can make the process less overwhelming. Understanding causes of chronic back and neck pain The CDC says nearly 40 percent of U.S. adults report having back pain. Neck pain impacts fewer people but is still common, affecting 15 percent of the population. Pain can range from dull and constant to sharp and sudden, and typically, lifestyle changes and traditional therapies help. However, chronic back and neck pain — which lasts for months or even years — is usually caused by a specific event like an accident or fall, or changes in the spine due to age or a medical condition, and often requires surgery. The right treatment for you depends on the cause of your pain. Your doctor will conduct a full examination, including diagnostic tests like X-rays and scans, to better pinpoint the source of your pain, so they can best treat it. Lifestyle changes In some cases, you can improve back and neck pain with lifestyle changes, such as: Eating an anti-inflammatory diet that includes calcium and vitamin D for strong bones Maintaining a healthy body weight to reduce stress and strain on your neck and spine Practicing good posture when sitting or standing Sleeping on your side with a pillow between your knees Staying active with regular exercise to increase strength and balance Wearing comfortable shoes with a low heel If pain limits your daily activities, a physical or occupational therapist can help you learn how to move safely. And while bed rest may seem like a good idea when you don’t feel your best, it’s important to note that it can make back and neck pain worse. Traditional and complementary approaches Your doctor may recommend additional back and neck pain treatment, including over-the-counter pain relievers, anti-inflammatory drugs, pain medications or muscle relaxers. In addition to traditional treatments, you may also benefit from complementary approaches such as tai chi and yoga. Surgery If you’ve tried everything else and are still in pain, surgery may provide relief. Surgical approaches to relieve neck and back pain range from minimally invasive to more complex open surgeries, and include: Fusing portions of the spine Removing bone spurs of the vertebrae of your spine Removing part of a herniated disc to relieve pressure Replacing damaged discs Stimulating the spinal cord Widening areas of the spine to relieve pressure on nerves Before surgery, one of our neurosurgeons will give you a thorough evaluation to make sure you’re a good candidate. They’ll review your medical history, the cause of your pain, your symptoms and your level of support after surgery. Your doctor will review the risks and benefits of the procedure with you so you can make an informed choice. Each surgery is tailored to the individual and their lifestyle and activity goals. Expert care for your chronic pain is within reach If you haven’t been able to find relief from chronic back or neck pain, reach out to Luminis Health Neurosurgery today. We’re ready to help you find relief from your pain and get you back to feeling your best. Authors Dr. Christopher Taleghani is internationally recognized as a leading minimally invasive surgeon specializing in complex spine and brain conditions. At Luminis Health, Dr. Taleghani treats disorders of the brain, nervous system, and spinal nerves.0
- Cancer CareGeneral Page Tier 3BlogAccording to the American Cancer Society, prostate cancer is the second most common cancer in American men, with about one in eight men diagnosed with it in his lifetime. It may be time to schedule a prostate cancer screening if you: Are 50 years old or older Are 45 years old or older, African-American, or have a family history of prostate cancer Screening may involve a blood test called a Prostate-Specific Antigen (PSA) and a digital rectal exam to feel the prostate for abnormalities. You and your health care provider should decide together if prostate screening is right for you. If you have received a prostate cancer diagnosis, the good news is that, now more than ever, there are multiple treatment approaches for prostate cancer. The National Comprehensive Cancer Network recommends a number of treatment approaches. These range from active surveillance for lower-risk prostate cancer, to a combination of surgery and/or radiation therapy and/or systemic therapy for higher risk prostate cancer. Large studies have shown equal cure rates between these different options, depending on the situation. Your prostate cancer providers will talk to you about the risks and benefits of each option. Here are some basics about the major approaches. Active Surveillance Active surveillance (AS) means getting PSA testing and physical exams with your urologist. It is a way of keeping a close eye on your prostate cancer without actually treating it. This can be an excellent option, especially for men with lower-risk prostate cancer. About half-of men who choose this option are able to avoid treatment down the line. Ask your prostate cancer providers if AS is a good option for you. Surgery Surgery is done by your urologist, and is an excellent option especially in younger, healthy men. It typically involves removing the entire prostate, and is the only way to see what the true extent of cancer is inside the prostate. Today, the robotic assisted prostatectomy allows surgeons enhanced vision, control and precision and translates to less pain, shorter hospital stays and faster recovery. Speak to your urologist about the possible side effects of surgery and recovery. Radiation Therapy Radiation therapy (RT) is another excellent treatment option. It is non-invasive, and typically uses high-energy X-rays targeting the prostate, and sometimes additional areas around it. It is typically given daily, Monday through Friday. There are many different RT regimens, ranging from just five treatments to 44 treatments, for a wide variety of different clinical situations. You meet with your doctor every week while you are on treatment to review any side effects and to help manage them. RT is extremely well-tolerated in the vast majority of men, and serious long term complications are rare. Speak to your radiation oncologist about the possible side effects of RT and recovery. Systemic Therapy Systemic therapy is treatment that goes throughout the whole body, and can be important to reduce the chances of prostate cancer spreading outside of the prostate, especially to the bones. It is often an option in men with higher risk prostate cancer. It is typically given in the form of androgen deprivation therapy (ADT), sometimes called “hormonal therapy”. This therapy comes in different forms, and decreases your testosterone levels, which actually helps prevent the prostate cancer from spreading. In recent years, certain types of ADT have shown newly-discovered benefits, especially in men with high-risk prostate cancer. It can be given over a period of 4 months, up to even three years, depending on the clinical situation. Ask your prostate cancer providers if ADT can benefit you. Making your decision So, what treatment might be the best for you? It can be a complicated decision. Your doctors will help you weigh the risks and benefits of these different approaches to prostate cancer to help you decide which is best for you. If you or a loved one have received a prostate cancer diagnosis, the cancer specialists at Luminis Health are available to meet with you to discuss treatment options. Call us at 443-481-5800 to schedule a consult. Authors Antony Koroulakis, MD, is a board-certified radiation oncologist at Luminis Health.0
- Women's HealthGeneral Page Tier 3BlogLast summer, Brandy Brooks, 39, was on a family vacation with her boyfriend and two children. Grabbing some ice cream to enjoy the cold treat in the hot weather, Brandy was having a great time. It wasn’t until she started laughing that she noticed something was off and had to urgently use the restroom. On their way back to the resort where they were staying, again she noticed something was wrong. But this time, she wasn’t able to hold it. Walking into the resort, she did it again. “Every time I would laugh or sneeze, I would pee myself,” Brandy recalls. “It was embarrassing.” Everything started in 2005, when Brandy had her first child. Like many women, Brandy experienced urine leakage during her pregnancy. But she continued to experience similar symptoms after giving birth to her daughter. “It was still a problem, but not huge,” Brandy says. “I didn’t have to wear protective garments so I didn’t pay much attention.” In 2013, Brandy had her second child. After having her son, she says things got worse. “It got progressively bad, to the point I had to wear adult protection all the time,” Brandy says. “Sometimes, I would wear two types at the same time. I was also having bad menstrual cycles.” Brandy remembers talking to a colleague about her concerns. Her colleague mentioned to schedule an appointment with the doctor that had helped her. Brandy was experiencing the symptoms of a pelvic floor disorder (PFD), a common problem many women experience, especially after giving birth. Almost one-quarter of women have pelvic floor disorders, according to a study funded by the National Institutes of Health. The study revealed that pelvic floor disorders affect about 10 percent of women ages 20 to 39; 27 percent of women ages 40 to 59; 37 percent of women ages 60 to 79; and nearly half of women age 80 or older. “I was having more leakage over time and I decided to have a procedure to correct some of my symptoms,” says Brandy. Understanding pelvic floor health “The problem for women not knowing about pelvic health disorders is that they walk around with symptoms that they think are normal,” says Kay Hoskey, MD, urogynecologist with AAMC Women’s Center for Pelvic Health. “Most of the time, if women leak a little bit or feel different during intercourse, they write it off as normal. These are not always normal symptoms and if this is something women don’t want to deal with, there’s help.” When Brandy came to AAMC Women’s Center for Pelvic Health, her complaint was having everyday issues with urinary incontinence. “We explored her history and did some diagnostic studies,” Dr. Hoskey says. Brandy had experienced symptoms for 11 years, while the average time that a woman takes to present with pelvic floor disorders is about seven years. “I would encourage women to not ignore the symptoms for that long,” Dr. Hoskey says. “You don’t have to deny, dismiss or disguise symptoms like these, there are options that can help women deal with PFDs.” At AAMC Women’s Center for Pelvic Health, the practice primarily focuses on bowel issues, urinary issues and pelvic organ prolapse, among other areas. Taking a holistic approach, the practice offers a variety of treatments, including dietary recommendations, exercise, biofeedback, massage and surgery when necessary. Brandy required robotic surgery, an option that allowed her to heal faster with less pain and scarring. “She didn’t want to use the restroom as often and she didn’t want to have heavy periods,” Dr. Hoskey says. “She wanted to get back to her normal activities, like being able to play with her kids without having any concerns.” Regaining a carefree life Two weeks after surgery, Brandy went out with her boyfriend to the store. Joking around, Brandy started laughing. “I laughed and laughed and realized I wasn’t rushing to the restroom,” Brandy says. “I told my boyfriend and started to cry because I was able to laugh without any worries.” Brandy also noticed other big changes, such as not experiencing heavy, painful periods. For her, this was a new opportunity to regain a carefree life. After years of experiencing incontinence and worrying about leaving her house and having to take protection with her, she no longer has to think about where the nearest restroom is or if she will have an embarrassing moment in public. A full-time mom and employee gearing up to get her nursing degree, Brandy encourages other women to not be embarrassed and pay attention to their health. “I feel like a young woman whose bladder is working the way it is supposed to,” Brandy says. “Don’t be afraid to seek the treatment for it or worry about what others will say, you really need to worry about yourself and take care of yourself first.” If you’re experiencing discomfort or pain due to a pelvic condition, visit AAMC Women’s Center for Pelvic Health website and schedule a consultation.0
- Plastic Surgery & Skin CareGeneral Page Tier 3BlogProtecting your skin from the sun with the right sunscreen is crucial. But picking the right sunscreen can be daunting. Knowing the basics before shopping can streamline your decision-making process, and hopefully prevent cancer. Why sunscreen matters One in five people will develop skin cancer in their lifetime — it is the most common cancer in the United States, and the most preventable. Your best defense is protecting your skin from the sun’s damaging UV rays. That’s why the American Cancer Society recommends a broad-spectrum sunscreen with SPF 30 or higher when outdoors. Broad-spectrum sunscreens The sun emits two types of rays: UVA and UVB, both capable of damaging the skin. UVB rays are responsible for sunburns and most skin cancers, directly damaging DNA in skin cells, prompting rapid growth and tumor formation. In contrast, UVA rays accelerate skin cell aging, leading to long-term issues like wrinkles and rough skin. They can also indirectly harm skin cell DNA, contributing to certain skin cancers. A sunscreen labeled “broad-spectrum” is proven to shield the skin from both UVA and UVA rays. Why use an SPF 30 or higher sunscreen? SPF stands for sun protection factor—the sunscreen’s protection level against UVB rays. The higher the SPF number, the more protection you get. Here’s how SPF works: When using an SPF 30 sunscreen on your skin, for every 30 minutes you spend in the sun, you only get equal to 1 minute of UVB rays. Here’s how much UVB rays each SPF filters: SPF 15 filters out about 93% SPF 30 filters out about 97% SPF 50 filters about 98% SPF 100 filters about 99% SPF below 15 shields against sunburn but not against sun damage or cancer.. No sunscreen can filter or block all UV rays or protect you completely. Chemical and mineral sunscreens: pros and cons Sunscreens use either chemical or mineral ingredients, or a combination, to filter or block UV rays. Chemical sunscreens use various chemical ingredients, including avobenzone, homosalate, and oxybenzone, to absorb UV rays before they can damage your skin. Pros: They are invisible once absorbed into your skin and feel comfortable. Cons: They can irritate sensitive skin, but need time to absorb before working. Mineral-based sunscreens contain titanium dioxide and zinc oxide, creating a barrier on your skin’s surface that reflects UV rays. Pros: These work right away. They are safe for sensitive skin and are considered safe for coral reefs and marine life. Cons: They can feel thick or greasy and may leave a white residue on your skin, especially on darker skin. What about water-resistant and tinted sunscreens? Sunscreens can’t claim to be waterproof, they can only claim to be “water resistant” for 40 or 80 minutes. If you sweat a lot or spend time in the water, you may want to use water-resistant sunscreen. Similarly, tinted sunscreens offers additional protection against visible light, benefiting individuals with hyperpigmentation disorders, commonly impacting. How to apply sunscreen Sunscreen only works if you use it correctly Maximize its effectiveness with these tips: Apply sunscreen at least 20 minutes before sun exposure. Use enough to cover exposed skin (if you can see light through your clothing, UV rays can reach that skin, too). Most adults must use one ounce of sunscreen, a shot glass, or a palm full Don’t forget your ears, both sides of your feet, and the back of your neck Reapply at least every two hours Apply again after swimming, sweating, or towel drying One last tip- there’s no difference between baby and adult sunscreen. Both are safe to use. However, sunscreen is not recommended for babies under 6 months. If you have questions about your skin health, please contact Luminis Health Plastic Surgery for a consultation. Our experts can work with you to improve sun damage and protect your skin for years to come. Author Telisha Johnson, NP, is a plastic surgery nurse practitioner at Luminis Health.0
- General Page Tier 3BlogNow more than ever, it’s important to do everything you can to stay healthy. And you may have wondered if there are ways to boost your immune system. There’s still much research to be done on the link between your nutrition and lifestyle choices, and your immune system. But here’s what we know now. Your Nutrition Choices You’ve probably seen supplements at the grocery store that claim to support your immune system. But remember this – nutrients work together, so having too much of one nutrient might undermine how effective another one is. Also, unless you are malnourished or have a disease affecting how you absorb nutrients, there’s no evidence that suggests adding extra supplements beyond what you already eat will help. Instead, stick to a healthy diet with a balanced amount of protein, vitamins and other minerals and nutrients. Protein. The body uses protein to build and repair tissues, plus make hormones and enzymes that promote the body’s daily functions. You can get protein from meats, fish, beans, cheeses, eggs, peanut butter, nuts and dairy products. Vitamin A. This fat-soluble vitamin also supports vision, reproduction and healthy organ function. You can get vitamin A from poultry, fish, potatoes, leafy green vegetables and non-citrus fruits. Vitamin C. This water-soluble vitamin supports wound healing and acts as an antioxidant to protect cells. You can get vitamin C from citrus fruits, tomato juice, broccoli, strawberries and cantaloupes. Folate and folic acid. These help create and repair cell’s DNA in your body. Folate and folic acid are in leafy green vegetables, beans, peas, Brussels sprouts and fortified cereals. Selenium. This is a mineral that also supports thyroid gland function and DNA production. You can find it in seafood, poultry, eggs, dairy, meat and whole grains. Zinc. This nutrient supports cell creation and wound healing. Vitamins E, D, B6 and iron could also help support your immune system. Your Lifestyle Choices Your lifestyle can also play a role in how often you get sick. Here are some things you should do to help keep your immune system in top shape. Sleep. You need sleep to rest and recharge. Without it, you increase your risk for developing serious health problems, such as Alzheimer’s disease, obesity and heart disease. Exercise. Exercise is an essential part of a healthy lifestyle. It improves your cardiovascular health, controls your weight, lowers your blood pressure, reduces your risk of many cancer types and protects you from a variety of other diseases. Exercise also promotes good circulation, which allows cells and substances to move through the body and do their job most effective. That helps your immune system. Quit smoking. Smoking increases your risk of infections such as pneumonia and flu. Studies show you could also be at greater risk of developing a severe case of COVID-19 if you smoke or vape. Lower your stress. This year has been full of uncertainty. But it’s still important for you to take care of yourself, because your immune system can weaken when you’re stressed out. Focus on what you can control, instead of what you can’t. There is no magic food or nutrient that can stop you from getting sick. But a balanced diet will help support your immune system – which will help your body fight off infections and diseases. Butternut Squash and Kale Soup This hearty soup is full of vitamins A, C and B6. Ingredients 1 large sweet onion, cut into wedges 4 cups of cubed butternut squash (cut into 3/ 4 inch cubes) 1 tablespoon of olive oil Fresh ground black pepper to taste 1 teaspoon of dried thyme 1 14.5-oz. can of low sodium chicken broth 3/ 4 cup of water 3 cups of chopped kale Directions Preheat oven to 425 degrees Fahrenheit. Line a large baking pan with aluminum foil and spread onion and squash over foil in a single layer. Drizzle vegetables with olive oil and toss lightly to coat; then season with pepper and thyme. Place in oven and bake for 30-35 minutes, or until vegetables are cooked through and starting to brown. Note: take vegetables out at least one during cooking to stir. Combine roasted vegetables, chicken broth and water in a large saucepan and use an immersion blender to blend ingredients together until smooth. If you don’t have an immersion blender to make this soup, you can use a regular blender to blend the vegetables and the liquid together. Heat blended soup over medium heat until heated through, then stir in kale and cook until wilted, about three minutes. Recipe courtesy of the Diabetes Food Hub. Author Ann Caldwell is a nutritionist and registered dietitian at Anne Arundel Medical Center. To reach her, call 443-481-5555.0
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