Surgery, Wellness
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Managing Chronic Back and Neck Pain
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If 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.
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Men's Health, Senior Care, Women's Health, Uncategorized
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The Conversation Project: Sharing your wishes for end-of-life care
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Can we talk for a minute? When you hear this question, you wonder, what is this going to be about? You might fear the worst. But one conversation about a very important, albeit uncomfortable, subject can make all the difference. I’m talking about sharing your wishes for end-of-life care.
I’ve been a registered nurse for 31 years. I’ve coached other families on the importance of having end-of-life discussions as a trained facilitator for The Conversation Project, a national campaign dedicated to helping people talk about their wishes for end-of-life care. An experience in my own family served as my wakeup call for why talking matters.
My aunt went to the hospital for what we thought was a quick visit for a chronic condition. We didn’t know she wouldn’t return home. She suffered a massive stroke. She was unable to move her right arm or leg or even speak. Without a medical power of attorney or living will, her husband automatically became the decision maker. Facing the greatest grief of his life, he now had some difficult choices. He turned to me for help and, together, we blindly did the best we could. We made decisions based on what we thought my aunt would have wanted.
Too often people die in a way they wouldn’t choose, leaving loved ones feeling guilty and uncertain. According to The Conversation Project National Survey, 90 percent of people say talking with their loved ones about end-of-life care is important. Yet only 27 percent of people have actually done so.
We may find ourselves having the conversation about end-of-life wishes over our loved ones’ hospital beds. Let’s not save this important conversation until there is a medical crisis.
How do I start?
This topic often triggers fear in loved ones that something is wrong. Break the ice by immediately deflecting from the worst. You might start with, “Even though I’m okay right now, I want to be prepared.” Or, “I need to think about the future. Will you help me?”
When’s a good time?
Timing can be an essential element to having the conversation. Initiate the conversation when your family is together, perhaps during a holiday or family event. Also use life’s milestones, such as a birthday or graduation, to spark the conversation.
What to talk about?
Here are just a few things you should consider discussing:
Who would you like to make decisions on your behalf?
What affairs (finances, property, relationships, etc.) do you need to get in order, or talk to your family about?
Where do you want, or not want, to receive care?
What kinds of treatment (resuscitation, breathing support, feeding tube, etc.) do you want or not want?
Your first conversation should be the first of many. Remember, you don’t have to cover everyone or everything at once. Learn more about The Conversation Project and use these free tools to help you start talking to your loved ones.
Author
Ann Marie Holland, MSN, RN, CNOR, FNE-A, NPD-BC, is a clinical education specialist at Luminis Health Anne Arundel Medical Center.
Originally published Nov. 14, 2017. Last updated April 15, 2021.
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News & Press Releases
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Gilchrist Signs Joint Venture with Luminis Health
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Luminis Health Gilchrist Lifecare Institute will enhance elder care services in Anne Arundel County
Gilchrist, Maryland’s largest nonprofit leader in serious illness and end-of-life care, today announced a joint venture with Luminis Health to form Luminis Health Gilchrist Lifecare Institute. The joint venture will enhance comprehensive geriatric care services in Anne Arundel County.
The Luminis Health Gilchrist Lifecare Institute will provide an integrative continuum of care for the elderly across multiple settings, including hospitals, doctors’ offices, long-term care facilities and at home. These services will help address the complex medical, emotional and social needs specific to the elderly.
The joint venture expands on Luminis Health Anne Arundel Medical Center and Gilchrist’s existing partnership for hospital-based palliative care services. In-hospital hospice care will also be available at Anne Arundel Medical Center. The Luminis Health Gilchrist Lifecare Institute will provide services in Anne Arundel County, with plans to expand to Prince George’s County through Luminis Health Doctors Community Medical Center in the future.
“Gilchrist is pleased to partner with a nationally recognized regional health system to provide comprehensive, patient-centered care to those with serious illness, whenever and wherever they need it,” said Catherine Y. Hamel, president of Gilchrist. “Luminis Health shares our commitment to serving patients throughout all stages of life.”
“Our partnership with Gilchrist is a natural evolution of our nationally recognized Institute for Healthy Aging to provide expansive care and services to our older adult population and their families,” said Mitch Schwartz, president of Luminis Health Clinical Enterprise. “It’s about providing the right care, at the right time and the right place, and this new partnership will ensure that elderly health care is seamless. We are pleased to have the expertise of Gilchrist in hospital-based palliative care and, now, geriatric care and hospice services beyond our hospital walls into the communities and homes of the people we serve.”
By 2034, older adults (65 and over) are expected to outnumber children for the first time in U.S. history. Maryland will experience a projected 136 percent increase of individuals aged 80 to 84, between 2005 and 2040. Sixty-three percent of individuals 60 and over live in Anne Arundel, Baltimore, Montgomery and Prince George’s Counties. The Luminis Health Gilchrist Lifecare Institute aims to better meet the needs of this elderly population and improve their quality of life while reducing costly, unnecessary hospitalizations.
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Men's Health
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The 4 regular health screenings men should have
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Do you know a man who is reluctant to go to the doctor for a routine checkup?
Maybe you are that man who avoids seeking medical treatment unless it’s an emergency.
Many studies show that men are less likely than women to seek help for medical problems – including physical and emotional health issues. It could be because they are afraid to seem weak, or because they want to stay independent and in control.
But this means men may be missing opportunities to deal with minor health issues before they become major problems. Routine checkups and screenings are necessary for staying healthy.
The U.S. Preventive Service Task Force encourages men to have the following regular health screenings.
High cholesterol. Beginning at age 35, men should get their cholesterol checked at a minimum of every five years. Men younger than age 35 could benefit from cholesterol testing if they smoke, have high blood pressure or diabetes, or have a family history of heart disease.
High blood pressure. All men should get their blood pressure checked at least every two years, or more often if recommended by a healthcare provider.
Both high cholesterol and high blood pressure are silent diseases, meaning symptoms may not always be obvious.
Diabetes. Men should schedule a blood glucose test for diabetes if they have raised cholesterol or high blood pressure. They should also have this test if they notice signs of diabetes, such as frequent thirst and urination, extreme tiredness and blurred vision. Healthy men should get screened every three years starting at age 45.
Colorectal cancer. Screenings should begin at age 50, or earlier if there is a personal or family history of colorectal polyps or a family history of colorectal cancer.
Cancer screenings
READ MORE: Cancer Care and Coronavirus: Taking Care of Our Patients Now and Into the Future
The American Cancer Society also recommends the following screenings for men:
Prostate cancer. Starting at age 50, men should talk to their doctor about prostate cancer testing. Men at high risk, including African-American men and those with a family history of the disease, should talk to their doctor at age 40 or 45.
Lung cancer. Men ages 55 to 74 who are or were heavy smokers should talk to a doctor about whether a low-dose CT scan to screen for lung cancer is right for them.
Skin cancer. Men should keep an eye on all moles and spots on their skin, and report changes to a doctor immediately.
You should speak with your healthcare provider about the right method of screening for you.
Author
By Tim Romanoski, MD, a physician at AAMG Centreville Family Medicine. To reach him, call 410-758-3303.
Originally published June 13, 2017. Last updated June 16, 2020.
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Pediatrics
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Playground Safety: Five Tips for Preventing Injuries
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Now that warmer weather is here, hitting the playground with your child may be top on your list of fun activities. Before you do, read our tips on how to prevent falls and other injuries on the playground.
Check Playground Surfaces
It’s easy for injuries to occur on playgrounds. Make sure the surface of the playground is soft. Some examples are surfaces that are matted or filled with wood chips or sand. These surfaces will lessen the severity of cuts and bruises that may occur during play.
Supervise During Play
A playground is a very exciting place for your child. They may want to explore every piece of equipment in their path. Let them explore; just make sure they are using age-appropriate equipment. Avoid playground equipment that is too high for their size or that they are not familiar with using.
Carefully monitor children when they use monkey bars, swings and climbing equipment. A fall from one of these can lead to a concussion. Every day, medical staff treat approximately 8,000 children in U.S. emergency rooms for fall-related injuries, according to the Centers for Disease Control and Prevention.
Limit Sun Exposure During Peak Hours
Try to avoid going to unshaded playgrounds at peak-sun exposure hours, 10 am to 2 pm. This will prevent heat-related illnesses and skin burns due to hot playground equipment. Instead, find a shaded playground or go to the playground outside of peak hours. Staying in the shade and wearing sunscreen, hats and sunglasses can all help provide some sun protection. On warm days, make sure you have drinking water available for your child.
Lookout for Hazards
Keep your eye out for rusted or broken equipment and dangerous surfaces on playgrounds. They can cause cuts if children accidentally run into them. Also, tree stumps and uneven surfaces can be trip hazards.
Practice Sliding Board Safety
Traveling down the slide with a toddler on your lap may cause a leg fracture. This usually occurs if the child’s foot gets stuck on the surface of the slide as you slide together. Consider letting your child slide alone or making sure their feet don’t touch the slide if you go down together.
Author
Kristen Breslin, MD, MPH, is the medical director of the Children’s National Emergency Department at Luminis Health Doctors Community Medical Center.
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