Men's Health, Senior Care, Women's Health
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Understanding Carpal Tunnel Syndrome
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Carpal tunnel syndrome is a common condition that causes tingling, numbness and pain in the wrists and hands. With more than three million new cases every year in the U.S., typing and overuse of the hands are often associated with carpal tunnel syndrome. However, many studies now suggest these are not causes, and genetics are actually believed to play a major role in determining who gets carpal tunnel syndrome. Orthopedic Surgeon Alex Shushan, MD explains the truth about carpal tunnel syndrome.
What causes carpal tunnel syndrome?
The carpal tunnel is a small space in your wrist. Nerves and tendons run through this space from your forearm to your hand. Anything that decreases the space available for the nerve may cause carpal tunnel syndrome. This may include:
Pregnancy.
Thyroid issues.
Arthritis.
Diabetes.
Many cases are “idiopathic,” which means we can’t determine the underlying cause. In these cases, genetics may play a significant role.
What are the symptoms?
Symptoms include pain, numbness or tingling in your hands or wrists. Most patients experience this first at night, waking up with tingling in the hand that can be “shaken off.” This can progress to daytime numbness and tingling. As the symptoms worsen, patients may have trouble manipulating small objects, such as buttons on a shirt. Symptoms may occur in one or both hands.
Who is most at risk?
People between age 40 and 60 are especially at risk for carpal tunnel. Women are three times more likely to develop the condition.
What about treatment?
Splints at night are often prescribed.
If this does not help, a nerve study is frequently performed to determine the severity of nerve compression. Those who don’t improve after conservative treatments may be candidates for surgery. Surgery is very effective, with more than 500,000 operations performed each year in the U.S. Ninety-eight percent of patients report they have a “good to excellent” result with surgical carpal tunnel release.
Learn how carpal tunnel release surgery provided relief for this local cashier.
Contributor
Alex Shushan, MD, is an orthopedic surgeon specializing in hand and upper extremity surgery at AAMG Orthopedic and Sports Medicine Specialists.
Employee Spotlight
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Employee spotlight: Akela Harris
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For Akela Harris, work is not just “a job” – it’s what she looks forward to every time she comes in to AAMC’s Neuro Care Unit. And sometimes, it’s a safe haven from her packed schedule.“When I’m going to work I always tell my children that I’m going to my happy place because it’s the busy that gets me away from my other busy,” she laughs.
A single mother of three, Akela is a full-time mother and granddaughter during the day and a full-time patient technician at night. “I work three nights a week and go to school four days a week all for my children, as well as looking after my grandmother by taking her to doctor appointments,” she says.
Akela embarked on her health care journey 13 years ago when she was working as a kitchen chef assistant at Ginger Cove. She says she didn’t find her passion – her passion found her.
“Ginger Cove was offering certified nursing assistant classes and my boss at the time encouraged me to take them,” she says. “She told me I paid a lot of attention to people and she knew the kitchen wasn’t what I loved. I took the classes and it went from there.”
Getting to interact with people during their time of need was what attracted Akela to health care. Though sometimes it’s rough, she finds meaning in her work.
“You really have to love it,” she says. “Sometimes patients don’t feel well and say things that hurt. This job can be stressful. But for me, sometimes you go into a person’s room and they make you feel like you’re appreciated and that one person can make up for the other five that aren’t treating you as kindly. It takes just one person saying they appreciate what I do or thanking me for helping them. To me, that’s enough.”
For Akela, it’s also about the team she works with. Though it’s a small team, they are like a family and look after each other.
“I have people here to support me through the ups and downs,” she says. “We can be having a horrible night and someone says something and we all burst out laughing. I love that, you don’t get that everywhere.”
Currently working to become a surgical technologist by December 2018, Akela says she looks forward to a new challenge and learning new skills. Her only condition: continuing to interact with patients.
“When you do what you love it doesn’t feel like you’re trying, you’re just going to do it because it’s what you love doing anyway,” she says. “It’s effortless.”
PRO TIP: “Never give up no matter how hard it gets. If it’s something that you feel in your heart that you’re supposed to do and you want to do, don’t give up. Don’t allow one or two days to make you give up on your dream. If you have a dream and that’s what you want to do, give it your all and do it with a passion.”
*Akela Harris received an AAMC Champion award for the month of May.
If you know a great individual or a fantastic team going above and beyond to make a difference, make sure to let us know!
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Men's Health, Orthopedics, Women's Health, Uncategorized
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6 Steps for Living Well With Osteoarthritis Pain
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Living with arthritis can be distracting and difficult—quite literally a pain. More than 50 million people in the United States have some form of arthritis, with osteoarthritis, the most common form of arthritis, found in nearly 27 million.
While the risk for developing osteoarthritis increases with age, there can be other contributing factors, such as:
Previous joint injury;
Certain infections in the joint;
Occupations that involve a lot of squatting and bending of the knee; and
Obesity.
Here are six steps you can take that can make the difference between coping and living well with the pain from osteoarthritis:
Maintain a Healthy Weight
Did you know for every pound you lose, you take three pounds of force off your joints? Ease your pain by maintaining a healthy weight. Plus, excess weight can speed the progression of knee osteoarthritis.
Adjust Your Diet
In some cases your diet can help with inflammation that can cause joint pain. There are foods, like those with omega-3 fatty acids that can be beneficial. Also, cutting back on fried and processed foods can help reduce inflammation.
Get Ample Sleep, But Watch the Naps
If you’re having trouble sleeping, cutting caffeine and alcohol can help, too. Lack of sleep is a vicious cycle where pain keeps you awake and then sleeplessness leads to more fatigue and pain. Avoid naps and cut electronics before bed to help ensure a more restful night’s sleep.
Stay Active
Good nutrition, ample sleep and regular exercise are key to helping you live well with joint pain. You’ll be inclined to stop being active, but you must resist. Regular exercise helps maintain joint function while relieving stiffness and fatigue. Strong muscles help support your joints. Work with your doctor to determine the best exercise for your lifestyle and needs. Walking, swimming, yoga or resistance training are often good places to start.
Know What Doesn’t Work
Don’t be fooled by claims not backed by science. Two of the more common ones I hear from patients are that taking glucosamine or wearing a copper bracelet helps with joint pain. Neither has been shown effective for treating arthritis pain, so please save your money.
Partner With Your Doctor
Living well with pain isn’t easy, but it helps to have your doctor as your partner. Your doctor can help you diagnose the cause of the pain and develop strategies to improve your mobility. Often your doctor will start with conservative treatments, such as prescribing anti-inflammatories, cortisone injections, braces, or physical therapy. If you don’t respond to those treatments, your doctor can connect you with the latest advances in joint care.
Author
By Justin Hoover, MD, orthopedic surgeon at AAMC Orthopedics. To reach his practice, call 410-268-8862.
Originally published March 2015. Last updated August 2018.
Men's Health, Orthopedics, Women's Health
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Stop the Aching: Treatment and Prevention of Lower Back Pain
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Do you suffer from back pain? Well, you’re not alone. About 90 percent of the population will experience lower back pain at some point. Symptoms can vary by cause, severity and duration, which can make treating back pain difficult. Symptoms of lower back pain can come on quickly, often unexpected. Back pain can interfere with sleep, work or even completing simple tasks like putting on your socks and shoes.
Fortunately, in many cases back pain is due to a non-worrisome cause, even though the pain can feel intense and severe at times. Patients are often surprised to learn their pain could be due to a simple muscle strain or spasm, connective tissue inflammation, arthritis, or normal wear and tear of the structures in the spine.
Even more surprising, it’s often difficult for doctors to identify the exact cause of pain. An X-ray and even an MRI can appear relatively normal despite severe pain, further clouding doctors’ understanding of back pain.
If you experience back pain, don’t panic. Most episodes of low back pain will resolve within a few days, and 50 percent of people fully recover within two weeks. Here are some helpful tips to manage your symptoms:
Keep moving. Staying in bed for more than 24 hours only prolongs your back pain. Walking and other low-impact movements can help your pain. While it may seem counter-intuitive, the more you move the better your back will feel. Just remember to not carry heavy objects, and lift everything with your legs, not your back.
Use ice and heat over the site of your pain. Try alternating ice packs or heating pads—20 minutes at a time—to help reduce spasms and inflammation.
Over-the-counter medications, such as ibuprofen and naproxen, are more effective than acetaminophen. These non-steroidal anti-inflammatory drugs (NSAIDs) help reduce inflammation and relieve pain. Check with your doctor to make sure these medications are safe for you to take.
If you’re not yet experiencing back pain now, there are a few things you can do to help prevent it in the future:
Maintain a regular exercise schedule. Patients with a sedentary life style are at higher risk for back pain. Strengthening your core muscle groups—your back, stomach, glutes and thigh muscles—will help support the mechanical structures in your lower back and reduce your chances of having pain.
Maintain a healthy body weight. Excess weight puts additional stress on your back.
Avoid smoking and nicotine products. The chemicals from smoking and nicotine products constrict the tiny blood vessels that bring nutrients to the mechanical structures in your lower back. This can wear on the discs in your lower back and prevent healing after an injury.
Avoid prolonged sitting at work. If you have a desk job, stand up and move around every 30 to 60 minutes.
Author
By Chad Patton, MD, medical director of Anne Arundel Medical Center’s Center for Spine Surgery and spine surgeon at AAMC Orthopedics. To reach his office, call 410-268-8862.
Originally published May 2016. Last updated August 2018.
Orthopedics
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How to Prevent Back Pain From Household Chores
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If you’re a homeowner, it may seem as if your list of yard work never ends. Mowing, weeding, raking leaves and gardening are only a few of the common yard chores that take up both time and energy. But did you know your back and spine could be in danger of injury due to the high demands these chores put on your body?
Here are some tips to help prevent back pain when you’re taking care of your yard:
General Lifting Tips to Prevent Back Pain
Squat or kneel when lifting light or heavy objects. Pull the object close to your body and then lift. The power should come from your legs, not your back.
Maintain proper posture with a straight back by tightening your stomach muscles without holding your breath.
Use smooth, not jerky, movements.
Push instead of pull when possible.
Leaf Raking Tips
Use power from your arms and legs to pull the rake, not from your low back.
Consider using a leaf vacuum or mowing your leaves instead of raking and sending them to the dump. Leaves are great free mulch for your winter garden and yard, or an excellent addition to your garden soil. Not only will you help save your back, but you’ll help the environment too.
Squat or kneel on a foam knee pad to bag leaves. This will help you maintain good posture by keeping your back straight instead of bending at the waist.
Don’t hold your breath when raking or lifting bags, inhale and exhale normally.
Change position so you’re not always raking using one side of your body.
Gardening Tips
Kneel with a straight back and tight stomach muscles, while continuing to breathe normally.
Move your body close to where you are weeding instead of reaching too far in front.
Keep your body lined up straight with your work area to avoid twisting and pulling.
Physical therapy can help with a wide range of injuries, increasing your mobility and decreasing your pain. Learn more about the techniques and services we offer at Luminis Health.