Month: June 2024

Polycystic ovary syndrome (PCOS) is a common hormonal disorder affecting women of reproductive age. It is characterized by a combination of symptoms that can significantly impact a woman’s health and well-being, including her fertility.

While PCOS can present challenges, understanding the condition and its implications is the first step toward effective management and achieving desired family planning goals.

What Is PCOS?

PCOS is a complex hormonal disorder that affects the ovaries, leading to an imbalance of reproductive hormones. The exact cause of PCOS remains unknown, but it is believed to involve a combination of genetic and environmental factors.

The Three Key Features of PCOS

To be diagnosed with PCOS, a woman typically exhibits at least two of the following three features:

1. Irregular Periods:Women with PCOS often experience irregular menstrual cycles, with fewer than eight periods per year, or prolonged cycles lasting more than 35 days. This irregularity is due to a lack of ovulation (release of an egg from the ovary).
2. Excess Androgens (Male Hormones):Women with PCOS may have elevated levels of androgens, such as testosterone. This hormonal imbalance can lead to symptoms like acne, excess hair growth on the face and body (hirsutism), and male-pattern baldness.
3. Polycystic Ovaries:The ovaries may develop multiple small cysts, which are actually follicles that have not matured and released an egg. This is where the name “polycystic ovary syndrome” originates.

How PCOS Affects Fertility

PCOS is a leading cause of infertility in women. The hormonal imbalances associated with PCOS disrupt the normal menstrual cycle, leading to irregular or absent ovulation. Without ovulation, conception becomes difficult or impossible.

Additionally, PCOS can also affect the quality of the eggs, making fertilization less likely even if ovulation does occur. The underlying insulin resistance often seen in women with PCOS can further contribute to fertility challenges.

Other Health Concerns Associated with PCOS

Beyond fertility issues, PCOS is linked to various other health concerns, including:

• Metabolic Syndrome:This cluster of conditions, including high blood pressure, high cholesterol, and high blood sugar, increases the risk of heart disease, stroke, and type 2 diabetes.
• Obesity:Women with PCOS are more likely to be overweight or obese, which can further worsen hormonal imbalances and associated health risks.
• Sleep Apnea:This sleep disorder, characterized by pauses in breathing during sleep, is more common in women with PCOS, especially those who are overweight.
• Depression and Anxiety:The emotional impact of dealing with infertility and other PCOS symptoms can contribute to mental health challenges.

Recommended Read: Does Stress Affect Gynecological Health?

Managing PCOS and Improving Fertility

While there is no cure for PCOS, various lifestyle changes and medical treatments can help manage the symptoms, improve overall health, and enhance fertility:

• Lifestyle Modifications:Weight loss, even a modest reduction of 5–10%, can significantly improve ovulation and fertility. A healthy diet and regular exercise are essential for managing weight and insulin resistance.
• Medications:Certain medications, such as oral contraceptives and metformin, can help regulate menstrual cycles, reduce androgen levels, and improve ovulation.
• Fertility Treatments:If lifestyle changes and medication are not successful, fertility treatments like ovulation induction and in vitro fertilization (IVF) may be considered.

Houston Physicians’ Hospital: Your Partner in Women’s Health

At Houston Physicians’ Hospital, we understand the complexities of PCOS and its potential impact on fertility. Our experienced team of OB/GYNs could be a great place to start receiving comprehensive care, from diagnosis and treatment to fertility support.

Visit our gynecology services page to learn more about PCOS and its symptoms as well as to find a gynecologist who’s right for you.

While our focus is on women’s health, Houston Physicians’ Hospital also provides comprehensive care for various other conditions, including spine pain through our Spine Solutions Center and joint pain through our Joint Solutions Center. Our experienced orthopedic surgeon in Webster TX, specialize in procedures like hip replacement surgery and knee surgery.

Let’s start working toward your health together.

Thumb basal joint arthritis, also known as trapeziometacarpal (TMC) arthritis, is a common condition that affects the joint at the base of the thumb.

This joint plays a crucial role in hand function, and when it becomes arthritic, it can cause pain, stiffness, and weakness, making everyday tasks like grasping, pinching, and turning objects difficult.

Fortunately, various reconstructive techniques can help restore function and ease pain for those suffering from this condition.

Understanding Thumb Basal Joint Arthritis

Thumb basal joint arthritis occurs when the cartilage that cushions the joint wears away, leading to bone-on-bone contact. This can result from age-related wear and tear, previous injury, or underlying conditions like rheumatoid arthritis.

Symptoms typically include:

• Pain at the Base of the Thumb:This pain may worsen with activities that involve grasping or pinching.
• Swelling and Stiffness:The joint may appear swollen and feel stiff, especially in the morning.
• Decreased Strength and Range of Motion:Weakness in the thumb and difficulty moving the joint are common.

Reconstructive Techniques

When conservative treatments like splints, medication, and physical therapy fail to provide adequate relief, reconstructive surgery may be considered.

Here are some of the latest surgical options available:

1. Ligament Reconstruction and Tendon Interposition (LRTI):In this procedure, the damaged ligament is replaced with a tendon from the forearm. The tendon acts as a cushion between the bones, reducing pain and improving stability.

LRTI is often recommended for younger patients with early-stage arthritis and good bone quality. Recovery typically involves immobilization in a cast for a few weeks, followed by hand therapy to restore strength and function.

2. Trapeziectomy with or without Ligament Reconstruction:This involves removing the trapezium bone, which forms part of the thumb basal joint. The space left behind is filled with a rolled-up tendon or synthetic implant to provide cushioning.

Trapeziectomy can be combined with ligament reconstruction for added stability. This procedure is suitable for patients with more advanced arthritis or those who have not responded to LRTI.

Recovery is similar to LRTI, with immobilization and hand therapy playing essential roles.

3. Pyrocarbon Implant Arthroplasty:In this technique, the trapezium bone is replaced with a pyrocarbon implant that mimics the natural joint. This option can provide pain relief and a good range of motion. It is usually recommended for patients with advanced arthritis who still have good bone quality.

Recovery involves a period of immobilization and hand therapy to regain function.

4. Joint Fusion (Arthrodesis):This procedure involves fusing the bones of the thumb basal jointtogether. While it eliminates pain, it also sacrifices some range of motion.

Joint fusion is typically reserved for patients with severe arthritis or those who have not benefited from other reconstructive techniques.

Recovery involves immobilization and a longer period of rehabilitation.

Choosing the Right Technique

The most suitable reconstructive technique for you will depend on several factors, including:

• Severity of Arthritis:The extent of joint damage will influence the choice of procedure.
• Age and Activity Level:Younger, more active patients may be better candidates for LRTI, while older patients may benefit from trapeziectomy or joint fusion.
• Bone Quality:Procedures like pyrocarbon implant arthroplasty require good bone quality for successful implantation.
• Surgeon’s Expertise:Choosing a surgeon experienced in various reconstructive techniques is essential for optimal outcomes.

Recommended Read: Arthritis Care for Seniors: Tips and Therapies

Recovery and Rehabilitation

Recovery after thumb basal joint surgery typically involves:

• Immobilization:The thumb will be immobilized in a cast or splint for several weeks to protect the healing tissues.
• Pain Management:Your surgeon will prescribe pain medication to manage discomfort.
• Hand Therapy:Hand therapy is essential to regain strength, flexibility, and range of motion.

Houston Physicians’ Hospital: Your Hand Health Experts

At Houston Physicians’ Hospital, we understand the debilitating impact of thumb arthritis on your daily life. Our team of skilled orthopedic surgeons specializes in various reconstructive techniques. We help you regain hand function and alleviate pain.

If you suffer from arthritic pain in your hands, you can visit our website on hand and wrist pain to learn more about symptoms and treatments. You can also scroll down to the bottom of the page to find an orthopedic hand surgeon who’s right for you.

Houston Physician’s Hospital also offers comprehensive care for a range of orthopedic conditions, including hip joint pain and knee pain. Our Joint Solutions Center is dedicated to providing personalized care for various joint issues, while our Spine Center in Houston, offers expertise in addressing spine pain and other related conditions.

If you’re seeking relief from thumb arthritis or any other orthopedic condition, we encourage you to reach out to our specialists.

If you’re experiencing chronic shoulder pain or have been diagnosed with a rotator cuff tear, shoulder arthroscopy may be the solution you’re looking for. This minimally invasive surgical technique offers a less invasive alternative to traditional open surgery, leading to faster recovery and less scarring.

What Is Shoulder Arthroscopy?

Shoulder arthroscopy is a surgical procedure that allows surgeons to diagnose and treat various shoulder problems through small incisions (typically less than half an inch) using a tiny camera called an arthroscope. This camera is inserted into the shoulder joint, transmitting images to a video monitor in the operating room. The surgeon can then utilize specialized instruments through other small incisions to repair damaged tissues.

Rotator Cuff Tears: A Common Shoulder Problem

The rotator cuff is a group of muscles and tendons that surround the shoulder joint, providing stability and allowing for a wide range of motion. Overuse, injury, or age-related wear and tear can lead to tears in the rotator cuff, causing pain, weakness, and limited mobility.

How Shoulder Arthroscopy Repairs Rotator Cuff Tears

1. Diagnosis:The arthroscope allows the surgeon to visualize the rotator cuff and surrounding tissues in detail, confirming the diagnosis of a tear and assessing its severity.
2. Preparation:Small incisions are made around the shoulder joint to insert the arthroscope and other surgical instruments.
3. Repair:The surgeon uses specialized instruments to remove any damaged tissue, smooth rough edges, and reattach the torn tendon to the bone using suture anchors.
4. Closure:The incisions are closed with stitches or surgical tape, and a bandage is applied.

Benefits of Shoulder Arthroscopy

• Minimally Invasive:Smaller incisions result in less pain, scarring, and tissue damage compared to open surgery.
• Faster Recovery:Most patients experience a faster recovery with arthroscopy, often returning to daily activities and work sooner.
• Reduced Risk of Complications:The risk of infection and other complications is generally lower with arthroscopy.
• Improved Visualization:The arthroscope provides a clear and magnified view of the shoulder joint, allowing for precise repair.
• Outpatient Procedure:Many arthroscopic procedures can be performed on an outpatient basis, allowing patients to return home the same day.

Recovery after Shoulder Arthroscopy

The recovery process after shoulder arthroscopy varies depending on the extent of the repair. Most patients experience some pain and discomfort, which can be managed with medications prescribed by the surgeon. Physical therapy plays a crucial role in regaining strength, range of motion, and function.

Who Is a Candidate for Shoulder Arthroscopy?

Shoulder arthroscopy is typically recommended for patients with:

• Rotator cuff tears
• Shoulder impingement syndrome
• Labral tears
• Shoulder instability
• Frozen shoulder
• Biceps tendon injuries
• Arthritis (in some cases)

Your doctor will evaluate your specific condition and medical history to determine if shoulder arthroscopy is the right treatment option for you.

Choosing the Right Surgeon

Selecting an experienced orthopedic surgeon specializing in shoulder arthroscopy is essential for a successful outcome. Research potential surgeons, read reviews, and ask for referrals to find a qualified professional with a proven track record.

Preparing for Shoulder Arthroscopy

Before your surgery, your surgeon will provide detailed instructions on how to prepare.

This may include:

• Preoperative tests (e.g., blood work, X-rays, MRI)
• Adjusting medications
• Quitting smoking (if applicable)
• Fasting before the procedure

Postoperative Care

Following your surgeon’s postoperative instructions is crucial for a smooth recovery.

This may include:

• Resting the shoulder
• Taking pain medication as prescribed
• Applying ice packs
• Attending physical therapy sessions
• Avoiding strenuous activities

How Can Houston Physicians’ Hospital Help?

At Houston Physicians’ Hospital, we understand the debilitating impact of shoulder pain. Our skilled orthopedic surgeons specialize in shoulder arthroscopy, a minimally invasive procedure that can provide relief and restore your shoulder’s function.

If you suffer from chronic shoulder pain, you can visit our shoulder pain webpage to learn more about causes, symptoms, and possible treatments. Then scroll down to the bottom to find an orthopedic shoulder surgeon who’s right for you.

We also offer comprehensive joint pain treatments. If you’re struggling with neck pain, back pain, or hip joint pain, our Spine Solutions Center offers a range of treatments, including back surgery and hip replacement surgery and back pain treatments in Webster, TX. We are committed to utilizing the advanced techniques and technologies to help you regain your mobility and quality of life.

Mixed martial arts (MMA) is a demanding combat sport that combines various fighting styles, including striking, grappling, and wrestling. This dynamic nature of MMA makes it exciting but also exposes athletes to a unique set of orthopedic injuries. Understanding these common injuries and their treatment options is crucial for both fighters and their medical teams.

The Nature of MMA Injuries

MMA’s blend of striking and grappling exposes athletes to both acute (sudden) and chronic (overuse) injuries. Acute injuries often result from high-impact blows or sudden twists and turns, while chronic injuries develop over time due to repetitive stress.

Common Orthopedic Injuries in MMA

1. Hand and Wrist Injuries:The hands and wrists are highly vulnerable in MMA. Fractures, sprains, dislocations, and tendon injuries are common, often resulting from punches, blocks, or grappling maneuvers. Treatment typically involves immobilization (e.g., splints or casts), pain management, and, in severe cases, surgery.
2. Shoulder Injuries:The shoulder joint is complex and susceptible to injury in MMA due to its wide range of motion and exposure to impact and grappling forces. Rotator cuff tears, shoulder dislocations, and AC joint separations are frequently encountered. Treatment options range from physical therapy and rehabilitation to surgical repair.
3. Elbow Injuries:Elbow injuries often arise from repetitive stress or trauma during strikes or takedowns. Tennis elbow (lateral epicondylitis) and golfer’s elbow (medial epicondylitis) are common overuse injuries, while fractures and dislocations can occur from acute trauma. Treatment usually involves rest, ice, compression, elevation (RICE), physical therapy, and bracing.
4. Knee Injuries:The knee joint is crucial for stability and mobility in MMA, making it prone to injury. ACL tears, MCL tears, meniscus tears, and patellar tendonitis are prevalent. Treatment varies depending on the severity, ranging from conservative management with physical therapy to surgical reconstruction.
5. Ankle and Foot Injuries:Ankle sprains are among the most frequent injuries in MMA, often caused by sudden twists or awkward landings. Foot fractures can also occur. Treatment involves immobilization, rehabilitation, and, in some cases, surgery.
6. Spine and Neck Injuries:The spine and neck are susceptible to injury during takedowns, throws, and submissions. Herniated discs, sprains, and strains are common. Treatment may include rest, physical therapy, pain management, and, in severe cases, surgical intervention.

Prevention and Treatment Strategies

Prevention is key in minimizing the risk of orthopedic injuries in MMA.

• Proper Training:Proper technique, conditioning, and warm-up/cool-down routines are essential.
• Protective Gear:Wearing appropriate protective gear, such as hand wraps, mouthguards, and headgear, can help reduce the impact of blows.
• Rest and Recovery:Adequate rest and recovery time are crucial for preventing overuse injuries.
• Early Intervention:Seeking prompt medical attention for any pain or discomfort can prevent minor injuries from becoming major issues.

Recommended Read: Reasons to Consult a Sports Medicine Specialist

The Importance of a Medical Team

MMA fighters should have a dedicated medical team, including orthopedic surgeons, physical therapists, and athletic trainers, to provide comprehensive care and support throughout their training and competition.

Houston Physicians’ Hospital: Your Partner in Orthopedic Health

At Houston Physicians’ Hospital, we understand the unique physical demands of mixed martial arts. Our Sports Medicine team is equipped to handle a wide range of MMA injuries.

If you participate in any combat sports like MMA, either as a hobby or professionally, chances are you’ve already experienced an injury of some kind. If that’s the case, you can learn more about sports-related injuries by visiting our Sports Medicine Program page. Be sure to scroll down to the bottom to find a sports medicine physician who’s right for you.

Houston Physicians’ Hospital provides comprehensive innovative spine solutions and joint pain treatments near NASA TX and, including minimally invasive knee surgery, hip replacement surgery, and back surgery in Webster, TX. Our orthopedic specialists are dedicated to providing personalized care and utilizing the latest techniques to address your specific requirements.

 

Prostate cancer is one of the most common cancers in men. Early detection is crucial for successful treatment, and that’s where innovative technologies like the UroNav fusion biopsy system come into play. Let’s take a closer look at how this advanced system is revolutionizing prostate cancer diagnosis.

What Is Prostate Cancer?

Prostate cancer develops when cells in the prostate gland, a small walnut-sized gland in the male reproductive system, begin to grow uncontrollably. Early stages may not present any symptoms, which is why regular screenings are essential, especially for men over 50 or those with a family history of prostate cancer.

The Role of Biopsies in Diagnosis

A biopsy, the removal of a small tissue sample for examination, is the gold standard for confirming a prostate cancer diagnosis. Traditionally, biopsies were performed using a transrectal ultrasound (TRUS) guided approach. While effective, this method sometimes missed significant tumors and could lead to repeated biopsies.

Prostate Fusion Biopsy Systems

Prostate fusion biopsy systems combine the accuracy of magnetic resonance imaging (MRI) with the real-time guidance of ultrasound. The UroNav system is a leading example of this technology. It fuses pre-biopsy MRI images with live ultrasound images, providing a detailed 3D map of the prostate and guiding the biopsy needle precisely to suspicious areas.

How Does the UroNav System Work?

1. MRI Scan:The process begins with a multiparametric MRI (mpMRI) scan of the prostate. This advanced imaging technique can detect suspicious lesions and provide information about their size, location, and potential aggressiveness.
2. Image Fusion:The MRI images are then uploaded into the UroNav system, which aligns and fuses them with live ultrasound images. This fusion creates a 3D model of the prostate, highlighting areas of concern identified in the MRI.
3. Targeted Biopsy:Using the fused images as a guide, the urologist inserts the biopsy needle through the rectum and into the prostate. The UroNav system tracks the needle’s position in real-time, ensuring accurate sampling of the targeted areas.
4. Sample Analysis:The collected tissue samples are sent to a laboratory for analysis by a pathologist. The results of the biopsy determine the presence of cancer and, if present, its grade and aggressiveness.

Benefits of UroNav Fusion Biopsy

UroNav fusion biopsy offers several advantages over traditional TRUS-guided biopsies:

• Improved Accuracy:By targeting specific areas of suspicion identified on MRI, UroNav biopsies are more likely to detect clinically significant prostate cancers.
• Reduced False Negatives:UroNav reduces the risk of missing aggressive cancers that may not be visible on ultrasound alone.
• Fewer Biopsies:UroNav often requires fewer biopsy cores to be taken, which can reduce discomfort and potential complications for the patient.
• Personalized Treatment:The precise information gathered through UroNav biopsies helps guide personalized treatment plans, potentially reducing overtreatment or undertreatment.

Is UroNav Fusion Biopsy Right for You?

Your doctor will determine if UroNav fusion biopsy is appropriate for you based on several factors, including your PSA levels, previous biopsy results, and overall health.

The Future of Prostate Cancer Diagnosis

Prostate fusion biopsy systems like UroNav represent a significant advancement in the diagnosis of prostate cancer. They offer a more accurate, targeted approach that can lead to earlier detection, more personalized treatment, and improved outcomes for men with this disease.

As technology continues to evolve, we can expect further refinements and innovations in this field, ultimately leading to better care for patients. 

Your Prostate Health Is Our Priority at Houston Physicians’ Hospital

At Houston Physicians’ Hospital, we understand the importance of early and accurate prostate cancer diagnosis. We’re proud to offer advanced UroNav fusion biopsy systems, combining the precision of MRI imaging with real-time ultrasound guidance.

If you suspect that you may have an increased chance of prostate cancer, visit our UroNav webpage to learn more about fusion biopsy technology at Houston Physicians’ Hospital. Here, you’ll learn about the benefits of UroNav, symptoms of prostate cancer, and the value of early detection. Then scroll down to the bottom of the page to find a urologist who’s right for you.

Beyond prostate health, we also offer joint pain treatments, spine solutions, and surgical procedures such as knee surgery and  hip replacement surgery in Webster. We are committed to offering a wide range of specialties and services to meet your diverse needs.