Category: Healthcare

Parkinson’s disease is a chronic and progressive neurological disorder that affects movement and can present a range of challenges. However, with a comprehensive management plan and the right support, individuals with Parkinson’s can lead fulfilling lives.

This guide explores various strategies and treatment options to help manage symptoms and improve overall well-being.

Understanding Parkinson’s Disease

Parkinson’s disease arises from the degeneration of dopamine-producing neurons in the brain. Dopamine is a neurotransmitter essential for smooth and coordinated movements. As these neurons deteriorate, individuals with Parkinson’s experience motor symptoms such as tremors, stiffness, slowness of movement, and difficulty with balance and coordination.

Managing and Treating Motor Symptoms

1. Medication:Medication is the cornerstone of Parkinson’s treatment, primarily focusing on replenishing or mimicking the effects of dopamine. Levodopa is the most commonly prescribed medication, often combined with other drugs to enhance its effectiveness and reduce side effects.
2. Deep Brain Stimulation (DBS):For those who don’t respond well to medication or experience significant side effects, DBS offers an alternative. It involves implanting electrodes in specific regions of the brain to regulate abnormal impulses and reduce motor symptoms.
3. MR-Focused Ultrasound:This is the newest therapy being used to treat essential tremor and can be used to treat the dominant tremor symptom caused by Parkinson’s disease. It’s a minimally invasive procedure that uses an MRI to focus concentrated ultrasound waves to a targeted area of the brain. Learn more about it here.
4. Physical Therapy:Regular exercise and physical therapy play a crucial role in maintaining mobility, flexibility, and muscle strength. Tailored exercise programs can help improve balance and coordination and reduce the risk of falls.

Addressing Non-Motor Symptoms

Parkinson’s disease can also cause non-motor symptoms such as depression, anxiety, sleep disturbances, constipation, and cognitive impairment. Managing these symptoms is equally important for overall well-being.

1. Medication and Therapy:Depending on the specific non-motor symptom, medication, counseling, and therapy can be helpful. Antidepressants, cognitive behavioral therapy, and support groups are often recommended.
2. Lifestyle Changes:Adopting a healthy lifestyle can positively impact non-motor symptoms. This includes maintaining a balanced diet, getting regular exercise, practicing relaxation techniques, and prioritizing good sleep habits.

Supportive Care and Resources

 

Living with Parkinson’s disease often requires a multidisciplinary approach involving a team of healthcare professionals, including neurologists, physical therapists, occupational therapists, and mental health professionals. Support groups and online resources can also provide valuable information, encouragement, and a sense of community for individuals and their families.

Staying Informed and Proactive

Research on Parkinson’s disease is ongoing, and new treatment options and management strategies are constantly emerging. Staying informed about the latest developments can empower individuals with Parkinson’s to make informed decisions about their care and participate actively in their treatment plans.

How Can Houston Physicians’ Hospital Help?

At Houston Physicians’ Hospital, we understand the complexities of Parkinson’s disease and are committed to providing comprehensive care and Parkinson’s treatment in Houston, for our patients . Our experienced team of neurologists, physical therapists, and other specialists works together to develop personalized treatment plans that address both the motor and non-motor symptoms of Parkinson’s.

If you suffer from Parkinson’s, you may qualify for treatment of your dominant tremor with Insightec, an MR-focused ultrasound treatment. You can learn more and schedule an appointment by visiting our webpage.

Houston Physicians’ Hospital provides patients with a wide range of services, from medication management and physical therapy to surgical interventions like deep brain stimulation. We are dedicated to helping people with Parkinson’s manage their symptoms, improve their quality of life, and live their lives to the fullest.

As a runner, you depend on your feet to carry you across countless miles. But repetitive stress on the tendons in your feet can lead to a painful condition known as tendonitis.

This comprehensive guide will help you understand tendonitis of the foot, its causes, prevention strategies, and rehabilitation options, empowering you to keep your feet healthy and pain free.

Understanding Tendonitis of the Foot

Tendonitis is an inflammation or irritation of a tendon, the fibrous cord that connects muscle to bone. In runners, tendonitis of the foot often affects the Achilles tendon, the posterior tibial tendon, or the tendons on the top of the foot (extensor tendons). The pain typically develops gradually and worsens with activity.

Causes of Tendonitis in Runners

Several factors can contribute to the development of tendonitis in runners, such as:

• Overuse:Too much running, especially without adequate rest, can strain the tendons and lead to inflammation.
• Sudden Increase in Training:Abruptly increasing mileage or intensity or adding hills can overload the tendons.
• Poor Foot Mechanics:Flat feet, high arches, and other biomechanical issues can alter the way your foot moves, increasing stress on certain tendons.
• Improper Footwear:Worn-out shoes or shoes that don’t provide adequate support can contribute to tendonitis.
• Tight Calf Muscles:Tight calf muscles can put extra stress on the Achilles tendon.

Preventing Tendonitis in Runners

Prevention is key when it comes to tendonitis. Here are some tips to keep your tendons healthy:

• Gradual Progression:Gradually increase your mileage and intensity over time to allow your tendons to adapt.
• Proper Warm-Up:Warm up your muscles and tendons before each run with dynamic stretches and light jogging.
• Cross-Training:Include low-impact activities like swimming or cycling in your routine to reduce stress on your feet.
• Strength Training:Strengthen your calf, foot, and core muscles to support your feet and improve biomechanics.
• Wear Proper Footwear:Choose supportive shoes that fit well, and replace them regularly when they start to wear out.
• Listen to Your Body:Rest if you feel pain. Ignoring pain can lead to more severe tendonitis.

Rehabilitating Tendonitis of the Foot

 

Here are some rehabilitation strategies:

• Rest:Reduce or avoid activities that aggravate the pain.
• Ice:Apply ice to the affected area for 15–20 minutes at a time several times a day.
• Compression:Use a compression bandage to reduce swelling.
• Elevation:Elevate your foot to help reduce swelling.
• Physical Therapy:A physical therapist can help you with exercises to stretch and strengthen the affected tendon, as well as improve your foot mechanics.
• Orthotics:Custom orthotics can provide additional support and correct biomechanical issues.
• Medication:Over-the-counter pain relievers or anti-inflammatories may be recommended.

Recommended Read: Common Foot Problems and Their Treatment Options

Advanced Treatments for Tendonitis

In some cases, more advanced treatments may be necessary for tendonitis that doesn’t respond to conservative measures. These include:

• Extracorporeal Shockwave Therapy:This therapy uses shockwaves to stimulate healing in the tendon.
• Platelet-Rich Plasma (PRP) Injections:PRP injections can promote healing by delivering growth factors to the injured tendon.
• Surgery:In rare cases, surgery may be necessary to repair a severely damaged tendon.

How Can Houston Physicians’ Hospital Help?

At Houston Physicians’ Hospital, we understand the importance of keeping runners’ feet healthy. Our experienced podiatrists specialize in the diagnosis and treatment of tendonitis of the foot, offering a range of conservative and advanced treatment options to help you get back on your feet and running pain free.

If you’re suffering from symptoms of foot tendonitis, visit our podiatry page and our Orthopedic Center of Excellence page to learn more and to find a doctor who’s right for you.

The orthopedic physicians and podiatrists at Houston Physicians’ Hospital are committed to providing personalized care and working with you to develop a comprehensive treatment plan that meets your individual needs and goals.

We also specialize in joint pain treatment, back surgery, hip replacement surgery, neck pain treatment, neurosurgery, physical therapy, Knee Surgery in Webster TX, and more.

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.