Who are the best candidates for image guided tendon treatment?

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Tendons are the tough, flexible bands of tissue that connect your muscles to the bones in your joints, working together to allow all the twisting, gripping, grabbing, bending and lifting in your busy life. But repetitive pounding motions can cause microscopic tears every time you use your tendon. As you keep at it, these micro tears do not have time to heal properly and, unless treated, can get worse, making you suffer for months or years. This condition is often called simply tendinitis (tendon inflammation), but usually is actually tendinosis, tendon tissue that has simply broken down from the overuse and micro tears.

It’s impossible to ignore the pain…and you shouldn’t. Tendon injuries need attention. Sometimes, rest, therapy and a change in activities may ease the pain…but often the damage is permanent, and only gets worse.

We talked to Dr. Jeffrey Elbich, who said, “The majority of the time, tendon pain goes away on its own with time, rest and ice – and reducing the activities that brought the pain in the first place. However, if the pain lasts more than 3 months, medical research suggests that it is unlikely to go away on its own.”

“If you’ve had pain more than 3 months and you’ve tried all the home remedies with no relief, you may be a good candidate for image guided tendon treatment,” continued Dr. Elbich.

If you’re frustrated with chronic tendon pain or have tried multiple treatment options, our image-guided tendon treatment – also called percutaneous tenotomy or fasciotomy – could be the treatment you need for rapid pain relief. Unlike other medical or physical therapies, this procedure safely removes the cause of the pain at the source, and unlike many traditional surgical procedures, it is far less invasive, requires far less recovery time – and has a much higher success rate.

The treatment requires only a local anesthetic and a tiny incision, and is virtually pain-free. We use a targeted application of ultrasound energy to break down the damaged tendon tissue while leaving surrounding healthy tissue untouched.

We then use an FDA-cleared device to remove the damaged tendon tissue. You don’t even need stitches. The entire treatment takes about 20 minutes.

You may be asking if image-guided treatment is right for you.

If you answer yes to these questions, it may be time to discuss our image-guided tendon treatment.

  • Have you given up any activities due to tendon pain?
  • Have you been suffering for three months or longer?
  • Have you taken multiple steps to get rid of your pain without lasting success?
  • Are you tired of masking the pain or enduring it rather than treating it at the source?

Call us at (804) 828-2600 to discuss whether image-guided treatment is the right option for you.

Useful Apps for Cancer Patients

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Modern technology can be an amazing tool to help with our daily lives. Today, even cancer patients can find a variety of useful apps to assist in their treatment and recovery by monitoring symptoms, storing data, providing information and support. Of course, nothing can or should take the place of your physician and care team’s advice, but here are a few apps that may help keep and organize your data and assist in other ways as you navigate the course of your illness.

Cancer.net Mobile

Developed by the American Society of Clinical Oncology (ASCO), this app provides easy-to-use tools to help you plan and manage care – from diagnosis through treatment and beyond, and is provided by Cancer.Net. It includes the latest oncologist-approved cancer information.

Pocket Cancer Care Guide

Provided by the National Coalition for Cancer Survivorship, the Pocket Cancer Care Guide is an app that allows you to quickly and easily build lists of practical questions used to guide conversations between you and your doctors and nurses. Users can browse hundreds of questions in categories relevant to stages of your cancer diagnosis, build lists of questions to use when talking to your doctor or nurse, link doctor appointments to your lists and automatically add it to your calendar and record and playback your doctor’s or nurse’s answers. There’s also a glossary of medical terms for reference.

My Cancer Coach

This app, by Genomic Health, Inc., is a free mobile app developed in partnership with BreastCancer.org, Men’s Health Network, and Fight Colorectal Cancer. The app provides specific information about personalized cancer treatments to help manage your cancer’s progression. It’s like having ‘Cancer 101’ in your pocket. Questions about your stage of cancer? Should you get surgery? Is radiation necessary? Do you need chemotherapy? Is your cancer metastatic? My Cancer Coach provides easy-to-understand treatment information for breast, prostate, and colon cancer patients and their caregivers.

Create To Heal

This app is brought to you by The Women Wings Foundation Create to Heal (TM) program. It is designed to gently take you from your head into your heart, where the healing process begins. Because stress is the number one contributor to all major diseases, including cancer, the goal of this app is to provide patients with relief from stress through the use of beautiful imagery, sounds and words.

The Create to Heal (TM) guided meditations, music and art have been tested in several hospitals and cancer centers over a period of 5 years, with hundreds of cancer patients, survivors and their families. This app gives patients the tools to continue their creative therapy and stress reduction at home, at work, wherever they are. The app offers 10 music tracks, 4 guided meditations, 36 pieces of art, and 60+ inspirational messages.

My Medical

My Medical is a comprehensive record-keeping app for your personal medical information. The app offers autocompletion and autosuggestion for a wealth of medical jargon, including prescription drug names; vaccinations; common afflictions; life support options; laboratory units; and much more.

In addition, there are areas for emergency contacts, health insurance, doctors’ contact information, and other data that are not strictly part of a traditional personal health record (PHR) are all available. It will put doctor’s appointments and upcoming lab tests on your calendar. You can even set reminder alarms directly from the app, without ever going into your calendar. Finally, the app offers an area for files to be attached to your record. For example, you can add a picture of the pill next to a medication, or a copy of your insurance card alongside a provider’s contact information.

iHealth Log

iHealth Log helps individuals with chronic health issues manage their disease.  All medications and dosages are easily maintained along with important prescription details including a photograph of the medication and physician and pharmacy information.  The diary tracks daily medications and measurements which are critical to disease management.  iHealth Log makes it easy to email lists of medications to schools, summer camps and health care providers and it has reporting capabilities to plot measurement data and send this data via email to the physician.

Patient Follow up – Colleen Mescall

We talked to Colleen Mescall in November of 2015 about her recent image guided tendon treatment to relieve her foot pain. You may remember this video.

We recently caught up with Colleen to ask her how she’s doing today, and how the treatment has made a difference in her life.

How has your activity level changed since having image guided tendon treatment at VCU Health at Baird Vascular Institute? Before, my feet hurt all the time – walking, standing, or getting up from sitting they hurt; I did not really like to walk or stand for a long period, but now I can take walks, go sightseeing ,etc. without having pain or discomfort.

How long did it take you to feel fully recovered? Within 6 months of having both feet done, I noticed I could get out of bed in the morning without the painful first few steps, and now, when walking for long periods, I no longer have any discomfort.

How has your life changed since having the treatment? I am more inclined to go for walks or stand when I teach a class, I have joined a gym and take classes and I can wear heels again (that’s one of the best parts).

Would you have the surgery again if needed? I hope to not have it again, but if I had to do it again I most definitely would.

Would you recommend this treatment to others? Absolutely! And I have recommended it to others.

We’re so glad that Colleen is back in her cute shoes and feeling fantastic. You may be wondering, “Is image-guided treatment right for me?” If you answer yes to these questions, it may be time to discuss our image-guided tendon treatment.

  • Have you given up any activities due to tendon pain?
  • Have you been suffering for three months or longer?
  • Have you taken multiple steps to get rid of your pain without lasting success?
  • Are you tired of masking the pain or enduring it rather than treating it at the source?

Call us at (804) 828-2600 to discuss whether image-guided treatment is the right option for you.

Practicing mindfulness during cancer treatment

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Mindfulness is a common buzzword floating around many online sites these days. What is mindfulness, and what does it do?

Mindfulness is defined as:

“a mental state achieved by focusing one’s awareness on the present moment, while calmly acknowledging and accepting one’s feelings, thoughts, and bodily sensations, used as a therapeutic technique.”

By the textbook definition, mindfulness sounds a great deal like meditation, a technique used for centuries to clear the mind, de-stress the body and improve focus and concentration. But mindfulness takes meditation a step further and asks the practitioner to incorporate mindfulness throughout the day, rather than mediate for a few moments at the beginning or ending of each day. Mindfulness is a state of active, open attention on the present, where you observe your thoughts and feelings from a distance – without judging them good or bad.

According to the website Cancer Forward, “there are many studies about mindfulness and its benefits for cancer patients. They show positive improved psychological functioning, reduction of stress symptoms, enhanced coping and wellbeing in cancer outpatients. This adds up to a greater sense of peace, ease, and resiliency while living with cancer. The stillness that comes with mindfulness meditation fosters deep, physical relaxation and an opening of the heart.”

Anyone can practice mindfulness. It takes no special equipment, training or locations. All it takes is a willingness to learn and turn inward to acknowledge feelings and the present day. Many websites feature detailed ideas on how to get started, or ask a healthcare practitioner for direction.

By practicing this technique, it allows the mind to better cope with the day-to-day stresses, anxiety and negativity that creeps into the day.

6 Resolutions for a Healthy New Year

baird-healthy-resolutionsWhen dealing with a cancer diagnosis, the celebration of a new year may feel a bit bittersweet. Your health concerns have taken precedence over many areas of your life and you may feel a bit apprehensive about the New Year. Many of your friends and family will make resolutions to get healthy or lose weight. There’s no reason you can’t make some health-related resolutions of your own – even while going through cancer treatment. Here are some healthy ideas that you might not have thought of that help improve your overall health and well-being.

Practice Mindfulness. Mindfulness is a common buzzword floating around many online sites these days. What is mindfulness, and what does it do? By the textbook definition, mindfulness sounds a great deal like meditation, a technique used for centuries to clear the mind, de-stress the body and improve focus and concentration. But mindfulness takes meditation a step further and asks the practitioner to incorporate mindfulness throughout the day, rather than mediate for a few moments at the beginning or ending of each day. Mindfulness is a state of active, open attention on the present, where you observe your thoughts and feelings from a distance – without judging them good or bad. Anyone can practice mindfulness. It takes no special equipment, training or locations. All it takes is a willingness to learn and turn inward to acknowledge feelings and the present day. Many websites feature detailed ideas on how to get started, or ask a healthcare practitioner for direction. By practicing this technique, it allows the mind to better cope with the day-to-day stresses, anxiety and negativity that creeps into the day.

Stay hydrated. Drink a full 8-ounce (or larger) glass of water each time medication is taken. If you have to take pills in the morning, at lunch, at dinner and at bedtime, that’s 32 ounces of water each day. If larger volumes of water seem difficult, try keeping bottled water handy at several locations throughout the house, and try to sip from them whenever you can. Incorporate high water-content foods into your diet. Foods like cucumbers, celery, tomatoes, green peppers, cauliflower, broccoli, watermelon, spinach, cantaloupe and strawberries are not only good for you – but are also more than 90% water. Try alternative sources of fluids like popsicles, milkshakes, sports drinks or smoothies. Increase the amount of fluid you take in if you’re outside in hot weather or exercising. If you’re sweating, you’re reducing the amount of water in your body, so it needs to be replenished.

Exercise your mind. Maintaining good health not only includes diet and exercise and our physical presence, but also good mental health and memory strength as well. Without stimulation, the brain is just like our muscles, it loses strength and ability if it is not challenged on a regular basis. However, research has shown that the brain needs to be challenged, not just stimulated, in order to retain memory and clarity over time. Crossword puzzles, for example, may be your go-to brain exercise, but if you breeze right through them, it may be time for something that challenges your brain in a different way, like painting or Sudoku.

See the world. With the holidays soon over many are thinking ahead to vacation travel to beaches, or the mountains, or destinations beyond with family and friends. If you’re undergoing cancer treatment, it’s no different; you need time to recharge from the day-to-day stresses of life, and especially your medical condition. When undergoing cancer treatment, there are a few extra precautions and considerations for the traveler, but that shouldn’t stop you from traveling or enjoying a vacation away from home. Careful planning can ensure you have a great – yet safe – experience.

Get some sun – safely. After being cooped up during the winter, many are looking forward to spending more time outdoors exercising or taking care of upcoming spring yard work. Whether spending the day outside, or just taking care of a few chores, it’s important to always protect your skin from the harmful rays of the sun. Depending on your skin tone, even just a few minutes can cause damage to your skin.

Incorporate superfoods. While no single food will protect you from disease, there are many foods that have disease-fighting properties that can be grown easily in your home garden. Some foods actually increase your risk of cancer, but some, such as cruciferous vegetables like broccoli, cauliflower, cabbage, Brussels sprouts, bok choy, and kale; Lycopene rich foods such as tomatoes and tomato based products and leafy, green vegetables such as spinach, kale, collards and chard, all support a healthy body and strengthen your immune system.

 

 

 

 

Navigating holiday travel with cancer

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In June, we wrote a blog post about traveling while undergoing cancer treatment. That post covered many of the logistical considerations someone with cancer may need to consider, such as proximity of your destination to a treatment center, paperwork you may need to breeze through screenings, any needed vaccinations and the importance of planning ahead.

With the busy holiday season right around the corner, many people, including those dealing with cancer treatments, are making plans to travel to spend time with family members both near and far. Take a few minutes to read through the earlier post, but also remember that the holidays bring additional considerations for those cancer patients traveling to visit friends and family.

Consider the weather. If you’re traveling to a destination with a climate that is either much warmer or much colder than you’re used to, remember to bring appropriate clothing. Various forms of cancer treatments may affect your body temperature, so plan ahead with clothing well suited to the climate you’re visiting. Plan to bring clothing you can layer, so you can add or remove as needed.

Holiday hustle and bustle. For many, the holidays are a time to catch up with family members you haven’t seen for a year – including children of all ages. Let your host know that you may need an area where you can have some downtime, to relax, rest, nap or simply take a break from the flurry of activity.

Remember holiday closures. Don’t forget that many drugstores or other medical supply stores have limited hours and closures during Christmas Eve, Christmas Day, New Year’s Eve and New Year’s Day. Plan ahead and make sure you have all your prescriptions or other supplies you will need to get you through your trip.

Avoid over-indulgence. All of us are guilty of a little over indulgence during the holiday season. Those undergoing cancer treatments are no different, but be certain to take extra precaution not to mix prescriptions with food or drinks that will cause adverse affects or make you feel even worse. If you’re allowed to have alcohol, be careful not to drink too much. Try to maintain a diet similar to what you’re currently following for best results.

Avoid family drama. For some families, “lively” debates are as much a part of their holiday gatherings as the turkey. For someone undergoing cancer treatment, it might be a good time to utilize that quiet space if family tensions start to run a little high. Avoiding any unnecessary stress is always a good idea, so excuse yourself from the drama until it subsides.

Enjoy the holidays with your friends and family, but remember to take care of your emotional and medical needs during that time as well.

Why you shouldn’t ignore vascular issues

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People often ignore or brush off certain symptoms as “minor” when it comes to their health. Many times, vascular issues are indicative of a larger problem, or more serious illness. Here are some issues that you should definitely speak to your physician about.

Leg pain: Pains that start in your legs with walking or other exertion could be a sign of peripheral artery disease (PAD), which often goes hand-in-hand with coronary artery disease.

Varicose veins: Varicose veins are not just an unsightly cosmetic annoyance, but also an indication that the veins in your legs are not working the way they should. Untreated varicose veins can lead to more serious issues including blood clots, and deep vein thrombosis (DVT).

There are more than 60,000 miles of blood vessels in the human body, providing the network for the flow of oxygen and nutrients required by the body for good health. VCU Health at Baird Vascular Institute has the latest in technology and techniques to diagnose and treat vascular disease. If we uncover signs of vascular disease, our experts can develop a custom treatment plan for you.

 

 

 

 

 

 

 

 

 

Sources: Cleveland Clinic, VCU Health at Baird Vascular Institute