me m p h i s
A healthy lifestyle publication from Scripps Howard
memphis in motion Arthritis Foundation Walks for Awareness
Mary Tate-Smith of Cigna, pictured at the Church Health Center Wellness facility, prepares for this yearâ€™s Arthritis Foundation Walk
West Clinic Rides for the Cure â€˘ Pg. 12
Freedom. Our specialized joint team is focused on giving you back the freedom to participate in the activities you enjoy. Your care begins with our fellowship trained orthopaedic surgeons and physical therapists designing the optimal rapid recovery plan for you. We care for patients with a multitude of diagnoses for the knee, hip, shoulder, and elbow. Discover more about our team and how we can get you back to an active lifestyle by visiting us online at www.orthomemphis.com.
901.259.1600 www.orthomemphis.com Sports
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Foot & Ankle
Tim Krahn, M.D., Randy Holcomb, M.D., Michael Neel, M.D., Jared Patterson, M.D., and Kenneth Weiss, M.D. Fellowship Trained Surgeons
Memphis, TN 38120
Bourland Holcomb Jameson Krahn Neel Cole Sorensen Dowling Murrell Weiss Deneka Heck Patterson Fletcher Giel Massey
from the editor
elcome to the May issue of Good Health magazine! Like our cover says, Memphis is definitely in motion this month. In the following pages, you’ll find the stories of organizations that bring awareness to serious diseases through
exercise-centered events like the Arthritis Foundation Walk (p.6) and the Ride to Conquer Cancer (p.12). What better way to support a cause than to get out in the spring air and get moving? May is National Arthritis Month, and inside this issue, you can find invaluable information on this chronic condition, like an arthritis checklist (p.9) and exercise classes specifically for arthritis sufferers (p.10). Over five years ago, this publication was created with the goal of becoming the definitive resource for healthcare in the Mid-South. From expert-written articles on the latest treatments to stories about individuals who have overcome illness with the help of local physicians, Good Health is all about the medical community of the Mid-South. As we look ahead to our next five years, we want to add to this foundation by expanding our focus. In this issue, not only will you notice a “facelift” in our layout, but you will also see new types of articles that promote healthy living, like practical workout how-tos, nutrition tips, the best fitness gear, success stories, and more. I’m very honored to be the new Editor of Good Health magazine, and I can’t wait to share what our area has to offer for an holistic approach to a healthy lifestyle at every age. What’s more, I’d love to hear your feedback and ideas. Feel free to drop me a line at firstname.lastname@example.org and let me know what you think. Cheers to your health!
Holly Whitfield, Good Health Editor
Associate Publisher Elizabeth Williams email@example.com
Editor Holly Whitfield firstname.lastname@example.org
Creative Director Jason Prater email@example.com
Good Health Magazine, a monthly publication from Scripps Howard, serves as the medical crossroads where top local physicians bring patients the latest news about treatment, technology, and medicine. All rights reserved. Reproduction in whole or part without written permission is prohibited. Copyright 2013.
For more information on advertising your medical practice in Good Health Magazine, contact Elizabeth Williams at 901.529.6502 or e-mail firstname.lastname@example.org 495 Union Avenue, Memphis, TN 38103
the arthritis issue
The Arthritis Foundation Walks For Awareness 6 Cover Photo By Jason Terrell
The West Clinic Rides For A Cure 12 departments
first class A New Spin on Your Workout Routine 18 outfitter Pedal Pushers 20 work it out Move Over, Arthritis! 28 success story Back in the Game 30 good food Strawberry and Goat Cheese Salad 33
Keep Moving For Prevention and Treatment of Varicose Veins 17 Memphis Vein Center
Listen Up! May is Better Hearing Month! 23 Hearing & Balance Centers of West Tennessee
Hearing Loss in Children 25
Ear, Nose and Throat Group, Inc.
Makoplasty Partial Knee Resurfacing 27 Saint Francis Hospital â€“ Memphis
A New Approach to Hip Replacement 32 Orthomemphis
The Secret of Life 35
Mays & Schnapp Pain Clinic and Rehabilitation Center
Arthritis Walk速 National Sponsors 速
memphis by Holly Whitfield | photos by Jason Terrell
Cigna team members Kenya Holmes (left), Mary Tate-Smith (center), and Russell Henderson (right)
in motion Arthritis Foundation Walks for Awareness
n June 1, 2013, hundreds of local
of the community. “We are partnering with the
condition can impact a person’s daily activities,
teams and thousands of individuals will
Arthritis Foundation this year in order to raise
such as dressing, maintaining a home, or
gather at Shelby Farms for this year’s Let’s
awareness. Our whole office is going to be at
attending work or school. This is why the
Move Together Arthritis Walk. That Saturday
the walk,” she continues.
Arthritis Foundation has dedicated resources to
morning will mark the end of May, National
Nothing could be more appropriate for an
fighting arthritis for the last 60 years. The Let’s
Arthritis Month, as well as the culmination of
arthritis benefit than a group walk. Low-impact
Move Together Walk is their signature event.
months of coordinated efforts to benefit the
exercise and movement can provide pain relief,
According to the foundation, “the Arthritis
Arthritis Foundation. “We’re going to have fun
increase mobility, and even delay the onset
Walk is a way to conquer this debilitating and
while raising money,” explains Meghan Beasy,
of complications from arthritis. Promoting an
unacceptable disease by raising funds for
Development and Services Director for the
active, healthy lifestyle is another positive tie-in
arthritis research, education, and programs in
Arthritis Foundation, which organizes the event.
with the event. “At Cigna, we have really been
communities across the country.”
“Several teams host bake sales or prize raffles,
focusing on exercise and eating right,” Mary
and a few teams even invite their executives
shares. “We all want to exercise and lose
to step into a dunk tank,” she laughs. The
weight, and it’s good to remember that losing
light-hearted approach supports an important
weight can help reduce some of the stress on
mission: to bring awareness to a disease that is
joints that can contribute to arthritis. I’ve noticed
the number one cause of disability in the nation.
a difference in my joints from my own efforts to
When three out of five Tennessee adults suffer
from arthritis, compared to the national average
Those unfamiliar with arthritis may think that
of one in five, it’s even more important that Mid-
the condition only affects older individuals,
South organizations and individuals take time to
or simply causes aches and pains. The
focus on the effects of arthritis.
degeneration of connective joint tissue that
“So many people are touched by this
causes arthritis can result in the familiar “aches
disease,” shares Mary Tate-Smith of Cigna.
and pains” associated with aging; however,
“My sister-in-law and my mother are currently
there are over 100 different forms of arthritic
suffering from arthritis, so I understand the pain
conditions that affect people of all ages.
that can come from this illness. Almost every
Juvenile arthritis is one of the most common
individual knows someone.” Mary serves as
childhood diseases, with as many as 6,000
the Corporate Chair for the Arthritis Walk, as
kids and young adults suffering in Tennessee
part of Cigna’s mission to improve the health
alone. More than just discomfort, this chronic
“The Arthritis Walk in Memphis is going on
It’s good to remember that losing weight can help reduce some of the stress on joints
its 8th year and running strong.” Meghan shares.
in the country!” The success of the local chapter
Aquatics, Land Exercise, Tai Chi, and Walk with
“The foundation will use the funds to continue
of the Arthritis Foundation’s work is crucial, as
Ease. According the Foundation, participation
supporting Memphis-area initiatives, including
Tennesseans are disproportionately affected by
increases mobility, reduces pain and stiffness,
health programs and eleven research programs.
arthritis. The foundation’s “Programs for Better
lessens the need for physician visits, and
That makes us one of the largest funded areas
Living” are evidence-based exercise curricula in
improves overall health.
We’re going to have fun while raising money
Want to get
moving? Registration for the walk begins at 8:30am on Saturday, June 1, 2013, at Shelby Farms. The walk begins at 10:00am, with an afterparty at 11:00am. For more information, please call 901-322-1517 or visit arthritiswalkmemphis.org. Wright Medical is the presenting local sponsor for the event. Information and statistics for this article provided by the Arthritis Foundation.
5 Facts About Arthritis 3
Arthritis impacts more than 50 million adults and nearly 300,000 children in the U.S.
In Tennessee, more than 1.2 million adults and nearly 6,000 children have a doctordiagnosed form of arthritis.
Arthritis is the nation’s leading cause of disability.
Exercise can provide relief from pain, improve physical function and quality of life, and delay the onset of disability without worsening symptoms or the progression of the disease for some forms of arthritis.
There are more than 100 types of arthritis, including osteoarthritis, rheumatoid arthritis and juvenile arthritis.
The Arthritis Foundation’s “Programs for Better Living” are evidence-based exercise programs. Participation has proven to increase mobility, reduce pain and stiffness, improve overall health, encourages social interaction and lessens the need for physician visits. See page for a list of classes in the Memphis area.
programs for better living
class descriptions Arthritis Foundation Aquatic ProgramSM Incorporates the buoyancy of water and the soothing warmth of a heated pool to make a safe, ideal environment for relieving arthritis pain and stiffness. Gentle movements increase joint flexibility and range of motion, while new exercise variations help build stronger muscles and overall stamina. For those seeking a more challenging workout, resistance equipment and a deep water option can be incorporated. The ability to swim is not required for classes in shallow water. Led by Arthritis Foundation-certified instructors.
Arthritis Foundation Exercise ProgramSM Gentle, joint-safe exercises developed specifically for people with arthritis to help relieve stiffness, decrease arthritis pain and improve balance. The coursae incorporates the optional use of resistance bands and weights for an added workout as well as interactive health education lessons and stress-reducing relaxation techniques to help participants better manage their arthritis. The lowimpact exercises can be done while sitting, standing or on the floor. Led by Arthritis Foundation-certified instructors.
Arthritis Foundation Tai Chi ProgramSM Tai Chi is an ancient practice proven to reduce pain and improve your mental and physical well-being. The Arthritis Foundation Tai Chi Program, developed by Dr. Lam, uses gentle Sun-style Tai Chi routines that are safe, easy to learn and suitable for every fitness level. The program was designed for anyone seeking a joint-safe exercise routine; particularly for those with mid to moderate arthritis. Led by Arthritis Foundation-certified instructors.
Arthritis Foundation Walk With Ease ProgramSM The Arthritis Foundation Walk With Ease program is designed to help people living with arthritis better manage their pain and is also ideal for people without arthritis who want to make walking a regular habit. Individuals can use the Walk With Ease workbook to do the program on their own or can join others in a six-week group series led by a certified leader. Shown to reduce pain and increase balance and walking pace, Walk With Ease provides participants with the information and tools they need to develop a safe exercise routine that fits their unique needs and goals.
Programs for Better Living
Memphis Area Classes
Classes are subject to change. Please contact the locations listed for more information.
Arlington Senior Citizens Center (901) 465-5233
Schilling Farms YMCA (901) 850-9622
St. Georges Episcopal Church (901) 767-8898
LaGrange Civic Center (901) 465-5233
Church of the Holy Communion (901) 359-5580
Kirby Pines Retirement Community – Flagship Facility *Kirby Pines Residents Only*
Aquatics, Exercise Tai Chi, Walk With Ease
Memphis Jewish Community Center (901) 761-0810
Aquatic, Exercise, Tai Chi
St. John’s Episcopal Church
Town Village Audubon Park (901) 537-0002
Trezevant Manor – Flagship Facility (901) 251-9223
Aquatics, Exercise Tai Chi, Walk With Ease
Wellworx Sportsplex (901) 758-0266
Somerville Church of Christ
Somerville First United Methodist Church (901) 465-5233
Immobilized by an
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If you have experienced ankle joint deterioration resulting in pain, reduced range of motion, and decreased quality of life, total ankle replacement may be a viable solution for you. Wright’s INBONE® Total Ankle provides surgeons with a bone-conserving, less-invasive surgical approach than previously oﬀered in the past. Wright invites you to learn more about this treatment option. Call us at 800-238-7117 for more information or go online to ﬁnd a local surgeon at:
“I never thought I would be able to really live again. It is incredible to do things that haven’t been possible for me for 30 years.” — Roxanne, INBONE® Total Ankle recipient
INBONE® is a registered trademark of Wright Medical Technology, Inc. ©2013 Wright Medical Technology, Inc. All Rights Reserved. 007478A 25-Mar-2013
www.inbone.com Every patient is diﬀerent and patient results may vary. Only a physician can determine the best treatment for you. Ask your doctor to explain the beneﬁts and risks to see if the INBONE® Total Ankle is right for you.
The West Clinic
by Holly Whitfield | photos by Jason Terrell
Rides for the Cure
Dr. Todd Tillmanns of the West Clinic is part of the Comprehensive Cancer Center, an effort to bring the most advanced cancer care to adults across the Mid-South. Heâ€™s also an avid cyclist and a member of the Wolf River Racing cycling team.
he inaugural Ride to Conquer Cancer
Center will immediately translate into clinical
to the Center’s offerings.
is a unique event designed to bring
care,” he explains. “We’re talking about the
together cyclists of all ages and skill levels and
latest technology, survivor programs, patient
introduce the community to this effort, as well
draw awareness to the Comprehensive Cancer
navigation, and other opportunities to help
as promote a healthy activity. “We hear about
Center, a collaborative effort between The
patients.” Another goal of the collaboration
Memphis being an unhealthy city,” Dr. Tillmanns
University of Tennessee Health Science Center,
is to reach out to people who have not had
explains. “But things are changing. Why don’t
Methodist Hospital, and The West Clinic. Dr.
access to cancer screenings and treatment,
we link cycling, a great way to exercise, with
Todd Tillmanns of the West Clinic, an avid
with a special focus on healthcare disparities.
our goal of conquering cancer?” On Saturday,
cyclist, will be participating in both days of the
Patients in north Mississippi, Arkansas, western
May 4, a Kick-Off Ride will take place as an
Ride to Conquer Cancer on May 4 and 5. He is
Tennessee and even Missouri will have access
opportunity for more elite riders to participate
The upcoming cycling events are a way to
also a part of the Center,
in an exclusive race and
which he describes as an
raise additional funds for
unprecedented way to
the Comprehensive Cancer
provide the best cancer
Center. The Astella Pharma
treatment to the region.
Domestic Elite cycling
“We want to bring together
team will lead the way on
the finest clinicians,
a 22-mile, police-escorted
scientists, and patient
ride through the city.
advocates on the front
Several other dedicated
lines to search for a cure,”
teams from Memphis have
he explains. “And that is
committed to the Kick Off
our number one goal: to
Ride, where cyclists plan to
keep a 19-20 mph pace.
Dr. Tillmanns, a
On Sunday, May 5,
the Main Event Ride to
explains that the “center”
Conquer Cancer will
is not meant to be a
be open to the entire
new building, but rather
a system and a plan to
families and children. The
provide integrated cancer
route is a 3.5 mile loop
care to adults across the
that begins at The West
Mid-South. “The research
Clinic on Humphreys
that comes from the
Boulevard. The route is
Why don’t we link cycling, a great way to exercise, with our goal of conquering cancer?
That is our number one goal: to cure cancer.
Local cycling teams are ready to ride for cancer awareness. Most of the teams in the city will be represented at the Ride to Conquer Cancer on May 4 and 5. Left to right: Dwayne Accardo, BPC Cycling; Bryant Funston, Marx-Bensdorf Cycling Team; Dr. Todd Tillmanns, Wolf River Racing; Dr. Brad Somer, Memphis Thunder Racing; David Jones, 901 Racing; Michelle Bingham, Los Locos
open from 9:00am to noon, and afterwards
wish to make continuous loops, everyone is
two days set aside to say that we care about
there will be team and individual awards for
welcome. “We deliberately want to open the
cancer, we are making a difference.”
speed and number of laps. Dr. Tillmanns
community’s eyes to the focus of cancer: the
explains that the goal is to raise awareness,
prevention, the treatment, and the surveillance
ridetoconquercancer.racesonline.com/ or call
so from riders who make one lap to those who
of cancer care,” he explains. “By having these
901-683-0055 ext. 1312.
For more information visit http://
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Moderate excerise can help prevent or ease symptoms of vascular problems. Stay active for your veins and for your overall health!
f you’ve ever found blue, twisted, enlarged veins on your legs or ankles, then you know what it’s like to live with varicose veins. the common but relatively harmless condition is caused when the valves that normally keep blood flowing from your legs to your heart weaken and start to leak. It’s believed to be hereditary, but it happens most often to people who are overweight, pregnant, or who stand or sit still for long periods of time -- all
of these situations cause increased pressure on veins in the legs. Getting regular exercise is one of the methods recommended for preventing varicose veins, but does it make any difference -- good or bad -- once you already have them? the answer depends on the type of exercise you’re doing, since different exercises affect varicose veins in different ways. not all exercise is good -- you need to be careful not to overexert when you have varicose veins because strenuous activities can put too much strain on your legs. For example, high-impact exercises like running aren’t usually recommended, because they may aggravate vein swelling. But several other exercises will allow you to keep yourself fit and can help with blood circulation. Moderate, low- or nonimpact exercise can be effective both as a deterrent and a treatment. simple exercises like taking daily walks and flexing your ankles and calf muscles can help ease the symptoms and may keep the varicose veins from getting worse. to put it simply, keep your legs and feet moving whenever you can.
Kishore K. Arcot MD, FACC, FSCAI, RPVI
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find new ways to get fit
A new spin on your workout routine
ood Health Editor Holly Whitfield and Bernadette Crawford, Call Center Manager at The Commercial Appeal, recently started their day at DAC Fitness
in Southaven trying out Tina McMurry’s Thursday Spinning Class. While Bernadette has been attending the class occasionally for over a year, this was Holly’s first time in a Spinning Class. Here’s what they thought right after they finished the hour-long class, with input from the instructor.
Holly: I admit, I was pretty nervous before the class because I’d heard that this particular group was very experienced. When I got there, Tina helped me set up my bike, and explained that I would have control of the pedaling resistance. That immediately made me feel less overwhelmed. Bernadette: This is a really great class to get you going in the morning. Tina is full of energy. You really have to have someone who is going to motivate you, and she played some great music to wake us up! Holly: I really liked how we used music with different tempos that matched our different intervals. Sometimes we were
Left to right: Holly Whitifeld, Tina McMurry, and Bernadette Crawford after class in the spinning studio at DAC Fitness Southaven
“running” - where we focused on speed and sometimes we were “climbing” - where we stood up on the pedals and pushed up our imaginary hill. That was definitely the hardest part. I know I’m going to feel that in my legs tomorrow. Bernadette: I’m exhausted. I feel like my legs are about to fall off (laughing) but I’m still standing so that’s a good thing. But I feel good, and I have more energy than when I started. As I’ve been coming to this class over time, I’ve really noticed a difference in my lower body - it’s more toned and tighter. Tina: You can actually do cycling as many times a week as you want, because it’s easy on your body and low-impact. It burns a
ton of fat, and it’s good cross training for running, when you can’t run everyday. I’ve run three marathons and all I used to do is run. But I actually lost weight when I started cycling. Holly: It was hard work from beginning to end, and I feel like I got a very good workout. But it didn’t seem like an hour; it was never boring. I’d like to do this class again, it’s much more fun to me than running solo on a treadmill or track! Tina: I really like the group setting. I feel like you push yourself harder. Sometimes when I am teaching a 5:30am class, I think ‘why did I sign up for this?’ (laughing) But once I get here and see my participants, I think, “Oh I love these guys, I love this.”
For more information on Spinning, or DAC Fitness in Southaven, Memphis, or Collierville, please visit daclife.com. Special thanks to DAC Fitness and Tina McMurry.
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Two Trusted Names. One Family of Physicians. THE FAMILY PHYSICIANS GROUP AND BAPTIST MEDICAL GROUP are teaming up to make one of our region’s most trusted primary care practices even better. The BMG team is moving health care into the future with new practices, new partnerships and new ways of providing high-quality, affordable
If you are age 60 or over, having memory problems, or already diagnosed with Alzheimer’s Disease, currently taking donepezil (Aricept), and in good health, you may be eligible to participate in a 18-week research study. Qualified people will participate at no cost to them. Compensation for time and transportation will be provided. Caregiver participation is required.
health care. Family Physicians Group looks forward to partnering with BMG, a patient-centered, physician led and professionally managed organization in the Mid-South, one renowned for the best doctors.
Neurology Clinic, P.C. 8000 Centerview Pkwy., Suite 300 Cordova, Tennessee 38018 For more information, please call:
901-866-9252 Ramune M. Filipcic, MD | Michele Evyan Neal, MD | Jay D. Smith, MD | Anne Sullivan, MD
Michael Wallace, MD | J. Kenneth Wong, MD | Charles J. Woodall, MD | Melanie L. Woodall, MD Southeast
7685 Winchester Rd.
8110 Cordova Rd., Ste 111
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400 Market Blvd., Ste 101
496 Perkins Extended
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Cordova, TN 38016
Bartlett, TN 38134
Collierville, TN 38017
Memphis, TN 38117
Call 901-752-6963 for an appointment | We accept all major insurances | Walk-ins welcome | www.baptistdoctors.org
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LUNCH & LEARN SERIES Class start at 12:00 Noon
Delta Medical Center Office Building (corner of Knight Arnold and Getwell)
May 7 Coping With Diabetes May 14 Positive Thinking May 21 Understanding Healthcare Power of Attorney May 28 Developing Power Communication Skills
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• Repair all makes and models
Elizabeth Hopkins, Hearing Instrument Specialist; Lori Frederick, Audiologist; Dr. Kay Tackett, Audiologist, Dr. Courtney House, Audiologist
earing loss currently affects more than 36 million Americans today. surprisingly, more than half of all hearing-impaired persons are younger than 65. With the increased use of personal music players and earbuds, the number of Americans experiencing hearing loss at a younger age is growing. In an effort to raise public awareness, the American Academy of Audiology in conjunction with HeArInG & BALAnce centers oF West tennessee is celebrating Better Hearing Month this May. As part of Better Hearing Month, we are encouraging consumers to be more aware of their hearing health. In addition to hearing loss due to the normal aging process, hearing loss can be caused by occupational or recreational noise exposure, trauma to the ear, and ear diseases that can harm the middle or inner ear. In addition, certain medications can cause irreversible hearing loss. Hearing loss may also be acquired through hereditary factors. the first step in treatment of a hearing problem is a hearing evaluation by an audiologist. Although most hearing loss is permanent, an audiologist can determine the best treatment, which May AcAdemy is Better Hearing Month of Audiology www.howsyourheAring.org may include a referral toAmericAn an ear, nose, and throat physician (ent), hearing aids, or other assistive listening devices. At HeArInG & BALAnce centers oF West tennessee, our mission is to provide the highest quality service and technology to the hearing impaired. We are dedicated to educating the public on hearing health care issues, informing patients of the latest advancements in audiology, dispensing products that enhance communication, and ensuring patient satisfaction. For a FREE HEARING SCREENING and consultation, May is Better Hearing contact HEARING & AmericAn BALANCE CENTERS OFwww.howsyourheAring.org WESTMonth AcAdemy of Audiology TENNESSEE at 901-842-4327 for an appointment.
Celebrate the SoundS of your life
Celebrate the SoundS of your life
Celebrate the SoundS of your life
May is Better Hearing Month
AmericAn AcAdemy of Audiology
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Hearing Loss in CHiLdren When should I have my child’s hearing tested? Jennifer D. Bidelman, Au.D.
earing loss in children is more prevalent than you might realize. It is estimated that as many as 1/1000 babies are born with permanent hearing loss, and a greater number of children are at risk for temporary hearing loss due to various health concerns. Undiagnosed hearing loss can lead to speech, language and developmental delays in children. It used to be that children were often not identified with hearing loss until they failed to learn to talk. Universal newborn hearing screening in hospitals has allowed audiologists to identify hearing loss and provide amplification at a much younger age. However, some children are at risk for lateronset hearing loss due to genetic factors or other health concerns. It is important for parents to know the warning signs of hearing loss so that you know when it is time to ask your pediatrician for a referral to an audiologist. Indications That Your Child May Need a Hearing Test: • Delayed speech Children who have no words by age 18 months or less than 10 words by age 24 months are considered to have a speech delay. These children should have their hearing tested to rule out hearing loss as a contributing factor. • Ear infections Having an ear infection is like listening under water. Hearing loss caused by an
ear infection is typically temporary, but if recurring ear infections are not treated properly they can lead to permanent damage to the ear. • Trouble paying attention Children with unidentified hearing loss often have difficulty with attention. Spoken language at home and school may sound like a very quiet whisper to them, making it difficult to stay focused or follow directions. • Family history of hearing loss Your child should be tested if childhood hearing loss runs in your family, especially if you are concerned about their hearing or speech. • Certain medical conditions Certain genetic conditions may predispose your child to hearing difficulties. Your pediatrician should recommend regular hearing testing if your child has one of these conditions.
amanda L. scott, au.d., Molly M. Fenwick, au.d., Jennifer d. Bidelman, au.d.
Nose and Throat Group, Inc. have the latest diagnostic equipment which will allow them to fully and accurately assess your child’s hearing ability. If our audiologists find that your child has an ear infection or other medical concern, the physicians at Ear, Nose and Throat Group, Inc. are available for consultation regarding medical treatment. If your child is diagnosed with a permanent type of hearing loss, our audiologists will discuss several options for rehabilitation, including hearing aids. The goal is to develop the best plan for you and your child. With our state-of-the-art hearing aid fitting equipment we are able to fit hearing aids on children more accurately and simply than ever before. All children deserve proper hearing healthcare, and you can find it with the Doctors of Audiology at Ear, Nose and Throat Group, Inc.
You may want to ask your pediatrician about hearing testing if you notice any of these behaviors or if you are curious about your child’s hearing ability. Hearing testing is simple and painless. Some testing requires your child to listen to sounds and respond by turning their head, playing a game or raising their hand. Other testing can be completed without any behavioral response from your child at all. The Doctors of Audiology at Ear, OUR PHYSICIANS SPECIALIZE IN THE FOLLOWING SERVICES:
C. Allan Ruleman, Jr., M.D., F.A.C.S. Christopher J. Hall, M.D., F.A.C.S. Leonard D Wright, M.D., F.A.C.S. Glenn Blake Williams, M.D. Jan H. Petri, MD Molly M. Fenwick, Au.D. / Jennifer D. Bidelman, Au.D. / Amanda L. Scott, Au.D. EAST OFFICE 5625 Poplar Avenue Memphis, TN 38119 (901) 761-1220
• Pediatric and Adult Otolaryngology • Endoscopic Sinus Surgery • Image Guided Sinus Surgery • Somnoplasty for Snoring • Head and Neck Surgery • Nasal Allergy Testing and Treatment • Facial Plastic and Reconstructive Surgery • In-Office Facial and Sinus X-Ray • Pediatric and Adult Audiology • Hearing and Dizziness Evaluations • Hearing Aid Fitting and Repairs
NORTH OFFICE 3950 New Covington Pike Ste. 390, Memphis, TN 38128 (901) 372-4643
Saint Francis Hospital-Memphis Is First In Memphis To Offer Makoplasty® Partial Knee Resurfacing Minimally invasive procedure for early to mid-stage osteoarthritis may provide quicker recovery and more natural feeling knee post-surgery • Reduced pain.
programmed surgical plan. As the surgeon
• Minimal hospitalization.
uses the robotic arm, its tactile, auditory and
• More rapid recovery.
visual feedback limits the bone preparation
• Less implant wear and
to the diseased areas and provides for real
time adjustments and more optimal implant
• Smaller scar.
positioning and placement for each individual
• Better motion and a more
natural feeling knee. “MAKOplasty allows us
resurfacing, a minimally invasive treatment option for adults living with early to mid-stage osteoarthritis that has not yet progressed
common form of arthritis and a leading cause
osteoarthritis at earlier stages
of disability worldwide, according to the
and with greater precision.
American Academy of Orthopaedic Surgeons. recognized for excellence of care by Aetna,
patient’s natural knee, the
BlueCross, CIGNA, and UnitedHealthcare.
goal is for patients to have relief from their
We are in-network for more than 85 managed
pain, gain back their knee motion, and return
care insurance plans, including BlueCross-S,
to their daily activities,” said David Archer,
Aetna, BlueCross BlueShield, CIGNA,
Humana, and United.
Through its innovative use of technology, MAKOplasty takes partial knee resurfacing to
MAKOplasty is less invasive than traditional
a new level of precision.
RIO®, a highly advanced, surgeon controlled robotic arm system. Saint Francis HospitalMemphis is the first in Memphis to acquire this technology. MAKOplasty potentially offers the following benefits as compared to total knee surgery:
Saint Francis Hospital is nationally
and preserves more of the
to all three compartments of the knee. total knee surgery and is performed using
is important as osteoarthritis is the most
to treat patients with knee
Because it is less invasive
aint Francis Hospital-Memphis now offers MAKOplasty® partial knee
The opportunity for early intervention
The RIO® system enables the surgeon to complete a patient specific pre-surgical plan that details the technique for bone preparation and customized implant positioning using a CT scan of the patient’s own knee. During the procedure, the system creates a threedimensional, virtual view of the patient’s bone surface and correlates the image to the pre-
work it out
step-by-step moves for a healthy body
Neck Rotation Turn head to the right. Hold for 10 seconds. Switch sides. Repeat 4 times, several times a day.
Shoulder Flex Hold a stick (a broom or golf club will work) above your head, palms facing backwards. Hold for 20 seconds, then relax. Repeat 4 times.
Wall Stretch Avoid a posture slump by stretching out the chest. Stand with your back flat against a wall, abs tight. Reach arms up at right angles, pressing shoulders out and back. Hold for 10 seconds, then relax. Repeat 4 times.
Hip Flex Stretch Kneel down on your left knee, with your right leg in front, bent at a 90 degree angle. Hold abs tight as you feel the stretch across the left hip. Hold for 20 seconds. Switch sides. Repeat 4 times.
External Hip Rotation Lay on the floor with a pillow
supporting the neck. Stretch left leg out straight in front, abs tight. Pull right leg up to chest gently using both hands. Hold for 20 seconds. Switch sides. Repeat 4 times.
Lower Rotation Lay on the floor. Reach out with left arm, gently pulling the left leg across the body to create a slight rotation. Hold for 20 seconds. Switch sides. Repeat 4 times.
Hamstring Stretch Lay on the floor. Bend left knee and raise the right leg up to a 90 degree angle, holding the leg as straight as is comfortable. Hold for 20 seconds. Switch sides. Repeat 4 times.
Calf Stretch Stand next to a wall. Bend right knee and extend left leg back, leaning forward slightly. Support the body by placing hands flat against the wall in front of you. Hold for 20 seconds. Switch sides. Repeat 4 times.
ccording to the Arthritis Foundation, movement is one of the best ways to relieve arthritis pain. Lowimpact exercise and stretching, under the supervision of your doctor, can make a huge difference in the prevention and treatment of arthritis. â€œThe loss of range of motion from arthritis can be the most harmful effect of the disease,â€? explains Nanette Farris, a licensed physical therapist, personal trainer, and owner of Fundamental Fitness studio in Memphis. She offers up some basic, simple stretching ideas aimed at preserving range of motion from head-to-toe, particularly in the hip area where tightness can contribute to arthritis in the hips and lower spine. Photos by JAson terrell
The exercises provided are general and may be difficult for some individuals. If any difficulty or pain occurs with the performance of these exercises, it is recommended that an evaluation by a physical therapist be performed to modify and correct according to the individualâ€™s specific mobility needs.
inspiring true accounts of health victories
Back Game in the
Robert Wilson and his grandson Jake Criswell at Robert’s Germantown home. Jake, a student at Harding Academy, is an All-American pitcher who also competes with the Dulins Dodgers baseball team. pHoto by nAtHAn beRRy
little over a year ago, Robert Wilson decided it was time to do something about his knees. The former runner had long since given up his daily outdoor runs due to arthritis and cartilage deterioration in both knees. “I couldn’t do much of anything because of the pain,” he recalls. “I ran my last race on the day I turned sixty, and after that, it was downhill.” Worst of all, Robert missed activities and sporting events for his three grandchildren due to his condition. His grandson Jake Criswell is a talented pitcher for Harding Academy and the Dulins Dodgers competitive team. “I missed a lot of his games,” Robert explains. “I couldn’t go up bleachers at the fields, and it was hard to travel.” Robert also thought of his own father, who spent the last years of his life confined to his home due to knee and joint pain. “I knew I was too young to be stuck at home,” Robert explains. Last April, he went to see Dr. Patrick Toy, an orthopaedic surgeon at Campbell Clinic, who also serves as the Team Physician for The University of Memphis Athletics. Robert had his right knee replaced first. After three weeks of Campbell Clinic rehab, he was able to tell a major difference. “I suddenly realized how bad my other knee was,” he explains. “I went right back in August and had surgery on the left knee.” Dr. Toy chose the Stryker Triathlon Total Knee Replacement System for Robert’s knee implants. The Triathlon System was developed by Stryker to more closely reproduce natural knee motion, provide stability, and resist wear and damage. The operations went smoothly, though Robert had one scare about a week after his second surgery. “I was in the carport, and I slipped on an oil spot. I went straight down and landed on my knee,” he recalls. “I just thought, ‘oh no, I’ve undone everything’. But then I got up, and everything was fine. This knee took a full-impact fall. I’m a believer!” For the first time in over five years, Robert is now able to move pain-free. He’s back to walking outdoors with his wife, Jackie, and back to traveling with family to Jake’s baseball games and tournaments. “I’m back among the living,” Robert laughs. “I’m ready to roll again.’
Campbell Clinic Orthopaedics is my team’s MVP. My team includes three boys, and a husband who still thinks he’s 18. I rely on Campbell Clinic to treat breaks, sprains, and all sorts of pains. Campbell Clinic’s team features more than 40 of the world’s best orthopaedic specialists, so good they actually wrote the book on orthopaedic care. That’s why I picked the world’s best for my team.
OFFICIAL SPORTS MEDICINE PROVIDER
Collierville Germantown Medical Center Southaven | CampbellClinic.com ©2013 Campbell Clinic P.C. All rights reserved. Campbell Clinic is a registered trademark of Campbell Clinic P.C.
CAMP-0015 MVP GOOD HEALTH.indd 1
2/28/13 12:11 PM
Quality vision care close to home in the heart of Midtown. 1225 Madison Ave., in the Midtown Medical District
A New Approach to Hip Replacement T
he most frequent cause of discomfort and chronic hip pain is arthritis. Arthritis is the leading cause of disability in the United States. In fact, it’s estimated that one in five people in the United States has some form of arthritis. Two thirds of the people who have been diagnosed with arthritis are under the age of 65. When medication, physical therapy and other conservative methods of treatment no longer relieve pain, total hip replacement may be recommended. Total hip replacement helps relieve pain and may allow patients to perform some activities that before were limited. Between 200,000 and 300,000 hip replacement operations are performed in the United States each year, most of them in patients over the age of 60. According to the American Academy of Orthopaedic Surgeons (AAOS), only 5–10 percent of total hip replacements were in patients younger than 50 in 2002. Due to limited life expectancy of the prostheses, doctors had traditionally advised to put off hip replacement operations as long as possible to prevent undergoing another replacement later. However, Americans rising expectations of quality of life have meant having surgery sooner. Less people are willing to tolerate years of pain or limited activity. Newer, more advanced technology means longer lasting prostheses. Experts are estimating that well over half a million hip replacements a year will be done by the year 2015. Each patient is different and has different needs, so surgical approaches are chosen with those needs in mind. However, the direct anterior approach (from the front) for hip replacement is gaining in popularity.
For the patient, there is reduced tissue trauma and less muscle damage, because an area is used where there is an interval—the muscle actually spreads apart. So, unlike other hip surgical approaches, there is no detachment of the muscles during surgery. The hip has more normal mechanics because you have not disrupted muscle connections, and through healing, the patient has a more normal gait with less limping. During surgery, the patient is positioned on the back versus laying on his or her side, propped up with special implements, in more traditional approaches. There is a smaller incision and less scarring, usually less usage of pain medication, a quicker return to function, reduced physical therapy requirements and a reduced dislocation rate. Most people are candidates for the surgery. Things that would make this approach inappropriate would be a previous hip surgery for a fracture with rods inside the bone, people with a hip malformation or hip dysplasia and then people with significant differences in leg length. In these cases, other surgical approaches would have to be used. Benefits of this approach to surgery include: the muscles aren’t detached from the bone as much, so there is an easier recovery and the patient gets a head start with physical therapy; an X-ray machine can be used during surgery to check the parts to see they are in best alignment; better conditions for leg length assessment during the procedure; decreased chance of dislocation because muscles haven’t been cut off at the hip joint. Risks are: bleeding, infection, scar tissue,
w Small Incision in Upper Thigh
Muscle Easily Parted to Expose Joint
dislocation, blood clots, and weakness. These are the standard risks for a hip replacement regardless of the type of procedure. With anterior hip replacement, one risk factor is lessened—the chance of sciatic nerve damage. Due to the positioning of the body on the back, the surgeon is not near the sciatic nerve. In traditional surgery, the surgeon makes an incision along the side of the leg to access the hip joint. The natural head (ball) of the femur (thigh bone) is removed during surgery. The remaining preparation of the femur and acetabulum (socket) involves reshaping to allow solid, accurate alignment of the hip components. The femoral stem is inserted inside the thigh bone, and the acetabular shell is inserted inside the socket of the pelvis. I tell my patients that it is not wrong to do the surgery one way or the other. It’s just another technique to use. The direct anterior approach is gaining in popularity nationwide. Physicians are taking extra courses and visiting other physicians to learn the approach, which caught on in the United States in the 1990s. This technically difficult procedure has gotten easier due to new technology and modifications in hip replacement hardware. Refinements in stems of implants lend themselves better to the direct anterior position. All of these modifications mean a less invasive procedure for the patient.
Dr. Patterson Dr. Patterson is a partner of OrthoMemphis, a division of MSK group, P.C. He completed his fellowship in Adult Orthopaedic Reconstruction & Arthritis Surgery at the Florida Orthopaedic Institute. He is also a member of the American Academy of Orthopaedic Surgeons. For more information: 901-259-1600 or orthomemphis.com.
wholesome recipes and nutrition tips
Strawberry & Goat Cheese Salad with toasted pecans
by Sarah Matheny Gordon
Forget rabbit food, the textures and flavors in this dish make for a satisfying salad that will add color and nutrition to any meal. Greens, especially spinach, and strawberries are full of antioxidants and vitamins. Pecans, like walnuts, are high in protein and omega-6 fatty acids, and goat cheese is lower in fat than other soft cheeses. A vinaigrette keeps it light without sacrificing flavor.
ingredients 1 lb. (about. 6 cups) fresh spring greens, such as mesclun and baby spinach mix, rinsed throughly 1 pint strawberries, rinsed, cored and sliced thinly
directions Combine the first 5 ingredients and toss. If serving immediately, drizzle with vinaigrette and toss again. Otherwise, serve dressing alongside salad on the table.
1/4 c. toasted pecans, lightly chopped 3 oz. soft goat cheese, crumbled 3 Tbs. green onions, white and light green parts only Kosher salt and fresh cracked black pepper, to taste Balsamic vinaigrette, raspberry vinaigrette, or sherry vinaigrette
of Life By Moacir Schnapp, MD
t has been said that the secret of life is making your money and your health last as
long as you do.
and ligaments in top shape. If you don’t know where to begin go to
Not always easy you say, true? I’ve got
iPosture.com, a website
some advice that may help you accomplish
created by the doctors
that. Let’s start with one of the most common
from our clinic. Just
ailments likely to strike us in our old age.
remember to ask your
No, not cancer or heart disease but simple
own physician first if
arthritis, more precisely osteoarthritis (OA),
you have any questions
not the bad kind but still a common cause of
about your tolerance to
pain, stiffness and disability. Sooner or later
a fitness program. There
we will all look like we could star in one of
you’ll find exercises
those Aleve commercials, but we can still
possible we prefer that people exercise
ranging from very basic to very difficult. Build
address some of the causes of OA to slow
in the gym instead of at home; there are
your own routines by mixing and matching
down its progression.
different sets. Don’t get discouraged by some
fewer distractions at the gym and a greater
If you are obese or a smoker, just stop.
initial muscle soreness since it tends to get
Both are likely to speed up the natural
better with repetition, especially if done more
aging of your joints and can substantially
often than three times a week.
compromise your quality of life. As the
We recommend a combination of
likelihood that one will stick to the program. Now for the money part: every day you hit the gym it will save you in medical costs as much as $50.00 a day. In addition, a regular exercise routine allows the body to produce
cartilages in your joints wear off, the pain and
cardiovascular exercises such as walking,
disability progress to the point that the only
a stationary bicycle or an elliptical machine.
viable treatment becomes a joint replacement,
Be careful with treadmills if you have any
and postpones the development of memory
a costly proposition even if you carry good
problems with your balance. Add a resistive
loss by allowing the nerve cells to build
program using weight machines or elastic
more numerous and stronger connections.
bands and don’t forget a good stretching
Consider for a moment what the monetary
moderate fitness program is the best, most
routine to elongate the muscles and tendons
cost will be if you lose your independence to
cost effective way to keep your joints, muscles
and to increase overall flexibility. Whenever
either physical or mental problems.
If you don’t exercise regularly, just start. A
chemicals that are natural antidepressants
Dr. Moacir Schnapp Dr. Moacir Schnapp, a neurologist specializing in interventional pain management, along with his partner Dr. Kit S. Mays, established the only CARF certified clinic in the Mid-South for the treatment of chronic pain, the Mays and Schnapp Pain Clinic and Rehabilitation Center.
Mays& Schnapp PAIN CLINIC AND REHABILITATION CENTER
Still the one. Period.
The only *accredited outpatient Pain Clinic in the Mid-South.
Mays & Schnapp
PAIN CLINIC AND REHABILITATION CENTER
Kit S. Mays, MD & Moacir Schnapp, MD
55 Humphreys Center Drive • Suite 200 • Memphis, TN • 901-747-0040 • maysandschnapp.com *Commission on Accreditation of Rehabilitation Facilities
Published on Apr 26, 2013
Memphis' healthy lifestyle publication's May edition debuts totally revamped design and new features with fitness, exercise, and nutrition....