How To Choose An Orthopedic Doctor

With both amateur and professional sports enthusiasts, along with an aging population that has chosen Phoenix as the place in which to spend their golden years, there is a growing demand for orthopedic doctors in all types of specialties. There are currently close to 750 orthopedic doctors in the Phoenix area and yet for patients who are waiting to get in for their first appointment, the wait can be extremely long. What is it that makes these specialists so highly sought after that there never seems to be enough of them? How can you go about choosing the one that will be right for you?

If you have no idea what you are looking for, knowing how to choose the best orthopedic doctor can be a challenging position to be in. However, if you start off your search armed with referrals, information about specialties and credentials, and you know the right types of questions to ask, you can rest assured that you will be able to make your choice with a high level of confidence. An orthopedic doctor has completed four years of college and four years of medical school. An orthopedic surgeon has completed the same eight years but also will complete an additional one year in a general surgery rotation and four years of orthopedic surgery. An orthopedic doctor can be described as either a surgeon or a doctor. Both of them are able to prescribe orthotics, treatments, and medications, while the surgeon also has the qualifications to operate.

doctorSpecialties and sub-specialties of orthopedics

It is fortunate for patients that orthopedic doctors are able to choose from among a number of different specialties. This means that the orthopedic doctor that you see will be the best at treating the particular condition that brought you to them in the first place. While the whole field of orthopedics is quite complex, additional considerations such as bone and joint problems, the impact that congenital conditions, disease, aging, and injuries can have on the musculoskeletal system compound the demands on an orthopedic doctor’s time. Although there are a wide range of sub-specialties, the most common are total joint reconstruction surgery, sports medicine, elbow and shoulder, pediatric, orthopedic trauma, musculoskeletal oncology (cancer), foot and ankle, and hand and wrist.

How much experience do they have?

Although a very important factor is how long the orthopedic doctor has been practicing, it is also important to find out exactly what type of work they have been doing during this time. For example, if you are looking to find an orthopedic doctor who is able to perform work on your spine, it is recommended by the North American Spine Association that out of the time spent in the operating room, at least 50% of it should have been spent doing some form of spinal surgery.

What certifications do they have?

In order to be board certified an orthopedic doctor must go through a rigorous program. Along with the 8 years of schooling for non-surgeon orthopedic doctors, and almost 15 years for those who become surgeons, there is also a standardized exam that must be taken, and an oral exam that focuses on the doctor’s past six months of surgical and clinical performance. When the doctor that you choose has been board certified you know that the authoritative organization has validated their skills– the Royal College of Physicians and Surgeons in Canada and the American Board of Orthopedic Surgery in the US.

Getting help from referrals

Having a referral can greatly assist you when deciding on the orthopedic doctor that you will use. It is likely that your primary care physician will be able to give you several different recommendations for you to look into. Also, since more than 80% of all Americans are afflicted with some type and degree of back pain, there is a good chance that a family member or friend can give you some names as well. As a last resort, your health insurance agency or local hospital may also have someone who is able to refer you to a qualified orthopedic doctor.

Never ignore the first impression that you get when you meet the doctor for the first time. Every year throughout the US there are 700 orthopedic doctors who are finishing their final year of orthopedic residency so there is no need to settle on the first doctor that you find. Ask as many questions as you need to ask until you are assured that the doctor is the right one to treat your particular condition. Don’t be shy about asking them exactly how they would plan to treat your condition, including the types of medication, therapy, and possibly surgery that they are most likely to be using.

Even though surgery may be the end result that you are looking for, sometimes a more conservative approach is the best idea to try out first. Do not dismiss an orthopedic doctor out of hand simply because they did not book you for the first available OR slot 15 minutes after you walk into their office. Keep in mind that there is normally a long recovery period after surgery. This can mean that you will be unable to work or participate in many of the activities that you love to do on a regular basis. It may well be worth giving an alternative method a go first, before you sign the consent form for any surgical procedure.

If you have discovered an orthopedic doctor who is not only relatively conservative, but also caring, compassionate, and shows a true interest in you having a better quality of life, then this may just be the doctor for you. To be completely sure that you are making the right decision, ask questions about their experience, thoroughly check their credentials, and check into any incidences of malpractice and possible disciplinary actions that may have been taken. If everything checks out, then best of luck. If not, continue your search until you are completely satisfied.

Getting Beyond Lower Back Pain

There are lots of fun things on the Event Calendar for Los Angeles during the coming year that will appeal to individuals of all ages. Start with the third annual alt comedy block party from January 16 through January 18. If you miss that, Coachella will come around for two weeks in April where you can sit back and listen as emerging artists perform alongside established acts in every music genre. Biking enthusiasts are anxiously awaiting the dates of CicLAvia expected to take place in late spring. In June, the Hello Kitty’s Supercute Friendship Festival is certain to appeal to fans of every age. There is always something new and fun to do in Los Angeles but, to those with untreated low back pain, even the simplest outings can be overpowered with pain.

There are a number of causes of low back pain and the best back pain treatment depends on the cause and the health condition of the individual. Almost every person will experience low back pain during their lifetime. For many, the pain will go away on its own. For others, chronic lower back pain persists without the back pain treatment needed to give them relief. Pain of the lower back, or lumbar region, is the biggest reason that people miss work and it can also prevent you from enjoying many of the activities that you participate in for fun and entertainment.

Types of Lower Back Pain

Every person senses pain differently and to a different degree. Lower back pain may be felt as a dull, aching pain or as a stabbing or shooting pain. There are cases of both acute lower back pain that comes and goes on its own after a short period and chronic lower back pain that continues for a period longer than three months. While those with chronic lower back pain are most likely to seek back pain treatment, those with acute conditions may be severe enough to require treatment as well. This is especially true if the pain comes after a fall or injury that may have caused damage to the organs.

Pain TreatmentSciatica is a type of pain that results from the sciatic nerve. It is the largest nerve in the body and extends down the sides of the spine through the thigh and to the foot. Most often, this type of lower back pain occurs when a nerve is being compressed by a ruptured disc but it can also be from a tumor or damage from diabetes. Sciatica refers to the type of pain and not to a specific condition. People with sciatica often have excruciating pain in the lower back and in other areas along the path of the nerve into the foot. One distinctive feature that will help you recognize the signs of sciatica is that symptoms usually occur on only one side of the body.

Other Causes of Back Pain

Of the large number of people who seek back pain treatment each year because they can’t effectively perform their jobs, a large number are experiencing back pain because of their occupation. Any job that requires you to twist your pack or lift heavy objects can result in back pain. Even a desk job offers risks, especially if an ergonomic chair made to keep the spine appropriately aligned is not used.

Most of us carry things with us whether it is for our personal use or for the job or school. Heavy purses, backpacks and briefcases can place pressure on your lower back, even though you carry them on a different part of your body. Backpacks weighted down with large textbooks have been of special concern due to their impact on the backs of youths and young adults. Changing your transportation method to a wheeled backpack can save your back from a lot of pain and possible damage. The pain can also occur from strenuous workouts, frequent golf play, or from osteoarthritis that occurs as part of the aging process.

Types of Back Pain Treatment

There are a number of types of back pain treatment used in pain clinics to accommodate a wide range of back pain causes. Some of these include:

•    Over-the-counter NSAIDS such as ibuprofen or aspirin

•    Opioid pain killers including morphine, oxycodone and hydrocodone

•    Antidepressants

•    Electrical nerve stimulation

•    Nerve blocks

•    Trigger point injections

While occasional mild to moderate pain may require only over-the-counter NSAIDs for relief, more severe chronic pain often requires a more aggressive form of back pain treatment. For sciatica, muscle relaxants may also be used to ease muscle spasms. Antidepressants have also been successful at relieving sciatic nerve pain while stronger prescription pain drugs may be used when pain is more severe.

What are Trigger Point Injections?

Trigger point injections are a type of back pain treatment that is performed on an out-patient basis for some cases. Medication is injected directly into the trigger point, a focal area that causes muscle spasms and inflammation. They also occur in the upper back and shoulders, making this an effective back pain treatment for upper back, shoulder and neck pain as well.

Often, a nodule can be detected in the muscle from which the pain radiates. In some cases, the injections contain a single anesthetic such as lidocaine or they may be a mixture of different anesthetics. Corticosteroid shots are also given along with those mixed with lidocaine. When using trigger point injections as a back pain treatment, the patient is either lying on their stomach or sitting. The site of the injection will be determined by the physician and the site cleaned. Sometimes a numbing spray is used to prevent pain. This prevents the patient from feeling the insertion of the needle to dispense the medication.

Getting the right back pain treatment early on can prevent you from hours of pain that cause you to miss out on the fun things you like to do in life. A pain clinic has the most advanced treatments to provide you with the personalized care you need to get relief.

What Is IVF? How Does The Process At An IVF Clinic Work?

In today’s world, in vitro fertilization (IVF) is close to being a household word. However, it was not so long ago that it was a mysterious procedure used by childless couples to produce what were then called “test-tube babies”. A baby born in England in 1978, Louise Brown, was the first ever baby to be conceived in this way. Since that time, not only have IVF clinic appointments gone up, there have been many advances in this branch of the health sciences, making it essential for new IVF clinics to open and meet the growing patient demand. Denver, Colorado has 5 IVF clinics that perform this now common procedure on a regular basis. In fact, Dr. Deborah Smith of the Rocky Mountain Fertility Center has won the Patient’s Choice Award three years in a row.

IVF is much more complicated than the relatively easy process of artificial insemination. With artificial insemination, the sperm is placed inside the uterus and then conception is allowed to progress naturally. IVF combines the sperm and the eggs in a laboratory, not inside the body. After one or more embryos have formed they are placed directly inside the uterus. Since the process at an IVF clinic is so expensive and complex, the estimate is that only around 5% of couples who are struggling with infertility problems will choose to have it done. It is also further estimated that close to 40% of couples who choose to under treatment with IVF are not fully prepared for the costs and do not fully understand the procedure. That is why it becomes essential to choose a clinic that will take the time to answer all of your questions and concerns, and make certain that you know exactly what to expect. IVF was introduced to the United States in 1981 and since that time, the use of IVF and other types of ART has resulted in the healthy births of over 200,000 babies.

ivf clinic
Photo Credit: Rocky Mountain Fertility Center

The five stages of the IVF process

•    Controlled Ovarian Hyperstimulation: To increase the chances of a successful pregnancy, more than one egg is encouraged to develop using stimulation. Several different protocols for stimulation are available and the one that is chosen for you will depend on factors such as your age, weight, history, diagnosis, and hormonal profile.

•    Egg Aspiration: The eggs do not fully mature in the follicles until they have received a specific signal. In a natural cycle, this signal would come from the pituitary gland releasing LH. With IVF, the signal is given with an injection of hCG. When this injection is done is extremely important since the eggs must be retrieved before ovulation has occurred.

•    Insemination: Once the eggs and the fluid have been successfully removed, they are taken into the laboratory to be examined by an embryologist, who will determine the maturity level of each egg. A semen sample must be produced at this time by the process of masturbation, unless a sample has already been given and is frozen. Within 48 to 72 hours an embryo should be visible.

•    Embryo Development and Transfer: On the first day after insemination, the egg will begin to divide. On the second day, the embryo will now be made up of between 2 and 6 cells. Any embryos that have continued to develop by day three will now be made up of between 6 and 12 cells. Day 5 is when the blastocyst stage is reached.

•    Implantation of Embryo and Support: Supplemental progesterone is given on a daily basis after the retrieval of the eggs and the embryos are implanted anywhere between 5 and 9 days are insemination. There are many factors that can influence whether or not the embryo will implant successfully, but two of the most common ones are how receptive the endometrium is to the placement of the embryo, and how normal the embryo is. With the embryos that are left remaining, they can be frozen

IVF can treat which causes of infertility?

Treatment at an IVF clinic may be the next step in the road to parenthood if either your partner or you have been diagnosed with any of the following conditions:

•    Problems with the fallopian tubes or the uterus

•    Problems with ovulation

•    Endometriosis

•    Lower than normal sperm count

•    Problems with antibodies that can harm either the eggs or the sperm

•    Unexplained fertility problems with no known cause

•    Inability of your partner’s sperm to either survive or penetrate the cervical mucus

The first step in beginning treatment for infertility should never be IVF. It should be reserved for the patients who have tried and had no success with all of the other methods that are available, such as surgery, artificial insemination, and fertility drugs. Once you and your partner have exhausted all of these other options, and the two of you decide that going to an IVF clinic makes sense, you should do some thorough research into the clinics or centers on your short list. The following is a list of questions that you should be certain to ask the IVF clinics that you are considering:

•    What is the ratio of pregnancy per each embryo transfer?

•    For couples in the same age group that my partner and I are in, and who have the same type of fertility problems as we do, what is your rate for successful pregnancy?

•    Including couples in all groups, what is the live birth rate for the past year and how many cycles?

•    Out of the live births, how many were twins, triplets, or other multiple births?

•    Does the clinic participate in an egg donation program if we decide to donate our unused eggs?

•    For how long are we able to store embryos and how much is charged for the storage fees?

•    What will the final cost of the entire procedure be, including the costs for any hormone treatments that we will receive?

Golf Communities Are Becoming Popular Places To Live

When people retire from the working world, and decide it’s time to move, they often look for reasons to move to a certain city and state. Some people want the best weather, while others want a beautiful place to call home where they will have people their own age, and with the same interests, to live among. One city and state that older people choose is Scottsdale, Arizona, and one of the things that this area is known for is golf. For golf enthusiasts, Scottsdale is the perfect place to live because there are over 100 golf courses in and around the area, which means that those that love golf will have their choices of some pretty amazing courses to play on. However, in this day and age, the luxury real estate market in Scottsdale can do more than just offer people homes, but offer them the chance to actually live on a golf course in a community that is dedicated to the game.

The Benefits of Living In a Golf Community

Now the idea of living on a golf course may conjure up images of a house sitting in the center of a sand trap or green area, but that is not what living in a golf community actually means. The luxury real estate market will do anything for people who want upscale homes, which also includes introducing them to other golf lovers in a golf community. People who move to a golf community are not going to have their house sit in the middle of a sand trap, but the homes are situated in such a way that is very beneficial to those that truly love the game of golf and want it to be a part of their everyday life. Here is more information on the benefits of moving to a golf community:

golf home
Image courtesy: The HERMANN Team

•    A quiet place to live: One thing about living in any city is the fact that it can be very noisy. Even if people live in a neighborhood far away from downtown, there is always traffic that is going to be around. However, for those that want to retire, and want peace and quiet to go with it, then moving into a golf community is the best way to go. Any time anyone deals with the luxury real estate market, they are guaranteed certain things like peace and quiet. The golf community can provide a serene environment because these communities are gated and situated in such a way that guarantees that no one will be driving through it.

•    The game of golf available anytime: A golf community means that houses are situated either one or around a golf course. For people that love the game of golf, and to play it, they can literally go out of their front doors and head right for the green. The golf course is available any time for the residents, which means that people can enjoy a game first thing in the morning, or perhaps, one late at night when there is no one around to get in the way!

•    Yard work is done by professionals: Part of living in a golf community means having to pay a certain amount of dues every month for the use of the course, plus other amenities. The fees that people pay includes the fact that the yard work is handled by the professionals that take care of keeping the golf course looking its best. Some people really do not like to do their yards, and for older people, it can be difficult to maintain the yard because of all the heavy lifting, and other activity, that goes into cutting and trimming the grass.

•    Residents get access to golf amenities: Other than being able to play golf anytime, golf communities have a clubhouse that grants people other fun things to do like enjoy a drink at the bar, go swimming in a pool, or playing games in an arcade-like room that is exclusively for member use. Playing golf on a course has its privileges, and the clubhouse can have plenty of exclusive fun things that can go along with those amenities.

•    A safer more secure community: Living in a gated community means more than a giant fence surrounding the whole area. Along with the gates goes a security patrol that can be in any home that is in trouble in a matter of seconds. People can walk around their neighborhood, let their kids play outside, and leave their doors unlocked because the community essentially has their own police that keep everything, and everyone, very safe and secure around the clock.

•    A beautiful neighborhood to call home: Everyone wants to live in a beautiful area that they can be proud of. A golf community takes pride in its appearance, and hire professional landscaping companies to make sure that not only the golf course is nice, but the whole neighborhood as well.

•    The chance to socialize with people with similar interests: Older people like to sit around and talk with people who have the same interests as them, and living in a golf community will grant them access to other people who love the game of golf just as much as they do. Socializing is good for people over a certain age because it can keep them happy, and also keep both their minds and bodies active.

Golf is one of the most popular sports there is, and people love it so much they attend events all around the country. In Scottsdale, Arizona, the luxury real estate market offers golf enthusiasts the chance to actually live around a golf course. Golf communities offer people a better way of life because they get access to a golf course, and people who are also golf enthusiasts. Other benefits of living in a golf community include a quiet place to live because the area is gated, and no cars are allowed anywhere near it. Also, there is a lot of security because the community is patrolled by a security team that watches over both people and property. Golf is a way of life for some people, and in Scottsdale, people can live right on a course and play it any time they want in complete privacy and with lots of security!

The Importance Of Interior Re-Design In Dubai Real Estate

With the growing real estate market in the Middle East, Dubai has risen significantly and become one of the most luxurious cities in the world.Many western investors have flocked into the vast market, buying property and living their dream. With interior re-design in Dubai, many have benefited immensely updating their apartments into a stylish space.

There is nothing more important in a room than the interior design, the fact remains that a good deal of relaxing time is spent in the house; if you don’t like your house design, it might have a significant effect on your daily mood and even health.

Significant importance’s of interior re-design in Dubai

Interior redesign is the art of arranging the homeowner furnishings, art and collection of accessories to create a fresh look which reflects unique personality and taste.

interior re-design Comfort

In every home, comfort should be the main agenda of the day; home redesign reflects the personality, interests, and history of the home owner by providing the most effective, personal, beautiful, and fresh comfortable spaces possible within the entire room, using the available property the family already owns. The redesign also provides a sense of calm, organization, and order by putting things in the best locations, making the room fresh and easy to man-oeuvre. A professional redesigned home allows owners to achieve a stylish, comfortable room at lower cost than conventional design methods because less items are purchased with the transformation of the entire room.


Making and arranging the entire house setup can create an environmentally clean workspace with fresh air flowing in and out of the space. Good lighting is also achieved when un-used furnishings are moved and placed neatly in strategic locations within the house. The air quality becomes fresh and free from dust, maintaining a healthy flow throughout.

Security and Safety

Creating a clean and healthy apartment reduces the risks of injuries and flying objects in the home. Many home owners forget the importance of safety measures in the house which can bring accidents such as fires.An interior re-design in Dubai specialist can effectively rearrange and design the entire house considering the safety and health hazards.

Factors to note down before home interior re-design

The first important step is to outline the exact requirement of the home before contacting an interior designer. Have a clear time setup for the entire task and fix the budget appropriately for the renovation.Revise the entire plan and note down the requirements of the accessories you want to save and keep safely. It’s also recommended to know exactly which room you would like to fix first,don’t get side tracked but stay on the focused track. Once you’ve finalized your plans and made some decisions, contact an interior re-designer in Dubai, to execute the entire project.

With everything on hand, the entire process should take approximately one-day. With the process well executed, the home owner will be astonished with the warm, unique and welcoming look. The entire room will look fresh, nicely managing your personal accessories and personal furnishings. To find a great deal of interior design agents in Dubai,it’s necessary to research and revisit well accredited specialists.