Good Health September 2013

me m p h i s

A healthy lifestyle publication from Scripps Howard

Aesthetics and Complementary Medicine

feel good look good Aerial Pilates

Acupuncture september 2013

+ Ovarian Cancer Awareness Month

from the editor

W

e can’t watch television or use the Internet without seeing advertisements and articles about “anti-aging” products that promise to erase wrinkles, improve skin, and keep us looking young. The truth is that “anti-aging” is not possible; there’s nothing we can do to stop the natural, beautiful process of aging as long as we have the blessing of adding years to our lives. As I grow older, I hope that I can look past society’s obsession with youth. I hope that I can look to the wise and wonderful older people in my life as an example. I hope I can keep the perspective that living past what our culture considers “old” is something to celebrate.

I think that many physicians would agree that the healthiest way to live is to find a balance between embracing our current stage of life and working to maintain our health, wellness, and appearance. The last few years have seen exciting advances in cosmetic skin care procedures, and this Aesthetics and Complementary Medicine issue of Good Health gives an overview on how to work with your dermatologist or skin care practitioner to take advantage of these methods.

In this edition you’ll also find information about acupuncture, meditation, massage, and stress management as complementary medicine techniques. If you think of some of these as New Age or trendy, I encourage you to consider that people have used these methods for centuries; research shows that when used as a complement to modern Western medicine, they can be an effective way to heal and maintain your well-being.

Cheers to your Health!

Holly Whitfield, Good Health Editor

President and Publisher George Cogswell

Vice President of Advertising Stephanie Boggins

Editorial Director Holly Whitfield holly.whitfield@scripps.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.

Contributors Molly Fromkin Sarah Matheny Gordon Jason Prater Nathan Berry Brandon Dill For more information on advertising your medical practice in Good Health Magazine, contact Amy Mills at 901-529-6517 or e-mail amy. mills@scripps.com 495 Union Avenue, Memphis, TN 38103

august 2013

orthopaedics and rehab

cover story

Feel Good, Look Good a personalized approach to cosmetic skin procedures 4

22

Acupuncture a Complementary Approach 6 Balance of Wellness stress management 8 Art of Science Art Event for St. Jude 12 Ovarian Cancer Awareness Month 14 Power of Touch health benefits of massage 20

7

departments

Work it Out Think Outside the Gym: Meditation 16 Good Food Grilled Brussels Sprouts with Parmesan 24 special features

Varicose Veins/Venous Reflux Disease is Progressive 10 Memphis Vein Center

Medi Spa Treats a Variety of Skincare Needs 12

Advanced Dermatology and Skin Cancer Associates

Hydration Therapy: The Fountain of Youth 17 Atlas Men’s Health

What Causes My Varicose Veins? 19 Memphis Vascular Center

New Eye Treatments Make All the Difference 21 Eye Specialty Group

33 24

feel good look good Photos by Nathan Berry

Jennifer Vafinis-Fraser, aesthetician, counsels Angela Leigh, medical assistant, on Angela’s daily skin care routine.

A personalized approach to cosmetic skin procedures

O

n a recent afternoon, Good Health visited the Advanced Dermatology and Skin Cancer Associates’ Olive Branch location to speak with Angela Leigh, medical assistant, and Jennifer Vafinis-Fraser, aesthetician, about some of the cosmetic procedures offered at the clinic. In the fall of 2013, a Medi-Spa will open at the Olive Branch location, where patients can have non-surgical cosmetic procedures in a relaxing, spa-like setting.

“Aesthetics is the study of skincare,” VafinisFraser, who has been with the practice for about three years, explains. “As an aesthetician, I perform cosmetic procedures and work with patients to help them maintain healthy, good-

looking skin, educate them on different products they can use, and set up an at-home skin care routine.” Some procedures that can reduce wrinkles and other signs of aging include chemical peels, laser treatments, and oxygen facials. Vafinis-Fraser says that the oxygen facial, for example, “involves serums applied to the face, then infused into the dermis with hyperbaric oxygen. It helps to give a deeper effect of the product, which can prop up the skin from fine lines and wrinkles.”

Angela Leigh is a medical assistant and Mohs skin cancer surgery technician who has worked over the last five years primarily with Dr. Purvisha Patel in the core area of the practice,

dermatology and skin cancer treatment.

She’s also the occasional patient, though it’s not possible to tell that her smooth skin and luminous complexion have been helped along by cosmetic procedures. “I’ve had Botox, fillers, chemical peels, laser treatments,” she shares.

These treatments have worked to prevent the appearance of fine lines and wrinkles, even out skin tone, and simply maintain a healthy skin care regimen. “My skin is very delicate and extremely sensitive, so I’m allergic to a lot of different products,” she continues. “Through all of the treatments I’ve had, Dr. Patel is specific on what’s right for me and my skin.”

There’s no doubt that the best way to age gracefully is to enjoy the wisdom you’ve earned through experience, to fill your days with time for loved ones and good work, and to work with your doctor to develop a healthcare plan that will help to prevent injury or disease and maintain your quality of life. Once you’ve got your body and mind performing at their best, why not give

Botox

your skin and face the same treatment?

There are many skin procedures that can bring your face a more youthful look without going under the knife, but it’s important to understand the options available and to work with a medical professional to develop a plan that fits you specifically. If a chemical peel sounds like something that would only happen

Botox has been approved for dermatological use by the Food and Drug Administration since 2002, and is an effective alternative to surgical or more invasive procedures. Patients can enjoy shorter recovery time and may have more natural looking results.

“Botox is a neurotoxin that we inject into the muscles of the face,” says Dr. Patel. “It can address existing wrinkles or prevent wrinkles for three to four months.” When Botox is injected, it activates the muscle in much the same way that we activate our facial muscles when we smile, frown, or otherwise make a face. The difference is that the activation remains for an extended period of time, smoothing out wrinkles and lines and giving a lifted appearance.

unintentionally, and Botox has you thinking of strange celebrity “after” photos, take a look at this quick guide and set the story straight.

Dermatologist Dr. Purvisha Patel, owner and physician at Advanced Dermatology and Skin Cancer Associates, shares her expertise on some of the most popular cosmetic dermatology procedures.

Laser Procedures

“Lasers can be used to lighten and remove broken blood vessels, brown spots, and other blemishes,” Dr. Patel explains.

Photorejuvenation laser treatments may also help to control redness, flushing, and can make minor improvements to pore size and skin texture. Usually this type of procedure consists of three to five treatments, one session every three to six weeks; the benefits of lasers include minimal risk and little discomfort. Resurfacing lasers can create more radiant skin by warming the upper dermis, which reduces blood vessels, acne scars, sun damage, and wrinkles.

Chemical Peels

For individuals with facial blemishes and uneven skin tones, chemical peels can be a good procedure for lessening the appearance of imperfections. “The most common chemical peel treatment is a series of light chemical treatments that place acid on the top layer of skin, and over the new few days, the skin will slough off,” says Dr Patel. “A mid-depth chemical peel uses a stronger acid and the skin will begin to slough off after a week or two.” A chemical peel doesn’t doesn’t prevent or slow the aging process, but it can improve texture and remove damaged layers of skin.

Fillers

“Different than Botox, fillers are injected under the skin, not in the muscle,” Dr. Patel explains. “They are placed strategically to plump certain areas of the skin to reduce or erase wrinkles and fine lines.” Recovery time is much less than invasive techniques, and the length of results depends greatly on how much and what type of filler is used. There are several types of chemical fillers that imitate naturally occurring soft tissues, such as collagen and hyaluronic acid (a substance found in soft connective tissue), as well as a synthetic chemical, polylactic acid, that imitates soft tissue and helps the body produce more of its own collagen. Fillers are often used in combination with Botox and a daily skin care routine for maximum results.

acupuncture T

A complementary approach

wo years ago, a man in his sixties came to Jessica Puckett, owner of Midtown Acupuncture and Natural Apothecary in Memphis. He had experienced chronic back pain that radiated down the back of his legs for five years. “By the time his neurologist referred him to me, this degree of this man’s pain didn’t seem to match the physical manifestation from

the test results,” Puckett recalls. An MRI showed some stenosis (narrowing of the spinal canal) and a very mild disc herniation; his neurologist had administered nerve blockers that helped for a time, but did not relieve the pain overall.

By placing needles in the low back, glutes, and legs, Puckett was able to help the patient to be 40 percent pain free, then 60 percent, and

eventually, he was 80 percent free of pain. “We still had 20 percent left,” she remembers. “I started asking some questions, because I knew that the rest was something psychological.”

Because of the time she had spent developing trust and a relationship with the patient as a practitioner, she learned that he’d been laid off from his job right before retirement,

resulting in financial problems that were also

saunas and caves, a serious skin condition

provides a variety of detoxification therapies,

significantly impacting his marriage in a negative

appeared. For six months, Puckett visited a

aromatherapy, and natural skin care products.

way. “Low back pain in men can coincide with

dermatology clinic. “We went through every

when they’ve experienced something that has

kind of medication, and nothing touched it,”

management for orthopedic injuries,” she

rocked their world,” Puckett explains. “Once

she recalls. When someone recommended

explains. “The second thing would be migraines,

we brought up some of the things that had

acupuncture, she was willing to try anything.

been going on in his life, he had an amazing

“After six weeks of herbals, treatments, and

insomnia, and anxiety, which often get wrapped

experience where he was filled with relief that

acupuncture, the issue was 80 percent gone.”

someone noticed this struggle that he was

Around the same time, she dislocated her

going through.” She referred him to a therapist,

shoulder while snowboarding. She went to

and within six weeks of working with his

orthopedic physicians who put her shoulder

therapist, seeking counseling with his wife, and

back in place and gave her initial treatment.

continued acupuncture treatments, he was 98

Then, she decided to visit an acupuncturist for

percent pain free.

pain management; after that, Puckett decided to

“This story is a perfect example of how this

pursue Oriental medicine with specializations in

“The number one thing that I treat is pain

in together.” She explains that placing needles at motor points and muscular junctions can release tight muscles and fix imbalances. She emphasizes that many acupuncturists, herself included, have no intention of discounting or

replacing Western medicine, but want to provide the physical and psychological benefits of the ancient practice as a complement. “I believe that

works,” she explains. “It’s a really beautiful

both orthopedic and cosmetic acupuncture. She

you cannot treat the body without treating the

complementary healing process.” Puckett has

explains that different practitioners have different

mind,” Puckett “When you are someone who

her own story, which led her to open Midtown

approaches, but hers is an holistic one that

has ten years of chronic pain, your mind and

Acupuncture and Natural Apothecary five years

respects both Western medicine and the origins

your spirit has suffered. You can’t relive the pain

ago. Before that, she was a pre-med student

of traditional Chinese acupuncture. Midtown

in the body without also relieving the pain in the

living in Colorado. After hiking in some natural

Acupuncture and Natural Apothecary also

mind. It has to go together.”

What is cosmetic acupuncture?

Jessica Puckett: MSOM, L.Ac. “As we age, our bodies drop off production of elastin and collagen. Just like in your arms, legs, or belly, if you don’t work the facial muscles, they become flaccid, less toned, and the skins sags. If the skin stays that way for too long, a wrinkle will form, like a crease in a paper.

Cosmetic acupuncture uses the motor points in the muscles of the face to create a little jump, and over a series of treatments tones the muscles to create a lift in the face.

If there is already a line in the skin, we can use a cross hatching needle pattern, that will create a microtrauma in the skin in order to promote the production of collagen and elastin, which will fill in the wrinkles. Over a series of ten to twelve weekly treatments, can improve the appearance of the facial skin as well as overall health as we bring the body into balance.”

Balance of

Wellness T

hink you’re the most stressed-out person in the world? You’ve got company.

“Everybody experiences stress,” said Fonda Fracchia, fitness and wellness coordinator for the Office of Campus Recreation at the University of Tennessee Health Science Center.

“It doesn’t matter who you are.”

Whether stress is the result of a happy event like having a baby or starting a new job, or something traumatic like being in a car accident or getting a divorce, it is a constant force threatening to upend the delicate balance of well-being in our lives.

Certified as a stress management trainer with the Wholistic Stress Control Institute, an affiliate of the National Wellness Institute, Fracchia leads a stress-management support group for students and faculty at UTHSC. She describes well-being or wellness as “the special arrangement that brings satisfaction from the interplay of our aspirations and actions with the world around us.” When we are in balance, she said, we have all the components of wellness lined up (

By Peggy Reisser Winburne

social, physical, mental, intellectual, emotional, occupational, spiritual and environmental ) and we are happier people.

When the balance of wellness is upset, the physical symptoms of stress make themselves known. Who hasn’t experienced the dry mouth, clenched teeth, racing heart that we associate with stress?

While the stressors of life are almost

impossible to control, we can control how we react to them. The key is “choosing behaviors and attitudes that enhance our health and wellbeing,” Fracchia said.

Fracchia and J. Lee Taylor, interim director of Campus Recreation at UTHSC and an exercise physiologist, offered some techniques to help you do that.

When stress surfaces, “meet it from a realistic perspective,” Fracchia said. Don’t let it trigger irrational or catastrophic thoughts, and don’t rationalize yourself into denial mode. Tell yourself the truth about the situation, and then decide what you would like to happen with it.

Writing out the desired outcome may help you deal with the situation realistically.

Practice self-affirmation. “You say, ‘I am whole and complete. I am healthy and calm.

I have everything I need to enjoy a healthy life,’ ” she said. In this way, you will avoid imagining the worst and open yourself up to arriving at the best outcome.

Practice visualization. “Set your goal, create a clear picture in your mind of what you want to happen, focus on that

mood and help relieve stress.

“Look for things in your life where time doesn’t matter,” Taylor suggested. That might be exercise, reading, gardening, painting, journaling, meditation, anything that lets you slow down and focus on something other than your stressors. “Another thing that helps with stress management is not having an agenda,” he said.

On weekends or on vacation, allow for some time with no agenda.

Seek out the people, places and activities that give you joy. “Teaching people how to get their joy back,” is a big factor in stress management, Fracchia said. That often means turning thoughts away from self and toward others. For example, this could involve practicing kindness toward others or freeing your spirit by donating items that are dragging you down.

Get enough exercise, eat a nutritious high-anti-oxidant diet and stay

hydrated. Yoga and tai chi are the most common forms of exercise for stress relief, but cardiovascular exercise can relieve stress symptoms and increase endorphins that promote positive feelings. (Ever left a Zumba class unhappy?)

Other things to try when you’re feeling stressed: Dancing or listening to music, punching a pillow, screaming (in a room by yourself), making faces in the mirror. Get the stress out on your own, instead of unleashing it on someone else.

“We can’t change people, places and things around us or circumstances, but we can change,” Fracchia said. “When we change, the domino effect happens and the dynamics change in our relationships, and as a result of that, everything else begins to change.”

Peggy Reisser Winburne is a media relations and communications specialist at the University of Tennessee Health Science Center.

Photos provided by University of Tennessee Health Science Center

picture and give it positive energy,” Fracchia said.

Take responsibility for how you feel, Taylor said. “We can get into a blame game, ‘it’s my children, it’s my dog, it’s the money,’ but really what it comes down to is I’m the common denominator in all that stuff that’s wrong,” he said. “I think those of us who are willing to accept that personal responsibility, we’re going to have a higher level of wellness.”

Cultivate healthy relationships. Be around supportive people and begin limiting time with those who aren’t.

Get in touch with your breath. “Just putting your awareness and attention on your breath is huge, because we are breath,” Fracchia said. “When a person loses that connection with their breath, they’re usually disconnected in all their emotions.”

Smile and add more laughter into your life. Both release endorphins that boost

Fonda Fracchia, fitness and wellness coordinator for the Office of Campus Recreation

J. Lee Taylor, interim director of Campus Recreation at UTHSC and exercise physiologist

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Varicose Veins / Venous Reflux Disease is Progressive Symptoms Can Get Worse if Left Untreated people, these valves become worn out. over time, blood backs up in the veins, and pressure builds up. this increased pressure leads to a sensation of heaviness, causing veins to enlarge. the veins that branch into the surface of the skin become dilated, and appear as varicose veins.

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Artists and Scientists team up to enlighten the Memphis community.

Art of Science 2013 is proud to pair the finest local artists with research scientists at St. Jude Children’s Research Hospital for the third year running. Working together, scientists and artists will create work that introduces new audiences to the principals that are saving children’s lives every day at St. Jude. Linking these groups of people both enriches our artistic landscape and inspires people across Memphis to get involved in the fight against deadly childhood diseases. This year’s exhibition opens September 27, 2013 with a reception from 6 – 9 p.m. at the Memphis College of Art Nesin Graduate Center, Hyde Gallery located at 477 S. Main St. The exhibition will run six weeks Wednesday – Saturday, noon to 5 p.m. and by appointment.

The show will feature the work of 27 artists in traditional and interactive media alongside cutting edge scientific imagery.

“Last year’s opening night attracted more than 2,000 viewers,” said Dr. Heather Smallwood, PhD president of Art of Science. “We took this as an indication that the community is interested in the art and in learning more about medical research in Memphis.” This year, the Art of Science board of directors aims to inspire even more people.

Researchers at St. Jude not only strive to prevent and cure childhood cancer, but are daily making discoveries that can improve the health and wellbeing of many Memphians, as well. “Memphis College of Art is delighted to be hosting this year’s exhibition, and we know the Memphis community will be out in force to witness these marvelous works,” said MCA President Ron Jones. “The work these scientists do at St. Jude is truly an inspiration – what a wondrous and fitting muse for our local artists!” By studying their research, artists create unique portholes that enable viewers to peer inside the laboratories of this renowned facility. Greely Myatt, Carl Moore, Bobby Spillman, Eli Gold, Margret Munz-Loch and dozens of other gifted local artists are lending AOS 2013 their talents.

During the opening reception (Sept. 27), visitors will have an opportunity to meet and talk with all of the scientists and artists whose works are featured. AOS will also provide educational materials to enhance public understanding about the work on display. The exhibition is appropriate for adults and children of all ages. Through this artistic lens people across our community can glimpse and connect with the rarely seen scientific miracles that occur everyday within the walls of St. Jude.

For more information Contact Melissa Farris 901.574.2586

September is National Ovarian Cancer Awareness Month Get the Facts.

Recognize the Signs.

Ovarian Cancer is one of the most deadly of women’s cancers. Each year, approximately 22,880 women will be diagnosed with ovarian cancer.

In 2012, approximately 15,550 women will die in the United States from ovarian cancer. Many women don’t seek help until the disease has begun to spread, but if detected at its earliest stage, the five-year survival rate is more than 93%. Recent research suggests that together the four symptoms of: bloating, pelvic or abdominal pain, difficulty eating or feeling full quickly and urinary urgency or frequency may be associated with ovarian cancer.

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Who is at risk for ovarian cancer?

All women are at risk for ovarian cancer but several factors have been associated with the disease. Lifetime risk is approximately 1 in 70.

Family history of ovarian cancer is the major risk factor. If two or more first degree (mother, sister, daughter) or second degree (grandmother, aunt) have had ovarian cancer there is up to a 50% risk of developing the disease. Because genes are passed from parents to their children, a woman can inherit the gene mutation from either parent.

Previous cancers increase risk for another cancer in a different body organ. For instance, women with ovarian cancer have three times the risk of developing breast cancer, while women with breast cancer have twice the expected risk of ovarian cancer. A diet high in meat and animal fat is characteristic of industrialized Western countries and may contribute to an increased risk of developing ovarian cancer.

Reproductive history including women who have never been pregnant or fertile women who have not had children appear to have an increased risk of ovarian cancer. Statistically a woman is at increased risk of developing ovarian cancer if she has started menstruating at an early age (commonly before 12 years), has not given birth to any children, had her first child after 30, experienced menopause after 50, or never taken oral contraceptives.

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Photos by Brandon Dill/Special to Good Health

P

ush Pilates in Midtown offers traditional Pilates classes, but when Good Health Editor Holly Whitfield looked to try a class at the studio, owner and instructor Val Russell suggested that she take the experience to new heights with Aerial Pilates. For this class, students use a mat, a sturdy styrofoam roller, and a fabric sling (or “hammock”) anchored into the ceiling. Val, who also teaches Aerial and Circus Arts, was a participant in this particular class while Kelsey Morrison served as instructor. Here are some of the ladies’ opinions on this different take on Pilates. For Holly’s experience with an Aerial Arts class, see pg. 20. For more information on Aerial Pilates or Aerial Arts classes, visit pushpilates.com.

Holly: I’m no expert - but I’ve done traditional Pilates, so many of the moves were familiar.

However, I don’t think previous training would be necessary at all. The people in the class were at different fitness levels; it was very accessible to anyone healthy enough for exercise.

Val: Aerial Pilates has the same principles that you have in just a regular mat class - balancing the body, increasing flexibility, and strengthening the core. The differences: balancing on the roller provides an unstable surface that’s going to immediately engage the core; with the sling, it gives you enough support under the midsection of your body that you can challenge your core and especially your flexibility. While you’re hanging and rocking, your limbs become levers for challenging the core.

Kelsey: I have low back pain and scoliosis, and a lot of other people who come also have lower back pain. The roller is really good for that. It’s just that slight amount of pressure to help break up some of that tension.

inverting it and working the muscles in a different way. I would say that you will get flexible faster using an aerial hammock. It can raise your heart rate, too.

Kelsey: It makes you pay attention to what your body does, because you have to because you’re in the air or you’re upside down, and it’s a whole different spin on where you are spatially.

Holly: When you’re on the ground, you can only move so many directions. You can only bend back as far as the floor when you’re lying down.

Kelsey: It’s a fun way to work out. The traditional Pilates equipment is interesting, but if you’ve been doing it a while, this is something new and different; it breaks the monotony. It takes you literally to a different plane - you’re in the air working out.

Kelsey Morrison leads an aerial fitness class utilizing hammock-like slings at Push Pilates

Holly: The roller felt really good, too, when we were doing floor work. It’s almost like a massage on your back. I was surprised I was able to go upside down in the sling. Normally I don’t care for being upside down, but Kelsey helped me and it wasn’t that hard!

Val: In yoga and Pilates, when we’re working flexibility, we’re always upright and pushing down into gravity. With the hammock, you’re

Channa Halmon (left) gets help from Val Russell as she climbs into the hammock

Heather Talbot (front), Val Russell (left) and others participate in an aerial fitness class.

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first class

find new ways to get fit

Contd. from Pg. 20

A

nd now for something completely different: Good Health Editor Holly Whitfield recently tried an Aerial Arts class with Val Russell, owner of Push Pilates and experienced performer and instructor. Val began her training in the aerial arts seven years ago; she now offers classes and individual instruction. This class began with stretching, then progressed to basic moves, and ended with individuals focusing on specific tricks, all with silks: strong, elastic fabrics bolted in the ceiling that drape down to the floor.

Val: The first thing is to not think that you have to be in shape before you come to class. We will condition you and help to create a new kind of awareness in your body. Just come with an open mind, and be willing to stick it out.

Holly: I wasn’t sure what to expect, and I have to be honest, there were only a few basic moves that I could do, like a simple climb up the silks and a (brief!) wrap and balance. It would take a few more times for me to feel like I was really getting somewhere, because this is a physical art that requires practice and dedication. But I never felt bad or overwhelmed.

Val: There’s always something that a beginner can do on every piece of equipment. When they figure out that they can do that, then your job as a teacher is to just tell them how awesome they are and how great it is that they’ve figured that out in their body.

Holly: At the beginning of class someone said, “Oh, I can’t do this,” and Val gently reminded them to reframe that and say “I’m still working towards that,” which showed me that this is a really accepting atmosphere.

It was a great workout, too, for my arms, legs, and core.

Val: It’s all about building flexibility, balance, and strength. We get people, especially athletes, who are just sick of weightlifting and this is a new way of conditioning for them.

Sarah Bolton hangs suspended upside-down as she practices during an aerial arts class.

Carly Crawford (left) gets help from instructor Kelsey Morrison as she practices during an aerial arts class.

Regina Welling (left), Tommy Steele (center), Val Russell (right) and others practice dance-like movements during an aerial arts class.

SPOnSOReD COnTenT

What causes my varicose veins?

V

enous insufficiency is an abnormal circulatory condition, with decreased return of blood from the leg veins up to the heart and pooling of blood in the veins.

When the valves in the veins become weak and don’t close properly, they allow blood to flow backward, or reflux. Varicose veins are prominent veins that have lost their valve effectiveness and become elongated and thickened. The most common underlying cause is reflux in the thigh, which leads to pooling in the visible varicose veins.

Symptoms include aching leg pain, easy leg fatigue, and leg heaviness, all of which worsen as the day progresses. In more severe cases, venous insufficiency and reflux can cause skin discoloration and ulceration.

People without visible varicose veins can still have symptoms that arise from spider veins and varicose veins, caused by pressure on nerves by dilated veins.

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Chronic venous disease of the legs is one of the most common conditions affecting people.

Approximately half of the U.S. population has venous disease. 20 to 25 percent of the women and 10 to 15 percent of men will have visible varicose veins.

Varicose veins affect one out of two people age 50 and older, and 15 to 25 percent of all adults.

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Massage is often considered part of complementary medicine. It’s increasingly used along with standard treatment for a range of medical conditions.

Physical Health Benefits

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Dr. Krauss says new eye treatments make all the difference for many of his patients.

Eye surgeons don’t use the word “miracle” lightly. When a sea-change happens in healthcare, however, it’s hard to find a better word.

It was just a half dozen years ago that the availability of new approved “molecules” made new medical “miracles” possible in maintaining and even improving the vision of elderly persons (and others) suffering degenerative eye problems and vision loss.

The treatments involving periodic eye injections stem from cancer research and the inevitable course of continual questions and answers in the field of medicine.

“These treatments really have been unlike anything seen before in the field of ophthalmology,” says Dr. Andrew Mark Krauss, eye surgeon and partner with the Eye Specialty Group (ESG). Dr. Krauss adds, “The real change has been that patients who invariably were losing vision in spite of any surgical or medical intervention we could do, now could have their vision preserved and even improved through the injections of new medicine.”

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The beginning of the new treatments extends back to the early 1970s, when the “war on cancer” was proclaimed by then-President Nixon. At the same time a visionary Harvard Medical School researcher and expert in vascular biology, Dr. Judah Folkman, who died in 2008, revolutionized cancer treatment by theorizing that preventing new blood-vessel growth would “starve” tumors.

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Dr. Krauss says it now is possible to “mix and match” in order to achieve tailor-made treatments for patients. Although the thought of eye injections is frightening to many people, “we have hundreds and hundreds of patients who are happy to come in for this treatment. A significant number of patients obtain relief, compared to six, seven and more years ago. A huge percentage can keep driving and reading.”

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“It is such a great feeling to practice vitreoretinal medicine and surgery at a time of vision preservation, and improvement is possible now more than ever before.”

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work it out

step-by-step moves for a healthy body

Think

OuTside the Gym Step 1: Clean Take a shower or wash the face, hands, and feet to give a fresh, relaxed, and clean feeling to the body. This will help rule out physical distractions.

Step 2: Stretch Relax and stretch the muscles. Low-impact stretches (such as those in past editions of Work It Out) or basic yoga techniques can warm and prepare the body for meditation.

Step 3: Pose Set your meditation posture, either in a straight back chair or in a seated position on the floor. Gently close your eyes and keep the head, neck and torso straight.

J

ust like our bodies, our minds require exercise to stay strong and healthy. Meditation is one way to exercise

and condition the mind. According to the National Institutes for Health, a division of the U.S. Department of Health and Human Services, millions of people in the United States use meditation to treat health conditions such as anxiety, pain, depression, insomnia, and symptoms associated with chronic illnesses. Though meditation has its origins in Eastern religious and spiritual practices, many people tailor the principles of meditation to their own personal beliefs and philosophies.

Here is a very basic step-by-step example of an introductory meditation practice, as recommended by the American Meditation Institute (americanmeditation.org). Additional source: nccam.nih.gov/health/meditation

Step 5: Focus With your eyes gently closed, place your attention on the space between your nostrils.

As you inhale, mentally hear the sound SO, and as you exhale, mentally hear the sound HUM. Repeat the So-Hum mantra five times.

Repeat again with your attention moving up and down between your nostrils and the space between your eyebrows. Then, rest your attention on the space between the eyebrows, approximately one inch deep toward the brain.

Step 6: Meditate Step 4: Breathe Inhale and exhale through the nostrils slowly, smoothly, and deeply, without any pauses in the breath. Keep the body still and mentally travel from the crown of the head to the toes and back up again, concentrating on each muscle group, joint, and major organ.

Sit quietly without movement, listening to the sounds and vibration of the mantra. If any thoughts come into your awareness, simply acknowledge the thought and then redirect your focus to the mantra.

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good food

wholesome recipes and nutrition tips

Grilled Brussels Sprouts with Parmesan

by Sarah Matheny Gordon

Brussels sprouts are a versatile, easy-to-like, highly nutritious, yet often underappreciated side dish.

Cruciferous vegetables like Brussels sprouts provide nutritional support for multiple cancer-fighting systems in our bodies. They contain enzymes that have a detoxifying effect on our immune system, support the development of anti-oxidants and cancer-fighting cells in our body, and fight and reduce inflammation, a risk factor for many kinds of cancers. Research also shows that eating Brussels sprouts regularly reduces the risk of cardiovascular disease.

With Brussels sprouts coming into season, now is a great time to let go of childhood notions and give Brussels sprouts a second chance at a place on your dinner table.

Easy Way is proud to support Good Health’s good food department.

ingredients 2 pounds Brussels sprouts of roughly equal size, cleaned, and cut in half lengthwise (or quartered, if over 2 inches long)

1 Tbs. water

2 Tbs. olive oil

¼ tsp. fresh cracked black pepper

1 ½ Tbs. grated parmesan cheese, divided

½ Tbs. fresh squeezed lemon juice ½ tsp. salt

directions Preheat grill to medium high. In a large bowl, toss Brussels sprouts with olive oil, 1 Tbs. parmesan cheese, water, salt, and pepper. Place them cut-side down on a grill pan. Grill for 15 minutes, flip, and grill for another 10-15 minutes, shaking pan occasionally, until outer leaves are nicely caramelized and Brussels sprouts are tender when pierced with a fork. Top with remaining grated parmesan and serve.

For a variation, try substituting 3/4 Tbs. white sugar and 1/2 Tbs. red wine vinegar in place of parmesan and lemon juice.

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