Leading Medicine Fall 2023, Houston Methodist Willowbrook Hospital edition

LEADING MEDICINE

CANCER PREVENTION

Learn How to Reduce Your Risk

Solutions for Chronic Neck Pain

Recovering from Overuse Injuries

WOMEN’S HEALTH & WELLNESS EVENT

Visit join.houstonmethodist.org/ womensevent-wb to register

Date & Time: Sept. 13 from 4:30 - 6 p.m.

Location: The Lakehouse at Towne Lake 10000 Towne Lake Pkwy. Cypress, TX 77433

DIGESTIVE HEALTH EVENT

Visit join.houstonmethodist.org/ digestivehealthevent-wb to register.

Date: October 2023

Location: Virtual

BRAIN HEALTH VIRTUAL SEMINAR

Visit join.houstonmethodist.org/ neuro-wb to register.

Date: November 2023

Location: Virtual

Game-Changing Benefits of Partnering with Your Doctor

When it comes to your health, your primary care provider (PCP) is your quarterback. They have a big-picture view of your overall health and can help you make the right moves to stay healthy.

“Your PCP is your partner and first stop to help with your overall health,” said Dr. Bijoy Mukherjee, a board-certified internal medicine physician at Houston Methodist Primary Care Group in Rock Creek. “They’ll factor in your lifestyle, risk factors and family history to determine screenings or other exams to consider.”

IT’S A TEAM EFFORT

Here are some ways to make the most of your health visits and build a winning relationship with your provider.

1. Find the right PCP for YOU. Look for a doctor who is board-certified, speaks your preferred language, and offers appointments near your home or work. Above all, you should choose a doctor you trust and feel comfortable with, and don’t settle until you find the right provider for you.

2. Schedule an annual exam. Even if you feel fine, an annual checkup will help you stay on top of your health, making it possible to prevent problems and detect issues early. A yearly physical also allows for follow-up and management of chronic conditions.

3. Share your health history. Managing your health is easier when you have a relationship with a PCP who knows you and your health history. Your doctor may recommend health screenings based on your age, personal or family health history, and other factors.

4. Be open and honest. There’s no reason to hold back information because you’re worried or embarrassed. Your PCP is there to support you in improving your health, not to pass judgment on your decisions. Having transparent conversations about your health helps your doctor better serve your health care needs.

5. Set goals for your health. Your chances of success improve when you have medical support for making big changes to your health. If you want to lose weight, quit smoking or make other healthy changes, your PCP can help you get started. •

NEW PRIMARY CARE CLINIC IN ROCK CREEK

Houston Methodist Primary Care Group has opened its eighth clinic in the Northwest Houston area to expand support for the Cypress community. The new clinic in Rock Creek is located at 14044 Spring Cypress Rd., near the corner of Grant Road. The new freestanding clinic is staffed with board-certified family medicine physicians who offer virtual and in-person appointments to treat acute illnesses and manage chronic conditions. They also provide complete physicals, health screenings, routine immunizations and preventive care.

Put

Your Health First

Dr. Bijoy Mukherjee

Chronic Neck Pain: When to Seek Help

Neck pain is a real pain in the neck — literally! It can debilitate and wreak havoc on your day. But when does the occasional stiff neck or kink become chronic neck pain, and when should you seek help?

WHAT IS CHRONIC NECK PAIN?

According to Dr. Cole Fitzgerald, a pain management specialist with Houston Methodist Spine Center at Willowbrook, neck pain is considered chronic if it lasts for more than three months.

The pain can be described as a constant ache or a stabbing or burning sensation. Headache, stiffness or a pins-and-needles feeling may accompany neck pain. If you have neck pain, you may also have trouble turning and moving your head.

WHAT CAUSES CHRONIC NECK PAIN?

“Chronic neck pain is caused by several factors, including poor posture, injury, arthritis and nerve damage,” Fitzgerald explains. It can also be a symptom of underlying medical conditions, such as fibromyalgia, herniated discs or degenerative disc disease.

WHEN SHOULD YOU SEEK HELP?

Neck pain can resolve on its own with time and self-care. Many over-the-counter pain relievers can help manage your pain and inflammation. However, Fitzgerald advises against using pain relievers long-term. If your pain continues to linger, you should talk to your doctor.

“Neck pain can develop into chronic pain, so you want to be somewhat aggressive in treating it when it’s still in the acute phase,” Fitzgerald said. “If you’re not getting better within a few weeks, you probably should seek treatment.”

Since the causes of neck pain can vary, Fitzgerald suggests that if you experience symptoms, such as tingling, numbness, weakness or changes in bowel/bladder function, you should get medical treatment right away.

HOW IS CHRONIC NECK PAIN TREATED?

Treatment will depend on your symptoms and can vary from conservative approaches, such as at-home stretching, to more advanced treatments, including injections, all the way up to surgery.

“If someone has persistent symptoms despite conservative management, then we look at more advanced treatment options like injections,” Fitzgerald said. “That may range from trigger point injections where we inject directly into the muscle, epidural steroid injections for nerve pain, or medial branch nerve blocks and radiofrequency ablation for joint pain.”

Surgery can repair or replace a herniated disc or correct a spinal malformation, if needed. Sometimes spinal cord stimulation is considered when the pain does not subside with surgery.

CAN I PREVENT CHRONIC NECK PAIN?

There are some actions you can take to prevent neck pain from developing. Practicing good posture, so you’re not slouching or straining your neck during the day, is key.

At night, use a pillow to help keep your neck and head aligned with your body as you sleep. If you’re a back sleeper, you can place a pillow under your knees to relieve pressure in your lower back.

While practicing good posture can help, getting treatment in the early stages may prevent chronic neck pain. •

Start Living Life Without Chronic Neck Pain

If you’re suffering from persistent neck pain, it may be time to see a spine specialist. Visit houstonmethodist.org/spine-wb or call 281.737.7463 to schedule an appointment.

HEALTHY SOLUTIONS For Cancer Prevention

We’ve all been impacted in some shape or form by cancer. It is one of the most prevalent health concerns in the U.S. According to the American Cancer Society, it is estimated that in 2023 alone, there will be over 1.9 million new cancer cases diagnosed in the country. While these numbers are overwhelming, there are ways you and your loved ones can fight back.

The most common cancer types include:

■ Breast

■ Colorectal

■ Lung

■ Prostate

■ Skin

“Cancer prevention is not a guarantee, so it’s important to be proactive with your health by getting routine screenings to catch cancer early and significantly reduce your risk of serious illness,” said Dr. Asha Murthy, an oncologist at the Houston Methodist Neal Cancer Center at Willowbrook.

REDUCE YOUR RISK

Between 30-50% of cancers are preventable by eliminating your risk factors and adding a healthy routine.

It’s never too late to get proactive in your health. Reduce your risk with these simple lifestyle changes and promote your overall well-being.

YOUR BEST DEFENSE AGAINST CANCER

Detecting cancer in its earliest stages increases the chances of successful treatment and improves overall outcomes. It allows for a broader range of treatment options that are often less invasive and more effective. Plus, early detection improves the chances of complete recovery and long-term remission. Regular screenings with your doctor and being attuned to your body’s signals are vital to catching cancer at its earliest stages when it is most treatable.

Know Your Body

One of the most important steps you can take is to be familiar with your body’s normal patterns. Murthy advises paying attention to any changes or unusual symptoms that continue for an extended period. “Your body has ways of communicating with you, and it’s important to listen,” Murthy said. “If you experience persistent coughing and fatigue, unexplained weight loss, changes to your skin, or persistent pain, it’s essential to consult your doctor for further evaluation.”

Limit Alcohol

Fewer drinks per week can lower a woman’s risk for breast cancer.

Exercise

Not just for your lungs but stop smoking for your overall health.

Add movement by taking the stairs, parking farther away or gardening.

Stay Connected With Your Doctor

Establishing a close relationship with a primary care provider (PCP) who understands your medical history and can guide you through screenings and exams is invaluable. Regular checkups and open communication allow your doctor to monitor your health, address any concerns and recommend appropriate screenings based on your risk factors.

Get Regular Screenings

Routine screenings are crucial in detecting cancer early. Houston Methodist offers state-of-the-art screenings for various types of cancers — breast, cervical, colon and rectal, lung, ovarian, prostate, skin and uterine. When and what screenings you need vary depending on your age, gender, family history and other risk factors.

“If a screening reveals something significant, your PCP will navigate you to the right specialists, fostering teamwork and collaboration for your care,” explained Murthy.

Be Your Advocate

Take an active role in your health care by asking questions, sharing any changes or concerns, and discussing your family’s medical history with your doctor. Don’t hesitate to seek a second opinion. It’s important to gather different perspectives when facing a potential cancer diagnosis. •

Wear Sunscreen

LUNG CANCER SCREENING CRITERIA: WHO SHOULD GET TESTED?

Most health insurance plans cover lung cancer screenings, provided you meet the following criteria:

■ Between the ages 50-77

■ A current smoker or have quit within the last 15 years

■ 20 pack years (multiply the number of packs per day by the number of years smoked)

The screening costs $225 for noninsured or those not wishing to use insurance. Your doctor will need to order the screening.

First Stop: Your Primary Care Provider

When it comes to discussing cancer prevention and which screenings may be right for you, your PCP is a good place to start. Your doctor can help guide you to cancer screening tests appropriate for your age and risk level. To find a PCP near you or schedule an appointment, visit houstonmethodist.org/pcg/northwest or call 713.394.6724

Time to See a Specialist

If you or a loved one has been diagnosed with cancer and would like to schedule an appointment, visit houstonmethodist.org/ cancer-wb or call 281.737.2500 to find an oncologist at the Houston Methodist Neal Cancer Center at Willowbrook.

Protect your skin no matter how long you are in the sun. Get

Make sure you get screened regularly.

KEEP OVERUSE INJURIES FROM DISRUPTING YOUR WORKOUTS

Overuse injuries are a frequent problem among athletes and fitness enthusiasts. They are frustrating and cause setbacks to your fitness goals.

“These injuries develop when joints or muscles get stressed by the load, frequency or repetitiveness of an exercise,” explains Dr. Jeremy Fleeks, a board-certified primary care sports medicine physician at Houston Methodist Orthopedics & Sports Medicine at Willowbrook.

The most common overuse injuries include:

■ Achilles tendonitis

■ Runner’s knee

■ Shin splints

■ Stress fractures

■ Tennis elbow

They can lead to long-term damage if not addressed properly. Fleeks provides some tips on how to avoid these injuries.

1. DON’T RUSH THINGS

You can reduce your risk of overuse injury by following the 10% rule: Increase your workout intensity — distance run, weight lifted — by no more than 10% each week.

2. REST AND RECOVERY

When you exercise, you create small tears in your muscles. These tears need time to heal before you resume your routine.

“Rest days don’t necessarily mean you need to do nothing,” explained Fleeks. “You can participate in light activity, such as swimming, walking, yoga or stretching.”

3. WATCH YOUR FORM

Proper form varies depending on the exercise, but Fleeks recommends watching instructional videos or working with a personal trainer to help eliminate common mistakes.

4. CROSS-TRAIN

Adding variety or complementary exercises can give your muscles a chance to rest while focusing on another area. This can help provide more strength and support, giving you better control of your body.

5. KEEP A HEALTHY LIFESTYLE

Your body is only as powerful and durable as you develop it — and sleep, nutrition and hydration are critical for that.

6. LISTEN TO YOUR BODY

“It’s important to listen to your body,” said Fleeks. “If you are experiencing persistent pain that isn’t just general soreness, you shouldn’t push through the pain. A sports medicine doctor can work with you to treat your injury and provide guidance on how to avoid them in the future.” •

SPORTS INJURY CLINICS NOW OPEN SATURDAYS FOR STUDENT-ATHLETES

This fall, Houston Methodist Orthopedics & Sports Medicine at Willowbrook is offering Saturday sports injury clinics specifically for student-athletes. Those at the junior high, high school and college levels can get back in the game faster, with doctor evaluations and X-rays or other imaging services.

Saturdays | Aug. 19 – Nov. 11 | 8-10:30 a.m. | 281.737.0999 |

Houston Methodist Orthopedics & Sports Medicine at Willowbrook 13802 Centerfield Dr., Suite 300, Houston, TX 77070

Don't Wait to Seek an Evaluation

When you get injured, it’s important to seek an evaluation and treatment as soon as possible. The specialists at Houston Methodist Orthopedic Injury Clinics offer same-day treatment at the Willowbrook, The Farm League and Towne Lake locations to quickly evaluate and treat your injury. Visit houstonmethodist.org/osm-injury-wb or call 281.737.0999 to get started.

appointment is necessary. Bring your school medical form from your athletic trainer or coach and all applicable insurance information. Chronic conditions, spine injuries, motor vehicle accidents and workers’ compensation injuries are not treated at the injury clinic. Please call 281.737.0999 to schedule an appointment with the appropriate physician for those conditions.

GUARD YOUR HEART: Tips on Maintain ing Heart Health

More than 6 million people in the U.S. have heart failure, and since your heart is the engine that keeps your body running, keeping it healthy is essential for enjoying a long, active life. Prevention is the best form of reducing your risk of future heart failure.

“Heart health is critical for your overall wellbeing. By taking steps to prevent heart disease and manage your risk factors, you can reduce your risk of heart disease and other complications,” explained Dr. Aliya Mushtaq, an interventional cardiologist at Houston Methodist DeBakey Heart & Vascular Center at Willowbrook.

You can prevent heart disease by following these four essential habits:

1. Eat a healthy diet low in saturated fat, cholesterol and sodium. Try a healthy version of a favorite treat such as the recipe below.

2. Exercise regularly to maintain a healthy weight and improve heart health.

3. Quit smoking and avoid exposure to secondhand smoke.

4. Have regular check-ups with your doctor to monitor your heart health and manage any risks.

SIGNS AND SYMPTOMS

Some signs and symptoms are more serious and may require the expertise of a cardiologist, a physician that specializes in diseases of the heart.

PUMPKIN SPICE SMOOTHIE

Swap out that sugary pumpkin spice latte for this heart-healthy alternative.

By the American Heart Association

Ingredients

1/2 cup canned pumpkin (not pie filling)

1/3 cup fat-free, plain yogurt

1/3 cup fat-free milk

2 tbsp rolled oats

2 tsp honey

1/2 tsp pumpkin pie spice

3-4 ice cubes

Directions

In a food processor or blender, process all the ingredients for one minute, or until smooth and frothy. Pour into a glass. Serve immediately.

Nutrition Facts

199 calories

11g protein 6g fiber

Signs and symptoms that may indicate it’s time for you to see a cardiologist include:

■ Chest pain

■ Swelling in your legs

■ High blood pressure

■ Shortness of breath, dizziness or fainting

■ Abnormally fast or slow heart rate

If you experience these symptoms suddenly, seek medical attention or call 911 immediately.

MANAGING RISKS

Managing risk factors for heart failure is crucial. These can include:

■ High blood pressure

■ High cholesterol

■ Diabetes

■ Obesity

■ Sleep apnea

■ Family history of heart disease

■ History of arrythmias, congenital heart disease or valvular heart disease

■ Anemia

■ Thyroid issues

■ Chronic kidney disease

■ Heavy alcohol consumption

In addition to preventive measures, there are also innovative technologies for individuals who are considered high risk that can help monitor for signs of heart failure before symptoms appear. One such device is CardioMEMS, a small sensor that is surgically implanted that can indicate the onset of heart failure.

“CardioMEMS allows us to monitor the heart while you are at home. Patients do not have any downtime, and most don’t even feel it,” explained Dr. Ahmad Isbitan, an interventional cardiologist at Houston Methodist DeBakey Heart & Vascular Center at Willowbrook. “Patients don’t have to wait until their next appointment if symptoms arise. It brings peace of mind and limits hospitalizations.” •

Know Your Risk for Heart Failure

Stay ahead of heart failure and other cardiac conditions by learning more about your risk factors. Schedule an appointment today with a cardiologist at the Houston Methodist DeBakey Heart & Vascular Center at Willowbrook by visiting houstonmethodist.org/debakey/ willowbrook or call 713.DEBAKEY (332.2539)

Dr. Ahmad Isbitan

Early Detection Starts With Your

Early Detection Starts With Your

The recommended age to start your annual mammogram is 40. Schedule

yours today.

At Houston Methodist Breast Care Centers, our board-certified experts use the latest imaging technology to provide you with cutting-edge breast screenings — such as 3D mammograms — to detect even the smallest lumps and abnormalities with accuracy. We offer:

• 10+ convenient locations across Houston

• Online scheduling with readily available appointments

• Expanded hours available at most locations

• Access to medical records and test results through MyChart