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Ask an Expert
Powell O. Jose, M.D., FACC
Sutter Davis Hospital
My 86-year-old mom just passed away from aortic valve stenosis. Should I contact my doctor and have my heart checked out? I've heard that most heart exams are geared for men more so than women. What should I do?
I am so sorry to hear about your mother. Aortic valve stenosis is a narrowing of one of your heart's valves that prevents it from opening fully. This can obstruct blood flow in your heart from going onward to t... continue reading about My 86-year-old mom just passed away from aortic valve stenosis. Should I contact my doctor and have my heart checked out? I've heard that most heart exams are geared for men more so than women. What should I do?
Arfan Din, D.O.
Sutter Davis Hospital
I have knee pain, which I feel all day. I'm seeing an orthopedic doctor. His conclusion is the cartilage is worn out and recommends knee replacement. I've tried injections but this did not help. Are there any alternative procedures you would recommend?
Current treatments for end stage arthritis (bone touching bone) are very limited to mostly surgical options, i.e. joint replacement. Currently there is no effective way of replacing the cartilage that is damage... continue reading about I have knee pain, which I feel all day. I'm seeing an orthopedic doctor. His conclusion is the cartilage is worn out and recommends knee replacement. I've tried injections but this did not help. Are there any alternative procedures you would recommend?
Arfan Din, D.O.
Sutter Davis Hospital
I have severe Achilles tendinitis and can't even go on long walks for exercise. What workouts would you recommend while I recover? It's been weeks since I've broken a good sweat.
Achilles tendonitis is a tough condition to treat since many aerobic activities can aggravate the condition and one of the treatment strategies is to avoid these activities.Aerobic conditioning is incredibly va... continue reading about I have severe Achilles tendinitis and can't even go on long walks for exercise. What workouts would you recommend while I recover? It's been weeks since I've broken a good sweat.
Arfan Din, D.O.
Sutter Davis Hospital
What kinds of treatment options are there for shoulder stiffness?
Generally, shoulder stiffness is a condition medically known as adhesive capsulitis. Shoulder movement is stiff, painful or limited. This is considered a chronic condition. Usually it starts with some injury or... continue reading about What kinds of treatment options are there for shoulder stiffness?
Arfan Din, D.O.
Sutter Davis Hospital
I've been suffering from lower back pain for two years. I've had an MRI, ultrasounds and x-rays, but they can't find anything wrong. However I still have constant pain. What other tests can be done to find the reason for my pain?
Back pain can generally be divided into two categories: Acute (less than four weeks duration)Chronic (greater than four weeks duration)Acute back pain is very common and is one of the top reasons that patients ... continue reading about I've been suffering from lower back pain for two years. I've had an MRI, ultrasounds and x-rays, but they can't find anything wrong. However I still have constant pain. What other tests can be done to find the reason for my pain?
Arfan Din, D.O.
Sutter Davis Hospital
I have arthritis in my knees. What are some alternative forms of treatment instead of surgery? I've had cortisone shots, but they are ineffective now.
Good question. This is a common problem for many people. The non-operative treatments for the arthritis of the knees can include the following:Losing weight - If there is less pressure on the knee, there is les... continue reading about I have arthritis in my knees. What are some alternative forms of treatment instead of surgery? I've had cortisone shots, but they are ineffective now.
Arfan Din, D.O.
Sutter Davis Hospital
I'm 56 and play racquetball two times a week, speed walk 6+ miles at a time, and play volleyball. My knees ache after I play. I ice after activities and have been taking Cellaplex for two months. How do I know if I am damaging my knees?
It is excellent that you are active. In fact, a New England Journal study showed that people who are active actually do better in terms of their arthritis versus people who are not active. This is counter to wh... continue reading about I'm 56 and play racquetball two times a week, speed walk 6+ miles at a time, and play volleyball. My knees ache after I play. I ice after activities and have been taking Cellaplex for two months. How do I know if I am damaging my knees?
Arfan Din, D.O.
Sutter Davis Hospital
I am concerned because my blood sugar is fluctuating between 110 and 117, over 90 days. I have good eating habits and control my weight, but it's been harder after menopause. Should I be on a sugar-stabilizing medication such as Metformin?
As men and women age, it is very clear that metabolism changes. Part of this may be due to hormonal changes, especially in women after menopause. This may be genetic or associated with a decreasing level of exe... continue reading about I am concerned because my blood sugar is fluctuating between 110 and 117, over 90 days. I have good eating habits and control my weight, but it's been harder after menopause. Should I be on a sugar-stabilizing medication such as Metformin?
Arfan Din, D.O.
Sutter Davis Hospital
I wake up with my right hand numb. My thumb and middle finger seem the worst. It takes awhile for the numbness to wear off. I work in a grocery store, so I'm always on my feet and on the register. What should I do?
Numbness in the hand could be due to a number of factors. Typically we describe this as a "neuropathy" which means the nerve is not working normally. We have nerves that travel throughout our body and when they... continue reading about I wake up with my right hand numb. My thumb and middle finger seem the worst. It takes awhile for the numbness to wear off. I work in a grocery store, so I'm always on my feet and on the register. What should I do?