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?

Shin splints are very common, especially when someone has just started a new exercise program or has increased their overall workout. Shin splints are actually best thought of as stress injuries (microscopic) o... continue reading  about  I've started running to get back into shape and lose some extra pounds, but now I've got shin splints. What causes this, how can I get rid of them, and also how do I prevent them from coming back?

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?

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.

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.

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?

Knee pain as you describe best fits the picture of a condition we call patellar femoral syndrome. This is a very common condition of the knee that often occurs with activity. Patellar femoral syndrome is typica... continue reading  about  I've been having knee pain when I bend it and when it's straight. It's also a little swollen above the kneecap. I'm hoping that this is just a mild sprain, but six years ago I had a blood clot in the same leg just below the knee. Should I be worried?

Travel advice comes up often for us in primary care medicine. Health issues can arise in many places that are very different from what we face in the USA. My advice:See your primary care doctor as they are well... continue reading  about  What kind of health precautions should be taken before traveling to South East Asia (Thailand, Cambodia, Vietnam)?

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?