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A bimonthly educational resource for the women of Hampton, Newport News, Poquoson, Williamsburg, and Yorktown
As we’ve expanded our distribution as far north as Williamsburg, readers continue to And Dr. Lisa Marie Samaha, from Port Warwick Dental Arts Center for Cosmetic
let us know that The Peninsula Woman is both a joy and a source of information they Dentistry & Dental Medicine takes a serious approach to this
can get nowhere else. As people discover us, not only do they become readers, but question – Are you “Certified Kissable?” In a thorough article on
they want copies in their offices, available to their patients and clients. periodontal (gum) disease, she explains everything you need to
know about this infectious disease from the bacteria that cause it
Our goal is to enlighten and empower women with the information they need to navi- to how to manage it.
gate through their lives. And we are pleased that we have wonderful contributors who
make that happen. Of course all of our contributors would like you to visit their of-
fices when the need arises. But they also see the value of putting
It is by no means a prerequisite that a contributor to The Peninsula Woman be a wom- their knowledge into a public forum for you to read and to learn.
en. But I do say it makes me proud that the four medical professionals in this issue are They are the experts in their fields. The internet offers a stagger-
women. So let me take a moment to talk about our doctors. ing amount of information, but it is our local doctors from whom
you will seek guidance when you have a problem. It is they you
Our newest contributor is Dr. Susan M. Hancock of Hancock Vein & Surgical Center. will team up with to solve your problems and get you back on
She explains about venous disease, venous reflux and varicose veins. In an easy Q&A track.
format, Dr. Hancock tackles what they are, the symptoms to look for, and what to do.
Please take the time to read what our medical professionals as well as our other con-
Dr. Jenny Andrus of the Orthopaedic & Spine Center returns with an article on the tributors have written about many areas of our lives.
treatment options for sacroiliac joint pain. That’s that deep aching or throbbing in the
low back. Dr. Andrus is a pain management physician and can help you with that. Thanks again for a wonderful year. Have a great summer. See you in August.
Dr. Debra Lee, of the Womick Podiatry Clinic takes on bunions and hammertoes is this Enjoy,
Barbara
A bimonth
ly educati
onal reso
urce for
What is Hung the wom
en of Ham
2011
Action Mon er pton, New
th? Makeover port New
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Loretta
Jones-Knau Without Many Way Virginia
Foodb th
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Virginia
Get Invo
lved! Nutritional
Peninsula Keith Nicho
Page 25 ls, MD
Genesis
Vein Janet V.
Green Cleansin
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Specialists Habitat
for Huma
Page 7 nity
The Peninsula Woman is published bimonthly and is available free of charge at display stands in approved private names, patents, copyrights and propriety rights, and all violations of the right of privacy or other violations resulting
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Healthy Eating
Swoon Over Seafood .......................................................... 12,13
Please read her article on page 5 and her profile on page 25.
L
ow back pain is a common problem in When pain persists despite therapy, minimally-
America. For most people low back pain invasive interventional pain procedures may be
resolves quickly; however, for many it is quite beneficial. The most commonly performed is
a serious source of chronic pain and disability. the sacroiliac joint steroid injection. This is often
There are many structures in and around the spine done with fluoroscopy (a type of x-ray) guidance.
which can produce pain. A common source of Steroid and a local anesthetic, such as lidocaine,
pain is the sacroiliac joints. The sacroiliac joints are injected into and around the joint. This helps to
are the two joints which connect the lower spine reduce inflammation and pain and can be repeated,
(sacrum) to the pelvic bones (ilium). When there if necessary. For people with severe pain, this
is inflammation in the joint or imbalances in the helps to make them more comfortable and able
supporting structures, pain can develop. to fully engage in a physical therapy program.
joint, not only during, but after pregnancy as well. For those with chronic pain, a procedure called
Common symptoms of sacroiliac joint pain The sacroiliac joint may also become less mobile radiofrequency ablation may be performed. This
are deep aching or throbbing in the low back than normal in the case of certain types of arthritis, procedure uses a small probe to cause damage
or buttock. There may also be a sensation of such as ankylosing spondylitis. In these cases, to the nerves that supply feeling to the joint.
“clunking” or that the pelvis is “unstable”. There there is inflammation around the joint and it may Although sacroiliac joint dysfunction can be a
is no one specific test for sacroiliac joint pain. become fused over time. stubborn cause of low back pain, it can be very
Diagnosis is made based on a patient’s symptoms, effectively treated with a combination of physical
physical exam findings, as well as diagnostic Although most cases of sacroiliac joint pain are not therapy and minimally invasive interventional pain
testing, such as x-rays. serious, they can be quite painful. The good news procedures.
Sacroiliac joint pain may be the result of Jenny L. Andrus, MD, is a fellowship-trained, board certified, in Physical Medicine and Rehabilitation and a fellowship in
inflammation. This may be seen in certain types interventional pain management physician who specializes Interventional Pain Management at the Medical College
of arthritis and is called sacroiliitis. In other in treating the full spectrum of painful spine, joint and nerve of Virginia. She joined the Pain Management team at
cases, sacroiliac joint pain is thought to be due conditions. She is a Suffolk native and a graduate of Eastern Orthopaedic & Spine Center in July 2009. She resides
Virginia Medical School. Dr. Andrus completed her residency in Yorktown with her husband and two sons.
to imbalances in the supporting structures of the
joint. This condition is called sacroiliac joint
dysfunction, because the exact causes are not
completely known. Unlike other large joints in the
body such as the knee, there is little movement World Class Orthopaedic & Interventional Pain
in the sacroiliac joint. This is because there are
many strong ligaments that cross and support
Management…here in Hampton Roads
the joint. It is thought that imbalances in these
supporting structures, as well as in the muscles
of the low back, hips and pelvis, contributes to
sacroiliac joint dysfunction. Other factors, such
as unequal leg lengths, are thought to predispose #PZE8)BZOFTMMM
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patients with other low back problems such as disc Mark W. McFarland t3BK/4VSFKB
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may develop sacroiliac joint dysfunctions as a
secondary problem. This is thought to be the result
of changes in the way the lower spine and pelvis
work together.
W
be overlooked and as endovenous abla-
hat are venous disease, venous reflux, and interpreted as another tion. The procedure
symptomatic varicose veins? problem. The face of is tolerable and often
Venous reflux disease, also known as venous venous disease can be equated to a trip to
insufficiency, is a medical condition affecting normal out- a 30-year old woman, the dentist. Ambula-
flow circulation of blood in the lower extremities. Valves thin and healthy tory phlebectomy,
contained within veins normally facilitate blood empty- appearing, with a his- Closurefast procedure excising varicose
ing from the legs towards the heart. In the case of venous tory of multiple preg- veins directly
reflux, these valves no longer function properly, allowing nancies. It can also be a 30-year old man with four years of through small incisions, is performed either at time of the
blood to pool in the legs. This produces back pressure and recurrent ankle ulcers and severe skin changes. And, then ablation, or as a separate procedure. A common question is
congestion, otherwise known as venous hypertension. again, it can be a 61-year old woman with a ten year history whether closing the saphenous veins is safe and will it inter-
of leg pain misdiagnosed as neuropathy and fibromyalgia. fere with circulation. Not only is it safe, closing a refluxing
Venous reflux disease and venous hypertension can result In some cases, varicose veins are dismissed as a cosmetic vein will improve venous circulation, as it reroutes return-
in several different scenarios that range from aching, heavy problem. ing blood to more normal, competent veins. Most insur-
legs to serious recurring ulcers that can be limb threaten- ance companies cover the procedure, as does Medicare.
ing. Varicose veins are often the first recognition of venous Venous insufficiency can significantly impact lifestyle.
disease, but when absent, can frequently result in delayed Occupations that require long periods of standing or sitting, A necessary part of treatment involves compression therapy.
diagnosis. Varicose veins are abnormally enlarged surface thought to contribute to the development of venous reflux, Although most people are loath to wear compression
veins that become engorged over time as a result of valve provoke intolerable symptoms of aching fatigue, throb- stockings, especially in the heat, they do have an important
failure. Swelling and heavy, aching legs are also hallmarks bing, swelling, skin changes, and ultimately painful ulcers. role. Aside from the fact that insurance companies typi-
of venous reflux disease, but can sometimes be mistaken Salesmen, teachers, hairdressers, nurses, and military per- cally require a mandatory trial of compression therapy
for musculoskeletal and other problems. Spider veins do sonnel are among those affected. Market research indicates before approving any recommended treatment, they provide
represent a form of reflux disease, but despite itching and that over 2 million workdays are lost annually in the US reassuring confirmation that further treatment will translate
burning that can accompany cosmetic concerns, do not and $1.4 billion is spent each year on this common medical into clinical improvement. Also, wearing compression
constitute a medical problem in the eyes of insurance com- condition. stockings is important for several weeks after procedures to
panies. improve outcome and achieve desired objectives.
Of the 25 million Americans with venous insufficiency,
What causes varicose veins and venous reflux? approximately 7 million exhibit serious symptoms such as Sclerotherapy serves as an additional treatment in venous
The underlying problem, common to most of these patients, swelling, skin changes, and venous ulcers. It is estimated reflux or as a stand alone procedure for the treatment of
is venous valvular incompetence or, in other words, floppy that 72% of women and 42% of men will experience vari- spider veins. Sclerotherapy involves injection of a chemi-
valves. Valves are present in the heart and veins to facili- cose veins by the time they are in their 60s. Prevalence is cal solution into a vein that results in collapse and eventual
tate unidirectional flow that maintains efficient circulation. highly correlated to age and gender. disappearance. Treatment of spider veins often requires
Incompetent valves in the heart are responsible for regurgi- several sessions to achieve desired results. It is impor-
tant flow, which can lead to dilated heart chambers that can What are the symptoms? tant to understand that results of sclerotherapy occur over
ultimately impair heart muscle contraction. Similarly, veins Varicose veins often herald the presence of venous reflux, months, a concept that is not always made clear on the
which are responsible for returning blood that has been but not always. Legs can ache and fatigue due to reflux front end. Photographs are commonly used to document
distributed to the without the obvious bulging veins. Discomfort usually improvement.
body will dilate worsens toward the end of the day. Symptoms vary too. Susan Hancock, MD is board certified by the American College of Surgeons and has practiced
in response to in- Sometimes, restless and aching legs at night are the pre- as a Vascular Surgeon for three years since completing her Vascular Fellowship in 2007. She
now has an independent practice in the Oyster Point area dedicated to the treatment of venous
competent valves. dominant complaint. Although few patients describe pain related disorders including varicose veins, ulcerations, dermatitis and infections, swelling, aching
This impairs per say, the discomfort can be fairly disturbing and interfere uncomfortable legs, and spider veins. She is experienced in vascular ultrasound, radiofrequency
vein ablation with the VNUS Closure system, surgical excision of varicose veins, wound care,
venous function, with desired activities, including exercise, work responsibil- sclerotherapy, and radiofrequency treatment of spider veins.
delaying return of ities, and keeping up at family events. People in their fifties
blood to the heart and older occasionally dismiss the symptoms to aging and
and overloading ‘slowing down.’ Other features of venous reflux disease
the tissues in the include burning and itching skin of the lower extremities,
leg which causes leg swelling (edema), skin changes including darkening and
congestion. Heredity, female gender, pregnancy, weight, thickening, and ulcers usually at the ankle level.
and professions that require prolonged standing and sitting
are contributing factors. Men are less often affected than What are the answers?
women, but still comprise a significant number of patients Recommendations are generated based on individual case
with venous reflux. histories, physical exam, and usually duplex ultrasound
11838 Rock Landing Drive, Suite 100
evaluation. The long outflow veins that comprise the major
Newport News, VA 23606
Who is affected? superficial outflow system often are the root of the problem
Phone: 757-873-0138 Fax: 757-873-0246
Venous disease is not a small problem. It occurs twice as and the underlying source of reflux. Therefore, effective
www.hancockvein.com
Southeastern Virginia Women’s Newspapers 5 June/ July 2011
Medical Professionals
My feet are hurting. Do I need surgery?
Common foot pathologies that may warrant surgery
Written by
Debra Abrams Lee, D.P.M.
T
here is a common misconception that your
feet are supposed to hurt. Today, we will
discuss some common foot problems that
may warrant surgical intervention. In an aver-
age lifetime, most of us accumulate about 75,000
miles of activity on our feet.
An enlargement of bone and soft tissue on the big toe is called a bunion.
You have probably seen someone with a large
bump on the big toe of their foot. This enlarge- and irritation. People may have difficulty wear-
ment of bone and soft tissue is called a bunion. A ing shoes because the corns are very painful. This
bunion is described as a misalignment of the great can be especially dangerous for diabetic patient
toe joint. One may experience pain, redness and because the hammertoes and corns can lead to
swelling at the great toe. Walking can become ulcerations and infections.
difficult with most any type of shoe. Certain types
of shoes can aggravate bunions, but they are not Nonsurgical treatment consists of wearing shoes Photos/ istock.com
caused by shoes. Most bunions are due to hered- with a wider toe box, padding and shaving down Dr. Lee attended the Ohio College of Podiatric Medicine in Cleveland,
OH. She completed her residency at Wyckoff Heights Medical Center,
ity and the pattern in which one walks. the corns. Brooklyn NY. Dr. Lee is a Diplomate with the American Board of Podiatric
Orthopedics and Primary Podiatric Medicine. She is also Board Certi-
fied as a Wound Care Specialist with the American Academy of Wound
Some types of conservative treatment include Neuromas are another foot ailment that my re- Management. Dr. Lee is a member of APMA, VPMA and the American
shoe modification, NSAIDS and bunion shields. quire surgery when conservative treatment fails. Academy of Podiatric Practice Management.
When it becomes so painful that everyday walk- A neuroma is an irritation of the nerves that run
ing becomes problematic, you may want to con- between the toes. Most people describe the pain
sider discussing surgical intervention with your as sharp shooting type of pain. Some may say that
podiatrist. it feels like a burning or tingling at the ball of the
foot in which they may get some relief temporar-
And what about those toes that appear “cocked ily by removing their shoes and rubbing their feet.
up?” You may be looking at a hammertoe, which Treatment options include NSAIDS, injections,
is a joint contracture of the smaller toes. It gives physical therapy, padding and orthotics. The
the appearance of a hammer. Hammertoes are goal of surgical intervention for a neuroma is to
remove the bundled nerve tissue. Debra A. Womick Lee,
With all surgical procedures, preoperative lab D.P.M., C.W.S
work, medical clearance, xrays and documenta-
tion that conservative treatment failed should be
demonstrated. Most podiatric surgical procedures 704 Thimble Shoals Blvd, Suite
are usually performed in an ASC (ambulatory 300B
surgical center) or day surgery setting under IV
sedation and local anesthesia. Newport News, VA 23606
It is important that you discuss the treatment op- 757-595-7634
tions with your podiatrist before making any deci-
sions. Please feel free to call the office for further
caused by an imbalance of the tendon and joints
information or for a consultation.
www.womickpodiatryclinic.com
of the lesser digits. Some people experience corns
and calluses on the toes which can cause pain
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Southeastern Virginia Women’s Newspapers 9 June/ July 2011
Health and Wellness
Shaklee Cinch® Weight Loss Competition
Written by
Susan Martin
Independent Distributor
I
magine feeling better than you’ve felt most of your life:
energized, happy and passionate about even daily ac-
tivities. Do you think that’s possible? In January 2011,
thirty very skeptical people started a weight loss program
products help our bodies feel better and function
with Shaklee right here in Hampton Roads and lost 600
more optimally.
pounds and 300 inches in 12 weeks!
There were guest speakers from spas, make-over
What an inspiration it was to work with this group! And
experts, personal trainers, massage therapists, all
one family gave permission to share their story in hopes of
of whom helped educate the contestants about
inspiring others who may find themselves in the health situ-
other aspects of well-being. Weekly prizes and
ation they were in when they started.
grand prizes were awarded as well.
Have you ever felt so tired after work that you couldn’t get
In 12 weeks, Steve did not lose 7 pounds, he lost
off the couch to answer the phone? And you didn’t care?
49, dropped four belt loops and could not wear
You’re 50, overweight for your height and bone structure
any of his clothes! Stephanie lost 42 pounds
and the assorted demons of high blood pressure, blood
and most of her wardrobe as well and they went
sugar issues, etc. are nipping at your heels. Your doctor has
from extreme couch potatoes to working out
prescribed five drugs to deal with these issues and strongly
in their new garage gym vigorously daily-and Every week, the Vanorsdale family was measured from “top to bottom.” Stepha-
suggested you lose 7 pounds. And things are going down- nie, Steven, Amanda and Steve Vanorsdale lost 147 pounds in 12 weeks.
were amazed at their energy. Eighteen year old
hill from here.
Steven did not expect to lose much and he lost Imagine the ripple effect on their present health and life and
32 ½ pounds and 21 year old Amanda lost 24! She also that of future generations as well as the lives of others they
Your wife is dealing with similar issues and your two
discovered that she was not hungry like she was on other come in contact with. Twelve weeks have changed their
college-aged children are headed in your health direction
programs. lives forever and as Steve says now, “ I want others to have
with 20-30 pounds each to lose.
what I have!”
Together they lost 147 ½ pounds in 12 weeks, felt fantastic
By 50, most Americans have been on just a few diets to
and found that people were coming to them wanting what To hear Steve and his family’s story, please contact Steve
say the least with the usual results – little weight loss and a
they had. They have themselves to thank for jumping in feet Vanorsdale: cell 757 408-6608; vanorsdales@verizon,net ;
lot of frustration. Sometimes goal weight is achieved but
first and giving the http://vbhealthylife.myshaklee.com
seldom maintained because the metabolic rate has slowed
program a good try;
down- a disconcerting side effect of many diets.
Shaklee for being the
vehicle to much im- If you or anyone you know is interested in the next weight
So what would make the Vanorsdale family of four: father,
proved health; Maggie loss contest starting in mid-June which focuses on brides
Steve; mom, Stephanie; son, Steven; and daughter, Amanda
Biondo for caring and grooms, bridal parties or anyone who wants to look
pull together as a team and join the Shaklee Cinch® Weight
and sharing with them; and the whole Cinch® Weight Loss like she or he did on their wedding day (reunions, second
Loss Competition? Their Shaklee sponsor, Maggie Biondo
Team of Shaklee leaders and guest speakers. honeymoons, etc.) , please contact me.
had known them for years
Together they lost through church. They used
147 pounds in 12 Shaklee’s environmentally
safe cleaning products but Who is Shaklee?
weeks! did not want to discuss nu-
Shaklee specializes in natural health and prevention, and
trition with Maggie. Until
is proud of their heritage of 50+ years of research, leader-
they’d had enough. Steve’s doctor urged him to lose just 7
ship, and product innovation. We’ve always been in the
pounds and Stephanie’s health problems were exacerbated
wellness business, and Shaklee products are guaranteed
by her weight. The kids, Steven and Amanda were wise
to work! Shaklee offers over 300 unique, patented, and
to realize that the extra 20-30 pounds of pudge they were
effective natural products, which are proven effective in
packing were leading them in a direction they no longer
achieving optimal health.
wanted to go. They had all had enough and were sick and
tired of being tired.
Shaklee’s high-profile clients include: NASA; the U.S.
Olympic Teams (21 medals in Vancouver!); the Daedalus
Susan Martin
The family teamed up reluctantly and skeptically and joined Shaklee Independent Distributor
Project (72 mile human powered flight); and many more.
the competition that started in January and met once a week Phone: 757- 467-3952
Our environmental products have been used worldwide,
for 12 weeks. Their goals were modest: they were each hop-
(including Jacques Cousteau’s ships), and are currently e-mail: mermaid4@cox.net
ing to shed a few pounds but they were determined to give Website: www.shaklee.net/mermaid
used in both the White House and Vice-President’s resi-
the competition 100% participation. They had Maggie’s
support, plus instruction in: nutrition-especially the “Shak-
dences. Time Magazine and Oprah Winfrey have both For a healthy you, a healthy home, and a
selected our “Get Clean” products as their “Best Products healthy planet.
lee Difference”; exercise; and the psychology behind many
of the Year”.
of our weight loss challenges. They learned how Shaklee
S:11.25 in
T:11.25 in
Having never spent a day in the hospital, renowned team of doctors specializing
Colleen was shocked when she was in neurological cancers removed her
diagnosed with a rare, slow-growing tumor and determined that no
brain tumor. She turned to Memorial further treatment was needed. Within
Sloan-Kettering Cancer Center, where weeks, Colleen returned to her job as
patients often have better outcomes than a physical therapist, and completed
those treated at other hospitals. A world- her doctorate just nine months later.
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