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Visualize Your Outcome

iTero® Scanner simulates results for orthodontic and dental patients.

Photos courtesy of Bell Tower Dental Care.

Jimmy (After)

When meeting someone for the first time, many people say their smile is the first thing they notice. Serving food and drinks at a country club, Jimmy* comes face to face with numerous people for the first time on a regular basis. However, greeting them with a smile is not something he’s always felt confident about.

“I was a bit self-conscious because my front teeth were crooked and I had a bit of a gap in my teeth,” Jimmy shares. “I had braces when I was younger, and I didn’t wear my retainer like I was supposed to, and that caused my teeth to shift.”

All through college, Jimmy was bothered by his lackluster smile, so when he returned home to Fort Myers, he decided to have his smile corrected. He made an appointment with his dentist of 15 years, Michael J. Andersen, DDS, of Bell Tower Dental Care.

“Jimmy and I had previously discussed correcting his teeth,” Dr. Andersen reports. “They had rotated and become crooked, and he wanted to feel more confident smiling and talking to people. We discussed all the options and agreed that the best plan was to use Invisalign® clear aligners.”

Invisalign is a great option for patients who don’t want to wear traditional metal braces. They are clear, making them almost undetectable, and patients can take them out when eating or brushing their teeth.

Seeing Your Future Smile

As part of its Invisalign program, Bell Tower Dental Care utilizes the iTero Scanner, a state-of-the-art digital imaging device that allows patients to see 3-D images of what their teeth can look like at the end of their treatment plan.

And while it was designed with that aspect of the orthodontic process in mind, the iTero Scanner can also be used in other ways, including making digital impressions that eliminate the need for the foul-tasting paste impressions that cause a gag reflex in many patients.

“We use the iTero Scanner on all our patients to give us a digital record of what their teeth look like,” Dr. Andersen notes. “It allows us to easily see if there are any crooked teeth or spaces or if they have any bite issues.

Photos courtesy of Bell Tower Dental Care.

JImmy (Before)

“We still use x-rays and clinical observation, but the scanner helps us better show the patient where their problem areas are. It gives them a visual picture that we can rotate to show them what may be causing an incorrect bite.

“We also use it for restorative work, partials, dentures and crowns. If a patient wants a new denture, we use the scanner to send digital impressions to the lab. The lab then sends the models to us with the teeth, and we try them on the patient.

“I’ve been doing partials for quite a while, and I can honestly say that, with the iTero Scanner, the bite and fit we get with our partials is perfect. Previously, I would often need to make some kind of adjustment, but with the iTero Scanner, the partials come in perfect every time.”

As he does with most of his patients, Dr. Andersen began his work on Jimmy by using the iTero Scanner to create a 3-D image of his teeth as they were then. He then used the scanner to create an image of how his teeth would look following the Invisalign treatment.

“Once we’ve completed the scan, we send it to Invisalign, and from those images, they are able to create a proper treatment plan for each person,” Dr. Andersen continues. “They deliver that plan to us through the computer, then we look to see if there are any changes we want to make. If not, they make the liners. If we have corrections, they apply them and send another treatment plan back for approval.

“Another thing the scanner allows us to do is scan the patient at different intervals throughout their treatment. That way, if certain teeth are not moving properly or we feel they should be further along than they are, we can stop them at that point, rescan and initiate new liners to be made to get back on track or to proceed on getting more movement from certain teeth.”

That advantage proved beneficial for Jimmy, who required a bite adjustment after wearing his aligners for approximately three months. At that point, though, Dr. Andersen simply arranged for another scan, from which another Invisalign program was created.

Results Lead to Big Smiles

Photos courtesy of Bell Tower Dental Care.

The iTero Scanner is a
digital imaging device that gives patients the ability to see 3-D images of what
their teeth could look like following treatment.

Each clear Invisalign aligner is designed to be worn day and night for approximately one to two weeks, after which the aligner is changed out for a new one. The entire length of time a patient wears Invisalign clear aligners depends on how misaligned their teeth are.

Jimmy wore his aligners for only a few months, and he is very happy with the results. He is also pleased with how easy the iTero Scanner made it for Dr. Andersen to develop and then correct his treatment.

“I’ve got a terrible gag reflex, so by using the scanner to create the impressions, I didn’t have to go through the hassle of having all that goop in my mouth that would have caused me to gag,” Jimmy shares. “So for me, the scanner really helped.

“As for the aligners, I could see dramatic results in the first three or four weeks of treatment. After Dr. Andersen made a new treatment plan to help correct my bite, I wore them for another nine to twelve weeks, and it was very successful.”

Jimmy celebrated his new smile with a trip to Costa Rica. When he returned, he was fit with custom-made Vivera® clear retainers. Like Invisalign clear aligners, Vivera retainers are a little different than basic orthodontic wire retainers.

They are similar to the liners that are used throughout treatment, but they’re made of thicker material and are snapped over the upper and lower teeth to keep the teeth in the correct position. This is done so there is no movement in the posterior or anterior areas.

Patients are instructed to wear the retainers for a specified amount of time to stabilize the teeth. Following that initial period, the retainers only need to be worn at night when sleeping.

“If you stop wearing the retainers, what’s going to happen is what happened to Jimmy,” Dr. Andersen states. “If he had had these Vivera retainers and wore them the first time, he would never have had to go through braces a second time.”

That second time proved to be the charm, though.

“Invisalign is a great treatment plan,” Jimmy shares. “I didn’t feel self-conscious about having braces and was able to fix my teeth the way I liked. And with the iTero Scanner, I was able to see my progress every step of the way.

“I would definitely recommend Invisalign and the iTero Scanner for sure. I also recommend Dr. Andersen and the staff at Bell Tower Dental Care. They made the whole process go smoothly. He’s been my dentist pretty much my whole life, and I plan to keep it that way.”

*Patient’s name withheld at his request.

 

Healthy Partnership

PCPs prove pivotal in early detection and treatment of cancer.

Among all medical providers, the primary care physician, or PCP, is the one who typically has the most face-to-face contact with patients and develops the strongest relationships with them.

That’s why PCPs play such a critical role in the early detection and treatment of diseases, including many cancers. By ensuring their patients undergo routine screenings, PCPs help patients achieve the better outcomes and longer survival rates associated with early detection and treatment.

“Working against cancer is a very personal fight for me because my father died of lung cancer,” shares George E. Roque, MD, a board-certified internist at Atlantic Medical Group in Melbourne.

“I have a personal commitment to my patients and my community to battle cancer, and our practice proudly partners with the specialists at Cancer Care Centers of Brevard in that mission.

“At our practice, we are very proactive in following standard cancer screening guidelines, and because of that, we detect many cancers in their early stages. Once cancer is detected, we immediately direct those patients to an oncologist at Cancer Care Centers of Brevard so that treatment can be initiated right away.”

Lung Cancer Protocol

As their patients’ health care gatekeepers, PCPs have knowledge about the patients’ personal and family histories as well as their lifestyle habits. PCPs are aware if their patients smoke, are physically inactive and eat an unhealthy diet.

Based on these factors, PCPs can determine the patients’ risks for certain cancers and focus on prevention and early detection of those cancers. But general cancer screenings are important to patients’ overall health as well.

“We follow recognized guidelines for cancer screening, and all the cancers we screen for are important,” Dr. Roque stresses. “Colon cancer screening is one that leads the way. If we have patients with rectal bleeding, we follow that with screening tests and note any precancerous changes, so even borderline cancer can be removed.

“Other cancers, such as prostate cancer in men and breast and cervical cancer in women, also have screening tests that detect cancer early. The key is for physicians to not just press their patients to have these tests. They need to also explain in detail why these tests are important and the benefits of the tests. The PCP is in a good position to do that.

“Our fight against cancer must be waged along with patient education,” he adds. “If we don’t get the population educated, patients will never understand the importance of cancer screening. Education begins with the PCP but must be supported in the media and by the patients’ friends, family and other health care providers.”

There are no standard guidelines for lung cancer screening, but Dr. Roque’s Atlantic Medical Group recently implemented its own screening protocol for at-risk patients who smoke tobacco. They recommend low-dose CT scans to screen for tumors in the lungs, but they occasionally encounter resistance from insurers.

“Sometimes, the patient’s insurance company wants us to perform an x-ray only, but x-ray is not effective for lung cancer screening,” Dr. Roque points out. “We cannot detect as many tumors with a simple x-ray as with a CT scan. CT scanning will definitely prevent earlier-stage lung cancer. It’s one of our major goals with that particular cancer.”

Dr. Roque notes that the PCPs at Atlantic Medical Group are making headway with early cancer detection and treatment, as well as with patient education, with the assistance of their colleagues at Cancer Care Centers of Brevard.

“Our partnership with Cancer Care Centers of Brevard has been very good for us and for the community as well,” he confirms.

On Your Toes

Those shoes may match your outfit, but are they good for your feet?

One of the most common foot ailments I see walk though my door are bunions,” explains board-certified podiatric surgeon Robert P. Dunne, DPM. A bunion is an unnatural, bony hump that forms at the base of the big toe where it attaches to the foot. Often, the big toe deviates toward the other toes.

“Sometimes, this particular foot deformity is genetic; other times, it can be related to an injury to the foot or a congenital issue [a deformity present at birth],” explains Dr. Dunne. “Arthritis can play a role, along with improperly fitting shoes and high heels.”

Bunion Symptoms

There are several symptoms to look for when diagnosing bunions.

“A bulging bump could be evident at the base of the big toe,” describes Dr. Dunne. “There may also be some swelling, redness and soreness in the area of the big toe’s joint. Other signs include a thickening of the skin at the base of the big toe, limitation in movement, pain that comes and goes, and corns and calluses developing.”

According to Dr. Dunne, people are intimidated by treatment for bunions because they have heard negative stories regarding surgical correction. “Our patients come first, and we recommend they take action now if they have a problem. Surgery is not the only option. Alternate treatments are available.”

When to See a Doctor

“More often than not, a patient will put off treatment until surgical correction is the only option,” says Dr. Dunne. Here are some of the signs that you should be aware of:

  • Difficulty with movement of the big toe
  • A bump at the side of your big toe
  • Issues with shoes fitting properly
  • Big toe pain that is constant or intermittent
  • The formation of corns or calluses
  • Redness in the area at the bottom of the big toe

 

Once you make an appointment with your doctor, it is helpful to know what questions to ask, including “What is the cause of my foot pain, and is this a long-term or short-term problem? This is another question to ask: “Is surgery right for me, or is there a conservative treatment that will help?”  These are useful questions to help you make decisions about your care.

“Occasionally, a bunion formation left untreated can cause additional ailments to arise,” warns Dr. Dunne. “These can include bursitis, hammertoe formations and metatarsalgia, which is pain and inflammation in the ball of the foot.”

Treatment Options

“For a bunion, our typical treatment regimen will be determined by the severity of the deformity, along with the individual needs of the patient,” explains Dr. Dunne.

“Again, surgery is not always the only treatment option a patient has. Treatment should be tailored to the patient’s needs.” 

Some conservative treatments include:

  • The application of ice
  • Orthotics (over-the-counter
    or custom-molded)
  • Medications to reduce inflammation
  • Padding and splinting of the area
  • Changes to better-fitting or more-appropriate shoes

 

Rehabilitation time varies per patient and type of surgical procedure. As always, the patient’s individual needs come first, and treatment should reflect those needs.

Lake Washington Foot & Ankle is a comprehensive podiatric medicine clinic, offering treatment for everything from ankle sprains to hammertoes.

“We treat ingrown toenails, warts, dermatitis, ankle and heel pain, tendonitis and neuromas,” assures Dr. Dunne. “We also do clinical trials for onychomycosis [fungal toenails], as well as studies on diabetic ulcers, in an effort to find better and more effective treatments for these and other ailments.”

Article courtesy of Lake Washington Foot & Ankle Center.

The iStent inject®

Compelling treatment option for managing glaucoma now available.

Photo and graphic courtesy of The Eye Institute for Medicine & Surgery.

Dr. Darlington (left) and Dr. McManus

The iStent inject, designed to help glaucoma patients achieve and maintain lower eye pressures, is available now, according to ophthalmologist and cornea, cataract and glaucoma specialist, Jason K. Darlington, MD, of The Eye Institute for Medicine & Surgery.

Dr. Darlington, who has performed extensive surgical research for Glaukos®, the company that developed the iStent, explains that this device is designed to optimize the natural outflow of certain fluids inside the eye – known as aqueous humor – by creating two bypasses through the part of the eye largely responsible for fluid drainage.

“By enhancing fluid outflow, we are able to reduce a patient’s eye pressure on an ongoing basis, oftentimes without the need for eye medications or with a reduced number of eye medications,” says Dr. Darlington.

Achieving and maintaining reduced eye pressure is the key to maintaining the health of a patient’s optic nerve, thus maintaining their vision, explains James N. McManus, MD, cataract and glaucoma specialist at The Eye Institute.

“More than four hundred thousand generation one iStents have been implanted worldwide since 2012,” informs Dr. Darlington. “The iStent has earned a reputation of demonstrated efficacy and safety.”

An interesting fact is that the iStent inject stent, at approximately 0.23 mm x 0.36 mm, is the smallest medical device ever approved by the FDA, notes Dr. Darlington.

In the key trials leading to the FDA approval of the iStent inject, over 75 percent of patients achieved a 20 percent or greater reduction in unmedicated eye pressure. In terms of the units used to measure eye pressure, this translates into a seven point decrease in eye pressures for this same group.

Screening Is Critical

Diagnosing and appropriately managing glaucoma is of the greatest importance, emphasizes Dr. McManus, because if glaucoma is present and not treated, the result can be permanent loss of vision, up to and including blindness.

The iStent inject (right) is so small, it looks like a grain of sand on a finger.

In the early through later stages of the disease, glaucoma is largely asymptomatic. There is no pain and no obvious loss of vision. There is nothing to directly tell a patient that he or she has glaucoma, adds Dr. McManus.

Because glaucoma is a progressive and irreversible disease that may lead to vision loss caused by optic nerve damage, it is critical for people to be screened for glaucoma and for them to receive the treatment they need without delay, says Dr. Darlington.

Those at greater risk than the general population for developing glaucoma include:

  • People over age 40
  • People who experience elevated eye pressures on a regular basis
  • Immediate family members of people diagnosed with glaucoma
  • People with diabetes and/or high blood pressure
  • African Americans
  • Hispanic Americans
  • People of Asian ancestry
  • People with a history of eye injuries or certain eye conditions, such as farsightedness or nearsightedness
  • Medical conditions that affect blood flow such as migraines and low blood pressure
  • Prolonged corticosteroid use, including pills, eye drops, inhalers and creams

“It is estimated that half of the people who have glaucoma are unaware of it, and because of this, they are not receiving any type of treatment,” states Dr. McManus.

“If you or a loved one have one or more of the risk factors above, receiving a comprehensive eye examination by an eye doctor may be one of the most important things you can do for yourself and your family,” advises Dr. McManus.

Article courtesy of The Eye Institute for Medicine & Surgery. 

 

Fine Art

Artistic residents flourish at retirement community.

For more than 34 years, Dolores Buffington lived out her dream of being an elementary school teacher. Seventeen of those years were at a Christian school in Clearwater. Not once during all of those years did she feel like she was working for a living.

Photo by Jordan Pysz.

Dolores Buffington

“I pursued teaching since I was a little girl and never regretted it,” Dolores says. “I think the thing I loved most about it was the children. It was a

pleasure to make teaching fun and exciting for them. That was my goal, to make them like school.”

Dolores, an 84-year-old who grew up just outside of Pittsburgh, Pennsylvania, liked teaching so much that for many years she also taught Sunday school as well as piano. She learned to tickle the ivories when she was a child.

“I took piano lessons as a child and played the piano and the organ,” she proudly proclaims. “One of my summer jobs in college was playing the pipe organ for many different churches so the church organists could take their vacations. That was a fun time.”

Shortly after retiring several years ago, Dolores turned the teaching over to someone else and became a student herself yet again. This time, she focused on the art world – with one particular art form in mind.

“I’ve always wanted to paint. After I retired, I took painting lessons from different instructors and found that I really enjoyed that,” explains Dolores.

Along with flower design, painting is one of the many art forms this renaissance woman has practiced during her life, which took a dramatic turn last October when she fell and broke her ankle.

“My husband passed away twelve years ago, and after my fall, my son and his wife were there morning and evening to help take care of me, but I began to think, I don’t know what’s ahead,” Dolores recalls.

“I knew about Concordia Village of Tampa because I’d been there a few times before to visit friends from church. So, in January, after I was feeling better, I came over for an interview and a tour.

“I liked what I saw, moved in on June 11th, and I haven’t been sorry for a minute. Everybody is so friendly and welcoming. There’s always someone to talk to and I value that.”

Part of the Family

Concordia Village of Tampa is part of Concordia Lutheran Ministries, which was established in 1881. Concordia Lutheran Ministries began in Western Pennsylvania as an orphanage and expanded into senior care in the 1950s.

“We currently operate fifteen senior living communities, most of which are in Western Pennsylvania,” reports Brian Hortert, chief operating officer at Concordia Village of Tampa. “There’s also a community in Akron, Ohio and now Concordia Village of Tampa in Florida.

“There’s always someone to talk to. I value that.” – Dolores

“Concordia Village of Tampa offers independent living, assisted living, memory care, long-term nursing care and short-term rehabilitation. In addition, Concordia Lutheran Ministries operates homecare, hospice, medical equipment services and pharmacy services, primarily in Western Pennsylvania.”

As COO, Brian oversees all operations of the Tampa campus. He stresses, “When it comes to retirement living, there are many factors seniors must consider before deciding which community is right for them. When people come to Concordia Village of Tampa, they become part of our family.”

Good Move

Like Dolores, Virginia Rhan Halloway, 87, is a widow with a teaching background and a love for art.

“I grew up an only child, and because I was alone without any siblings, I had to learn to find things to do alone,’’ Virginia says. “One of the things I learned to do was play the piano. I later became a music teacher and a professional piano player. I also had a studio where I taught both art and music.”

Virginia’s passion for music and art is second only to her passion for her husband, a former military colonel who died four years ago after he served as a city councilman in Temple Terrace for eight years.

Photo by Jordan Pysz.

Virginia Rhan Halloway

“We were happily married for thirty years,” she proudly reports. “I decided that the home we cherished and loved was getting too much for me to take care of, so I thought I needed to move.”

In a positive spirit of love and family, her choice for a new home was Concordia Village of Tampa.

“My mother lived here for about eight years starting at the age of ninety,” Virginia says, “so I moved here on the week of the day of love, Valentine’s Day 2019. I fell in love with my apartment right away, and it’s been an ongoing affair ever since.”

Like Dolores, Virginia is an artist-in-residence at Concordia Village of Tampa, where she is a member of the community’s art club.

“We meet for a couple of hours each Tuesday,” she says. “They put up a still life, and we try to recreate it ourselves. Some of the ladies are not really artists; they just like to color. But it’s a Let’s-get-together-and-do-what-we-want-to-do type of thing.”

Virginia is one of the more accomplished artists in the club. Her talent is so vast that she won a Best of Show award from the Southeastern Watercolor Society, a local art club.

“You get to be signature members for winning awards, and then you get to be published in magazines,” says Virginia, whose artwork is displayed prominently at Concordia Village of Tampa.

“I’ve got pictures in the hallways; I’ve got pictures all over my room,” Virginia states. “I’ve got lots of pictures that I sold in Temple Terrace and downtown Tampa.”

Like Virginia, Dolores has not only decorated the walls of her apartment at Concordia Village of Tampa with her artwork, she has also enthusiastically proclaimed her zest for the community and its amenities.

“I love the security here, the dining rooms and the people,” she enthuses. “Everyone is so lovely.”

“One thing I like about this place is that you can pick out a lifestyle that you want and it’s flexible,” Virginia says. “They have done everything they could for me; it’s wonderful. Coming to Concordia Village of Tampa was a good move for me. I’m very happy here.”

Catch the Wave

Noninvasive therapy reverses erectile dysfunction.

Edward* vividly remembers June 19, 2018. It was his 67th birthday and the day he finally admitted he wasn’t as vibrant as he used to be, most notably in the bedroom. More and more often, Edward had trouble developing and maintaining an erection suitable for sexual activity, a condition known as erectile dysfunction, or ED.

“It was frustrating, and I felt bad for my wife,” Edward shares. “She was understanding and patient, but I knew I had to see someone about my condition. I went to my family doctor. He recommended a urologist, who prescribed a medication.”

Edward first tried correcting the problem by taking the ED drug CIALIS®. “The CIALIS worked okay for a while,” Edward says, but he didn’t like the headaches that often came as a result of using it. Edward soon began looking for a viable alternative for ED treatment and found one in an unlikely place.

“I was in my dentist’s office when I picked up a copy of Florida Health Care News,” Edward relates. “I read an article about a treatment that offers significant improvement in ED symptoms without pills or surgery. I was immediately intrigued.”

The treatment Edward read about is GAINSWave® therapy, and it’s provided by Robert C. Lupo, DC, at Physical Medicine Center in Tampa. After his dentist appointment was over, Edward called Dr. Lupo and made an appointment with him to learn more about GAINSWave.

“ED is essentially a circulatory problem caused by an impediment in blood flow to the chambers that fill the penis with blood when stimulated,” Dr. Lupo explains. “For years, physicians have treated ED with medications such as VIAGRA® and CIALIS, penile injections or penile implants. But now, there’s a nonsurgical, drug-free treatment that corrects the underlying cause of ED through the use of acoustic waves. That treatment is GAINSWave therapy.”

Referred to clinically as low-intensity extracorporeal shock wave therapy, or LiESWT, GAINSWave uses a small, handheld device to deliver acoustic waves through a series of short, painless pulsations that not only open clogged blood vessels in the penis but also stimulate the nerve endings to enhance sensitivity and enhance the feeling of orgasm.

“The treatment is based on the same technology that’s used to break up kidney stones,” Dr. Lupo informs. “The device transmits acoustic waves that break up the plaque and calcium that have built up inside the blood vessels in the penis.

“Once that plaque and calcium are broken up, you get better blood flow, and it’s that improved blood flow that leads to better, longer-lasting erections.”

Along with providing better blood flow through existing blood vessels, the GAINSWave treatment also stimulates the growth of new nerve tissue, which is vital for achieving and maintaining healthy erections.

In addition, GAINSWave causes the growth of new blood vessels to occur over a three- to four-month time period. This differs from the temporary blood flow from sexual enhancement drugs. New blood vessel growth leads to larger girth and firmer erections that are totally natural.

Dr. Lupo points out that GAINSWave treatments can also be used to treat Peyronie’s disease, which is what occurs when scar tissue builds up in the penis and causes an abnormal bend, or curvature, to the penis that can impede urination and/or ejaculation.

“By making certain adjustments to the machine’s settings, we can treat the fibrous tissue the same way we treat blood vessels and break down the scar tissue that may be causing that irregular shape,” Dr. Lupo educates.

Suffering in Silence

Far more common than many realize, ED will derail the sex lives of more than half of all men at some point in their lifetime. It currently stands as the sexual problem most often reported by men to their doctors.

“ED is a problem that occurs progressively as men age,” Dr. Lupo reports. “But it is even more common in men suffering from hypertension and peripheral vascular and cardiovascular disease, in men who smoke or used to smoke and as a result of prescription or illicit drug use.”

Many different causes may underlie the diagnosis of ED, Dr. Lupo points out. The primary cause of erectile dysfunction – the one that affects 80 to 90 percent of all sufferers – is vascular disease.

The second most common cause is a hormone imbalance such as low testosterone or excessive estrogen levels. In a fair number of patients, both – if not more – factors can be the culprit. All factors must be addressed for best results.

“Unfortunately, most men have a hard time talking about this problem and frequently suffer in silence or, at most, discuss it with their primary care physician,” Dr. Lupo notes. “But most primary care physicians do not have the time and the state-of-the-art know-how to fully evaluate and treat the patient to achieve optimal results.

“As a result, most men are given a prescription for pills such as VIAGRA without so much as a discussion or explanation of how to take the pill correctly.”

Dr. Lupo, who is a certified provider of GAINSWave therapy, emphasizes that although many treatments may be effective, only few actually reverse the underlying cause as opposed to covering up the cause like a BAND-AID®, as is the case with pills.

Remarkable Results

GAINSWave treatments take between 20 and 30 minutes to complete. A full course of therapy is generally a total of six sessions twice a week over the course of three weeks. Some patients may need more sessions.

“For younger men, one course of six sessions is generally sufficient,” Dr. Lupo assures. “But a man in his seventies, eighties or nineties with certain health issues such as high blood pressure or diabetes may need more.

“For those patients as well as anyone who has been a heavy smoker, it may take anywhere from twelve to even thirty treatments before they see a result. But it does work. More than seventy percent of men who have GAINSWave therapy respond to it.

“Another thing to keep in mind is that results do not happen right away. It may take more than one course of treatment, but most men notice a significant change in their status after a full course of six sessions.”

The effects of the GAINSWave therapy are long-lasting. Once they begin to realize a result, most patients will continue to enjoy those results for one to two years, though some clinics recommend a refresher treatment every three to six months.

“Completely Gone”

Edward was eager to correct his ED issue, so he visited Physical Medicine Center and received a series of six GAINSWave treatments.

“GAINSWave therapy was just the kind of thing I was looking for because I wanted something that was noninvasive, and I didn’t want to have to take any kind of medication that might bring about a bunch of side effects,” Edward reports.

GAINSWave treatments are performed right in the Physical Medicine Center. There is no downtime afterward, and Edward says his treatment regimen provided him with the boost in sexual performance he wanted.

“The results are truly remarkable,” Edward raves. “I actually began to notice a change after two or three treatments, but I completed the whole course, and now, six months later, the issue is completely gone.”

ED patients receiving GAINSWave therapy at Physical Medicine Center sometimes seek booster treatments after a couple of years. Edward says he won’t hesitate to get such a booster should he need it, in part because of how well he was treated by Dr. Lupo and his staff.

“First off, they do a great job of explaining how the treatment works,” Edward states. “And they don’t make you feel awkward at all. They actually make you feel very comfortable. And the results speak for themselves.

“If you’re looking for better sexual performance and a boost in sexual confidence, this treatment is a no-brainer. And I recommend getting it from Dr. Lupo and his staff at Physical Medicine Center because they really are as
professional as they come.”

*Patient’s name changed at his request

It’s A Wonderful Life

Resident ambassador eases transition into assisted living community.

Ambassadors are not synonymous with politics; they can be found in all walks of life. Such is the case with Sandy Petty, Sabal Palms first resident who serves as a resident ambassador at Sabal Palms Assisted Living & Memory Care in Palm Coast.

Photo by Jordan Pysz.

Sandy Petty

“I meet and greet all the new residents and help them get acquainted with their new home here,” says Sandy, a Tampa-born, self-described Navy brat. “It’s just something that I like to do because I like people and want to be helpful.”

Florida is known as a state many people retire to, so there is a great need for senior living communities offering myriad forms of care. That care is not always medical in nature. That’s where Sandy, 80, comes in.

“I usually give new residents a day or two to get situated, but then I’ll visit with them and give them a gift bag with a coffee mug, a sketch pad and information about activities, and I introduce them to other residents and answer any questions they might have.”

A resident of the Sabal Palms community since 2017, Sandy has a wealth of knowledge of the community and the daily activities that go on there, and she passes that information on to others, says Sandra Young, community relations director for Sabal Palms.

“She loves to be busy, and that’s probably why she’s one of our ambassadors,” Sandra states. “She welcomes new residents and helps them learn their way around. Everybody in the community does, of course, but she’s more one-on-one with people.”

Abundant Care and Amenities

Sabal Palms Assisted Living & Memory Care offers studio, one- and two-bedroom suites and five levels of customized care as well as specialized care for those residing in its secured memory care community referred to as Journeys.

The care levels begin with minimal assistance, such as medication management and move up to include incontinence care, shower assistance and more. The community also has a fitness room, piano lounge, wine bar and game room.

Yoga, cooking, painting and music classes are among the vast array of daily activities open to all residents, who are also treated to a movie each night in the community’s theater, where popcorn is freshly popped every afternoon for theater time.

Sandy Petty is an avid reader, and she notes that “there is also a wonderful library if you just want to relax and read.”

Sabal Palms also offers live entertainment every week, and every conceivable occasion – anniversaries, birthdays, etc. – are celebrated with gusto. You’ll find daily gatherings for happy hour in the wine bar and piano lounge.

Bingo, card games, music, trips to local shopping malls and plazas – all are offered at Sabal Palms, where Sandy moved to in an effort to be closer to her brother, who lives nearby. She says it was one of the best moves she ever made.

“It’s really a great place,” says Sandy, who talks of Sabal Palms with all the enthusiasm of a new student on her first day of school. “I feel comfortable here. I feel secure here.

“And I know that if I have a problem with anything that somebody is going to help me with it. It’s a comfort to know there’s someone here to help you no matter what, and that you really don’t have to do anything.

“It’s like a five-star hotel. They do my laundry, clean my apartment and change the sheets once a week. They help to make life wonderful here, and it’s really a lovely community.”

Back from the Brink

Noninvasive laser procedure strengthens gums, saves failing implants.

Randall McCrory had the misfortune of being born with a propensity for bad teeth.

Photo by Jordan Pysz.

Randall McCrory

“That’s what my dentist told me when I was twenty-two years old,” the 72-year-old retired mechanical engineer states.

Randall worked for 20 years in an upper management position for the DuPont™ company. Though he loved his job, Randall’s happiness was tempered by dental problems that initially resulted in the loss of several upper teeth.

Those teeth were eventually replaced with dental implants, but years later, while he was being fit with implants for four lost bottom teeth, Randall was told significant bone loss was causing the upper implants to fail.

The distressing news prompted a search during which Randall went to five or six dentists seeking help for the problem. One recommended he visit Stuart Periodontics and meet with C. Nicholas DeTure, DMD, who specializes in periodontology and implantology.

“Game-Changer” Laser

“Over the years, Randall developed a gum infection around his implants, a condition we call peri-implantitis,” Dr. DeTure reports. “He was losing bone around the implants, and his gums were so sensitive that we couldn’t do the typical periodontal probe on him.”

Peri-implantitis is a progressive, inflammatory disease that affects both the hard and soft tissue surrounding an implant. Symptoms include gum bleeding and/or swelling, gum redness and/or tenderness and, in some cases, suppuration, which is the formation of pus.

Randall was experiencing some of these symptoms, but he was fortunate to have found Dr. DeTure, who describes his practice as a “save-teeth-and-save-implant-first kind of office” and recommended a treatment called laser-assisted peri-implantitis procedure, or LAPIP.

During the LAPIP procedure, a laser removes bacteria, diseased tissue and any other contaminants from around the dental area being worked on. Ultrasonic scaler tips are then used to further treat the gums, which promotes new tissue growth.

“The laser is a game-changer because in years past, treating infected implants required difficult surgery,” Dr. DeTure says. “We had to cut the gums, reshape the implants, pack bone in around them and then close things up.

“This is a much better way of doing things, and it’s much easier on the patient because there’s less work that they have to recover from, so there’s less discomfort and the recovery period is very short, about a day or two.

“Our ability to treat the gum infection with the laser and get bone to regrow around the implants without having to do bone grafts has been pretty incredible. And we did all of that with Randall.

“We treated his gums once with the laser and did some reshaping of his bridge to allow him to clean his teeth better. We also did some reshaping of the implants themselves because his infection was so bad that the implants were exposed above the gums.”

Once Randall healed and stabilized, Dr. DeTure performed a gum-grafting procedure around the implants to create a better seal and stronger connection of the gum to the implants.

The two procedures were a success, as Randall’s gums are now cleaner, stronger and pain free. That’s why Randall highly recommends Dr. DeTure for anyone having dental problems similar to his.

“I can’t speak highly enough of Dr. DeTure and his practice,” Randall raves. “The people there are friendly, and Dr. DeTure is the best dentist I’ve ever been to in my life. I can’t believe what he’s been able to do for me.”

Relief Effort

Unique vacuum therapy allays back, neck pain without surgery.

Danny Williams, 52, is no stranger to hard work. He has a career in retail, and his main job is to unload pallets of merchandise from delivery trucks and haul them into the company’s storeroom. He’s currently employed by a local farmer’s market, where he’s worked for nearly two years. Before that, he worked for a grocery chain for 30 years.

Photo by Jordan Pysz.

Danny says Vax-D Therapy was a “godsend.”

A Wisconsin native, Danny has lived in Florida since his parents moved south during his youth. In Florida, he married, raised two children and began his career. Danny’s job requires considerable lifting and walking.

Even early in his career, he stocked shelves, which involves significant bending and twisting. It’s no surprise then that he developed back problems.

“I was fairly athletic when I was young, and I remember pulling muscles in my back when I was in my teens and twenties,” Danny describes. “Over time, my back got worse, then around 2002, I developed sciatica on my right side.

“I don’t know what started it, but it was really bad. One thousand percent bad. On a scale of one to ten, it was a solid ten-plus. It was a sharp, stabbing pain, and it ran all the way down to my toes and back up again.

“It caused me to walk kind of sideways, half hunched over, and I couldn’t sit up, couldn’t sleep and couldn’t bend over. I couldn’t pick up or play with my kids, who were young at the time, but with young kids at home, I couldn’t afford to take off work, so I did what I could to work through it. I pretty much lived on Aleve® Liquid Gels back then.”

“Today, I’m almost back to normal. The back pain I have now is one on a scale of one to ten, maybe two as the day goes on, but that’s definitely manageable.” – Danny

Eventually, Danny concluded he couldn’t continue to live that way. He consulted his insurance company to find a local provider who specializes in painful back conditions. The company referred him to Dr. Craig S. Aderholdt at Back Pain Institute of West Florida.

At Back Pain Institute of West Florida, Dr. Aderholdt provides the most advanced treatments for patients in severe pain. Among them is a unique, nonsurgical treatment called VAX-D® Therapy, which is a patented, FDA-approved medical decompression technique for alleviating pressure on the discs of the spine.

“I liked Dr. Aderholdt as soon as I met him,” Danny relates. “He was nice, friendly and very knowledgeable. I could tell he knew what he was talking about. He ordered films and discovered I had one bulging disc and one herniated disc in my back.

“I didn’t know about the discs because the sciatica masked any pain from them. So Dr. Aderholdt suggested I try VAX-D Therapy, and I thought, It can’t hurt. I’m in so much pain now, anything is better than this pain.

Vacuum Packed

While VAX-D Therapy is a medical decompression technique, it is not a traction device, Dr. Aderholdt emphasizes. It works differently and achieves significantly better results, the doctor assures.

“For many patients, chiropractic adjustments alone can actually relieve their pain,” states Dr. Aderholdt, who is one of the few doctors in the country who offer the unique VAX-D treatment.

“But for select people with sciatica or herniated, bulging or degenerated discs, VAX-D Therapy has proven extremely effective. Danny was a good candidate because the treatment can alleviate low back pain, neck pain, numbness, tingling and pain radiating down the arms and legs.”

During VAX-D Therapy, the patient relaxes on a comfortable, computer-controlled table, secured with a pelvic belt or patented cervical collar, depending on the area to be treated. Carefully specified tension and pressure changes guide the use of VAX-D, allowing the therapist to focus decompression at the exact level of spinal dysfunction.

The VAX-D system is computerized, so it enables the table to make subtle but targeted movements, which create a powerful vacuum within the disc space. This vacuum gently draws the disc back to its proper orientation, which pulls nutrient-rich spinal fluid into the disc and stimulates repair cells that effectively mend the disc.

“Nothing else can create such a powerful vacuum,” Dr. Aderholdt observes. “That is what makes VAX-D such a valuable tool for pain relief. There are imitators, but the vacuum effect is the most powerful one known.

“Unlike some other machines, VAX-D doesn’t allow the muscles to contract. In fact, it is the only nonsurgical treatment that has been clinically proven to reduce disc pressure to negative levels.”

“Dr. Aderholdt started me on the VAX-D Therapy, and I went at it aggressively,” Danny relates. “I did the therapy five days a week for an entire month in order to relieve my sciatic pain, and I loved it.

“It stretched me out and pulled the fluid back into my spinal discs, and that felt good. Of course, anything that helped relieve my pain was fine with me. There was an entire treatment routine that Dr. Aderholdt created for me, and I loved the whole thing.”

Escaping Surgery

Marie Lagassey was a US customs agent for nearly 30 years, dealing with hundreds of international air travelers every day at the Phoenix international airport. It was a rewarding career, but Marie suspects the repetition of stamping passports all day may have started her constant neck pain.

“Stamping passports and using a computer – my head was always kind of a little bit forward, so I think that’s what caused my neck to start hurting all the time,” suggests Marie. “The pain became quite bad, really. It went down my neck and into my right shoulder. Sometimes, I would wake up at night and both my arms would be asleep and tingling.”

FHCN File Photo.

VAX-D Therapy allowed Marie to avoid neck surgery

After her retirement, the pain in Marie’s neck didn’t go away. During yoga classes, she says, “I couldn’t even put my arm to the back of my head when stretching because it was too painful.”

While still living in Phoenix, Marie sought chiropractic care, but it didn’t help. She was considering the unappealing possibility she might need surgery, which she thought of as a last resort. Then, after she moved to Florida, she read about Dr. Aderholdt and the VAX-D Therapy he offers to select patients.

“I said to myself, Well, let me try this,” she relates. “And I’m glad I did because I really did not want to have surgery.”

After a thorough examination and x-rays, Dr. Aderholdt determined that like Danny, Marie was a good candidate for VAX-D.

“Marie was definitely a severe case,” Dr. Aderholdt notes. She had quite a few misalignments in her neck, and degenerative cervical discs. Slippages of vertebrae and degenerated discs were causing narrowing of the spinal cord, which is why she was experiencing the tingling sensations in her arms, the doctor says.

“And she wanted to avoid surgery,” Dr. Aderholdt adds. “That is something that VAX-D allows for, and that is important because whenever an invasive procedure can be avoided and noninvasive measures used instead, the risk of complications is significantly reduced.”

The VAX-D Therapy treatments, which last for about half an hour per session, turned out to be extremely effective for Marie. She reports that she started to feel substantial relief about two weeks after she began the treatment and is happy to have finally found something that worked for her.

“Since I’ve had VAX-D Therapy, I can raise my arm and extend it behind my head to stretch. I couldn’t do that before,” offers Marie, who is planning to take some golf lessons, a pastime that requires a lot of arm movement.

“On a scale of one to ten, the pain level was an eight when I first started with the treatments,” she describes. “Now, I’m pretty much down to a one. Occasionally, I might feel something, but really there’s no pain now.”

Positive Track Record

Just as it did with Danny and Marie, VAX-D Therapy has a long track record of leaving patients satisfied, Dr. Aderholdt reports. Long-term studies show that VAX-D is effective in more than 88 percent of patients who go through the treatment.

“I consider VAX-D one of the most effective nonsurgical medical treatments for low back pain, neck pain and sciatica today,” the doctor asserts. “This revolutionary technology is one more tool I can offer my patients as we work toward relieving pain and maintaining the health of the lumbar and cervical spine.”

Dr. Aderholdt states that many patients report a significant reduction in back pain within only a few treatments, although the total healing process takes longer. The reason it takes a longer period of time, Dr. Aderholdt explains, is that bulging or herniated discs require a series of VAX-D sessions to fully reposition themselves.

“Since I’ve had VAX-D Therapy, I can raise my arm and extend it behind my head to stretch. I couldn’t do that before.” – Marie

“Some patients think they will get relief after a handful of sessions and they can just quit, but that’s not the case,” he stresses. “You must follow through with all of the required treatments to get the full benefit.”

The doctor points out that VAX-D Therapy has the added benefit of eliminating the need for surgery in many cases.

“Marie wanted to avoid surgery, and that is something that VAX-D allows,” Dr. Aderholdt says. “With surgery, there is the potential for serious complications. VAX-D is noninvasive, so those complications are avoided.”

20,000 Steps

After two weeks of treatment with VAX-D Therapy, Danny noticed a significant difference in his pain level, and he was more upright when he walked. The therapy delivered results in other areas of Danny’s life as well.

“After a few more treatments, I could sit, sleep and play with my kids again,” he remembers. “I had about thirty VAX-D sessions in all, and after I completed them, my sciatic pain disappeared.

FHCN File Photo.

Marie Lagassey

“Once Dr. Aderholdt relieved the sciatica, he continued to work on the bulging and herniated discs in my spine using regular adjustments. He also taught me exercises to do at home to help take the pressure off of my back.”

Danny first visited Dr. Aderholdt in 2002 for treatment of his sciatic pain, and he’s continued seeing the doctor regularly during the 17 years since then. The recurring visits help Danny maintain the improvement he achieved through VAX-D Therapy.

“Dr. Aderholdt does routine adjustments on me every month, and that really helps my back,” Danny enthuses. “I’m still doing the exercises to stretch my back, and I ice it down most days, depending on how it feels.”

Between VAX-D Therapy and his regular visits to Dr. Aderholdt, Danny can perform his daily activities nearly pain free. He’s also returned to golfing and bowling, which the sciatic pain forced him to quit.

“Today, I’m almost back to normal,” Danny says. “The back pain I have now is one on a scale of one to ten, maybe two as the day goes on, but that’s definitely manageable. I’d say I’m doing pretty well considering what I do at work. Besides lifting, I walk about twenty thousand steps, which is about seven miles, every day. And that’s just when I’m working. But now, I do it without being in a lot of pain.”

Marie received significant benefit from VAX-D Therapy, as well. She’s not only satisfied with her treatment, but also extremely appreciative of the caring atmosphere she experienced whenever she visited Dr. Aderholdt’s office.

“Dr. Aderholdt is very professional, and he’s a very nice person. He explains everything really well,” she comments. “His staff is excellent. I’m really glad that this option came along and I didn’t need surgery.”

Danny is also grateful for the opportunity to have VAX-D Therapy for his back and sciatic pain. He credits Dr. Aderholdt and his unique treatment for enabling him to comfortably continue his career in retail. He says that since he got VAX-D Therapy, he feels and acts like a much younger man.

“I’m almost fifty-three years old, and I can still hold my own with all the young kids in the business,” Danny reports. “I feel good about the treatment I received at Back Pain Institute of West Florida. VAX-D Therapy was a godsend.”

Double Jointed

Stem cell therapy relieves lower back, knee pain.

Some people know early in life what they want to do for a career, and they follow clear paths to reach their goals. That wasn’t the case for Geraldine Duez. Her path wasn’t clear. For years, Geraldine worked in various capacities before finally finding her calling as a certified nursing assistant (CNA).

Photo by Jordan Pysz.

Geraldine Duez

“I started out working as a beautician and did that for a while,” Geraldine relates. “Then, I went to work in a factory and from there to working in an office, which I did for a few years. After that, I started my career as a CNA and worked in nursing for twenty years. I even did private care for a while. I retired as a CNA in 2015.

“I initially became a CNA because I knew there were jobs in that field. There’s always a need for nursing care. But I really enjoyed working in nursing because I got to know a lot of people, and I liked making patients happy.”

Geraldine hails from the Bluegrass State of Kentucky, but she and her husband moved north to Ohio after they were married. Eventually, the couple headed south to the temperate climate of the Sunshine State.

“After I married my husband, we lived in Toledo,” Geraldine confirms. “In 1997, we decided to move to Florida and get jobs down here. We continued to work in Florida until we were ready to retire.”

Retirement suited Geraldine, but she soon became hampered in her favorite activities, including working in her yard, by intense pain in her lower back and leg. The pain, her doctor told her, was the result of sciatica, a pinching of the spinal nerves supplying the legs by degenerated discs.

“The pain started on the left side of my lower spine and ran down my left leg,” Geraldine describes. “It really hurt. Sometimes, the pain started up when I was driving and made it hard to drive because it hurt so bad.

“I eventually had an MRI done in Port Charlotte, and it showed a lot of narrowing on the left side of my spine. The pain it caused was off and on, but it bothered me enough that I knew I had to get rid of it.”

Matters got worse for Geraldine before they got better, however. Over time, her troubling back pain was compounded by excruciating pain in her left knee.

“There was a burning pain on the left side of my knee,” she states. “At times, the pain was a nine on a scale of one to ten. Occasionally, it hurt at the bottom of that knee as well, but that pain occurred at different times. It wasn’t constant.

“Sometimes, my knee was unstable. I was afraid I might go down because it felt like my knee wasn’t going to hold me up. It usually held, but the feeling it might not was scary.”

Living with terrible back and knee pain took all of Geraldine’s energy. She finally accepted that she required a doctor’s care in order to find real relief, but she didn’t know where to turn. That changed when she picked up a copy of Florida Health Care News one day and read about Erick A. Grana, MD, of Regenerative Orthopedic Institute in Tampa.

“I read the article in the newspaper about Dr. Grana and his treatment and thought, Maybe he could help me,” Geraldine remembers. “When Dr. Grana reviewed my MRI, he said my back was pretty bad, but he could treat me with his procedure.
“I thought I might as well have my back and knee treated at the same time. Dr. Grana told me he would give me a discount to have both done, and I always like a deal.”

Natural Process

“Geraldine’s sciatica and knee pain were the result of degenerative arthritis,” Dr. Grana reports. “She was looking for a way to relieve her pain without resorting to surgery or heavy pain medications. She wanted a more natural way to ease the pain and manage the underlying arthritis.”

To address conditions like Geraldine’s, Dr. Grana uses regenerative medicine, which treats patients with a nonsurgical technique called stem cell therapy. This therapy uses the patient’s own specialized stem cells to promote the growth of new tissue in joints ravaged by arthritis or injury.

“Regenerative medicine treats disease and injuries by harnessing the body’s own healing powers,’’ Dr. Grana informs. “The natural healing process is accelerated by a combination of growth factors and bioactive cells in the form of stem cells and platelet-rich plasma (PRP).

“Stem cells are the body’s natural repair cells and are capable of healing and repairing tissue. They are also highly anti-inflammatory and release many growth factors within the joints that stimulate healing and repair.”

Stem cells are not assigned to be a specific type of cell. When placed in an area and stimulated appropriately, stem cells can develop as cells of that area, replacing the worn out or damaged tissue there. In joints, for example, stem cells can become cartilage cells and rebuild that deteriorated tissue. That’s the essence of regenerative medicine.

“About two weeks after the injections, I started to feel better. I had a lot of energy, and I was able to do all sorts of projects.” – Geraldine

Platelets are specialized cells found in blood. They are the cells responsible for clotting at the site of an injury, and they contain many healing substances and growth factors that can stimulate and assist stem cells in their regenerative activity.

“The process of using stem cells and PRP results in a safe, effective treatment,” Dr. Grana assures. “And unlike traditional surgery, which can result in blood loss, scarring and long, painful recovery periods, stem cell therapy requires only injections into the damaged joint.

“It also offers a much quicker recovery than surgery. Typically, patients begin to feel a noticeable decrease in pain after six weeks.”

Stem cell therapy is autologous, meaning it utilizes stem cells, PRP and growth factors taken from the patient’s own body. Using the patient’s own cells eliminates the chances of reactive side effects or rejection.

Dr. Grana extracts stem cells from the patient’s bone marrow or fat, while the PRP is taken from the patient’s own blood. After the stem cells are harvested, they are separated through a centrifuge and injected into the painful area to stimulate the regeneration of damaged tissue and the healing of tendons, ligaments, joints or spinal discs.

“When I was first introduced to stem cell therapy, I recognized its tremendous potential for patients who would otherwise have limited treatment options for pain relief,” Dr. Grana notes. “Patients with osteoarthritis, in particular, have very few choices other than surgery when the condition advances and damages the joint.

Photo by Jordan Pysz.

Geraldine, an active gardener, is reaping the benefits of her stem cell therapy.

“Surgery has potential complications, so when we treat arthritic joints without surgery, patients do much better. Not only can we relieve the patient’s pain, but we can also reverse some of the damage done by the osteoarthritis. This is accomplished by regenerating the cartilage and connective tissues in and around the joint area.”

Dr. Grana has developed a system for the delivery of stem cells and PRP into the pain generators in and around joints such as the knees, shoulders and hips. It’s called RegenaJoint. He used this technique on Geraldine’s left knee.

He has also developed a similar system to treat the spine called RegenaSpine, which he used on Geraldine’s low back and sciatic pain. RegenaJoint and RegenaSpine are both minimally invasive procedures that are performed right in the doctor’s office using a local anesthetic. Patients typically resume normal activities immediately following the procedure.

“Dr. Grana took fatty tissue from my stomach and took the stem cells from that,” Geraldine recalls. “Then he got platelets from the blood he took from my arm. He mixed the stem cells and platelets together and injected the combination into my back and knee.”

“I Feel Great”

“About two weeks after the injections, I started to feel better,” Geraldine reports. “I had a lot of energy, and I was able to do all sorts of projects. I trimmed a palm bush in the yard, then put rubber rings around its trunk. I also spread mulch, which made the yard look really nice. I carried all of the mulch and dirt I used, and I wasn’t in pain.”

Geraldine continues to reap benefits from her stem cell therapy, and today, she’s amazed by how much improvement she’s achieved. She recognizes Dr. Grana and his treatments for her success.

“I feel great,” Geraldine raves. “I no longer have any pain in my back or down my left leg. Every once in a while, my knee hurts a little in one place, but when I mentioned that to Dr. Grana, he said it takes time for the joint to heal. Unless it gets worse, there’s nothing to worry about.

“The stem cell treatment was successful. The knee pain I have left is only a one on a scale of one to ten, and I no longer get that feeling it’s going to give out on me. Unfortunately, now my right knee sometimes feels that way. I told Dr. Grana maybe next year, I’ll have that knee done, too.

“I recommend RegenaJoint and RegenaSpine and already have to a few people. And I have recommended Dr. Grana and Regenerative Orthopedic Institute as well.”

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