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?

It is wise to be concerned about dietary supplements, since they are not regulated by the FDA. This then allows manufacturers of these products to make claims that are not well founded in medical science or stu... continue reading  about  I've been running for a number of years. I feel like I've sort of hit a plateau in my race times and performances. I'm considering taking dietary supplements, but I'm concerned about possible side effects. Should I be?

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?

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?

In today's world we are learning more and more about interactions between medications, foods and supplements. It has been reported that grapefruit juice can interact with as many as 40 medications - some of whi... continue reading  about  Is it okay to take a joint pain supplement that contains glucosamine and scutellaria if I'm also taking prednisone?

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.

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?

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)?

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?