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?

This question undoubtedly is asked by patients every day. Truth be told, there are preventive measures that can slow down the aging process, but sadly there is no way to completely avoid or reverse the aging pr... continue reading  about  What can be done about aging, thinning skin on the arms and legs as we get older? Is there a best ingredient in over-the-counter products? This is happening despite excellent nutrition and otherwise very good health.

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?

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?

Statins are a class of medications used to lower cholesterol. They work by inhibiting an enzyme called HMG-CoA reductase, which is important for cholesterol production in the liver. Statins are very commonly us... continue reading  about  What is statin therapy and what are the side effects of this drug?

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?

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?

Caffeine has multiple effects on the central nervous system, as well as the heart. Typically most people will experience an increase in heart rate, the degree of which differs among individuals. The amount of i... continue reading  about  My husband and I both have a large black coffee every day. After drinking his coffee, my husband's heart rate is elevated for hours. I don't see any increase in my heart rate from drinking coffee. Is this due to metabolism? Should my husband drink decaf?

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?