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Ask an Expert
Arfan Din, D.O.
Sutter Davis Hospital
I've been having knee pain when I bend it and when it's straight. It's also a little swollen above the kneecap. I'm hoping that this is just a mild sprain, but six years ago I had a blood clot in the same leg just below the knee. Should I be worried?
Knee pain as you describe best fits the picture of a condition we call patellar femoral syndrome. This is a very common condition of the knee that often occurs with activity. Patellar femoral syndrome is typica... continue reading about I've been having knee pain when I bend it and when it's straight. It's also a little swollen above the kneecap. I'm hoping that this is just a mild sprain, but six years ago I had a blood clot in the same leg just below the knee. Should I be worried?
Arfan Din, D.O.
Sutter Davis Hospital
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?
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?
Arfan Din, D.O.
Sutter Davis Hospital
I have severe Achilles tendinitis and can't even go on long walks for exercise. What workouts would you recommend while I recover? It's been weeks since I've broken a good sweat.
Achilles tendonitis is a tough condition to treat since many aerobic activities can aggravate the condition and one of the treatment strategies is to avoid these activities.Aerobic conditioning is incredibly va... continue reading about I have severe Achilles tendinitis and can't even go on long walks for exercise. What workouts would you recommend while I recover? It's been weeks since I've broken a good sweat.
Arfan Din, D.O.
Sutter Davis Hospital
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.
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.
Arfan Din, D.O.
Sutter Davis Hospital
What kind of health precautions should be taken before traveling to South East Asia (Thailand, Cambodia, Vietnam)?
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)?
Powell O. Jose, M.D., FACC
Sutter Davis Hospital
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?
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?
Arfan Din, D.O.
Sutter Davis Hospital
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?
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?
Powell O. Jose, M.D., FACC
Sutter Davis Hospital
What is statin therapy and what are the side effects of this drug?
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?
Arfan Din, D.O.
Sutter Davis Hospital
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?
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?
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