Top10MD Blog


 2 months ago    Leave a comments (0)

Having surgery on your spine is a very serious matter. These days, choosing a spine surgeon is no easy matter. You should not choose just anyone; you should only want the best.

Here are a few tips that should help find the right spine surgeon.

Spine Surgeon Checklist

  • Board Certifications – The American Board of Orthopedic Surgery certifies Spine Surgeons. If you have a spine surgeon that is not certified, you should run away immediately.
  • Experience – Everyone has to start somewhere, but when it comes to spine surgery, you should look for experience, not being an experiment.
  • Empathy – Back problems can be very severe, and your surgeon should be understanding and empathetic toward your needs.
  • Minimally Invasive Options – Choosing a spine surgeon that is experienced in minimally invasive spine surgery is best. Minimally invasive surgery leads to a quicker recovery.
  • Be Aware of Lasers – Do not get sucked into the trap that lasers are a minimally invasive way to cure your back problems. Lasers cannot cut into bone; therefore, it will not help your spine problems.
  • Innovative – Your spine surgeon should be innovative and give you only the best options for curing your problem.
  • Thorough – Your spine surgeon should take very good care of you and look at all the options for treating your problem. Treatment should be specific to your needs.
  • Professionalism – Respect and professionalism are very important. If you feel disrespected, you should move on.  
  • Credentialed – Hospital privileges is a must for a spine surgeon. If your spine surgeon is not credentialed, you could be working with an imposter.
  • Open Minded – Spine Surgeons should always be open minded about your care. If one treatment does not work, they should be open to trying new and different options.

Following these tips should help you get the right spine surgeon. If you are in need of surgery, you should look no further than Top10MD. We only work with the best. Our spine surgeons not only meet these criteria, but they will go above and beyond to give you the care you need.

If you are experiencing back pain and spine issues, contact a Top10MD Spine Surgeon today and schedule a consultation.


 2 months ago    Leave a comments (0)

Managing stress in the 21st century can feel like an overwhelming task. The demands placed on achievement, work-life balance, and shuffling between computers, tablets, and smartphones can easily flood your brain with overstimulation. When you’re unable to process the information adequately, it can lead to health problems with heart disease, stomach ulcers, and stroke.

Don’t let the everyday hustle and bustle get you down – there are simple steps you can take to get your mojo going again. Consider taking a few small steps towards relaxing your mind and body.

  • Don’t sit and simmer – move your body! If you work a desk job, set an alarm that goes off hourly to remind you to take a walk or get some fresh air. Movement can have a tremendous affect on your mental health.
  • Make time to do something you enjoy every day. It’s important you have YOU time.
  • Get enough sleep! Although it varies per individual, the average is eight hours per night to feel rested and rejuvenated the next day.
  • Don’t forget to breathe! A deep inhale and exhale can do wonders for clearing your mind and relaxing your muscles.
  • Find what is triggering your anxiety or stress. Is it work? School? A relationship? The first step to addressing your stress is by finding out where it’s coming from.

If you find these steps just simply are not enough to change, alter, or rid of your stressors, you can always turn to professional help. A board-certified psychiatrist can help.


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Urinary incontinence or stress incontinence is a common and often embarrassing issue that no one likes or wants to talk about; if you’re experiencing urinary incontinence, you are not alone. Nearly 25-million people in the United States have the same problem. Men don’t get off, either approximately 10% of men are susceptible to this condition. When urinary incontinence prevents you from going places, participating in sports activities, and enjoying that belly laugh it’s time to do something about it. Common among post-menopausal women it’s not limited to the older generation; urinary incontinence also affects young adults as well, especially new mothers. Many women neglect to inform their doctor, due to the embarrassment of the issue. Beforehand, it seemed as if there was no hope for you outside of surgery, but now, a new device InTone is a treatment that is changing the lives of people everywhere with no surgery.

What Is Urinary Incontinence?

Urinary incontinence is bladder leakage. It happens when we run, jump, and even laugh; this occurs when the muscles that hold urine weaken causing you to urinate when you’re not supposed to. That muscle is a voluntary muscle; which means, you have control over it. The problem occurs when that muscle becomes lack, or you lose total control over it. Your symptoms can be mild meaning you leak occasionally, or they can be severe meaning you are always leaking. It may feel as if you cannot make it to the bathroom in time and if you do, your bladder may never feel empty. If you are experiencing these symptoms, it’s time to get help.

Treatments for Urinary Incontinence

Treatments for urinary incontinence depend on several factors:

  • What type of incontinence you are suffering from
  • Your age
  • Your general health
  • Your mental health

By exercising your pelvic floor with Kegel exercises; these exercises help to strengthen the urinary sphincter and muscles that contribute to control urination; thereby, reducing your stress incontinence.

Bladder training is another method, and there is also medications along with botox or a sacral nerve stimulator. When all else fails, surgery is your best option. If you plan on having children or not through having children, you will need to discuss this with your doctor. If you are finished having children, or you have had a hysterectomy that eventually caused your bladder to drop you may be a candidate for the following non-surgical or surgical procedures:

Non-Surgical Treatment for Urinary Incontinence

Intone– a device developed to stop urinary leakage. Intone is the most effective, nonsurgical treatment available today to prevent urinary leakage. Intone takes you through 12-minutes of voice-guided pelvic floor exercises, visual biofeedback, and muscle stimulation.  Office visits will be required to customize your device to your specific needs. These exercises are completed once daily for six days a week for 90-days in the privacy of your home.

Surgical Procedure Options for Urinary Incontinence

  • Sling Procedure: There is a new mesh that is inserted below the neck of the bladder to support the urethra and stop urine from leaking out.
  • Colposuspension: This procedure lifts the bladder neck and has shown to help patients with stress incontinence.
  • Artificial Sphincter: This procedure involves inserting an artificial sphincter or valve to control the flow of urine from the bladder into the urethra.

What’s My Next Step?

If you’re struggling with incontinence, you don’t have to suffer in silence any longer. You don’t have to be afraid to talk to your doctor about it as there are options for you. Call today, and you will be off to a better quality of life including your ability to laugh without fear.

Dallas Gynecologist and Functional Medicine Specialist Maryann Prewitt, MD is Director and Founder of HealthWellnessMD. Dr. Prewitt is Fellow and Board Certified by the America College of Obstetricians and Gynecologists. Dr. Prewitt holds a Master’s Certification in the da Vinci Surgery System – this minimally invasive technology has revolutionized the way surgery is performed today. Dr. Prewitt has been named 2016 | 2017 Top10MD an honor only 1-in-3 doctors succeeds with this recognition in the United States. Call Dr. Prewitt’s office today and schedule an appointment at 469-619-1066.


 3 months ago    Leave a comments (0)

Most women desire to have a natural birth, but for those who cannot, a C-section is the next option. Nearly 1-in-3 women have a C-section due to a high-risk pregnancy or other health issues. A caesarean delivery or C-section is a surgical procedure for delivering a baby; they can be planned ahead of time, or due to unforeseen circumstances your surgeon may have to perform one during labor. No one wants to undergo surgery, but the procedure is relatively quick, and because you are under anesthesia, you will not feel any pain. 🙂 

The Upside of C-Sections

  • The good thing is that a C-section is typically shorter than a vaginal delivery. When you deliver vaginally, labor can go for hours and days. A C-section is quick, and when the procedure is scheduled, you know for sure when your baby will arrive helping you to be more prepared.
  • Pain during the birthing process is minimal. You may be uncomfortable but not necessarily in pain. Now that you no longer have to push the baby out, you will not feel the contractions anymore, and there is no need for an episiotomy.
  • A C-section also prevents the vaginal walls from being overstretched, which can affect your sex life afterward.

The Risks of a C-Section

  • With any procedure, there are risks. One risk is an injury from the procedure. The OBGYN may not make a clean-cut which can lead to a scar; because you’ve had an incision your recovery time will be longer.
  • Infection is another risk because when an incision is made it places you at risk for an infection. Bleeding can be another problem if your blood doesn’t clot properly.
  • Some OBGYN’s believe endometriosis can occur which will eventually lead to painful sex.
  • After a C-section, future pregnancies may be challenging, especially if you have a lot of scar tissue.

Despite the high risks of complications, caesarean deliveries are very common these days. It is a good option for those who have high-risk pregnancies or suffer other health conditions. C-sections are typically scheduled in advance. Vaginal delivery complications may happen and cause you to have an emergency C-section. Whatever the case may be, know a board-certified OBGYN will take good care of you and suggest the best method of delivery. No matter what the delivery method is, the important thing is to have a healthy mom and a healthy baby.

Find your OBGYN and schedule a consultation today.


 3 months ago    Leave a comments (0)

What Is an Age Spot?

Age spots are flat spots that vary in color and size. Sometimes they appear brown, black, or even gray in color. You may have heard the term by other names, such as “liver spots” or “sun spots.” Age spots are a result of excess skin pigmentation and tend to occur on areas of the body where there is more exposure to the sun – your face, hands, shoulders, and forearms.

Am I At Risk For Age Spots?

Anyone can develop age spots. However, you will find certain people are more susceptible to them depending on a few factors:

  • 40+ Years of Age
  • Fair Skin
  • Frequent exposure to the sun
  • Frequent tanning bed use

How Do I Know If It’s An Age Spot?

In good lighting, thoroughly examine your skin for any discoloration. Check for darker spots that are brown or black in color. As you run your fingers over the spots, they will feel flat and be the same texture as the rest of your skin. You should be able to press on the spots with no risk of pain or discomfort. If you do experience pain, however, check with your board-certified dermatologist for a proper examination.

Can Age Spots Be Treated?

Luckily, age spots are not dangerous and do not cause any health issues. If you are unhappy with the way they look, you may have them removed by your board certified dermatologist. Your options range from prescription chemical peels to lasers can zap them and they will fall off within a week. Bleaching creams you buy over the counter may lighten them but they will reappear. Depending on your case, your dermatologist will guide you in the appropriate direction. Over-the-counter creams are not as strong as prescription level creams. They may or may not change in the pigmentation of your skin. If you are looking to try something over the counter before scheduling an appointment, look for creams with ingredients containing hydroquinone, deoxyarbutin, glycolic acid, alpha hydroxy acid, or kojic acid or save your money and have them zapped!

Dallas, Fort Worth, and Arlington Dermatologist Dr. David Hensley is Board Certified by the American Board of Dermatology. Dr. Hensley focus’s his practice on technologically advanced skin care treatments. Dr. Hensley is Medical Director of Metroplex Dermatology, a practice devoted to providing patients with the highest standard of skin care available. Dr. Hensley has been named two years in a row 2016 | 2017 Top10MD an honor– only 1-in-3 doctors succeeds with this recognition in the United States. Contact Dr. Hensley today by or call (817)704-4777.


 3 months ago    Leave a comments (0)

As a child growing up, we were told that breakfast is the most important meal of the day. But is this true? Often, we find ourselves skipping it. A survey by the NPD Group found that 31-million Americans, about 10 percent of the U.S. population, do not eat breakfast.  Some people skip it due to weight loss, lack of time or it’s simply too early to be hungry. Researchers found that each person reacts differently to missing breakfast. After extensive researching, there is no evidence that missing breakfast leads to weight loss or that eating breakfast leads to gain weight or less energy. Although skipping breakfast might necessarily not be harmful to your health, it can work in your favor in many ways. Breakfast not only gives you fuel but allows you to manage lunch portions and stave off hunger pangs.

“There’s no real standard definition of breakfast,” says Megan McCrory, Ph.D. McCrory tells us that some people consider a banana or yogurt a good breakfast, while others may eat a larger portion of eggs, bacon, and toast. The definition of breakfast varies from person to person. Regardless of what you eat, it will benefit you to have something in your stomach before starting your day as it helps to get your metabolism going.

What If I Grab A Donut?

A healthy breakfast is crucial! Donuts don’t cut it. It’s okay to treat yourself sometimes, but moderation is the key. It is better to stick with foods that are lower in sugar and carbohydrates as these can encourage more snacking throughout the day. High protein foods such as granola, lean meat, eggs, soy, Greek yogurt, and vegetables will give you lasting energy and help you feel fuller longer.

Breakfast & Disease

According to the American Journal of Clinical Nutrition, some diseases are associated with not having breakfast. A healthy breakfast helps to lower your chances of both diabetes and heart disease.

Although there is not any evidence that skipping breakfast is a risk to you, there are plenty of great reasons why you should make breakfast the first meal of your day.


 3 months ago    Leave a comments (0)

Many of us buy sunglasses to make a fashion statement, but sunglasses were designed originally to protect our eyes from UV rays. With winter still in full swing, we often don’t think of solar UV rays affecting us in cold weather. Typically, when we hear about UV safety we only think to protect our skin on sunny summer days, but we do not think about protecting our eyes. Getting protection for your eyes year-round will not only protect you from harmful light rays but will also preserve your vision.

They say the eyes are the windows to the soul. If you have eye problems, it will be very difficult to see into someone’s soul, let alone see at all. UV rays damage the eyes like it does the skin. UV rays can cause a sunburn in the eyes. The condition is very painful. Macular degeneration and cataracts are two other common issues that occur from too much sun exposure in the eyes. Cancer may also result. In most cases, cancer occurs in the eyelids.

You have probably never considered sunlight to be damaging to your eyes. When you have UV damage, you will start experiencing symptoms. Most symptoms start out as symptoms of sunburn. Your eyes will be red. You will also feel as if something is in your eyes. There is sensitivity to light and the eyes tear up very easily. These symptoms usually go away after a while. When you allow UV light to damage your eyes continuously, you will only cause permanent damage. Some forms of damage cannot be treated.

You can do your best not to look at the sun, but that is not enough. To truly protect yourself, you need sunglasses. Sometimes cheap sunglasses is not the best. Your sunglasses should block out almost 100% of the UV rays. The color of the lenses is also important. The lenses should not have any imperfections. The lenses should also be a gray color. A light colored lens will not block out the sunlight properly. If you are just going outside on a casual day, it is enough to have a good pair of sunglasses. If you work outside, it is important to get a good sturdy pair of sunglasses. Construction workers and electricians are in definite need of a good pair of sunglasses.

The light is good for you, but too much UV light can be damaging. Sunglasses are a great way to protect you from the harmful rays of UV light. It is easy to buy a cheap pair of sunglasses, but those may not protect you as much as they should. Save up for a good pair of sunglasses. They do not only make a fashion statement, but they will protect your eyes much better than those 2 for $20 pair of sunglasses you find at a Kiosk. It is always fun being able to go shopping for something new. It is even better being able to buy something that not only makes you look good but also protects you.


 4 months ago    Leave a comments (0)

If you’re scheduled for a prostate biopsy, you will receive a Gleason score, which is a measure of how aggressively your cancer might behave. Pathologist Dr. Donald Gleason discovered this system in the 1960s. He founded the five different types of prostate cancer cells, ranging from least aggressive to most aggressive.

To begin, your doctor examines tissue samples from your prostate biopsy under a microscope. Your cancer tissue pattern will be compared with healthy tissue and assigned a grade on the Gleason scale of any number in the set 1 through 5.

  • Grade 1 – The least aggressive type of cancer cell; it looks the most like normal tissue.  
  • Grade 2, 3, 4 – The most common tumor patterns on the scale; much like Grade 1, these tissues pose little danger of spreading quickly.
  • Grade 5 – The most aggressive type of cancer cell and is recognized when the cancer tissues have spread through your prostate and differ widely from the features of healthy cells.

Many men have more than one prostate cancer cell type.

Every prostate cancer biopsy is assigned two numbers: the first is called the primary grade, it represents the most common type of cancer cell present. The second (or secondary grade) accounts for the second most common type of cancer cell present.  The sum of these two numbers is your Gleason score, a number between 2 and 10. The best score you can get is two (1 + 1). The lower your Gleason score, the less dangerous your cancer and the most reasonable a conservative approach would be.

  • Men with high Gleason scores (8 or greater) have a more dangerous and aggressive type of cancer. Their cancerous cells look very different from normal tissue, described as being “poorly differentiated.” This is still an early-stage prostate cancer since it has not spread, but if you are high-risk, it means your cancer is likely to grow or spread within a few years.
  • A Gleason score of 6 or lower is considered low-risk. This means your prostate cancer is unlikely to grow or spread to other tissues and organs for some years.  It is important that you know both of the numbers in your Gleason score. Discuss both your primary and secondary grade numbers with your doctor.  

To help guide you to understanding your Gleason score and the significance of it and lead you to the best treatment for your condition, make sure you talk to your board certified urologist about things other than your Gleason score.

  • Gleason scores predict the rate your cancer will grow, not your prognosis.
  • Make sure you also understand your cancer stage and your PSA level.

Understanding the whole picture is the key to zeroing in on the best treatment that suits your current condition.


 4 months ago    Leave a comments (0)

When you were younger, it seemed like you could eat anything and not gain a pound. Now that you are older, everything sticks to you like glue, and the tricks you used in your 20s to lose a few pounds just don’t work anymore. Metabolism is one factor that makes it more challenging to lose weight. Understanding how metabolism affects your body can give you greater success with losing those holiday pounds and keeping true to a healthier New Years resolution.

Calorie burn is driven by metabolism. This is the process by which calories are converted into energy to power your bodily processes. Metabolism is not just about calorie burning, but it’s also about calorie storage. While there’s only one way for calories to enter your body (chomp chomp), there are several ways for calories to leave. The higher your metabolism, the quicker that food is processed into energy. The lower your metabolism, the slower the energy conversion.

Common FALSE statements you may have heard:

  • If I lose weight, my metabolism gets better” – When a person loses weight, there is less weight for the body to support, thus less calories burned. In addition, weight.
  • I have to eat 6 small meals a day to keep my metabolism going.” – If the quality and quantity of your food stays constant, three square meals are just fine.
  • I have to exercise to lose weight.” – The primary tool for weight loss is diet – what a person eats and doesn’t eat. Exercise plays an extremely minor role in weight loss.

A few things you can do to improve your metabolism:

  • Drink at least 8-10 ounces of cold water per day. Your body works a little harder to heat the water to room temperature.
  • Eat more fiber (25 grams daily for women, 38 grams daily for men), protein (1.2-1.5 grams/kg/day) and less processed foods.
  • Increase non-exercise activity such as stairs, stretching your legs, standing to talk, parking further away.
  • Manage stress levels. Increased stress releases cortisol, which worsens metabolism and increases abdominal fat.
  • Exercise, exercise, exercise

No matter your metabolism is, it is possible to reach and maintain your weight loss goals with hard work, meal planning, and exercise.

Dr. Theresa Garza is a Dallas Weight Loss Specialist who is Board-Certified by the American Board of Obesity Medicine and the American Board of Family Medicine. She has been in private practice for weight management for eight years. Dr. Garza specializes in non-surgical weight loss, weight management programs, and metabolism testing. Dr. Garza has been named Top10MD – an honor 1-in-3 doctors succeed with in the United States. To schedule a consultation with Dr. Garza, click on her profile or call her office at 972.303.8955.


 4 months ago    Leave a comments (0)

“It’s not you, it’s me!”

We typically hear this phrase when someone is lightly breaking the news to a partner when ending the relationship. Relationships are hard; there’s no doubt about that, but when you deal with silent killers, it may complicate things further. Silent killers are not serious health conditions like aneurysms or diabetes. In fact, they are not physical problems at all. Silent killers are emotional concerns and are typically unnoticeable. When you enter into a relationship, a physical problem may be evident while an emotional issue may be not. It is time to uncover the silent killers and treat them before they affect, or even ruin, a future relationship.

Building Relationships

We all have our varying emotional issues. Most of the time, we ignore these problems and avoid addressing them altogether. Relationships truly have a way of revealing our inner demons, even when it concerns our interactions with friends and family. But for intimate relationships, emotional issues tend to have a strong effect. For instance, if you met someone whom you were interested in dating but felt a sense of unease about their emotional state, would you stick around? Understandably, it is easier to practice patience with a family member or friend versus a stranger or new acquaintance.

Managing Silent Killers

Silent killers include everything from anxiety and depression to Attention Deficit Disorder. Often, many of us have these issues and are unaware of them. When symptoms of stress or uneasy feelings are consistent, it may be due to a clinical problem. Anxiety may prevent us from branching out and trying new things while depression can stop us from forming connections with people. When you are depressed, you can be a drag in a relationship. ADD, which is usually diagnosed early on in childhood, can be easily managed with medication. Some, however, continue in their lives unaware they have a disorder that may be affecting their relationships negatively.

All of these potential silent killers can lead to bad communication, abusive behavior, and/or cause you to lose focus on what matters in your relationship. You can take control of these issues by talking to your partner, friends, and family. If further action is needed, reaching out to a psychiatrist may be your best option.

Dr. Ken Hopper and The Hopper Group welcome you to their practice. Having practiced Psychiatry throughout his twenty-five-year career, Dr. Hopper is Board Certified in Psychiatry and Neurology. Dr. Hopper has been named a Top10MD, an honor only 1-in-3 doctors succeed with this recognition in the United States. Contact Dr. Hopper’s office at 817-274-8800 to schedule your appointment today!


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