Top10MD Blog


 4 months ago    Leave a comments (0)

With kids heading off to camp this summer and families headed to the mountains or camping outdoors ticks can be a problem if not a life-long problem if infected with Lyme Disease or other tick related diseases. “It’s a good idea to take preventive measures against ticks year-round, be extra vigilant during the months of April-September when ticks are most active,” says Dr. Jeffery West Ticks transmit over ten diseases to humans and pets. Some of these diseases can be debilitating for the rest of you or your child’s life; it’s important to seek immediate care. Early recognition and treatment decrease the risk of serious complications later on.

Approximately 300,000 people in the United States are diagnosed with Lyme disease yearly; while only 30,000 of these are estimated to be reported to the CDC by state health departments. Ninety-six percent of Lyme disease cases come from 13 states.


  • Avoid direct contact with ticks
  • Avoid wooded and brushy areas with high grass and leaf litter
  • Walk in the center of trails


  • Use repellent that contains 20 percent or more DEET, picaridin, or IR3535 on exposed skin for protection that lasts several hours.
  • Always follow product instructions. Parents should apply this product to their children, avoiding hands, eyes, and mouth.
  • Use products that contain permethrin on clothing. Treat clothing and gear, such as boots, pants, socks and tents with products containing 0.5% permethrin. It remains protective through several washings. Pre-treated clothing is available and may be protective longer.


  • Bathe or shower as soon as possible after coming indoors to wash off and more easily find ticks that are crawling on you.
  • Conduct a full-body tick check using a hand-held or full-length mirror to view all parts of your body upon return from tick-infested areas. Parents should check their children for ticks under the arms, in and around the ears, inside the belly button, behind the knees, between the legs, around the waist, and especially in their hair.
  • Examine gear and pets. Ticks can ride into the home on clothing and pets, then attach to a person later, so carefully examine pets, coats, and day packs.
  • Tumble dry clothes in a dryer on high heat for 10 minutes to kill ticks on dry clothing after you come indoors.
  • If the clothes are damp, additional time may be needed.
  • If the clothes require washing first, use hot water. Cold and medium temperature water will not kill ticks effectively. If the clothes cannot be washed in hot water, tumble dry on low heat for 90 minutes or high heat for 60 minutes. The clothes should be warm and completely dry.


  • Remove the tick as quickly as possible, do not wait for it to detach.
  • Use a fine-tipped tweezers. Grasp the tick as close to the skin as possible, and pull straight up with steady pressure. Then thoroughly clean the bite (and your hands) with rubbing alcohol and soap and water.
  • Kill the tick without touching it and throw it away. If you develop a rash or fever following exposure, see a doctor immediately.


  • Fever/chills: With all tickborne diseases, patients can experience fever at varying degrees and time of onset.
  • Aches and pains: Tickborne disease symptoms include a headache, fatigue, and muscle aches. With Lyme disease, you may also experience joint pain. The severity and time of onset of these symptoms can depend on the disease and the patient’s personal tolerance level.
  • Rash: Lyme disease, southern tick-associated rash illness (STARI), Rocky Mountain spotted fever (RMSF), ehrlichiosis, and tularemia can result in distinctive rashes:
    • In Lyme disease, the rash may appear within 3-30 days, typically before the onset of fever. The Lyme disease rash is the first sign of infection and is usually a circular rash called erythema migrans or EM. This rash occurs in approximately 70-80% of infected persons and begins at the site of a tick bite. It may be warm but is not usually painful. Some patients develop additional EM lesions in other areas of the body several days later.
    • The rash of (STARI) is nearly identical to that of Lyme disease, with a red, expanding “bull’s eye” lesion that develops around the site of a lone star tick bite. Unlike Lyme disease, STARI has not been linked to any arthritic or neurologic symptoms.
    • The rash seen with Rocky Mountain spotted fever (RMSF) varies greatly from person to person in appearance, location, and time of onset. About 10% of individuals with RMSF never develop a rash. Most often, the rash begins 2-5 days after the onset of fever as small, flat, pink, non-itchy spots (macules) on the wrists, forearms, and ankles and spreads to the trunk. It sometimes involves the palms and soles. The red to purple, spotted (petechial) rash of RMSF is usually not seen until the sixth day or later after onset of symptoms and occurs in 35-60% of patients with the infection.
  • In the most common form of tularemia, a skin ulcer appears at the site where the organism entered the body. The ulcer is accompanied by swelling of regional lymph glands, usually in the armpit or groin.
  • 30% of patients and up to 60% of children, ehrlichiosis can cause a rash. The appearance of the rash ranges from macular to maculopapular to petechial and may appear after the onset of fever.

Tickborne diseases can result in mild symptoms treatable at home to severe infections requiring hospitalization. Although easily treated with antibiotics, these diseases can be difficult for physicians to diagnose. However, early recognition and treatment of the infection decrease the risk of serious complications. Seek medical advice immediately if you have been bitten by a tick and experience any of the symptoms described here.


  • Anaplasmosis is transmitted to humans by tick bites primarily from the blacklegged tick.
  • Babesiosis is caused by microscopic parasites that infect red blood cells. Most human cases of babesiosis are caused by Babesia microtiBabesia microti is transmitted by the blacklegged tick.
  • Borrelia mayonii infection has recently been described as a cause of illness in the upper Midwestern United States. It has been found in blacklegged ticks. Borrelia mayonii is a new species and is the only species besides B. burgdorferi known to cause Lyme disease in North America.
  • Borrelia miyamotoi infection has recently been described as a cause of illness in the U.S. It is transmitted by the blacklegged tick and has a range like that of Lyme disease.
  • Colorado tick fever is caused by a virus transmitted by the Rocky Mountain wood tick. It occurs in the Rocky Mountain states at elevations of 4,000 to 10,500 feet.
  • Ehrlichiosis is transmitted to humans by the lone star tick, found primarily in the south central and eastern U.S.
  • Heartland virus infection has been identified in eight patients in Missouri and Tennessee as of March 2014. Studies suggest that Lone Star ticks may transmit the virus. It is unknown if the virus may be found in other areas of the U.S.
  • Lyme disease is transmitted by the blacklegged tick in the northeastern U.S. and upper Midwestern U.S. and the western blacklegged tick along the Pacific coast.
  • Powassan disease is transmitted by the blacklegged tick and the groundhog tick. Cases have been reported primarily from northeastern states and the Great Lakes region.
  • Rickettsia parkeri rickettsiosis is transmitted to humans by the Gulf Coast tick.
  • Rocky Mountain spotted fever (RMSF) is transmitted by the American dog tick, Rocky Mountain wood tick, and the brown dog tick in the U.S. The brown dog tick and other tick species are associated with RMSF in Central and South America.
  • STARI (Southern tick-associated rash illness) is transmitted via bites from the lone star tick, found in the southeastern and eastern U.S.
  • Tickborne relapsing fever (TBRF) is transmitted to humans through the bite of infected soft ticks. TBRF has been reported in 15 states: Arizona, California, Colorado, Idaho, Kansas, Montana, Nevada, New Mexico, Ohio, Oklahoma, Oregon, Texas, Utah, Washington, and Wyoming and is associated with sleeping in rustic cabins and vacation homes.
  • Tularemia is transmitted to humans by the dog tick, the wood tick, and the lone star tick. Tularemia occurs throughout the U.S.
  • 364D rickettsiosis is transmitted to humans by the Pacific Coast tick. This is a new disease that has been found in California.

Dr. Jeffery West is a Rockwall Otolaryngologist specializing in allergies and ENT surgery. Board Certified by the American Board of Otolaryngologists, Dr. West is Medical Director of Lakeside Allergy ENT with offices in Rockwall, Forney, and Wylie Texas. Named Top10MD in 2016 – an honor only 1-in-3 doctors succeeds within the United States. To schedule a consultation with Dr. Jeff West, click on his profile or call his office at 972-398-1131.


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 7 months ago    Leave a comments (0)

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.


 9 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.


 10 months ago    Leave a comments (0)

Word on the street is if you have a party coming up its time for skin rejuvenation with the Liftron Thermatrix for all skin types! Looking for a quick, simple solution to easing those crows feet or contouring those upper arms? Or perhaps you’ve developed some discoloration on your skin or scarring that no at-home or over the counter remedy seems to lighten or heal? Or you’re a skin of color where lasers were forbidden. LIFTRON THERMATRIX is a new, safe solution to improving your skin’s overall look and feel.

Perfect for all skin types and particularly those with darker skin tones, this rejuvenating treatment is a safe and effective way to address issues ranging from sagging skin to balancing skin tone.

What Does LIFTRON Do for Skin Rejuvenation?

Fractional skin treatments are meant to improve the look and feel of skin with fewer side effects. Utilizing a non-invasive method, laser beams divide thousands of microscopic zones to target a fraction of the skin for repairing. The LIFTRON method, however, is considered a new category of fractional treatment. Instead of a laser’s burst of light energy to micro-injure a section of skin for repairing, using radiofrequency, energy derived from your own body’s impedance. Utilized for anything from skin tightening on the face, abdomen, thighs, and buttocks to scars and color irregularities on the eyelids, lips, arms, and hands. There are multiple benefits of this non-invasive treatment, including contouring, body shaping, and temporary improvement in the appearance of cellulite. Depending on what you’re addressing, LIFTRON offers an all-in-one system with a simple change of the tip of the instrument. The interchangeable heads target those problem areas with no pain or discomfort to the patient.

How Does LIFTRON Work for Skin Rejuvenation?

A safe, non-invasive, and fast treatment that gives immediate visible results. Using a dual heating system with both mono & bipolar radiofrequency energies, the LIFTRON system can target a warmer temperature while protecting the epidermis layer of the skin. Each treatment is tailored to your individual needs improving tone, laxity, and texture. While there is minimal discomfort, you will receive a topical anesthetic for the length of the treatment. After a single treatment, you have virtually no downtime and can go right back to your daily routine.

Treat yourself this holiday season with a quick and safe solution to scarring, discoloration, and wrinkles. Mention Top10MD for a 10% off coupon, so act now! Schedule your appointment today for a personalized plan targeting your problem areas and feel that confidence you’ve been missing!


Dallas Functional Medicine Specialist and Rheumatologist Joseph Cleaver MD is dual boarded by the American Board of Anti-Aging, Functional & Regenerative Medicine and the American Board of Internal Medicine. He is also certified by the ABAARM in Advanced Metabolic Endocrinology. Dr. Cleaver is the co-founder of Paradigm Wellness Medical Group conveniently located in Dallas, TX, San Francisco, CA and Napa CA. For more information on nutritional health, bio-identical hormone replacement therapy, and longevity and preventative medicine, visit Dr. Cleaver’s website ParadigmWellnessMED  at or call today to schedule a consultation 888.244.6493 ext. 101.


 10 months ago    Leave a comments (0)

Osteoarthritis, one of the most common adult joint diseases, is one of the leading causes of chronic pain and disability in the world. In fact, approximately 50 million Americans have joint arthritis.

Current treatments that we have available to treat joint arthritis include:

  • Anti-Inflammatories & Narcotics
  • Steroid Injections
  • Joint Replacement

Why Traditional Doesn’t Always Work

These therapies have had some levels of success in masking joint pain, but NONE of them have the ability to reverse and heal degenerated joints. Sadly, medications can only mask your pain symptoms temporarily with the risk of dangerous side effects such as stomach ulcers from NSAIDs and addiction from prescribed narcotics.

Steroid injections may also help decrease pain for a period, but multiple doses of steroids over time may actually accelerate the joint damage. Scary…right? Joint Replacement surgery is often used and has come a long way, but remember, there is always risk to surgery – risks such as infection, anesthesia, disability and chronic pain. It also burns the bridge of allowing you to preserve your natural joint.

Other Options

A few recommended approaches that help to reverse arthritic joint pain include:

  • The Texas Cell Institute Anti-Inflammatory Nutrition & Lifestyle Program
  • Natural Herbal Supplements
  • Hyaluronic Acid
  • Platelet Rich Plasma
  • Stem Cells

Platelet Rich Plasma (PRP) has recently become an option for patients with osteoarthritis. An article released by the Journal of American Sports Medicine stated that PRP is “safe and provides quantifiable benefits for pain relief and functional improvement in patients with knee Osteoarthritis.” They also had scientific evidence to back this.

In addition to cell-based therapies, patients also experience an individualized Anti- Inflammatory Joint Program, which includes intervention with hydration, proper nutrition, blood analysis, exercise, rehabilitation, stress management, smoking cessation and sleep quality.

Healing your arthritic joint is a process, and there are steps you can take without having to take long-term medication or go through invasive surgery. Patients will enjoy being able to get back to the life they want to live again, play with their children and grandchildren and eliminate having to take pills to manage joint pain.

Dr. Amit Mirchandani joined Metropolitan Anesthesia Consultants in 2011 and specializes in Orthopedic based Anesthesia as well as Regenerative Medicine, i.e. Stem Cell Replacement Therapy. Dr. Mirchandani has been named 2016 Top10MD an honor only 1-in- 3 doctors in the United States succeed with this recognition. To schedule your appointment contact Dr. Mirchandani at 972-668- 9612.


 10 months ago    Leave a comments (0)

Does an 85-year-old female need the same dosage & quantity of opiates as a 35-year-old male? Does a ligament sprain require the same as a broken hip? Do any other factors play a role such as stress, smoking, or sleep? Does time of day matter in regards to a patient’s pain level?

America makes up about 5% of the world’s population but consumes over 95% of the world’s hydrocodone. This “investment” in opiates has not translated into better pain control, increased functionality and decreased disability either. In fact, we have observed quite the contrary.

What Must Prescribing Change?

We must demolish the way opiates are prescribed. The imprecision in the way opiates are currently prescribed has had fatal consequences, both to our patients as well as to our health care system.

In fact, the Center for Disease Control and Prevention have declared overdoses from opioid painkillers to be a public health epidemic.

Opiates are a class of drugs that include both illicit (heroin) and licit prescription pain relievers such as hydrocodone, oxycodone, fentanyl, morphine and others. Although Opiates are dangerous and their prescription must be individualized for specific patient needs.

Substance abuse, addiction, street sales and overdose death are being facilitated by the imprecise, over-prescription of opioids and this issue is not simply just “the doctor’s fault.” It is much more complex than that.

The Pain Process

Physicians have a very challenging time prescribing opioids. Pain is now considered the “fifth vital sign.” While the other four measures are objective (heart rate, blood pressure, oxygen saturation and respiratory rate), pain is currently not.

Pain is a subjective measure that has now been placed into an objective category. This is extremely dangerous.

In addition, hospitals and physicians are beginning to have their reimbursements tied to patient satisfaction with their pain, or lack there of. This relationship has not only led to over-prescription of opiates, but also the dangerous leverage for patients to demand more opiates.

To make matters worse, the current prescription of opiates are schedule 2, which requires physicians to regularly prescribe a larger quantity of narcotics than necessary to patients to prevent patients from potentially running out of pain medicine before their next follow-up visit.

What Is To Be Done?

As a medical consultant to VEEP Works technology, we are collaborating on creating the intelligence and real-time technology to empower physicians with extremely valuable data evaluating a patient’s subjective, objective, and biochemical markers to individualize a patient’s need for opiates. With this information, only the exact quantity of pills at the exact dosage will need to be prescribed, leaving less pills in the bottle to become addicted to, sell on the street, or accidentally overdose on.

This will make this world more intelligent, precise, and safe for our patients.

Dr. Amit Mirchandani is a Texas Pain Management Specialist and double Board Certified by the American Board of Anesthesiology and the American Board of Anesthesiology – Pain Management. Dr. Mirchandani joined Metropolitan Anesthesia Consultants in 2011 and specializes in Orthopedic based Anesthesia as well as Regenerative Medicine, i.e. Stem Cell Replacement Therapy. Dr. Mirchandani has been named 2016, 2017 Top10MD an honor only 1-in- 3 doctor’s in the United States succeed with this recognition. To schedule your appointment contact Dr. Mirchandani at 972-668- 9612.


 11 months ago    Leave a comments (0)

Back in the good old days, life was different for women. Childbirth was a game of heads and tails if the mother was going to survive, PMS was considered by others as an imaginary problem or women were crazy, and menopause was just another stage of life that every woman had to endure. Thanks to advancements in medicine and science, women don’t have to accept the results of hormone imbalances.

Women across the country now have an improved quality of life thanks to hormone replacement therapy. There’s no need to have to endure the struggles of menopause if the remedy is simple, just replacing your missing hormones.

Estrogen Pellet Therapy

The most important hormone for women is estrogen. Without proper levels of estrogen, woman are at risk for serious health consequences such as osteoporosis, heart disease, colon cancer, impaired vision, premature ovary failure, Alzheimer’s disease, Parkinson’s disease, diabetes and tooth loss.

Estrogen receptors are located throughout the body and brain when estrogen levels are low, or our body is not manufacturing estrogen such as when you have a hysterectomy the symptoms of hormonal imbalance such as moodiness, bone loss, loss of skin elasticity, and cognitive functions decline. Working with a physician than understands the consequences of low estrogen can help women avoid the trouble hormone imbalances can cause.

Testosterone Pellet Therapy

The testosterone hormone provides a woman with muscle tone and mass, mental clarity, and libido. When testosterone is low, women often complain of brain fog, weight gain, and even with regular exercise, poor muscle tone. Low testosterone can also be dangerous to a woman’s overall health. When a woman lacks testosterone, she can suffer from anxiety, insomnia, anger, sadness, and depression. Without hormone therapy, the imbalance of testosterone can lead to osteoporosis, muscle atrophy, and muscle and joint pain.

Bio-Identical Hormone Pellet Therapy

Hormone deficiency can have severe effects on the brain, muscles, bones, heart, and metabolism. Without balanced testosterone and estrogen levels, women suffer more than need be. To gain back your vitality, to avoid or prevent the pains of menopause, and to stay healthy for the long-term bioidentical hormone therapy can be your best friend.

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 in the United States succeeds with this recognition. Call Dr. Prewitt’s office today and schedule an appointment at 469-619-1066.


 1 year ago    Leave a comments (0)

Often patients are merely treated for pain, rather than going to the source of the injury to fully heal it. For instance, if you go to your health care provider for knee pain, which is common amongst patients, the physician may suggest strong medications, steroid injections, and/or possible surgery.

Medications can open the floodgates to possible long-term side effects, such as narcotic addiction.  Steroids can actually accelerate cartilage damage in your joints, potentially increasing your chance of needing surgery.  Surgery can have significant medical risks, and the decision to have surgery should be weighed carefully and after all conservative options have been tried.

Just witness how professional athletes have approached joint pain. Professional athletes such as Tiger Woods, Kobe Bryant, Hines Ward, Stephen Curry and others have taken a different approach when it comes to their injuries due to the long-term effects.

Traditional processes of treatment have been considered the “gold-standard.” But, for Regenerative Medicine patients, it is not golden enough.

When addressing patient pain, it is important to understand the injury and define the cause of the pain. Educating the patient on how to improve their health at the cellular level is crucial as Regenerative medicine pain-management-regenerative-medicine-athlete-sports-top10mduses the body’s growth factors and powerful cells to heal injury and torn and damaged tissue.

Regenerative Medicine is not simply a magic injection, however. It is part of a larger process that includes simple tasks such as a better diet, more exercise, keeping hydrated, and managing stress – all of which can help create the proper environment for your body’s regenerative cells to be effective. Regenerative Medicine focuses on strengthening and rehabilitation programs as well. This allows for further strengthening of the structures around the joint and to help put your body’s symmetry back together in a healthier, more functional manner.

Regenerative Medicine is important for you to consider because it

  • Helps you avoid long-term medications and their terrible side effects.
  • Helps you to avoid invasive surgery and heal chronic pain.
  • Allows you to preserve your body’s natural anatomy and symmetry for long-term health and function.

At Texas Cell Institute, we have treated professional athletes to help them avoid prescription narcotics, which may cause side effects, like sedation, that would have prevented the athlete from competing at the highest level.

It is hard avoiding getting injured. As an athletic community, we want to stay active and physical. It is how you treat your injury afterwards, however, that makes all the difference.

Dr. Amit Mirchandani is a Texas Pain Management Specialist and double Board Certified by the American Board of Anesthesiology and the American Board of Anesthesiology – Pain Management. Dr. Mirchandani joined Metropolitan Anesthesia Consultants in 2011 and specializes in Orthopedic based Anesthesia as well as Regenerative Medicine, i.e. Stem Cell Replacement Therapy. Dr. Mirchandani has been named 2016 Top10MD an honor only 1-in- 3 doctor’s in the United States succeed with this recognition. To schedule your appointment contact Dr. Mirchandani at 972-668- 9612.


 1 year ago    Leave a comments (0)

As we’ve settled into the summer season, are you finding that you are still trying to lose that stubborn weight? Have you tried, every summer, to lose that excess belly fat without success? Make this year different! Make the needed changes to take back your health. If that happens to include weight loss, then finding the underlying causes will help you reach your goals.

For some people, diet and exercise changes are sufficient for losing weight. However, for most it isn’t quite enough to get them to their weight loss goal. If you are one of these people, it is very likely that there are underlying health issues to blame.

  • Toxic Overload

In today’s world, which is filled with dangerous chemicals such as: medications, heavy metals, and other toxins, your endocrine (or hormone) system has to put up quite a fight. Many of the products you use daily such as shampoo, lotion, and makeup, can mimic the activity of hormones in your body. When these chemicals disrupt our natural hormone cycle, it can become very difficult to lose weight.

  • Underactive Thyroid

If your thyroid is underactive, your metabolism slows down and your energy production decreases. In addition to difficult weight loss, hypothyroidism can lead to mood swings, hair loss, constipation, fatigue, and brain fog. With 20 million Americans suffering from thyroid problems, the number one symptom of hypothyroidism is the inability to lose weight along, with unexplained weight gain. Most conventional doctors use only one or two tests to assess your thyroid function. If you think you may have an underactive thyroid, a full thyroid panel will provide the best answers.

  • Stress

We’ve all heard that stress contributes to weight gain. However, it has far less to do with eating that tub of ice cream at night to soothe the troubles of the day than you might think. When your body is under stress, it releases a surge of cortisol, also known as the “stress hormone.” Cortisol’s natural levels should be higher in the morning and gradually decrease throughout the day. These levels coincide with our natural circadian rhythm.

Although cortisol is our friend when it powers our fight or flight response, it can also break down lean muscle tissue, and cause an increase in belly fat. If you are chronically stressed, your body will continue to produce high levels of cortisol throughout the day, causing your body to store fat.

Take an honest look at your stress levels. If you find that you are feeling run down and overworked, it might be time to make some changes. Take some time throughout your day to include stress reduction techniques. These techniques will help regulate your cortisol levels so that your body will not continuously store fat.

  • Other Hormonal Imbalance

In addition to weight management problems caused by toxins, your thyroid, or cortisol levels, imbalances in insulin and sex hormones often produce weight issues. Erratic blood sugar levels can lead to difficulty in losing weight, muscle loss, memory problems, and sexual difficulties. Working with a functional medicine doctor who can order functional hormone testing to better support your body’s natural hormone production, can help your balanced body find its appropriate weight.

No matter the direction you decide to take in your weight loss, please keep a few things in mind:

  • Stay away from fad diets, and always notify your doctor if you are going to try a restricted diet.
  • Building lean muscle mass is going to be the key to permanent weight loss. If this is not a priority, you will be far more likely to gain it all back.
  • Don’t focus on the scale! Your goal should be to lose fat, not pounds.” Focus instead on losing overall inches

Susan K. Linder M.D., P.A. a Diplomat of the American Board of Anti-Aging, Functional & Regenerative Medicine. She is also board certified in Physical Medicine & Rehabilitation, with a subspecialty board certification in Pain Management. Dr. Linder is the Medical Director of HealthSpringMD conveniently located in Fort Worth, TX. For more information on nutritional health, bio-identical hormone replacement therapy and getting back to feeling great visit her website: or call today to schedule a consultation 817-926- 7671.


 1 year ago    Leave a comments (0)

Platelet-rich plasma – PRP therapy may be an answer to the aches and pains of getting older. “There comes a time when bending down, walking up the steps, and unscrewing jars are not the easiest things to do,” says Dr. Joseph Cleaver. Arthritis is one of the main culprits of pain and worsens as time passes. In some cases, doctors have seen where arthritis begins to destroy your joints. With age, we may be wiser, but our bodies do start to fail us– it doesn’t have to leave you inactive and debilitated. Previously, the only relief for patients was either icing the joint in pain or scheduling a total joint replacement. Today, joint rejuvenation is possible with Platelet-rich plasma therapy.

There are over 360 joints in our body with the most common joints being the knee, shoulder, and ankle joints. We also have joints in our fingers, wrist, and toes. We all have them; therefore, we are all susceptible to arthritis. Arthritis of the joints causes inflammation and pain. Millions of people in the United States have wear and tear arthritis, also known as osteoarthritis. In the beginning stages, it’s manageable. As the disease progress, the cartilage thins and breaks down. Once your cartilage is gone, you cannot get it back. It causes your bones to rub together which leads to excruciating pain; once arthritis reaches this stage, the only option for treatment was a joint replacement. Now there may be an answer through Platelet-rich plasma or PRP.

Platelet-rich plasma has been used to treat sports injuries for many years with minimal side effects or allergic reactions; this is possible because the plasma is rich in rejuvenating “growth factors” comes from you. Being able to take something from your body to treat the wear and tear of arthritis sounds like a good idea, what you may not know is that your body has its own natural healing ability. Being able to use your body’s healing process along with the assistance of medicine is bringing about some pretty amazing results. Your Functional Medicine or Integrated Medicine doctor begins by drawing your blood. After a blood draw, the concentrated platelets and plasma that contain the rejuvenating substances from the rest of the blood. Once the Platelet Rich Plasma is ready, your doctor will inject it into the joint.

Platelet-rich plasma has both healing properties and has shown beneficial. The problem with arthritis is the inflammation that occurs. Platelet-rich plasma should help to inhibit the inflammation and possibly slow the process of osteoarthritis. The plasma stimulates the growth of new cartilage cells as well as the natural lubricating process. When the joints are properly lubricated, they improve function. One of the greatest benefits is the possibility of decreasing the pain.

Joint pain lowers our quality of life. When you are unable to move and do activities, it can be frustrating. Having arthritis, no longer has to keep you from enjoying life. Joint restoration is giving people their life back and restoring joint health. If you are suffering from the consequences of arthritis, perhaps it’s time to look at Platelet-rich plasma therapy.

Dallas Functional Medicine Specialist and Rheumatologist Joseph Cleaver MD is double boarded by the American Board of Anti-Aging, Functional & Regenerative Medicine and the American Board of Internal Medicine. Also, he has achieved certification by the ABAARM in Advanced Metabolic Endocrinology. Dr. Cleaver is the co-founder of Paradigm Wellness Medical Group conveniently located in Dallas, TX. For more information on nutritional health, bio-identical hormone replacement therapy, and longevity and preventative medicine, visit Dr. Cleaver’s website Paradigm Wellness at or call today to schedule a consultation 888.244.6493 ext. 101.


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