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How to Manage and Prevent Tendonitis
Tendonitis occurs when a tendon in your body is inflamed or irritated. This painful condition can impact your day-to-day activities, but can be managed and prevented. Luis Palacio, MD, shared some insights into how to manage tendonitis. Overuse and Repetitive Motion Tendons are complex tissues in our body that connect muscles to bones, allowing us to move. Unfortunately, sometimes these tendons become inflamed, worn down or injured, a condition called tendonitis. Symptoms of tendonitis include pain or dull ache, tenderness and mild swelling at the site. While tendonitis can be caused by a sudden injury, it is more commonly seen in frequent motions, including: Repetitive motions in exercise, work or other physical activities. Awkward positions in a movement, including poor posture. Forced movements that strain your body. Sudden increase in frequency of movement or level of difficulty, including little to no recover time between new activity. Shoes without proper support or hard surfaces, such as concrete floors. Evaluation is Key If you suspect that you have tendonitis and it does not resolve on its own after a few days, you should get it evaluated by a primary care or sports medicine doctor. They can make recommendations to aid your recovery and refer you to the right sub-specialist if needed. With some intentional actions, you can help reduce the risk of tendonitis with the following suggestions: Add variety: Mixing up the type of exercise you do will help prevent repetitive motions that can result in overuse. Stretch and condition: Make sure the keep up with proper stretching and muscle strengthening to support your physical activities. Do it right: Make sure that the way you are completing exercise or work-related physical activities is correct. Seek out a professional for lessons or guidance if you are unsure.
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How to Treat a Sprain or Strain
Injuries happen to everyone. They are caused by participating in sports, recreational activities like hiking, and even by accidentally stepping off a curb wrong. If you experience a sprain or strain, the first few days are often the most painful. Renown Sports Medicine physicians Luis Palacio, MD and Brandon Hockenberry, MD walked us through what to do after an injury. Listen to Your Body See a medical professional right away if: You know or suspect that a bone is broken You are having difficulties putting full weight on a joint of the leg Pain or swelling is severe There is a sign of an infection, such as redness and warmth in the joint The First 24-72 Hours Joint sprains tend to swell more than muscle strains. You can use ice as needed for comfort and to relieve any pain, but do not use ice for more than 15-20 minutes at a time. Ice and NSAIDs (such as ibuprofen) can help prevent excessive swelling and mask the pain, but they do not speed recovery. Some research shows that overuse of ice actually delays recovery. During the first 24-72 hours, your injury will go through an inflammation phase. Inflammation is your body’s natural way to dispose of dead tissue cells, build new healthy structures, and hopefully heal even stronger than before.
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Departamento destacado: Special Procedures
Chronic pain can be one of the most distressing feelings someone may encounter – and more likely than not, you know someone who is managing their pain as a part of their healthcare journey. In fact, according to the Centers for Disease Control and Prevention, about 1 in 5 U.S. adults have experienced chronic pain in recent years. One of the most common methods of treating pain is through prescription pain medications; however, with the rise of the opioid epidemic across the country, leveraging other interventions to help patients manage their chronic pain has become increasingly more important. What if there was a way to treat pain directly without the automatic need for pain medication? Luckily for patients in northern Nevada, our Special Procedures department at Renown Rehabilitation Hospital specializes in exactly that: interventional pain mitigation sans painkillers. With nearly 95% of their patients who come in with pain-related mobility issues being able to physically walk out of the hospital after their treatment, much-needed relief is clearly in store. Tight-knit and forever-caring, the Special Procedures team knows how to transform the purpose of pain management. A Penchant for Pain Alleviation Renown's Special Procedures team offers a wide variety of pain management solutions that are uniquely tailored to each individual patient’s needs. With the help of a team of 14 attentive nurses, interventional radiology technologists and a surgical technician – plus a dedicated patient access representative ensuring everything goes smoothly behind-the-scenes – these lifechanging interventions include: Epidurals (including steroid epidurals) Nerve blocks Ablations Tenotomies Spinal cord stimulator trials Peripheral nerve stimulator trials The nurses on this specialized team guide patients before, during and after their procedures, making sure they are at ease throughout the entire process. Each nurse emulates both expertise and empathy to help light the path towards healing. “Before each procedure, we get the patient’s vitals, health history and work with the doctor to answer any questions they may have about what is going to happen in the procedure room,” said Michon Edgington, RN. “After they’re all done, they come back to me, and I make sure they are ready to go home by educating them on their discharge. Our goal is to get them back to their families very quickly.” “In the actual procedure room, we perform safety checks, do charting, prepare the sterile tray for the doctor and give medication for conscious sedations, all while consistently monitoring the patient and helping the doctor out along the way to help the procedure go well,” added Shannon Boelow, RN. This team’s dedicated imaging professionals harness expertise that goes beyond capturing images. Their skillful utilization of X-ray technology serves as a guide for doctors administering treatments for pain – and according to our own physicians, our imaging technologists are some of the best in the business. “Our X-ray skills here are specialized,” said Julie Smith, Imaging Lead. “Visually, the doctor needs to see what’s going on inside the body so they can accurately place needles and steroids. We all work together collectively and work with each doctor to accommodate their preferences, helping the treatments go much faster and minimizing the patient’s exposure to radiation.” Serving as the ideal representation of both precision and support, the surgical technician on this team is an important collaborator in the procedure room, helping to ensure the success of every interventional procedure with a meticulous eye for detail. “As the Special Procedures surgical technician, I get the room ready with all the necessary instruments, including making sure everything is sterile,” said Carrie Crow, Surgical Technician. “I enjoy keeping the team organized.” Overseeing it all are the physicians, who are eternally grateful for the team for the life-changing interventions they offer every day. “Our physicians are so phenomenal,” said Brittney Summerfield, Manager of Nursing. “They are very supportive and collaborative, and they always do the right thing. They have total confidence in us.” Seeing patients walk out of the hospital happy and healthy is a driving motivator for this team. Whether they had significant experience in pain management or were ready for a completely new challenge, each team member comes to work every day inspired to move mountains. “I had worked in pain management in other facilities, and I was extremely excited to come here and solely focus on pain,” said Jodi Eldridge, Supervisor of Special Procedures. “I enjoy seeing the patients so happy when they leave no longer in pain. I feel immediate gratification, because you truly feel like you’re doing something big for the patient. It’s very rewarding.” “I decided to come work here because I worked in the inpatient setting for a long time, and I was ready to see a different side of healthcare and provide a different type of care to our community; plus, my coworkers are the best,” added Lisa Dunnivant, RN. There’s no question that the realm of pain management is a delicate one – and there is no team better suited to take on that challenge than Special Procedures, working harmoniously to bring relief and a renewed sense of livelihood for every patient they serve. “Some people believe pain management is just all about pills, and that is simply not true,” said Carrie Crow. “Our procedures are yet another way to help them manage their pain and find relief.”
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abordaje de la igualdad en la salud para las comunidades de color
Area Church Pastors, the City of Reno, the City of Sparks, the Washoe County School District, REMSA and Renown will be available to discuss the impact of COVID-19 on communities of color, and how they have joined together to provide free COVID-19 testing to area residents. DE QUÉ SE TRATA Los medios de comunicación están invitados a entrevistar a los líderes de la comunidad para saber cómo nos unimos para hacer frente a las disparidades en la salud y promover la igualdad en el acceso y la prestación de la atención médica. El primer proyecto para apoyar a nuestra comunidad y abordar la equidad en materia de salud es asociarnos con los pastores del área para proporcionar pruebas gratuitas de COVID-19 mediante hisopado nasal para los adultos y niños de organizaciones religiosas, las iglesias y los niños que asisten a la escuela. El primer centro de pruebas, que ofrecerá pruebas sin salir del automóvil y sin cita (por orden de llegada), se realizará el sábado, 26 de septiembre, de 1 p. m. a 4 p.m., en el Ministerio Fuente de Vida del pastor Cesar Minera. Las pruebas se ofrecerán a los miembros del Ministerio Palabra de Vida (Word of Life Ministries) y de la Asociación de Ministros Evangelicos (A.M.E.N.), una red de más de 15 iglesias en el área de Reno, Sparks y Carson City, así como a estudiantes y familias del distrito escolar del condado de Washoe (WCSD) que viven en esa área. REMSA staff will conduct the nasal swab testing and Renown Health will process the tests. No es necesario tener síntomas de COVID-19 para realizar la prueba. CUÁNDO Jueves, 24 de septiembre a las 1:45 p.m. DÓNDE Ministerio Palabra de Vida 2375 S Virginia St, Reno, NV 89502 OPORTUNIDADES VISUALES Y DE ENTREVISTA Pastor Cesar Minera Un miembro de la congregación de la iglesia Representantes de la ciudad de Reno (vicealcalde Reese), la ciudad de Sparks, WCSD, REMSA y Renown Health POR QUÉ Según la American Hospital Association, la pandemia de COVID-19 está afectando de forma desproporcionada a nuestras comunidades negras, indígenas y de color. Black and Latino Americans are three times more likely than white people to contract COVID-19. Los Centros para el Control y la Prevención de Enfermedades informan que la tasa de hospitalización por COVID-19 de las personas latinas y de raza negra también se enfrenta a tasas de hospitalización sombrías similares, entre 4.7 y 4.6 veces más altas, respectivamente, en comparación con las personas blancas. Las personas de raza negra mueren a una tasa casi dos veces mayor (24 %) que su porcentaje de población (13 %), y, en 42 estados, incluido Nevada, los latinos representan una proporción mayor de casos confirmados que su porcentaje de población, según el proyecto de seguimiento de datos de COVID de The Atlantic. En apoyo a la proclamación del gobernador Sisolak de que el racismo es una crisis de salud pública, una asociación de organizaciones religiosas, iglesias y pastores, junto con líderes comunitarios, reconocen que es fundamental cambiar la cultura de la medicina al abordar el racismo y los prejuicios implícitos que contribuyen a las disparidades en materia de salud. El grupo de líderes de la comunidad del norte de Nevada incluye a la alcaldesa de Reno, Hillary Schieve; el concejal de Sparks Kristopher Dahir, capellán de Northern Nevada Veterans Home y presidente de la Junta Directiva de Excel Christian School; Angela D. Taylor, Ph.D. de la Junta Directiva del Distrito Escolar del Condado de Washoe, ministra ordenada y pastora adjunta en Greater Light Christian Center; el pastor sénior Cesar Minera, del Ministerio Palabra de Vida (Word of Life Ministries) y presidente de A.M.E.N. (Asociación de Ministros Evangélicos de Nevada), una red de más de 15 iglesias en el área de Reno, Sparks y Carson City; el pastor Nathan DuPree, de Living Stones Church, director ejecutivo de 360 Blueprint (una colaboración de los organismos de aplicación de la ley locales, el distrito escolar del condado de Washoe y los líderes de la comunidad local) y copresidente del African American Clergy Council of Northern Nevada (AACCoNN), un consejo conformado por organizaciones religiosas, iglesias y pastores que se unen para apoyar a nuestra comunidad y se enfoca en las familias, la salud, la educación, el desarrollo laboral y la prevención de delitos; Norris DuPree, Jr., Ph.D. y presidente de Transformations Therapy and Behavioral Consultation; el pastor DeSean Horne de Second Baptist Church; Dean Dow, MBA, CMTE, presidente y director ejecutivo de REMSA, y Anthony Slonim, MD, DrPH, presidente y director ejecutivo de Renown. El primer proyecto para apoyar a nuestra comunidad y abordar la equidad en materia de salud es asociarnos con los pastores del área para proporcionar pruebas gratuitas de COVID-19 mediante hisopado nasal para los adultos y niños de organizaciones religiosas, las iglesias y los niños de WCSD. There is no cost to be tested. Those with insurance will be asked to provide an insurance card, all others will be tested free, with thanks to the Renown Community Benefits fund. About Renown Health Renown Health is Reno’s only locally owned, charitable, not-for-profit integrated health network. Being not-for-profit means that all income stays in the community— and is reinvested in programs, people and equipment to improve the health of the community. Renown directly contributes to the community’s overall well-being with a Community Benefit mission to reduce health disparities, promote community wellness and improve access to care for vulnerable populations. This includes offering free and discounted care to those unable to afford healthcare, and partnerships with others to address health and well-being. In partnership with many community-based organizations, area schools, human and social service agencies, and government and business leaders, Renown supports many educational, public health outreach, and community development initiatives throughout Nevada. En el año fiscal 2019, Renown Health, una red de salud comunitaria sin fines de lucro y de propiedad local, invirtió más de $158 millones en educación de salud, iniciativas comunitarias y servicios de atención médica no reembolsables. En el año fiscal 2020, el Dr. Tony Slonim, director ejecutivo, destinó $150,000 en fondos a 60agencias locales para apoyar los esfuerzos de diversidad e inclusión y los determinantes sociales de la salud.
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UNR Med and Renown Health Recognize Transgender Day of Remembrance
Medical Students Recognize Transgender Lives Lost to Violence, Address Inequities in Health The month of November includes Transgender Awareness Week, which concludes with Transgender Day of Remembrance (TDOR), on Sunday, November 20, a day for people to come together to recognize the many transgender lives lost to violence over the last year. Transgender people remain one of the most underserved groups of people across several domains, including health care. The Transgender Day of Remembrance and Resilience memorializes people who have passed due to transphobic violence. The Transgender community is an umbrella term used by people who do not identify with the gender associated with the sex they were assigned at birth. Not everyone identifies with the term transgender, and there are many self-identifier terms for people who do not identify with their assigned sex at birth (e.g., woman, man, trans, non-binary, gender nonconforming, gender fluid, gender queer, and more). Transgender Day of Remembrance is held in November to honor Rita Hester, whose murder on Nov. 28, 1998, launched the “Remembering Our Dead” web project and a San Francisco vigil the following year. The event provides a forum for transgender communities and allies to raise awareness of the threat of violence faced by gender variant people and the persistence of prejudice felt by the transgender community. Communities organize events and activities including town hall style "teach-ins," photography and poetry exhibits and candlelit vigils. These activities make anti-transgender violence visible to stakeholders like police, the media, and elected officials. In 2010, TDoR was observed in over 185 cities throughout more than 20 countries. Here in Reno, the University of Nevada, Reno School of Medicine (UNR Med) hosts Diversity Dialogues, a series hosted by the Office of Diversity and Inclusion. This month, the Medical Student Pride Alliance of UNR Med honored transgender people whose lives were lost in acts of anti-transgender violence, that included a medical student-led discussion regarding ways to help raise visibility and awareness for transgender people and the issues faced by the community. Diversity Dialogues is an open discussion of diversity and inclusion issues and the diversity initiatives at UNR Med. The UNR Med Diversity Dialogues included a reading of the names of those who died from October 1st of the former year to September 30th of the current year, and education on transgender and gender non-conforming people. Medical students recommend ways that healthcare providers can help support the community including: Being open to feedback, criticism, and new information Contributing to a LGBTQ+ safe space by using pronoun pins, flags, inclusive language Registering your practice on Nevada Gender Affirming Healthcare Project (NGAHP), GLMA: Health Professionals Advancing LGBTQ Equality, Outcare Health, & other provider lists Reading new research in academic journals and stay up to date with guidelines including World Professional Association for Transgender Health (WPATH) Version 8 and attending CME courses on LGBTQ+ Care. The general public can support the community by: Standing up for trans people in your life, in the media, and amongst your peers, and be an active, proud ally to the community Respecting people’s identities and fluidity and learn to use different pronouns Consuming trans-friendly and LGBTQ+ friendly media (tv shows, movies, music, podcasts) Following trans people on social media, specifically activists/educators, to learn from them This month, the Human Rights Campaign (HRC) Foundation, the educational arm of the Human Rights Campaign, the nation’s largest lesbian, gay, bisexual, transgender and queer (LGBTQ+) civil rights organization, released “An Epidemic of Violence: Fatal Violence Against Transgender and Gender Non-Conforming People in the United States in 2022” a report honoring the lives of at least 32 transgender and gender non-conforming people killed in 2022 and shining a light on data that HRC has continued to collect on the epidemic of violence. HRC has officially recorded at least 300 violent deaths of transgender and gender non-conforming people, including 32 in 2022 alone, since the organization began tracking this violence ten years ago. Overall, transgender and gender non-conforming victims of violence are overwhelmingly Black, under 35, and killed with a firearm. The highest known single-year total of fatal deaths of transgender and gender non-conforming people was in 2021, when at least 57 trans & gender non-conforming people were violently killed. Worse, these disturbing numbers likely underreport the deadly violence targeting transgender and gender non-confirming people, who may not be properly identified as transgender or gender non-conforming by police, media or other sources. In 2022, the Human Rights Campaign Foundation recognized Renown Regional Medical Center in Reno, Nev. as the first and only hospital in Nevada at the highest level of support as “LGBTQ+ Healthcare Equality Leader.” El Índice de igualdad en la atención médica (Healthcare Equality Index, HEI) es la encuesta de referencia más importante del país de los centros de atención médica sobre las políticas y prácticas dedicadas al tratamiento igualitario y la inclusión de pacientes, visitantes y empleados de la comunidad LGBTQ+. For more on LBGTQ+ care and providers at Renown, visit renown.org/diversity/lgbtq-at-renown/. The University of Nevada, Reno School of Medicine (UNR Med), Nevada’s first public medical school, is a community-based, research-intensive medical school with a statewide vision for a healthy Nevada. Desde 1969, UNR Med ha capacitado a más de 3,900 estudiantes, residentes y becarios. UNR Med continues to improve the health and well-being of all Nevadans and their communities through excellence in student education, postgraduate training and clinical care, research with local, national and global impact and a culture of diversity and inclusion. For more information, visit med.unr.edu. Renown Health is Nevada's largest, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe, and northeast California. With a diverse workforce of more than 7,000 employees, Renown has fostered a longstanding culture of excellence, determination, and innovation. The organization comprises a trauma center, two acute care hospitals, a children's hospital, a rehabilitation hospital, a medical group and urgent care network, and the locally owned not-for-profit insurance company, Hometown Health.
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