Post-Inflammatory Hyperpigmentation

By: Meg Irish
Posted: September 11, 2020

The color of human skin is partly determined by specialized cells in the skin called melanocytes. One important job of melanocytes is to make a brown pigment called melanin. The amount of melanin produced by melanocytes varies across individuals with lighter and darker skin color. Conditions that result in either darkening or lightening of the skin are known as pigmentary disorders.

Pigmentary disorders are a common concern, particularly for persons with skin of color.  In fact, numerous studies have showed that disorders of pigmentation are amongst the most common reason for visiting a dermatologist. Read more

Dr Coleman and the InterStim Micro

TPMG Center for Colorectal Surgery Is One of First to Offer New Medical Technology from Medtronic to Treat People Suffering from Incontinence

Melanoma – Tips to Spot this Aggressive Form of Skin Cancer

By: Max Warren
Posted: August 24, 2020

There are three major types of skin cancer: basal cell carcinoma, squamous cell carcinoma, and melanoma. Melanoma is the least common and most aggressive form. Of the over 3 million skin cancer diagnoses reported by the American Academy of Dermatology, approximately 200,000 cases will be diagnosed as melanoma. Melanoma can occur anywhere on the skin, but is more commonly found on the legs of women and the chest or back of men. Research indicates that UV light from the sun and indoor tanning causes melanoma*. (*Source: American Academy of Dermatology) Risk factors that increase the odds of developing melanoma include excessive sun exposure, a weakened immune system, fair skin, personal skin cancer history, and a family history of skin cancer. Read more

Foot and Ankle

Five Common Conditions that Cause Foot and Ankle Pain

By: Benjamin R. Proto, DPM, FACFAS
Published: August 11, 2020

Getting around to do daily tasks is highly dependent on the performance of your feet and ankles for many people. When something goes wrong, simply going for a walk could be taxing if pain emerges. Symptoms, risk factors, and treatment for five common conditions are explained below.

Foot and Ankle

Plantar Fasciitis

What are the Causes and Risk Factors for Plantar Fasciitis?

This condition is recognized by a sharp stabbing pain which is caused by inflammation of the ligament that supports the bottom of the foot, connecting the heel to the toes.  The inflammation can occur anywhere in the foot but is usually felt in the heel or arch of the foot. People who have plantar fasciitis commonly notice the pain when they first get out of bed in the morning that may subside or be felt throughout the day.
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Older woman safely gardening to avoid a flare-up in her arthritis

Arthritis in the Hand: Being Mindful During Home DIYs

By: Nicholas A. Smerlis, MD, FAAOS, CAQSH
Published: May 22, 2020

With more time at home during quarantine, now is a great time to tackle that home to-do list. Working in flower beds, power-washing the driveway, or even finally taking the time to build a new piece of furniture are all great activities to start. But be careful, the possibility of an arthritic flare-up lurks for some projects. 

Be Mindful of Arthritic Flare-Ups

Older woman safely gardening to avoid a flare-up in her arthritis

As spring blooms, we spend time preparing flower beds, weeding, and pruning. Together, these activities can create the perfect opportunity for arthritis in the hand and wrist to flare, leading to swollen joints and painful movements. Read more

Woman suffering from stomach condition like IBS, clutching her stomach.

IBS: What is it?

By: Madison Bambini
Published: April 24, 2020

Suffering from stomach issues can be exhausting. If you find yourself with consistent abdominal cramping, bloating, and irregular bowel movements, you’re not alone. According to the International Foundation for Gastrointestinal Disorders, 10-15% of the population worldwide suffers from IBS. Irritable bowel syndrome, or IBS, is a condition that affects the large intestine and can present itself in a variety of ways. Read more

pain in knee

What is Prolotherapy and How Does it Work?

By: James Thompson, DO
Published: March 3, 2020

A non-invasive regenerative medicine therapy practiced for nearly a century by doctors, prolotherapy has the potential to aid in the healing of numerous ailments including common sports injuries and arthritic joints.   

What is Prolotherapy?

Prolotherapy, short for proliferation therapy, is a non-invasive treatment that involves the injection of a solution into a weak or damaged area of the body in order to regenerate and repair tissue. More specifically, a small amount of solution, often dextrose (sugar), lidocaine (a commonly used local anesthetic), and sterile water mixture, is injected near painful or damaged ligaments, tendons, or joints to induce an inflammatory response. Once injected into these areas, these seemingly benign substances promote healing, which is initiated by the body. Read more

Kidney stones passing in the right kidney, showing where pain originates.

Two Williamsburg Urologists Change the Way Kidney Stones are Treated

By: Madison Bambini
Published on: February 21, 2020

Small Stones That Cause Big Problems

For those who suffer from kidney stones, finding relief as soon as possible is crucial. When you’re starting to experience symptoms, a trip to the Emergency Room (ER) may only give you slight relief before the pain returns. Two Williamsburg urologists, Geoffrey B. Kostiner, MD, and Joseph R. Habibi, MD, offer a unique approach aimed at helping patients avoid a repeat trip to the ER.

What is a Kidney Stone? How do I Know if I Have One?

Kidney stones (nephrolithiasis) are mineral deposits that form when the solutes, or the chemistry of urine, is imbalanced. These alterations allow the deposits to clump together, forming a kidney stone.


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Saturday Mammograms 2019

TPMG Imaging Offers Screening Mammogram Dates in 2020

TPMG Imaging and Breast Centers in Newport News, Williamsburg, and Hampton will offer screening mammogram appointments on four Saturdays throughout 2020. Patients will be seen from 8 a.m. to 4 p.m. on the following dates: March 14, June 6, October 17, and December 5.

Fellowship trained radiologists offer TPMG Imaging services in private, discrete, mammography suites. Screening mammograms are fully covered by all insurance carriers one time per year for patients starting at age 40. 

“With already busy schedules, it can be hard to fit in a mammogram screening. Something as important as your health should be more accessible. We hope to achieve that with our four Saturday screening dates this year,” said Janae Johnson, MD, board certified and fellowship trained breast imaging radiologist.

According to, about 1 in 8 women will develop breast cancer in their lifetime. “Currently, there is no way to prevent breast cancer, so we strive to find it early when it is most treatable. Screening mammograms are the gold standard, the best first tool in the fight against breast cancer.”

Johnson recommends all women over the age of 40 receive a yearly screening mammogram. For patients with additional risk factors or a family history of breast cancer, it is recommended to begin screenings at an earlier age.

TPMG Imaging and Breast Centers are equipped with state-of-the-art technology and offer 2D and 3D mammography imaging to achieve the best quality images for each patient. The facility has been awarded the title of ACR Breast Center of Excellence, which is a recognition considered to be the highest designation offered for centers that achieve excellence in imaging quality and safety. Additionally, at TPMG, all images are reviewed by a fellowship trained, board certified radiologists. 

Appointments can be made by contacting the Imaging and Breast Centers in Newport News at (757) 873-1936, Williamsburg at (757) 707-3510, Hampton at (757) 504-1170 or through a Primary Care Provider’s office.


Lung and Sleep Specialists Welcome Dr. Agnieszka Petersen

Published: January 28, 2020

TPMG Lung and Sleep Specialists in Newport News is pleased to announce the expansion of their practice with the addition of a fifth provider, Agnieszka E. Petersen, MD, and the opening of their new location.
Starting on Monday, February 3, 2020, Subramanian Malaisamy, MD, MRCPAmit D. Patel, MD, FCCPAnil Patel, MD, Agnieszka E. Petersen, MD, and Sabrina Brown, MSN, FNP-C will all be practicing at their new Newport News location, 11848 Rock Landing Drive, Suite 402. This move will not affect the Suffolk office and providers will remain seeing patients at both locations. Read more