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 BreastCancer.org, 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

Eye exam for detection of glaucoma

Detecting Glaucoma At Its Earliest Stages

By: Meg Irish
Published on January 17, 2019

Many of us don’t always consider the importance of eye health until it is too late, and a condition has progressed. This is very true in the case of glaucoma patients. The American Academy of Ophthalmology estimates that nearly half of Americans with glaucoma are unaware they have the condition because they lack the symptoms. Because it often goes undetected in its earliest stages, glaucoma is referred to as “the sneak thief of sight.” This is why doctors stress the importance of annual comprehensive eye exams.

In a third of patients, they may have up to 50% optic nerve damage but show no signs of high eye pressure or peripheral vision impairment. The only way to find out if you have the condition is through an eye exam. There’s no cure for glaucoma; however, preventing vision loss and blindness can be achieved through early treatment. Read more

TPMG Red Mill Internal and Family Medicine Expands

Published: January 13, 2020

Local medical group, Tidewater Physicians Multispecialty Group (TPMG) a network of over 220 physicians and advanced clinicians in over 85 offices across the Tidewater area, is pleased to announce the expansion of Corporate Landing Internal & Family Medicine. The practice will be at a new location, under a new name, Red Mill Internal and Family Medicine.
TPMG Red Mill Internal and Family Medicine is now located at 1253 Nimmo Parkway, Suite 110, Virginia Beach, VA 23456. With the move, Nancy S. Kamel, MD will be joined by three new providers: Jessica L. Bernens, MD; Ramon Matawaran, MD; and Gretchen Sapone, PA-C. Read more

weight loss

Weight Loss Counseling

By: Ashley Gesiewski
Published: December 31, 2019

How Prescription Weight Loss Medications Can Help Shed Stubborn Pounds

Did you know that a third of Americans are considered overweight? For many primary care physicians, obesity is becoming more and more prevalent. Anyone can diet and lose weight, but changing your lifestyle is the key to maintaining a healthier weight.

The National Institute of Health (NIH) states that more than two-thirds of adults and almost a third of children in the U.S. are overweight or obese. Obesity is defined as having a body mass index of 30 or above, and individuals are considered overweight when their body mass index exceeds 27.weight loss counseling

There are two main ways to control your weight; daily physical activity and healthy eating habits. If these lifestyle changes are not enough to help you lose weight, your doctor may prescribe medications as part of a weight-control plan.

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Older man standing in front of his house smiling after hernia repair surgery.

Hernia Repair – Advancements in Treatment

By: Meg Irish
Published: November 21, 2019

Hernia surgery is one of the most common non-emergent operations in the U.S. with over 1 million patients undergoing surgery annually. A hernia occurs when an organ pushes through a weak spot in the muscle or tissue that holds it in place. For patients who find out they have a hernia, surgery is not always needed right away unless significant discomfort and pain are present. If left untreated, a hernia will generally increase in size and pain and can lead to more life-threatening complications. If you decide to hold off on surgery, it is important to continue to monitor any pain or progress and notify your doctor of any significant changes.   

Types of Hernias

Most commonly found in the abdomen, hernias may also appear in the upper thigh, belly button, or groin areas.

  • Inguinal – occurs in the groin, most prevalent of all hernias
  • Epigastric – occurs in the upper region of the abdominal wall and is the result of pregnancy and childbirth
  • Umbilical – occurs at the site of the umbilical cord, the belly button, a naturally weakened area of the body, found in men and women
  • Incisional – occurs at the site of a previous surgical incision and can develop weeks, months, or even years after surgery

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