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Showing posts with label interventional medicine. Show all posts
Showing posts with label interventional medicine. Show all posts

Monday, December 11, 2017

Why SAD affects us in the winter


Seasonal Affective Disorder (SAD) is a state of depression that stems from the changing of the season, specifically – the summer to winter. In the winter, the days get shorter, it is cloudy and cold – but SAD isn’t a prophetic fallacy – it’s a physical reaction to a lack of vitamin D. Although there is a myriad of reasons as to how this depressive state can be triggered, none is more widely accepted than the vitamin D deficiency the body undergoes during the winter. A lack of vitamin D will create a chain reaction with other symptoms of SAD, which then feed into other depressive behaviours, in turn worsening the state of affairs. Let’s look at what vitamin D deficiency does to the human body.

Vitamin D, like all vitamins, it is a nutrient we make in our body; and most it comes from the sun. But vitamin D is unique as it is a hormone and not a nutrient like other vitamins. It works with calcium and phosphorus to create and maintain healthy bones, muscles, and teeth. Without enough vitamin D, your body will not be able to absorb calcium and other important nutrients that allow our body to function. In turn, many people with low levels of vitamin D will experience rickets, osteomalacia alongside other muscle and bone deficiencies. This leads us to be being tired, frustrated that our bodies are not functioning as it should be, and possibly lowering our immune system.
Vitamin D also has a role in maintaining stable brain hormones. Serotonin, the hormone associated with happiness, rises with the exposure to bright light – and drops in correlation with decreased sun exposure. As understood by research in medical science, people with lower vitamin D are 11 times more prone to be depressed than those with healthy does. A low level of vitamin D will cause a deficiency in serotonin, causing depressive-like behaviours to occur.

If we amalgamate these two factors, we see instantly that low vitamin D, caused by reduced sun exposure, is responsible for making us tired and unhappy. These physical deprivations feed into mental manifestations of psychological dispositions – such as bipolar – or other types of depression. It also suppresses the immune system, which can have a knock-on effect on making us ill, and then beginning the “cycle of depression”.

If you would like to learn more about how the cycle of depression works, click here.

SAD can have an extremely negative impact on your quality of life. If you need a consultation or are suffering from any of the symptoms outlined at the end of the article, please contact us on (212) 241-6321 to book an appointment.


Wednesday, February 15, 2017

Introducing Dr. Herrera

Here at Mount Sinai we understand that, as a patient, it is of paramount importance that you feel you know, and can trust, your physician. With this in mind, every month we will be introducing you to one of our doctors in more depth, so that you can get to know them a bit better, and we are beginning with our System Chair and Director of Sports Medicine, Dr. Joseph Herrera.



Dr Herrera began his training at the DO, University of Medicine and Dentistry in New Jersey, before undergoing his residency training in Physical Medicine and Rehabilitation through a combined program organised by Columbia Presbyterian Medical Center and Weill Cornell Medical Center. Following this, he then did a further fellowship in Interventional Spine and Sports Medicine at Beth Israel Medical Center in New York.

Following his training he was appointed to the New York State Athletic Commission and served as the Chief Team Physician for USA Boxing Metro. His work treating and evaluating both amateur and professional athletes led to him being awarded the Rocky Marciano Physician of the Year Award, for excellence in the field of Sports Medicine. This is just one of the many awards Dr. Herrera has won during his time, including being named one of the Best Doctors in America, one of New York’s Super Doctors, a Castle Connolly Top Doctor, and an American Pain Scholar by the American Pain Society.

  
Dr. Herrera has authored and edited a number of prominent medical works, including the “Manual to Musculoskeletal Medicine” and “Essential Sports Medicine”, served as Chief Editor of Medical journal “Current Reviews in Musculoskeletal Medicine” and has been interviewed on TV and radio, and in a number of popular publications, for his expertise.

Having been fellowship trained in Interventional procedures for spinal and joint conditions, he now heads up our own Interventional Spine and Sports Medicine Program as Fellowship Director. He is also the Residency Program Director for the Physical Medicine and Rehabilitation Program. His research and clinical interest focuses on sports-related injuries, knee, back, and shoulder pain, electrodiagnostic studies, and fluoroscopic guided spine and joint intervention. His interventional procedures include – but are not limited to – discography, radiofrequency neurotomy, and interlaminar and trasforaminal epidural injections.


Most importantly, his average patient experience rating is 4.8 out of 5!


If you think Dr. Herrera could help with your condition, you can book a consultation here