Imagine having a good talk with a friend who tells you that he was on his mountain bike and while riding the hills of Northern California, he slammed into a tree pelvis first and now he’s got a ‘problem’.  Imagine your friend who is 23 years of age and just had her first baby in tears because sexual intercourse is so painful, she can’t stand to be near her husband.  You cannot imagine it….this is pelvic floor pain.  Never heard of it?  Ok, let’s take it one step further….

Imagine what life would be on a daily basis if every time you laughed, sneezed, coughed, or performed a jumping jack, you urinated without being able to control your bladder.

Imagine what life would be on a daily basis if, after undergoing a prostatectomy, you could not experience an erection.

Imagine what life would be on a daily basis if your uterus or rectum was hanging down.

Imagine what life would be on a daily basis if you had so much pain in your pelvic floor, you could no longer sit, have sex, urinate or defecate without shedding tears of pain.

Imagine what life would be if every time you went for another test, your genitals would be examined and manipulated; your vagina or rectum internally palpated and discussed in a very clinical manner.

Imagine all that…and more.  Sounds pretty grim, doesn’t it?  This is pelvic floor pain.  Not only is this a physical condition, but pelvic floor pain affects every patient psychologically and emotionally.  Many daily and adult joys of life are stripped away and some patients feel shame, embarrassment, fear and anger when experiencing some of the aforementioned conditions.  But, take heart – this does not have to become a permanent situation and with the proper treatment strategy, these conditions may be rectified and a person can resume living life fully and with joy, while becoming symptom free. Keep reading and I’ll tell you how I can help.

From the Traditional Chinese Medical point of view, the kidneys and pelvic floor is where a person’s ‘Life Gate’ is located. The ‘Qi’ and ‘Vital Essence’ move from this region and circulate throughout the organs, muscles, skin, bones and connective tissue to ensure proper homeostasis and overall vitality.  When the Energy (Qi) in the pelvic region is disrupted by physical and/or psychological reasons, the entire flow of Qi and Essence is affected.  This can manifest as poor blood circulation into the immediate area which causes stagnation and pain.  The improper transmission of Qi can lead to urinary incontinence, fecal incontinence or prolapse.  Other visceral systems can be affected.  For example, low back and hip pain can be triggered by lack of circulation in the pelvic floor which can lead to cervicalgia.  Improper flow of blood and Qi can disrupt the nerves that innervate and ‘feed’ cellular nutrition to the organs.  In Traditional Chinese Medicine, each organ is related to an emotion.  For example, the Liver is associated with anger, the Kidneys with the will or fear.  When these organs are deprived of the nutrients necessary  to function properly, the emotions associated with the organ can be affected as well.

Acupuncture is an effective, pain free and drug free system of medicine that can relieve pelvic floor pain, remedy conditions of incontinence and sexual dysfunction, and mediate the psycho-emotional components of pelvic floor pain. Acupuncture can ‘release’ the constriction of pelvic floor muscles, send cellular nutrition to the pudendal nerve, assist the body to naturally ‘raise up’ structures that are in a state of prolapase and send proper blood flow to the testes and penis for proper sexual function.

I could go on for pages about what acupuncture can do for pelvic floor conditions, but this is merely an introduction to a medical condition that is not generally discussed because of social stigma et al.  The take home message here is that this condition is more prevalent than you would think, and the persons having this condition need love, compassion, patience and understanding.  I treat many pelvic floor cases – both male and female.  I ensure that  I provide a serene, private and comfortable setting for my patients where they can feel safe and confident that they are receiving the most appropriate care for their special needs. But the most important piece of treating pelvic floor patients is this: I treat my patients from my heart and with all good intentions. Every patient is special and treated as such. Compassion, empathy and sometimes a hand to hold onto for a few minutes can do much for a patient.

If you suffer from pelvic floor pain, email or telephone me.  I promise you I will do all I can to get you back to living life to its fullest.  I will partner you with other highly skilled pelvic floor specialists and together we will be your team – working together to get you back to Wellville.

Zhongguo Zhen Jiu. 2016 Dec 12;36(12):1327-1330. doi: 10.13703/j.0255-2930.2016.12.028.[Analysis of ancient literature on baliao points for pelvic floor diseases]

Complement Ther Clin Pract. 2016 Aug;24:162-6. doi: 10.1016/j.ctcp.2016.03.006. Epub 2016 Mar 30.  Systemic acupuncture in patients with faecal incontinence.

Franco JT1Agulhon AM2Viani FC3Viebig RG4.Zhongguo Zhen Jiu. 2014 Sep;34(9):869-72.[Efficacy of spastic pelvic floor syndrome treated with electroacupuncture at Baliao (BL 31, BL 32, BL 33 and BL 34)].

I am delighted to announce that I am now an authorized medical practitioner with the Veterans’ Administration to provide services to our men and women who are in the Armed Forces.  These services are free for veterans and the process to obtain free treatment is easy:

  • Schedule an appointment with your primary healthcare physician at the VA.  Tell your doctor you would like acupuncture for your condition and give him/her my name.
  • The MD will contact my office with an authorization code and number of treatments allowed.
  • You email or telephone my office to schedule an appointment. It’s that simple!

Many of you suffer from chronic pain, PTSD, phantom pain from amputations, depression/anxiety, addiction to pain killers.  I can help you with these conditions.  You dedicated your life so I can live mine in freedom and safety.  Now it’s YOUR time to be served.  If you have any questions, just call or email my office at 917.701.7582.  info@kelleymondesire.com    www.kelleymondesire.com

This Thanksgiving, let us all be thankful for our men and women in the Armed Forces.

 

I’ve had 25 year olds crash on me during a boxing session many times over this year.  They complain they’re ‘out of shape’.  I tell them ‘just wait ’til you get to be my age….get up!  I’m old enough to be your mother!’  That’s when they ask me how old I actually am and what I eat for breakfast…No folks, I don’t eat nails for breakfast.  Typically, I eat fresh oatmeal (overnight cold or cooked) with fresh fruit, or a dollop of greek yogurt over fresh fruit. A hard boiled egg with a slice of toast and fruit is nice on a weekend when there’s more time.   If you’re over 50 years of age and want to elevate yourself to super hero status, read on….

Contrary to some beliefs, breakfast is the most important meal of the day.  It literally means ‘break fast’, because way back in the olden times, there was a gap from the last meal of the day to the next day’s first by approximately 12 hours.  Breakfast literally meant to ‘break the fast’ from the prior evening.  The American Heart Association has concluded that people who ‘eat breakfast daily are less likely to have high cholesterol and blood pressure, and people who skip breakfast — about 20 percent to 30 percent of U.S. adults — are more likely to be obese, have inadequate nutrition, show evidence of impaired glucose metabolism or be diagnosed with diabetes.’  This means a HEALTHY BREAKFAST!!  http://newsroom.heart.org/news/meal-planning-timing-may-impact-heart-health  But eating a healthy breakfast doesn’t give you a ‘free ticket’ to eat poorly for the remainder of the day.  Here are a few tips to help you be fitter, faster, live longer and healthier:

Eat your larger meals earlier in the day:  this allows your body to metabolize and use those calories throughout the day.  This also allows your body to process glucose more effectively and efficiently.

Don’t eat during late night/overnight hours:  unless you are working the overnight shift, you should be resting and sleeping, not eating during the late evening hours.

Schedule your meal times:  this gives your body a routine for processing nutrients.  This helps your digestive system and overall metabolism.  At the end of the day, your waistline will thank you for it.  If you have difficulty wrapping your head around the concept, give this some thought:  babies and children  are fed at certain times of the day and only given healthy snacks intermittently (we only hope!).  There is something to be said for this school of thought.

Portion control:  you are what you eat.  Recently, I travelled to the great state of Texas.  I was appalled at the breakfast menus at any given restaurant….3 eggs with 3 types of cheese – fried, ham, bacon and sausage and your choice of fries or home fries…oh yes, the buttermilk biscuits – all on one plate.  Can we say obesity, cholesterol, metabolic syndrome, and heart disease?  Many Texans are ‘big’….now I know why.

Last but not least….MOVE AND MAKE MUSCLES!!!  For my fellow 50+ fans out there, read this:  as we age, men lose bioavailable levels of testosterone and women lose estrogen.  This affects muscle mass.  Muscle mass burns more calories than fat, so the less muscle mass you have, the more fat your body will accumulate.  I’ve seen many a person over 50 complain that they eat like birds, do cardio until they drop, but cannot seem to lose that extra 2 inches around their waist.  Belly fat runs deep and can cause insulin resistance, inflammation (which can affect the joints), and cause your cholesterol to leap to new heights.  WEIGHT TRAINING twice weekly in addition to cardiovascular exercise thrice weekly can help you build muscle mass and thereby burn more fat.

So, there you have it.  All you need to get yourself fit and fabulous in no time.  I’m wearing the same size dress I wore 15 years ago and in the same ‘walking around weight’. Obviously at 55, I’m slower than I was at 40, but there’s no grass growing under my feet and I can still hold my own at any gym.  It’s all about lifestyle, folks.  Life is short….don’t watch it go by from the sidelines.  Get back in the game.  Remember, Winners don’t quit.  Quitters don’t win.  Losers never try.  See you at the gym or I’ll just see you out there!

 

 

Very often, because of social stigma and lack of information, many men embark unto an uncharted journey through prostate cancer therapies without the tools and information they need to truly make the educated and best choices for their individual health care needs.  Here are some facts and basics you and/or the man in your life need to know to obtain the best health care.

There are three key health care professionals who may be involved in the care of a patient with prostate cancer:

Urologists are commonly the specialists that diagnose prostate cancer.  The diagnosis is made after a prostate biopsy.  The urologist commonly performs surgery to remove the cancerous prostate, based on the stage of the cancer and other pertinent factors.  Hormone therapy for patients that have recurring cancer following local treatment or are diagnosed with advanced disease may be prescribed.

Questions to ask the Urologist:  How do you feel the current treatment is working?  What is your prognosis?  What is the likelihood of recurrence?  What tests will be necessary to search for metastases?  What is the frequency of testing to ensure there are no other recurrences?  What are all the treatment options and their benefits?  What other professionals should be consulted and brought into a ‘treatment team’?

Radiation Oncologists administer radiation treatments to treat both localized as well as recurrent disease.

Questions to ask the Radiation Oncologist:  What is radiation therapy and how long is treatment?  How successful is treatment for my type of cancer and what is the success rate of this treatment specific to my case?  What are the risks and benefits of treatment?

Medical Oncologists treat cancer with combination or ‘cocktail’ drug therapies known as chemotherapy.  This approach is used to treat patients who become resistant to alternative treatments (re:  hormonal therapy).  Unfortunately, many men with prostate cancer often do not seek the advice of a medical oncologist until their cancer has progressed.  This can lead to smaller odds of beating the cancer.

Questions to ask the Medical Oncologist:  What is chemotherapy and is this the correct method of treatment for my type and stage of prostate cancer?  What is the typical success rate for my type of cancer and what are the risks and benefits of this method of treatment?

Men and their loved ones involved in their healing process should feel comfortable speaking with their healthcare professionals and seek out new specialists to ensure that they are well-informed of all the treatment options.  Each specialist plays a crucial role in treating prostate cancer; forming a team and pooling their various expertise is crucial to ensuring effective and expedient treatment.  Emotional, psychological and physical support for your loved one is just as important as researching and doing all you can to obtain the best possible treatment for him.

The team you put together must fulfill the following requirements: 

  • Provide you with information on the latest treatment options available.
  • Support and accept that you will consult other resources and healthcare options.
  • Open the conversation to consider participation in clinical trials to explore all possible treatment options.
  • Ensure you have all the information you and your loved ones require to battle the disease.

For the family and friends of the patient, remember that this can be a most frightening period of life for a man and the psychological, physical and emotional impact can be long-lasting.  Be patient, kind, loving and supportive in every way you can.  Have compassion.  All of us have the opportunity to make a difference in another person’s life.  In turn, we become better humans.

State of the Prostate

Benign Prostatic Hypertrophy (BPH) refers to the enlargement of the prostate gland as a man ages.  In BPH, as the prostate enlarges, the surrounding tissue inhibits it from expanding.  This causes the prostate gland to press against the urethra.  Symptoms commonly seen with BPH are:

  • hesitant, interrupted, and/or weak flow of urine
  • urinary urgency and/or dribbling
  • nocturnal frequent urination.

Ignoring these symptoms can lead to more serious medical conditions such as prostate cancer, urine retention, urinary tract infections, bladder or kidney damage, bladder stones and incontinence.

Traditional Chinese Medicine Can Treat These Male Health Issues:  premature ejaculation, low sperm count, diminished sperm motility, impotence, hernias, testicular pain, prostatitis, benign prostatic hypertrophy (BPH), male infertility, male climacteric disorder (andropause).  To find out more information, please contact our office.

References:  The World Health Organization “A Brief History of Qi”, by Zhang Yu Huan and Ken Rose-Paradigm Publications, Brookline, Mass, 2001, “Practical Therapeutics of Traditional Chinese Medicine” – by Yan Wu and Warren Fischer, Paradigm Publications, Brookline, Mass, 1997, “A Handbook of TCM Urology and Male Sexual Dyfunction”, – by Anna Lin, Blue Poppy Press, Inc., Boulder, CO, 1999

  •