From the Doctor’s Desk

Dr. Obinna Nwobi                 

Vascular & Interventional Pavilion

April 2, 2015

Celebrate Foot Health Awareness Month with a Brisk Walk Suggests Dr. Nwobi

Tampa, Florida - A walk in the fresh April air is an ideal way to participate in the national American Podiatric Medical Association’s Foot Health Awareness Month. 

“Walking is great exercise for the feet,” said Obinna Nwobi, MD, of Vascular and Interventional Pavilion. Both podiatrists and vascular surgeons agree that good blood flow is essential for foot health. A brisk 30-minute walk every day is just what the doctor ordered.
Simple steps for daily foot care include:   

• Improve circulation by walking, bicycling, dancing, and swimming  
• Inspect feet for the cuts, sores, blisters, redness, warm spots, or swelling. Wash feet in warm water. Moisturize for soft skin. Cut toenails straight across  
• Wear socks and proper fitting shoes
• Protect feet from heat and cold
• Wiggle toes. Flex feet and ankles for five minutes two to three times each day to maintain blood flow 

“Feet are our foundation,” said Dr. Michael King, president of the American Podiatric Association. “Healthy feet are fundamental to the quality of our daily lives. We need to take care of them every day, and see a medical professional if they begin to hurt.” Vascular surgeons and podiatrists work closely to access and treat patients with severe foot problems. 

Symptoms that require care by a podiatrist:    

• Hair loss on toes may be a sign of poor circulation
• Blue thread veins and very white skin is common among lifelong smokers and may indicate vascular disease 
• A swollen foot may indicate a blocked lymph node or deep vein thrombosis, a dangerous blot clot in the legs  
• Corns and blisters are important to treat promptly in those with diabetes. Sufferers may not feel the pain in their feet due to numbness, and left untreated, these conditions may lead to serious illness. 
• Dry, cracked heels may indicate a thyroid problem 
• Swollen feet may indicate heart or kidney problems 
• Any changes in the color, thickness, or loosening of the toenails should be evaluated

Additional foot care information is available at www.todays podiatrist.org, www.VascularWeb.org, and www.VascularPavilion.com or call (813)-922-3177.

If you have any questions regarding anything vascular feel free to call our offices at 813-922-3177 or visit our website at www.VascularPavilion.com, or www.PremierVeins.com

Dr. Obinna Nwobi                 

Vascular & Interventional Pavilion
March 20, 2015

It’s March Madness a.k.a. Couch Potato Time Advises Dr. Nwobi

Tampa, Florida - From March 15 (Selection Sunday) to April 6 (National Championship), March Madness consumes America. Arm chair hoopsters stare at their flat screens with tournament brackets in hand.  

“Instead of simply cheering, try some fancy footwork,” said Obinna Nwobi, M.D., a member of the Society for Vascular Surgery®. “Participate in March Madness by shooting a few hoops.” 

For a 150-lb. person, 30 minutes of basketball can burn off: 

• 153 calories shooting hoops solo
• 204 calories during an informal game 
• 272 calories during a five-on-five game of basketball*
Source: www.livestrong.com

“Your vascular system will have a great work out,” said Dr. Nwobi.  “Vigorous exercise such as basketball pumps your blood and lowers your blood pressure. This helps to keep your weight down. These are all positive health benefits.” 

For the slam-dunk of vascular health: 

• participate in 30 minutes of exercise daily. This may reduce the risk of stroke, the fourth leading cause of death in America according to the United States Center for Disease Control and Prevention’s 2010 National Vital Statistics Report. In 2010, 137,000 Americans died of stroke. 
• eat healthy,
• don’t smoke, 
• maintain a healthy body weight.

The lack of regular physical activity results in 250,000 deaths annually according to a 2003 report in the medical journal, Circulation.  Least physically fit persons have a mortality risk 4.5 times higher than physically fit persons.

Non-invasive vascular disease screening tests and medications are available. For vascular health information, visit: www.PremierVeins.com, www.VascularPavilion.com, or VascularWeb.org. 

If you have any questions regarding anything vascular feel free to call our offices at 813-922-3177 or visit our website at www.VascularPavilion.com, or www.PremierVeins.com

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Exercise Is Often the Best Drug

By Michael J. Gertner

Exercise's effects on disease equal and sometimes surpass those of drugs. And without dangerous side effects.

If you had a choice between taking a drug — with all its side effects and costs — or exercising to cure a disease which would you choose?

Most people don’t really know how much they can really benefit from exercise. It’s therefore not surprising that while the number of people who exercise regularly remains relatively low (14% of adults in the United Kingdom), the number of prescription medications continues to skyrocket across the world (17.7 prescriptions for every person in the UK).

Exercise has been shown to affect both the prevention and treatment of disease. It also has been linked to extended lifespan.

But does exercise really compare with prescription drugs to counter some of the world’s most common diseases? According to a trio of British and American research teams, it really does.
In a study published in BMJ, the British Medical Journal, researchers compared the results of 305 randomized controlled trials involving 339,274 individuals across the United States and Europe. The trials were analyzed to determine the benefits of physical activity versus prescription drug intervention on mortality rates.

The study focused on mortality rates across four common cardiovascular diseases: coronary heart disease, stroke, heart failure and diabetes. In each case, the scientists determined the extent to which exercise helped patients live longer vs. the impact of prescription drugs.

Amazingly, exercise and drug intervention produced the same results in patients with coronary heart disease and diabetes. In the group undergoing stroke rehabilitation, exercise actually performed better than drugs on mortality rates. According to the researchers, the results suggest that physical activity may be as effective as most drug interventions in treating chronic illnesses such as cardiovascular disease.

A limitation of the BMJ study was that the amount of evidence linking the benefits of exercise to mortality was considerably smaller than the evidence linking drug intervention to mortality. This unbalance in sample size may have impacted their results. The researchers call for more trials to address the differences between exercise and drug-based treatments to reduce this disparity.

Another new study does just that. Published in the American Heart Association journal Hypertension, researchers from China discovered that physical activity has a direct impact on lowering blood pressure. The researchers pooled data from 13 studies involving 136,846 people across the United States, Europe and East Asia.

Subjects who exercised more than four hours per week had a 19 percent lower risk of high blood pressure than those who exercised less than one hour per week. Other studies have indicated that exercise can have a direct impact on artery dilation and slow the aging of blood vessels — thereby improving blood flow throughout the body.

Results from both studies suggest that physical activity — during work or leisure time — may be more beneficial for improving one’s health than previously thought and should be a no-brainer.

“To try to lower your risk of high blood pressure, you should exercise more in your leisure time,” according to Wei Ma, one of the authors of the Hypertension study. This is especially true for ailments in which the drugs currently available provide only a modest benefit.

October 8, 2013

Source: The Doctor Will See You Now


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