COPD Signs, Symptoms, and Common Causes

More than 16.4 million Americans live with chronic obstructive pulmonary disease (COPD), a group of progressive lung diseases that leave their victims feeling as though they are slowly and uncomfortably being deprived of vital oxygen. COPD is the third leading cause of death by disease among Americans, and in many cases, it is preventable. If you are a smoker, or you know that your lifestyle has made you susceptible to this frightening disease, make today the day that you better understand the condition, and then take the first steps to wellness by getting help from your doctor.

What Is COPD?

The most common lung diseases that comprise chronic obstructive pulmonary disease are chronic bronchitis and chronic emphysema.

  • Emphysema affects the air sacs in the lungs and the walls between them, making them less elastic over time
  • Chronic bronchitis causes the lining of the airways to be regularly inflamed and irritated, which causes the lining to swell and produce a slimy mucus

Most COPD patients have both emphysema and chronic bronchitis, the severity of which varies for each. Generally, with COPD, due to the inflammation and tissue damage, the vital tissues that exchange oxygen become damaged and unable to work correctly. As a result, there is a decrease in the flow of air in and out of the lungs. With less oxygen passing into the body’s tissues, it becomes equally challenging for the body to rid itself of carbon dioxide.

Signs and Symptoms of COPD

As COPD worsens, patients describe feeling general shortness of breath, which makes it challenging to be active. Other symptoms include:

  • Difficulty breathing
  • Wheezing
  • Cough
  • Mucus production
  • Chest tightness

Causes of COPD

COPD is often caused by long-term exposure to particulate matter or irritating gasses that damage the lungs. In most cases, the cause of COPD is long-term cigarette smoking. Of the 25 percent of COPD sufferers who never smoked, their conditions are most often caused by long-term exposure to such irritants as chemical fumes, dust, and air pollution. Alpha-1 antitrypsin (AAT) deficiency, a rare genetic condition, can also cause COPD.

In addition to lifestyle factors and chemical exposure, risk factors that can increase your chance of developing COPD include:

  • Age –  Most COPD diagnoses occur in individuals who are at least 40 years old
  • Genetics – Smokers with a family history of COPD are more likely also to develop the disease in their lifetime

COPD Complications

Patients with COPD are at an increased risk of other health complications and disorders, particularly heart disease and lung cancer. Some individuals with COPD may also develop frequent respiratory infections, such as colds and the flu. In severe cases, COPD can cause weight loss, lower muscle weakness, and lower body joint swelling.

Preventing COPD

If you smoke, it is never too late to quit and begin minimizing your risk of developing COPD. Quitting at any age will enhance your health, no matter how long you have smoked. Consider these facts:

  • Two weeks to three months after quitting smoking, your risk of heart attack drops
  • One to nine months after quitting, you’ll experience less shortness of breath and cough less
  • One year after quitting, your risk of heart disease will reduce by half
  • Five years after quitting, your risk of stroke decreases
  • Ten years after quitting, your risk of lung cancer drops to equal that of someone who’s never smoked
  • Fifteen years after quitting, you risk of heart disease drops to equal that of someone who has never smoked

If you are ready to quit smoking, talk to your doctor, or use the resources available from the U.S Centers for Disease Control and Prevention (CDC).

When to Get Help

If you are or have been a smoker or your work or lifestyle has left you exposed to chemical pollutants, and you believe you are experiencing signs of COPD, talk to your doctor. They can provide a diagnosis using imaging, blood, and lung function tests. Once the extent of your condition is confirmed, your doctor will work with you to establish a treatment plan and help maximize your capable activity levels and your lifestyle.

What is a Primary Care Provider (PCP) and Why You Should Get One

Think of that one person in your life who you can always rely on for help, guidance, and support? Maybe it’s a friend, a spouse, or a sibling. They are the person who you always go to first whenever you have a problem because they have an incomparable ability to understand your issue and guide you in the right direction to find a resolution. The relationship you have with this person is critical to your overall health and happiness, and you can’t imagine your life without them.

That’s what it means to have a dedicated primary care provider (PCP)
as part of your compassionate care team.

What is a PCP?

A PCP is a generalist in the field of medicine who can diagnose and treat common illnesses and injuries, such as respiratory infections, back pain, headaches, and the cold and flu. They have expertise in managing multiple conditions, medications, and their interactions and potential complications. They are also knowledgeable about certain common chronic diseases and disorders, such as diabetes, heart disease, anxiety, and high blood pressure.

Your PCP is the health care provider that you should see on a routine basis for well exams. By visiting your PCP consistently, they will help you monitor any variations in your wellness that might be an indication of the onset of a more severe condition. Also, like your best friend, over time, your PCP will have the advantage of knowing your health history, which is crucial in offering a holistic level of care. Nova Health provider Karrie Patterson, PA-C, said it best when she said, “I love listening and being a consistent and positive presence in a patient’s life. I love providing care for an entire family and becoming a part of their lives.”

Just like the best friend that you turn to when you have a problem and aren’t sure how to handle it, think of your PCP as your sounding board and jumping-off point for any health-related concern. In many cases, your PCP will be able to provide a diagnosis and treatment plan, which might include prescription medication or therapy. In those instances where your health care needs are more complex or specialized, or you are experiencing severe symptoms that might be related to a more concerning, possibly life-threatening condition, your PCP will likely recommend that you see a specialist. Examples of such concerns include cancer, a dangerous autoimmune disorder, or the need to treat an injury with surgery.


The Benefit of Collaboration

The benefit of starting conversations with your PCP, even if ultimately, they cannot directly treat your condition, is that they can guide you to the right specialist, one that is trusted and with whom they frequently collaborate. Together, your PCP and the referred specialist broaden your healthcare team and work together to help you reach the best possible outcome. Think of your PCP and the specialist as your reliable best friend referring you to someone they know and trust, such as a lawyer, a contractor, or a personal trainer. There are comfort and security in working with someone vouched for by an existing ally, and when it comes to your health, every provider you work with must be someone with whom you feel relaxed confident.


How to Obtain a PCP

If you need a PCP—an ally in your corner to help guide your lifelong healthcare strategy, contact the compassionate care team at Nova Health. Our physicians across our 17 locations are accepting new patients—both in person and via telemedicine. Meet our team, or find a convenient location near you.

When Should You Choose Telemedicine and When is an In-Person Appointment Needed?

COVID-19 has changed countless facets of the way we interact with businesses, brands, and accomplish our daily tasks. Picking up a latté now requires an app-based pre-purchase, vet appointments are now parking lot drop-offs, and hair appointments are occurring on breezy, outdoor patios. While many such changes are expected to be short-lived, there is no denying that the COVID-19 pandemic has accelerated the adoption of technology solutions that have been available for years, but that many have not previously had an impetus to test.

Even when we conquer COVID-19 (and we will), social experts predict that virtual interactions will remain primary preferences. For example, researchers anticipate that many students will still choose online education programs, and families separated by distance will continue to convene for birthdays and holidays using video conferencing tools. Such technology solutions are changing our lives for the better—making it easier to connect and obtain services from the comfort and convenience of our homes. Similarly, telemedicine may be growing in popularity due to the COVID-19 crisis, but patients are learning that it is a convenient and confidential way to seek non-emergency healthcare treatment for a variety of routine and acute care needs.

Now is the time to embrace the best of technology alternatives and understand the long-term role they can play in our lives. The next time you need to speak with your primary care or urgent care provider, consider if you can address your healthcare needs using telemedicine.

What is Telemedicine?

The telemedicine experience for the patient is similar to a traditional in-clinic healthcare visit, except the provider interacts with the patient via an app or a web-based video conferencing tool. Using digital technology, patients and healthcare providers can see and speak to one another; however, the patient never needs to leave their home, commute to the healthcare clinic, pay to park, sit in a waiting room, or be exposed to other patients who may be seeking treatment for an airborne illness. From a time-savings perspective alone, patients stand to benefit from telemedicine, especially when one considers that the average round-trip time commitment for a typical doctor’s appointment is 121 minutes.

For What Types of Health Concerns is Telemedicine a Preferred Option?

You can make a telemedicine appointment for such needs as:

  • Allergies
  • Annual wellness visits
  • Anxiety
  • Chronic conditions if you are an established patient on a recurring treatment schedule
  • Constipation
  • Cough or cold
  • Depression
  • Diabetes
  • Fever
  • Flu
  • Follow-up consultation to imaging or lab work
  • Infection
  • Joint aches and pain
  • Medication refills
  • Nausea and vomiting
  • Pink eye
  • Rash or insect bite
  • Sinus problems
  • Sore throat

During these visits, your provider can even prescribe or refill medications. In addition to wellness visits and acute care, some specialists also accept telemedicine appointments for routine follow-ups and check-ins, though not when there is an onset of emergent symptoms. Potential specialist appointments in which you can leverage telemedicine include:

  • Allergists
  • Cardiology
  • Dermatology
  • Oncology
  • Gastroenterology
  • Immunology
  • Nephrology
  • Obstetrics and gynecology
  • Ophthalmology
  • Psychiatry
  • Radiology

You should see a healthcare provider in-person, or seek urgent or emergency care if you are experiencing:

  • A possible (or known) broken limb
  • A laceration that requires stitches
  • Abdominal pain
  • Shortness of breath or chest pain
  • Severe difficulty breathing

The next time you need a wellness exam or an acute diagnosis or treatment, consider making a telemedicine appointment. Not only will you save yourself time and travel, but you can enjoy speaking candidly to a provider you trust from a comfortable setting. To make a telemedicine appointment with a compassionate care provider at Nova Health now, click here.

Chronic Fatigue Syndrome. When is it More than Just Exhaustion?

Some days, you simply don’t want to get out of bed. You could curl up for hours, continually falling back into an all-consuming sleep that doesn’t ever seem to want to release you. Sometimes, such extreme exhaustion is the result of stress, depression, jet lag, intense activity, or not getting enough consistent sleep. When, however, are so many days spent feeling a debilitating sense of fatigue, a sign of a more concerning health issue?

Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is a disabling and complex illness that affects 2.5 million Americans. It leaves its patients feeling stripped of their ability to accomplish daily functions, and in some cases, it confines them to bed. If you are experiencing regular, debilitating periods of exhaustion that are disrupting your life, with seemingly no lifestyle or other underlying health conditions that might trigger your symptoms, it might be time to speak with your doctor.


What is ME/CFS?

Also known as systemic exertion intolerance disease (SEID), chronic fatigue immunity deficiency syndrome (CFIDS), and post-viral fatigue syndrome (PVFS), ME/CFS is a multi-system, chronic disease characterized by feelings of extreme fatigue that sometimes worsen with physical or mental activity, but don’t improve with rest or sleep. Individuals living with ME/CFS are often unable to perform daily tasks, including working, going to school, caring for their family, socializing, and even performing personal hygiene tasks. At least 25 percent of ME/CFS sufferers become bed or house-bound for long periods. Some individuals who develop ME/CFS suffer for years, and in some cases, it becomes a severe disability


ME/CFS Symptoms

The primary symptom of ME/CFS—the extreme exhaustion, is known as post-exertional malaise (PEM). Other symptoms can include:

  • Unrefreshing sleep and other sleep problems
  • Difficulty thinking and concentrating
  • Memory loss
  • Dizziness
  • Muscle or joint pain
  • Headaches
  • Sinus and nasal problems, including swollen glands and sore throat
  • Light sensitivity and chills
  • Abdominal pain, bloating, and nausea
  • Enlarged lymph nodes in the neck or armpits

For some, standing upright can exacerbate ME/CFS symptoms.


What Causes ME/CFS?

The cause of ME/CFS is currently unknown. Some health care experts and scientists believe a combination of factors might trigger the condition. They believe such triggers might include psychological stress and viral infection. While no one virus has been definitively linked to ME/CFS, those studied for a relational effect include:

  • Epstein-Barr virus (EBV)
  • Human herpesvirus 6
  • Ross River virus (RRV)
  • Rubella virus

Bacterial infections also studied concerning ME/CFS include coxiella burnetii and mycoplasma pneumoniae.

There is currently no diagnostic test or FDA-approved treatment of ME/CFS. Since there is no definitive known cause of the disorder, and because many other conditions can trigger extreme fatigue, such as infections or psychological disorders, ME/CFS can be challenging to diagnose.

For some patients, ME/CFS appears along with another condition, such as:

  • Fibromyalgia
  • Orthostatic intolerance
  • Irritable bowel syndrome (IBS)
  • Interstitial cystitis
  • Temporomandibular joint (TMJ) disorder
  • Chronic pelvic pain
  • Multiple chemical sensitivity disorder


Who is at Risk of ME/CFS?

While anyone can develop the condition, it is most common among women in their 40s and 50s. The illness also affects children and adolescents.


When to Get Help

If you are experiencing extreme exhaustion lasting more than 24 hours after physical or mental exercise, talk to your doctor. They will be able to eliminate other possible causes of your symptoms and determine if you are suffering from ME/CFS. Together, you will create a treatment plan to help you adapt to your illness and continue living your fullest possible life.

Five Ways to Lower Your Cholesterol Without Medication

Cholesterol—the waxy, fat-like substance found in all the cells in your body—can cause severe health risks if not maintained within healthy levels. High cholesterol can result in heart attack, stroke, and peripheral arterial disease; all conditions that can lead to death. While for many patients, statins—prescription medications used to help lower cholesterol levels—can successfully mitigate associated health risks, there are also lifestyle changes that you can make today to start lowering your cholesterol tomorrow. What follows are five such suggestions to help you take the first vital steps toward a healthier, longer life.


1. Reduce Your Consumption of Saturated Fats

Saturated fats can raise total cholesterol levels. Foods high in saturated fats include red meat, full-fat dairy, milk and white chocolate, fatty meats such as lamb, processed meats such as burgers and bacon, butter, lard, fried foods, baked goods, and coconut and palm oils. By decreasing your consumption of foods rich with saturated fats, you can reduce your levels of the bad-for-you low-density lipoprotein (LDL) cholesterol.


2. Replace Foods High in Saturated Fats with Heart-Healthy Items

Once you clean out your pantry and refrigerator to rid your diet of bad-for-you foods, you’ll need to stock up on healthy alternatives. Choose no-calorie beverages such as water and sugar-free tea, fruits, vegetables, whole grains, olives and olive oil, tree nuts such as almonds and cashews, avocados, and lean meats instead. By following a heart-healthy diet, not only will you help lower your cholesterol, but you will feel better and can maintain a healthy weight.


3. Move Your Body

Reducing your cholesterol levels is a lot about diet, but it’s also about exercise. Working out at least two and a half hours per week can raise high-density lipoprotein (HDL) (the good kinds of cholesterol) and lower LDL. If you have not been working out regularly, do not feel the pressure to jump into triathlon training or join a cross-fit gym. Simply walking every day can help you reach your fitness goals until you feel well enough to increase the intensity of your workouts. Always consult with your doctor before beginning a new fitness routine.


4. Swap Your Egg and Sausage Breakfast Sandwich for Oatmeal

Oats are a superfood that are particularly impactful for those looking to lower cholesterol. Commit to a healthy serving of oatmeal or cold, oat-based cereal for breakfast daily. It’s the fiber in the oatmeal that will help you lower your cholesterol. If you don’t love the taste of oatmeal, toss some heart-healthy blueberries on top for some added sweetness. Other foods high in fiber include barley, beans, nuts, apples, berries, citrus fruits, and pears.


5. Boost Your Intake of Foods Rich in Omega-3 Fatty Acids

Don’t let the word “fatty” fool you. Foods that are rich in omega-3s can help to reduce blood pressure, which is critical for those at risk of health complications due to high cholesterol. Foods to add to your shopping list include salmon, herring, mackerel, flaxseeds (which are an excellent topper for light yogurt and salads), and walnuts.

If you need support and guidance to help lower your cholesterol, talk to your doctor. Depending on your risk factors, They may still recommend medication, but they will likely also recommend lifestyle changes that will offer comprehensive health benefits. Being active and eating a healthy diet will not only lower your total cholesterol, but it can help you lose weight, sleep better, and feel more energetic, so you’re ready to take on every beautiful, fulfilling day.

What Women Need to Know About Cervical Cancer

Cervical cancer is the third most common gynecologic cancer in the U.S. The American Cancer Society estimates that about 13,800 new cervical cancer cases are diagnosed annually and that over 4,200 women lose their battle with the disease each year. Fortunately, if detected early, cervical cancer is one of the most treatable forms of cancer. Every woman needs to understand the risks of cervical cancer, how to minimize their likelihood of developing the disease, how to recognize symptoms, and when to get help.

What is Cervical Cancer?

Cervical cancer occurs in the cells of the cervix, the lower part of the uterus that connects to the vagina.

What Causes Cervical Cancer?

While it is unknown what causes cervical cancer, it is known that some strains of the sexually transmitted infection human papillomavirus (HPV) can play a role in its development. For some, when exposed to HPV, the immune system is not able to protect the body from harm. As a result, the virus survives for years, ultimately causing some cervical cells to mutate into cancer cells. If untreated, cervical cancer can metastasize, or spread to other areas, including the bladder, vagina, rectum, liver, or lungs, making it significantly more challenging to treat.

There are two main types of cervical cancers: squamous cell carcinoma and adenocarcinoma.

  • Squamous Cell Carcinoma – 90 percent of cervical cancers are squamous cell carcinomas. This type of cancer develops in the exocervix (the outer part of the cervix that a doctor can see during a speculum exam)
  • Adenocarcinomas – This form develops from the mucus-producing gland cells of the endocervix.

Other forms of cancer that most often develop in other parts of the body can also develop in the cervix, including melanoma, sarcoma, and lymphoma.

Who is at Risk of Developing Cervical Cancer?

All women are at risk for cervical cancer; however, it most often occurs in women over age 30. Other cervical cancer risk factors include:

  • Having many sexual partners, which can increase the risk of contracting HPV
  • Becoming sexually active at an early age
  • Contracting other sexually transmitted infections including chlamydia, gonorrhea, syphilis and HIV/AIDS, as they increase one’s risk of contracting HPV
  • A weakened immune system
  • Smoking
  • In utero exposure to the miscarriage prevention drug diethylstilbestrol (DES) that was given to some pregnant women in the 1950s

Signs and Symptoms of Cervical Cancer

For many women, particularly in the early stages of the disease’s development, there are no symptoms. When cervical cancer grows and begins to affect nearby tissue, symptoms may include:

  • Abnormal vaginal bleeding, (e.g., after vaginal sex, after menopause, between periods, heavy menstruation, or after douching)
  • An unusual, watery vaginal discharge that contains blood and may have a foul odor
  • Pain during sex
  • Pelvic pain
  • Swelling of the legs
  • Difficulty urinating or with bowel movements
  • The presence of blood in the urine

How to Minimize Your Risk of Cervical Cancer

One of the best things women can do to minimize their risk of cervical cancer is to obtain regular pap tests from their doctor. Also, by preventing HPV, women can reduce their risk of cervical cancer. Women should practice safe sex, receive regular screening tests, and receive the HPV vaccine.

When to Get Help

If you are experiencing any of the signs of cervical cancer, talk to your doctor. While a different condition might be causing the symptoms, you should be examined by a physician who can identify the cause of your symptoms and help you begin a healing treatment plan.

What is Celiac Disease? Causes, Symptoms, and Treatment

Gluten-free foods and food products have been popping up on restaurant menus and grocery store shelves for the past several years. While some may mistake gluten-free choices as the latest weight-loss trend, for individuals living with celiac disease, consuming gluten can trigger painful and dangerous symptoms. Experts estimate that about one in 100 people has celiac disease, and that 2.5 million Americans are suffering undiagnosed, putting themselves at risk of severe complications if the condition continues to go untreated. If you believe that you may be at risk of celiac disease, or are experiencing its symptoms, talk to your doctor.

What is Celiac Disease?

Celiac disease, also referred to as celiac sprue or gluten-sensitive enteropathy, is a serious, genetic autoimmune disease triggered by consuming gluten. Gluten is a protein found in barley, wheat, rye, and other grains. When an individual with celiac disease consumes gluten, it damages the villi of the small intestine—small, finger-like projections that increase the surface area of the small intestinal walls, creating more areas for absorption. When the villi are damaged, it is more difficult for the body to properly absorb nutrients into the bloodstream, resulting in malnourishment and other dangerous complications, such as anemia, thyroid disease, osteoporosis, infertility, some cancers, and other autoimmune diseases.

What are the Symptoms of Celiac Disease?

Individuals suffering from celiac disease report such symptoms and health complications as:

  • Fatigue
  • Weight loss
  • Diarrhea or constipation
  • Bloating, gas
  • Nausea, vomiting
  • Anemia
  • Joint pain
  • Dermatitis herpetiformis (a skin rash marked with itchy blisters)
  • Mouth ulcers
  • Headaches
  • Numbness or tingling in the hands and feet

It is important to note that celiac disease symptoms can vary significantly, especially between adults and children.

Complications from Celiac Disease

Over time, the consistent malnutrition that celiac disease causes can result in such dangerous complications as:

  • A loss of bone density (osteoporosis) or bone softening (osteomalacia)
  • Infertility
  • Miscarriage
  • Some neurological diseases
  • Nervous system injuries, including balance problems and cognitive impairment
  • Certain cancers
  • Hyposplenism (reduced spleen functioning)

Who is at Risk of Celiac Disease?

Celiac disease is hereditary. People with a first-degree relative with the condition, such as a parent, have a 10 percent chance of being diagnosed. It can develop at any age after one begins consuming foods or medicines containing gluten.

Unfortunately, due to the full range of symptoms associated with the disease, doctors believe that most patients never know that they have the condition, and as a result, suffer from slow damage to their small intestines over several years before symptoms or complications exacerbate.

Treatment for Celiac Disease

While there is currently no cure, medical or surgical treatments for celiac disease, many patients who eliminate gluten from their diet can eliminate its uncomfortable symptoms and minimize their risk of health complications. Those who remove gluten from their diet for at least a year with no improvement are often diagnosed with a form of celiac disease called refractory or nonresponsive celiac disease. Researchers are working diligently to identify alternative therapies and a cure to this dangerous autoimmune disease.

When to Get Help

If you are experiencing the symptoms of celiac disease, and notice a flare-up of complications after eating foods that contain gluten, particularly if you have diarrhea or digestive discomfort that lasts for more than two weeks, talk to your doctor. They can provide a thorough examination, assess your genetic history, and if they diagnose you with celiac disease, help you make the necessary dietary changes to suppress symptoms and avoid complications.

Nova Health Acquires Basin Immediate Care, Expands Urgent Care Locations

Eugene, Ore. – July 1, 2020 Nova Health, a comprehensive provider of quality urgent care, primary care, physical therapy, and musculoskeletal services in Lane and Douglas Counties, has announced that it has acquired Basin Immediate Care, an urgent care center located in Klamath Falls, Oregon. All former Basin Immediate Care providers will continue to provide services as part of Nova Health.

According to Nova Health Chief Executive Officer Bill Clendenen, the addition of Basin Immediate Care to the expanding network of Nova Health care facilities is yet another crucial step in Nova Health’s commitment to offering easily accessible, quality care to families across the Pacific Northwest. The acquisition of Basin Immediate Care expands Nova Health’s network of clinics to 18, including 15 clinics in Lane and Douglas counties along with two in Montana.

“Our acquisition of Basin Immediate Care represents the unification of two like-minded entities,” said Clendenen. “We are both committed to offering the highest quality patient care and serving Oregon’s underserved communities. Together, we will be even stronger thanks to our combined resources and our shared vision for providing compassionate, same-day care.”

Clendenen wants both existing Nova Health and former Basin Immediate Care patients to be assured that the providers they have come to know and trust will continue to support their health and wellness plans.

“Our expansion efforts have been purposeful and strategic so that we can ensure a consistent and high-quality patient experience,” said Clendenen. “What is unique about Nova Health, and the reason we remain the place that people choose for health care, and the place that compassionate people want to work, is that we keep our patients and their wellness at the center of everything we do. By adding Basin Immediate Care to our network, we continue to achieve our goal of providing exceptional medical care across the Pacific Northwest.”


About Nova Health

Nova Health provides urgent care, primary care, physical therapy services, and musculoskeletal clinic services. Our focus is on providing the best patient care to patients in our communities. Established in 2008 with one clinic and nine employees, we have grown to 18 clinics in Oregon and Montana.

Nova Health Willamette St. Clinic to Resume Urgent Care Services

Nova Health Willamette Street clinic in Eugene to resume Urgent Care Services. COVID-19 safety measures in place to keep patients and staff safe.

EUGENE, Ore. – June 25, 2020 – The Nova Health clinic located at 2710 Willamette Street in Eugene, will resume offering urgent care services effective Monday, June 29. The clinic will be open Monday to Friday from 8 a.m. to 7 p.m. For immunocompromised patients or those who prefer to seek virtual care, Nova Health offers telemedicine. Appointments are available daily from 8 a.m. to 8 p.m.

In mid-March, Nova Health adjusted its clinic service offering strategy as part of its COVID-19 safety response plan. Since the adjustments, the Willamette clinic has provided primary care and routine wellness services only to minimize exposure to those individuals experiencing COVID-19 symptoms and preserve personal protective equipment (PPE). With adequate PPE supplies and a low disease prevalence in the Eugene area, the Willamette clinic will resume treating patients in need of either primary care or urgent care treatments.

To ensure the continued safety of its patients and staff, as part of its ongoing efforts to mitigate the spread of COVID-19, the clinic is following rigorous patient and staff safety and sanitation guidelines. These procedures include:

  • Enforcement of social distancing practices in clinic waiting areas
  • Face mask use requirement for all patients
  • Use of personal protective equipment (PPE) for all clinic staff
  • Frequent sanitization of common surfaces and equipment
  • Elevated training for all clinic staff
  • Dedicated patient screening protocols to identify at-risk patients based on present symptoms and exposure
  • Options for patients to wait in their vehicles to reduce exposure

“Our clinic staff—across all our locations—has worked tirelessly and selflessly over the past three months to help treat the community during this unprecedented time,” said Dr. Marc Schnapper, Urgent Care Medical Director. “I could not be prouder of their efforts and am pleased that we can now confidently resume both urgent and primary care services at our Willamette Street clinic.”

For those patients who believe they have contracted COVID-19, Nova Health is maintaining dedicated treatment in its Thurston (Springfield), Harrisburg, Coburg Road (Eugene) and West 11th Street (Eugene) locations.

“We recognize that while disease prevalence is low, we need to remain vigilant and cautious against exacerbating the virus spread,” said Schnapper. 

About Nova Health

Nova Health provides urgent care, primary care, physical therapy services, and musculoskeletal clinic services. Our focus is on providing the best patient care to patients in our communities. Established in 2008 with one clinic and nine employees, we have grown to 18 clinics in Oregon and Montana.

What is Carpal Tunnel Syndrome & When to Get Help for Wrist Pain?

A large portion of Americans spends a significant amount of time during their workday typing on a computer. Those in the telecommunications and technology industries spend over 82 percent of their days typing on a keyboard. Workers in the financial and insurance industries spend nearly 79 percent of their days typing, and even those in the hospitality, food service, and hotel industries spend close to 43 percent typing.

What this data means is that the average American office worker is putting significant strain on their hands, wrists, and fingers, and this data does not even include individuals in manual labor positions who spend their days building, wrenching, lifting, moving, driving, creating, or operating fine instruments. It should be no surprise that carpal tunnel syndrome is one of, if not the, most common nerve disorder, affecting four to ten million Americans. Fortunately, it is treatable, which means for the millions of people living with pain and discomfort, there are hope and help.


What is Carpal Tunnel Syndrome?

Carpal tunnel syndrome is a nerve disorder that causes hand weakness, numbness, and tingling. Also known as median nerve compression, the condition occurs when there is pressure on the median nerve that runs the length of the arm and passes into the wrist via the carpal tunnel, ending in the hand. The median nerve controls the movement and sensation in all fingers except the pinky.


What are the Symptoms of Carpal Tunnel Syndrome?

The symptoms of carpal tunnel syndrome vary. Patients often report side effects beginning gradually before intensifying over time. Symptoms include:

  • Numbness or tingling of the hand and fingers except for the pinky that feels like an electric shock
  • Pain or numbness that travels from the wrist up into the arm, particularly while holding something in the hands
  • Hand weakness, particularly in the muscles that allow the thumb to make a pinching movement that can cause the dropping of held objects


What Causes Carpal Tunnel Syndrome?

Carpal tunnel syndrome is most often linked to another underlying health condition, most specifically:

  • High blood pressure
  • Autoimmune disorders, including rheumatoid arthritis
  • Diabetes
  • Thyroid Dysfunction
  • Fluid retention caused by pregnancy or menopause
  • A past trauma to the wrist, such as a fracture

When one repeatedly overextends their wrist, an underlying case of carpal tunnel syndrome can become exacerbated, as the repetitive movement contributes to swelling of the median nerve. Behaviors that can worsen carpal tunnel syndrome include:

  • Excessive keyboard use
  • Prolonged exposure to power tools or hand tools that vibrate
  • Playing the piano or other hobbies that require repeated hand and wrist movements


Who Is At Risk of Developing Carpal Tunnel Syndrome?

Carpal tunnel syndrome primarily impacts adults. Individuals with chronic health conditions that are known to be associated with carpal tunnel syndrome, such as diabetes, are most at risk. Women are also three times more likely than men to develop the condition during their lifetimes. Individuals whose jobs or hobbies might require repetitive wrist movements are more at risk. Such work includes assembly line operations, including manufacturing, sewing, cleaning, and meatpacking, as well as excessive computer keyboard use.


What Treatment is Available for Carpal Tunnel Syndrome?

Both surgical and non-surgical therapy options are available to treat carpal tunnel syndrome, depending on the severity of symptoms. Those who seek a diagnosis and treatment from a doctor early have the best odds of recovering fully. For early carpal tunnel syndrome cases, your doctor may encourage you to rest your hands frequently when performing repetitive tasks, wearing a wrist splint, and applying cold packs to help reduce swelling.

Your doctor might also recommend the use of an over-the-counter nonsteroidal anti-inflammatory drug (NSAID), such as ibuprofen, to help relieve discomfort and pain. Other treatments include the injection of corticosteroids to decrease swelling and inflammation. In the most severe cases, your doctor may recommend a surgical procedure known as a carpal tunnel release procedure, which aims to relieve pressure by cutting the ligament pressing on the median nerve.

If you are experiencing chronic pain, tingling, or numbness in your wrist, hand, or arm, and you believe carpal tunnel syndrome may be the cause, talk to your doctor. He or she can provide a diagnosis and provide a recommendation on an appropriate treatment plan.