ADVANTAGE - Torrance Memorial Medical Center · 2017. 7. 12. · tures. Arthritis and overuse cause pain in other joints including shoulders, elbows, hips, knees, feet and ankles

ISSUE #6 SUMMER 2017

ADVANTAGEHealthy Living Over 50

Inside this issue

2 The Best Pain Relieving Treatments for Common Orthopedic Problems

4 Torrance Memorial Physician Network’s Cancer Care Offers the Latest Clinical Trials

6 When Do You Need a Bone Density Test?

7 Upcoming Classes and Events

Healing Joint Pain, One Patient at a Time

All too often we assume joint pain is something that we have to learn to live with. But it’s not true! Stiff, swollen,

painful joints don’t have to keep you from enjoying the activities you love. Torrance Memorial Medical Center offers a variety of treatment options from exercise and physical therapy to new medications and advances in joint replacement.

“My goal is to restore function and decrease pain,” says Stephen Nuccion, MD, an orthopedic surgeon with the Tor-rance Memorial Physician Network who specializes in treating shoulder and knee problems. “Sometimes problems need to

be fixed with surgery; but in many cases, physical therapy, biologic injections and other modalities can really help. We use surgery as a last resort.”

Dr. Nuccion’s colleagues agree.“One out of 100 needs surgery. The

other 99 need to get the right diagnosis and the right management of their pain, which usually includes physical therapy,” explains orthopedic surgeon and spine expert Tiffany Rogers, MD, with the Torrance Memorial Physician Network. “People should keep in mind that back pain is not a diagnosis.”

Commonly diagnosed causes of back pain include arthritis and stenosis in the

Joint replacement surgery is becoming more common as people lead longer, more active lives. However, many joint pain sufferers are surprised to discover that surgery is not always necessary.

spine, spinal disc injuries and compression frac-tures. Arthritis and overuse cause pain in other joints including shoulders, elbows, hips, knees, feet and ankles. Not to mention, traumatic injuries to any of these joints, such as fractures from falls or missteps, can also cause pain.

In fact, a fracture you had earlier in life can con-tribute to the pain you’re feeling now. That’s because trauma like a dislocated hip, a fracture or other injury to a joint increases your risk of arthritis.

If you get injured and the pain persists, see a doctor. The best advice says orthopedist Randolph O'Hara, MD, is "to stay active. The more active you are, the better you'll feel."

A doctor’s medical advice about your injury, body mechanics, future activities, as well as continuing to perform physical therapy exercises at home, can prevent re-injury.

“One of the benefits of Torrance Memorial Physi-cian Network is that each of our orthopedists has a sub-specialty training so we’re very well-informed of all the treatment options,” explains Dr. Nuccion. “We offer many treatments that when used alone or together can provide people with a better outcome.”

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2 ADVANTAGE NEWSLETTER / Torrance Memorial Health System

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The Best Pain Relieving Treatments for Common Orthopedic Problems

ARTHRITIC BACKS"The most common injury is caused by osteoarthritis of the spine. Pain is often

related to bending, lifting or standing," explains orthopedic surgeon Randolph O'Hara, MD. "Rest and ice are appropriate for the first couple days along with ibuprofen or Naprosyn. As symptoms improve, physical therapy becomes the mainstay treatment. A daily stretching program is crucial."

If patients continue to have significant symptoms, they might undergo epidural steroid injections or microsurgery.“Microsurgery is where we make a small incision and we clean out bone spurs and

arthritic tissue around the nerves in the back. In some cases we put bracing on the inside to provide joints with extra support. The results are phenomenal,” says orthopedic surgeon and spine expert Tiffany Rogers, MD. “Patients can finally stand up, walk and get their life back because their nerves are no longer being pinched.”

DISC INJURIES AND COMPRESSION FRACTURES “Most disc injuries respond to the right type of physical ther-

apy and injections,” says orthopedic surgeon and spine expert Tiffany Rogers, MD. “Compression fractures usually heal in eight to twelve weeks. Patients often wear braces and need some pain medication. Sometimes we inflate balloons inside the bone and put in bone cement to stabilize the bone. It’s a relatively new, same-day surgical procedure.”

ANKLE ARTHRITIS AND ANKLE INJURIES “Non-surgical treatments are the first line of treatment,”

says orthopedic surgeon and foot specialist Keri Zickuhr, MD. “That often includes some kind of support, like a brace or a walker boot.” Ankle fractures often require surgery.

“If fractures are not corrected initially it can actually lead to worse problems later,” explains Dr. Zickuhr. “I do a lot of ankle replacements and deformity reconstruction so people can have their lives back.”

FOOT INJURIESCommon foot injuries include toe abnormalities such as hammer toes or clawed

toes as well as footpad atrophy, arthritis, plantar fasciitis and tendon degeneration. “If you can lower the inflammation with an anti-inflammatory, then the pain goes

down,” explains Keri Zickuhr, MD. “I also recommend physical therapy to work on balance to make sure people are using the muscles and tendons in the most appropriate manner. This helps to strengthen the tendons that are weak and stretch the tendons that are tight. Physical therapy can also decrease inflammation.”

Issue #6 SUMMER 2017 3

Advances in Non-Surgical Treatments for Restoring Pain-Free Mobility

Torrance Memorial Medical Center is on the cutting edge of treatment to relieve pain, inflammation and restore your active lifestyle. Our doctors are leaders in their orthopedic specialties and use a variety of new, non- invasive treatments to help their patients heal including:

Platelet Rich Plasma (PRP)Doctors remove platelets from a person’s

blood and inject them into the area of injury. The platelets have growth factors and stimulate a biologic chain of events that can decrease pain and inflammation and also help stimulate a healing response. It’s very effective for muscle injuries as well as chronic tendonitis like ten-nis elbow or patella (knee) tendonitis. It’s also effective in the treatment of early to moderate arthritis as well as some types of rotator cuff tears and knee meniscus (cartilage) tears.

Growth Factor InjectionsDoctors harvest immature cells from the

patient or a donated source and inject them into the area of injury to stimulate a healing response in the body. They can work well for small rotator cuff tears or for early arthritis in the shoulder and knee.

Physical TherapyA customized physical therapy program is

clinically proven to strengthen muscles and tendons that support joints. As a result, there is less inflammation, stiffness and pain as well as increased range of motion and flexibility. Harvard Medical School reports that in some cases, such as torn knee cartilage, physical therapy works just as well as surgery.

SHOULDER PROBLEMSAnti-inflammatory medication, steroid injections and physical therapy

may all relieve pain and restore shoulder strength. In some cases, surgery is recommended.“Rotator cuff surgeries can be done arthroscopically with minimal

invasion to the tissue for less tissue trauma and less recovery time,” says orthopedic surgeon and shoulder specialist Stephen Nuccion, MD.

“If a shoulder injury is severe, a shoulder replacement using new biomaterials with great longevity allows patients to get their range of motion and strength back. It also allows them to be active in a way that they don’t have to worry about wearing out their prosthesis. In the past, the materials have not had the longevity that they have today.”

TENNIS ELBOW OR TENDONITISRest, anti-inflammatories and physical therapy can help

ease elbow pain and swelling. New biological treatments also work well. “I often use a biologic treatment called platelet rich plasma (PRP). We remove platelets from a patient’s blood and inject them into the area of injury,” says Stephen Nuccion, MD.

“The platelets have growth factors that can decrease pain and inflammation and also help stimulate a healing response. It’s very effective for chronic tendonitis like tennis elbow.”

HIP PROBLEMSExercise is one of the best things for maintaining range of motion

and strengthening the muscles that support the hip to help relieve arthritis pain. Anti-inflammatory medication as well as medications to slow bone loss are also an important part of treatment. When pain persists, hip surgery is necessary. “In 2004, orthopedic sur-geon Don Sanders, MD, brought us a new method of hip replace-ment using an incision in the front of the hip called the anterior approach. There is less tissue disruption so patients have a more rapid recovery,” explains John McNamara, MD, chief medical officer at Torrance Memorial Medical Center.

KNEE PROBLEMSAnti-inflammatories, injections and physical therapy are first

line treatments for knee problems. When surgery is neces-sary, advances in biomaterials and minimally invasive treat-ments have improved recovery time. “We get patients up and walking the day of surgery,” says orthopedic surgeon and knee specialist Stephen Nuccion, MD. “This improves range of motion and restores independence more quickly.”

To contact Torrance Memorial Physician Network orthopedic surgeons Stephen Nuccion, MD; Tiffany Rogers, MD and Keri Zickuhr, MD, call 310-517-1216. To contact orthopedic surgeons Don Sanders, MD and Randolph O'Hara, MD call 310-784-2355.

“Many of the problems that get in the way of quality of life can be addressed and fixed.” STEPHEN NUCCION, MD, ORTHOPEDIC SURGEON, TORRANCE MEMORIAL PHYSICIAN NETWORK


Behind every medicine that people have ever taken are thousands of patients who have volunteered to participate in clinical trials. These

clinical trials have led to many breakthroughs in disease treatment in the last half-century. When it comes to cancer, clinical trials can provide a unique opportunity for patients to receive advanced research treatments previ-ously restricted to university cancer centers.

“Every cancer therapy we have now was once tested in a clinical trial. Clinical trials are important to move the field of cancer treatments forward,” explains Swati Sikaria, MD, a hematologist and oncologist with Torrance Memorial Physician Network - Cancer Care (TMPN – Cancer Care). “For an individual patient, a clinical trial can pro-vide access to a new therapy that’s potentially better than the current standard.”

TMPN - Cancer Care is leading the charge in treating cancer patients in the South Bay by providing cutting edge, FDA-approved therapies and also innovative clinical trials and genomic assays. These trials include some from UCLA through the TRIO-US Clinical Trials Network, others through pharmaceuti-cal companies, and in 2018 in affiliation with Cedars-Sinai Medical Center. Some are for cancer medications, others are blood tests to develop early cancer detection methods, and others are for supportive care measures in an effort to help patients avoid side effects of chemotherapy.

“Some people are scared of the idea of a clinical trial because it’s an experiment so to speak. However, I have seen patients in a clinical trial, which was experimental at the time, and they beat the odds. The drug is now FDA-approved and on the market,” explains Dr. Sikaria. “It’s exciting for patients who feel that they got the drug first and have helped others benefit from a treatment that works. In other cases, a trial may prove the new treat-ment is no better than what we have now.”

TMPN – Cancer Care is an affiliate of the Hunt Cancer Institute and the only comprehensive cancer center in the South

Bay offering patients the advantage of being treated locally.

“Cancer treatment is very time intensive. There are lots of appointments for labs, che-motherapy and doctors follow-ups,” says Dr. Sikaria. “If you have an emergency you may need to be seen immediately. We’re right here affiliated with your local hospital and your local doctors to make getting the care you need easier.”

“We also help provide a lot of patient assistance,” says Dr. Sikaria. “For example, we search for financial assistance through charitable organizations to help cover patient expenses. You won’t get that kind of help at different cancer centers.”

TMPN – Cancer Care is one of a handful of national leading oncology groups picked by the Centers for Medicare and Medicaid Services (CMS) to pioneer the Oncology Care Model for the nation.

All patients enrolled in these trials are treat-ed at Torrance Memorial Physician Network – Cancer Care’s infusion center located in Redondo Beach.

For more information on clinical trials or to browse clinical trials that are currently enrolling patients, visit TorranceMemorial.org/ClinicalTrials

Clinical trials can be a way for cancer patients to gain access to innovative, but not yet proven, types of treatment.

A Leader in Clinical TrialsTORRANCE MEMORIAL PHYSICIAN NETWORK - CANCER CARETORRANCE MEMORIAL

HUNT CANCER INSTITUTE

Nutrition and CancerAugust 9Free. The South Bay Survivorship Consortium is presenting a program on Nutrition and Cancer featuring artwork and a speaker. The speaker is Colleen Doyle, MS, RD, managing director of nutrition and physical activity for the national office of the American Cancer Society. Light refreshments will be served. Wednesday, 5:30 – 6 p.m., visit the Lilly Oncology Oncology on Canvas: Expressions of a Cancer Journey art exhibit on view. Speaker is from 6 – 8 p.m. Hoffman Health Conference Center.

Space is limited and reservations are required. Call 310-517-4660.

SUPPORT GROUPS

Head and Neck Cancer Support Group Free. A safe environment to share your experiences related to diagnosis. Also, learn about available resourc-es. Facilitated by Tom Fox, RN, MSN. Meets the fourth Tuesday of every month, 6 – 7:30 p.m. West Tower, 2nd floor, Room B.

Women’s Cancer Support GroupFree. A gathering of women sharing stories, gathering strength and learning to adapt to life changes. Meets Tues-day, 10 – 11:30 a.m., weekly. Hoffman Health Conference Center, Room 3.

Men’s Cancer Support GroupFree. A gathering of men with any type of cancer sharing their ques-tions, concerns and experiences of living with cancer. Meets second Tuesday of every month, 6 – 7:30 p.m. West Tower, 2nd floor, Room B.

For a complete list of support groups visit torrancememorial.org/supportgroups


The 3 Phases of a Clinical Trial

Phase I studies are usually the first research involving people. They are designed to learn about safety and side effects. Because these studies are so preliminary, they are often limited to those who have not had positive results from other treatments.

Phase II studies are focused on determining whether the treatment works as the medical researchers believe it will. Typically in phase I and II trials, all participants get the study drug or treatment. There is no placebo group.

Phase III studies are designed to measure efficacy against the current best treatment. Phase III studies are usually large (several hundred people) so there are typically a number of different locations around the country that are enrolling patients in these studies. Phase III studies often give some patients the study drug or treatment and some patients a placebo. If a phase III trial has good results, the next step is submission of an application for approval to the FDA.

ASK THE DOCTOR:

Q: What is the MarginProbe® System for breast cancer treatment?

A: The MarginProbe® System is a new technology that helps surgeons assess the margins, or borders, of a lumpec-tomy performed for breast cancer during surgery. Getting a rim of normal tissue around the edges of the lump that’s removed is the key to a successful lumpectomy, otherwise known as Breast Conserving Therapy.

The MarginProbe® allows the surgeon to get immediate feedback, so I know if I need to excise additional tissue from any of the edges while we are in the operating room. This technology has been shown to reduce the number of patients who have to go back for a second surgery to have additional tissue removed at a later date. What a lot of pa-tients don’t realize is that the tissue has to be fixed in formalin and stained on slides, so the pathologist doesn’t look at the tissue under the microscope until a day or two after the surgery. With any lumpectomy, there is always a chance that the final pathology re-port will show some cancer cells at the edge of the lumpectomy. The national average is probably close to 25% of all patients having a lumpectomy that need a second surgery to clear the margins. That doesn’t mean the surgeon did something wrong; those cells can’t be seen without a microscope. That is why the MarginProbe® is such a great help, because it helps the surgeon to “see” what is at the edge of the tissue in real time. The MarginProbe® can cut the number of patients with positive margins in half.

The MarginProbe® can be used for any type of breast cancer. I have found it to be especially helpful in DCIS (ductal carcinoma in situ), where microscopic cancer cells are present but there is no actual tumor that can be seen with the naked eye; and for in-vasive lobular cancer. Most surgeons have not yet incorporated the use of MarginProbe® into their practice, and it is not available at every hospital. I am fortunate that Torrance Memorial Medical Center was supportive of my wish to provide my patients with the latest technology, so all of my patients can get cutting edge care!

Melanie Friedlander, MD, FACS

Above: Hugo Hool, MD, Patricia Sacks, MD, Evelyn Calip, RN, � omas Simko, MD, and Neil Bhayani, MD.

WECANCERCERCERCERCERCERCERCERCERCERCERCERCERCERCERCERCER

CUTTING-EDGE DIAGNOSTICS & TREATMENTS • EXPERT CARE • CLINICAL TRIALS

The Torrance Memorial Hunt Cancer Institute is a leader in Southern California for cancer care.

Our multidisciplinary team of expert physicians and nurse navigators offers our patients and their families advanced personalized treatment plans, comprehensive care and hope. TMCancerCare.com

TORRANCE MEMORIALHUNT CANCER INSTITUTE

TORRANCE MEMORIALHUNT CANCER INSTITUTE


How To Be Better In Bed—Lessons From The Sleep DoctorSponsored by the Graziadio Wellness Center

Presented by Michael Breus, PhD, Clinical Psychologist with a spe-cialty in Sleep Disorders, Diplomate of the American Board of Sleep Medicine, Fellow of The American Academy of Sleep Medicine and Sleep Expert for WebMD.

Free. Dr. Michael Breus, the “Sleep Doctor” as he’s known on “Dr. Oz,” will reveal his secrets of achieving a deep, restful sleep in this fun and engaging lecture. You’ll discover how to identify your personal bedtime, make your sleep environment perfect for you, and identify sleep myths that may be keeping you awake.

Monday, September 25, 6:30 p.m. Book Signing, 7-9 p.m. Lecture. Torrance Memorial Medical Center, Hoffman Health Conference Center, 3315 Medical Center Drive, Torrance, CA 90505

For more information visit TorranceMemorial.org/healthlecture RSVP required: Please call 310-517-4711

What is IRMMA and how does it affect me?

IRMAA stands for “Income Related Monthly Adjustment Amount.” It’s a tax for high-income earners that’s based on your income from two years prior. For example, a high-income earner for 2017 is defined as an individual reporting $85,000 in income or jointly reporting $170,000 in income for 2015. These income numbers have not changed since 2011, however the tax is adjusted and increases each year.

IRMMA is added into your monthly Medicare Premiums for Part B and Part D.

If you’ve had a major life-changing event and your income has dropped, then you can request Form SSA-44 from the Social Secu-rity Administration to ask for a reduction in your monthly IRMAA adjustment amount.

For more information about IRMMA or other Medicare costs, visit Medicare.gov. For more information about the Medicare plans available to you, or to schedule a free consultation with an independent insurance agent, call 310-257-7239.

Diabetes Prevention Program Enrolling Now!Generously supported by the Torrance Memorial LundquistCardiovascular Institute in partnership with Torrance-South Bay YMCA

If you’re at risk for type-2 diabetes, the YMCA’s Diabetes Prevention Program provides a supportive environment in a small group setting to learn how to adopt healthy habits to reduce your risk.

The year-long program begins with 16 one-hour weekly classroom sessions, followed by 8 monthly sessions. A trained lifestyle coach helps participants learn strategies for healthy eating, physical activity and other lifestyle changes.

The goal is for participants to lose 7 percent of their body weight and increase physical activity to 150 minutes per week.

Session topics include:• Healthy Eating• Managing Stress

• Tipping the Calorie Balance• Eating like a Fat Detective

The YMCA’s Diabetes Prevention Program is part of the Centers for Disease Control and Prevention-led National Diabetes Prevention Program and is nationally supported by the Diabetes Prevention and Control Alliance.

For more information call Jamisson Costa, Diabetes Prevention Program Regional Director at 310-602-4905 or email [email protected] or visit www.ymcala.org/DPPsignup

MEDICARE NEWSTORRANCE MEMORIAL HEALTH AND HEALING CENTER

Dr. Michael Breus

Who Needs a Bone Density Test?If you are a women over 65, a man over 70, or sustained a fracture, talk to your doctor about a bone density test.

Not all insurance plans cover bone density tests. Check with your insurance carrier before scheduling an appointment.


Health and Wellness ClassesRegistration required for all classes. Call 310-517-4666 or register online at torrancememorial.org/classes

AARP Driver Safety ProgramJuly 8, August 12, September 9Learn the latest driver skills and safety techniques in the nation’s first and largest course designed for drivers over 50. Upon completion you’ll receive a California certificate that may qualify you for a discount on auto insurance. One eight-hour class. Sat., 9 a.m. – 5 p.m. Cost: $15 AARP members; $20 non-members.

AARP Driver Safety Program(Refresher Course)July 15, August 19, September 16If you have taken the 8-hour class within the past 3 years and are looking to renew your driving certificate, this 4-hour refresher course is for you. Bring your current AARP driver certificate. Sat., 9 a.m. – 1:30 p.m. Cost: $15 AARP members; $20 non-members.

Advance Health Care DirectiveAugust 9Free. Learn methods of communicating your healthcare wishes in writing to your family, friends and healthcare team. Topics include updates in law regarding Advance Directives. Wed., 6 – 7:30 p.m.

Alzheimer’s Questions and AnswersSeptember 7Free. Have you ever wondered if Alzheimer’s disease and dementia are the same? During this presentation by Alzheimer’s Greater LA we’ll explore this question and many others. Participants are encouraged to bring their questions, and together, we’ll discuss the answers. Meets Thur., 9:30 – 11:30 a.m.

A Taste of Meditation September 13This class is a good first step on the path of mindfulness practice, a meditation that can reduce stress, ease some types of physical and emotional challenges and lead to a more compassionate outlook on life. Wed., 6 – 7:30 p.m. Cost: $15 reg., $12 ADVANTAGE members.

Balance Checks September 11Free. Do you have balance problems or are you concerned about falling? Come for a balance assessment. Space is limited. Mon., 9 – 11:30 a.m.

BEST: Balance, Endurance and Strength TrainingJuly 18 – September 5September 26 – November 14This small, group exercise class led by a physical therapist is dedicated to Balance, endurance and strength training focusing on reducing your fear of falling. This intermediate class require you to be able to walk with a cane. Pre-testing required. See below. Meets Tue., 11:30 a.m. – 12:20 p.m. Cost: $85 reg., $80 ADVANTAGE members.

BEST Class: Balance ChecksSeptember 12, September 19Free. Come for a balance assessment required to attend BEST: balance, endurance and strength training class. Space is limited. Mon., 10:30 a.m. – noon.

Upcoming Classes and Events

Don’t see what you’re looking for?Check www.torrancememorial.org/classes for more information or call 310-517-4666.

Breast Health InformationJuly 12, September 13Free. Did you know that one in eight women will suffer breast cancer in their lifetime? Learn about breast cancer screening and how to perform breast self-examination. Wed., 5 – 6 p.m., Torrance Memorial Medical Center’s Polak Breast Diagnostic Center, 3275 Skypark Drive, Torrance.Reservations required. Please Call 310-784-6335, OPTION 3

Mastectomy/Breast Reconstruction Pre-Op ClassJuly 6, August 3, September 7Free. Prepare for your surgery by learning what to bring to the hospital, what to expect during hospitalization and how to care for yourself at home while you recover. Thur., 5:30 – 7:30 p.m.

Mastectomy/Breast Reconstruction Support GroupJuly 13, August 10, September 14Free. Get to know other survivors who’ve experienced mastectomy/breast reconstruction surgery. Share stories and receive help and support. Thur., 5:30 – 7 p.m.

Seating is limited and registration is required. You may bring ONE support person with you to the breast class and/or breast support group. Call 310-517-4660 or register online at torrancememorial.org/Classes

For more information contact Evelyn Calip, BSN, RN, at [email protected] or 310-784-6384.


Brain Games and MoreJuly 10 – August 7Learn techniques to not only preserve your memory, but also improve it. This class is creative, fun and grounded in the latest science on brain aging. Meets Mon., 10 – 11:30 a.m. Cost: $50 reg., $45 ADVANTAGE members.

Caregiver Training: Part 2September 13 – October 25 (No class Oct. 4)This series will help you to identify stress related to caregiving, understand housing options, manage caregivers in the home, learn about community resources, medication management and much more. Meets Wed., 6:15 – 8:45 p.m. Cost: $55 reg., $50 for ADVANTAGE members.

CORE4: 12-Week Adult Weight Management ClassAugust 30 – November 8CORE4 is a program developed by registered dietitian nutritionists based on evidence and guidelines from the Academy of Nutrition and Dietetics. This program includes an individual appointment with a registered dietitian nutritionist in addition to 11 group sessions. Following the completion of this 12-week program, monthly support group sessions will be offered to help participants continue toward their weight management goals. Meets Wed., 4 – 5 p.m. Cost: $200. Call 310-891-6707 to schedule your one-on-one appointment with a registered dietitian nutritionist prior to the start of group sessions.

Fall Prevention & Balance ImprovementSeptember 18 – October 23Taught by a physical and an occupational therapist, this 6-week series will introduce you to several different disciplines that can assist in long-term improvement of balance skills. Meets Mon., 1:30 – 3 p.m. Cost: $85 reg., $80 ADVANTAGE members.

Fibromyalgia Patient Education ProgramJuly 25 - August 15August 29 – September 19Free. Time for patient education is often restricted in busy practices. These small group educational sessions will enable patients diagnosed with fibromyalgia to learn the latest evidence-based information about their condition. The 4-week series covers fibromyalgia from diagnosis to treatment (pharmaceutical and non-pharmaceutical), with the goal of patient self-empowerment and better management. Instructor: Stanley Tobias, MD, FACR. Meets Tue., 2 – 4 p.m.

How to B.E.A.T. Everyday StressSeptember 7 – October 12Stress is a part of life, but your reaction to stress contributes either positively or negatively to your overall health. Learn new ways to respond to stress that lead to optimal health. Meets Thur., 6:30 – 8 p.m. Cost: $70 reg., $65 ADVANTAGE members.

Medication 101September 12Free. It’s so important to understand your medications. At this lecture, a Torrance Memorial pharmacist will help you increase your knowledge of topics such as actions and side effects, dietary supplement regulation and medication interactions. Meets Tue., 1 – 3 p.m.

Power BalanceJuly 20 – September 7September 28 – November 16A class designed to improve balance by using exercises on a trampoline, agility training and cardio equipment that is taught by a physical therapist. Meets Thur., 4:15 – 5:05 p.m. Cost: $85 reg., $80 ADVANTAGE members.

VASEK & ANNA MARIA POLAK BREAST DIAGNOSTIC CENTER


Reiki ExchangeAugust 3Free. Learn this Japanese technique of “laying on hands” for stress reduction and relaxation that also promotes healing. Thur., 6:30 – 8 p.m.

Sounder SleepJuly 14 – August 18September 15 – October 20Learn unique self-healing techniques based on the Sounder Sleep System and the teachings of Dr. Moshe Feldenkrais. Reduce stress tension and anxiety during the day, and promote restful sleep and quick recovery from awakenings during the night. Meets Fri., 1:00 - 2:15 p.m. Cost: $70 reg., $65 ADVANTAGE members.

The Savvy Caregiver ExpressJuly 12, 26 and August 9Free. This three-part program provides caregivers with basic knowledge, skill and attitudes needed to care for someone with Alzheimer’s disease or another dementia. Provided by Alzheimer’s Greater Los Angeles. Wed., 6:30 – 8:30 p.m.

Questions for the Pharmacist July 6, August 3, September 7Free. Do you have questions about your medications? Sit down with a Torrance Memorial pharmacist and get the answers you need. Please bring your “brown bag” of all medicines you’re currently taking. Thur., noon - 1 p.m.

Using Healing Touch as Energetic First AidSeptember 30This class is an excellent introduction to the modality of Healing Touch, an energy-based, complementary (or integrative) approach to wellness. Meets Sat., 1 – 4 p.m. Cost: $50 reg., $40 ADVANTAGE members.

Exercise & MovementClassesLocation: The Center For Healthy Living at Malaga Cove, 2550 Via Tejon, Palos Verdes Estates Please see page 15 for cost and registration information.

Chair DancingJuly 12 – August 30September 13 – November 1This chair exercise class helps integrate, mind and spirit through gentle movements. This upbeat and fun class will focus on breathing, bending, stretching and using all of your nerves and muscles in physical activity while building new neural pathways. It will also help you relax so you can sleep better. Meets Wed., 1:30 – 2:30 p.m.

Chair YogaJuly 12 – August 30September 13 – November 1This class is for pre and post-operations, disabled adults, senior citizens, weight challenged, sedentary and desk-bound individuals. These chair exercises include an emphasis on posture, breath work, strengthening, stretching, resistance training and mental awareness. This has been shown to improve arthritis and lower blood pressure. Meets Wed., 3 - 4 p.m.


Needto See a

Doctor

Offices located in: Torrance, Carson,Redondo Beach, Manhattan Beach,

Hermosa Beach and San Pedro

Appointments scheduledM-F 8 a.m. – 5 p.m.

Dr. Carmen MoralesPrimary Care

824 E. Carson Street, Suite 203Carson • 310-233-3203

Dr. Nicole LeePrimary Care

705 Pier AvenueHermosa Beach • 310-891-6708

Dr. Kate NiehoffPrimary Care

3701 Skypark Drive, Suite 100Torrance • 310-378-2234

Dr. Keith ChumleyPrimary Care

3701 Skypark Drive, Suite 100Torrance • 310-378-2234

Call Our PhysicianReferral Coordinator to

Schedule An Appointment.310-891-6717

TMPhysicianNetwork.org


Healthy Back: The Feldenkrais Method for Strengthening Your BackJuly 13 – August 31September 14 – November 2Experiencing chronic back pain? Discover gentle floor exercises using the Feldenkrais Method which tone muscles that support the spine, allowing greater freedom of movement and contributing to a more active lifestyle. Meets Thur., 11:30 a.m. – 12:30 p.m.

Healthy Brain: The Feldenkrais Method for Boosting your BrainJuly 12 – August 30September 13 – November 1Using the principles of neuroplasticity, this class will focus on Feldenkrais exercises that help to improve brain function and re-organize neurological connections that boost your brain health. Meets Wed., noon – 1 p.m.

Mat Pilates, Intermediate/AdvancedJuly 12 – August 30September 13 – November 1Fast-paced and dynamic class, that focuses on strengthening your core muscles to help improve your balance and provide support for your spine. Participants must have a moderate fitness and flexibility level. Mat Pilates experience is required. Meets Wed., 10:30 - 11:20 a.m.

Posture is Power (2x weekly) July 11 – August 31September 12 – November 2Plagued by back, neck, shoulder, knee, ankle and/or foot pain? Move away from postural limitations with simple assessments, self-massage, stretches and corrective exercises that restore vitality from head to toe. Meets Tue. and Thur., 8:30 – 9:30 a.m.

Restorative Zen Yoga July 11 – August 29September 12 – October 31Quieting, supportive and deeply nourishing practice. This type of yoga calms and restores the nervous system activating the relaxation response. We use props such as blankets and bolsters to support postures, surrender and release deeply held tension in the body and mind. Meets Tue., 7:30 – 8:30 p.m.

Dancing to the Oldies But GoodiesJuly 10 – August 28September 11 – October 30 Get a good aerobic workout while exercising to rhythmic, rock and roll and disco music. Have fun while you burn calories. Meets Mon., 12:45 – 1:45 p.m.

Somatic Yoga TherapyJuly 11 – August 29September 12 – October 31This class creates a new freedom of movement, a safe space to restore health, balance, flexibility, concentration and it can release and reverse neuromuscular pain (chronic and acute). It is ideal for those recovering from injury, illness or just starting with yoga and interested in postural alignment. Meets Tue., 11:30 a.m. – 12:30 p.m.

Strengthening with Hand WeightsJuly 11 – August 29September 12 – October 31An all-levels class that will help you tone muscles. Exercises performed standing or sitting in a chair. Meets Tue., 1:15 - 2 p.m.

Tai Chi, AdvancedJuly 10 – August 28September 11 – October 30Once basic forms are learned students will go deeper into the fine points, refining movements and their connections that lead to improved health and mental focus. Meets Mon., 2 – 3 p.m.

Courses Offered in Collaboration with Lomita Parks and Recreation

Muscle Strengthening: Advanced$16/8 week series plus equipment fee if needed. Call for dates. Tue., 9:45 to 10:25 a.m.Muscle Strengthening: Beginning$16/8 week series plus equipment fee if needed. Call for dates. Thur., 9:45 to 10:25 a.m.

Call Lomita Parks and Recreation Center at 310-326-0140 for more information or to register.

Courses Offered in Collaboration with Torrance Adult School

Chair YogaYoga adapted for a seated chair position. Tue. and Thur., 9 – 10:15 a.m., Cost: $55. Reservations required. To register go to www.tastusd.org or call 310-533-4689 for more information.

Miracle Of Living at the Beach

One Time Injury or Sidelining Moment? Protect and Repair Joints with Total Joint Replacement Tuesday, July 25 7:30 p.m. at Shade Hotel1221 N. Valley Dr., Manhattan Beach RSVP suggested. Call 310-517-4703.

Whether we run, walk, spin, or swim, who doesn’t worry about the defining injury that could bench us for the game? Learn how to stay active with a progressive strategy to manage pain caused by arthritis or a past injury. Learn how to optimize joint health and determine the best time for joint replacement. Consider new exercises or shoes, and strengthening the kinetic muscle chain to protect the core, and avoid injury. In constant pain? You’ll hear about new medications, lubricating injections, and new techniques to replace aging and injured hips, knees and shoulders.


Unity (3x weekly)July 10 – September 1September 11 – November 3A fun, energetic full body exercise program with an emphasis on strength, stability and core training. No two classes are alike. All levels welcome. Taught by a certified personal trainer. Meets Mon., Wed. and Fri., 8:15 – 9:15 a.m. or 9:15 – 10:15 a.m.

Unity (2x weekly)July 11 – August 31September 12 – November 2A fun, energetic full body exercise program with an emphasis on strength, stability and core training. No two classes are alike. All levels welcome. Taught by a certified personal trainer. Meets Tue. and Thur., 6 - 7 p.m.

Yoga BasicsJuly 10 – August 28July 12 – August 30July 13 – August 3 (4 weeks)July 15 – September 2September 11 – October 30September 13 – November 1September 14 – November 2September 16 – November 4Harmonize body, mind and spirit through gentle stretching exercises, traditional yoga poses, breathing techniques and guided relaxation. Meets Mon., 4:15 – 5:15 p.m., July 10 – Aug. 28 and Sept. 11 – Oct. 30. Meets Wed., 5:30 – 6:30 p.m., July 12 – Aug. 30 and Sept. 13 – Nov. 1. Meets Thur., 4:15 – 5:15 p.m., July 13 – Aug. 3 (4 weeks) and Sept. 14 – Nov. 2. Meets Sat., 9 – 10:15 a.m., July 15 – Sept. 2 and Sept. 16 – Nov. 4.

Yoga Basics/RestorativeJuly 15 – September 2September 16 – November 4This class is a combination of gentle yoga, body and postural awareness exercises plus restorative yoga poses, and breath work to help strengthen your body and mind as you age. Recommended for those

experiencing stress, wanting to gently unwind, relax and renew. Meets Sat., 10:30 – 11:45 a.m.

Exercise & MovementClassesLocation: The Health Education Center, 3105 Lomita Blvd., TorrancePlease see page 15 for cost and registration information.

Chair Yoga, Focusing on the Lymphatic SystemJuly 10 – July 31 (4 weeks)September 11 – October 30A yoga class adapted to a seated chair position with the goal of gently stimulating lymphatic flow. This is especially helpful for those with compromised immune systems. It can reduce swelling and aid the body’s ability to ward off colds and flu. Meets Mon., 2:30 – 3:30 p.m.

Chair Yoga to Improve Balance & Strengthen BonesJuly 13 – August 31September 14 – November 2A beginner, level 1 class using a chair in seated and standing poses. Perfect for those diagnosed with osteopenia or osteoporosis. Meets Thur., 2 - 3:00 p.m.

Feldenkrais Chair LessonsJuly 10 – August 28September 11 – October 30These chair lessons, designed specifically for sitting, provide the opportunity to learn while minimizing the likelihood of strains or injury. They teach you how to apply attention and awareness to improve physical function and promote greater freedom of movement. Meets Mon., 10:30 – 11:30 a.m.


GETBACK TOYOU

SCHEDULE A CONSULTATION TODAY TMOrtho.com

YOU DON’T HAVE TO ENDURE CONSISTENT BACK PAIN AND DISCOMFORT.

We offer expert orthopedic care with a comprehensive range of back and spine treatments from preventative exercise classes to the latest advancements in both non-surgical and surgical care. We can diagnose your discomfort and personalize a holistic or surgical plan that returns you to the life you love.


Healthy Bones: The Feldenkrais Method for Improving BonesJuly 10 – August 28September 11 – October 30Concerned about losing bone density? Diagnosed with osteopenia or osteoporosis? This class will focus on the Feldenkrais exercises that help support bone health. Meets Mon., 9 -10 a.m.

Inner Core FitnessJuly 10 – August 28July 12 – August 30September 11 – October 30September 13 – November 1Smaller waist, stronger bladder and less back pain after 50! A revolutionary program that uses neuromuscular retraining (imagery and visualization techniques) coupled with anatomy awareness that will trigger the involuntary activation of your inner corset. Meets Mon., 5:15 – 6:05 p.m., July 10 – Aug. 28 and Sept. 11 – Oct. 30 or Wed., 11:00 – noon, July 12 – Aug. 30 and Sept. 13 – Nov. 1.

Integrated YogaJuly 12 – August 30September 13 – November 1A yoga class integrating pranayama (breath work), asana (postures), and deeply relaxing meditation, such as Yoga Nidra, which is the equivalent of 4 hours of sleep. Meets Wed., 7:30 – 8:30 p.m.

Mat PilatesJuly 12 – August 30September 13 – November 1A method of exercise with emphasis on dynamic physical movement through space with stretch, strength, and control, building flexibility and balance in a fast-paced workout. Meets Wed., 5:15 – 6:05 p.m.

Somatic Yoga TherapyJuly 11 – August 29July 13 – August 31September 12 – October 31September 14 – November 2This class creates a new freedom of movement, a safe space to restore health, balance, flexibility, concentration, and it can release and reverse neuromuscular pain (chronic and acute). It is ideal for those recovering from injury, illness, or

just starting with yoga and interested in postural alignment. Meets Tue., 9:30 – 10:30 a.m., July 11 – Aug. 29 and Sept. 12 – Oct. 31 or Thur., 9:30 – 10:30 a.m., July 13 – Aug. 31 and Sept. 14 – Nov. 2.

Somatic Yoga IntermediateJuly 14 – September 1September 15 – November 3This class is a blend of somatic education and hatha yoga resulting in the unification of the mind and the body. It is designed to realign the body to its natural posture by learning how to relax chronically tight muscles during yoga practice. It focuses on lengthening and strengthening the muscles, balance and postural alignment, breathing and meditation. Meets Fri., 9:30 – 10:30 a.m.

Tai Chi, IntermediateJuly 11 – August 29July 12 – August 30September 12 – October 31September 13 – November 1As students become more familiar with the techniques of balancing and relaxation, they will learn more of the movements to complete the tai chi form. Meets Tue., 2:30 – 3:30 p.m., July 11 – Aug. 29 and Sept. 12 – Oct. 31 or Wed., 4 – 5 p.m., July 12 – Aug. 30 and Sept. 13 – Nov. 1.

Tai Chi, AdvancedJuly 12 – August 30September 13 – November 1Once basic forms are learned students will go deeper into the fine points, refining movements and their connections that lead to improved health and mental focus. Meets Wed., 3 – 4 p.m.

DO YOU HAVE MEDICARE?

ARE YOU TURNING 65 OR ON A RETIREE PLAN?

Learn about your options including Medicare HMO & PPO, Supplements (Medi-gap) and Part D Prescription Plans.

Find a free Medicare event near you at thipa.org/Medicare101 or call 310-257-7239 for a no-cost consultation.


Gardening ClassesWhat’s Bugging Your Garden?August 12, August 14As the summer’s heat intensifies and you’re looking to get the most out of your warm season crops, come and learn how to troubleshoot your summer garden. Class topics include natural pest and disease control, soil and feeding, weed control and irrigation.

Preserving Your Summer HarvestSeptember 9, September 11If you want to preserve your herbs or your fresh vegetables, come and learn the best ways to use and save them through the fall and winter months. We’ll cover the different options for preserving, recipe ideas, and resources to make the most of your summer bounty.

$10 per class. Instructor: Judith Gerber. Meets 9 – 11 a.m. Held outdoors at the Torrance Memorial Learning Garden, Columbia Park Community Garden Presentation Area, 4045 W. 190th St., Torrance. Dressing in layers is always the best idea and wearing clothes that can get a little dirty. Registration required. Call 310-517-4711 or register online at torrancememorial.org/classes


Medicare 101 Educational Program:DO YOU HAVE MEDICARE? ARE YOU TURNING 65 OR ON A RETIREE PLAN?

Attend Torrance Health IPA’s no cost, no obligation Medicare 101 Educational Program to learn about Medicare and the different types of insurance plans available

to you including: Medicare HMO & PPO, Supplements (or Medigap), and Part D prescription plans.

Moderated by Norman Panitch, MD.Chairman, THIPA Physician Council

June 28, 2017 6:30 - 8:00pm July 26, 2017 6:30 - 8:00pm August 31, 2017 6:30 - 8:00pm September 27, 2017 6:30 - 8:00pm

*Doors open at 6 p.m. for registration.*Light refreshments will be served.

Location: Torrance Memorial MedicalCenter Hoffman Health Conference Center 3315 Medical Center Dr.Torrance, CA 90505Seating is limited.

To make a reservation: visit www.thipa.org/Medicare101 or call 310-257-7239.

Yoga for BalanceJuly 13 – August 31September 14 – November 2This class specifically focuses on poses that will reinforce body awareness, improve reflexes and strengthen the core and postural muscles that aid in the ability to prevent falls. Meets Thur., 12:30 – 1:45 p.m.

Yoga for FibromyalgiaJuly 10 – July 31 (4 weeks)September 11 – October 30Slow, calming movements help relax the body and mind in this gentle, restorative class. The emphasis will be on increasing your range of motion and slowly loosening cramped muscles to decrease your pain. We will use simple movements, breathing techniques and guided visualization to release endorphins, which are the body’s natural painkillers. Please wear loose comfortable clothing and socks. All levels welcome. Meets Mon., 1:30-2:30 p.m.

Yoga for OsteoporosisJuly 11 – August 29July 13 – August 31September 12 – October 31September 14 – November 2A yoga class for anyone who wants to maintain and build bone strength, while increasing balance and flexibility. Those with osteoporosis welcome. If you are new to yoga, consult with your doctor aboutphysical limitations. Meets Tue., 11:00 a.m. – 12:15 p.m., July 11 – Aug. 29 and Sept. 12 – Oct. 31 or Thur., 11 a.m. – 12:15 p.m., July 13 – Aug. 31 and Sept. 14 – Nov. 2.

Yoga for WellnessJuly 12 – August 30September 13 – November 1Yoga can increase your strength, flexibility and range of motion and lung capacity. This class focuses on correct postural alignment for maximum health benefits. Meets Wed., 9:30 - 10:45 a.m.


Support Groups of TorranceMemorial Medical CenterDIABETES DROP-IN SUPPORT GROUP Free. Share information and discuss resourc-es related to life with diabetes. Meets on the 1st and 3rd Wed. of the month from 1 - 2 p.m., or the 2nd and 4th Tue. of the month from 7 - 8 p.m. Torrance Memorial Specialty Center, 3rd floor conference room, #350. Call facilitator Dolores Cellier, RN, CDE at 310-891-6707 for more information.

BEREAVEMENT DROP-IN SUPPORT GROUPFree. Meets Mon., 6 – 7:30 p.m., Tue., 6 – 7:30 p.m., and Thur., 3 – 4:30 p.m., weekly. Call 310-784-3751 for more information.

CAREGIVER SUPPORT GROUPMeets Tue., 6:30 – 8 p.m. weekly. First class is free, then $2 a person. West Tower, 5th floor, Room H.

EAT CLEAN & GREENFree. Torrance Memorial’s Plant-based Living Group is a welcoming environment to share ideas, resources and strategies for moving toward a whole food, plant-based diet. Meets the second Monday of the month, 6:30 – 8 p.m., West Tower, 2nd floor, Auditorium.

FIBROMYALGIA SUPPORT GROUPSponsored by the Arthritis Foundation for people with fibromyalgia. Meets the second Sat. of the month, 1 – 3 pm. Cost: $2 donation if affordable. West Tower, 2nd floor, Room B. Call William Horn at 310-324-6810 for more information.

MEDITATION CIRCLEFree. Support group of people coming together to meditate. Not a class, but a chance to practice meditation. Meets Tue., 4:30 - 5:30. West Tower, 5th floor, Room H.

NICOTINE ANONYMOUS DROP-INSUPPORT GROUPFree. Support group for people quitting smoking. Open to people who have quit or are trying to quit. Meets Mon., 7 – 8:30 p.m. weekly. McMillen Medical Building, Ste. 300.

OSTOMY SUPPORT GROUPFree. Provides education and emotional support for ostomates; Facilitated by two enterostomal therapists. Meets the 4th Thur. of every month, 7:30 - 8:30 p.m. West Tower. Call Anne Marie Knudsen at 310-548-8558 or email [email protected] for more information.

PARKINSON’S DISEASE SUPPORT GROUPFree. This support group features open discussion as well as education via guest speakers for those with Parkinson’s Disease. Family members and friends are welcome to attend. Meets the 2nd Sat. of each month, 2 – 4 p.m. Hoffman Health Conference Center. Call Tonya Dapson at 424-757-8370 for more information.

For a complete list of support groups visit torrancememorial.org/supportgroups

Miracle Of LivingJoin us the 3rd Wednesday of the month at 7 p.m. for Torrance Memorial Medical Center’s popular health lecture series. Hoffman Health Conference Center, Rooms 1 & 2. Free. No reservations required.

July 19Decline in Aging Speakers: Nicole Lawrence, MDMary Beth Miller, MD Sharmone La Rose

August 16ADHD Adult/ChildrenSpeakers: TBA

September 20OrthopedicsSpeakers: TBA

MISSED MIRACLE OF LIVING?

View online at www.torrancememorial.org/mol Or, come to the video replay. 10 a.m. – noon the following Monday. Reservations required. Call 310-517-4711.

July 24: Decline in AgingAugust 21: ADHD Adult/ChildrenSeptember 25: Orthopedics


Financial Health Check-UpJoin Torrance Memorial’s Professional Advisory Council for its series of free interactive seminars on a variety of financial topics to help you take care of your financial health. Seminars are strictly educational.

Do You Really Need a Long Term Care Plan? A Panel Discussion | July 8Speakers: Christian Cordoba, Financial Consultant; Sylvia Thompson, Life Care Manager; Andrew M. Meinzer, Attorney Learn what type of long term care services you might need and what they’ll cost. Hear about options for long term care insurance as well as what other benefits you may be eligible for through Medi-Cal.

Bootcamp for Executors | August 12Speakers: Suzanne Grudnitski, Professional Fiduciary; Kazuaki Uemura, Attorney Being an executor of a will or estate is not always easy. Discover key concepts and terms in plain English. Learn about duties and responsibilities of the settlement process. Find out how you should prepare today to mitigate challenges in the future.

Using Living Trusts to Accomplish Your Estate Planning Goals—It Isn’t Just About Avoiding Probate | September 9Speakers: Eric Harris, Attorney; Ron Miller, Professional FiduciaryFind out how to protect your heirs from effects of divorce, bankruptcy, creditor claims, substance abuse, consumer spending and special needs issues. Learn how to motivate heirs to achieve goals using incentive trusts. Design plans to maximize flexibility in a shifting tax landscape.

All seminars are free and take place on Saturdays from 9 – 11 a.m. at the Hoffman Health Conference Center located at 3315 Medical Center Drive in Torrance. Continental breakfast is provided. Please RSVP to Nina Guidry at 310-517-4728 or [email protected]

Cost and Registration for Class Series (unless otherwise noted in listing)

Registration required. Call 310-517-4666 or register online at torrancememorial.org/classes

ONCE WEEKLY CLASSES: Regular Rate: $72 for 8 weeks ($64 ADVANTAGE members), $36 for last 4 weeks ($32 ADVANTAGE members).

THIPA Members and Torrance Memorial Physician Network patients get 40% off regular rate: $43.20 for 8 weeks, $21.60 for last 4 weeks.

TWICE WEEKLY CLASSES: Regular Rate: $144 for 8 weeks ($128 ADVANTAGE members), $72 for last 4 weeks ($64 ADVANTAGE members).

THIPA Members and Torrance Memorial Physician Network patients get 40% off regular rate: $86.40 for 8 weeks, $43.20 for the last 4 weeks.

THRICE WEEKLY CLASSES: Frequent Exerciser Rate: $168 for 8 weeks, $84 for last 4 weeks.

THIPA Members and Torrance Memorial Physician Network patients pay a reduced rate: $129.60 for 8 weeks, $64.80 for last 4 weeks.

Not sure if your doctor is with the Torrance Memorial Physician Network? Visit TMPhysicianNetwork.org/Physicians and find out.

Need help selecting a primary care physician? Call our referrals coordinator at 310-891-6717.

ADVANTAGEHealthy Living Over 50

ISSUE #6 SUMMER 2017

3330 Lomita Boulevard, Torrance, CA 90505-5073

INSIDE THIS ISSUE:The Best Pain Relieving Treatments for Common Orthopedic Problems page 2

Torrance Memorial Physician Network’s Cancer Care Offers the Latest Clinical Trials page 4

Ask The Doctor: How is the MarginProbe® System Saving Women’s Lives? page 5

When Do You Need a Bone Density Test? page 6

Upcoming Classes and Events page 7

Torrance Memorial Medical Center310-325-9110 TorranceMemorial.org

ADVANTAGE Program Information310-517-4666Mon. - Fri. 9 a.m. – 4:15 p.m.

Torrance Health IPA (THIPA)Learn More: 310-257-7239 Thipa.orgTHIPA Members: 866-568-4472Mon. - Fri. 8:30 a.m. – 4:30 p.m.

Torrance Memorial Physician Network310-891-6717 TMPhysicianNetwork.orgMon. – Fri. 7:30 a.m. – 4 p.m. www.torrancememorial.org

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NON-PROFIT ORGUS POSTAGE PAIDTORRANCE, CAPERMIT NO 381

Documents

ADVANTAGE - Torrance Memorial Medical Center · 2017. 7. 12. · tures. Arthritis and overuse cause pain in other joints including shoulders, elbows, hips, knees, feet and ankles