Tag: therapy

Hormone Replacement Therapy, hormonal replacement therapy.#Hormonal #replacement #therapy


Hormone Replacement Therapy

Hormonal replacement therapy

In hormone replacement therapy, women supplement their natural estrogen production with external sources of the hormone. Because menopause symptoms are directly caused by decreases in estrogen and progesterone, external supplementation is extremely effective in decreasing the severity of symptoms such as hot flashes, vaginal dryness, bone loss, and mood swings.

Hormonal replacement therapy

Hormonal replacement therapy

Hormonal replacement therapy

While hormone replacement therapy is effective in reducing menopausal symptoms, there is a chance your symptoms will come back once you stop the therapy.

The decision to use hormone replacement therapy is complex and depends on your unique situation and circumstance. HRT has several possible side effects and it is recommended that the lowest effective dosage for the shortest time be used.

Women who experience premature or early menopause may be stronger candidates for hormone replacement therapy. Young women are also more likely to use full-dose estrogen dosages, as low-dose estrogen therapy at a young age does not maintain bone density. Some women with induced menopause due to cancer, hormonal therapy may not be appropriate.

Estrogen and progesterone come in a variety of pills, patches, gels, creams, and emulsions. In early perimenopause, some doctors may prescribe birth control pills (which contain estrogen) to help with irregular periods. As you get closer to menopause and start to experience other side effects such as hot flashes or vaginal dryness, your doctor may prescribe estrogen and/or progesterone directly.


Hormone replacement therapy can help with menopause symptoms by:

  • Reducing hot flashes
  • Treating vaginal dryness
  • Slowing bone loss
  • Decreasing mood swings and depression
  • Improving sleep


Women should not take hormone replacement therapy for menopause if:

  • Think they are pregnant
  • Have problems with vaginal bleeding
  • Have had certain kinds of cancers (such as breast and uterine cancer)
  • Have had a stroke or heart attack
  • Have had blood clots
  • Have liver disease

Hormone Replacement Therapy Products

Finding the right regimen of estrogen type, form, and dosage may require time and patience. There are two types of pure estrogen dosage forms (systemic and local), a customized compound forms created by your pharmacist, and combination estrogen and progestrogen produts.

Estrogen Products Used to Treat Menopause in the US and Canada

conjugated equine estrogens

Premarin Vaginal Cream

synthetic conjugated estrogens

Neo-Estrone Vaginal Cream**

estropipate (Piperazine estrone sulfate)

Ogen Vaginal Cream

Estrace Vaginal Cream

Estring Vaginal Ring

Vagifem Vaginal Tablet

Femring Vaginal Ring

Systemic Dosage Form

In systemic dosage form, estrogen circulates throughout the entire body and affects many tissues. Systemic dosage forms include oral pills, skin patches / gels, and injections. The full range of benefits and risks are associated with this form of hormone replacement therapy. Estrogen injections are not recommended for menopause treatment as direct injection does not supply a stable long lasting level of hormones and instead aggravates the hormonal fluctuations experienced in perimenopause. Additionally, women who have not had a hysterectomy (i.e. still have a uterus) should use a combination of estrogen and progestogen to protect against the risk of endometrial cancer.

Local Dosage Form

In local dosage form, the active hormone(s) only affect the immediate localized area. The vast majority of vaginal estrogen products are considered local. These would include vaginal creams, rings, and vaginal tablets. Local dosage forms are most commonly used to treat moderate to severe vaginal dryness and atrophy. Only a small amount of the hormone estrogen circulates through the body and thus it is not appropriate for treating other symptoms of menopause such as hot flashes and osteoporosis. One exception to this rule is the new estradiol acetate vaginal ring (Femring). The Femring does deliver a systemic dosage of estrogen so it can address hot flashes. As in systemic dosage forms, it is recommended that women with a uterus add progestogen to routine when using Femring and other high dosage local forms so as to mitigate the risk of endometrial cancer.

Customized Forms

In addition to the standard estrogen formulations listed, your doctor may prescribe a compounded dosage form that is custom made by your pharmacist. These compounded forms are customized, both in the active ingredient(s) used and in the physical form. Examples includes various capsules, skin creams, gels, subdermal implants, sublingual tablets, rectal suppositories, and nasal sprays. Some types of estrogen are only available as a compound. For example, estriol, a weak estrogen with 5-10% the strength of 17beta-estradiol is typically compounded in an oral mixture with three other estrogens (80% estriol, 10% estrone, and 10% 17beta-estradiol). This is known ass Tri-est.

Progestogen Combinations

Progestogen is another female hormone is commonly combined with estrogen to treat perimenopause symptoms such as hot flashes. It s primary benefit however is to protect against the risk of uterine cancer. Using a pure estrogen therapy alone for 5 or more years increases the risk for uterine cancer by 3 times or more. Adding progestogen helps mitigate this risk by preventing the endometrium from thickening.

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Midnight Sun Tanning, Anti-age therapy and skin care servicing Guelph and Cambridge, Ontario #tanning


Now Offering Pain Free Laser Hair Removal & Skin Rejuvenation!

Midnight Sun Tanning Guelph and Cambridge are pleased to offer various levels of UV tanning and now available at both locations is UV FREE Spray Tanning.
Read more »

Midnight Sun Tanning in Guelph and Cambridge are pleased to now offer PAIN FREE Laser Hair Removal, Skin Rejuvenation and Customized Facials performed by our in-house aesthetician. Read more »

Midnight Sun Tanning offers a variety of high quality products from many suppliers for indoor, outdoor and self-tanners use. Read more »

Safe, clean, friendly tanning

Thank you for your interest in Midnight Sun Tanning Laser Studio Guelph and Cambridge. We are committed to providing you excellence and quality with every visit. Our friendly, knowledgeable and Smart Tan Certified staff will help you through the tanning process with individual attention and customized treatment. We offer the benefits of always looking good and feeling great, and ultimately we seek to go beyond your expectations to attain your complete satisfaction.

Midnight Sun Tanning Laser Studio Guelph and Cambridge is open every day of the week and there is no membership or sign-up fee. You can pay-as-you-tan or purchase one of our three simple tanning packages. Appointments are available, however walk-ins are always welcome.

Midnight Sun Tanning Laser Studio offers both UV sunbeds and stand-ups ; VersaSpa spray tan ; pain free laser hair removal using SharpLight technology. facials and eyelash/brow tinting performed by our in-studio esthetician; and the Guelph also offers Red Light Therapy (non-invasive, full body collagen rejuvenation) for the reduction of fine lines, wrinkles and cellulite.

Our Tanning Care Professionals work consistently on a very thorough cleaning schedule. Your tanning room and tanning equipment will always be neat, tidy and sanitized. Our tanning equipment is cleaned and maintained based on a proven maintenance schedule that has been developed over the last 21 years. We guarantee lamps will be changed long before the manufacturers’ recommended lamp life expires. You re assured a first class experience every time you tan.

Midnight Sun Tanning Laser Studio staff are all certified through the International Smart Tan Network before moving on to work as your Tanning Care Professional. These experts work with you, evaluating your skin type and tanning goals. They will help customize a special program that fits you and your schedule.

Newsletter Sign Up

Keep in the loop with Midnight Sun’s specials, events and news updates by signing up for our e-newsletter .

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Jennifer Evans, Psy #florida, #gainesville, #anxiety, #depression, #clinic, #anxiety, #disorder, #treatment, #cbt, #child, #adolescent,


Jennifer Evans, Psy.D. earned her doctoral degree in clinical psychology from the California School of Professional Psychology (at Alliant International University) in San Francisco, CA. She completed an APA-approved predoctoral internship and a Multicultural Postdoctoral Residency at San Jose State University s Counseling Services. She was first licensed as a psychologist in California in 2011, and has been licensed as a Florida Licensed Psychologist since 2014.

Dr. Evans has experience providing individual and group therapy to adolescents and adults in community mental health, substance abuse facilities, and college counseling centers. Dr. Evans brings experience with a broad range of psychiatric and psychological issues to our practice as well as interests in helping individuals examine and work with issues relating to the intersection of identity and social, cultural, and systemic impacts.

Much of Dr. Evan s psychotherapeutic emphasis has focused on individuals diagnosed with anxiety disorders. social anxiety disorder. depression. alcohol and substance abuse, ADHD and learning difficulties. Her therapeutic focus also includes stress management and adjustment issues, trauma, women s issues, social skills difficulties, gender identity and sexuality issues, and cultural identity concerns.

Dr. Evans incorporates Cognitive Behavioral Therapy (CBT) and other psychological treatment approaches in her work with patients. Her perspective benefits from her interest in multicultural feminist psychology, as well as strong interest and experience in exploring and assisting individuals with self-concept, self-esteem, identity, and the process of personal growth and change. Her focus involves examining and working on thoughts and behaviors which may negatively impact resiliency, self-concept, adjustment or mood and working through a process of exploration and change.

Dr. Evans has experience and training in serving a diverse set of populations suffering from milder to more severe ranges of life difficulties and psychopathology. She has provided individual therapy, family therapy, and/or case management to college-age students, adolescents and family members involved in residential treatment for addictions, individuals with severe or debilitating mental illness, and with HIV-positive patients in a community mental health setting. Dr. Evans has experience in providing group therapy to adults, children and adolescent. She has provided group therapy to college students, and group therapy to children and adolescents with social skills deficits.

Dr. Evans has a high level of specialty expertise in providing mental health services to LGBTQ clients and communities (particularly transgender clients) to the CPANCF staff. Dr. Evans has provided training to medical and mental health care providers in the provision of culturally sensitive services to transgender clients, including utilization of the WPATH Standards of Care. Dr. Evans was integral in the program development, implementation, and evaluation of the Safe Zone training program at the University of Central Florida.

Member, American Psychological Association

Member, World Professional Organization of Transgender Health (WPATH)

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Postmenopausal hormone replacement therapy and venous thromboembolism #postmenopausal #hormone #replacement #therapy


Postmenopausal hormone replacement therapy and venous thromboembolism



Women taking hormone replacement therapy (HRT) have a 2- to 5-fold increased risk of venous thrombosis compared with nonusers. Increasingly, evidence has suggested that the size of the risk increase varies according to related factors, such as the type of estrogen used, the mode of delivery, and the presence of other predisposing factors.


The aim of this study was to examine the current literature to assess the varying risk of venous thrombosis among women taking HRT.


An extensive search was carried out on all major electronic databases including MEDLINE 1995 to October 2005 and BIS (EMBASE) 1980 to October 2005. Relevant keywords relating to thrombosis ( venous thromboembolism, venous thrombosis, deep vein thrombosis. and pulmonary embolism ) combined with hormones ( hormone replacement therapy and estrogen ) were used to capture all potentially relevant studies.


The increased risk of a first episode of venous thrombosis in women currently taking HRT compared with nonusers ranged from 1.22 (95% CI, 0.76–1.94) to 4.50 (95% CI, 1.30–15.10). Similar increases in risks for deep vein thrombosis and pulmonary embolism were found. The risk of venous thrombosis is the highest in the first year of therapy, durich which as much as a greater than 6-fold increase was found. Women taking estrogen-progestin HRT had a significantly greater risk of venous thrombosis than those using estrogen-only preparations (odds ratio [OR], 1.60; 95% CI, 1.13–2.26). Studies have also suggested a dose-related effect, suggesting high-dose estrogen therapy is associated with a greater increased risk of venous thrombosis than low-dose preparations. Comparisons between oral and transdermal HRT have shown a significant difference in the relative risk of venous thrombosis (OR, 4.0; 95% CI, 1.9–8.3) favoring the use of transdermal preparations. The presence of thrombophilia, particularly factor V Leiden, further amplifies the risk of venous thrombosis in women using HRT (OR, 13.16; 95% CI, 4.28–40.47). The presence of other risk factors, such as increasing age and being overweight, were all shown to be associated with a further increase in the risk of venous thrombosis.


Recent studies have confirmed that current users of HRT are at increased risk of venous thrombosis. The increase in risk has been shown to vary according to duration of use, with the risk being greatest during the first year of use. Moreover, the increased risk varies according to the type of preparation and presence of additional risk factors such as increasing age, obesity, cancer, and recent surgery. Few studies have examined the relationship between thrombophilia, HRT and venous thrombosis; thus, more research is required in this area before accurate estimates of the risk can be made.

Key words

hormone replacement therapy

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Accredited PT Programs – Physical Therapy Board of California, st augustine physical therapy.#St #augustine


st augustine physical therapy

Physical Therapy Program

901 East Alosta Avenue

Azusa, CA 91702-7000

Michael Laymon, PT, Program Director

Physical Therapy Department

2345 East San Ramon Avenue, MS-MH29

Fresno, CA 93740-8031

Peggy R. Trueblood, PT, PhD, Program Director

Department of Physical Therapy

College of Health and Human Services

1250 Bellflower Boulevard

Long Beach, CA 90840

Kay Cerny, PT, PhD, Program Director

Department of Physical Therapy

18111 Nordhoff Street

Northridge, CA 91330-8411

Janet Adams, PT, MS, Program Director

Department of Physical Therapy

Sacramento, CA 95819-6020

Susan McGinty, PT, EdD, Program Director

Department of Physical Therapy

One University Drive

Orange, CA 92666

Venita Lovelace-Chandler, PT, PhD, Program Director

Department of Physical Therapy

School of Allied Health Professions

Loma Linda University

Loma, Linda CA 92350

Larry Chinnock, PT, EdD, Program Director

Department of Physical Therapy

10 Chester Place

Los, Angeles CA 90007

Debbie L. Lowe, PT, PhD, Program Director

Department of Physical Therapy

450 30th Street Suite 3706

Oakland, CA 94609

Terrence M. Nordstrom, PT, Program Director

Department of Physical Therapy Rehab Science

1318 7th Avenue, Box 0736

San Francisco, CA 94143-0736

Nancy Byl, PT, PhD, Program Director

Department of Biokinesiology Physical Therapy

1540 East Alcazar Street, CHP 155

Los Angeles, CA 90089-9006

James Gordon, PT, EdD, Program Director

700 Windy Point Drive

San Marcos, CA 92069

Wanda B. Nitsch, PT, PhD, MTC, Program Director

(760) 591-3012 Toll Free (866) 557-3731

Department of Physical Therapy

School of Pharmacy and Health Sciences

3601 Pacific Avenue

Stockton, CA 95211

Cathy Peterson, PT, EdD, Program Director

Department of Physical Therapy Education

309 East 2nd Street

Pomona, CA 91766-1889

Denise Schilling, PT, PhD, Program Director

St augustine physical therapy

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St augustine physical therapy

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Meth user-turned-advocate: Drug addicts need medical attention, not prison #, #arielle #claypool, #oil #boom,


Meth user-turned-advocate: Drug addicts need medical attention, not prison

mommy is not with her right now…

On April 14, 26-year-old Arielle Claypool emailed The Dickinson Press, in addition to countless other media groups, attorneys, judges and prosecutors. She joined numerous Facebook groups, both in North Dakota and across the country, to post her message: Drug addicts should receive more medical attention and counseling rather than prison time.

Claypool moved to Dickinson from Wanatah, Indiana, in 2012 for work during the oil boom. In November 2014, she tried methamphetamine for the first time. She was drinking and partying with some friends one night and someone laid out a line of meth. Alcohol served as the gateway drug, she said. She would get drunk, do a line of meth and sober up so she could drink more. Over time, she started drinking less and using meth more.

For a lot of people, meth suppresses the pain — it gets you so high that you forget everything that is going on around you, she said. At the height of her drug use — which spanned more than two years — she was using about a gram of meth a day. While this is a lot for a single person to use, she said she knows people who use a ball a day, which is 3.5 grams.

She ate it and smoked it, but her favorite method was snorting it. She developed a deviated septum as a result. The pain from snorting it over time caused her to miss the initial rush of the drug because of the throbbing in her nose. That pain helped her slow down for a while before she turned to smoking meth instead, which requires more of the drug. But addicts are always in pursuit of that initial high.

“You’re always going to chase it. You’re chasing that dragon, always chasing the dragon,” Claypool said.

She drew the line at shooting meth — injecting the drug directly into her bloodstream. A lot of people turn to using needles when the other methods start proving less effective, but she is grateful she never did. That was always the one thing she was able to pride herself on, she said.

She had battled depression throughout her life, but was always able to climb her way out of these “funks,” she said. But she had never turned to drugs, something that she now feels ashamed of.

“I’m surprised I kind of fell into being an addict because I had to grow up with it,” she said. “It was awful watching my parents not prioritize me or my brothers, and I’ve always resented them for it until it happened to me.”

She was homeless for a year, moving from house to house with her boyfriend — both always looking for a couch to crash on and more drugs. She lost her job. Her daughter’s father took her 3-year-old child and moved to Portland. Her friends abandoned Claypool, leaving her with only her “drug friends.” She found herself using more and more.

“Drug addicts, they get a bad name, but really we’re not bad people, we’re just (in a) bad situation,” she said. “We put ourselves in it, yes, but addiction is hard because you lose everyone around you, and really that’s what an addict needs is someone, like a good support system to help pull them out of it. But when everyone just kind of abandons an addict, that’s when they find themselves getting deeper into addiction. That’s kind of what happened to me.”

A consistent problem

Dickinson Police Capt. David Wilkie said his department deals with meth-related crimes on a weekly basis, noting that he puts meth and meth-related paraphernalia into evidence every week.

“Part of the reason why meth has been a consistent problem is with a little bit of research on the internet and supplies that you can get just about anywhere, you can make meth yourself,” Wilkie said. “You have to plant and harvest and cultivate and everything else marijuana, or buy it from somebody else. Same with heroin. Same with any of the opiates. … Any knucklehead can make meth.”

The area also does not have any long-term facilities, he said. Every facility is outpatient. There have been efforts to get resources to the area, but in the meantime people have to go to Bismarck, Fargo or even other states to find long-term treatment.

Though Dickinson is the main hub in the eight-county region, it’s still not large enough to attract the resources to combat the problem, Wilkie said. For example, Dickinson has a hospital, but it’s not large enough to have a full-time treatment center or housing for addicts. It is also difficult to attract full-time mental health specialists such as psychiatrists, who are also important to combating drug addiction.

“Not only is drug addiction just an addiction, but there’s also mental health issues that go with that,” Wilkie said. “So you’re not really treating a person holistically when you’re just treating one element, because there’s some reason that they became a drug addict. People don’t just wake up when they’re 5 years old and go, ‘I’m going to be a drug addict.’ People want to be firemen, people want to be an airplane pilot, people want to be somebody in the Army. Nobody wants to be a meth addict.”

Badlands Human Service Center and other privately-owned clinics in the area offer outpatient addiction counseling and services to help addicts and their family members.

Jan Kuhn, licensed addiction counselor at Sacajawea Substance Abuse Counseling in Dickinson, said she creates individual therapy plans for each addict. Patients usually work with them for an average of about eight weeks. She also offers consultation for family members.

“An addict or an alcoholic who is currently and mindfully using and wants to continue, there’s really no advice for that because they will continue doing what they’re doing,” Kuhn said. “But the people who love them don’t know what to do, and I encourage those people to call us because we can certainly intervene. We offer all kinds of interventions, family interventions, and there’s really no need to not do anything.”

A new purpose

Claypool has been sober for the last three months and is working to acclimate back into society. Since deciding to become sober, she returned to Indiana to stay with family for a few weeks and now avoids the people she used to hang out with and any situation that may tempt her to use again in Dickinson.

After two or three years of her life revolving around drugs, returning back to normal is scary. Even basic things such as waking up at a normal hour and going to bed at a normal time took time to relearn, she said. After quitting the drug, she slept for two weeks. Even leaving the house for short periods of time was taxing.

Now she is working a few odd jobs mowing lawns, cleaning and gardening.

Over the last few months, Claypool has devoted much of her time toward spreading awareness about the need to treat addiction as a medical problem more so than a criminal problem.

“Addicts need help, not prison,” she said. “In prison, you’re just sitting there staring at four walls all day. You’re not learning how to channel your energy into something else. I mean, you have to pretty much learn how to relive your life after an addiction.”

The system is now set up for failure, she said. People get hooked on drugs, get arrested and charged with felonies, and then are sent to prison to serve their time. When they get out, they have trouble finding a job because of the felony on their record, and even if they try to stay clean, they may end up helping sell drugs just to support themselves and then fall back into using again — a vicious cycle, she said.

Wilkie agreed that addiction does need to be dealt with, but noted that possession of meth is still against the law and therefore still has consequences.

Claypool’s daughter is one of the main driving forces behind her renewed sobriety. Her goal is to one day see her again.

“My biggest regret would probably be the fact that I didn’t prioritize what I needed to, like my daughter,” she said. “I prioritized my high. That was my biggest concern, but with any addict that normally is. Nothing else matters except for the next time you’ll get a cigarette or that cup of coffee or that drink or that fix.”

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SUNY DOWNSTATE OCCUPATIONAL THERAPY #suny #downstate #occupational #therapy


Suny Downstate Occupational Therapy

  • Services provided to those individuals who are unable to cope with the tasks of everyday living and who are threatened or impaired by physical illness or injury, psychosocial disability, or development deficits.
  • therapy aimed to restore a person s basic skills, such as bathing and dressing.
  • A form of therapy for those recuperating from physical or mental illness that encourages rehabilitation through the performance of activities required in daily life
  • therapy based on engagement in meaningful activities of daily life, especially to enable or encourage participation in such activities in spite of impairments or limitations in physical or mental functions
  • The State University of New York Health Science Center at Brooklyn, better known as SUNY Downstate Medical Center, is a public university and medical center located in central Brooklyn, New York and the only academic center for health education, research, and patient care serving Brooklyn’s 2.

    suny downstate occupational therapy Suny Downstate

    Suny Downstate Medical Center (NY) (College History)

    In 1860, the nation s first college-hospital was founded in Brooklyn. Initially called the Long Island College Hospital, Collegiate Division, this innovative institution was the first to bring controversial, cuttingedge methods of teaching to the study of medicine in the United States. Until this time, medical students had been taught exclusively in schools, rarely leaving the lecture hall for first-hand experience. With the belief that medical instruction should be brought to the hospital bedside, the renowned institution that became SUNY Downstate Medical Center was founded, changing the course of medical instruction forever. In 2000, on its 140th anniversary, SUNY Downstate is celebrated for its innovative teaching practices and superior instructors and equipment. Now the largest medical school in New York State, SUNY Downstate prepares about 1,500 students per year for careers in medicine, nursing, and the allied health professions. SUNY Downstate Medical Center is an incredible new volume that includes not only photographs but also announcements, bulletins, degrees, theses, and countless other memories from the last 140 years.

    Bioscience Center in Sunset Park

    Councilwoman Gonzalez, Mayor Bloomberg, State Senator Golden and SUNY Downstate announce development of a 500,000 square-foot commercial bioscience center. May 20, 2010
    (Photo Credit: Spencer T Tucker)

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  • Prostate Cancer – Hampton University Proton Therapy Institute #prostate #cancer #proton #beam #therapy


    Proton Treatment for Prostate Cancer

    If you have been diagnosed with prostate cancer, you are not alone. Prostate cancer is the most commonly diagnosed cancer in the United States. Hundreds of thousands of men are diagnosed yearly, adding to the millions of individuals already affected by this disease. 32

    Luckily, early detection and treatment often leads to positive results. Though options vary case to case, proton therapy is frequently considered to be an ideal choice for many men. At Hampton University Proton Therapy Institute (HUPTI), our doctors have enormous experience treating prostate cancer.

    Proton Therapy and Prostate Cancer

    Prostate tumors are resistant to radiation and therefore require very high doses of destructive energy. Additionally, the prostate is nestled between two of the most radiation-sensitive structures in the body (the bladder and rectum). This presents a particularly difficult dilemma for radiation oncologists. Excess radiation, especially to sensitive regions, can cause discomfort and complications, so the dose to these areas must be limited. At the same time, the radiation must be high enough to cause effective damage to cancerous cells.

    Proton therapy meets this seemingly paradoxical issue with a precise, targeted form of radiation. Unlike other treatments, a proton beam has a concentrated range, allowing it to be controlled with a high degree of accuracy. It can deliver the maximal dose of radiation directly to the tumor while sparing surrounding tissues.

    This can translate into a lowered risk of prostate damage and a reduced chance of becoming incontinent or impotent. More serious complications are possible, though rare, depending on tumor location and other factors. Proton radiation is used to treat prostate cancer more than any other cancer type.

    Treatment options may vary on a case-by-case basis, so contact us to consult with our clinicians and find out if proton therapy could be right for you.

    Hear from Our Patients

    The staff is well informed, competent and caring. I can honestly say that the treatment and care were exemplary — better than any other treatment, surgery or care I have received elsewhere.

    Howard Taylor
    Prostate Cancer

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    Pro Active Physical Therapy – Be Active #proactive, #pro #active, #physical #therapy, #therapy, #hand


    ProActive Physical Therapy was founded to provide the highest quality, evidence-based Orthopedic Physical Therapy and Sports Medicine. We strive to be known as the The Center of Excellence for Orthopedic Physical Therapy . Clinical expertise and outstanding customer service are the hallmarks of our facility. Each patient will receive individualized quality hands-on care and appropriately designed treatment programs delivered with integrity and professionalism.

    ProActive Physical Therapy delivers the highest quality of rehabilitative care provided by licensed Physical Therapists. Our Therapists have completed hundreds of post-graduate education hours and have received several additional certifications beyond formal physical therapy education. These certifications include Active Release Techniques (ART ) and Trigger Point Dry Needling. Other credentials include doctorate level education in Physical Therapy. At ProActive Physical Therapy you will ALWAYS be seen by a Licensed Physical Therapist at each visit. We feel strongly that you are paying for the highest quality of care, and deserve to see a physical therapist at each visit. We strive to stay abreast of the current, evidence/research to guide our treatment plans. By seeing a physical therapist who subscribes to Evidence Based Practice it is likely you will improve at a faster rate allowing you to return to activities of daily living, work, and sports sooner. This allows us to deliver the best possible care to you in a cost effective manner.

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    Back 2 Basics Outdoor Adventures Drug and Alcohol Addiction Treatment Center #back2basics, #back2basics #sober



    Back2Basics is a long-term substance abuse and alcohol treatment program for young adult males, ages 18 to 30 years of age.

    Back2Basics substance abuse treatment supports young men struggling with addiction in a safe, stable rehab community.

    Located in vibrant Flagstaff, Arizona, our community gives your loved one the opportunity to recover and grow from drug and alcohol abuse in a positive, peer-driven, staff-supported, healing-outdoor and residential sober living environment.


    Our program goes beyond the basics of traditional drug and alcohol rehab to help every resident develop personal and group accountability, along with responsibility– characteristics that tend to be forgotten or ignored by most active drug addicts and alcoholics.

    Our Program Includes:

    • Therapy Counseling
    • Outdoor Adventure
    • Life Skills Education
    • Culinary Program Healthful Eating
    • Exercise


    Our long-term treatment recovery model provides the foundation needed for addicts. This alternative approach to rehab and substance abuse recovery has given Back2Basics an extremely high success rate. Back2Basics is dedicated to providing the personnel and professional expertise, along with the concrete infrastructure to combat drug and alcohol addiction – both essential to the long-term transformation of our residents into self-sustaining, sober men.


    Back2Basics staff have addressed the needs of thousands of at-risk youth and young adults in Flagstaff alone. Back2Basics is committed to the recovery of your loved ones from the deadly disease of alcohol and drug abuse, offering a comprehensive program that not only works with the alcoholic/drug addict, but also works diligently to support those closest to our residents.

    With the proper blend of activity, knowledge based and spiritual learning experiences, B2B Residents embrace real change in their lives. From my perspective as the therapist, this incredible assembly of staff and activities opens the door to more successful outcomes. Simply put, clients remain clean and sober.

    John Valvo, MA, LISAC, LPC, Clinical Director Back2Basics Outdoor Adventures

  • I was in a pretty dark place before I got to B2B. Nearly ruined every important relationship I had with family and friends. Now being in the transitional phase of B2B gives me the opportunity to put all the work I have done to the test in the real world. There is always work to be done, glad to say i am in a place that helps me continue that work.

    Chris M Resident

  • I love working with the team at Back2Basics. The hybrid of outdoor treatment and traditional recovery based work is a great combination to get young men grounded and on their way to sustained recovery.

    Brenda Loringer B2B Educational Consultant

  • Often times residents have dealt with outdoor stresses by abusing drugs and alcohol. The outdoors puts them in a real stressful environment without the drugs to fall back on.

    Bob Baronas Outdoor Guide

  • It’s been a year of growth and healing for our son and our family. Thank you B2B for caring for him in the way that only professionals with your knowledge, compassion and experience can. I hated to admit my limitations as a mother, but I knew we couldn’t give him what he needed. He’s healthy, happy and ready for the next chapter thanks to your tough love and support. I can’t express how grateful I am that you were there for us.

    From a B2B Mom Parents

  • Before Back2Basics I was in a really rough spot in life. I knew something needed to change in myself but I did not know how to do so, or even how to address the issue. Once I was ready to try to change my life style and become open to help B2B was there for me. My one year stay at B2B was a challenging learning experience, which resulted in a huge opportunity for growth. The outdoor experience, therapy, and the transition program helped me learn and grow into a fulfilling life worth living. The experiences had and relationships made at B2B were exactly what I needed to get back on track with my life and my family.

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    “Nodding” out from our active morning rather than our compromised lifestyles #surfing #wildernessrehab. https://t.co/g86xI99W9U 2 days ago

  • Arizona Governor Doug Ducey declares statewide health emergency in Opioid Epidemic. At Back2Basics Outdoor. https://t.co/1nLYOP2BIc 2 days ago
  • Back2Basics took it’s Culinary classroom on the road this week! #ixtapa#mexsurf#spanishimmersionprogram. https://t.co/w3kO75javy 4 days ago

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    Back2Basics Outdoor Adventure Therapy

    Arizona Governor Doug Ducey declares statewide health emergency in Opioid Epidemic.

    At Back2Basics Outdoor Adventure Recovery and Sober Living we are here to help you or a loved one with treatment. Our program is for young adult men from 18-32 years of age. Give us a call at 928-814-2200 or visit our website at: http://back2basics-soberliving.com/

    The epidemic is REAL and we help young men from all over the US to learn how to overcome this addiction. Call now or share this with your family/friends to GET HELP NOW!

    As the number of opioid overdoses and deaths increase at an alarming rate, we must take action.”

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