My approach is to seek to understand how your condition affects you, your life, your work, and the people around you. I firmly follow the concept of “first do no harm” in the sense that we look at all the options. We offer information about medicine, lifestyle changes, and therapy as well as surgery. During the initial visit we will obtain an extensive history including some written materials in the office to help us get a better picture of your problem. With that in hand, we will complete a physical exam that enables us to identify some solutions to your problem. Then, in conjunction with your caregivers and family, we review which solution will work best for you at this time. As we proceed down the path towards a solution, we offer several communication tools to stay in touch.