The female body is in a constant state of change that is natural and complex. Hormones play a role in this change, from puberty to pregnancy to “child-bearing years” to perimenopause to menopause. While labels are placed on each of these stages, each change is an individualized journey for the body. For some patients, the journey is smooth, but for many women the path is less so. Each stage can have its challenges…heavy periods, anxiety, weight changes and shifts, hot flashes, fatigue, vaginal dryness, incontinence, to name a few. These concerns and complaints are common and can be incredibly frustrating as well as impact daily quality of life in many patients. There is some good news, however – there are easy, safe, and accessible treatment options that can improve life as well as have added lifelong health benefits.
Menopause
Menopause is the time during which a person naturally stops having menstrual periods as a result from a natural drop in estrogen levels from the ovary as a person ages. The average age of menopause is 51 and marks the end of reproductive years whereas perimenopause typically begins in the 30s or 40s and is characterized commonly by changes in a menstrual cycle.
Hallmark symptoms include the infamous hot flashes during which someone experiences a rush of heat to the upper body and face. These episodes can be debilitating and may occur at any time of day or night (night sweats). Sleep disruptions, whether related to hot flashes or not, are also common during which it may be difficult to fall or stay asleep.
Additionally, a drop in estrogen may also impact the skin of the vulva and vagina leading to dryness and irritation. These skin changes may cause pain at rest or with activity as well as lead to an increased risk of urinary tract infections.
Other non-specific gynecologic clinical features include changes in mood including a risk of new-onset depression and exacerbated mood lability. Relatedly, many patients experience perceived cognitive changes such as forgetfulness and trouble with word recall similar to a “brain fog.” Common complaints otherwise include joint aches and pain, breast pain and tenderness, and menstrual migraines.
Perimenopause, Menopause or Other Health Issues?
Unfortunately irregular bleeding and common symptoms of menopause may also represent other problems that need to be evaluated and treated. This is why it is important to seek out recommendations from a healthcare provider. Symptoms and concerns vary for each individual and can change with age. Your primary care physician can help navigate these stages. Your body systems are all interconnected, and it is important to address your body as a whole being, and not just one system at a time.
We recommend a wholistic approach to evaluating “all of you” to determine if there is any other contributing factor to your symptoms. For instance, fatigue can be a symptom of so many different things. Are you anemic? Is it your thyroid? Do you have sleep apnea? Are you anxious or depressed? Is your joint inflammation a manifestation of a rheumatologic condition? Is there any evidence of a more concerning development, such as cancer? These symptoms are distressing, frustrating, and influence day-to-day quality of life. It is important to address your concerns as well as think about long-term health benefits and effects.
Hormone Replacement Therapy
The goal of any treatment plan is to restore you to feeling “normal,” but sometimes the treatment process is to determine what your “new normal” is. Hormone replacement therapy is a safe and effective tool for many symptoms of the menopausal transition, but it is not the only answer. Many women are concerned about weight gain and a shift of weight “to the middle.” There are no shortcuts to improvement in health.
Cardiovascular exercise can ease stress and improve sleep. Weight training improves not only strength but may also improve confidence in the body and prevent falls. Nutrition gives the body the building blocks to age well. Sleep is essential. Hormone therapy may also not address the whole person. Hot flashes can contribute to sleep disturbance, which may lead to fatigue, depression, and anxiety. While it is important not to dismiss or be disingenuous to menopause, there are also many other causes of these symptoms and may overlap menopausal concerns.
Partnering with Your Healthcare Provider
Working with your healthcare team is the first step in improving day-to-day symptoms and setting one’s health up for long-term success. You are not alone. Your primary care provider and gynecologic specialists are two great resources of evidence-based information and safe reliable treatments to help make this transitional time of life easier and hopefully even more enriched.
What can you expect from your primary care physician? You can expect a comprehensive evaluation of your symptoms to include a discussion of your concerns, a physical evaluation to detect any other findings, and appropriate labs to discern the cause of your symptoms. Together, you will put together a plan that is evidence-based and appropriate for your needs.
Whether you choose to see an OB/GYN or your Primary Care Physician, addressing concerns is your first step to improving your health and outcomes. Your medical provider wants to ensure you are getting the best care possible and they are here to listen and work with you to achieve your optimal health.
Dr. Sandra Beulke is a Family Medicine physician who sees patients at Lakeview in Waconia.Dr. Spencer Ferrell is an OB/GYN physician who sees patients at Lakeview in Chaska and Waconia.
Chronic foot and ankle pain can interfere with everything from exercise routines to everyday activities. Whether you’re struggling with plantar fasciitis, Achilles tendinitis, arthritis, or a stubborn soft tissue injury, healing can sometimes take longer than expected. At Lakeview Clinic, podiatrist Dr. David Arens now offers Platelet-Rich Plasma (PRP) Therapy, an innovative regenerative treatment designed to stimulate the body’s natural healing response.
What Is Platelet-Rich Plasma (PRP) Therapy?
PRP therapy uses your body’s own healing components to target injured tissue. Your blood is drawn and processed to concentrate platelets and growth factors. These platelets are then injected directly into the injured area to stimulate repair and regeneration.
According to clinical literature in orthopedics and sports medicine, PRP has shown encouraging outcomes in treating two of the most common podiatric conditions, chronic tendon injuries and plantar fasciitis. Studies published in peer-reviewed journals such as The American Journal of Sports Medicine and Foot & Ankle International have demonstrated improved pain scores and functional outcomes in patients receiving PRP for chronic plantar fasciitis and Achilles tendinopathy compared to corticosteroid injections over longer-term follow-up. While results vary by patient and condition, PRP is widely recognized as a promising regenerative option in foot and ankle care.
How PRP Works
PRP therapy performed at Lakeview Clinic involves:
Blood Draw: Approximately 60–180 mL of blood is drawn from your arm.
Processing: The blood is spun in a centrifuge to separate and concentrate platelets and beneficial growth factors.
Injection: The platelet-rich plasma is injected into the targeted soft tissue or joint area.
The full process takes approximately 30–45 minutes.
Because PRP uses your own cells and tissues, the risk of rejection or contamination is extremely low. The goal is to restart and enhance the body’s natural healing cascade which is particularly helpful in chronic conditions where healing has stalled.
Conditions Commonly Treated in Podiatry
PRP therapy may be considered for:
Chronic plantar fasciitis
Achilles tendinitis or tendinosis
Peroneal tendon injuries
Posterior tibial tendon dysfunction
Ankle ligament injuries
Mild to moderate foot and ankle arthritis
Other chronic soft tissue conditions of the foot and ankle
Dr. Arens carefully evaluates each patient to determine whether PRP is an appropriate treatment option.
What to Expect After Treatment
PRP stimulates an inflammatory healing response, so mild discomfort following the injection is expected. Possible short-term effects may include:
Mild pain or soreness at the injection site
Bruising
Temporary fatigue or low-grade fever
Body aches
Healing typically begins within the first 4–6 weeks. Many patients notice improvement in symptoms and mobility within 4–8 weeks, though complete healing may take up to 9–12 months depending on the condition.
Some patients may require 2–3 treatments to achieve optimal results. Progress is usually assessed at least six weeks after the first injection. As with any medical procedure, results cannot be guaranteed.
Is PRP Right for You?
PRP therapy may be a valuable option if:
Conservative treatments have failed
You wish to avoid or delay surgery
You are seeking a regenerative, non-surgical approach
You prefer treatment using your body’s own healing properties
The best way to determine candidacy is through a comprehensive evaluation with Dr. Arens.
Important Payment Information
PRP therapy at Lakeview Clinic is considered an elective regenerative procedure.
This service is not billed to insurance, and payment is required upfront at the time of treatment.
Patients are informed of the full cost prior to the procedure and will review and sign a detailed consent form outlining risks, expectations, and financial responsibility.
Schedule a Consultation
If you are experiencing chronic foot or ankle pain and are interested in learning more about Platelet-Rich Plasma therapy, contact Lakeview Clinic Podiatry to schedule an appointment with Dr. David Arens.
A personalized evaluation will help determine whether PRP is appropriate for your condition and healing goals. Regenerative medicine is changing the way we approach chronic musculoskeletal pain, and PRP therapy may be an option to help you get back on your feet.
His practice involves all aspects of podiatric medicine and surgery. He performs surgery of all foot and ankle conditions ranging from bunions and hammertoes to fractures and chronic ankle pain.
Hearing plays a vital role in how we connect with others and navigate everyday life, yet it’s often overlooked until challenges begin to surface. At Lakeview Clinic, hearing health is viewed as an essential part of overall wellness and deserves proactive attention, early detection, and personalized care.
Hearing loss is often gradual and easy to miss. Many people don’t recognize the early signs, such as frequently turning up the volume, asking others to repeat themselves, or struggling to follow conversations in group settings. These subtle changes can build over time, making early evaluation key to maintaining strong communication and quality of life.
Why Early Hearing Care Is So Important
When it comes to hearing issues or loss, Lakeview Clinic providers often emphasize the value of early action. This is why we have a hearing specialist onsite at our Waconia Clinic who offers free hearing screenings. Untreated hearing loss doesn’t just affect your ability to hear, it can impact many areas of life, including:
Communication with family and friends
Social engagement and confidence
Cognitive stimulation and mental sharpness
By identifying hearing concerns early, patients can take steps to stay engaged, active, and connected. Even a simple hearing screening can provide valuable insight and peace of mind.
Meet the Specialist: Nathan Whipple
Nathan Whipple, a certified hearing specialist who is experienced and passionate about helping patients.
Nathan specializes in comprehensive hearing evaluations, hearing aid fittings, and ongoing hearing care management. He works with adults of all ages, taking the time to understand their unique hearing challenges, daily environments, and communication goals. This individualized approach allows him to recommend solutions that truly fit each patient’s lifestyle.
What sets Nathan apart is his patient-centered philosophy. He understands that addressing hearing loss can feel overwhelming or even emotional. By creating a supportive, low-pressure environment, he helps patients feel comfortable asking questions and confident in their care decisions.
With experience in modern hearing technology, Nathan provides guidance on today’s advanced hearing aids, including features like Bluetooth connectivity, rechargeable options, and discreet designs. He also supports patients through every stage of the process, from initial testing and device selection to fitting, adjustments, and long-term follow-up care.
A Personalized, Whole-Person Approach
As part of a multi-specialty care model, Lakeview Clinic integrates hearing health into a broader commitment to patient-centered care. This means patients benefit from coordinated services, convenient access to care, and a team that looks at the full picture of their health.
Take the First Step Toward Better Hearing
Hearing health is easy to take for granted but addressing it early can make a lasting difference. If you’ve noticed even small changes in your hearing, scheduling an evaluation is a simple step that can lead to meaningful improvements in your daily life. Appointments can be made by calling (952) 442-4461 and requesting an appointment with Hearing Health.
View VIDEO to get to know Hearing Specialist, Nathan Whipple.
In today’s world, it’s easier than ever to fall into a sedentary lifestyle. Many of us spend hours sitting at desks, in cars, or in front of screens. According to the American Heart Association, this level of inactivity is common and is linked to serious health risks including heart disease, diabetes, and even early death.
The good news is you don’t need to become a marathon runner overnight to improve your health. The journey starts with simply moving more.
How Much Activity Do You Really Need?
The American Heart Association recommends:
At least 150 minutes of moderate-intensity activity per week (like brisk walking)
75 minutes of vigorous activity (like running), or a combination of both
Plus, strength training at least 2 days per week
That might sound like a lot, but it breaks down to about 20–30 minutes a day, and it doesn’t have to happen all at once. Even short bursts of activity throughout the day add up.
Just as importantly, the guidance emphasizes: sit less, move more. Even light activity can help offset some of the risks of prolonged sitting. Make a point of getting up and stretching or moving during micro-breaks.
Sedentary Lifestyles Are Common
Only about 1 in 5 adults get enough exercise to meet these recommendations. That means most people are navigating similar challenges; busy schedules, fatigue, injuries, or uncertainty about where to start.
Lakeview Clinic medical providers frequently emphasize that movement is one of the most powerful “medicines” available, reducing risk of cardiovascular disease, improving mental health, and even lowering overall mortality risk.
Overcoming Barriers: You’re Not Alone
Unfortunately for many, getting started isn’t just about motivation, it’s about managing real physical limitations.
Chronic Illness or Injury
Conditions like arthritis, chronic pain, or past injuries can make exercise feel intimidating. But that doesn’t mean you should avoid movement altogether.
Physical therapy can help restore strength, mobility, and confidence through guided, individualized plans.
Treatments like cortisone injections (when appropriate and prescribed) may help reduce inflammation and make movement more tolerable.
Working with your medical provider ensures your activity is safe and tailored to your condition.
If you cannot meet standard activity goals due to chronic conditions, you should “be as physically active as your abilities allow” and gradually increase over time. The National Institute on Aging also offers helpful information on physical activity for older adults.
Time, Energy, or Motivation
Many people feel they simply don’t have time. The reality is:
Short sessions (even 10 minutes) still count
Activities can be built into daily life (walking, gardening, taking stairs)
Consistency matters more than intensity at the start
Lakeview providers also recommend identifying your personal barriers and building small, realistic goals to overcome them. Use helpful resources such as physical therapists or fitness instructors to help if needed.
Start Small, Build Gradually
One of the most important takeaways is you don’t have to be in perfect shape, just get started!
Consider this approach:
Begin with short walks or light activity
Focus on consistency over intensity
Gradually increase duration and effort
Pair movement with other healthy habits like improved nutrition
Nutrition plays a key role as well. Lakeview Clinic recommends focusing on nutrient-dense foods, appropriate portions, and balanced meals to support energy levels and overall health.
When combined, small changes in both diet and physical activity can lead to meaningful, sustainable improvements.
Talk to Your Primary Care Provider
If you’ve been living a mostly sedentary lifestyle, or have chronic conditions, injuries, or other concerns, it’s important to check in with your primary care provider before starting a new exercise routine.
They can help:
Identify safe types of activity
Address underlying conditions
Refer you to services like physical therapy or dietitians
Create a personalized, realistic plan
Lakeview Clinic providers emphasize that individualized guidance is key, especially when health conditions or barriers are present.
Endometriosis is a common chronic inflammatory disorder characterized by pelvic pain that affects many patients. According to ACOG, endometriosis affects approximately 6-10% of patients of reproductive age and is prevalent in 20-50% of infertile patients and approximately 70-80% of patients with chronic pelvic pain. In this condition tissue that is found inside the uterus, the endometrium, forms outside of the uterus and can be found throughout the pelvis. This disease is characterized by painful periods but may also impact fertility.
Endometriosis Symptoms
Symptoms of endometriosis include chronic pelvic pain (both during and outside of a menstrual period), painful intercourse, but may also affect how heavy periods may be as well as pain with urinating and bowel movements. Some patients are asymptomatic and may find endometriosis incidentally when having surgery for another reason or during a fertility evaluation. The definitive diagnosis of endometriosis is made through a biopsy during surgery, but evaluation always starts with a history and physical exam and often an ultrasound is performed.
Endometriosis Treatment
Treatment for endometriosis is individualized dependent on symptoms and pregnancy planning. Medications are often used first and may help with pain, reducing symptoms, and slow and prevent further disease progression. These medications include NSAIDs, hormonal medications such as birth control pill and hormonal IUDs, and newer hormonal modulators that all can help treat a patient. Surgery may help remove endometriosis that can help with pain and improve fertility, but it may return. In some cases, a hysterectomy may be recommended but medications may be used in addition to the surgery.
Endometriosis & Mental Health
Endometriosis is also associated with increased risk of anxiety and depression as well as may be associated with other causes of pelvic pain. It is important to work with a healthcare team that is devoted to patient-centered care and aligns with a patient’s priorities. The diagnosis of endometriosis can be challenging and it is a severe chronic pain disorder that can impact many aspects of a patient’s life.
Establishing care with a gynecologist is a first step in developing an individualized treatment plan. Lakeview Clinic’s OBGYN team provides comprehensive patient centered care for endometriosis, and our physicians truly aim for pain-free lives for their patients.
Dr. Ferrell is a third generation physician and second generation OBGYN who is passionate about providing excellent and comprehensive evidence based medicine. He is board certified and enjoys all of the varied aspects of OBGYN medicine. His special interests include minimally invasive gynecologic surgery, menopausal medicine, pelvic organ prolapse and urinary incontinence, routine and high-risk obstetrics, infertility evaluation and treatments, and PCOS management.
