Rivera Sarah

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Physicians & Surgeons, Occupational Therapists, Physical Therapists

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Map & DirectionsDirections3404 Wake Forest Rd Ste 203Raleigh, NC 27609 Write a ReviewWrite Review

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Neighborhood: North Hills
AKA: Rivera, Sarah, MD
Categories: Physicians & Surgeons, Occupational Therapists, Physical Therapists, Physicians & Surgeons, Dermatology, Physicians & Surgeons, Emergency Medicine, Physicians & Surgeons, Endocrinology, Diabetes & Metabolism, Physicians & Surgeons, Family Medicine & General Practice, Physicians & Surgeons, Gynecology, Physicians & Surgeons, Oncology, Physicians & Surgeons, Orthopedics, Physicians & Surgeons, Osteopathic Manipulative Treatment, Physicians & Surgeons, Pediatrics, Physicians & Surgeons, Plastic & Reconstructive, Physicians & Surgeons, Radiology, Physicians & Surgeons, Surgery-General, Physicians & Surgeons, Weight Loss Management, Skin Care, Surgery Centers

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Phone: (919) 790-1717

Address: 3404 Wake Forest Rd Ste 203, Raleigh, NC 27609

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Rivera Sarah

General Practitioners

Osteoporosis
Medical Weight Loss
Dr. Hey met with David Lee in Beaufort, North Carolina to see his progress in weight loss. David came to the clinic with trouble walking and pain. He did not want to rush to get surgery, but try conservative options... Read More
Pediatric Care
● A study published by The American Association of Pediatrics concluded that there was “significant success” in preventing spinal curve progressions and surgery in children who were screened, diagnosed and treated with a custom brace.
Primary Care
These humps on the back can be measured using your smartphone free bubble level app. If the angle of trunk rotation (ATR) is 5 degrees or more, an X-Ray may be helpful, and/or confirmation of your scoliometer reading with your pediatrician or primary care doctor. Adults can also be checked for scoliosis, and have a 68% risk of curve progression during adulthood [Weinstein 1981, 1983], with curves less than 30 degrees much likely to progress. Keeping the curve under 30 degrees during the growth years using conservative therapies like Schroth Physiotherapeutic Scoliosis-Specific Exercises (PSSE) and possibly bracing with Rigo-Cheneau 3D-CADCAM bracing can allow teens to start adulthood in the “green zone”, less than 30 degrees, which means they will likely finish life in the “green zone”, under 30 degrees with a good quality of life — preventing possibly decades of suffering and more invasive surgery as an adult.
Emergency Care
Dr. Lloyd Hey grew up flying with his Dad, an aeronautical engineer and flight instructor, who also taught him how to fix just about anything as a “tinkerer.” At age 16, he was hit by a car, suffering a severe 3B open tibia fracture with 2 inch loss of bone. While amputation was initially suggested in the emergency department, Dr. Mark Pitman offered to try to help rebuild the leg and his life, which took 11 surgeries, 3 months in the hospital, and a couple years of additional therapy. The external fixator had strength problems, which inhibited healing, so Dr. Hey applied his tinkering and redesigned the frame, which Dr. Pitman installed and it decreased the pain and enhanced stability for bone healing. Dr. Pitman also introduced Dr. Hey to new experimental therapies including electrical stimulation of bone growth, and got a chance to meet Dr. Bassett, a pioneer in that area in the late 1970’s. These experiences led to a vision of combining his patient experience, engineering and innovation to directly help patients.

Pregnancy

Endocrinologist

Diabetes Care

MRI
● The American Association of Neurological Surgeons recommends confirming a scoliosis diagnosis through an x-ray, spinal radiography, CT scan or MRI, but a screening technique called the Adam’s Forward Bend Test can be done by anyone.
Radiology
Once we receive this information, we will contact the patient to schedule an appointment. Afterward, we will notify you of the reserved appointment and we will send a copy of the clinic notes and images for your records after each visit. Thank you!
X-Rays
Computed Tomography
A thorough history, physical exam, and x-ray are used to diagnose spondylolysis and spondylolisthesis. Advanced imaging such as an MRI and/or CT scan can also be diagnostic and guide treatment decisions.

Sciatica
Symptoms of spinal stenosis often start gradually and worsen over time. Cervical stenosis symptoms include numbness or tingling in your hands and arms, weakness in your hands, arms, feet, or legs; neck pain, and problems with walking and balance. Thoracic stenosis symptoms include problems with walking or balance. Lumbar stenosis symptoms include numbness or tingling in your feet or legs, weakness in your feet or legs, back pain, sciatica, and pain in your legs after standing for a long period of time.
Scoliosis Surgery
Hannah: “I’m from Greenville, North Carolina, and it has been a year since my scoliosis surgery. It’s helped me walk better. It’s improved my dance and volleyball, and I want to thank all of you for help during surgery and... Read More
Orthopedic Surgery
For many years since then, Lloyd has passionately pursued making this vision real, through a journey blessed with many great mentors, education and leadership opportunities, challenges and successes. After learning how to walk again on his reconstructed leg, he trained at MIT in Electrical Engineering. At MIT he designed, built and tested a chamber device that could keep living cartilage alive, while applying mechanical and electrical forces to better understand Wolff’s Law and the basic science that might help to modulate cartilage growth and repair. He then got a chance to further the engineering/medical combined vision through the Harvard/MIT Health Sciences and Technology (HST) MD program, where he began to study clinical outcomes research, and how such research could actually change healthcare policy, also obtaining a Master’s Degree at the Harvard School of Public Health. As an orthopedic resident in the Harvard Combined Orthopedic program, he saw a huge problem in the area of a lack of available data for clinical outcomes research, and actually built a database system for the Boston Children’s Department of Orthopedic Surgery, which enhanced their ability to do clinical research. He was also inspired by Dr. John Hall and John Emans at Children’s to also pursue helping children and adults with spinal deformities through the use of internal “fixators”, which he saw transform the lives of many. This led Dr. Hey to Duke, where he served as an adult spine fellow, and then joined the Duke faculty, serving in the academic field for almost 10 years. During that time, he was asked to roll out the software he had built as a resident across all of Duke, and to create a startup company, called MDeverywhere to fulfill the mission for thousands of physicians around the country for 20 years.

Plastic Surgeons

Botox
We received a beautiful photo and testimonial from a patient named Daniel: My name is Daniel. I had experienced head drop/severe kyphosis for over a year after Botox injections in the back of the neck for migraine treatment. Dr. Hey performed... Read More
Plastic Surgery
For scoliosis surgery, one midline incision is made that extends the length of the fusion. Dr. Hey and the PAs are highly experienced in suturing and use plastic surgery techniques to achieve excellent cosmetic results. We use dissolvable sutures that are placed under the skin, eliminating the need for suture removal. On top of the skin we place Dermabond, which is a surgical skin glue that provides a waterproof barrier. Next, we place Steri strips perpendicular to the incision as an extra layer of support. The wound is then covered with a thin layer of sterile gauze attached via Tegaderm (clear tape).

Skin Cancer
Sunlight promotes vitamin D3 (cholecalciferol) production in the skin and is the most natural way of increasing vitamin D. The actual amount of vitamin D your skin will produce depends on your skin type, location, position of the sun and sunscreen use. Of course, too much sun exposure can increase the risk of skin cancer, so it is not always the safest option.

Physical Therapists

Physical Therapy
It is also impossible to completely cure spinal stenosis. However, there are methods to treat and manage it. Treatment options for spinal stenosis include medication, physical therapy, spinal injections, and in some cases, surgery.
Occupational Therapy
The surgery was scheduled for June 23, 2016. The days leading up to the procedure were very nerve-racking. On the day of the operation, we arrived at the hospital around 5:30 am. The nurses, techs, anesthesiologists, and everyone else in pre-op were absolutely wonderful. They told me exactly what was going on as they were prepping me for surgery. Then Dr. Hey came in to see how I was holding up. We all held hands and he led us in prayer, my parents and I really appreciated this as we’d been praying about this day for a long time. The next thing I remember is waking up to nurses giving me meds and making sure I was doing ok after the 5 hour surgery. It was very important that I stand up and walk around as soon as possible. The first time I stood up I noticed was that I was about 2 inches taller (which made me very excited as a volleyball player.) The day after my surgery Dr. Hey stopped in to see how I was doing and to show me the x-ray of my almost perfectly straight back. It was so amazing to see what a difference he made! I began physical and occupational therapy in the hospital and started moving more each day. My mom also stayed during my 4-day stay at the hospital and was always so supportive of me. Before I left the hospital on the fourth day, they did a “car test” to make sure I was able to comfortably get in and out of the car. I was so excited to get home and I was making great progress on my mobility and ability to do things on my own.
Neck Pain
Back Pain

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