Other Procedures We Perform
Colonoscopy: Colonoscopy is the ‘gold standard’ for colon cancer screening. A patient should have a colonoscopy for colon cancer screening if: a) they are over 50 years old, b) are over 40 years old and have at least one first degree relative (sibling, parent, child) with a diagnosis of colon cancer, or two second degree relatives (cousin, aunt/uncle, grandparent, niece/nephew) with a diagnosis of colon cancer. Dr. Jesteadt has been performing this procedure safely for over a decade, and he far exceeds published guidelines for quality parameters. He performs the procedure on Friday mornings at Shenandoah Memorial Hospital in Woodstock, VA. If you meet criteria for this life saving procedure, schedule an informative pre-procedure consultation with with Dr. Jesteadt.
IUD insertion: The intrauterine device, or IUD, is a highly reliable and well tolerated form of birth control. Two general types of IUD are in use today, the copper IUD (Paragard) and hormone-eluting IUD (Mirena). The copper IUD allows for regular menstruation and provides reliable pregnancy contraception for 10 years. The Mirena IUD is a hormone-releasing device that, for over 90% of women, prevents menstrual periods from occurring after the first year, and also provides reliable pregnancy contraception for 5 years.
DEXA scan: The DEXA, or Dual Energy X-ray Absorptiometry test, is the current gold standard for diagnosing osteopenia and osteoporosis and managing the effectiveness of medications for these entities. Women over the age of 65 or younger and 10 years after menopause, and men over the age of 75 who have not had a prior DEXA scan should consider having it done. Patients that have a diagnosis of osteopenia or osteoporosis should have a DEXA scan every 2 years.
Joint injection: Injecting a joint affected by osteoarthritis with anti-inflammatory medications (corticosteroids) can relieve pain symptoms and improve function. If deemed clinically appropriate, your physician at Harrisonburg Family Practice will provide this service, especially for the larger joints such as knees, hips, and shoulders.
Skin biopsy: Lesions on the skin that are either growing in size, changing in color, or both should be biopsied to ensure that a severe underlying problem such as skin cancer is not the cause. Moderate sized cysts under the skin surface can also be removed for either cosmetic or functional improvement. We also remove unsightly skin tags.
Pulmonary function testing: If an underlying reason for a chronic cough or shortness of breath is suspected, we have the ability to test for the presence of asthma, and chronic obstructive pulmonary diseases (COPD, emphysema and chronic bronchitis) right in the clinic. The ability to make these diagnoses promptly provides your doctor with the ability to immediately administer the proper medical management for your condition.
Colposcopy: When one of our female patients has an abnormal pap test at Harrisonburg Family Practice, there is no need for her to be referred to a specialist in another clinic for further testing, a procedure called colposcopy. Colposcopic examinations are provided here at the women’s convenience nearly every day of the week.
Casting: Many of the fractures of the hands, feet, arms, lower legs and ankles can be casted and managed by the physicians at Harrisonburg Family Practice without the need for a referral to an orthopedic specialist.