Medical Care Archives - Apple Health and Wellness

Apple a Day Blog


Did you wake up with a scratchy throat?

Maybe you’ve just starting coughing or feel extremely tired for no reason?

Are your kids or people from work getting sick around you?

Well, it’s cold and flu season, which means you might want know the difference between cold and flu symptoms, along with what your treatment options might be. Here are the symptoms, treatment options, and prevention plan for both illnesses:


As the common cold and the flu are both respiratory illnesses, their symptoms are very similar, which can make distinguishing between them very difficult without seeing a medical professional. 

  • Cold: On average, cold symptoms are far milder than flu symptoms. You will develop symptoms gradually and will likely involve a runny or stuffy nose, but will rarely run a fever or suffer from more serious conditions. Other symptoms include a sore throat, sneezing, cold, mild tiredness, and headaches. Colds do not usually result in further complications and will resolve themselves in a few days.  
  • Flu: In general, flu symptoms are more severe and last longer than the common cold. Usually, you will have a fever, cough, sore throat, running nose, body or muscle aches, intense fatigue, headaches, and chills. Unlike a cold, the symptoms come on quickly and can last up to a week or more, though most people start feeling better after two to five days. Severe tiredness can last up to two weeks. It’s important to seek out a help from a medical professional with a flu because this illness can have serious associated complications, such as sinusitis, pneumonia, bronchitis, or ear infections.

Treatment Options

If you think you have the flu instead of a cold, it is essential to get to a medical professional early for testing! The first 24 hours from the onset of flu symptoms is crucial for diagnosis and treatment, as catching it early could significantly shorten the time you are feeling poorly. While you don’t need to seek out medical help for a cold, it is just as important to start treating your cold early as this might shorten the length of the illness. If your cold hasn’t resolved itself in 7-10 days, you should see a doctor. Because the common cold and flu are viral infections, antibiotics are not effective in treating either illness. Here are a few treatment options:

  • Cold: The best treatment option for a cold is getting plenty of rest, lots of fluids, and taking decongestants, pain relievers, or fever reducer medicines. Some people find relief from natural treatment options like vitamin C, zinc, and saline rinses. Hot honey or lemon tea are great for sore throats, while cough drops can help relive cough and throat irritation.
  • Flu: Like having a cold, fluids, rest, and the previously mentioned natural remedies are the best treatment options, along with decongestants, pain relievers or fever reducers. Sometimes, you may be given prescription antiviral drugs in certain cases, but these must be taken within the first 48 hours to work. Talk with a medical professional for more information about treatment options.


To avoid catching the common cold or flu this year, practice good hygiene and avoid being around others who are sick. It’s also best to prevent the flu by getting a flu shot, which not only benefits you, but will protect vulnerable populations around you, such as young children, older adults, pregnant women, and people with weakened immune systems. Other prevention options include adopting healthy lifestyle habits by getting plenty of sleep having a well-balanced diet, managing stress, and exercising.

If you or a loved one is sick with the cold or flu, remember to frequently clean any surfaces you or they touch, which include door knobs, the refrigerator door, remote controls, and toilet handles. This will keep the illnesses from spreading to others or giving it back to yourself once you are better!

Take Action

Feel like you’re developing a cold or the flu? Make sure to call Apple Wellness Group at (865) 769-9685 to schedule an appointment today.  Follow us on FacebookTwitter, or Instagram, or subscribe to our Newsletter for more information.



Feeling a little sniffly? Is your throat getting sore? Maybe you’re just feeling generally fatigued and unwell? Cold and flu season is about to hit in full force next month and you probably don’t want the flu or a common cold keep you from work, school, or enjoying the busy holiday months.

So what can you do to keep yourself from getting sick?

Have you ever heard the phrase “boost your immune system?” While your immune system is too complex to “boost” it with one activity or food alone, there are a few steps you can take to keep yourself going strong all winter long. Here are four quick tips to keep feeling your best:

1. Add a few more fruits and vegetables to your diet

For most, winter weather means cozy nights curled up on the couch with hot chocolate, lots of seasonal desserts, and fat-filled comfort foods, but you need to be careful what you’re eating if you want to keep your immune system operating well during this time. While a little indulgence is unlikely to hurt your immune system, poor nutrition can negatively impact your body’s health in more ways than one.

With this in mind, try incorporating a few immune system booster foods to your diet, which include plenty of vegetables, nuts, fruits, garlic, and seeds. Some of your options might include lemons, broccoli, red bell peppers, spinach, almonds, and oranges. Feel free to swap out the occasional hot cocoa for green or lemon-ginger tea, as well.

2. Go to bed a little earlier

Sleep is essential to keeping your immune system operating properly, so it might be time to turn off the phone or put down the remote control and get to bed a little earlier each night than you normally would. As the sun sets in the early evening and the temperature continues to drop, getting the recommended seven to nine hours of sleep each night might not be too difficult.

If you’re having trouble nodding off, try making a caffeine-free herbal tea and listening to a meditation app before crawling into bed. Also, make sure you don’t use any electronic devices, as the blue light emitting from your smartphone wakes up your body and may keep you from getting your recommended zzz’s.

3. Get Zen

Long-term stress can cause serious harm to your body and increase the hormone cortisol, which can suppress your body’s immune system. Everyone gets stressed from time to time, but if you are chronically stressed, especially during the winter months, you can become more vulnerable to illnesses, such as the cold and flu. Chronic stress has also been linked to diabetes and heart disease, making it imperative for you to find ways to de-stress.

So specifically how can you de-stress to help out your immune system? Try mediating, investing in your favorite hobbies, staying positive, and finding time to invest in a little “self care.” Your self care might look like a nice bubble bath after a long day or listening to a good album while taking a light walk.

4. Don’t forget that gym membership

It’s easy when the weather gets chilly to not spend as much time working out as you do during summer months, but if you want to keep your immune system in tip-top shape during flu season, you have to get back on the treadmill or weight machine. Not only will regular exercise keep your body healthy, but when you exercise, you body releases endorphins, which will melt away the stress that may be lowering your immune system as well! That’s a definite win-win.

If You’re Already Feeling Under the Weather

Don’t risk missing work or school this winter season because you’re not taking care of your immune system! If you do feel under the weather, make sure to call Apple Wellness Group at (865) 769-9685 to schedule an appointment today.  Follow us on FacebookTwitter, or Instagram, or subscribe to our Newsletter for more information.




Getting frequent migraines after eating? Feeling bloated all the time, even though you are trying to eat “healthier”? Does your throat get tingly after consuming certain foods? You might be suffering from a food sensitivity or allergy and now is the time to get tested.

Why should you get tested? There are plenty of reasons, but first, you must know some of the common symptoms and differences between these two medical conditions.

Common Symptoms

The most common symptoms or signs of food allergies include swelling of the lips, face, tongue, or throat; tingling or itching of the mouth; breaking out in hives; severe abdominal pain and vomiting; getting dizzy or fainting; and wheezing or having trouble breezing. For some people, certain foods may trigger a severe allergic reaction called anaphylaxis, which can lead to life-threatening symptoms, such as restriction of the airways, rapid pulse, and loss of consciousness.

Meanwhile, the most common symptoms of a food sensitivity include bloating, headaches, migraines, coughing, stomach aches, irritable bowels, hives, runny noses, and generally just feeling “not right.” Some of the most common types of intolerances include gluten, caffeine, wheat, lactose, histamine, and additives. It’s important to know the difference between the two conditions.

Differences Between Food Allergies and Sensitivities

While physical reactions to certain foods are common, the vast majority are caused by food sensitivities, rather than food allergies. You might know a few people who are seriously allergic to nuts or seafood, but if you are suffering from some of the symptoms listed above, it’s far more likely that you are suffering from a food sensitivity or intolerance.

As both conditions lead to many of the same symptoms and signs, people often confuse the two. However, true food allergies can be severe or even life threatening, and cause an immune system reaction that affects many organs in the body. In contrast, food sensitivities do not affect the immune system and usually cause digestive issues.

If you are dealing with a food sensitivity, you may be able to eat small portions of the foods that cause you trouble and even be able to prevent a reaction by taking certain pills, such as lactase enzyme pills for individuals with a lactose sensitivity. Food sensitivity symptoms usually take longer to appear, appearing up to 48 hours after ingestion, compared to food allergies, which usually occur immediately after eating or exposure.

There is no prevention strategy for food allergies and sensitivities – only avoidance. However, if you are suffering from some of the aforementioned symptoms but aren’t sure about the root of the problem, there are steps you can take to find relief.  

First, you might consider keeping a food journal to take notes about how you feel when you eat certain foods. Next, if you notice that you have an onset of symptoms when you eat select foods, you might be dealing with an allergy or intolerance and should seek out professional medical help.

Why Should you Get Tested?

You don’t have to live with feeling bad a lot of the time, which is why it’s important to get tested for food sensitivities and allergies. You deserve a high quality of life and cannot achieve this until you have narrowed down what foods are causing you to develop certain symptoms or serious medical issues.

Meanwhile, if you have suffered an anaphylaxis episode due to a food allergy, you must get tested to avoid encountering another life-threatening situation. Schedule an appointment with you medical provider today and significantly limit your food intake to foods you know do not cause any reaction.

To learn more about how we diagnosis and treat food allergies and sensitivities, tune into our blog this month, as we will cover everything from common allergens to how we take care of our patients with the Dunwoody Test. 

Find relief from your food allergies and sensitivities today! Call us at (865) 769-9685. Follow us on FacebookTwitter, or Instagram, or subscribe to our Newsletter  for more information during Food Allergy and Sensitivity Month.




If you suffer with chronic migraines, you know the relief that comes when medication kicks in. But that relief is often paired with unwelcome side effects, including drowsiness and the inability to go about your normal tasks.
That’s why we’re excited to introduce a new procedure for patients chronic migraine, headache, and trigeminal neuralgia (TN) sufferers called “TX360.”

How TX360 is performed:

The TX360 is a nasal applicator that has a retractable “spaghetti noodle” (soft and flexible syringe) to spray the sphenopaletine ganglion with bupivicaine.
sphenopalatine ganglion
from the 1918 edition of Gray’s Anatomy. Public Domain
The TX360 procedure is very benign and offers a vast improvement for those suffering from chronic migraines or other headaches. Many patients have reported this “feels like a saline spray” or “like ocean water going up your nose.”
This procedure was developed by Dr. Tian Xia and has proven very effective in all studies conducted.
Check out this short video that shows the procedure for TX360.

Learn More about TX360

We’ll get in touch with you and help you determine if a TX360 treatment is the right choice for you.



Have you ever had a “knot” or “tight muscle” that you felt like if someone just massaged, pushed on, or injected it with something it would feel a lot better? If you answered “yes,” then you suffer with trigger points.

Trigger points are defined as “discrete, focal, hyperirritable spots located in a taut band of skeletal muscle. These spots are painful on compression and can produce referred pain, referred tenderness, motor dysfunction, and autonomic phenomena.” (Alvarez & Rockwell, 2002)

Many people suffer with recurring trigger points due to improper body mechanics during every day activity. Poor body mechanics from working at a computer, reading, studying, exercise, playing on our cell phones, and other repetitive motion injuries can cause the muscles in our neck, upper back, shoulders, low back, and pelvic girdle to become tight and tense causing a “knot” to form. This “knot” can then cause referral pain (pain that hurts in one place but is really coming from somewhere completely different) to other locations in the body causing things like headaches or a sore elbow.


Treatment Our nurse practitioners are trained to feel the tight muscles to find the trigger points and then inject them with an anesthetic like Lidocaine or Marcaine (medications typically used during surgery and dental work for the numbing effect). When injected into the tight muscles, the medication helps the muscle to relax and makes you feel less tense. Trigger point injections are a wonderful tool to try for overall well-being and maintenance of pain and work with a variety of condistions such as headaches/ migraines, fibromyalgia, and chronic pain.

If you have any questions regarding trigger points or want to see if trigger point injections might help you, feel free to contact either Jessica Cantwell FNP-BC or Sue Wheeler FNP-BC at Apple Health and Wellness.


Alvarez, D. J. and Rockwell, P. G. (2002) Am Fam Physician. Trigger Points: Diagnosis and Management. Retrieved Feb. 4, 2016


Spring is right around the corner which means that seasonal allergies are upon us! You may have already noticed some of the physical signs of allergies such as coughing, sneezing, itchy eyes, a runny nose, a scratchy throat, and headaches.

According to the Asthma and Allergy Foundation of America (2016), approximately 50 million people in the United States have some nasal allergies {]. Allergic disease, including asthma, is the fifth leading chronic disease in the U.S. in people of all ages. Asthma is the third most common chronic disease in children under 18 years old [American College of Allergy, Asthma, and Immunology. Allergy Facts. (Retrieved April 8, 2015)].

Here at Apple Health and Wellness we have a solution!

We are partnered with Allergy 1-2-3 (, an allergy treatment program designed with patients in mind. Instead of coming into the office twice a week for costly allergy shots, the treatment serum can be administered at home on your schedule. Treatment is a simple three step process:

  1. Test: One simple 15 minute test will identify 58 of the most common allergens. This stage of treatment is obligation free. You can test and find out what you are allergic to and then choose whether to go through with treatment or not.
  2. Diagnosis: Once we have your results we can determine which allergens are the worst. Possible patients eligible for allergy testing include those suffering from asthma (must be well controlled), chronic cough, sinusitis, allergic rhinitis, and conjunctivitis.
  3. Treatment: Patients are taught to do self-injections with a small diabetic needle in our office under the supervision of our Nurse Practitioner. Then, after the patient is comfortable with self-injecting, the patient will receive enough serum to perform injections at increasing doses at 6 week intervals until maintenance dose is achieved. Patients self-administer subcutaneous (under the skin) doses 2 times a week for 12 months. After the 12 month program the patient is retested. The goal of immunotherapy is to see a reduction of allergen reaction with the second test.

This program is immunotherapy at its best! Our team only uses the highest quality serum to ensure the best possible results. It is designed so that patients continue to take daily anti-histamine so that they will not suffer from allergy symptoms while the body is building up antibodies to the allergens. Also, costly copays are minimized because the patient only needs to check in with the Nurse Practitioner every six-seven weeks. It is ideal for business travelers who cannot commit to an office-based immunotherapy schedule, children (5 and up) who cannot afford to miss school twice a week for shots, individuals living in rural areas where there is not an allergist, or anyone who says they do not have the time or money for allergy treatments.

Allergy 1.2.3 is covered by most insurance providers and can be done right here in our office. Call us a 865.691.3155 to schedule your allergy test today.

Written by Jessica Cantwell, FNP-BC


Bulging, herniated, or degenerative discs are fairly common conditions in today’s society. The damage to the disc then causes spinal compression (any excess pressure applied to the spinal cord) and often pinched nerves causing pain to radiate into the arm or leg (sciatica). It has long been thought that multiple factors contribute to these conditions including: poor sitting posture, faulty bending and lifting techniques, and trauma. Treatments for these conditions vary from physical therapy, chiropractic care, decompression therapy, spinal injection, and surgery. Surgery is the last resort and is often not recommended for low back disc issues if the leg pain is not worse than the back pain. Common practice is for all conservative measures (i.e. physical therapy, chiropractic care, spinal injections) be exhausted before considering surgery.

Decompression therapy has been shown to be a very effective treatment for degenerative, bulging, and herniated disc in both the cervical (neck) and lumbar (low back) spine. Decompression therapy gently distracts the spine, separating the vertebrae, to help restore the disc and take pressure off the nerve root. Studies have shown that for a single level herniated disc, there is a 82% success rate. Studies have also shown that if the patient feels relief from the initial treatment that success is probable.

Decompression therapy is also combined with exercises designed to strengthen the core muscles around the spine. The goal is to off load the spine and on load the muscles that are designed to support and protect it. Spinal stabilization and strengthening can be started immediately. Short term goals include lowering the patient’s pain by 50% within the first 2 weeks. Long term goals include minimizing the risk of re-occurrence or re-injury. The physicians at Apple Health & Wellness are available to consult with anyone wishing to consider this type of treatment.

Written by Dr Andy Hosenfeld, DC


Flu season is here again which means it is very important for you to get in and get your flu shot. The Center for Disease Control recommends that everyone over six months old get a yearly flu shot; however, it is especially important for those over 65 who have an increased risks from the flu.

Flu shots are completely covered by most insurance providers. So at zero cost to you, you can get your flu shot and build your defenses against the worst upcoming strain of the influenza virus.

If you are ready to schedule your flu shot, contact our offices at 865.691.3155 (West) or 865.524.1234 (North Central) for same day scheduling!

We are committed to your total body wellness. Schedule today!


Dr. Rogers is pictures on right. He is accepting the Doctor of the Year award from the Tennessee Men's Health Network
Dr. Rogers is pictured on right. He is accepting the Doctor of the Year award from the Tennessee Men’s Health Network

We are excited to announce Dr. Tom Rogers MD, MBA as the Medical Director of Apple Health and Wellness. Dr. Rogers has over 28 years of experience as a board-certified family doctor in the East Tennessee area. Dr. Rogers is also board-certified in sports medicine and anti-aging medicines, and operates his own medical practice called Performance Medicine.

Performance Medicine is an integrative medical practice based on preventative care and a commitment to treating the root causes of health problems. Dr. Rogers and his staff are dedicated to helping each patient reach optimal health through exercise, nutrition, stress management, and hormone restoration. They support patients in making lifestyle changes necessary for the prevention of diseases.

We are happy to have Dr. Rogers join our team. He will ensure our patient’s receive individualized, high quality health care. If you would like to schedule an appointment with our medical team, contact our office at 691.3155.


How many of us have ever woken up and thought, “Man, I feel awful today. I wonder if I should go to the doctor any get checked out.” Then thought, “I don’t have time to go to the doctor. Maybe I will just GOOGLE my symptoms.”

We provide a true walk-in clinic where we see patients when they need to be seen with little to no wait. PLEASE, PLEASE do not Google! There are people that show up in my office thinking they have cancer when, in reality, they have a cold. Now that is out of the way, let’s break down the symptoms, differences, and similarities of cold and flu, what you can do to help yourself, and when you should come to see the doctor.


Symptoms of cold and flu are similar sometimes making them very difficult to distinguish without seeing a doctor. According for the Centers for Disease Control and Prevention (CDC), flu symptoms are more intense but usually last for a shorter period of time making it crucial to get in and get the flu test early for the highest accuracy in diagnosis. Usual flu symptoms include: fever, body aches, extreme fatigue whereas cold symptoms are mild like low grade fever (99.0-100.9), stuffy nose, some fatigue.

  1. If you think you may have the flu, get in to see us early for testing! The first 24 hours is crucial to flu diagnosis and treatment. This is when we prescribe medication to help shorten the period flu symptoms are present. Both colds and the flu are viruses, meaning antibiotics cannot treat either of them.
  2. You can treat the symptoms by some over the counter remedies like Tylenol cold and flu, however, only take these medications as recommended by a doctor because they can affect other medications that you may be taking. Saline rinses mixed with sterile water are a great natural remedy for cold and flu congestion. Hot honey or lemon tea can help with throat irritation. Cough drops or any hard candy are good for the dry cough and throat irritation. Drinking 80-100 ounces of water is crucial to stay hydrated and to keep symptoms at bay. Try to rest as much as possible.
  3. Finally, be sure to go through your home and clean frequently touched surfaces. Think: refrigerator, remote controls, toilet handles, and door knobs, wash sheets, and change that toothbrush when feeling better. This can help prevent the spread of the cold and flu virus to others in the home or giving it back to yourself!

Contact our office at 865-691-3155 for more information about scheduling and walk-ins. We will help you get back on the road to health in no time!

-Written by Jessica Cantwell, FNP-BC

Western Ave. / I-640

4307 Ball Camp Pike
Knoxville, TN 37921
Office: (865) 524-1234
Fax: (865) 524-2169

Monday: 8am - 5:30pm
Tuesday: 7am - 5:30pm
Wednesday: 7am - 11:30am
Thursday: 7am - 5:30pm
Friday: 7am - 5:30pm
Saturday: 8am - 11am
Sunday: Closed

Cedar Bluff

312 Prosperity Drive
Suite 101
Knoxville, TN 37923
Office: (865) 691-3155
Fax: (865) 694-8093

Monday: 8am - 5:30pm
Tuesday: 7am - 5:30pm
Wednesday: 2pm - 5:30pm
Thursday: 8am - 5:30pm
Friday: 7am - 5:30pm 312 Prosperity Drive
Suite 101
Knoxville, TN 37923
Office: (865) 691-3155
Fax: (865) 694-8093

Get Our Newsletter

We'll send the latest health and wellness information to your inbox!

By submitting this form, you are consenting to receive marketing emails from: Apple Health & Wellness, 4307 Ball Camp Pike, Knoxville, TN, 37923, You can revoke your consent to receive emails at any time by using the SafeUnsubscribe® link, found at the bottom of every email. Emails are serviced by Constant Contact
© 2018 Apple Health and Wellness