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Survivorship Program

Survivorship Program

Survivorship Program

Your Path As A Survivor

Who Is A Cancer Survivor?

According to the National Cancer Institute, a survivor is anyone living with a history of cancer – from the moment of diagnosis through the remainder of life. The number of cancer survivors in the United States has more than tripled to almost 15.5 million over the past 40 years thanks to advances in detection and treatment.

What does the Survivorship Program Offer?

  • A “Whole Person” approach to a Survivor’s care
  • Resources for Cancer Survivors
  • Initial and subsequent treatment related teaching
  • Incorporation of alternative therapies such as yoga, relaxation & meditation
  • Nutritional teaching, physical strength/weakness assessment
  • Assessment of financial needs and social needs, such as transportation, home support, and caregiver support
  • Stress management before, during, and after treatment
  • Review of treatment side effects
  • Incorporation of Spiritual needs if desired
  • Communication with your other providers to keep them “in the loop”

Resources For Cancer Survivors

Casting for Recovery Fly Fishing Retreats

The mission of Casting for Recovery® (CfR) is to enhance the quality of life of women with breast cancer through a unique retreat program that combines breast cancer education and peer support with the therapeutic sport of fly fishing. The program offers opportunities for women to find inspiration, discover renewed energy for life and experience healing connections with other women and nature. CfR serves women of all ages, in all stages of breast cancer treatment and recovery, at no cost to participants.

Learn More >

How do I become part of the Survivorship Program?

You and the journey you are on matter to us, and we want to make continuing that journey as simple as possible.

After treatment is complete, the provider will refer you to the Survivorship program if warranted, or upon your request.

What Can I Do To Improve My Quality of Life Post-Treatment?

Cancer Exercise Program

We’re so glad you asked! As mentioned briefly above, we have partnered with the Paul H. Broyhill Wellness Center and the Rehabilitation Center to bring you a fantastic post-treatment Cancer Exercise Program.

The goal of this program is to help you with your transition from treatment to regular exercise, increase your energy, reduce fatigue associated with cancer treatments, provide knowledge and accountability related to exercise, and help you meet great people who are on a similar journey as you!

It is a 10 week long program that includes 2-90 minute exercise programs a week. The 90 minute sessions include a vital and fatigue assessment, proper warmup, aerobic activities, strength activities, and a proper cool-down from the instruction from an Exercise Specialist.

Interested? Learn more about this program today! >

Still Have Questions?

Follow the link below to speak with someone about our services today! 

Could you be at risk for vascular disease?

Could you be at risk for vascular disease?

The average human heart pumps roughly 2,000 gallons of blood per day through an intricate network of arteries, veins and capillaries that help make up the cardiovascular system. Through these blood vessels this organ system transports nutrients, oxygen and hormones as well as waste to and from cells throughout the body.

In fact, a human body has nearly 100,000 miles of blood vessels. By definition, vascular disease is an abnormal condition of blood vessels. Because blood vessels travel the entire body, vascular disease can present itself anywhere and cause serious problems that may even be fatal.


What is Vascular Disease?


John Fry, MD

Dr. John Fry of the Heart and Vascular Center at Watauga Medical Center.

There are dozens of vascular diseases, but some of the most common are Peripheral Arterial Disease (PAD), Abdominal Aortic Aneurysm (AAA) and stroke, which account for 140,000 deaths each year.

According to Dr. John Fry, of the Heart and Vascular Center at Watauga Medical Center, “Vascular disease affects approximately 10% of Americans with almost half of those being asymptomatic.”

Fry says the most common symptoms are:

  • Pain in the legs or feet
  • Cool shiny skin
  • Lack of hair growth
  • Sores or ulcers that are slow to heal
  • Redness or discoloration
  • Swelling
  • Hip pain
  • Neuropathy
  • Impotence or ED (men)

Risk Factors


Although vascular diseases may strike without warning, according to Dr. Fry, “the same risk factors associated with heart disease are also important with vascular disease and include poor diet, lack of exercise, diabetes, high blood pressure, high cholesterol, and most importantly tobacco smoking.”

There are also risk factors for vascular diseases that cannot be changed like age and genetics. For patients experiencing symptoms or who are concerned they may be at risk for a vascular disease, Dr. Fry advises talking to their provider or calling the Heart and Vascular Center for more information and consultation.

Fry says, “the diagnosis can be confirmed most often using simple non-invasive tests. We have those available at Watauga Medical Center. Treatment can be as easy as lifestyle changes and medication. For others, simple outpatient, minimally-invasive techniques are available.”

Vascular Services in the High Country


Appalachian Regional Healthcare System offers several options for Vascular Services in the High Country.  Vascular Services are available through the Heart and Vascular Center; Vein Services and Wound Care Services at Watauga Surgical Group; and The Rehabilitation Center. Some of these treatments include:

  • Peripheral Artery Disease (PAD) Treatment
  • Peripheral Vascular Stenting
  • Peripheral Vascular Angioplasty
  • Ankle-Brachial Index (ABI)
  • Varicose Veins
  • Vascular Surgery
  • Chronic Disease Wellness
  • Nutritional Counseling
  • Wound Care Services
  • Edema Management
  • Physical and Occupational Therapy

The Heart & Vascular Center

formerly The Cardiology Center
336 Deerfield Road
Boone, NC 28607
Phone: (828) 264-9664
Fax: (828) 264-8144
Heart & Vascular Center Website

Watauga Surgical Group

965 State Farm Road
Boone, NC 28607
Phone: (828) 264-2340
Fax: (828) 262-0731

The Rehabilitation Center Boone

232 Boone Heights Drive, Suite A
Boone, NC 28607
Phone (828) 268-9043
Fax (828) 268-9045
Rehabilitation Center website

The Rehabilitation Center Linville

434 Hospital Drive
Linville, NC 28646
Phone (828) 737-7520
Fax (828) 737-7509
Rehabilitation Center website

For more information about the Vascular Services offered through Appalachian Regional Healthcare System, visit or call:

  • Heart and Vascular Center at 828-264-9664
  • Vein Services at Watauga Surgical Group at 828-264-2340



Take the quiz: Am I at risk for type 2 diabetes?

Take the quiz: Am I at risk for type 2 diabetes?

Diabetes Month Infographic According to the Centers for Disease Control and Prevention (CDC), millions of Americans are unaware that they have prediabetes or diabetes. Diabetes is the seventh leading cause of death in the US. If unmanaged, it can cause life-altering symptoms such as blindness, limb amputations, and kidney failure.

The good news is that you CAN take steps to prevent T2 or manage your diabetes with healthy lifestyle changes.

Click here to take the quiz and find out if you are at risk.  


We can help you avoid or manage Type 2 Diabetes

The Paul H. Broyhill Wellness Center offers a diabetes prevention program and a diabetes management program. For more information, call the Wellness Center at (828) 266-1060.


Prevent T2 & Weight Loss

Prevent T2 is a CDC-recognized diabetes prevention program based upon proven strategies to achieve and maintain a healthy weight. The format of the class allows you to interact with your instructor and classmates. You’ll be able to work through challenges together as a group and celebrate each other’s successes.

Learn more about the Prevent T 2 Program >


Diabetes Self-Management

For patients with T1 or T2, gestational diabetes or glucose intolerance, this three-month diabetes program includes an individual assessment, group educational classes, a follow-up via phone and/or in-person with our diabetes educator (CDE), and a follow-up with the participant’s physician.

Learn more about the Diabetes Self-Management Program >


What is Prediabetes?

Prediabetes is a serious health condition where blood sugar levels are higher than normal, but not high enough yet to be diagnosed as type 2 diabetes. Approximately 84 million American adults—more than 1 out of 3—have prediabetes. Of those with prediabetes, 90% don’t know they have it. Prediabetes puts you at increased risk of developing type 2 diabetes, heart disease, and stroke.



What is Type 2 Diabetes (T2)?

Diabetes is a chronic (long-lasting) disease that affects how your body turns food into energy.

Most of the food you eat is broken down into sugar (also called glucose) and released into your bloodstream. Your pancreas makes a hormone called insulin, which acts like a key to let the blood sugar into your body’s cells for use as energy.

If you have diabetes, your body either doesn’t make enough insulin or can’t use the insulin it makes as well as it should. When there isn’t enough insulin or cells stop responding to insulin, too much blood sugar stays in your bloodstream, which over time can cause serious health problems, such as heart disease, vision loss, and kidney disease.


Learn more about diabetes at

Balance Disorders: Common Causes and Treatments

Balance Disorders: Common Causes and Treatments

Balance Disorders

By Flavio Leite, PT, DPT, physical therapist at The Rehabilitation Center in Linville

Balance…we search for it in our everyday lives. Juggling work, family, and after school activities can figuratively make your head spin. But if you feel that your head is literally spinning then you may want to sit down and take a few moments to look over the causes and treatments of balance disorders.

A balance disorder is a condition that makes you feel unsteady as if you are moving or spinning even though you are standing still or lying down.

Various studies indicate that “dizziness” is among the three most common complaints encountered in the primary care setting, sharing equal time with headaches and lower back pain.  Over the age of 75, it is the number one reason for an office visit and hospital admission.  As the population ages, the total number of complaints regarding balance disorders is likely to increase.


Different people will experience different symptoms


  • Some people may experience frequent falls or loss of balance.
  • Some people may report blurry vision, especially when looking for items at the supermarket. They may also be unable to read signs while driving.
  • Some people may feel dizziness or vertigo when lying down, getting up, looking up/down, or bending over to retrieve objects from the floor.
  • Some people may experience lightheadedness, faintness, or a floating sensation.
  • Other people may experience confusion or disorientation.


The most common causes of a balance disorders


  • Cardiac problems – individuals with cardiovascular disease who have difficulty with blood supply to the brain or to the lower extremities may experience balance issues.
  • Impaired vision – especially at night when there is less light.
  • Inner ear problems or damage to any of the vestibular system apparatus – will affect the way the vestibular system responds to the challenges of the environment you are in.
  • Central nervous system diseases – balance disorders are common in diseases such as multiple sclerosis and Parkinson’s disease.
  • Head injury – even a mild head trauma such as getting hit in the head with a ball while playing sports may cause you to experience episodes of dizziness or balance problems.
  • Peripheral nerve injury – peripheral neuropathy as a result of diabetes or other type of nerve damage in the legs will negatively impact your balance.
  • Muscular weakness – such as lower extremity weakness will increase your risk for falls.
  • Medication – it is very important to check with your pharmacist regarding the side effects of or interaction of medications, since many medications may cause dizziness or lightheadedness.


As you can see, there are many potential causes of a balance disorder – including medical conditions and medications. That is why you should consult with your provider to rule out a more serious medical condition as the cause of your symptoms.  If the cause is a medical condition or medication, your provider may treat the condition or suggest a different medication.  Your provider may also suggest that you see an ENT doctor (physician who specializes in the ear, nose, and throat) or refer you to a physical therapist specializing in treating balance disorders.

If you are referred to a physical therapist here are a few things that you should expect. The physical therapist will perform an initial evaluation starting with an interview and then will ask you about events that may have caused the problem or when you first experienced the symptoms; ask you to describe the symptoms, when they occur, what alleviates or makes them worse, and so forth. Questions will be asked about your medical history to see if it may contribute to your balance problem. You will also be asked about medications you are taking which may contribute to some of the symptoms previously discussed.


How a physical therapist can help


Photo: Physical Therapy Balance Treatment The physical therapist will perform:

  • Functional tests to assess your ability to perform functional tasks such as walking on uneven terrain, making turns and moving your head while walking, ascending/descending stairs, looking up and looking down, and bending over to retrieve objects.
  • Positional tests to assess your ability to perform transitional movements such as sitting to lying down, lying down to sitting, rolling to right/left when lying down.
  • Assessment of the systems of balance. The physical therapist will perform a systematic evaluation of the visual system, the somatosensory system, and the vestibular system.
  • Assessment of other systems such as your coordination, strength, flexibility, and sensation – especially in the lower extremities.

Once the physical therapist completes the initial evaluation, he/she will discuss the findings with you.  The physical therapist will talk about your rehabilitation potential; then, will inform you about the rehabilitation program and develop a customized plan of care.

The plan of care will vary according to your needs.  The frequency of treatment may be once or a couple of times a week, depending on your particular condition.  Some exercises are done at the clinic and some are done at home.  The physical therapist works closely with you.  Adhering to the treatment program is the key to getting better, improving your balance, and being able to do more.

If you are suffering with balance issues, contact The Rehabilitation Center to see how physical therapy could help you.

The Rehabilitation Center Boone

232 Boone Heights Drive, Suite A
Boone, NC 28607
Phone (828) 268-9043
Fax (828) 268-9045
Rehabilitation Center website

The Rehabilitation Center Linville

434 Hospital Drive
Linville, NC 28646
Phone (828) 737-7520
Fax (828) 737-7509
Rehabilitation Center website

Dry needling therapy to increase muscle function and reduce pain

Dry needling therapy to increase muscle function and reduce pain

By Michael Moore, PT, DPT, physical therapist at The Rehabilitation Center in Boone

Dry needling doesn’t sound like a fun day at the park but intramuscular stimulation, as it is sometimes called, is a treatment used to target and restore muscle function while reducing muscle pain. During dry needling, a practitioner inserts several filiform needles into your skin. Filiform needles are fine, short, stainless steel needles that don’t inject fluid into the body. That’s why the term “dry” is used.


Photo: Dry Needling What happens during Dry Needling?


Practitioners place the needles in “trigger points” in your muscle. The points are areas of knotted or hard muscle. The technique may help release the knot and relieve any muscle pain, spams, or stiffness by improving blood flow and diminishing nerve sensitivity. In addition, easing the trigger points may improve flexibility and increase range of motion. That’s why this method is often used to treat sports injuries, muscle pain, and even fibromyalgia pain.


Is it the same as acupuncture?


Dry needling is not acupuncture, a practice based on traditional Chinese medicine and performed by acupuncturists. Traditional Chinese Medicine is based on the use of “meridians,” “pulses,” or “chi” drawn from ancient Chinese medicine and philosophy. Dry needling is a part of modern Western medicine principles, and supported by research accepted by physicians in the United States.


What can Dry Needling treat?


Evidence suggests the use of dry needling in treating many conditions seen by physical therapists such as:

  • chronic neck and back pain
  • cervicogenic headaches
  • knee osteoarthritis
  • carpal tunnel syndrome
  • trigger point pain
  • and more.

Dry needling should not be seen as a replacement for physical therapy. However, it is a very beneficial complement to physical therapy treatment as it can restore muscle function and reduce muscle pain.

If suffering with these conditions, contact The Rehabilitation Center to see if dry needling is right for you.


The Rehabilitation Center Boone

232 Boone Heights Drive, Suite A
Boone, NC 28607
Phone (828) 268-9043
Fax (828) 268-9045
Rehabilitation Center website

The Rehabilitation Center Linville

434 Hospital Drive
Linville, NC 28646
Phone (828) 737-7520
Fax (828) 737-7509
Rehabilitation Center website


American Physical Therapy Association. Description of Dry Needling in Clinical Practice. Published February 2013.

Dunning J., Butts R., Mourad F., Young I., Flannagan S., Perreault T. Dry Needling: A Literature Review with Implications for Clinical Practice Guidelines. Phys. Ther. Rev. 2014;19:252–265. doi: 10.1179/108331913X13844245102034.

Medical Nutrition Therapy

Medical Nutrition Therapy

The ARHS registered dietitians/nutritionists (RDNs) provide medical nutrition therapy (MNT) for a variety of conditions including diabetes, renal disease, heart disease, gastrointestinal disorders, and obesity. Initial appointments will focus on nutrition assessment, nutrition goal setting, and developing an individualized nutrition plan. Follow-up appointments are also available to determine progress towards goals, address questions, and adjust the nutrition plan as needed. A doctor’s referral is required.

Nutrition Counseling for Diabetes

Prevent T2 Prediabetes Program

Individual nutrition counseling, with a qualified registered dietitian/nutritionist (RDN), is available for patients with T1, T2, or gestational diabetes. Medical nutrition therapy (MNT) can help individuals with diabetes improve their blood glucose, body weight, blood pressure and lipids (cholesterol, triglycerides). Referral is required. Located at Paul H. Broyhill Wellness Center.

Learn more about the Moving Forward with Diabetes Program >

Nutrition counseling for other medical conditions

Image: Nutrition Counseling

Individual nutrition counseling, with a qualified registered dietitian/nutritionist (RDN), is available for patients with a variety of conditions including renal disease, heart disease, gastrointestinal disorders, and obesity. Referral is required. Located at Watauga Medical Center or Cannon Memorial Hospital.

Schedule an appointment

Request appointments


Broyhill Wellness Center

232 Boone Heights Drive
Boone, NC 28607
Phone: (828) 266-1060
Fax: (828) 386-2664
Wellness Center Website

Location: Watauga Medical Center

Watauga Medical Center

336 Deerfield Road
Boone, NC 28607
Phone: (828) 262-4100
Watauga Medical Center website

Cannon Memorial Hospital

434 Hospital Drive
Linville, NC 28646
Phone: (828) 737-7000
Fax: (828) 737-7401
Cannon Memorial Hospital website

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