Gregg Shore, MD | Physician | Sebring, FL

Kayaking is a rewarding outdoor activity that combines adventure, fitness, and a connection with nature. However, mastering key paddle strokes and techniques is essential to navigate efficiently and safely. Understanding the basics of kayak control will improve your paddling efficiency and allow you to tackle different water conditions confidently. Let's explore some of the most important kayaking strokes and maneuvers that every kayaker should know. Forward Stroke The forward stroke is the foundation of kayaking, used to propel the kayak through the water. It's the most basic but critical stroke to master. Proper technique ensures that you move efficiently without tiring yourself out too quickly. Dip the paddle's blade into the water near your feet to execute the forward stroke, then pull it back toward your hip. Rotate your torso as you paddle to generate power from your core muscles rather than relying solely on your arms. A common mistake is paddling with just the arms...

Chronic anal fissures are a common but painful condition affecting the lining of the anus. While acute fissures often heal with primary medical treatments , chronic fissures — those that last longer than six weeks — can be more stubborn and resistant to conservative care. When these persistent fissures cause ongoing discomfort and interfere with daily life, surgery may be the most effective treatment option. This article explores how surgical interventions offer relief and healing for chronic anal fissures, explaining why they are necessary, the most common procedures, and the expected recovery outcomes. What Causes Chronic Anal Fissures? Anal fissures are small tears in the delicate skin lining the anus, usually caused by trauma such as straining during bowel movements, passing hard stools, or repeated bouts of diarrhea. These tears lead to intense pain, especially during bowel movements, and may also cause bleeding. Acute fissures typically heal within a few weeks with conservative t...