Tidewater Physicians Multispecialty Group provides superior healthcare in over 30 different specialties and services. With over 140 physicians and advanced practice clinicians offering you care in over 50 offices, your healthcare needs are conveniently located to better serve you, your family and friends.

TPMG utilizes Electronic Health Records (EHR), so your secure health information is available to all TPMG healthcare providers, offering yet another reason to choose TPMG!

Please click on the menu to the left for additional information about each specialty and service that we offer.

Don’t Just Sit There

We know sitting too much is not a great strategy but sometimes it happens.  You may work at a desk or just have a long weekend of binging on TV planned but what exactly goes wrong in our bodies when we sit for extended periods of the day?

Foggy Brain

Moving muscles pumps fresh blood and oxygen triggering the release of all sorts of brain and mood enhancing chemicals.  When we are sedentary for a long time, everything slows, including brain function.

So, if you really want to see the entire season of your favorite show in one day, stand up and move every so often.  Challenge yourself to do ten pushups or sit-ups everytime your favorite character says something you like and go for a walk between episodes.  The movement will help you from head to toe. 

back strain

If most of your sitting occurs at a desk at work, craning your neck forward toward a keyboard or tilting your head to cradle the phone while typing can strain the cervical vertebrae and lead to imbalances.

Make sure to step away from your desk. Your brain and your body need it. Remember to counterbalance long calls by switching ears or, better yet, use a headset

Sore Shoulders and Back

The neck doesn’t slouch alone.  Slumping forward overextends the shoulder and back muscles as well, particularly the trapezius, which connects the neck and shoulders.

Stretch your arms over your head, move side to side, and just try to stay loose.  A few stretches during the day can alleviate sore muscles at night.

Inflexible Spine & Disk Damage  

Spines that don’t move become inflexible and susceptible to damage in mundane activities such as when you reach for a cup of coffee or bend to tie a shoe.  When we move, soft disks between vertebrae expand and contract like sponges, soaking fresh blood and nutrients.  When we sit for prolonged times, these same disks are squashed unevenly and lose sponginess.  Collagen hardens around supporting tendons and ligaments.

People who sit more are at greater risk for herniated lumbar disks.  A muscle, called the Psoas, travels through the abdominal cavity, and when it tightens, it pulls the upper lumbar spine forward.  Upper body weight rests entirely on the ischial tuberosity (sitting bones) instead of being distributed along the arch of the spine.

Again, the answer is to just get up and move a bit.  Don’t use the elevator, take the stairs and keep the blood moving.  It’s the simple things we do each day that can save us from injury, pain and long-term degeneration.  

Muscle Degeneration: Mushy Abs, Tight Hips

When you stand, move, or even sit up straight, abdominal muscles keep you upright.  When you slump in a chair, they go unused.  Tight back muscles and wimpy abs form a posture-wrecking alliance that can exaggerate the spine’s natural arch with a condition called hyperlordosis or swayback.

Flexible hips help keep you balanced, but chronic sitters so rarely extend the hip flexors muscles in front that they become short and tight, limiting the range of motion and stride length.  Studies have found that decreased hip mobility is a primary reason elderly people tend to fall.

So, What’s a Body to Do?

Most musculoskeletal pain can be resolved with treatment.  If you have frequent headaches, neck, shoulder, back or hip pain of chronic nature (present in some form over six months), physical therapy can help. 

Adaptive changes in posture leading to chronic pain can often be reversed.   Physical Therapists are specialists in restoring the natural balances of muscle length and strength for optimal function and pain-free existence. 

TPMG has two convenient offices located at 860 Omni and in the New Town Medical Center, Discovery Park in Williamsburg.  We specialize in musculoskeletal treatments across the spectrum of age and activity level.   Call us directly at 345-2512 Williamsburg or 223-9403 Newport News office.


Adapted from http://www.lifehack.org/articles/lifestyle/warning-sitting-can-kill-you.html

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About Facial Skin Cleansers

Skin cleansers are an important part of your facial skin care routine and can help to reduce acne and other types of bacteria on the skin surface. There are many different types of cleansers which cater to different skin types. In general, you should choose your facial cleanser based on your skin type. Foaming agents are amongst the strongest cleansers because they remove oil from the skin’s surface, ensuring that makeup and debris are removed. Non foaming agents are less irritating and are a good option for dry or sensitive skin types. Antibacterial cleansers that contain benzoyl peroxide, silver, hypochlorous acid, sodium hypochlorite, are a good option for acne-prone skin. Read more

Total Ankle Replacement: Back on My Feet (with a Fly-Fishing Reel in my Hand)

This is an excerpt regarding a total ankle replacement completed by Dr. Mathew Hopson from:


In this first person narrative, Ray Babineau discusses how he had the unfortunate luck of breaking his ankle three times before the age of 18. While he was able to have it reset and not bother him for years, this was the catalyst to a tremendous amount of ankle pain and issues that returned nearly 50 years later. Read more


Interventional Pain Treatment Center

Mission Statement:
Enhance function and decrease the need for pain medication through interventional procedures.


Dr. Dawson is not accepting patients whose sole desire is an opioid refill.

Our office uses the Virginia Prescription Drug Monitoring Program in order to monitor and reduce the risk of prescription drug misuse. Patients showing misuse of medication(s) or attempts of refills by numerous physicians will be discharged from our practice.

Specializing in: Back Pain, Neck Pain, Sciatica

Conditions Treated:

  • Arthritis
  • Back Pain
  • Bulging Disc
  • Bursitis
  • Degenerative Disc Disease
  • Joint Pain (Knee, Shoulder, Hip)
  • Neck Pain
  • Pinched Nerves
  • Rotator Cuff Injury
  • Sacroiliac Joint Dysfunction
  • Sciatica
  • Scoliosis
  • Shingles
  • Spinal Stenosis
  • Tendonitis (Knee, Shoulder, Elbow)

Interventional Procedures:

  • Epidurals
  • Facet Joint Block
  • Genicular Nerve Block
  • Injections (Knee, Shoulder, Hip)
  • Medial Branch Block
  • Prolotherapy
  • Platelet-Rich Plasma/Stem Cell Therapy
  • Radiofrequency Ablation
  • Sacroiliac Joint Injection
  • Selective Nerve Root Block
  • Spinal Cord Stimulator
  • Trigger Point Injection