Bunions Hallux Abducto Valgus (HAV)

What is a bunion and how did I get one? I hear this question almost every day in my office.

A bunion, sometimes referred to as Hallux Abducto Valgus or HAV, is the bump that develops along the big toe joint. Over time the long bone that goes to the big toe starts to shift and protrude out of the skin which can also cause the big toe to go sideways and sometimes under the second toe.

Bunions form through many factors; however, foot structure and genetics are the most common. Unfortunately, when a bunion becomes painful, few non-surgical options help. Typically, a wider shoe and avoiding activities that cause the bunion to be painful are your only options. If these solutions do not relieve the symptoms, then surgery may be recommended.


Photo courtesy of the Mayo Clinic

Many people are scared of bunion surgery having heard horror stories. However, there are over one hundred different types of bunion surgeries, and it has taken a long time for podiatrists and foot surgeons to figure out the best surgical methods for ideal outcomes.

Today, of all the surgical options once considered, less than a dozen are performed routinely in the United States. With better technology and procedures, bunion surgery has dramatically improved. More than 90% of patients can find relief with a simple 15-minute out-patient procedure in which the patient can walk the same day as the surgery. Patients generally require very little pain medication and are back to regular shoes in just a few weeks.

When performed correctly, patients will never have to worry about reoccurrence or future issues.


Matthew A. Hopson, DPM, FACFAS, is a board-certified foot and ankle surgeon who joined TPMG Orthopedics in 2011. He specializes in adult and pediatric deformity correction of the foot and ankle. His practice includes a variety of cases ranging from complex deformities, lateral ankle instability, sports injuries, foot and ankle fractures, arthritis and other lower extremity ailments. Dr. Hopson is board certified in Foot and Ankle Reconstructive Surgery and is a Fellow of the American College of Foot and Ankle Surgeons.

Do You Really Have a Penicillin Allergy? A Virginia Beach Allergist Answers.

In the United States, 1 in 10 patients are affected by penicillin allergy. And in the hospital, approximately 1 in 4 patients have a penicillin allergy listed on their medical record. If you carry this diagnosis, you are not alone!

What have we learned?

Research has shown that a large majority of these patients are not actually allergic to penicillin. When patients who reported ‘penicillin allergy’ on their chart were tested and challenged with penicillin, meaning a dose is given and the patient is closely monitored, more than 90% were not allergic. And in the United States, less than 1% of the population is truly allergic to penicillin. Read more

Record Number of TPMG Physicians Named Top Doc

Annual Top Doc votes are in; 81 TPMG physicians received honors

votes are in; 81 TPMG physicians received honors.

For over 15 years, Coastal Virginia Magazine’s Top Docs peer to peer survey has conducted polls in healthcare to identify the physicians who exemplify excellence in their various fields. This year, TPMG has received honors for a record 81 of their physicians.  

Annual Top Doc logo

For more information or to make an appointment, please see the complete list below.


Ann P. Zilliox, MD

Breast Cancer Surgery

Elizabeth A. O’Neil, MD, FACS


Masood Ahmed, MD, FACC

H. Lee Kanter, MD, FACC

Mrugesh Soni, MD

Colon and Rectal Surgery

Lisa A. Coleman, DO, FACS, FASCRS


Valerie M. Harvey, MD, MPH

Read more

TPMG Welcomes New Chief Medical Officer

Newport News, VA, July 09, 2018 — Today local area family medicine physician, Steven S. Leblang, MD, will begin providing medical leadership as Chief Medical Officer (CMO) at Tidewater Physicians Multispecialty Group (TPMG) following the retirement of previous CMO, Jennifer Sharp-Warthan, MD in March 2018.

Steven Leblang, MD TPMG Chief Medical Officer

A member of the Hampton Roads medical community for over 28 years, Dr. Leblang joins TPMG following a successful career in private practice and as a well-respected attending physician and program director at the Riverside Family Medicine Residency Program.

“TPMG has been fortunate to have talented and dedicated physicians serve our organization as medical directors for many years, and we are grateful to have Dr. Leblang join us and continue the legacy of experienced and trusted leadership.” said TPMG President, Scott Banning, MD. Read more

What Causes a Hernia?

What Causes a Hernia?

Despite the folklore about heavy lifting being the cause of hernias, the reality is that most hernias are the result of a muscle defect or weakness that exists long before the hernia appears.

What is a hernia?

A hernia is caused by a combination of pressure and an opening or weakness of muscle and fascia (a tough connective tissue that surrounds the muscle).  The muscle or fascia can be weakened by age, injury, or a previous surgical incision.

While not always the direct cause of hernias, heavy lifting or other strenuous activity that put strain on the abdominal wall or increased pressure can cause a hernia. Read more

What Is A Food Allergy?

What is a food allergy?

Every day the immune system works hard to keep our body healthy and infection free.  A food allergy occurs when the immune system overreacts to an otherwise harmless food protein.  This condition more often occurs in young children, however, food allergy may develop at any age.   Read more

Allergy Specialist Joins TPMG in Chesapeake and Virginia Beach

Christina F. Ortiz, MD, MPH, a fellowship-trained allergy and immunology specialist, has joined Tidewater Physicians Multispecialty Group (TPMG), a network of over 220 specialty and primary care providers serving patients at 75 locations across Hampton Roads. Dr. Ortiz’s practice, TPMG Coastal Allergy, will open on June 19, 2018 with locations in Chesapeake and Virginia Beach. Read more

Allergy or a Cold? Four Ways to Tell the Difference

Know the symptoms

Although allergies and the common cold cause a great deal of upper respiratory problems, there are slight differences between the two conditions. Allergic symptoms often include itching, sneezing, watery eyes, and runny nose with clear drainage. These symptoms are usually made better rather quickly with an antihistamine. Whereas cold symptoms may include runny nose with a cloudy or discolored discharge, sore throat, fatigue, body aches, and possibly fever.


Onset and duration of symptoms are also a great clue. Allergies start immediately after exposure to a known allergen, usually within minutes. Alternatively, most cold symptoms start a bit slower, and usually develop over a few days. The common cold may last 3-14 days, whereas allergy symptoms can persist for months with constant exposure to an allergen. Read more

Gloucester Medical Practice to Remain Open Under New Name

TPMG White Marsh Family Medicine, a medical practice within the Tidewater Physicians Multispecialty Group (TPMG) network of primary care and specialty medicine providers serving the Tidewater area, will remain open following the retirement of Christine Conley, MD and will now be known as TPMG Internal and Geriatric Medicine of White Marsh.

Jacob Almeida, DO, CMD and Jeremy Baldwin, MD of TPMG Peninsula Internal and Geriatric Medicine, located in Newport News, have assumed management of the practice, and along with Meenal Walia, MSN, PA-C, MPH will be providing primary care to adult patients in the community. Meenal Walia, PA-C joins Dr. Baldwin and Dr. Almeida after practicing geriatric medicine at St. Francis Nursing Center in Newport News since 2015. Read more

Colorectal Cancer Awareness

Early Screening Essential to Prevention and Increasing Cure Rate

Colorectal cancer expert Lisa A. Coleman, DO, FACS, FASCRS, a colorectal surgeon at the TPMG Center for Colorectal Surgery, is trying to raise awareness of this potentially life-threatening disease.

“Colorectal cancer is the fourth most commonly occurring cancer in the USA and nearly five percent of Americans will develop colorectal cancer in their lifetime. At any time, over one million Americans are currently living with colorectal cancer. Colorectal cancer is the second leading cause of cancer deaths in the United States, with over 56,000 people expected to die from this disease each year,” Dr. Coleman explains. “However, it is a preventable and very curable disease if caught early.” Read more