Blog

Plantar fasciitis injections – Research

Over the years we have seen many patients with Plantar Fasciitis that had been unresponsive to conventional treatments. These conventional treatments included physical therapy, cortisone, and anti-inflammatories. While not the best choice for doctor or patient, many of these people considered the surgical option as the ultimate choice because they “have to do something.” But will surgery be any more effective? We will cover this in research cited later in this article. Is it the heel spur causing pain or is it plantar fasciitis? When a patient comes into our office with plantar fasciitis and a bone or heel spur

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Does a shoulder labrum tear require surgery?

Marc Darrow, M.D.,J.D. I get many inquiries from people asking if they should have a SLAP tear surgery or if there are options to avoid the surgery. The decision to proceed with surgery or other treatments should be made after a physical examination. A SLAP tear, or Superior Labrum Anterior and Posterior tear occurs when the superior portion (the top) of the labrum of the shoulder is damaged. The labrum is the lining of the shoulder socket. It holds the upper arm bone within the joint as well as attaches the upper bicep to the shoulder joint. When it is

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Are spinal surgeries as successful as we think? Failed back surgery syndrome.

Marc Darrow, MD, JD. In this article I hope to share with you three main thoughts from recent research. Who is at risk for failed back surgery? What happens to put people at risk for failed back surgery syndrome before the surgery? What can be done in situations for failed back surgery syndrome after the surgery? I have made it a point throughout this website to display my great admiration for surgeons. I went to medical school to become a surgeon. As I saw more and more failed surgeries I decided to change my practice over to providing non-surgical methods. There

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Do you need a hip replacement? Factors in the decision making process

Marc Darrow, MD,JD. Over the years we have seen our fair share of people with a diagnosis of a bone-on-bone hips. The people we usually see have a lot of hip pain and instability which causes walking difficulties, balance difficulties and prevents these people from feeling stable on their feet. They also come into our office claiming that they have been told they only have one treatment option, hip replacement and that they should get on the list to get one. They are here in our office to ask, “Is hip replacement really my only option?” Article summary Diagnosing Hip

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MRI Neck findings and chronic pain

Marc Darrow, MD, JD. Everyday we get many emails.  In many of these emails the person asking a question sends me their cervical neck MRI findings. That is all they send: A cut and paste of their MRI report. They never say what their pain is like, how this neck pain is affecting their day to day quality of life, or any other glimpses into how this chronic neck pain is hurting them. The email that they send me is all about their neck MRI. Our own clinical findings and that of researchers is that maybe your neck pain should

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Platelet Rich Plasma therapy for chronic low back pain

Marc Darrow, MD., JD At our practice we utilize Platelet-Rich Plasma as one of our injection treatments for the patient with chronic low back pain. We may also utilize bone marrow derived stem cell therapy. The decision as to which one of these treatments to use is based on an examination in the office and an assessment of the person’s pain and functional difficulties along with the patient’s goal of treatment. Someone who needs to return to work as a landscaper will have a different treatment priority than a retired individual with lesser physical demands on his/her back. Demonstration of

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