Marc Darrow, MD, JD. - Joint Rehab and Sports Medical Center

Systemic effects of cortisone injections including cartilage damage

Marc Darrow, M.D.,J.D. There is a concern amongst doctors and patients as to the long-term use of corticosteroids in managing chronic back, neck, and joint pain. Cortisone injections can help many people, they can also provide potential harm to others. The debate over the detrimental effects of corticosteroids intensified during the COVID-19 surge as corticosteroids were prescribed to suppress immune response in COVID patients. Why are steroids used so much in orthopedic medicine? A September 2021 paper (1) found: “There are growing concerns with the widely used glucocorticoids during the Coronavirus disease-19 (COVID-19) pandemic due to the associated immunosuppressive effects,

Whiplash associated disorders and ligament damage

Marc Darrow, MD, JD. In the more than 27 years we have been helping patients with their chronic pain, we have seen many people with hyper-extended neck injuries, or, in simpler terms whiplash injury. We have also seen patients who suffered from long-term effects of their whiplash injury until such time as they were diagnosed with Whiplash Associated Disorders (WAD). As noted in many studies including that published in the journal Frontiers in neurology: “The main concern with whiplash is that a large proportion of whiplash patients experience disabling symptoms or whiplash-associated disorders (WAD) for months if not years following

What is a normal shoulder MRI and what is an abnormal shoulder MRI?

Marc Darrow, MD, JD. We often get a phone call or an email from someone who has a digital shoulder MRI file that shows damage. They have been told recently, the “only way” to fix this damage is with surgery, and, as we will see from the research below, the surgery may or may not offer the results the patient is hoping for. My Shoulder MRI is bad, my doctor says surgery Sometimes, someone will have a bad shoulder and a bad MRI and surgery may be the best answer. However, shoulder MRIs may present faulty or inaccurate information. In

The challenges of diagnosis and management of Sacroiliac joint dysfunction

Patients will often come into our office with a lumbar spine MRI, low back pain and a diagnosis of sacroiliac joint dysfunction. They are in our office because they may have been told that they should consider a surgical recommendation to spinal surgery. For many of these people, the MRI was the confirmation that their surgeon needed to go ahead with the surgical recommendation. For many patients, this may have been the same doctor who had taken them through a course of conservative treatments including long bouts with anti-inflammatory medications, back braces, physical therapy, and cortisone injections. The question then

Information on Plantar fasciitis injections

Marc Darrow, MD, JD. 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

Research comparing different types of knee injections

This article presents information of comparisons of various injection types for people suffering from knee pain. Seven different knee osteoarthritis treatments We will start with a December 2021 study (1) which assessed seven different knee osteoarthritis treatments. The researchers of this paper wrote wrote that their goal was to “find out, based on the available recent randomized controlled trials (RCTs), if the nonsurgical interventions commonly used for knee osteoarthritis patients are valid and quantify their efficiency (prove their effectiveness).” The treatments assessed were: Platelet Rich Plasma (PRP), PRP treatments involve collecting a small amount of your blood and spinning it

Blog

Systemic effects of cortisone injections including cartilage damage

Whiplash associated disorders and ligament damage

What is a normal shoulder MRI and what is an abnormal shoulder MRI?

The challenges of diagnosis and management of Sacroiliac joint dysfunction

Information on Plantar fasciitis injections

Research comparing different types of knee injections

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