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Injection treatment of tennis elbow

Tennis elbow (lateral epicondylitis) is a term for elbow tendinitis, an inflammation, soreness, or pain on the outside (lateral) part of the upper arm near the elbow. The cause is usually common extensor tendinosis or a partial tear in the tendon fibers, which connect muscle to the bone. The traditional term tendinitis refers to the acute (recent) inflammatory stage of tendon injury, while the new term, tendinosis refers to the chronic injury when inflammatory cells are no longer seen, but the tendon is worn. Symptoms include elbow pain that gradually worsens and can radiate outside of the elbow to the

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Non-Surgical and Conservative Care for neck pain and cervical spine disorders

I regularly see patients who have been told by another doctor that they need surgery for neck instability, or who have already had a failed cervical spine surgery. Why do so many patients undergo neck surgery? One reason is their fear that symptoms may progress. Another is that they are sometimes told they may be risking paralysis without it. Most commonly, though, it is because the doctor does not know how to heal neck pain due to ligament injury. Is “Unstable” Spondylolisthesis Really Unstable? For many patients with “unstable” cervical degenerative spondylolisthesis, observation may be a better choice than surgery,

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Treatment for back pain

MRI Is Sending People to Surgery Who Don’t Need It All too frequently, a medical study comes across my desk that says patients are too often choosing to have elective orthopedic surgery. In a recent paper, doctors found that more than 50% of the patients would have a spinal surgery if their doctor told them they had an abnormal spinal MRI, even if they had no pain or restricted movement. The authors surmised that patients overemphasize the value of MRIs and have mixed perceptions of the relative risk and effectiveness of surgical intervention compared with more conservative management. (1) Doctors

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Hip pain treatments options

Recently a  paper suggested that the treatment of hip osteoarthritis, like those of other joint osteoarthritic problems, is redefining itself at a pace probably not seen since the advent of hip replacement surgery. Some doctors are upset that patients are not given the full story on hip replacement options and alternatives. Despite the availability of evidence-based guidelines for conservative treatment of osteoarthritis, management of degenerated joints is often confined to the use of painkillers and the wait for eventual total joint replacement. This suggests a gap in knowledge for those with osteoarthritis regarding the many different treatment options available to

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Injections for knee pain: Bone marrow aspirate concentrate vs. PRP

One injection of bone marrow stem cells versus one injection of PRP A January 2022 study (1) compared bone marrow derived stem cell therapy vs. Platelet Rich Plasma. What the researchers did was give patients with knee pain and functional problems either one injection of bone marrow aspirate concentrate or one injection of Platelet Rich Plasma. The patients were then followed for 12 months to see how this one injection worked out for them and their knee pain. In this study the researchers explained: “investigational cell therapies injected intra-articularly, such as bone marrow aspirate concentrate (BMAC) and platelet-rich plasma (PRP),

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Treating advanced shoulder pain – different treatments, injections and non-surgical methods

Marc Darrow, MD, JD. The shoulder is a common source of disability resulting from traumatic and degenerate tears of the rotator cuff and biceps tendon, tendinitis, bursitis, subacromial impingement, labral tears, chronic dislocations, and osteoarthritis. Nonoperative management has too often focused on narcotics, other analgesics, anti-inflammatory medications, and steroid injections such as cortisone. The Leading Causes of Shoulder Pain Repetitive overhead sports motions such as pitching, swimming, or the tennis serve. Heavy lifting. Excessive force or impact on the shoulder such as a fall. Degeneration due to aging or overuse. Narrowing or laxity of the space (acromioclavicular joint) between the

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