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Pes anserine bursitis

As with any bursitis or conditions that are thought to be caused by run away inflammation, pes anserine bursitis treatment typically follows the rest and the use of different means to anti-inflammatory remedies including ice, NSAIDs use and avoidance of activities like stair climbing, that can worsen the condition. If these treatments fail, physical therapy is often prescribed to strengthen the muscles around the knee. As this problems tends to be found in women who are considered overweight and middle-aged, the problems in this group is usually seen in conjunction with knee osteoarthritis. For others, such as athletes or people

Treating advanced shoulder pain – 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

Alternatives to hip labrum arthroscopic surgery

Marc Darrow, MD. We are getting many emails from people who are waiting for a hip arthroscopic surgery or trying to find other solutions. They have a lot of pain, mostly a dull nuisance type pain that climbs in intensity when they try to do sports or sometimes while simply walking. Many have a hip that clicks, locks, and gets stuck in mid-step. If the person is a master’s age athlete and the decades of active sports involvement have caused significant hip pain, then he/she may be recommended to a hip arthroscopy surgery as a means to preserve the hip

Are MRIs sending people to back surgery who don’t need it?

There is thinking in the medical community that if you want to avoid a back surgery, do not get an MRI. This is not a new thought, the controversies surrounding MRI interpretation sending people to a back surgery that they did not need has been going on for years. BUT, the patients think they need back pain surgery to get back pain relief. “Lumbar spine diagnostic imaging reports may cause patient and clinician concern when clinically unimportant findings are not explicitly described as benign.” New research (1) says: “Lumbar spine diagnostic imaging reports may cause patient and clinician concern when

Failed Ankle Surgery

Marc Darrow, MD. JD. We do get many emails about ankle pain. Some people write that they are on a waiting list for an ankle fusion, sometimes one, sometimes both ankles, and while they are waiting, they want to know if bone marrow aspirate concentrate stem cell therapy can be an option for them. Others write that the are bone on bone and have lost all the cartilage in their ankle, can we help? The risks and rewards of ankle arthrodesis or ankle fusion and total ankle replacement. Recent research in the British medical bulletin (1) discuss the risks and

Jumper’s Knee – Patella tendinopathy

Marc Darrow, MD., JD. Over the years we have seen a lot of people with knee problems. Many of them with problems of the patellar tendon. These people have had many treatments including painkillers and anti-inflammatories, cortisone injections, physical therapy, rest, some of the them wear big braces on their knees some try kinesio taping. They are doing a consult with us because they are still looking for help. After an email or a phone call we assesses the person’s situation. If we feel they are a realistic candidate for treatment, they come in for a consultation where we can

Pes anserine bursitis

Treating advanced shoulder pain – non-surgical methods

Alternatives to hip labrum arthroscopic surgery

Are MRIs sending people to back surgery who don’t need it?

Failed Ankle Surgery

Jumper’s Knee – Patella tendinopathy

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MARC DARROW, M.D., J.D

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