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Many patients do not lose weight after knee replacement

Many total knee replacement patients are overweight or obese. There is a thinking among many that after the knee replacement, their physical activity levels and weight will improve. This does not appear to be true for some as research points out. In many knee replacement patients, weight loss does not occur even though activity can be increased. I recently read a study in the journal Disability and rehabilitation.(1) It was led by Northwestern University. It talked about the weight problems people have after they had total knee replacement and the continued problems the patients had in the inability to losing weight

Chronic back pain in the surfer

In the patients we see and the people who contact our office for low back pain, the ones who happen to be surfers, tell us about their concerns that a suggested back surgery recommendation will keep them from surfing. The reason to have the back surgery these surfers are told is because “everything else” has not worked. Everything else being rest, ice, anti-inflammatories, back braces, exercises, physical therapy, yoga, perhaps cortisone injections. They are in our office because “everything else” may not have included other injections including stem cells or platelets. Which I will explain these injections below. The surfer’s

Surfer’s Ankle – Unstable and stiff ankle

Usually a surfer that suffers from an ankle injury or chronic ankle pain will go online and start looking for exercise tips, a really good ankle brace, or any other means to help them with either a loose ankle or an ankle that is too stiff. A surfer will then seek out medical attention when these various remedies are no longer helping them and carving, turning in, and the pop up become increasingly painful and unstable endeavors. When it because too painful or surfing begins to loose its joy, a surfer will usually visit a doctor, thinking about the possibility

Prolotherapy injections for knee osteoarthritis

Marc Darrow, MD, JD Over the past few decades Prolotherapy, the injection of sugar solution and other substances in and around a painful joint, has become an increasingly popular alternative to surgery and steroid injections. Prolotherapy is given as an injection of a mild irritant (something that causes inflammation), often dextrose (a simple sugar), into a specific area of the body that is arthritic, worn down, or injured. When the irritant is injected into the knee, it causes the body’s immune system to stimulate the inflammatory process. While it may seem counterintuitive to create more inflammation, it is in fact inflammation

Avascular necrosis in the ankle Updated

Ankle pain and avascular necrosis of the talus

Subacromial impingement and tendinopathy

You go to the doctor with a complaint of severe shoulder pain. The pain is at the top and side of your shoulder and causing you great discomfort. You tell your doctor that the pain is much worse when you do anything where you have to reach over your head. Further, you tell your doctor that you also have a hard time sleeping at night because the pain is worse when you lay down. You may get an examination and your doctor may look for how much range of motion you have in your shoulder. If you have a lot

Many patients do not lose weight after knee replacement

Chronic back pain in the surfer

Surfer’s Ankle – Unstable and stiff ankle

Prolotherapy injections for knee osteoarthritis

Avascular necrosis in the ankle Updated

Subacromial impingement and tendinopathy

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MARC DARROW, M.D., J.D

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