Injections and other non-surgical treatments for hip osteoarthritis

Typically before someone diagnosed with hip osteoarthritis is recommended to surgery, they will be offered various injections that may help them delay or prolong the need for the replacement surgery. The reasons for delaying hip replacements are many. You have to work, you are a primary caregiver, you are waiting until you retire, you simply do not want the surgery. For the people with hip pain there are choices. In the following recent research we will examine comparisons between routinely administered hip osteoarthritis injections. Discussed in this article: Cortisone injection Hyaluronic acid injections Platelet rich plasma Botox injections Cooled radiofrequency

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Symptoms of C1 – C7 herniation or nerve compression

In this article I would like to discuss some of the symptoms of C1 – C7  herniation or nerve compression. While this type of problem in patients can be the result of many things, this article will focus on degenerative wear and tear of the cervical spine and scoliosis. Sometimes I will see a patient who has neck pain. They will also have symptoms consistent with radiculopathy or more commonly, a pinched nerve. These symptoms would include a burning pain that would travel down the nerves from the neck through the shoulders and down the arm into the fingers. They

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Ankle Fusion and Ankle Replacement Surgery and possible alternative treatments

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 stem cell therapy can be an option. Others write that the are bone on bone and have lost all the cartilage in their ankle, can we help? Treatment options for advanced ankle osteoarthritis A study published in March 2019 (1) discusses the problem orthopedists and surgeons have in presenting treatment options to their patients with advanced ankle osteoarthritis. As many doctors and patients

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Barre-Lieou Syndrome

Barre-Lieou Syndrome is an often confusing, misdiagnosed and misunderstood cause of a vast array of neurologic based symptoms.  Barre-Lieou Syndrome  is named for the collective, yet independent work of Jean Alexandre Barre, M.D. who published his research in 1925 and Yong-Choen Lieou, MD who published his findings in 1928. Each doctor wrote of patients displaying unexplainable symptoms  of headache, pain and swelling on one side of the face, tinnitus, vertigo and dizziness, nausea, vomiting and other digestive distress, vision problems, radiculopathy type symptoms of neck, shoulder pain and numbness extending into the hands and fingers. Theories developed out of Barre-Lieou’s

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Research comparing different types of knee injections

Many patients we see, have been researching their options in treating their chronic knee pain. These people come to see us because they are exploring non-surgical alternatives and have investigated various forms of regenerative medicine techniques. This includes the use of their own blood platelets as a healing solution, (more commonly referred to as Platelet Rich Plasma Therapy) or stem cell therapy which we will discuss below in relation to hyaluronic acid injections. Many of these patients, perhaps including yourself as well, have had prior discussion with doctors about hyaluronic acid injections. These injections can provide a good amount of pain relief, temporarily.

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Weight loss can help avoid back surgery

When we see a patient in our office who has joint or back pain and they have clear issues of excessive weight, we try to reassure the patient that we understand that it can be difficult to lose weight. We tell them that we are not going to lecture them and that we will try to present solutions that are realistic. There has been a large amount of published research, recently released, that suggests that it is not only the mechanical stress that a big belly puts on your lower spine that can cause back pain, but the runaway inflammation

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