Blog

Cell phones and text neck syndrome

Marc Darrow, MD, JD. Text neck is a condition that describes how you develop your neck pain. The more text messages you look down at, the more neck pain can develop. How does neck pain develop from looking down at your cell phone? By stretching the cervical spine ligaments. What happens when you stretch the ligaments? Your neck loses its natural shape and the weight of your head becomes difficult for your neck bones to keep upright. When this happens the cervical spine muscles try to compensate. Because the neck muscles are not suppose to keep the cervical vertebrae in

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New research July 2024

Current research we are reading: July 2024   Failed back surgery A June 2024 paper examined the causes and problems of failed back surgery syndrome. The paper points out there are many causes for failed back surgery. Among them: “Incorrect selection of the surgical procedure is a significant risk factor for failed back surgery syndrome. Performing decompression at the wrong level or single-level decompression without recognizing multilevel spinal involvement is unlikely to yield satisfactory outcomes. Inadequate lateral recess (not enough bone was removed)  and neural foraminal decompression are significant causes of failed back surgery syndrome. Errors during spinal surgery can exacerbate

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Do statins for cholesterol problems accelerate or worsen osteoarthritis?

Marc Darrow, MD, JD. There is a lot of controversy as to whether statin use for high cholesterol and metabolic disorders may cause accelerated or worsening osteoarthritis or protects against worsening osteoarthritis. We do see many patients who have weight challenges and cholesterol problems, among many. They have osteoarthritis and they have cholesterol problems being managed by statin use. They often ask if there is a connection between high cholesterol, weight, and the joint pain they suffer from. Certainly not being in the best shape can worsen joint pain. That is generally understood. For those seeking answers to whether the

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Information on Frozen shoulder – Adhesive capsulitis and Platelet Rich Plasma Therapy

Marc Darrow, MD., JD. Clinically we have seen many patients with various and diverse shoulder problems. One such problem is the problem of frozen shoulder. People with frozen shoulder are typically someone who had a shoulder injury or surgery that required immobilization or someone who suffers from diabetes. As we are dealing with treatments surrounding musculoskeletal repair, we will focus on post-traumatic injury or surgical cause of “frozen shoulder.” Below is also new research on the use of PRP shoulder injections in the frozen shoulder shoulders of diabetes patients. Many people contact us after they have had tradition treatments for

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Dissatisfaction after knee replacement

Marc Darrow, MD, JD. This is recent research on knee replacement dissatisfaction. Some patients dissatisfied with their results of their knee replacement A May 2024 study looked to predict which patients would be most dissatisfied with their results of their knee replacement (knee arthroplasty ) surgery. The authors write: “Dissatisfaction after total knee arthroplasty is a prevalent and clinically relevant problem that affects approximately 10%-20% of patients. The aim of this study is to identify factors associated with dissatisfaction one year after total knee arthroplasty. A total of 236 patients who had total knee arthroplasty (TKA) were included in this

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Information on Surfer’s shoulder pain

Marc Darrow, MD, JD. Over the years we have seen many shoulder problems. Surfers are a particular group of interest in that many surfers have problems, not in one shoulder, but in both shoulders. While there are many articles on shoulder pain, it is surprising that there is not more specialized information available to the surfer about their shoulder injury. A January 2021 review article (1) from an international team of specialists points this out: “Chronic shoulder complaints are frequently reported amongst surfers, though literature researching its pathophysiology and prevention is scarce.”  The researchers then wrote that their review would

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