Blog

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 for a torn meniscus. Conservative care, surgery and injections

Marc Darrow, MD Many people today are exploring meniscus surgery alternatives. One reason is that there is significant and controversial research to suggest that not only will meniscus surgery NOT help them, but is some instances, the surgery may leave them worse off. But what if you have been told that surgery is the only option? Research presented in this article may provide you with an understanding that perhaps there are more options than just surgery. When knee pain from meniscus damage is symptomatic, it represents a challenge since arthroscopic surgery provides unpredictable results Many people have very successful surgeries.

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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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Systemic effects of cortisone injections including cartilage damage

Marc Darrow, M.D.,J.D. There is a concern amongst doctors and patients as to the long-term use of corticosteroids in managing chronic back, neck, and joint pain. Cortisone injections can help many people, they can also provide potential harm to others. The debate over the detrimental effects of corticosteroids intensified during the COVID-19 surge as corticosteroids were prescribed to suppress immune response in COVID patients. Why are steroids used so much in orthopedic medicine? A September 2021 paper (1) found: “There are growing concerns with the widely used glucocorticoids during the Coronavirus disease-19 (COVID-19) pandemic due to the associated immunosuppressive effects,

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