Treatment of lumbar spinal stenosis

Many of the patients we see are looking for alternatives to spine surgery. Many of these people are told that surgery is the only option because the MRI shows narrowing and possible compression on the nerves and spinal cord. For some people, such as those with neurological disabilities, surgery is the only answer. However, if the patient’s pain is in the lower back, we can have realistic expectations that our treatment can help. Many studies insist that surgical treatment is the best option for lumbar spinal stenosis. Is that really true? Despite the fact that many studies insist that surgical

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Are PRP Injections an Option to Rotator Cuff Surgery?

If you went to an orthopedic surgeon, there is a good chance that he/she will follow the guidelines published in January 2022 in The Orthopedic clinics of North America journal. (1) Those guidelines are quoted here: “Acute, traumatic rotator cuff tears typically occur in younger patients with a fall on an outstretched hand, grabbing an object to catch oneself when falling, or a glenohumeral dislocation. These tears are best evaluated with MRI. Partial-thickness tears may be managed nonoperatively with physical therapy, NSAIDs, and injections. Full-thickness tears in most patients should be managed with surgical repair as soon as possible, with

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Do I Need Surgery for a Meniscus Tear?

For many people we see, when given a choice, they would prefer not to have a meniscus surgery. For others, they may have no choice. They have a meniscus injury that prevents them from bending or straightening their leg and is causing them a lot of pain. But is surgery the only option? The medical research of the last few years have made it clear that the old guidelines that the only treatment for a meniscus was to remove damaged tissue by way of an arthroscopic meniscectomy or partial meniscectomy (the whole or partial removal of the meniscus) needed to

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Returning to work after knee replacement

Many people who are of “working age” generally delay as long as they can knee replacement surgery. The reasons for delay are obvious in many cases. The patient is a primary provider. The patient is self-employed. The patient is wondering if they can delay the knee replacement until they have acquired enough sick time that they can retire and they get the surgery. The patient is concerned with how much time they will miss at work. For those patients who will be returning to work, the frequent question is, “when can I go back to work?” When do “working age”

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Post-Laminectomy Syndrome Treatments

Post-Laminectomy Syndrome is part of the umbrella diagnosis of Failed Back Surgery Syndrome. If you have been diagnosed with this problem you probably suffer from chronic and persistent back pain, just as bad or worse than the pain you suffered from before you had a laminectomy. There are many people who have had successful laminectomy and they are very happy with the results. Others found good relief from the procedure, others found fair relief, others still found no relief. In some, the pain was made worse. When someone contacts our office with a diagnosis of Post-Laminectomy Syndrome we have to

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