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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

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Sacroiliac joint dysfunction

Typically the patient with sacroiliac joint dysfunction will come into our office after visiting a physician or series of physicians who prescribed NSAIDS or provided a cortisone injection. They may have also visited a chiropractor, a physical therapist, and a massage therapist. All obviously with limited results. Some have been to the orthopedic surgeon who strongly recommended sacroiliac joint dysfunction surgery because they had an MRI showing a herniation between the L5 and S1 vertebrae and a prognosis of impending worsening of symptoms. (Please see my companion article MRI inaccuracies are recommending unneeded back surgery.) However, many doctors do not

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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

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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

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TMJ Injections

Many people contact my office asking about TMJ treatments. For the most part they are contacting us to learn about the possibilities of how regenerative medicine injection treatments may help them. Among these injections are bone marrow aspirate concentrate (a procedure that uses cells from your own bone marrow to initiate healing) and Platelet Rich Plasma injections. We use these treatments in orthopedic conditions such as osteoarthritis, joint degenerative disease, neck and back pain), and for the purpose of this article problems of TMJ and TMJD (Temporomandibular joint dysfunction). The temporomandibular joint (TMJ) is located where the jawbone meets the

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Prolotherapy injections for knee osteoarthritis

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 that is part of

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