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Information on a Pes anserine bursitis diagnosis

Marc Darrow, MD, JD. As with any bursitis or conditions that are thought to be caused by run away inflammation, pes anserine bursitis treatment typically follows the rest and anti-inflammatory remedies including ice, NSAIDs use. Avoidance of activities like stair climbing, that can worsen the condition are also generally recommended. Physical therapy is often prescribed to strengthen the muscles around the knee to help resume these activities. While many times these remedies will help people, many times these treatments fail.  As this problems tends to be found in women who are considered overweight and middle-aged, the problems in this group

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Information on Hip Tendonitis

Marc Darrow, MD,JD. People who have tendonitis or bursitis typically are told that they have a problem of inflammation. That is why they have an “itis,” itis meaning inflammation. When they have tendonitis they have inflammation of the tendon. When they have Bursitis, they have inflammation of the bursa. Over the years they have practiced the various remedies of inflammation, that is ice, anti-inflammatories, rest, compression shorts, in the case of a hip problem. In their medical history may be a prescription for physical therapy to stretch and strengthen the problem hip. Even after physical therapy they remain on a

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Information on non-surgical methods advanced shoulder pain

Marc Darrow, MD, JD. The shoulder is a common source of disability resulting from traumatic and degenerate tears of the rotator cuff and biceps tendon, tendinitis, bursitis, subacromial impingement, labral tears, chronic dislocations, and osteoarthritis. Nonoperative management has too often focused on narcotics, other analgesics, anti-inflammatory medications, and steroid injections such as cortisone. The Leading Causes of Shoulder Pain  Repetitive overhead sports motions such as pitching, swimming, or the tennis serve. Heavy lifting. Excessive force or impact on the shoulder such as a fall. Degeneration due to aging or overuse. Narrowing or laxity of the space (acromioclavicular joint) between the

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Information on hip labrum tears

Marc Darrow, MD. We are getting many emails from people who are waiting for a hip arthroscopic surgery or trying to find other solutions. They have a lot of pain, mostly a dull nuisance type pain that climbs in intensity when they try to do sports or sometimes while simply walking. Many have a hip that clicks, locks, and gets stuck in mid-step. If the person is a master’s age athlete and the decades of active sports involvement have caused significant hip pain, then he/she may be recommended to a hip arthroscopy surgery as a means to preserve the hip

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Are MRIs sending people to back surgery who don’t need it?

There is thinking in the medical community that if you want to avoid a back surgery, do not get an MRI. This is not a new thought, the controversies surrounding MRI interpretation sending people to a back surgery that they did not need has been going on for years. BUT, the patients think they need back pain surgery to get back pain relief. “Lumbar spine diagnostic imaging reports may cause patient and clinician concern when clinically unimportant findings are not explicitly described as benign.” New research (1) says: “Lumbar spine diagnostic imaging reports may cause patient and clinician concern when

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Information on Failed Ankle Surgery

Marc Darrow, MD. JD. 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 bone marrow aspirate concentrate stem cell therapy can be an option for them. Others write that the are bone on bone and have lost all the cartilage in their ankle, can we help? The risks and rewards of ankle arthrodesis or ankle fusion and total ankle replacement. Recent research in the British medical bulletin (1) discuss the risks and

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