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Midtarsal sprain with ankle sprain

Mid-tarsal joint sprains are generally seen in athletes who play sport or activity where there is jumping and landing. The ligaments that are typically sparined and injured are the  calcaneocuboid ligament and the Calcaneonavicular ligament. Part of these ligaments join together as a bifurcate ligament. A April 2020 paper (1)  wrote about the undiagnosed ligament injuries in the subtalar and midtarsal joints. “Ligament injuries around the subtalar, talocalcaneonavicular, and calcaneocuboid joints are often underestimated on clinical and imaging findings during investigation of patients with ankle and foot injuries. Because a delayed diagnosis of midtarsal ligament tears may lead to chronic pain

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Does high cholesterol or statin use accelerate osteoarthritis?

Marc Darrow MD, JD. There is a lot of controversy as to whether stains use or high cholesterol causes accelerated or 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. Certainly not being in the best shape can worsen joint pain. That is generally understood. For those seeking answers to whether the statins are causing muscle and joint problems (a well known side effect) or whether high cholestrol does is a subject

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Reliability of Knee MRIs

MRIs – Useful or Useless for Knee Pain? I often receive emails from prospective patients who have an X-ray or MRI they want to send us. Sometimes they want an opinion to back up a surgical recommendation; sometimes they want an opinion to support their desire to avoid surgery. In either case, when I tell them that the X-ray or MRI may not be telling the truth about their pain source, they become surprised and confused. New findings say that many MRIs are useless. Investigators examined patients who had had an MRI for knee pain to determine whether the MRI

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Hormone level side effects in prolonged painkiller usage

Many individuals that contact us have been on long-term medications to manage their chronic pain. Many times these medications were prescribed to help the patient manage until a surgery could be performed. More recently, as elective surgeries have become less available and longer wait times are being given, doctors may find it necessary to prescribe medications as “no other option.” In over two decades of service helping patients with chronic pain, we have seen our fair share of patients who were put into the “tween” group. These patients have advancing osteoarthritis but are too young for joint replacement. They come

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Failed Back Surgery Syndrome

A July 2022 paper (1) describes failed back surgery syndrome treatment this way: “Failed back surgery syndrome (FBSS) is associated with persistent lower back pain after and despite one or more surgical interventions. A number of factors underlie and maintain FBSS and successful management of pain chiefly depends on identifying them. Pharmacological, surgical, and non-surgical therapeutic measures are taken to treat the pain. Spinal cord stimulation and nerve stimulation have been widely practiced in this regard and enhanced pain reduction and patient satisfaction. In hernia and recurrent disc degeneration and sagittal imbalance, discectomy and/or fusion are indicated.” Conservative care treatments

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How successful is spinal surgery?

A July 2022 study examined the “complex relationship” between pre-operative expectations, fulfillment of those pre-surgery expectations, post-surgical outcomes, and satisfaction after spine surgery to help determine, what is a successful spianl surgery. This study was conducted as a Canadian national study of patients undergoing elective surgery for degenerative spinal conditions Fifty-eight percent of patients were extremely satisfied, and 3% were extremely dissatisfied. Pre-surgery outcome expectations were variable and generally high. 17.3% of patients reported that none of their expectations were met, 49.8% reported that their most important expectation in the majority disability or pain improvement was met, and 32.9% reported

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