Blog

Back and neck pain from carrying a golf bag

Some golfers like to get that extra bit of exercise on the course by not only walking the course, but carrying their own bags as well. However, carrying a 20-25 pound bag while walking a couple of miles over a course can cause significant chronic pain. In golfers much has been made about the golf swing causing spine problems including into the neck. But not much has been made about what carrying the bag can do if you do not maintain a good posture and a good gait. The weight of the bag impacts back pain Golf is an exploding

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Greater trochanteric pain syndrome

Marc Darrow, MD, JD Over the years we have seen many patients with hip pain. Many of them having a “hip bursitis,” or more commonly a trochanteric bursitis or iliopsoas bursitis. Sometimes both. The iliopsoas bursitis is felt in the groin area on the inside of the hip. The trochanteric bursitis is felt on the outer part of the hip. However, most of the patients we see may or may not have a bursitis even though they have a diagnosis of one and they are on anti-inflammatory medications. Bursitis is an inflammation of the protective, fluid filled sacs that prevent

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Cervical Epidural Steroid Injections

Many people find relief from neck pain through various non-surgical treatments. Among these conservative neck care treatments are neck epidural corticosteroids injections. These steroid injections can provide temporary relief in situations of chronic neck pain and in cervical radiculopathy where inflammation is causing compression the cervical nerves and pain and numbness into the arms, hands and fingers. However, long-term results can be less successful. An October 2021 study (1) investigated the effect of preoperative epidural steroid injection on future outcomes  in patients undergoing surgery for cervical degenerative disease. In this large study: 97,117 patients underwent cervical degenerative surgery, of which

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Tennis elbow and elbow pain: Physical therapy, cortisone, bone marrow stem cell therapy and PRP injections

Marc Darrow MD, JD. We will often see patients who have lingering elbow pain. They continue to receive and remedy themselves with traditional “conservative” treatments that include resting, icing, anti-inflammatory medications, Kinesio tape and various other health care provided treatments including physical therapy, massage, cortisone injections and even acupuncture. While some will respond to these treatments the patients who come into our office have not. They have been scheduled for one of the many surgical procedures often suggested for treatment of lateral epicondylitis. Most will be recommended to a debridement, the removal of tissue “too far gone,” to be saved.

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People have failed shoulder surgeries and doctors cannot pinpoint why

People have very successful shoulder surgeries. Most go very well. But what about the few that do not? In the worst case of shoulder replacement I have seen, an elderly man presented with right shoulder pain. When I asked him to lift his arms, he lifted his right arm, but had no motion at all in his left shoulder. I was perplexed and asked if his left shoulder also hurt. His response was alarming. He told me he had a left shoulder replacement, and the arm prosthesis had dislocated out the the shoulder, and he had absolutely no use of

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Treatments 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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