Articles - Joint Rehab and Sports Medical Center

Research on Transforaminal Epidural Blocks

Lidocaine and steroids A May 2022 paper (1) compared lidocaine to steroids in Transforaminal Epidural Blocks for lumbar disc herniation. In this study, the researchers noted: “Lumbar transforaminal epidural block (TFEB) is an effective treatment modality for radicular pain due to lumbar disc herniation. The addition of steroids is more effective than local anesthetic alone in Lumbar transforaminal epidural block for patients with lumbar disc herniation. Moreover, the efficacy of Lumbar transforaminal epidural block (TFEB) has been reported to be positively correlated with the volume of injectate. . . This study compared the efficacy of high-volume Lumbar transforaminal epidural block

Stem cell hair follicles

In this article we will offer a brief explanation of how stem cells work in hair growth. The idea of this treatment is to use stem cells, which are cells that can transform themselves into other specialized cell types, such as the components of hair types of cells and inject or transplant them into your scalp to help promote hair growth. This is NOT a hair transplant procedure. It is a stem cell procedure. In our office we offer bone marrow derived stem cells and PRP therapy alone for hair loss. This article will not necessarily compare one treatment to another.

Patients who were referred to knee replacement, but who in fact had a hip problem

In many patients that come into our office, there is a complexity of symptoms and pain in multiple joints. For instance, they may suffer from back pain, hip pain, and knee pain. In the patient history, we ask that patient if they have been recommended to any surgeries? Sometimes they will respond, “yes, I have been recommended to back surgery,” or sometimes they will say, “my spinal surgeon is suggesting back surgery, my orthopedist is recommending hip surgery. My two doctors agree that I should have the hip surgery first then the spinal surgery.” Sometimes a patient will say that

Thyroid disease and joint pain

Many people with a diagnosis of hypothyroidism will suffer from joint pain. Hypothyroidism is a medical condition where the thyroid gland does not produce enough thyroid hormone for normal body function. Their joint pain comes from under-active (hypo) thyroid gland causing excessive protein deposits in joint tissue. The knees, ankles, feet, and hands the most common pain site in hypothyroidism. However, underlying autoimmune disorders such as rheumatoid arthritis may also be causing issues. This is especially suspected if thyroid medication is given without relief of the person’s joint pain. Hyperthyroidism, (you produce too much thyroid hormone) can also cause degenerative

Long-term patient expectations following hip resurfacing

Hip resurfacing is not hip replacement. In hip resurfacing the head of the femur is capped (after being trimmed) with a smooth metal covering. The damaged bone and cartilage within the socket is removed and replaced with a metal cup, similar to that in a total hip replacement. In total hip replacement, not only is the head of the femur replaced, but also the socket in the pelvis (acetabulum). One of the main selling points for hip resurfacing is that it leaves more bone so a hip replacement can be performed later. The procedure itself has fallen out of popularity

Cell phones and text neck

Text neck is a condition that describes how you develop it, you look at your cell phone a lot, the more text you look at, the more neck pain can develop. How does neck pain develop? By stretching the cervical spine ligaments. What happens when you stretch the ligaments? Your neck loses its natural shape and the weight of your head becomes difficult for your neck bones to keep upright. When this happens the cervical spine muscles try to compensate. Because the neck muscles are not suppose to keep the cervical vertebrae in place, the cervical ligaments are what holds

Blog

Research on Transforaminal Epidural Blocks

Stem cell hair follicles

Patients who were referred to knee replacement, but who in fact had a hip problem

Thyroid disease and joint pain

Long-term patient expectations following hip resurfacing

Cell phones and text neck

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MARC DARROW, M.D., J.D

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