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Information on Artificial cervical disc replacement vs Anterior cervical discectomy and fusion

Marc Darrow, MD, JD. There are many options in helping people with neck pain or degenerative disease in their cervical spine. At our clinic we try to help as many people avoid surgery as we can although for some people surgery will be their only realistic option and we advise these people appropriately. Sometimes a person may think they need surgery because they have been told that the must have it even though the evidence for their needing a surgery may be based solely on an interpretation of an MRI. As researchers have pointed out most people will not need

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Pain medications increase fall risk in older patients

Pain and pain medications are risk factors for hip fracture falls One of the goals of surgery is to reduce the need for painkillers because of the long-term effects these medications can have on people. During the pandemic, when access to medical care and orthopedic surgery were compromised, many people found themselves being prescribed and taking more painkillers and anti-inflammatories to manage their chronic pain. As elective surgeries were push back and delayed, more pills were given. Painkillers and anti-inflammatories medications come with many well known and well documented side effects. Among these side effects is the increased risk that

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Information 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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Information on Non-Surgical and Conservative Care for neck pain and cervical spine disorders

Chronic neck pain is one of the more frequent problems we see in our new patients because of its complexity and difficulty in finding the true cause of pain. Patients may present themselves with numbness or pain radiating from the neck into the arm due to nerve compression. They may be diagnosed with cervical radiculopathy which is caused by  herniated disc, or spondyliotic foraminal stenosis. When many doctors think there is a radiculopathy, a surgery will be recommended. Chronic neck pain usually centers around the nerves. Chronic neck pain usually centers around the nerves. A disc in the neck can

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Information on Carpal tunnel syndrome

Marc Darrow, MD, JD. If you suffer from Carpal tunnel syndrome you know that it causes numbness, tingling, and pain in the wrist, hand and arm. You were probably told that you have a compression of the median nerve somewhere among the sea and ligaments of the wrist. For you, like many people, your condition may have worsened overtime. Traditional methods of treating Carpal Tunnel Syndrome include wearing a splint at night or injections of cortisone to reduce swelling. Over the course of time you have tried: Ergonomic modification of office. Varying over the counter anti-inflammatories and pain medications. Wearing

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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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