Blog

Information on Failed back surgery syndrome.

Marc Darrow, MD, JD. In this article I hope to share with you three main thoughts from recent research. Who is at risk for failed back surgery? What happens to put people at risk for failed back surgery syndrome before the surgery? What can be done in situations for failed back surgery syndrome after the surgery? I have made it a point throughout this website to display my great admiration for surgeons. I went to medical school to become a surgeon. As I saw more and more failed surgeries I decided to change my practice over to providing non-surgical methods. There

Read More »

Platelet Rich Plasma Injections for knee osteoarthritis

Marc Darrow, MD, JD. An introduction to PRP injections PRP treatments involve collecting a small amount of your blood and spinning it in a centrifuge to separate the platelets from the red cells. The collected platelets are then injected back into the injured area to stimulate healing and regeneration. The platelets contain healing agents, or “growth factors.” including Platelet-derived growth factor (PDGF), Transforming growth factor beta (or TGF-β, Insulin-like growth factors, Vascular endothelial growth factor (VEGF) and Epidermal growth factors. The number of treatments needed can vary from patient to patient depending on the level of knee degeneration and the

Read More »

Do Painkillers Cause Lower Testosterone Levels?

Marc Darrow, MD, JD. We see a number of patients who have advancing osteoarthritis but who are too young for joint replacement and are being managed for their joint pain until they are told they are old enough for a hip or knee replacement. While they wait, many are losing hormones, gaining weight, and losing mobility. Typically, these people will have lower levels of activity, chronic pain, leading to weight gain and obesity and are on pain medications. They are, clearly, in a poor healing milieu.  In our office we have seen many men who had a long history of

Read More »

Acromioclavicular joint surgery may not be needed in acromioclavicular joint osteoarthritis

Marc Darrow, MD, JD. When someone with shoulder pain is to told to consider acromioclavicular joint surgery, they will typically accept the surgery because they think it will help them get to sport or work sooner. Or, they will ask, “If it won’t get better by itself, is there anything else I can do.” The answers to those questions should be made in a consultation. To help provide some information on those questions, we will examine the research surrounding acromioclavicular joint pain in the person who has been told to have surgery, and are exploring other options. The MRI and

Read More »

Cell phones and text neck syndrome

Marc Darrow, MD, JD. Text neck is a condition that describes how you develop your neck pain. The more text messages you look down at, the more neck pain can develop. How does neck pain develop from looking down at your cell phone? 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

Read More »

New research July 2024

Current research we are reading: July 2024   Failed back surgery A June 2024 paper examined the causes and problems of failed back surgery syndrome. The paper points out there are many causes for failed back surgery. Among them: “Incorrect selection of the surgical procedure is a significant risk factor for failed back surgery syndrome. Performing decompression at the wrong level or single-level decompression without recognizing multilevel spinal involvement is unlikely to yield satisfactory outcomes. Inadequate lateral recess (not enough bone was removed)  and neural foraminal decompression are significant causes of failed back surgery syndrome. Errors during spinal surgery can exacerbate

Read More »