Blog

What is a normal shoulder MRI and what is an abnormal shoulder MRI?

Marc Darrow, MD, JD. We often get a phone call or an email from someone who has a digital shoulder MRI file that shows damage. They have been told recently, the “only way” to fix this damage is with surgery, and, as we will see from the research below, the surgery may or may not offer the results the patient is hoping for. My Shoulder MRI is bad, my doctor says surgery Sometimes, someone will have a bad shoulder and a bad MRI and surgery may be the best answer. However, shoulder MRIs may present faulty or inaccurate information. In

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The challenges of diagnosis and management of Sacroiliac joint dysfunction

Patients will often come into our office with a lumbar spine MRI, low back pain and a diagnosis of sacroiliac joint dysfunction. They are in our office because they may have been told that they should consider a surgical recommendation to spinal surgery. For many of these people, the MRI was the confirmation that their surgeon needed to go ahead with the surgical recommendation. For many patients, this may have been the same doctor who had taken them through a course of conservative treatments including long bouts with anti-inflammatory medications, back braces, physical therapy, and cortisone injections. The question then

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Information on Plantar fasciitis injections

Marc Darrow, MD, JD. Over the years we have seen many patients with Plantar Fasciitis that had been unresponsive to conventional treatments. These conventional treatments included physical therapy, cortisone, and anti-inflammatories. While not the best choice for doctor or patient, many of these people considered the surgical option as the ultimate choice because they “have to do something.” But will surgery be any more effective? We will cover this in research cited later in this article. Is it the heel spur causing pain or is it plantar fasciitis? When a patient comes into our office with plantar fasciitis and a

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Research comparing different types of knee injections

This article presents information of comparisons of various injection types for people suffering from knee pain. Seven different knee osteoarthritis treatments I will start with a December 2021 study (1) which assessed seven different knee osteoarthritis treatments. The researchers of this paper wrote wrote that their goal was to “find out, based on the available recent randomized controlled trials (RCTs), if the nonsurgical interventions commonly used for knee osteoarthritis patients are valid and quantify their efficiency (prove their effectiveness).” The treatments assessed were: Platelet Rich Plasma (PRP), PRP treatments involve collecting a small amount of your blood and spinning it

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TMJ and Neck Pain

Marc Darrow, MD,JD. Over the years we have received our fair share of emails from patients seeking help for their TMJ. In many of these emails, the sender will describe to us osteoarthritis of the jaw that came as a result of a traumatic injury such as a jaw dislocation during a hockey game or a dislocation or a fractured jaw from an accident. Some will write that their TMJ problems developed when they had some wisdom teeth removed. Others will suggest that TMJ came upon them slowly as a degenerative joint disease. This article will focus on the later,

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Hip replacement or spinal fusion? Which one first?

Many people email us about their hip and back pain. Some have been recommended to a hip replacement, some have been recommended to a spinal surgery. Some have been recommended to both surgeries and they are in the process of choosing between one or the other and exploring options to help them avoid one or the other surgery, even both. Back surgery? Hip Surgery? Do you need either? Both? Neither? The problem of hip-spine complex pain is that it is indeed a complex problem of hip and spine pain. As we will see in the research below, problems of the

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