Conservative Care

Conservative care refers to non-invasive or minimally invasive treatment approaches aimed at managing health conditions and promoting overall well-being. This approach often emphasizes lifestyle modifications, physical therapy, and other non-surgical interventions to alleviate symptoms and improve quality of life.

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Her Neck Goes Out All the Time: Definitive Treatment?

Every physician has patients who challenge his or her skills, and it’s the reaction to those patients that determines what kind of doctor that physician is —Chris was one of those patients. She would tell me consistently that “my neck goes out all the time,” but every tool I had to use couldn’t seem to really put…read more

Dural Leak Treatment: Harry’s Story…

Most patients are unaware that there’s fluid around their brain, spinal cord, and nerve roots that literally floats their whole neurologic system. They also don’t realize that the system designed to hold it all can spring a leak and that when it does, all heck can break loose. While we’ve treated many patients with dural…read more

Hip Arthritis Getting Worse? New Research Says It Could Be the Bone

Is your hip arthritis getting worse? In addition to cartilage breakdown, your bone could also be deteriorating. A bright spot (or dark spot depending on the imaging sequence used) on the bone on MRI is called a bone marrow lesion (BML, also called a BME which means bone marrow edema). It’s an area in the…read more

Glucosamine and Chondroitin as Good as Celebrex for Arthritis

Is glucosamine and chondroitin as good as Celebrex for arthritis?  We’ve all seen the Celebrex commercial with the gentle, lapping waves and the comforting voice of the narrator promising relief from arthritis pain. The smiling actor rushes down the steps, plays Frisbee with his dog, and for a few joyous seconds, arthritis sufferers may feel…read more

Shoulder Surgery Side Effects: Common Procedure Is Bad News

Old shoulder surgery habits die hard, despite the side effects. This past week I posted the results of a study showing that adding in an acromioplasty surgery to a rotator cuff tear doesn’t help patients. One surgeon who loves the procedure protested that removing the stabilizing ligaments of this part of the shoulder is without…read more

Acromioplasty: Why This Frequent Addition to Rotator Cuff Surgery Is Usually a Bad Idea

Acromioplasty: To Chop a Shoulder or Not Chop a Shoulder…That Is the Question Is acromioplasty a beneficial addition to rotator cuff surgery, and is recovery time impacted by this addition to shoulder surgery? One of the big issues with rotator cuff surgery is the long recovery time spent in an immobilizer brace. Unfortunately, the more procedures…read more

There’s a Reason Success Rates for Wrist Replacement Are So Low: It Isn’t the Answer!

You never realize how big a deal your hands are until something goes wrong with them and all of a sudden you can’t write, carry things, or type without pain. There are few good treatment options for problems with wrist arthritis and pain at the base of the thumb, and a recent study showing a scary low…read more

Are Tight Hamstrings and Knee Pain Connected?

The single most consistent complaint I hear from my patients who come to see me for knee arthritis or low back pain is that they have tight hamstrings. This creates the obvious question…Are tight hamstrings and knee pain related? I’ve blogged a number of times on the connections between mild low back nerve irritation (that…read more
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