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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Knee and Back Pain and Sleep Problems…

Unlike the days when life was simpler and we slept soundly awakened by the sun, many things contribute to our modern epidemic of poor sleep. That said, I think most of us can agree that pain makes sleep very difficult. Given what the vast majority of our patients present with, this study on knee and back pain and sleep caught my…read more

Laser Back Surgery vs. Traditional Spine Surgery

Is LASER surgery a back surgery alternative? The picture above of Dr. Evil is arguably the world’s most famous air quote. He does this as he describes the laser he has placed on the moon to disintegrate the earth. I feel a little like making this air quote as I speak to some patients about “LASER” Spine…read more

Botox for Headache Reviews: Muscle Damage Side Effects

A huge trend in headache treatment these last few years has been the use of BoTox. However, while this helps symptoms, we’ve observed it’s steadily making some patients much worse. Why? Read more for my take on botox for headache reviews. BoTox is made from a natural toxin that poisons the connection between the nerve…read more

Surgery for Big Rotator Cuff Tears Has High Retear Rates…

Rotator Cuff tears can be tricky. I think to best understand them, you need to ask your self why they happen in the first place. While some result from trauma, the vast majority of rotator cuff tears happen from simple wear and tear as we age.  Why would the most important group of muscles in the shoulder…read more

Plantar Fasciitis Release Surgery is a Bad Idea

Have you ever had Plantar Fasciitis? It’s one of those truly painful things that every inflight airline catalogue has 5 different gadgets to fix. Well it turns out that any one of those gadgets would be better than Plantar Fasciitis Release Surgery, according to the results of a recent study. Plantar fasciitis is a problem involving the…read more

Steroids are Awful: More Evidence for Steroid Stem Cell Toxicity

High dose steroids, the kind given out like candy by most physicians and used for everything from a herniated disc to asthma are awful drugs. These powerful anti-inflammatories are what I call a “bull in the china shop” pharmaceutical, as while they’re powerful anti-inflammatories, their side effect profile is just like that bombastic bull. Now…read more

Can CoQ10 help arthritis? What is CoQ10?

Can CoQ10 help arthritis? Co-enzyme Q10 (CoQ10) is a supplement that most people associate with protection from heart disease. Now a new study suggests that it may help in inflammatory arthritis. In particular, in a recent study, it was shown to reduce inflammatory substances and evidence of cell stress based on blood tests. What the…read more

Hip Tear Surgery Didn’t Work? The Problem Isn’t in Your Hip

Hip tear surgery didn’t work? The concept that hip labrum tears cause pain is relatively new in medicine. Despite that, the number of arthroscopic hip surgeries to treat hip labrum tears and impingement have exploded this past 5 years. However, have we as physicians become way too zealous? A patient I evaluated in clinic yesterday is…read more
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