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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Severe Buttocks Pain After a Fall: A Patient’s Story

On this page: RP’s story Diagnosing the severe buttocks pain Treating a hematoma in the buttocks RP is an elderly physician who I met in the most unlikely of circumstances. He was performing a life insurance physical on me and I noticed he had a cane. We struck up a conversation about his severe buttock…read more

Hip Replacement Pain: A Frustrated Patient

I’ve blogged before on hip replacement pain, or when patients still have pain after hip replacement. Likely the most detailed study to date showed continued pain in patients who had hip replacement surgery-for example, on average 53% of hip replacement patients reported pins and needles 6 months after the surgery. Yesterday a new patient came…read more

What Causes Shoulder Arthritis?

What causes shoulder arthritis? See that shoulder x-ray up there with that big bone spur in the bottom of the joint? That scares me. This past month or two, my shoulders have been aching. As a now 50 year old physician who loves to lift weights, maybe this shouldn’t be too surprising? However, I’ve also…read more

Hip Replacement Jogging: Will You be Able to Run After Your Hip Replacement?

One of the more common questions I get asked by patients is about hip replacement jogging or whether they can run again after a hip replacement. The answer is tough, as there’s not that much research. However, some new research out of Japan may help answer this question. The authors looked at 804 hips in 608…read more

Toe Cramps and Back Pain? My Mother’s Story

How do toe cramps connect to back pain? Most patients with toe cramps believe that they have some sort of nutritional problem, despite many of them actually having a low back issue. In these cases, small amounts of nerve irritation in the low back can cause the muscles in the toe to cramp. This is where…read more

Lateral Release Recovery: Do We Know this Knee Surgery Actually Works?

Why undergo lateral release recovery at all? If I had to create a list of bad knee surgeries just based on the hundreds of patients I’ve seen with failed knee surgeries, lateral release for knee cap tracking problems would be near the top of that list. Based on that experience, it’s another knee surgery with…read more

Knee Nerve Pain? More Evidence that the Pain of Arthritis is Caused by Nerves

Is there such a thing as knee nerve pain? Your joint pain due to arthritis is caused by lost cartilage, right? Likely wrong. There’s been a mounting body of evidence that arthritis itself doesn’t cause pain, and in fact the pain of arthritis (and perhaps arthritis itself in some cases), is caused by nerves. The…read more

More Knee Replacement Side Effects: Bald and Itchy…

I’ve blogged extensively about knee replacement side effects. This has included microscopic wear particles that break off from knee and hip replacement prostheses that have been found in the blood stream. Studies have also reported that a surprising number of patients have allergies to the metals used in the devices. Now a new case report recounts the experience of a…read more
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