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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My Top 7 Tips for Weight Lifting with Back and Neck Pain

I often get asked by back- and neck-pain patients how they should be working out at the gym or with a personal trainer. While there are no published and tested guidelines, what follows is what I have learned through years of trial and error as someone who has both issues and who likes working out.…read more

Lipogems Review: Is This a Fat Stem Cell Procedure?

Lipogems is a fat-processing kit that has gained some popularity the past few years. Near as I can tell, it produces a beautifully cleaned fat graft that is finely chopped. However, many physicians have begun to call this a stem cell procedure. Is that true? What Is Lipogems? Lipogems is a device used to process a…read more

Prolia Side Effects: You Just Can’t Make This One Up

The United States of Pharma is a strange place where companies can take lab discoveries that seem simple and really screw real people up. Today’s entry is a drug called Prolia that I have encountered before. When I looked it up back then, I was astounded and disturbed at how this drug worked. Now it looks…read more

An Update on Our Novel Alar and Transverse Ligament Injection Procedure

Way back when my career was just starting, I got a job with a physician who was involved in auto-accident managed care. This meant that there was a steady stream of neck-injured patients. While many of these patients could be helped, some couldn’t. While it would be attractive to say that these few had psychological…read more

Back to Active Life After Wrist Nonunion Fracture Treatment Without Surgery

While wrist fractures normally heal, sometimes, for whatever reason, they don’t. When a fracture doesn’t heal, this is called a nonunion, or a delayed union, and it can be a nightmare. When a nonunion fracture occurs, the focus will typically turn to surgery. Nonunion fractures aren’t limited to wrists; they can occur in other parts…read more

How to Avoid Discography Side Effects: Biologic Discography

Frankly, until we became the first in the world to inject stem cells into discs, discography never made much sense to me. I would tell patients, “I’m going to poke a hole in your disc to see if there’s a hole in your disc.” However, when we began to see that platelet rich plasma and…read more

Does Anesthesia Increase Surgery Dementia Risk?

This morning’s study is near and dear to my heart. When I was a medical student, my father broke his hip and needed surgery. After surgery in the hospital where I was training, he experienced severe postoperative delirium. It was epic “sundowning,” which foreshadowed his upcoming dementia and slow descent into his own personal hell…read more

Chronic Pain Programs Rise from the Ashes: This Was Silly in the ’90s and It’s Still Silly Today

Back in the ’90s, when I was a young physician, we had many “chronic pain programs” in town. These were made up of an interdisciplinary team of physicians and therapists who would be the court of last resort for patients in pain for whom traditional medicine couldn’t help. The problem was that patients would graduate…read more
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