Treating Rotator Cuff Tears with Stem Cells, Not Surgery

I love treating shoulder rotator cuff tears with precise injections of bone marrow concentrate which contains stem cells. This patient was a weightlifter with a high-grade tear who wanted to avoid surgery and get back to powerlifting. He just sent us a video of his progress, lifting more weight without surgery than most can ever…read more

Why Do My Toes Spread Apart When Walking?

On this page: The transverse metatarsal ligament Why toes spread apart when walking A patient with “mushy” forefoot How to treat your feet without surgery The front of your foot is critical for establishing a stable base of support for walking. So what happens when, instead, it’s a mushy mess? For example, if you have…read more

Biceps Tenodesis Side Effects: They Did What to You?

I have a running list that I keep of the dumbest surgeries. One of my criteria to make the list is when I first hear about the procedure from a patient I am shocked enough to say out loud, “They did what to you?” While I’ve known about the concept of tenodesis for many years,…read more

What’s Possible with Stem Cell Cartilage Regrowth?

As you may have read some time ago, I got to experience what a cartilage lesion can be like in a young person when my son was 14. On a separate note, yesterday, I looked at the before and after MRIs of a twentysomething we had treated and at the same time got a video of…read more

Labrum Tear on Your MRI? It May Not Be Related to Your Hip Pain

Orthopedic surgeons have created yet another mass hysteria in patients over this issue of hip labrum tears. I have spoken with hundreds of patients over the last 5–10 years who are absolutely terrified about a small tear on an MRI image observed by a radiologist after they developed hip pain. While surgery is often recommended,…read more

More Evidence that Knee Meniscus Surgery Causes Arthritis

You gotta love medicine. In no other profession would something that has been shown to be ineffective continue to be done. As an example, we’ve known for years now that knee meniscus surgery doesn’t work. Despite that, it’s still the most common knee procedure in the United States. We also have some research to show…read more

A Patient from Our Rotator Cuff Stem Cell Injection RCT

We’ve been slowly recruiting for a randomized controlled trial for the last few years that compares rotator cuff tears treated with a precise injection of high-dose bone marrow concentrate (HD-BMC) with physical therapy. This morning I’d like to update everyone on where the Rotator Cuff Stem Cell Injection RCT study stands and show a before…read more

Why You Don’t Need Shoulder Separation Surgery

On this page: What is the AC joint? What happens in an AC joint separation? What does an AC joint separation feel like? Is shoulder separation surgery necessary? New research on surgery for AC joint dislocation When I was in medical school, I crashed a motorcycle and separated my shoulder. I was told back then…read more