Minimally Invasive Procedures

Minimally invasive procedures are medical techniques that utilize small incisions, specialized instruments, and advanced technology to perform surgeries and treatments with minimal damage to surrounding tissues.

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Interventional Spine Physicians Finally Get the Memo on Bupivacaine

It would be hard for most people to believe that we’ve known for more than a decade that a long-acting anesthetic called Bupivacaine is toxic to cartilage and yet in interventional pain management, it’s still the most widely injected anesthetic into joints. Why that disconnect exists says much about the problems in modern medicine, but…read more

Is an In-Office Orthobiologics Lab a Good Thing?

There has been an explosion of in-office labs these past several years which like many things in orthobiologics, is something Regenexx pioneered. Sometimes doctors place pictures on Linkedin and I see stuff that’s glaringly bad. This brings up a point. If I can see things in the background of a Linkedin glamor post, what else…read more

What Dual Axis C-arm Fluoroscopy Can Teach Us About Image Guidance

At our Colorado HQ site, we recently brought in dual-axis fluoroscopy. What’s that and what can that teach us about the critical importance of imaging guidance in interventional orthobiologics? Let’s jump in. What is Fluoroscopy? Fluoroscopy is a live x-ray technology. It’s part of the one-two punch of imaging guidance technologies that are required equipment…read more

Big Procedures, Big Problems. Little Procedures, Little Problems

I’ll never forget my brother-in-law’s comments when our kids were young. Having older kids at the time, he told us, “Little kids, little problems. Big kids, big problems”. Today I’ll modify his advice to “Big procedures, big problems. Little procedures, little problems”. Let’s dig in. The Trend Towards Minimally Invasive Care Minimally invasive in medicine…read more

Is Injecting a Knee Blind Associated with Worse Health Outcomes?

Like a headline from the Onion, I recently read an email describing a big orthopedic surgery conference where a panel was sourced on whether or not you needed ultrasound guidance to inject a knee. While the result of this panel was a LOL moment for many of my colleagues, none of us really knew the…read more

Pain After Back Surgery: Tracy’s Story

Can we help failed back surgery patients? That’s one of the most common questions I get from patients with chronic back pain. The answer is often “yes” and today I’ll cover Tracy’s journey with the DDD procedure. Let’s dig in. Failed Low Back Syndrome One of my favorite movie quotes of all time comes from…read more

When IPM Is Worse than Spine Surgery

I’ve blogged a few times on the idea that some Interventional Pain Medicine clinics are becoming as bad as the surgeons they have long criticized. Case in point this morning is an x-ray shared by a radiologist. If a picture is worth 1,000 words, this one is worth 1,001. Let’s dig in. IPM IPM=Interventiopnal Pain…read more

Do You Really Need that Low Back Fusion?

Low Back Fusion has become one of the most common surgical procedures performed in the US, despite very poor evidence that it’s better than not doing any surgery. One of the big issues that often comes up for patients who have a condition called Degenerative Spondylolisthesis is whether they need a Fusion or can just…read more
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