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Regenexx Interventional Orthopedics Articles

Do I Need Surgery for Cervical Stenosis? Will I Become Paralyzed?

One of the questions that I get asked often is “Do I need surgery for cervical stenosis?”. I often hear from my patients with cervical stenosis that some spine surgeon told them that the risk of becoming paralyzed with a routine fall means they need surgery right now! This is personal for me, as I…
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Do I Need Neck Surgery? Probably Not…

A common question I hear day in and day out is, “Do I need neck surgery?” As a physician, my answer to that question has steadily changed over the years. A few years ago, when I saw nerves on the patient’s neck MRI that were severely compressed, my answer was always, “Yes.” However, now the…
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Should I Have Artificial Disc Replacement?

If you read this blog, you know that I often write about what I experience on a day-to-day basis. Yesterday, I spoke to a patient from New York who had already had an artificial disc implanted in his back that failed and was contemplating another in his neck. Given that my neck on MRI was far…
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A Case Study of Severe CCJ Instability and Our PICL Procedure

CCJ instability is a life-changing problem. Think about the havoc that could be caused by the ligaments that hold your head being injured by trauma or becoming loose due to a connective-tissue disease. Headaches, imbalance, and a myriad of other symptoms become the new normal when you attempt to do anything. This morning, after several…
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Do You Need to Burn Neck Nerves to Help Chronic Pain?

Neck pain caused by an injury or car accident can be life-changing. Just ask Sarah, who sent Dr. Markle a thank you note this week because he was able to use precisely guided orthobiologic injections to get her life back instead of damaging radiofrequency procedures. Let’s dive in to see what happened. Cervical Radiofrequency: How…
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Why Can’t I Lift My Arms Overhead?

On this page: Muscles and ligaments involved in neck instability Irritated neck nerves A patient story I love when patients walk in and I can easily show them how their body works. This past week, I was able to do that with a patient who couldn’t lift his arms over his head. In seconds, I…
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Has Thumb Surgery Gone to the Dogs? Treating Thumb Arthritis Without Surgery

When I first heard about thumb tendon interposition surgery, the most common surgical treatment for thumb arthritis, I chuckled. Why? This procedure was first used to treat bad hip joints in small dogs. Was this really the best we could do? Hence, we got to work creating an injection procedure that would address all of…
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RIP Cervical Disc Replacement: Side Effects Same as Fusion

I’ll never forget when a local surgeon, who was being paid handsomely by disc replacement manufacturers, placed his new credo “friends don’t let friends fuse” on his website. The idea was that now that we had disc replacement technology, keeping some motion in the spine would reduce the side effects compared to fusion. For the…
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