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Stem Cell Research Blog

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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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?

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 was able to fix that issue with a simple maneuver. In doing so, I demonstrated how…
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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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Pain After Neck Fusion: Adjacent Segment Disease

This past week, I have have seen several patients with neck fusions. All of whom had pain caused by the fusion. For some, the fusion had helped one problem and caused another. For others, the fusion didn’t help and just made things worse. So what’s going on? An Overview of the Spinal Column To understand…
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Learning How Best to Inject the CCJ Ligaments: Our CCJ Instability Trial Begins…

Last week, we began the world’s first randomized controlled placebo trial to treat craniocervical junction (CCJ) instability. While our clinic has been treating these patients for more than two decades, these past few years, we have developed a new injection technique to finally begin addressing the problem in ways that existing care can not. Let me…
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