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Regenexx Interventional Orthopedics Articles

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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The More Low Back Levels You Have Fused the More Likely You Are to Need More Fusion

Sometimes medicine isn’t rocket science, but common sense. Take for example the idea that the more levels in a low back you fuse, the more damage can be done over time to surrounding structures. You don’t need an MD or a PhD to see that this makes intuitive sense. However, despite this, we’re seeing surgeons…
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Medical Innovation and Our Alar/Transverse Ligament Procedure

How does medicine advance? If you ask some academics, they’ll tell you that only they can advance medical science. However, that’s always been fiction as most medical breakthroughs have always come from doctors innovating to solve specific problems. This morning I’d like to share how we solved a problem with our alar transverse ligament procedure.…
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What Causes Tightness in the Side of the Neck?

I’ve already told you about my left upper trap; now meet my left scalene. When I lift too much, these muscles, which live on the side of the neck, get tight. Why? The Scalene Muscle The scalene muscles make up a large-muscle group that lives on either side of the neck, connecting the neck to…
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