Pain management

Pain management involves various strategies to alleviate or control pain, ranging from medications and physical therapy to alternative therapies like acupuncture and mindfulness techniques. Its goal is to improve quality of life by reducing pain intensity and enhancing functionality for individuals experiencing acute or chronic pain.

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Is Playing on a Sprained Ankle Safe?

On this page: What is an ankle sprain? What is joint instability? What happens if you play on a sprained ankle? How can a doctor tell if you have an unstable ankle? How can you treat these lax ankle ligaments? I can’t tell you how many trashed ankles we have seen through the years because the…read more

Xiphoidalgia: Should We Cut Out the Xiphoid?

I’ve had a disconcerting brush with what I called “ectomy” pain treatment through the years. My first experience was meeting a patient with testicular pain who had them removed to try and help his agony. This procedure, of course, didn’t work, so that’s why he came to see me. More recently, a patient came in with many…read more

Fiber and Joint Pain? Keep Eating Those Wheaties!

Mother always said to eat your Wheaties, and a new study on knee pain may give us some insight into the relationship between fiber and joint pain. The answer seems to be that fiber can decrease body weight and keep inflammation under control. Before I share the study findings, let’s review how weight and inflammation can lead…read more

Hip Labral Tear? Causes of Pain After Hip Arthroscopy

On this page: Increases in hip arthroscopy rates Portal syndrome Other things that can cause hip pain Patient story of hip pain after surgery The animated GIF below may drive you a bit nutty if you watch it long enough, but it’s crucial nonetheless. Arthroscopic hip surgery to treat a labral tear is frequently billed…read more

Culture Expanded Stem Cells for Knee Arthritis

I evaluated an interesting patient down at our Cayman Islands advanced stem cell practice site recently in that his MRI changes were fascinating. While I see patients every day who are improving and have great stories, many times I just don’t have the time to write up what’s happening. However, every once in a while,…read more

How to Heal a Torn Tendon Naturally: The Type of Tear Matters

On this page: What is a tendon or ligament made of? What are the types of tendon and tears? A patient story The patient’s MRI above is from clinic yesterday. It’s of an ankle tendon, but it might as well be a shoulder, knee, or hip tendon or ligament. The problem was that this patient…read more

What Percentage is “Useless Orthopedic Surgery” Based on Research?

This is a post that some orthopedic surgeons will hate but that needs to be written. This week, I decided to try and estimate the number of orthopedic surgeries that were still being done despite research showing they didn’t work. When I was done, I realized that a staggering 53% of orthopedic surgeries being performed…read more

Side Effects of Steroids: Joint Replacement Infections AGAIN…

I’ve blogged quite a bit on the inconvenient truth that while steroid medications are powerful anti-inflammatories that are commonly used without much medical thought, they’re really bad for your body. As one example, a prior highlighted study had shown that getting a hip steroid shot increases the likelihood that a hip replacement surgery will fail…read more
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