Pain management

Lateral Release Recovery: Do We Know this Knee Surgery Actually Works?

Why undergo lateral release recovery at all? If I had to create a list of bad knee surgeries just based on the hundreds of patients I’ve seen with failed knee surgeries, lateral release for knee cap tracking problems would be near the top of that list. Based on that experience, it’s another knee surgery with…read more

Knee Nerve Pain? More Evidence that the Pain of Arthritis is Caused by Nerves

Is there such a thing as knee nerve pain? Your joint pain due to arthritis is caused by lost cartilage, right? Likely wrong. There’s been a mounting body of evidence that arthritis itself doesn’t cause pain, and in fact the pain of arthritis (and perhaps arthritis itself in some cases), is caused by nerves. The…read more

More Knee Replacement Side Effects: Bald and Itchy…

I’ve blogged extensively about knee replacement side effects. This has included microscopic wear particles that break off from knee and hip replacement prostheses that have been found in the blood stream. Studies have also reported that a surprising number of patients have allergies to the metals used in the devices. Now a new case report recounts the experience of a…read more

Read Your Own Back MRI for Multifidus Atrophy-A Major Cause of Low Back Pain

So now you know what a “multifidus” is and why it’s so critical that you find out if your major low back stabilizing system if off line. However, 99.999% of the time (in my experience), radiologists fail to read whether this muscle is normal or atrophied, despite copious research that a atrophied (read weaker) multifidus is associated…read more

Knee Plica Surgery?

A Google search under Knee Plica Surgery yields many other searches such as Knee Plica Recovery and Knee Plica Surgery Recovery Time. First, what the heck is a plica and why are so many patients concerned about recovery and recovery time? The general concept is that the normal synovial covering of the knee joint is getting pinched and irritated…read more

Shoulder Impingement: Are You getting Trapped by Your Trap?

Should you be looking for a shoulder surgery alternative? For the last several decades, many of the patients who have been told that they have shoulder impingement have had surgery to “release” the shoulder. In many ways it’s this phenomenon which led to our current hip impingement surgery craze. So what is shoulder impingement? The…read more

Knee Stem Cell Injections in a Patient with Recurring Knee Pain after Micro Fracture Surgery

Can we help a patient who has returning knee pain after micro fracture surgery with just an injection of his own stem cells? Do you have knee pain after microfracture surgery? TM is a 50 year old male who was first seen by our clinic in June of 2011 with a 3-4 year history of left knee…read more

High Chromium Levels in a Hip Replacement Patient

Is there such a thing as hip replacement chromium poisoning? I’ve blogged before about how wear particles in all types of joint replacements can make their way into the blood stream. Researchers have found metal ions in the blood of knee replacement patients. They also now advise allergy testing against the most common metals used in hip and…read more