Patient Education

The Orthopedic Delusion that Hip Impingement Should Be Operated

One of the more bizarre trends of the past decade-plus has been the idea that we should be operating on people with Hip Impingement. I’ve been a big critic for two reasons. First, it makes no common sense. Second, the science doesn’t support that we should be doing this to patients. Today we’ll cover a…read more

When IPM Is Worse than Spine Surgery

I’ve blogged a few times on the idea that some Interventional Pain Medicine clinics are becoming as bad as the surgeons they have long criticized. Case in point this morning is an x-ray shared by a radiologist. If a picture is worth 1,000 words, this one is worth 1,001. Let’s dig in. IPM IPM=Interventiopnal Pain…read more

Understanding the What and the Why…

The hardest thing for patients is to understand the difference between What and Why. This means the problem and the cause. So let’s dig into this issue. Bad Medicine Is All About the Problem The “what” is the problem that the doctor is presented with. Let me give a few examples of “what”: Tight neck…read more

Low Dose Naltrexone and Anesthesia

Over the last 5 years, there has been a HUGE trend towards treating chronic pain patients with what’s called low dose Naltrexone. While some patients find this helpful, it presents a challenge for interventionists like myself, as the increased anesthesia requirements for these patients enhance the risk of procedures. So let’s explore what’s happening and…read more

2021 Bone Marrow Research Infographic

Every year, I spend a number of hours searching the published medical literature for various new publications in orthobiologics and cell therapy. I produce two infographics, one focused on bone marrow cells and the other on all cell types. This is the 2021 edition of the bone marrow infographic. (Click here to view larger) What…read more

Paragon Integrated Medical: The Scams Continue

It’s time again to explore the stem cell wild west. Today’s entry is a clinic in California, but what you’ll see here might as well be any integrative chiropractic clinic offering “stem cells”. I’ll cover two interesting models over the next two blogs on this topic that both miss the mark. Let’s dig in. Integrated…read more

What Are CCI Symptoms?

Craniocervical Instability (CCI) is a condition that hasn’t been studied with the same level of detail as many other more common medical diagnoses. Even symptoms are poorly researched. I’d like to change that and my contribution is now the results of the first formal survey of CCI symptoms. Let’s dig in. What Is CCI? CCI…read more

Is There a Stem Cell Therapy Age Limit?

A question that I get asked all the time is whether there is a stem cell therapy age limit. The reason why I get asked this question is because of a massive misinformation campaign put out by clinics illegally selling fake stem cell therapies. Let me explain. Our History with Stem Cell Treatments We began…read more