Regenexx Spine Procedures

What Constitutes a Real Orthobiologics Spine Treatment?

There are a huge number of clinics out there claiming to offer advanced orthobiologics spine treatment. However, most of these clinics aren’t doing that, but instead injecting ligaments and muscle trigger points. Why would someone get this kind of simple treatment and not get all of the other myriad structures in their spine that can…read more

Is There Solid Research on Using PRP to Treat Spinal Pain?

Art: Credit Dall-E with the prompt: “A human spine in 3D surrounded by red blood cells in the style of impressionism.” As you know, I often write about what I experience. This week an interventional spine physician questioned whether PRP would be useful in the treatment of lumbar radiculopathy or painful facet joints in the…read more

Fluoroscopy vs Ultrasound for Orthobiologic Spine Procedures

One of the more interesting debates from the past 5 years has been the use of fluoroscopy versus ultrasound guidance in advanced spinal injections. This one gets physicians emotional, as many believe that they can now offer patients the same type of injections using only an ultrasound machine when compared to x-ray guidance. So let’s…read more

Injecting the C1-C2 Facet Joint Under Ultrasound: A PA with a Scary Big Needle

I’ve been covering non-physician, mid-level providers performing all sorts of procedures for which, IMHO they lack adequate training. Some of these procedures are less risky than others, but this morning we’ll go over a physician’s assistant wielding a very big needle and sticking it into one of the highest-risk areas of the body. Let’s dig…read more

CCI and DMX: Can You Still Have Instability with a Normal DMX? What Is a False Negative?

You can’t beat movement-based imaging for finding Cervical Instability. However, all imaging has a false-negative rate. Let’s discuss that and learn about instability in the process. Let’s dig in. What Is Instability? If you had to choose a single concept of what goes wrong in the spine as the most important thing you should know,…read more

What Are the Intertransverse Ligaments?

As I have said many times, ligaments are the red-headed stepchild of the spine. Meaning they are often ignored by 99% of the physicians treating spine problems. However, they are important and ubiquitous throughout the spine. Today we’ll review the Intertransverse ligaments, what they do, and why they could be causing you problems. Let’s dig…read more

Helping the Active Aging Stay Active

One of the things we do at Regenexx is helping active people stay active as they age. This morning we’ll go over Mary’s story, an active woman who is now mountain biking despite multiple roadblocks placed in her way due to injuries and aging. Let’s dig in. The Orthopedic Surgery Dilemma Perhaps the best way…read more

What Is Thoracic Radiculopathy?

What is Thoracic Radiculopathy? How is it diagnosed and treated? Dr. Google says this one is rare, but not based on what we have seen in the past few decades of experience with this diagnosis. Let’s dig in. What Is Thoracic Radiculopathy? The thoracic spine is your upper back, as shown below. Radiculopathy means that…read more