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The Interventional Orthobiologics Blog

ACL Tear Stem Cell Injection: Ultrasound vs. Fluoroscopy

There’s been a lot of controversy lately over whether an ACL Tear Stem Cell Injection can be properly performed using ultrasound. Some physicians cite a paper published in 2015 that seems to show ultrasound can get the job done, and while this may be true for intact ACLs, where injecting them from the bottom of…read more

What Is an Annular Tear?

Many patients don’t know that it’s possible to tear the disc in their neck and back. When this happens it’s called an annular tear. So let’s explore what happens. The annulus is the tough, fibrous outer covering of our spinal discs. The spinal discs live between each of the bones that make up our spine,…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

Is My Rotator Cuff Tear Causing My Shoulder Pain?

Patients tend to believe their doctor, so when their doctor tells them their shoulder pain is due to a rotator cuff tear seen on MRI, most don’t question it. But maybe you should? More and more studies continue to show that shoulder MRI results often can’t predict why the patient hurts. So if we were to…read more

Suffering from a Meniscus Tear? Why Arthroscopic Knee Surgery Isn’t the Answer

For several decades in orthopedic care, the traditional solution to meniscus tears has been to identify them on an MRI and cut out the offending piece. While there’s little doubt that meniscus degeneration is at play in the cascade of knee arthritis, how all of this works is not so well understood. Now, a new study…read more

Knee Surgery for a Meniscus Tear? Not if You’re Middle Aged…

Should you get knee surgery for a meniscus tear? According to recent research, not if you’re middle-aged or older, since it’s likely that the tear seen on MRI has nothing to do with your knee pain. This may come as a surprise, but let me explain. This has been a rough time for orthopedic surgery. As…read more

Why Middle Aged People Should Ignore Cartilage Loss and Meniscus Tears

The orthopedic community is being turned on it’s head right now. For example, while we have physicians who almost universally agree that cartilage loss in the knee causes pain and/or that a meniscus tear also causes pain, the recent research isn’t cooperating. This blog will be a little more steeped in medical jargon than most,…read more

Do Shoulder Rotator Cuff Tears Hurt?

Almost every physician practicing today (and hence almost every patient) has been taught a structural model of pain. Meaning, if we take an MRI of the part that hurts and see something abnormal, then that abnormality must be causing the pain. But what if this whole model was not accurate? What if just as many…read more
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