The Interventional Orthobiologics Blog

Blog covering topics and research in interventional orthobiologics, interventional orthopedics, and orthopedic procedures.

Listening to the Body on Exam: An Old Car Crash Upper Back Injury Speaks…

One of the most famous physicians of all time is Sir William Osler, the father of the modern residency program that uses real-world clinical experiences to train young doctors. One of his most famous sayings was, “Listen to your patient; he is telling you the diagnosis.” I’ve heard that same mantra paraphrased through the years…read more

Hand Surgery Side Effects That Can Easily Be Avoided…

If you’ve ever wondered why sometimes I seem to be a bit “anti-surgery,” you would only need to spend a day with me in clinic to find out why. We see surgery train wrecks day in and day out. What makes them so upsetting is that most of the time, the surgery could have been…read more

My Letter About How SI Joint Fusion Likely Won’t Help Patients in the Long Run

I’ve blogged a few times about why I think the new “minimally invasive” SI joint fusion is not a good treatment option. After that I was asked by a professional organization in Oregon to write a letter explaining my views to their Health Evidence Review Commission, which is considering coverage for the device. This is that…read more

New Knee Arthritis BMC Study Adds More Confusion

It’s hard for patients to understand that in some fields, academics are way behind their private-practice counterparts. One of those fields used to be interventional spine care, but the academic system eventually caught up. One of those right now is regenerative medicine, where academics are, for the most part, just figuring out which end is up.…read more

New Amniotic “Stem Cell” Review Paper: Misinformed or Misleading?

One of the things that’s often hard for patients to understand is that when it comes to using stem cells for orthopedic conditions, the universities are way behind private-practice physicians. The good news is that we’re seeing some universities, like Stanford, Emory, and the Mayo Clinic, begin to embrace simple cell therapies. The bad news…read more

Stem Cell Disc Injection: The Hammer and the Nail

There’s a saying in medicine, “When all you have is a hammer, everything looks like a nail”. Meaning that if all the doctor knows how to do for a given problem is one treatment, then he or she tends to use that treatment when it’s not appropriate. This morning I’d like to highlight a stem…read more