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Injections for Rotator cuff tendinitis – 301 – 4

I want to focus this article on recent research surrounding the use of Platelet Rich Plasma injections into the shoulder to repair tendon damage. The concept behind the treatment is that these growth factors will facilitate a repair. A September 2021 Editorial in the journal Arthroscopy (3) offers this opinion of the effectiveness of PRP

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Biological knee replacement – Meniscal allograft transplantation – microfracture knee surgery

What is microfracture knee surgery? Knee microfracture surgery is a common arthroscopic procedure where an awl (a sharp pointed tool) is pushed into the bone where the protective knee cartilage has worn away. The small holes made by the awl are called  microfractures. The goal of this surgery is to build new cartilage. A multinational research team that includes

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Too many painkillers after sports knee surgery

As you will see in the research below, surgeons suggest that there will be a need for some type of opioid usage after arthroscopic knee surgery, whether it is meniscus surgery or knee ligament surgery. As effective as opioids can be there are obvious and well documented concerns about opioid usage. At the top of

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301 Hip Tendonitis Injections

People who have tendonitis or bursitis typically are told that they have a problem of inflammation. That is why they have an “itis,” itis meaning inflammation. When they have tendonitis they have inflammation of the tendon. When they have Bursitis, they have inflammation of the bursa. Over the years they have practiced the various remedies

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301 Non-surgical treatment of degenerative disc disease

Over the years we have seen many patients with a long history of back pain. Most of the time it was nondescript back pain and no one was sure what was causing it. The problem, according to some patients, was the MRI did not show enough damage or irregularities to justify an aggressive surgical treatment.

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Surfer’s shoulder treatment

Over the years I have seen many shoulder problems. Surfers are a particular group of interest in that many surfers have problems, not in one shoulder, but in both shoulders. While there are many articles on shoulder pain, it is surprising that there is not more specialized information available to the surfer about their shoulder

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301 Return to play rates after shoulder surgery

We will see many patients after a shoulder surgery with less than hoped for results. One reason the surgery was not thought to be a success was the patient’s over-expectation of what the surgery could do and how fast they could return-to-play their favorite activity. A study published in the Orthopaedic journal of sports medicine

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301 Platelet Rich Plasma injections in treating Plantar Fasciitis

Over the years we have seen many patients with Plantar Fasciitis that had been unresponsive to conventional treatments. These conventional treatments included physical therapy, cortisone, and anti-inflammatories. While not the best choice for doctor or patient, many of these people considered the surgical option as the ultimate choice because they “have to do something.” But

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