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301 Rotator cuff tear conservative treatments and injections 301 – 3

We often receive emails from people looking at their rotator cuff pain and tear treatment options. The emails we get center around the possible avoidance of rotator cuff surgery with regenerative medicine injection options. These options can include bone marrow aspirate injections or Platelet Rich Plasma therapy or PRP. There is some new research I

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301 Diagnosis and treatment of knee osteoarthritis

It used to be that if a doctor told you, “I’m recommending arthroscopic surgery to clean up your knee” or “You need a total knee replacement,” you had just two choices: surgery or painkillers. With the advent of “biomedicine” (blood and stem cell therapies and injections), the choices have changed dramatically. From this point of

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301 Anxiety and depression in chronic back pain 301

Research has recognized that the anxiety that low back pain patients suffer from was influenced by the intensity of the pain they had, the level of disability it was causing level, and the  subsequent feeling of helplessness that back pain can spiral the patient into.  These factors were summarized in a November 2022 paper (1) 

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301 elbow osteoarthritis 301

We have seen many patients over the years with problem elbows. We see some whose problems have extended beyond a tennis or golfer’s elbow problem, into one of osteoarthritis, and a recommendation for an elbow replacement surgery. Elbow replacement surgery is certainly not as popular as knee, hip and shoulder replacement, but it is performed

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301 Do Opioids Cause Knee Replacement Complications? 301

One of the more frequent emails we receive is one from people with knee pain who may have had prolonged wait for a knee replacement and had a lot of pain issues. Because of the delay or wait in getting a knee replacement they have found themselves asking for and taking more medications until they

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301 Anti-inflammatory drugs, aspirin and steroids may increase the chances of developing worse pain 301

Over twenty years ago, I wrote in my book the Collagen Revolution, that the body’s natural healing response is inflammation. If you stopped inflammation. You stopped healing. Therefore you needed inflammation to heal but you needed inflammation to be controlled so that excessive swelling and chronic inflammation did not in of itself cause joint degeneration.

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301 The link between inflammation, knee osteoarthritis and neuropsychiatric disease – 301 – 6

A December 2022 paper (1) discusses the accumulating evidence suggesting that mood changes are reported by about one in ten osteoarthritis patients and that inflammation has something to do with it. In this paper the authors describe that about one in five patients with osteoarthritis are diagnosed with depression and or anxiety disorder. Further, “Greater

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301 Whiplash associated disorders 301-1

In the more than 25 years we have been helping patients with their chronic pain, we have seen many people with hyper-extended neck injuries, or, in simpler terms whiplash injury. We have also seen patients who suffered from long-term effects of their whiplash injury until such time as they were diagnosed with Whiplash Associated Disorders

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