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301 Why do patients waiting for hip or knee replacement think physical therapy is a waste of time? Because it didn’t help.

The general rule in medicine, and certainly one that I have professed in the many years of offering non-surgical options to joint pain, is that non-surgical options or conservative care should always be tried first, and, only when these treatments fail, should surgery be explored as a final option. Typically the traditional non-surgical methods of

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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 Systemic effects of cortisone injections including cartilage damage 301 – 5

There is a concern amongst doctors and patients as to the long-term use of corticosteroids in managing chronic back, neck, and joint pain. Cortisone injections can help many people, they can also provide potential harm to others. The debate over the detrimental effects of corticosteroids intensified during the COVID-19 surge as corticosteroids suppress immune response.

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Tennis Knee and Tennis Hip

Many tennis players take lessons on how to improve their open forehand stance and generate power on the return. As research has shown the open stance forehand is a pretty traumatic service and it can significantly impact the knee and hip. Over time the open forehand stroke can be a contributing factor in the development

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Is Your Knee Brace Helping?

It is difficult to convince a patient that a knee brace will not provide the comfort and support they anticipate in their situation when so many televised sporting events will show a superstar athlete with their knee wrapped in tape or ace bandage and in some instances wearing an obvious brace. However, it can be

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