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301 Prolotherapy treatments for knee osteoarthritis patients

Prolotherapy compared to Hyaluronic injections In a September 2022 study (1), researchers compared the effectiveness of dextrose Prolotherapy injections to hyaluronic acid injections in knee osteoarthritis patients. The researchers noted that while intra-articular hyaluronic acid injections are recommended in the treatment of knee osteoarthritis dextrose prolotherapy has been reported as effective and safe. The aim

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Knee replacement complications and post-surgical pain

A November 2022 study (1) examined whether patients who had a previous knee arthroscopic surgery  will have a higher complication rate if they move onto to total knee replacement. The study authors speculated that “Our hypothesis was that a prior knee arthroscopy may be detrimental to the outcomes of knee arthroplasty in the future.” In

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301 Barre-Lieou Syndrome

Barre-Lieou Syndrome is an often confusing, misdiagnosed and misunderstood cause of a vast array of neurologic based symptoms.  Barre-Lieou Syndrome  is named for the collective, yet independent work of Jean Alexandre Barre, M.D. who published his research in 1925 and Yong-Choen Lieou, MD who published his findings in 1928. Each doctor wrote of patients displaying

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301 Symptoms of C1 – C7  herniation or nerve compression

In this article I would like to discuss some of the symptoms of C1 – C7  herniation or nerve compression. While this type of problem in patients can be the result of many things, this article will focus on degenerative wear and tear of the cervical spine and scoliosis. Sometimes I will see a patient

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301 Non-responsive neurologic, psychological, and cardiovascular symptoms may be a neck problem – 301

For many years doctors have speculated that a weak neck or cervical spine instability could be at the root of a long list of non-responsive neurologic, psychological, and cardiovascular symptoms. More specifically symptoms of depression, anxiety, cognitive problems and memory loss, hallucinations, fainting, the sensation of seasickness, dizziness, vertigo, hearing problems, vision problems, swallowing, digestive

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301 COVID-19 aftermath – an epidemic of joint replacements – 301

I am frequently asked for opinions about COVID-19. One subject that is frequently mentioned is the possible after affects of COVID-19 recovery on joint pain or what is the impact of prolonged steroid or opioid use while waiting for surgery. This is a new field of science, long-term studies are not available yet to give

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301 Cubital tunnel syndrome

Cubital tunnel syndrome, or ulnar nerve entrapment, is diagnosed when doctors believe that your ulnar nerve in being compressed and/or inflammed at the inside of your elbow. Cubital Tunnel Syndrome is typically treated with: A split, wrap or brace. Nonsteroidal anti-inflammatory drugs (NSAIDs) Physical therapy A June 2022 study (1)  from the University of Western

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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 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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