301 Do painkillers reduce testosterone levels in men? 301

I see a number of patients who have advancing osteoarthritis but who are too young for joint replacement. Basically, they are being managed for joint pain until they are old enough for joint replacement. At the same time, they are losing hormones, gaining weight, and losing mobility. Typically, they have lower levels of activity, chronic

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301 Knee replacement outcomes and complications 301

Knee replacement outcomes and complications in patients in their 80s and 90s A June 2022 study (1) assessed the mortality and complication rates in 90 year olds and 80 year olds patients  total hip and knee replacement patients. The researchers of this study write: “Advancing age is a significant risk factor for the development of

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301 Does Vitamin C help joint pain?

When a joint is in degenerative disease, a multifactorial degrading process is in play that accelerates break down of bone, cartilage, and soft tissue. It all happens simultaneously and spontaneously. This multifactorial breakdown system is so complete that it turns the joint’s protective synovial fluid into a toxic pool of inflammatory factors manifest as the

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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 Failed Back Surgery Treatments: Opioids, Spinal Cord Stimulators

      References 5 Dougherty MC, Woodroffe RW, Wilson S, Gillies GT, Howard III MA, Carnahan RM. Predictors of reduced opioid use with spinal cord stimulation in patients with chronic opioid use. Neuromodulation: Technology at the Neural Interface. 2020 Jan;23(1):126-32. 6 Puylaert M, Nijs L, Buyse K, Vissers K, Vanelderen P, Nagels M, Daenekindt

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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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