Most are aware that steroids are not good for us. Steroids are bad for bones. Bad for diabetes. Bad for tendons. But just HOW bad? The standard recommendation for steroid injections into a tendon, such as the shoulder, elbow or Achilles tendon is no more than 3. Anything past that and you increase the risk […]
There are times when I wish MRI and CT scans were never invented. I can’t tell you how many times I’ve had to explain to patients that what was found on the MRI that his or her PCP ordered has absolutely nothing to do with the pain currently experienced. Low back, knees and shoulder seem […]
For those of you into math, that’s about 550 deaths per month, or more than a Boeing 747 could hold. Imagine the heat on the FAA if one was dropping out of the sky monthly. Would you fly? For those of you following the Rantings, you can begin to guess that it is prescription opioids I’m […]
Manipulation under anesthesia, or MUA, is a procedure where a patient is stretched and adjusted under general anesthesia. It is a well accepted treatment for conditions such as frozen shoulder. I have personally been doing MUA for almost a decade, so I can speak from experience. Basically, a patient is put under general anesthesia and […]
Therapeutic Exercise and Orthopedic Manual Therapy for Impingement Syndrome Since I treat a lot of shoulders in my practice this one strikes home. Sometimes common sense ain’t so common in medicine. Almost every shoulder patient I have seen in my office at some point had been given exercises to do. So long as they did them religiously, […]
