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Pain Management

Update on PRP Injections

The ongoing search to improve treatment for osteoarthritis and other musculoskeletal conditions has fueled investigation into therapies called orthobiologics. These are based on substances (such as cells or molecules) that naturally occur in the body and have properties that might aid in the treatment of injured or degenerated tissues. Orthobiologics include placental tissue, amniotic tissue, […]
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In the News: Pain Medicine; Fall Risk; Sugary Beverages; Rheumatoid Arthritis

Pain Medication Use Reduced After Exercise Therapy for Osteoarthritis Among people with hip or knee osteoarthritis, use of pain medications was found to be reduced after an exercise program in a study published in the British Journal of Sports Medicine (September 2020). The study included 16,499 people with hip or knee osteoarthritis. The researchers analyzed […]
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Help for Frozen Shoulder

If you have pain and stiffness in your shoulder, you may think you have a rotator cuff injury, tendi­nitis or osteo­arthritis. But there’s another possibility. Adhesive capsulitis, commonly called frozen shoulder, causes similar symptoms. Once frozen shoulder starts, it can take up to two years to fully recover. Jason Genin, DO, and the Tendinopathy Evaluation Assessment […]
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Ask the Doctors: Sacroiliitis; Timing of Shingles Vaccination

Q: After a fall, I started having severe pain in my lower back and then my lower abdomen. I was diagnosed with sacroiliitis. I was given celecoxib (Celebrex®) for 10 days. I still have pain. What can I do about this? A: Sacroiliitis is inflammation of one or both sacroiliac joints. These joints extend about […]
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Understanding Fibromyalgia

Strides have been made in acknowledging and understanding fibromyalgia, but challenges remain. No blood or imaging test can confirm it, and there is no single solution to manage it. It takes a multipronged approach to ease its debilitating symptoms. “Fibromyalgia is a chronic, stress-related condition that affects about 5% of the population and at least 20% […]
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Healing Damaged Rotator Cuffs

We rely on our shoulders, which provide the widest range of motion of any joint in the body, for countless everyday activities. Shoulder pain can seriously interfere with daily life. If you have pain in your upper arm when you reach up for something on a high shelf or when you stretch your arm out […]
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Ask the doctors: Scoliosis; Glucosamine and Chondroitin

Q: I have scoliosis and have been told there is no cure. How can I deal with the pain? A: Scoliosis is a sideways curve in the spine. The disorder can develop in childhood, but adult-onset scoliosis is even more common. Many adults ages 60 and older have some amount of spine curvature that can […]
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Relief for Tennis and Golfer’s Elbow

Sharp, stabbing pain at the elbow that doesn’t go away may mean you have what is commonly referred to as tennis elbow or golfer’s elbow. In medical terminology these are called tendinopathies because they involve tendons. Tendons are cords of fibrous tissue that attach a muscle to a bone. Tennis elbow occurs when the tendon […]
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Guidelines for Hip OA

Treating osteoarthritis usually involves a combination of approaches. The location and severity of joint symptoms, such as pain, swelling and stiffness, along with other considerations will dictate the most effective therapies. Osteoarthritis results from loss of cartilage in joints. Cartilage is a tough, somewhat elastic material that covers the ends of bones, allowing for smooth […]
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Move More to Relieve Back Pain

Back pain is very common, and it can make even simple daily tasks agonizing. Pulling or overstretching muscles and ligaments are common causes. As we get older, osteoarthritis in the spine can also contribute to a painful back. Osteoarthritis is caused by the wearing down of cartilage, which is the covering over the ends of […]
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How to Ease Hip Pain

Pain in the groin, stiffness at the hip and increased pain while walking are all signs you may have hip osteoarthritis. If this is the case, you may be tempted to rest to avoid aggravating the joint. But movement and exercise are good for arthritis. And too much rest can make it worse. Cleveland Clinic […]
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Ask the Doctors: February 2020

Q: Ive been taking alendronate (Fosamax) for osteoporosis for four years. Do I need to stop? If so, for how long?A: The drug you are taking is a type of drug called a bisphosphonate. There are three other drugs in this class, which are all used for the bone-thinning disease osteoporosis. They are risedronate (Actonel), ibandronate (Boniva) and zoledronic acid (Reclast).
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