Bending the Curve in Osteoarthritis with Regenerative treatments

An irony in the treatment of arthritis is that while outcomes in the treatment of rheumatoid arthritis have dramatically improved over the last 15 years, the non surgical outcomes for degenerative arthritis haven’t improved in the same way. At first blush this...

Forgetting what it means to live with pain

 A patient of mine with psoriatic arthritis was in the clinic this week for a followup evaluation. 6 months ago he was having so much daily constant pain that he could barely function and certainly could not exercise. He came to clinic 6 months ago with his wife, and...

Bending the curve in Ankylosing Spondylitis

The above picture is a classic image in the rheumatology literature showing a young man with ankylosing spondylitis progressively developing severe deforming disease as he gets older. In fact the majority of people with AS do not have this sort of progression, but a...

Bending the Curve when Treating Orthopedic conditions

Most orthopedic conditions naturally get worse over time. In the figure above, the red line shows how arthritis and tendinitis typically are allowed to progressively advance. The usual treatment paradigms for joint and tendon injuries is to temporarily control pain,...
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