September 8,2026 | Curated clinical and regulatory news with commentary from Deborah Westergaard, MD About the Orthobiologic Digest The Orthobiologic Digest is a patient-friendly review of research and news in regenerative musculoskeletal medicine, joint preservation, PRP, bone marrow concentrate, cell therapy, and related regulatory developments. I select stories that I think matter, explain what they actually show in plain language, and add my perspective as a physician who

What happens when lumbar degenerative disc disease begins taking away your sleep, mobility, work, and time with your family?

By Deborah Westergaard, M.D. Dallas | Regen Experts Dallas & Plano What to Know About Sedation for PRP and Bone Marrow Concentrate Procedures You have probably had the experience of describing something about your own body and watching it get filed away as background noise. Something aches. You mention it. You get told it is arthritis, it is age, it is what happens. Somewhere in there, the thing you actually said stops being information and starts being a complaint. I think a

Artificial intelligence may be learning to design new proteins. But it still cannot look at your knee, understand the life you want to protect, and decide which structure may actually be driving your pain. By Deborah Westergaard, M.D. Dallas | Regen Experts Dallas & Plano Can Technology Help Preserve Your Joints? Lately, I have noticed something interesting. My patients are asking me about artificial intelligence—not with fear, but with genuine curiosity. Recently, a patient

By Deborah Westergaard, M.D. Dallas | Regen Experts Dallas & Plano Regenerative Spine Treatment Dallas: Why Imaging Guidance Matters as Much as the Biologic Regenerative spine treatment uses biologic preparations such as platelet-rich plasma or bone marrow concentrate instead of steroid to address selected spinal structures. But the biologic is only half the procedure. Professional society safety practices and current reviews continue to identify fluoroscopy as the recommen

By Deborah Westergaard, M.D. Dallas | Regen Experts Dallas & Plano If the Nerve Carries the Pain, Should We Treat the Nerve with Hydrodissection for Knee Pain —or Find Out Why It Is Hurting? Hydrodissection has become an increasingly discussed treatment for chronic knee pain. Using ultrasound guidance, a physician carefully places fluid around a nerve to separate it from surrounding tissue. When a nerve is irritated, entrapped, or restricted by scar tissue, hydrodissection ma

By Deborah Westergaard, M.D. Dallas | Regen Experts Dallas & Plano Over the past year, I've noticed something interesting. More patients are finding my practice online and calling to ask one question: "Do you perform hydrodissection in Dallas?" I appreciate patients who educate themselves. Today's patients have access to more medical information than ever before, and many arrive having already researched their symptoms and potential treatment options. But there's something I

By Deborah Westergaard, M.D. Dallas | Regen Experts Dallas & Plano Perhaps buying a convertible in middle age or while heading toward retirement is not a crisis after all. Perhaps it is simply a very enjoyable reason to get outside, put the top down, and experience the morning light. That does not make a convertible a medical treatment. But morning light, healthy sleep, regular movement, good nutrition, and metabolic health all contribute to the environment in which your body

By Deborah Westergaard, M.D. Dallas | Regen Experts Dallas & Plano Treating Knee Arthritis in Dallas For decades, the conventional explanation for knee osteoarthritis was simple: the cartilage wears away, the bones rub together, and eventually you need a knee replacement. I believe that explanation is incomplete. In many patients, the cartilage is not the primary problem—it is the victim. Modern research increasingly recognizes osteoarthritis as a disease of the entire osteoc

By Deborah Westergaard, M.D. Dallas | Regen Experts Dallas & Plano If you've been told that nerve burning—also known as radiofrequency ablation (RFA) or rhizotomy is your next step for chronic back pain, you may wonder whether it is your only option. For many years, I performed these procedures myself. Today, I do not. That decision was not based on a single study or a single patient. It came from years of experience, an evolving understanding of spinal biomechanics, and a gr

By Deborah Westergaard, M.D. Dallas | Regen Experts Dallas & Plano Many patients come to my office after months—or years—of pursuing treatments designed primarily to reduce pain. Pain relief matters. But if your goal is to avoid surgery, preserve function, and maintain an active lifestyle, an important question must be asked: Are we treating pain, or are we identifying the structures responsible for the pain? For many patients, those are not the same thing. About Dr. Westerga

By Deborah Westergaard, M.D. Dallas | Regen Experts Dallas & Plano What If We Have Been Treating the Wrong Part of Knee Arthritis? The Traditional Arthritis Conversation If you've been told you have "bone-on-bone" arthritis, you've probably heard the same treatment options repeatedly: - Anti-inflammatory medications - Cortisone injections - Physical therapy - Activity modification - Eventually, knee replacement surgery For many patients, these options can be helpful. But what

By Deborah Westergaard, M.D. Dallas | Regen Experts Dallas & Plano If I Could Go Back to 2008... If I could travel back to 2008, I would ask my younger self one simple question. "Should I have one more conversation before having hip surgery?" At that time, the procedures I perform today simply weren't available. The landmark intraosseous bone marrow concentrate research hadn't yet been published. Physicians weren't discussing subchondral bone as an important contributor to os

Knee Arthritis Dallas: Still active, but your knees are starting to dictate your life? Many high-performing people reach a point where they are told that knee replacement is the next logical step. For some, that may ultimately be true. But many patients wonder an important question first: "Have I explored every reasonable option before replacing my joint?" Recently, I saw a gentleman with a physically demanding job who had been informed that he was a candidate for knee replac

By Deborah Westergaard, MD | Regen Experts powered by Pain Experts Deborah Westergaard, MD is a double board-certified physician with over two decades of advanced experience in minimally invasive, image-guided spine and musculoskeletal procedures. She specializes in precision-guided orthobiologic and regenerative medicine approaches designed to help selected patients pursue non-operative options for joint and spine conditions. Orthobiologic Joint Maintenance There is a momen

By Deborah Westergaard, MD | Regen Experts powered by Pain Experts Why “Basic Orthobiologics” Often Falls Short in the Pursuit of Nonsurgical Knee Care Precision Versus Performance Decline Most people do not realize they are making a strategic decision about their future mobility until it is almost too late. At first, it is subtle. The golf swing changes. The stairs become irritating. Travel becomes less enjoyable. Recovery after exercise becomes longer. Many high-performing

By Deborah Westergaard, MD | Regen Experts powered by Pain Experts For much of my medical career, my mission was straightforward: Find the pain signal. Calm the pain signal. Help the patient suffer less. And there is absolutely nothing wrong with that. Interventional pain management can be life-changing for people in severe pain. Nerve blocks, epidural procedures, spinal cord stimulation, and radiofrequency treatments have helped many patients regain function, sleep, mobility

By Deborah Westergaard, MD | Regen Experts powered by Pain Experts The Problem: A Diagnosis That Often Leads Straight to Surgery He walked into my Dallas clinic with a familiar story. A high-performing individual. Disc degeneration on imaging. Pain beginning to interfere with movement, travel, and performance. And the message he had already started to hear: “This is degenerative disc disease… and eventually, you may need surgery.” This is where many patients feel their option

By Deborah Westergaard, MD | Regen Experts powered by Pain Experts The Comfortable Illusion Many patients come to see me for knee pain. Sometimes it is swelling after activity. Sometimes stiffness when standing from a chair. Sometimes pain while walking stairs or playing golf. But during the consultation, something interesting often comes up. A patient will say something like: “My knee used to hurt last year, but the pain went away… so I figured it fixed itself.” This assumpt

By Deborah Westergaard, MD | Regen Experts powered by Pain Experts Hip Pain in Dallas: When It Begins to Change How You Move Hip pain rarely begins as a crisis. It starts subtly: tightness when standing, discomfort when walking, a slight hesitation before taking a step. Over time, that hesitation becomes compensation. And compensation becomes limitation. For many high-functioning individuals, this is the real problem: Not just pain, but the gradual loss of fluid, confident mo