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What I Wish I Had Known Earlier: How Timing May Help You Avoid Joint Replacement in Dallas
By Deborah Westergaard, MD | Pain Experts | Dallas–Plano Why Joint Replacement Becomes the Default Too Early Many people assume that once a surgeon recommends joint replacement, the path forward is settled. The diagnosis feels definitive. The plan feels inevitable. But in reality, joint replacement is often a default. Not because it is always the only solution, but because it is the solution most familiar to the system. Outstanding surgeons, ethical, skilled, and well-intenti
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Jan 263 min read


How My Hip Replacement Taught Me to Make Lemonade from Lemons—and Help Others Avoid the Same Glass
A year ago this July, I joined a club I never wanted to be part of the Hip Replacement Club. And while I would’ve traded nearly...
cassis101
Apr 17, 20252 min read


Knee Arthritis Treatment Dallas: Are We Treating the Wrong Part of the Knee?
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
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Back Pain Treatment Without Surgery: Why I Moved Beyond Routine Nerve Burning
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
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Avoiding Surgery in Dallas: Are You Looking for Pain Relief or a Structural Solution?
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
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