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Advanced Spine and Joint Care that Lets You Live and Play without Limits
9301 N Central EXPY STE 115 Dallas TX 75231
1400 Preston Road STE 120, Plano TX 75093
Phone 214 750-6200
Fax 214 750-6203
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NSAIDs, Steroid Injections, and Turmeric: What Really Protects Your Joints?
NSAIDs, Steroid Injections, and Turmeric are Often Options Joint pain flares push many people toward two common options: Oral NSAIDs Intra-articular corticosteroid injections Both have been widely used for decades. Both temporarily reduce pain. And both have well-documented downsides for cartilage biology. Oral NSAIDs inhibit COX-1 and COX-2 and can impair: Cartilage cell metabolism Proteoglycan synthesis Collagen turnover Long-term cartilage recovery Repeated intra-articular
cassis101
Nov 27, 20253 min read


Does PRP Help Cartilage Grow Back? What New Imaging Studies Reveal
By Deborah Westergaard, MD | Pain Experts | Dallas–Plano Living with knee osteoarthritis means living with pain, stiffness, and the fear...
cassis101
Aug 22, 20252 min read


Why Comprehensive Imaging Is Key to Effectively Treating Tennis Elbow: Why a Blind Injection into the Tendon May Not Be Enough
By Deborah Westergaard, MD Pain Experts The Problem: Incomplete Diagnosis and Treatment of Tennis Elbow Tennis elbow, or lateral...
cassis101
Nov 24, 20244 min read
Nonoperative Knee Treatment Dallas TX: Why I Chose to Repair My Knee Before It Became Surgical
By Deborah Westergaard, MD | Pain Experts | Dallas–Plano Nonoperative Knee Treatment Dallas TX There are moments in medicine when clinical judgment is refined not by theory, but by lived experience. This was one of those moments. After a knee injury that dramatically altered my stability, comfort, and function, I found myself standing in front of the mirror one morning realizing something important: My knee finally felt normal again. No guarding. No instability. No persistent
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How to Avoid Joint Surgery: Why Precision, Dose, and Strategy Matter More Than Most Patients Are Told
By Deborah Westergaard, MD | Pain Experts | Dallas–Plano “I Was Told Surgery Is the Only Option Left” Patients searching for how to avoid joint surgery often arrive after a familiar sequence: Physical therapy. Steroid injections. A prior PRP injection that “didn’t work.” The conclusion feels inevitable: joint surgery is next. What is rarely examined is whether the regenerative options attempted were biologically sufficient, correctly targeted, or strategically designed to alt
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Why Sudden Back Pain Should Not Send You Straight to a Surgeon
By Deborah Westergaard, MD | Pain Experts | Dallas–Plano The Reflex to “See the Surgeon First” for Your Back Pain For many high-performing individuals, sudden back pain triggers a familiar sequence: “Something is wrong. I need the best. I’ll see an orthopedic surgeon.” On the surface, this feels logical. Surgeons are intelligent, highly trained, and deeply knowledgeable about spinal anatomy. They carry immense responsibility, and patients rightly trust them when surgery is re
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