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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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Why I Transitioned from Traditional Pain Management to Precision Orthobiologics
By Deborah Westergaard, MD | Pain Experts | Dallas–Plano When Traditional Pain Management Tools No Longer Match the Demands of Modern Life When I transitioned from the intellectually rewarding field of anesthesiology into pain management more than two decades ago, my goal was not simply to join a specialty. I wanted to operate at the highest level of it. That search led me to Texas Tech and the legendary Dr. Gabor Racz, whose fellowship was regarded internationally as the pi
cassis101
Dec 6, 20253 min read


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


Orthobiologic myth #1: Cartilage Can't Repair Itself After 50?
By Deborah Westergaard, MD | Pain Experts | Dallas–Plano Outdated Thinking About Cartilage Repair After 50 They told you cartilage can’t...
cassis101
Oct 7, 20252 min read


Running Joint Damage After 60: Why 8 Miles a Day May Be Wearing Out Your Joints — Orthobiologic Solutions
And every morning: 8 miles. But here’s the problem no one is telling her — and no one is telling him , either (and many of our gentlemen...
cassis101
Jun 11, 20253 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


Still Pushing Through Pain?
Long hours. High expectations. Active weekends.Joint pain, stiffness, or old injuries shouldn’t be the reason you slow down—or the reason...
cassis101
Apr 13, 20251 min read


Pain Experts Talk Podcast: How to Avoid Knee Surgery
By Deborah Westergaard, MD Pain Experts How to Avoid Knee Surgery Are you or someone you know facing knee pain or considering surgery? There are ways to explore non-surgical options that may help protect your natural joint for longer. In our latest Pain Experts Talk episode, we dive into the impact of prior knee surgeries on early arthritis and explore how regenerative treatments like PRP and bone marrow concentrate can support cartilage health and possibly delay the need fo
cassis101
Nov 4, 20241 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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