By Deborah Westergaard, MD | Regen Experts powered by Pain Experts One of the most common things patients tell me is: "My doctor says my knee is bone-on-bone, so I probably need knee replacement." Hearing that phrase can make it feel as though the decision has already been made. But the reality is more complex. An x-ray may show cartilage loss, yet the true source of knee pain often involves much more than cartilage alone. Understanding this distinction is one of the most imp

By Deborah Westergaard, MD | Regen Experts powered by Pain Experts The Question Many Patients Ask “My doctor told me I’m a candidate for knee replacement surgery based on my x-ray.” This is one of the most common things I hear from patients who visit my clinic. Often the x-ray shows advanced arthritis or what is sometimes described as “bone-on-bone” cartilage loss.  When patients hear this, it can feel like the path forward has already been decided. But in many cases, an x-ra

By Deborah Westergaard, MD | Regen Experts powered by Pain Experts For more than two decades, I practiced traditional interventional pain medicine in Dallas after fellowship training under world-renowned physicians Dr. Gabor Racz and Dr. Prithvi Raj. At that time, we were using the most advanced interventional techniques available. We were helping patients in ways that many practices were not yet able to offer. And we made a real difference in many lives. But one advantage of