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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 Treating Only the Disc Often Fails Patients Trying to Avoid Back Surgery in Dallas
By Deborah Westergaard, MD | Pain Experts | Dallas–Plano Why “It’s Just the Disc” Is an Incomplete Diagnosis and How to Avoid Back Surgery Many patients seeking to avoid back surgery in Dallas are told their pain is caused by a “bad disc.” This conclusion is usually based on MRI findings alone with disc bulges, degeneration, or annular tears. The challenge is not that discs are irrelevant. The problem is that they are rarely the only pain generator. Disc changes are common wi
cassis101
Dec 23, 20253 min read


CMC Joint Arthritis and Median Nerve Hydrodissection: A Modern, Non-Surgical Approach for High-Skill Professionals
By Deborah Westergaard, MD | Pain Experts | Dallas–Plano CMC joint arthritis can quietly erode capability long before pain becomes the main complaint. Among high-performing individuals who depend on precision—surgeons, executives, athletes CMC joint arthritis can quietly erode capability long before pain becomes the main complaint. For one surgeon, the issue wasn’t dramatic swelling or inability to work. It was something far more concerning: subtle grip changes thumb pain dur
cassis101
Nov 23, 20252 min read


Myth #9: Going Along to Get Along — Why Steroid Shots and Surgery Can Cost You Your Joints
By Deborah Westergaard, MD | Pain Experts | Dallas–Plano Myth #11: Going Along to Get Along — Why Playing It Safe with Steroid Shots and Surgery Can Cost You Your Joints There’s an old Southern phrase, "Go along to get along.”I t means you keep doing what everyone else does… not because it’s working, but because that’s what’s familiar. But when it comes to your health and mobility, “going along to get along” can cost you something you can’t get back: your joints. For decades
cassis101
Nov 2, 20252 min read


Muscle Mass Longevity in Dallas & Plano, Texas
By Deborah Westergaard, MD | Pain Experts | Dallas–Plano Muscle Mass Longevity is Important and Why Muscle Mass Declines With Age In...
cassis101
Sep 12, 20253 min read


What Is the Best Non-Surgical Treatment for Back Pain?
By Deborah Westergaard, MD Board-Certified in Pain Medicine and Anesthesiology Regenexx-Affiliate Pain Experts Dallas–Plano Back pain...
cassis101
Jul 7, 20252 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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