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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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Dec 28, 20253 min read
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
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...
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Jul 7, 20252 min read
AI in Regenerative Medicine: Can Technology Help Preserve Your Joints?
Artificial intelligence may be learning to design new proteins. But it still cannot look at your knee, understand the life you want to protect, and decide which structure may actually be driving your pain. By Deborah Westergaard, M.D. Dallas | Regen Experts Dallas & Plano Can Technology Help Preserve Your Joints? Lately, I have noticed something interesting. My patients are asking me about artificial intelligence—not with fear, but with genuine curiosity. Recently, a patient
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Regenerative Spine Treatment Dallas: Why Imaging Guidance Matters as Much as the Biologic
By Deborah Westergaard, M.D. Dallas | Regen Experts Dallas & Plano Regenerative Spine Treatment Dallas: Why Imaging Guidance Matters as Much as the Biologic Regenerative spine treatment uses biologic preparations such as platelet-rich plasma or bone marrow concentrate instead of steroid to address selected spinal structures. But the biologic is only half the procedure. Professional society safety practices and current reviews continue to identify fluoroscopy as the recommen
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Hydrodissection for Chronic Knee Pain: Why Treating the Nerve May Not Be Enough
By Deborah Westergaard, M.D. Dallas | Regen Experts Dallas & Plano If the Nerve Carries the Pain, Should We Treat the Nerve with Hydrodissection for Knee Pain —or Find Out Why It Is Hurting? Hydrodissection has become an increasingly discussed treatment for chronic knee pain. Using ultrasound guidance, a physician carefully places fluid around a nerve to separate it from surrounding tissue. When a nerve is irritated, entrapped, or restricted by scar tissue, hydrodissection ma
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