Articles & practice news
Plain-language writing on orthobiologics, shoulder surgery, rehabilitation and what is happening in the practice.
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Prolotherapy: the original regenerative injection, explained
Long before PRP became a household term, prolotherapy was using the body's own healing response to strengthen painful ligaments and tendons. Here's how it works and when I consider it.
Read the article →The Four Conditions I Treat Most Often with Orthobiologics
Rotator cuff pain, knee arthritis, tennis elbow, and hip pain — what is actually going on in each, and how I decide between PRP, BMAC, shockwave, and surgery.
Read the article →Peptides in sports medicine: promise, evidence, and caution
Peptides like BPC-157 are everywhere in fitness culture. Here is what they are, what the evidence actually shows, and the regulatory reality.
Read the article →How to Choose an Orthopaedic Surgeon in Charleston
A practical guide to evaluating orthopaedic surgeons in the Charleston area — training, specialization, access, and the questions worth asking before you decide.
Read the article →How Many PRP Treatments Are Needed?
Most knees and tendons respond to a single well-done PRP injection, but some conditions call for a short series. Here is how I think about the number, the timing, and how we judge whether it worked.
Read the article →Your treatment options, from home exercises to injections
A straight talking walk through the non-surgical options I discuss with patients: therapy, activity modification, medications, injections, viscosupplementation, prolotherapy, orthobiologics and when alternative treatments fit.
Read the article →Is PRP Good for Knee Pain?
Platelet-rich plasma uses a concentrated sample of your own blood to support healing in an irritated knee. Here is what the evidence says, who it tends to help, and when something else makes more sense.
Read the article →Tennis elbow that will not quit: why rest alone stops working
Rest, brace, repeat — if your elbow keeps coming back, here is what is actually happening in the tendon and what breaks the cycle.
Read the article →The labs I check before orthobiologic treatment: CRP, ESR, and fibrinogen
Tissue repair happens in the environment your whole body creates. A few simple blood tests tell us what that environment looks like.
Read the article →One tool in the toolbox: why who evaluates you matters
A surgeon who also practices biologics has no reason to steer you toward either. That independence is worth understanding.
Read the article →Medicine or a product: how to spot a stem-cell sales pitch
A simple filter for telling legitimate regenerative care from marketing with a syringe.
Read the article →"It is just bursitis": when hip pain deserves a second look
A lot of hip pain gets labeled bursitis without much of a plan. Often the real story is in the tendon or the joint.
Read the article →Ultrasound in the exam room: how a real diagnosis gets made
Symptoms tell me where to look. Ultrasound lets me actually see the tendon or joint before we decide anything.
Read the article →PRP vs. BMAC vs. microfat: how I choose between them
Three orthobiologic tools, three different jobs. Here is how I decide which one fits a given tendon or joint.
Read the article →Sleep: the most underrated recovery tool in medicine
Growth hormone peaks during deep sleep. Inflammatory regulation happens overnight. If you're healing from an injury — or investing in treatment — sleep is doing more of the work than you think.
Read the article →Shoulder arthritis: the full treatment spectrum, from therapy to replacement
Shoulder arthritis isn't a single decision between living with it and replacing it. There's a whole spectrum of options — and most patients should climb it one step at a time.
Read the article →Rotator cuff tears: when an injection makes sense and when surgery does
Not every rotator cuff tear needs surgery — but some do, and knowing the difference early saves time, money, and shoulder function.
Read the article →Training for the long game: how to keep your body athletic for life
Muscle is not just for athletes — it is an organ of longevity. A framework for training that keeps you capable, resilient, and ready to heal.
Read the article →Am I a good candidate for orthobiologic treatment?
Candidacy for PRP, BMAC, or microfat depends on more than your MRI — your overall health, mechanics, and the severity of the problem all matter.
Read the article →Recovery done right: what tissue healing actually looks like
Healing follows predictable phases — and rehab works best when it matches them. A guide to what happens after injury, surgery, or orthobiologic treatment.
Read the article →Eating to heal: how nutrition shapes recovery and joint health
Food is not just fuel — it is the raw material for repair and one of the strongest levers you control over inflammation and healing.
Read the article →Inflammation: the hidden driver behind joint pain, slow healing, and aging
Chronic low-grade inflammation quietly undermines recovery and joint health — and it is one of the most modifiable factors in musculoskeletal medicine.
Read the article →Knee pain: when to rest, when to rehab, and when to be seen
Most knee pain is not a surgical problem. How to think through new knee pain — and the options when it does not settle.
Read the article →PRP, BMAC, and microfat: how orthobiologic injections actually work
A plain-language guide to the three orthobiologic treatments we use most — what each one is, how it works, and when each makes sense.
Read the article →Fitness after 40: move better, get stronger, live longer
Forty is not a deadline — it is the point where smart training pays the highest returns. The five areas that matter most.
Read the article →“Stem cell therapy”: how to tell legitimate care from hype
The unregulated stem cell market is booming. Here is how to recognize the difference between evidence-based, FDA-aware treatment and marketing.
Read the article →Shockwave therapy: healing with sound waves, not surgery
Extracorporeal shockwave therapy (ESWT) uses focused acoustic energy to stimulate repair in stubborn tendon and soft-tissue problems — no injection, no incision.
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