Do I Need Neck Surgery? Probably Not…
A common question I hear day in and day out is, “Do I need neck surgery?” As a physician, my answer to that question has steadily changed over the years. A few years ago, when I saw nerves on the patient’s neck MRI that were severely compressed, my answer… Read More
Should I Have Artificial Disc Replacement?
If you read this blog, you know that I often write about what I experience on a day-to-day basis. Yesterday, I spoke to a patient from New York who had already had an artificial disc implanted in his back that failed and was contemplating another in his neck. Given that… Read More
Do You Need to Burn Neck Nerves to Help Chronic Pain?
Neck pain caused by an injury or car accident can be life-changing. Just ask Sarah, who sent Dr. Markle a thank you note this week because he was able to use precisely guided orthobiologic injections to get her life back instead of damaging radiofrequency procedures. Let’s dive in… Read More
Why Can’t I Lift My Arms Overhead?
Can't lift arms over head? It may be your neck... I love when patients walk in and I can easily show them how their body works. This past week, I was able to do that with a… Read More
Has Thumb Surgery Gone to the Dogs? Treating Thumb Arthritis Without Surgery
How Debbie Regained Mobility in her Thumb Without Surgery or Medication When I first heard about thumb tendon interposition surgery, the most common surgical treatment for thumb arthritis, I chuckled. Why? This procedure was first used… Read More
RIP Cervical Disc Replacement: Side Effects Same as Fusion
I’ll never forget when a local surgeon, who was being paid handsomely by disc replacement manufacturers, placed his new credo “friends don’t let friends fuse” on his website. The idea was that now that we had disc replacement technology, keeping some motion in the spine would reduce the… Read More
Pain After Neck Fusion: Adjacent Segment Disease
Pain after Neck Fusion This past week, I have have seen several patients with neck fusions. All of whom had pain caused by the fusion. For some, the fusion had helped one problem and caused another. For others, the fusion didn’t help and… Read More
Learning How Best to Inject the CCJ Ligaments: Our CCJ Instability Trial Begins…
Last week, we began the world’s first randomized controlled placebo trial to treat craniocervical junction (CCJ) instability. While our clinic has been treating these patients for more than two decades, these past few years, we have developed a new injection technique to finally begin addressing the problem… Read More
The More Low Back Levels You Have Fused the More Likely You Are to Need More Fusion
Sometimes medicine isn’t rocket science, but common sense. Take for example the idea that the more levels in a low back you fuse, the more damage can be done over time to surrounding structures. You don’t need an MD or a PhD to see that this makes intuitive… Read More
Medical Innovation and Our Alar/Transverse Ligament Procedure
How does medicine advance? If you ask some academics, they’ll tell you that only they can advance medical science. However, that’s always been fiction as most medical breakthroughs have always come from doctors innovating to solve specific problems. This morning I’d like to share how we solved a… Read More