By Dr. Jeffrey Peng, MD · Published March 6, 2026 · 12 min read Watch the Full Video Myofascial pain syndrome and trigger points are among the most common — and most commonly missed — causes of chronic musculoskeletal pain. In my sports medicine practice, I regularly evaluate patients who have seen multiple providers, undergone extensive imaging, completed months of physical therapy, and sometimes even had surgery — all without relief — because the underlying myofascial tri

By Dr. Jeffrey Peng, MD · Published March 6, 2025 · 7 min read Watch the Full Video Rotator cuff disease is one of the most common causes of shoulder pain, accounting for up to 70% of all shoulder complaints. The condition spans a wide spectrum — from tendinopathy and subacromial impingement to partial and full-thickness tears — and the vast majority of cases can be managed without surgery. But when pain is severe enough to prevent participation in physical therapy , injecti

By Dr. Jeffrey Peng, MD · Published March 6, 2025 · 5 min read Watch the Full Video Myofascial pain syndrome and trigger points are among the most common causes of chronic musculoskeletal pain, affecting an estimated 85% of patients who visit chronic pain clinics. Despite how widespread this condition is, effective treatment remains a challenge for many patients and clinicians alike. Traditional management typically involves soft tissue modalities such as massage, acupunctur

By Dr. Jeffrey Peng, MD · Published March 6, 2025 · 7 min read Watch the Full Video If you have been diagnosed with a degenerative meniscus tear, you have likely heard conflicting advice about treatment. Some physicians recommend arthroscopic surgery to remove the damaged tissue, while others advocate for physical therapy and structured exercise. The disagreement often depends on whether you see an orthopedic surgeon or a nonoperative sports medicine specialist. So which app

By Dr. Jeffrey Peng, MD · Published March 5, 2026 · 5 min read Watch the Full Video Myofascial pain syndrome is one of the most common and frustrating musculoskeletal conditions encountered in clinical practice. Characterized by painful trigger points within taut bands of skeletal muscle, it can significantly diminish quality of life and prove remarkably difficult to manage. Clinicians have long relied on a multimodal approach — combining heat therapy, cardiovascular and res

By Dr. Jeffrey Peng, MD · Published March 5, 2026 · 7 min read Watch the Full Video Muscle pain is one of the most overlooked contributors to knee osteoarthritis symptoms. When patients visit their doctor for knee pain, the evaluation typically focuses on the joint itself — the bones, cartilage, ligaments, and meniscus . But the muscles surrounding the knee are rarely examined, and research suggests they may be responsible for a substantial portion of the pain that patients

By Dr. Jeffrey Peng, MD · Published March 5, 2026 · 8 min read Watch the Full Video If you have been diagnosed with knee osteoarthritis , one of the first questions you may ask is whether it is safe to keep walking. Many patients worry that physical activity will accelerate cartilage breakdown and make their condition worse. Some have even been told by well-meaning providers to stop exercising altogether. However, current evidence tells a very different story: walking is not

By Dr. Jeffrey Peng, MD · Published March 5, 2025 · 7 min read Watch the Full Video Meniscus tears are one of the most common knee injuries, and for patients with degenerative tears, the standard recommendation from many orthopedic surgeons remains arthroscopic partial meniscectomy. However, a growing body of evidence suggests that surgery should be seen as a last resort for degenerative meniscus tears, not a first-line treatment. In fact, a comprehensive non-surgical treatm

By Dr. Jeffrey Peng, MD · Published March 5, 2025 · 7 min read Watch the Full Video If you have knee osteoarthritis , you may have been told to try a knee brace or support sleeve. But which type is right for you? With so many options on the market, choosing the correct knee brace can feel overwhelming — and a recent study suggests that the most commonly recommended option may actually interfere with your quality of life. As a sports medicine physician , I frequently discuss

By Dr. Jeffrey Peng, MD · Published March 5, 2025 · 6 min read Watch the Full Video If you are dealing with persistent shoulder pain — whether from a rotator cuff tear, tendinopathy, or impingement — your doctor may have recommended a cortisone injection. Cortisone is a well-established treatment that can provide quick symptom relief. But recent clinical evidence suggests that platelet-rich plasma (PRP) may offer superior long-term results for many shoulder conditions. In t

By Dr. Jeffrey Peng, MD · Published March 4, 2026 · 30 min read Watch the Full Video Platelet-rich plasma (PRP) injections have generated significant attention for their ability to treat joint pain, tendon injuries, and accelerate recovery using your body’s own healing mechanisms. But with growing interest comes a flood of questions: Does PRP actually work? How does it compare to cortisone or stem cells? Is the cost justified when insurance does not cover it? In this compreh

By Dr. Jeffrey Peng, MD · Published March 4, 2026 · 6 min read Watch the Full Video A Baker's cyst — also called a popliteal cyst — is a fluid-filled swelling that develops in the back of the knee. Named after the British surgeon Dr. William Baker, who first described the condition, it can range from a painless incidental finding on an MRI to a significant source of discomfort that limits everyday activities like bending, squatting, and walking. In my practice, Baker's cysts

By Dr. Jeffrey Peng, MD · Published March 4, 2026 · 6 min read Watch the Full Video Knee osteoarthritis is one of the most common conditions I treat in my sports medicine practice . It is characterized by the progressive deterioration and loss of cartilage inside the knee joint. While many patients assume that arthritis means the end of an active lifestyle, understanding the warning signs early can help you take the right steps to manage symptoms and preserve joint function.

By Dr. Jeffrey Peng, MD · Published March 5, 2026 · 8 min read Watch the Full Video If you have been dealing with persistent tendon pain — whether in the Achilles, patellar tendon, elbow, or rotator cuff — you have probably been told you have "tendonitis" and that the problem is inflammation. But here is the truth: most chronic tendon pain has very little to do with inflammation. The real culprit is tendon degeneration , and the underlying cause is often as much metabolic as

By Dr. Jeffrey Peng, MD · Published March 5, 2026 · 8 min read Watch the Full Video Knee pain is not random. Where you feel the pain can serve as a powerful diagnostic clue to the underlying problem. By understanding the source of your symptoms, you can take the appropriate first steps toward recovery. As a board-certified sports medicine physician , I evaluate knee pain every day in my clinic. In this guide, I walk through 15 of the most common causes of knee pain, organize

By Dr. Jeffrey Peng, MD · Published March 5, 2026 · 5 min read Watch the Full Video If you are struggling with back pain , one of the simplest and most effective treatments may already be in your home. Heat therapy — using heating pads, wraps, or portable heat patches — has been shown in clinical research to reduce pain and improve function more effectively than common over-the-counter painkillers. In my practice, I routinely recommend heat as a first-line approach for acute

By Dr. Jeffrey Peng, MD · Published March 4, 2026 · 5 min read Watch the Full Video If you have knee osteoarthritis and conventional treatments like over-the-counter pain medications or cortisone injections have not provided adequate relief, genicular nerve blocks may be a treatment worth considering. This ultrasound-guided procedure targets the specific nerves responsible for transmitting knee pain to the brain, offering meaningful short-term relief that can help you get mo

By Dr. Jeffrey Peng, MD · Published March 04, 2026 · 5 min read Watch the Full Video Achilles tendonitis is one of the most common conditions I see in my sports medicine clinic. Patients often arrive frustrated after weeks of pain in the back of their ankle, wondering whether they need expensive treatments or lengthy rehabilitation programs. The good news? One of the most effective interventions is surprisingly simple and affordable: a heel lift. Recent clinical trials sugg

By Dr. Jeffrey Peng, MD · Published March 4, 2025 · 20 min read Watch the Full Video What Is Knee Osteoarthritis and Why Is It So Complex? Knee osteoarthritis is the most common form of arthritis and is defined by the progressive loss of cartilage within the joint. Despite its prevalence, most patients have a limited understanding of the condition and the full range of treatment options available. In my practice, I frequently encounter patients who have received incomplete o

By Dr. Jeffrey Peng, MD · Published March 4, 2026 · 12 min read Watch the Full Video Meniscus tears are among the most common knee injuries, affecting athletes and older adults alike. They can cause significant pain and disability in some people, yet in others they produce no symptoms at all. This disconnect is one of the main reasons there is so much confusion surrounding meniscus tear treatment — patients often receive conflicting advice from different providers. In this a