By Dr. Jeffrey Peng, MD · Published March 08, 2026 · 8 min read Watch the Full Video A landmark randomized controlled trial published in the New England Journal of Medicine challenged one of the most common assumptions in orthopedic surgery: that patients with bone-on-bone knee arthritis inevitably need a knee replacement. The researchers took 100 patients who had been evaluated by an orthopedic surgeon and deemed eligible for total knee replacement, then randomly assigned
By Dr. Jeffrey Peng, MD · Published March 8, 2025 · 6 min read Watch the Full Video If you are over 40 and have had a shoulder MRI, there is a very good chance your report mentions something about your rotator cuff — tendinopathy, a partial tear, maybe even a full-thickness tear. Those words sound alarming. But a landmark study published in JAMA Internal Medicine is challenging everything we thought we knew about what these findings actually mean. The researchers scanned ov
By Dr. Jeffrey Peng, MD · Published March 6, 2026 · 5 min read Watch the Full Video Dextrose prolotherapy is one of the oldest regenerative injection therapies still in use today, yet most patients have never heard of it. The concept is simple: inject a concentrated sugar solution into or around a damaged joint to trigger the body’s natural healing response. But does the science actually support this approach for knee arthritis ? In this post, we review the clinical trial ev
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