"I agree that it is not yet the standard of care and may never be. I also think the JAMA study has a few problems. One injection in a very difficult condition. I have only had a few patients who improved with a single injection, most needing 3-4…"

"This is very interesting. Can you comment on your case series and the heterogeneity of their presentations? Are you suspecting that infection is playing a major causative role or is there another mechanism of action from the gentamycin? There is…"

"Jay Shah's group at NIH has done some interesting work using doppler to assess blood flow in myofascial trigger points. They have found retrograde flow during diastole in these regions. An interesting twist to their investigation includes the…"

"My experience is very similar to what you have described. Following treatment with prolotherapy or PRP I find that tissue healing and reorganization can be objectively assessed with sonography. This is great for the patient and provider to see. The…"