Osteoarthritis is, at its core, a disease of cartilage exhaustion — a slow grinding away of the biological shock absorbers that let joints move freely and without pain. In my practice, I see patients in their fifties and sixties who are desperate not to cross the bridge into total joint replacement. Increasingly, they're asking me about stem cell therapy. My honest answer has become more nuanced over the past five years, because the science has genuinely matured. Two cell sources dominate...

Reverse total shoulder arthroplasty (RTSA) has become a highly reliable solution for patients with severe shoulder arthritis, rotator cuff tears, fractures, and failed prior shoulder surgery. As implant designs evolve, patients often ask about newer “stemless” or inlay implants versus traditional stemmed shoulder replacements , and how these choices affect recovery, durability, and long-term outcomes. Inlay vs Onlay Humeral Components: What’s the Difference? A traditional onlay humeral...

Proximal humerus fractures are a common injury in the elderly, often resulting from low-energy falls. Managing these fractures presents unique challenges due to factors like osteoporosis, comorbidities, and limited bone quality. Traditional treatment methods, including conservative management and open reduction internal fixation (ORIF), sometimes fail to restore function or lead to complications. Recently, reverse total shoulder arthroplasty (RTSA) has emerged as a promising surgical option...