Eli Loch, D.O. | Loch1.eth

Board Certified Physician 🏥 Anesthesiology/Interventional Pain 💉 Regenerative Orthopedics 🏋️‍♀️Dad, Husband 🏠Crypto, Investor📈

[Eli Loch, D.O. | Loch1.eth @eli_loch]

What actually helps, in order:

→ Stop aggravating activities. Repeated overhead motion through inflamed tissue is what perpetuates most chronic shoulder pain.

→ Targeted PT. Not generic stretches — specific work on cuff strength and scapular control.

[Eli Loch, D.O. | Loch1.eth @eli_loch]

"How do I get rid of this shoulder pain?"

If you're asking, you've probably already tried ice, NSAIDs, and a few stretches you found online.

Harder truth: shoulder pain is one of the most under-diagnosed pain conditions in primary care. 🧵

[Eli Loch, D.O. | Loch1.eth @eli_loch]

Each has a completely different treatment.

"Shoulder pain" is a starting question, not a diagnosis.

[Eli Loch, D.O. | Loch1.eth @eli_loch]

If cortisone has stopped working — or stopped lasting — that's the moment to revisit the diagnosis, not just refill the same syringe.

— Dr. Eli Loch
Ponte Vedra Spine and Pain Center

[Eli Loch, D.O. | Loch1.eth @eli_loch]

"They want to give me another cortisone shot."

One of the most common sentences I hear from patients on their third, fourth, or fifth cortisone injection — and getting less relief every time.

There are much better options. 🧵

[Eli Loch, D.O. | Loch1.eth @eli_loch]

The pattern I want patients to break: cortisone, cortisone, cortisone, maybe surgery.

There's a much bigger menu. The right option depends on your diagnosis.

[Eli Loch, D.O. | Loch1.eth @eli_loch]

If your knee pain doesn't match your knee imaging, the answer may be one joint up.

— Dr. Eli Loch
Ponte Vedra Spine and Pain Center

[Eli Loch, D.O. | Loch1.eth @eli_loch]

"My knee hurts and they said it's from my hip."

I get this surprised reaction every week.

The response is almost always: "How can hip pain show up in my knee?" 🧵

[Eli Loch, D.O. | Loch1.eth @eli_loch]

An estimated 72% of patients don't realize hip-to-knee pain can stem from the hip.

That misdirection alone costs people months — sometimes years — of inappropriate treatment.