Due to the unprecedented coronavirus pandemic and the strain it is putting on our health care system, at this time Dr. Gregory is only able to see patients with acute injuries. As per the CDC recommendations, all elective surgeries are postponed to help preserve resources for those providers battling on the front lines. Dr. Gregory encourages all patients to follow local and national guidelines, which may include sheltering-in-place. This policy will be updated as the situation changes. For the latest updates, please call Dr. Gregory’s office at 713-486-1700.
For the third consecutive year, Dr. James Gregory has been approved as a Top Doctor by the TX Top Doc Selection Committee. Based on his education, training, accolades, awards and patient reviews, multiple members agreed on the approval of his acceptance into the highly specialized group of well-respected physicians. The continuous quality of his care is reflected in his re-approval as a top doctor for the 2020 calendar year, and shows he is a top shoulder doctor in Houston. Dr. Gregory specializes in shoulder and elbow surgery, and invites patients to visit one of his offices to experience the cutting-edge technology and skill offered by his team.
Dr. Gregory attempts to utilize the most successful, least invasive treatments possible with a goal of minimal recuperation and downtime. One of his major research interests is utilizing stem cells to help rotator cuff healing. He combines rigorous standards and quality of care with experience and insight, integrating the best new techniques into the care of each patient.
On Episode 6 of the American Shoulder Elbow Surgeons podcast, Dr. Gregory was joined by two friends and colleagues to debate options for surgical treatment of massive, irreparable rotator cuff tears. Dr. Gregory has extensive experience with the use of outpatient shoulder replacement, and discussed his thoughts and research findings with the other guests. The consensus was that treatment options should be individualized for each patient, depending on their shoulder condition and overall lifestyle goals. If you are concerned you may have a rotator cuff problem, or wish to have another opinion regarding management, Dr. Gregory is happy to discuss these treatment options in depth with you. You can find the podcast in your favorite podcast app, or see the link below.
What causes shoulder pain? What is the current state-of-the-art treatment for these conditions? In a recent seminar, Dr. Gregory highlighted answers to these questions for a large group of interested community members. Many causes of shoulder pain exist, including rotator cuff injury, labral tears, arthritis, or frozen shoulder. Many of these conditions can be treated non-operatively if caught early enough, but the key is making the right diagnosis. Treatments such as platelet rich plasma (PRP) or stem cells are increasingly marketed as a cure all for these conditions, but are they worth your money? Seeing a dedicated shoulder and elbow specialist like Dr. Gregory, can help sort fact from fiction, and help get the diagnosis correct the first time.
At the 2019 Annual Meeting of the American Orthopedic Society for Sports Medicine (AOSSM) in Boston, Dr. Gregory presented his research identifying stem cells within the subacromial bursa tissue in the shoulder. The subacromial bursa is tissue found overlying the rotator cuff, and is normally discarded during rotator cuff surgery. Stem cells are cells that have the capability to significant improve the body’s healing response. By identifying that bursal tissue possesses a rich pool of stem cells, Dr. Gregory hopes to develop a way to preserve this tissue during rotator cuff repair to help improve the body’s natural healing response.
When performing a shoulder replacement, surgeons strive to recreate normal anatomy, in the hopes that this will improve surgical outcomes. In the recent edition of Orthopedics Today magazine, Dr. Gregory provided his commentary on a new research article showing that stemless shoulder replacements, which do not have a piece of metal that goes down into the arm bone (humerus), may be better able to restore patients’ normal anatomy. In his clinical practice, Dr. Gregory uses stemless shoulder replacements when appropriate for this very reason. Improving outcomes of shoulder surgery is very important, and Dr. Gregory remains passionate about using the most up-to-date technology to help with this.