Edward Dieguez Jr MD

11/17/2025

WE WANT TO WISH ALL OF OUR PATIENT AND FRIENDS A VERY HAPPY THANKSGIVINGS!

We hope you enjoy the day and long weekend with your family and friends and thank God for all the blessings he provides! We will be closed Thursday and Friday to be with family and friends. If you need to contact us for non emergencies leave a message in the answering machine and we will call you back. For emergencies visit your nearest Emergency Room. If you need an appointment in our office before you go off to enjoy the long weekend, give us a call and we will work you in.

11/12/2025

ON THIS VETERANS DAY OUR MOST SINCERE THANKS TO ALL THOSE THAT SERVED DEFENDING OUR GREAT COUNTRY!

11/07/2025

DE QUERVAIN'S TENOSYNOVITIS

De Quervain's tenosynovitis is an inflammation of the tendons on the thumb side of the wrist, resulting in swelling, tenderness, and difficulty with pinching, grasping, or making a fist.

What Causes ir?
• May be caused by overuse of the thumb and wrist.
• Is also associated with pregnancy and breastfeeding.
• Rheumatoid arthritis patient are more susceptible.
• Most common in people in their 40s and 50s and affects more women.

What are the Symptoms?
• Pain over the thumb side of the wrist. Pain starts in the wrist
and can travel up the forearm. The pain is usually worse when
forcefully grasping and/or lifting objects or twisting the wrist.
• Swelling over the thumb side of the wrist.
• Catching or snapping sensation when moving the thumb.
• Difficulty moving your thumb and wrist.

Treatments available:
• Splints. A removable splint to keep the wrist straight and the
thumb still may improve pain, especially when worn at night.
• NSAD. Drugs like ibuprofen and naproxen can be taken by
mouth or applied topically. They may help reduce swelling and
relieve pain.
• Avoiding activities that cause pain and swelling.
• Corticosteroids injection into the tendon sheath can help.
However repeated cortisone injections may make it worse.
• Platelet Rich Plasma (PRP) Injection is the best option now a
days and you may be able to avoid surgery. It can address the
pain from the tenosynovitis and the pain coming from inside the
wrist joint!
• Surgical treatment. A last choice. The goal of surgery is to
release the tendon sheath to make more room for the irritated
tendons.

11/07/2025

11/06/2025

WE KEEP SEEING LONG LASTING RESULTS WITH OUR ADVANCED, FDA CLEAR TREATMENTS SUCH AS PLATELET RICH PLASMA (PRP), MACROFRAGMENTED FAT (MFAT), BONE MARROW
CONCENTRATE (BMC) AND ALSO WITH PROLOTHERAPY!

Today I had the pleasure of speaking with two patients treated at our office years ago.

One was treated for rotator cuff tear four years ago using Platelet Rich Plasma (PRP). She is as happy as she can be and said: “I am fine! Still playing Tennis, Pickleball and nine holes of golf and celebrated my 90Th birthday”. We are so very happy for her. These are the kind of results we aim to get using the above mentioned advanced treatments!

The other patient was treated in 2020, first for right hip pain using Prolotherapy and then in 2023 we treated her right shoulder rotator cuff tear with Platelet Rich Plasma. Today when I spoke to her she said: “They are still both working well. If in the future I need more treatment I will contact you!”. Another happy patient thanks God.

These are the kind of results I was looking to get in my patient when I introduced this advanced treatment in Northeast Florida fourteen years ago, instead of repeating over and over those famous cortisone injections so popular in the so called “Pain Clinic”.

For a consultation with Dr. Dieguez call our office at (904) 824-0955. To find out more about our practice visit the following:

1.- Visit our website at: https://www.theorthobiologicclinic.com/.

2.- Visit our office page at: https://www.facebook.com/TheOrthobiologicClinic

3.- Visit our Google business profile at:
https://www.google.com/search?q=Dr.+Dieguez&sca_esv=45af21cbca4aa7f8&sxsrf=AE3TifO0AbtYMAzr0Z0_INr-fmuOZ4X5FQ%3A1762439065354&ei=ma8MaaKmFa2qwbkP67-

11/02/2025

CHRISTMAS AND THANKSGIVING ARE AROUND THE CORNER! IT IS TIME TO CELEBRATE!

It is time to get ready to celebrate and enjoy with the family the Holydays and be at your best! It is the busiest travel time of the year and if you suffer from painful joints, spine conditions, or sports injuries from degeneration or tears, now is the time to seek the most advanced, and long-lasting healing treatments available, without surgery and without addictive medications so you enjoy the Holidays!

The usual cortisone shots won’t cut it. They don’t last and in the long run they cause more damage. You need to look into injections of Platelet Rich Plasma (PRP), injections of Micro Fragmented Fat (MFAT), or injections of Bone Marrow Concentrate (BMC) and give it time for your condition to heal. All of these are FDA cleared procedures and are routinely done in our office in one sitting under local anesthesia. You walk in and out in about an hour and fifteen minutes.

Dr. Dieguez Jr., as a fellow of the Orthobiologic Foundation, introduced these procedures to Northeast Florida in 2011 looking for something better than old and overused cortisone injections for his patients. Dr. Dieguez Jr. is the owner and founder of the Orthobiologic Clinic in St. Augustine Florida. To schedule a consultation with Dr. Dieguez call our office at (904) 824-0955. To find out more about our practice visit the following:

1.- Visit our website at: https://www.theorthobiologicclinic.com/.

2.- Visit our office page at: https://www.facebook.com/TheOrthobiologicClinic

3.- Vist our Google business profile at:
https://www.google.com/search?q=Edward+Dieguez+Jr.+MD+-+The+Orthobiologic+Clinic&stick=H4sIAAAAAAAA_.

10/31/2025

SHOULDER LABRAL TEAR

Platelet-rich plasma (PRP) therapy for shoulder labral tears uses a concentrated solution of a patient's own platelets and growth factors to promote healing. This can reduce pain, improve function, and potentially reduce the need for surgery by stimulating tissue repair and regeneration. The procedure involves a blood draw, separation of platelets, and a guided injection into the injured area. The growth factors in PRP can stimulate new tissue production, accelerate healing, and improve collagen remodeling. PRP has anti-inflammatory properties that can help alleviate pain.

Suffering from pain from a shoulder point labral tear, pain in other joints, back pain or sports injuries? Tired of the old cortisone shots that don’t work or do not last? We offer the most advanced FDA cleared treatment used in mayor University centers. If interested in this most advanced treatments like PRP, BMC, or MFAT treatments, schedule a consultation with Dr. Dieguez. For more info visit our website at https://www.theorthobiologicclinic.com/ .

10/22/2025

“PROLOTHERAPY”. PROLIFERATIVE THERAPY. What is it?
And why you need to know.

Dr. Edward Dieguez Jr MD is one of the very few physicians in Northeast Florida with over 15 years of experience doing prolotherapy treatment for painful joints, spine conditions and sports injuries. It is a safe and effective treatment, and it does not damage tendons ligament or cartilages like the usual cortisone injections used routinely in most of those so call “Pain Clinics”.

To find out more about it please visit the following links on our website:

1. https://www.theorthobiologicclinic.com/about-prolotherapy-seo

2. https://www.theorthobiologicclinic.com/facts-about-proliferative-therapy

3. https://www.theorthobiologicclinic.com/questions-answers1

For an appointment with Dr. Dieguez please call our St. Augustine Office at (904) 824-0955.

10/13/2025

YOU HAVE PROBABLY HEARD THE SAYING THAT GOOD THINGS COME IN PAIRS! BUT DON’T FORGET THAT BAD THINGS DO TOO. AND AT TIME MORE FREQUENTLY!

In the last three month I have had three female patients fifty years old and up, come to the office complaining of hip pain. In one it was bilaterally. They had been dealing with the discomfort for a long time and have had cortisone Injections, physical therapy, rest, application of heat etc. with no relief. None of the three have had an MRI ordered before visiting our office. We did order hip MRI’s in all three patients. In two we found labral tears and in all of them we found one or more gluteal tendon tears. This tells you how important a good detailed history and physical exam are to guide you as to what test to order. They all have had x-ray that show nothing was wrong and in one of them their insurance refused to pay for the MRI and the patient had to pay out of pocket!

So far, the first of the three patients has been treated successfully with high dose PRP using guided injections under local anesthesia in our fully equipped procedure room. Gluteal tendon tears are common in women, particularly those aged 50-70, and are often caused by chronic degeneration rather than acute injury. So, if you have hip pain don’t assume you need a hip replacement. A simple in office injection with high dose PRP may do the trick for you!

For a consultation with Dr. Dieguez, please call our office at (904) 824-0955. For more info about our practice please visit our office website at https://www.theorthobiologicclinic.com/. Or visit our office page at: https://www.facebook.com/TheOrthobiologicClinic

10/10/2025

10/10/2025

10/08/2025

CAREFUL! FLORIDA NEW STEM CELL LAW IS NOT GOING TO PROTECT ANYONE!

Hopefully everyone now realizes that the Florida stem cell law is not going to protect anyone. Here's the latest FDA letter to a Florida company that is breaking federal law by claiming that birth tissue "stem cells" and exosomes are a cure all... https://lnkd.in/gnQA3F9D