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About Sarah Vlach

Dr. Vlach’s training and experience includes time at The Mayo Clinic and the University of Utah. She brings cutting edge pain treatment options for sports, spine and musculoskeletal injuries to Southeast Idaho.

Two Knees: A Story

It’s been a good day for stem cell procedures. I had the pleasure of seeing a 68 year old patient 8 weeks out from his RIGHT knee stem cell procedure. He reported 30% improvement.

30% you might say, that’s not very good. However, I told him from the start that his candidacy was poor (this means <30% chance of good improvement). His poor candidacy was due to very severe osteoarthritis with loose bodies in the […]

By |October 29th, 2018|Categories: Knee Pain|Tags: |Comments Off on Two Knees: A Story

Should you do the minimum amount of daily exercise?

A colleague recently forwarded an article to me with this title:
If Your Workouts Last Longer Than 13 Minutes, Science Says You’re Wasting Your Time.

The opening line is “Unless you have unlimited time and an unnatural enthusiasm for exercise, chances are you want to work out as little as possible to reap all the benefits.” The article goes on to say that you can get all you need in 13 mins.

This got me thinking, […]

By |September 27th, 2018|Categories: Healthier Lifestyle||Comments Off on Should you do the minimum amount of daily exercise?

PRP for Knee Arthritis

When talking with other physicians about regenerative injections and PRP (platelet-rich plasma injections), I commonly hear the response “well, it is worth a try and I can’t see that it hurts, but until there is more data out there I don’t recommend it to my patients”.

The tides are changing. I recently read an editorial commentary, “The Time Has Come to Try Intra-articular Platelet-Rich Plasma Injections for Your Patients With Symptomatic Knee Arthritis”, […]

By |June 22nd, 2018|Categories: Knee Pain, Platelet Rich Plasma||Comments Off on PRP for Knee Arthritis


Last week, I was lifting weights at 5 am (trying to practice what I preach! the importance of exercise!) and while bending forwards, I felt the dreaded tug/pull in my lumbar spine. I limped through the rest of my workout, but was pretty miserable by the afternoon.

Here’s what I wanted to do:
-lie on the couch, eating potato chips, while taking hydrocodone and ibuprofen, binge watching netflix and hoping that symptoms would pass.

Here’s what I […]

By |June 14th, 2018|Categories: Back Pain, Pain Management|Tags: |Comments Off on I HURT MY BACK!

Back pain: A book that will change your life!

This book held my attention for most of Feb and March:

If you have back pain, and particularly if you are considering surgery, I would strongly recommend giving this book a read. It reveals a journalist’s travels through back pain and sorts out what works and what doesn’t. The reader’s digest version of what works: EXERCISE.

Yep, folks, once again, MOTION IS LOTION.

A few core ideas:

1. A passive approach to recovery from back pain […]

By |April 17th, 2018|Categories: Back Pain|Tags: |Comments Off on Back pain: A book that will change your life!

Acute Low Back Pain: What To Do, What Not To Do

Today, I saw a young gentleman with sudden onset of fairly severe low back pain, who was seen in the ER over the weekend and was terrified he was going to have surgery. Here’s what I told him to do versus what he had been told in the ER:

1. Get moving!!! The ER told him to lay down and essentially not move and that bedrest would help. This is very dated thinking and is […]

By |March 23rd, 2018|Categories: Back Pain, Pain Management|Tags: |Comments Off on Acute Low Back Pain: What To Do, What Not To Do

Adventures in Stem Cell Therapy

Our regenexx ( procedures are going extremely well and we have many satisfied patients who have been able to reduce their pain, improve their function and avoid invasive orthopedic or spine surgeries.

Today’s blog post is a little hot-headed, as I continue to be dismayed by other local providers offering “stem cell therapy” and here are two examples in the past week:

1. A local physician posts a photo of offering a ‘stem cell knee injection’ […]

By |March 8th, 2018|Categories: Stem Cell Therapy|Tags: |Comments Off on Adventures in Stem Cell Therapy

Changing People’s Health and Lives

I am at the 2018 Interventional Orthopedics Foundation conference.
(Interventional Orthopedics Foundation – The Future of Medicine is Regenerative)

Check this amazing non-profit organization out. I will be headed there at least 6 times this next year for additional training and to keep adding procedures to my skillset to help patients.

We are reviewing the latest data on orthobiologics (PRP and stem cell injections) for musculoskeletal and spine disorders.

It is an incredibly inspiring conference […]

By |March 5th, 2018|Categories: Healthier Lifestyle||Comments Off on Changing People’s Health and Lives


Last week, I truly had one of the most gratifying patient care experiences in my professional career.

A patient had traveled a ways from Montana to see me. His lumbar spine had been fused years back and he was beginning to suffer the consequences; adjacent segment degeneration and worsening back pain. He was interested in regenerative medicine, and I counseled him that his candidacy was poor (previous fusion makes it difficult to treat the spine, […]

By |February 5th, 2018|Categories: Back Pain, Regenerative Medicine|Tags: |Comments Off on Gratitude

Year in review, 2017

I figure if this gets posted before March it still counts as an end of the year review!

2017 was an exciting time for Eastern Idaho Spine, Sports and Rehab. A few highlights:

1. We were thrilled to be added as the exclusive Idaho Regenexx provider.
This has allowed us to take our regenerative medicine to the highest level, particularly offering cutting edge spine procedures to patients from Idaho, Wyoming, Montana, and we even […]

By |January 30th, 2018|Categories: About Our Practice||Comments Off on Year in review, 2017