(3748,9,'2020-10-10 21:58:49','2020-10-10 21:58:49','<img class=\"size-medium wp-image-4233 alignright\" src=\"https://www.drfields.com/wp-content/uploads/2019/10/IT-band-400x500.png\" alt=\"&quot;&lt;yoastmark\" />\n<h3>Iliotibial Band Repair</h3>\n<span style=\"font-weight: 400;\">Athletes are the ones who commonly suffer with this painful condition. And <strong>Iliotibial Band Syndrome (ITBS)</strong>  takes place more frequently in endurance athletes, like runners, cyclists, and in </span><span style=\"font-weight: 400;\">those who repeatedly squat</span><span style=\"font-weight: 400;\">. </span>\n\n<span style=\"font-weight: 400;\">The iliotibial band runs along the outside of the thigh, from the pelvis to the shinbone. The band crosses both the hip and the knee and is a structure that helps the knee to bend and straighten smoothly and in a stable fashion.  </span>\n\n<span style=\"font-weight: 400;\">The injury occurs most often because of overuse, as the band gets irritated from repeatedly crossing over the femoral epicondyle, a bony prominence on the thighbone, every time the knee bends and straightens. So, those with this condition will notice pain at the outside of the knee, especially when their heel strikes the ground while running.</span>\n<h3><b>More About the Iliotibial (IT) Band</b></h3>\n<span style=\"font-weight: 400;\">The iliotibial (IT) band is a dense band of tissue beginning at the iliac crest of the pelvis extending over the hip joint running down the outside part of the thigh, crossing over the outside of the knee and attaching to the shinbone. </span>\n\n<span style=\"font-weight: 400;\">The IT band forms from something called the tensor fascia lata and two of the gluteal muscles in the buttock. And then it stretches across the knee. Along with ligaments and other joint structures, the IT band plays a role in providing stability to both the knee and hip. </span>\n\n<span style=\"font-weight: 400;\">The band works to help abduct the leg, especially during walking, and it keeps the legs from crossing while walking. The IT band helps stabilize the outside part of the knee through its range of motion. The band moves back and forth when the knee is in motion.</span>\n\n<span style=\"font-weight: 400;\"> While the knee is bent, the band is located behind the femoral epicondyle near the knee joint. And then the band moves forward across the epicondyle when the knee is straightened. With iliotibial band syndrome, the band becomes irritated, and pain is experienced on the outer aspect of the knee</span><span style=\"font-weight: 400;\">.</span>\n<h3><b>What is Behind Iliotibial Band Syndrome?</b></h3>\n<span style=\"font-weight: 400;\">Although iliotibial band syndrome has generally been recognized as an injury caused by the friction that occurs as the band rubs back and forth over the bony epicondyle, recent studies have challenged this concept. When the knee is bent, the band is also compressed against the thigh bone, as it braces the knee when stress is placed on it. </span>\n\n<span style=\"font-weight: 400;\">And in instances when the knee is turned or rotated too much, the band can be injured as well. Therefore, another theory is that the injury occurs when the band is compressed at the epicondyle, causing irritation and inflammation there. Additionally, researchers suggest there is a fat pad full of nerves that are compressed between the iliotibial band and the epicondyle as the IT band is pulled towards the epicondyle. </span>\n<h4><em>Theories of How Iliotibial Band Syndrome Develops: </em></h4>\nAlthough there are different theories of how ITBS develops, most are in agreement that there is a component of irregular compression forces between the iliotibial band and the femoral epicondyle that generates the irritation and inflammation. Most likely, ITBS is the result of a combination of issues, including poor training habits, weakened soft tissue (muscle, ligament, and tendons), mechanical imbalances, and joint instability, especially involving the low back, pelvis, hips, and knees.\n\nThe injury occurs to the joint tissue because the joint begins to move in an abnormal fashion, irritating the tissue and altering the joint motion further. And the irritation of the joint tissues in iliotibial band syndrome is both the cause and effect of altered joint mechanics.\n<h3><em>Instability Adds to the Problem: </em></h3>\nAs an added problem, when instability is present, the sufferer will begin to walk in an altered pattern in an attempt to brace the knee. But this change in the walking pattern puts additional stress on the joint and can injure or tear the cartilage. Since the iliotibial band crosses both the hip and knee joints, injury can cause abnormal motion and instability at both the hip and knee. And this puts more and more stress on the iliotibial band.\n\nThe increased stress will rotate the kneecap and put increased pressure on the cartilage. If the symptoms are ignored, the irritation and inflammation will continue. And then scarring can develop, which can decrease the knee range of motion and cause pain even with reduced activity.\n<h3><em> Anatomic Issues:</em></h3>\nAnatomic issues can predispose folks to the development of iliotibial band syndrome. Leg-length discrepancies, an abnormally tilted pelvis, or bowed legs can cause the iliotibial band to become excessively tight or loose, which will increase the friction when the band as it crosses back and forth across the epicondyle, and change the stressors on the joint structures due to the abnormal way the anatomic issues cause the joint to move. All all of this will increase irritation, injury, and pain.\n<h3><em> Poor Training Habits: </em></h3>\nPoor training habits can have the same effect on the iliotibial band as the anatomic issues do. For example, runners who tend to always run on the same side of the road may repeatedly have one leg moving slightly downhill compared to the other. Also, always running downhill stresses the band. And cycling with the foot rotated inwards will increase the angle at which the band crosses over the epicondyle. All of these repeated activities can irritate the iliotibial band.\n<h3><b>Treatment for Iliotibial Band Syndrome</b></h3>\n<span style=\"font-weight: 400;\">Conservative treatment, including rest, modification of activity, and physical therapy are commonly recommended. Surgery to cut the IT band and “release” tension are occasionally recommended for cases that will not resolve, but conservative treatment should be sought first. </span>\n\n<span style=\"font-weight: 400;\">When the IT band and associated muscles are “tight,” a lot of strain is put on the ligaments, making muscle stretching and massage beneficial. The affected ligaments need to be treated as well because all of the involved structures become weakened by the abnormal motion. The joint instability in the hip and the knee needs to be properly diagnosed and treated in order to find the relief and the desired return to function. </span>\n<h3><strong>Treating Iliotibial Band Syndrome with Regenerative Orthopedics</strong></h3>\n<span style=\"font-weight: 400;\">Regenerative Orthopedics is an effective and promising treatment option that can offer a non-surgical treatment solution for patients with persistent iliotibial band syndrome. Treatment into and around both the hip joint and the knee may very well be needed. </span>\n\n<span style=\"font-weight: 400;\">If the hip is found to be stable upon evaluation, and the knee alone is affected, then the athlete with iliotibial band syndrome will receive Regenerative Orthopedic treatments to the area on the lower leg where the iliotibial band attaches. </span>\n\n<span style=\"font-weight: 400;\">Additionally, if there are parts of the band itself that are tender, these areas can be treated as well. Generally, after just a couple of treatments, the athlete is able to start to work out again. </span>\n\n<span style=\"font-weight: 400;\">Regenerative Orthopedics offers a successful and much-needed alternative by stimulating the body to repair the supportive ligaments around the joints, heal the iliotibial band, as well as promote cartilage regeneration when necessary. The treatment is safe and effective for athletes suffering from chronic lateral knee pain, such as that experienced in iliotibial band syndrome.</span>\n\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>\n\n<a href=\"https://www.orthoregen.com/testimonials/\">Read Patient Testimonials</a>','Iliotibial Band Syndrome Repair','','inherit','closed','closed','','2775-autosave-v1','','','2020-10-10 21:58:49','2020-10-10 21:58:49','',2775,'https://www.drfields.com/uncategorized/2775-autosave-v1/',0,'revision','',0),(3749,9,'2020-06-21 22:32:26','2020-06-21 22:32:26','<span style=\"font-weight: 400;\">Iliotibial band syndrome (ITBS) is a painful knee condition that takes place more frequently in athletes, especially endurance athletes, like runners, cyclists, and in </span><span style=\"font-weight: 400;\">those who repeatedly squat</span><span style=\"font-weight: 400;\">. The iliotibial band runs along the outside of the thigh, from the pelvis to the shinbone. The band crosses both the hip and the knee and is a structure that helps the knee to bend and straighten smoothly and in a stable fashion.  The injury occurs most often because of overuse, as the band gets irritated from repeatedly crossing over the femoral epicondyle, a bony prominence on the thighbone, every time the knee bends and straightens. Those with this condition will notice pain at the outside of the knee, especially when their heel strikes the ground while running.</span>\r\n\r\n<b>More About the Iliotibial Band</b>\r\n\r\n<span style=\"font-weight: 400;\">The iliotibial (IT) band is a dense band of tissue beginning at the iliac crest of the pelvis extending over the hip joint running down the outside part of the thigh, crossing over the outside of the knee and attaching to the shinbone. The iliotibial (IT) band forms from something called the tensor fascia lata and two of the gluteal muscles in the buttock and then it stretches across the knee. Along with ligaments and other joint structures, the iliotibial (IT) band plays a role in providing stability to both the knee and hip. The band works to help abduct the leg, especially during walking, and it keeps the legs from crossing while walking. The IT band helps stabilize the outside part of the knee through its range of motion. The band moves back and forth when the knee is in motion. While the knee is bent, the iliotibial band is located behind the femoral epicondyle near the knee joint. The band moves forward across the epicondyle when the knee is straightened. With iliotibial band syndrome, the band becomes irritated, and pain is experienced on the outer aspect of the knee</span><span style=\"font-weight: 400;\">.</span>\r\n\r\n<b>What is Behind Iliotibial Band Syndrome?</b>\r\n\r\n<span style=\"font-weight: 400;\">Although iliotibial band syndrome has generally been recognized as an injury caused by the friction that occurs as the band rubs back and forth over the bony epicondyle, recent studies have challenged this concept. When the knee is bent, the iliotibial band is also compressed against the thigh bone, as it braces the knee when stress is placed on it. In instances when the knee is turned or rotated too much, the band can be injured as well. Therefore, another theory is that the injury occurs when the band is compressed at the epicondyle, causing irritation and inflammation there. Additionally, researchers suggest there is a fat pad full of nerves that are compressed between the iliotibial band and the epicondyle as the IT band is pulled towards the epicondyle. </span>\r\n\r\n<em>Theories of How Iliotibial Band Syndrome Develops</em>\r\n\r\n<span style=\"font-weight: 400;\">Although there are different theories of how iliotibial band syndrome develops, most are in agreement that there is a component of irregular compression forces between the iliotibial band and the femoral epicondyle that generates the irritation and inflammation. Most likely, iliotibial band syndrome is the result of a combination of issues, including poor training habits, weakened soft tissue (muscle, ligament, and tendons), mechanical imbalances, and joint instability, especially involving the low back, pelvis, hips, and knees.</span> The injury<span style=\"font-weight: 400;\"> occurs to the joint tissue because the joint begins to move in an abnormal fashion, irritating the tissue and altering the joint motion further. </span><span style=\"font-weight: 400;\">The irritation of the joint tissues in iliotibial band syndrome is both the cause and effect of altered joint mechanics. </span>\r\n\r\n<em>Instability Adds to the Problem</em>\r\n\r\n<span style=\"font-weight: 400;\">As an added problem, when instability is present, the sufferer will begin to walk in an altered pattern in an attempt to brace the knee, but this change in the walking pattern puts additional stress on the joint and can injure or tear the cartilage. Since the iliotibial band crosses both the hip and knee joints, injury can cause abnormal motion and instability at both the hip and knee, which puts more and more stress on the iliotibial band. The increased stress will rotate the kneecap and put increased pressure on the cartilage. If the symptoms are ignored, the irritation and inflammation will continue, and even scarring can develop, which can decrease the knee range of motion and cause pain even with reduced activity.</span>\r\n\r\n<em>Anatomic Issues</em>\r\n\r\n<span style=\"font-weight: 400;\">Anatomic issues can predispose folks to the development of iliotibial band syndrome. Leg-length discrepancies, an abnormally tilted pelvis, or bowed legs can cause the iliotibial band to become excessively tight or loose, which will increase the friction when the band as it crosses back and forth across the epicondyle, and change the stressors on the joint structures due to the abnormal way the anatomic issues cause the joint to move, which all will increase irritation, injury, and pain.</span>\r\n\r\n<em>Poor Training Habits</em>\r\n\r\n<span style=\"font-weight: 400;\">Poor training habits can have the same effect on the iliotibial band as the anatomic issues do. For example, runners who tend to always run on the same side of the road may repeatedly have one leg moving slightly downhill compared to the other. Always running downhill also stresses the band, and cycling with the foot rotated inwards will increase the angle at which the band crosses over the epicondyle. All of these repeated activities can irritate the iliotibial band.</span>\r\n\r\n<b>Treatment for Iliotibial Band Syndrome</b>\r\n\r\n<span style=\"font-weight: 400;\">Conservative treatment, including rest, modification of activity, and physical therapy are commonly recommended. Surgery to cut the IT band and “release” tension are occasionally recommended for cases that will not resolve, but conservative treatment should be sought first. When the IT band and associated muscles are “tight,” a lot of strain is put on the ligaments, making muscle stretching and massage beneficial. The affected ligaments need to be treated as well because all of the involved structures become weakened by the abnormal motion. The joint instability in the hip and the knee needs to be properly diagnosed and treated in order to find the relief and the desired return to function. </span>\r\n\r\n<strong>Treating Iliotibial Band Syndrome with Regenerative Orthopedics</strong>\r\n\r\n<span style=\"font-weight: 400;\">Regenerative Orthopedics is an effective and promising treatment option that can offer a non-surgical treatment solution for patients with persistent iliotibial band syndrome. Treatment into and around both the hip joint and the knee may very well be needed. If the hip is found to be stable upon evaluation, and the knee alone is affected, then the athlete with iliotibial band syndrome will receive Regenerative Orthopedic treatments to the area on the lower leg where the iliotibial band attaches. Additionally, if there are parts of the band itself that are tender, these areas can be treated as well. Generally, after just a couple of treatments, the athlete is able to start to work out again. Regenerative Orthopedics offers a successful and much-needed alternative by stimulating the body to repair the supportive ligaments around the joints, heal the iliotibial band, as well as promote cartilage regeneration when necessary. The treatment is safe and effective for athletes suffering from chronic lateral knee pain, such as that experienced in iliotibial band syndrome.</span>\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Iliotibial Band Syndrome','','inherit','closed','closed','','2775-revision-v1','','','2020-06-21 22:32:26','2020-06-21 22:32:26','',2775,'https://www.drfields.com/uncategorized/2775-revision-v1/',0,'revision','',0),(3750,9,'2020-06-21 22:34:01','2020-06-21 22:34:01','<span style=\"font-weight: 400;\">Iliotibial band syndrome (ITBS) is a painful knee condition that takes place more frequently in athletes, especially endurance athletes, like runners, cyclists, and in </span><span style=\"font-weight: 400;\">those who repeatedly squat</span><span style=\"font-weight: 400;\">. The iliotibial band runs along the outside of the thigh, from the pelvis to the shinbone. The band crosses both the hip and the knee and is a structure that helps the knee to bend and straighten smoothly and in a stable fashion.  The injury occurs most often because of overuse, as the band gets irritated from repeatedly crossing over the femoral epicondyle, a bony prominence on the thighbone, every time the knee bends and straightens. Those with this condition will notice pain at the outside of the knee, especially when their heel strikes the ground while running.</span>\r\n\r\n<b>More About the Iliotibial Band</b>\r\n\r\n<span style=\"font-weight: 400;\">The iliotibial (IT) band is a dense band of tissue beginning at the iliac crest of the pelvis extending over the hip joint running down the outside part of the thigh, crossing over the outside of the knee and attaching to the shinbone. The iliotibial (IT) band forms from something called the tensor fascia lata and two of the gluteal muscles in the buttock and then it stretches across the knee. Along with ligaments and other joint structures, the iliotibial (IT) band plays a role in providing stability to both the knee and hip. </span>\r\n\r\n<span style=\"font-weight: 400;\">The band works to help abduct the leg, especially during walking, and it keeps the legs from crossing while walking. The IT band helps stabilize the outside part of the knee through its range of motion. The band moves back and forth when the knee is in motion. While the knee is bent, the iliotibial band is located behind the femoral epicondyle near the knee joint. The band moves forward across the epicondyle when the knee is straightened. With iliotibial band syndrome, the band becomes irritated, and pain is experienced on the outer aspect of the knee</span><span style=\"font-weight: 400;\">.</span>\r\n\r\n<b>What is Behind Iliotibial Band Syndrome?</b>\r\n\r\n<span style=\"font-weight: 400;\">Although iliotibial band syndrome has generally been recognized as an injury caused by the friction that occurs as the band rubs back and forth over the bony epicondyle, recent studies have challenged this concept. When the knee is bent, the iliotibial band is also compressed against the thigh bone, as it braces the knee when stress is placed on it. In instances when the knee is turned or rotated too much, the band can be injured as well. Therefore, another theory is that the injury occurs when the band is compressed at the epicondyle, causing irritation and inflammation there. Additionally, researchers suggest there is a fat pad full of nerves that are compressed between the iliotibial band and the epicondyle as the IT band is pulled towards the epicondyle. </span>\r\n\r\n<em>Theories of How Iliotibial Band Syndrome Develops</em>\r\n\r\n<span style=\"font-weight: 400;\">Although there are different theories of how iliotibial band syndrome develops, most are in agreement that there is a component of irregular compression forces between the iliotibial band and the femoral epicondyle that generates the irritation and inflammation. Most likely, iliotibial band syndrome is the result of a combination of issues, including poor training habits, weakened soft tissue (muscle, ligament, and tendons), mechanical imbalances, and joint instability, especially involving the low back, pelvis, hips, and knees.</span> The injury<span style=\"font-weight: 400;\"> occurs to the joint tissue because the joint begins to move in an abnormal fashion, irritating the tissue and altering the joint motion further. </span><span style=\"font-weight: 400;\">The irritation of the joint tissues in iliotibial band syndrome is both the cause and effect of altered joint mechanics. </span>\r\n\r\n<em>Instability Adds to the Problem</em>\r\n\r\n<span style=\"font-weight: 400;\">As an added problem, when instability is present, the sufferer will begin to walk in an altered pattern in an attempt to brace the knee, but this change in the walking pattern puts additional stress on the joint and can injure or tear the cartilage. Since the iliotibial band crosses both the hip and knee joints, injury can cause abnormal motion and instability at both the hip and knee, which puts more and more stress on the iliotibial band. The increased stress will rotate the kneecap and put increased pressure on the cartilage. If the symptoms are ignored, the irritation and inflammation will continue, and even scarring can develop, which can decrease the knee range of motion and cause pain even with reduced activity.</span>\r\n\r\n<em>Anatomic Issues</em>\r\n\r\n<span style=\"font-weight: 400;\">Anatomic issues can predispose folks to the development of iliotibial band syndrome. Leg-length discrepancies, an abnormally tilted pelvis, or bowed legs can cause the iliotibial band to become excessively tight or loose, which will increase the friction when the band as it crosses back and forth across the epicondyle, and change the stressors on the joint structures due to the abnormal way the anatomic issues cause the joint to move, which all will increase irritation, injury, and pain.</span>\r\n\r\n<em>Poor Training Habits</em>\r\n\r\n<span style=\"font-weight: 400;\">Poor training habits can have the same effect on the iliotibial band as the anatomic issues do. For example, runners who tend to always run on the same side of the road may repeatedly have one leg moving slightly downhill compared to the other. Always running downhill also stresses the band, and cycling with the foot rotated inwards will increase the angle at which the band crosses over the epicondyle. All of these repeated activities can irritate the iliotibial band.</span>\r\n\r\n<b>Treatment for Iliotibial Band Syndrome</b>\r\n\r\n<span style=\"font-weight: 400;\">Conservative treatment, including rest, modification of activity, and physical therapy are commonly recommended. Surgery to cut the IT band and “release” tension are occasionally recommended for cases that will not resolve, but conservative treatment should be sought first. When the IT band and associated muscles are “tight,” a lot of strain is put on the ligaments, making muscle stretching and massage beneficial. The affected ligaments need to be treated as well because all of the involved structures become weakened by the abnormal motion. The joint instability in the hip and the knee needs to be properly diagnosed and treated in order to find the relief and the desired return to function. </span>\r\n\r\n<strong>Treating Iliotibial Band Syndrome with Regenerative Orthopedics</strong>\r\n\r\n<span style=\"font-weight: 400;\">Regenerative Orthopedics is an effective and promising treatment option that can offer a non-surgical treatment solution for patients with persistent iliotibial band syndrome. Treatment into and around both the hip joint and the knee may very well be needed. If the hip is found to be stable upon evaluation, and the knee alone is affected, then the athlete with iliotibial band syndrome will receive Regenerative Orthopedic treatments to the area on the lower leg where the iliotibial band attaches. </span>\r\n\r\n<span style=\"font-weight: 400;\">Additionally, if there are parts of the band itself that are tender, these areas can be treated as well. Generally, after just a couple of treatments, the athlete is able to start to work out again. Regenerative Orthopedics offers a successful and much-needed alternative by stimulating the body to repair the supportive ligaments around the joints, heal the iliotibial band, as well as promote cartilage regeneration when necessary. The treatment is safe and effective for athletes suffering from chronic lateral knee pain, such as that experienced in iliotibial band syndrome.</span>\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Iliotibial Band Syndrome','','inherit','closed','closed','','2775-revision-v1','','','2020-06-21 22:34:01','2020-06-21 22:34:01','',2775,'https://www.drfields.com/uncategorized/2775-revision-v1/',0,'revision','',0),(3751,9,'2020-06-21 22:42:59','2020-06-21 22:42:59','<span style=\"font-weight: 400;\">Iliotibial band syndrome (ITBS) is a painful knee condition that takes place more frequently in athletes, especially endurance athletes, like runners, cyclists, and in </span><span style=\"font-weight: 400;\">those who repeatedly squat</span><span style=\"font-weight: 400;\">. The iliotibial band runs along the outside of the thigh, from the pelvis to the shinbone. The band crosses both the hip and the knee and is a structure that helps the knee to bend and straighten smoothly and in a stable fashion.  The injury occurs most often because of overuse, as the band gets irritated from repeatedly crossing over the femoral epicondyle, a bony prominence on the thighbone, every time the knee bends and straightens. Those with this condition will notice pain at the outside of the knee, especially when their heel strikes the ground while running.</span>\r\n\r\n<b>More About the Iliotibial Band</b>\r\n\r\n<span style=\"font-weight: 400;\">The iliotibial (IT) band is a dense band of tissue beginning at the iliac crest of the pelvis extending over the hip joint running down the outside part of the thigh, crossing over the outside of the knee and attaching to the shinbone. The iliotibial (IT) band forms from something called the tensor fascia lata and two of the gluteal muscles in the buttock and then it stretches across the knee. Along with ligaments and other joint structures, the iliotibial (IT) band plays a role in providing stability to both the knee and hip. </span>\r\n\r\n<span style=\"font-weight: 400;\">The band works to help abduct the leg, especially during walking, and it keeps the legs from crossing while walking. The IT band helps stabilize the outside part of the knee through its range of motion. The band moves back and forth when the knee is in motion. While the knee is bent, the iliotibial band is located behind the femoral epicondyle near the knee joint. The band moves forward across the epicondyle when the knee is straightened. With iliotibial band syndrome, the band becomes irritated, and pain is experienced on the outer aspect of the knee</span><span style=\"font-weight: 400;\">.</span>\r\n\r\n<b>What is Behind Iliotibial Band Syndrome?</b>\r\n\r\n<span style=\"font-weight: 400;\">Although iliotibial band syndrome has generally been recognized as an injury caused by the friction that occurs as the band rubs back and forth over the bony epicondyle, recent studies have challenged this concept. When the knee is bent, the iliotibial band is also compressed against the thigh bone, as it braces the knee when stress is placed on it. In instances when the knee is turned or rotated too much, the band can be injured as well. Therefore, another theory is that the injury occurs when the band is compressed at the epicondyle, causing irritation and inflammation there. Additionally, researchers suggest there is a fat pad full of nerves that are compressed between the iliotibial band and the epicondyle as the IT band is pulled towards the epicondyle. </span>\r\n\r\n<em>A. Theories of How Iliotibial Band Syndrome Develops</em>\r\n\r\n<span style=\"font-weight: 400;\">Although there are different theories of how iliotibial band syndrome develops, most are in agreement that there is a component of irregular compression forces between the iliotibial band and the femoral epicondyle that generates the irritation and inflammation. Most likely, iliotibial band syndrome is the result of a combination of issues, including poor training habits, weakened soft tissue (muscle, ligament, and tendons), mechanical imbalances, and joint instability, especially involving the low back, pelvis, hips, and knees.</span> The injury<span style=\"font-weight: 400;\"> occurs to the joint tissue because the joint begins to move in an abnormal fashion, irritating the tissue and altering the joint motion further. </span><span style=\"font-weight: 400;\">The irritation of the joint tissues in iliotibial band syndrome is both the cause and effect of altered joint mechanics. </span>\r\n\r\n<em>B. Instability Adds to the Problem</em>\r\n\r\n<span style=\"font-weight: 400;\">As an added problem, when instability is present, the sufferer will begin to walk in an altered pattern in an attempt to brace the knee, but this change in the walking pattern puts additional stress on the joint and can injure or tear the cartilage. Since the iliotibial band crosses both the hip and knee joints, injury can cause abnormal motion and instability at both the hip and knee, which puts more and more stress on the iliotibial band. The increased stress will rotate the kneecap and put increased pressure on the cartilage. If the symptoms are ignored, the irritation and inflammation will continue, and even scarring can develop, which can decrease the knee range of motion and cause pain even with reduced activity.</span>\r\n\r\n<em>C. Anatomic Issues</em>\r\n\r\n<span style=\"font-weight: 400;\">Anatomic issues can predispose folks to the development of iliotibial band syndrome. Leg-length discrepancies, an abnormally tilted pelvis, or bowed legs can cause the iliotibial band to become excessively tight or loose, which will increase the friction when the band as it crosses back and forth across the epicondyle, and change the stressors on the joint structures due to the abnormal way the anatomic issues cause the joint to move, which all will increase irritation, injury, and pain.</span>\r\n\r\n<em>Poor Training Habits</em>\r\n\r\n<span style=\"font-weight: 400;\">Poor training habits can have the same effect on the iliotibial band as the anatomic issues do. For example, runners who tend to always run on the same side of the road may repeatedly have one leg moving slightly downhill compared to the other. Always running downhill also stresses the band, and cycling with the foot rotated inwards will increase the angle at which the band crosses over the epicondyle. All of these repeated activities can irritate the iliotibial band.</span>\r\n\r\n<b>Treatment for Iliotibial Band Syndrome</b>\r\n\r\n<span style=\"font-weight: 400;\">Conservative treatment, including rest, modification of activity, and physical therapy are commonly recommended. Surgery to cut the IT band and “release” tension are occasionally recommended for cases that will not resolve, but conservative treatment should be sought first. When the IT band and associated muscles are “tight,” a lot of strain is put on the ligaments, making muscle stretching and massage beneficial. The affected ligaments need to be treated as well because all of the involved structures become weakened by the abnormal motion. The joint instability in the hip and the knee needs to be properly diagnosed and treated in order to find the relief and the desired return to function. </span>\r\n\r\n<strong>Treating Iliotibial Band Syndrome with Regenerative Orthopedics</strong>\r\n\r\n<span style=\"font-weight: 400;\">Regenerative Orthopedics is an effective and promising treatment option that can offer a non-surgical treatment solution for patients with persistent iliotibial band syndrome. Treatment into and around both the hip joint and the knee may very well be needed. If the hip is found to be stable upon evaluation, and the knee alone is affected, then the athlete with iliotibial band syndrome will receive Regenerative Orthopedic treatments to the area on the lower leg where the iliotibial band attaches. </span>\r\n\r\n<span style=\"font-weight: 400;\">Additionally, if there are parts of the band itself that are tender, these areas can be treated as well. Generally, after just a couple of treatments, the athlete is able to start to work out again. Regenerative Orthopedics offers a successful and much-needed alternative by stimulating the body to repair the supportive ligaments around the joints, heal the iliotibial band, as well as promote cartilage regeneration when necessary. The treatment is safe and effective for athletes suffering from chronic lateral knee pain, such as that experienced in iliotibial band syndrome.</span>\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Iliotibial Band Syndrome','','inherit','closed','closed','','2775-revision-v1','','','2020-06-21 22:42:59','2020-06-21 22:42:59','',2775,'https://www.drfields.com/uncategorized/2775-revision-v1/',0,'revision','',0),(3752,9,'2020-06-21 22:45:21','2020-06-21 22:45:21','<span style=\"font-weight: 400;\">Iliotibial band syndrome (ITBS) is a painful knee condition that takes place more frequently in athletes, especially endurance athletes, like runners, cyclists, and in </span><span style=\"font-weight: 400;\">those who repeatedly squat</span><span style=\"font-weight: 400;\">. The iliotibial band runs along the outside of the thigh, from the pelvis to the shinbone. The band crosses both the hip and the knee and is a structure that helps the knee to bend and straighten smoothly and in a stable fashion.  The injury occurs most often because of overuse, as the band gets irritated from repeatedly crossing over the femoral epicondyle, a bony prominence on the thighbone, every time the knee bends and straightens. Those with this condition will notice pain at the outside of the knee, especially when their heel strikes the ground while running.</span>\r\n\r\n<b>More About the Iliotibial Band</b>\r\n\r\n<span style=\"font-weight: 400;\">The iliotibial (IT) band is a dense band of tissue beginning at the iliac crest of the pelvis extending over the hip joint running down the outside part of the thigh, crossing over the outside of the knee and attaching to the shinbone. The iliotibial (IT) band forms from something called the tensor fascia lata and two of the gluteal muscles in the buttock and then it stretches across the knee. Along with ligaments and other joint structures, the iliotibial (IT) band plays a role in providing stability to both the knee and hip. </span>\r\n\r\n<span style=\"font-weight: 400;\">The band works to help abduct the leg, especially during walking, and it keeps the legs from crossing while walking. The IT band helps stabilize the outside part of the knee through its range of motion. The band moves back and forth when the knee is in motion. While the knee is bent, the iliotibial band is located behind the femoral epicondyle near the knee joint. The band moves forward across the epicondyle when the knee is straightened. With iliotibial band syndrome, the band becomes irritated, and pain is experienced on the outer aspect of the knee</span><span style=\"font-weight: 400;\">.</span>\r\n\r\n<b>What is Behind Iliotibial Band Syndrome?</b>\r\n\r\n<span style=\"font-weight: 400;\">Although iliotibial band syndrome has generally been recognized as an injury caused by the friction that occurs as the band rubs back and forth over the bony epicondyle, recent studies have challenged this concept. When the knee is bent, the iliotibial band is also compressed against the thigh bone, as it braces the knee when stress is placed on it. In instances when the knee is turned or rotated too much, the band can be injured as well. Therefore, another theory is that the injury occurs when the band is compressed at the epicondyle, causing irritation and inflammation there. Additionally, researchers suggest there is a fat pad full of nerves that are compressed between the iliotibial band and the epicondyle as the IT band is pulled towards the epicondyle. </span>\r\n<ul>\r\n 	<li><em>Theories of How Iliotibial Band Syndrome Develops: </em><span>Although there are different theories of how iliotibial band syndrome develops, most are in agreement that there is a component of irregular compression forces between the iliotibial band and the femoral epicondyle that generates the irritation and inflammation. Most likely, iliotibial band syndrome is the result of a combination of issues, including poor training habits, weakened soft tissue (muscle, ligament, and tendons), mechanical imbalances, and joint instability, especially involving the low back, pelvis, hips, and knees.</span> The injury<span> occurs to the joint tissue because the joint begins to move in an abnormal fashion, irritating the tissue and altering the joint motion further. </span><span>The irritation of the joint tissues in iliotibial band syndrome is both the cause and effect of altered joint mechanics. </span></li>\r\n</ul>\r\n<ul>\r\n 	<li><em> Instability Adds to the Problem: </em>As an added problem, when instability is present, the sufferer will begin to walk in an altered pattern in an attempt to brace the knee, but this change in the walking pattern puts additional stress on the joint and can injure or tear the cartilage. Since the iliotibial band crosses both the hip and knee joints, injury can cause abnormal motion and instability at both the hip and knee, which puts more and more stress on the iliotibial band. The increased stress will rotate the kneecap and put increased pressure on the cartilage. If the symptoms are ignored, the irritation and inflammation will continue, and even scarring can develop, which can decrease the knee range of motion and cause pain even with reduced activity.</li>\r\n</ul>\r\n<ul>\r\n 	<li><em> Anatomic Issues: </em>Anatomic issues can predispose folks to the development of iliotibial band syndrome. Leg-length discrepancies, an abnormally tilted pelvis, or bowed legs can cause the iliotibial band to become excessively tight or loose, which will increase the friction when the band as it crosses back and forth across the epicondyle, and change the stressors on the joint structures due to the abnormal way the anatomic issues cause the joint to move, which all will increase irritation, injury, and pain.</li>\r\n</ul>\r\n<ul>\r\n 	<li><em> Poor Training Habits: </em>Poor training habits can have the same effect on the iliotibial band as the anatomic issues do. For example, runners who tend to always run on the same side of the road may repeatedly have one leg moving slightly downhill compared to the other. Always running downhill also stresses the band, and cycling with the foot rotated inwards will increase the angle at which the band crosses over the epicondyle. All of these repeated activities can irritate the iliotibial band.</li>\r\n</ul>\r\n<b>Treatment for Iliotibial Band Syndrome</b>\r\n\r\n<span style=\"font-weight: 400;\">Conservative treatment, including rest, modification of activity, and physical therapy are commonly recommended. Surgery to cut the IT band and “release” tension are occasionally recommended for cases that will not resolve, but conservative treatment should be sought first. When the IT band and associated muscles are “tight,” a lot of strain is put on the ligaments, making muscle stretching and massage beneficial. The affected ligaments need to be treated as well because all of the involved structures become weakened by the abnormal motion. The joint instability in the hip and the knee needs to be properly diagnosed and treated in order to find the relief and the desired return to function. </span>\r\n\r\n<strong>Treating Iliotibial Band Syndrome with Regenerative Orthopedics</strong>\r\n\r\n<span style=\"font-weight: 400;\">Regenerative Orthopedics is an effective and promising treatment option that can offer a non-surgical treatment solution for patients with persistent iliotibial band syndrome. Treatment into and around both the hip joint and the knee may very well be needed. If the hip is found to be stable upon evaluation, and the knee alone is affected, then the athlete with iliotibial band syndrome will receive Regenerative Orthopedic treatments to the area on the lower leg where the iliotibial band attaches. </span>\r\n\r\n<span style=\"font-weight: 400;\">Additionally, if there are parts of the band itself that are tender, these areas can be treated as well. Generally, after just a couple of treatments, the athlete is able to start to work out again. Regenerative Orthopedics offers a successful and much-needed alternative by stimulating the body to repair the supportive ligaments around the joints, heal the iliotibial band, as well as promote cartilage regeneration when necessary. The treatment is safe and effective for athletes suffering from chronic lateral knee pain, such as that experienced in iliotibial band syndrome.</span>\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Iliotibial Band Syndrome','','inherit','closed','closed','','2775-revision-v1','','','2020-06-21 22:45:21','2020-06-21 22:45:21','',2775,'https://www.drfields.com/uncategorized/2775-revision-v1/',0,'revision','',0),(3753,9,'2022-07-02 18:21:42','2022-07-02 18:21:42','<div class=\"clear\"></div>\n<div id=\"slider\">\n<div class=\"owl-carousel slider-carousel\">\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-4.jpg\');\">\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\n</div>\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/07/Slider-2v02072022.png\');\"></div>\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/05/header-orthoregen-santa-monica-pier.jpg\');\">\n<div class=\"carousel-caption\"><span class=\"header_text_first\">New Article:</span>\n<span class=\"header_text_second\">Keep Looking Forward Despite COVID-19</span>\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dealing-with-covid-19/\">Read Article</a></div>\n</div>\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-11.jpg\');\">\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\n</div>\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-9.jpg\');\">\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Get Back In The Game!</span>\n<span class=\"header_text_second\">Avoid Joint and Spine Surgery </span>\n<span class=\"header_text_third\" style=\"color: #ffffff;\">Stem Cell/PRP/Prolotherapy</span>\n<a class=\"btn-more\" title=\"Get Help Now!\" href=\"Contact-Us\"> Get Help Now!</a></div>\n</div>\n<div id=\"slide\" class=\"item slide-article\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/05/header-orthoregen-ocean-mountains.jpg\');\">\n<div class=\"carousel-caption\"><span class=\"header_text_second\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</span>\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">Read Article</a></div>\n</div>\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/12/Kili-top-header-2.jpg\');\">\n<div class=\"carousel-caption\" style=\"text-align: left;\"><span class=\"header_text_first\">Congratulations\nPeter A. Fields, MD, DC</span>\n<span class=\"header_text_second\">The Athletic Doc<sup>®</sup>\nsuccessfully climbed</span>\n<span class=\"header_text_third\">Mt. Kilimanjaro in\nTanzania, Africa.19,341 feet!!!</span></div>\n</div>\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/12/Sider-01-V8.jpg\');\">\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Peter A. Fields, MD, DC\nThe Athletic Doc<sup>®</sup></span>\n<span class=\"header_text_second\">Completed His 11th Ironman</span>\n<span class=\"header_text_third\">Sunday, November 24th in Cozumel Mexico</span>\n<a class=\"btn-more\" title=\"Read More\" href=\"#\">Images &amp; Story Coming Soon</a></div>\n</div>\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/03/2020-REHAB-SYMPOSIUM-Slider-11.MAR_-1.jpg\');\">\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Peter A. Fields MD, DC</span>\n<span class=\"header_text_second\">Guest speaker at the American Chiropractic Association Rehab Council meeting</span>\n<span class=\"header_text_third\">March 15, 2020 in Phoenix, AZ</span>\n<a class=\"btn-more\" title=\"Learn More\" href=\"https://www.acarehabcouncil.org/peter-fields\" target=\"_blank\" rel=\"noopener noreferrer\">Learn More</a></div>\n</div>\n</div>\n</div>\n<div class=\"clear\"></div>\n<div class=\"jumbotron-fluid\">\n<div class=\"row\">\n<div class=\"col-md-4 box1\">\n\nWhat\'s\n<h3>New</h3>\n<ul>\n 	<li class=\"last\"><a title=\"Keep Looking Forward Despite COVID-19\" href=\"/articles/health-news/dealing-with-covid-19/\">Keep Looking Forward Despite COVID-19</a></li>\n 	<li class=\"last\"><a title=\"COVID-19 Advice: Don’t Fear the Fear Itself!\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</a></li>\n 	<li class=\"last\"><a title=\"Rotator Cuff Tendonitis\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/rotator-cuff-tendonitis/\">Rotator Cuff Tendonitis</a></li>\n 	<li><a title=\"Allergic Reactions and Problems of Corrosion with Joint Replacements\" href=\"https://www.drfields.com/articles/allergic-reactions-and-problems-of-corrosion-with-joint-replacements/\">Allergic Reactions and Problems of Corrosion with Joint Replacements\n</a></li>\n 	<li><a title=\"Treat Sciatica Pain Non-Surgically\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/treat-sciatica-pain-non-surgically/\">Treat Sciatica Pain Non-Surgically</a></li>\n 	<li class=\"last\"><a title=\"Stem Cell Therapy at OrthoRegen&lt;sup&gt;®&lt;/sup&gt; – Why We are Different\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/stem-cell-therapy-at-orthoregen-why-we-are-different/\">Stem Cell Therapy at OrthoRegen<sup>®</sup> – Why We are Different</a></li>\n 	<li class=\"last\"><a title=\"Is Your Hip Bursitis Treatment Working?\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/is-your-hip-bursitis-treatment-working/\">Is Your Hip Bursitis Treatment Working?</a></li>\n 	<li class=\"last\"><a style=\"color: #0a2745; font-weight: bold;\" title=\"Magazine Article on Stem Cell\" href=\"https://www.drfields.com/articles/magazine-column/june-2019-townsend-article/\">Magazine Article on Stem Cell</a></li>\n 	<li class=\"last\"><a title=\"How Arthritis Affects the Older Athlete\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/how-arthritis-affects-the-older-athlete/\">How Arthritis Affects the Older Athlete</a></li>\n 	<li class=\"last\"><a title=\"Knee Tendonitis Treatment\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/knee-tendonitis-treatment/\">Knee Tendonitis Treatment</a></li>\n</ul>\n</div>\n<div id=\"testimonials\" class=\"col-md-4 box2\">\n\nPatient\n<h3>Testimonials</h3>\n<strong>Video:</strong>\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\n<div class=\"testimonial-item\">\n\n\"I wished I had come earlier and listened to what my physical therapist had told me to do because Dr. Fields has been a real solution for me.\"\n\n<img class=\"testimonial-img\" title=\"Testimonial\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-larry.png\" alt=\"Testimonial\" />\n<h3>Larry</h3>\n<h4>Stem Cell Knee</h4>\n</div>\n<div class=\"testimonial-item\">\n\n\"I highly recommend it to anyone who needs to recover fast and get back out there.\"\n\n<img class=\"testimonial-img\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-christopher.png\" alt=\"\" />\n<h3>Chris, Pro Basketball Player</h3>\n<h4>PRP Knee</h4>\n</div>\n<div class=\"testimonial-item\">\n\n\"Now I can go walking, I go to my ballet classs and I’m a happy camper because of Dr. Fields.\"\n\n<img class=\"testimonial-img\" title=\"\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-mary.png\" alt=\"Testimonial\" />\n<h3>Mary</h3>\n<h4>Stem Cell Hip</h4>\n</div>\n</div>\n<strong>Written:</strong>\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\n<div class=\"testimonial-item\">\n\n\"I need to say a big thank you to Dr Fields for getting me back on the tennis court. I am an avid tennis player who tried to ignore the terrible pain in my elbow.\"\n<h3 style=\"margin-left: 0;\">Mindy</h3>\n<h4 style=\"margin-left: 0;\">Elbow</h4>\n</div>\n<div class=\"testimonial-item\">\n\n\"I chose Dr. Peter Fields because he is an athlete and would have more direct knowledge of my particular circumstances than anyone else.\"\n<h3 style=\"margin-left: 0;\">Robert</h3>\n<h4 style=\"margin-left: 0;\">Shoulder</h4>\n</div>\n<div class=\"testimonial-item\">\n\n\"After the final treatments ended I am still without all the pain and have more muscle strength in my legs.\"\n<h3 style=\"margin-left: 0;\">Lois</h3>\n<h4 style=\"margin-left: 0;\">Knee</h4>\n</div>\n</div>\n</div>\n<div class=\"col-md-4 box3\">\n\nNews &amp;\n<h3>Events</h3>\n<ul>\n 	<li><a href=\"https://www.drfields.com/articles/health-news/dr-fields-to-lecture-in-mexico-city-on-july-9th/\">Join Peter A. Fields, MD, DC June 5th at 9am on Zoom for a Regenerative Orthopedics Lecture</a></li>\n 	<li><a style=\"font-family: inherit; font-size: inherit; font-weight: inherit;\" title=\"2020 REHAB SYMPOSIUM - Regenerative Orthopedics with Dr. Peter Fields\" href=\"https://www.acarehabcouncil.org/chiropractic-rehab-symposium#!event-register/2020/3/13/2020-annual-symposium\" target=\"_blank\" rel=\"noopener noreferrer\">2023 REHAB SYMPOSIUM - Regenerative Orthopedics with Dr. Peter Fields </a></li>\n 	<li><a class=\"buttonlink\" style=\"width: 100%; font-size: 24px; text-align: center; padding: 25px 8%;\" href=\"https://www.drfields.com/contact/\"> Are you a Stem Cell Candidate?</a></li>\n</ul>\n</div>\n</div>\n</div>\n<div id=\"search-articles\">\n<div class=\"container\">\n<div class=\"col-md-12\">\n\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\n<h2 class=\"text-center\">Search <b>Dr. Fields\'</b> Articles</h2>\n<form id=\"searchform\" action=\"/\" method=\"get\"><input class=\"search-field\" name=\"s\" type=\"text\" placeholder=\"What\'s Your Condition?\" />\n<input type=\"submit\" value=\"Search\" /></form></div>\n</div>\n</div>\n<div id=\"intro\">\n<div class=\"container\">\n<div class=\"col-md-12\">\n<h1 class=\"text-center\">Welcome to OrthoRegen<sup>®</sup>!</h1>\n<p class=\"intro_text welcome\"><a href=\"http://orthoregen.com\"><span style=\"font-size: 26px;\">OrthoRegen<sup>®</sup></span></a> is dedicated to providing the best of <span class=\"nowrap\">Regenerative Orthopedics</span> by offering non-surgical alternatives for joint and spine repair</p>\n<a class=\"primaryButton\" title=\"Read More About U\" href=\"https://www.drfields.com/about/orthoregen-our-philosophy/\">Read More About Us</a>\n<a id=\"candidateButton\" title=\"Are you a good candidate?\" href=\"/contact/\">Are you a good candidate?</a>\n\n</div>\n</div>\n</div>\n<div class=\"clear\"></div>\n<div class=\"about\">\n<div class=\"col-md-5 drfields\"><img class=\"alignnone\" title=\"Regenerative Orthopedics Leader\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/dr-fields.png\" alt=\"Regenerative Orthopedics Leader\" width=\"460\" height=\"737\" /></div>\n<div class=\"col-md-7 about_holder\">\n<h1>Peter A. Fields, <span class=\"nowrap\">MD, DC</span></h1>\n<p class=\"intro_text\">Medical Physician and Chiropractor\nThe Athletic Doc<sup>®</sup> - 11x Ironman Triathlete</p>\n\n</div>\n<div class=\"col-md-3\">\n<div class=\"about_icon\"><img title=\"icon info\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-info.png\" alt=\"icon info\" /></div>\n<div class=\"about_text\">\n<h3>About</h3>\nPeter A. Fields, MD, DC is one of a handful of physicians in the nation with both medical and chiropractic degrees...\n\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/dr-fields-bio/\">Read More</a>\n\n</div>\n</div>\n<div class=\"col-md-3\">\n<div class=\"about_icon\"><img title=\"Man Icon\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-ironman.png\" alt=\"Man Icon\" /></div>\n<div class=\"about_text\">\n<h3>11x Ironman</h3>\nDr. Peter A. Fields is also known as The Athletic Doc<sup>®</sup> He not only treats athletes in his practice but is an athlete himself. For over...\n\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">Read More</a>\n\n</div>\n</div>\n</div>\n<div class=\"clear\"></div>\n&nbsp;\n\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Call Us Today! 310-453-1234</a>','Home','','inherit','closed','closed','','2109-autosave-v1','','','2022-07-02 18:21:42','2022-07-02 18:21:42','',2109,'https://www.drfields.com/uncategorized/2109-autosave-v1/',0,'revision','',0),(3754,9,'2020-06-21 22:50:49','2020-06-21 22:50:49','<div class=\"clear\"></div>\r\n<div id=\"slider\">\r\n<div class=\"owl-carousel slider-carousel\">\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/05/header-orthoregen-santa-monica-pier.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">New Article:</span>\r\n<span class=\"header_text_second\">Keep Looking Forward Despite COVID-19</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dealing-with-covid-19/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-11.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-9.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Get Back In The Game!</span>\r\n<span class=\"header_text_second\">Avoid Joint and Spine Surgery </span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">Stem Cell/PRP/Prolotherapy</span>\r\n<a class=\"btn-more\" title=\"Get Help Now!\" href=\"Contact-Us\"> Get Help Now!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item slide-article\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/05/header-orthoregen-ocean-mountains.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_second\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-4.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/Kili-top-header.jpg\');\">\r\n<div class=\"carousel-caption\" style=\"text-align: left;\"><span class=\"header_text_first\">Congratulations\r\nPeter A. Fields, MD, DC</span>\r\n<span class=\"header_text_second\">The Athletic Doc®\r\nsuccessfully climbed</span>\r\n<span class=\"header_text_third\">Mt. Kilimanjaro in\r\nTanzania, Africa.19,341 feet!!!</span></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/12/Sider-01-V8.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Peter A. Fields, MD, DC\r\nThe Athletic Doc®</span>\r\n<span class=\"header_text_second\">Completed His 11th Ironman</span>\r\n<span class=\"header_text_third\">Sunday, November 24th in Cozumel Mexico</span>\r\n<a class=\"btn-more\" title=\"Read More\" href=\"#\">Images &amp; Story Coming Soon</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/03/2020-REHAB-SYMPOSIUM-Slider-11.MAR_-1.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Peter A. Fields MD, DC</span>\r\n<span class=\"header_text_second\">Guest speaker at the American Chiropractic Association Rehab Council meeting</span>\r\n<span class=\"header_text_third\">March 13-15 in Phoenix, AZ</span>\r\n<a class=\"btn-more\" title=\"Learn More\" href=\"https://www.acarehabcouncil.org/peter-fields\" target=\"_blank\" rel=\"noopener noreferrer\">Learn More</a></div>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"jumbotron-fluid\">\r\n<div class=\"row\">\r\n<div class=\"col-md-4 box1\">\r\n\r\nWhat\'s\r\n<h3>New</h3>\r\n<ul>\r\n 	<li class=\"last\"><a title=\"Keep Looking Forward Despite COVID-19\" href=\"/articles/health-news/dealing-with-covid-19/\">Keep Looking Forward Despite COVID-19</a></li>\r\n 	<li class=\"last\"><a title=\"COVID-19 Advice: Don’t Fear the Fear Itself!\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</a></li>\r\n 	<li class=\"last\"><a title=\"Rotator Cuff Tendonitis\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/rotator-cuff-tendonitis/\">Rotator Cuff Tendonitis</a></li>\r\n 	<li><a title=\"Allergic Reactions and Problems of Corrosion with Joint Replacements\" href=\"https://www.drfields.com/articles/allergic-reactions-and-problems-of-corrosion-with-joint-replacements/\">Allergic Reactions and Problems of Corrosion with Joint Replacements\r\n</a></li>\r\n 	<li><a title=\"Treat Sciatica Pain Non-Surgically\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/treat-sciatica-pain-non-surgically/\">Treat Sciatica Pain Non-Surgically</a></li>\r\n 	<li class=\"last\"><a title=\"Stem Cell Therapy at OrthoRegen – Why We are Different\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/stem-cell-therapy-at-orthoregen-why-we-are-different/\">Stem Cell Therapy at OrthoRegen – Why We are Different</a></li>\r\n 	<li class=\"last\"><a title=\"Is Your Hip Bursitis Treatment Working?\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/is-your-hip-bursitis-treatment-working/\">Is Your Hip Bursitis Treatment Working?</a></li>\r\n 	<li class=\"last\"><a style=\"color: #0a2745; font-weight: bold;\" title=\"Magazine Article on Stem Cell\" href=\"https://www.drfields.com/articles/magazine-column/june-2019-townsend-article/\">Magazine Article on Stem Cell</a></li>\r\n 	<li class=\"last\"><a title=\"How Arthritis Affects the Older Athlete\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/how-arthritis-affects-the-older-athlete/\">How Arthritis Affects the Older Athlete</a></li>\r\n 	<li class=\"last\"><a title=\"Knee Tendonitis Treatment\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/knee-tendonitis-treatment/\">Knee Tendonitis Treatment</a></li>\r\n</ul>\r\n</div>\r\n<div id=\"testimonials\" class=\"col-md-4 box2\">\r\n\r\nPatient\r\n<h3>Testimonials</h3>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I wished I had come earlier and listened to what my physical therapist had told me to do because Dr. Fields has been a real solution for me.\"\r\n\r\n<img class=\"testimonial-img\" title=\"Testimonial\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-larry.png\" alt=\"Testimonial\" />\r\n<h3>Larry</h3>\r\n<h4>Stem Cell Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I highly recommend it to anyone who needs to recover fast and get back out there.\"\r\n\r\n<img class=\"testimonial-img\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-christopher.png\" alt=\"\" />\r\n<h3>Chris, Pro Basketball Player</h3>\r\n<h4>PRP Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"Now I can go walking, I go to my ballet classs and I’m a happy camper because of Dr. Fields.\"\r\n\r\n<img class=\"testimonial-img\" title=\"\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-mary.png\" alt=\"Testimonial\" />\r\n<h3>Mary</h3>\r\n<h4>Stem Cell Hip</h4>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"col-md-4 box3\">\r\n\r\nNews &amp;\r\n<h3>Events</h3>\r\n<ul>\r\n 	<li><a style=\"font-family: inherit; font-size: inherit; font-weight: inherit;\" title=\"2020 REHAB SYMPOSIUM - Regenerative Orthopedics with Dr. Peter Fields\" href=\"https://www.acarehabcouncil.org/chiropractic-rehab-symposium#!event-register/2020/3/13/2020-annual-symposium\" target=\"_blank\" rel=\"noopener noreferrer\">2020 REHAB SYMPOSIUM - Regenerative Orthopedics with Dr. Peter Fields</a></li>\r\n 	<li><a style=\"font-family: inherit; font-size: inherit; font-weight: inherit;\" title=\"Dr. Fields Lectured in Mexico City\" href=\"https://www.drfields.com/Articles/Health-News/Mexico-City-Lecture-2018\">Dr. Fields Lectured in Mexico City </a></li>\r\n</ul>\r\n</div>\r\n</div>\r\n</div>\r\n<div id=\"search-articles\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n<h2 class=\"text-center\">Search <b>Dr. Fields\'</b> Articles</h2>\r\n<form id=\"searchform\" action=\"/\" method=\"get\"><input class=\"search-field\" name=\"s\" type=\"text\" placeholder=\"What\'s Your Condition?\" />\r\n<input type=\"submit\" value=\"Search\" /></form></div>\r\n</div>\r\n</div>\r\n<div id=\"intro\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n<h1 class=\"text-center\">Welcome to OrthoRegen!</h1>\r\n<p class=\"intro_text welcome\"><a href=\"http://orthoregen.com\"><span style=\"font-size: 26px;\">OrthoRegen</span></a> is dedicated to providing the best of <span class=\"nowrap\">Regenerative Orthopedics</span> by offering non-surgical alternatives for joint and spine repair</p>\r\n<a class=\"primaryButton\" title=\"Read More About U\" href=\"Our-Office/Our-Philosophy\">Read More About Us</a>\r\n<a id=\"candidateButton\" title=\"Are you a good candidate?\" href=\"/contact/\">Are you a good candidate?</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"about\">\r\n<div class=\"col-md-5 drfields\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/dr-fields.png\" /></div>\r\n<div class=\"col-md-7 about_holder\">\r\n<h1>Peter A. Fields, <span class=\"nowrap\">MD, DC</span></h1>\r\n<p class=\"intro_text\">Medical Physician and Chiropractor\r\nThe Athletic Doc<sup>®</sup> - 11x Ironman Triathlete</p>\r\n\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"icon info\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-info.png\" alt=\"icon info\" /></div>\r\n<div class=\"about_text\">\r\n<h3>About</h3>\r\nPeter A. Fields, MD, DC is one of a handful of physicians in the nation with both medical and chiropractic degrees...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/dr-fields-bio/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"Man Icon\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-ironman.png\" alt=\"Man Icon\" /></div>\r\n<div class=\"about_text\">\r\n<h3>11x Ironman</h3>\r\nDr. Peter A. Fields is also known as The Athletic Doc<sup>®</sup> He not only treats athletes in his practice but is an athlete himself. For over...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n&nbsp;\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Call Us Today! 310-455-8295</a>','Home','','inherit','closed','closed','','2109-revision-v1','','','2020-06-21 22:50:49','2020-06-21 22:50:49','',2109,'https://www.drfields.com/uncategorized/2109-revision-v1/',0,'revision','',0),(3755,9,'2020-09-01 18:04:45','2020-09-01 18:04:45','<h3><strong>Stroke As a Major Cause of Disability</strong></h3>\nAccording to a report from the World Health Organization [<a class=\"ref-link\" href=\"https://www.intechopen.com/books/new-insight-into-cerebrovascular-diseases-an-updated-comprehensive-review/rehabilitation-strategies-and-key-related-mechanisms-involved-in-stroke-recovery#B1\" data-ref-style=\"bibr\">1</a>], approximately 15 million people experience a stroke each year globally. And stroke is the third leading cause of death after heart disease and cancer, and a major cause of disability. With the aging of the American population and as obesity increases, more strokes are occurring: strokes occur in more than 795,000 U.S. citizens per year and result in 140,000 deaths with 77% of them first-time.<a href=\"https://franklinpierce.edu/about/Showcase2020/Projects/TherapyStrokeRehab-Ostrander.pdf\">[2] </a>In this article, we will look at how surgery can cause strokes.\n<h3><em>What Does the American Heart Association Say About Stroke?</em></h3>\nThe American Heart Association and the American Stroke Association have issued new guidelines aimed at reducing the incidence of stroke. Identifying lifestyle as having had the biggest impact on preventing stroke, the new guidelines urge not smoking, maintaining a healthy weight, exercising and eating a diet rich in fruits and vegetables, and maintaining healthy levels of cholesterol and blood pressure.\n\n<strong>Does Anyone Even Think About the Whether Surgery Can Cause Strokes?</strong>\n\n<span style=\"font-weight: 400;\">People often choose surgery without understanding the risks or potential long-term results of the surgery. When considering surgery, people may think about the recovery time, the cost incurred, and the loss of work hours. And they may even wonder if they really want an artificial joint or if they are up to dealing with the pain involved in the surgery. <strong><em>But does anyone think there may be a risk of stroke surrounding surgery?</em></strong> </span>\n\n<span style=\"font-weight: 400;\">Strokes are a risk factor that is discussed when people face heart surgery, because of the possibility of blood clots during the bypass and all of the manipulation of blood vessels. But what about during other surgeries that are lower risk surgeries? Evidence shows that strokes occur in those without heart conditions too. And they can happen to people who are not considered high risk and to those who had no symptoms before surgery. </span>\n\n<b>What Does the Research About Surgery and Strokes?</b>\n\n<span style=\"font-weight: 400;\">Let\'s take a look at the findings from several research studies that investigate the peri-operative stroke risk. Why? Because we want people to be educated. And they want to fully explore their options before choosing an elective surgery. </span><span style=\"font-weight: 400;\">Peri-operative stroke refers to a stroke that occurs during surgery or within 30 days after surgery.</span><span style=\"font-weight: 400;\"> </span>\n\n<span style=\"font-weight: 400;\">An article in the journal, “Lancet” <a href=\"https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(19)31795-7/fulltext\">[3]</a> investigated the occurrence of strokes in people who did not have stroke symptoms before the surgery. They also looked into the rate of cognitive decline after surgery. The study included 12 academic centers and 1114 people over a three year period. </span>\n\n<span style=\"font-weight: 400;\">What were the results? The researchers found that 78 people, or 7%, had a stroke.</span><span style=\"font-weight: 400;\"> What about cognitive decline? A third of those who did not have a stroke was shown to have cognitive decline. So, what does all that mean? <strong>There is a risk of stroke and problems with deteriorating brain function in 1 out of 14 people who have elective surgery, even if they were not high risk, to begin with. </strong></span>\n\n<em><strong>So, the research does say that surgery can cause stroke</strong></em>s.\n<h4>What Type of Surgery is High Risk?</h4>\n<span style=\"font-weight: 400;\">Stroke really is a possible complication in surgeries that don’t involve the heart or neurological system. The risk increases in people over 65. Plus, the risk of death is higher for those who have a peri-operative stroke. In the journal, “Anesthesiology,”<a href=\"https://anesthesiology.pubs.asahq.org/article.aspx?articleid=1933494\">[4]</a> the researchers investigated specific things that increased the risk of stroke from surgery in the non-cardiac and non-neurological cases. They looked at all different types of surgeries, including hip replacements, biopsies, hernia repair, arthroscopies, and knee repairs. </span>\n\n<span style=\"font-weight: 400;\">This study found three types of surgeries with the highest risk, which included hip replacement, removal of part of the intestine, and removal of part of the lung.  Other specifics that increase risk included older age, kidney disease, COPD, tobacco use, and elevated blood pressure. For those who do experience a peri-operative stroke, the chance of dying within 30 days of the surgery is increased by 8 times. In this particular study, 229 of 173,028 people had a stroke during non-cardiac and non-neurologic surgery.</span>\n\n<b>What about Surgery and Anesthesia, and the Relationship to Stroke Risk?</b>\n\n<span style=\"font-weight: 400;\">Another study in the journal “Anesthesia”<a href=\"https://anesthesiology.pubs.asahq.org/article.aspx?articleid=1946026\">[5]</a> took a look at stroke risk from surgery and anesthesia. They studied 1,455 stroke occurrences over a 25 year period, excluding those with cardiac, vascular, neurologic, and other high-risk conditions. What did they find? They were actually surprised to find out that surgery and anesthesia themselves were a significant risk of stroke, especially considering they left out the high-risk folks with cardiac, vascular, or neurologic problems. </span>\n\n<span style=\"font-weight: 400;\">One more journal actually said the reason for stroke after surgery is “clear and highly predictable: </span><b>surgery.</b><span style=\"font-weight: 400;\">”</span><span style=\"font-weight: 400;\"> <a href=\"https://pubmed.ncbi.nlm.nih.gov/24978064/\">[6]</a>Surgery is necessary sometimes. But when there are alternatives to surgery, these options should be sought out. Keep in mind that surgery is often recommended on the basis of an MRI finding. However, these findings may not even be the cause of the pain. </span>\n\n<span style=\"font-weight: 400;\">We encourage you to find a practitioner who will evaluate you well, and do a complete history and examination in order to make a proper diagnosis. Frequently, structural injuries, such as ligament and tendon injuries, are the underlying source of pain. Surgery often cuts through and removes some of these structures. That actually accelerates the arthritic process, and puts you in line for more surgery.</span>\n<h3>Regenerative Orthopedics As An Alternative to Surgery</h3>\n<span style=\"font-weight: 400;\">Fortunately, there is an alternative to surgery that is highly successful! Regenerative Orthopedics can be sought as a first-line, conservative treatment that can be tried before surgery. It is effective at relieving pain and allowing patients to return quickly to the sports, work, and activities they love. Since surgery can cause strokes, and anesthesia adds to the risk, it is great to know there is an alternative to surgery.</span>\n\n<span style=\"font-weight: 400;\">Regenerative Orthopedics is also an excellent choice for repair of joint injuries and painful musculoskeletal joint conditions while avoiding the risk of stroke and other risks of elective surgery. If you have already had surgery, but continue to experience joint pain, Regenerative Orthopedics, like Stem Cell Therapy, PRP, and Prolotherapy is still an option for pain relief and return to function. When joint injuries are limiting your life, Regenerative Orthopedics can get you the results you want quickly, more safely, and at a dramatically lower cost than surgery.</span>\n\n<hr />\n\n1World Health Organization. The Atlas of Heart Disease and Stroke [Internet]. Available from: http://www.who.int/cardiovascular_diseases/resources/atlas/en/[Accessed: 21 Jun 2020]\n\n2Abbott, Taylor, and Mary Elizabeth Ostrander. \"What therapies are most beneficial for stroke rehabilitation?.\"\n\n<span style=\"font-weight: 400;\">3Perioperative covert stroke in patients undergoing non-cardiac surgery.</span><i><span style=\"font-weight: 400;\"> Lancet,</span></i><span style=\"font-weight: 400;\"> 2019. Doi.org/10.1016/SO140-6736(19)31795-7.</span>\n\n<span style=\"font-weight: 400;\">4Mashour GA, Shanks AM, Kheterpal S.Perioperative stroke, and associated mortality after noncardiac, non-neurologic surgery.</span> <i><span style=\"font-weight: 400;\">Anesthesiology.</span></i><span style=\"font-weight: 400;\"> 2011; </span>114<span style=\"font-weight: 400;\">: 1289-1296.</span>\n\n<span style=\"font-weight: 400;\">5G</span><span style=\"font-weight: 400;\">ilbert Y. Wong, M.D.</span><span style=\"font-weight: 400;\">; </span><span style=\"font-weight: 400;\">David O. Warner, M.D.</span><span style=\"font-weight: 400;\">; </span><span style=\"font-weight: 400;\">Darrell R. Schroeder, M.S.</span><span style=\"font-weight: 400;\">; </span><span style=\"font-weight: 400;\">Kenneth P. Offord, M.S.</span><span style=\"font-weight: 400;\">; </span><span style=\"font-weight: 400;\">Mark A. Warner, M.D.</span><span style=\"font-weight: 400;\">; </span><span style=\"font-weight: 400;\">et al. </span><span style=\"font-weight: 400;\">Risk of surgery and anesthesia for ischemic stroke. </span><i><span style=\"font-weight: 400;\">Anesthesiology</span></i><span style=\"font-weight: 400;\">. 2000; 92: 425.</span>\n\n<span style=\"font-weight: 400;\">6Mashour, George A. MD, Ph.D.</span><span style=\"font-weight: 400;\">*</span><span style=\"font-weight: 400;\">; Moore, Laurel E. MD; Lele, Abhijit V. MD; Robicsek, Steven A. MD; Gelb, Adrian W. MBChB</span><span style=\"font-weight: 400;\">. </span><span style=\"font-weight: 400;\">Perioperative care of patients at high risk for stroke during or after non-cardiac, non-neurologic surgery: A consensus statement from the Society for Neuroscience in Anesthesiology and Critical Care. </span><span style=\"font-weight: 400;\"> </span><i><span style=\"font-weight: 400;\">Journal of Neurosurgical Anesthesiology.</span></i> <span style=\"font-weight: 400;\"> 2014; 26(4): 273–285</span><span style=\"font-weight: 400;\">.</span>','Can Surgery Cause Strokes','','inherit','closed','closed','','2697-autosave-v1','','','2020-09-01 18:04:45','2020-09-01 18:04:45','',2697,'https://www.drfields.com/uncategorized/2697-autosave-v1/',0,'revision','',0),(3756,9,'2020-06-21 23:12:28','2020-06-21 23:12:28','<strong>Does Anyone Even Think About the Stroke Risk When Considering Surgery?</strong>\r\n\r\n<span style=\"font-weight: 400;\">People often choose surgery without understanding the risks or potential long-term results of the surgery. When considering surgery, people may think about the recovery time, the cost incurred, and the loss of work hours. They may even wonder if they really want an artificial joint and if they are up to dealing with the pain involved in the surgery. But does anyone think there may be a risk of stroke surrounding surgery? Strokes are a risk factor that is discussed when people face heart surgery, because of the possibility of blood clots during the bypass and all of the manipulation of blood vessels. But what about during other surgeries that are lower risk surgeries? Evidence does show that strokes occur in those without heart conditions too, and in people who are not considered high risk and to those who had no symptoms before surgery. In this article, we will present the findings from several research studies that investigate the perioperative stroke risk, because we want people to be educated and to fully explore their options before choosing an elective surgery. </span><span style=\"font-weight: 400;\">Perioperative stroke refers to a stroke that occurs during surgery or within 30 days after surgery.</span><span style=\"font-weight: 400;\"> </span>\r\n\r\n<strong>Stroke As a Major Cause of Disability</strong>\r\n\r\nAccording to a report from the World Health Organization [<a class=\"ref-link\" href=\"https://www.intechopen.com/books/new-insight-into-cerebrovascular-diseases-an-updated-comprehensive-review/rehabilitation-strategies-and-key-related-mechanisms-involved-in-stroke-recovery#B1\" data-ref-style=\"bibr\">1</a>], approximately 15 million people experience a stroke each year globally, and stroke is the third leading cause of death after heart disease and cancer, and a major cause of disability. With the aging of the American population and as obesity increases, more strokes are occurring: strokes occur in more than 795,000 U.S. citizens per year and result in 140,000 deaths with 77% of them first-time.<a href=\"https://franklinpierce.edu/about/Showcase2020/Projects/TherapyStrokeRehab-Ostrander.pdf\">[2]</a>\r\n\r\nThe American Heart Association and the American Stroke Association have issued new guidelines aimed at reducing the incidence of stroke. Identifying lifestyle as having had the biggest impact on preventing stroke, the new guidelines urge not smoking, maintaining a healthy weight, exercising and eating a diet rich in fruits and vegetables, and maintaining healthy levels of cholesterol and blood pressure.\r\n\r\n<b>What Does the Research Say About Strokes and Surgery?</b>\r\n\r\n<span style=\"font-weight: 400;\">An article in the journal, “Lancet” investigated the occurrence of strokes in people who did not have stroke symptoms before the surgery. They also looked into the rate of cognitive decline after surgery. The study included 12 academic centers and 1114 people over a three year period. What were the results? The researchers found that 78 people, or 7%, had a stroke.</span><span style=\"font-weight: 400;\"> What about cognitive decline? A third of those who did not have a stroke were shown to have cognitive decline. So, what does all that mean? There is a risk of stroke and problems with deteriorating brain function in 1 out of 14 people who have elective surgery, even if they were not high risk to begin with. </span>\r\n\r\n<span style=\"font-weight: 400;\">Stroke really is a possible complication in surgeries that don’t involve the heart or neurological system. The risk increases in people over 65. Plus, the risk of death is higher for those who have a perioperative stroke. In the journal, “Anesthesiology,” the researchers investigated specific things that increased the risk of stroke from surgery in the non-cardiac and non-neurological cases. They looked at all different types of surgeries, including hip replacements, biopsies, hernia repair, arthroscopies, and knee repairs. This study found three types of surgeries with the highest risk, which included hip replacement, removal of part of the intestine, and removal of part of the lung.  Other specifics that increase risk included older age, kidney disease, COPD, tobacco use, and elevated blood pressure. For those who do experience a perioperative stroke, the chance of dying within 30 days of the surgery is increased by 8 times. In this particular study, 229 of 173,028 people had a stroke during non-cardiac and non-neurologic surgery.</span>\r\n\r\n<b>What about surgery and anesthesia?</b>\r\n\r\n<span style=\"font-weight: 400;\">Another study in the journal “Anesthesia” took a look at stroke risk from surgery and anesthesia. They studied 1,455 stroke occurrences over a 25 year period, excluding those with cardiac, vascular, neurologic, and other high-risk conditions. What did they find? They were actually surprised to find out that surgery and anesthesia themselves were a significant risk of stroke, especially considering they left out the high-risk folks with cardiac, vascular, or neurologic problems. </span>\r\n\r\n<span style=\"font-weight: 400;\">One more journal actually said the reason for stroke after surgery is “clear and highly predictable: </span><b>surgery.</b><span style=\"font-weight: 400;\">”</span><span style=\"font-weight: 400;\"> Surgery is necessary sometimes. But when there are alternatives to surgery, these options should be sought out. Keep in mind that surgery is often recommended on the basis of an MRI finding. However, these findings may not even be the cause of the pain. We encourage you to find a practitioner who will evaluate you well, and do a complete history and examination in order to make a proper diagnosis. Frequently, structural injuries, such as ligament and tendon injuries, are the underlying source of pain. Surgery often cuts through and removes some of these structures, which actually accelerates the arthritic process, and puts you in line for more surgery.</span>\r\n\r\n<span style=\"font-weight: 400;\">Fortunately, there is an alternative to surgery that is highly successful! Regenerative Orthopedics can be sought as a first-line, conservative treatment that can be tried before surgery because it is effective at relieving pain and allowing patients to return quickly to the sports, work, and activities they love. It is also an excellent choice for repair of joint injuries and painful musculoskeletal joint conditions while avoiding the risk of stroke and other risks of elective surgery. If you have already had surgery, but continue to experience joint pain, Regenerative Orthopedics, like Stem Cell Therapy, PRP, and Prolotherapy is still an option for pain relief and return to function. When joint injuries are limiting your life, Regenerative Orthopedics can get you the results you want quickly, more safely, and at a dramatically lower cost than surgery.</span>\r\n\r\n<hr />\r\n\r\nWorld Health Organization. The Atlas of Heart Disease and Stroke [Internet]. Available from: http://www.who.int/cardiovascular_diseases/resources/atlas/en/[Accessed: 14 December 2019]\r\n\r\nAbbott, Taylor, and Mary Elizabeth Ostrander. \"What therapies are most beneficial for stroke rehabilitation?.\"\r\n\r\n<span style=\"font-weight: 400;\">Perioperative covert stroke in patients undergoing non-cardiac surgery.</span><i><span style=\"font-weight: 400;\"> Lancet,</span></i><span style=\"font-weight: 400;\"> 2019. Doi.org/10.1016/SO140-6736(19)31795-7</span>\r\n\r\n<span style=\"font-weight: 400;\">Mashour GA, Shanks AM, Kheterpal S.Perioperative stroke, and associated mortality after noncardiac, non-neurologic surgery.</span> <i><span style=\"font-weight: 400;\">Anesthesiology.</span></i><span style=\"font-weight: 400;\"> 2011; </span><b>114</b><span style=\"font-weight: 400;\">: 1289-1296.</span>\r\n\r\n<a href=\"https://anesthesiology.pubs.asahq.org/solr/searchresults.aspx?author=Gilbert%c2%a0Y.+Wong\"><span style=\"font-weight: 400;\">Gilbert Y. Wong, M.D.</span></a><span style=\"font-weight: 400;\">; </span><a href=\"https://anesthesiology.pubs.asahq.org/solr/searchresults.aspx?author=David%c2%a0O.+Warner\"><span style=\"font-weight: 400;\">David O. Warner, M.D.</span></a><span style=\"font-weight: 400;\">; </span><a href=\"https://anesthesiology.pubs.asahq.org/solr/searchresults.aspx?author=Darrell%c2%a0R.+Schroeder\"><span style=\"font-weight: 400;\">Darrell R. Schroeder, M.S.</span></a><span style=\"font-weight: 400;\">; </span><a href=\"https://anesthesiology.pubs.asahq.org/solr/searchresults.aspx?author=Kenneth%c2%a0P.+Offord\"><span style=\"font-weight: 400;\">Kenneth P. Offord, M.S.</span></a><span style=\"font-weight: 400;\">; </span><a href=\"https://anesthesiology.pubs.asahq.org/solr/searchresults.aspx?author=Mark%c2%a0A.+Warner\"><span style=\"font-weight: 400;\">Mark A. Warner, M.D.</span></a><span style=\"font-weight: 400;\">; </span><span style=\"font-weight: 400;\">et al. </span><span style=\"font-weight: 400;\">Risk of surgery and anesthesia for ischemic stroke. </span><i><span style=\"font-weight: 400;\">Anesthesiology</span></i><span style=\"font-weight: 400;\">. 2000; 92: 425.</span>\r\n\r\n<span style=\"font-weight: 400;\">Mashour, George A. MD, PhD</span><span style=\"font-weight: 400;\">*</span><span style=\"font-weight: 400;\">; Moore, Laurel E. MD; Lele, Abhijit V. MD; Robicsek, Steven A. MD; Gelb, Adrian W. MBChB</span><span style=\"font-weight: 400;\">. </span><span style=\"font-weight: 400;\">Perioperative care of patients at high risk for stroke during or after non-cardiac, non-neurologic surgery: Consensus statement from the Society for Neuroscience in Anesthesiology and Critical Care. </span><span style=\"font-weight: 400;\"> </span><i><span style=\"font-weight: 400;\">Journal of Neurosurgical Anesthesiology.</span></i> <a href=\"https://journals.lww.com/jnsa/toc/2014/10000\"><span style=\"font-weight: 400;\"> 2014; 26(4): 273–285</span></a><span style=\"font-weight: 400;\">.</span>','Can Surgery Cause Strokes?','','inherit','closed','closed','','2697-revision-v1','','','2020-06-21 23:12:28','2020-06-21 23:12:28','',2697,'https://www.drfields.com/uncategorized/2697-revision-v1/',0,'revision','',0),(3757,9,'2020-06-21 23:19:39','2020-06-21 23:19:39','<strong>Does Anyone Even Think About the Stroke Risk When Considering Surgery?</strong>\r\n\r\n<span style=\"font-weight: 400;\">People often choose surgery without understanding the risks or potential long-term results of the surgery. When considering surgery, people may think about the recovery time, the cost incurred, and the loss of work hours. They may even wonder if they really want an artificial joint and if they are up to dealing with the pain involved in the surgery. But does anyone think there may be a risk of stroke surrounding surgery? Strokes are a risk factor that is discussed when people face heart surgery, because of the possibility of blood clots during the bypass and all of the manipulation of blood vessels. But what about during other surgeries that are lower risk surgeries? Evidence does show that strokes occur in those without heart conditions too, and in people who are not considered high risk and to those who had no symptoms before surgery. In this article, we will present the findings from several research studies that investigate the perioperative stroke risk, because we want people to be educated and to fully explore their options before choosing an elective surgery. </span><span style=\"font-weight: 400;\">Perioperative stroke refers to a stroke that occurs during surgery or within 30 days after surgery.</span><span style=\"font-weight: 400;\"> </span>\r\n\r\n<strong>Stroke As a Major Cause of Disability</strong>\r\n\r\nAccording to a report from the World Health Organization [<a class=\"ref-link\" href=\"https://www.intechopen.com/books/new-insight-into-cerebrovascular-diseases-an-updated-comprehensive-review/rehabilitation-strategies-and-key-related-mechanisms-involved-in-stroke-recovery#B1\" data-ref-style=\"bibr\">1</a>], approximately 15 million people experience a stroke each year globally, and stroke is the third leading cause of death after heart disease and cancer, and a major cause of disability. With the aging of the American population and as obesity increases, more strokes are occurring: strokes occur in more than 795,000 U.S. citizens per year and result in 140,000 deaths with 77% of them first-time.<a href=\"https://franklinpierce.edu/about/Showcase2020/Projects/TherapyStrokeRehab-Ostrander.pdf\">[2]</a>\r\n\r\nThe American Heart Association and the American Stroke Association have issued new guidelines aimed at reducing the incidence of stroke. Identifying lifestyle as having had the biggest impact on preventing stroke, the new guidelines urge not smoking, maintaining a healthy weight, exercising and eating a diet rich in fruits and vegetables, and maintaining healthy levels of cholesterol and blood pressure.\r\n\r\n<b>What Does the Research Say About Strokes and Surgery?</b>\r\n\r\n<span style=\"font-weight: 400;\">An article in the journal, “Lancet” <a href=\"https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(19)31795-7/fulltext\">[3]</a> investigated the occurrence of strokes in people who did not have stroke symptoms before the surgery. They also looked into the rate of cognitive decline after surgery. The study included 12 academic centers and 1114 people over a three year period. What were the results? The researchers found that 78 people, or 7%, had a stroke.</span><span style=\"font-weight: 400;\"> What about cognitive decline? A third of those who did not have a stroke were shown to have cognitive decline. So, what does all that mean? There is a risk of stroke and problems with deteriorating brain function in 1 out of 14 people who have elective surgery, even if they were not high risk to begin with. </span>\r\n\r\n<span style=\"font-weight: 400;\">Stroke really is a possible complication in surgeries that don’t involve the heart or neurological system. The risk increases in people over 65. Plus, the risk of death is higher for those who have a perioperative stroke. In the journal, “Anesthesiology,”<a href=\"https://anesthesiology.pubs.asahq.org/article.aspx?articleid=1933494\">[4]</a> the researchers investigated specific things that increased the risk of stroke from surgery in the non-cardiac and non-neurological cases. They looked at all different types of surgeries, including hip replacements, biopsies, hernia repair, arthroscopies, and knee repairs. This study found three types of surgeries with the highest risk, which included hip replacement, removal of part of the intestine, and removal of part of the lung.  Other specifics that increase risk included older age, kidney disease, COPD, tobacco use, and elevated blood pressure. For those who do experience a perioperative stroke, the chance of dying within 30 days of the surgery is increased by 8 times. In this particular study, 229 of 173,028 people had a stroke during non-cardiac and non-neurologic surgery.</span>\r\n\r\n<b>What about surgery and anesthesia?</b>\r\n\r\n<span style=\"font-weight: 400;\">Another study in the journal “Anesthesia”<a href=\"https://anesthesiology.pubs.asahq.org/article.aspx?articleid=1946026\">[5]</a> took a look at stroke risk from surgery and anesthesia. They studied 1,455 stroke occurrences over a 25 year period, excluding those with cardiac, vascular, neurologic, and other high-risk conditions. What did they find? They were actually surprised to find out that surgery and anesthesia themselves were a significant risk of stroke, especially considering they left out the high-risk folks with cardiac, vascular, or neurologic problems. </span>\r\n\r\n<span style=\"font-weight: 400;\">One more journal actually said the reason for stroke after surgery is “clear and highly predictable: </span><b>surgery.</b><span style=\"font-weight: 400;\">”</span><span style=\"font-weight: 400;\"> <a href=\"https://pubmed.ncbi.nlm.nih.gov/24978064/\">[6]</a>Surgery is necessary sometimes. But when there are alternatives to surgery, these options should be sought out. Keep in mind that surgery is often recommended on the basis of an MRI finding. However, these findings may not even be the cause of the pain. We encourage you to find a practitioner who will evaluate you well, and do a complete history and examination in order to make a proper diagnosis. Frequently, structural injuries, such as ligament and tendon injuries, are the underlying source of pain. Surgery often cuts through and removes some of these structures, which actually accelerates the arthritic process, and puts you in line for more surgery.</span>\r\n\r\n<span style=\"font-weight: 400;\">Fortunately, there is an alternative to surgery that is highly successful! Regenerative Orthopedics can be sought as a first-line, conservative treatment that can be tried before surgery because it is effective at relieving pain and allowing patients to return quickly to the sports, work, and activities they love. It is also an excellent choice for repair of joint injuries and painful musculoskeletal joint conditions while avoiding the risk of stroke and other risks of elective surgery. If you have already had surgery, but continue to experience joint pain, Regenerative Orthopedics, like Stem Cell Therapy, PRP, and Prolotherapy is still an option for pain relief and return to function. When joint injuries are limiting your life, Regenerative Orthopedics can get you the results you want quickly, more safely, and at a dramatically lower cost than surgery.</span>\r\n\r\n<hr />\r\n\r\n1World Health Organization. The Atlas of Heart Disease and Stroke [Internet]. Available from: http://www.who.int/cardiovascular_diseases/resources/atlas/en/[Accessed: 14 December 2019]\r\n\r\n2Abbott, Taylor, and Mary Elizabeth Ostrander. \"What therapies are most beneficial for stroke rehabilitation?.\"\r\n\r\n<span style=\"font-weight: 400;\">3Perioperative covert stroke in patients undergoing non-cardiac surgery.</span><i><span style=\"font-weight: 400;\"> Lancet,</span></i><span style=\"font-weight: 400;\"> 2019. Doi.org/10.1016/SO140-6736(19)31795-7.</span>\r\n\r\n<span style=\"font-weight: 400;\">4Mashour GA, Shanks AM, Kheterpal S.Perioperative stroke, and associated mortality after noncardiac, non-neurologic surgery.</span> <i><span style=\"font-weight: 400;\">Anesthesiology.</span></i><span style=\"font-weight: 400;\"> 2011; </span>114<span style=\"font-weight: 400;\">: 1289-1296.</span>\r\n\r\n<span style=\"font-weight: 400;\">5G</span><span style=\"font-weight: 400;\">ilbert Y. Wong, M.D.</span><span style=\"font-weight: 400;\">; </span><span style=\"font-weight: 400;\">David O. Warner, M.D.</span><span style=\"font-weight: 400;\">; </span><span style=\"font-weight: 400;\">Darrell R. Schroeder, M.S.</span><span style=\"font-weight: 400;\">; </span><span style=\"font-weight: 400;\">Kenneth P. Offord, M.S.</span><span style=\"font-weight: 400;\">; </span><span style=\"font-weight: 400;\">Mark A. Warner, M.D.</span><span style=\"font-weight: 400;\">; </span><span style=\"font-weight: 400;\">et al. </span><span style=\"font-weight: 400;\">Risk of surgery and anesthesia for ischemic stroke. </span><i><span style=\"font-weight: 400;\">Anesthesiology</span></i><span style=\"font-weight: 400;\">. 2000; 92: 425.</span>\r\n\r\n<span style=\"font-weight: 400;\">6Mashour, George A. MD, PhD</span><span style=\"font-weight: 400;\">*</span><span style=\"font-weight: 400;\">; Moore, Laurel E. MD; Lele, Abhijit V. MD; Robicsek, Steven A. MD; Gelb, Adrian W. MBChB</span><span style=\"font-weight: 400;\">. </span><span style=\"font-weight: 400;\">Perioperative care of patients at high risk for stroke during or after non-cardiac, non-neurologic surgery: Consensus statement from the Society for Neuroscience in Anesthesiology and Critical Care. </span><span style=\"font-weight: 400;\"> </span><i><span style=\"font-weight: 400;\">Journal of Neurosurgical Anesthesiology.</span></i> <a href=\"https://journals.lww.com/jnsa/toc/2014/10000\"><span style=\"font-weight: 400;\"> 2014; 26(4): 273–285</span></a><span style=\"font-weight: 400;\">.</span>','Can Surgery Cause Strokes?','','inherit','closed','closed','','2697-revision-v1','','','2020-06-21 23:19:39','2020-06-21 23:19:39','',2697,'https://www.drfields.com/uncategorized/2697-revision-v1/',0,'revision','',0),(3758,9,'2020-06-21 23:20:54','2020-06-21 23:20:54','<strong>Does Anyone Even Think About the Stroke Risk When Considering Surgery?</strong>\r\n\r\n<span style=\"font-weight: 400;\">People often choose surgery without understanding the risks or potential long-term results of the surgery. When considering surgery, people may think about the recovery time, the cost incurred, and the loss of work hours. They may even wonder if they really want an artificial joint and if they are up to dealing with the pain involved in the surgery. But does anyone think there may be a risk of stroke surrounding surgery? Strokes are a risk factor that is discussed when people face heart surgery, because of the possibility of blood clots during the bypass and all of the manipulation of blood vessels. But what about during other surgeries that are lower risk surgeries? Evidence does show that strokes occur in those without heart conditions too, and in people who are not considered high risk and to those who had no symptoms before surgery. In this article, we will present the findings from several research studies that investigate the perioperative stroke risk, because we want people to be educated and to fully explore their options before choosing an elective surgery. </span><span style=\"font-weight: 400;\">Perioperative stroke refers to a stroke that occurs during surgery or within 30 days after surgery.</span><span style=\"font-weight: 400;\"> </span>\r\n\r\n<strong>Stroke As a Major Cause of Disability</strong>\r\n\r\nAccording to a report from the World Health Organization [<a class=\"ref-link\" href=\"https://www.intechopen.com/books/new-insight-into-cerebrovascular-diseases-an-updated-comprehensive-review/rehabilitation-strategies-and-key-related-mechanisms-involved-in-stroke-recovery#B1\" data-ref-style=\"bibr\">1</a>], approximately 15 million people experience a stroke each year globally, and stroke is the third leading cause of death after heart disease and cancer, and a major cause of disability. With the aging of the American population and as obesity increases, more strokes are occurring: strokes occur in more than 795,000 U.S. citizens per year and result in 140,000 deaths with 77% of them first-time.<a href=\"https://franklinpierce.edu/about/Showcase2020/Projects/TherapyStrokeRehab-Ostrander.pdf\">[2]</a>\r\n\r\nThe American Heart Association and the American Stroke Association have issued new guidelines aimed at reducing the incidence of stroke. Identifying lifestyle as having had the biggest impact on preventing stroke, the new guidelines urge not smoking, maintaining a healthy weight, exercising and eating a diet rich in fruits and vegetables, and maintaining healthy levels of cholesterol and blood pressure.\r\n\r\n<b>What Does the Research Say About Strokes and Surgery?</b>\r\n\r\n<span style=\"font-weight: 400;\">An article in the journal, “Lancet” <a href=\"https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(19)31795-7/fulltext\">[3]</a> investigated the occurrence of strokes in people who did not have stroke symptoms before the surgery. They also looked into the rate of cognitive decline after surgery. The study included 12 academic centers and 1114 people over a three year period. What were the results? The researchers found that 78 people, or 7%, had a stroke.</span><span style=\"font-weight: 400;\"> What about cognitive decline? A third of those who did not have a stroke were shown to have cognitive decline. So, what does all that mean? There is a risk of stroke and problems with deteriorating brain function in 1 out of 14 people who have elective surgery, even if they were not high risk to begin with. </span>\r\n\r\n<span style=\"font-weight: 400;\">Stroke really is a possible complication in surgeries that don’t involve the heart or neurological system. The risk increases in people over 65. Plus, the risk of death is higher for those who have a perioperative stroke. In the journal, “Anesthesiology,”<a href=\"https://anesthesiology.pubs.asahq.org/article.aspx?articleid=1933494\">[4]</a> the researchers investigated specific things that increased the risk of stroke from surgery in the non-cardiac and non-neurological cases. They looked at all different types of surgeries, including hip replacements, biopsies, hernia repair, arthroscopies, and knee repairs. This study found three types of surgeries with the highest risk, which included hip replacement, removal of part of the intestine, and removal of part of the lung.  Other specifics that increase risk included older age, kidney disease, COPD, tobacco use, and elevated blood pressure. For those who do experience a perioperative stroke, the chance of dying within 30 days of the surgery is increased by 8 times. In this particular study, 229 of 173,028 people had a stroke during non-cardiac and non-neurologic surgery.</span>\r\n\r\n<b>What about surgery and anesthesia?</b>\r\n\r\n<span style=\"font-weight: 400;\">Another study in the journal “Anesthesia”<a href=\"https://anesthesiology.pubs.asahq.org/article.aspx?articleid=1946026\">[5]</a> took a look at stroke risk from surgery and anesthesia. They studied 1,455 stroke occurrences over a 25 year period, excluding those with cardiac, vascular, neurologic, and other high-risk conditions. What did they find? They were actually surprised to find out that surgery and anesthesia themselves were a significant risk of stroke, especially considering they left out the high-risk folks with cardiac, vascular, or neurologic problems. </span>\r\n\r\n<span style=\"font-weight: 400;\">One more journal actually said the reason for stroke after surgery is “clear and highly predictable: </span><b>surgery.</b><span style=\"font-weight: 400;\">”</span><span style=\"font-weight: 400;\"> <a href=\"https://pubmed.ncbi.nlm.nih.gov/24978064/\">[6]</a>Surgery is necessary sometimes. But when there are alternatives to surgery, these options should be sought out. Keep in mind that surgery is often recommended on the basis of an MRI finding. However, these findings may not even be the cause of the pain. We encourage you to find a practitioner who will evaluate you well, and do a complete history and examination in order to make a proper diagnosis. Frequently, structural injuries, such as ligament and tendon injuries, are the underlying source of pain. Surgery often cuts through and removes some of these structures, which actually accelerates the arthritic process, and puts you in line for more surgery.</span>\r\n\r\n<span style=\"font-weight: 400;\">Fortunately, there is an alternative to surgery that is highly successful! Regenerative Orthopedics can be sought as a first-line, conservative treatment that can be tried before surgery because it is effective at relieving pain and allowing patients to return quickly to the sports, work, and activities they love. It is also an excellent choice for repair of joint injuries and painful musculoskeletal joint conditions while avoiding the risk of stroke and other risks of elective surgery. If you have already had surgery, but continue to experience joint pain, Regenerative Orthopedics, like Stem Cell Therapy, PRP, and Prolotherapy is still an option for pain relief and return to function. When joint injuries are limiting your life, Regenerative Orthopedics can get you the results you want quickly, more safely, and at a dramatically lower cost than surgery.</span>\r\n\r\n<hr />\r\n\r\n1World Health Organization. The Atlas of Heart Disease and Stroke [Internet]. Available from: http://www.who.int/cardiovascular_diseases/resources/atlas/en/[Accessed: 21 Jun 2020]\r\n\r\n2Abbott, Taylor, and Mary Elizabeth Ostrander. \"What therapies are most beneficial for stroke rehabilitation?.\"\r\n\r\n<span style=\"font-weight: 400;\">3Perioperative covert stroke in patients undergoing non-cardiac surgery.</span><i><span style=\"font-weight: 400;\"> Lancet,</span></i><span style=\"font-weight: 400;\"> 2019. Doi.org/10.1016/SO140-6736(19)31795-7.</span>\r\n\r\n<span style=\"font-weight: 400;\">4Mashour GA, Shanks AM, Kheterpal S.Perioperative stroke, and associated mortality after noncardiac, non-neurologic surgery.</span> <i><span style=\"font-weight: 400;\">Anesthesiology.</span></i><span style=\"font-weight: 400;\"> 2011; </span>114<span style=\"font-weight: 400;\">: 1289-1296.</span>\r\n\r\n<span style=\"font-weight: 400;\">5G</span><span style=\"font-weight: 400;\">ilbert Y. Wong, M.D.</span><span style=\"font-weight: 400;\">; </span><span style=\"font-weight: 400;\">David O. Warner, M.D.</span><span style=\"font-weight: 400;\">; </span><span style=\"font-weight: 400;\">Darrell R. Schroeder, M.S.</span><span style=\"font-weight: 400;\">; </span><span style=\"font-weight: 400;\">Kenneth P. Offord, M.S.</span><span style=\"font-weight: 400;\">; </span><span style=\"font-weight: 400;\">Mark A. Warner, M.D.</span><span style=\"font-weight: 400;\">; </span><span style=\"font-weight: 400;\">et al. </span><span style=\"font-weight: 400;\">Risk of surgery and anesthesia for ischemic stroke. </span><i><span style=\"font-weight: 400;\">Anesthesiology</span></i><span style=\"font-weight: 400;\">. 2000; 92: 425.</span>\r\n\r\n<span style=\"font-weight: 400;\">6Mashour, George A. MD, PhD</span><span style=\"font-weight: 400;\">*</span><span style=\"font-weight: 400;\">; Moore, Laurel E. MD; Lele, Abhijit V. MD; Robicsek, Steven A. MD; Gelb, Adrian W. MBChB</span><span style=\"font-weight: 400;\">. </span><span style=\"font-weight: 400;\">Perioperative care of patients at high risk for stroke during or after non-cardiac, non-neurologic surgery: Consensus statement from the Society for Neuroscience in Anesthesiology and Critical Care. </span><span style=\"font-weight: 400;\"> </span><i><span style=\"font-weight: 400;\">Journal of Neurosurgical Anesthesiology.</span></i> <span style=\"font-weight: 400;\"> 2014; 26(4): 273–285</span><span style=\"font-weight: 400;\">.</span>','Can Surgery Cause Strokes?','','inherit','closed','closed','','2697-revision-v1','','','2020-06-21 23:20:54','2020-06-21 23:20:54','',2697,'https://www.drfields.com/uncategorized/2697-revision-v1/',0,'revision','',0),(3759,9,'2020-06-21 23:21:58','2020-06-21 23:21:58','<strong>Stroke As a Major Cause of Disability</strong>\r\n\r\nAccording to a report from the World Health Organization [<a class=\"ref-link\" href=\"https://www.intechopen.com/books/new-insight-into-cerebrovascular-diseases-an-updated-comprehensive-review/rehabilitation-strategies-and-key-related-mechanisms-involved-in-stroke-recovery#B1\" data-ref-style=\"bibr\">1</a>], approximately 15 million people experience a stroke each year globally, and stroke is the third leading cause of death after heart disease and cancer, and a major cause of disability. With the aging of the American population and as obesity increases, more strokes are occurring: strokes occur in more than 795,000 U.S. citizens per year and result in 140,000 deaths with 77% of them first-time.<a href=\"https://franklinpierce.edu/about/Showcase2020/Projects/TherapyStrokeRehab-Ostrander.pdf\">[2]</a>\r\n\r\nThe American Heart Association and the American Stroke Association have issued new guidelines aimed at reducing the incidence of stroke. Identifying lifestyle as having had the biggest impact on preventing stroke, the new guidelines urge not smoking, maintaining a healthy weight, exercising and eating a diet rich in fruits and vegetables, and maintaining healthy levels of cholesterol and blood pressure.\r\n\r\n<strong>Does Anyone Even Think About the Stroke Risk When Considering Surgery?</strong>\r\n\r\n<span style=\"font-weight: 400;\">People often choose surgery without understanding the risks or potential long-term results of the surgery. When considering surgery, people may think about the recovery time, the cost incurred, and the loss of work hours. They may even wonder if they really want an artificial joint and if they are up to dealing with the pain involved in the surgery. But does anyone think there may be a risk of stroke surrounding surgery? Strokes are a risk factor that is discussed when people face heart surgery, because of the possibility of blood clots during the bypass and all of the manipulation of blood vessels. But what about during other surgeries that are lower risk surgeries? Evidence does show that strokes occur in those without heart conditions too, and in people who are not considered high risk and to those who had no symptoms before surgery. In this article, we will present the findings from several research studies that investigate the perioperative stroke risk, because we want people to be educated and to fully explore their options before choosing an elective surgery. </span><span style=\"font-weight: 400;\">Perioperative stroke refers to a stroke that occurs during surgery or within 30 days after surgery.</span><span style=\"font-weight: 400;\"> </span>\r\n\r\n<b>What Does the Research Say About Strokes and Surgery?</b>\r\n\r\n<span style=\"font-weight: 400;\">An article in the journal, “Lancet” <a href=\"https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(19)31795-7/fulltext\">[3]</a> investigated the occurrence of strokes in people who did not have stroke symptoms before the surgery. They also looked into the rate of cognitive decline after surgery. The study included 12 academic centers and 1114 people over a three year period. What were the results? The researchers found that 78 people, or 7%, had a stroke.</span><span style=\"font-weight: 400;\"> What about cognitive decline? A third of those who did not have a stroke were shown to have cognitive decline. So, what does all that mean? There is a risk of stroke and problems with deteriorating brain function in 1 out of 14 people who have elective surgery, even if they were not high risk to begin with. </span>\r\n\r\n<span style=\"font-weight: 400;\">Stroke really is a possible complication in surgeries that don’t involve the heart or neurological system. The risk increases in people over 65. Plus, the risk of death is higher for those who have a perioperative stroke. In the journal, “Anesthesiology,”<a href=\"https://anesthesiology.pubs.asahq.org/article.aspx?articleid=1933494\">[4]</a> the researchers investigated specific things that increased the risk of stroke from surgery in the non-cardiac and non-neurological cases. They looked at all different types of surgeries, including hip replacements, biopsies, hernia repair, arthroscopies, and knee repairs. This study found three types of surgeries with the highest risk, which included hip replacement, removal of part of the intestine, and removal of part of the lung.  Other specifics that increase risk included older age, kidney disease, COPD, tobacco use, and elevated blood pressure. For those who do experience a perioperative stroke, the chance of dying within 30 days of the surgery is increased by 8 times. In this particular study, 229 of 173,028 people had a stroke during non-cardiac and non-neurologic surgery.</span>\r\n\r\n<b>What about surgery and anesthesia?</b>\r\n\r\n<span style=\"font-weight: 400;\">Another study in the journal “Anesthesia”<a href=\"https://anesthesiology.pubs.asahq.org/article.aspx?articleid=1946026\">[5]</a> took a look at stroke risk from surgery and anesthesia. They studied 1,455 stroke occurrences over a 25 year period, excluding those with cardiac, vascular, neurologic, and other high-risk conditions. What did they find? They were actually surprised to find out that surgery and anesthesia themselves were a significant risk of stroke, especially considering they left out the high-risk folks with cardiac, vascular, or neurologic problems. </span>\r\n\r\n<span style=\"font-weight: 400;\">One more journal actually said the reason for stroke after surgery is “clear and highly predictable: </span><b>surgery.</b><span style=\"font-weight: 400;\">”</span><span style=\"font-weight: 400;\"> <a href=\"https://pubmed.ncbi.nlm.nih.gov/24978064/\">[6]</a>Surgery is necessary sometimes. But when there are alternatives to surgery, these options should be sought out. Keep in mind that surgery is often recommended on the basis of an MRI finding. However, these findings may not even be the cause of the pain. We encourage you to find a practitioner who will evaluate you well, and do a complete history and examination in order to make a proper diagnosis. Frequently, structural injuries, such as ligament and tendon injuries, are the underlying source of pain. Surgery often cuts through and removes some of these structures, which actually accelerates the arthritic process, and puts you in line for more surgery.</span>\r\n\r\n<span style=\"font-weight: 400;\">Fortunately, there is an alternative to surgery that is highly successful! Regenerative Orthopedics can be sought as a first-line, conservative treatment that can be tried before surgery because it is effective at relieving pain and allowing patients to return quickly to the sports, work, and activities they love. It is also an excellent choice for repair of joint injuries and painful musculoskeletal joint conditions while avoiding the risk of stroke and other risks of elective surgery. If you have already had surgery, but continue to experience joint pain, Regenerative Orthopedics, like Stem Cell Therapy, PRP, and Prolotherapy is still an option for pain relief and return to function. When joint injuries are limiting your life, Regenerative Orthopedics can get you the results you want quickly, more safely, and at a dramatically lower cost than surgery.</span>\r\n\r\n<hr />\r\n\r\n1World Health Organization. The Atlas of Heart Disease and Stroke [Internet]. Available from: http://www.who.int/cardiovascular_diseases/resources/atlas/en/[Accessed: 21 Jun 2020]\r\n\r\n2Abbott, Taylor, and Mary Elizabeth Ostrander. \"What therapies are most beneficial for stroke rehabilitation?.\"\r\n\r\n<span style=\"font-weight: 400;\">3Perioperative covert stroke in patients undergoing non-cardiac surgery.</span><i><span style=\"font-weight: 400;\"> Lancet,</span></i><span style=\"font-weight: 400;\"> 2019. Doi.org/10.1016/SO140-6736(19)31795-7.</span>\r\n\r\n<span style=\"font-weight: 400;\">4Mashour GA, Shanks AM, Kheterpal S.Perioperative stroke, and associated mortality after noncardiac, non-neurologic surgery.</span> <i><span style=\"font-weight: 400;\">Anesthesiology.</span></i><span style=\"font-weight: 400;\"> 2011; </span>114<span style=\"font-weight: 400;\">: 1289-1296.</span>\r\n\r\n<span style=\"font-weight: 400;\">5G</span><span style=\"font-weight: 400;\">ilbert Y. Wong, M.D.</span><span style=\"font-weight: 400;\">; </span><span style=\"font-weight: 400;\">David O. Warner, M.D.</span><span style=\"font-weight: 400;\">; </span><span style=\"font-weight: 400;\">Darrell R. Schroeder, M.S.</span><span style=\"font-weight: 400;\">; </span><span style=\"font-weight: 400;\">Kenneth P. Offord, M.S.</span><span style=\"font-weight: 400;\">; </span><span style=\"font-weight: 400;\">Mark A. Warner, M.D.</span><span style=\"font-weight: 400;\">; </span><span style=\"font-weight: 400;\">et al. </span><span style=\"font-weight: 400;\">Risk of surgery and anesthesia for ischemic stroke. </span><i><span style=\"font-weight: 400;\">Anesthesiology</span></i><span style=\"font-weight: 400;\">. 2000; 92: 425.</span>\r\n\r\n<span style=\"font-weight: 400;\">6Mashour, George A. MD, PhD</span><span style=\"font-weight: 400;\">*</span><span style=\"font-weight: 400;\">; Moore, Laurel E. MD; Lele, Abhijit V. MD; Robicsek, Steven A. MD; Gelb, Adrian W. MBChB</span><span style=\"font-weight: 400;\">. </span><span style=\"font-weight: 400;\">Perioperative care of patients at high risk for stroke during or after non-cardiac, non-neurologic surgery: Consensus statement from the Society for Neuroscience in Anesthesiology and Critical Care. </span><span style=\"font-weight: 400;\"> </span><i><span style=\"font-weight: 400;\">Journal of Neurosurgical Anesthesiology.</span></i> <span style=\"font-weight: 400;\"> 2014; 26(4): 273–285</span><span style=\"font-weight: 400;\">.</span>','Can Surgery Cause Strokes?','','inherit','closed','closed','','2697-revision-v1','','','2020-06-21 23:21:58','2020-06-21 23:21:58','',2697,'https://www.drfields.com/uncategorized/2697-revision-v1/',0,'revision','',0),(3760,9,'2020-06-21 23:23:16','2020-06-21 23:23:16','<strong>Stroke As a Major Cause of Disability</strong>\r\n\r\nAccording to a report from the World Health Organization [<a class=\"ref-link\" href=\"https://www.intechopen.com/books/new-insight-into-cerebrovascular-diseases-an-updated-comprehensive-review/rehabilitation-strategies-and-key-related-mechanisms-involved-in-stroke-recovery#B1\" data-ref-style=\"bibr\">1</a>], approximately 15 million people experience a stroke each year globally, and stroke is the third leading cause of death after heart disease and cancer, and a major cause of disability. With the aging of the American population and as obesity increases, more strokes are occurring: strokes occur in more than 795,000 U.S. citizens per year and result in 140,000 deaths with 77% of them first-time.<a href=\"https://franklinpierce.edu/about/Showcase2020/Projects/TherapyStrokeRehab-Ostrander.pdf\">[2]</a>\r\n\r\nThe American Heart Association and the American Stroke Association have issued new guidelines aimed at reducing the incidence of stroke. Identifying lifestyle as having had the biggest impact on preventing stroke, the new guidelines urge not smoking, maintaining a healthy weight, exercising and eating a diet rich in fruits and vegetables, and maintaining healthy levels of cholesterol and blood pressure.\r\n\r\n<strong>Does Anyone Even Think About the Stroke Risk When Considering Surgery?</strong>\r\n\r\n<span style=\"font-weight: 400;\">People often choose surgery without understanding the risks or potential long-term results of the surgery. When considering surgery, people may think about the recovery time, the cost incurred, and the loss of work hours. They may even wonder if they really want an artificial joint and if they are up to dealing with the pain involved in the surgery. But does anyone think there may be a risk of stroke surrounding surgery? Strokes are a risk factor that is discussed when people face heart surgery, because of the possibility of blood clots during the bypass and all of the manipulation of blood vessels. But what about during other surgeries that are lower risk surgeries? Evidence does show that strokes occur in those without heart conditions too, and in people who are not considered high risk and to those who had no symptoms before surgery. In this article, we will present the findings from several research studies that investigate the perioperative stroke risk, because we want people to be educated and to fully explore their options before choosing an elective surgery. </span><span style=\"font-weight: 400;\">Perioperative stroke refers to a stroke that occurs during surgery or within 30 days after surgery.</span><span style=\"font-weight: 400;\"> </span>\r\n\r\n<b>What Does the Research Say About Strokes and Surgery?</b>\r\n\r\n<span style=\"font-weight: 400;\">An article in the journal, “Lancet” <a href=\"https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(19)31795-7/fulltext\">[3]</a> investigated the occurrence of strokes in people who did not have stroke symptoms before the surgery. They also looked into the rate of cognitive decline after surgery. The study included 12 academic centers and 1114 people over a three year period. What were the results? The researchers found that 78 people, or 7%, had a stroke.</span><span style=\"font-weight: 400;\"> What about cognitive decline? A third of those who did not have a stroke was shown to have cognitive decline. So, what does all that mean? There is a risk of stroke and problems with deteriorating brain function in 1 out of 14 people who have elective surgery, even if they were not high risk, to begin with. </span>\r\n\r\n<span style=\"font-weight: 400;\">Stroke really is a possible complication in surgeries that don’t involve the heart or neurological system. The risk increases in people over 65. Plus, the risk of death is higher for those who have a perioperative stroke. In the journal, “Anesthesiology,”<a href=\"https://anesthesiology.pubs.asahq.org/article.aspx?articleid=1933494\">[4]</a> the researchers investigated specific things that increased the risk of stroke from surgery in the non-cardiac and non-neurological cases. They looked at all different types of surgeries, including hip replacements, biopsies, hernia repair, arthroscopies, and knee repairs. This study found three types of surgeries with the highest risk, which included hip replacement, removal of part of the intestine, and removal of part of the lung.  Other specifics that increase risk included older age, kidney disease, COPD, tobacco use, and elevated blood pressure. For those who do experience a perioperative stroke, the chance of dying within 30 days of the surgery is increased by 8 times. In this particular study, 229 of 173,028 people had a stroke during non-cardiac and non-neurologic surgery.</span>\r\n\r\n<b>What about surgery and anesthesia?</b>\r\n\r\n<span style=\"font-weight: 400;\">Another study in the journal “Anesthesia”<a href=\"https://anesthesiology.pubs.asahq.org/article.aspx?articleid=1946026\">[5]</a> took a look at stroke risk from surgery and anesthesia. They studied 1,455 stroke occurrences over a 25 year period, excluding those with cardiac, vascular, neurologic, and other high-risk conditions. What did they find? They were actually surprised to find out that surgery and anesthesia themselves were a significant risk of stroke, especially considering they left out the high-risk folks with cardiac, vascular, or neurologic problems. </span>\r\n\r\n<span style=\"font-weight: 400;\">One more journal actually said the reason for stroke after surgery is “clear and highly predictable: </span><b>surgery.</b><span style=\"font-weight: 400;\">”</span><span style=\"font-weight: 400;\"> <a href=\"https://pubmed.ncbi.nlm.nih.gov/24978064/\">[6]</a>Surgery is necessary sometimes. But when there are alternatives to surgery, these options should be sought out. Keep in mind that surgery is often recommended on the basis of an MRI finding. However, these findings may not even be the cause of the pain. We encourage you to find a practitioner who will evaluate you well, and do a complete history and examination in order to make a proper diagnosis. Frequently, structural injuries, such as ligament and tendon injuries, are the underlying source of pain. Surgery often cuts through and removes some of these structures, which actually accelerates the arthritic process, and puts you in line for more surgery.</span>\r\n\r\n<span style=\"font-weight: 400;\">Fortunately, there is an alternative to surgery that is highly successful! Regenerative Orthopedics can be sought as a first-line, conservative treatment that can be tried before surgery because it is effective at relieving pain and allowing patients to return quickly to the sports, work, and activities they love. It is also an excellent choice for repair of joint injuries and painful musculoskeletal joint conditions while avoiding the risk of stroke and other risks of elective surgery. If you have already had surgery, but continue to experience joint pain, Regenerative Orthopedics, like Stem Cell Therapy, PRP, and Prolotherapy is still an option for pain relief and return to function. When joint injuries are limiting your life, Regenerative Orthopedics can get you the results you want quickly, more safely, and at a dramatically lower cost than surgery.</span>\r\n\r\n<hr />\r\n\r\n1World Health Organization. The Atlas of Heart Disease and Stroke [Internet]. Available from: http://www.who.int/cardiovascular_diseases/resources/atlas/en/[Accessed: 21 Jun 2020]\r\n\r\n2Abbott, Taylor, and Mary Elizabeth Ostrander. \"What therapies are most beneficial for stroke rehabilitation?.\"\r\n\r\n<span style=\"font-weight: 400;\">3Perioperative covert stroke in patients undergoing non-cardiac surgery.</span><i><span style=\"font-weight: 400;\"> Lancet,</span></i><span style=\"font-weight: 400;\"> 2019. Doi.org/10.1016/SO140-6736(19)31795-7.</span>\r\n\r\n<span style=\"font-weight: 400;\">4Mashour GA, Shanks AM, Kheterpal S.Perioperative stroke, and associated mortality after noncardiac, non-neurologic surgery.</span> <i><span style=\"font-weight: 400;\">Anesthesiology.</span></i><span style=\"font-weight: 400;\"> 2011; </span>114<span style=\"font-weight: 400;\">: 1289-1296.</span>\r\n\r\n<span style=\"font-weight: 400;\">5G</span><span style=\"font-weight: 400;\">ilbert Y. Wong, M.D.</span><span style=\"font-weight: 400;\">; </span><span style=\"font-weight: 400;\">David O. Warner, M.D.</span><span style=\"font-weight: 400;\">; </span><span style=\"font-weight: 400;\">Darrell R. Schroeder, M.S.</span><span style=\"font-weight: 400;\">; </span><span style=\"font-weight: 400;\">Kenneth P. Offord, M.S.</span><span style=\"font-weight: 400;\">; </span><span style=\"font-weight: 400;\">Mark A. Warner, M.D.</span><span style=\"font-weight: 400;\">; </span><span style=\"font-weight: 400;\">et al. </span><span style=\"font-weight: 400;\">Risk of surgery and anesthesia for ischemic stroke. </span><i><span style=\"font-weight: 400;\">Anesthesiology</span></i><span style=\"font-weight: 400;\">. 2000; 92: 425.</span>\r\n\r\n<span style=\"font-weight: 400;\">6Mashour, George A. MD, Ph.D.</span><span style=\"font-weight: 400;\">*</span><span style=\"font-weight: 400;\">; Moore, Laurel E. MD; Lele, Abhijit V. MD; Robicsek, Steven A. MD; Gelb, Adrian W. MBChB</span><span style=\"font-weight: 400;\">. </span><span style=\"font-weight: 400;\">Perioperative care of patients at high risk for stroke during or after non-cardiac, non-neurologic surgery: A consensus statement from the Society for Neuroscience in Anesthesiology and Critical Care. </span><span style=\"font-weight: 400;\"> </span><i><span style=\"font-weight: 400;\">Journal of Neurosurgical Anesthesiology.</span></i> <span style=\"font-weight: 400;\"> 2014; 26(4): 273–285</span><span style=\"font-weight: 400;\">.</span>','Can Surgery Cause Strokes?','','inherit','closed','closed','','2697-revision-v1','','','2020-06-21 23:23:16','2020-06-21 23:23:16','',2697,'https://www.drfields.com/uncategorized/2697-revision-v1/',0,'revision','',0),(3761,9,'2020-06-21 23:36:39','2020-06-21 23:36:39','In September of 2007, Dr. Fields completed his 7th half Ironman triathlon in Santa Cruz, CA. This was his second half Ironman this year having completed one in June in Ensenada, Mexico. He also participated in two half Ironman races each year in 2005 and in 2006.\r\n\r\nA half <a href=\"https://www.drfields.com/about-the-athletic-doc/\">Ironman</a> Triathlon is a 1.2-mile swim, 56-mile bike and 13.1-mile run.\r\nThis distant race takes many hours a week of training. Swimming, biking and running must all be fit into each week of training in addition to daily stretching.\r\n\r\nOn most weekends, Dr Fields can be found on long training rides with the Los Angeles Triathlon Club. He is not only a member of the LA TRI Club but a sponsor too. Besides being outdoors and keeping himself very physically active, Dr Fields enjoys the camaraderie of his training partners.\r\n\r\nIn total Dr. Fields has done over 35 triathlons. Outside of the above distance the other races were Olympic distant races (0.9 mile swim, 26 mile bike, 6.2 mile run).\r\n\r\nHe says that even with all the years of racing and training, he still enjoys the physical and mental aspects of training.\r\n\r\nTo help him stay in top physical shape, he utilizes a daily vitamin and <a href=\"https://www.drfields.com/Articles/Health-News/The-Importance-of-Supplementation-Upwards-of-Half-the-Population-51-Years-or-Older-do-Not-Get-Adequate-Nutrition-from-Their-Diets/\">supplement</a> regime as well as message therapy, chiropractic and of course, Prolotherapy for those injuries that just won’t heal. In addition, he gets plenty of sleep, drinks lots of water and eats mostly organic, unprocessed foods to help him maintain optimal health.\r\n\r\nHis motto is not only train hard but smart – as if your body depended on it.\r\n\r\n<img class=\"aligncenter size-full wp-image-1166\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/LATC-Logo.jpg\" alt=\"Latc Logo\" width=\"150\" height=\"88\" />\r\n<a style=\"margin: 0 auto; display: table;\" href=\"www.latriclub.com\" target=\"_blank\" rel=\"noopener noreferrer\">Sponsor of the Los Angeles Triclub</a>','Dr. Fields Completes His 7th Half Ironman Triathlon','','inherit','closed','closed','','1510-revision-v1','','','2020-06-21 23:36:39','2020-06-21 23:36:39','',1510,'https://www.drfields.com/uncategorized/1510-revision-v1/',0,'revision','',0),(3762,9,'2020-10-12 17:56:12','2020-10-12 17:56:12','<h3><img class=\"alignright size-full wp-image-1185\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Foods-That-Burn-Fat.jpg\" alt=\"Foods That Burn Fat\" width=\"200\" height=\"313\" />Fat Fighting Foods</h3>\nTired of that spare tire? Sick of your love handles? You can increase your body’s fat-burning power by eating more fat fighting foods that strengthen your liver (your body’s main fat-metabolizing organ) to burn fat better. The result? A leaner you! There are many great liver boosting foods, but here are some of my favorites:\n<h3><strong>Leafy Greens</strong>:</h3>\nSpinach, spring mix, mustard greens, and other dark leafy greens are good sources of fiber and powerhouses of nutrition. Research demonstrates that their high concentration of vitamins and antioxidants helps prevent hunger while protecting you from heart disease, cancer, cataracts, and memory loss.\n<h3><strong>Beans and Legumes:</strong></h3>\nLegumes are the best source of  fiber of any foods. They help to stabilize blood sugar while keeping you regular. They are also high in potassium, a critical mineral that reduces dehydration and the risk of high blood pressure and stroke.\n<h3><strong>Garlic and Onions:</strong></h3>\nThis dynamic duo of foods contains phytochemicals that break down fatty deposits in the body. They also breakdown cholesterol; kill viruses, bacteria, and fungi; and protect against heart disease. With a little help from garlic and onions, you can burn fat while warding off illness.\n<h3><strong>Cayenne:</strong></h3>\nThis hot spice lessens the risk of excess insulin in the body by speeding metabolism and lowering blood glucose (sugar) levels before the excess insulin can result in fat stores. Spice up your next meal with cayenne and lessen those love handles.\n<h3><strong>Turmeric:</strong></h3>\nThe popular spice used primarily in Indian cooking is one of the highest known sources of beta carotene. It is an antioxidant that helps protect the liver from free radical damage. Turmeric also helps strengthen your liver while helping your body metabolize fats by decreasing the fat storage rate in liver cells. Add a teaspoon of turmeric into your next curry dish to help your body fight fat.\n<h3><strong>Cinnamon:</strong></h3>\nResearchers at the United States Department of Agriculture showed that a quarter to one teaspoon of cinnamon with food helps metabolize sugar up to twenty times better than food not eaten with cinnamon. Excess sugar in the blood can lead to fat storage. Before you sip that chai tea latte or eat your oatmeal, sprinkle on the cinnamon.\n<h3><strong>Flax Seeds and Flax Seed Oil:</strong></h3>\nThese seeds and oil attract oil-soluble toxins that become lodged in the fatty tissues of the body. Once attracted, they help to escort fat-soluble toxins out. That spells fewer fat stores and a trimmer you.\n\nAnd if you are having a difficult time choosing to eat healthy foods like vegetables and fruit, it\'s important to remember to make them look good and palatable. Keep in mind that we are bombarded constantly with junk food advertisements. An article in <em>Media Psychology</em> notes...\"promoting healthy foods (Bruce et al.,<span class=\"Apple-converted-space\"> </span><span class=\"ref-lnk lazy-ref\"><a href=\"https://www.tandfonline.com/doi/full/10.1080/15213269.2019.1584569#\" data-rid=\"CIT0009\" data-reflink=\"_i32 _i33\">2016</a>; Hanks, Just, &amp; Brumberg, <a href=\"https://www.tandfonline.com/doi/full/10.1080/15213269.2019.1584569#\" data-rid=\"CIT0021\" data-reflink=\"_i32 _i33\">2016</a>; Papies, <a href=\"https://www.tandfonline.com/doi/full/10.1080/15213269.2019.1584569#\" data-rid=\"CIT0039\" data-reflink=\"_i32 _i33\">2016</a>) Hanks et al. (<a href=\"https://www.tandfonline.com/doi/full/10.1080/15213269.2019.1584569#\" data-rid=\"CIT0021\" data-reflink=\"_i32 _i33\">2016</a>) revealed that children chose to eat twice as many vegetables when they were advertised through fun appeals: depicting healthy foods as humanized cheerful cartoon characters.\"<a href=\"https://www.tandfonline.com/doi/abs/10.1080/15213269.2019.1584569\">[1]</a></span>\n\n1Samson, Lelia, and Moniek Buijzen. \"Craving healthy foods?! How sensory appeals increase appetitive motivational processing of healthy foods in adolescents.\" <i>Media Psychology</i> 23.2 (2020): 159-183.','Fat Fighting Foods. Learn How Certain Food Can Help Burn Fat','','inherit','closed','closed','','1520-autosave-v1','','','2020-10-12 17:56:12','2020-10-12 17:56:12','',1520,'https://www.drfields.com/uncategorized/1520-autosave-v1/',0,'revision','',0),(3763,9,'2020-06-21 23:53:10','2020-06-21 23:53:10','<img class=\"alignright size-full wp-image-1185\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Foods-That-Burn-Fat.jpg\" alt=\"Foods That Burn Fat\" width=\"200\" height=\"313\" />Tired of that spare tire? Sick of your love handles? You can increase your body’s fat-burning power by eating more fat fighting foods that strengthen your liver (your body’s main fat-metabolizing organ) to burn fat better. The result? A leaner you! There are many great liver boosting foods, but here are some of my favorites:\r\n\r\n<strong>Leafy Greens</strong>: Spinach, spring mix, mustard greens, and other dark leafy greens are good sources of fiber and powerhouses of nutrition. Research demonstrates that their high concentration of vitamins and antioxidants helps prevent hunger while protecting you from heart disease, cancer, cataracts, and memory loss.\r\n\r\n<strong>Beans and Legumes:</strong> Legumes are the best source of  fiber of any foods. They help to stabilize blood sugar while keeping you regular. They are also high in potassium, a critical mineral that reduces dehydration and the risk of high blood pressure and stroke.\r\n\r\n<strong>Garlic and Onions:</strong> This dynamic duo of foods contains phytochemicals that break down fatty deposits in the body, while also breaking down cholesterol; killing viruses, bacteria, and fungi; and protecting against heart disease. With a little help from garlic and onions, you can burn fat while warding off illness.\r\n\r\n<strong>Cayenne:</strong> This hot spice lessens the risk of excess insulin in the body by speeding metabolism and lowering blood glucose (sugar) levels before the excess insulin can result in fat stores. Spice up your next meal with cayenne and lessen those love handles.\r\n\r\n<strong>Turmeric:</strong> The popular spice used primarily in Indian cooking is one of the highest known sources of beta carotene, the antioxidant that helps protect the liver from free radical damage. Turmeric also helps strengthen your liver while helping your body metabolize fats by decreasing the fat storage rate in liver cells. Add a teaspoon of turmeric into your next curry dish to help your body fight fat.\r\n\r\n<strong>Cinnamon:</strong> Researchers at the United States Department of Agriculture showed that a quarter to one teaspoon of cinnamon with food helps metabolize sugar up to twenty times better than food not eaten with cinnamon. Excess sugar in the blood can lead to fat storage. Before you sip that chai tea latte or eat your oatmeal, sprinkle on the cinnamon.\r\n\r\n<strong>Flax Seeds and Flax Seed Oil:</strong> These seeds and oil attract oil-soluble toxins that become lodged in the fatty tissues of the body. Once attracted, they help to escort fat-soluble toxins out. That spells fewer fat stores and a trimmer you.\r\n\r\nAnd if you are having a difficult time getting your kids to eat healthy foods like vegetables and fruit, it\'s important to remember to make them look good and palatable, and enjoy them yourselves, especially considering that they are bombarded constantly with junk food advertisements. An article in <em>Media Psychology</em> notes...\"promoting healthy foods (Bruce et al.,<span class=\"Apple-converted-space\"> </span><span class=\"ref-lnk lazy-ref\"><a href=\"https://www.tandfonline.com/doi/full/10.1080/15213269.2019.1584569#\" data-rid=\"CIT0009\" data-reflink=\"_i32 _i33\">2016</a>; Hanks, Just, &amp; Brumberg, <a href=\"https://www.tandfonline.com/doi/full/10.1080/15213269.2019.1584569#\" data-rid=\"CIT0021\" data-reflink=\"_i32 _i33\">2016</a>; Papies, <a href=\"https://www.tandfonline.com/doi/full/10.1080/15213269.2019.1584569#\" data-rid=\"CIT0039\" data-reflink=\"_i32 _i33\">2016</a>). Hanks et al. (<a href=\"https://www.tandfonline.com/doi/full/10.1080/15213269.2019.1584569#\" data-rid=\"CIT0021\" data-reflink=\"_i32 _i33\">2016</a>) revealed that children chose to eat twice as many vegetables when they were advertised through fun appeals: depicting healthy foods as humanized cheerful cartoon characters.\"<a href=\"https://www.tandfonline.com/doi/abs/10.1080/15213269.2019.1584569\">[1]</a></span>\r\n\r\n1Samson, Lelia, and Moniek Buijzen. \"Craving healthy foods?! How sensory appeals increase appetitive motivational processing of healthy foods in adolescents.\" <i>Media Psychology</i> 23.2 (2020): 159-183.','Foods that Fight Fat. Learn How Certain Food Can Help Burn Fat','','inherit','closed','closed','','1520-revision-v1','','','2020-06-21 23:53:10','2020-06-21 23:53:10','',1520,'https://www.drfields.com/uncategorized/1520-revision-v1/',0,'revision','',0),(3764,9,'2020-06-21 23:57:57','2020-06-21 23:57:57','<img class=\"alignright size-full wp-image-1185\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Foods-That-Burn-Fat.jpg\" alt=\"Foods That Burn Fat\" width=\"200\" height=\"313\" />Tired of that spare tire? Sick of your love handles? You can increase your body’s fat-burning power by eating more fat fighting foods that strengthen your liver (your body’s main fat-metabolizing organ) to burn fat better. The result? A leaner you! There are many great liver boosting foods, but here are some of my favorites:\r\n\r\n<strong>Leafy Greens</strong>: Spinach, spring mix, mustard greens, and other dark leafy greens are good sources of fiber and powerhouses of nutrition. Research demonstrates that their high concentration of vitamins and antioxidants helps prevent hunger while protecting you from heart disease, cancer, cataracts, and memory loss.\r\n\r\n<strong>Beans and Legumes:</strong> Legumes are the best source of  fiber of any foods. They help to stabilize blood sugar while keeping you regular. They are also high in potassium, a critical mineral that reduces dehydration and the risk of high blood pressure and stroke.\r\n\r\n<strong>Garlic and Onions:</strong> This dynamic duo of foods contains phytochemicals that break down fatty deposits in the body. They also breakdown cholesterol; killing viruses, bacteria, and fungi; and protecting against heart disease. With a little help from garlic and onions, you can burn fat while warding off illness.\r\n\r\n<strong>Cayenne:</strong> This hot spice lessens the risk of excess insulin in the body by speeding metabolism and lowering blood glucose (sugar) levels before the excess insulin can result in fat stores. Spice up your next meal with cayenne and lessen those love handles.\r\n\r\n<strong>Turmeric:</strong> The popular spice used primarily in Indian cooking is one of the highest known sources of beta carotene. It is an antioxidant that helps protect the liver from free radical damage. Turmeric also helps strengthen your liver while helping your body metabolize fats by decreasing the fat storage rate in liver cells. Add a teaspoon of turmeric into your next curry dish to help your body fight fat.\r\n\r\n<strong>Cinnamon:</strong> Researchers at the United States Department of Agriculture showed that a quarter to one teaspoon of cinnamon with food helps metabolize sugar up to twenty times better than food not eaten with cinnamon. Excess sugar in the blood can lead to fat storage. Before you sip that chai tea latte or eat your oatmeal, sprinkle on the cinnamon.\r\n\r\n<strong>Flax Seeds and Flax Seed Oil:</strong> These seeds and oil attract oil-soluble toxins that become lodged in the fatty tissues of the body. Once attracted, they help to escort fat-soluble toxins out. That spells fewer fat stores and a trimmer you.\r\n\r\nAnd if you are having a difficult time choosing to eat healthy foods like vegetables and fruit, it\'s important to remember to make them look good and palatable. Keep in mind that we are bombarded constantly with junk food advertisements. An article in <em>Media Psychology</em> notes...\"promoting healthy foods (Bruce et al.,<span class=\"Apple-converted-space\"> </span><span class=\"ref-lnk lazy-ref\"><a href=\"https://www.tandfonline.com/doi/full/10.1080/15213269.2019.1584569#\" data-rid=\"CIT0009\" data-reflink=\"_i32 _i33\">2016</a>; Hanks, Just, &amp; Brumberg, <a href=\"https://www.tandfonline.com/doi/full/10.1080/15213269.2019.1584569#\" data-rid=\"CIT0021\" data-reflink=\"_i32 _i33\">2016</a>; Papies, <a href=\"https://www.tandfonline.com/doi/full/10.1080/15213269.2019.1584569#\" data-rid=\"CIT0039\" data-reflink=\"_i32 _i33\">2016</a>). Hanks et al. (<a href=\"https://www.tandfonline.com/doi/full/10.1080/15213269.2019.1584569#\" data-rid=\"CIT0021\" data-reflink=\"_i32 _i33\">2016</a>) revealed that children chose to eat twice as many vegetables when they were advertised through fun appeals: depicting healthy foods as humanized cheerful cartoon characters.\"<a href=\"https://www.tandfonline.com/doi/abs/10.1080/15213269.2019.1584569\">[1]</a></span>\r\n\r\n1Samson, Lelia, and Moniek Buijzen. \"Craving healthy foods?! How sensory appeals increase appetitive motivational processing of healthy foods in adolescents.\" <i>Media Psychology</i> 23.2 (2020): 159-183.','Foods that Fight Fat. Learn How Certain Food Can Help Burn Fat','','inherit','closed','closed','','1520-revision-v1','','','2020-06-21 23:57:57','2020-06-21 23:57:57','',1520,'https://www.drfields.com/uncategorized/1520-revision-v1/',0,'revision','',0),(3765,9,'2020-09-15 21:58:15','2020-09-15 21:58:15','[caption id=\"attachment_4147\" align=\"alignleft\" width=\"500\"]<img class=\"size-medium wp-image-4147\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Screen-Shot-2020-09-15-at-4.52.16-PM-500x260.png\" alt=\"Brain fitness\" width=\"500\" height=\"260\" /> <em>                                      Exercise boosts brain fitness</em>[/caption]\n<h3><strong>Exercise for Body and Brain Fitness</strong></h3>\nWe all know that exercise is good for the body. But did you know that new scientific evidence also confirms that exercise strengthens the brain? It sure does! In fact, moderate exercise nourishes the brain, improves our ability to learn, boosts mental performance, remodels the brain, and helps prevent the brain from aging. Exercise helps us to enjoy both body and brain fitness.\n\nScientists used to think the adult brain structure was fixed. They thought that no new cells could be made. And they thought the brain could not be altered in any way after adolescence.\n\n<strong>But exercise can change that!</strong> Physical activity can boost blood flow all through the body, even to the brain. And this boost of blood flow increases the ability of brain cells to connect with each other. Increased connectivity can occur by simply walking.\n\nAnd if you exercise more vigorously, like when running, faster reaction times and improved learning will result. Physical activity has been linked to a lower risk of the development of cognitive decline. That\'s because it is, in essence, a fertilizer for the brain. Exercise nourishes the brain, and improves attention, memory, and information processing. And exercise can even help reduce the risk of Parkinson\'s Disease.\n<h3><strong>What Does the Literature Say About Exercise and Parkinson\'s Disease?</strong></h3>\nA June 2020 article in <em>Frontiers in Aging Neuroscience</em> reports that \"Epidemiological studies of prospectively followed cohorts have shown a <strong>lower risk</strong> for later developing Parkinson\'s Disease in healthy people who report <strong>moderate to high levels of physical activity</strong>, and slower rates of motor and non-motor symptom progression in people with Parkinson\'s Disease who report higher baseline physical activity.\"1\n\n<strong>As you can see, the literature shows a direct benefit of exercise on the brain.</strong> Dementia is the most feared aspect of Parkinson’s Disease. But adults who engage in exercise during midlife, are able to significantly reduce the risks of dementia and cognitive impairment later in life.\n<div class=\"page\" title=\"Page 2\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n\nThe <em>American College of Sports Medicine</em> recommends the following:<em> \"</em>Because Parkinson\'s Disease is a chronic and progressive disorder, an exercise program should be prescribed early when the individual is first diagnosed, should continue throughout life and should be reviewed and revised as the disease progresses. Exercise prescription should ultimately aim to slow the rate at which the signs of the disease progress, limit comorbidities, minimize complications associated with muscle disuse, and maintain the ability to live an independent life.\"<a href=\"https://www.revdesportiva.pt/files/para_publicar/Exercising_for_People_with_Parkinson_s_Disease_and.pdf\">2</a>\n\n</div>\n</div>\n</div>\n<h4><em>Exercise reshapes the brain. </em></h4>\nWhen we don’t use our muscles, they atrophy. And the brain is no different. Boost the health of brain cells, stimulate the growth of new blood vessels in the brain, and encourage new neuronal connections through exercise.\n\nStart your day with exercise! Because exercise helps us to be fit in so many capacities. Are you a morning exerciser? If so, that\'s really great. Because exercising in the morning prepares you for the day by enhancing brain activity. And it also improves information retention, and fine-tunes your ability to react to the situations and stressors that come your way through the day. Exercise is so beneficial. True, it helps our body to be fit. But it also boosts brain fitness and reduces the risk of Parkinson\'s Disease.\n<ol>\n 	<li>Crotty, Grace F., and Michael A. Schwarzschild. \"Chasing Protection in Parkinson’s Disease: Does Exercise Reduce Risk and Progression?.\" <i>Frontiers in Aging Neuroscience</i> 12 (2020): 186.</li>\n 	<li>Corcos, Daniel M., and Elizabeth M. Skender. \"Exercising for People with Parkinson’s Disease and Their Support Group.\" <i>ACSM\'s Health &amp; Fitness Journal</i> 24.2 (2020): 5-7.</li>\n</ol>','Improve Brain Fitness and Reduce Parkinson\'s Risk with Exercise','','inherit','closed','closed','','1516-autosave-v1','','','2020-09-15 21:58:15','2020-09-15 21:58:15','',1516,'https://www.drfields.com/uncategorized/1516-autosave-v1/',0,'revision','',0),(3766,9,'2020-06-26 23:44:37','2020-06-26 23:44:37','Photo 1559757175 5700dde675bc','Photo 1559757175 5700dde675bc','Photo 1559757175 5700dde675bc','inherit','open','closed','','photo-1559757175-5700dde675bc','','','2020-06-26 23:44:37','2020-06-26 23:44:37','',1516,'https://www.drfields.com/wp-content/uploads/2019/06/photo-1559757175-5700dde675bc.jpg',0,'attachment','image/jpeg',0),(3767,9,'2020-06-26 23:54:59','2020-06-26 23:54:59','<img class=\"wp-image-3766 size-full\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/photo-1559757175-5700dde675bc.jpg\" alt=\"Photo 1559757175 5700dde675bc\" width=\"400\" height=\"225\" />\r\n\r\nWe already know that exercise is great for our body, but scientific evidence continues to confirm that exercise also strengthens the brain. Moderate exercise nourishes the brain, improves our ability to learn, boosts mental performance, remodels the brain, and helps prevent the brain from aging.\r\n\r\nScientists used to think the adult brain structure was fixed, and no new cells could be made or the brain altered in any way after adolescence. However, physical activity boosts blood flow all through the body, including the brain, which increases the ability of brain cells to connect with each other. Increased connectivity can occur by simply walking. More vigorous exercise, such as running, leads to faster reaction times and improved learning. Physical activity has been linked to a lower risk of the development of cognitive decline, because it is, in essence, a fertilizer for the brain, nourishing it and improving attention, memory and information processing. Exercise can help reduce the risk of Parkinson\'s Disease.\r\n\r\n<strong>What Does the Literature Say About Exercise and Parkinson\'s Disease?</strong>\r\n\r\nA June 2020 article in <em>Frontiers in Aging Neuroscience</em> reports that \"Epidemiological studies of prospectively followed cohorts have shown a <strong>lower risk</strong> for later developing Parkinson\'s Disease in healthy people who report <strong>moderate to high levels of physical activity</strong>, and slower rates of motor and non-motor symptom progression in people with Parkinson\'s Disease who report higher baseline physical activity.\"1 As you can see, the literature shows a direct benefit of exercise on the brain. Dementia is the most feared aspect of Parkinson’s, but adults who engage in exercise during midlife, are able to significantly reduce the risks of dementia and cognitive impairment later in life.\r\n<div class=\"page\" title=\"Page 2\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\nThe <em>American College of Sports Medicine</em> recommends the following:<em> \"</em>Because Parkinson\'s Disease is a chronic and progressive disorder, an exercise program should be prescribed early when the individual is first diagnosed, should continue throughout life and should be reviewed and revised as the disease progresses. Exercise prescription should ultimately aim to slow the rate at which the signs of the disease progress, limit comorbidities, minimize complications associated with muscle disuse, and maintain the ability to live an independent life.\"<a href=\"https://www.revdesportiva.pt/files/para_publicar/Exercising_for_People_with_Parkinson_s_Disease_and.pdf\">2</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\nExercise reshapes the brain. When we don’t use our muscles, they atrophy. The brain is no different. Boost the health of brain cells, stimulate the growth of new blood vessels in the brain, and encourage new neuronal connections through exercise. Start your day with exercise! Exercise helps us to be fit in so many capacities. Exercising in the morning prepares you for the day by enhancing brain activity, improving information retention, and fine-tuning your ability to react to the situations and stressors that come your way. Exercise also helps our brains to be fit and reduces the risk of Parkinson\'s Disease.\r\n<ol>\r\n 	<li>Crotty, Grace F., and Michael A. Schwarzschild. \"Chasing Protection in Parkinson’s Disease: Does Exercise Reduce Risk and Progression?.\" <i>Frontiers in Aging Neuroscience</i> 12 (2020): 186.</li>\r\n 	<li>Corcos, Daniel M., and Elizabeth M. Skender. \"Exercising for People with Parkinson’s Disease and Their Support Group.\" <i>ACSM\'s Health &amp; Fitness Journal</i> 24.2 (2020): 5-7.</li>\r\n</ol>','Improve Brain Fitness and Parkinson\'s Disease Risk with Exercise','','inherit','closed','closed','','1516-revision-v1','','','2020-06-26 23:54:59','2020-06-26 23:54:59','',1516,'https://www.drfields.com/uncategorized/1516-revision-v1/',0,'revision','',0),(3768,9,'2020-06-26 23:58:32','2020-06-26 23:58:32','<img class=\"wp-image-3766 size-full alignleft\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/photo-1559757175-5700dde675bc.jpg\" alt=\"Photo 1559757175 5700dde675bc\" width=\"400\" height=\"225\" />\r\n\r\nWe all know that exercise is good for the body. New scientific evidence also confirms that exercise strengthens the brain. In fact, moderate exercise nourishes the brain, improves our ability to learn, boosts mental performance, remodels the brain, and helps prevent the brain from aging.\r\n\r\nScientists used to think the adult brain structure was fixed. The thought was that no new cells could be made or the brain altered in any way after adolescence. However, physical activity boosts blood flow all through the body, including the brain, which increases the ability of brain cells to connect with each other. Increased connectivity can occur by simply walking. More vigorous exercise, such as running, leads to faster reaction times and improved learning. Physical activity has been linked to a lower risk of the development of cognitive decline, because it is, in essence, a fertilizer for the brain, nourishing it and improving attention, memory and information processing. Exercise can help reduce the risk of Parkinson\'s Disease.\r\n\r\n<strong>What Does the Literature Say About Exercise and Parkinson\'s Disease?</strong>\r\n\r\nA June 2020 article in <em>Frontiers in Aging Neuroscience</em> reports that \"Epidemiological studies of prospectively followed cohorts have shown a <strong>lower risk</strong> for later developing Parkinson\'s Disease in healthy people who report <strong>moderate to high levels of physical activity</strong>, and slower rates of motor and non-motor symptom progression in people with Parkinson\'s Disease who report higher baseline physical activity.\"1 As you can see, the literature shows a direct benefit of exercise on the brain. Dementia is the most feared aspect of Parkinson’s, but adults who engage in exercise during midlife, are able to significantly reduce the risks of dementia and cognitive impairment later in life.\r\n<div class=\"page\" title=\"Page 2\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\nThe <em>American College of Sports Medicine</em> recommends the following:<em> \"</em>Because Parkinson\'s Disease is a chronic and progressive disorder, an exercise program should be prescribed early when the individual is first diagnosed, should continue throughout life and should be reviewed and revised as the disease progresses. Exercise prescription should ultimately aim to slow the rate at which the signs of the disease progress, limit comorbidities, minimize complications associated with muscle disuse, and maintain the ability to live an independent life.\"<a href=\"https://www.revdesportiva.pt/files/para_publicar/Exercising_for_People_with_Parkinson_s_Disease_and.pdf\">2</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\nExercise reshapes the brain. When we don’t use our muscles, they atrophy. The brain is no different. Boost the health of brain cells, stimulate the growth of new blood vessels in the brain, and encourage new neuronal connections through exercise. Start your day with exercise! Exercise helps us to be fit in so many capacities. Exercising in the morning prepares you for the day by enhancing brain activity, improving information retention, and fine-tuning your ability to react to the situations and stressors that come your way. Exercise also helps our brains to be fit and reduces the risk of Parkinson\'s Disease.\r\n<ol>\r\n 	<li>Crotty, Grace F., and Michael A. Schwarzschild. \"Chasing Protection in Parkinson’s Disease: Does Exercise Reduce Risk and Progression?.\" <i>Frontiers in Aging Neuroscience</i> 12 (2020): 186.</li>\r\n 	<li>Corcos, Daniel M., and Elizabeth M. Skender. \"Exercising for People with Parkinson’s Disease and Their Support Group.\" <i>ACSM\'s Health &amp; Fitness Journal</i> 24.2 (2020): 5-7.</li>\r\n</ol>','Improve Brain Fitness and Parkinson\'s Disease Risk with Exercise','','inherit','closed','closed','','1516-revision-v1','','','2020-06-26 23:58:32','2020-06-26 23:58:32','',1516,'https://www.drfields.com/uncategorized/1516-revision-v1/',0,'revision','',0),(3769,9,'2020-06-27 00:02:38','2020-06-27 00:02:38','<img class=\"wp-image-3766 size-full alignleft\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/photo-1559757175-5700dde675bc.jpg\" alt=\"Photo 1559757175 5700dde675bc\" width=\"400\" height=\"225\" />\r\n\r\nWe all know that exercise is good for the body. New scientific evidence also confirms that exercise strengthens the brain. In fact, moderate exercise nourishes the brain, improves our ability to learn, boosts mental performance, remodels the brain, and helps prevent the brain from aging.\r\n\r\nScientists used to think the adult brain structure was fixed. The thought was that no new cells could be made or the brain altered in any way after adolescence. Exercise can change that. Physical activity can boost blood flow all through the body, even to the brain. This boost of blood flow increases the ability of brain cells to connect with each other. Increased connectivity can occur by simply walking. More vigorous exercise, such as running, leads to faster reaction times and improved learning. Physical activity has been linked to a lower risk of the development of cognitive decline, because it is, in essence, a fertilizer for the brain, nourishing it and improving attention, memory and information processing. Exercise can help reduce the risk of Parkinson\'s Disease.\r\n\r\n<strong>What Does the Literature Say About Exercise and Parkinson\'s Disease?</strong>\r\n\r\nA June 2020 article in <em>Frontiers in Aging Neuroscience</em> reports that \"Epidemiological studies of prospectively followed cohorts have shown a <strong>lower risk</strong> for later developing Parkinson\'s Disease in healthy people who report <strong>moderate to high levels of physical activity</strong>, and slower rates of motor and non-motor symptom progression in people with Parkinson\'s Disease who report higher baseline physical activity.\"1 As you can see, the literature shows a direct benefit of exercise on the brain. Dementia is the most feared aspect of Parkinson’s, but adults who engage in exercise during midlife, are able to significantly reduce the risks of dementia and cognitive impairment later in life.\r\n<div class=\"page\" title=\"Page 2\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\nThe <em>American College of Sports Medicine</em> recommends the following:<em> \"</em>Because Parkinson\'s Disease is a chronic and progressive disorder, an exercise program should be prescribed early when the individual is first diagnosed, should continue throughout life and should be reviewed and revised as the disease progresses. Exercise prescription should ultimately aim to slow the rate at which the signs of the disease progress, limit comorbidities, minimize complications associated with muscle disuse, and maintain the ability to live an independent life.\"<a href=\"https://www.revdesportiva.pt/files/para_publicar/Exercising_for_People_with_Parkinson_s_Disease_and.pdf\">2</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\nExercise reshapes the brain. When we don’t use our muscles, they atrophy. The brain is no different. Boost the health of brain cells, stimulate the growth of new blood vessels in the brain, and encourage new neuronal connections through exercise. Start your day with exercise! Exercise helps us to be fit in so many capacities. Exercising in the morning prepares you for the day by enhancing brain activity, improving information retention, and fine-tuning your ability to react to the situations and stressors that come your way. Exercise also helps our brains to be fit and reduces the risk of Parkinson\'s Disease.\r\n<ol>\r\n 	<li>Crotty, Grace F., and Michael A. Schwarzschild. \"Chasing Protection in Parkinson’s Disease: Does Exercise Reduce Risk and Progression?.\" <i>Frontiers in Aging Neuroscience</i> 12 (2020): 186.</li>\r\n 	<li>Corcos, Daniel M., and Elizabeth M. Skender. \"Exercising for People with Parkinson’s Disease and Their Support Group.\" <i>ACSM\'s Health &amp; Fitness Journal</i> 24.2 (2020): 5-7.</li>\r\n</ol>','Improve Brain Fitness and Parkinson\'s Disease Risk with Exercise','','inherit','closed','closed','','1516-revision-v1','','','2020-06-27 00:02:38','2020-06-27 00:02:38','',1516,'https://www.drfields.com/uncategorized/1516-revision-v1/',0,'revision','',0),(3770,9,'2020-06-27 00:05:58','2020-06-27 00:05:58','<img class=\"wp-image-3766 size-full alignleft\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/photo-1559757175-5700dde675bc.jpg\" alt=\"Photo 1559757175 5700dde675bc\" width=\"400\" height=\"225\" />\r\n\r\n<strong>Exercise Strengthens the Brain</strong>\r\n\r\nWe all know that exercise is good for the body. New scientific evidence also confirms that exercise strengthens the brain. In fact, moderate exercise nourishes the brain, improves our ability to learn, boosts mental performance, remodels the brain, and helps prevent the brain from aging.\r\n\r\nScientists used to think the adult brain structure was fixed. The thought was that no new cells could be made or the brain altered in any way after adolescence. Exercise can change that. Physical activity can boost blood flow all through the body, even to the brain. This boost of blood flow increases the ability of brain cells to connect with each other. Increased connectivity can occur by simply walking. More vigorous exercise, such as running, leads to faster reaction times and improved learning. Physical activity has been linked to a lower risk of the development of cognitive decline, because it is, in essence, a fertilizer for the brain, nourishing it and improving attention, memory and information processing. Exercise can help reduce the risk of Parkinson\'s Disease.\r\n\r\n<strong>What Does the Literature Say About Exercise and Parkinson\'s Disease?</strong>\r\n\r\nA June 2020 article in <em>Frontiers in Aging Neuroscience</em> reports that \"Epidemiological studies of prospectively followed cohorts have shown a <strong>lower risk</strong> for later developing Parkinson\'s Disease in healthy people who report <strong>moderate to high levels of physical activity</strong>, and slower rates of motor and non-motor symptom progression in people with Parkinson\'s Disease who report higher baseline physical activity.\"1 As you can see, the literature shows a direct benefit of exercise on the brain. Dementia is the most feared aspect of Parkinson’s, but adults who engage in exercise during midlife, are able to significantly reduce the risks of dementia and cognitive impairment later in life.\r\n<div class=\"page\" title=\"Page 2\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\nThe <em>American College of Sports Medicine</em> recommends the following:<em> \"</em>Because Parkinson\'s Disease is a chronic and progressive disorder, an exercise program should be prescribed early when the individual is first diagnosed, should continue throughout life and should be reviewed and revised as the disease progresses. Exercise prescription should ultimately aim to slow the rate at which the signs of the disease progress, limit comorbidities, minimize complications associated with muscle disuse, and maintain the ability to live an independent life.\"<a href=\"https://www.revdesportiva.pt/files/para_publicar/Exercising_for_People_with_Parkinson_s_Disease_and.pdf\">2</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\nExercise reshapes the brain. When we don’t use our muscles, they atrophy. The brain is no different. Boost the health of brain cells, stimulate the growth of new blood vessels in the brain, and encourage new neuronal connections through exercise. Start your day with exercise! Exercise helps us to be fit in so many capacities. Exercising in the morning prepares you for the day by enhancing brain activity, improving information retention, and fine-tuning your ability to react to the situations and stressors that come your way. Exercise also helps our brains to be fit and reduces the risk of Parkinson\'s Disease.\r\n<ol>\r\n 	<li>Crotty, Grace F., and Michael A. Schwarzschild. \"Chasing Protection in Parkinson’s Disease: Does Exercise Reduce Risk and Progression?.\" <i>Frontiers in Aging Neuroscience</i> 12 (2020): 186.</li>\r\n 	<li>Corcos, Daniel M., and Elizabeth M. Skender. \"Exercising for People with Parkinson’s Disease and Their Support Group.\" <i>ACSM\'s Health &amp; Fitness Journal</i> 24.2 (2020): 5-7.</li>\r\n</ol>','Improve Brain Fitness and Parkinson\'s Disease Risk with Exercise','','inherit','closed','closed','','1516-revision-v1','','','2020-06-27 00:05:58','2020-06-27 00:05:58','',1516,'https://www.drfields.com/uncategorized/1516-revision-v1/',0,'revision','',0),(3771,9,'2020-06-27 00:07:08','2020-06-27 00:07:08','<img class=\"wp-image-3766 size-full alignleft\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/photo-1559757175-5700dde675bc.jpg\" alt=\"Photo 1559757175 5700dde675bc\" width=\"400\" height=\"225\" />\r\n\r\n<strong>Exercise Strengthens the Brain</strong>\r\n\r\nWe all know that exercise is good for the body. Did you know that new scientific evidence also confirms that exercise strengthens the brain? It sure does! In fact, moderate exercise nourishes the brain, improves our ability to learn, boosts mental performance, remodels the brain, and helps prevent the brain from aging.\r\n\r\nScientists used to think the adult brain structure was fixed. The thought was that no new cells could be made or the brain altered in any way after adolescence. Exercise can change that. Physical activity can boost blood flow all through the body, even to the brain. This boost of blood flow increases the ability of brain cells to connect with each other. Increased connectivity can occur by simply walking. More vigorous exercise, such as running, leads to faster reaction times and improved learning. Physical activity has been linked to a lower risk of the development of cognitive decline, because it is, in essence, a fertilizer for the brain, nourishing it and improving attention, memory and information processing. Exercise can help reduce the risk of Parkinson\'s Disease.\r\n\r\n<strong>What Does the Literature Say About Exercise and Parkinson\'s Disease?</strong>\r\n\r\nA June 2020 article in <em>Frontiers in Aging Neuroscience</em> reports that \"Epidemiological studies of prospectively followed cohorts have shown a <strong>lower risk</strong> for later developing Parkinson\'s Disease in healthy people who report <strong>moderate to high levels of physical activity</strong>, and slower rates of motor and non-motor symptom progression in people with Parkinson\'s Disease who report higher baseline physical activity.\"1 As you can see, the literature shows a direct benefit of exercise on the brain. Dementia is the most feared aspect of Parkinson’s, but adults who engage in exercise during midlife, are able to significantly reduce the risks of dementia and cognitive impairment later in life.\r\n<div class=\"page\" title=\"Page 2\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\nThe <em>American College of Sports Medicine</em> recommends the following:<em> \"</em>Because Parkinson\'s Disease is a chronic and progressive disorder, an exercise program should be prescribed early when the individual is first diagnosed, should continue throughout life and should be reviewed and revised as the disease progresses. Exercise prescription should ultimately aim to slow the rate at which the signs of the disease progress, limit comorbidities, minimize complications associated with muscle disuse, and maintain the ability to live an independent life.\"<a href=\"https://www.revdesportiva.pt/files/para_publicar/Exercising_for_People_with_Parkinson_s_Disease_and.pdf\">2</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\nExercise reshapes the brain. When we don’t use our muscles, they atrophy. The brain is no different. Boost the health of brain cells, stimulate the growth of new blood vessels in the brain, and encourage new neuronal connections through exercise. Start your day with exercise! Exercise helps us to be fit in so many capacities. Exercising in the morning prepares you for the day by enhancing brain activity, improving information retention, and fine-tuning your ability to react to the situations and stressors that come your way. Exercise also helps our brains to be fit and reduces the risk of Parkinson\'s Disease.\r\n<ol>\r\n 	<li>Crotty, Grace F., and Michael A. Schwarzschild. \"Chasing Protection in Parkinson’s Disease: Does Exercise Reduce Risk and Progression?.\" <i>Frontiers in Aging Neuroscience</i> 12 (2020): 186.</li>\r\n 	<li>Corcos, Daniel M., and Elizabeth M. Skender. \"Exercising for People with Parkinson’s Disease and Their Support Group.\" <i>ACSM\'s Health &amp; Fitness Journal</i> 24.2 (2020): 5-7.</li>\r\n</ol>','Improve Brain Fitness and Parkinson\'s Disease Risk with Exercise','','inherit','closed','closed','','1516-revision-v1','','','2020-06-27 00:07:08','2020-06-27 00:07:08','',1516,'https://www.drfields.com/uncategorized/1516-revision-v1/',0,'revision','',0),(3772,9,'2020-06-27 00:12:47','2020-06-27 00:12:47','<img class=\"wp-image-3766 size-full alignleft\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/photo-1559757175-5700dde675bc.jpg\" alt=\"Photo 1559757175 5700dde675bc\" width=\"400\" height=\"225\" />\r\n\r\n<strong>Exercise Strengthens the Brain</strong>\r\n\r\nWe all know that exercise is good for the body. But did you know that new scientific evidence also confirms that exercise strengthens the brain? It sure does! In fact, moderate exercise nourishes the brain, improves our ability to learn, boosts mental performance, remodels the brain, and helps prevent the brain from aging.\r\n\r\nScientists used to think the adult brain structure was fixed. They used to think that no new cells could be made or the brain altered in any way after adolescence. But exercise can change that! Physical activity can boost blood flow all through the body, even to the brain. And this boost of blood flow increases the ability of brain cells to connect with each other. Increased connectivity can occur by simply walking. And if you exercise more vigorously, like running, faster reaction times and improved learning will result. Physical activity has been linked to a lower risk of the development of cognitive decline, because it is, in essence, a fertilizer for the brain, nourishing it and improving attention, memory and information processing. Exercise can help reduce the risk of Parkinson\'s Disease.\r\n\r\n<strong>What Does the Literature Say About Exercise and Parkinson\'s Disease?</strong>\r\n\r\nA June 2020 article in <em>Frontiers in Aging Neuroscience</em> reports that \"Epidemiological studies of prospectively followed cohorts have shown a <strong>lower risk</strong> for later developing Parkinson\'s Disease in healthy people who report <strong>moderate to high levels of physical activity</strong>, and slower rates of motor and non-motor symptom progression in people with Parkinson\'s Disease who report higher baseline physical activity.\"1 As you can see, the literature shows a direct benefit of exercise on the brain. Dementia is the most feared aspect of Parkinson’s, but adults who engage in exercise during midlife, are able to significantly reduce the risks of dementia and cognitive impairment later in life.\r\n<div class=\"page\" title=\"Page 2\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\nThe <em>American College of Sports Medicine</em> recommends the following:<em> \"</em>Because Parkinson\'s Disease is a chronic and progressive disorder, an exercise program should be prescribed early when the individual is first diagnosed, should continue throughout life and should be reviewed and revised as the disease progresses. Exercise prescription should ultimately aim to slow the rate at which the signs of the disease progress, limit comorbidities, minimize complications associated with muscle disuse, and maintain the ability to live an independent life.\"<a href=\"https://www.revdesportiva.pt/files/para_publicar/Exercising_for_People_with_Parkinson_s_Disease_and.pdf\">2</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\nExercise reshapes the brain. When we don’t use our muscles, they atrophy. The brain is no different. Boost the health of brain cells, stimulate the growth of new blood vessels in the brain, and encourage new neuronal connections through exercise. Start your day with exercise! Exercise helps us to be fit in so many capacities. Exercising in the morning prepares you for the day by enhancing brain activity, improving information retention, and fine-tuning your ability to react to the situations and stressors that come your way. Exercise also helps our brains to be fit and reduces the risk of Parkinson\'s Disease.\r\n<ol>\r\n 	<li>Crotty, Grace F., and Michael A. Schwarzschild. \"Chasing Protection in Parkinson’s Disease: Does Exercise Reduce Risk and Progression?.\" <i>Frontiers in Aging Neuroscience</i> 12 (2020): 186.</li>\r\n 	<li>Corcos, Daniel M., and Elizabeth M. Skender. \"Exercising for People with Parkinson’s Disease and Their Support Group.\" <i>ACSM\'s Health &amp; Fitness Journal</i> 24.2 (2020): 5-7.</li>\r\n</ol>','Exercise Improves Brain Fitness and Reduces Parkinson\'s Disease Risk','','inherit','closed','closed','','1516-revision-v1','','','2020-06-27 00:12:47','2020-06-27 00:12:47','',1516,'https://www.drfields.com/uncategorized/1516-revision-v1/',0,'revision','',0),(3773,9,'2020-06-27 00:20:17','2020-06-27 00:20:17','<h2></h2>\r\n<img class=\"size-full wp-image-1003 alignleft\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/drfields-bio-img-1.jpg\" alt=\"Man Knee Pain\" />\r\n\r\n<a href=\"https://www.drfields.com/wp-content/uploads/2019/06/Prolotherapy_lecture.pdf\">Download Dr. Fields Prolotherapy Lecture  </a>','Download Dr. Fields Prolotherapy Lecture Today','','inherit','closed','closed','','1434-revision-v1','','','2020-06-27 00:20:17','2020-06-27 00:20:17','',1434,'https://www.drfields.com/uncategorized/1434-revision-v1/',0,'revision','',0),(3774,9,'2020-06-30 03:06:06','2020-06-30 03:06:06','<h1>Are You Considering Surgery for Joint Pain?</h1>\n<img class=\"wp-image-3775 alignleft\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Claire.-pro-triathlete-2-Copy-2-500x500.png\" alt=\"Claire. Pro Triathlete 2 Copy 2\" width=\"358\" height=\"358\" />\n\nMost orthopedic surgeries for joint pain do not require a quick decision. That is why they are called elective surgeries. The surgeon, the hospital, or you can choose whether or not to have them.\n\n<em>Remember that once the surgery is done, it cannot be undone.</em> Surgery also requires time off of work and rehabilitation time.\n<h4><strong>Try Conservative Treatments First for Joint Pain</strong></h4>\nBefore you rush into anything, consider your options. Begin with conservative treatments. Look into non-surgical therapies too.\n\n&nbsp;\n<h2><strong>Regenerative Orthopedics </strong></h2>\n<h2><em><strong>Great Non-Surgical Alternatives</strong></em></h2>\nNon-surgical alternatives, like Regenerative Orthopedics, are great treatments that are effective at repairing joint conditions that keep people from doing what they love. Even if you have seen an Orthopedic Surgeon, you should also see an experienced Regenerative Orthopedic physician for an evaluation.\n\nAre you suffering from arthritis joint pain? Regenerative Orthopedic treatments, like Stem Cell Therapy, PRP, and Prolotherapy, can stop joint pain without surgery. Studies show that these treatments are \"effective at reducing pain and improving the functional status and quality of life in patients with knee osteoarthritis.\"<a href=\"https://www.liebertpub.com/doi/abs/10.1089/acm.2019.0335\">1</a>\n<h3><strong>Prolotherapy Has a Track Record of Reducing Joint Pain</strong></h3>\n<div class=\"page\" title=\"Page 1\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n\nProlotherapy is one type of Regenerative Orthopedics used to treat painful joint conditions like arthritis. And it\'s not a new therapy either. Prolotherapy has been around since the 1950s and has been studied quite a bit. The treatment is still getting positive results in the studies. Researchers demonstrated once again just this year that Prolotherapy reduces pain and improves the quality of life of those who receive it.<a href=\"https://www.annfammed.org/content/annalsfm/18/3/235.full.pdf\">2</a>\n\n</div>\n</div>\n</div>\nThe majority of patients do great and are at least 80-90% better.  Those are great results, especially considering that surgery is not required to achieve them! Less pain, more function, and no surgery.\n\nOnce the OrthoRegen team lets you know you are a good candidate for Regenerative Orthopedics, the treatments can begin. Four or five treatments are generally required. Virtually no downtime is necessary. Plus, you don\'t have to have weeks of therapy. Regenerative Orthopedics helps you get back to the activities you love quickly!\n\nRemember that it is your body and you should feel comfortable with the decision on how to treat it.\nUltimately, the decision is yours.\n\n<a class=\"buttonlink\" href=\"/Contact\">To Learn More Contact Us Today! It\'s Free</a>\n<blockquote>1 Sert, Alketa T., et al. \"The Effects of Dextrose Prolotherapy in Symptomatic Knee Osteoarthritis: A Randomized Controlled Study.\" The Journal of Alternative and Complementary Medicine 26.5 (2020): 409-417.\n\n2 Sit, Regina Wing Shan, et al. \"Efficacy of Intra-Articular Hypertonic Dextrose (Prolotherapy) for Knee Osteoarthritis: A Randomized Controlled Trial.\" <i>The Annals of Family Medicine</i>18.3 (2020): 235-242.</blockquote>','Surgery for Joint Pain? Think Again!','','inherit','closed','closed','','1463-autosave-v1','','','2020-06-30 03:06:06','2020-06-30 03:06:06','',1463,'https://www.drfields.com/uncategorized/1463-autosave-v1/',0,'revision','',0),(3775,9,'2020-06-30 01:48:27','2020-06-30 01:48:27','Claire. Pro Triathlete 2 Copy 2','Claire. Pro Triathlete 2 Copy 2','Claire. Pro Triathlete 2 Copy 2','inherit','open','closed','','claire-pro-triathlete-2-copy-2','','','2020-06-30 01:48:27','2020-06-30 01:48:27','',1463,'https://www.drfields.com/wp-content/uploads/2019/06/Claire.-pro-triathlete-2-Copy-2.png',0,'attachment','image/png',0),(3776,9,'2020-06-30 02:14:49','2020-06-30 02:14:49','<h6></h6>\r\n<img class=\"wp-image-3775 \" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Claire.-pro-triathlete-2-Copy-2-500x500.png\" alt=\"Claire. Pro Triathlete 2 Copy 2\" width=\"358\" height=\"358\" />\r\n\r\nMost orthopedic surgeries do not require a quick decision. That is why they are called elective surgeries. The surgeon, the hospital, or you can choose whether or not to have them. Remember that once the surgery is done, it cannot be undone. This is important to consider because there is a possibility of the surgery not working out as planned. Surgery also requires time off of work and rehabilitation time.\r\n\r\nSo, before you rush into anything, consider your options. Begin with conservative treatments. Look into non-surgical therapies. Non-surgical alternatives, like Regenerative Orthopedics, are great treatments that are effective at repairing many joint conditions. Even if you have seen an Orthopedic Surgeon, you should also see an experienced Regenerative Orthopedic physician for an evaluation.\r\n\r\nAre you suffering from arthritis pain? Regenerative Orthopedic treatments, like Stem Cell Therapy, PRP, and Prolotherapy, can stop joint pain without surgery. Studies show that these treatments are \"effective at reducing pain and improving the functional status and quality of life in patients with knee osteoarthritis.\"<a href=\"https://www.liebertpub.com/doi/abs/10.1089/acm.2019.0335\">1</a>\r\n<div class=\"page\" title=\"Page 1\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\nProlotherapy is one type of Regenerative Orthopedics that has been used to treat painful joint conditions, like arthritis. It\'s not a new therapy either. Prolotherapy has been used since the 1950s and has been studied quite a bit. Studies show that Prolotherapy heals the joint and provided lasting pain control because it actually repairs the joint.\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<a class=\"buttonlink\" href=\"/Contact\">To Learn More Contact Us Today! It\'s Free</a>\r\n\r\nIf you are a good candidate for Regenerative Orthopedics, four or five treatments are generally required. If this does not help, you will be no worse off. A general rule is that you should be at least 50% better after these treatments (usually you do not even need that many). Most patients do great and are at least 80-90% better with less pain and more function.\r\n\r\nRemember that it is your body and you should feel comfortable with the decision on how to treat it.\r\nUltimately, the decision is yours.\r\n<blockquote>1 Sert, Alketa T., et al. \"The Effects of Dextrose Prolotherapy in Symptomatic Knee Osteoarthritis: A Randomized Controlled Study.\" The Journal of Alternative and Complementary Medicine 26.5 (2020): 409-417.</blockquote>','Joint Surgery? Think Again! Learn About Regenerative Orthopedics','','inherit','closed','closed','','1463-revision-v1','','','2020-06-30 02:14:49','2020-06-30 02:14:49','',1463,'https://www.drfields.com/uncategorized/1463-revision-v1/',0,'revision','',0),(3777,9,'2020-06-30 02:26:22','2020-06-30 02:26:22','<h6></h6>\r\n<img class=\"wp-image-3775  alignleft\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Claire.-pro-triathlete-2-Copy-2-500x500.png\" alt=\"Claire. Pro Triathlete 2 Copy 2\" width=\"358\" height=\"358\" />\r\n\r\nMost orthopedic surgeries do not require a quick decision. That is why they are called elective surgeries. The surgeon, the hospital, or you can choose whether or not to have them. Remember that once the surgery is done, it cannot be undone. This is important to consider because there is a possibility of the surgery not working out as planned. Surgery also requires time off of work and rehabilitation time.\r\n\r\nSo, before you rush into anything, consider your options. Begin with conservative treatments. Look into non-surgical therapies. Non-surgical alternatives, like Regenerative Orthopedics, are great treatments that are effective at repairing many joint conditions. Even if you have seen an Orthopedic Surgeon, you should also see an experienced Regenerative Orthopedic physician for an evaluation.\r\n\r\nAre you suffering from arthritis pain? Regenerative Orthopedic treatments, like Stem Cell Therapy, PRP, and Prolotherapy, can stop joint pain without surgery. Studies show that these treatments are \"effective at reducing pain and improving the functional status and quality of life in patients with knee osteoarthritis.\"<a href=\"https://www.liebertpub.com/doi/abs/10.1089/acm.2019.0335\">1</a>\r\n<div class=\"page\" title=\"Page 1\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\nProlotherapy is one type of Regenerative Orthopedics used to treat painful joint conditions like arthritis. And it\'s not a new therapy either. Prolotherapy has been around since the 1950s and has been studied quite a bit. And it is still being researched. A study this year demonstrated once again that Prolotherapy improves the quality of life of those who receive it because it reduces pain.<a href=\"https://www.annfammed.org/content/annalsfm/18/3/235.full.pdf\">2</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\nIf you are a good candidate for Regenerative Orthopedics, four or five treatments are generally required. If this does not help, you will be no worse off. A general rule is that you should be at least 50% better after these treatments (usually you do not even need that many). Most patients do great and are at least 80-90% better with less pain and more function.\r\n\r\nRemember that it is your body and you should feel comfortable with the decision on how to treat it.\r\nUltimately, the decision is yours.\r\n\r\n<a class=\"buttonlink\" href=\"/Contact\">To Learn More Contact Us Today! It\'s Free</a>\r\n<blockquote>1 Sert, Alketa T., et al. \"The Effects of Dextrose Prolotherapy in Symptomatic Knee Osteoarthritis: A Randomized Controlled Study.\" The Journal of Alternative and Complementary Medicine 26.5 (2020): 409-417.\r\n\r\n2 Sit, Regina Wing Shan, et al. \"Efficacy of Intra-Articular Hypertonic Dextrose (Prolotherapy) for Knee Osteoarthritis: A Randomized Controlled Trial.\" <i>The Annals of Family Medicine</i>18.3 (2020): 235-242.</blockquote>','Joint Surgery? Think Again! Learn About Regenerative Orthopedics','','inherit','closed','closed','','1463-revision-v1','','','2020-06-30 02:26:22','2020-06-30 02:26:22','',1463,'https://www.drfields.com/uncategorized/1463-revision-v1/',0,'revision','',0),(3778,9,'2020-06-30 02:28:31','2020-06-30 02:28:31','<h6></h6>\r\n<img class=\"wp-image-3775 alignleft\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Claire.-pro-triathlete-2-Copy-2-500x500.png\" alt=\"Claire. Pro Triathlete 2 Copy 2\" width=\"358\" height=\"358\" />\r\n\r\nMost orthopedic surgeries do not require a quick decision. That is why they are called elective surgeries. The surgeon, the hospital, or you can choose whether or not to have them. Remember that once the surgery is done, it cannot be undone. This is important to consider because there is a possibility of the surgery not working out as planned. Surgery also requires time off of work and rehabilitation time.\r\n\r\n<strong>Look Into Conservative Treatments First</strong>\r\n\r\nSo, before you rush into anything, consider your options. Begin with conservative treatments. Look into non-surgical therapies.\r\n\r\nNon-surgical alternatives, like Regenerative Orthopedics, are great treatments that are effective at repairing many joint conditions. Even if you have seen an Orthopedic Surgeon, you should also see an experienced Regenerative Orthopedic physician for an evaluation.\r\n\r\nAre you suffering from arthritis pain? Regenerative Orthopedic treatments, like Stem Cell Therapy, PRP, and Prolotherapy, can stop joint pain without surgery. Studies show that these treatments are \"effective at reducing pain and improving the functional status and quality of life in patients with knee osteoarthritis.\"<a href=\"https://www.liebertpub.com/doi/abs/10.1089/acm.2019.0335\">1</a>\r\n<div class=\"page\" title=\"Page 1\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\nProlotherapy is one type of Regenerative Orthopedics used to treat painful joint conditions like arthritis. And it\'s not a new therapy either. Prolotherapy has been around since the 1950s and has been studied quite a bit.\r\n\r\nAnd it is still being researched. A study this year demonstrated once again that Prolotherapy improves the quality of life of those who receive it because it reduces pain.<a href=\"https://www.annfammed.org/content/annalsfm/18/3/235.full.pdf\">2</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\nIf you are a good candidate for Regenerative Orthopedics, four or five treatments are generally required. If this does not help, you will be no worse off. A general rule is that you should be at least 50% better after these treatments (usually you do not even need that many). Most patients do great and are at least 80-90% better with less pain and more function.\r\n\r\nRemember that it is your body and you should feel comfortable with the decision on how to treat it.\r\nUltimately, the decision is yours.\r\n\r\n<a class=\"buttonlink\" href=\"/Contact\">To Learn More Contact Us Today! It\'s Free</a>\r\n<blockquote>1 Sert, Alketa T., et al. \"The Effects of Dextrose Prolotherapy in Symptomatic Knee Osteoarthritis: A Randomized Controlled Study.\" The Journal of Alternative and Complementary Medicine 26.5 (2020): 409-417.\r\n\r\n2 Sit, Regina Wing Shan, et al. \"Efficacy of Intra-Articular Hypertonic Dextrose (Prolotherapy) for Knee Osteoarthritis: A Randomized Controlled Trial.\" <i>The Annals of Family Medicine</i>18.3 (2020): 235-242.</blockquote>','Joint Surgery? Think Again! Learn About Regenerative Orthopedics','','inherit','closed','closed','','1463-revision-v1','','','2020-06-30 02:28:31','2020-06-30 02:28:31','',1463,'https://www.drfields.com/uncategorized/1463-revision-v1/',0,'revision','',0),(3779,9,'2020-06-30 02:29:15','2020-06-30 02:29:15','<h6></h6>\r\n<img class=\"wp-image-3775 alignleft\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Claire.-pro-triathlete-2-Copy-2-500x500.png\" alt=\"Claire. Pro Triathlete 2 Copy 2\" width=\"358\" height=\"358\" />\r\n\r\nMost orthopedic surgeries do not require a quick decision. That is why they are called elective surgeries. The surgeon, the hospital, or you can choose whether or not to have them.\r\n\r\nRemember that once the surgery is done, it cannot be undone. This is important to consider because there is a possibility of the surgery not working out as planned. Surgery also requires time off of work and rehabilitation time.\r\n\r\n<strong>Look Into Conservative Treatments First</strong>\r\n\r\nSo, before you rush into anything, consider your options. Begin with conservative treatments. Look into non-surgical therapies.\r\n\r\nNon-surgical alternatives, like Regenerative Orthopedics, are great treatments that are effective at repairing many joint conditions. Even if you have seen an Orthopedic Surgeon, you should also see an experienced Regenerative Orthopedic physician for an evaluation.\r\n\r\nAre you suffering from arthritis pain? Regenerative Orthopedic treatments, like Stem Cell Therapy, PRP, and Prolotherapy, can stop joint pain without surgery. Studies show that these treatments are \"effective at reducing pain and improving the functional status and quality of life in patients with knee osteoarthritis.\"<a href=\"https://www.liebertpub.com/doi/abs/10.1089/acm.2019.0335\">1</a>\r\n<div class=\"page\" title=\"Page 1\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\nProlotherapy is one type of Regenerative Orthopedics used to treat painful joint conditions like arthritis. And it\'s not a new therapy either. Prolotherapy has been around since the 1950s and has been studied quite a bit. And it is still being researched. A study this year demonstrated once again that Prolotherapy improves the quality of life of those who receive it because it reduces pain.<a href=\"https://www.annfammed.org/content/annalsfm/18/3/235.full.pdf\">2</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\nIf you are a good candidate for Regenerative Orthopedics, four or five treatments are generally required. If this does not help, you will be no worse off. A general rule is that you should be at least 50% better after these treatments (usually you do not even need that many). Most patients do great and are at least 80-90% better with less pain and more function.\r\n\r\nRemember that it is your body and you should feel comfortable with the decision on how to treat it.\r\nUltimately, the decision is yours.\r\n\r\n<a class=\"buttonlink\" href=\"/Contact\">To Learn More Contact Us Today! It\'s Free</a>\r\n<blockquote>1 Sert, Alketa T., et al. \"The Effects of Dextrose Prolotherapy in Symptomatic Knee Osteoarthritis: A Randomized Controlled Study.\" The Journal of Alternative and Complementary Medicine 26.5 (2020): 409-417.\r\n\r\n2 Sit, Regina Wing Shan, et al. \"Efficacy of Intra-Articular Hypertonic Dextrose (Prolotherapy) for Knee Osteoarthritis: A Randomized Controlled Trial.\" <i>The Annals of Family Medicine</i>18.3 (2020): 235-242.</blockquote>','Joint Surgery? Think Again! Learn About Regenerative Orthopedics','','inherit','closed','closed','','1463-revision-v1','','','2020-06-30 02:29:15','2020-06-30 02:29:15','',1463,'https://www.drfields.com/uncategorized/1463-revision-v1/',0,'revision','',0),(3780,9,'2020-06-30 02:44:03','2020-06-30 02:44:03','<h6></h6>\r\n<img class=\"wp-image-3775 alignleft\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Claire.-pro-triathlete-2-Copy-2-500x500.png\" alt=\"Claire. Pro Triathlete 2 Copy 2\" width=\"358\" height=\"358\" />\r\n\r\nMost orthopedic surgeries do not require a quick decision. That is why they are called elective surgeries. The surgeon, the hospital, or you can choose whether or not to have them. Remember that once the surgery is done, it cannot be undone. Surgery also requires time off of work and rehabilitation time.\r\n\r\n<strong>Look Into Conservative Treatments First</strong>\r\n\r\nSo, before you rush into anything, consider your options. Begin with conservative treatments. Look into non-surgical therapies too.\r\n\r\nNon-surgical alternatives, like Regenerative Orthopedics, are great treatments that are effective at repairing joint conditions that keep people from doing what they love. Even if you have seen an Orthopedic Surgeon, you should also see an experienced Regenerative Orthopedic physician for an evaluation.\r\n\r\nAre you suffering from arthritis pain? Regenerative Orthopedic treatments, like Stem Cell Therapy, PRP, and Prolotherapy, can stop joint pain without surgery. Studies show that these treatments are \"effective at reducing pain and improving the functional status and quality of life in patients with knee osteoarthritis.\"<a href=\"https://www.liebertpub.com/doi/abs/10.1089/acm.2019.0335\">1</a>\r\n<div class=\"page\" title=\"Page 1\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\nProlotherapy is one type of Regenerative Orthopedics used to treat painful joint conditions like arthritis. And it\'s not a new therapy either. Prolotherapy has been around since the 1950s and has been studied quite a bit. The treatment is still getting positive results in the studies. Researchers demonstrated once again just this year that Prolotherapy reduces pain and improves the quality of life of those who receive it.<a href=\"https://www.annfammed.org/content/annalsfm/18/3/235.full.pdf\">2</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\nThe majority of patients do great and are at least 80-90% better.  Those are great results, especially considering that surgery is not required to achieve them! Less pain, more function, and no surgery. Once the OrthoRegen team lets you know you are a good candidate for Regenerative Orthopedics, the treatments can begin. Four or five treatments are generally required. Virtually no downtime is necessary. Plus, you don\'t have to have weeks of therapy. Regenerative Orthopedics helps you get back to the activities you love quickly!\r\n\r\nRemember that it is your body and you should feel comfortable with the decision on how to treat it.\r\nUltimately, the decision is yours.\r\n\r\n<a class=\"buttonlink\" href=\"/Contact\">To Learn More Contact Us Today! It\'s Free</a>\r\n<blockquote>1 Sert, Alketa T., et al. \"The Effects of Dextrose Prolotherapy in Symptomatic Knee Osteoarthritis: A Randomized Controlled Study.\" The Journal of Alternative and Complementary Medicine 26.5 (2020): 409-417.\r\n\r\n2 Sit, Regina Wing Shan, et al. \"Efficacy of Intra-Articular Hypertonic Dextrose (Prolotherapy) for Knee Osteoarthritis: A Randomized Controlled Trial.\" <i>The Annals of Family Medicine</i>18.3 (2020): 235-242.</blockquote>','Joint Surgery? Think Again! Learn About Regenerative Orthopedics','','inherit','closed','closed','','1463-revision-v1','','','2020-06-30 02:44:03','2020-06-30 02:44:03','',1463,'https://www.drfields.com/uncategorized/1463-revision-v1/',0,'revision','',0),(3781,9,'2020-06-30 02:46:42','2020-06-30 02:46:42','<h6></h6>\r\n<img class=\"wp-image-3775 alignleft\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Claire.-pro-triathlete-2-Copy-2-500x500.png\" alt=\"Claire. Pro Triathlete 2 Copy 2\" width=\"358\" height=\"358\" />\r\n\r\nMost orthopedic surgeries for joint pain do not require a quick decision. That is why they are called elective surgeries. The surgeon, the hospital, or you can choose whether or not to have them. Remember that once the surgery is done, it cannot be undone. Surgery also requires time off of work and rehabilitation time.\r\n\r\n<strong>Look Into Conservative Treatments First</strong>\r\n\r\nSo, before you rush into anything, consider your options. Begin with conservative treatments. Look into non-surgical therapies too.\r\n\r\nNon-surgical alternatives, like Regenerative Orthopedics, are great treatments that are effective at repairing joint conditions that keep people from doing what they love. Even if you have seen an Orthopedic Surgeon, you should also see an experienced Regenerative Orthopedic physician for an evaluation.\r\n\r\nAre you suffering from arthritis joint pain? Regenerative Orthopedic treatments, like Stem Cell Therapy, PRP, and Prolotherapy, can stop joint pain without surgery. Studies show that these treatments are \"effective at reducing pain and improving the functional status and quality of life in patients with knee osteoarthritis.\"<a href=\"https://www.liebertpub.com/doi/abs/10.1089/acm.2019.0335\">1</a>\r\n<div class=\"page\" title=\"Page 1\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\nProlotherapy is one type of Regenerative Orthopedics used to treat painful joint conditions like arthritis. And it\'s not a new therapy either. Prolotherapy has been around since the 1950s and has been studied quite a bit. The treatment is still getting positive results in the studies. Researchers demonstrated once again just this year that Prolotherapy reduces pain and improves the quality of life of those who receive it.<a href=\"https://www.annfammed.org/content/annalsfm/18/3/235.full.pdf\">2</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\nThe majority of patients do great and are at least 80-90% better.  Those are great results, especially considering that surgery is not required to achieve them! Less pain, more function, and no surgery. Once the OrthoRegen team lets you know you are a good candidate for Regenerative Orthopedics, the treatments can begin. Four or five treatments are generally required. Virtually no downtime is necessary. Plus, you don\'t have to have weeks of therapy. Regenerative Orthopedics helps you get back to the activities you love quickly!\r\n\r\nRemember that it is your body and you should feel comfortable with the decision on how to treat it.\r\nUltimately, the decision is yours.\r\n\r\n<a class=\"buttonlink\" href=\"/Contact\">To Learn More Contact Us Today! It\'s Free</a>\r\n<blockquote>1 Sert, Alketa T., et al. \"The Effects of Dextrose Prolotherapy in Symptomatic Knee Osteoarthritis: A Randomized Controlled Study.\" The Journal of Alternative and Complementary Medicine 26.5 (2020): 409-417.\r\n\r\n2 Sit, Regina Wing Shan, et al. \"Efficacy of Intra-Articular Hypertonic Dextrose (Prolotherapy) for Knee Osteoarthritis: A Randomized Controlled Trial.\" <i>The Annals of Family Medicine</i>18.3 (2020): 235-242.</blockquote>','Surgery for Joint Pain? Think Again!','','inherit','closed','closed','','1463-revision-v1','','','2020-06-30 02:46:42','2020-06-30 02:46:42','',1463,'https://www.drfields.com/uncategorized/1463-revision-v1/',0,'revision','',0),(3782,9,'2020-06-30 02:52:14','2020-06-30 02:52:14','<h6></h6>\r\n<img class=\"wp-image-3775 alignleft\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Claire.-pro-triathlete-2-Copy-2-500x500.png\" alt=\"Claire. Pro Triathlete 2 Copy 2\" width=\"358\" height=\"358\" />\r\n\r\nMost orthopedic surgeries for joint pain do not require a quick decision. That is why they are called elective surgeries. The surgeon, the hospital, or you can choose whether or not to have them. Remember that once the surgery is done, it cannot be undone. Surgery also requires time off of work and rehabilitation time.\r\n\r\n<strong>Try Conservative Treatments First for Joint Pain</strong>\r\n\r\nBefore you rush into anything, consider your options. Begin with conservative treatments. Look into non-surgical therapies too.\r\n\r\nNon-surgical alternatives, like Regenerative Orthopedics, are great treatments that are effective at repairing joint conditions that keep people from doing what they love. Even if you have seen an Orthopedic Surgeon, you should also see an experienced Regenerative Orthopedic physician for an evaluation.\r\n\r\nAre you suffering from arthritis joint pain? Regenerative Orthopedic treatments, like Stem Cell Therapy, PRP, and Prolotherapy, can stop joint pain without surgery. Studies show that these treatments are \"effective at reducing pain and improving the functional status and quality of life in patients with knee osteoarthritis.\"<a href=\"https://www.liebertpub.com/doi/abs/10.1089/acm.2019.0335\">1</a>\r\n<div class=\"page\" title=\"Page 1\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\nProlotherapy is one type of Regenerative Orthopedics used to treat painful joint conditions like arthritis. And it\'s not a new therapy either. Prolotherapy has been around since the 1950s and has been studied quite a bit. The treatment is still getting positive results in the studies. Researchers demonstrated once again just this year that Prolotherapy reduces pain and improves the quality of life of those who receive it.<a href=\"https://www.annfammed.org/content/annalsfm/18/3/235.full.pdf\">2</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\nThe majority of patients do great and are at least 80-90% better.  Those are great results, especially considering that surgery is not required to achieve them! Less pain, more function, and no surgery. Once the OrthoRegen team lets you know you are a good candidate for Regenerative Orthopedics, the treatments can begin. Four or five treatments are generally required. Virtually no downtime is necessary. Plus, you don\'t have to have weeks of therapy. Regenerative Orthopedics helps you get back to the activities you love quickly!\r\n\r\nRemember that it is your body and you should feel comfortable with the decision on how to treat it.\r\nUltimately, the decision is yours.\r\n\r\n<a class=\"buttonlink\" href=\"/Contact\">To Learn More Contact Us Today! It\'s Free</a>\r\n<blockquote>1 Sert, Alketa T., et al. \"The Effects of Dextrose Prolotherapy in Symptomatic Knee Osteoarthritis: A Randomized Controlled Study.\" The Journal of Alternative and Complementary Medicine 26.5 (2020): 409-417.\r\n\r\n2 Sit, Regina Wing Shan, et al. \"Efficacy of Intra-Articular Hypertonic Dextrose (Prolotherapy) for Knee Osteoarthritis: A Randomized Controlled Trial.\" <i>The Annals of Family Medicine</i>18.3 (2020): 235-242.</blockquote>','Surgery for Joint Pain? Think Again!','','inherit','closed','closed','','1463-revision-v1','','','2020-06-30 02:52:14','2020-06-30 02:52:14','',1463,'https://www.drfields.com/uncategorized/1463-revision-v1/',0,'revision','',0),(3783,9,'2020-06-30 02:52:55','2020-06-30 02:52:55','<h6></h6>\r\n<img class=\"wp-image-3775 alignleft\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Claire.-pro-triathlete-2-Copy-2-500x500.png\" alt=\"Claire. Pro Triathlete 2 Copy 2\" width=\"358\" height=\"358\" />\r\n\r\nMost orthopedic surgeries for joint pain do not require a quick decision. That is why they are called elective surgeries. The surgeon, the hospital, or you can choose whether or not to have them.\r\n\r\nRemember that once the surgery is done, it cannot be undone. Surgery also requires time off of work and rehabilitation time.\r\n\r\n<strong>Try Conservative Treatments First for Joint Pain</strong>\r\n\r\nBefore you rush into anything, consider your options. Begin with conservative treatments. Look into non-surgical therapies too.\r\n\r\nNon-surgical alternatives, like Regenerative Orthopedics, are great treatments that are effective at repairing joint conditions that keep people from doing what they love. Even if you have seen an Orthopedic Surgeon, you should also see an experienced Regenerative Orthopedic physician for an evaluation.\r\n\r\nAre you suffering from arthritis joint pain? Regenerative Orthopedic treatments, like Stem Cell Therapy, PRP, and Prolotherapy, can stop joint pain without surgery. Studies show that these treatments are \"effective at reducing pain and improving the functional status and quality of life in patients with knee osteoarthritis.\"<a href=\"https://www.liebertpub.com/doi/abs/10.1089/acm.2019.0335\">1</a>\r\n<div class=\"page\" title=\"Page 1\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\nProlotherapy is one type of Regenerative Orthopedics used to treat painful joint conditions like arthritis. And it\'s not a new therapy either. Prolotherapy has been around since the 1950s and has been studied quite a bit. The treatment is still getting positive results in the studies. Researchers demonstrated once again just this year that Prolotherapy reduces pain and improves the quality of life of those who receive it.<a href=\"https://www.annfammed.org/content/annalsfm/18/3/235.full.pdf\">2</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\nThe majority of patients do great and are at least 80-90% better.  Those are great results, especially considering that surgery is not required to achieve them! Less pain, more function, and no surgery.\r\n\r\nOnce the OrthoRegen team lets you know you are a good candidate for Regenerative Orthopedics, the treatments can begin. Four or five treatments are generally required. Virtually no downtime is necessary. Plus, you don\'t have to have weeks of therapy. Regenerative Orthopedics helps you get back to the activities you love quickly!\r\n\r\nRemember that it is your body and you should feel comfortable with the decision on how to treat it.\r\nUltimately, the decision is yours.\r\n\r\n<a class=\"buttonlink\" href=\"/Contact\">To Learn More Contact Us Today! It\'s Free</a>\r\n<blockquote>1 Sert, Alketa T., et al. \"The Effects of Dextrose Prolotherapy in Symptomatic Knee Osteoarthritis: A Randomized Controlled Study.\" The Journal of Alternative and Complementary Medicine 26.5 (2020): 409-417.\r\n\r\n2 Sit, Regina Wing Shan, et al. \"Efficacy of Intra-Articular Hypertonic Dextrose (Prolotherapy) for Knee Osteoarthritis: A Randomized Controlled Trial.\" <i>The Annals of Family Medicine</i>18.3 (2020): 235-242.</blockquote>','Surgery for Joint Pain? Think Again!','','inherit','closed','closed','','1463-revision-v1','','','2020-06-30 02:52:55','2020-06-30 02:52:55','',1463,'https://www.drfields.com/uncategorized/1463-revision-v1/',0,'revision','',0),(3784,9,'2020-06-30 02:56:39','2020-06-30 02:56:39','<h6></h6>\r\n<img class=\"wp-image-3775 alignleft\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Claire.-pro-triathlete-2-Copy-2-500x500.png\" alt=\"Claire. Pro Triathlete 2 Copy 2\" width=\"358\" height=\"358\" />\r\n\r\nMost orthopedic surgeries for joint pain do not require a quick decision. That is why they are called elective surgeries. The surgeon, the hospital, or you can choose whether or not to have them.\r\n\r\nRemember that once the surgery is done, it cannot be undone. Surgery also requires time off of work and rehabilitation time.\r\n\r\n<strong>Try Conservative Treatments First for Joint Pain</strong>\r\n\r\nBefore you rush into anything, consider your options. Begin with conservative treatments. Look into non-surgical therapies too.\r\n\r\n<strong>Regenerative Orthopedics Are Great Non-Surgical Alternatives</strong>\r\n\r\nNon-surgical alternatives, like Regenerative Orthopedics, are great treatments that are effective at repairing joint conditions that keep people from doing what they love. Even if you have seen an Orthopedic Surgeon, you should also see an experienced Regenerative Orthopedic physician for an evaluation.\r\n\r\nAre you suffering from arthritis joint pain? Regenerative Orthopedic treatments, like Stem Cell Therapy, PRP, and Prolotherapy, can stop joint pain without surgery. Studies show that these treatments are \"effective at reducing pain and improving the functional status and quality of life in patients with knee osteoarthritis.\"<a href=\"https://www.liebertpub.com/doi/abs/10.1089/acm.2019.0335\">1</a>\r\n\r\n<strong>Prolotherapy Has a Track Record of Reducing Joint Pain</strong>\r\n<div class=\"page\" title=\"Page 1\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\nProlotherapy is one type of Regenerative Orthopedics used to treat painful joint conditions like arthritis. And it\'s not a new therapy either. Prolotherapy has been around since the 1950s and has been studied quite a bit. The treatment is still getting positive results in the studies. Researchers demonstrated once again just this year that Prolotherapy reduces pain and improves the quality of life of those who receive it.<a href=\"https://www.annfammed.org/content/annalsfm/18/3/235.full.pdf\">2</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\nThe majority of patients do great and are at least 80-90% better.  Those are great results, especially considering that surgery is not required to achieve them! Less pain, more function, and no surgery.\r\n\r\nOnce the OrthoRegen team lets you know you are a good candidate for Regenerative Orthopedics, the treatments can begin. Four or five treatments are generally required. Virtually no downtime is necessary. Plus, you don\'t have to have weeks of therapy. Regenerative Orthopedics helps you get back to the activities you love quickly!\r\n\r\nRemember that it is your body and you should feel comfortable with the decision on how to treat it.\r\nUltimately, the decision is yours.\r\n\r\n<a class=\"buttonlink\" href=\"/Contact\">To Learn More Contact Us Today! It\'s Free</a>\r\n<blockquote>1 Sert, Alketa T., et al. \"The Effects of Dextrose Prolotherapy in Symptomatic Knee Osteoarthritis: A Randomized Controlled Study.\" The Journal of Alternative and Complementary Medicine 26.5 (2020): 409-417.\r\n\r\n2 Sit, Regina Wing Shan, et al. \"Efficacy of Intra-Articular Hypertonic Dextrose (Prolotherapy) for Knee Osteoarthritis: A Randomized Controlled Trial.\" <i>The Annals of Family Medicine</i>18.3 (2020): 235-242.</blockquote>','Surgery for Joint Pain? Think Again!','','inherit','closed','closed','','1463-revision-v1','','','2020-06-30 02:56:39','2020-06-30 02:56:39','',1463,'https://www.drfields.com/uncategorized/1463-revision-v1/',0,'revision','',0),(3785,9,'2020-10-12 18:01:33','2020-10-12 18:01:33','<h2 style=\"text-align: center;\">Persistent Joint Pain Putting a Damper on Your Style?</h2>\n[caption id=\"attachment_3793\" align=\"alignright\" width=\"403\"]<img class=\"wp-image-3793\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Pain.-OrthoRegen-Copy-500x500.png\" alt=\"Persistent Joint Pain\" width=\"403\" height=\"403\" /> <strong>Persistent Joint Pain? Regenerative Orthopedics Gets You Back To Doing What You Love!</strong>[/caption]\n\nMany of us have aches or pains that just won’t go away no matter what we do. Medications, rest, physical therapy, acupuncture, and manipulation just aren\'t doing the trick. Somehow that joint pain either never goes away or just keeps coming back. But have you tried Regenerative Orthopedics?\n<h3>What\'s Regenerative Orthopedics?</h3>\nRegenerative Orthopedics is a technique that helps to stimulate the body’s ability to repair a painful area when the natural healing process isn\'t cutting it. <em><strong>In most cases, Regenerative Orthopedics is effective at eliminating persistent joint pain due to ligament and tendon weakness 80 to 90 percent of the time</strong></em>.\n<h3>Why Can\'t I Get Rid of This Joint Pain?</h3>\nYou might wonder why you still have pain in an injured area or why that area remains weak, even after a healing period of weeks, months, or years. The answer lies in the fact that both ligaments and tendons have very poor circulation. These areas may have little or no blood flow, <em><strong>but they have lots of nerves</strong></em>. When the structures that stabilize the joint become weak, the nerves around them (ligaments and tendons) become stretched and irritated. That produces pain.\n\nRegenerative Orthopedics involves the injection of a solution that causes a healing response that stimulates the healing process. This results in a stronger tendon or ligament that can hold these joint structures in place more effectively.\n<h3>A Repaired Joint Is the Result</h3>\nThe weakened area heals, and the patient\'s pain is reduced or eliminated. It is also an excellent alternative to cortisone injections. Many doctors still recommend cortisone. That\'s unfortunate because long-term studies have shown cortisone to actually weaken tissue.\n\nMost patients require about 4-6 treatments to restore function and relieve pain. The treatments are usually given at about 3-week intervals.\n\n<a href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-treatment-overview/\">Regenerative Orthopedics</a> is effective for all types of persistent joint pain. It works for the neck, shoulder, knee, elbow, and other joints. Plus, this treatment can reduce or eliminate pain altogether for conditions like tendonitis, arthritis, herniated discs, and headaches.\n\nAnd if you have a sports injury, look no further than Regenerative Orthopedics. If the injury involves soft tissue, like a tendon or ligament, chances are Regenerative Orthopedics will help. Don\'t let joint pain keep you from doing the things you love!','Persistent Joint Pain? Try Regenerative Orthopedics','','inherit','closed','closed','','1461-autosave-v1','','','2020-10-12 18:01:33','2020-10-12 18:01:33','',1461,'https://www.drfields.com/uncategorized/1461-autosave-v1/',0,'revision','',0),(3786,9,'2020-06-30 03:33:59','2020-06-30 03:33:59','<h1 style=\"text-align: center;\">Don\'t Put Up with Persistent Joint Pain</h1>\r\n<img class=\"size-full wp-image-1088 alignleft\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/woman-pain.jpeg\" alt=\"Woman Pain\" width=\"200\" height=\"300\" />\r\n\r\nMany of us have aches or pains that just won’t go away no matter what we do. Medications, rest, physical therapy, acupuncture, and manipulation just aren\'t doing the trick. Somehow that joint pain either never goes away or just keeps coming back. But have you tried Regenerative Orthopedics?\r\n<h2>What\'s Regenerative Orthopedics?</h2>\r\nRegenerative Orthopedics is a technique that helps to stimulate the body’s ability to repair a painful area when the natural healing process isn\'t cutting it. <em><strong>In most cases, Regenerative Orthopedics is effective at eliminating persistent joint pain due to ligament and tendon weakness 80 to 90 percent of the time</strong></em>.\r\n<h3>Why Can\'t I Get Rid of This Joint Pain?</h3>\r\nYou might wonder why you still have pain in an injured area or why that area remains weak, even after a healing period of weeks, months, or years. The answer lies in the fact that both ligaments and tendons have very poor circulation. These areas may have little or no blood flow, <em><strong>but they have lots of nerves</strong></em>. When the structures that stabilize the joint become weak, the nerves around them (ligaments and tendons) become stretched and irritated. That produces pain.\r\n\r\nRegenerative Orthopedics involves the injection of a solution that causes a healing response that stimulates the healing process. This results in a stronger tendon or ligament that can hold these joint structures in place more effectively.\r\n<h3>A Repaired Joint Is the Result</h3>\r\nThe weakened area heals, and the patient\'s pain is reduced or eliminated. It is also an excellent alternative to cortisone injections. Many doctors still recommend cortisone. That\'s unfortunate because long-term studies have shown cortisone to actually weaken tissue.\r\n\r\nMost patients require about 4-6 treatments to restore function and relieve pain. The treatments are usually given at about 3-week intervals.\r\n\r\n<a href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-treatment-overview/\">Regenerative Orthopedics</a> is effective for all types of persistent joint pain. It works for the neck, shoulder, knee, elbow, and other joints. Plus, this treatment can reduce or eliminate pain altogether for conditions like tendonitis, arthritis, herniated discs, and headaches.\r\n\r\nAnd if you have a sports injury, look no further than Regenerative Orthopedics. If the injury involves soft tissue, like a tendon or ligament, chances are Regenerative Orthopedics will help.','Persistent Joint Pain? Regenerative Orthopedics May Be the Answer','','inherit','closed','closed','','1461-revision-v1','','','2020-06-30 03:33:59','2020-06-30 03:33:59','',1461,'https://www.drfields.com/uncategorized/1461-revision-v1/',0,'revision','',0),(3787,9,'2020-06-30 03:35:23','2020-06-30 03:35:23','<h1 style=\"text-align: center;\">Don\'t Put Up with Persistent Joint Pain</h1>\r\n<img class=\"size-full wp-image-1088 alignleft\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/woman-pain.jpeg\" alt=\"Woman Pain\" width=\"200\" height=\"300\" />\r\n\r\nMany of us have aches or pains that just won’t go away no matter what we do. Medications, rest, physical therapy, acupuncture, and manipulation just aren\'t doing the trick. Somehow that joint pain either never goes away or just keeps coming back. But have you tried Regenerative Orthopedics?\r\n<h2>What\'s Regenerative Orthopedics?</h2>\r\nRegenerative Orthopedics is a technique that helps to stimulate the body’s ability to repair a painful area when the natural healing process isn\'t cutting it. <em><strong>In most cases, Regenerative Orthopedics is effective at eliminating persistent joint pain due to ligament and tendon weakness 80 to 90 percent of the time</strong></em>.\r\n<h3>Why Can\'t I Get Rid of This Joint Pain?</h3>\r\nYou might wonder why you still have pain in an injured area or why that area remains weak, even after a healing period of weeks, months, or years. The answer lies in the fact that both ligaments and tendons have very poor circulation. These areas may have little or no blood flow, <em><strong>but they have lots of nerves</strong></em>. When the structures that stabilize the joint become weak, the nerves around them (ligaments and tendons) become stretched and irritated. That produces pain.\r\n\r\nRegenerative Orthopedics involves the injection of a solution that causes a healing response that stimulates the healing process. This results in a stronger tendon or ligament that can hold these joint structures in place more effectively.\r\n<h3>A Repaired Joint Is the Result</h3>\r\nThe weakened area heals, and the patient\'s pain is reduced or eliminated. It is also an excellent alternative to cortisone injections. Many doctors still recommend cortisone. That\'s unfortunate because long-term studies have shown cortisone to actually weaken tissue.\r\n\r\nMost patients require about 4-6 treatments to restore function and relieve pain. The treatments are usually given at about 3-week intervals.\r\n\r\n<a href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-treatment-overview/\">Regenerative Orthopedics</a> is effective for all types of persistent joint pain. It works for the neck, shoulder, knee, elbow, and other joints. Plus, this treatment can reduce or eliminate pain altogether for conditions like tendonitis, arthritis, herniated discs, and headaches.\r\n\r\nAnd if you have a sports injury, look no further than Regenerative Orthopedics. If the injury involves soft tissue, like a tendon or ligament, chances are Regenerative Orthopedics will help.','Persistent Joint Pain? Try Regenerative Orthopedics','','inherit','closed','closed','','1461-revision-v1','','','2020-06-30 03:35:23','2020-06-30 03:35:23','',1461,'https://www.drfields.com/uncategorized/1461-revision-v1/',0,'revision','',0),(3788,9,'2020-06-30 03:35:52','2020-06-30 03:35:52','<h1 style=\"text-align: center;\">Don\'t Put Up with Persistent Joint Pain</h1>\r\n<img class=\"size-full wp-image-1088 alignleft\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/woman-pain.jpeg\" alt=\"Woman Pain\" width=\"200\" height=\"300\" />\r\n\r\nMany of us have aches or pains that just won’t go away no matter what we do. Medications, rest, physical therapy, acupuncture, and manipulation just aren\'t doing the trick. Somehow that joint pain either never goes away or just keeps coming back. But have you tried Regenerative Orthopedics?\r\n<h2>What\'s Regenerative Orthopedics?</h2>\r\nRegenerative Orthopedics is a technique that helps to stimulate the body’s ability to repair a painful area when the natural healing process isn\'t cutting it. <em><strong>In most cases, Regenerative Orthopedics is effective at eliminating persistent joint pain due to ligament and tendon weakness 80 to 90 percent of the time</strong></em>.\r\n<h3>Why Can\'t I Get Rid of This Joint Pain?</h3>\r\nYou might wonder why you still have pain in an injured area or why that area remains weak, even after a healing period of weeks, months, or years. The answer lies in the fact that both ligaments and tendons have very poor circulation. These areas may have little or no blood flow, <em><strong>but they have lots of nerves</strong></em>. When the structures that stabilize the joint become weak, the nerves around them (ligaments and tendons) become stretched and irritated. That produces pain.\r\n\r\nRegenerative Orthopedics involves the injection of a solution that causes a healing response that stimulates the healing process. This results in a stronger tendon or ligament that can hold these joint structures in place more effectively.\r\n<h3>A Repaired Joint Is the Result</h3>\r\nThe weakened area heals, and the patient\'s pain is reduced or eliminated. It is also an excellent alternative to cortisone injections. Many doctors still recommend cortisone. That\'s unfortunate because long-term studies have shown cortisone to actually weaken tissue.\r\n\r\nMost patients require about 4-6 treatments to restore function and relieve pain. The treatments are usually given at about 3-week intervals.\r\n\r\n<a href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-treatment-overview/\">Regenerative Orthopedics</a> is effective for all types of persistent joint pain. It works for the neck, shoulder, knee, elbow, and other joints. Plus, this treatment can reduce or eliminate pain altogether for conditions like tendonitis, arthritis, herniated discs, and headaches.\r\n\r\nAnd if you have a sports injury, look no further than Regenerative Orthopedics. If the injury involves soft tissue, like a tendon or ligament, chances are Regenerative Orthopedics will help.','Persistent Joint Pain?','','inherit','closed','closed','','1461-revision-v1','','','2020-06-30 03:35:52','2020-06-30 03:35:52','',1461,'https://www.drfields.com/uncategorized/1461-revision-v1/',0,'revision','',0),(3789,9,'2020-06-30 03:36:53','2020-06-30 03:36:53','<h1 style=\"text-align: center;\">Don\'t Put Up with Persistent Joint Pain</h1>\r\n<img class=\"size-full wp-image-1088 alignleft\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/woman-pain.jpeg\" alt=\"Woman Pain\" width=\"200\" height=\"300\" />\r\n\r\nMany of us have aches or pains that just won’t go away no matter what we do. Medications, rest, physical therapy, acupuncture, and manipulation just aren\'t doing the trick. Somehow that joint pain either never goes away or just keeps coming back. But have you tried Regenerative Orthopedics?\r\n<h2>What\'s Regenerative Orthopedics?</h2>\r\nRegenerative Orthopedics is a technique that helps to stimulate the body’s ability to repair a painful area when the natural healing process isn\'t cutting it. <em><strong>In most cases, Regenerative Orthopedics is effective at eliminating persistent joint pain due to ligament and tendon weakness 80 to 90 percent of the time</strong></em>.\r\n<h3>Why Can\'t I Get Rid of This Joint Pain?</h3>\r\nYou might wonder why you still have pain in an injured area or why that area remains weak, even after a healing period of weeks, months, or years. The answer lies in the fact that both ligaments and tendons have very poor circulation. These areas may have little or no blood flow, <em><strong>but they have lots of nerves</strong></em>. When the structures that stabilize the joint become weak, the nerves around them (ligaments and tendons) become stretched and irritated. That produces pain.\r\n\r\nRegenerative Orthopedics involves the injection of a solution that causes a healing response that stimulates the healing process. This results in a stronger tendon or ligament that can hold these joint structures in place more effectively.\r\n<h3>A Repaired Joint Is the Result</h3>\r\nThe weakened area heals, and the patient\'s pain is reduced or eliminated. It is also an excellent alternative to cortisone injections. Many doctors still recommend cortisone. That\'s unfortunate because long-term studies have shown cortisone to actually weaken tissue.\r\n\r\nMost patients require about 4-6 treatments to restore function and relieve pain. The treatments are usually given at about 3-week intervals.\r\n\r\n<a href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-treatment-overview/\">Regenerative Orthopedics</a> is effective for all types of persistent joint pain. It works for the neck, shoulder, knee, elbow, and other joints. Plus, this treatment can reduce or eliminate pain altogether for conditions like tendonitis, arthritis, herniated discs, and headaches.\r\n\r\nAnd if you have a sports injury, look no further than Regenerative Orthopedics. If the injury involves soft tissue, like a tendon or ligament, chances are Regenerative Orthopedics will help.','Persistent Joint Pain? Try Regenerative Orthopedics','','inherit','closed','closed','','1461-revision-v1','','','2020-06-30 03:36:53','2020-06-30 03:36:53','',1461,'https://www.drfields.com/uncategorized/1461-revision-v1/',0,'revision','',0),(3790,9,'2020-06-30 03:38:08','2020-06-30 03:38:08','Hip Labral Tear','Hip Labral Tear','Hip Labral Tear','inherit','open','closed','','hip-labral-tear','','','2020-06-30 03:38:08','2020-06-30 03:38:08','',1461,'https://www.drfields.com/wp-content/uploads/2019/06/Hip-Labral-tear.png',0,'attachment','image/png',0),(3791,9,'2020-06-30 03:38:51','2020-06-30 03:38:51','20289349 Dmtru4i7','20289349 Dmtru4i7','20289349 Dmtru4i7','inherit','open','closed','','20289349-dmtru4i7','','','2020-06-30 03:38:51','2020-06-30 03:38:51','',1461,'https://www.drfields.com/wp-content/uploads/2019/06/20289349-DMtRu4I7.png',0,'attachment','image/png',0),(3792,9,'2020-06-30 03:40:11','2020-06-30 03:40:11','Joint Injury.do What You Love Copy 2 (1)','Keep Doing What You Love Copy 2 (1)','Joint Injury.do What You Love Copy 2 (1)','inherit','open','closed','','joint-injury-do-what-you-love-copy-2-1','','','2020-08-25 00:36:18','2020-08-25 00:36:18','',1461,'https://www.drfields.com/wp-content/uploads/2019/06/joint-injury.do-what-you-love-Copy-2-1.png',0,'attachment','image/png',0),(3793,9,'2020-06-30 03:41:46','2020-06-30 03:41:46','Pain. Orthoregen Copy','Pain. Orthoregen Copy','Pain. Orthoregen Copy','inherit','open','closed','','pain-orthoregen-copy','','','2020-06-30 03:41:46','2020-06-30 03:41:46','',1461,'https://www.drfields.com/wp-content/uploads/2019/06/Pain.-OrthoRegen-Copy.png',0,'attachment','image/png',0),(3794,9,'2020-06-30 03:44:48','2020-06-30 03:44:48','<h2 style=\"text-align: center;\">Don\'t Let Joint Pain Keep You From Doing the Things You Love</h2>\r\n<img class=\"wp-image-3793 size-medium\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Pain.-OrthoRegen-Copy-500x500.png\" alt=\"Pain. Orthoregen Copy\" width=\"500\" height=\"500\" />\r\n\r\nMany of us have aches or pains that just won’t go away no matter what we do. Medications, rest, physical therapy, acupuncture, and manipulation just aren\'t doing the trick. Somehow that joint pain either never goes away or just keeps coming back. But have you tried Regenerative Orthopedics?\r\n<h2>What\'s Regenerative Orthopedics?</h2>\r\nRegenerative Orthopedics is a technique that helps to stimulate the body’s ability to repair a painful area when the natural healing process isn\'t cutting it. <em><strong>In most cases, Regenerative Orthopedics is effective at eliminating persistent joint pain due to ligament and tendon weakness 80 to 90 percent of the time</strong></em>.\r\n<h3>Why Can\'t I Get Rid of This Joint Pain?</h3>\r\nYou might wonder why you still have pain in an injured area or why that area remains weak, even after a healing period of weeks, months, or years. The answer lies in the fact that both ligaments and tendons have very poor circulation. These areas may have little or no blood flow, <em><strong>but they have lots of nerves</strong></em>. When the structures that stabilize the joint become weak, the nerves around them (ligaments and tendons) become stretched and irritated. That produces pain.\r\n\r\nRegenerative Orthopedics involves the injection of a solution that causes a healing response that stimulates the healing process. This results in a stronger tendon or ligament that can hold these joint structures in place more effectively.\r\n<h3>A Repaired Joint Is the Result</h3>\r\nThe weakened area heals, and the patient\'s pain is reduced or eliminated. It is also an excellent alternative to cortisone injections. Many doctors still recommend cortisone. That\'s unfortunate because long-term studies have shown cortisone to actually weaken tissue.\r\n\r\nMost patients require about 4-6 treatments to restore function and relieve pain. The treatments are usually given at about 3-week intervals.\r\n\r\n<a href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-treatment-overview/\">Regenerative Orthopedics</a> is effective for all types of persistent joint pain. It works for the neck, shoulder, knee, elbow, and other joints. Plus, this treatment can reduce or eliminate pain altogether for conditions like tendonitis, arthritis, herniated discs, and headaches.\r\n\r\nAnd if you have a sports injury, look no further than Regenerative Orthopedics. If the injury involves soft tissue, like a tendon or ligament, chances are Regenerative Orthopedics will help. Don\'t let joint pain keep you from doing the things you love!','Persistent Joint Pain? Try Regenerative Orthopedics','','inherit','closed','closed','','1461-revision-v1','','','2020-06-30 03:44:48','2020-06-30 03:44:48','',1461,'https://www.drfields.com/uncategorized/1461-revision-v1/',0,'revision','',0),(3795,9,'2020-06-30 03:46:25','2020-06-30 03:46:25','<h2 style=\"text-align: center;\">Don\'t Let Joint Pain Keep You From Doing the Things You Love</h2>\r\n<img class=\"wp-image-3793  alignright\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Pain.-OrthoRegen-Copy-500x500.png\" alt=\"Pain. Orthoregen Copy\" width=\"403\" height=\"403\" />\r\n\r\nMany of us have aches or pains that just won’t go away no matter what we do. Medications, rest, physical therapy, acupuncture, and manipulation just aren\'t doing the trick. Somehow that joint pain either never goes away or just keeps coming back. But have you tried Regenerative Orthopedics?\r\n<h2>What\'s Regenerative Orthopedics?</h2>\r\nRegenerative Orthopedics is a technique that helps to stimulate the body’s ability to repair a painful area when the natural healing process isn\'t cutting it. <em><strong>In most cases, Regenerative Orthopedics is effective at eliminating persistent joint pain due to ligament and tendon weakness 80 to 90 percent of the time</strong></em>.\r\n<h3>Why Can\'t I Get Rid of This Joint Pain?</h3>\r\nYou might wonder why you still have pain in an injured area or why that area remains weak, even after a healing period of weeks, months, or years. The answer lies in the fact that both ligaments and tendons have very poor circulation. These areas may have little or no blood flow, <em><strong>but they have lots of nerves</strong></em>. When the structures that stabilize the joint become weak, the nerves around them (ligaments and tendons) become stretched and irritated. That produces pain.\r\n\r\nRegenerative Orthopedics involves the injection of a solution that causes a healing response that stimulates the healing process. This results in a stronger tendon or ligament that can hold these joint structures in place more effectively.\r\n<h3>A Repaired Joint Is the Result</h3>\r\nThe weakened area heals, and the patient\'s pain is reduced or eliminated. It is also an excellent alternative to cortisone injections. Many doctors still recommend cortisone. That\'s unfortunate because long-term studies have shown cortisone to actually weaken tissue.\r\n\r\nMost patients require about 4-6 treatments to restore function and relieve pain. The treatments are usually given at about 3-week intervals.\r\n\r\n<a href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-treatment-overview/\">Regenerative Orthopedics</a> is effective for all types of persistent joint pain. It works for the neck, shoulder, knee, elbow, and other joints. Plus, this treatment can reduce or eliminate pain altogether for conditions like tendonitis, arthritis, herniated discs, and headaches.\r\n\r\nAnd if you have a sports injury, look no further than Regenerative Orthopedics. If the injury involves soft tissue, like a tendon or ligament, chances are Regenerative Orthopedics will help. Don\'t let joint pain keep you from doing the things you love!','Persistent Joint Pain? Try Regenerative Orthopedics','','inherit','closed','closed','','1461-revision-v1','','','2020-06-30 03:46:25','2020-06-30 03:46:25','',1461,'https://www.drfields.com/uncategorized/1461-revision-v1/',0,'revision','',0),(3796,9,'2020-06-30 03:47:24','2020-06-30 03:47:24','<h2 style=\"text-align: center;\">Persistent Joint Pain Putting a Damper on Your Style?</h2>\r\n<img class=\"wp-image-3793 alignright\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Pain.-OrthoRegen-Copy-500x500.png\" alt=\"Pain. Orthoregen Copy\" width=\"403\" height=\"403\" />\r\n\r\nMany of us have aches or pains that just won’t go away no matter what we do. Medications, rest, physical therapy, acupuncture, and manipulation just aren\'t doing the trick. Somehow that joint pain either never goes away or just keeps coming back. But have you tried Regenerative Orthopedics?\r\n<h2>What\'s Regenerative Orthopedics?</h2>\r\nRegenerative Orthopedics is a technique that helps to stimulate the body’s ability to repair a painful area when the natural healing process isn\'t cutting it. <em><strong>In most cases, Regenerative Orthopedics is effective at eliminating persistent joint pain due to ligament and tendon weakness 80 to 90 percent of the time</strong></em>.\r\n<h3>Why Can\'t I Get Rid of This Joint Pain?</h3>\r\nYou might wonder why you still have pain in an injured area or why that area remains weak, even after a healing period of weeks, months, or years. The answer lies in the fact that both ligaments and tendons have very poor circulation. These areas may have little or no blood flow, <em><strong>but they have lots of nerves</strong></em>. When the structures that stabilize the joint become weak, the nerves around them (ligaments and tendons) become stretched and irritated. That produces pain.\r\n\r\nRegenerative Orthopedics involves the injection of a solution that causes a healing response that stimulates the healing process. This results in a stronger tendon or ligament that can hold these joint structures in place more effectively.\r\n<h3>A Repaired Joint Is the Result</h3>\r\nThe weakened area heals, and the patient\'s pain is reduced or eliminated. It is also an excellent alternative to cortisone injections. Many doctors still recommend cortisone. That\'s unfortunate because long-term studies have shown cortisone to actually weaken tissue.\r\n\r\nMost patients require about 4-6 treatments to restore function and relieve pain. The treatments are usually given at about 3-week intervals.\r\n\r\n<a href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-treatment-overview/\">Regenerative Orthopedics</a> is effective for all types of persistent joint pain. It works for the neck, shoulder, knee, elbow, and other joints. Plus, this treatment can reduce or eliminate pain altogether for conditions like tendonitis, arthritis, herniated discs, and headaches.\r\n\r\nAnd if you have a sports injury, look no further than Regenerative Orthopedics. If the injury involves soft tissue, like a tendon or ligament, chances are Regenerative Orthopedics will help. Don\'t let joint pain keep you from doing the things you love!','Persistent Joint Pain? Try Regenerative Orthopedics','','inherit','closed','closed','','1461-revision-v1','','','2020-06-30 03:47:24','2020-06-30 03:47:24','',1461,'https://www.drfields.com/uncategorized/1461-revision-v1/',0,'revision','',0),(3798,8,'2020-06-30 16:59:18','2020-06-30 16:59:18','<img class=\"alignleft wp-image-1685 size-medium\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Stem-Cell-Doctor-Peter-Fields-MD-DC-315x500.jpg\" alt=\"Stem Cell Doctor Peter Fields Md Dc\" width=\"315\" height=\"500\" />\n<h4>Peter A. Fields, MD, DC, The Athletic Doc<sup>®</sup></h4>\nPeter A. Fields, MD, DC, <a href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\" target=\"_blank\" rel=\"noopener noreferrer\">The Athletic Doc<sup>®</sup></a>, is a world-renowned expert in the field of Regenerative Orthopedics (non-surgical joint and spine repair). <strong>He is one of a handful of physicians in the nation that is both a Medical Physician and Chiropractor.</strong> This combination of degrees gives Dr. Fields a broad area of knowledge and expertise that benefits his patients.\n<h4>Director of OrthoRegen</h4>\nDr. Fields is the Director of <a href=\"https://orthoregen.com/\" target=\"_blank\" rel=\"noopener noreferrer\">OrthoRegen</a> in Santa Monica, CA. which is one of the largest practices in the world dedicated solely to Regenerative Orthopedics. He treats patients from around the US and the world; from non-athletes to weekend warriors to competitive athletes and even professional athletes. Dr. Fields helps people avoid unnecessary orthopaedic surgeries whether arthroscopic or full surgery. He is a leading expert in using <a href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-treatment-overview/\" rel=\"noopener noreferrer\">Cellular Regeneration</a> (aka Cellular Prolotherapy) treatments to help people avoid full joint replacement.\n<h4>Regenerative Medicine Expert</h4>\nDr. Fields has appeared on national TV as a Regenerative Medicine Expert as well as several TV and radio stations in the Los Angeles area. He writes a column on Orthopedic/Sports Medicine for a <a href=\"https://www.drfields.com/category/articles/magazine-column/\" rel=\"noopener noreferrer\">national magazine</a> as well as lecturing at various conferences around the world on these techniques.\n<h4>Hackett-Hemwall Foundation Instructor</h4>\nIn addition, Dr. Fields is a Clinical Instructor with the <a href=\"https://hhpfoundation.org/\">Hackett-Hemwall Foundation</a>, the largest teaching organization for Prolotherapy. Dr. Fields has volunteered his time for two weeks nine different times on their medical trip to Honduras. There they not only treat the indigenous people for joint and spine problems but also teach 75 physicians from all over the world Prolotherapy. Dr. Fields was the director of one of only three clinics in Honduras.\n\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\n<h4>Prolotherapy Doctor</h4>\nDr. Fields is the leading expert in the field or <a href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-treatment-overview/\" rel=\"noopener noreferrer\">Prolotherapy treatment</a>, Prolotherapy treatment is a natural non-surgical method of assisting the body to heal weakened or injured joints, tendons and ligaments. With Prolotherapy treatment, the weakened areas are injected with a solution that stimulates the growth of healthy, strong tissues. As the ligaments and tendons grow stronger and vibrant, the motion is restored and the pain is alleviated.\n<h6>The Athletic Doc<sup>®</sup></h6>\nDr. Fields is a very active and competitive triathlete, having completed nine full <a href=\"https://www.drfields.com/about/the-athletic-doc/race-report-9th-ironman/\" rel=\"noopener noreferrer\">Ironman Triathlons</a> as well as nine 70.3 (half) Ironman Triathlons and over 40 other triathlons. The Athletic Doc<sup>® has had his back and shoulder treated by these techniques and avoided surgery. In other words, this doc walks his talk!\n<div id=\"centrevideo\" class=\"text-center\">[video_lightbox_youtube video_id=\"JyzbZT3aZ9o\" width=\"640\" height=\"480\" anchor=\"https://www.drfields.com/wp-content/uploads/2019/06/Interview-with-Dr.-Fields.jpg\" alt=\"Interview with Dr. Fields about Prolotherapy and PRP\"]\n<strong>Interview with Dr. Fields about Prolotherapy and PRP</strong></div>\n&nbsp;\n\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>','Bio: Dr. Fields','','inherit','closed','closed','','216-autosave-v1','','','2020-06-30 16:59:18','2020-06-30 16:59:18','',216,'https://www.drfields.com/uncategorized/216-autosave-v1/',0,'revision','',0),(3799,8,'2020-06-30 16:59:55','2020-06-30 16:59:55','<img class=\"alignleft wp-image-1685 size-medium\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Stem-Cell-Doctor-Peter-Fields-MD-DC-315x500.jpg\" alt=\"Stem Cell Doctor Peter Fields Md Dc\" width=\"315\" height=\"500\" />\r\n<h4>Peter A. Fields, MD, DC, The Athletic Doc<sup>®</sup></h4>\r\nPeter A. Fields, MD, DC, <a href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\" target=\"_blank\" rel=\"noopener noreferrer\">The Athletic Doc<sup>®</sup></a>, is a world-renowned expert in the field of Regenerative Orthopedics (non-surgical joint and spine repair). <strong>He is one of a handful of physicians in the nation that is both a Medical Physician and Chiropractor.</strong> This combination of degrees gives Dr. Fields a broad area of knowledge and expertise that benefits his patients.\r\n<h4>Director of OrthoRegen</h4>\r\nDr. Fields is the Director of <a href=\"https://orthoregen.com/\" target=\"_blank\" rel=\"noopener noreferrer\">OrthoRegen</a> in Santa Monica, CA. which is one of the largest practices in the world dedicated solely to Regenerative Orthopedics. He treats patients from around the US and the world; from non-athletes to weekend warriors to competitive athletes and even professional athletes. Dr. Fields helps people avoid unnecessary orthopaedic surgeries whether arthroscopic or full surgery. He is a leading expert in using <a href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-treatment-overview/\" rel=\"noopener noreferrer\">Cellular Regeneration</a> (aka Cellular Prolotherapy) treatments to help people avoid full joint replacement.\r\n<h4>Regenerative Medicine Expert</h4>\r\nDr. Fields has appeared on national TV as a Regenerative Medicine Expert as well as several TV and radio stations in the Los Angeles area. He writes a column on Orthopedic/Sports Medicine for a <a href=\"https://www.drfields.com/category/articles/magazine-column/\" rel=\"noopener noreferrer\">national magazine</a> as well as lecturing at various conferences around the world on these techniques.\r\n<h4>Hackett-Hemwall Foundation Instructor</h4>\r\nIn addition, Dr. Fields is a Clinical Instructor with the <a href=\"https://hhpfoundation.org/\">Hackett-Hemwall Foundation</a>, the largest teaching organization for Prolotherapy. Dr. Fields has volunteered his time for two weeks nine different times on their medical trip to Honduras. There they not only treat the indigenous people for joint and spine problems but also teach 75 physicians from all over the world Prolotherapy. Dr. Fields was the director of one of only three clinics in Honduras.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n<h4>Prolotherapy Doctor</h4>\r\nDr. Fields is the leading expert in the field or <a href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-treatment-overview/\" rel=\"noopener noreferrer\">Prolotherapy treatment</a>, Prolotherapy treatment is a natural non-surgical method of assisting the body to heal weakened or injured joints, tendons and ligaments. With Prolotherapy treatment, the weakened areas are injected with a solution that stimulates the growth of healthy, strong tissues. As the ligaments and tendons grow stronger and vibrant, the motion is restored and the pain is alleviated.\r\n<h6>The Athletic Doc<sup>®</sup></h6>\r\nDr. Fields is a very active and competitive triathlete, having completed nine full <a href=\"https://www.drfields.com/about/the-athletic-doc/race-report-9th-ironman/\" rel=\"noopener noreferrer\">Ironman Triathlons</a> as well as nine 70.3 (half) Ironman Triathlons and over 40 other triathlons. The Athletic Doc<sup>®</sup> has had his back and shoulder treated by these techniques and avoided surgery. In other words, this doc walks his talk!\r\n<div id=\"centrevideo\" class=\"text-center\">[video_lightbox_youtube video_id=\"JyzbZT3aZ9o\" width=\"640\" height=\"480\" anchor=\"https://www.drfields.com/wp-content/uploads/2019/06/Interview-with-Dr.-Fields.jpg\" alt=\"Interview with Dr. Fields about Prolotherapy and PRP\"]\r\n<strong>Interview with Dr. Fields about Prolotherapy and PRP</strong></div>\r\n&nbsp;\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>','Bio: Dr. Fields','','inherit','closed','closed','','216-revision-v1','','','2020-06-30 16:59:55','2020-06-30 16:59:55','',216,'https://www.drfields.com/uncategorized/216-revision-v1/',0,'revision','',0),(3800,8,'2020-06-30 17:01:28','2020-06-30 17:01:28','<img class=\"alignleft wp-image-1685 size-medium\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Stem-Cell-Doctor-Peter-Fields-MD-DC-315x500.jpg\" alt=\"Stem Cell Doctor Peter Fields Md Dc\" width=\"315\" height=\"500\" />\r\n<h4>Peter A. Fields, MD, DC, The Athletic Doc<sup>®</sup></h4>\r\nPeter A. Fields, MD, DC, <a href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\" target=\"_blank\" rel=\"noopener noreferrer\">The Athletic Doc<sup>®</sup></a>, is a world-renowned expert in the field of Regenerative Orthopedics (non-surgical joint and spine repair). <strong>He is one of a handful of physicians in the nation that is both a Medical Physician and Chiropractor.</strong> This combination of degrees gives Dr. Fields a broad area of knowledge and expertise that benefits his patients.\r\n<h4>Director of OrthoRegen<sup>®</sup></h4>\r\nDr. Fields is the Director of <a href=\"https://orthoregen.com/\" target=\"_blank\" rel=\"noopener noreferrer\">OrthoRegen<sup>®</sup></a> in Santa Monica, CA. which is one of the largest practices in the world dedicated solely to Regenerative Orthopedics. He treats patients from around the US and the world; from non-athletes to weekend warriors to competitive athletes and even professional athletes. Dr. Fields helps people avoid unnecessary orthopaedic surgeries whether arthroscopic or full surgery. He is a leading expert in using <a href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-treatment-overview/\" rel=\"noopener noreferrer\">Cellular Regeneration</a> (aka Cellular Prolotherapy) treatments to help people avoid full joint replacement.\r\n<h4>Regenerative Medicine Expert</h4>\r\nDr. Fields has appeared on national TV as a Regenerative Medicine Expert as well as several TV and radio stations in the Los Angeles area. He writes a column on Orthopedic/Sports Medicine for a <a href=\"https://www.drfields.com/category/articles/magazine-column/\" rel=\"noopener noreferrer\">national magazine</a> as well as lecturing at various conferences around the world on these techniques.\r\n<h4>Hackett-Hemwall Foundation Instructor</h4>\r\nIn addition, Dr. Fields is a Clinical Instructor with the <a href=\"https://hhpfoundation.org/\">Hackett-Hemwall Foundation</a>, the largest teaching organization for Prolotherapy. Dr. Fields has volunteered his time for two weeks nine different times on their medical trip to Honduras. There they not only treat the indigenous people for joint and spine problems but also teach 75 physicians from all over the world Prolotherapy. Dr. Fields was the director of one of only three clinics in Honduras.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n<h4>Prolotherapy Doctor</h4>\r\nDr. Fields is the leading expert in the field or <a href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-treatment-overview/\" rel=\"noopener noreferrer\">Prolotherapy treatment</a>, Prolotherapy treatment is a natural non-surgical method of assisting the body to heal weakened or injured joints, tendons and ligaments. With Prolotherapy treatment, the weakened areas are injected with a solution that stimulates the growth of healthy, strong tissues. As the ligaments and tendons grow stronger and vibrant, the motion is restored and the pain is alleviated.\r\n<h6>The Athletic Doc<sup>®</sup></h6>\r\nDr. Fields is a very active and competitive triathlete, having completed nine full <a href=\"https://www.drfields.com/about/the-athletic-doc/race-report-9th-ironman/\" rel=\"noopener noreferrer\">Ironman Triathlons</a> as well as nine 70.3 (half) Ironman Triathlons and over 40 other triathlons. The Athletic Doc<sup>®</sup> has had his back and shoulder treated by these techniques and avoided surgery. In other words, this doc walks his talk!\r\n<div id=\"centrevideo\" class=\"text-center\">[video_lightbox_youtube video_id=\"JyzbZT3aZ9o\" width=\"640\" height=\"480\" anchor=\"https://www.drfields.com/wp-content/uploads/2019/06/Interview-with-Dr.-Fields.jpg\" alt=\"Interview with Dr. Fields about Prolotherapy and PRP\"]\r\n<strong>Interview with Dr. Fields about Prolotherapy and PRP</strong></div>\r\n&nbsp;\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>','Bio: Dr. Fields','','inherit','closed','closed','','216-revision-v1','','','2020-06-30 17:01:28','2020-06-30 17:01:28','',216,'https://www.drfields.com/uncategorized/216-revision-v1/',0,'revision','',0),(3801,8,'2020-06-30 17:03:31','2020-06-30 17:03:31','<img class=\"alignleft wp-image-1685 size-medium\" title=\"prp los angeles\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Stem-Cell-Doctor-Peter-Fields-MD-DC-315x500.jpg\" alt=\"Stem Cell Doctor Peter Fields Md Dc\" width=\"315\" height=\"500\" />\r\n<h4>PRP Doctor</h4>\r\nPeter A. Fields, MD DC, is a PRP Doctor in Los Angeles and the founder of OrthoRegen<sup>®</sup>. Dr. Fields is a leading expert in using (PRP) Platelet Rich Plasma therapy to resolve painful conditions and sports injuries to help people avoid full joint replacement. He treats patients from around the US and the world. Dr. Fields help people avoid unnecessary orthopedic surgeries whether arthroscopic or full surgery.\r\n<h4>What is a PRP Doctor?</h4>\r\nA PRP Doctor provides regenerative orthopedics by offering non-surgical alternatives to joint and spine repair. PRP Doctors like Dr. Fields use Platelet Rich Plasma Injections that help accelerate the normal healing process. Dr.Fields is passionate about helping his clients eliminate pain for optimal long-term results, with the use of PRP Regenerative Treatments.\r\n<h4>What Does PRP stand for?</h4>\r\nPRP stands for Platelet Rich Plasma. Plasma is the fluid portion of blood which contains cellular components such as platelets, white blood cells, and red cells. The Harvest method that Dr. Fields uses concentrates the platelets 7-10 times of what is generally found in blood. Other systems concentrate them, but to a lesser extent.\r\n<h4>What is PRP Treatment?</h4>\r\nPRP treatment, as used in regenerative orthopedics, is a non-surgical healing treatment for healing soft tissue performed by a PRP Doctor. Dr. Fields makes precise injections of your own concentrated blood (PRP) into the affected areas to promote healing of musculoskeletal problems. Blood platelets contain potent growth factors necessary to begin tissue repair and regeneration at the injury site.<br />\r\n<br />\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n<h4>Is PRP Treatment Safe?</h4>\r\nPRP treatment is an extremely safe procedure. The risks are far less than those associated with surgery for your chronic joint pain or acute joint injuries. The risks are often also less than taking Ibuprofen (Motrin) for a lifetime to temporarily alleviate chronic pain. As with any procedure, there are risks and side effects which will vary depending on the area being treated. Dr. Fields will discuss these possibilities thoroughly with patients during the pre-treatment consultation.\r\nWhat Does a PRP Doctor Treat?\r\n\r\nWeakened torn or damaged ligaments, tendons, muscle tears, menisci or labrums are the most common soft tissue structures that Dr. Fields treats. PRP has also been effective in treating arthritis, though more severe cases get better results with Dr. Fields’ Stem Cell treatments.\r\n\r\nDr. Fields has had great success in treating chronic pain and sports injuries including:\r\n<ul>\r\n 	<li style=\"list-style-type: none;\">\r\n<ul>\r\n 	<li><strong>Knee Injuries:</strong> ACL, MCL LCL, Meniscus, Arthritis, Kneecap Instability</li>\r\n</ul>\r\n</li>\r\n</ul>\r\nSee a complete list of Knee Injuries Treated with Prolotherapy here\r\n<ul>\r\n 	<li style=\"list-style-type: none;\">\r\n<ul>\r\n 	<li><strong>Elbow Injuries:</strong> Tennis Elbow, Medial Epicondylitis,Tendonitis</li>\r\n</ul>\r\n</li>\r\n</ul>\r\nSee a complete list of Elbow Injuries Treated with Prolotherapy here.\r\n<ul>\r\n 	<li style=\"list-style-type: none;\">\r\n<ul>\r\n 	<li><strong>Shoulder Injuries:</strong> Rotator Cuff Tears, Labrum Tears, Tenositis</li>\r\n</ul>\r\n</li>\r\n</ul>\r\nSee a complete list of Shoulder Injuries Treated with Prolotherapy here.\r\n<ul>\r\n 	<li style=\"list-style-type: none;\">\r\n<ul>\r\n 	<li><strong>Back Injuries:</strong> Arthritis, Facet Joints, Sacro-Iliac dysfunction</li>\r\n</ul>\r\n</li>\r\n</ul>\r\nSee a complete list of Back Injuries Treated with Prolotherapy here.\r\n<ul>\r\n 	<li style=\"list-style-type: none;\">\r\n<ul>\r\n 	<li><strong>Hip Injuries:</strong> Tenositis, Bursitis,Labrum</li>\r\n</ul>\r\n</li>\r\n</ul>\r\nSee a complete list of Hip Injuries Treated with Prolotherapy here.\r\n<ul>\r\n 	<li style=\"list-style-type: none;\">\r\n<ul>\r\n 	<li><strong>Foot/Ankle Injuries:</strong> Ankle Sprains, Arthritis, Achilles Dysfunction, Tendonitis</li>\r\n</ul>\r\n</li>\r\n</ul>\r\nSee a complete list of Foot/Ankle Injuries Treated with Prolotherapy here.\r\n<ul>\r\n 	<li style=\"list-style-type: none;\">\r\n<ul>\r\n 	<li><strong>Hand/Wrist/ Injuries:</strong> Finger/Joint Tendinitis, Ligament Tears, Arthritis, Carpal tunnel</li>\r\n</ul>\r\n</li>\r\n</ul>\r\nSee a complete list of Hand/Wrist Injuries Treated with Prolotherapy here.\r\n<h4>Are You A Candidate for Prolotherapy Treatment?</h4>\r\nCall <a href=\"tel:+[phone_raw]\">[phone]</a> today for a free phone consultation with our Prolotherapy Doctor to see if Prolotherapy treatment can get you pain-free and ‘back in the game’ or help you resume your normal lifestyle. You can also <a href=\"https://www.drfields.com/contact/\" rel=\"noopener noreferrer\">contact Dr. Fields\' office</a> to set up an in-person consultation.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>','PRP Doctor','','inherit','closed','closed','','266-revision-v1','','','2020-06-30 17:03:31','2020-06-30 17:03:31','',266,'https://www.drfields.com/uncategorized/266-revision-v1/',0,'revision','',0),(3802,8,'2020-06-30 17:07:16','2020-06-30 17:07:16','<img class=\"alignleft size-full wp-image-1685\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Stem-Cell-Doctor-Peter-Fields-MD-DC.jpg\" alt=\"Stem Cell Doctor Peter Fields Md Dc\" width=\"218\" height=\"350\" />\r\n<h4>Prolotherapy Doctor</h4>\r\nPeter A. Fields, MD DC, is a Los Angeles Prolotherapy Doctor and the founder of OrthoRegen<sup>®</sup>. Dr. Fields is a leading expert in using Cellular Regeneration (aka Cellular Prolotherapy) treatments to resolve painful conditions and sports injuries to help people avoid full joint replacement. He treats patients from around the US and the world; from non-athletes to weekend warriors to competitive athletes and professional athletes. Dr. Fields helps people avoid unnecessary orthopaedic surgeries whether arthroscopic or conventional fully invasive surgery.\r\n<h4>What is a Prolotherapy Doctor?</h4>\r\nA Prolotherapy Doctor provides regenerative orthopedics by offering non-surgical alternatives to joint and spine repair. Dr. Fields offers prolotherapy treatments to relieve pain by treating the underlying conditions. He stimulates the body’s natural ability to heal and repair by encouraging the growth of new tendon fibers and ligaments.\r\n<h4>What is Prolotherapy Treatment?</h4>\r\nProlotherapy treatment is a natural non-surgical method of assisting the body to heal weakened or injured joints, tendons and ligaments. A Prolotherapy Doctor injects the weakened areas with a solution that stimulates the growth of healthy, strong tissues. As the ligaments and tendons grow stronger and vibrant, the motion is restored and the pain is alleviated.\r\n<h4>How Prolotherapy Treatment Works</h4>\r\nOur Prolotherapy treatment is an innovative treatment that stimulates the immune system to repair damaged tissue. ”Prolo” comes from the word “proliferate.” Prolotherapy then describes the therapy which utilizes proliferation of fibroblastic cells that grow the ligaments and tendons. By proliferation of the fibroblasts, new, strong, collagen tissue is formed. This new tissue is what is needed to repair ligament and tendon sprains and injuries. Receive treatment from our Prolotherapy Doctor for your injuries with comprehensive Prolotherapy Treatment at <a href=\"https://orthoregen.com/\" rel=\"noopener noreferrer\">OrthoRegen<sup>®</sup></a><br />\r\n<br />\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n<h4>Is Treatment by a Prolotherapy Doctor safe?</h4>\r\nProlotherapy is an extremely safe procedure. The risks are far less than those associated with surgery for your chronic joint pain or acute joint injuries. The risks are often also less than taking Ibuprofen ( Motrin) for a lifetime to temporarily alleviate chronic pain. As with any procedure, there are risks and side effects which will vary depending on the area being treated. Dr. Fields will discuss these possibilities fully with patients during the pre-treatment consultation.\r\n<h4>What Conditions Can Dr. Fields Help You With:</h4>\r\nDr. Fields has had great success in treating his patients with hundreds of different injuries, conditions, and complaints, including:\r\n<ul>\r\n 	<li><strong>Chronic Conditions like…</strong>\r\n<ul>\r\n 	<li>Arthritis Pain</li>\r\n 	<li>Sciatica Pain</li>\r\n 	<li>Pinched Nerves</li>\r\n 	<li>Athletic Injuries</li>\r\n 	<li>Tension Headaches</li>\r\n 	<li>Migraine Headaches</li>\r\n 	<li>Herniated Discs</li>\r\n 	<li>Degenerative Discs</li>\r\n 	<li>TMJ syndrome</li>\r\n 	<li>Weak Joints</li>\r\n 	<li>Sore Muscles</li>\r\n</ul>\r\n</li>\r\n 	<li><strong>Knee Injuries:</strong>\r\n<ul>\r\n 	<li>ACL Tear</li>\r\n 	<li>Runners\' Knee</li>\r\n 	<li>Radial Meniscus Tear</li>\r\n 	<li>See a complete list of Knee Injuries Treated with Prolotherapy here.</li>\r\n</ul>\r\n</li>\r\n 	<li><strong>Hip Injuries:</strong>\r\n<ul>\r\n 	<li>Torn Labrum</li>\r\n 	<li>Acetabular labrum Tear</li>\r\n 	<li>Labral Tear</li>\r\n 	<li>See a complete list of Hip Injuries Treated with Prolotherapy here.</li>\r\n</ul>\r\n</li>\r\n 	<li><strong>Neck Injuries:</strong>\r\n<ul>\r\n 	<li>Whiplash</li>\r\n 	<li>TMJ Syndrome</li>\r\n 	<li>Migraine Headaches</li>\r\n 	<li>See a complete list of Neck Injuries Treated with Prolotherapy here.</li>\r\n</ul>\r\n</li>\r\n 	<li><strong>Shoulder Injuries:</strong>\r\n<ul>\r\n 	<li>Labral Tear</li>\r\n 	<li>Rotator Cuff Tear</li>\r\n 	<li>Swimmers Shoulder</li>\r\n 	<li>See a complete list of Shoulder Injuries Treated with Prolotherapy here.</li>\r\n</ul>\r\n</li>\r\n 	<li><strong>Back Injuries:</strong>\r\n<ul>\r\n 	<li>Herniated discs</li>\r\n 	<li>Sacroiliac injury</li>\r\n 	<li>Lower back pain</li>\r\n 	<li>See a complete list of Back Injuries Treated with Prolotherapy here.</li>\r\n</ul>\r\n</li>\r\n 	<li><strong>Elbow Injuries:</strong>\r\n<ul>\r\n 	<li>Tendonitis</li>\r\n 	<li>Tennis elbow</li>\r\n 	<li>Golfers elbow</li>\r\n 	<li>See a complete list of Elbow Injuries Treated with Prolotherapy here.</li>\r\n</ul>\r\n</li>\r\n 	<li><strong>Foot and Ankle Injuries:</strong>\r\n<ul>\r\n 	<li>Achilles tendinopathy</li>\r\n 	<li>Ankle Sprains</li>\r\n 	<li>Plantar Fasciitis</li>\r\n 	<li>See a complete list of Foot Injuries Treated with Prolotherapy here.</li>\r\n</ul>\r\n</li>\r\n 	<li><strong>Hand Injuries:</strong>\r\n<ul>\r\n 	<li>Carpal tunnel</li>\r\n 	<li>Overuse injury</li>\r\n 	<li>Finger pain</li>\r\n 	<li>See a complete list of Hand Injuries Treated with Prolotherapy here.</li>\r\n</ul>\r\n</li>\r\n</ul>\r\n<h4>Are You A Candidate for Prolotherapy Treatment?</h4>\r\nCall <a href=\"tel:+[phone_raw]\">[phone]</a> today for a free phone consultation with our Prolotherapy Doctor to see if Prolotherapy treatment can get you pain-free and ‘back in the game’ or help you resume your normal lifestyle. You can also <a href=\"https://www.drfields.com/contact/\" rel=\"noopener noreferrer\">contact Dr. Fields\' office</a> to set up an in-person consultation.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>','Prolotherapy Doctor','','inherit','closed','closed','','229-revision-v1','','','2020-06-30 17:07:16','2020-06-30 17:07:16','',229,'https://www.drfields.com/uncategorized/229-revision-v1/',0,'revision','',0),(3803,8,'2020-06-30 17:07:46','2020-06-30 17:07:46','<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Stem-Cell-Doctor-Peter-Fields-MD-DC.jpg\" alt=\"Stem Cell Doctor Peter Fields Md Dc\" width=\"218\" height=\"350\" class=\"alignleft size-full wp-image-1685\" /><h4>Stem Cell Doctor</h4>\r\n\r\nPeter A. Fields, MD DC, is Stem Cell Doctor in Los Angeles and the founder of OrthoRegen<sup>®</sup>. Dr. Fields is a leading expert in using Stem Cell Treatments for joints and Spine Regeneration. Dr. Fields help people avoid unnecessary orthopaedic surgeries whether full surgery or arthroscopic procedure. Dr.Fields is passionate about helping his clients eliminate pain for optimal long-term results, with the use of Stem Cell  Regenerative Treatments.\r\n\r\n<h4>What is a Stem Cell Doctor?</h4>\r\n\r\nA Stem Cell Doctor provides regenerative orthopaedics by offering non-surgical alternatives to joint and spine repair. Dr. Fields uses Stem Cell therapy to regenerate body tissue. Regenerative medicine is growing in popularity in the medical world as an alternative to invasive orthopaedic surgeries including joint replacement. The remarkable thing about Stem Cells is that when you inject them into a specific area of the body, they know what kinds of cells your body needs – for example,  cartilage cells or meniscus cells.\r\n\r\n<h4>What Conditions Can a Stem Cell Doctor Help?</h4>\r\n\r\nDr. Fields treats weakened, torn or damaged ligaments, as well as tendons, torn cartilage, muscle tears, menisci or labrums. Stem Cell treatment has also been effective in treating severe arthritis conditions.\r\n\r\n<strong>Dr. Fields has had great success in treating joint conditions with Stem Cell Therapy including:</strong>\r\n<ul>\r\n   <li>Bone-on-Bone</li>\r\n    <li>Severe Arthritis</li>\r\n    <li>Degenerated Joint</li>\r\n    <li>Torn, Worn or Missing Cartilage</li></ul>\r\n\r\nSee more about Stem Cell Treatment.<br />\r\n<br />\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n\r\n<h4>What is Stem Cell Treatment?</h4>\r\n\r\nStem Cell treatment is an injection of stem cells into the joint or affected area to promote healing. This procedure is usually used for cases where you have been told to have their joint replaced, have bone-on-bone, advanced arthritis, severe meniscus or labral tear or other aggressive injuries.\r\n\r\nDr. Fields  Stem Cell technique one of the four Gold Standards Regenerative Orthopedics procedures to help you avoid invasive surgery.\r\n\r\nStem Cell Treatment, as used in regenerative orthopaedics, is a non-surgical healing treatment for healing soft tissue performed by a Stem Cell Doctor. Stem Cell treatment is the transplantation of autologous culture-expanded bone marrow mesenchymal stem cells in platelet rich-fibrin glue.\r\n\r\n<h4>Is Stem Cell Treatment Safe?</h4>\r\n\r\nStem Cell treatment is an extremely safe procedure. The risks are far less than those associated with surgery for your chronic joint pain or acute joint injuries. The risks are often also less than taking Ibuprofen (Motrin) for a lifetime to temporarily alleviate chronic pain. As with any procedure, there are risks and side effects which will vary depending on the area being treated. The Stem Cell Doctor will discuss these possibilities fully with patients during the pre-treatment consultation. This is only recommended after a very thorough history and physical exam.\r\n\r\n<h4>Are You A Candidate for Stem Cell Treatment?</h4>\r\n\r\nIf you\'ve been told that you need to have joint replacement surgery -- whether that\'s shoulder replacement surgery, hip replacement surgery, knee replacement surgery (or any other joint), or if you\'ve been told that you need to have spine surgery due to bone-on-bone, arthritis or other conditions, you owe it to yourself to examine all other alternatives to surgery before going under the knife.\r\n\r\nSpine Surgery and Joint Replacement Surgery are very invasive procedures, and each comes with its own long list of reasons to avoid it at all costs: hospital stays, long recovery times, potential (dangerous) complications, and the need to have the procedure redone at some point.\r\n\r\nMake an appointment with our Stem Cell Doctor for an evaluation to see if you are a good candidate for Dr. Fields Gold Standard Stem Cell Treatment for - Spine and Joints. Call <a href=\"tel:+[phone_raw]\">[phone]</a>\r\n to Schedule Your Appointment Today!\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">  Schedule Your Appointment Today!</a>','Stem Cell Doctor','','inherit','closed','closed','','292-revision-v1','','','2020-06-30 17:07:46','2020-06-30 17:07:46','',292,'https://www.drfields.com/uncategorized/292-revision-v1/',0,'revision','',0),(3804,8,'2020-09-24 12:21:46','2020-09-24 12:21:46','<h4>The Athletic Doc<sup>®</sup></h4>\n[caption id=\"attachment_374\" align=\"alignleft\" width=\"250\"]<img class=\"size-full wp-image-374\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/dr-fields-pete-jacobs-small.jpg\" alt=\"Dr Fields Pete Jacobs Small\" width=\"250\" height=\"185\" /> <strong> Pete Jacobs 2012 Ironman<br />World Champion<br />&amp; Dr. Peter A Fields</strong>[/caption]\n\nDr. Peter A. Fields is also known as <strong> The Athletic Doc<sup>®</sup>.</strong>\nHe not only treats athletes in his practice but is an athlete himself.\n<h5>How Doctor Fields Became <strong class=\"subhead\">The Athletic Doc<sup>®</sup></strong></h5>\nFor over twenty years, Dr. Fields has been active in the sport of Triathlon which has lead to he became known as <strong>The Athletic Doc<sup>®</sup></strong>. In November 2019, he completed his ninth Ironman Triathlon. An Ironman Triathlon is a 2.4-mile swim, a 112-mile bike, and a 26.2-mile run. Dr. Fields has competed in over 60 other Triathlons in his career, including eight half (70.3) Ironman competitions as well as numerous Olympic distance ones. He says that even with all the years of training and racing, he still enjoys the challenges of it all.\n\nWith a busy practice, Dr. Fields still makes time to work out. During the triathlon season, he can be found swimming, biking or running six to seven days a week in addition to a regime of active stretching twice a day. On most weekends, Dr. Fields can be found on long training rides. Besides being outdoors and keeping himself very physically active, Dr. Fields also enjoys the camaraderie of his training partners. In addition to the sport of Triathlon, Dr. Fields is a competitive tennis player and participates in several other athletic activities including skiing, lifting weights, scuba diving, and hiking to name just a few.\n<h5><strong class=\"subhead\">The Athletic Doc<sup>®</sup></strong> Keeps Active and Fit to Maintain Optimal Health</h5>\nDr. Fields finds that keeping fit and active is not only important in keeping him in top physical shape but also in staying in touch with those patients that are, or want to be, active. To keep his body at maximum efficiency and maintain optimal health, Dr. Fields eats a very healthy diet which includes lots of organic fruits and vegetables and other whole food products. He avoids processed foods, fried foods, and white flour or white sugar products. <em>The Athletic Doc<sup>®</sup></em> also utilizes a daily vitamin and supplement regime as well as massage therapy, chiropractic and of course, <strong>Prolotherapy</strong> for those injuries that just won\'t heal. Plus he makes sure to get plenty of sleep, drink lots of water and have some quiet time in his life.\n\nDr. Fields is a nationally known <a href=\"#\">Prolotherapy</a> Doctor. For more severe injuries, Dr. Fields recommends <a href=\"#\">PRP Prolotherapy</a>, which uses a patient\'s own cells to stimulate healing. And for his patients who have arthritic joints, torn or missing cartilage, or bone-on-bone conditions, Dr. Fields is a nationally known <a href=\"#\">Stem Cell Prolotherapy</a> doctor who regularly helps his patients avoid joint replacement surgery.\n<h5>About <strong>The Athletic Doc<sup>®</sup></strong></h5>\nDr. Fields is the Director of OrthoRegen<sup>®</sup> in Santa Monica, Ca. one of the largest practices in the world dedicated to Regenerative Orthopedics. Dr. Fields treats patients from around the United States and the World: from professional athletes to weekend warriors and even non-athletes. He helps people avoid orthopedic surgeries whether full surgery or arthroscopic. Dr. Fields is a leading expert in Prolotherapy treatments to help people reduce pain and prevent joint replacement.\n\n<strong><em>The Athletic Doc<sup>®</sup> motto is \"not only train hard but smart – as if your body depended on it\"</em></strong>\n\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\n<div class=\"fullwidth color_bar\">\n<div id=\"aboutdocgallery\" class=\"col-md-12\">\n<h4>Ironman Photos &amp; Stories</h4>\n<ul>\n 	<li><a href=\"https://www.drfields.com/about/the-athletic-doc/race-report-9th-ironman/\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Ironman-Santa-Rosa-Finishline-3.jpg\" />2017 Ironman Santa Rose</a></li>\n 	<li><a href=\"https://www.drfields.com/about/the-athletic-doc/race-report-8th-ironman/\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Cozumel-2016-Finish-160.jpg\" />2016 Ironman Cozumel</a></li>\n 	<li><a href=\"https://www.drfields.com/about/the-athletic-doc/race-report-7th-ironman/\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Switzerland-Finish-Line-2016-275.jpg\" />2016 Ironman Switzerland</a></li>\n 	<li><a href=\"https://www.drfields.com/about/the-athletic-doc/race-report-6th-ironman/\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Cozumel-Finish-2015-275.jpg\" />2015 Ironman Cozumel</a></li>\n 	<li><a href=\"https://www.drfields.com/about/the-athletic-doc/race-report-5th-ironman/\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman-brazil-finish.jpg\" />2015 Ironman Brazil</a></li>\n 	<li><a href=\"https://www.drfields.com/about/the-athletic-doc/race-report-4th-ironman/\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman2014-large.jpg\" />2014 Ironman Austria</a></li>\n 	<li><a href=\"https://www.drfields.com/about/the-athletic-doc/race-report-3rd-ironman/\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2011-finish2.jpg\" />2013 Ironman Canada</a></li>\n 	<li><a href=\"https://www.drfields.com/about/the-athletic-doc/race-report-2nd-ironman/\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2012-finish2.jpg\" />2012 Ironman Cozumel</a></li>\n</ul>\n</div>\n</div>','About The Athletic Doc','','inherit','closed','closed','','373-autosave-v1','','','2020-09-24 12:21:46','2020-09-24 12:21:46','',373,'https://www.drfields.com/uncategorized/373-autosave-v1/',0,'revision','',0),(3805,8,'2020-06-30 17:24:09','2020-06-30 17:24:09','<h4>The Athletic Doc<sup>®</sup></h4>\r\n[caption id=\"attachment_374\" align=\"alignleft\" width=\"250\"]<img class=\"size-full wp-image-374\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/dr-fields-pete-jacobs-small.jpg\" alt=\"Dr Fields Pete Jacobs Small\" width=\"250\" height=\"185\" /> <strong> Pete Jacobs 2012 Ironman<br />World Champion<br />&amp; Dr. Peter A Fields</strong>[/caption]\r\n\r\nDr. Peter A. Fields is also known as <strong> The Athletic Doc<sup>®</sup>.</strong>\r\nHe not only treats athletes in his practice but is an athlete himself.\r\n<h5>How Doctor Fields Became <strong class=\"subhead\">The Athletic Doc<sup>®</sup>.</strong></h5>\r\nFor over twenty years, Dr. Fields has been active in the sport of Triathlon which has lead to he became known as <strong>The Athletic Doc<sup>®</sup></strong>. In November 2019, he completed his ninth Ironman Triathlon. An Ironman Triathlon is a 2.4-mile swim, a 112-mile bike, and a 26.2-mile run. Dr. Fields has competed in over 60 other Triathlons in his career, including eight half (70.3) Ironman competitions as well as numerous Olympic distance ones. He says that even with all the years of training and racing, he still enjoys the challenges of it all.\r\n\r\nWith a busy practice, Dr. Fields still makes time to work out. During the triathlon season, he can be found swimming, biking or running six to seven days a week in addition to a regime of active stretching twice a day. On most weekends, Dr. Fields can be found on long training rides. Besides being outdoors and keeping himself very physically active, Dr. Fields also enjoys the camaraderie of his training partners. In addition to the sport of Triathlon, Dr. Fields is a competitive tennis player and participates in several other athletic activities including skiing, lifting weights, scuba diving, and hiking to name just a few.\r\n<h5><strong class=\"subhead\">The Athletic Doc<sup>®</sup></strong> Keeps Active and Fit to Maintain Optimal Health</h5>\r\nDr. Fields finds that keeping fit and active is not only important in keeping him in top physical shape but also in staying in touch with those patients that are, or want to be, active. To keep his body at maximum efficiency and maintain optimal health, Dr. Fields eats a very healthy diet which includes lots of organic fruits and vegetables and other whole food products. He avoids processed foods, fried foods, and white flour or white sugar products. <em>The Athletic Doc<sup>®</sup></em> also utilizes a daily vitamin and supplement regime as well as massage therapy, chiropractic and of course, <strong>Prolotherapy</strong> for those injuries that just won\'t heal. Plus he makes sure to get plenty of sleep, drink lots of water and have some quiet time in his life.\r\n\r\nDr. Fields is a nationally known <a href=\"#\">Prolotherapy</a> Doctor. For more severe injuries, Dr. Fields recommends <a href=\"#\">PRP Prolotherapy</a>, which uses a patient\'s own cells to stimulate healing. And for his patients who have arthritic joints, torn or missing cartilage, or bone-on-bone conditions, Dr. Fields is a nationally known <a href=\"#\">Stem Cell Prolotherapy</a> doctor who regularly helps his patients avoid joint replacement surgery.\r\n<h5>About <strong>The Athletic Doc<sup>®</sup></strong></h5>\r\nDr. Fields is the Director of OrthoRegen in Santa Monica, Ca. one of the largest practices in the world dedicated to Regenerative Orthopedics. Dr. Fields treats patients from around the United States and the World: from professional athletes to weekend warriors and even non-athletes. He helps people avoid orthopedic surgeries whether full surgery or arthroscopic. Dr. Fields is a leading expert in Prolotherapy treatments to help people reduce pain and prevent joint replacement.\r\n\r\n<strong><em>The Athletic Doc<sup>®</sup> motto is \"not only train hard but smart – as if your body depended on it\"</em></strong>\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n<div class=\"fullwidth color_bar row-full \">\r\n<div id=\"aboutdocgallery\" class=\"col-md-12\">\r\n<h4>Ironman Photos &amp; Stories</h4>\r\n<ul>\r\n 	<li><a href=\"https://www.drfields.com/about/the-athletic-doc/race-report-9th-ironman/\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Ironman-Santa-Rosa-Finishline-3.jpg\" />2017 Ironman Santa Rose</a></li>\r\n 	<li><a href=\"https://www.drfields.com/about/the-athletic-doc/race-report-8th-ironman/\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Cozumel-2016-Finish-160.jpg\" />2016 Ironman Cozumel</a></li>\r\n 	<li><a href=\"https://www.drfields.com/about/the-athletic-doc/race-report-7th-ironman/\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Switzerland-Finish-Line-2016-275.jpg\" />2016 Ironman Switzerland</a></li>\r\n 	<li><a href=\"https://www.drfields.com/about/the-athletic-doc/race-report-6th-ironman/\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Cozumel-Finish-2015-275.jpg\" />2015 Ironman Cozumel</a></li>\r\n 	<li><a href=\"https://www.drfields.com/about/the-athletic-doc/race-report-5th-ironman/\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman-brazil-finish.jpg\" />2015 Ironman Brazil</a></li>\r\n 	<li><a href=\"https://www.drfields.com/about/the-athletic-doc/race-report-4th-ironman/\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman2014-large.jpg\" />2014 Ironman Austria</a></li>\r\n 	<li><a href=\"https://www.drfields.com/about/the-athletic-doc/race-report-3rd-ironman/\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2011-finish2.jpg\" />2013 Ironman Canada</a></li>\r\n 	<li><a href=\"https://www.drfields.com/about/the-athletic-doc/race-report-2nd-ironman/\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2012-finish2.jpg\" />2012 Ironman Cozumel</a></li>\r\n</ul>\r\n</div>\r\n</div>','About The Athletic Doc','','inherit','closed','closed','','373-revision-v1','','','2020-06-30 17:24:09','2020-06-30 17:24:09','',373,'https://www.drfields.com/uncategorized/373-revision-v1/',0,'revision','',0),(3806,8,'2020-06-30 17:24:43','2020-06-30 17:24:43','<h4>The Athletic Doc<sup>®</sup></h4>\r\n[caption id=\"attachment_374\" align=\"alignleft\" width=\"250\"]<img class=\"size-full wp-image-374\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/dr-fields-pete-jacobs-small.jpg\" alt=\"Dr Fields Pete Jacobs Small\" width=\"250\" height=\"185\" /> <strong> Pete Jacobs 2012 Ironman<br />World Champion<br />&amp; Dr. Peter A Fields</strong>[/caption]\r\n\r\nDr. Peter A. Fields is also known as <strong> The Athletic Doc<sup>®</sup>.</strong>\r\nHe not only treats athletes in his practice but is an athlete himself.\r\n<h5>How Doctor Fields Became <strong class=\"subhead\">The Athletic Doc<sup>®</sup></strong></h5>\r\nFor over twenty years, Dr. Fields has been active in the sport of Triathlon which has lead to he became known as <strong>The Athletic Doc<sup>®</sup></strong>. In November 2019, he completed his ninth Ironman Triathlon. An Ironman Triathlon is a 2.4-mile swim, a 112-mile bike, and a 26.2-mile run. Dr. Fields has competed in over 60 other Triathlons in his career, including eight half (70.3) Ironman competitions as well as numerous Olympic distance ones. He says that even with all the years of training and racing, he still enjoys the challenges of it all.\r\n\r\nWith a busy practice, Dr. Fields still makes time to work out. During the triathlon season, he can be found swimming, biking or running six to seven days a week in addition to a regime of active stretching twice a day. On most weekends, Dr. Fields can be found on long training rides. Besides being outdoors and keeping himself very physically active, Dr. Fields also enjoys the camaraderie of his training partners. In addition to the sport of Triathlon, Dr. Fields is a competitive tennis player and participates in several other athletic activities including skiing, lifting weights, scuba diving, and hiking to name just a few.\r\n<h5><strong class=\"subhead\">The Athletic Doc<sup>®</sup></strong> Keeps Active and Fit to Maintain Optimal Health</h5>\r\nDr. Fields finds that keeping fit and active is not only important in keeping him in top physical shape but also in staying in touch with those patients that are, or want to be, active. To keep his body at maximum efficiency and maintain optimal health, Dr. Fields eats a very healthy diet which includes lots of organic fruits and vegetables and other whole food products. He avoids processed foods, fried foods, and white flour or white sugar products. <em>The Athletic Doc<sup>®</sup></em> also utilizes a daily vitamin and supplement regime as well as massage therapy, chiropractic and of course, <strong>Prolotherapy</strong> for those injuries that just won\'t heal. Plus he makes sure to get plenty of sleep, drink lots of water and have some quiet time in his life.\r\n\r\nDr. Fields is a nationally known <a href=\"#\">Prolotherapy</a> Doctor. For more severe injuries, Dr. Fields recommends <a href=\"#\">PRP Prolotherapy</a>, which uses a patient\'s own cells to stimulate healing. And for his patients who have arthritic joints, torn or missing cartilage, or bone-on-bone conditions, Dr. Fields is a nationally known <a href=\"#\">Stem Cell Prolotherapy</a> doctor who regularly helps his patients avoid joint replacement surgery.\r\n<h5>About <strong>The Athletic Doc<sup>®</sup></strong></h5>\r\nDr. Fields is the Director of OrthoRegen in Santa Monica, Ca. one of the largest practices in the world dedicated to Regenerative Orthopedics. Dr. Fields treats patients from around the United States and the World: from professional athletes to weekend warriors and even non-athletes. He helps people avoid orthopedic surgeries whether full surgery or arthroscopic. Dr. Fields is a leading expert in Prolotherapy treatments to help people reduce pain and prevent joint replacement.\r\n\r\n<strong><em>The Athletic Doc<sup>®</sup> motto is \"not only train hard but smart – as if your body depended on it\"</em></strong>\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n<div class=\"fullwidth color_bar row-full \">\r\n<div id=\"aboutdocgallery\" class=\"col-md-12\">\r\n<h4>Ironman Photos &amp; Stories</h4>\r\n<ul>\r\n 	<li><a href=\"https://www.drfields.com/about/the-athletic-doc/race-report-9th-ironman/\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Ironman-Santa-Rosa-Finishline-3.jpg\" />2017 Ironman Santa Rose</a></li>\r\n 	<li><a href=\"https://www.drfields.com/about/the-athletic-doc/race-report-8th-ironman/\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Cozumel-2016-Finish-160.jpg\" />2016 Ironman Cozumel</a></li>\r\n 	<li><a href=\"https://www.drfields.com/about/the-athletic-doc/race-report-7th-ironman/\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Switzerland-Finish-Line-2016-275.jpg\" />2016 Ironman Switzerland</a></li>\r\n 	<li><a href=\"https://www.drfields.com/about/the-athletic-doc/race-report-6th-ironman/\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Cozumel-Finish-2015-275.jpg\" />2015 Ironman Cozumel</a></li>\r\n 	<li><a href=\"https://www.drfields.com/about/the-athletic-doc/race-report-5th-ironman/\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman-brazil-finish.jpg\" />2015 Ironman Brazil</a></li>\r\n 	<li><a href=\"https://www.drfields.com/about/the-athletic-doc/race-report-4th-ironman/\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman2014-large.jpg\" />2014 Ironman Austria</a></li>\r\n 	<li><a href=\"https://www.drfields.com/about/the-athletic-doc/race-report-3rd-ironman/\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2011-finish2.jpg\" />2013 Ironman Canada</a></li>\r\n 	<li><a href=\"https://www.drfields.com/about/the-athletic-doc/race-report-2nd-ironman/\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2012-finish2.jpg\" />2012 Ironman Cozumel</a></li>\r\n</ul>\r\n</div>\r\n</div>','About The Athletic Doc','','inherit','closed','closed','','373-revision-v1','','','2020-06-30 17:24:43','2020-06-30 17:24:43','',373,'https://www.drfields.com/uncategorized/373-revision-v1/',0,'revision','',0),(3807,8,'2020-06-30 17:26:20','2020-06-30 17:26:20','<h4>The Athletic Doc<sup>®</sup></h4>\r\n[caption id=\"attachment_374\" align=\"alignleft\" width=\"250\"]<img class=\"size-full wp-image-374\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/dr-fields-pete-jacobs-small.jpg\" alt=\"Dr Fields Pete Jacobs Small\" width=\"250\" height=\"185\" /> <strong> Pete Jacobs 2012 Ironman<br />World Champion<br />&amp; Dr. Peter A Fields</strong>[/caption]\r\n\r\nDr. Peter A. Fields is also known as <strong> The Athletic Doc<sup>®</sup>.</strong>\r\nHe not only treats athletes in his practice but is an athlete himself.\r\n<h5>How Doctor Fields Became <strong class=\"subhead\">The Athletic Doc<sup>®</sup></strong></h5>\r\nFor over twenty years, Dr. Fields has been active in the sport of Triathlon which has lead to he became known as <strong>The Athletic Doc<sup>®</sup></strong>. In November 2019, he completed his ninth Ironman Triathlon. An Ironman Triathlon is a 2.4-mile swim, a 112-mile bike, and a 26.2-mile run. Dr. Fields has competed in over 60 other Triathlons in his career, including eight half (70.3) Ironman competitions as well as numerous Olympic distance ones. He says that even with all the years of training and racing, he still enjoys the challenges of it all.\r\n\r\nWith a busy practice, Dr. Fields still makes time to work out. During the triathlon season, he can be found swimming, biking or running six to seven days a week in addition to a regime of active stretching twice a day. On most weekends, Dr. Fields can be found on long training rides. Besides being outdoors and keeping himself very physically active, Dr. Fields also enjoys the camaraderie of his training partners. In addition to the sport of Triathlon, Dr. Fields is a competitive tennis player and participates in several other athletic activities including skiing, lifting weights, scuba diving, and hiking to name just a few.\r\n<h5><strong class=\"subhead\">The Athletic Doc<sup>®</sup></strong> Keeps Active and Fit to Maintain Optimal Health</h5>\r\nDr. Fields finds that keeping fit and active is not only important in keeping him in top physical shape but also in staying in touch with those patients that are, or want to be, active. To keep his body at maximum efficiency and maintain optimal health, Dr. Fields eats a very healthy diet which includes lots of organic fruits and vegetables and other whole food products. He avoids processed foods, fried foods, and white flour or white sugar products. <em>The Athletic Doc<sup>®</sup></em> also utilizes a daily vitamin and supplement regime as well as massage therapy, chiropractic and of course, <strong>Prolotherapy</strong> for those injuries that just won\'t heal. Plus he makes sure to get plenty of sleep, drink lots of water and have some quiet time in his life.\r\n\r\nDr. Fields is a nationally known <a href=\"#\">Prolotherapy</a> Doctor. For more severe injuries, Dr. Fields recommends <a href=\"#\">PRP Prolotherapy</a>, which uses a patient\'s own cells to stimulate healing. And for his patients who have arthritic joints, torn or missing cartilage, or bone-on-bone conditions, Dr. Fields is a nationally known <a href=\"#\">Stem Cell Prolotherapy</a> doctor who regularly helps his patients avoid joint replacement surgery.\r\n<h5>About <strong>The Athletic Doc<sup>®</sup></strong></h5>\r\nDr. Fields is the Director of OrthoRegen<sup>®</sup> in Santa Monica, Ca. one of the largest practices in the world dedicated to Regenerative Orthopedics. Dr. Fields treats patients from around the United States and the World: from professional athletes to weekend warriors and even non-athletes. He helps people avoid orthopedic surgeries whether full surgery or arthroscopic. Dr. Fields is a leading expert in Prolotherapy treatments to help people reduce pain and prevent joint replacement.\r\n\r\n<strong><em>The Athletic Doc<sup>®</sup> motto is \"not only train hard but smart – as if your body depended on it\"</em></strong>\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n<div class=\"fullwidth color_bar row-full \">\r\n<div id=\"aboutdocgallery\" class=\"col-md-12\">\r\n<h4>Ironman Photos &amp; Stories</h4>\r\n<ul>\r\n 	<li><a href=\"https://www.drfields.com/about/the-athletic-doc/race-report-9th-ironman/\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Ironman-Santa-Rosa-Finishline-3.jpg\" />2017 Ironman Santa Rose</a></li>\r\n 	<li><a href=\"https://www.drfields.com/about/the-athletic-doc/race-report-8th-ironman/\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Cozumel-2016-Finish-160.jpg\" />2016 Ironman Cozumel</a></li>\r\n 	<li><a href=\"https://www.drfields.com/about/the-athletic-doc/race-report-7th-ironman/\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Switzerland-Finish-Line-2016-275.jpg\" />2016 Ironman Switzerland</a></li>\r\n 	<li><a href=\"https://www.drfields.com/about/the-athletic-doc/race-report-6th-ironman/\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Cozumel-Finish-2015-275.jpg\" />2015 Ironman Cozumel</a></li>\r\n 	<li><a href=\"https://www.drfields.com/about/the-athletic-doc/race-report-5th-ironman/\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman-brazil-finish.jpg\" />2015 Ironman Brazil</a></li>\r\n 	<li><a href=\"https://www.drfields.com/about/the-athletic-doc/race-report-4th-ironman/\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman2014-large.jpg\" />2014 Ironman Austria</a></li>\r\n 	<li><a href=\"https://www.drfields.com/about/the-athletic-doc/race-report-3rd-ironman/\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2011-finish2.jpg\" />2013 Ironman Canada</a></li>\r\n 	<li><a href=\"https://www.drfields.com/about/the-athletic-doc/race-report-2nd-ironman/\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2012-finish2.jpg\" />2012 Ironman Cozumel</a></li>\r\n</ul>\r\n</div>\r\n</div>','About The Athletic Doc','','inherit','closed','closed','','373-revision-v1','','','2020-06-30 17:26:20','2020-06-30 17:26:20','',373,'https://www.drfields.com/uncategorized/373-revision-v1/',0,'revision','',0),(3808,8,'2020-06-30 17:31:03','2020-06-30 17:31:03','<div class=\"col-md-8\">\r\n<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman-austria-logo.jpg\" alt=\"Ironman Austria Logo\" width=\"220\" height=\"82\" class=\"aligncenter size-full wp-image-154\" /> \r\n\r\n<h6 class=\"text-center\">Sunday June 29, 2014<br>\r\n2.4 mile swim, 112 mile bike, 26.2 mile run</h6>\r\n\r\nMy time was 13:32:36.  A new PR for me.\r\nFor the details, please read the story below.\r\nThank you\r\n\r\n<strong class=\"subhead\">GETTING THERE</strong><br>\r\nIt started with a 12 hour flight from Los Angeles to Frankfurt going via Dallas. There was 3 hour delay in Dallas so it took even longer. I thought that I had missed my train connection in Frankfurt. Fortunately I got through customs very quickly.  35 minutes from arriving at the game, I was not only able to get through customs but pick up my bags, take a bus to the train station, then re-book my ticket and make my train with 5 minutes to spare!  Of course being able to speak German helped out a lot with getting directions. Then a 3 hour train ride to Munich where I switched trains and then a four hour train ride to Klagenfurt, Austria.  The views from the train in southern Germany and Austria were spectacular.\r\nThe next days were just getting settled in. Usually I\'m a very good sleeper but unfortunately, for about 4 days, I was unable to sleep a lot at night. I tried to make up with this naps during the day.  Sunday would come all too quickly. \r\nThe rest of the pre-event days were spent meeting everybody, seeing the triathlon expo and having a chance to swim in the lake and then take a van ride around part of the biking course. When my bike did arrive (I had it shipped), I rode it for about 20 miles and then had the mechanic adjust it slightly. The rest of the time was spent trying to stay calm and relaxed while not working out a lot.\r\n\r\nSaturday we checked in at the race which included leaving your bike and all your gear. The race number paper for my bike did not fit properly and I was advised not to tamper with it and ask an official when I went to check in my bike. When I got out of the van at the check in point I realized that I have left the number back in the hotel. In German I asked one of the check in officials what he could do about it. He said he could not do anything and that I would have to go to the registration area to have a thing done. Not an easy thing to do as it was one a mile away and I had all my gear with me in bags, so walking the bike would not be an easy thing. So I opted to go back to the van and have them take me back and get the number. As I was walking away one of the spectators came up to me and said in German that someone wants to talk to you back from where I came. I looked back and saw someone standing there who had a race official badge around his neck. So I walked back (not an easy thing to do with several thousand people there) and asked him in German if he could do anything about this. He said no problem he could help me. I was surprised as the first guy had said no. I asked again if he was sure about this since my van ride was about to leave. He turned over his badge which and it said race director.  He said \"I\'m the boss and I can do it for you\".  And within minutes everything was taken care of. He told me he travels to the states sometimes so I gave my card told him to look me up. He said he would.\r\nAll’s well that ends well. Plus a good omen for the race.\r\n\r\n\r\n<strong class=\"subhead\">RACE DAY</strong><br>\r\nI got up at my usual time of 3:30 am. Breakfast is at four am and we leave for the race at 4:45am. It was about 58 degrees (heading into the 70\'s) and very clear and no signs of rain. It has rained the last 2 days on and off so this was a good thing. Got to the transition area and prepped my bike for the last time. This is always a very exciting time with 3000 athletes plus spectators trying to stay calm. Since it was about a 500 meter walk to the water, we all took our wetsuits and changed over by the lake.\r\nAt the lake we were greeted by a rainbow over the lake.  It was very beautiful and again a good omen. In a short time, we were already go. The pros and another group of 800 people started 15 minutes early. These early starting non-pros for had signed up to start early. I missed this sign up and at first I was disappointed as I am a very strong swimmer. But Ken Glah, the former pro triathlete whose company I travel with, found out it was a good thing as I would be the fastest in the next group of 2200 athletes and not all bunched up with the fast group (it gets very jammed up at the beginning of the swim).\r\nSo after many months of training, I was ready to start my fourth Ironman. I was dedicating this race to two people.\r\nOn my left arm I had head initials JP written. This was in memory of my friend Jeff Patterson. Dr Jeff started me off in the wonderful world Prolotherapy which helped save my back from surgery. He was my mentor and dear friend and died much too early only a few months ago at the age of 67.\r\nOn my right arm I had the initials FFF, for my father Fred F. Fields. Simply put, he was everything in the world to me. He would have been so proud of me, as he always was. It was with great honor and pride that I am able to call myself his son.  He died almost 10 years ago and there is not one day that goes by that I do not think of him.\r\n\r\n\r\n<strong class=\"subhead\">THE SWIM</strong><br>\r\nEven with 800 starting early, there still was 2200 starting in this pack. Since there were definitely going to be some really fast swimmers in this group,  I decided to stay behind the first group of people and go off a bit slower. The strategy worked to my advantage as I was able to answer save a little energy at the beginning. Once I got out about 400 or 500 meters I was able to get into my stride and swim well. It did get a little crowded but I was able to stay with the pack. This is good as when we turned back towards shore, we entered a canal that is about 1000 meters long. I had been warned that it can be extremely crowded in the canal and one can\'t really move at all. But due to the fact that I was with first group of only about 150 people there was plenty of room. In triathlons one lifts their head every four or five strokes to sight the land and make sure you are going straight (unlike in a pool, there are no black lines on the bottom of the lake!!).  When I picked up my head, I could see the sides of the canal where there were probably over 1000 people lining the canal yelling and cheering. This really was a unique experience as normally one can see or hear nothing\r\nWhen I got about 100 meters towards the end it got a little jammed up and I was not really  able  to  move ahead quickly or left or right. You just had to stay with the pack. Either way, I excited the water at a little over one hour and six minutes, which turned out to be first place in my age group (a first for me).  And there were no wetsuit strippers (volunteers who strip your wetsuit off you when you lay down on your back). So we just pulled the wetsuit off our shoulders and ran about 500 meters to transition one (T1), where we had to pull the rest of our wetsuits off (not an easy thing) and get ready for biking.\r\n\r\n\r\n<strong class=\"subhead\">THE BIKE</strong>\r\n\r\n<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/bike-race2014.jpg\" alt=\"Bike Race2014\" width=\"382\" height=\"512\" class=\"alignright size-full wp-image-170\" />As one exits the T1 area, there were over a thousand people cheering us on.  We rode down a street for about 300 meters and made a U-turn back so the street was heavily lined with spectators. It was a beautiful day, sunny and probably about mid to upper sixty\'s with no clouds in sight.  As usual I did not eat anything after the swim for about 15 minutes to allow the blood to get into my legs. At the beginning this route is mostly flat with lots of curves going around the lake. As we left lake we went into the small town where there was a traffic circle and after that is where we started our first big hill climb.  At the traffic circle there was one of the race announcers announcing the race and cheering us on along with the spectators. And in all the small towns there were lots of people standing on the streets watching and cheering. As we started the steepest part of this climb, the street was lined with people probably 5 or6 deep on either side cheering and screaming to encourage us to get up the hill. This part was a big loop so we did not come back the same way. Going back was long downhill, so we went fast except for the towns where we had to make small turns which meant we had to slow down. All along here we had spectacular views of the mountains. At mile 45 or 46 miles, we started the biggest climb up the Ruperberg mountain.  As we approached this mountain climb, we made a sharp left in town and started going up. There were 100\'s of people lining the street and cheering us on along with a big loud speaker with a dj playing music. It was not too long but very steep. And again at the top were a lot of people and another dj play playing music over really big loud speakers. Then it was mostly downhill back to town to start a second loop.  As I came down the hill, I saw a large bee coming right at me. This happens quite often on the bike. I felt it hit my right shoulder and bounce. I suddenly felt a sharp sting in my left thigh this was under my bike shorts. I rolled back my bike shorts and there was a big red welt. It hurt but there was nothing I could do about. I just blocked it out of my mind. The pain subsided after about 15 or 20 minutes and I just went on with the race.\r\n\r\nAs we came into town they had us make a180 degree turn again (like at the beginning) so we hat to really slow down But this was good thing as the street leading to this turn was lined with thousands of spectators cheering us on.  Occasionally at this point and other ones where there was an announcer I would hear \"and here is Peter from the United States\".  Always nice to hear to keep one going. My usual time is about 3hrs 25 mins for half of the ride but this time I did it in 3 hours 10 mins. I was feeling very good.\r\n\r\nAs we started back out on the second loop, I stopped at special needs and refueled myself. Special needs is where one can leave a bag that morning of anything they may want or need at that point. It is at the halfway point of the bike and another one at the halfway point of the run.  I tossed my fuel bottle out and took a new one from the bag I had left. I also resupplied myself with my gels and other nutrition. I carry my own nutrition so as not to try anything new on race day.  When I tossed the bottle away, it rolled to the feet of the small boy about 6 or 7 years old. His mom looked at him.  He just looked at it. I told him, in German, here\'s a present for you.  Take it home and clean it! It is yours. He just smiled at me as he reached for it.\r\nThen 8 miles into the second loop miles drizzle started that got a bit heavier with time. Now the streets were wet and there were puddles. This meant we all had to slow down.\r\nAll in all, it went well on the second loop.  The crowds were less due to the rain but there were, still crowds out there. At about mile 80 my stomach had a little bit of trouble. Nothing big, just that I could not eat for about 20 or 30 minutes. But I got over it without any problems. \r\nMy second loop time was a bit slower due to the rain.\r\n It was 3 hours in 25 minutes. All in all I felt strong for the run. This was a good thing.\r\nIn town near T2, the crowds were there cheering loudly.\r\n\r\nGot off my bike in and ran thru the transition area to rack my bike. It was good to be off the bike after 112 miles.  Got my running shoes on and started off to run a marathon.\r\n\r\nPS several places on the bike course (and later on the run course) there were people from Endurance Sports Travel. This is the group I went with. They were cheering me on loudly. This was much appreciated.\r\n\r\n\r\n<p><strong class=\"subhead\">THE RUN</strong></p>\r\n\r\n<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/running-smile.jpg\" alt=\"Running Smile\" width=\"335\" height=\"504\" class=\"alignleft size-full wp-image-174\" />When one leaves transition area two (T2) in an Ironman, you cannot think marathon. You just say are running from here to there and play this mental games with yourself the whole way. It was warm and sunny and about 75 degrees but not too hot. Plus there was tree cover on at least 60% of the run course. The run was a double loop. It was actually a figure 8 that we had to do twice. So therefore I would pass the finish line 4 times. In this area were thousands of people yelling and screaming. After a mile or two, I started to feel a bit tired in my legs. So I just told myself I would run to the end the first turn around about 4.5 miles out. I had my Garmin (GPS) on so I was able to see my pace and keep it where I knew I could maintain it. We ran along the lake the beginning of each loop, so although brief, it was a nice view. After only 2.5 miles, I came upon a woman that was having trouble running so I ran for a little bit with her to keep her going. At 4.5 miles we turned around and headed back to town. Now I felt strong again and my legs were loosening up. In training I had problems with my foot and also slightly with my hamstring (the hamstring had been my Achilles heel in the last two races).  I trained part of the time in the water for my run (deep water running).  This was very helpful as it took the stress of these two areas.  At this point everything was good and I had no pain.  As we passed through the finish line area (middle of the figure eight), we headed out again along a canal. Then we ran under a small foot bridge and onto a small (in width) cobblestone street lined with houses. We ran along this for about 3/4 of a mile then into the town square. People were sitting in cafes and cheering us on. Lots and lots of people. It was about 6 or 7 o\'clock at night and since the sun stays up until about 9 o\'clock the cafes are very, very crowded. We continued on into the town square where there was a large TV screen where people were watching football (soccer). Here we turned to begin the last part of the figure eight and run back to the starting area. I got back to starting point again and got my special needs bag - some extra nutrition. On the second loop my stomach started to feel little funny.  This is something that is very common with Ironman triathletes. Mine only lasted about again 15 or 20 minutes. Many runners were walking due to this or muscle cramps, dehydration or other things. I felt fairly lucky.  I would cheer these fellow athlete on when I went past them and told them to just keep going. Everyone appreciates that. I had been in their situation in the past and know what it feels like when someone gives you a shout of support.\r\n\r\nI just kept telling myself to keep going.  One foot after another...just keep going... Part of the way it was shady so that helped a lot too. The sun stays up until 9 o’clock so it never went down while I was running. Mile 18, I got a second wind. Felt very upbeat and in a good place so I was able to pick up pace.\r\nAt that point I started to run alongside someone a little bit faster than me. After only two miles, I could not keep up with him and told him so. He told me that you normally he runs a lot faster but not today. He told me to try to stay with him and we could talk so the time with go faster. So for the rest of the marathon (about 6 miles), we ran together. We ran back along the canal and into the city square again where there still lots of people. His pace was definitely faster than I would have gone but he was pushing me thru all the aches and pains one has after racing for over 13 hours. There was a small archway as one entered into the city square. There was a small bell on a string that it was hanging from. If you rung the bell (by tapping it with your hand) they would donate money to charity, so I rang it every time I passed it. At the final turn around, it was very exciting knowing that I only had 3 miles left. I had never developed any pain from my foot or my hamstring. And I was very pleased with my run. The guy I was running with and I just kept talking. He was from Prague where I was going after the race so we were going to exchange numbers after we finished. So as we got near the finish line area, the noise of the crowd got louder and louder. Since they take your picture as you cross the finish line, he said I should go ahead of him to be alone. I thanked him very much for helping me along.\r\n\r\nSo at about 100 meters away, I took off from him. The crowd was very loud; almost deafening. There was a cheerleading squad there along with photographers and a local TV crew. As one comes with closer to the finish line, the noise level is incredible with cheering, cowbells and more. I then heard the announcer say:\r\n<strong>\"Peter Fields, you are an Ironman!\"</strong>\r\n\r\nThe feeling one has when you hear that never gets old.\r\nI was exhausted but very elated. The feeling I had is indescribable.\r\nAnd at 13 hrs. 32 minutes and 36 seconds I had a new personal best for me by 18 minutes\r\nMy friend I met on the run the finished right behind me. I then met his wife and three kids.\r\nAfter a few minutes of walking around it was off to the massage tent and get some food.\r\n\r\nPS I finished around 8:30 pm. At 9 pm the sky opened up and it rained hard for about an hour.\r\n I was very fortunate not to go through that.\r\n\r\nI want to make everybody who took the time and effort to watch the update that were on the internet during the race. I appreciate every one of you. And for everyone else, your thoughts and cheers before and after the race were heard. There are lots and lots of people I need to thank but the list is too long. You know who you are and a big thank you goes out to all.\r\nCollectively, I want to thank massage therapist, my acupuncturist and my chiropractor. You all helped get me through.  And wonderful office staff who always took a great interest in what I was doing and put up with my long workouts that made me late sometimes.\r\n\r\nThere a few individuals that need to be singled out individually.\r\n I want to thank my coach, Cherie Gruenfeld, as she pushed me hard and helped me a lot.\r\n\r\nAnd then there is the world’s best podiatrist, Dr Dan Altchuler. Without his help and caring, my foot would have never made it through the race. \r\n\r\nI want to thank my very special friend Angela Past.  Several years ago she got me into this wonderful world of Ironman triathlons (she became an Ironman before I did).  She actually got up in the middle of the night in California to follow me as the race began at 10pm west coast time.  Wow!  Thank you so much for your emotional support when I needed it the most.\r\n\r\nAnd last but not least, I want to thank my mom and dad as they taught me not to give up even when the times get tough. And although my dad is no longer with us, his thoughts are with me in spirit every day.  My mom is 88 years young and is active and vibrant. She\'s an inspiration to me every day.  She has never lost faith in me and my abilities... Thank you mom!\r\n\r\n<strong>Thank you all again for your well wishes and support.</strong>\r\n\r\n<strong>Peter A. Fields, MD DC<br>\r\nThe Athletic Doc<sup>®</sup> and 4X Ironman Triathlete</strong>\r\n</div>\r\n<div class=\"col-md-4\" id=\"sidebar2\">\r\n\r\n<img alt=\"Race Report 4th Ironman\" title=\"Race Report 4th Ironman\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman2014-large-1.jpg\" style=\"text-align: center;\" width=\"204\" height=\"370\">\r\n\r\n<a href=\"https://goo.gl/photos/BBwqL4H48qpXLAZw6\" target=\"_blank\" rel=\"noopener noreferrer\">2014 Austria<br>\r\nClick For More Photos</a>\r\n\r\nClick below for Pictures &amp; Story&nbsp;\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">2017 Ironman Santa Rosa</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-8th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-7th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Switzerland</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-6th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-5th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Brazil</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-4th-Ironman\"><strong style=\"color: #cc0000;\">2014 Ironman Austria</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-3rd-Ironman\"><strong style=\"color: #cc0000;\">2013 Ironman Canada</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-2nd-ironman/\"><strong style=\"color: #cc0000;\">2012 Ironman Cozumel</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-1st-ironman/\"><strong style=\"color: #cc0000;\">2011 Ironman Cozumel</strong></a>\r\n\r\n</div>\r\n','Race Report 4th Ironman','','inherit','closed','closed','','153-revision-v1','','','2020-06-30 17:31:03','2020-06-30 17:31:03','',153,'https://www.drfields.com/uncategorized/153-revision-v1/',0,'revision','',0),(3809,8,'2020-06-30 17:48:36','2020-06-30 17:48:36','<div class=\"col-md-8\">\r\n<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman-brazil-logo.png\" alt=\"Ironman Brazil Logo\" width=\"220\" height=\"130\" class=\"aligncenter size-full wp-image-185\" />\r\n\r\n<h6 class=\"text-center\">Sunday May 31, 2015<br>\r\n2.4 mile swim, 112 mile bike, 26.2 mile run</h6>\r\n\r\n<strong class=\"subhead\">GETTING THERE</strong>\r\n\r\nIt is a 12 hour flight nonstop from Los Angeles to Sao Paulo. The flight left at 6:30 p.m. and went smoothly allowing me to get a good nights sleep. It is a four hour difference between Los Angeles and Brazil. After arriving at 11 a.m. in the morning, I waited about six hours and was able to connect on my 5 p.m. flight to Florianopolis.\r\nThe next four days were the usual getting settled in and resting. In addition I would meet many of the competitors that are staying at the guest hotel. The Saturday before the race one must get all ones gear together and leave it down at the transition area. In an Ironman triathlon, all your gear, including your bike, has to be in the transition area on the Saturday before the race. I also took a van tour of the bike course so I could become familiar with it. Sunday morning the only thing one brings down to the start are the things that you\'re going to swim with including your wetsuit. You are also allowed to bring down 2 bags with special needs for half way on the bike and half way through the run. Here you put any food or other gear that you might want during the race and they are placed at the appropriate half way marks.\r\n\r\n<strong class=\"subhead\">RACE DAY</strong>\r\n\r\n<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman-brazil-swim-2.jpg\" alt=\"Ironman Brazil Swim 2\" width=\"160\" height=\"301\" class=\"alignright size-full wp-image-187\" />I woke at my usual time of 3:30 a.m. This allows me plenty of time to have breakfast, stretch out and get all the final gear in place. And I then arrived at the transition area about 4:30 a.m. At this point it’s just about keeping one\'s nerves down, getting your tires pumped on your bike and making all final checks of your gear for the day. Then we headed down to the ocean. It was about a 10 to 15 minute walk down to the starting point on the beach. The swim was in the ocean (Atlantic that is!). Everybody is trying to just keep their nerves down. Before heading down, I had someone take a picture of me. On my right arm I put the initials of my beloved mother, Yvette Simon Fields, who passed away last August. On my left arm I had the initials of my 89 year old uncle, Andre Jamar, who lives in Belgium and had just spent 30 days in the hospital and had recovered successfully. And on my stomach I had the initials of my dear father, Fred F. Fields, who I lost 11 years ago. All three of them would be in my heart during the race. This was very inspiring and encouraging for me.\r\n<div class=\"clear\"></div>\r\n<br>\r\n<strong class=\"subhead\">THE SWIM: 2.4 Miles</strong>\r\n\r\n<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman-brazil-swim.jpg\" alt=\"Ironman Brazil Swim\" width=\"160\" height=\"301\" class=\"alignleft size-full wp-image-190\" />This was a beach start. All 2,000 athletes started at once (approximately 40 pros go off first). Being a very good swimmer, I get right behind the lead pack and go out strong. Even with that, there is always a surge at the beginning with everyone swimming into each other (like salmon spawning up stream!). After several hundred yards, the pack thinned out and I was able to get into my rhythm. I was wearing a wetsuit which irritated my neck and I had to stop several times to readjust it so I would not get a burn mark. In spite of this, I was feeling very good. It was a two loop swim. The first loop was a little longer than the second loop. After the first loop you exited the water, ran about 30 to 40 yards on the sand through the cheering crowds and were handed water by the race volunteers. Although a bit exhausting to run, I found this very encouraging with the crowd yelling and screaming. Then it was back in the water to do a second shorter loop. All along I felt very good. I exited the water and found out later I was only nine seconds behind the leader in my age group. So much for stretching my neck! I was feeling very good. You had to run about 300 to 400 yards to the transition area to get your bike. Right before you got to this area, they had wetsuit strippers there. These are basically volunteers to help you to get off your wetsuit. You peel it down to your waist and when you get there you lay on your back and they just pull it off your legs. This is very helpful as this is a hard part of the transition trying to get the wetsuit off. Then it was off to the change tent to put on my bike shoes, helmet and get going on the bike. \r\n<div class=\"clear\"></div>\r\n\r\n&nbsp;\r\n\r\n<strong class=\"subhead\">THE BIKE: 112 Miles</strong>\r\n\r\n<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman-brazil-bike.jpg\" alt=\"Ironman Brazil Bike\" width=\"160\" height=\"301\" class=\"alignright size-full wp-image-191\" />Since it was in the low sixties and I was still wet, I wore a vest and arm warmers ( I get cold easy) as I exited the bike transition area. I later would get rid of all this gear as it went into the upper 60\'s and mid 70\'s. The area right around this transition area, known as T1, is crowded with people yelling and cheering. This is always very encouraging. Then it was on to do the bike ride, which would be two loops of the course. This event turned out to be more of an urban event than the other Ironman Triathlons I had done. That meant we were riding amongst traffic a lot. We did have one lane blocked off just for us but a lot of the time there were cars going by. There was also a total of about four thousand four hundred feet of climbing. But the hills were pretty evenly spread out, so nothing was all at once. Plus we did have some very nice views of the ocean and bays as Florianopolis is an island. I felt very strong on the bike. At one point one of my age group competitors who had seen me in the transition area came up to me on the bike and asked me if I was going to go to Hawaii (the World Championships, where you have to qualify). I laughed and said no, but thanks for the encouragement (going to Hawaii meant that I would finish in the top one or two in my age group which I certainly do not do). Nonetheless, it was very encouraging to hear this as he thought I was biking very well. After the first loop, you ended up back in town with the crowds cheering and yelling. Then it was back out for the second loop. Again, I was feeling very strong. I did stop at special needs to pick up my water bottle with my energy drink in it and some other food. All along I felt very strong and was racing well. I found out later that when I got off the bike I was in 7th place in my age group. This is a big improvement for me as usually the bike is my weakest link and I fall back many places. Then it was into the change tent to change into my running shoes. This time I did not need sunglasses as it had partially clouded over and the sun was not brightly shining. Since it was around 3pm and the sun would set around 5:30pm (it is almost wintertime in the southern hemisphere), this was helpful as after that time you have to put the sunglasses on your hat or somewhere else as you don\'t need them because it gets dark outside. This was also very good as that would mean it would not get too hot and one would not get sunburned.\r\n\r\n<strong class=\"subhead\">THE RUN: 26.2 Miles</strong>\r\n\r\n<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman-brazil-running.jpg\" alt=\"Ironman Brazil Running\" width=\"160\" height=\"301\" class=\"alignleft size-full wp-image-197\" />As we started to run out of the transition area, there were lots of crowds. They would eventually dissipate and you would just be running with the other triathletes. After only a mile, my feet started to bother me. I had to stop and readjust my shoes several times. I even put on little toe gel caps that help protect your toes. After several miles I knew that this was going to be a tough day as somehow I was having pains in my feet which I had never experienced before. At about mile two and a half miles, there was an extremely steep hill that most people had to walk up. On the way back this hill was so steep that you also had to walk down. It was not that long, so it wasn\'t that bad. The first loop was out and back. It was 6.5 mile each way, so when done this is the first 13 miles. I tried to put the pain in my feet out of my mind and keep going. It was slowing me down, but I just kept moving forward. I also kept smiling as all-in-all I was just happy to be out there competing. Plus smiling makes me feel good on the inside. In the next few miles, I had to stop several more times to readjust my shoes. By the end of the first loop, I knew this was not going to be an easy day. For the next 10 kilometers (6.2 miles), I pushed myself very hard to stay in the game. I thought of my mother, my father and my uncle whose names I had written on my body. They’ve all had tough struggles in their lives and just kept going, so I did too. Their strength kept me going through this very tough time. Of course now it was after 6:30pm and it was dark. I had now completed 13 miles and knew and if I could just get past the next 6.2 mile (10 kilometer) segment, I would be able to finish the race. I pushed hard and kept my focus. After getting thru this segment, I knew I was good to go and had only one more loop to the finish line.\r\n\r\nI had to walk and run at times due to the pain I was having in my feet, but you just put it out of your mind and keep going. Finally, as I rounded the corner and could see the finish line, I knew I had done it. This was my 5th Ironman and probably the toughest one, at least on the run. Ironman races are all about staying in the game and I had conquered this one. As I crossed the finish line and they said:\r\n\"Peter Fields, you are an Ironman”,\r\nI knew it was all worthwhile. \r\n\r\n\r\n<strong class=\"subhead\">FINAL THOUGHTS</strong>\r\n\r\n<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman-brazil-finish-200x200.jpg\" alt=\"Ironman Brazil Finish\" width=\"200\" height=\"200\" class=\"alignright size-thumbnail wp-image-199\" />My race may have been slowed down by the problems I had on the run, but I was never discouraged. As my former coach told me, Ironman races are all about damage control. That thought helped me get through this race. I was very pleased that I did not get the two most common problems that affect athletes in an Ironman: stomach problems and/or mechanical problems on the bike.\r\nI felt exhausted and drained but nevertheless very satisfied to have finished my 5th Ironman. Some may ask why I punish my body? I was not punishing it; just challenging it. When one is prepared, it is not a punishment. Plus an Ironman is as much a mental challenge as a physical one.\r\n\r\nI leave you with a quote by the author Viktor Frankl, MD, holocaust survivor and world famous author from his book Man\'s Search For Meaning, which was my dad\'s favorite:\r\n\"Life can be pulled by goals just as surely as it can be pushed by drives.\"\r\n\r\nThere are too many to name, but I want to thank everybody out there who followed me during this race and offered me encouragement. I’d also like to thank everyone else who has written to me and even just thought about me before, during and/or after the race.\r\n\r\nThis race was dedicated to my mother who I lost last year, to my father who I lost 11 years ago and to my uncle who, at 89yo, survived a very tough time recently being in the hospital for 30 days. All three of them have meant a lot to me during my life and have encouraged me to never give up.\r\n\r\nLastly, a big shout out to my brother Norman. No matter where I have raced, he has always followed me the entire race on the computer. I heard him cheering me on the whole way; he has never forgotten his little brother.\r\nThanks bro!\r\n\r\n<strong>Peter A. Fields, MD DC<br>\r\nThe Athletic Doc<sup>®</sup> and 5X Ironman Triathlete</strong>\r\n</div>\r\n<div class=\"col-md-4\" id=\"sidebar2\">\r\n\r\n<a class=\"youtube\" href=\"https://www.youtube.com/watch?v=I-qqF2d40Tw\"><img alt=\"2015 Ironman Brazil Finish\" title=\"2015 Ironman Brazil Finish\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman-brazil-finish-1.jpg\"></a>\r\n<strong><em>2015 Ironman Brazil Finish</em></strong>\r\n<br>\r\n<em><strong style=\"color: #3dbc5e;\">Click image above to view video</strong></em></p>\r\n\r\n<div class=\"clear\">\r\n<a href=\"https://photos.app.goo.gl/l3vcnRmnAzjUIFjy1\" target=\"_blank\" rel=\"noopener noreferrer\">2015 Cozumel<br>\r\nClick For More Photos</a>\r\n\r\nClick below for Pictures &amp; Story&nbsp;\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">2017 Ironman Santa Rosa</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-8th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-7th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Switzerland</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-6th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-5th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Brazil</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-4th-Ironman\"><strong style=\"color: #cc0000;\">2014 Ironman Austria</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-3rd-Ironman\"><strong style=\"color: #cc0000;\">2013 Ironman Canada</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-2nd-ironman/\"><strong style=\"color: #cc0000;\">2012 Ironman Cozumel</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-1st-ironman/\"><strong style=\"color: #cc0000;\">2011 Ironman Cozumel</strong></a>\r\n\r\n</div>','Race Report 5th Ironman','','inherit','closed','closed','','184-revision-v1','','','2020-06-30 17:48:36','2020-06-30 17:48:36','',184,'https://www.drfields.com/uncategorized/184-revision-v1/',0,'revision','',0),(3810,8,'2020-06-30 17:53:16','2020-06-30 17:53:16','<div class=\"col-md-8\">\r\n<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Ironman-Cozumel-Mexico-2015-Logo.jpg\" alt=\"Ironman Cozumel Mexico 2015 Logo\" width=\"250\" height=\"126\" class=\"aligncenter size-full wp-image-224\" />\r\n\r\n<h6 class=\"text-center\">Sunday November 29, 2015\r\n2.4 mile swim, 112 mile bike, 26.2 mile run</h6>\r\n\r\n<strong class=\"subhead\">PROLOGUE</strong>\r\n[caption id=\"attachment_231\" align=\"alignright\" width=\"115\"]<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2015-initials-115.jpg\" alt=\"Cozumel 2015 Initials 115\" width=\"115\" height=\"241\" class=\"size-full wp-image-231\" /><strong> Dr. Fields with his parents initials written on his forearms</strong>[/caption]<strong>Never say never</strong>\r\nMy parents taught me to never to give up no matter how difficult it may seem.\r\nThis, and all my races, are dedicated to their memory.\r\n\r\nThirteen years ago three different neurosurgeons told me that if I did not have surgery on my low back, exercise would no longer be an option in my life.\r\nThen I found out about the wonderful world of Regenerative Orthopedic Medicine. Sunday November 29th, 2015, I finished not only my 2nd Ironman race in 2015, but my sixth Ironman race overall.\r\n<strong><em>Regenerate First; Surgery Last!</em></strong>\r\n<p>&nbsp;</p>\r\n<strong class=\"subhead\">RACE DAY</strong>\r\nThe day started off like any other Ironman competition day. I woke up about 3:30 in the morning so that I could have enough time to have breakfast and get everything ready before I went down to the transition area around 5 o\'clock a.m. After getting everything settled at the transition area where my bike was, I then boarded a bus that took me approximately 2.4 miles down to where the swim started. This is because this race is a point-to-point race. That means you start at one point and end at another point on the swim. The same is for the bike. So after getting down to the swim start I put on my very thin and tight speedsuit (a suit similar to what they wear in the Olympics) over my racing suit. Wetsuits are not allowed in this race due to the temperature of the water. I then went to get in the appropriate corral for the start. \r\n\r\n<strong class=\"subhead\">THE SWIM: 2.4 Miles</strong>\r\n[caption id=\"attachment_243\" align=\"alignleft\" width=\"160\"]<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2015-swim-275.jpg\" alt=\"Cozumel 2015 Swim 275\" width=\"160\" height=\"301\" class=\"size-full wp-image-243\" /> Dr. Fields after the 2.4 mile swim[/caption]The start was being done in waves this year so to avoid the cluster of over 2500 competitors starting all at once.I seeded myself in the second corral, which is for competitors swimming between 1 hour and 1 hour 10 minutes. Most people told me that I should seed myself faster but I was very true to my time knowing I would finish between 1 hour and 1 hour 6 minutes. Due to the small size of the pier that we to go off of, they only let about five to seven competitors in at a time. This made for a very easy start since you did not have to swim over a lot of people. As soon as I got into my stride, which only takes me about 5 minutes or so, I started passing people. And ended up passing probably 50 people, which meant that a lot of people had seeded themselves faster than they actually were. The water was very warm at about 82 degrees and very clear. You could see the frogmen/lifeguards and photographers down below and also many colorful fish along the way. Halfway through the swim I looked at my Garmin watch, which I wear on my left wrist, and noticed it was glowing slightly green. I figured some water had leaked into it. I was going to stop and take a look but then realized that I was in the middle of the ocean and there was nothing I could do about it anyway!\r\n\r\nI swam very well and passed over 50 people, which was a lot as not many had started before me. As I made my way towards the finish and made the final turn two headed towards the pier I really picked up my strokes. My final time was about 1 hour and 4 minutes, which was good enough to make me first in my age group in the swim. As I climbed out of the water and looked down a my Garmin, I realized that the whole front face had somehow become detached and I was actually looking at the circuit board. Well, at that point, I knew the watch was useless. I ran through the shower and then grabbed my transition bag and into the transition area. I quickly dried off and stripped off my speed suit. Underneath this I had my tri suit so just I had to put on my socks, shoes, sunglasses, suntan lotion and grab some nutrition to carry on the bike and I was off to find my bike. I also left behind my Garmin watch, which was useless at this point.\r\n\r\n<strong class=\"subhead\">THE BIKE: 112 Miles</strong>\r\n[caption id=\"attachment_248\" align=\"alignright\" width=\"160\"]<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2015-bike-2-275.jpg\" alt=\"Cozumel 2015 Bike 2 275\" width=\"160\" height=\"301\" class=\"size-full wp-image-248\" /> Dr. Fields during the 112 mile bike ride[/caption]\r\nI ran as quick as I could with my bike shoes on to my bike. You could carry them but then you end up getting gravel on your feet. I took the bike off the rack and ran towards the exit. You\'re not allowed to get on your bike until you leave the transition area. Immediately upon exiting, the transition area, I mounted my bike and took off to start the 112 mile ride.\r\n\r\nI had my power meet on the bike, which in addition to power, would provide me with my heart rate and speed which are essential when riding long distance. The roads were dry and the sun was shining bright and the temperature was in the low eighties. I felt pretty good on the first lap. As you head towards the back of the island the winds pick up. For this approximately 15 mile stretch the winds were about 20 miles an hour blowing on shore. It was tough but not that bad. As you turn towards town to end your first loop the winds were pushing you forward. This was a much needed relief. As you get to town, there were hundreds, if not more, people yelling and cheering. It was very exciting and invigorating. For lap two you again go by some of the hotels and there were people out there cheering.\r\n\r\nAs I got to the back of the island again, the wind picked up and was close to 30 miles an hour. It was getting pretty tough and you just hung in there. Unfortunately this meant that you were down on your triathlon riding bars ( the extended bars you put your forearms on so you can just about lie flat while riding) all the time so as not to let the wind hit you in the chest. It put a tremendous strain on my neck, which I found out later that everybody had the same. You just kept going and going. During this loop, I also stopped at the special needs station at mile 56. This is where you can pick up your nutritional supplies for the second half of the race so you do not need to carry all of them at once. Again as I looped through town the crowds were cheering and it was very nice to get words of encouragement.\r\n\r\nFor the third loop the temperature has risen towards the upper 80\'s and low 90\'s and the winds really were kicking in. Now they were close to 40 miles an hour. It was really brutal. I had ridden this course three times in the past but this time the winds were the strongest . But somehow I kept going and going and managed to endure it. As I made the last turn to head the 9 miles back to town I knew that I had completed this part. Slightly slower than I expected but with the wind it was a slower time for everyone. \r\n\r\n<strong class=\"subhead\">THE RUN: 26.2 Miles</strong>\r\n[caption id=\"attachment_263\" align=\"alignleft\" width=\"160\"]<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2015-run-160.jpg\" alt=\"Cozumel 2015 Run 160\" width=\"160\" height=\"301\" class=\"size-full wp-image-263\" /><strong> Dr. Fields during the 26.2 mile run</strong>[/caption]\r\nAs I came into town again the crowds were cheering and yelling loudly. I handed off my bike to one of the volunteers there and quickly grabbed my transition bag and ran into the tent. Off with the biking shoes, on with the running shoes, throw some water over myself to help cool me down, put on my running hat, grab some nutrition, go to the bathroom and I was out the door.\r\n\r\nOf course when you transition out of this tent there are thousands of people out there yelling and screaming. The sun was still up so it was still pretty hot with it being in the 90s, But I felt pretty good. For about the first four point 4.4 miles, which is the length of the course (you do this back and forth 3 times) I was a little tight and not so fluid in my running. Along the way of course there are people cheering for about a mile and a half as you get outside of town and then sporadically there were people at hotels who would come out along the road to cheer us on. When I hit the turn around I felt really good and for the next 8.8 miles my legs and body felt really strong. As I got back to town and finished the first 8.8 mile loop the sun was going down which was a blessing because it had been very hot outside.\r\n\r\nThe next 8.8 loop I felt good but the energy was starting to be drained. The bike had taken a tremendous toll, not only on me but on other runners too. But I persevered and kept going. The best thing was my hamstring was not bothering me which had slowed me down during my last two Ironman races. And in May 2015, I had raced Ironman Brazil, where I had a lot of feet problems. None of this came around this time.\r\n\r\nI saw many people out there that I knew from the Los Angeles area or other races. The camaraderie amongst the athletes is tremendous and it\'s something that we all rely on and count on. As I came into town finishing the second loop I knew I only had one more loop to go. I was tired and drained having been racing for almost 12 hrs., but just kept going. Of course along the way I took lots of nutrition and keep myself as hydrated as much as possible. There was no rain this year, which was also nice since the prior previous time I had done this race we were running through knee high puddles.\r\n\r\nAfter leaving town and getting to the final around, I knew only had 4.4 miles left to go and realized that it was in the bag for me. As I came back into town and saw the crowds again, I felt the exhilarating feeling that one can only feel when finishing an Ironman. At this point I only had about a mile to go and knew I have finally done it. That is not only finish my 6th Ironman but my second one in six months . This was a challenge that I set for myself. Like my parents had always told me, set your goals and go for it.\r\nNever say never.\r\n\r\nThe final 100 meters are unbelievable feeling. All ones aches and pains fade away. As I approached the finish line, which is slightly elevated and bathed in lights, I heard the announcer say for the sixth time,\r\n\"Peter Fields, you are an Ironman\".\r\nIt never gets old.\r\nI finally knew that I had completed my conquest of doing two Ironman races in one year.\r\n\r\nOf course the whole way during the race, I never forgot about my parents. I had my mom’s initials written on my left arm and on my right arm I had my dad\'s initials. Both of these people were so special in my life and I have never forgotten them for even one day since each of them passed. Whenever it got tough, I would place my hand on either forearm and feel their presence within me and hear their words of encouragement telling me never to give up. I know they would have been as proud of me as I am of them.\r\n\r\nI want to thank everybody who sent me good wishes, those who kept me in their thoughts and those who followed me on the internet. All your thoughts and wishes kept me strong the whole race.\r\nThere were a few very special people that never stopped thinking about me the whole race. You know who you are and words cannot say thank you enough. \r\n\r\n<strong>Peter A. Fields, MD DC\r\nThe Athletic Doc<sup>®</sup> and 6X Ironman Triathlete</strong>\r\n</div>\r\n<div class=\"col-md-4\" id=\"sidebar2\">\r\n<img alt=\"Ironman Cozumel Mexico\" title=\"Ironman Cozumel Mexico\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman-brazil-finish-1.jpg\" style=\"width: 204px; height: 345px;\">\r\nDr. Fields at the finish line\r\n<a href=\"https://goo.gl/photos/mMnjj9ioLVRkh56Q9\" target=\"_blank\" rel=\"noopener noreferrer\">2015 Cozumel<br>\r\nClick For More Photos</a>\r\nClick below for Pictures &amp; Story&nbsp;\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">2017 Ironman Santa Rosa</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-8th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-7th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Switzerland</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-6th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-5th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Brazil</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-4th-Ironman\"><strong style=\"color: #cc0000;\">2014 Ironman Austria</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-3rd-Ironman\"><strong style=\"color: #cc0000;\">2013 Ironman Canada</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-2nd-ironman/\"><strong style=\"color: #cc0000;\">2012 Ironman Cozumel</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-1st-ironman/\"><strong style=\"color: #cc0000;\">2011 Ironman Cozumel</strong></a>\r\n\r\n</div>','Race Report 6th Ironman','','inherit','closed','closed','','217-revision-v1','','','2020-06-30 17:53:16','2020-06-30 17:53:16','',217,'https://www.drfields.com/uncategorized/217-revision-v1/',0,'revision','',0),(3811,8,'2020-06-30 17:54:45','2020-06-30 17:54:45','<div class=\"col-md-8\">\r\n<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman-switzerland-logo.jpg\" alt=\"Ironman Switzerland Logo\" width=\"250\" height=\"120\" class=\"aligncenter size-full wp-image-311\" />\r\n\r\n<h6 class=\"text-center\">Sunday July 27, 2016\r\n2.4 mile swim, 112 mile bike, 26.2 mile run</h6>\r\n\r\n\"No matter how tough things get in life, you just just have to keep moving forward.\"\r\nFred and Yvette Fields\r\n\r\n<strong><u>GETTING THERE</u></strong>\r\n\r\nI left on an overnight flight to London. This is an approximately 11 hour flight. I slept 7 plus hours so all was well. After a three-hour layover in London, I then had a 90 minute flight to Zurich Switzerland. After landing I found out that my bicycle, which I had brought with me, did not make it. But the Swiss being very efficient had already tracked it and it was coming on the next flight. Since it was late I left for the city and let them deliver it the next morning. I checked into my apartment around midnight. I had rented an apartment since I was going to be there for 7 days. The next morning the bicycle was delivered. No scratches or anything, so everything went well. The first week was just relaxing getting used to the time difference (there\'s a 9 hour time difference between Los Angeles and Zurich) and enjoying Zurich a little bit. Zurich is a beautiful city with a large lake and a river that passes through the city. Rest was needed as race day on Sunday would come quickly.\r\n\r\n<strong><u>RACE DAY MORNING</u></strong>\r\n\r\nThis race day morning was different than my last ones. I usually get about 5 to 6 hours sleep. But somehow I couldn\'t sleep and got only about one and a half hours of sleep. I knew I would be a little on edge but I tried to keep myself calm. I got out of bed at 3:30am to do the final preparations and have breakfast and to get to the transition at 5 a.m. We leave our bike, running and biking gear at the transition area on Saturday, so all I had to do was put water and fuel on my bike, pump the tires and check all my transition bags to make sure everything was correctly there. This is very important as when you get off out of the water you need all your bike gear to change into and the same for the transition when you get off the bike and begin to run, The water was just barely legal (cool enough) for wetsuits. This was just below 74.5 degrees as mandated by the Ironman Corporation. Since I\'m a good swimmer I would have actually preferred not to wear a swimsuit but since everyone else was wearing one, I wore it. Then it was down to the starting line to begin a long and arduous day.\r\n\r\n<strong><u>THE SWIM: 2.4 Miles</u></strong>\r\n[caption id=\"attachment_313\" align=\"alignleft\" width=\"160\"]<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Switzerland-Swim-2016-275.jpg\" alt=\"Switzerland Swim 2016 275\" width=\"160\" height=\"301\" class=\"size-full wp-image-313\" /><strong> Dr. Fields after the 2.4 mile swim</strong>[/caption]They had about 1,700 competitors at this race . This is less than the usual 2200- 2500. You seed yourself in holding areas by finishing times (under 1 Hour, between 1 hour and 10 minutes and so on. I put myself in the one hour to 1:10 area as this is my expected time. They let the people go six at a time, every 5 Seconds. But due to the fact that you had to run about 15 feet and then walk in the water over stones before actually starting the swim, everyone ended up getting jammed up so it was really like mass start. This meant that there were people were swimming over each other and very close. So I took my time not only lifting my head to keep my bearings straight, but to make sure I was not being bumped by other swimmers too much. Another problem was that all the buoys were of the same color. Usually when you have to turn, they place a different color buoy. So this too delayed my swim and I knew I would be slightly slower than before. As I made the final turn after two miles, I started to head back to the shore for the final 0.4 miles to make a total of 2.4 miles. The only thing marking the exit was a small black balloon archway. Unfortunately this was not very distinguishable from the water and people were zigzagging all over the place. I could only really see it when I got about two hundred meters close to the shore. I found out later that this problem and the ones mentioned before were had by many other swimmers. But all in all it went well. My swim was slower than before due to the crowding at the start and the sighting difficulties, but now I was done with the 2.4 mile swim and it was on to the bike.\r\n\r\n<strong><u>THE BIKE: 112 Miles</u></strong>\r\n[caption id=\"attachment_316\" align=\"alignright\" width=\"160\"]<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Switzerland-Bike-2016-275.jpg\" alt=\"Switzerland Bike 2016 275\" width=\"160\" height=\"301\" class=\"size-full wp-image-316\" /><strong>Dr. Fields during the 112 mile bike ride</strong>[/caption]After getting out of the wet suit and getting my bike shoes, helmet and sunglasses on, I got on the bike and started to ride. The first 15 - 20 miles is very flat but also very scenic as you go around the lake. After about 10 to 15 minutes I started to take some nutrition in to replace what I had burned off while I was biking. It\'s important not to take anything in the first 10 to 15 minutes so that your blood goes from your upper body into your lower body. This time we started one of two very long and fairly steep climbs. It was a little bit of a cloud cover so this was good. This cloud cover would be dispersed by the second Loop and the temperature would rise. At the start of the body temperature was probably around 70 degrees but later it would go into the mid-to-upper 80s. Plus it was humid out. As you did this series of two different climbs you have some spectacular views of Lake Zurich and the city. This made things a little bit easier. And the rest of the ride you passed by pastures with cows and some small villages.  Towards the end of the first loop you pass the transition area and do a small little 8 Mile loop. In this 8 Mile loop is an extremely steep hill. It is only about half a mile long but the steepest hill you climb. This area was jammed with spectators yelling and cheering on both sides of the road about 10 to 15 deep. It was very invigorating as you climb this hill and heard music blaring on loud speakers (the second time around  I heard \'Born in the USA\' by Bruce Springsteen). The you descend down the back and go back to the start of the race to begin your second loop after the first 66 miles. The second loop was a little tougher as the temperature reached into the mid-eighties and the sun was out in full force. Since they were long stretches of flat riding, one is down in their Triathlon handlebars alot. This puts a lot of pressure on your neck as you look up periodically to see the traffic in front of you. My neck was getting very tight and even though I was moving it around it was stiffening up a lot. So when I saw a small grassy area quickly hopped off the bike down on the ground and stretched my neck out. This cost me about 45 to 60 seconds off the bike but was well worth it is when I got back on my neck was a lot looser. I could have used a chiropractor at that point but unfortunately they don\'t have them on the race course! hahaha.\r\n\r\nUnfortunately, even though this was a Swiss race, they did not have it organized that well. There was no ice anywhere on the race course (this was to also include the run portion). That meant when they handed you water bottles they were basically warm. One is used to getting an ice cold water which is very refreshing. The second loop went well and after doing a very steep climb at the end again, it was off the bike and into transition to begin the run\r\n\r\n<strong><u>THE RUN: 26.2 Miles</u></strong>\r\n[caption id=\"attachment_318\" align=\"alignleft\" width=\"160\"]<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Switzerland-Run-2016-275.jpg\" alt=\"Switzerland Run 2016 275\" width=\"160\" height=\"301\" class=\"size-full wp-image-318\" /><strong> Dr. Fields during the 26.2 mile run</strong>[/caption]\r\nAfter riding 112 miles, it\'s always a nice feeling to get off the bike. I changed into on my running shoes and was off for the 26.2 mile run. At this point it was very sunny and hot. They changed the run this year so that you would pass through the heart of the city and by Lake Zurich . But they made it a four loop course which was a little monotonous. My first 10+K loop went very well for me. As you left transition and passed by the crowds it was very invigorating. After 2k you turn to go through the downtown area. You went down one of the main streets with a lot of fancy stores. Then you turned into the malled off streets that were cobblestones but not too bad to run on. These were very small and winding streets in the old part of town. Several cafes were there too with spectators. Then you came out alongside the river and under a bridge to run about 2K by the lake. Here there were hundreds, if not more, people cheering as they enjoyed their Sunday afternoon. This was very invigorating hearing people cheer you on and yell your name or the country you were from (the race tags we wore had our first name and two small flags of the country you where from). The whole time you ran along the lake there were throngs of crowds. After turning around we headed back to the transition area to begin the next 3 loops. This was a little tough as when you pass transition you also passed the Finish Line.\r\n\r\n[caption id=\"attachment_319\" align=\"alignright\" width=\"160\"]<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Switzerland-Finish-Line-2016-275.jpg\" alt=\"Switzerland Finish Line 2016 275\" width=\"160\" height=\"301\" class=\"size-full wp-image-319\" /><strong>Dr. Fields crossing the finish line</strong>[/caption]After each loop, there were people finishing but you still have to continue around and do your loops. They kept track of this when you came up towards the end of each loop and they would put a colored arm band around your forearm . Once you have four armbands on you could turn it into the finish line. As I said, the first loop very well. During the second loop I started to develop some foot pain. I have had this in the past in training but it only would last about 10 to 15 minutes at most. Unfortunately this time it did not go away so my second loop (each loop was a little more than 10K) was much slower. This pain would come and go until halfway into my 4th and last loop. But Ironman are all about challenges. I just dug deep and kept my focus on where I was going and put the pain aside.Dr. Fields crossing the finish line But all-in-all, I persevered. By the third fatigue was getting setting in but I just kept going since I you had to go out and do a fourth loop. Of course in everyone\'s mind you\'re thinking maybe I could just turn and go into the finish line. But again you could not enter the Finish Line without the four colored bands on your arm ( and that would be cutting the course so in reality no one ever considers that). The route was interesting but unfortunately there was no ice anywhere on the course. This all the athletes found to be very unusual. They did have sponges you could squeeze the water out on your head, shoulders and back but again it was just all air temperature water. So you just kept sipping water, cola, taking in nutrition and putting one foot in front of the other.\r\n\r\nSo as I made the final turn at about four kilometers to go, I knew I was heading back and that despite any difficulties, I had I would complete my 7th Ironman. As I came into the transition area and made the final 50 meter turn into the finish line I knew I had done it again. As I crossed the finish line I heard the words that I had heard 6 times before, \"Peter Fields, you are an Ironman!\"\r\n\r\n<strong>POST SCRIPT</strong>\r\n\r\nOf course as with every other race I was dedicating this race in the memory my mother and father. When the pain in my foot started to get worse during the run I just stayed focused. I had learned from both of them that no matter how tough things get in life, you just just have to keep moving forward.  I also kept a small remembrance of them in my back jersey pocket.  When things would get really tough, I would reach back and touch it.  Knowing they were with me made it a lot easier.\r\n\r\nMany of you may not know this  but both my parents were refugees fleeing fascism during World War II.\r\nBeing Jewish and living in Germany in the 1930\'s was not an ideal situation, to say the least.\r\n\r\nMy mom\'s family fled Germany to live in France in 1933. My mom was only 7 years old. After 8 good years, they had to flee once again, in 1941, to the US. So at the young age of 16 she would have to learn her third language, see her dad pass away after only a month in the US, help care for her family and more.\r\n\r\nMy dad, at 19, left Berlin in 1938 to hide out in Shanghai, China. He knew that it was either get out of Europe or perish. His parents unfortunately would never make it out. It took him nine years, until 1947, to finally get to the US. Penniless and without family, he would eventually meet my mom (married for 56 years) and with her start a successful business, raise a family and the rest is history.\r\n\r\nNo matter how bad things got they never gave up hope,\r\nThey instilled this in me from early childhood.\r\nAnd it stayed with me and helped me through this race.\r\n\r\nWhat was happening to me during the race was nothing compared to my parents journeys, but as they taught me, just kept moving forward and don\'t look back.I share with you these stories as this is what I kept in my head as I was running past the pain and fatigue of working out for over 12+ hrs straight.  The book  \'Man\'s Search for Meaning\' by Viktor Frankl, MD, Phd, which was my father\'s favorite book, has a famous quote that goes something like this: \'It\'s not what happens to you in life that matters; it\'s how you deal with it\'.\r\n\r\nI want to thank everybody who has gotten to this point and taken the time to read this. Also everybody out there who were shouting and/or cheering during the race following me on the Internet or just in their minds. I appreciate it all.\r\nThank You.\r\n\r\nOf course, I thank my parents everyday for not only the love they gave me, but for the spirit and determination to never give up that they ingrained in my soul. I\'m so thankful that I had them as my parents.\r\n\r\nOne last special dedication.\r\nTo my 91yo uncle Andre in Belgium, who felt guilty about taking time away from following me on the computer to do a few errands.\r\nHe sometimes knew more about me during the race then I did.\r\nMerci beaucoup, Monsieur Jamar!\r\n\r\n&nbsp;\r\n<div class=\"clear\"></div>\r\n<strong>Peter A. Fields, MD DC</strong>\r\n<strong>The Athletic Doc<sup>®</sup> and 7X Ironman Triathlete</strong>\r\n</div>\r\n<div class=\"col-md-4\" id=\"sidebar2\">\r\n<img alt=\"Dr. Fields, The Athletic Doc<sup>®</sup>, post race\" title=\"Dr. Fields, The Athletic Doc<sup>®</sup>, post race\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Switzerland-Finish-2016-275.jpg\" style=\"width: 204px;\"><br>\r\n<strong> Dr. Fields,The Athletic Doc<sup>®</sup>, post race</strong>\r\n<a href=\"https://goo.gl/photos/iYRMcML2UYWmW2pQ6\" target=\"_blank\" rel=\"noopener noreferrer\">2016 Switzerland<br>\r\nClick For More Photos</a>\r\nClick below for Pictures &amp; Story&nbsp;\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">2017 Ironman Santa Rosa</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-8th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-7th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Switzerland</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-6th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-5th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Brazil</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-4th-Ironman\"><strong style=\"color: #cc0000;\">2014 Ironman Austria</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-3rd-Ironman\"><strong style=\"color: #cc0000;\">2013 Ironman Canada</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-2nd-ironman/\"><strong style=\"color: #cc0000;\">2012 Ironman Cozumel</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-1st-ironman/\"><strong style=\"color: #cc0000;\">2011 Ironman Cozumel</strong></a>\r\n\r\n</div>','Race Report 7th Ironman','','inherit','closed','closed','','302-revision-v1','','','2020-06-30 17:54:45','2020-06-30 17:54:45','',302,'https://www.drfields.com/uncategorized/302-revision-v1/',0,'revision','',0),(3812,8,'2020-06-30 17:55:48','2020-06-30 17:55:48','<div class=\"col-md-8\">\r\n<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman-switzerland-logo.jpg\" alt=\"Ironman Switzerland Logo\" width=\"250\" height=\"120\" class=\"aligncenter size-full wp-image-311\" />\r\n\r\n<h6 class=\"text-center\">Sunday July 27, 2016\r\n2.4 mile swim, 112 mile bike, 26.2 mile run</h6>\r\n\r\n\"No matter how tough things get in life, you just just have to keep moving forward.\"\r\nFred and Yvette Fields\r\n\r\n<strong><u>GETTING THERE</u></strong>\r\n\r\nI left on an overnight flight to London. This is an approximately 11 hour flight. I slept 7 plus hours so all was well. After a three-hour layover in London, I then had a 90 minute flight to Zurich Switzerland. After landing I found out that my bicycle, which I had brought with me, did not make it. But the Swiss being very efficient had already tracked it and it was coming on the next flight. Since it was late I left for the city and let them deliver it the next morning. I checked into my apartment around midnight. I had rented an apartment since I was going to be there for 7 days. The next morning the bicycle was delivered. No scratches or anything, so everything went well. The first week was just relaxing getting used to the time difference (there\'s a 9 hour time difference between Los Angeles and Zurich) and enjoying Zurich a little bit. Zurich is a beautiful city with a large lake and a river that passes through the city. Rest was needed as race day on Sunday would come quickly.\r\n\r\n<strong><u>RACE DAY MORNING</u></strong>\r\n\r\nThis race day morning was different than my last ones. I usually get about 5 to 6 hours sleep. But somehow I couldn\'t sleep and got only about one and a half hours of sleep. I knew I would be a little on edge but I tried to keep myself calm. I got out of bed at 3:30am to do the final preparations and have breakfast and to get to the transition at 5 a.m. We leave our bike, running and biking gear at the transition area on Saturday, so all I had to do was put water and fuel on my bike, pump the tires and check all my transition bags to make sure everything was correctly there. This is very important as when you get off out of the water you need all your bike gear to change into and the same for the transition when you get off the bike and begin to run, The water was just barely legal (cool enough) for wetsuits. This was just below 74.5 degrees as mandated by the Ironman Corporation. Since I\'m a good swimmer I would have actually preferred not to wear a swimsuit but since everyone else was wearing one, I wore it. Then it was down to the starting line to begin a long and arduous day.\r\n\r\n<strong><u>THE SWIM: 2.4 Miles</u></strong>\r\n[caption id=\"attachment_313\" align=\"alignleft\" width=\"160\"]<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Switzerland-Swim-2016-275.jpg\" alt=\"Switzerland Swim 2016 275\" width=\"160\" height=\"301\" class=\"size-full wp-image-313\" /><strong> Dr. Fields after the 2.4 mile swim</strong>[/caption]They had about 1,700 competitors at this race . This is less than the usual 2200- 2500. You seed yourself in holding areas by finishing times (under 1 Hour, between 1 hour and 10 minutes and so on. I put myself in the one hour to 1:10 area as this is my expected time. They let the people go six at a time, every 5 Seconds. But due to the fact that you had to run about 15 feet and then walk in the water over stones before actually starting the swim, everyone ended up getting jammed up so it was really like mass start. This meant that there were people were swimming over each other and very close. So I took my time not only lifting my head to keep my bearings straight, but to make sure I was not being bumped by other swimmers too much. Another problem was that all the buoys were of the same color. Usually when you have to turn, they place a different color buoy. So this too delayed my swim and I knew I would be slightly slower than before. As I made the final turn after two miles, I started to head back to the shore for the final 0.4 miles to make a total of 2.4 miles. The only thing marking the exit was a small black balloon archway. Unfortunately this was not very distinguishable from the water and people were zigzagging all over the place. I could only really see it when I got about two hundred meters close to the shore. I found out later that this problem and the ones mentioned before were had by many other swimmers. But all in all it went well. My swim was slower than before due to the crowding at the start and the sighting difficulties, but now I was done with the 2.4 mile swim and it was on to the bike.\r\n\r\n<strong><u>THE BIKE: 112 Miles</u></strong>\r\n[caption id=\"attachment_316\" align=\"alignright\" width=\"160\"]<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Switzerland-Bike-2016-275.jpg\" alt=\"Switzerland Bike 2016 275\" width=\"160\" height=\"301\" class=\"size-full wp-image-316\" /><strong>Dr. Fields during the 112 mile bike ride</strong>[/caption]After getting out of the wet suit and getting my bike shoes, helmet and sunglasses on, I got on the bike and started to ride. The first 15 - 20 miles is very flat but also very scenic as you go around the lake. After about 10 to 15 minutes I started to take some nutrition in to replace what I had burned off while I was biking. It\'s important not to take anything in the first 10 to 15 minutes so that your blood goes from your upper body into your lower body. This time we started one of two very long and fairly steep climbs. It was a little bit of a cloud cover so this was good. This cloud cover would be dispersed by the second Loop and the temperature would rise. At the start of the body temperature was probably around 70 degrees but later it would go into the mid-to-upper 80s. Plus it was humid out. As you did this series of two different climbs you have some spectacular views of Lake Zurich and the city. This made things a little bit easier. And the rest of the ride you passed by pastures with cows and some small villages.  Towards the end of the first loop you pass the transition area and do a small little 8 Mile loop. In this 8 Mile loop is an extremely steep hill. It is only about half a mile long but the steepest hill you climb. This area was jammed with spectators yelling and cheering on both sides of the road about 10 to 15 deep. It was very invigorating as you climb this hill and heard music blaring on loud speakers (the second time around  I heard \'Born in the USA\' by Bruce Springsteen). The you descend down the back and go back to the start of the race to begin your second loop after the first 66 miles. The second loop was a little tougher as the temperature reached into the mid-eighties and the sun was out in full force. Since they were long stretches of flat riding, one is down in their Triathlon handlebars alot. This puts a lot of pressure on your neck as you look up periodically to see the traffic in front of you. My neck was getting very tight and even though I was moving it around it was stiffening up a lot. So when I saw a small grassy area quickly hopped off the bike down on the ground and stretched my neck out. This cost me about 45 to 60 seconds off the bike but was well worth it is when I got back on my neck was a lot looser. I could have used a chiropractor at that point but unfortunately they don\'t have them on the race course! hahaha.\r\n\r\nUnfortunately, even though this was a Swiss race, they did not have it organized that well. There was no ice anywhere on the race course (this was to also include the run portion). That meant when they handed you water bottles they were basically warm. One is used to getting an ice cold water which is very refreshing. The second loop went well and after doing a very steep climb at the end again, it was off the bike and into transition to begin the run\r\n\r\n<strong><u>THE RUN: 26.2 Miles</u></strong>\r\n[caption id=\"attachment_318\" align=\"alignleft\" width=\"160\"]<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Switzerland-Run-2016-275.jpg\" alt=\"Switzerland Run 2016 275\" width=\"160\" height=\"301\" class=\"size-full wp-image-318\" /><strong> Dr. Fields during the 26.2 mile run</strong>[/caption]\r\nAfter riding 112 miles, it\'s always a nice feeling to get off the bike. I changed into on my running shoes and was off for the 26.2 mile run. At this point it was very sunny and hot. They changed the run this year so that you would pass through the heart of the city and by Lake Zurich . But they made it a four loop course which was a little monotonous. My first 10+K loop went very well for me. As you left transition and passed by the crowds it was very invigorating. After 2k you turn to go through the downtown area. You went down one of the main streets with a lot of fancy stores. Then you turned into the malled off streets that were cobblestones but not too bad to run on. These were very small and winding streets in the old part of town. Several cafes were there too with spectators. Then you came out alongside the river and under a bridge to run about 2K by the lake. Here there were hundreds, if not more, people cheering as they enjoyed their Sunday afternoon. This was very invigorating hearing people cheer you on and yell your name or the country you were from (the race tags we wore had our first name and two small flags of the country you where from). The whole time you ran along the lake there were throngs of crowds. After turning around we headed back to the transition area to begin the next 3 loops. This was a little tough as when you pass transition you also passed the Finish Line.\r\n\r\n[caption id=\"attachment_319\" align=\"alignright\" width=\"160\"]<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Switzerland-Finish-Line-2016-275.jpg\" alt=\"Switzerland Finish Line 2016 275\" width=\"160\" height=\"301\" class=\"size-full wp-image-319\" /><strong>Dr. Fields crossing the finish line</strong>[/caption]After each loop, there were people finishing but you still have to continue around and do your loops. They kept track of this when you came up towards the end of each loop and they would put a colored arm band around your forearm . Once you have four armbands on you could turn it into the finish line. As I said, the first loop very well. During the second loop I started to develop some foot pain. I have had this in the past in training but it only would last about 10 to 15 minutes at most. Unfortunately this time it did not go away so my second loop (each loop was a little more than 10K) was much slower. This pain would come and go until halfway into my 4th and last loop. But Ironman are all about challenges. I just dug deep and kept my focus on where I was going and put the pain aside.Dr. Fields crossing the finish line But all-in-all, I persevered. By the third fatigue was getting setting in but I just kept going since I you had to go out and do a fourth loop. Of course in everyone\'s mind you\'re thinking maybe I could just turn and go into the finish line. But again you could not enter the Finish Line without the four colored bands on your arm ( and that would be cutting the course so in reality no one ever considers that). The route was interesting but unfortunately there was no ice anywhere on the course. This all the athletes found to be very unusual. They did have sponges you could squeeze the water out on your head, shoulders and back but again it was just all air temperature water. So you just kept sipping water, cola, taking in nutrition and putting one foot in front of the other.\r\n\r\nSo as I made the final turn at about four kilometers to go, I knew I was heading back and that despite any difficulties, I had I would complete my 7th Ironman. As I came into the transition area and made the final 50 meter turn into the finish line I knew I had done it again. As I crossed the finish line I heard the words that I had heard 6 times before, \"Peter Fields, you are an Ironman!\"\r\n\r\n<strong>POST SCRIPT</strong>\r\n\r\nOf course as with every other race I was dedicating this race in the memory my mother and father. When the pain in my foot started to get worse during the run I just stayed focused. I had learned from both of them that no matter how tough things get in life, you just just have to keep moving forward.  I also kept a small remembrance of them in my back jersey pocket.  When things would get really tough, I would reach back and touch it.  Knowing they were with me made it a lot easier.\r\n\r\nMany of you may not know this  but both my parents were refugees fleeing fascism during World War II.\r\nBeing Jewish and living in Germany in the 1930\'s was not an ideal situation, to say the least.\r\n\r\nMy mom\'s family fled Germany to live in France in 1933. My mom was only 7 years old. After 8 good years, they had to flee once again, in 1941, to the US. So at the young age of 16 she would have to learn her third language, see her dad pass away after only a month in the US, help care for her family and more.\r\n\r\nMy dad, at 19, left Berlin in 1938 to hide out in Shanghai, China. He knew that it was either get out of Europe or perish. His parents unfortunately would never make it out. It took him nine years, until 1947, to finally get to the US. Penniless and without family, he would eventually meet my mom (married for 56 years) and with her start a successful business, raise a family and the rest is history.\r\n\r\nNo matter how bad things got they never gave up hope,\r\nThey instilled this in me from early childhood.\r\nAnd it stayed with me and helped me through this race.\r\n\r\nWhat was happening to me during the race was nothing compared to my parents journeys, but as they taught me, just kept moving forward and don\'t look back.I share with you these stories as this is what I kept in my head as I was running past the pain and fatigue of working out for over 12+ hrs straight.  The book  \'Man\'s Search for Meaning\' by Viktor Frankl, MD, Phd, which was my father\'s favorite book, has a famous quote that goes something like this: \'It\'s not what happens to you in life that matters; it\'s how you deal with it\'.\r\n\r\nI want to thank everybody who has gotten to this point and taken the time to read this. Also everybody out there who were shouting and/or cheering during the race following me on the Internet or just in their minds. I appreciate it all.\r\nThank You.\r\n\r\nOf course, I thank my parents everyday for not only the love they gave me, but for the spirit and determination to never give up that they ingrained in my soul. I\'m so thankful that I had them as my parents.\r\n\r\nOne last special dedication.\r\nTo my 91yo uncle Andre in Belgium, who felt guilty about taking time away from following me on the computer to do a few errands.\r\nHe sometimes knew more about me during the race then I did.\r\nMerci beaucoup, Monsieur Jamar!\r\n\r\n&nbsp;\r\n<div class=\"clear\"></div>\r\n<strong>Peter A. Fields, MD DC</strong>\r\n<strong>The Athletic Doc<sup>®</sup> and 7X Ironman Triathlete</strong>\r\n</div>\r\n<div class=\"col-md-4\" id=\"sidebar2\">\r\n<img alt=\"Dr. Fields, The Athletic Doc<sup>®</sup>, post race\" title=\"Dr. Fields, The Athletic Doc<sup>®</sup>, post race\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Switzerland-Finish-2016-275.jpg\" style=\"width: 204px;\"/><br>\r\n<strong> Dr. Fields,The Athletic Doc<sup>®</sup>, post race</strong>\r\n<a href=\"https://goo.gl/photos/iYRMcML2UYWmW2pQ6\" target=\"_blank\" rel=\"noopener noreferrer\">2016 Switzerland<br>\r\nClick For More Photos</a>\r\nClick below for Pictures &amp; Story&nbsp;\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">2017 Ironman Santa Rosa</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-8th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-7th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Switzerland</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-6th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-5th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Brazil</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-4th-Ironman\"><strong style=\"color: #cc0000;\">2014 Ironman Austria</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-3rd-Ironman\"><strong style=\"color: #cc0000;\">2013 Ironman Canada</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-2nd-ironman/\"><strong style=\"color: #cc0000;\">2012 Ironman Cozumel</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-1st-ironman/\"><strong style=\"color: #cc0000;\">2011 Ironman Cozumel</strong></a>\r\n\r\n</div>','Race Report 7th Ironman','','inherit','closed','closed','','302-revision-v1','','','2020-06-30 17:55:48','2020-06-30 17:55:48','',302,'https://www.drfields.com/uncategorized/302-revision-v1/',0,'revision','',0),(3813,8,'2020-06-30 17:56:51','2020-06-30 17:56:51','<div class=\"col-md-8\">\r\n<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman-switzerland-logo.jpg\" alt=\"Ironman Switzerland Logo\" width=\"250\" height=\"120\" class=\"aligncenter size-full wp-image-311\" />\r\n\r\n<h6 class=\"text-center\">Sunday July 27, 2016\r\n2.4 mile swim, 112 mile bike, 26.2 mile run</h6>\r\n\r\n\"No matter how tough things get in life, you just just have to keep moving forward.\"\r\nFred and Yvette Fields\r\n\r\n<strong><u>GETTING THERE</u></strong>\r\n\r\nI left on an overnight flight to London. This is an approximately 11 hour flight. I slept 7 plus hours so all was well. After a three-hour layover in London, I then had a 90 minute flight to Zurich Switzerland. After landing I found out that my bicycle, which I had brought with me, did not make it. But the Swiss being very efficient had already tracked it and it was coming on the next flight. Since it was late I left for the city and let them deliver it the next morning. I checked into my apartment around midnight. I had rented an apartment since I was going to be there for 7 days. The next morning the bicycle was delivered. No scratches or anything, so everything went well. The first week was just relaxing getting used to the time difference (there\'s a 9 hour time difference between Los Angeles and Zurich) and enjoying Zurich a little bit. Zurich is a beautiful city with a large lake and a river that passes through the city. Rest was needed as race day on Sunday would come quickly.\r\n\r\n<strong><u>RACE DAY MORNING</u></strong>\r\n\r\nThis race day morning was different than my last ones. I usually get about 5 to 6 hours sleep. But somehow I couldn\'t sleep and got only about one and a half hours of sleep. I knew I would be a little on edge but I tried to keep myself calm. I got out of bed at 3:30am to do the final preparations and have breakfast and to get to the transition at 5 a.m. We leave our bike, running and biking gear at the transition area on Saturday, so all I had to do was put water and fuel on my bike, pump the tires and check all my transition bags to make sure everything was correctly there. This is very important as when you get off out of the water you need all your bike gear to change into and the same for the transition when you get off the bike and begin to run, The water was just barely legal (cool enough) for wetsuits. This was just below 74.5 degrees as mandated by the Ironman Corporation. Since I\'m a good swimmer I would have actually preferred not to wear a swimsuit but since everyone else was wearing one, I wore it. Then it was down to the starting line to begin a long and arduous day.\r\n\r\n<strong><u>THE SWIM: 2.4 Miles</u></strong>\r\n[caption id=\"attachment_313\" align=\"alignleft\" width=\"160\"]<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Switzerland-Swim-2016-275.jpg\" alt=\"Switzerland Swim 2016 275\" width=\"160\" height=\"301\" class=\"size-full wp-image-313\" /><strong> Dr. Fields after the 2.4 mile swim</strong>[/caption]They had about 1,700 competitors at this race . This is less than the usual 2200- 2500. You seed yourself in holding areas by finishing times (under 1 Hour, between 1 hour and 10 minutes and so on. I put myself in the one hour to 1:10 area as this is my expected time. They let the people go six at a time, every 5 Seconds. But due to the fact that you had to run about 15 feet and then walk in the water over stones before actually starting the swim, everyone ended up getting jammed up so it was really like mass start. This meant that there were people were swimming over each other and very close. So I took my time not only lifting my head to keep my bearings straight, but to make sure I was not being bumped by other swimmers too much. Another problem was that all the buoys were of the same color. Usually when you have to turn, they place a different color buoy. So this too delayed my swim and I knew I would be slightly slower than before. As I made the final turn after two miles, I started to head back to the shore for the final 0.4 miles to make a total of 2.4 miles. The only thing marking the exit was a small black balloon archway. Unfortunately this was not very distinguishable from the water and people were zigzagging all over the place. I could only really see it when I got about two hundred meters close to the shore. I found out later that this problem and the ones mentioned before were had by many other swimmers. But all in all it went well. My swim was slower than before due to the crowding at the start and the sighting difficulties, but now I was done with the 2.4 mile swim and it was on to the bike.\r\n\r\n<strong><u>THE BIKE: 112 Miles</u></strong>\r\n[caption id=\"attachment_316\" align=\"alignright\" width=\"160\"]<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Switzerland-Bike-2016-275.jpg\" alt=\"Switzerland Bike 2016 275\" width=\"160\" height=\"301\" class=\"size-full wp-image-316\" /><strong>Dr. Fields during the 112 mile bike ride</strong>[/caption]After getting out of the wet suit and getting my bike shoes, helmet and sunglasses on, I got on the bike and started to ride. The first 15 - 20 miles is very flat but also very scenic as you go around the lake. After about 10 to 15 minutes I started to take some nutrition in to replace what I had burned off while I was biking. It\'s important not to take anything in the first 10 to 15 minutes so that your blood goes from your upper body into your lower body. This time we started one of two very long and fairly steep climbs. It was a little bit of a cloud cover so this was good. This cloud cover would be dispersed by the second Loop and the temperature would rise. At the start of the body temperature was probably around 70 degrees but later it would go into the mid-to-upper 80s. Plus it was humid out. As you did this series of two different climbs you have some spectacular views of Lake Zurich and the city. This made things a little bit easier. And the rest of the ride you passed by pastures with cows and some small villages.  Towards the end of the first loop you pass the transition area and do a small little 8 Mile loop. In this 8 Mile loop is an extremely steep hill. It is only about half a mile long but the steepest hill you climb. This area was jammed with spectators yelling and cheering on both sides of the road about 10 to 15 deep. It was very invigorating as you climb this hill and heard music blaring on loud speakers (the second time around  I heard \'Born in the USA\' by Bruce Springsteen). The you descend down the back and go back to the start of the race to begin your second loop after the first 66 miles. The second loop was a little tougher as the temperature reached into the mid-eighties and the sun was out in full force. Since they were long stretches of flat riding, one is down in their Triathlon handlebars alot. This puts a lot of pressure on your neck as you look up periodically to see the traffic in front of you. My neck was getting very tight and even though I was moving it around it was stiffening up a lot. So when I saw a small grassy area quickly hopped off the bike down on the ground and stretched my neck out. This cost me about 45 to 60 seconds off the bike but was well worth it is when I got back on my neck was a lot looser. I could have used a chiropractor at that point but unfortunately they don\'t have them on the race course! hahaha.\r\n\r\nUnfortunately, even though this was a Swiss race, they did not have it organized that well. There was no ice anywhere on the race course (this was to also include the run portion). That meant when they handed you water bottles they were basically warm. One is used to getting an ice cold water which is very refreshing. The second loop went well and after doing a very steep climb at the end again, it was off the bike and into transition to begin the run\r\n\r\n<strong><u>THE RUN: 26.2 Miles</u></strong>\r\n[caption id=\"attachment_318\" align=\"alignleft\" width=\"160\"]<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Switzerland-Run-2016-275.jpg\" alt=\"Switzerland Run 2016 275\" width=\"160\" height=\"301\" class=\"size-full wp-image-318\" /><strong> Dr. Fields during the 26.2 mile run</strong>[/caption]\r\nAfter riding 112 miles, it\'s always a nice feeling to get off the bike. I changed into on my running shoes and was off for the 26.2 mile run. At this point it was very sunny and hot. They changed the run this year so that you would pass through the heart of the city and by Lake Zurich . But they made it a four loop course which was a little monotonous. My first 10+K loop went very well for me. As you left transition and passed by the crowds it was very invigorating. After 2k you turn to go through the downtown area. You went down one of the main streets with a lot of fancy stores. Then you turned into the malled off streets that were cobblestones but not too bad to run on. These were very small and winding streets in the old part of town. Several cafes were there too with spectators. Then you came out alongside the river and under a bridge to run about 2K by the lake. Here there were hundreds, if not more, people cheering as they enjoyed their Sunday afternoon. This was very invigorating hearing people cheer you on and yell your name or the country you were from (the race tags we wore had our first name and two small flags of the country you where from). The whole time you ran along the lake there were throngs of crowds. After turning around we headed back to the transition area to begin the next 3 loops. This was a little tough as when you pass transition you also passed the Finish Line.\r\n\r\n[caption id=\"attachment_319\" align=\"alignright\" width=\"160\"]<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Switzerland-Finish-Line-2016-275.jpg\" alt=\"Switzerland Finish Line 2016 275\" width=\"160\" height=\"301\" class=\"size-full wp-image-319\" /><strong>Dr. Fields crossing the finish line</strong>[/caption]After each loop, there were people finishing but you still have to continue around and do your loops. They kept track of this when you came up towards the end of each loop and they would put a colored arm band around your forearm . Once you have four armbands on you could turn it into the finish line. As I said, the first loop very well. During the second loop I started to develop some foot pain. I have had this in the past in training but it only would last about 10 to 15 minutes at most. Unfortunately this time it did not go away so my second loop (each loop was a little more than 10K) was much slower. This pain would come and go until halfway into my 4th and last loop. But Ironman are all about challenges. I just dug deep and kept my focus on where I was going and put the pain aside.Dr. Fields crossing the finish line But all-in-all, I persevered. By the third fatigue was getting setting in but I just kept going since I you had to go out and do a fourth loop. Of course in everyone\'s mind you\'re thinking maybe I could just turn and go into the finish line. But again you could not enter the Finish Line without the four colored bands on your arm ( and that would be cutting the course so in reality no one ever considers that). The route was interesting but unfortunately there was no ice anywhere on the course. This all the athletes found to be very unusual. They did have sponges you could squeeze the water out on your head, shoulders and back but again it was just all air temperature water. So you just kept sipping water, cola, taking in nutrition and putting one foot in front of the other.\r\n\r\nSo as I made the final turn at about four kilometers to go, I knew I was heading back and that despite any difficulties, I had I would complete my 7th Ironman. As I came into the transition area and made the final 50 meter turn into the finish line I knew I had done it again. As I crossed the finish line I heard the words that I had heard 6 times before, \"Peter Fields, you are an Ironman!\"\r\n\r\n<strong>POST SCRIPT</strong>\r\n\r\nOf course as with every other race I was dedicating this race in the memory my mother and father. When the pain in my foot started to get worse during the run I just stayed focused. I had learned from both of them that no matter how tough things get in life, you just just have to keep moving forward.  I also kept a small remembrance of them in my back jersey pocket.  When things would get really tough, I would reach back and touch it.  Knowing they were with me made it a lot easier.\r\n\r\nMany of you may not know this  but both my parents were refugees fleeing fascism during World War II.\r\nBeing Jewish and living in Germany in the 1930\'s was not an ideal situation, to say the least.\r\n\r\nMy mom\'s family fled Germany to live in France in 1933. My mom was only 7 years old. After 8 good years, they had to flee once again, in 1941, to the US. So at the young age of 16 she would have to learn her third language, see her dad pass away after only a month in the US, help care for her family and more.\r\n\r\nMy dad, at 19, left Berlin in 1938 to hide out in Shanghai, China. He knew that it was either get out of Europe or perish. His parents unfortunately would never make it out. It took him nine years, until 1947, to finally get to the US. Penniless and without family, he would eventually meet my mom (married for 56 years) and with her start a successful business, raise a family and the rest is history.\r\n\r\nNo matter how bad things got they never gave up hope,\r\nThey instilled this in me from early childhood.\r\nAnd it stayed with me and helped me through this race.\r\n\r\nWhat was happening to me during the race was nothing compared to my parents journeys, but as they taught me, just kept moving forward and don\'t look back.I share with you these stories as this is what I kept in my head as I was running past the pain and fatigue of working out for over 12+ hrs straight.  The book  \'Man\'s Search for Meaning\' by Viktor Frankl, MD, Phd, which was my father\'s favorite book, has a famous quote that goes something like this: \'It\'s not what happens to you in life that matters; it\'s how you deal with it\'.\r\n\r\nI want to thank everybody who has gotten to this point and taken the time to read this. Also everybody out there who were shouting and/or cheering during the race following me on the Internet or just in their minds. I appreciate it all.\r\nThank You.\r\n\r\nOf course, I thank my parents everyday for not only the love they gave me, but for the spirit and determination to never give up that they ingrained in my soul. I\'m so thankful that I had them as my parents.\r\n\r\nOne last special dedication.\r\nTo my 91yo uncle Andre in Belgium, who felt guilty about taking time away from following me on the computer to do a few errands.\r\nHe sometimes knew more about me during the race then I did.\r\nMerci beaucoup, Monsieur Jamar!\r\n\r\n&nbsp;\r\n<div class=\"clear\"></div>\r\n<strong>Peter A. Fields, MD DC</strong>\r\n<strong>The Athletic Doc® and 7X Ironman Triathlete</strong>\r\n</div>\r\n<div class=\"col-md-4\" id=\"sidebar2\">\r\n<img alt=\"Dr. Fields, The Athletic Doc®, post race\" title=\"Dr. Fields, The Athletic Doc®, post race\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Switzerland-Finish-2016-275.jpg\" style=\"width: 204px;\"><br>\r\n<strong> Dr. Fields,The Athletic Doc<span style=\"font-size: 10px;\"><sup>®</sup></span>, post race</strong>\r\n<a href=\"https://goo.gl/photos/iYRMcML2UYWmW2pQ6\" target=\"_blank\" rel=\"noopener noreferrer\">2016 Switzerland<br>\r\nClick For More Photos</a>\r\nClick below for Pictures &amp; Story&nbsp;\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">2017 Ironman Santa Rosa</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-8th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-7th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Switzerland</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-6th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-5th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Brazil</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-4th-Ironman\"><strong style=\"color: #cc0000;\">2014 Ironman Austria</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-3rd-Ironman\"><strong style=\"color: #cc0000;\">2013 Ironman Canada</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-2nd-ironman/\"><strong style=\"color: #cc0000;\">2012 Ironman Cozumel</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-1st-ironman/\"><strong style=\"color: #cc0000;\">2011 Ironman Cozumel</strong></a>\r\n\r\n</div>','Race Report 7th Ironman','','inherit','closed','closed','','302-revision-v1','','','2020-06-30 17:56:51','2020-06-30 17:56:51','',302,'https://www.drfields.com/uncategorized/302-revision-v1/',0,'revision','',0),(3814,8,'2020-06-30 17:57:26','2020-06-30 17:57:26','<div class=\"col-md-8\">\r\n<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman-switzerland-logo.jpg\" alt=\"Ironman Switzerland Logo\" width=\"250\" height=\"120\" class=\"aligncenter size-full wp-image-311\" />\r\n\r\n<h6 class=\"text-center\">Sunday July 27, 2016\r\n2.4 mile swim, 112 mile bike, 26.2 mile run</h6>\r\n\r\n\"No matter how tough things get in life, you just just have to keep moving forward.\"\r\nFred and Yvette Fields\r\n\r\n<strong><u>GETTING THERE</u></strong>\r\n\r\nI left on an overnight flight to London. This is an approximately 11 hour flight. I slept 7 plus hours so all was well. After a three-hour layover in London, I then had a 90 minute flight to Zurich Switzerland. After landing I found out that my bicycle, which I had brought with me, did not make it. But the Swiss being very efficient had already tracked it and it was coming on the next flight. Since it was late I left for the city and let them deliver it the next morning. I checked into my apartment around midnight. I had rented an apartment since I was going to be there for 7 days. The next morning the bicycle was delivered. No scratches or anything, so everything went well. The first week was just relaxing getting used to the time difference (there\'s a 9 hour time difference between Los Angeles and Zurich) and enjoying Zurich a little bit. Zurich is a beautiful city with a large lake and a river that passes through the city. Rest was needed as race day on Sunday would come quickly.\r\n\r\n<strong><u>RACE DAY MORNING</u></strong>\r\n\r\nThis race day morning was different than my last ones. I usually get about 5 to 6 hours sleep. But somehow I couldn\'t sleep and got only about one and a half hours of sleep. I knew I would be a little on edge but I tried to keep myself calm. I got out of bed at 3:30am to do the final preparations and have breakfast and to get to the transition at 5 a.m. We leave our bike, running and biking gear at the transition area on Saturday, so all I had to do was put water and fuel on my bike, pump the tires and check all my transition bags to make sure everything was correctly there. This is very important as when you get off out of the water you need all your bike gear to change into and the same for the transition when you get off the bike and begin to run, The water was just barely legal (cool enough) for wetsuits. This was just below 74.5 degrees as mandated by the Ironman Corporation. Since I\'m a good swimmer I would have actually preferred not to wear a swimsuit but since everyone else was wearing one, I wore it. Then it was down to the starting line to begin a long and arduous day.\r\n\r\n<strong><u>THE SWIM: 2.4 Miles</u></strong>\r\n[caption id=\"attachment_313\" align=\"alignleft\" width=\"160\"]<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Switzerland-Swim-2016-275.jpg\" alt=\"Switzerland Swim 2016 275\" width=\"160\" height=\"301\" class=\"size-full wp-image-313\" /><strong> Dr. Fields after the 2.4 mile swim</strong>[/caption]They had about 1,700 competitors at this race . This is less than the usual 2200- 2500. You seed yourself in holding areas by finishing times (under 1 Hour, between 1 hour and 10 minutes and so on. I put myself in the one hour to 1:10 area as this is my expected time. They let the people go six at a time, every 5 Seconds. But due to the fact that you had to run about 15 feet and then walk in the water over stones before actually starting the swim, everyone ended up getting jammed up so it was really like mass start. This meant that there were people were swimming over each other and very close. So I took my time not only lifting my head to keep my bearings straight, but to make sure I was not being bumped by other swimmers too much. Another problem was that all the buoys were of the same color. Usually when you have to turn, they place a different color buoy. So this too delayed my swim and I knew I would be slightly slower than before. As I made the final turn after two miles, I started to head back to the shore for the final 0.4 miles to make a total of 2.4 miles. The only thing marking the exit was a small black balloon archway. Unfortunately this was not very distinguishable from the water and people were zigzagging all over the place. I could only really see it when I got about two hundred meters close to the shore. I found out later that this problem and the ones mentioned before were had by many other swimmers. But all in all it went well. My swim was slower than before due to the crowding at the start and the sighting difficulties, but now I was done with the 2.4 mile swim and it was on to the bike.\r\n\r\n<strong><u>THE BIKE: 112 Miles</u></strong>\r\n[caption id=\"attachment_316\" align=\"alignright\" width=\"160\"]<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Switzerland-Bike-2016-275.jpg\" alt=\"Switzerland Bike 2016 275\" width=\"160\" height=\"301\" class=\"size-full wp-image-316\" /><strong>Dr. Fields during the 112 mile bike ride</strong>[/caption]After getting out of the wet suit and getting my bike shoes, helmet and sunglasses on, I got on the bike and started to ride. The first 15 - 20 miles is very flat but also very scenic as you go around the lake. After about 10 to 15 minutes I started to take some nutrition in to replace what I had burned off while I was biking. It\'s important not to take anything in the first 10 to 15 minutes so that your blood goes from your upper body into your lower body. This time we started one of two very long and fairly steep climbs. It was a little bit of a cloud cover so this was good. This cloud cover would be dispersed by the second Loop and the temperature would rise. At the start of the body temperature was probably around 70 degrees but later it would go into the mid-to-upper 80s. Plus it was humid out. As you did this series of two different climbs you have some spectacular views of Lake Zurich and the city. This made things a little bit easier. And the rest of the ride you passed by pastures with cows and some small villages.  Towards the end of the first loop you pass the transition area and do a small little 8 Mile loop. In this 8 Mile loop is an extremely steep hill. It is only about half a mile long but the steepest hill you climb. This area was jammed with spectators yelling and cheering on both sides of the road about 10 to 15 deep. It was very invigorating as you climb this hill and heard music blaring on loud speakers (the second time around  I heard \'Born in the USA\' by Bruce Springsteen). The you descend down the back and go back to the start of the race to begin your second loop after the first 66 miles. The second loop was a little tougher as the temperature reached into the mid-eighties and the sun was out in full force. Since they were long stretches of flat riding, one is down in their Triathlon handlebars alot. This puts a lot of pressure on your neck as you look up periodically to see the traffic in front of you. My neck was getting very tight and even though I was moving it around it was stiffening up a lot. So when I saw a small grassy area quickly hopped off the bike down on the ground and stretched my neck out. This cost me about 45 to 60 seconds off the bike but was well worth it is when I got back on my neck was a lot looser. I could have used a chiropractor at that point but unfortunately they don\'t have them on the race course! hahaha.\r\n\r\nUnfortunately, even though this was a Swiss race, they did not have it organized that well. There was no ice anywhere on the race course (this was to also include the run portion). That meant when they handed you water bottles they were basically warm. One is used to getting an ice cold water which is very refreshing. The second loop went well and after doing a very steep climb at the end again, it was off the bike and into transition to begin the run\r\n\r\n<strong><u>THE RUN: 26.2 Miles</u></strong>\r\n[caption id=\"attachment_318\" align=\"alignleft\" width=\"160\"]<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Switzerland-Run-2016-275.jpg\" alt=\"Switzerland Run 2016 275\" width=\"160\" height=\"301\" class=\"size-full wp-image-318\" /><strong> Dr. Fields during the 26.2 mile run</strong>[/caption]\r\nAfter riding 112 miles, it\'s always a nice feeling to get off the bike. I changed into on my running shoes and was off for the 26.2 mile run. At this point it was very sunny and hot. They changed the run this year so that you would pass through the heart of the city and by Lake Zurich . But they made it a four loop course which was a little monotonous. My first 10+K loop went very well for me. As you left transition and passed by the crowds it was very invigorating. After 2k you turn to go through the downtown area. You went down one of the main streets with a lot of fancy stores. Then you turned into the malled off streets that were cobblestones but not too bad to run on. These were very small and winding streets in the old part of town. Several cafes were there too with spectators. Then you came out alongside the river and under a bridge to run about 2K by the lake. Here there were hundreds, if not more, people cheering as they enjoyed their Sunday afternoon. This was very invigorating hearing people cheer you on and yell your name or the country you were from (the race tags we wore had our first name and two small flags of the country you where from). The whole time you ran along the lake there were throngs of crowds. After turning around we headed back to the transition area to begin the next 3 loops. This was a little tough as when you pass transition you also passed the Finish Line.\r\n\r\n[caption id=\"attachment_319\" align=\"alignright\" width=\"160\"]<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Switzerland-Finish-Line-2016-275.jpg\" alt=\"Switzerland Finish Line 2016 275\" width=\"160\" height=\"301\" class=\"size-full wp-image-319\" /><strong>Dr. Fields crossing the finish line</strong>[/caption]After each loop, there were people finishing but you still have to continue around and do your loops. They kept track of this when you came up towards the end of each loop and they would put a colored arm band around your forearm . Once you have four armbands on you could turn it into the finish line. As I said, the first loop very well. During the second loop I started to develop some foot pain. I have had this in the past in training but it only would last about 10 to 15 minutes at most. Unfortunately this time it did not go away so my second loop (each loop was a little more than 10K) was much slower. This pain would come and go until halfway into my 4th and last loop. But Ironman are all about challenges. I just dug deep and kept my focus on where I was going and put the pain aside.Dr. Fields crossing the finish line But all-in-all, I persevered. By the third fatigue was getting setting in but I just kept going since I you had to go out and do a fourth loop. Of course in everyone\'s mind you\'re thinking maybe I could just turn and go into the finish line. But again you could not enter the Finish Line without the four colored bands on your arm ( and that would be cutting the course so in reality no one ever considers that). The route was interesting but unfortunately there was no ice anywhere on the course. This all the athletes found to be very unusual. They did have sponges you could squeeze the water out on your head, shoulders and back but again it was just all air temperature water. So you just kept sipping water, cola, taking in nutrition and putting one foot in front of the other.\r\n\r\nSo as I made the final turn at about four kilometers to go, I knew I was heading back and that despite any difficulties, I had I would complete my 7th Ironman. As I came into the transition area and made the final 50 meter turn into the finish line I knew I had done it again. As I crossed the finish line I heard the words that I had heard 6 times before, \"Peter Fields, you are an Ironman!\"\r\n\r\n<strong>POST SCRIPT</strong>\r\n\r\nOf course as with every other race I was dedicating this race in the memory my mother and father. When the pain in my foot started to get worse during the run I just stayed focused. I had learned from both of them that no matter how tough things get in life, you just just have to keep moving forward.  I also kept a small remembrance of them in my back jersey pocket.  When things would get really tough, I would reach back and touch it.  Knowing they were with me made it a lot easier.\r\n\r\nMany of you may not know this  but both my parents were refugees fleeing fascism during World War II.\r\nBeing Jewish and living in Germany in the 1930\'s was not an ideal situation, to say the least.\r\n\r\nMy mom\'s family fled Germany to live in France in 1933. My mom was only 7 years old. After 8 good years, they had to flee once again, in 1941, to the US. So at the young age of 16 she would have to learn her third language, see her dad pass away after only a month in the US, help care for her family and more.\r\n\r\nMy dad, at 19, left Berlin in 1938 to hide out in Shanghai, China. He knew that it was either get out of Europe or perish. His parents unfortunately would never make it out. It took him nine years, until 1947, to finally get to the US. Penniless and without family, he would eventually meet my mom (married for 56 years) and with her start a successful business, raise a family and the rest is history.\r\n\r\nNo matter how bad things got they never gave up hope,\r\nThey instilled this in me from early childhood.\r\nAnd it stayed with me and helped me through this race.\r\n\r\nWhat was happening to me during the race was nothing compared to my parents journeys, but as they taught me, just kept moving forward and don\'t look back.I share with you these stories as this is what I kept in my head as I was running past the pain and fatigue of working out for over 12+ hrs straight.  The book  \'Man\'s Search for Meaning\' by Viktor Frankl, MD, Phd, which was my father\'s favorite book, has a famous quote that goes something like this: \'It\'s not what happens to you in life that matters; it\'s how you deal with it\'.\r\n\r\nI want to thank everybody who has gotten to this point and taken the time to read this. Also everybody out there who were shouting and/or cheering during the race following me on the Internet or just in their minds. I appreciate it all.\r\nThank You.\r\n\r\nOf course, I thank my parents everyday for not only the love they gave me, but for the spirit and determination to never give up that they ingrained in my soul. I\'m so thankful that I had them as my parents.\r\n\r\nOne last special dedication.\r\nTo my 91yo uncle Andre in Belgium, who felt guilty about taking time away from following me on the computer to do a few errands.\r\nHe sometimes knew more about me during the race then I did.\r\nMerci beaucoup, Monsieur Jamar!\r\n\r\n&nbsp;\r\n<div class=\"clear\"></div>\r\n<strong>Peter A. Fields, MD DC</strong>\r\n<strong>The Athletic Doc® and 7X Ironman Triathlete</strong>\r\n</div>\r\n<div class=\"col-md-4\" id=\"sidebar2\">\r\n<img alt=\"Dr. Fields, The Athletic Doc®, post race\" title=\"Dr. Fields, The Athletic Doc®, post race\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Switzerland-Finish-2016-275.jpg\" style=\"width: 204px;\"><br>\r\n<strong> Dr. Fields,The Athletic Doc<sup>®</sup>, post race</strong>\r\n<a href=\"https://goo.gl/photos/iYRMcML2UYWmW2pQ6\" target=\"_blank\" rel=\"noopener noreferrer\">2016 Switzerland<br>\r\nClick For More Photos</a>\r\nClick below for Pictures &amp; Story&nbsp;\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">2017 Ironman Santa Rosa</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-8th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-7th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Switzerland</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-6th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-5th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Brazil</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-4th-Ironman\"><strong style=\"color: #cc0000;\">2014 Ironman Austria</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-3rd-Ironman\"><strong style=\"color: #cc0000;\">2013 Ironman Canada</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-2nd-ironman/\"><strong style=\"color: #cc0000;\">2012 Ironman Cozumel</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-1st-ironman/\"><strong style=\"color: #cc0000;\">2011 Ironman Cozumel</strong></a>\r\n\r\n</div>','Race Report 7th Ironman','','inherit','closed','closed','','302-revision-v1','','','2020-06-30 17:57:26','2020-06-30 17:57:26','',302,'https://www.drfields.com/uncategorized/302-revision-v1/',0,'revision','',0),(3815,8,'2020-06-30 17:57:50','2020-06-30 17:57:50','<div class=\"col-md-8\">\r\n<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman-switzerland-logo.jpg\" alt=\"Ironman Switzerland Logo\" width=\"250\" height=\"120\" class=\"aligncenter size-full wp-image-311\" />\r\n\r\n<h6 class=\"text-center\">Sunday July 27, 2016\r\n2.4 mile swim, 112 mile bike, 26.2 mile run</h6>\r\n\r\n\"No matter how tough things get in life, you just just have to keep moving forward.\"\r\nFred and Yvette Fields\r\n\r\n<strong><u>GETTING THERE</u></strong>\r\n\r\nI left on an overnight flight to London. This is an approximately 11 hour flight. I slept 7 plus hours so all was well. After a three-hour layover in London, I then had a 90 minute flight to Zurich Switzerland. After landing I found out that my bicycle, which I had brought with me, did not make it. But the Swiss being very efficient had already tracked it and it was coming on the next flight. Since it was late I left for the city and let them deliver it the next morning. I checked into my apartment around midnight. I had rented an apartment since I was going to be there for 7 days. The next morning the bicycle was delivered. No scratches or anything, so everything went well. The first week was just relaxing getting used to the time difference (there\'s a 9 hour time difference between Los Angeles and Zurich) and enjoying Zurich a little bit. Zurich is a beautiful city with a large lake and a river that passes through the city. Rest was needed as race day on Sunday would come quickly.\r\n\r\n<strong><u>RACE DAY MORNING</u></strong>\r\n\r\nThis race day morning was different than my last ones. I usually get about 5 to 6 hours sleep. But somehow I couldn\'t sleep and got only about one and a half hours of sleep. I knew I would be a little on edge but I tried to keep myself calm. I got out of bed at 3:30am to do the final preparations and have breakfast and to get to the transition at 5 a.m. We leave our bike, running and biking gear at the transition area on Saturday, so all I had to do was put water and fuel on my bike, pump the tires and check all my transition bags to make sure everything was correctly there. This is very important as when you get off out of the water you need all your bike gear to change into and the same for the transition when you get off the bike and begin to run, The water was just barely legal (cool enough) for wetsuits. This was just below 74.5 degrees as mandated by the Ironman Corporation. Since I\'m a good swimmer I would have actually preferred not to wear a swimsuit but since everyone else was wearing one, I wore it. Then it was down to the starting line to begin a long and arduous day.\r\n\r\n<strong><u>THE SWIM: 2.4 Miles</u></strong>\r\n[caption id=\"attachment_313\" align=\"alignleft\" width=\"160\"]<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Switzerland-Swim-2016-275.jpg\" alt=\"Switzerland Swim 2016 275\" width=\"160\" height=\"301\" class=\"size-full wp-image-313\" /><strong> Dr. Fields after the 2.4 mile swim</strong>[/caption]They had about 1,700 competitors at this race . This is less than the usual 2200- 2500. You seed yourself in holding areas by finishing times (under 1 Hour, between 1 hour and 10 minutes and so on. I put myself in the one hour to 1:10 area as this is my expected time. They let the people go six at a time, every 5 Seconds. But due to the fact that you had to run about 15 feet and then walk in the water over stones before actually starting the swim, everyone ended up getting jammed up so it was really like mass start. This meant that there were people were swimming over each other and very close. So I took my time not only lifting my head to keep my bearings straight, but to make sure I was not being bumped by other swimmers too much. Another problem was that all the buoys were of the same color. Usually when you have to turn, they place a different color buoy. So this too delayed my swim and I knew I would be slightly slower than before. As I made the final turn after two miles, I started to head back to the shore for the final 0.4 miles to make a total of 2.4 miles. The only thing marking the exit was a small black balloon archway. Unfortunately this was not very distinguishable from the water and people were zigzagging all over the place. I could only really see it when I got about two hundred meters close to the shore. I found out later that this problem and the ones mentioned before were had by many other swimmers. But all in all it went well. My swim was slower than before due to the crowding at the start and the sighting difficulties, but now I was done with the 2.4 mile swim and it was on to the bike.\r\n\r\n<strong><u>THE BIKE: 112 Miles</u></strong>\r\n[caption id=\"attachment_316\" align=\"alignright\" width=\"160\"]<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Switzerland-Bike-2016-275.jpg\" alt=\"Switzerland Bike 2016 275\" width=\"160\" height=\"301\" class=\"size-full wp-image-316\" /><strong>Dr. Fields during the 112 mile bike ride</strong>[/caption]After getting out of the wet suit and getting my bike shoes, helmet and sunglasses on, I got on the bike and started to ride. The first 15 - 20 miles is very flat but also very scenic as you go around the lake. After about 10 to 15 minutes I started to take some nutrition in to replace what I had burned off while I was biking. It\'s important not to take anything in the first 10 to 15 minutes so that your blood goes from your upper body into your lower body. This time we started one of two very long and fairly steep climbs. It was a little bit of a cloud cover so this was good. This cloud cover would be dispersed by the second Loop and the temperature would rise. At the start of the body temperature was probably around 70 degrees but later it would go into the mid-to-upper 80s. Plus it was humid out. As you did this series of two different climbs you have some spectacular views of Lake Zurich and the city. This made things a little bit easier. And the rest of the ride you passed by pastures with cows and some small villages.  Towards the end of the first loop you pass the transition area and do a small little 8 Mile loop. In this 8 Mile loop is an extremely steep hill. It is only about half a mile long but the steepest hill you climb. This area was jammed with spectators yelling and cheering on both sides of the road about 10 to 15 deep. It was very invigorating as you climb this hill and heard music blaring on loud speakers (the second time around  I heard \'Born in the USA\' by Bruce Springsteen). The you descend down the back and go back to the start of the race to begin your second loop after the first 66 miles. The second loop was a little tougher as the temperature reached into the mid-eighties and the sun was out in full force. Since they were long stretches of flat riding, one is down in their Triathlon handlebars alot. This puts a lot of pressure on your neck as you look up periodically to see the traffic in front of you. My neck was getting very tight and even though I was moving it around it was stiffening up a lot. So when I saw a small grassy area quickly hopped off the bike down on the ground and stretched my neck out. This cost me about 45 to 60 seconds off the bike but was well worth it is when I got back on my neck was a lot looser. I could have used a chiropractor at that point but unfortunately they don\'t have them on the race course! hahaha.\r\n\r\nUnfortunately, even though this was a Swiss race, they did not have it organized that well. There was no ice anywhere on the race course (this was to also include the run portion). That meant when they handed you water bottles they were basically warm. One is used to getting an ice cold water which is very refreshing. The second loop went well and after doing a very steep climb at the end again, it was off the bike and into transition to begin the run\r\n\r\n<strong><u>THE RUN: 26.2 Miles</u></strong>\r\n[caption id=\"attachment_318\" align=\"alignleft\" width=\"160\"]<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Switzerland-Run-2016-275.jpg\" alt=\"Switzerland Run 2016 275\" width=\"160\" height=\"301\" class=\"size-full wp-image-318\" /><strong> Dr. Fields during the 26.2 mile run</strong>[/caption]\r\nAfter riding 112 miles, it\'s always a nice feeling to get off the bike. I changed into on my running shoes and was off for the 26.2 mile run. At this point it was very sunny and hot. They changed the run this year so that you would pass through the heart of the city and by Lake Zurich . But they made it a four loop course which was a little monotonous. My first 10+K loop went very well for me. As you left transition and passed by the crowds it was very invigorating. After 2k you turn to go through the downtown area. You went down one of the main streets with a lot of fancy stores. Then you turned into the malled off streets that were cobblestones but not too bad to run on. These were very small and winding streets in the old part of town. Several cafes were there too with spectators. Then you came out alongside the river and under a bridge to run about 2K by the lake. Here there were hundreds, if not more, people cheering as they enjoyed their Sunday afternoon. This was very invigorating hearing people cheer you on and yell your name or the country you were from (the race tags we wore had our first name and two small flags of the country you where from). The whole time you ran along the lake there were throngs of crowds. After turning around we headed back to the transition area to begin the next 3 loops. This was a little tough as when you pass transition you also passed the Finish Line.\r\n\r\n[caption id=\"attachment_319\" align=\"alignright\" width=\"160\"]<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Switzerland-Finish-Line-2016-275.jpg\" alt=\"Switzerland Finish Line 2016 275\" width=\"160\" height=\"301\" class=\"size-full wp-image-319\" /><strong>Dr. Fields crossing the finish line</strong>[/caption]After each loop, there were people finishing but you still have to continue around and do your loops. They kept track of this when you came up towards the end of each loop and they would put a colored arm band around your forearm . Once you have four armbands on you could turn it into the finish line. As I said, the first loop very well. During the second loop I started to develop some foot pain. I have had this in the past in training but it only would last about 10 to 15 minutes at most. Unfortunately this time it did not go away so my second loop (each loop was a little more than 10K) was much slower. This pain would come and go until halfway into my 4th and last loop. But Ironman are all about challenges. I just dug deep and kept my focus on where I was going and put the pain aside.Dr. Fields crossing the finish line But all-in-all, I persevered. By the third fatigue was getting setting in but I just kept going since I you had to go out and do a fourth loop. Of course in everyone\'s mind you\'re thinking maybe I could just turn and go into the finish line. But again you could not enter the Finish Line without the four colored bands on your arm ( and that would be cutting the course so in reality no one ever considers that). The route was interesting but unfortunately there was no ice anywhere on the course. This all the athletes found to be very unusual. They did have sponges you could squeeze the water out on your head, shoulders and back but again it was just all air temperature water. So you just kept sipping water, cola, taking in nutrition and putting one foot in front of the other.\r\n\r\nSo as I made the final turn at about four kilometers to go, I knew I was heading back and that despite any difficulties, I had I would complete my 7th Ironman. As I came into the transition area and made the final 50 meter turn into the finish line I knew I had done it again. As I crossed the finish line I heard the words that I had heard 6 times before, \"Peter Fields, you are an Ironman!\"\r\n\r\n<strong>POST SCRIPT</strong>\r\n\r\nOf course as with every other race I was dedicating this race in the memory my mother and father. When the pain in my foot started to get worse during the run I just stayed focused. I had learned from both of them that no matter how tough things get in life, you just just have to keep moving forward.  I also kept a small remembrance of them in my back jersey pocket.  When things would get really tough, I would reach back and touch it.  Knowing they were with me made it a lot easier.\r\n\r\nMany of you may not know this  but both my parents were refugees fleeing fascism during World War II.\r\nBeing Jewish and living in Germany in the 1930\'s was not an ideal situation, to say the least.\r\n\r\nMy mom\'s family fled Germany to live in France in 1933. My mom was only 7 years old. After 8 good years, they had to flee once again, in 1941, to the US. So at the young age of 16 she would have to learn her third language, see her dad pass away after only a month in the US, help care for her family and more.\r\n\r\nMy dad, at 19, left Berlin in 1938 to hide out in Shanghai, China. He knew that it was either get out of Europe or perish. His parents unfortunately would never make it out. It took him nine years, until 1947, to finally get to the US. Penniless and without family, he would eventually meet my mom (married for 56 years) and with her start a successful business, raise a family and the rest is history.\r\n\r\nNo matter how bad things got they never gave up hope,\r\nThey instilled this in me from early childhood.\r\nAnd it stayed with me and helped me through this race.\r\n\r\nWhat was happening to me during the race was nothing compared to my parents journeys, but as they taught me, just kept moving forward and don\'t look back.I share with you these stories as this is what I kept in my head as I was running past the pain and fatigue of working out for over 12+ hrs straight.  The book  \'Man\'s Search for Meaning\' by Viktor Frankl, MD, Phd, which was my father\'s favorite book, has a famous quote that goes something like this: \'It\'s not what happens to you in life that matters; it\'s how you deal with it\'.\r\n\r\nI want to thank everybody who has gotten to this point and taken the time to read this. Also everybody out there who were shouting and/or cheering during the race following me on the Internet or just in their minds. I appreciate it all.\r\nThank You.\r\n\r\nOf course, I thank my parents everyday for not only the love they gave me, but for the spirit and determination to never give up that they ingrained in my soul. I\'m so thankful that I had them as my parents.\r\n\r\nOne last special dedication.\r\nTo my 91yo uncle Andre in Belgium, who felt guilty about taking time away from following me on the computer to do a few errands.\r\nHe sometimes knew more about me during the race then I did.\r\nMerci beaucoup, Monsieur Jamar!\r\n\r\n&nbsp;\r\n<div class=\"clear\"></div>\r\n<strong>Peter A. Fields, MD DC</strong>\r\n<strong>The Athletic Doc<sup>®</sup> and 7X Ironman Triathlete</strong>\r\n</div>\r\n<div class=\"col-md-4\" id=\"sidebar2\">\r\n<img alt=\"Dr. Fields, The Athletic Doc®, post race\" title=\"Dr. Fields, The Athletic Doc®, post race\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Switzerland-Finish-2016-275.jpg\" style=\"width: 204px;\"><br>\r\n<strong> Dr. Fields,The Athletic Doc<sup>®</sup>, post race</strong>\r\n<a href=\"https://goo.gl/photos/iYRMcML2UYWmW2pQ6\" target=\"_blank\" rel=\"noopener noreferrer\">2016 Switzerland<br>\r\nClick For More Photos</a>\r\nClick below for Pictures &amp; Story&nbsp;\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">2017 Ironman Santa Rosa</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-8th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-7th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Switzerland</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-6th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-5th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Brazil</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-4th-Ironman\"><strong style=\"color: #cc0000;\">2014 Ironman Austria</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-3rd-Ironman\"><strong style=\"color: #cc0000;\">2013 Ironman Canada</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-2nd-ironman/\"><strong style=\"color: #cc0000;\">2012 Ironman Cozumel</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-1st-ironman/\"><strong style=\"color: #cc0000;\">2011 Ironman Cozumel</strong></a>\r\n\r\n</div>','Race Report 7th Ironman','','inherit','closed','closed','','302-revision-v1','','','2020-06-30 17:57:50','2020-06-30 17:57:50','',302,'https://www.drfields.com/uncategorized/302-revision-v1/',0,'revision','',0),(3816,8,'2020-06-30 17:58:20','2020-06-30 17:58:20','<div class=\"col-md-8\">\r\n<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman-switzerland-logo.jpg\" alt=\"Ironman Switzerland Logo\" width=\"250\" height=\"120\" class=\"aligncenter size-full wp-image-311\" />\r\n\r\n<h6 class=\"text-center\">Sunday July 27, 2016\r\n2.4 mile swim, 112 mile bike, 26.2 mile run</h6>\r\n\r\n\"No matter how tough things get in life, you just just have to keep moving forward.\"\r\nFred and Yvette Fields\r\n\r\n<strong><u>GETTING THERE</u></strong>\r\n\r\nI left on an overnight flight to London. This is an approximately 11 hour flight. I slept 7 plus hours so all was well. After a three-hour layover in London, I then had a 90 minute flight to Zurich Switzerland. After landing I found out that my bicycle, which I had brought with me, did not make it. But the Swiss being very efficient had already tracked it and it was coming on the next flight. Since it was late I left for the city and let them deliver it the next morning. I checked into my apartment around midnight. I had rented an apartment since I was going to be there for 7 days. The next morning the bicycle was delivered. No scratches or anything, so everything went well. The first week was just relaxing getting used to the time difference (there\'s a 9 hour time difference between Los Angeles and Zurich) and enjoying Zurich a little bit. Zurich is a beautiful city with a large lake and a river that passes through the city. Rest was needed as race day on Sunday would come quickly.\r\n\r\n<strong><u>RACE DAY MORNING</u></strong>\r\n\r\nThis race day morning was different than my last ones. I usually get about 5 to 6 hours sleep. But somehow I couldn\'t sleep and got only about one and a half hours of sleep. I knew I would be a little on edge but I tried to keep myself calm. I got out of bed at 3:30am to do the final preparations and have breakfast and to get to the transition at 5 a.m. We leave our bike, running and biking gear at the transition area on Saturday, so all I had to do was put water and fuel on my bike, pump the tires and check all my transition bags to make sure everything was correctly there. This is very important as when you get off out of the water you need all your bike gear to change into and the same for the transition when you get off the bike and begin to run, The water was just barely legal (cool enough) for wetsuits. This was just below 74.5 degrees as mandated by the Ironman Corporation. Since I\'m a good swimmer I would have actually preferred not to wear a swimsuit but since everyone else was wearing one, I wore it. Then it was down to the starting line to begin a long and arduous day.\r\n\r\n<strong><u>THE SWIM: 2.4 Miles</u></strong>\r\n[caption id=\"attachment_313\" align=\"alignleft\" width=\"160\"]<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Switzerland-Swim-2016-275.jpg\" alt=\"Switzerland Swim 2016 275\" width=\"160\" height=\"301\" class=\"size-full wp-image-313\" /><strong> Dr. Fields after the 2.4 mile swim</strong>[/caption]They had about 1,700 competitors at this race . This is less than the usual 2200- 2500. You seed yourself in holding areas by finishing times (under 1 Hour, between 1 hour and 10 minutes and so on. I put myself in the one hour to 1:10 area as this is my expected time. They let the people go six at a time, every 5 Seconds. But due to the fact that you had to run about 15 feet and then walk in the water over stones before actually starting the swim, everyone ended up getting jammed up so it was really like mass start. This meant that there were people were swimming over each other and very close. So I took my time not only lifting my head to keep my bearings straight, but to make sure I was not being bumped by other swimmers too much. Another problem was that all the buoys were of the same color. Usually when you have to turn, they place a different color buoy. So this too delayed my swim and I knew I would be slightly slower than before. As I made the final turn after two miles, I started to head back to the shore for the final 0.4 miles to make a total of 2.4 miles. The only thing marking the exit was a small black balloon archway. Unfortunately this was not very distinguishable from the water and people were zigzagging all over the place. I could only really see it when I got about two hundred meters close to the shore. I found out later that this problem and the ones mentioned before were had by many other swimmers. But all in all it went well. My swim was slower than before due to the crowding at the start and the sighting difficulties, but now I was done with the 2.4 mile swim and it was on to the bike.\r\n\r\n<strong><u>THE BIKE: 112 Miles</u></strong>\r\n[caption id=\"attachment_316\" align=\"alignright\" width=\"160\"]<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Switzerland-Bike-2016-275.jpg\" alt=\"Switzerland Bike 2016 275\" width=\"160\" height=\"301\" class=\"size-full wp-image-316\" /><strong>Dr. Fields during the 112 mile bike ride</strong>[/caption]After getting out of the wet suit and getting my bike shoes, helmet and sunglasses on, I got on the bike and started to ride. The first 15 - 20 miles is very flat but also very scenic as you go around the lake. After about 10 to 15 minutes I started to take some nutrition in to replace what I had burned off while I was biking. It\'s important not to take anything in the first 10 to 15 minutes so that your blood goes from your upper body into your lower body. This time we started one of two very long and fairly steep climbs. It was a little bit of a cloud cover so this was good. This cloud cover would be dispersed by the second Loop and the temperature would rise. At the start of the body temperature was probably around 70 degrees but later it would go into the mid-to-upper 80s. Plus it was humid out. As you did this series of two different climbs you have some spectacular views of Lake Zurich and the city. This made things a little bit easier. And the rest of the ride you passed by pastures with cows and some small villages.  Towards the end of the first loop you pass the transition area and do a small little 8 Mile loop. In this 8 Mile loop is an extremely steep hill. It is only about half a mile long but the steepest hill you climb. This area was jammed with spectators yelling and cheering on both sides of the road about 10 to 15 deep. It was very invigorating as you climb this hill and heard music blaring on loud speakers (the second time around  I heard \'Born in the USA\' by Bruce Springsteen). The you descend down the back and go back to the start of the race to begin your second loop after the first 66 miles. The second loop was a little tougher as the temperature reached into the mid-eighties and the sun was out in full force. Since they were long stretches of flat riding, one is down in their Triathlon handlebars alot. This puts a lot of pressure on your neck as you look up periodically to see the traffic in front of you. My neck was getting very tight and even though I was moving it around it was stiffening up a lot. So when I saw a small grassy area quickly hopped off the bike down on the ground and stretched my neck out. This cost me about 45 to 60 seconds off the bike but was well worth it is when I got back on my neck was a lot looser. I could have used a chiropractor at that point but unfortunately they don\'t have them on the race course! hahaha.\r\n\r\nUnfortunately, even though this was a Swiss race, they did not have it organized that well. There was no ice anywhere on the race course (this was to also include the run portion). That meant when they handed you water bottles they were basically warm. One is used to getting an ice cold water which is very refreshing. The second loop went well and after doing a very steep climb at the end again, it was off the bike and into transition to begin the run\r\n\r\n<strong><u>THE RUN: 26.2 Miles</u></strong>\r\n[caption id=\"attachment_318\" align=\"alignleft\" width=\"160\"]<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Switzerland-Run-2016-275.jpg\" alt=\"Switzerland Run 2016 275\" width=\"160\" height=\"301\" class=\"size-full wp-image-318\" /><strong> Dr. Fields during the 26.2 mile run</strong>[/caption]\r\nAfter riding 112 miles, it\'s always a nice feeling to get off the bike. I changed into on my running shoes and was off for the 26.2 mile run. At this point it was very sunny and hot. They changed the run this year so that you would pass through the heart of the city and by Lake Zurich . But they made it a four loop course which was a little monotonous. My first 10+K loop went very well for me. As you left transition and passed by the crowds it was very invigorating. After 2k you turn to go through the downtown area. You went down one of the main streets with a lot of fancy stores. Then you turned into the malled off streets that were cobblestones but not too bad to run on. These were very small and winding streets in the old part of town. Several cafes were there too with spectators. Then you came out alongside the river and under a bridge to run about 2K by the lake. Here there were hundreds, if not more, people cheering as they enjoyed their Sunday afternoon. This was very invigorating hearing people cheer you on and yell your name or the country you were from (the race tags we wore had our first name and two small flags of the country you where from). The whole time you ran along the lake there were throngs of crowds. After turning around we headed back to the transition area to begin the next 3 loops. This was a little tough as when you pass transition you also passed the Finish Line.\r\n\r\n[caption id=\"attachment_319\" align=\"alignright\" width=\"160\"]<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Switzerland-Finish-Line-2016-275.jpg\" alt=\"Switzerland Finish Line 2016 275\" width=\"160\" height=\"301\" class=\"size-full wp-image-319\" /><strong>Dr. Fields crossing the finish line</strong>[/caption]After each loop, there were people finishing but you still have to continue around and do your loops. They kept track of this when you came up towards the end of each loop and they would put a colored arm band around your forearm . Once you have four armbands on you could turn it into the finish line. As I said, the first loop very well. During the second loop I started to develop some foot pain. I have had this in the past in training but it only would last about 10 to 15 minutes at most. Unfortunately this time it did not go away so my second loop (each loop was a little more than 10K) was much slower. This pain would come and go until halfway into my 4th and last loop. But Ironman are all about challenges. I just dug deep and kept my focus on where I was going and put the pain aside.Dr. Fields crossing the finish line But all-in-all, I persevered. By the third fatigue was getting setting in but I just kept going since I you had to go out and do a fourth loop. Of course in everyone\'s mind you\'re thinking maybe I could just turn and go into the finish line. But again you could not enter the Finish Line without the four colored bands on your arm ( and that would be cutting the course so in reality no one ever considers that). The route was interesting but unfortunately there was no ice anywhere on the course. This all the athletes found to be very unusual. They did have sponges you could squeeze the water out on your head, shoulders and back but again it was just all air temperature water. So you just kept sipping water, cola, taking in nutrition and putting one foot in front of the other.\r\n\r\nSo as I made the final turn at about four kilometers to go, I knew I was heading back and that despite any difficulties, I had I would complete my 7th Ironman. As I came into the transition area and made the final 50 meter turn into the finish line I knew I had done it again. As I crossed the finish line I heard the words that I had heard 6 times before, \"Peter Fields, you are an Ironman!\"\r\n\r\n<strong>POST SCRIPT</strong>\r\n\r\nOf course as with every other race I was dedicating this race in the memory my mother and father. When the pain in my foot started to get worse during the run I just stayed focused. I had learned from both of them that no matter how tough things get in life, you just just have to keep moving forward.  I also kept a small remembrance of them in my back jersey pocket.  When things would get really tough, I would reach back and touch it.  Knowing they were with me made it a lot easier.\r\n\r\nMany of you may not know this  but both my parents were refugees fleeing fascism during World War II.\r\nBeing Jewish and living in Germany in the 1930\'s was not an ideal situation, to say the least.\r\n\r\nMy mom\'s family fled Germany to live in France in 1933. My mom was only 7 years old. After 8 good years, they had to flee once again, in 1941, to the US. So at the young age of 16 she would have to learn her third language, see her dad pass away after only a month in the US, help care for her family and more.\r\n\r\nMy dad, at 19, left Berlin in 1938 to hide out in Shanghai, China. He knew that it was either get out of Europe or perish. His parents unfortunately would never make it out. It took him nine years, until 1947, to finally get to the US. Penniless and without family, he would eventually meet my mom (married for 56 years) and with her start a successful business, raise a family and the rest is history.\r\n\r\nNo matter how bad things got they never gave up hope,\r\nThey instilled this in me from early childhood.\r\nAnd it stayed with me and helped me through this race.\r\n\r\nWhat was happening to me during the race was nothing compared to my parents journeys, but as they taught me, just kept moving forward and don\'t look back.I share with you these stories as this is what I kept in my head as I was running past the pain and fatigue of working out for over 12+ hrs straight.  The book  \'Man\'s Search for Meaning\' by Viktor Frankl, MD, Phd, which was my father\'s favorite book, has a famous quote that goes something like this: \'It\'s not what happens to you in life that matters; it\'s how you deal with it\'.\r\n\r\nI want to thank everybody who has gotten to this point and taken the time to read this. Also everybody out there who were shouting and/or cheering during the race following me on the Internet or just in their minds. I appreciate it all.\r\nThank You.\r\n\r\nOf course, I thank my parents everyday for not only the love they gave me, but for the spirit and determination to never give up that they ingrained in my soul. I\'m so thankful that I had them as my parents.\r\n\r\nOne last special dedication.\r\nTo my 91yo uncle Andre in Belgium, who felt guilty about taking time away from following me on the computer to do a few errands.\r\nHe sometimes knew more about me during the race then I did.\r\nMerci beaucoup, Monsieur Jamar!\r\n\r\n&nbsp;\r\n<div class=\"clear\"></div>\r\n<strong>Peter A. Fields, MD DC</strong>\r\n<strong>The Athletic Doc<sup>®</sup> and 7X Ironman Triathlete</strong>\r\n</div>\r\n<div class=\"col-md-4\" id=\"sidebar2\">\r\n<img alt=\"Dr. Fields, The Athletic Doc<sup>®</sup>, post race\" title=\"Dr. Fields, The Athletic Doc<sup>®</sup>, post race\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Switzerland-Finish-2016-275.jpg\" style=\"width: 204px;\"><br>\r\n<strong> Dr. Fields,The Athletic Doc<sup>®</sup>, post race</strong>\r\n<a href=\"https://goo.gl/photos/iYRMcML2UYWmW2pQ6\" target=\"_blank\" rel=\"noopener noreferrer\">2016 Switzerland<br>\r\nClick For More Photos</a>\r\nClick below for Pictures &amp; Story&nbsp;\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">2017 Ironman Santa Rosa</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-8th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-7th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Switzerland</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-6th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-5th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Brazil</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-4th-Ironman\"><strong style=\"color: #cc0000;\">2014 Ironman Austria</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-3rd-Ironman\"><strong style=\"color: #cc0000;\">2013 Ironman Canada</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-2nd-ironman/\"><strong style=\"color: #cc0000;\">2012 Ironman Cozumel</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-1st-ironman/\"><strong style=\"color: #cc0000;\">2011 Ironman Cozumel</strong></a>\r\n\r\n</div>','Race Report 7th Ironman','','inherit','closed','closed','','302-revision-v1','','','2020-06-30 17:58:20','2020-06-30 17:58:20','',302,'https://www.drfields.com/uncategorized/302-revision-v1/',0,'revision','',0),(3817,8,'2020-06-30 17:58:43','2020-06-30 17:58:43','<div class=\"col-md-8\">\r\n<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman-switzerland-logo.jpg\" alt=\"Ironman Switzerland Logo\" width=\"250\" height=\"120\" class=\"aligncenter size-full wp-image-311\" />\r\n\r\n<h6 class=\"text-center\">Sunday July 27, 2016\r\n2.4 mile swim, 112 mile bike, 26.2 mile run</h6>\r\n\r\n\"No matter how tough things get in life, you just just have to keep moving forward.\"\r\nFred and Yvette Fields\r\n\r\n<strong><u>GETTING THERE</u></strong>\r\n\r\nI left on an overnight flight to London. This is an approximately 11 hour flight. I slept 7 plus hours so all was well. After a three-hour layover in London, I then had a 90 minute flight to Zurich Switzerland. After landing I found out that my bicycle, which I had brought with me, did not make it. But the Swiss being very efficient had already tracked it and it was coming on the next flight. Since it was late I left for the city and let them deliver it the next morning. I checked into my apartment around midnight. I had rented an apartment since I was going to be there for 7 days. The next morning the bicycle was delivered. No scratches or anything, so everything went well. The first week was just relaxing getting used to the time difference (there\'s a 9 hour time difference between Los Angeles and Zurich) and enjoying Zurich a little bit. Zurich is a beautiful city with a large lake and a river that passes through the city. Rest was needed as race day on Sunday would come quickly.\r\n\r\n<strong><u>RACE DAY MORNING</u></strong>\r\n\r\nThis race day morning was different than my last ones. I usually get about 5 to 6 hours sleep. But somehow I couldn\'t sleep and got only about one and a half hours of sleep. I knew I would be a little on edge but I tried to keep myself calm. I got out of bed at 3:30am to do the final preparations and have breakfast and to get to the transition at 5 a.m. We leave our bike, running and biking gear at the transition area on Saturday, so all I had to do was put water and fuel on my bike, pump the tires and check all my transition bags to make sure everything was correctly there. This is very important as when you get off out of the water you need all your bike gear to change into and the same for the transition when you get off the bike and begin to run, The water was just barely legal (cool enough) for wetsuits. This was just below 74.5 degrees as mandated by the Ironman Corporation. Since I\'m a good swimmer I would have actually preferred not to wear a swimsuit but since everyone else was wearing one, I wore it. Then it was down to the starting line to begin a long and arduous day.\r\n\r\n<strong><u>THE SWIM: 2.4 Miles</u></strong>\r\n[caption id=\"attachment_313\" align=\"alignleft\" width=\"160\"]<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Switzerland-Swim-2016-275.jpg\" alt=\"Switzerland Swim 2016 275\" width=\"160\" height=\"301\" class=\"size-full wp-image-313\" /><strong> Dr. Fields after the 2.4 mile swim</strong>[/caption]They had about 1,700 competitors at this race . This is less than the usual 2200- 2500. You seed yourself in holding areas by finishing times (under 1 Hour, between 1 hour and 10 minutes and so on. I put myself in the one hour to 1:10 area as this is my expected time. They let the people go six at a time, every 5 Seconds. But due to the fact that you had to run about 15 feet and then walk in the water over stones before actually starting the swim, everyone ended up getting jammed up so it was really like mass start. This meant that there were people were swimming over each other and very close. So I took my time not only lifting my head to keep my bearings straight, but to make sure I was not being bumped by other swimmers too much. Another problem was that all the buoys were of the same color. Usually when you have to turn, they place a different color buoy. So this too delayed my swim and I knew I would be slightly slower than before. As I made the final turn after two miles, I started to head back to the shore for the final 0.4 miles to make a total of 2.4 miles. The only thing marking the exit was a small black balloon archway. Unfortunately this was not very distinguishable from the water and people were zigzagging all over the place. I could only really see it when I got about two hundred meters close to the shore. I found out later that this problem and the ones mentioned before were had by many other swimmers. But all in all it went well. My swim was slower than before due to the crowding at the start and the sighting difficulties, but now I was done with the 2.4 mile swim and it was on to the bike.\r\n\r\n<strong><u>THE BIKE: 112 Miles</u></strong>\r\n[caption id=\"attachment_316\" align=\"alignright\" width=\"160\"]<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Switzerland-Bike-2016-275.jpg\" alt=\"Switzerland Bike 2016 275\" width=\"160\" height=\"301\" class=\"size-full wp-image-316\" /><strong>Dr. Fields during the 112 mile bike ride</strong>[/caption]After getting out of the wet suit and getting my bike shoes, helmet and sunglasses on, I got on the bike and started to ride. The first 15 - 20 miles is very flat but also very scenic as you go around the lake. After about 10 to 15 minutes I started to take some nutrition in to replace what I had burned off while I was biking. It\'s important not to take anything in the first 10 to 15 minutes so that your blood goes from your upper body into your lower body. This time we started one of two very long and fairly steep climbs. It was a little bit of a cloud cover so this was good. This cloud cover would be dispersed by the second Loop and the temperature would rise. At the start of the body temperature was probably around 70 degrees but later it would go into the mid-to-upper 80s. Plus it was humid out. As you did this series of two different climbs you have some spectacular views of Lake Zurich and the city. This made things a little bit easier. And the rest of the ride you passed by pastures with cows and some small villages.  Towards the end of the first loop you pass the transition area and do a small little 8 Mile loop. In this 8 Mile loop is an extremely steep hill. It is only about half a mile long but the steepest hill you climb. This area was jammed with spectators yelling and cheering on both sides of the road about 10 to 15 deep. It was very invigorating as you climb this hill and heard music blaring on loud speakers (the second time around  I heard \'Born in the USA\' by Bruce Springsteen). The you descend down the back and go back to the start of the race to begin your second loop after the first 66 miles. The second loop was a little tougher as the temperature reached into the mid-eighties and the sun was out in full force. Since they were long stretches of flat riding, one is down in their Triathlon handlebars alot. This puts a lot of pressure on your neck as you look up periodically to see the traffic in front of you. My neck was getting very tight and even though I was moving it around it was stiffening up a lot. So when I saw a small grassy area quickly hopped off the bike down on the ground and stretched my neck out. This cost me about 45 to 60 seconds off the bike but was well worth it is when I got back on my neck was a lot looser. I could have used a chiropractor at that point but unfortunately they don\'t have them on the race course! hahaha.\r\n\r\nUnfortunately, even though this was a Swiss race, they did not have it organized that well. There was no ice anywhere on the race course (this was to also include the run portion). That meant when they handed you water bottles they were basically warm. One is used to getting an ice cold water which is very refreshing. The second loop went well and after doing a very steep climb at the end again, it was off the bike and into transition to begin the run\r\n\r\n<strong><u>THE RUN: 26.2 Miles</u></strong>\r\n[caption id=\"attachment_318\" align=\"alignleft\" width=\"160\"]<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Switzerland-Run-2016-275.jpg\" alt=\"Switzerland Run 2016 275\" width=\"160\" height=\"301\" class=\"size-full wp-image-318\" /><strong> Dr. Fields during the 26.2 mile run</strong>[/caption]\r\nAfter riding 112 miles, it\'s always a nice feeling to get off the bike. I changed into on my running shoes and was off for the 26.2 mile run. At this point it was very sunny and hot. They changed the run this year so that you would pass through the heart of the city and by Lake Zurich . But they made it a four loop course which was a little monotonous. My first 10+K loop went very well for me. As you left transition and passed by the crowds it was very invigorating. After 2k you turn to go through the downtown area. You went down one of the main streets with a lot of fancy stores. Then you turned into the malled off streets that were cobblestones but not too bad to run on. These were very small and winding streets in the old part of town. Several cafes were there too with spectators. Then you came out alongside the river and under a bridge to run about 2K by the lake. Here there were hundreds, if not more, people cheering as they enjoyed their Sunday afternoon. This was very invigorating hearing people cheer you on and yell your name or the country you were from (the race tags we wore had our first name and two small flags of the country you where from). The whole time you ran along the lake there were throngs of crowds. After turning around we headed back to the transition area to begin the next 3 loops. This was a little tough as when you pass transition you also passed the Finish Line.\r\n\r\n[caption id=\"attachment_319\" align=\"alignright\" width=\"160\"]<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Switzerland-Finish-Line-2016-275.jpg\" alt=\"Switzerland Finish Line 2016 275\" width=\"160\" height=\"301\" class=\"size-full wp-image-319\" /><strong>Dr. Fields crossing the finish line</strong>[/caption]After each loop, there were people finishing but you still have to continue around and do your loops. They kept track of this when you came up towards the end of each loop and they would put a colored arm band around your forearm . Once you have four armbands on you could turn it into the finish line. As I said, the first loop very well. During the second loop I started to develop some foot pain. I have had this in the past in training but it only would last about 10 to 15 minutes at most. Unfortunately this time it did not go away so my second loop (each loop was a little more than 10K) was much slower. This pain would come and go until halfway into my 4th and last loop. But Ironman are all about challenges. I just dug deep and kept my focus on where I was going and put the pain aside.Dr. Fields crossing the finish line But all-in-all, I persevered. By the third fatigue was getting setting in but I just kept going since I you had to go out and do a fourth loop. Of course in everyone\'s mind you\'re thinking maybe I could just turn and go into the finish line. But again you could not enter the Finish Line without the four colored bands on your arm ( and that would be cutting the course so in reality no one ever considers that). The route was interesting but unfortunately there was no ice anywhere on the course. This all the athletes found to be very unusual. They did have sponges you could squeeze the water out on your head, shoulders and back but again it was just all air temperature water. So you just kept sipping water, cola, taking in nutrition and putting one foot in front of the other.\r\n\r\nSo as I made the final turn at about four kilometers to go, I knew I was heading back and that despite any difficulties, I had I would complete my 7th Ironman. As I came into the transition area and made the final 50 meter turn into the finish line I knew I had done it again. As I crossed the finish line I heard the words that I had heard 6 times before, \"Peter Fields, you are an Ironman!\"\r\n\r\n<strong>POST SCRIPT</strong>\r\n\r\nOf course as with every other race I was dedicating this race in the memory my mother and father. When the pain in my foot started to get worse during the run I just stayed focused. I had learned from both of them that no matter how tough things get in life, you just just have to keep moving forward.  I also kept a small remembrance of them in my back jersey pocket.  When things would get really tough, I would reach back and touch it.  Knowing they were with me made it a lot easier.\r\n\r\nMany of you may not know this  but both my parents were refugees fleeing fascism during World War II.\r\nBeing Jewish and living in Germany in the 1930\'s was not an ideal situation, to say the least.\r\n\r\nMy mom\'s family fled Germany to live in France in 1933. My mom was only 7 years old. After 8 good years, they had to flee once again, in 1941, to the US. So at the young age of 16 she would have to learn her third language, see her dad pass away after only a month in the US, help care for her family and more.\r\n\r\nMy dad, at 19, left Berlin in 1938 to hide out in Shanghai, China. He knew that it was either get out of Europe or perish. His parents unfortunately would never make it out. It took him nine years, until 1947, to finally get to the US. Penniless and without family, he would eventually meet my mom (married for 56 years) and with her start a successful business, raise a family and the rest is history.\r\n\r\nNo matter how bad things got they never gave up hope,\r\nThey instilled this in me from early childhood.\r\nAnd it stayed with me and helped me through this race.\r\n\r\nWhat was happening to me during the race was nothing compared to my parents journeys, but as they taught me, just kept moving forward and don\'t look back.I share with you these stories as this is what I kept in my head as I was running past the pain and fatigue of working out for over 12+ hrs straight.  The book  \'Man\'s Search for Meaning\' by Viktor Frankl, MD, Phd, which was my father\'s favorite book, has a famous quote that goes something like this: \'It\'s not what happens to you in life that matters; it\'s how you deal with it\'.\r\n\r\nI want to thank everybody who has gotten to this point and taken the time to read this. Also everybody out there who were shouting and/or cheering during the race following me on the Internet or just in their minds. I appreciate it all.\r\nThank You.\r\n\r\nOf course, I thank my parents everyday for not only the love they gave me, but for the spirit and determination to never give up that they ingrained in my soul. I\'m so thankful that I had them as my parents.\r\n\r\nOne last special dedication.\r\nTo my 91yo uncle Andre in Belgium, who felt guilty about taking time away from following me on the computer to do a few errands.\r\nHe sometimes knew more about me during the race then I did.\r\nMerci beaucoup, Monsieur Jamar!\r\n\r\n&nbsp;\r\n<div class=\"clear\"></div>\r\n<strong>Peter A. Fields, MD DC</strong>\r\n<strong>The Athletic Doc<sup>®</sup> and 7X Ironman Triathlete</strong>\r\n</div>\r\n<div class=\"col-md-4\" id=\"sidebar2\">\r\n<img alt=\"Dr. Fields, The Athletic Doc®, post race\" title=\"Dr. Fields, The Athletic Doc®, post race\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Switzerland-Finish-2016-275.jpg\" style=\"width: 204px;\"><br>\r\n<strong> Dr. Fields,The Athletic Doc<sup>®</sup>, post race</strong>\r\n<a href=\"https://goo.gl/photos/iYRMcML2UYWmW2pQ6\" target=\"_blank\" rel=\"noopener noreferrer\">2016 Switzerland<br>\r\nClick For More Photos</a>\r\nClick below for Pictures &amp; Story&nbsp;\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">2017 Ironman Santa Rosa</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-8th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-7th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Switzerland</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-6th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-5th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Brazil</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-4th-Ironman\"><strong style=\"color: #cc0000;\">2014 Ironman Austria</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-3rd-Ironman\"><strong style=\"color: #cc0000;\">2013 Ironman Canada</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-2nd-ironman/\"><strong style=\"color: #cc0000;\">2012 Ironman Cozumel</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-1st-ironman/\"><strong style=\"color: #cc0000;\">2011 Ironman Cozumel</strong></a>\r\n\r\n</div>','Race Report 7th Ironman','','inherit','closed','closed','','302-revision-v1','','','2020-06-30 17:58:43','2020-06-30 17:58:43','',302,'https://www.drfields.com/uncategorized/302-revision-v1/',0,'revision','',0),(3818,8,'2020-06-30 18:03:45','2020-06-30 18:03:45','<div class=\"col-md-8\">\n<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Cozumel-Logo.jpg\" alt=\"Cozumel Logo\" width=\"139\" height=\"85\" class=\"aligncenter size-full wp-image-326\" />\n\n<h6 class=\"text-center\">Sunday Nov 27, 2016\n2.4 mile swim, 112 mile bike, 26.2 mile run</h6>\n\n\"Never give up on your goals no matter how tough things get.\"\nFred and Yvette Fields\n\nAs many of you have enjoyed reading my stories about my Ironman races, I will now give you a brief synopsis of my eighth Ironman in Cozumel, Mexico November 27, 2016. I apologize for the delay in getting this out.\n\n<strong><span>GETTING THERE</span></strong>\n\nThis was not as complicated as it was for my races in South America or in Europe. A 3 hr. flight to Dallas and then 2 1/2 hrs. to Cozumel. I arrived five days in the advance of the race. Then the usual registering, getting ready and just sitting back and relaxing the last few days.\n\n\n<strong class=\"subhead\"><span>RACE DAY MORNING</span></strong>\n\nI awoke at 3:30 a.m. Breakfast at 4 a.m. and then getting down to the race start. In Cozumel, you start 2.2 miles away for the T1 (transition one) area where you have our bike, so first you go to the transition area and make sure everything is OK as you leave your bike and bike clothes the day before. You fill your bottles with water, pump your tires, place some nutrition on the bike and then take a bus over to the race start.\n\nThere was nothing unusual at the race start this morning except for the fact that I forgot my speed suit.  A wetsuit is not allowed in the race when the water temp is above the 76.5 degrees (actually it was 79 degrees today). Like many athletes, I usually wear a speed suit over my Triathlon suit. This is a suit that is very similar to what Olympic swimmers wear to streamline the body. But it really was no big deal as swimming is my best sport and at best it can take seconds and not minutes off my swim.\n\nOne of my highlights of standing in the corral waiting for the swim start was that I was actually standing next to, and met, The Iron Cowboy. This is a 41-year-old guy who just the year before had done what is really considered impossible. That is, he did 50 Ironman races in 50 days in 50 states. Yes, you heard me correctly. It was a monumental effort and he did it to raise awareness for several different organizations. I told him what an honor it was to have met him.\n\n\n\n[caption id=\"attachment_327\" align=\"alignleft\" width=\"160\"]<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Cozumel-2016-Swim-2-160.jpg\" alt=\"Cozumel 2016 Swim 2 160\" width=\"160\" height=\"286\" class=\"size-full wp-image-327\" /><strong>Swim Start with his parents initials on his forearms</strong>[/caption]<strong class=\"subhead\">THE SWIM: 2.4 Miles</strong>\n\nThe swim for me is never a major challenge as it is my best event. The start in Cozumel is very organized and controlled. They let about five to ten people off the end of the pier about every 15 seconds, so it never gets very crowded. The water very nice and it makes for an enjoyable swim. You can see down 30 - 50 feet and see schools of fish along the way. You can also see the scuba diver lifeguards who are strategically placed along the way in case anything happens. While swimming, about halfway thru the race, I did detect a current as it picked up and was coming towards us. This is not the norm as usually you swim with the current but occasionally it can change. I just moved on and kept motoring through. At the end I found out my time was just a minute or two slower than usual but most were 10-20 minutes slower than their usual time. Then out of the water, run over to the transition tent to dry off, get my helmet, bike shoes and sunglasses on and then on to the bike for 112 mile bike ride.\n<div class=\"clear\"></div>\n\n<strong class=\"subhead\">THE BIKE: 112 Miles</strong>\n\n[caption id=\"attachment_328\" align=\"alignright\" width=\"160\"]<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Cozumel-2016-Bike-160.jpg\" alt=\"Cozumel 2016 Bike 160\" width=\"160\" height=\"209\" class=\"size-full wp-image-328\" /><strong>Dr. Fields during the 112 mile bike ride</strong>[/caption]Having done this this race three times before I knew that bike course well. The back side of the island has a 12-mile stretch where your hit hard by the wind. But I felt really good and rode the first loop faster than I had ever done before. The second loop I kept my pace going but the winds got tougher on the back side of the island. They were hitting at about 20 to 25 miles an hour so you had to stay low on the bike. The third loop I did well on the leeward side of the island but once I hit the windward side of the island I slowed because the winds were blowing over 30 miles an hour. At this point you just tough it out and wait for the final stretch, with the wind at your back, into town. All-in-all I felt very good and I ended up having my best cycle time in Cozumel.\n\n\n<strong class=\"subhead\">THE RUN: 26.2 Miles</strong>\n[caption id=\"attachment_329\" align=\"alignleft\" width=\"160\"]<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Cozumel-2016-Run-160.jpg\" alt=\"Cozumel 2016 Run 160\" width=\"160\" height=\"288\" class=\"size-full wp-image-329\" /> <strong>Dr. Fields during the 26.2 mile run</strong>[/caption]At a transition, I felt very strong. The sun was out and it didn\'t rain but it was not too hot. My first loop, which is about 8.8 miles, I felt very good. During my second loop I developed some foot pain but was able to adjust my stride so it really didn\'t bother me. Unfortunately, halfway through this second loop I developed some hamstring pain. This is something I hadn\'t had before. At 13.1 miles, there is the special needs station. This is where one leaves out things they would like halfway to the race. I took some extra gels and a Motrin I had in there. Unfortunately, that was not enough. So, I tried running nine tenths of a mile and walking a tenth of a mile. The pain stayed with me so then I ran/walked for a while. Ironman races are all about staying in the game, so I just put the pain out of my head and kept going. I also found some ice at an aid station and wrapped that around my leg. Overall this hindered my run. On the 3rd loop I walked a lot; at least more than I ran.[caption id=\"attachment_332\" align=\"alignright\" width=\"160\"]<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Cozumel-2016-Finish-160.jpg\" alt=\"Cozumel 2016 Finish 160\" width=\"160\" height=\"295\" class=\"size-full wp-image-332\" /><strong> Dr. Fields crossing the finish line</strong>[/caption]Dr. Fields crossing the finish line I was hurting but there was nothing I could do. That was for the first four to five miles of the 8.4 mile run. And with three and a half for miles to go I just grinned and beared it and said I\'m almost done so let me just run through it. So, as I came back into town and the lights of the town became brighter and brighter, I felt very strong. I started seeing the big crowds at about a mile-and-a-half out which inspired me even more. I was now running very well, even passing other competitors who I cheered on. As I came to the last 500 meters the crowds and people cheering were very loud and inspiring. Although my leg was giving me a lot of pain at that time, in Ironman it\'s all about crisis control. You never say never. So I just kept a smile on my face and kept moving forward. As I came down the last 50 meters stretch the feeling is indescribable. I finally knew I had done it. I\'d finished my 8th Ironman. And as I came up to the Finish Line, I was exhausted but feeling unbelievably good. The feeling never gets old when the announcer says: \"Peter Fields, you are an Ironman!\"\n\n<div class=\"clear\"></div>\n<strong>POST SCRIPT</strong>\n\nAs I\'ve described in other race reports, my parents instilled in me the ability to work thru things no matter how hard it gets. Life is not always easy, just like an Ironman. There are some easy stretches and some hard times. But you just keep your head down and keep moving forward. The spirit of my parents never left me during the entire race. Their attention, caring and never ending love for me was always in my thoughts. As with every race, as I get towards the end, I imagine my parents there embracing me like they had for so many years. Their eternal love and kindness carries me through more than just my Ironman races.\n\n<strong>PS</strong> Once again I was first out of the water in my age group in the swim. After the bike, I was in the top third of my age group. This was a first for me. Unfortunately after the run, due to the above-mentioned issues, I fell back and finished towards the top of the lower third for my age group. But all in all, it was a good race.\n\n<strong>PPS</strong> I want to thank everybody who not only read this but also who thought of or followed me during the race. Thank you all very much.\n\n<div class=\"clear\"></div>\n<strong>Peter A. Fields, MD DC</strong>\n<strong>The Athletic Doc<sup>®</sup> and 8X Ironman Triathlete</strong>\n</div>\n<div class=\"col-md-4\" id=\"sidebar2\">\n<img alt=\"post race pic\" title=\"post race pic\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Cozumel-2016-Finisher-275.jpg\"><br>\nPeter A. Fields, MD, DC,<span style=\"color: #000000;\"><strong> <br>\nThe Athletic Doc<span style=\"font-size: 10px;\"><sup>®</sup></span>, </strong></span>post race pic\n<a href=\"https://goo.gl/photos/WqU8aVsvXa5SgLLo6\" target=\"_blank\" rel=\"noopener noreferrer\">2016 Cozumel<br>\nClick For More Photos</a>\nClick below for Pictures &amp; Story&nbsp;\n<a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">2017 Ironman Santa Rosa</strong></a>\n<a href=\"/About/The-Athletic-Doc/Race-Report-8th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Cozumel</strong></a>\n<a href=\"/About/The-Athletic-Doc/Race-Report-7th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Switzerland</strong></a>\n<a href=\"/About/The-Athletic-Doc/Race-Report-6th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Cozumel</strong></a>\n<a href=\"/About/The-Athletic-Doc/Race-Report-5th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Brazil</strong></a>\n<a href=\"/About/The-Athletic-Doc/Race-Report-4th-Ironman\"><strong style=\"color: #cc0000;\">2014 Ironman Austria</strong></a>\n<a href=\"/About/The-Athletic-Doc/Race-Report-3rd-Ironman\"><strong style=\"color: #cc0000;\">2013 Ironman Canada</strong></a>\n<a href=\"/about/the-athletic-doc/race-report-2nd-ironman/\"><strong style=\"color: #cc0000;\">2012 Ironman Cozumel</strong></a>\n<a href=\"/about/the-athletic-doc/race-report-1st-ironman/\"><strong style=\"color: #cc0000;\">2011 Ironman Cozumel</strong></a>\n\n</div>','Race Report 8th Ironman','','inherit','closed','closed','','306-autosave-v1','','','2020-06-30 18:03:45','2020-06-30 18:03:45','',306,'https://www.drfields.com/uncategorized/306-autosave-v1/',0,'revision','',0),(3819,8,'2020-06-30 18:03:55','2020-06-30 18:03:55','<div class=\"col-md-8\">\r\n<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Cozumel-Logo.jpg\" alt=\"Cozumel Logo\" width=\"139\" height=\"85\" class=\"aligncenter size-full wp-image-326\" />\r\n\r\n<h6 class=\"text-center\">Sunday Nov 27, 2016\r\n2.4 mile swim, 112 mile bike, 26.2 mile run</h6>\r\n\r\n\"Never give up on your goals no matter how tough things get.\"\r\nFred and Yvette Fields\r\n\r\nAs many of you have enjoyed reading my stories about my Ironman races, I will now give you a brief synopsis of my eighth Ironman in Cozumel, Mexico November 27, 2016. I apologize for the delay in getting this out.\r\n\r\n<strong><span>GETTING THERE</span></strong>\r\n\r\nThis was not as complicated as it was for my races in South America or in Europe. A 3 hr. flight to Dallas and then 2 1/2 hrs. to Cozumel. I arrived five days in the advance of the race. Then the usual registering, getting ready and just sitting back and relaxing the last few days.\r\n\r\n\r\n<strong class=\"subhead\"><span>RACE DAY MORNING</span></strong>\r\n\r\nI awoke at 3:30 a.m. Breakfast at 4 a.m. and then getting down to the race start. In Cozumel, you start 2.2 miles away for the T1 (transition one) area where you have our bike, so first you go to the transition area and make sure everything is OK as you leave your bike and bike clothes the day before. You fill your bottles with water, pump your tires, place some nutrition on the bike and then take a bus over to the race start.\r\n\r\nThere was nothing unusual at the race start this morning except for the fact that I forgot my speed suit.  A wetsuit is not allowed in the race when the water temp is above the 76.5 degrees (actually it was 79 degrees today). Like many athletes, I usually wear a speed suit over my Triathlon suit. This is a suit that is very similar to what Olympic swimmers wear to streamline the body. But it really was no big deal as swimming is my best sport and at best it can take seconds and not minutes off my swim.\r\n\r\nOne of my highlights of standing in the corral waiting for the swim start was that I was actually standing next to, and met, The Iron Cowboy. This is a 41-year-old guy who just the year before had done what is really considered impossible. That is, he did 50 Ironman races in 50 days in 50 states. Yes, you heard me correctly. It was a monumental effort and he did it to raise awareness for several different organizations. I told him what an honor it was to have met him.\r\n\r\n\r\n\r\n[caption id=\"attachment_327\" align=\"alignleft\" width=\"160\"]<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Cozumel-2016-Swim-2-160.jpg\" alt=\"Cozumel 2016 Swim 2 160\" width=\"160\" height=\"286\" class=\"size-full wp-image-327\" /><strong>Swim Start with his parents initials on his forearms</strong>[/caption]<strong class=\"subhead\">THE SWIM: 2.4 Miles</strong>\r\n\r\nThe swim for me is never a major challenge as it is my best event. The start in Cozumel is very organized and controlled. They let about five to ten people off the end of the pier about every 15 seconds, so it never gets very crowded. The water very nice and it makes for an enjoyable swim. You can see down 30 - 50 feet and see schools of fish along the way. You can also see the scuba diver lifeguards who are strategically placed along the way in case anything happens. While swimming, about halfway thru the race, I did detect a current as it picked up and was coming towards us. This is not the norm as usually you swim with the current but occasionally it can change. I just moved on and kept motoring through. At the end I found out my time was just a minute or two slower than usual but most were 10-20 minutes slower than their usual time. Then out of the water, run over to the transition tent to dry off, get my helmet, bike shoes and sunglasses on and then on to the bike for 112 mile bike ride.\r\n<div class=\"clear\"></div>\r\n\r\n<strong class=\"subhead\">THE BIKE: 112 Miles</strong>\r\n\r\n[caption id=\"attachment_328\" align=\"alignright\" width=\"160\"]<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Cozumel-2016-Bike-160.jpg\" alt=\"Cozumel 2016 Bike 160\" width=\"160\" height=\"209\" class=\"size-full wp-image-328\" /><strong>Dr. Fields during the 112 mile bike ride</strong>[/caption]Having done this this race three times before I knew that bike course well. The back side of the island has a 12-mile stretch where your hit hard by the wind. But I felt really good and rode the first loop faster than I had ever done before. The second loop I kept my pace going but the winds got tougher on the back side of the island. They were hitting at about 20 to 25 miles an hour so you had to stay low on the bike. The third loop I did well on the leeward side of the island but once I hit the windward side of the island I slowed because the winds were blowing over 30 miles an hour. At this point you just tough it out and wait for the final stretch, with the wind at your back, into town. All-in-all I felt very good and I ended up having my best cycle time in Cozumel.\r\n\r\n\r\n<strong class=\"subhead\">THE RUN: 26.2 Miles</strong>\r\n[caption id=\"attachment_329\" align=\"alignleft\" width=\"160\"]<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Cozumel-2016-Run-160.jpg\" alt=\"Cozumel 2016 Run 160\" width=\"160\" height=\"288\" class=\"size-full wp-image-329\" /> <strong>Dr. Fields during the 26.2 mile run</strong>[/caption]At a transition, I felt very strong. The sun was out and it didn\'t rain but it was not too hot. My first loop, which is about 8.8 miles, I felt very good. During my second loop I developed some foot pain but was able to adjust my stride so it really didn\'t bother me. Unfortunately, halfway through this second loop I developed some hamstring pain. This is something I hadn\'t had before. At 13.1 miles, there is the special needs station. This is where one leaves out things they would like halfway to the race. I took some extra gels and a Motrin I had in there. Unfortunately, that was not enough. So, I tried running nine tenths of a mile and walking a tenth of a mile. The pain stayed with me so then I ran/walked for a while. Ironman races are all about staying in the game, so I just put the pain out of my head and kept going. I also found some ice at an aid station and wrapped that around my leg. Overall this hindered my run. On the 3rd loop I walked a lot; at least more than I ran.[caption id=\"attachment_332\" align=\"alignright\" width=\"160\"]<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Cozumel-2016-Finish-160.jpg\" alt=\"Cozumel 2016 Finish 160\" width=\"160\" height=\"295\" class=\"size-full wp-image-332\" /><strong> Dr. Fields crossing the finish line</strong>[/caption]Dr. Fields crossing the finish line I was hurting but there was nothing I could do. That was for the first four to five miles of the 8.4 mile run. And with three and a half for miles to go I just grinned and beared it and said I\'m almost done so let me just run through it. So, as I came back into town and the lights of the town became brighter and brighter, I felt very strong. I started seeing the big crowds at about a mile-and-a-half out which inspired me even more. I was now running very well, even passing other competitors who I cheered on. As I came to the last 500 meters the crowds and people cheering were very loud and inspiring. Although my leg was giving me a lot of pain at that time, in Ironman it\'s all about crisis control. You never say never. So I just kept a smile on my face and kept moving forward. As I came down the last 50 meters stretch the feeling is indescribable. I finally knew I had done it. I\'d finished my 8th Ironman. And as I came up to the Finish Line, I was exhausted but feeling unbelievably good. The feeling never gets old when the announcer says: \"Peter Fields, you are an Ironman!\"\r\n\r\n<div class=\"clear\"></div>\r\n<strong>POST SCRIPT</strong>\r\n\r\nAs I\'ve described in other race reports, my parents instilled in me the ability to work thru things no matter how hard it gets. Life is not always easy, just like an Ironman. There are some easy stretches and some hard times. But you just keep your head down and keep moving forward. The spirit of my parents never left me during the entire race. Their attention, caring and never ending love for me was always in my thoughts. As with every race, as I get towards the end, I imagine my parents there embracing me like they had for so many years. Their eternal love and kindness carries me through more than just my Ironman races.\r\n\r\n<strong>PS</strong> Once again I was first out of the water in my age group in the swim. After the bike, I was in the top third of my age group. This was a first for me. Unfortunately after the run, due to the above-mentioned issues, I fell back and finished towards the top of the lower third for my age group. But all in all, it was a good race.\r\n\r\n<strong>PPS</strong> I want to thank everybody who not only read this but also who thought of or followed me during the race. Thank you all very much.\r\n\r\n<div class=\"clear\"></div>\r\n<strong>Peter A. Fields, MD DC</strong>\r\n<strong>The Athletic Doc<sup>®</sup> and 8X Ironman Triathlete</strong>\r\n</div>\r\n<div class=\"col-md-4\" id=\"sidebar2\">\r\n<img alt=\"post race pic\" title=\"post race pic\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Cozumel-2016-Finisher-275.jpg\"><br>\r\nPeter A. Fields, MD, DC,<span style=\"color: #000000;\"><strong> <br>\r\nThe Athletic Doc<sup>®</sup>, </strong></span>post race pic\r\n<a href=\"https://goo.gl/photos/WqU8aVsvXa5SgLLo6\" target=\"_blank\" rel=\"noopener noreferrer\">2016 Cozumel<br>\r\nClick For More Photos</a>\r\nClick below for Pictures &amp; Story&nbsp;\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-9th-Ironman\"><strong style=\"color: #cc0000;\">2017 Ironman Santa Rosa</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-8th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-7th-Ironman\"><strong style=\"color: #cc0000;\">2016 Ironman Switzerland</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-6th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Cozumel</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-5th-Ironman\"><strong style=\"color: #cc0000;\">2015 Ironman Brazil</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-4th-Ironman\"><strong style=\"color: #cc0000;\">2014 Ironman Austria</strong></a>\r\n<a href=\"/About/The-Athletic-Doc/Race-Report-3rd-Ironman\"><strong style=\"color: #cc0000;\">2013 Ironman Canada</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-2nd-ironman/\"><strong style=\"color: #cc0000;\">2012 Ironman Cozumel</strong></a>\r\n<a href=\"/about/the-athletic-doc/race-report-1st-ironman/\"><strong style=\"color: #cc0000;\">2011 Ironman Cozumel</strong></a>\r\n\r\n</div>','Race Report 8th Ironman','','inherit','closed','closed','','306-revision-v1','','','2020-06-30 18:03:55','2020-06-30 18:03:55','',306,'https://www.drfields.com/uncategorized/306-revision-v1/',0,'revision','',0),(3820,8,'2020-06-30 18:07:26','2020-06-30 18:07:26','<h4>Stem Cell Treatment for Joints and Spine - Alternative To Joint Replacement</h4>\r\n<div id=\"youtubeleft\" class=\"youtube-click-div \">[video_lightbox_youtube video_id=\"YoXRC87KNuM\" width=\"640\" height=\"480\" anchor=\"https://www.drfields.com/wp-content/uploads/2019/06/stemcell.jpg\" alt=\"Stem Cell Knee\"]\r\n<strong>Stem Cell Knee</strong></div>\r\n<div id=\"youtubeleft\" class=\"youtube-click-div \">[video_lightbox_youtube video_id=\"IajO8GpFeng\" width=\"640\" height=\"480\" anchor=\"https://www.drfields.com/wp-content/uploads/2019/06/stemcell1.jpg\" alt=\"Stem Cell Hip\"]\r\n<strong>Stem Cell Hip</strong></div>\r\n<i>Regenerating a person\'s joints and spine is not something of the future: it is happening today! Last year in the US, there were 3.5 million total joint replacements and another 35 million joint surgeries. Surgery can always be done but never un-done, which is why people in increasing numbers are seeking non-surgical alternatives to joint and spine surgery. Cutting out a part of a joint or injecting it with steroids is not the answer. Stem Cell Treatment for Joints is the answer. </i>\r\n\r\nWatch the testimonials on this page, or see many more on our <a href=\"https://www.drfields.com/Testimonials/Cellular-Regeneration-Testimonials/\">Testimonials Page</a>.\r\n<div class=\"clear\"></div>\r\n<h4>Who Needs Stem Cell Treatment?</h4>\r\nStem Cell Treatment for Joints and Spine is a great alternative for people who have been told they need joint replacement surgery. At OrthoRegen<sup>®</sup>, we utilize the Gold Standard in Stem Cell Treatments, which is an effective non-surgical alternative, and one that very well may help you<span style=\"text-decoration: underline;\"> <em>Avoid Joint Replacement Surgery</em></span>.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>\r\n\r\n<strong>If you have been told</strong> that you have any of these conditions...\r\n<ul>\r\n 	<li>Bone-on-bone</li>\r\n 	<li>Severe arthritis</li>\r\n 	<li>A degenerated joint</li>\r\n 	<li>Your cartilage has been worn away,</li>\r\n 	<li>The only option left is to have your joint replaced...</li>\r\n</ul>\r\n...you now have another option.\r\n\r\nThat\'s because your Stem Cells have the potential to regenerate into any type of body tissue. Their use in regenerative medicine is growing in popularity in the medical world as an <em>alternative to invasive orthopedic surgeries including total joint replacement</em>. The remarkable thing about Stem Cells is the fact that when you inject them into a specific area of the body, they know what kinds of cells your body needs – for example, meniscus cells or cartilage cells.\r\n<h4>What is our Stem Cell Procedure for Joints and Spine?</h4>\r\nOur Stem Cell technique we use for joints and spine is <strong><em>The Gold Standard</em></strong> for stem cell regeneration. We use all four kinds of regenerative Orthopedics for this procedure to help you avoid invasive surgery. Many other clinics only use one or two of these procedures, but not all four.\r\n<ul>\r\n 	<li>We use bone marrow stem cells as well as adipose (fat) stem cells.</li>\r\n 	<li>Both solutions are then centrifuged and concentrated to get a solution with the highest amount of stem cells. We inject both of these sources of stem cells into the joint.</li>\r\n 	<li>We then use <a href=\"https://www.drfields.com/regenerative-techniques/prp-treatment/\">PRP Prolotherapy</a> to accelerate their healing.</li>\r\n 	<li>In addition, we use <a title=\"Prolotherapy\" href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-treatment-overview/\">Dextrose Prolotherapy</a> on the outside of the joint to help stabilize the ligaments and tendons that hold the joint in place.</li>\r\n</ul>\r\nUsing two sources of stem cells (bone and fat) as well as PRP Prolotherapy and Dextrose Prolotherapy is <strong><em>The Gold Standard</em></strong> for stem cell regeneration.\r\n\r\nAgain, this procedure is usually used for cases where you have been told to have their joint replaced, have bone-on-bone, advanced arthritis, severe meniscus or labral tear or other aggressive injuries. This is only recommended after a very thorough history and physical exam. It is important to have an x-ray to confirm what is known from the above exams. Not everyone is a candidate for this procedure, but many are.\r\n\r\nWhy is it so important that you know about this alternative to joint replacement surgery? Because <strong><em>once surgery is done, it cannot be un-done!</em></strong>\r\n<h4>Why Stem Cell Therapy Works: Types of Stem Cells</h4>\r\n<strong>Bone Marrow Stem Cells</strong>\r\nStem cells are contained within bone marrow. This has been shown in studies for many years now. Harvesting them from one’s own body eliminates the possibility of cross reaction or rejection since it is your own body supplying the stem cells.  This autologous (meaning \"obtained from oneself\") bone marrow aspirate contains not only mesenchymal stem cells (cells that are able to develop into the tissues such as bone and cartilage) but also progenitor cells, which are a different type of stem-like cell.\r\n\r\nBone marrow also contains other cells that produce growth factors and cytokines (cells that affect the behavior of other cells). These cytokines aid in fibroblastic proliferation. Fibroblasts are cells that synthesize the structural framework.  Stem cells have the ability to form tissues like bone, cartilage, labrum, meniscus, ligaments and more.  All this allows for repair and remodeling of cartilage, bone and other soft tissue structures such as meniscus, labrums, ligaments and tendons.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>\r\n\r\n<strong>Adipose Stem Cells </strong>\r\nOn the other hand adipose tissue is also a rich source of adult stem cells. These cells, harvested from one’s own fat, have an extensive proliferative capacity and can differentiate into multiple cell lines. Stem cells derived from adipose tissue can differentiate ligaments, bone, cartilage, muscle or ligaments. This type of stem cell is now being used in musculoskeletal medicine to regenerate not only the above tissues but to provide a scaffolding to hold the stem cells in place and allow them to grow. Adipose-derived stem cells are similar to, but not identical to bone marrow cells.\r\n\r\n<img class=\"alignleft wp-image-732 size-full\" title=\"stem cell treatment los angeles\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Stem-Cell1.jpg\" alt=\"Stem Cell1\" width=\"215\" height=\"167\" />Not all injuries require stem cells to heal. The success rate with traditional Prolotherapy (both Dextrose and PRP) is in the 90%+ range for all patients. However, for those cases of advanced arthritis, severe meniscus tears or labral tears, bone-on-bone, aggressive injuries or where one has been told to have their joint replaced, some may need to use Stem Cell Prolotherapy to regenerate the defective joint. I use this in combination with <a href=\"https://www.drfields.com/regenerative-techniques/prp-treatment/\">PRP Prolotherapy</a> (to accelerate the stem cell healing) and with <a href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-treatment-overview/\">Dextrose Prolotherapy</a> (to strengthen and stabilize the surrounding support structures).\r\n\r\nAs more and more research comes out, what is known by a few physicians is being proven. A recent research study was conducted and titled, “Transplanted bone marrow and fat mesenchymal stem cells with platelet-rich fibrin glue scaffold stimulates full-thickness cartilage defects to heal.”\r\n<h4>Research On Stem Cell Treatment for Joints</h4>\r\nSeveral human studies using bone marrow and fat stem cells for articular cartilage lesions have been done. Articular cartilage is a type of cartilage that covers joint surfaces and is most susceptible to injury compared to other types of cartilage. Researchers at Cairo University School of Medicine and the University of Pittsburgh School of Medicine reported on the use of bone marrow mesenchymal stem cells and a platelet-rich fibrin scaffold to heal full-thickness cartilage defects in five patients. The researchers studied the treatment results from the bone marrow mesenchymal stem cells with success.\r\n\r\n<img class=\"alignright wp-image-735 size-full\" title=\"stem cell treatment los angeles\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Stem-Cell2.jpg\" alt=\"Stem Cell2\" width=\"200\" height=\"267\" />Articular Cartilage has limited repair capacity and marrow-stimulation procedures such as micro fracture, osteochondral grafts and autologous cartilage implantations have had limited success in articular cartilage defects. The researchers from this study chose mesenchymal stem cells from bone marrow because these have the ability to differentiate into cartilage cells. In the case of these five patients the bone marrow was harvested from the iliac crest (hip bone).\r\n\r\nPlatelets were used as a scaffold because platelets contain various growth factors that stimulate cartilage regeneration. The researchers expected that the biological effect of multiple growth factors on tissue regeneration is greater than that of a single growth factor.\r\n\r\n&nbsp;\r\n\r\n<strong>Stem Cell Treatment Results</strong>\r\nThe patients showed significant functional improvement. Two of the patients underwent arthroscopy after the transplantation and showed near normal articular cartilage. Three postoperative MRIs revealed complete healing and congruent cartilage tissue, whereas two patient MRIs showed incomplete (it was partial and not 100% complete) congruity in the cartilage tissue.\r\n\r\nThe researchers concluded that the transplantation of autologous culture-expanded bone marrow-mesenchymal stem cells in platelet rich-fibrin glue shows great promise in the treatment of full-thickness articular cartilage defects, particularly large-sized defects (&gt;4 cm).  The positive 1 year clinical outcomes support further randomized controlled clinical trials of this treatment modality with larger numbers of patients and longer follow-up periods.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>\r\n<h4>How Can Stem Cell Therapy Help Your Joints or Spine</h4>\r\nIf you\'ve been told that you need to have joint replacement surgery -- whether that\'s knee replacement surgery, hip replacement surgery, shoulder replacement surgery (or any other joint), or if you\'ve been told that you need to have spine surgery due to arthritis, bone-on-bone, or other conditions, you owe it to yourself to examine all other alternatives to surgery before going under the knife.\r\n\r\nJoint Replacement Surgery and Spine Surgery are very invasive procedures, and each comes with its own long list of reasons to avoid it at all costs: hospital stays, potential (dangerous) complications, long recovery times, and the need to have the procedure redone at some point. Make an appointment with Dr. Peter Fields for an evaluation to see if you are a good candidate for my Gold Standard Stem Cell Treatment for Joints and Spine. Click the blue button on this page, or call <a href=\"tel:+[phone_raw]\">[phone]</a>, to make an appointment now.','Stem Cell Treatment','','inherit','closed','closed','','431-revision-v1','','','2020-06-30 18:07:26','2020-06-30 18:07:26','',431,'https://www.drfields.com/uncategorized/431-revision-v1/',0,'revision','',0),(3821,8,'2020-06-30 18:09:59','2020-06-30 18:09:59','<h4>Treat Your Chronic Pain With Prolotherapy</h4>\r\n\r\n<div id=\"youtubeleft\" class=\"youtube-click-div \">[video_lightbox_youtube video_id=\"hA1FVmxWixE\" width=\"640\" height=\"480\" anchor=\"https://www.drfields.com/wp-content/uploads/2019/06/Dr.-Barry-Leonard-PRP-Knee.jpg\" alt=\"Dr. Barry Leonard - PRP Knee\"]<strong>Dr. Barry Leonard - PRP Knee</strong></div>\r\n<div id=\"youtubeleft\" class=\"youtube-click-div \">[video_lightbox_youtube video_id=\"vQGBBEARjMk\" width=\"640\" height=\"480\" anchor=\"https://www.drfields.com/wp-content/uploads/2019/06/May-Knee.jpg\" alt=\"May - Knee\"]<strong>May - Knee</strong></div>\r\n\r\n<div class=\"clearfix\"></div>\r\n\r\nAre you suffering from a back injury, a work-related injury or a sports injury? Is your Chronic Pain changing your lifestyle and preventing you from doing the things you want to do? If it has, then a doctor might have told you that you need to have surgery, arthroscopy, cortisone injections or take dangerous NSAIDS to treat your chronic pain. In many cases, those may not be the best treatments. Depending on the nature of your injury, you may be able to <strong>treat your chronic pain with Prolotherapy</strong>.\r\n\r\n<h4>What is Pain?</h4>\r\nPain can be defined as a feeling of distress, suffering, or agony, caused by stimulation of specialized nerve endings in the body, resulting from injury or disease. Pain receptors, found in the skin and other tissues are nerve fibres that react to stimuli. Pain impulses enter the spinal cord and are transmitted to your brain, where they are interpreted as pain. The purpose of pain in a person’s body is chiefly protective; pain acts as a warning that tissues are being damaged. This tissue damage can be actual or potential.\r\n\r\n<h4>Acute Pain vs Chronic Pain</h4>\r\nThere are two general categories of pain: acute pain and chronic pain. Acute pain is intense and can last from a few seconds to hours or days. This severe pain should wane as healing of the injury or disease occurs. Chronic pain however, can range from mild to severe and can last weeks, months or longer. Chronic pain is pain that continues or recurs over a prolonged period. Under certain conditions the pain receptors in the body become more sensitive over a period of time. This means that as long as a traumatic stimulus persists, you will continue to be aware that damage to the tissues may still be occurring.\r\n\r\n<h4>Why Am I Still In Pain?</h4>\r\nYou might wonder why there is still pain in an injured area or why that area remains weak, even after healing for weeks, months or years. The answer is that both ligaments and tendons have very poor circulation. This lack of blood supply deprives these tissues of nutrients they need to heal properly.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>\r\n\r\n<a href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-treatment-overview/\">Prolotherapy</a> builds stronger or larger tendons or ligaments that can hold body structures in place more effectively. The weakened area heals, and the patient’s pain is reduced or eliminated. Prolotherapy is an excellent alternative to cortisone injections, which long-term studies show, can actually weaken tissue.\r\n\r\n<h4>Who Uses Prolotherapy?</h4>\r\nMany patients come to us tired of ‘managing’ their chronic pain with NSAID or narcotic medications, various therapies, and exercises. In many cases, these methods do not deal with the cause of the pain. Most of the time, musculoskeletal pain is due to weakness in the ligaments, tendons and possibly cartilage. Athletes with sports injuries are especially interested in the use of Prolotherapy for treatment because it is an alternative to surgery, arthroscopy, cortisone shots, non-steroidal and anti-inflammatories, and chronic use of narcotic pain medications. These measures may not help, and often hinder or even prevent the healing process.\r\n\r\nDo you suffer from <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-knee-pain/\">chronic knee pain</a>? <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-shoulder-pain/\">Chronic shoulder pain</a>? <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-neck-pain/\">Chronic neck pain</a>? <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-elbow-pain/\">Chronic elbow pain</a>? Or is your chronic pain somewhere else in your body, such as your back, hips, or ankles? Wherever it is, Dr. Fields may be able to treat your chronic pain with Prolotherapy.\r\n\r\n<h4>Why Prolotherapy Works</h4>\r\nProlotherapy works because it stimulates an inflammatory reaction in the body. Solutions are injected into the affected ligaments, tendons, or joints, which leads to local inflammation in that specific area. The localized inflammation triggers the deposition of new collagen, the material in which ligaments and tendons are made. New collagen shrinks as it matures and tightens the ligament that was injected, making it stronger.\r\n\r\nThe potential for Prolotherapy to eliminate chronic pain is very high, especially in sports injuries that are a result of ligament and tendon weakness. Prolotherapy can regenerate damaged tissues and ultimately alleviate the problem causing the pain. Our goal at OrthoRegen<sup>®</sup> is for our patients to have an active, healthy, pain-free life. Prolotherapy is a very safe, affordable option that allows you to keep working and training during the recovery process. It is one treatment that encourages movement post-treatment. Movement actually aids the healing process after Prolotherapy.\r\n\r\n<h4>Are You A Candidate For Prolotherapy?</h4>\r\nWhether your chronic pain is from a back injury, a work-related injury, or a sports injury, you can treat your chronic pain with Prolotherapy. <a href=\"https://www.drfields.com/contact/\">Contact us for a consultation</a> to see if you are a candidate or get a second opinion for a recommended surgery. We see all levels of injury, simple to extensive. At OrthoRegen<sup>®</sup>, we want to help you achieve your goals of optimal health and sustained wellness. We will use the most effective and least invasive methods in your treatment. Call today, <a href=\"tel:+[phone_raw]\">[phone]</a>.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>\r\n','Chronic Pain Overview','','inherit','closed','closed','','469-revision-v1','','','2020-06-30 18:09:59','2020-06-30 18:09:59','',469,'https://www.drfields.com/uncategorized/469-revision-v1/',0,'revision','',0),(3822,8,'2020-06-30 18:10:44','2020-06-30 18:10:44','<h4>Regenerative Orthopedics for Chronic Knee Pain</h4>\r\n<div class=\"youtube-click-div video_left\">[video_lightbox_youtube video_id=\"6wBQp0ZNfy0\" width=\"640\" height=\"480\" anchor=\"https://www.drfields.com/wp-content/uploads/2019/06/chronic-pain-video1.jpg\" alt=\"Roberto - Knee (In Spanish)\"]\r\n<strong>Sam - Knee</strong></div>\r\n<div class=\"youtube-click-div video_left\">[video_lightbox_youtube video_id=\"d-0hlfEKGYo\" width=\"640\" height=\"480\" anchor=\"https://www.drfields.com/wp-content/uploads/2019/06/chronic-pain-video0.jpg\" alt=\"Sam - Knee\"]\r\n<strong>Roberto - Knee (In Spanish)</strong></div>\r\nThe knee is one of the most crucial joints in the body. To be engaged in everyday activities -- standing, walking, running, and even lying down -- you need to have normal knee function. But if you have chronic pain in your knee, you\'re prevented from doing all of that and more. Many conventional treatments include surgery, arthroscopy, cortisone, and NSAIDS, but sometimes those treatments can hurt more than they help. That is why so many people turn to Regenerative Orthopedics for Chronic Knee Pain treatment.\r\n<h4>What Causes Knee Pain?</h4>\r\nThe knee begins at the lower end of the thigh bone (femur), which rotates on the upper end of the shin (tibia). The knee cap (patellae), slides in a groove on the end of the femur. Large ligaments attach the femur to the tibia, providing stability to the leg.\r\n\r\nCommon causes of knee pain are arthritis. If you are experiencing minor knee pain, clicking, giving way or ‘trick knee’, you may be feeling the first symptoms of arthritis. Arthritis can begin in people as early as thirty years of age, and this may progress for years before symptoms appear. Acute knee pain, sudden and intense, is usually the result of an injury. Acute knee pain accompanied by significant inflammation and swelling, can be caused by gout or even infection. Persistent arthritis can also be the cause of occasional acute knee pain.\r\n\r\nThe most common cause of long-lasting or chronic knee pain is osteoarthritis. Other forms of arthritis, rheumatoid, traumatic, and gouty, can also cause chronic pain in the knee joint. Pseudogout, bursitis, tendonitis, <a href=\"https://www.drfields.com/conditions/sports-injuries/sports-injuries-treatment-overview/\">sports injuries</a>, degenerative joint disease, and chondromalacia patellae can be other causes of knee pain. As we age the smooth and resilient cartilage on the ends of our long bones, wears down, but this cartilage is needed for normal joint function.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n<h4>How Does Regenerative Orthopedics Work for Chronic Knee Pain?</h4>\r\nMany patients come to us tired of ‘managing’ their chronic pain with NSAID or narcotic medications, various therapies, and exercises. In many cases, these methods do not take care of the cause of the pain.\r\n\r\nPatients with pain in almost any joint in the body can now <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-pain-overview/\">treat their chronic pain with Regenerative Orthopedics</a>. It just depends on the cause of your particular joint pain.\r\n\r\nMost of the time, musculoskeletal pain is due to weakness in the ligaments, tendons and possibly cartilage. Regenerative Orthopedics, including Stem Cell Therapy, PRP, and Prolotherapy, can <strong>regenerate these damaged tissues</strong> and ultimately alleviate the problem causing the pain.\r\n\r\nRegenerative Orthopedics works because it stimulates an inflammatory reaction in the body. Solutions are injected into the affected knee ligaments, tendons, or joints, which leads to local inflammation in that specific area. The localized inflammation triggers the deposition of new collagen, the material in which ligaments and tendons are made. New collagen shrinks as it matures and tightens the ligament that was injected, making it stronger.\r\n<h4>Are you a Candidate For Regenerative Orthopedics for Chronic Knee Pain?</h4>\r\nOur goal at OrthoRegen<sup>®</sup> is for our patients to have an active, healthy, pain-free life. Regenerative Orthopedics is a very safe, affordable option that allows you to keep working, training and living a normal life during the recovery process. Regenerative Orthopedics for chronic knee pain is one of the few treatments that encourages movement post-treatment. Movement actually aids the healing process after Regenerative Orthopedics, like Stem Cell Therapy, PRP, and <a title=\"Prolotherapy\" href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-treatment-overview/\">Prolotherapy</a>. By contrast, surgery requires you to reduce activity after treatment.\r\n\r\nAre you a candidate for Regenerative Orthopedics for your chronic knee pain? Would you like a <strong>second opinion before you have irreversible knee surgery</strong>? The only way to know for sure is to get a consultation. <a href=\"https://www.drfields.com/contact/\">Contact Us today</a> for a consultation or call Peter A. Fields, MD, DC, and OrthoRegen<sup>®</sup> at 310-453-1234.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>','Chronic Knee Pain','','inherit','closed','closed','','486-revision-v1','','','2020-06-30 18:10:44','2020-06-30 18:10:44','',486,'https://www.drfields.com/uncategorized/486-revision-v1/',0,'revision','',0),(3823,8,'2020-06-30 18:11:11','2020-06-30 18:11:11','<div class=\"youtube-click-div video_left\">\r\n[video_lightbox_youtube video_id=\"bC6PwyGefiY\" width=\"640\" height=\"480\" anchor=\"https://www.drfields.com/wp-content/uploads/2019/06/Mark-neck-pain.jpg\" alt=\"Mark-Neck\"]\r\n<strong>Mark - Neck</strong>\r\n</div>\r\n\r\n<h4>Prolotherapy for Chronic Neck Pain</h4>\r\nBecause the neck is less protected than the rest of the spine, it is far more vulnerable to injuries and disorders that can cause pain and even restrict your motion. The neck enables the head to move and to rotate, but if you can\'t move your neck normally, your life can be severely disrupted and your activities can be limited. Depending on the cause and type of your neck injury or condition, your best choice may be prolotherapy for chronic neck pain.\r\n\r\n<h4>What Causes Neck Pain?</h4>\r\nYour neck is composed of seven cervical vertebrae. These vertebrae support your head, serve as an attachment point for the muscles that move your head, and protect the spinal cord between the brain and thoracic vertebrae.\r\n\r\nSymptoms of <a href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-faq/\">neck pain</a> can include:\r\n<ul>\r\n 	<li>Headaches</li>\r\n 	<li>Pain in the shoulder, arm or hand</li>\r\n 	<li>Reduced range of motion in the neck</li>\r\n 	<li>Numbness, weakness, and slower reflexes in the arms, legs, hands and feet.</li>\r\n</ul>\r\n\r\nIf you are experiencing minor neck pain, you may be experiencing early symptoms of arthritis. Osteoarthritis can begin as young as thirty and symptoms may begin to appear years after the disease begins.\r\n\r\nA strain or spasm of the muscles in the neck or inflammation of the neck can be the causes of the neck pain you feel. Pain in the neck can also be caused by injury such as whiplash or a blow to the head or neck while playing sports. Cervical disk degeneration, a pinched nerve, meningitis, influenza, a heart attack or torticollis, can also be causes of neck pain. Anything that causes stress on the muscles in the upper body and arms, including poor posture, and sleeping on a pillow that is too high, can be causes of localized neck pain.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">  Schedule Your Appointment Today!</a>\r\n\r\n<h4>How Prolotherapy Is Used To Treat Chronic Neck Pain</h4>\r\nMany patients come to us tired of ‘managing’ their chronic pain with NSAID or narcotic medications, various therapies, and exercises. In many cases, these methods do not take care of the cause of the pain.\r\n\r\nPatients with pain in almost any joint in the body can now <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-pain-overview/\">treat their chronic pain with Prolotherapy</a>. It just depends on the cause of your particular pain.\r\n\r\nMost of the time, musculoskeletal pain is due to weakness in the ligaments, tendons and possibly cartilage. Prolotherapy can regenerate these damaged tissues and ultimately alleviate the problem causing the pain.\r\n\r\nProlotherapy works because it stimulates an inflammatory reaction in the body. Solutions are injected into the affected neck ligaments, tendons, or joints, which leads to local inflammation in that specific area. The localized inflammation triggers the deposition of new collagen, the material in which ligaments and tendons are made. New collagen shrinks as it matures and tightens the ligament that was injected, making it stronger.\r\n\r\n<h4>Are you a Candidate For Prolotherapy for Chronic Neck Pain?</h4>\r\nOur goal at OrthoRegen<sup>®</sup> is for our patients to have an active, healthy, pain-free life. Prolotherapy is a very safe, affordable option that allows you to keep working, training and living a normal life during the recovery process. Prolotherapy for chronic neck pain is one of the few treatments that encourages movement post-treatment. Movement actually aids the healing process after <a title=\"Prolotherapy\" href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-treatment-overview/\">Prolotherapy</a>. By contrast, surgery requires you to reduce activity after treatment.\r\n\r\nWould you like a <strong>second opinion before you have neck surgery or begin other treatments</strong>? Would you like to know if you are you a candidate for Prolotherapy for your chronic neck pain? The only way to know for sure is to get a consultation. <a href=\"https://www.drfields.com/contact/\">Contact Us Today</a> for a consultation or call Dr. Fields at <a href=\"tel:+[phone_raw]\">[phone]</a>.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">  Schedule Your Appointment Today!</a>','Chronic Neck Pain','','inherit','closed','closed','','509-revision-v1','','','2020-06-30 18:11:11','2020-06-30 18:11:11','',509,'https://www.drfields.com/uncategorized/509-revision-v1/',0,'revision','',0),