(3976,9,'2020-08-09 00:18:29','2020-08-09 00:18:29','Is your hip pain from bursitis? Have you been treating your hip pain with bursitis treatments like steroids and non-steroidal anti-inflammatories? There are times these treatments help to give some relief, but many people continue to experience a substantial amount of discomfort even after trying them. Plus, continued use of steroids injected into a degenerated joint can unfortunately increase the rate of degeneration.\r\n\r\nWhy not treat the pain with treatments that regenerate rather than degenerate the joint structures? In this article, we will discuss hip bursitis,  various treatment options, and other reasons for hip pain that cause bursitis like symptoms.\r\n<h2>Is Your Hip Pain Really Bursitis?</h2>\r\n<strong><em>We see quite a few patients</em></strong> who come to our office for treatment of bursitis who do not actually have bursitis. Bursitis is so painful that even touching the skin over the painful area is difficult to tolerate. If the area can be palpated with a lot of pressure by the doctor, the patient may not have bursitis. What could the problem be then?\r\n<h3><em>Hip Bursitis or Badly Degenerated Tendons?</em></h3>\r\n<strong><em>Hip Bursitis, or trochanteric bursitis, is actually rare!</em></strong> Multiple studies have shown that patients presenting with bursitis type symptoms actually have tendinopathy (tendon degeneration) of their gluteal tendons. These tendons attach near the bursa and often fool providers into thinking the patients have bursitis. <em><strong>Badly degenerated tendons are what they really have. And they need regeneration! </strong></em>\r\n\r\nOn top of that, as we mentioned, steroid injections are often used as the treatment for true bursitis. So when steroids are injected into the degenerated tendons, they actually can cause them to degenerate faster! Tendinopathy of the gluteus minimus or gluteus medius is often at the root of greater trochanteric pain syndrome.\r\n\r\nRegenerative Orthopedics including Stem Cell Therapy, PRP, and Prolotherapy is a safe and effective treatment option for bursitis, tendinopathy, and other underlying soft tissue injuries of the hip.\r\n<h2>More About Bursitis</h2>\r\nTrue bursitis is an inflammation of the bursae, which are small, fluid-filled sacs that lubricate and cushion pressure points between the bones, tendons, and muscles of joints. And the bursae help the joints to move with ease. So when the bursae become inflamed due to bursitis, movement or pressure can be painful. Bursitis often affects areas around the joints in the elbows or hips.\r\n<h3>Hip Bursitis</h3>\r\nHip bursitis involves a bursal sac that is inflamed between the hip bone and glutei muscle attachments. The bursal sac inflames because of injury to the soft tissue structures. The bursal sacs decrease the friction of the soft tissue structure and the underlying bone. This allows the tendon or muscle to glide across the bone more easily. Bursitis pain usually goes away within a week or so with proper treatment, but recurrent flare-ups are common as well as frustrating.<strong> </strong>\r\n<h2>Bursitis Causes</h2>\r\nCommon causes of bursitis are overuse, stress, or direct trauma to a joint, such as repeated bumping or prolonged pressure. Bursitis may result from an infection, arthritis, or gout. Bursitis may also be due to the repetitive motion related to certain activities. Tendonitis, which involves the irritation or inflammation of tendons, or tendinopathy (degenerated tendon) are again oftentimes misdiagnosed as bursitis.\r\n<h2>What Are the Symptoms of Hip Bursitis?</h2>\r\nSymptoms of hip bursitis include a dull ache or stiffness in the affected hip. Bursitis pain often worsens with movement or pressure. And the area may be swollen and feel warm to the touch. Intermittent redness of the skin in the area of the inflamed bursae may be another symptom.\r\n\r\nVisible swelling or skin redness is usually absent from bursitis of the hip because the bursae are located beneath some of the body’s bulkiest muscles. Pain is primarily centered over the greater trochanter, a portion of the femur that juts out just below where the bone joins the hip.\r\n<h2>Current Treatment Options for Bursitis</h2>\r\nSince bursitis is an inflammation of the fluid-filled sac, or bursa that lies between a tendon and skin, or between a tendon and bone, bursitis treatment often involves the use of non-steroidal anti-inflammatory drugs (NSAIDS) such as ibuprofen and steroids such as cortisone.\r\n\r\nIf the problem is not true bursitis, the steroid injections to decrease the inflammation will usually not work to eliminate the pain, since inflammation is not the real problem. The steroid will, however, inhibit fibroblastic proliferation or the process by which soft tissue structures such as ligaments, tendons, and muscles grow and repair, and result in a weakening of the joint.\r\n<h3>NSAIDs Can Cause More Problems</h3>\r\nNSAIDs are associated with a higher risk of cardiovascular- and gastrointestinal-related adverse events. The FDA issued a medication guide for NSAIDs <strong>recommending physicians prescribe the lowest dose for the shortest time possible</strong>.”<a href=\"#_edn1\" name=\"_ednref1\">[i]</a>\r\n\r\nAs physicians become educated on the side effects of these medications, they hopefully decrease their use of them. “As years of experience increased, practitioners were more likely to prescribe lower doses of corticosteroid in musculoskeletal injections.”<a href=\"#_edn2\" name=\"_ednref2\">[ii]</a>\r\n\r\nNewer therapies are sought to replace NSAIDs due to their significant side-effect profile. Regenerative Orthopedics is both a safe and effective treatment option for bursitis pain from various causes.\r\n<h2>Hip Bursitis Diagnosis Accuracy</h2>\r\nFor the person diagnosed with bursitis, first, consider whether the diagnosis is correct or not. There have been several studies on hip bursitis symptoms, demonstrating, as we noted earlier, that the pain is coming from tendinopathy rather than from bursitis.\r\n\r\n“Some studies have questioned the real involvement of the trochanteric bursa in greater trochanteric pain syndrome, and tendinopathy of the gluteus medius and/or minimus has been proposed as an important cause of this syndrome.”<a href=\"#_edn3\" name=\"_ednref3\">[iii]</a> One study of 75 patients with pain and point tenderness over the greater trochanter, revealed that only 8 had fluid pooling in the trochanteric bursae per sonography.<a href=\"#_edn4\" name=\"_ednref4\">[iv]</a>\r\n\r\nAnother study showed that only a minority of patients had bursitis, because in 700 out of 877 patients the pain <strong>was not from bursitis</strong>, but rather, it related to “some combination of pathology <strong>involving the gluteus medius and gluteus minimus tendons as well as the iliotibial band</strong>.”<a href=\"#_edn5\" name=\"_ednref5\">[v]</a>\r\n\r\nAnd one more found that only 5 of 124 patients with trochanteric pain had bursitis, plus most of those with bursitis also had associated tendinopathy.<sup>iv</sup>\r\n<h2>Bursitis Treatment with Regenerative Orthopedics</h2>\r\nRegenerative Orthopedics stimulate the body to repair painful areas. And that includes those with both true bursitis and tendinopathies. An experienced Regenerative Orthopedics doctor will be able to ascertain what structure is causing the pain.\r\n\r\nIn the hip, the soft tissue structures that attach to the greater trochanter are often involved, including the glutei muscles. Regenerative Orthopedic treatments to these soft tissue structures stimulate them to repair. Once they are fully repaired, the ‘bursitis’ pain resolves.\r\n\r\nPlatelet Rich Plasma (PRP) is one of the Regenerative Orthopedic treatment options that may be recommended for bursitis pain.\r\n<h3>A Study on PRP for Hip Bursitis</h3>\r\nA study presented at the 2014 meeting of the American Academy of Surgeons showed PRP to be very effective in the treatment of severe bursitis of the hip. The study compared one injection of PRP to one injection of cortisone. The cortisone only demonstrated short-term effectiveness. PRP provided both short and long-term pain relief from a condition that is difficult to treat successfully.”<a href=\"#_edn6\" name=\"_ednref6\">[vi]</a>\r\n\r\nRegenerative Orthopedic options like Stem Cell Therapy, Platelet Rich Plasma, and Prolotherapy all accomplish repair of the affected soft tissue, and your clinician will recommend which treatment will most effectively repair and regenerate your hip, bringing relief from bursitis pain.\r\n\r\n<a href=\"#_ednref1\" name=\"_edn1\">[i]</a> Sofat N. Kuttapitiya A. <a href=\"http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4089899/\" target=\"_blank\" rel=\"noopener noreferrer\">Future directions for the management of pain in osteoarthritis.</a><a href=\"http://www.futuremedicine.com/doi/pdf/10.2217/ijr.14.10\" target=\"_blank\" rel=\"noopener noreferrer\"><em>Int J Rheumatol. </em>Apr 2014; 9(2): 197–276. </a>\r\n\r\n<a href=\"#_ednref2\" name=\"_edn2\">[ii]</a> Lazaro D, Alon L, Ramessar N, Cabas-Vargas J, Shwin K, Stefanov D.  Intra-articular, bursa, and tendon sheath injections: A survey of practice patterns among members of the American College of Rheumatology. <em>Journal of Rheumatology.</em>2014; 20(2): 91-93. doi: 10.1097/RHU.0000000000000080\r\n\r\n<a href=\"#_ednref3\" name=\"_edn3\">[iii]</a> Quiroz C, Ruta S, Rosa J, Navarta DA, Garcia-Monaco R, Soriano ER. <a href=\"http://www.reumatologia.org.ar.preview.hybrid-sites.com/docs/2013-Ultrasound-Evaluation-Of-The-Greater-Trochanter-Pain-Syndrome-Bursitis-Or-Tendinopathy.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Ultrasound evaluation of the Greater Trochanter Pain Syndrome: Bursitis or tendinopathy?</a>\r\n\r\n<a href=\"#_ednref4\" name=\"_edn4\">[iv]</a> Connell DA, Bass C, Sykes CJ, Young D, Edwards E. Sonographic evaluation of gluteus medius and minimus tendinopathy. <a href=\"http://link.springer.com/journal/330\" target=\"_blank\" rel=\"noopener noreferrer\"><em>European Radiology</em></a>. 2003; 13(6): 1339-1347.6.\r\n\r\n<a href=\"#_ednref5\" name=\"_edn5\">[v]</a> <a href=\"https://www.ncbi.nlm.nih.gov/pubmed/?term=Long%20SS%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=24147479\" target=\"_blank\" rel=\"noopener noreferrer\">Long SS</a><sup>1</sup>, <a href=\"https://www.ncbi.nlm.nih.gov/pubmed/?term=Surrey%20DE%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=24147479\" target=\"_blank\" rel=\"noopener noreferrer\">Surrey DE</a>, <a href=\"https://www.ncbi.nlm.nih.gov/pubmed/?term=Nazarian%20LN%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=24147479\" target=\"_blank\" rel=\"noopener noreferrer\">Nazarian LN</a>.Sonography of greater trochanteric pain syndrome and the rarity of primary bursitis.<a href=\"https://www.ncbi.nlm.nih.gov/pubmed/24147479\" target=\"_blank\" rel=\"noopener noreferrer\">AJR Am J Roentgenol.</a> 2013 Nov;201(5):1083-6. doi: 10.2214/AJR.12.10038.\r\n\r\n<a href=\"#_ednref6\" name=\"_edn6\">[vi]</a> Goel K,Riley LP. Platelet Rich Plasma (PRP)treatment more effective than cortisone for severe hip bursitis. <a href=\"http://www.aaosannualmeetingpresskit.org/2014/news_briefs/downloads/PRP-HipBursitis.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">http://www.aaosannualmeetingpresskit.org/2014/news_briefs/downloads/PRP-HipBursitis.pdf</a>.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Is Your Hip Pain from Bursitis?','','inherit','closed','closed','','3511-revision-v1','','','2020-08-09 00:18:29','2020-08-09 00:18:29','',3511,'https://www.drfields.com/uncategorized/3511-revision-v1/',0,'revision','',0),(3977,9,'2020-08-09 00:19:39','2020-08-09 00:19:39','Is your hip pain from bursitis? Have you been treating your hip pain with bursitis treatments like steroids and non-steroidal anti-inflammatories? There are times these treatments help to give some relief, but many people continue to experience a substantial amount of discomfort even after trying them. Plus, continued use of steroids injected into a degenerated joint can unfortunately increase the rate of degeneration.\r\n\r\nWhy not treat the pain with treatments that regenerate rather than degenerate the joint structures? In this article, we will discuss hip bursitis,  various treatment options, and other reasons for hip pain that cause bursitis like symptoms.\r\n<h2>Is Your Hip Pain Really Bursitis?</h2>\r\n<strong><em>We see quite a few patients</em></strong> who come to our office for treatment of bursitis who do not actually have bursitis. Bursitis is so painful that even touching the skin over the painful area is difficult to tolerate. If the area can be palpated with a lot of pressure by the doctor, the patient may not have bursitis. What could the problem be then?\r\n<h3><em>Hip Bursitis or Badly Degenerated Tendons?</em></h3>\r\n<strong><em>Hip Bursitis, or trochanteric bursitis, is actually rare!</em></strong> Multiple studies have shown that patients presenting with bursitis type symptoms actually have tendinopathy (tendon degeneration) of their gluteal tendons. These tendons attach near the bursa and often fool providers into thinking the patients have bursitis. <em><strong>Badly degenerated tendons are what they really have. And they need regeneration! </strong></em>\r\n\r\nOn top of that, as we mentioned, steroid injections are often used as the treatment for true bursitis. So when steroids are injected into the degenerated tendons, they actually can cause them to degenerate faster! Tendinopathy of the gluteus minimus or gluteus medius is often at the root of greater trochanteric pain syndrome.\r\n\r\nRegenerative Orthopedics including Stem Cell Therapy, PRP, and Prolotherapy is a safe and effective treatment option for bursitis, tendinopathy, and other underlying soft tissue injuries of the hip.\r\n<h2>More About Bursitis</h2>\r\nTrue bursitis is an inflammation of the bursae, which are small, fluid-filled sacs that lubricate and cushion pressure points between the bones, tendons, and muscles of joints. And the bursae help the joints to move with ease. So when the bursae become inflamed due to bursitis, movement or pressure can be painful. Bursitis often affects areas around the joints in the elbows or hips.\r\n<h3>Hip Bursitis</h3>\r\nHip bursitis involves a bursal sac that is inflamed between the hip bone and glutei muscle attachments. The bursal sac inflames because of injury to the soft tissue structures. The bursal sacs decrease the friction of the soft tissue structure and the underlying bone. This allows the tendon or muscle to glide across the bone more easily. Bursitis pain usually goes away within a week or so with proper treatment, but recurrent flare-ups are common as well as frustrating.<strong> </strong>\r\n<h2>Bursitis Causes</h2>\r\nCommon causes of bursitis are overuse, stress, or direct trauma to a joint, such as repeated bumping or prolonged pressure. Bursitis may result from an infection, arthritis, or gout. Bursitis may also be due to the repetitive motion related to certain activities. Tendonitis, which involves the irritation or inflammation of tendons, or tendinopathy (degenerated tendon) are again oftentimes misdiagnosed as bursitis.\r\n<h2>What Are the Symptoms of Hip Bursitis?</h2>\r\nSymptoms of hip bursitis include a dull ache or stiffness in the affected hip. Bursitis pain often worsens with movement or pressure. And the area may be swollen and feel warm to the touch. Intermittent redness of the skin in the area of the inflamed bursae may be another symptom.\r\n\r\nVisible swelling or skin redness is usually absent from bursitis of the hip because the bursae are located beneath some of the body’s bulkiest muscles. Pain is primarily centered over the greater trochanter, a portion of the femur that juts out just below where the bone joins the hip.\r\n<h2>Current Treatment Options for Bursitis</h2>\r\nSince bursitis is an inflammation of the fluid-filled sac, or bursa that lies between a tendon and skin, or between a tendon and bone, bursitis treatment often involves the use of non-steroidal anti-inflammatory drugs (NSAIDS) such as ibuprofen and steroids such as cortisone.\r\n\r\nIf the problem is not true bursitis, the steroid injections to decrease the inflammation will usually not work to eliminate the pain, since inflammation is not the real problem. The steroid will, however, inhibit fibroblastic proliferation or the process by which soft tissue structures such as ligaments, tendons, and muscles grow and repair, and result in a weakening of the joint.\r\n<h3>NSAIDs Can Cause More Problems</h3>\r\nNSAIDs are associated with a higher risk of cardiovascular- and gastrointestinal-related adverse events. The FDA issued a medication guide for NSAIDs <strong>recommending physicians prescribe the lowest dose for the shortest time possible</strong>.”<a href=\"#_edn1\" name=\"_ednref1\">[i]</a>\r\n\r\nAs physicians become educated on the side effects of these medications, they hopefully decrease their use of them. “As years of experience increased, practitioners were more likely to prescribe lower doses of corticosteroid in musculoskeletal injections.”<a href=\"#_edn2\" name=\"_ednref2\">[ii]</a>\r\n\r\nNewer therapies are sought to replace NSAIDs due to their significant side-effect profile. Regenerative Orthopedics is both a safe and effective treatment option for bursitis pain from various causes.\r\n<h2>Hip Bursitis Diagnosis Accuracy</h2>\r\nFor the person diagnosed with bursitis, first, consider whether the diagnosis is correct or not. There have been several studies on hip bursitis symptoms, demonstrating, as we noted earlier, that the pain is coming from tendinopathy rather than from bursitis.\r\n\r\n“Some studies have questioned the real involvement of the trochanteric bursa in greater trochanteric pain syndrome, and tendinopathy of the gluteus medius and/or minimus has been proposed as an important cause of this syndrome.”<a href=\"#_edn3\" name=\"_ednref3\">[iii]</a> One study of 75 patients with pain and point tenderness over the greater trochanter, revealed that only 8 had fluid pooling in the trochanteric bursae per sonography.<a href=\"#_edn4\" name=\"_ednref4\">[iv]</a>\r\n\r\nAnother study showed that only a minority of patients had bursitis, because in 700 out of 877 patients the pain <strong>was not from bursitis</strong>, but rather, it related to “some combination of pathology <strong>involving the gluteus medius and gluteus minimus tendons as well as the iliotibial band</strong>.”<a href=\"#_edn5\" name=\"_ednref5\">[v]</a>\r\n\r\nAnd one more found that only 5 of 124 patients with trochanteric pain had bursitis, plus most of those with bursitis also had associated tendinopathy.<sup>iv</sup>\r\n<h2>Bursitis Treatment with Regenerative Orthopedics</h2>\r\nRegenerative Orthopedics stimulate the body to repair painful areas. And that includes those with both true bursitis and tendinopathies. An experienced Regenerative Orthopedics doctor will be able to ascertain what structure is causing the pain.\r\n\r\nIn the hip, the soft tissue structures that attach to the greater trochanter are often involved, including the glutei muscles. Regenerative Orthopedic treatments to these soft tissue structures stimulate them to repair. Once they are fully repaired, the ‘bursitis’ pain resolves.\r\n\r\nPlatelet Rich Plasma (PRP) is one of the Regenerative Orthopedic treatment options that may be recommended for bursitis pain.\r\n<h3>A Study on PRP for Hip Bursitis</h3>\r\nA study presented at the 2014 meeting of the American Academy of Surgeons showed PRP to be very effective in the treatment of severe bursitis of the hip. The study compared one injection of PRP to one injection of cortisone. The cortisone demonstrated only short-term effectiveness. PRP provided both short and long-term pain relief from a condition that is difficult to treat successfully.”<a href=\"#_edn6\" name=\"_ednref6\">[vi]</a>\r\n\r\nRegenerative Orthopedic options like Stem Cell Therapy, Platelet Rich Plasma, and Prolotherapy all accomplish repair of the affected soft tissue. And your clinician will recommend which treatment will most effectively repair and regenerate your hip, bringing relief from bursitis pain.\r\n\r\n<a href=\"#_ednref1\" name=\"_edn1\">[i]</a> Sofat N. Kuttapitiya A. <a href=\"http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4089899/\" target=\"_blank\" rel=\"noopener noreferrer\">Future directions for the management of pain in osteoarthritis.</a><a href=\"http://www.futuremedicine.com/doi/pdf/10.2217/ijr.14.10\" target=\"_blank\" rel=\"noopener noreferrer\"><em>Int J Rheumatol. </em>Apr 2014; 9(2): 197–276. </a>\r\n\r\n<a href=\"#_ednref2\" name=\"_edn2\">[ii]</a> Lazaro D, Alon L, Ramessar N, Cabas-Vargas J, Shwin K, Stefanov D.  Intra-articular, bursa, and tendon sheath injections: A survey of practice patterns among members of the American College of Rheumatology. <em>Journal of Rheumatology.</em>2014; 20(2): 91-93. doi: 10.1097/RHU.0000000000000080\r\n\r\n<a href=\"#_ednref3\" name=\"_edn3\">[iii]</a> Quiroz C, Ruta S, Rosa J, Navarta DA, Garcia-Monaco R, Soriano ER. <a href=\"http://www.reumatologia.org.ar.preview.hybrid-sites.com/docs/2013-Ultrasound-Evaluation-Of-The-Greater-Trochanter-Pain-Syndrome-Bursitis-Or-Tendinopathy.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Ultrasound evaluation of the Greater Trochanter Pain Syndrome: Bursitis or tendinopathy?</a>\r\n\r\n<a href=\"#_ednref4\" name=\"_edn4\">[iv]</a> Connell DA, Bass C, Sykes CJ, Young D, Edwards E. Sonographic evaluation of gluteus medius and minimus tendinopathy. <a href=\"http://link.springer.com/journal/330\" target=\"_blank\" rel=\"noopener noreferrer\"><em>European Radiology</em></a>. 2003; 13(6): 1339-1347.6.\r\n\r\n<a href=\"#_ednref5\" name=\"_edn5\">[v]</a> <a href=\"https://www.ncbi.nlm.nih.gov/pubmed/?term=Long%20SS%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=24147479\" target=\"_blank\" rel=\"noopener noreferrer\">Long SS</a><sup>1</sup>, <a href=\"https://www.ncbi.nlm.nih.gov/pubmed/?term=Surrey%20DE%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=24147479\" target=\"_blank\" rel=\"noopener noreferrer\">Surrey DE</a>, <a href=\"https://www.ncbi.nlm.nih.gov/pubmed/?term=Nazarian%20LN%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=24147479\" target=\"_blank\" rel=\"noopener noreferrer\">Nazarian LN</a>.Sonography of greater trochanteric pain syndrome and the rarity of primary bursitis.<a href=\"https://www.ncbi.nlm.nih.gov/pubmed/24147479\" target=\"_blank\" rel=\"noopener noreferrer\">AJR Am J Roentgenol.</a> 2013 Nov;201(5):1083-6. doi: 10.2214/AJR.12.10038.\r\n\r\n<a href=\"#_ednref6\" name=\"_edn6\">[vi]</a> Goel K,Riley LP. Platelet Rich Plasma (PRP)treatment more effective than cortisone for severe hip bursitis. <a href=\"http://www.aaosannualmeetingpresskit.org/2014/news_briefs/downloads/PRP-HipBursitis.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">http://www.aaosannualmeetingpresskit.org/2014/news_briefs/downloads/PRP-HipBursitis.pdf</a>.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Is Your Hip Pain from Bursitis?','','inherit','closed','closed','','3511-revision-v1','','','2020-08-09 00:19:39','2020-08-09 00:19:39','',3511,'https://www.drfields.com/uncategorized/3511-revision-v1/',0,'revision','',0),(3979,9,'2020-08-13 18:56:29','2020-08-13 18:56:29','Older athletes can get back to doing what they love without the need for surgery.','Don\'t Let Arthritis Stop You','Arthritis.do What You Love','inherit','open','closed','','arthritis-do-what-you-love','','','2020-08-13 19:01:54','2020-08-13 19:01:54','',3484,'https://www.drfields.com/wp-content/uploads/2019/12/arthritis.do-what-you-love.png',0,'attachment','image/png',0),(3980,9,'2020-08-13 19:32:00','2020-08-13 19:32:00','[caption id=\"attachment_3979\" align=\"alignleft\" width=\"309\"]<img class=\" wp-image-3979\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/arthritis.do-what-you-love-500x500.png\" alt=\"Keep Doing What You Love\" width=\"309\" height=\"309\" /> <em>Older Athletes Can Keep Doing What They Love</em>[/caption]\n\n<strong>     Athletes want to maintain their level of exercise and activity over the years. Understandably so! </strong>Exercise is one of the most effective ways to improve and maintain health. Keeping active physically is correlated with lower risks of cardiovascular disease, lower blood pressure, weight reduction, as well as the provision of an increased sense of well-being.  It’s no wonder that more and more people are becoming active in exercise programs and desire to maintain a level of physical activity throughout life. But is exercise associated with a higher risk of arthritis?\n\nAthletes—and especially long-time athletes—may wonder if increased joint stress leads to premature “wearing out” of the joints and the development of arthritis.\n\n&nbsp;\n\n<em>Studies seem to show that joint injury is the main factor that increases the arthritic risk in athletes. And exercise itself has more of a protective role.</em>\n\nFor example, having well-developed muscles decreases the loading on the cartilage and thus has a protective effect. <strong>Animal research also shows that exercise, such as running, is not harmful to normal joints even under high loads and over long distances</strong>. However, the same type of exercise done on an injured joint will lead to arthritic change.\n\nActivities, like bicycling and pool exercises, that maintain flexibility, strengthen the muscle and boost coordination, <strong>actually protect the cartilaginous surfaces</strong>, because they help to maintain joint function.\n<h2>Sports Injuries in the Older Athlete</h2>\nSports injuries and traumas accumulate over a person\'s life and these can damage the ligaments and cartilage. It is not uncommon for athletes to injure joints. And it is this injury or the non-healing of it that causes the degenerative process to start in the joints.\n\nThe repetitive low-grade impact from athletic events can be enough to damage the soft tissues and start the arthritic process. Some studies do note an increased incidence of arthritis in particular sports due to their vigorous nature and their propensity to lead to trauma. For example, wrestlers, boxers, baseball pitchers, cyclists, gymnasts, ballet dancers, soccer players, weight lifters, and football players have all been reported to have degenerative joint disease due to sports-related stress. This degeneration occurs due to soft tissue injuries (non-healed injuries) that were not fully addressed.\n<h2>The Older Athlete Desires to Stay Fit</h2>\nThe hope for the older athlete is to be as fit as when in the prime of their athletic careers. Often, however, this is not the case because of the degeneration that has occurred due to non-healed sports injuries. Sports injuries that lead to symptomatic arthritis later on in life are generally those that occur to the ligaments. That\'s because the ligament injury causes the joint to become unstable.\n\nTypically, bone spurs develop in the ligaments/fascia (as in plantar fasciitis). And these are generally a sign that the ligaments were no longer able to stabilize the joint. The body responds by bringing in reinforcement in the form of additional bone formation. <strong>This additional bone formation is called arthritis.</strong>\n\nAthletes want to play sports for a lifetime. Unfortunately for many, the degenerative changes that occur due to non-healed old athletic injuries, combined with a decreased ability to heal, and the natural degeneration that occurs with aging, make sporting injuries commonplace in the older athlete. A lifetime of microtraumas in ligaments and tendons over the years, along with weakening muscles and poor flexibility, can lead to a reoccurrence of these injuries.\n<h2><em>The Natural Progression of Arthritis Starts with Ligament Injury</em></h2>\nWhat causes the mechanical and molecular events in arthritis to occur? Although cartilage lacks nerve fibers, could cartilage wear and tear be the origin of arthritis? An article published in <em>Gerontology</em> conducts a literary review to prove that arthritis starts with ligament damage. After reviewing numerous research articles, the authors conclude that subchondral bone changes (the bone just beneath cartilage) precede any cartilage change associated with arthritis. These bone changes are due to a loss of tension on the bone at the ligament/bone insertion.<sup>1</sup>\n\n<em><strong>“The earliest change appears to be at the ligament-bone insertion site</strong></em><strong>.</strong>  We propose that it is a change in the ligament that leads to an alteration in the tension on the bone at the bone-insertion site which precipitates bone remodeling (injury to subchondral bone). The health and integrity of the overlying articular cartilage depend on the mechanical properties of its bony bed.  Ligament injury precedes the subchondral bone changes and these changes occur before articular cartilage degeneration.”<sup>1</sup>\n\nTaking into account the progression of arthritis, it becomes clear that ligament integrity or lack of integrity is what needs to be treated to prevent further joint destruction. In other words, ligament laxity causes bone changes that in turn cause cartilage change and damage. Ligament laxity is due to ligament damage.\n<h2><strong><em>Consider this! </em></strong></h2>\nWhen researchers attempt to stimulate arthritis or degeneration in a joint, they do so by damaging the ligaments around the joint. Wow! What happens then? Once the ligaments are damaged, the instability that is created increases the pressure in the joint where the ligaments were injured. The increased pressure then causes an acceleration of the degenerative process. Eventually, the body will stabilize the segment by overgrowing bone. This overgrowth of bone is typically read on x-rays as <a href=\"http://www.getprolo.com/prolotherapy-can-prevent-the-development-of-traumatic-arthritis/\">bone spurs</a>, spondylosis, or fused joints.\n<h2><strong>Treatments to Keep the Older Athlete Active</strong></h2>\n<em>Gerontology</em> points out the need for therapeutic strategies to be redirected at the healing of the ligament damage- the initial cause of arthritis. Fortunately, Regenerative Orthopedics does just this and can repair the degenerated joint.\n\nStandard arthritis treatments generally involve only symptom management rather than repair of the joint and include NSAIDs, cortisone shots, and even surgery to provide pain relief.\n\n<strong><em><u>The most common surgery is arthroscopy which in numerous medical studies was found to be no more effective than placebo in regard to arthritis. </u></em></strong>\n\nJoint replacements are being recommended more and more, demonstrated by the fact that hundreds of thousands are performed every year. All of these treatments are anti-healing and can cause further degeneration of arthritic joints. <strong>And once the surgery is done it cannot be undone!</strong>\n\nRegenerative Orthopedics directed at the painful sites where ligaments and tendons connect to bone, as well as at trigger points and adjacent joint spaces, produce a healing response. Along with growth factor stimulation, this induces healing and strengthening of the damaged or diseased structure. The result is the repair of the damaged ligaments and soft tissue which allows the aging athlete to continue with their desired activity and sport. Regenerative Orthopedics can reverse joint damage and alleviate arthritis pain. A number of case studies have shown the success of regenerative techniques in patients with diagnosed arthritis.<sup>2,3</sup>\n<h2>Exercise is Beneficial for Older Athlete</h2>\nIn a study of almost 17,000 people examined from 1970-1995, high levels of physical activity <strong>were not</strong> associated with symptomatic arthritis in older men and women runners over age 50. Six other reviews on the effectiveness of exercise, both of high and low intensity, on the management of arthritis in the elderly found clinical outcomes of arthritis to be improved.<sup>4 </sup>\n\nAccording to scientific studies, exercise and recreational activities appear to <strong>not</strong> cause wear-and-tear on the joints.  This can be seen in medical research over many years which supports the findings that exercise is beneficial rather than harmful. The author of a systematic review of multiple medical databases said, “The first consideration with respect to exercise is whether “wear and tear” resulting from repetitive use of articular cartilage is the primary driver for degenerative change. If this were the case, the exercise would lead to progressive arthritis. According to the evidence presented here, this does not seem to be the case.”<sup>5</sup>\n<h2>Regenerative Orthopedics for Arthritis in Older Athletes</h2>\nIn our opinion, Regenerative Orthopedics is the treatment of choice for treating joint pain in older athletes, due to ligament and other soft tissue injury. It is amazing how many athletes end up avoiding surgery once they are treated with Regenerative Orthopedics, because the treatment eliminates the pain, stabilizes the joint, and returns function.\n\nRegenerative Orthopedics can make a significant impact in the rehabilitation of the injured older athlete. Despite age, typically only four or five sessions are needed for the athletes to achieve complete healing and be back to their physical best. Injections involving the knees, shoulders, hips, ankles, elbows and more can easily be performed with, often, dramatic results and improvement.\n<ol>\n 	<li>Bailey AJ, Mansell JP. Do subchondral bone changes exacerbate or precede articular cartilage destruction in osteoarthritis of the elderly? Gerontology 1997; 43:296-304.</li>\n</ol>\n<ol start=\"2\">\n 	<li>Hauser R, Woldin B. Treating Osteoarthritic Joints Using Dextrose Prolotherapy and Direct Bone Marrow Aspirate Injection Therapy. <em>Open Arthritis J</em>. 2014; 7:1-9.</li>\n</ol>\n<ol start=\"3\">\n 	<li>Cusi M, Saunders J, Hungerford B, Wisbey-Roth T, Lucas P, Wilson S. The use of prolotherapy in the sacroiliac joint. <em>Br J Sports Med</em>. Feb 2010;44(2):100-104.</li>\n</ol>\n<ol start=\"4\">\n 	<li>Hootman J. Osteoarthritis in elderly persons: Risks of exercise and exercise as therapy. <em>Clinical Journal of Sport Medicine</em>. 2010; 20(3):223.</li>\n 	<li>Bosomworth NJ. Exercise and knee osteoarthritis: benefit or hazard? Can Fam Physician 2009; 55:871-878.</li>\n</ol>\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','How Arthritis Affects Older Athletes','','inherit','closed','closed','','3484-autosave-v1','','','2020-08-13 19:32:00','2020-08-13 19:32:00','',3484,'https://www.drfields.com/uncategorized/3484-autosave-v1/',0,'revision','',0),(3981,9,'2020-08-13 19:18:35','2020-08-13 19:18:35','[caption id=\"attachment_3979\" align=\"alignleft\" width=\"309\"]<img class=\" wp-image-3979\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/arthritis.do-what-you-love-500x500.png\" alt=\"Keep Doing What You Love\" width=\"309\" height=\"309\" /> <em>Older Athletes Can Keep Doing What They Love</em>[/caption]\r\n\r\n<strong>     Athletes want to maintain their level of exercise and activity over the years. Understandably so! </strong>Exercise is one of the most effective ways to improve and maintain health. Keeping active physically is correlated with lower risks of cardiovascular disease, lower blood pressure, weight reduction, as well as the provision of an increased sense of well-being.  It’s no wonder that more and more people are becoming active in exercise programs and desire to maintain a level of physical activity throughout life. But is exercise associated with a higher risk of arthritis?\r\n\r\nAthletes—and especially long-time athletes—may wonder if increased joint stress leads to premature “wearing out” of the joints and the development of arthritis.\r\n\r\n&nbsp;\r\n\r\n<em>Studies seem to show that joint injury is the main factor that increases the arthritic risk in athletes. And exercise itself has more of a protective role.</em>\r\n\r\nFor example, having well-developed muscles decreases the loading on the cartilage and thus has a protective effect. <strong>Animal research also shows that exercise, such as running, is not harmful to normal joints even under high loads and over long distances</strong>. However, the same type of exercise done on an injured joint will lead to arthritic change.\r\n\r\nActivities, like bicycling and pool exercises, that maintain flexibility, strengthen the muscle and boost coordination, <strong>actually protect the cartilaginous surfaces</strong>, because they help to maintain joint function.\r\n<h2>Sports Injuries in the Older Athlete</h2>\r\nSports injuries and traumas accumulate over a person\'s life and these can damage the ligaments and cartilage. It is not uncommon for athletes to injure joints. And it is this injury or the non-healing of it that causes the degenerative process to start in the joints.\r\n\r\nThe repetitive low-grade impact from athletic events can be enough to damage the soft tissues and start the arthritic process. Some studies do note an increased incidence of arthritis in particular sports due to their vigorous nature and their propensity to lead to trauma. For example, wrestlers, boxers, baseball pitchers, cyclists, gymnasts, ballet dancers, soccer players, weight lifters, and football players have all been reported to have degenerative joint disease due to sports-related stress. This degeneration occurs due to soft tissue injuries (non-healed injuries) that were not fully addressed.\r\n<h2>The Older Athlete Desires to Stay Fit</h2>\r\nThe hope for the older athlete is to be as fit as when in the prime of their athletic careers. Often, however, this is not the case because of the degeneration that has occurred due to non-healed sports injuries. Sports injuries that lead to symptomatic arthritis later on are generally those that occur to the ligaments, because the ligament injury causes the joint to become unstable. Typically, bone spurs develop in the ligaments/fascia (as in plantar fasciitis) and these are generally a sign that the ligaments were no longer able to stabilize the joint, and therefore the body brings in reinforcement in the form of additional bone formation. This additional bone formation is called arthritis.\r\n\r\nSporting activities should be performed for a lifetime. Unfortunately for many, the degenerative changes that occur due to non-healed old athletic injuries, combined with a decreased ability to heal, and the natural degeneration that occurs with aging, make sporting injuries commonplace in the older athlete. A lifetime of microtraumas in ligaments and tendons over the years, along with weakening muscles and poor flexibility, can lead to a reoccurrence of these injuries.\r\n<h2><em>The Natural Progression of Arthritis Starts with Ligament Injury</em></h2>\r\nWhat causes the mechanical and molecular events in arthritis to occur? Although cartilage lacks nerve fibers, could cartilage wear and tear be the origin of arthritis? An article published in <em>Gerontology</em> conducts a literary review to prove that arthritis starts with ligament damage. Reviewing numerous research articles, the authors conclude that subchondral bone changes (the bone just beneath cartilage) precede any cartilage change associated with arthritis. These bone changes are due to a loss of tension on bone at the ligament/bone insertion.<sup>1</sup>\r\n\r\n<em><strong>“The earliest change appears to be at the ligament-bone insertion site</strong></em><strong>.</strong>  We propose that it is a change in the ligament that leads to an alteration in the tension on the bone at the bone-insertion site which precipitates bone remodeling (injury to subchondral bone). The health and integrity of the overlying articular cartilage depends on the mechanical properties of its bony bed.  Ligament injury precedes the subchondral bone changes and these changes occur before articular cartilage degeneration.”<sup>1</sup>\r\n\r\nTaking into account the progression of arthritis, it becomes clear that the ligament integrity or lack of integrity is what needs to be treated to prevent further joint destruction. In other words, ligament laxity causes bone changes that in turn cause cartilage change and damage. Ligament laxity is due to ligament damage.\r\n<h2><strong><em>Consider this! </em></strong></h2>\r\nWhen researchers attempt to stimulate arthritis or degeneration in a joint, they do so by damaging the ligaments around the joint. The instability that is created increases the pressure in the joint where the ligaments were injured. The increased pressure then causes an acceleration of the degenerative process. Eventually the body will stabilize the segment by overgrowing bone. This overgrowth of bone is typically read on x-rays as <a href=\"http://www.getprolo.com/prolotherapy-can-prevent-the-development-of-traumatic-arthritis/\">bone spurs</a>, spondylosis, or fused joints.\r\n<h2><strong>Treatments to Keep the Older Athlete Active</strong></h2>\r\n<em>Gerontology</em> points out the need for therapeutic strategies to be redirected at the healing of the ligament damage- the initial cause of arthritis. Fortunately, Regenerative Orthopedics does just this, and can repair the degenerated joint.\r\n\r\nStandard arthritis treatments generally involve only symptom management rather than repair of the joint, and include NSAIDS, cortisone shots, and even surgery to provide pain relief.\r\n\r\n<strong><em><u>The most common surgery is arthroscopy which in numerous medical studies was found to be no more effective than placebo in regard to arthritis. </u></em></strong>\r\n\r\nJoint replacements are being recommended more and more, demonstrated by the fact that hundreds of thousands are performed every year. All of these treatments are anti-healing and can cause further degeneration of arthritic joints. <strong>And once surgery is done it cannot be un-done!</strong>\r\n\r\nRegenerative Orthopedics directed at the painful sites where ligaments and tendons connect to bone, as well as at trigger points and adjacent joint spaces, produce a healing response, along with growth factor stimulation, which induce healing and strengthening of the damaged or diseased structure. This repairs the damaged ligaments and soft tissue, and allows the aging athlete to continue with their desired activity and sport. Regenerative Orthopedics can reverse joint damage and alleviate arthritis pain. A number of case studies have shown the success of regenerative techniques in patients with diagnosed arthritis.<sup>2,3</sup>\r\n<h2>Exercise is Beneficial for Older Athlete</h2>\r\nIn a study of almost 17,000 people examined from 1970-1995, high levels of physical activity <strong>were not</strong> associated with symptomatic arthritis in older men and women runners over age 50. Six other reviews on the effectiveness of exercise, both of high and low intensity, on the management of arthritis in the elderly found clinical outcomes of arthritis to be improved.<sup>4 </sup>\r\n\r\nExercise and recreational activities appear not to cause wear-and-tear on the joints according to the scientific studies. This can be seen in medical research over many years which support the findings that exercise is beneficial rather than harmful. The author of a systematic review of multiple medical data bases said this, “The first consideration with respect to exercise is whether “wear and tear” resulting from repetitive use of articular cartilage is the primary driver for degenerative change. If this were the case, exercise would lead to progressive arthritis. According to the evidence presented here, this does not seem to be the case.”<sup>5</sup>\r\n<h2>Regenerative Orthopedics for Arthritis in Older Athletes</h2>\r\nIn our opinion, Regenerative Orthopedics is the treatment of choice for treating joint pain in older athletes, due to ligament and other soft tissue injury. It is amazing how many athletes end up avoiding surgery once they are treated with Regenerative Orthopedics, because the treatment eliminates the pain, stabilizes the joint, and returns function.\r\n\r\nRegenerative Orthopedics can make a significant impact in the rehabilitation of the injured older athlete. Despite age, typically only four or five sessions are needed for the athletes to achieve complete healing and be back to their physical best. Injections involving the knees, shoulders, hips, ankles, elbows and more can easily be performed with, often, dramatic results and improvement.\r\n<ol>\r\n 	<li>Bailey AJ, Mansell JP. Do subchondral bone changes exacerbate or precede articular cartilage destruction in osteoarthritis of the elderly? Gerontology 1997; 43:296-304.</li>\r\n</ol>\r\n<ol start=\"2\">\r\n 	<li>Hauser R, Woldin B. Treating Osteoarthritic Joints Using Dextrose Prolotherapy and Direct Bone Marrow Aspirate Injection Therapy. <em>Open Arthritis J</em>. 2014; 7:1-9.</li>\r\n</ol>\r\n<ol start=\"3\">\r\n 	<li>Cusi M, Saunders J, Hungerford B, Wisbey-Roth T, Lucas P, Wilson S. The use of prolotherapy in the sacroiliac joint. <em>Br J Sports Med</em>. Feb 2010;44(2):100-104.</li>\r\n</ol>\r\n<ol start=\"4\">\r\n 	<li>Hootman J. Osteoarthritis in elderly persons: Risks of exercise and exercise as therapy. <em>Clinical Journal of Sport Medicine</em>. 2010; 20(3):223.</li>\r\n 	<li>Bosomworth NJ. Exercise and knee osteoarthritis: benefit or hazard? Can Fam Physician 2009; 55:871-878.</li>\r\n</ol>\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','How Arthritis Affects Older Athletes','','inherit','closed','closed','','3484-revision-v1','','','2020-08-13 19:18:35','2020-08-13 19:18:35','',3484,'https://www.drfields.com/uncategorized/3484-revision-v1/',0,'revision','',0),(3982,9,'2020-08-13 19:32:46','2020-08-13 19:32:46','[caption id=\"attachment_3979\" align=\"alignleft\" width=\"309\"]<img class=\" wp-image-3979\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/arthritis.do-what-you-love-500x500.png\" alt=\"Keep Doing What You Love\" width=\"309\" height=\"309\" /> <em>Older Athletes Can Keep Doing What They Love</em>[/caption]\r\n\r\n<strong>     Athletes want to maintain their level of exercise and activity over the years. Understandably so! </strong>Exercise is one of the most effective ways to improve and maintain health. Keeping active physically is correlated with lower risks of cardiovascular disease, lower blood pressure, weight reduction, as well as the provision of an increased sense of well-being.  It’s no wonder that more and more people are becoming active in exercise programs and desire to maintain a level of physical activity throughout life. But is exercise associated with a higher risk of arthritis?\r\n\r\nAthletes—and especially long-time athletes—may wonder if increased joint stress leads to premature “wearing out” of the joints and the development of arthritis.\r\n\r\n&nbsp;\r\n\r\n<em>Studies seem to show that joint injury is the main factor that increases the arthritic risk in athletes. And exercise itself has more of a protective role.</em>\r\n\r\nFor example, having well-developed muscles decreases the loading on the cartilage and thus has a protective effect. <strong>Animal research also shows that exercise, such as running, is not harmful to normal joints even under high loads and over long distances</strong>. However, the same type of exercise done on an injured joint will lead to arthritic change.\r\n\r\nActivities, like bicycling and pool exercises, that maintain flexibility, strengthen the muscle and boost coordination, <strong>actually protect the cartilaginous surfaces</strong>, because they help to maintain joint function.\r\n<h2>Sports Injuries in the Older Athlete</h2>\r\nSports injuries and traumas accumulate over a person\'s life and these can damage the ligaments and cartilage. It is not uncommon for athletes to injure joints. And it is this injury or the non-healing of it that causes the degenerative process to start in the joints.\r\n\r\nThe repetitive low-grade impact from athletic events can be enough to damage the soft tissues and start the arthritic process. Some studies do note an increased incidence of arthritis in particular sports due to their vigorous nature and their propensity to lead to trauma. For example, wrestlers, boxers, baseball pitchers, cyclists, gymnasts, ballet dancers, soccer players, weight lifters, and football players have all been reported to have degenerative joint disease due to sports-related stress. This degeneration occurs due to soft tissue injuries (non-healed injuries) that were not fully addressed.\r\n<h2>The Older Athlete Desires to Stay Fit</h2>\r\nThe hope for the older athlete is to be as fit as when in the prime of their athletic careers. Often, however, this is not the case because of the degeneration that has occurred due to non-healed sports injuries. Sports injuries that lead to symptomatic arthritis later on in life are generally those that occur to the ligaments. That\'s because the ligament injury causes the joint to become unstable.\r\n\r\nTypically, bone spurs develop in the ligaments/fascia (as in plantar fasciitis). And these are generally a sign that the ligaments were no longer able to stabilize the joint. The body responds by bringing in reinforcement in the form of additional bone formation. <strong>This additional bone formation is called arthritis.</strong>\r\n\r\nAthletes want to play sports for a lifetime. Unfortunately for many, the degenerative changes that occur due to non-healed old athletic injuries, combined with a decreased ability to heal, and the natural degeneration that occurs with aging, make sporting injuries commonplace in the older athlete. A lifetime of microtraumas in ligaments and tendons over the years, along with weakening muscles and poor flexibility, can lead to a reoccurrence of these injuries.\r\n<h2><em>The Natural Progression of Arthritis Starts with Ligament Injury</em></h2>\r\nWhat causes the mechanical and molecular events in arthritis to occur? Although cartilage lacks nerve fibers, could cartilage wear and tear be the origin of arthritis? An article published in <em>Gerontology</em> conducts a literary review to prove that arthritis starts with ligament damage. After reviewing numerous research articles, the authors conclude that subchondral bone changes (the bone just beneath cartilage) precede any cartilage change associated with arthritis. These bone changes are due to a loss of tension on the bone at the ligament/bone insertion.<sup>1</sup>\r\n\r\n<em><strong>“The earliest change appears to be at the ligament-bone insertion site</strong></em><strong>.</strong>  We propose that it is a change in the ligament that leads to an alteration in the tension on the bone at the bone-insertion site which precipitates bone remodeling (injury to subchondral bone). The health and integrity of the overlying articular cartilage depend on the mechanical properties of its bony bed.  Ligament injury precedes the subchondral bone changes and these changes occur before articular cartilage degeneration.”<sup>1</sup>\r\n\r\nTaking into account the progression of arthritis, it becomes clear that ligament integrity or lack of integrity is what needs to be treated to prevent further joint destruction. In other words, ligament laxity causes bone changes that in turn cause cartilage change and damage. Ligament laxity is due to ligament damage.\r\n<h2><strong><em>Consider this! </em></strong></h2>\r\nWhen researchers attempt to stimulate arthritis or degeneration in a joint, they do so by damaging the ligaments around the joint. Wow! What happens then? Once the ligaments are damaged, the instability that is created increases the pressure in the joint where the ligaments were injured. The increased pressure then causes an acceleration of the degenerative process. Eventually, the body will stabilize the segment by overgrowing bone. This overgrowth of bone is typically read on x-rays as <a href=\"http://www.getprolo.com/prolotherapy-can-prevent-the-development-of-traumatic-arthritis/\">bone spurs</a>, spondylosis, or fused joints.\r\n<h2><strong>Treatments to Keep the Older Athlete Active</strong></h2>\r\n<em>Gerontology</em> points out the need for therapeutic strategies to be redirected at the healing of the ligament damage- the initial cause of arthritis. Fortunately, Regenerative Orthopedics does just this and can repair the degenerated joint.\r\n\r\nStandard arthritis treatments generally involve only symptom management rather than repair of the joint and include NSAIDs, cortisone shots, and even surgery to provide pain relief.\r\n\r\n<strong><em><u>The most common surgery is arthroscopy which in numerous medical studies was found to be no more effective than placebo in regard to arthritis. </u></em></strong>\r\n\r\nJoint replacements are being recommended more and more, demonstrated by the fact that hundreds of thousands are performed every year. All of these treatments are anti-healing and can cause further degeneration of arthritic joints. <strong>And once the surgery is done it cannot be undone!</strong>\r\n\r\nRegenerative Orthopedics directed at the painful sites where ligaments and tendons connect to bone, as well as at trigger points and adjacent joint spaces, produce a healing response. Along with growth factor stimulation, this induces healing and strengthening of the damaged or diseased structure. The result is the repair of the damaged ligaments and soft tissue which allows the aging athlete to continue with their desired activity and sport. Regenerative Orthopedics can reverse joint damage and alleviate arthritis pain. A number of case studies have shown the success of regenerative techniques in patients with diagnosed arthritis.<sup>2,3</sup>\r\n<h2>Exercise is Beneficial for Older Athlete</h2>\r\nIn a study of almost 17,000 people examined from 1970-1995, high levels of physical activity <strong>were not</strong> associated with symptomatic arthritis in older men and women runners over age 50. Six other reviews on the effectiveness of exercise, both of high and low intensity, on the management of arthritis in the elderly found clinical outcomes of arthritis to be improved.<sup>4 </sup>\r\n\r\nAccording to scientific studies, exercise and recreational activities appear to <strong>not</strong> cause wear-and-tear on the joints.  This can be seen in medical research over many years which supports the findings that exercise is beneficial rather than harmful. The author of a systematic review of multiple medical databases said, “The first consideration with respect to exercise is whether “wear and tear” resulting from repetitive use of articular cartilage is the primary driver for degenerative change. If this were the case, the exercise would lead to progressive arthritis. According to the evidence presented here, this does not seem to be the case.”<sup>5</sup>\r\n<h2>Regenerative Orthopedics for Arthritis in Older Athletes</h2>\r\nIn our opinion, Regenerative Orthopedics is the treatment of choice for treating joint pain in older athletes, due to ligament and other soft tissue injuries. And it is amazing how many athletes end up avoiding surgery once they are treated with Regenerative Orthopedics, because the treatment eliminates the pain, stabilizes the joint, and returns function.\r\n\r\nRegenerative Orthopedics can make a significant impact on the rehabilitation of the injured older athlete. Despite age, typically only four or five sessions are needed for the athletes to achieve complete healing and be back to their physical best. Injections involving the knees, shoulders, hips, ankles, elbows, and other joints can easily be performed with, often, dramatic results and improvement.\r\n<ol>\r\n 	<li>Bailey AJ, Mansell JP. Do subchondral bone changes exacerbate or precede articular cartilage destruction in osteoarthritis of the elderly? Gerontology 1997; 43:296-304.</li>\r\n</ol>\r\n<ol start=\"2\">\r\n 	<li>Hauser R, Woldin B. Treating Osteoarthritic Joints Using Dextrose Prolotherapy and Direct Bone Marrow Aspirate Injection Therapy. <em>Open Arthritis J</em>. 2014; 7:1-9.</li>\r\n</ol>\r\n<ol start=\"3\">\r\n 	<li>Cusi M, Saunders J, Hungerford B, Wisbey-Roth T, Lucas P, Wilson S. The use of prolotherapy in the sacroiliac joint. <em>Br J Sports Med</em>. Feb 2010;44(2):100-104.</li>\r\n</ol>\r\n<ol start=\"4\">\r\n 	<li>Hootman J. Osteoarthritis in elderly persons: Risks of exercise and exercise as therapy. <em>Clinical Journal of Sport Medicine</em>. 2010; 20(3):223.</li>\r\n 	<li>Bosomworth NJ. Exercise and knee osteoarthritis: benefit or hazard? Can Fam Physician 2009; 55:871-878.</li>\r\n</ol>\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','How Arthritis Affects Older Athletes','','inherit','closed','closed','','3484-revision-v1','','','2020-08-13 19:32:46','2020-08-13 19:32:46','',3484,'https://www.drfields.com/uncategorized/3484-revision-v1/',0,'revision','',0),(3983,9,'2020-08-13 19:41:32','2020-08-13 19:41:32','Tendonitis is the most common injury to the knee. In general, knee tendonitis refers to an inflammation, irritation or tear of a knee tendon, the thick fibrous cords that attach muscles to bone. One of the most frequent types of tendonitis of the knee is pes anserinus tendonitis, which involves the pes anserinus tendons that lie on the inside and just below the knee joint and which prevent the lower leg from twisting outward while running.\n\nMiddle-aged adult runners are most susceptible to the development of pes anserinus tendonitis, the most common form. Two other types of knee tendonitis are popliteus tendonitis and semi-membranous tendonitis.\n\nPatellar tendonitis is inflammation of the patellar tendon, which attaches the kneecap to the tibia or shinbone. The patellar tendon helps your muscles extend your knee.\n<h2>How Does Knee Tendonitis Develop?</h2>\n<h2><img class=\"alignright size-medium wp-image-3411\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/May-Athlete-Knee-v101219-500x500.jpg\" alt=\"Knee Tendonitis Treatment\" width=\"500\" height=\"500\" /></h2>\nTendonitis is caused by overuse, injury or aging. The pain is usually the result of a small tear in or inflammation of the tendon. Tendonitis can also be associated with inflammatory diseases that occur throughout the body, such as rheumatoid arthritis. Popliteus tendonitis is caused by excessive inward rolling of the feet, called pronation, as well as running downhill, which tends to put excessive stress on this tendon and can cause it to tear or become inflamed. Pes anserine tendonitis, on the other hand, is characterized by inflammation of the medial knee, and often coexists with other knee disorders. Semi-membranous tendonitis is characterized by swelling over the posteromedial aspect of the knee and tenderness with resisted flexion or outward-turned strain.\n\nPatellar tendonitis is an acute condition, such as knee pain following a run. If the tendon is stressed repeatedly, tiny tears can occur in the tendon. If this process persists, the tendon degenerates causing another more chronic tendon condition known as tendinosis.\n<h2>Symptoms of Knee Tendonitis</h2>\nKnee tendonitis commonly produces pain, tenderness and stiffness near a joint and is aggravated by movement. The inflamed tendons in the knee are usually painful when moved or touched, and the tendon sheaths may be visibly swollen from the accumulation of fluid and inflammation. Moving the joints near the tendon even slightly may also cause severe pain. The pain may be worse when ascending or descending stairs, when getting up from a seated position, and at night.\n<h2>What Is the Typical Treatment for Tendonitis?</h2>\nThe typical treatment regime for tendonitis, such as knee tendonitis, rotator cuff tendonitis or patellar tendonitis, includes rest, ice, non-steroidal anti-inflammatory drugs (NSAIDs), and cortisone injections. Unfortunately, this approach is not able to strengthen the weakened tendon and, thus, does not alleviate the persistent pain that people with this condition experience.\n\nWhile ice, anti-inflammatory drugs and cortisone injections may produce short-term pain benefit, they actually inhibit the healing process, because they boost the degeneration of soft tissue and therefore accelerate cartilage degeneration. If the individual with knee tendonitis receives cortisone injections into the tendon, or if they take anti-inflammatories for a very long time, the tendonitis will become tendinosis. This means the tendon becomes degenerated.\n\nOther modern medical treatment options include cryotherapy and massage. But again, although they may provide pain relief, they do not address the root of the problem – weakened and/or injured tendons and ligaments. When the patient tries these treatment modalities and the pain persists, patients who experience tendonitis may be referred to a surgeon. Unfortunately, surgery has consequences and side effects and may make the problem worse.\n<h2>Using Regenerative Orthopedics to Treat Tendonitis</h2>\n<img class=\"alignright size-medium wp-image-3410\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/Josh-knee-v101219-500x500.png\" alt=\"Knee Tendonitis Treatment\" width=\"500\" height=\"500\" />In treating tendonitis, we recommend stimulating tendon repair and strengthening any weakened or lax ligaments with therapy that includes movement, exercise, and regenerative treatment. This approach will encourage the damaged tissues to heal as quickly as possible.\n\nKeep in mind, when someone with tendonitis continues to work out while using pain medications or after receiving cortisone injections, they may block the pain, but the tendon will continue to degenerate. You may not feel it at the time, since the pain is being blocked, but more damage is being done to the tendon. It is better to stop the particular athletics that caused the tendonitis.\n\nYes, movement and exercise are important, but it is necessary to proceed with an exercise that does not put a lot of tension on the tendon. Cycling and swimming are examples of this type of exercise, as long as they do not cause excessive pain. These types of exercise are recommended because movement encourages healing of the tendon.\n\nRegenerative Orthopedics is used in cases of knee tendonitis, when the tendon does not continue to improve every week or if a tendonitis injury requires extra-quick healing, such as is the case with many athletes. When degeneration of the tendon has transpired, or tendinosis is present, the condition benefits tremendously from these treatments.\n\nWhen the tendon cannot heal on its own, an underlying ligament problem and joint instability may be occurring, allowing for too much movement of the knee joint. This movement irritates the tendon because the tendon is unable to contract against a stable knee. Regenerative Orthopedics strengthens both the weakened tendons and ligaments.\n\nComprehensive treatment to the knee involves multiple injections of <a href=\"https://www.drfields.com/regenerative-techniques/prp-treatment/\">PRP</a> or a dextrose-based solution or both directed at the affected tendons, ligaments, and other affected structures of the knee. This triggers the immune system to initiate repair of the injured tendons and ligaments. Blood supply dramatically increases in the injured area.\n\nThe body is alerted that healing needs to take place and reparative cells are sent to the treated area of the knee in need of healing. The body also lays down new collagen in the treated areas, thereby strengthening the weakened structures. Once the tendons and ligaments are strengthened, the joint stabilizes and the tendonitis or tendinosis conditions resolve.\n<h2>Think Regenerative Orthopedics May Be for You? Call us!</h2>\nTo schedule an appointment, call us on the same line <a href=\"https://www.drfields.com/contact/\">310-453-1234</a> and tell us more about your case. OrthoRegen<sup>®</sup> is a full-time Regenerative Orthopedics medical office with extensive experience in regenerative therapies such as the Gold Standard in Stem Cell therapy, Platelet Rich Plasma, and Prolotherapy regenerative injection solutions. Peter A. Fields, MD, DC is both an MD and a chiropractor.\n\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Knee Tendonitis Treatment','','inherit','closed','closed','','3409-autosave-v1','','','2020-08-13 19:41:32','2020-08-13 19:41:32','',3409,'https://www.drfields.com/uncategorized/3409-autosave-v1/',0,'revision','',0),(3984,9,'2020-08-13 19:42:13','2020-08-13 19:42:13','Tendonitis is the most common injury to the knee. In general, knee tendonitis refers to inflammation, irritation, or tear of a knee tendon, the thick fibrous cords that attach muscles to bone. One of the most frequent types of tendonitis of the knee is pes anserinus tendonitis, which involves the pes anserinus tendons that lie on the inside and just below the knee joint and which prevent the lower leg from twisting outward while running.\r\n\r\nMiddle-aged adult runners are most susceptible to the development of pes anserinus tendonitis, the most common form. Two other types of knee tendonitis are popliteus tendonitis and semi-membranous tendonitis.\r\n\r\nPatellar tendonitis is inflammation of the patellar tendon, which attaches the kneecap to the tibia or shinbone. The patellar tendon helps your muscles extend your knee.\r\n<h2>How Does Knee Tendonitis Develop?</h2>\r\n<h2><img class=\"alignright size-medium wp-image-3411\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/May-Athlete-Knee-v101219-500x500.jpg\" alt=\"Knee Tendonitis Treatment\" width=\"500\" height=\"500\" /></h2>\r\nTendonitis is caused by overuse, injury, or aging. The pain is usually the result of a small tear in or inflammation of the tendon. Tendonitis can also be associated with inflammatory diseases that occur throughout the body, such as rheumatoid arthritis. Popliteus tendonitis is caused by excessive inward rolling of the feet, called pronation, as well as running downhill, which tends to put excessive stress on this tendon and can cause it to tear or become inflamed. Pes anserine tendonitis, on the other hand, is characterized by inflammation of the medial knee and often coexists with other knee disorders. Semi-membranous tendonitis is characterized by swelling over the posteromedial aspect of the knee and tenderness with resisted flexion or outward-turned strain.\r\n\r\nPatellar tendonitis is an acute condition, such as knee pain following a run. If the tendon is stressed repeatedly, tiny tears can occur in the tendon. If this process persists, the tendon degenerates causing another more chronic tendon condition known as tendinosis.\r\n<h2>Symptoms of Knee Tendonitis</h2>\r\nKnee tendonitis commonly produces pain, tenderness, and stiffness near a joint and is aggravated by movement. The inflamed tendons in the knee are usually painful when moved or touched, and the tendon sheaths may be visibly swollen from the accumulation of fluid and inflammation. Moving the joints near the tendon even slightly may also cause severe pain. The pain may be worse when ascending or descending stairs, when getting up from a seated position, and at night.\r\n<h2>What Is the Typical Treatment for Tendonitis?</h2>\r\nThe typical treatment regime for tendonitis, such as knee tendonitis, rotator cuff tendonitis, or patellar tendonitis, includes rest, ice, non-steroidal anti-inflammatory drugs (NSAIDs), and cortisone injections. Unfortunately, this approach is not able to strengthen the weakened tendon and, thus, does not alleviate the persistent pain that people with this condition experience.\r\n\r\nWhile ice, anti-inflammatory drugs, and cortisone injections may produce short-term pain benefit, they actually inhibit the healing process, because they boost the degeneration of soft tissue and therefore accelerate cartilage degeneration. If the individual with knee tendonitis receives cortisone injections into the tendon, or if they take anti-inflammatories for a very long time, the tendonitis will become tendinosis. This means the tendon becomes degenerated.\r\n\r\nOther modern medical treatment options include cryotherapy and massage. But again, although they may provide pain relief, they do not address the root of the problem – weakened and/or injured tendons and ligaments. When the patient tries these treatment modalities and the pain persists, patients who experience tendonitis may be referred to a surgeon. Unfortunately, surgery has consequences and side effects and may make the problem worse.\r\n<h2>Using Regenerative Orthopedics to Treat Tendonitis</h2>\r\n<img class=\"alignright size-medium wp-image-3410\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/Josh-knee-v101219-500x500.png\" alt=\"Knee Tendonitis Treatment\" width=\"500\" height=\"500\" />In treating tendonitis, we recommend stimulating tendon repair and strengthening any weakened or lax ligaments with therapy that includes movement, exercise, and regenerative treatment. This approach will encourage the damaged tissues to heal as quickly as possible.\r\n\r\nKeep in mind, when someone with tendonitis continues to work out while using pain medications or after receiving cortisone injections, they may block the pain, but the tendon will continue to degenerate. You may not feel it at the time, since the pain is being blocked, but more damage is being done to the tendon. It is better to stop the particular athletics that caused the tendonitis.\r\n\r\nYes, movement and exercise are important, but it is necessary to proceed with an exercise that does not put a lot of tension on the tendon. Cycling and swimming are examples of this type of exercise, as long as they do not cause excessive pain. These types of exercise are recommended because movement encourages healing of the tendon.\r\n\r\nRegenerative Orthopedics is used in cases of knee tendonitis, when the tendon does not continue to improve every week or if a tendonitis injury requires extra-quick healing, such as is the case with many athletes. When degeneration of the tendon has transpired, or tendinosis is present, the condition benefits tremendously from these treatments.\r\n\r\nWhen the tendon cannot heal on its own, an underlying ligament problem and joint instability may be occurring, allowing for too much movement of the knee joint. This movement irritates the tendon because the tendon is unable to contract against a stable knee. Regenerative Orthopedics strengthens both the weakened tendons and ligaments.\r\n\r\nComprehensive treatment to the knee involves multiple injections of <a href=\"https://www.drfields.com/regenerative-techniques/prp-treatment/\">PRP</a> or a dextrose-based solution or both directed at the affected tendons, ligaments, and other affected structures of the knee. This triggers the immune system to initiate repair of the injured tendons and ligaments. Blood supply dramatically increases in the injured area.\r\n\r\nThe body is alerted that healing needs to take place and reparative cells are sent to the treated area of the knee in need of healing. The body also lays down new collagen in the treated areas, thereby strengthening the weakened structures. Once the tendons and ligaments are strengthened, the joint stabilizes and the tendonitis or tendinosis conditions resolve.\r\n<h2>Think Regenerative Orthopedics May Be for You? Call us!</h2>\r\nTo schedule an appointment, call us on the same line <a href=\"https://www.drfields.com/contact/\">310-453-1234</a> and tell us more about your case. OrthoRegen<sup>®</sup> is a full-time Regenerative Orthopedics medical office with extensive experience in regenerative therapies such as the Gold Standard in Stem Cell therapy, Platelet Rich Plasma, and Prolotherapy regenerative injection solutions. Peter A. Fields, MD, DC is both an MD and a chiropractor.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Knee Tendonitis Treatment','','inherit','closed','closed','','3409-revision-v1','','','2020-08-13 19:42:13','2020-08-13 19:42:13','',3409,'https://www.drfields.com/uncategorized/3409-revision-v1/',0,'revision','',0),(3985,9,'2020-08-13 20:05:41','2020-08-13 20:05:41','<em>Although many treatments may offer temporary pain relief for arthritis, it is important to find a treatment that does more than chase the symptoms and one that actually repairs the injured soft tissue in order to restore normal motion to the knee joint. In this article in The Townsend Letter, Peter A. Fields, MD, DC discusses Regenerative Orthopedic treatment options, such as Stem Cell Therapy, Platelet Rich Plasma, and Prolotherapy which are effective therapies for repair and restoration of motion. These treatments stimulate healing of ligaments, tendons, and restore the normal functioning of the joint, thus preventing the arthritic progression.</em>\n\n[caption id=\"attachment_3462\" align=\"aligncenter\" width=\"955\"]<img class=\"wp-image-3462 size-full\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/Page-01.jpg\" alt=\"Page 01\" width=\"955\" height=\"1249\" /> Page 01[/caption]\n\n[caption id=\"attachment_3465\" align=\"aligncenter\" width=\"955\"]<img class=\"size-full wp-image-3465\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/Page-02.jpg\" alt=\"Page 02\" width=\"955\" height=\"1249\" /> Page 02[/caption]\n\n[caption id=\"attachment_3466\" align=\"aligncenter\" width=\"955\"]<img class=\"size-full wp-image-3466\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/page-3.jpg\" alt=\"Page 3\" width=\"955\" height=\"1249\" /> Page 03[/caption]\n\n[caption id=\"attachment_3467\" align=\"aligncenter\" width=\"955\"]<a href=\"https://www.drfields.com/articles/regenerative-orthopedics/\" target=\"_blank\" rel=\"noopener noreferrer\"><img class=\"wp-image-3467 size-full\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/page-04.jpg\" alt=\"Page 04\" width=\"955\" height=\"1249\" /></a> Page 04[/caption]\n\nPeter A. Fields, MD, DC enjoys writing articles in The Townsend Letter and right here on the OrthoRegen <a href=\"https://www.drfields.com/articles/regenerative-orthopedics/\">website</a> to keep you informed on Regenerative Orthopedics and current health issues. Click <a href=\"https://www.drfields.com/articles/regenerative-orthopedics/how-arthritis-affects-older-athletes/\">here</a> to read more articles about Regenerative Orthopedics for arthritis.\n\nIf you would like us to write about any particular topic, please <a href=\"https://www.drfields.com/contact/\">contact us</a> and let us know of any topic you would want to include.\n\nAre you a good candidate for Regenerative Orthopedics? Feel free to call us at 310-453-1234.\n\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Townsend Letter: Arthritis','','inherit','closed','closed','','3416-autosave-v1','','','2020-08-13 20:05:41','2020-08-13 20:05:41','',3416,'https://www.drfields.com/uncategorized/3416-autosave-v1/',0,'revision','',0),(3986,9,'2020-08-13 19:52:45','2020-08-13 19:52:45','[caption id=\"attachment_3462\" align=\"aligncenter\" width=\"955\"]<img class=\"wp-image-3462 size-full\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/Page-01.jpg\" alt=\"Page 01\" width=\"955\" height=\"1249\" /> Page 01[/caption]\r\n\r\n[caption id=\"attachment_3465\" align=\"aligncenter\" width=\"955\"]<img class=\"size-full wp-image-3465\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/Page-02.jpg\" alt=\"Page 02\" width=\"955\" height=\"1249\" /> Page 02[/caption]\r\n\r\n[caption id=\"attachment_3466\" align=\"aligncenter\" width=\"955\"]<img class=\"size-full wp-image-3466\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/page-3.jpg\" alt=\"Page 3\" width=\"955\" height=\"1249\" /> Page 03[/caption]\r\n\r\n[caption id=\"attachment_3467\" align=\"aligncenter\" width=\"955\"]<a href=\"https://www.drfields.com/articles/regenerative-orthopedics/\" target=\"_blank\" rel=\"noopener noreferrer\"><img class=\"wp-image-3467 size-full\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/page-04.jpg\" alt=\"Page 04\" width=\"955\" height=\"1249\" /></a> Page 04[/caption]\r\n\r\nPeter A. Fields, MD, DC enjoys writing articles in The Townsend Letter and right here on the OrthoRegen website to keep you informed on Regenerative Orthopedics and current health issues. Please <a href=\"https://www.drfields.com/contact/\">contact us</a> and let us know of any topic you would want to include. Feel free to call us at 310-453-1234.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Arthritis: Townsend Letter','','inherit','closed','closed','','3416-revision-v1','','','2020-08-13 19:52:45','2020-08-13 19:52:45','',3416,'https://www.drfields.com/uncategorized/3416-revision-v1/',0,'revision','',0),(3987,9,'2020-08-13 19:57:10','2020-08-13 19:57:10','Although many treatments may offer temporary pain relief for arthritis, it is important to find a treatment that does more than chase the symptoms and one that actually repairs the injured soft tissue in order to restore normal motion to the knee joint. In this article in The Townsend Letter, Peter A. Fields, MD, DC discusses Regenerative Orthopedic treatment options, such as Stem Cell Therapy, Platelet Rich Plasma, and Prolotherapy which are effective therapies for repair and restoration of motion. These treatments stimulate healing of ligaments, tendons, and restore the normal functioning of the joint, thus preventing the arthritic progression.\r\n\r\n[caption id=\"attachment_3462\" align=\"aligncenter\" width=\"955\"]<img class=\"wp-image-3462 size-full\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/Page-01.jpg\" alt=\"Page 01\" width=\"955\" height=\"1249\" /> Page 01[/caption]\r\n\r\n[caption id=\"attachment_3465\" align=\"aligncenter\" width=\"955\"]<img class=\"size-full wp-image-3465\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/Page-02.jpg\" alt=\"Page 02\" width=\"955\" height=\"1249\" /> Page 02[/caption]\r\n\r\n[caption id=\"attachment_3466\" align=\"aligncenter\" width=\"955\"]<img class=\"size-full wp-image-3466\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/page-3.jpg\" alt=\"Page 3\" width=\"955\" height=\"1249\" /> Page 03[/caption]\r\n\r\n[caption id=\"attachment_3467\" align=\"aligncenter\" width=\"955\"]<a href=\"https://www.drfields.com/articles/regenerative-orthopedics/\" target=\"_blank\" rel=\"noopener noreferrer\"><img class=\"wp-image-3467 size-full\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/page-04.jpg\" alt=\"Page 04\" width=\"955\" height=\"1249\" /></a> Page 04[/caption]\r\n\r\nPeter A. Fields, MD, DC enjoys writing articles in The Townsend Letter and right here on the OrthoRegen website to keep you informed on Regenerative Orthopedics and current health issues. Please <a href=\"https://www.drfields.com/contact/\">contact us</a> and let us know of any topic you would want to include. Feel free to call us at 310-453-1234.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Arthritis: Townsend Letter','','inherit','closed','closed','','3416-revision-v1','','','2020-08-13 19:57:10','2020-08-13 19:57:10','',3416,'https://www.drfields.com/uncategorized/3416-revision-v1/',0,'revision','',0),(3988,9,'2020-08-13 19:58:13','2020-08-13 19:58:13','<em>Although many treatments may offer temporary pain relief for arthritis, it is important to find a treatment that does more than chase the symptoms and one that actually repairs the injured soft tissue in order to restore normal motion to the knee joint. In this article in The Townsend Letter, Peter A. Fields, MD, DC discusses Regenerative Orthopedic treatment options, such as Stem Cell Therapy, Platelet Rich Plasma, and Prolotherapy which are effective therapies for repair and restoration of motion. These treatments stimulate healing of ligaments, tendons, and restore the normal functioning of the joint, thus preventing the arthritic progression.</em>\r\n\r\n[caption id=\"attachment_3462\" align=\"aligncenter\" width=\"955\"]<img class=\"wp-image-3462 size-full\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/Page-01.jpg\" alt=\"Page 01\" width=\"955\" height=\"1249\" /> Page 01[/caption]\r\n\r\n[caption id=\"attachment_3465\" align=\"aligncenter\" width=\"955\"]<img class=\"size-full wp-image-3465\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/Page-02.jpg\" alt=\"Page 02\" width=\"955\" height=\"1249\" /> Page 02[/caption]\r\n\r\n[caption id=\"attachment_3466\" align=\"aligncenter\" width=\"955\"]<img class=\"size-full wp-image-3466\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/page-3.jpg\" alt=\"Page 3\" width=\"955\" height=\"1249\" /> Page 03[/caption]\r\n\r\n[caption id=\"attachment_3467\" align=\"aligncenter\" width=\"955\"]<a href=\"https://www.drfields.com/articles/regenerative-orthopedics/\" target=\"_blank\" rel=\"noopener noreferrer\"><img class=\"wp-image-3467 size-full\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/page-04.jpg\" alt=\"Page 04\" width=\"955\" height=\"1249\" /></a> Page 04[/caption]\r\n\r\nPeter A. Fields, MD, DC enjoys writing articles in The Townsend Letter and right here on the OrthoRegen website to keep you informed on Regenerative Orthopedics and current health issues. Please <a href=\"https://www.drfields.com/contact/\">contact us</a> and let us know of any topic you would want to include. Feel free to call us at 310-453-1234.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Townsend Letter: Arthritis','','inherit','closed','closed','','3416-revision-v1','','','2020-08-13 19:58:13','2020-08-13 19:58:13','',3416,'https://www.drfields.com/uncategorized/3416-revision-v1/',0,'revision','',0),(3989,9,'2020-08-13 20:00:37','2020-08-13 20:00:37','<em>Although many treatments may offer temporary pain relief for arthritis, it is important to find a treatment that does more than chase the symptoms and one that actually repairs the injured soft tissue in order to restore normal motion to the knee joint. In this article in The Townsend Letter, Peter A. Fields, MD, DC discusses Regenerative Orthopedic treatment options, such as Stem Cell Therapy, Platelet Rich Plasma, and Prolotherapy which are effective therapies for repair and restoration of motion. These treatments stimulate healing of ligaments, tendons, and restore the normal functioning of the joint, thus preventing the arthritic progression.</em>\r\n\r\n[caption id=\"attachment_3462\" align=\"aligncenter\" width=\"955\"]<img class=\"wp-image-3462 size-full\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/Page-01.jpg\" alt=\"Page 01\" width=\"955\" height=\"1249\" /> Page 01[/caption]\r\n\r\n[caption id=\"attachment_3465\" align=\"aligncenter\" width=\"955\"]<img class=\"size-full wp-image-3465\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/Page-02.jpg\" alt=\"Page 02\" width=\"955\" height=\"1249\" /> Page 02[/caption]\r\n\r\n[caption id=\"attachment_3466\" align=\"aligncenter\" width=\"955\"]<img class=\"size-full wp-image-3466\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/page-3.jpg\" alt=\"Page 3\" width=\"955\" height=\"1249\" /> Page 03[/caption]\r\n\r\n[caption id=\"attachment_3467\" align=\"aligncenter\" width=\"955\"]<a href=\"https://www.drfields.com/articles/regenerative-orthopedics/\" target=\"_blank\" rel=\"noopener noreferrer\"><img class=\"wp-image-3467 size-full\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/page-04.jpg\" alt=\"Page 04\" width=\"955\" height=\"1249\" /></a> Page 04[/caption]\r\n\r\nPeter A. Fields, MD, DC enjoys writing articles in The Townsend Letter and right here on the OrthoRegen <a href=\"https://www.drfields.com/articles/regenerative-orthopedics/\">website</a> to keep you informed on Regenerative Orthopedics and current health issues. Please <a href=\"https://www.drfields.com/contact/\">contact us</a> and let us know of any topic you would want to include. Feel free to call us at 310-453-1234.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Townsend Letter: Arthritis','','inherit','closed','closed','','3416-revision-v1','','','2020-08-13 20:00:37','2020-08-13 20:00:37','',3416,'https://www.drfields.com/uncategorized/3416-revision-v1/',0,'revision','',0),(3990,9,'2020-08-13 20:06:26','2020-08-13 20:06:26','<em>Although many treatments may offer temporary pain relief for arthritis, it is important to find a treatment that does more than chase the symptoms and one that actually repairs the injured soft tissue in order to restore normal motion to the knee joint. In this article in The Townsend Letter, Peter A. Fields, MD, DC discusses Regenerative Orthopedic treatment options, such as Stem Cell Therapy, Platelet Rich Plasma, and Prolotherapy which are effective therapies for repair and restoration of motion. These treatments stimulate healing of ligaments, tendons, and restore the normal functioning of the joint, thus preventing the arthritic progression.</em>\r\n\r\n[caption id=\"attachment_3462\" align=\"aligncenter\" width=\"955\"]<img class=\"wp-image-3462 size-full\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/Page-01.jpg\" alt=\"Page 01\" width=\"955\" height=\"1249\" /> Page 01[/caption]\r\n\r\n[caption id=\"attachment_3465\" align=\"aligncenter\" width=\"955\"]<img class=\"size-full wp-image-3465\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/Page-02.jpg\" alt=\"Page 02\" width=\"955\" height=\"1249\" /> Page 02[/caption]\r\n\r\n[caption id=\"attachment_3466\" align=\"aligncenter\" width=\"955\"]<img class=\"size-full wp-image-3466\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/page-3.jpg\" alt=\"Page 3\" width=\"955\" height=\"1249\" /> Page 03[/caption]\r\n\r\n[caption id=\"attachment_3467\" align=\"aligncenter\" width=\"955\"]<a href=\"https://www.drfields.com/articles/regenerative-orthopedics/\" target=\"_blank\" rel=\"noopener noreferrer\"><img class=\"wp-image-3467 size-full\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/page-04.jpg\" alt=\"Page 04\" width=\"955\" height=\"1249\" /></a> Page 04[/caption]\r\n\r\nPeter A. Fields, MD, DC enjoys writing articles in The Townsend Letter and right here on the OrthoRegen <a href=\"https://www.drfields.com/articles/regenerative-orthopedics/\">website</a> to keep you informed on Regenerative Orthopedics and current health issues. Click <a href=\"https://www.drfields.com/articles/regenerative-orthopedics/how-arthritis-affects-older-athletes/\">here</a> to read more articles about Regenerative Orthopedics for arthritis.\r\n\r\nIf you would like us to write about any particular topic, please <a href=\"https://www.drfields.com/contact/\">contact us</a> and let us know of any topic you would want to include.\r\n\r\nAre you a good candidate for Regenerative Orthopedics? Feel free to call us at 310-453-1234.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>\r\n\r\n<em>Peter 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 a Chiropractor.</strong> This combination of degrees gives Dr. Fields a broad area of knowledge and expertise that benefits his patients.</em>\r\n<h4><em>Director of OrthoRegen<sup>®</sup></em></h4>\r\n<em>Peter A. Fields, MD, DC 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. Athletes and non-athletes alike come from around the US and the world to receive treatment, because Dr. Fields helps them to avoid unnecessary joint surgeries. 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 joint replacement.</em>','Townsend Letter: Arthritis','','inherit','closed','closed','','3416-revision-v1','','','2020-08-13 20:06:26','2020-08-13 20:06:26','',3416,'https://www.drfields.com/uncategorized/3416-revision-v1/',0,'revision','',0),(3991,9,'2020-08-13 21:13:40','2020-08-13 21:13:40','<img class=\"alignright size-medium wp-image-3397\" src=\"https://www.drfields.com/wp-content/uploads/2019/11/Wilbur-back-500x500.png\" alt=\"Degenerative Disc Disease: Proper Diagnosis and Treatment\" width=\"500\" height=\"500\" />Degenerative disc disease is a common disorder of the spine that can result in persistent low back, thoracic, and neck pain. While it is widely diagnosed, degenerative disc disease is also widely misunderstood by the medical community and lay public alike.\r\n\r\n<em><strong> Perhaps the greatest misconception is the idea that the degenerated discs themselves are the primary cause of pain</strong></em> and therefore require a treatment geared towards replacement or repair of the discs, and missing an important underlying source of instability and pain.\r\n<h2>Spinal Discs</h2>\r\nSpinal discs work as a type of shock absorber between the vertebrae, or bones, of your <a href=\"https://www.webmd.com/back-pain/discs-of-the-spine\">spine</a>. They help your back to stay flexible and allow you to bend and twist. With age, spinal discs can show signs of wear and tear. They begin to break down and may not work as efficiently. Nearly everyone\'s spinal discs will break down with age, but not everyone will feel pain.\r\n\r\nA person with a degenerated, bulging, or herniated disc noted on an MRI, must realize that this may be a coincidental finding and unrelated to the actual pain he or she is experiencing. How can that be? In Degenerative Disc Disease,  the disc is losing water and flattening. It is normal for this to occur with age. Interestingly, it is also normal for a disc to bulge while bending. So what is causing the pain then? It is very likely that the pain is being caused by injured ligaments, which are full of nerve tissue, and will send pain signals when tweaked.\r\n<h2>What Causes Degenerative Disc Disease in the First Place?</h2>\r\nThe disc begins to degenerate as soon as the ligaments of the spine weaken. This happens after some sort of injury to the ligaments, including wear and tear. The weak and loose ligaments allow for an unstable spine and one where the vertebrae are able to move too much, resulting in more injury and pain.\r\n\r\nIn an effort to stabilize the vertebrae, the body tenses the muscles, in an attempt to correct the problem. A person will experience this as muscle spasms. The excessive movement puts extra stress on all of the structures of the spine, including the discs. The discs will respond to the added stress by flattening.\r\n\r\nA downward cycle of degeneration is created because the ligaments will now have to work even harder, since the discs can’t do their job correctly, which then weakens the ligaments further, and then adds to the response of the discs to flatten. The sufferer will of course experience pain as a result of the degeneration. The added stress and pressure may cause the disc to herniate. When a disc herniates, it means the soft, gelatinous solution inside is no longer held in place by the tough outer ring of tissue and the disc is now in a weakened state.\r\n<h2>Regenerative Orthopedics Treats the Instability and Resolves the Pain</h2>\r\n<img class=\"alignright  wp-image-3398\" src=\"https://www.drfields.com/wp-content/uploads/2019/11/Gayle-Low-back-cycle-1-500x500.png\" alt=\"Degenerative Disc Disease: Proper Diagnosis and Treatment\" width=\"450\" height=\"450\" />Regenerative Orthopedics is an effective treatment to stop the cycle of \"Degenerative Disc Disease.\" Since the underlying problem that starts the discs to degenerate is the instability of the spine due to ligament weakness or injury, it would make sense then to strengthen and repair the ligaments. What treatment does that? Right…Regenerative Orthopedics!\r\n\r\nIn the 1950s, a doctor named George S. Hackett studied the pathology of chronic low back pain and disc degeneration. He published research linking these conditions to the instability of the vertebral column. He was one of the first doctors to ever point to ligament laxity or weakness as a reason that discs become degenerated.\r\n<h3>More About The Discs</h3>\r\nThe soft, compressible spinal discs lie between two vertebrae and provide cushion and shock absorption. The facet joint is where the top vertebrae contact the vertebrae below. This joint is surrounded by a capsule made up of ligaments. Together these segments are known as facet joints. Every time one bends forward, backward, or twists, pressure is put on these facets. They are under a lot of strain all day long!\r\n\r\nThe vertebrae themselves are held together through a mesh of ligaments that hold the spine in alignment and take the pressure off the facet joints. Dr. Hackett recognized that if the ligaments are loose or damaged, they allow excessive movement of the vertebrae and put extra gravitational pressure on the discs. We’ve noted earlier that when this happens, discs can protrude or herniate. Addressing the underlying ligament laxity is key to treating disc degeneration as well as preventing further damage and degeneration.\r\n\r\nBy applying Regenerative Orthopedics, such as Stem Cell Therapy, PRP, Prolotherapy, to the weakened ligaments, the ligaments become strengthened, thereby halting the progressive degeneration of the intervertebral discs. A patient with persistent back pain can be treated with these regenerative injections into the weakened vertebrae of the low back, mid-back, and neck.  Regenerative Orthopedics is very effective at alleviating pain from degenerative disc disease.\r\n<h2>Spinal Fusion Misses the Mark In The Treatment of Degenerative Disc Disease</h2>\r\nUnfortunately, the focus of degenerative disc treatment today is often centered on treating the discs, and this treatment is oftentimes surgery. Surgeries can include a discectomy, which removes part of the disc, or may mean removal of the entire disc and replacing it with a cadaver or artificial disc. In some cases, spinal fusion is recommended. During spinal fusion, the damaged discs are removed and replaced, and the affected levels of the vertebrae are then permanently fused together.\r\n\r\nWhile these methods increase joint space by inserting replacement discs, they do not address the problem of vertebral instability due to weakened ligaments, and therefore do nothing to actually take pressure off of those discs or preventing the facet joints from further breakdown.\r\n\r\nIt is important to understand that the facets are more commonly the cause of pain. These are where the vertebra on the top connects to the vertebra on the bottom. The vertebrae are surrounded by a thick capsule of ligaments that becomes weakened, torn, or damaged over time, resulting in a lot of pain. Spinal fusion actually encourages increased degeneration at the sites above and below the fusion, frequently resulting in more pain.\r\n<h2>Overreliance on Imaging Procedures</h2>\r\nAnother factor hindering our understanding of vertebral instability and ligament weakness is the dependence on imaging to diagnose and treat musculoskeletal injuries. Of course, MRI imaging is very helpful in the medical fields. However, many rely on imaging instead of using physical examination and good history taking for diagnosing. And as we said earlier, MRI’s can misdiagnose disc herniations.\r\n\r\nIt is important to rule out ligament injury and instability and treat it accordingly especially since a large majority of disc degeneration is due to vertebral instability and ligament weakness. With proper treatment, through therapies like Regenerative Orthopedics, physicians are able to accurately treat the source of their patients’ pain.\r\n\r\nRather than undergoing unnecessary surgeries that do not address the root cause of the symptoms, choose instead to seek out a less invasive treatment capable of strengthening weakened ligaments and tendons and thereby eliminating pressure on the vertebral discs.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Degenerative Disc Disease Treatment & Diagnosis','','inherit','closed','closed','','3306-revision-v1','','','2020-08-13 21:13:40','2020-08-13 21:13:40','',3306,'https://www.drfields.com/uncategorized/3306-revision-v1/',0,'revision','',0),(3992,9,'2020-08-13 21:14:56','2020-08-13 21:14:56','<img class=\"alignright size-medium wp-image-3397\" src=\"https://www.drfields.com/wp-content/uploads/2019/11/Wilbur-back-500x500.png\" alt=\"Degenerative Disc Disease: Proper Diagnosis and Treatment\" width=\"500\" height=\"500\" />Degenerative disc disease is a common disorder of the spine that can result in persistent low back, thoracic, and neck pain. While it is widely diagnosed, degenerative disc disease is also widely misunderstood by the medical community and lay public alike.\r\n\r\n<em><strong> Perhaps the greatest misconception is the idea that the degenerated discs themselves are the primary cause of pain</strong></em> and therefore require a treatment geared towards replacement or repair of the discs, and missing an important underlying source of instability and pain.\r\n<h2>Spinal Discs</h2>\r\nSpinal discs work as a type of shock absorber between the vertebrae, or bones, of your <a href=\"https://www.webmd.com/back-pain/discs-of-the-spine\">spine</a>. They help your back to stay flexible and allow you to bend and twist. With age, spinal discs can show signs of wear and tear. They begin to break down and may not work as efficiently. Nearly everyone\'s spinal discs will break down with age, but not everyone will feel pain.\r\n\r\nA person with a degenerated, bulging, or herniated disc noted on an MRI, must realize that this may be a coincidental finding and unrelated to the actual pain he or she is experiencing. How can that be? In Degenerative Disc Disease,  the disc is losing water and flattening. It is normal for this to occur with age. Interestingly, it is also normal for a disc to bulge while bending. So what is causing the pain then? It is very likely that the pain is being caused by injured ligaments, which are full of nerve tissue, and will send pain signals when tweaked.\r\n<h2>What Causes Degenerative Disc Disease in the First Place?</h2>\r\nThe disc begins to degenerate as soon as the ligaments of the spine weaken. This happens after some sort of injury to the ligaments, including wear and tear. The weak and loose ligaments allow for an unstable spine and one where the vertebrae are able to move too much, resulting in more injury and pain.\r\n\r\nIn an effort to stabilize the vertebrae, the body tenses the muscles, in an attempt to correct the problem. A person will experience this as muscle spasms. The excessive movement puts extra stress on all of the structures of the spine, including the discs. The discs will respond to the added stress by flattening.\r\n\r\nA downward cycle of degeneration is created because the ligaments will now have to work even harder, since the discs can’t do their job correctly, which then weakens the ligaments further, and then adds to the response of the discs to flatten. The sufferer will of course experience pain as a result of the degeneration. The added stress and pressure may cause the disc to herniate. When a disc herniates, it means the soft, gelatinous solution inside is no longer held in place by the tough outer ring of tissue and the disc is now in a weakened state.\r\n<h2>Regenerative Orthopedics Treats the Instability and Resolves the Pain</h2>\r\n<img class=\"alignright wp-image-3398\" src=\"https://www.drfields.com/wp-content/uploads/2019/11/Gayle-Low-back-cycle-1-500x500.png\" alt=\"Degenerative Disc Disease: Proper Diagnosis and Treatment\" width=\"450\" height=\"450\" />Regenerative Orthopedics is an effective treatment to stop the cycle of \"Degenerative Disc Disease.\" Since the underlying problem that starts the discs to degenerate is the instability of the spine due to ligament weakness or injury, it would make sense then to strengthen and repair the ligaments. What treatment does that? Right…Regenerative Orthopedics!\r\n\r\nIn the 1950s, a doctor named George S. Hackett studied the pathology of chronic low back pain and disc degeneration. He published research linking these conditions to the instability of the vertebral column. He was one of the first doctors to ever point to ligament laxity or weakness as a reason that discs become degenerated.\r\n<h3>More About The Discs</h3>\r\nThe soft, compressible spinal discs lie between two vertebrae and provide cushion and shock absorption. The facet joint is where the top vertebrae contact the vertebrae below. This joint is surrounded by a capsule made up of ligaments. Together these segments are known as facet joints. Every time one bends forward, backward, or twists, pressure is put on these facets. They are under a lot of strain all day long!\r\n\r\nThe vertebrae themselves are held together through a mesh of ligaments that hold the spine in alignment and take the pressure off the facet joints. Dr. Hackett recognized that if the ligaments are loose or damaged, they allow excessive movement of the vertebrae and put extra gravitational pressure on the discs. We’ve noted earlier that when this happens, discs can protrude or herniate. Addressing the underlying ligament laxity is key to treating disc degeneration as well as preventing further damage and degeneration.\r\n\r\nBy applying Regenerative Orthopedics, such as Stem Cell Therapy, PRP, Prolotherapy, to the weakened ligaments, the ligaments become strengthened, thereby halting the progressive degeneration of the intervertebral discs. A patient with persistent back pain can be treated with these regenerative injections into the weakened vertebrae of the low back, mid-back, and neck.  Regenerative Orthopedics is very effective at alleviating pain from degenerative disc disease.\r\n<h2>Spinal Fusion Misses the Mark In The Treatment of Degenerative Disc Disease</h2>\r\nUnfortunately, the focus of degenerative disc treatment today is often centered on treating the discs, and this treatment is oftentimes surgery. Surgeries can include a discectomy, which removes part of the disc, or may mean removal of the entire disc and replacing it with a cadaver or artificial disc. In some cases, spinal fusion is recommended. During spinal fusion, the damaged discs are removed and replaced, and the affected levels of the vertebrae are then permanently fused together.\r\n\r\nWhile these methods increase joint space by inserting replacement discs, they do not address the problem of vertebral instability due to weakened ligaments, and therefore do nothing to actually take pressure off of those discs or preventing the facet joints from further breakdown.\r\n\r\nIt is important to understand that the facets are more commonly the cause of pain. These are where the vertebra on the top connects to the vertebra on the bottom. The vertebrae are surrounded by a thick capsule of ligaments that becomes weakened, torn, or damaged over time, resulting in a lot of pain. Spinal fusion actually encourages increased degeneration at the sites above and below the fusion, frequently resulting in more pain.\r\n<h2>Overreliance on Imaging Procedures</h2>\r\nAnother factor hindering our understanding of vertebral instability and ligament weakness is the dependence on imaging to diagnose and treat musculoskeletal injuries. Of course, MRI imaging is very helpful in the medical fields. However, many rely on imaging instead of using physical examination and good history taking for diagnosing. And as we said earlier, MRI’s can misdiagnose disc herniations.\r\n\r\nIt is important to rule out ligament injury and instability and treat it accordingly especially since a large majority of disc degeneration is due to vertebral instability and ligament weakness. With proper treatment, through therapies like Regenerative Orthopedics, physicians are able to accurately treat the source of their patients’ pain.\r\n\r\nRather than undergoing unnecessary surgeries that do not address the root cause of the symptoms, choose instead to seek out a less invasive treatment capable of strengthening weakened ligaments and tendons and thereby eliminating pressure on the vertebral discs.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Degenerative Disc Disease Treatment','','inherit','closed','closed','','3306-revision-v1','','','2020-08-13 21:14:56','2020-08-13 21:14:56','',3306,'https://www.drfields.com/uncategorized/3306-revision-v1/',0,'revision','',0),(3993,9,'2021-03-05 19:26:24','2021-03-05 19:26:24','<h3>Cervical Instability and Neck Pain and Symptoms That Change Your Life</h3>\nWhen neck injuries occur, like after car accidents, sports injuries, or even wear and tear, the sufferer often lives with neck pain and other disabling symptoms. In this article, we are not referring to a catastrophic neck injury, but one that very often may be considered \"minor.\" Yet the sufferer still lives with symptoms that alter their ability to live normally. The cause may very well be cervical instability, a disorder of the neck or cervical spine that can result in a myriad of symptoms.\n<h3>The Uniqueness of the Cervical Spine</h3>\nThe neck is unique because it consists of vertebrae that are smaller and more mobile than all of the movable vertebrae of the spine. The high degree of mobility in the neck or cervical spine is necessary in order to move the head through all the different ranges of motion we put it through. Blood is also transported through the neck on the way to the brain by means of the vertebral artery. The artery goes up through an opening called the transverse foramina in the vertebrae of the neck.\n\nWhy are these features important when discussing neck pain, symptoms, and instability? Well first of all, although the mobility of the neck is great and necessary in order to get things done and function like we like to, this same feature makes the neck vulnerable to injury.\n<h3>Ligaments are Affected by Neck Injuries Too. And When Injured, Cause Cervical Instability and Pain!</h3>\nSecondly, when an injury to the neck occurs, ligaments are affected. The ligaments are structures that are primarily responsible for joining bones. And they are especially vulnerable when trauma occurs. When the neck is stable, it moves and functions normally. And that\'s because it is remaining in proper alignment. Plus, proper alignment and function protects the blood vessels, nerves, and spinal cord. But an injury to the ligaments changes this whole dynamic because it causes the cervical spine to become unstable.\n\nAn unstable cervical spine cannot provide adequate support to function properly. But why does the instability make a difference? The instability alters the alignment of the neck which creates a cycle of imbalance between the different neck structures. It also causes too much movement of the neighboring vertebrae. And that stresses the ligaments that support the vertebrae. It also puts undue pressure on the nerve endings within those structures. The result is neck pain! A host of other possible symptoms are set into motion as a result of the various blood vessels and nerves running through the neck vertebrae.\n<h2><strong>Whiplash Injuries Are Examples of Cervical Instability </strong></h2>\n<img class=\"alignright size-medium wp-image-3311\" src=\"https://www.drfields.com/wp-content/uploads/2019/11/Cervivcal-Instability-v271119-1-500x500.png\" alt=\"An Answer for Life Altering Neck Pain and Instability\" width=\"500\" height=\"500\" />People who have experienced whiplash, often have symptoms that seem to last and last. <em>These symptoms are frequently a result of the instability of the vertebrae of the neck, or cervical instability.</em>\n\nWhiplash injuries are a common cause of cervical instability. The head is literally “whipped” in these injuries. The sudden acceleration and deceleration during rear-end collisions is an example of whiplash. During whiplash, a severe flexion is generated followed by an extension of the neck, in a whip-type motion forward and backward.\n\nThe backward hyperextension is often associated with more injury to the muscles and ligaments because it lacks the limiting effect of the chin meets the chest in the forward “whip.” Excessive motion in hyperextension severely strains the involved muscles and ligaments. This motion also compresses the adjoining vertebrae.\n\nLet\'s consider a person who is looking in the rearview mirror at the time of the collision. The rotated neck position puts the ligaments in even greater vulnerability for injury. Why? Well, these particular ligaments are those that help in side to side head movements and they are more susceptible when in this position.\n\nAs the ligaments become weaker, they are unable to provide a stable neck structure.  And that leads to even more injury and an ongoing provocation of the nerve endings. The ongoing provocation alters a part of the nervous system called the sympathetic nervous system (SNS). And then the SNS becomes increasingly activated. The result of an overactive SNS is a myriad of symptoms, including a syndrome of symptoms referred to as Barré-Liéou Syndrome. We\'ll talk about some of the symptoms of cervical instability below.\n<h3><strong>What Are the Symptoms of Cervical Instability?</strong></h3>\nSymptoms of neck instability or cervical instability include neck pain, muscle spasms, cracking sounds, and numbness in the arms and legs. Also, remember how we discussed the unique anatomical relationship of the vertebral arteries through the transverse foramina?\n\nInstability of the neck can cause a change in the flow of the arterial blood through the vertebrae when they are moving excessively. The vertebral artery provides circulation to half of the brain. Therefore, the extra mobile vertebrae can pinch off this artery, fostering an insufficiency of blood supply as it travels up to the brain. The condition is called vertebrobasilar insufficiency (VBI). Symptoms of VBI include neck pain, headaches/migraines, dizziness, drop attacks, dizziness, difficulty swallowing and/or speaking, and disturbances in hearing and vision.\n<h3><strong>Repair the Neck, And Relieve the Pain of Cervical Instability with Regenerative Orthopedics</strong></h3>\n[caption id=\"attachment_3310\" align=\"alignright\" width=\"500\"]<img class=\"wp-image-3310 size-medium\" src=\"https://www.drfields.com/wp-content/uploads/2019/11/Cervivcal-Instability-v271119-500x500.png\" alt=\"An Answer for Life Altering Neck Pain and Instability\" width=\"500\" height=\"500\" /> <em><strong>       Repair the spine &amp; Relieve Cervical Instability Symptoms</strong></em>[/caption]\n\nAll of these symptoms can perplex many clinicians. Meanwhile, the sufferer lives with debilitating symptoms. Oftentimes, they go from doctor to doctor, seeking some type of relief from the many and varied symptoms they experience.\n\nChiropractors do a great job at not only assessing these problems but treating them.  But when Chiropractors are not able to solve the problem or find a complete solution, one must look elsewhere.\n\nTalk with your chiropractor about Regenerative Orthopedics and what it can do to save your neck from surgery. Many chiropractors know Peter A. Fields, MD, DC, and have heard him lecture, as Dr. Fields is both an MD and a chiropractor.\n\nRegenerative Orthopedics is actually a great solution to the puzzle of neck pain and cervical instability. Stem Cell Therapy, PRP, and Prolotherapy are types of regenerative therapies that repair the injured ligaments at the core of the problem. Regenerative Orthopedics involves regenerative injection therapies that tighten, repair, and regenerate the ligaments involved in neck instability. The treatments eliminate the unstable movement, associated neck pain, and multiple symptoms.\n\nRegenerative Orthopedics is a safe non-surgical option that brings stability back to the neck and its structures, which results in increased functional ability. Those who suffer from all of these symptoms as a result of the instability of the neck or cervical spine can finally get relief from this life-altering condition.\n\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Cervical Instability and Neck Pain That Changes Your Life','','inherit','closed','closed','','3301-autosave-v1','','','2021-03-05 19:26:24','2021-03-05 19:26:24','',3301,'https://www.drfields.com/uncategorized/3301-autosave-v1/',0,'revision','',0),(3994,9,'2020-08-16 02:10:27','2020-08-16 02:10:27','When neck injuries occur, like after car accidents, sports injuries, or even wear and tear, the sufferer often lives with neck pain and other disabling symptoms. In this article, we are not referring to a catastrophic neck injury, but one that very often may be considered \"minor.\" Yet the sufferer still lives with symptoms that alter their ability to live normally. The reason may very well be instability in the neck and related to the uniqueness of the neck itself.\r\n\r\nThe neck is unique because it consists of vertebrae that are smaller and more mobile than all of the movable vertebrae of the spine. Another name for the neck is the cervical spine. The high degree of mobility in the neck or cervical spine is necessary in order to move the head through all the different ranges of motion we put it through. Blood is also transported through the neck on the way to the brain by means of the vertebral artery. The artery goes up through an opening called the transverse foramina in the vertebrae of the neck.\r\n\r\nWhy are these features important when discussing neck pain, symptoms, and instability? Well first of all, although the mobility of the neck is great and necessary in order to get things done and function like we like to, this same feature makes us vulnerable to injury.\r\n<h3>Ligaments are Affected by Neck Injuries Too. And they Cause Neck Pain!</h3>\r\nSecondly, when an injury to the neck occurs, ligaments are affected. The ligaments are structures that are primarily responsible for joining bones, and they are especially vulnerable when trauma occurs. When the neck is stable, it moves and functions normally, while remaining in proper alignment. All of this protects the blood vessels, nerves, and spinal cord. But an injury to the ligaments changes this whole dynamic because it causes the cervical spine to become unstable.\r\n\r\nWhen the neck is called upon to function, this new instability of the cervical spine can\'t provide adequate support. Neck alignment is changed and a cycle of imbalance is created between the different neck structures. This causes too much movement of the neighboring vertebrae which stresses the ligaments that support them. It also puts undue pressure on the nerve endings within those structures. The result is neck pain! A host of other possible symptoms are set into motion as a result of the various blood vessels and nerves running through the neck vertebrae.\r\n<h2><strong>Whiplash Injuries Are Examples of Instability of the Neck</strong></h2>\r\n<img class=\"alignright size-medium wp-image-3311\" src=\"https://www.drfields.com/wp-content/uploads/2019/11/Cervivcal-Instability-v271119-1-500x500.png\" alt=\"An Answer for Life Altering Neck Pain and Instability\" width=\"500\" height=\"500\" />People who have experienced whiplash, often have symptoms that seem to last and last. <em>These symptoms are frequently a result of the instability of the vertebrae of the neck, or in other words, cervical instability.</em>\r\n\r\nWhiplash injuries are a common cause of cervical instability. The head is literally “whipped” in these injuries. The sudden acceleration and deceleration during rear-end collisions is an example of whiplash. During whiplash, a severe flexion is generated followed by an extension of the neck, in a whip-type motion forward and backward.\r\n\r\nThe backward hyperextension is often associated with more injury to the muscles and ligaments because it lacks the limiting effect of the chin meets the chest in the forward “whip.” Excessive motion in hyperextension severely strains the involved muscles and ligaments. This motion also compresses the adjoining vertebrae.\r\n\r\nLet\'s consider a person who is looking in the rearview mirror at the time of the collision. The rotated neck position puts the ligaments in even greater vulnerability for injury. Why? Well, these particular ligaments are those that help in side to side head movements and they are more susceptible when in this position.\r\n\r\nAs the ligaments become weaker, they are unable to provide a stable neck structure, which leads to even more injury and an ongoing provocation of the nerve endings. The ongoing provocation alters a part of the nervous system called the sympathetic nervous system which becomes increasingly activated. This can result in a myriad of symptoms, including a syndrome of symptoms referred to as Barré-Liéou Syndrome.\r\n<h2><strong>Symptoms from Instability of the Neck</strong></h2>\r\nSymptoms of neck instability or cervical instability include neck pain, muscle spasms, cracking sounds, and numbness in the arms and legs. Also, remember how we discussed the unique anatomical relationship of the vertebral arteries through the transverse foramina?\r\n\r\nInstability of the neck can cause a change in the flow of the arterial blood through the vertebrae when they are moving excessively. This artery provides circulation to half of the brain, so the extra mobile vertebrae can pinch it off, fostering an insufficiency of blood supply as it travels up to the brain. The condition is called vertebrobasilar insufficiency (VBI). Symptoms of VBI include neck pain, headaches/migraines, dizziness, drop attacks, dizziness, difficulty swallowing and/or speaking, and disturbances in hearing and vision.\r\n<h2><strong>How Can You Treat Neck Pain and Instability?</strong></h2>\r\n<img class=\"alignright size-medium wp-image-3310\" src=\"https://www.drfields.com/wp-content/uploads/2019/11/Cervivcal-Instability-v271119-500x500.png\" alt=\"An Answer for Life Altering Neck Pain and Instability\" width=\"500\" height=\"500\" />All of these symptoms can perplex many clinicians. Meanwhile, the sufferer lives with debilitating symptoms, oftentimes going from doctor to doctor, seeking some type of relief from the many and varied symptoms they experience.\r\n\r\nChiropractors do a great job at not only assessing these problems but treating them.  But when Chiropractors are not able to solve the problem or find a complete solution, one must look elsewhere.\r\n\r\nTalk with your chiropractor about Regenerative Orthopedics and what it can do to save your neck from surgery. Many chiropractors know Peter A. Fields, MD, DC, and have heard him lecture, as Dr. Fields is both an MD and a chiropractor.\r\n\r\nRegenerative Orthopedics is actually a great solution to the puzzle of neck pain and cervical instability. Regenerative therapies like Stem Cell Therapy, PRP, and Prolotherapy repair the injured ligaments that are at the core of the problem. Regenerative Orthopedics involves regenerative injection therapies that tighten, repair, and regenerate the ligaments involved in neck instability. The treatments eliminate the unstable movement, associated neck pain, and multiple symptoms.\r\n\r\nRegenerative Orthopedics is a safe non-surgical option that brings stability back to the neck and its structures, which results in increased functional ability. Those who suffer from all of these symptoms as a result of the instability of the neck or cervical spine can finally get relief from this life-altering condition.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Neck Pain That Changes Your Life','','inherit','closed','closed','','3301-revision-v1','','','2020-08-16 02:10:27','2020-08-16 02:10:27','',3301,'https://www.drfields.com/uncategorized/3301-revision-v1/',0,'revision','',0),(3995,9,'2020-10-05 22:42:13','2020-10-05 22:42:13','<em>My dad’s life could be an example for all of us during COVID-19 to encourage us to keep moving forwards and to not look back no matter how bad things are.</em>\n<h2><strong>Keep Looking Forward Despite COVID-19: My Dad\'s Story</strong></h2>\n<strong>By Peter A. Fields, MD, DC</strong>\n\nMy dad passed away just shy of his 85th birthday in 2004. Although he never even knew about COVID-19, I learned a lot from him to help survive this current horrible situation.\n\nHe was a man that believed actions speak louder than words. And it was his actions in his life that have helped me through tough times in my own life, and his example applies especially today. To me, he was not only my dad but my best friend and my mentor. He taught me so much.\n\nMy dad was raised in a middle-class Jewish family in Berlin, Germany, which was then a very modern and beautiful city. Life for him was pretty good, even though his parents were divorced, which was not the norm back then. He was raised by his mother and grandmother and he had a happy childhood.\n<h4>In 1934, his life would change forever.</h4>\nAt first, new laws were put in place that prohibited Jews from attending public school. Then, in 1935, Jews had their citizenship taken away. Life as he knew it was changing and things were not good.\n\nAfter that, he applied for a program where he could be sent to the United States to live with a family, since things were getting worse for Jewish people, and especially young men, in Germany. My dad was so excited when he was accepted into the program. He had a farewell party and said goodbye to his friends and relatives as he prepared for what was ahead.\n\nA few days before he was to leave, the monies for this program were delayed through the banks and they were going to have to wait a while. Eventually, when the program started up again, his 16th birthday had already passed and he was now too old for the program. For a 16-year-old, this was devastating. But he realized he could not do anything about it and knew he had to just keep looking forwards.\n<h4>Then on November 11th, 1938 Kristallnacht or the Night of the Broken Glass occurred.</h4>\nMy dad\'s mother had been forewarned that something was about to happen, so a bunch of boys (including my father) left town for the night. Upon returning to Berlin, they saw the devastation and ruins that had been wrought upon the Jewish businesses.\n\nHe knew he had to get out. The noose was getting tighter. He did not know what was about to take place in the future, but he knew that Germany would eventually go to war with Russia. He also knew that as a 19-year-old Jewish boy, he would be the first to go.\n\nThere was only one place in the world he could go without his citizenship papers (they were taken away back in 1935), and that was Shanghai, China. All other countries had closed their doors, including the United States. But 8,000 miles was very far away, and although China was not really what he wanted, he had no other choice. He had to keep looking forwards to a better future.\n\nMy dad\'s mother said she would follow. So, at 19 years of age, off he went to a very strange and foreign land. From the modern country that had given the world Mozart, Beethoven, Einstein, and others, he now found himself in a city that lacked central heat (in the winter it was below freezing), had no central plumbing, and required one to relieve themselves in a bucket. He was happy that he at least still received letters from his mother.\n\nHe did what he could to survive, he kept moving forward, and looked to the future for better days.\n\nIn 1941, on December 7th, the United States entered the war. At that point, the Japanese took control of the city and made all the Jewish people live in a ghetto-like situation. There was no time for self-pity, he kept moving forward, just like he had all the other times.\n\nThe fateful day for him came in 1942 when he received what was to be the last letter from his mother. It started off with the very tragic line:\n<h4><em>“By the time you receive this, I will no longer exist.\"</em></h4>\nThese words struck like a lead pipe over his head.\n\nMy dad\'s mother had seen things collapse in Germany and she knew her days were numbered. She had been in hiding and figured she would be caught sooner or later. Unfortunately, she was right.\n\nHe could have just given up at that point. Not only was his mom murdered, but he also had lost generations of his family, which left him without 90% of his family and most likely most of his friends. Plus, he was living in squalor in a foreign city 8,000 miles away from his own country. Devastated would be too light of a word to describe how he felt.\n\nBut he knew that you cannot look back. He understood what was needed was to keep looking forward and always hope for brighter days in the future.\n\n<img class=\"size-medium wp-image-3679\" src=\"https://www.drfields.com/wp-content/uploads/2020/05/Look-Forward-2-500x500.png\" alt=\"Look Forward\" width=\"500\" height=\"500\" />\n<h4>And so, he went on. He persevered for the rest of the war in Shanghai.</h4>\nTwo years after the war ended, in 1947, he finally received papers to enter the United States, which had always been a dream of his since his youth. Penniless, extremely thin, and without any family left, he had no idea of where he was supposed to go, or what he was supposed to do. But he just kept moving forward, taking one day at a time, and looking for the best the world could offer.\n\nThe rest is history. He met my mom, started a successful business, raised myself, my brother, and my sister, and had a wonderful life.\n\nMy dad’s life could be an example for all of us during COVID-19 and might encourage us to keep moving forwards and to not look back no matter how bad things are. Always hope for a wonderful future, strive to do the best you can, take care of yourself, look out for others, and always keep a cheerful smile on your face.\n\nThat was my father. Always looking forwards with a smile and gratitude, no matter how bad things got. If you met him you would never guess the hardships that he went thru.\n\nIn no way am I comparing our situation now to what my dad went thru, but hopefully this story and his words and actions will help you during these very difficult times.\n\nSo please be safe, be cautious, but keep looking forwards no matter how bad things get.\n\nThere is a bright future out there for all of us.\n\n~Peter A. Fields, MD, DC, <a href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">The Athletic Doc<sup>®</sup></a>\n\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','My Dad\'s Story: Keep Looking Forward Despite COVID-19','','inherit','closed','closed','','3677-autosave-v1','','','2020-10-05 22:42:13','2020-10-05 22:42:13','',3677,'https://www.drfields.com/uncategorized/3677-autosave-v1/',0,'revision','',0),(3996,9,'2020-08-16 02:18:19','2020-08-16 02:18:19','<strong>By Peter A. Fields, MD, DC</strong>\r\n\r\nMy dad passed away just shy of his 85th birthday in 2004. Although he never even knew about COVID-19, I learned a lot from him to help survive this current horrible situation.\r\n\r\nHe was a man that believed actions speak louder than words. And it was his actions in his life that have helped me through tough times in my own life, and his example applies especially today. To me, he was not only my dad but my best friend and my mentor. He taught me so much.\r\n\r\nHe was raised in a middle-class Jewish family in Berlin, Germany, which was then a very modern and beautiful city. Life for him was pretty good, even though his parents were divorced, which was not the norm back then. He was raised by his mother and grandmother and he had a happy childhood.\r\n\r\nIn 1934, his life would change forever. At first, new laws were put in place that prohibited Jews from attending public school. Then, in 1935, Jews had their citizenship taken away. Life as he knew it was changing and things were not good.\r\n\r\nAfter that, he applied for a program where he could be sent to the United States to live with a family, since things were getting worse for Jewish people, and especially young men, in Germany. He was so excited when he was accepted into the program. He had a farewell party and said goodbye to his friends and relatives as he prepared for what was ahead. A few days before he was to leave, the monies for this program were delayed through the banks and they were going to have to wait a while. Eventually, when the program started up again, his 16th birthday had already passed and he was now too old for the program. For a 16-year-old, this was devastating. But he realized he could not do anything about it and knew he had to just keep looking forwards.\r\n\r\nThen on November 11th, 1938 Kristallnacht or the Night of the Broken Glass occurred. His mother had been forewarned that something was about to happen, so a bunch of boys (including my father) left town for the night. Upon returning to Berlin, they saw the devastation and ruins that had been wrought upon the Jewish businesses.\r\n\r\nMy father knew he had to get out. The noose was getting tighter. He did not know what was about to take place in the future, but he knew that Germany would eventually go to war with Russia. He also knew that as a 19-year-old Jewish boy, he would be the first to go.\r\n\r\nThere was only one place in the world he could go without his citizenship papers (they were taken away back in 1935), and that was Shanghai, China. All other countries had closed their doors, including the United States. But 8,000 miles was very far away, and although China was not really what he wanted, he had no other choice. He had to keep looking forwards to a better future.\r\n\r\nHis mother said she would follow. So, at 19 years of age, off he went to a very strange and foreign land. From the modern country that had given the world Mozart, Beethoven, Einstein, and others, he now found himself in a city that lacked central heat (in the winter it was below freezing), had no central plumbing, and required one to relieve themselves in a bucket. He was happy that he at least still received letters from his mother.\r\n\r\nHe did what he could to survive, kept moving forward, and looked to the future for better days.\r\n\r\nIn 1941, on December 7th, the United States entered the war. At that point, the Japanese took control of the city and made all the Jewish people live in a ghetto-like situation. There was no time for self-pity, he kept moving forward, just like he had all the other times.\r\n\r\nThe fateful day for him came in 1942 when he received what was to be the last letter from his mother. It started off with the very tragic line:\r\n\r\n“By the time you receive this, I will no longer exist.\"\r\n\r\nThese words struck like a lead pipe over his head.\r\n\r\nHis mother had seen things collapse in Germany and she knew her days were numbered. She had been in hiding and figured she would be caught sooner or later. Unfortunately, she was right.\r\n\r\nMy dad could have just given up at that point. Not only was his mom murdered, but he also had lost generations of his family, which left him without 90% of his family and most likely most of his friends. Plus, he was living in squalor in a foreign city 8,000 miles away from his own country. Devastated would be too light of a word to describe how he felt.\r\n\r\nBut he knew that you cannot look back. He understood what was needed was to keep looking forward and always hope for brighter days in the future.\r\n\r\n<img class=\"size-medium wp-image-3679\" src=\"https://www.drfields.com/wp-content/uploads/2020/05/Look-Forward-2-500x500.png\" alt=\"Look Forward\" width=\"500\" height=\"500\" />\r\n\r\nAnd so, he went on. He persevered for the rest of the war in Shanghai.\r\n\r\nTwo years after the war ended, in 1947, he finally received papers to enter the United States, which had always been a dream of his since his youth. Penniless, extremely thin, and without any family left, he had no idea of where he was supposed to go, or what he was supposed to do. But he just kept moving forward, taking one day at a time, and looking for the best the world could offer.\r\n\r\nThe rest is history. He met my mom, started a successful business, raised myself, my brother, and my sister, and had a wonderful life.\r\n\r\nMy dad’s life could be an example for all of us during COVID-19 and might encourage us to keep moving forwards and to not look back no matter how bad things are. Always hope for a wonderful future, strive to do the best you can, take care of yourself, look out for others, and always keep a cheerful smile on your face.\r\n\r\nThat was my father. Always looking forwards with a smile and gratitude, no matter how bad things got. If you met him you would never guess the hardships that he went thru.\r\n\r\nIn no way am I comparing our situation now to what my dad went thru, but hopefully this story and his words and actions will help you during these very difficult times.\r\n\r\nSo please be safe, be cautious, but keep looking forwards no matter how bad things get.\r\n\r\nThere is a bright future out there for all of us.\r\n\r\n~Peter A. Fields, MD, DC, <a href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">The Athletic Doc<sup>®</sup></a>\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Keep Looking Forward Despite COVID-19: My Dad\'s Story','','inherit','closed','closed','','3677-revision-v1','','','2020-08-16 02:18:19','2020-08-16 02:18:19','',3677,'https://www.drfields.com/uncategorized/3677-revision-v1/',0,'revision','',0),(3997,9,'2020-08-16 02:18:56','2020-08-16 02:18:56','<strong>By Peter A. Fields, MD, DC</strong>\r\n\r\nMy dad passed away just shy of his 85th birthday in 2004. Although he never even knew about COVID-19, I learned a lot from him to help survive this current horrible situation.\r\n\r\nHe was a man that believed actions speak louder than words. And it was his actions in his life that have helped me through tough times in my own life, and his example applies especially today. To me, he was not only my dad but my best friend and my mentor. He taught me so much.\r\n\r\nHe was raised in a middle-class Jewish family in Berlin, Germany, which was then a very modern and beautiful city. Life for him was pretty good, even though his parents were divorced, which was not the norm back then. He was raised by his mother and grandmother and he had a happy childhood.\r\n\r\nIn 1934, his life would change forever. At first, new laws were put in place that prohibited Jews from attending public school. Then, in 1935, Jews had their citizenship taken away. Life as he knew it was changing and things were not good.\r\n\r\nAfter that, he applied for a program where he could be sent to the United States to live with a family, since things were getting worse for Jewish people, and especially young men, in Germany. He was so excited when he was accepted into the program. He had a farewell party and said goodbye to his friends and relatives as he prepared for what was ahead. A few days before he was to leave, the monies for this program were delayed through the banks and they were going to have to wait a while. Eventually, when the program started up again, his 16th birthday had already passed and he was now too old for the program. For a 16-year-old, this was devastating. But he realized he could not do anything about it and knew he had to just keep looking forwards.\r\n\r\nThen on November 11th, 1938 Kristallnacht or the Night of the Broken Glass occurred. His mother had been forewarned that something was about to happen, so a bunch of boys (including my father) left town for the night. Upon returning to Berlin, they saw the devastation and ruins that had been wrought upon the Jewish businesses.\r\n\r\nMy father knew he had to get out. The noose was getting tighter. He did not know what was about to take place in the future, but he knew that Germany would eventually go to war with Russia. He also knew that as a 19-year-old Jewish boy, he would be the first to go.\r\n\r\nThere was only one place in the world he could go without his citizenship papers (they were taken away back in 1935), and that was Shanghai, China. All other countries had closed their doors, including the United States. But 8,000 miles was very far away, and although China was not really what he wanted, he had no other choice. He had to keep looking forwards to a better future.\r\n\r\nHis mother said she would follow. So, at 19 years of age, off he went to a very strange and foreign land. From the modern country that had given the world Mozart, Beethoven, Einstein, and others, he now found himself in a city that lacked central heat (in the winter it was below freezing), had no central plumbing, and required one to relieve themselves in a bucket. He was happy that he at least still received letters from his mother.\r\n\r\nHe did what he could to survive, kept moving forward, and looked to the future for better days.\r\n\r\nIn 1941, on December 7th, the United States entered the war. At that point, the Japanese took control of the city and made all the Jewish people live in a ghetto-like situation. There was no time for self-pity, he kept moving forward, just like he had all the other times.\r\n\r\nThe fateful day for him came in 1942 when he received what was to be the last letter from his mother. It started off with the very tragic line:\r\n\r\n“By the time you receive this, I will no longer exist.\"\r\n\r\nThese words struck like a lead pipe over his head.\r\n\r\nHis mother had seen things collapse in Germany and she knew her days were numbered. She had been in hiding and figured she would be caught sooner or later. Unfortunately, she was right.\r\n\r\nMy dad could have just given up at that point. Not only was his mom murdered, but he also had lost generations of his family, which left him without 90% of his family and most likely most of his friends. Plus, he was living in squalor in a foreign city 8,000 miles away from his own country. Devastated would be too light of a word to describe how he felt.\r\n\r\nBut he knew that you cannot look back. He understood what was needed was to keep looking forward and always hope for brighter days in the future.\r\n\r\n<img class=\"size-medium wp-image-3679\" src=\"https://www.drfields.com/wp-content/uploads/2020/05/Look-Forward-2-500x500.png\" alt=\"Look Forward\" width=\"500\" height=\"500\" />\r\n\r\nAnd so, he went on. He persevered for the rest of the war in Shanghai.\r\n\r\nTwo years after the war ended, in 1947, he finally received papers to enter the United States, which had always been a dream of his since his youth. Penniless, extremely thin, and without any family left, he had no idea of where he was supposed to go, or what he was supposed to do. But he just kept moving forward, taking one day at a time, and looking for the best the world could offer.\r\n\r\nThe rest is history. He met my mom, started a successful business, raised myself, my brother, and my sister, and had a wonderful life.\r\n\r\nMy dad’s life could be an example for all of us during COVID-19 and might encourage us to keep moving forwards and to not look back no matter how bad things are. Always hope for a wonderful future, strive to do the best you can, take care of yourself, look out for others, and always keep a cheerful smile on your face.\r\n\r\nThat was my father. Always looking forwards with a smile and gratitude, no matter how bad things got. If you met him you would never guess the hardships that he went thru.\r\n\r\nIn no way am I comparing our situation now to what my dad went thru, but hopefully this story and his words and actions will help you during these very difficult times.\r\n\r\nSo please be safe, be cautious, but keep looking forwards no matter how bad things get.\r\n\r\nThere is a bright future out there for all of us.\r\n\r\n~Peter A. Fields, MD, DC, <a href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">The Athletic Doc<sup>®</sup></a>\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Keep Looking Forward Despite COVID-19: My Dad Story','','inherit','closed','closed','','3677-revision-v1','','','2020-08-16 02:18:56','2020-08-16 02:18:56','',3677,'https://www.drfields.com/uncategorized/3677-revision-v1/',0,'revision','',0),(3998,9,'2020-08-16 02:27:47','2020-08-16 02:27:47','<em>My dad’s life could be an example for all of us during COVID-19 to encourage us to keep moving forwards and to not look back no matter how bad things are.</em>\r\n<h2><strong>Keep Looking Forward Despite COVID-19: My Dad\'s Story</strong></h2>\r\n<strong>By Peter A. Fields, MD, DC</strong>\r\n\r\nMy dad passed away just shy of his 85th birthday in 2004. Although he never even knew about COVID-19, I learned a lot from him to help survive this current horrible situation.\r\n\r\nHe was a man that believed actions speak louder than words. And it was his actions in his life that have helped me through tough times in my own life, and his example applies especially today. To me, he was not only my dad but my best friend and my mentor. He taught me so much.\r\n\r\nMy dad was raised in a middle-class Jewish family in Berlin, Germany, which was then a very modern and beautiful city. Life for him was pretty good, even though his parents were divorced, which was not the norm back then. He was raised by his mother and grandmother and he had a happy childhood.\r\n\r\nIn 1934, his life would change forever. At first, new laws were put in place that prohibited Jews from attending public school. Then, in 1935, Jews had their citizenship taken away. Life as he knew it was changing and things were not good.\r\n\r\nAfter that, he applied for a program where he could be sent to the United States to live with a family, since things were getting worse for Jewish people, and especially young men, in Germany. My dad was so excited when he was accepted into the program. He had a farewell party and said goodbye to his friends and relatives as he prepared for what was ahead.\r\n\r\nA few days before he was to leave, the monies for this program were delayed through the banks and they were going to have to wait a while. Eventually, when the program started up again, his 16th birthday had already passed and he was now too old for the program. For a 16-year-old, this was devastating. But he realized he could not do anything about it and knew he had to just keep looking forwards.\r\n\r\nThen on November 11th, 1938 Kristallnacht or the Night of the Broken Glass occurred. My dad\'s mother had been forewarned that something was about to happen, so a bunch of boys (including my father) left town for the night. Upon returning to Berlin, they saw the devastation and ruins that had been wrought upon the Jewish businesses.\r\n\r\nMy dad knew he had to get out. The noose was getting tighter. He did not know what was about to take place in the future, but he knew that Germany would eventually go to war with Russia. He also knew that as a 19-year-old Jewish boy, he would be the first to go.\r\n\r\nThere was only one place in the world he could go without his citizenship papers (they were taken away back in 1935), and that was Shanghai, China. All other countries had closed their doors, including the United States. But 8,000 miles was very far away, and although China was not really what he wanted, he had no other choice. He had to keep looking forwards to a better future.\r\n\r\nMy dad\'s mother said she would follow. So, at 19 years of age, off he went to a very strange and foreign land. From the modern country that had given the world Mozart, Beethoven, Einstein, and others, he now found himself in a city that lacked central heat (in the winter it was below freezing), had no central plumbing, and required one to relieve themselves in a bucket. He was happy that he at least still received letters from his mother.\r\n\r\nHe did what he could to survive, he kept moving forward, and looked to the future for better days.\r\n\r\nIn 1941, on December 7th, the United States entered the war. At that point, the Japanese took control of the city and made all the Jewish people live in a ghetto-like situation. There was no time for self-pity, he kept moving forward, just like he had all the other times.\r\n\r\nThe fateful day for him came in 1942 when he received what was to be the last letter from his mother. It started off with the very tragic line:\r\n\r\n“By the time you receive this, I will no longer exist.\"\r\n\r\nThese words struck like a lead pipe over his head.\r\n\r\nMy dad\'s mother had seen things collapse in Germany and she knew her days were numbered. She had been in hiding and figured she would be caught sooner or later. Unfortunately, she was right.\r\n\r\nMy dad could have just given up at that point. Not only was his mom murdered, but he also had lost generations of his family, which left him without 90% of his family and most likely most of his friends. Plus, he was living in squalor in a foreign city 8,000 miles away from his own country. Devastated would be too light of a word to describe how he felt.\r\n\r\nBut he knew that you cannot look back. He understood what was needed was to keep looking forward and always hope for brighter days in the future.\r\n\r\n<img class=\"size-medium wp-image-3679\" src=\"https://www.drfields.com/wp-content/uploads/2020/05/Look-Forward-2-500x500.png\" alt=\"Look Forward\" width=\"500\" height=\"500\" />\r\n\r\nAnd so, he went on. He persevered for the rest of the war in Shanghai.\r\n\r\nTwo years after the war ended, in 1947, he finally received papers to enter the United States, which had always been a dream of his since his youth. Penniless, extremely thin, and without any family left, he had no idea of where he was supposed to go, or what he was supposed to do. But he just kept moving forward, taking one day at a time, and looking for the best the world could offer.\r\n\r\nThe rest is history. He met my mom, started a successful business, raised myself, my brother, and my sister, and had a wonderful life.\r\n\r\nMy dad’s life could be an example for all of us during COVID-19 and might encourage us to keep moving forwards and to not look back no matter how bad things are. Always hope for a wonderful future, strive to do the best you can, take care of yourself, look out for others, and always keep a cheerful smile on your face.\r\n\r\nThat was my father. Always looking forwards with a smile and gratitude, no matter how bad things got. If you met him you would never guess the hardships that he went thru.\r\n\r\nIn no way am I comparing our situation now to what my dad went thru, but hopefully this story and his words and actions will help you during these very difficult times.\r\n\r\nSo please be safe, be cautious, but keep looking forwards no matter how bad things get.\r\n\r\nThere is a bright future out there for all of us.\r\n\r\n~Peter A. Fields, MD, DC, <a href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">The Athletic Doc<sup>®</sup></a>\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Keep Looking Forward Despite COVID-19: My Dad\'s Story','','inherit','closed','closed','','3677-revision-v1','','','2020-08-16 02:27:47','2020-08-16 02:27:47','',3677,'https://www.drfields.com/uncategorized/3677-revision-v1/',0,'revision','',0),(3999,9,'2020-08-16 02:31:29','2020-08-16 02:31:29','<em>My dad’s life could be an example for all of us during COVID-19 to encourage us to keep moving forwards and to not look back no matter how bad things are.</em>\r\n<h2><strong>Keep Looking Forward Despite COVID-19: My Dad\'s Story</strong></h2>\r\n<strong>By Peter A. Fields, MD, DC</strong>\r\n\r\nMy dad passed away just shy of his 85th birthday in 2004. Although he never even knew about COVID-19, I learned a lot from him to help survive this current horrible situation.\r\n\r\nHe was a man that believed actions speak louder than words. And it was his actions in his life that have helped me through tough times in my own life, and his example applies especially today. To me, he was not only my dad but my best friend and my mentor. He taught me so much.\r\n\r\nMy dad was raised in a middle-class Jewish family in Berlin, Germany, which was then a very modern and beautiful city. Life for him was pretty good, even though his parents were divorced, which was not the norm back then. He was raised by his mother and grandmother and he had a happy childhood.\r\n\r\nIn 1934, his life would change forever. At first, new laws were put in place that prohibited Jews from attending public school. Then, in 1935, Jews had their citizenship taken away. Life as he knew it was changing and things were not good.\r\n\r\nAfter that, he applied for a program where he could be sent to the United States to live with a family, since things were getting worse for Jewish people, and especially young men, in Germany. My dad was so excited when he was accepted into the program. He had a farewell party and said goodbye to his friends and relatives as he prepared for what was ahead.\r\n\r\nA few days before he was to leave, the monies for this program were delayed through the banks and they were going to have to wait a while. Eventually, when the program started up again, his 16th birthday had already passed and he was now too old for the program. For a 16-year-old, this was devastating. But he realized he could not do anything about it and knew he had to just keep looking forwards.\r\n\r\nThen on November 11th, 1938 Kristallnacht or the Night of the Broken Glass occurred. My dad\'s mother had been forewarned that something was about to happen, so a bunch of boys (including my father) left town for the night. Upon returning to Berlin, they saw the devastation and ruins that had been wrought upon the Jewish businesses.\r\n\r\nMy dad knew he had to get out. The noose was getting tighter. He did not know what was about to take place in the future, but he knew that Germany would eventually go to war with Russia. He also knew that as a 19-year-old Jewish boy, he would be the first to go.\r\n\r\nThere was only one place in the world he could go without his citizenship papers (they were taken away back in 1935), and that was Shanghai, China. All other countries had closed their doors, including the United States. But 8,000 miles was very far away, and although China was not really what he wanted, he had no other choice. He had to keep looking forwards to a better future.\r\n\r\nMy dad\'s mother said she would follow. So, at 19 years of age, off he went to a very strange and foreign land. From the modern country that had given the world Mozart, Beethoven, Einstein, and others, he now found himself in a city that lacked central heat (in the winter it was below freezing), had no central plumbing, and required one to relieve themselves in a bucket. He was happy that he at least still received letters from his mother.\r\n\r\nHe did what he could to survive, he kept moving forward, and looked to the future for better days.\r\n\r\nIn 1941, on December 7th, the United States entered the war. At that point, the Japanese took control of the city and made all the Jewish people live in a ghetto-like situation. There was no time for self-pity, he kept moving forward, just like he had all the other times.\r\n\r\nThe fateful day for him came in 1942 when he received what was to be the last letter from his mother. It started off with the very tragic line:\r\n\r\n“By the time you receive this, I will no longer exist.\"\r\n\r\nThese words struck like a lead pipe over his head.\r\n\r\nMy dad\'s mother had seen things collapse in Germany and she knew her days were numbered. She had been in hiding and figured she would be caught sooner or later. Unfortunately, she was right.\r\n\r\nMy dad could have just given up at that point. Not only was his mom murdered, but he also had lost generations of his family, which left him without 90% of his family and most likely most of his friends. Plus, he was living in squalor in a foreign city 8,000 miles away from his own country. Devastated would be too light of a word to describe how he felt.\r\n\r\nBut he knew that you cannot look back. He understood what was needed was to keep looking forward and always hope for brighter days in the future.\r\n\r\n<img class=\"size-medium wp-image-3679\" src=\"https://www.drfields.com/wp-content/uploads/2020/05/Look-Forward-2-500x500.png\" alt=\"Look Forward\" width=\"500\" height=\"500\" />\r\n\r\nAnd so, he went on. He persevered for the rest of the war in Shanghai.\r\n\r\nTwo years after the war ended, in 1947, he finally received papers to enter the United States, which had always been a dream of his since his youth. Penniless, extremely thin, and without any family left, he had no idea of where he was supposed to go, or what he was supposed to do. But he just kept moving forward, taking one day at a time, and looking for the best the world could offer.\r\n\r\nThe rest is history. He met my mom, started a successful business, raised myself, my brother, and my sister, and had a wonderful life.\r\n\r\nMy dad’s life could be an example for all of us during COVID-19 and might encourage us to keep moving forwards and to not look back no matter how bad things are. Always hope for a wonderful future, strive to do the best you can, take care of yourself, look out for others, and always keep a cheerful smile on your face.\r\n\r\nThat was my father. Always looking forwards with a smile and gratitude, no matter how bad things got. If you met him you would never guess the hardships that he went thru.\r\n\r\nIn no way am I comparing our situation now to what my dad went thru, but hopefully this story and his words and actions will help you during these very difficult times.\r\n\r\nSo please be safe, be cautious, but keep looking forwards no matter how bad things get.\r\n\r\nThere is a bright future out there for all of us.\r\n\r\n~Peter A. Fields, MD, DC, <a href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">The Athletic Doc<sup>®</sup></a>\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','My Dad\'s Story: Keep Looking Forward Despite COVID-19','','inherit','closed','closed','','3677-revision-v1','','','2020-08-16 02:31:29','2020-08-16 02:31:29','',3677,'https://www.drfields.com/uncategorized/3677-revision-v1/',0,'revision','',0),(4000,9,'2020-08-16 02:32:25','2020-08-16 02:32:25','<em>My dad’s life could be an example for all of us during COVID-19 to encourage us to keep moving forwards and to not look back no matter how bad things are.</em>\r\n<h2><strong>Keep Looking Forward Despite COVID-19: My Dad\'s Story</strong></h2>\r\n<strong>By Peter A. Fields, MD, DC</strong>\r\n\r\nMy dad passed away just shy of his 85th birthday in 2004. Although he never even knew about COVID-19, I learned a lot from him to help survive this current horrible situation.\r\n\r\nHe was a man that believed actions speak louder than words. And it was his actions in his life that have helped me through tough times in my own life, and his example applies especially today. To me, he was not only my dad but my best friend and my mentor. He taught me so much.\r\n\r\nMy dad was raised in a middle-class Jewish family in Berlin, Germany, which was then a very modern and beautiful city. Life for him was pretty good, even though his parents were divorced, which was not the norm back then. He was raised by his mother and grandmother and he had a happy childhood.\r\n\r\nIn 1934, his life would change forever. At first, new laws were put in place that prohibited Jews from attending public school. Then, in 1935, Jews had their citizenship taken away. Life as he knew it was changing and things were not good.\r\n\r\nAfter that, he applied for a program where he could be sent to the United States to live with a family, since things were getting worse for Jewish people, and especially young men, in Germany. My dad was so excited when he was accepted into the program. He had a farewell party and said goodbye to his friends and relatives as he prepared for what was ahead.\r\n\r\nA few days before he was to leave, the monies for this program were delayed through the banks and they were going to have to wait a while. Eventually, when the program started up again, his 16th birthday had already passed and he was now too old for the program. For a 16-year-old, this was devastating. But he realized he could not do anything about it and knew he had to just keep looking forwards.\r\n\r\nThen on November 11th, 1938 Kristallnacht or the Night of the Broken Glass occurred. My dad\'s mother had been forewarned that something was about to happen, so a bunch of boys (including my father) left town for the night. Upon returning to Berlin, they saw the devastation and ruins that had been wrought upon the Jewish businesses.\r\n\r\nHe knew he had to get out. The noose was getting tighter. He did not know what was about to take place in the future, but he knew that Germany would eventually go to war with Russia. He also knew that as a 19-year-old Jewish boy, he would be the first to go.\r\n\r\nThere was only one place in the world he could go without his citizenship papers (they were taken away back in 1935), and that was Shanghai, China. All other countries had closed their doors, including the United States. But 8,000 miles was very far away, and although China was not really what he wanted, he had no other choice. He had to keep looking forwards to a better future.\r\n\r\nMy dad\'s mother said she would follow. So, at 19 years of age, off he went to a very strange and foreign land. From the modern country that had given the world Mozart, Beethoven, Einstein, and others, he now found himself in a city that lacked central heat (in the winter it was below freezing), had no central plumbing, and required one to relieve themselves in a bucket. He was happy that he at least still received letters from his mother.\r\n\r\nHe did what he could to survive, he kept moving forward, and looked to the future for better days.\r\n\r\nIn 1941, on December 7th, the United States entered the war. At that point, the Japanese took control of the city and made all the Jewish people live in a ghetto-like situation. There was no time for self-pity, he kept moving forward, just like he had all the other times.\r\n\r\nThe fateful day for him came in 1942 when he received what was to be the last letter from his mother. It started off with the very tragic line:\r\n\r\n“By the time you receive this, I will no longer exist.\"\r\n\r\nThese words struck like a lead pipe over his head.\r\n\r\nMy dad\'s mother had seen things collapse in Germany and she knew her days were numbered. She had been in hiding and figured she would be caught sooner or later. Unfortunately, she was right.\r\n\r\nHe could have just given up at that point. Not only was his mom murdered, but he also had lost generations of his family, which left him without 90% of his family and most likely most of his friends. Plus, he was living in squalor in a foreign city 8,000 miles away from his own country. Devastated would be too light of a word to describe how he felt.\r\n\r\nBut he knew that you cannot look back. He understood what was needed was to keep looking forward and always hope for brighter days in the future.\r\n\r\n<img class=\"size-medium wp-image-3679\" src=\"https://www.drfields.com/wp-content/uploads/2020/05/Look-Forward-2-500x500.png\" alt=\"Look Forward\" width=\"500\" height=\"500\" />\r\n\r\nAnd so, he went on. He persevered for the rest of the war in Shanghai.\r\n\r\nTwo years after the war ended, in 1947, he finally received papers to enter the United States, which had always been a dream of his since his youth. Penniless, extremely thin, and without any family left, he had no idea of where he was supposed to go, or what he was supposed to do. But he just kept moving forward, taking one day at a time, and looking for the best the world could offer.\r\n\r\nThe rest is history. He met my mom, started a successful business, raised myself, my brother, and my sister, and had a wonderful life.\r\n\r\nMy dad’s life could be an example for all of us during COVID-19 and might encourage us to keep moving forwards and to not look back no matter how bad things are. Always hope for a wonderful future, strive to do the best you can, take care of yourself, look out for others, and always keep a cheerful smile on your face.\r\n\r\nThat was my father. Always looking forwards with a smile and gratitude, no matter how bad things got. If you met him you would never guess the hardships that he went thru.\r\n\r\nIn no way am I comparing our situation now to what my dad went thru, but hopefully this story and his words and actions will help you during these very difficult times.\r\n\r\nSo please be safe, be cautious, but keep looking forwards no matter how bad things get.\r\n\r\nThere is a bright future out there for all of us.\r\n\r\n~Peter A. Fields, MD, DC, <a href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">The Athletic Doc<sup>®</sup></a>\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','My Dad\'s Story: Keep Looking Forward Despite COVID-19','','inherit','closed','closed','','3677-revision-v1','','','2020-08-16 02:32:25','2020-08-16 02:32:25','',3677,'https://www.drfields.com/uncategorized/3677-revision-v1/',0,'revision','',0),(4002,9,'2020-08-24 22:03:00','2020-08-24 22:03:00','<b>Do you experience elbow pain?</b> You are not alone, especially if you perform repetitive tasks involving your arms and hands like doing carpentry, secretarial work, or computer work. You may even be a  pianist, guitarist, tennis player, or do any other skill or activity that requires repeated activities day after day.\n\n<iframe class=\"alignright\" src=\"https://www.youtube.com/embed/RJCzx6yt0zY\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"></iframe>\n\nIt\'s not surprising, really, that doing the same thing day in and day out could cause a structure to break down. Think about how you feel after spending a day working in the yard, or joining a new workout at the gym. Or even doing some other activity you’re not accustomed to.\n\nWe pretty much expect to have some amount of muscle soreness with exercise. That is normal. During exercise, muscle cells are temporarily “injured,” as part of a normal process to multiply muscle cells.\n\nUnfortunately though, the same isn’t true with ligaments and tendons. They also break down from repetitive use, but they don’t have a very good capacity to heal well on their own. Muscles repair pretty well on their own, because they have an adequate blood supply, but ligaments and tendons do not.\n<h2>Elbow Pain May be the Result of Ligament or Tendon Injuries</h2>\nMovement and exercise are necessary for health of all of the joint structures and to keep the body strong and healthy. But repetitive motion, day in and day out, can result in wear and tear.\n\nHow do you know when soreness is a problem? When soreness occurs after activity, keep in mind that normal soreness after exercise should not last more than a few hours. When soreness lasts longer, you are probably exercising too much or need to take more breaks. Muscle injuries generally heal with rest. When pain persists even after rest, the cause is oftentimes a ligament injury.\n<h3><em>Elbow Ligaments</em></h3>\nThe ligaments of the elbow provide stability to the elbow. They attach bone to bone, and different ligaments support various functions of the elbow, stabilizing the elbow as it goes through movements.\n\nFor instance, the radial collateral ligament of the elbow prevents the elbow from hyperextending. Other ligaments keep the arm bones from rotating too much.  When these ligaments are weakened or damaged, they become unable to protect the elbow from excessive and unnatural movement. And that places stress on all of the structures of the elbow.\n<h3><em>The Role of Tendons</em></h3>\nPain from repetitive motion may also result in a tendon injury. While ligaments attach bone to bone, stabilizing them, the tendons connect muscle to bone, and along with the muscles, enable the bones to move. Those with tendon injuries usually feel pain during activity. But ligament injuries may also be painful even while at rest.\n<h3>Structures Causing Elbow Pain Need Treatment for Proper Repair</h3>\nA very high percentage of persistent elbow pain involves a ligament injury. But many physicians only diagnose the problem as a tendon injury. Tennis Elbow, for example, is a commonly diagnosed tendon injury that often involves a ligament injury too.  It is important to treat all of the involved structures in order to fix the problem and get rid of the pain.\n\nA ligament injury can lead to a tendon injury, or injury to another structure of the elbow joint. So it is very important to treat the underlying source of injury and pain. Otherwise, the repaired tendon is likely to become reinjured because the joint will remain unstable due to the underlying ligament injury.\n<h2>Elbow Pain Treatments</h2>\nCortisone or steroid injections are a common treatment option for tendon injuries. But as we have discussed in previous articles, cortisone will actually weaken the tendons and the ligaments.\n\nElbow injuries, whether due to ligament injuries, tendon injuries, or both, are better repaired using Regenerative Orthopedic treatment options. They strengthen and regenerate the structures rather than weakening and degenerating them.  Yes, cortisone may provide some temporary pain control. But in the long-run, it will have a damaging effect on the joint and will actually boost the arthritic process.<strong> </strong>\n\nRegenerative Orthopedics for unresolved elbow pain decrease pain and stiffness, and restore quality of life.  The pain alleviating aspects of Regenerative Orthopedics are well documented.\n\nStudies demonstrate its effectiveness at significantly improving pain levels while also increasing grip strength and improving function, because it actually heals the tendons and ligaments.\n<ul>\n 	<li>In the <em>Clinical Journal of Sports Medicine</em>, doctors found that patients who received Prolotherapy, a Regenerative Orthopedic option, showed significant improvement in pain levels compared with patients given saline injection. Plus, their extension strength and grip strength were markedly improved.[i]</li>\n 	<li>Published research of patients with elbow pain due to Tennis Elbow treated with Prolotherapy shows a decrease in pain from a level of 6.79 to a level of 2.95, which is statistically significance.[ii]</li>\n 	<li>In another study, research demonstrates a significant reduction in elbow pain from Tennis Elbow in patients who received Prolotherapy, along with evidence of tendon healing observed via ultrasound imaging.[iii]</li>\n</ul>\nRegenerative Orthopedics works by stimulating the normal healing process of the body by the injection of natural healing solutions into the pain generating trigger points of the elbow. The result is strengthened ligaments and tendons, a stabilized elbow, and an end to elbow pain.\n\n[i] Scarpone M, Rabago DP, Zgierska A, Arbogast G, Snell E. The efficacy of prolotherapy for lateral epicondylosis: a pilot study. Clin J Sport Med. 2008;18(3):248–54.\n\n[ii] Shin J, Seo K-M, Kim D-K, Kim B-K, Kang SH. The effect of prolotherapy on lateral epicondylitis of elbow. J Korean Acad Rehabil Med. 2002;26:764–8.\n\n[iii] Park JH, Song IS, Lee JB, et al. Ultrasonographic findings of healing of torn tendon in the patients with lateral epicondylitis after prolotherapy. J Korean Soc Med Ultrasound. 2003;22(3):177–83.\n\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Persistent Elbow Pain','','inherit','closed','closed','','3297-autosave-v1','','','2020-08-24 22:03:00','2020-08-24 22:03:00','',3297,'https://www.drfields.com/uncategorized/3297-autosave-v1/',0,'revision','',0),(4003,9,'2020-08-24 22:03:44','2020-08-24 22:03:44','<b>Do you experience elbow pain?</b> You are not alone, especially if you perform repetitive tasks involving your arms and hands like doing carpentry, secretarial work, or computer work. You may even be a  pianist, guitarist, tennis player, or do any other skill or activity that requires repeated activities day after day.\r\n\r\n<iframe class=\"alignright\" src=\"https://www.youtube.com/embed/RJCzx6yt0zY\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"></iframe>\r\n\r\nIt\'s not surprising, really, that doing the same thing day in and day out could cause a structure to break down. Think about how you feel after spending a day working in the yard, or joining a new workout at the gym. Or even doing some other activity you’re not accustomed to.\r\n\r\nWe pretty much expect to have some amount of muscle soreness with exercise. That is normal. During exercise, muscle cells are temporarily “injured,” as part of a normal process to multiply muscle cells.\r\n\r\nUnfortunately though, the same isn’t true with ligaments and tendons. They also break down from repetitive use, but they don’t have a very good capacity to heal well on their own. Muscles repair pretty well on their own, because they have an adequate blood supply, but ligaments and tendons do not.\r\n<h2>Elbow Pain May be the Result of Ligament or Tendon Injuries</h2>\r\nMovement and exercise are necessary for health of all of the joint structures and to keep the body strong and healthy. But repetitive motion, day in and day out, can result in wear and tear.\r\n\r\nHow do you know when soreness is a problem? When soreness occurs after activity, keep in mind that normal soreness after exercise should not last more than a few hours. When soreness lasts longer, you are probably exercising too much or need to take more breaks. Muscle injuries generally heal with rest. When pain persists even after rest, the cause is oftentimes a ligament injury.\r\n<h3><em>Elbow Ligaments</em></h3>\r\nThe ligaments of the elbow provide stability to the elbow. They attach bone to bone, and different ligaments support various functions of the elbow, stabilizing the elbow as it goes through movements.\r\n\r\nFor instance, the radial collateral ligament of the elbow prevents the elbow from hyperextending. Other ligaments keep the arm bones from rotating too much.  When these ligaments are weakened or damaged, they become unable to protect the elbow from excessive and unnatural movement. And that places stress on all of the structures of the elbow.\r\n<h3><em>The Role of Tendons</em></h3>\r\nPain from repetitive motion may also result in a tendon injury. While ligaments attach bone to bone, stabilizing them, the tendons connect muscle to bone, and along with the muscles, enable the bones to move. Those with tendon injuries usually feel pain during activity. But ligament injuries may also be painful even while at rest.\r\n<h3>Structures Causing Elbow Pain Need Treatment for Proper Repair</h3>\r\nA very high percentage of persistent elbow pain involves a ligament injury. But many physicians only diagnose the problem as a tendon injury. Tennis Elbow, for example, is a commonly diagnosed tendon injury that often involves a ligament injury too.  It is important to treat all of the involved structures in order to fix the problem and get rid of the pain.\r\n\r\nA ligament injury can lead to a tendon injury, or injury to another structure of the elbow joint. So it is very important to treat the underlying source of injury and pain. Otherwise, the repaired tendon is likely to become reinjured because the joint will remain unstable due to the underlying ligament injury.\r\n<h2>Elbow Pain Treatments</h2>\r\nCortisone or steroid injections are a common treatment option for tendon injuries. But as we have discussed in previous articles, cortisone will actually weaken the tendons and the ligaments.\r\n\r\nElbow injuries, whether due to ligament injuries, tendon injuries, or both, are better repaired using Regenerative Orthopedic treatment options. They strengthen and regenerate the structures rather than weakening and degenerating them.  Yes, cortisone may provide some temporary pain control. But in the long-run, it will have a damaging effect on the joint and will actually boost the arthritic process.<strong> </strong>\r\n\r\nRegenerative Orthopedics for unresolved elbow pain decrease pain and stiffness, and restore quality of life.  The pain alleviating aspects of Regenerative Orthopedics are well documented.\r\n<h3>What Does Research Show?</h3>\r\nStudies demonstrate its effectiveness at significantly improving pain levels while also increasing grip strength and improving function, because it actually heals the tendons and ligaments.\r\n<ul>\r\n 	<li>In the <em>Clinical Journal of Sports Medicine</em>, doctors found that patients who received Prolotherapy, a Regenerative Orthopedic option, showed significant improvement in pain levels compared with patients given saline injection. Plus, their extension strength and grip strength were markedly improved.[i]</li>\r\n 	<li>Published research of patients with elbow pain due to Tennis Elbow treated with Prolotherapy shows a decrease in pain from a level of 6.79 to a level of 2.95, which is statistically significance.[ii]</li>\r\n 	<li>In another study, research demonstrates a significant reduction in elbow pain from Tennis Elbow in patients who received Prolotherapy, along with evidence of tendon healing observed via ultrasound imaging.[iii]</li>\r\n</ul>\r\nRegenerative Orthopedics works by stimulating the normal healing process of the body by the injection of natural healing solutions into the pain generating trigger points of the elbow. The result is strengthened ligaments and tendons, a stabilized elbow, and an end to elbow pain.\r\n\r\n[i] Scarpone M, Rabago DP, Zgierska A, Arbogast G, Snell E. The efficacy of prolotherapy for lateral epicondylosis: a pilot study. Clin J Sport Med. 2008;18(3):248–54.\r\n\r\n[ii] Shin J, Seo K-M, Kim D-K, Kim B-K, Kang SH. The effect of prolotherapy on lateral epicondylitis of elbow. J Korean Acad Rehabil Med. 2002;26:764–8.\r\n\r\n[iii] Park JH, Song IS, Lee JB, et al. Ultrasonographic findings of healing of torn tendon in the patients with lateral epicondylitis after prolotherapy. J Korean Soc Med Ultrasound. 2003;22(3):177–83.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Persistent Elbow Pain','','inherit','closed','closed','','3297-revision-v1','','','2020-08-24 22:03:44','2020-08-24 22:03:44','',3297,'https://www.drfields.com/uncategorized/3297-revision-v1/',0,'revision','',0),(4004,9,'2020-08-25 00:14:50','2020-08-25 00:14:50','[caption id=\"attachment_4007\" align=\"alignleft\" width=\"439\"]<img class=\" wp-image-4007\" src=\"https://www.drfields.com/wp-content/uploads/2020/08/Foot-pain-copy-1-500x500.jpg\" alt=\"The Shoes We Wear\" width=\"439\" height=\"439\" /> Do you wear pointy, closed-toed shoes?[/caption]\n\nPersistent foot and toe pain affects an incredibly large part of our population. And it\'s no wonder. We spend hours on our feet every day, working, playing, and engaging in everyday activities. Some of us pound our feet running marathons, while others try to reach that goal of 10,000 steps a day. Each of those steps generates a force on the foot.\n\nAdd to that, activities like jumping and running, and the force we place on our feet increases that much more. During an average day, the feet support a combined force equivalent to several hundred tons. It is not surprising, then, that the majority of us experience foot pain at some point in our lives.\n<h2>Factors That Cultivate Problems of Foot Pain</h2>\nWe can compound our problems of foot pain by our choices of footwear. Improper foot mechanics with walking, running and intense training can cause problems with our feet too. Various physical conditions such as high arches, fallen arches, degenerative arthritis, bony abnormalities, flat-footedness, inflammatory joint diseases and excess weight also predispose us to foot pain.\n\n&nbsp;\n<h2>More about the Foot</h2>\nThe foot, if we include the toes and ankle, contains 26 bones. That\'s a lot of bones. Plus, all of those bones make up 33 joints supported by more than 100 muscles, tendons and ligaments. Any of these structures can become weakened or injured. And that means a whole lot of different structures can get injured. Those injuries destabilize the foot, because they cause insufficient ligament and tendon support for proper motion in the joints. The result is foot pain due to the joints of the foot becoming weak, lax, and unstable.\n<h2>What Happens When the Foot Joints Become Unstable?</h2>\nInstability in any joint typically begins with an injury to the ligaments and tendons that support the joint. Because the joint is no longer held in place by healthy ligaments and tendons, abnormal joint motion develops. This abnormality in the movement of the joint results in a greater amount of pressure being exerted on the different parts of the joint.\n\nAll of the structures of the joint can become damaged. Even the cartilage. When cartilage degenerates, the joint will crunch and grind. As time passes, the body reacts to this instability by contracting the muscles in the area. You will experience that as muscle spasms.\n\nEventually, these tense muscles fatigue and lose their strength. Then the ligaments and tendons will try even harder to stabilize the joints. But they will become damaged further. That is the cycle of abnormal joint motion. And it results in degeneration of the joint. The body responds to the failure of these various soft tissue structures by increasing bone mass in an attempt to stabilize the joint. In other words, arthritis will develop. And arthritis is a frequent diagnosis related to foot pain.\n<h2>Some Common Foot and Toe Conditions</h2>\nInstability of the joints of the foot can also result in a number of toe and forefoot conditions. These include Morton’s Neuroma, bunions (hallux valgus), and a stiff, degenerated, big toe called hallus rigidis.  The origin of these conditions can be traced back to an original ligament injury or weakness.\n<h3><em>Morton’s Neuroma</em></h3>\nMorton’s Neuroma refers to a fibrous tissue formation around nerve tissue in the spaces between the toes. It results in symptoms like sharp pains, burning sensations, and paresthesias (abnormal sensations).\n\nThis condition is not traditionally thought of as being an instability problem. However, injury to ligaments of the foot can cause excessive motion between the bones of the toes, causing irritation of the bursa or a nerve, and can result in a significant enlargement of the nerve. This enlargement can cause further trauma and worsening of the symptoms. And they can be quite severe.\n\nMorton’s Neuroma most often affects women who frequently wear pointed, high-heeled and close-toed shoes, the mechanics of which transfer body weight to the toes, placing undo force on the toes and their ligaments.\n<h3><em>Bunions</em></h3>\nBunions are another widespread, persistent foot complaint, also commonly seen in women. This growth in boney tissue occurs mainly on the medial side of the foot, producing the characteristic bump or bunion. Joint instability here causes the bones of the toes to move in an abnormal fashion. This shift leads to the formation of the boney projection on the medial side of the toe in an attempt to stabilize joint motion.\n<h3><em>Stiff Big Toe or Hallux Rigidus</em></h3>\nHallux rigidus is a disorder of the joint at the base of the big toe, which causes pain and stiffness in the toe. Over time, the toe becomes increasingly more difficult to bend.\n\nHallux refers to the big toe. And rigidus means the toe is rigid. The condition is caused by degenerating cartilage in the metatarsophalangeal (MTP) joint of the big toe. Eventually, it will lead to the formation of bone spurs around the joint—a last ditch effort of the body to stabilize the joint.\n\nThe underlying condition of both bunions and hallux rigidus is instability that causes arthritis of the MTP joint.\n\nAbnormal joint shifts are what precipitate the pathological bone growth associated with bunions, reducing movement in both flexion and extension, and leading to hallux rigidus and to a potentially frozen joint.\n<h2>Treatment for Foot and Toe Pain</h2>\nStandard treatment for foot pain is generally conservative, beginning with choosing properly fitting shoes. NSAIDs are often prescribed, along with physical therapy. When foot and toe pain continue, surgery is frequently considered. In fact, surgery on the first metatarsophalangeal joint is one of the most common surgery performed.\n\n[caption id=\"attachment_4008\" align=\"alignright\" width=\"358\"]<img class=\" wp-image-4008\" src=\"https://www.drfields.com/wp-content/uploads/2020/08/Penny.-foot-500x500.jpg\" alt=\"Penny. Foot\" width=\"358\" height=\"358\" /> Regenerative Orthopedics instead of Surgery for foot and toe pain![/caption]\n<h3>Regenerative Orthopedics for Foot and Toe Pain</h3>\nDespite the commonality of these treatments, a large percentage of people continue to suffer with foot and toe pain. An effective alternative treatment for reduction and elimination of this pain is Regenerative Orthopedics, because it addresses the underlying cause of the problem, the joint instability caused by ligament and tendon injury.\n\nBy strengthening ligaments and tendons, Regenerative Orthopedics can stop the pathologic cascade causing these persistent foot conditions, stabilizing the joint and bringing pain relief.\n\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Persistent Foot Pain and Toe Pain','','inherit','closed','closed','','3199-autosave-v1','','','2020-08-25 00:14:50','2020-08-25 00:14:50','',3199,'https://www.drfields.com/uncategorized/3199-autosave-v1/',0,'revision','',0),(4005,9,'2020-08-24 23:36:41','2020-08-24 23:36:41','Foot Pain Copy','Foot Pain Copy','Foot Pain Copy','inherit','open','closed','','foot-pain-copy','','','2020-08-24 23:39:28','2020-08-24 23:39:28','',0,'https://www.drfields.com/wp-content/uploads/2020/08/Foot-pain-copy.png',0,'attachment','image/png',0),(4006,9,'2020-08-24 23:39:43','2020-08-24 23:39:43','Foot Pain Copy','Foot Pain Copy','Foot Pain Copy','inherit','open','closed','','foot-pain-copy-2','','','2020-08-24 23:40:13','2020-08-24 23:40:13','',0,'https://www.drfields.com/wp-content/uploads/2020/08/Foot-pain-copy.jpg',0,'attachment','image/jpeg',0),(4007,9,'2020-08-24 23:41:05','2020-08-24 23:41:05','The shoes we wear can make our foot and toe pain worse.','Foot Pain from Our Shoes','Do you wear pointy, closed-toed shoes?','inherit','open','closed','','foot-pain-copy-3','','','2020-08-24 23:58:23','2020-08-24 23:58:23','',3199,'https://www.drfields.com/wp-content/uploads/2020/08/Foot-pain-copy-1.jpg',0,'attachment','image/jpeg',0),(4008,9,'2020-08-24 23:41:25','2020-08-24 23:41:25','Penny. Foot','Penny. Foot','Penny. Foot','inherit','open','closed','','penny-foot','','','2020-08-25 00:12:47','2020-08-25 00:12:47','',3199,'https://www.drfields.com/wp-content/uploads/2020/08/Penny.-foot.jpg',0,'attachment','image/jpeg',0),(4009,9,'2020-08-24 23:53:57','2020-08-24 23:53:57','Persistent foot and toe pain affects an incredibly large part of our population. We spend hours on our feet every day, working, playing, and engaging in everyday activities. Some may be pounding their feet running marathons, while others try to reach that goal of 10,000 steps a day. Each of those steps generates a force on the foot. Add to that, activities like jumping and running, and the force placed on the foot increases that much more. During an average day, the feet support a combined force equivalent to several hundred tons. It is not surprising, then, that the majority of us experience foot pain at some point in our lives.\r\n<h2>Factors That Cultivate Problems of Foot Pain</h2>\r\nWe can compound our problems of foot pain by our choices of footwear. Improper foot mechanics with walking, running and intense training can cause problems with our feet too. Various physical conditions such as high arches, fallen arches, degenerative arthritis, bony abnormalities, flat-footedness, inflammatory joint diseases and excess weight also predispose us to foot pain.\r\n<h2>More about the Foot</h2>\r\nThe foot, if we include the toes and ankle, contains 26 bones. All of those bones make up 33 joints supported by more than 100 muscles, tendons and ligaments. Any of these structures can become weakened or injured, which will then destabilize the foot, due to insufficient ligament and tendon support for proper motion in those joints. The result is foot pain due to the joints of the foot becoming weak, lax, and unstable.\r\n<h2>What Happens When the Foot Joints Become Unstable</h2>\r\nInstability in any joint typically begins with an injury to the ligaments and tendons which support the joint. Because the joint is no longer held in place by healthy ligaments and tendons, abnormal joint motion develops. This abnormality in the movement of the joint results in a greater amount of pressure being exerted on the different parts of the joint. All of the structures of the joint can become damaged, including the cartilage. When cartilage degenerates, there will be a crunching and grinding in the joint. With time, the body reacts to this instability by contracting the muscles in the area. You’ll experience that as muscle spasms. Eventually these tense muscles will fatigue and lose their strength. Then the ligaments and tendons will try even harder to stabilize the joints, but they will become damaged further. That is the cycle of abnormal joint motion will degenerate the joint. The body responds to the failure of these various soft tissue structures by increasing bone mass in an attempt to stabilize the joint. One result is arthritis, a frequent diagnosis related to foot pain.\r\n<h2>Some Common Foot  and Toe Conditions</h2>\r\nInstability of the joints of the foot can also result in a number of forefoot conditions. These include Morton’s Neuroma, bunions (hallux valgus), and a stiff, degenerated, big toe called hallus rigidis.  The origin of these conditions can be traced back to an original ligament injury or weakness.\r\n<h3><em>Morton’s Neuroma</em></h3>\r\nMorton’s Neuroma refers to a fibrous tissue formation around nerve tissue in the spaces between the toes and results in symptoms that include sharp pains, burning sensations, and paresthesias (abnormal sensations). This condition is not traditionally thought of as being an instability problem. However, injury to ligaments of the foot can cause excessive motion between the bones of the toes, causing irritation of the bursa or a nerve, and can result in a significant enlargement of the nerve. This enlargement can cause further trauma and worsening of the symptoms, which can be quite severe. Morton’s Neuroma most often affects women who frequently wear pointed, high-heeled and close-toed shoes, the mechanics of which transfer body weight to the toes, placing undo force on the toes and their ligaments.\r\n<h3><em>Bunions</em></h3>\r\nBunions are another widespread, persistent foot complaint, also commonly seen in women. This growth in boney tissue occurs mainly on the medial side of the foot, producing the characteristic bump or bunion. Joint instability here causes the bones of the toes to move in an abnormal fashion with this shift leading to the formation of this boney projection on the medial side of the toe in an attempt to stabilize joint motion.\r\n<h3><em>Stiff Big Toe or Hallux Rigidus</em></h3>\r\nHallux rigidus is a disorder of the joint at the base of the big toe, which causes pain and stiffness in the toe. Over time, the toe becomes increasingly more difficult to bend. Hallux refers to the big toe, and rigidus means the toe is rigid. The condition is caused by degenerating cartilage in the metatarsophalangeal (MTP) joint of the big toe, which will eventually lead to the formation of bone spurs that form around the joint—a last ditch effort of the body to recover joint stability and stabilize the joint. The underlying condition of both bunions and hallux rigidus is instability that causes arthritis of the MTP joint.\r\n\r\nAbnormal joint shifts are what precipitate the pathological bone growth associated with bunions, reducing movement in both flexion and extension, and leading to hallux rigidus and to a potentially frozen joint.\r\n<h2>Treatment for Foot Pain</h2>\r\nStandard treatment for foot pain is generally conservative, beginning with choosing properly fitting shoes. NSAIDs are often prescribed along with physical therapy. When foot and toe pain continue, surgery is frequently considered. In fact, surgery on the first metatarsophalangeal joint is amongst the most common surgery performed.\r\n\r\nDespite the commonality of these treatments, a large percentage of people continue to suffer with foot and toe pain. An effective alternative treatment for reduction and elimination of this pain is Regenerative Orthopedics, because it addresses the underlying cause of the problem, the joint instability caused by ligament and tendon injury. By strengthening ligaments and tendons, Regenerative Orthopedics can stop the pathologic cascade causing these persistent foot conditions, stabilizing the joint and bringing pain relief.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Persistent Foot Pain and Toe Pain','','inherit','closed','closed','','3199-revision-v1','','','2020-08-24 23:53:57','2020-08-24 23:53:57','',3199,'https://www.drfields.com/uncategorized/3199-revision-v1/',0,'revision','',0),(4010,9,'2020-08-24 23:57:06','2020-08-24 23:57:06','Foot Pain Copy','Foot Pain Copy','Foot Pain Copy','inherit','open','closed','','foot-pain-copy-4','','','2020-08-24 23:57:06','2020-08-24 23:57:06','',0,'https://www.drfields.com/wp-content/uploads/2020/08/Foot-pain-copy-2.jpg',0,'attachment','image/jpeg',0),(4011,9,'2020-08-24 23:59:48','2020-08-24 23:59:48','[caption id=\"attachment_4007\" align=\"alignleft\" width=\"392\"]<img class=\" wp-image-4007\" src=\"https://www.drfields.com/wp-content/uploads/2020/08/Foot-pain-copy-1-500x500.jpg\" alt=\"The Shoes We Wear\" width=\"392\" height=\"392\" /> Do you wear pointy, closed-toed shoes?[/caption]\r\n\r\nPersistent foot and toe pain affects an incredibly large part of our population. And it\'s no wonder. We spend hours on our feet every day, working, playing, and engaging in everyday activities. Some of us pound our feet running marathons, while others try to reach that goal of 10,000 steps a day. Each of those steps generates a force on the foot. Add to that, activities like jumping and running, and the force placed on the foot increases that much more. During an average day, the feet support a combined force equivalent to several hundred tons. It is not surprising, then, that the majority of us experience foot pain at some point in our lives.\r\n<h2>Factors That Cultivate Problems of Foot Pain</h2>\r\nWe can compound our problems of foot pain by our choices of footwear. Improper foot mechanics with walking, running and intense training can cause problems with our feet too. Various physical conditions such as high arches, fallen arches, degenerative arthritis, bony abnormalities, flat-footedness, inflammatory joint diseases and excess weight also predispose us to foot pain.\r\n\r\n&nbsp;\r\n<h2>More about the Foot</h2>\r\nThe foot, if we include the toes and ankle, contains 26 bones. All of those bones make up 33 joints supported by more than 100 muscles, tendons and ligaments. Any of these structures can become weakened or injured, which will then destabilize the foot, due to insufficient ligament and tendon support for proper motion in those joints. The result is foot pain due to the joints of the foot becoming weak, lax, and unstable.\r\n<h2>What Happens When the Foot Joints Become Unstable</h2>\r\nInstability in any joint typically begins with an injury to the ligaments and tendons which support the joint. Because the joint is no longer held in place by healthy ligaments and tendons, abnormal joint motion develops. This abnormality in the movement of the joint results in a greater amount of pressure being exerted on the different parts of the joint. All of the structures of the joint can become damaged, including the cartilage. When cartilage degenerates, there will be a crunching and grinding in the joint. With time, the body reacts to this instability by contracting the muscles in the area. You’ll experience that as muscle spasms. Eventually these tense muscles will fatigue and lose their strength. Then the ligaments and tendons will try even harder to stabilize the joints, but they will become damaged further. That is the cycle of abnormal joint motion will degenerate the joint. The body responds to the failure of these various soft tissue structures by increasing bone mass in an attempt to stabilize the joint. One result is arthritis, a frequent diagnosis related to foot pain.\r\n<h2>Some Common Foot  and Toe Conditions</h2>\r\nInstability of the joints of the foot can also result in a number of forefoot conditions. These include Morton’s Neuroma, bunions (hallux valgus), and a stiff, degenerated, big toe called hallus rigidis.  The origin of these conditions can be traced back to an original ligament injury or weakness.\r\n<h3><em>Morton’s Neuroma</em></h3>\r\nMorton’s Neuroma refers to a fibrous tissue formation around nerve tissue in the spaces between the toes and results in symptoms that include sharp pains, burning sensations, and paresthesias (abnormal sensations). This condition is not traditionally thought of as being an instability problem. However, injury to ligaments of the foot can cause excessive motion between the bones of the toes, causing irritation of the bursa or a nerve, and can result in a significant enlargement of the nerve. This enlargement can cause further trauma and worsening of the symptoms, which can be quite severe. Morton’s Neuroma most often affects women who frequently wear pointed, high-heeled and close-toed shoes, the mechanics of which transfer body weight to the toes, placing undo force on the toes and their ligaments.\r\n<h3><em>Bunions</em></h3>\r\nBunions are another widespread, persistent foot complaint, also commonly seen in women. This growth in boney tissue occurs mainly on the medial side of the foot, producing the characteristic bump or bunion. Joint instability here causes the bones of the toes to move in an abnormal fashion with this shift leading to the formation of this boney projection on the medial side of the toe in an attempt to stabilize joint motion.\r\n<h3><em>Stiff Big Toe or Hallux Rigidus</em></h3>\r\nHallux rigidus is a disorder of the joint at the base of the big toe, which causes pain and stiffness in the toe. Over time, the toe becomes increasingly more difficult to bend. Hallux refers to the big toe, and rigidus means the toe is rigid. The condition is caused by degenerating cartilage in the metatarsophalangeal (MTP) joint of the big toe, which will eventually lead to the formation of bone spurs that form around the joint—a last ditch effort of the body to recover joint stability and stabilize the joint. The underlying condition of both bunions and hallux rigidus is instability that causes arthritis of the MTP joint.\r\n\r\nAbnormal joint shifts are what precipitate the pathological bone growth associated with bunions, reducing movement in both flexion and extension, and leading to hallux rigidus and to a potentially frozen joint.\r\n<h2>Treatment for Foot Pain</h2>\r\nStandard treatment for foot pain is generally conservative, beginning with choosing properly fitting shoes. NSAIDs are often prescribed along with physical therapy. When foot and toe pain continue, surgery is frequently considered. In fact, surgery on the first metatarsophalangeal joint is amongst the most common surgery performed.\r\n\r\nDespite the commonality of these treatments, a large percentage of people continue to suffer with foot and toe pain. An effective alternative treatment for reduction and elimination of this pain is Regenerative Orthopedics, because it addresses the underlying cause of the problem, the joint instability caused by ligament and tendon injury. By strengthening ligaments and tendons, Regenerative Orthopedics can stop the pathologic cascade causing these persistent foot conditions, stabilizing the joint and bringing pain relief.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Persistent Foot Pain and Toe Pain','','inherit','closed','closed','','3199-revision-v1','','','2020-08-24 23:59:48','2020-08-24 23:59:48','',3199,'https://www.drfields.com/uncategorized/3199-revision-v1/',0,'revision','',0),(4012,9,'2020-08-25 00:16:35','2020-08-25 00:16:35','[caption id=\"attachment_4007\" align=\"alignleft\" width=\"439\"]<img class=\" wp-image-4007\" src=\"https://www.drfields.com/wp-content/uploads/2020/08/Foot-pain-copy-1-500x500.jpg\" alt=\"The Shoes We Wear\" width=\"439\" height=\"439\" /> Do you wear pointy, closed-toed shoes?[/caption]\r\n\r\nPersistent foot and toe pain affects an incredibly large part of our population. And it\'s no wonder. We spend hours on our feet every day, working, playing, and engaging in everyday activities. Some of us pound our feet running marathons, while others try to reach that goal of 10,000 steps a day. Each of those steps generates a force on the foot.\r\n\r\nAdd to that, activities like jumping and running, and the force we place on our feet increases that much more. During an average day, the feet support a combined force equivalent to several hundred tons. It is not surprising, then, that the majority of us experience foot pain at some point in our lives.\r\n<h2>Factors That Cultivate Problems of Foot Pain</h2>\r\nWe can compound our problems of foot pain by our choices of footwear. Improper foot mechanics with walking, running and intense training can cause problems with our feet too. Various physical conditions such as high arches, fallen arches, degenerative arthritis, bony abnormalities, flat-footedness, inflammatory joint diseases and excess weight also predispose us to foot pain.\r\n\r\n&nbsp;\r\n<h2>More about the Foot</h2>\r\nThe foot, if we include the toes and ankle, contains 26 bones. That\'s a lot of bones. Plus, all of those bones make up 33 joints supported by more than 100 muscles, tendons and ligaments. Any of these structures can become weakened or injured. And that means a whole lot of different structures can get injured. Those injuries destabilize the foot, because they cause insufficient ligament and tendon support for proper motion in the joints. The result is foot pain due to the joints of the foot becoming weak, lax, and unstable.\r\n<h2>What Happens When the Foot Joints Become Unstable?</h2>\r\nInstability in any joint typically begins with an injury to the ligaments and tendons that support the joint. Because the joint is no longer held in place by healthy ligaments and tendons, abnormal joint motion develops. This abnormality in the movement of the joint results in a greater amount of pressure being exerted on the different parts of the joint.\r\n\r\nAll of the structures of the joint can become damaged. Even the cartilage. When cartilage degenerates, the joint will crunch and grind. As time passes, the body reacts to this instability by contracting the muscles in the area. You will experience that as muscle spasms.\r\n\r\nEventually, these tense muscles fatigue and lose their strength. Then the ligaments and tendons will try even harder to stabilize the joints. But they will become damaged further. That is the cycle of abnormal joint motion. And it results in degeneration of the joint. The body responds to the failure of these various soft tissue structures by increasing bone mass in an attempt to stabilize the joint. In other words, arthritis will develop. And arthritis is a frequent diagnosis related to foot pain.\r\n<h2>Some Common Foot and Toe Conditions</h2>\r\nInstability of the joints of the foot can also result in a number of toe and forefoot conditions. These include Morton’s Neuroma, bunions (hallux valgus), and a stiff, degenerated, big toe called hallus rigidis.  The origin of these conditions can be traced back to an original ligament injury or weakness.\r\n<h3><em>Morton’s Neuroma</em></h3>\r\nMorton’s Neuroma refers to a fibrous tissue formation around nerve tissue in the spaces between the toes. It results in symptoms like sharp pains, burning sensations, and paresthesias (abnormal sensations).\r\n\r\nThis condition is not traditionally thought of as being an instability problem. However, injury to ligaments of the foot can cause excessive motion between the bones of the toes, causing irritation of the bursa or a nerve, and can result in a significant enlargement of the nerve. This enlargement can cause further trauma and worsening of the symptoms. And they can be quite severe.\r\n\r\nMorton’s Neuroma most often affects women who frequently wear pointed, high-heeled and close-toed shoes, the mechanics of which transfer body weight to the toes, placing undo force on the toes and their ligaments.\r\n<h3><em>Bunions</em></h3>\r\nBunions are another widespread, persistent foot complaint, also commonly seen in women. This growth in boney tissue occurs mainly on the medial side of the foot, producing the characteristic bump or bunion. Joint instability here causes the bones of the toes to move in an abnormal fashion. This shift leads to the formation of the boney projection on the medial side of the toe in an attempt to stabilize joint motion.\r\n<h3><em>Stiff Big Toe or Hallux Rigidus</em></h3>\r\nHallux rigidus is a disorder of the joint at the base of the big toe, which causes pain and stiffness in the toe. Over time, the toe becomes increasingly more difficult to bend.\r\n\r\nHallux refers to the big toe. And rigidus means the toe is rigid. The condition is caused by degenerating cartilage in the metatarsophalangeal (MTP) joint of the big toe. Eventually, it will lead to the formation of bone spurs around the joint—a last ditch effort of the body to stabilize the joint.\r\n\r\nThe underlying condition of both bunions and hallux rigidus is instability that causes arthritis of the MTP joint.\r\n\r\nAbnormal joint shifts are what precipitate the pathological bone growth associated with bunions, reducing movement in both flexion and extension, and leading to hallux rigidus and to a potentially frozen joint.\r\n<h2>Treatment for Foot and Toe Pain</h2>\r\nStandard treatment for foot pain is generally conservative, beginning with choosing properly fitting shoes. NSAIDs are often prescribed, along with physical therapy. When foot and toe pain continue, surgery is frequently considered. In fact, surgery on the first metatarsophalangeal joint is one of the most common surgery performed.\r\n\r\n[caption id=\"attachment_4008\" align=\"alignright\" width=\"358\"]<img class=\" wp-image-4008\" src=\"https://www.drfields.com/wp-content/uploads/2020/08/Penny.-foot-500x500.jpg\" alt=\"Penny. Foot\" width=\"358\" height=\"358\" /> Regenerative Orthopedics instead of Surgery for foot and toe pain![/caption]\r\n<h3>Regenerative Orthopedics for Foot and Toe Pain</h3>\r\nDespite the commonality of these treatments, a large percentage of people continue to suffer with foot and toe pain. An effective alternative treatment for reduction and elimination of this pain is Regenerative Orthopedics, because it addresses the underlying cause of the problem, the joint instability caused by ligament and tendon injury.\r\n\r\nBy strengthening ligaments and tendons, Regenerative Orthopedics can stop the pathologic cascade causing these persistent foot conditions, stabilizing the joint and bringing pain relief.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Persistent Foot Pain and Toe Pain','','inherit','closed','closed','','3199-revision-v1','','','2020-08-25 00:16:35','2020-08-25 00:16:35','',3199,'https://www.drfields.com/uncategorized/3199-revision-v1/',0,'revision','',0),(4013,9,'2020-08-25 03:01:46','2020-08-25 03:01:46','<h2>Why Regenerative Orthopedics Is the Ideal Sports Medicine</h2>\nWe see athletes of all ages in our clinic all of the time. It doesn’t matter if you are 15 or 95. Because if you love sports or enjoy an active lifestyle, you don’t want to have to stop because of an injury. And Regenerative Orthopedics is the ideal sports medicine to get you back in the game!\n\nSports injuries from ligament tears, meniscus injuries, tendon injuries, wear and tear, and other soft tissue injuries are common reasons people seek care. In fact, over 90% of athletic injuries involve stretched, torn or weakened soft tissue of some sort. Sports injuries, whether of the ankle, knee, shoulder, hip, or back occur when the repetitive strain of the athletic activity is too much for a particular ligament, tendon, or muscle to perform.\n\n[caption id=\"attachment_3792\" align=\"alignleft\" width=\"395\"]<img class=\" wp-image-3792\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/joint-injury.do-what-you-love-Copy-2-1-500x500.png\" alt=\"Joint Injury.do What You Love Copy 2 (1)\" width=\"395\" height=\"395\" /> <strong>Keep Doing What You Love</strong>[/caption]\n<h2>How Do Injuries Occur to the Meniscus, Tendons, and Other Soft Tissue?</h2>\nInjury to these soft tissue structures can transpire from a sudden traumatic injury or as a result of accumulative damage over the years. Many are considered an acute exacerbation of a chronic injury. Whether you run 3, 6, 10 miles or even a marathon, ride your bike, participate in martial arts, lift weights, play golf or tennis, the repetitive impact from athletic events can be enough to damage the various soft tissue structures.\n\nOver time the joint degenerates as these non-healed soft tissue injuries destabilize the joint. And Regenerative Orthopedics is an ideal sports medicine because it is extremely effective at healing and repairing these soft tissue injuries.\n<h2>Why Use Regenerative Orthopedics as the Ideal Sports Medicine?</h2>\nDoesn’t the body just heal on its own? Unfortunately, not all of these structures heal well on their own. Soft tissue structures like the cartilage, discs, labrum, ligaments, menisci and tendons are whiter in nature. That means they have a poor blood supply.\n\nBlood is what nourishes the joint. And therefore, the blood poor structures have a compromised healing ability after injury. These structures aren’t like muscles. You’ve probably noticed when you pull a muscle, or sustain a muscle injury, that in time, it will get better. Why is that? The muscles are red. That means they have a good blood supply and repair more easily. Regenerative Orthopedics helps the body to get more blood to these blood poor structures so they can heal more efficiently.\n<h2>The Role of the Ligaments</h2>\nIn order for the joint to function like it should, all of the joint structures, including the white tissue structures, the muscles and the bony structures need to be well. They all work together to stabilize the joint and keep it working optimally. But the ligaments are the primary stabilizing structures.\n\nLigaments are key at maintaining joint health. Unfortunately, ligament injuries are one of the most common causes of pain from sport-related injuries. And they are white tissue structures. Plus, injured ligaments generate pain. They are a sensory organ with free nerve endings. The weakness that occurs after ligament injury to the knee, for example, may give rise to Runner’s knee, meniscal tears, chondromalacia patella, bone spurs and eventually to arthritis.\n\nWhen the ligament is injured, the harmony between the soft tissue, muscles and bony structures is disrupted. This interferes with mobility and joint stability. What results is an unstable joint, one that moves abnormally, and functions poorly. That results in more and more damage. When the ligaments are left untreated, the body will try to stabilize the joint by causing ongoing muscle spasms, and joint swelling. And eventually, bone spurs will form and arthritis will develop. A cycle of persistent pain is the result.\n<h3>Injury and the Path to Arthritis</h3>\nInvolvement in athletics provides us with physical, emotional and mental well-being. However, when we’re faced with injury, we often set into motion the cycle of instability in the joint as mentioned above. This cycle also leads to the eventual development of arthritis. The path to arthritis can occur within a few years with severe injuries, or take decades to develop when the injury is less severe.\n\n<span lang=\"en\">Although progressive cartilage loss with its inhibition of joint motion plays a central role in arthritis, injury to other soft tissue structures actually initiates the change in equilibrium that leads to this breakdown of cartilage and the path to arthritis. </span>Athletes of all ages desire to be as fit as when in the prime of their athletic careers. But the pain and symptoms from non-healed sports injuries interferes with that dream!\n\nRegenerative Orthopedics is the ideal sports medicine because in gets the athlete back on the path of healing and to reaching their goals and dreams.\n<h2>Treatment for Sports Injuries</h2>\nStandard treatments for sports injuries usually only involve the management of symptoms. Some of these treatments include pain medications, cortisone/steroid injections, physical therapy, massage and other therapies to provide pain relief. These treatments may work to relieve pain temporarily or momentarily reduce the pain and inflammation.\n\nBut when the athlete turns off the pain signal with medication use, while the joint is still injured, and continues to play and remain active on an injured joint, further damage ensues. It is important to realize that these treatment modalities do not repair soft tissue injuries, such as tendon, ligament, and meniscus tears, nor do they regenerate cartilage.\n<h3>Regenerative Orthopedics Is the Ideal Sports Medicine to Stimulate the Body to Repair</h3>\nThe key to keeping joints strong is to stimulate the area to heal. Regenerative Orthopedics does just that. And it offers hope to those suffering from sports injuries. They are the ideal treatment for sports injuries because they get you back to doing what you love.\n\nPlus, these therapies are non-surgical. <em><strong>The treatments regenerate and repair the damaged ligaments and soft tissues. And they allow the athlete to continue with their desired activity</strong></em>. Non-surgical regenerative therapies, including Stem Cell Therapy, PRP, and Prolotherapy, stimulate the natural regenerative processes in and around the joint. And they facilitate the restoration of the degenerated soft tissue to a healthy state. The result is improved joint support and function, and reduced pain and symptoms.\n\nRegenerative Orthopedics involves the injection of natural solutions. And sometimes, depending on the nature of injury or degeneration, will also include injections of an autologous preparation, from a person’s own plasma (blood), fat or bone marrow, injected directly into the damaged joint to accelerate the healing process.\n<h2>Sports injuries do not need to put an end to the enjoyment of sports activities. There is an effective option for repair!</h2>\nRegenerative Orthopedics <span lang=\"en\">is a great non-surgical treatment ideal for</span> offering not only pain relief from sports injuries, but healing and reparation at the source of the injury. This regeneration and repair enables the athlete of all ages to speedily return to the sport or activity they love with minimal lifestyle interruption.\n\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Regenerative Orthopedics: The Ideal Sports Medicine','','inherit','closed','closed','','3134-autosave-v1','','','2020-08-25 03:01:46','2020-08-25 03:01:46','',3134,'https://www.drfields.com/uncategorized/3134-autosave-v1/',0,'revision','',0),(4014,9,'2020-08-25 00:34:37','2020-08-25 00:34:37','<h2>Why Regenerative Orthopedics Is the Ideal Sports Medicine</h2>\r\nWe see athletes of all ages in our clinic all of the time. It doesn’t matter if you are 15 or 95, because if you love sports or enjoy an active lifestyle, you don’t want to have to stop because of an injury. And Regenerative Orthopedics is the ideal sports medicine to get you back in the game!\r\n\r\nSports injuries from ligament tears, meniscus injuries, tendon injuries, wear and tear, and other soft tissue injuries are common reasons people seek care. In fact, over 90% of athletic injuries involve stretched, torn or weakened soft tissue of some sort. Sports injuries, whether of the ankle, knee, shoulder, hip, or back occur when the repetitive strain of the athletic activity is too much for a particular ligament, tendon, or muscle to perform.\r\n<h2>How Do Injuries Occur to the Meniscus, Tendons, and Other Soft Tissue?</h2>\r\nInjury to these soft tissue structures can transpire from a sudden traumatic injury or as a result of accumulative damage over the years. Many are considered an acute exacerbation of a chronic injury. Whether you run 3, 6, 10 miles or even a marathon, ride your bike, participate in martial arts, lift weights, play golf or tennis, the repetitive impact from athletic events can be enough to damage the various soft tissue structures.\r\n\r\nOver time the joint degenerates as these non-healed soft tissue injuries destabilize the joint. And Regenerative Orthopedics is an ideal sports medicine because it is extremely effective at healing and repairing these soft tissue injuries.\r\n<h2>What Do We Mean by Non-Healed Soft Tissue?</h2>\r\nDoesn’t the body just heal on its own? Unfortunately, not all of these structures heal well on their own. Soft tissue structures like the cartilage, discs, labrum, ligaments, menisci and tendons are whiter in nature, which means they have a poor blood supply.\r\n\r\nBlood is what nourishes the joint, and therefore, the blood poor structures have a compromised healing ability after injury. These structures aren’t like muscles. You’ve probably noticed when you pull a muscle, or sustain a muscle injury, that in time, it will get better. Why is that? The muscles are red, which means they have a good blood supply and repair more easily. Regenerative Orthopedics helps the body to get more blood to these blood poor structures so they can heal more efficiently.\r\n<h2>The Role of the Ligaments</h2>\r\nIn order for the joint to function like it should, all of the joint structures, including the white tissue structures, the muscles and the bony structures need to be well. They all work together to stabilize the joint and keep it working optimally. But the ligaments are the primary stabilizing structures.\r\n\r\nLigaments are key at maintaining joint health. Unfortunately, ligament injuries are one of the most common causes of pain from sport-related injuries. And they are white tissue structures. Plus, injured ligaments generate pain, because they are a sensory organ, with free nerve endings. The weakness that occurs after ligament injury to the knee, for example, may give rise to Runner’s knee, meniscal tears, chondromalacia patella, bone spurs and eventually to arthritis.\r\n\r\nWhen the ligament is injured, the harmony between the soft tissue, muscles and bony structures is disrupted, interfering with mobility and joint stability. What results is an unstable joint, one that moves abnormally, functions poorly, and becomes more and more damaged. When the ligaments are left untreated, the body will try to stabilize the joint by causing ongoing muscle spasms, joint swelling, and eventually bone spur formation and degenerative arthritis. A cycle of persistent pain is the result.\r\n<h3>Injury and the Path to Arthritis</h3>\r\nInvolvement in athletics provides us with physical, emotional and mental well-being. However, when we’re faced with injury, we often set into motion the cycle of instability in the joint as mentioned above. This cycle also leads to the eventual development of arthritis, which can occur within a few years with severe injuries, or take decades to develop when the injury is less severe.\r\n\r\n<span lang=\"en\">Although progressive cartilage loss with its inhibition of joint motion plays a central role in arthritis, injury to other soft tissue structures actually initiates the change in equilibrium that leads to this breakdown of cartilage and the path to arthritis. </span>Athletes of all ages desire to be as fit as when in the prime of their athletic careers. But the pain and symptoms from non-healed sports injuries interferes with that dream!\r\n\r\nRegenerative Orthopedics is the ideal sports medicine because in gets the athlete back on the path of healing and to reaching their goals and dreams.\r\n<h2>Treatment for Sports Injuries</h2>\r\nStandard treatments for sports injuries usually only involve the management of symptoms, which may include pain medications, cortisone/steroid injections, physical therapy, massage and other therapies to provide pain relief. These treatments may work to relieve pain temporarily or momentarily reduce the pain and inflammation.\r\n\r\nBut when the athlete turns off the pain signal with medication use, while the joint is still injured, and continues to play and remain active on an injured joint, further damage ensues. It is important to realize that these treatment modalities do not repair soft tissue injuries, such as tendon, ligament, and meniscus tears, nor do they regenerate cartilage.\r\n<h3>Regenerative Orthopedics Is the Ideal Sports Medicine to Stimulate the Body to Repair</h3>\r\nThe key to keeping joints strong is to stimulate the area to heal. Regenerative Orthopedics does just that, offering hope to those suffering from sports injuries. They are the ideal treatment for sports injuries because they get you back to doing what you love.\r\n\r\nPlus, these therapies are non-surgical. <em><strong>The treatments regenerate and repair the damaged ligaments and soft tissue, allowing the athlete to continue with their desired activity</strong></em>. Non-surgical regenerative therapies, including Stem Cell Therapy, PRP, and Prolotherapy, stimulate the natural regenerative processes in and around the joint. And they facilitate the restoration of the degenerated soft tissue to a healthy state, improving joint support and function, and reducing pain and symptoms.\r\n\r\nRegenerative Orthopedics involves the injection of natural solutions. And sometimes, depending on the nature of injury or degeneration, will also include injections of an autologous preparation, from a person’s own plasma (blood), fat or bone marrow, injected directly into the damaged joint to accelerate the healing process.\r\n<h2>Sports injuries do not need to put an end to the enjoyment of sports activities. There is an effective option for repair!</h2>\r\nRegenerative Orthopedics <span lang=\"en\">is a great non-surgical treatment ideal for</span> offering not only pain relief from sports injuries, but healing and reparation at the source of the injury. This regeneration and repair enables the athlete of all ages to speedily return to the sport or activity they love with minimal lifestyle interruption.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Why Regenerative Orthopedics Is the Ideal Sports Medicine','','inherit','closed','closed','','3134-revision-v1','','','2020-08-25 00:34:37','2020-08-25 00:34:37','',3134,'https://www.drfields.com/uncategorized/3134-revision-v1/',0,'revision','',0),(4015,9,'2020-08-25 00:35:15','2020-08-25 00:35:15','<h2>Why Regenerative Orthopedics Is the Ideal Sports Medicine</h2>\r\nWe see athletes of all ages in our clinic all of the time. It doesn’t matter if you are 15 or 95, because if you love sports or enjoy an active lifestyle, you don’t want to have to stop because of an injury. And Regenerative Orthopedics is the ideal sports medicine to get you back in the game!\r\n\r\nSports injuries from ligament tears, meniscus injuries, tendon injuries, wear and tear, and other soft tissue injuries are common reasons people seek care. In fact, over 90% of athletic injuries involve stretched, torn or weakened soft tissue of some sort. Sports injuries, whether of the ankle, knee, shoulder, hip, or back occur when the repetitive strain of the athletic activity is too much for a particular ligament, tendon, or muscle to perform.\r\n<h2>How Do Injuries Occur to the Meniscus, Tendons, and Other Soft Tissue?</h2>\r\nInjury to these soft tissue structures can transpire from a sudden traumatic injury or as a result of accumulative damage over the years. Many are considered an acute exacerbation of a chronic injury. Whether you run 3, 6, 10 miles or even a marathon, ride your bike, participate in martial arts, lift weights, play golf or tennis, the repetitive impact from athletic events can be enough to damage the various soft tissue structures.\r\n\r\nOver time the joint degenerates as these non-healed soft tissue injuries destabilize the joint. And Regenerative Orthopedics is an ideal sports medicine because it is extremely effective at healing and repairing these soft tissue injuries.\r\n<h2>What Do We Mean by Non-Healed Soft Tissue?</h2>\r\nDoesn’t the body just heal on its own? Unfortunately, not all of these structures heal well on their own. Soft tissue structures like the cartilage, discs, labrum, ligaments, menisci and tendons are whiter in nature, which means they have a poor blood supply.\r\n\r\nBlood is what nourishes the joint, and therefore, the blood poor structures have a compromised healing ability after injury. These structures aren’t like muscles. You’ve probably noticed when you pull a muscle, or sustain a muscle injury, that in time, it will get better. Why is that? The muscles are red, which means they have a good blood supply and repair more easily. Regenerative Orthopedics helps the body to get more blood to these blood poor structures so they can heal more efficiently.\r\n<h2>The Role of the Ligaments</h2>\r\nIn order for the joint to function like it should, all of the joint structures, including the white tissue structures, the muscles and the bony structures need to be well. They all work together to stabilize the joint and keep it working optimally. But the ligaments are the primary stabilizing structures.\r\n\r\nLigaments are key at maintaining joint health. Unfortunately, ligament injuries are one of the most common causes of pain from sport-related injuries. And they are white tissue structures. Plus, injured ligaments generate pain, because they are a sensory organ, with free nerve endings. The weakness that occurs after ligament injury to the knee, for example, may give rise to Runner’s knee, meniscal tears, chondromalacia patella, bone spurs and eventually to arthritis.\r\n\r\nWhen the ligament is injured, the harmony between the soft tissue, muscles and bony structures is disrupted, interfering with mobility and joint stability. What results is an unstable joint, one that moves abnormally, functions poorly, and becomes more and more damaged. When the ligaments are left untreated, the body will try to stabilize the joint by causing ongoing muscle spasms, joint swelling, and eventually bone spur formation and degenerative arthritis. A cycle of persistent pain is the result.\r\n<h3>Injury and the Path to Arthritis</h3>\r\nInvolvement in athletics provides us with physical, emotional and mental well-being. However, when we’re faced with injury, we often set into motion the cycle of instability in the joint as mentioned above. This cycle also leads to the eventual development of arthritis, which can occur within a few years with severe injuries, or take decades to develop when the injury is less severe.\r\n\r\n<span lang=\"en\">Although progressive cartilage loss with its inhibition of joint motion plays a central role in arthritis, injury to other soft tissue structures actually initiates the change in equilibrium that leads to this breakdown of cartilage and the path to arthritis. </span>Athletes of all ages desire to be as fit as when in the prime of their athletic careers. But the pain and symptoms from non-healed sports injuries interferes with that dream!\r\n\r\nRegenerative Orthopedics is the ideal sports medicine because in gets the athlete back on the path of healing and to reaching their goals and dreams.\r\n<h2>Treatment for Sports Injuries</h2>\r\nStandard treatments for sports injuries usually only involve the management of symptoms, which may include pain medications, cortisone/steroid injections, physical therapy, massage and other therapies to provide pain relief. These treatments may work to relieve pain temporarily or momentarily reduce the pain and inflammation.\r\n\r\nBut when the athlete turns off the pain signal with medication use, while the joint is still injured, and continues to play and remain active on an injured joint, further damage ensues. It is important to realize that these treatment modalities do not repair soft tissue injuries, such as tendon, ligament, and meniscus tears, nor do they regenerate cartilage.\r\n<h3>Regenerative Orthopedics Is the Ideal Sports Medicine to Stimulate the Body to Repair</h3>\r\nThe key to keeping joints strong is to stimulate the area to heal. Regenerative Orthopedics does just that, offering hope to those suffering from sports injuries. They are the ideal treatment for sports injuries because they get you back to doing what you love.\r\n\r\nPlus, these therapies are non-surgical. <em><strong>The treatments regenerate and repair the damaged ligaments and soft tissue, allowing the athlete to continue with their desired activity</strong></em>. Non-surgical regenerative therapies, including Stem Cell Therapy, PRP, and Prolotherapy, stimulate the natural regenerative processes in and around the joint. And they facilitate the restoration of the degenerated soft tissue to a healthy state, improving joint support and function, and reducing pain and symptoms.\r\n\r\nRegenerative Orthopedics involves the injection of natural solutions. And sometimes, depending on the nature of injury or degeneration, will also include injections of an autologous preparation, from a person’s own plasma (blood), fat or bone marrow, injected directly into the damaged joint to accelerate the healing process.\r\n<h2>Sports injuries do not need to put an end to the enjoyment of sports activities. There is an effective option for repair!</h2>\r\nRegenerative Orthopedics <span lang=\"en\">is a great non-surgical treatment ideal for</span> offering not only pain relief from sports injuries, but healing and reparation at the source of the injury. This regeneration and repair enables the athlete of all ages to speedily return to the sport or activity they love with minimal lifestyle interruption.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Regenerative Orthopedics: The Ideal Sports Medicine','','inherit','closed','closed','','3134-revision-v1','','','2020-08-25 00:35:15','2020-08-25 00:35:15','',3134,'https://www.drfields.com/uncategorized/3134-revision-v1/',0,'revision','',0),(4016,9,'2020-08-25 00:38:38','2020-08-25 00:38:38','<h2>Why Regenerative Orthopedics Is the Ideal Sports Medicine</h2>\r\nWe see athletes of all ages in our clinic all of the time. It doesn’t matter if you are 15 or 95, because if you love sports or enjoy an active lifestyle, you don’t want to have to stop because of an injury. And Regenerative Orthopedics is the ideal sports medicine to get you back in the game!\r\n\r\nSports injuries from ligament tears, meniscus injuries, tendon injuries, wear and tear, and other soft tissue injuries are common reasons people seek care. In fact, over 90% of athletic injuries involve stretched, torn or weakened soft tissue of some sort. Sports injuries, whether of the ankle, knee, shoulder, hip, or back occur when the repetitive strain of the athletic activity is too much for a particular ligament, tendon, or muscle to perform.\r\n\r\n[caption id=\"attachment_3792\" align=\"alignleft\" width=\"395\"]<img class=\" wp-image-3792\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/joint-injury.do-what-you-love-Copy-2-1-500x500.png\" alt=\"Joint Injury.do What You Love Copy 2 (1)\" width=\"395\" height=\"395\" /> <strong>Keep Doing What You Love</strong>[/caption]\r\n<h2>How Do Injuries Occur to the Meniscus, Tendons, and Other Soft Tissue?</h2>\r\nInjury to these soft tissue structures can transpire from a sudden traumatic injury or as a result of accumulative damage over the years. Many are considered an acute exacerbation of a chronic injury. Whether you run 3, 6, 10 miles or even a marathon, ride your bike, participate in martial arts, lift weights, play golf or tennis, the repetitive impact from athletic events can be enough to damage the various soft tissue structures.\r\n\r\nOver time the joint degenerates as these non-healed soft tissue injuries destabilize the joint. And Regenerative Orthopedics is an ideal sports medicine because it is extremely effective at healing and repairing these soft tissue injuries.\r\n<h2>What Do We Mean by Non-Healed Soft Tissue?</h2>\r\nDoesn’t the body just heal on its own? Unfortunately, not all of these structures heal well on their own. Soft tissue structures like the cartilage, discs, labrum, ligaments, menisci and tendons are whiter in nature, which means they have a poor blood supply.\r\n\r\nBlood is what nourishes the joint, and therefore, the blood poor structures have a compromised healing ability after injury. These structures aren’t like muscles. You’ve probably noticed when you pull a muscle, or sustain a muscle injury, that in time, it will get better. Why is that? The muscles are red, which means they have a good blood supply and repair more easily. Regenerative Orthopedics helps the body to get more blood to these blood poor structures so they can heal more efficiently.\r\n<h2>The Role of the Ligaments</h2>\r\nIn order for the joint to function like it should, all of the joint structures, including the white tissue structures, the muscles and the bony structures need to be well. They all work together to stabilize the joint and keep it working optimally. But the ligaments are the primary stabilizing structures.\r\n\r\nLigaments are key at maintaining joint health. Unfortunately, ligament injuries are one of the most common causes of pain from sport-related injuries. And they are white tissue structures. Plus, injured ligaments generate pain, because they are a sensory organ, with free nerve endings. The weakness that occurs after ligament injury to the knee, for example, may give rise to Runner’s knee, meniscal tears, chondromalacia patella, bone spurs and eventually to arthritis.\r\n\r\nWhen the ligament is injured, the harmony between the soft tissue, muscles and bony structures is disrupted, interfering with mobility and joint stability. What results is an unstable joint, one that moves abnormally, functions poorly, and becomes more and more damaged. When the ligaments are left untreated, the body will try to stabilize the joint by causing ongoing muscle spasms, joint swelling, and eventually bone spur formation and degenerative arthritis. A cycle of persistent pain is the result.\r\n<h3>Injury and the Path to Arthritis</h3>\r\nInvolvement in athletics provides us with physical, emotional and mental well-being. However, when we’re faced with injury, we often set into motion the cycle of instability in the joint as mentioned above. This cycle also leads to the eventual development of arthritis, which can occur within a few years with severe injuries, or take decades to develop when the injury is less severe.\r\n\r\n<span lang=\"en\">Although progressive cartilage loss with its inhibition of joint motion plays a central role in arthritis, injury to other soft tissue structures actually initiates the change in equilibrium that leads to this breakdown of cartilage and the path to arthritis. </span>Athletes of all ages desire to be as fit as when in the prime of their athletic careers. But the pain and symptoms from non-healed sports injuries interferes with that dream!\r\n\r\nRegenerative Orthopedics is the ideal sports medicine because in gets the athlete back on the path of healing and to reaching their goals and dreams.\r\n<h2>Treatment for Sports Injuries</h2>\r\nStandard treatments for sports injuries usually only involve the management of symptoms, which may include pain medications, cortisone/steroid injections, physical therapy, massage and other therapies to provide pain relief. These treatments may work to relieve pain temporarily or momentarily reduce the pain and inflammation.\r\n\r\nBut when the athlete turns off the pain signal with medication use, while the joint is still injured, and continues to play and remain active on an injured joint, further damage ensues. It is important to realize that these treatment modalities do not repair soft tissue injuries, such as tendon, ligament, and meniscus tears, nor do they regenerate cartilage.\r\n<h3>Regenerative Orthopedics Is the Ideal Sports Medicine to Stimulate the Body to Repair</h3>\r\nThe key to keeping joints strong is to stimulate the area to heal. Regenerative Orthopedics does just that, offering hope to those suffering from sports injuries. They are the ideal treatment for sports injuries because they get you back to doing what you love.\r\n\r\nPlus, these therapies are non-surgical. <em><strong>The treatments regenerate and repair the damaged ligaments and soft tissue, allowing the athlete to continue with their desired activity</strong></em>. Non-surgical regenerative therapies, including Stem Cell Therapy, PRP, and Prolotherapy, stimulate the natural regenerative processes in and around the joint. And they facilitate the restoration of the degenerated soft tissue to a healthy state, improving joint support and function, and reducing pain and symptoms.\r\n\r\nRegenerative Orthopedics involves the injection of natural solutions. And sometimes, depending on the nature of injury or degeneration, will also include injections of an autologous preparation, from a person’s own plasma (blood), fat or bone marrow, injected directly into the damaged joint to accelerate the healing process.\r\n<h2>Sports injuries do not need to put an end to the enjoyment of sports activities. There is an effective option for repair!</h2>\r\nRegenerative Orthopedics <span lang=\"en\">is a great non-surgical treatment ideal for</span> offering not only pain relief from sports injuries, but healing and reparation at the source of the injury. This regeneration and repair enables the athlete of all ages to speedily return to the sport or activity they love with minimal lifestyle interruption.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Regenerative Orthopedics: The Ideal Sports Medicine','','inherit','closed','closed','','3134-revision-v1','','','2020-08-25 00:38:38','2020-08-25 00:38:38','',3134,'https://www.drfields.com/uncategorized/3134-revision-v1/',0,'revision','',0),(4017,9,'2020-08-25 02:51:50','2020-08-25 02:51:50','<h2>Why Regenerative Orthopedics Is the Ideal Sports Medicine</h2>\r\nWe see athletes of all ages in our clinic all of the time. It doesn’t matter if you are 15 or 95, because if you love sports or enjoy an active lifestyle, you don’t want to have to stop because of an injury. And Regenerative Orthopedics is the ideal sports medicine to get you back in the game!\r\n\r\nSports injuries from ligament tears, meniscus injuries, tendon injuries, wear and tear, and other soft tissue injuries are common reasons people seek care. In fact, over 90% of athletic injuries involve stretched, torn or weakened soft tissue of some sort. Sports injuries, whether of the ankle, knee, shoulder, hip, or back occur when the repetitive strain of the athletic activity is too much for a particular ligament, tendon, or muscle to perform.\r\n\r\n[caption id=\"attachment_3792\" align=\"alignleft\" width=\"395\"]<img class=\" wp-image-3792\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/joint-injury.do-what-you-love-Copy-2-1-500x500.png\" alt=\"Joint Injury.do What You Love Copy 2 (1)\" width=\"395\" height=\"395\" /> <strong>Keep Doing What You Love</strong>[/caption]\r\n<h2>How Do Injuries Occur to the Meniscus, Tendons, and Other Soft Tissue?</h2>\r\nInjury to these soft tissue structures can transpire from a sudden traumatic injury or as a result of accumulative damage over the years. Many are considered an acute exacerbation of a chronic injury. Whether you run 3, 6, 10 miles or even a marathon, ride your bike, participate in martial arts, lift weights, play golf or tennis, the repetitive impact from athletic events can be enough to damage the various soft tissue structures.\r\n\r\nOver time the joint degenerates as these non-healed soft tissue injuries destabilize the joint. And Regenerative Orthopedics is an ideal sports medicine because it is extremely effective at healing and repairing these soft tissue injuries.\r\n<h2>Why Use Regenerative Orthopedics as the Ideal Sports Medicine?</h2>\r\nDoesn’t the body just heal on its own? Unfortunately, not all of these structures heal well on their own. Soft tissue structures like the cartilage, discs, labrum, ligaments, menisci and tendons are whiter in nature, which means they have a poor blood supply.\r\n\r\nBlood is what nourishes the joint, and therefore, the blood poor structures have a compromised healing ability after injury. These structures aren’t like muscles. You’ve probably noticed when you pull a muscle, or sustain a muscle injury, that in time, it will get better. Why is that? The muscles are red, which means they have a good blood supply and repair more easily. Regenerative Orthopedics helps the body to get more blood to these blood poor structures so they can heal more efficiently.\r\n<h2>The Role of the Ligaments</h2>\r\nIn order for the joint to function like it should, all of the joint structures, including the white tissue structures, the muscles and the bony structures need to be well. They all work together to stabilize the joint and keep it working optimally. But the ligaments are the primary stabilizing structures.\r\n\r\nLigaments are key at maintaining joint health. Unfortunately, ligament injuries are one of the most common causes of pain from sport-related injuries. And they are white tissue structures. Plus, injured ligaments generate pain, because they are a sensory organ, with free nerve endings. The weakness that occurs after ligament injury to the knee, for example, may give rise to Runner’s knee, meniscal tears, chondromalacia patella, bone spurs and eventually to arthritis.\r\n\r\nWhen the ligament is injured, the harmony between the soft tissue, muscles and bony structures is disrupted, interfering with mobility and joint stability. What results is an unstable joint, one that moves abnormally, functions poorly, and becomes more and more damaged. When the ligaments are left untreated, the body will try to stabilize the joint by causing ongoing muscle spasms, joint swelling, and eventually bone spur formation and degenerative arthritis. A cycle of persistent pain is the result.\r\n<h3>Injury and the Path to Arthritis</h3>\r\nInvolvement in athletics provides us with physical, emotional and mental well-being. However, when we’re faced with injury, we often set into motion the cycle of instability in the joint as mentioned above. This cycle also leads to the eventual development of arthritis, which can occur within a few years with severe injuries, or take decades to develop when the injury is less severe.\r\n\r\n<span lang=\"en\">Although progressive cartilage loss with its inhibition of joint motion plays a central role in arthritis, injury to other soft tissue structures actually initiates the change in equilibrium that leads to this breakdown of cartilage and the path to arthritis. </span>Athletes of all ages desire to be as fit as when in the prime of their athletic careers. But the pain and symptoms from non-healed sports injuries interferes with that dream!\r\n\r\nRegenerative Orthopedics is the ideal sports medicine because in gets the athlete back on the path of healing and to reaching their goals and dreams.\r\n<h2>Treatment for Sports Injuries</h2>\r\nStandard treatments for sports injuries usually only involve the management of symptoms, which may include pain medications, cortisone/steroid injections, physical therapy, massage and other therapies to provide pain relief. These treatments may work to relieve pain temporarily or momentarily reduce the pain and inflammation.\r\n\r\nBut when the athlete turns off the pain signal with medication use, while the joint is still injured, and continues to play and remain active on an injured joint, further damage ensues. It is important to realize that these treatment modalities do not repair soft tissue injuries, such as tendon, ligament, and meniscus tears, nor do they regenerate cartilage.\r\n<h3>Regenerative Orthopedics Is the Ideal Sports Medicine to Stimulate the Body to Repair</h3>\r\nThe key to keeping joints strong is to stimulate the area to heal. Regenerative Orthopedics does just that, offering hope to those suffering from sports injuries. They are the ideal treatment for sports injuries because they get you back to doing what you love.\r\n\r\nPlus, these therapies are non-surgical. <em><strong>The treatments regenerate and repair the damaged ligaments and soft tissue, allowing the athlete to continue with their desired activity</strong></em>. Non-surgical regenerative therapies, including Stem Cell Therapy, PRP, and Prolotherapy, stimulate the natural regenerative processes in and around the joint. And they facilitate the restoration of the degenerated soft tissue to a healthy state, improving joint support and function, and reducing pain and symptoms.\r\n\r\nRegenerative Orthopedics involves the injection of natural solutions. And sometimes, depending on the nature of injury or degeneration, will also include injections of an autologous preparation, from a person’s own plasma (blood), fat or bone marrow, injected directly into the damaged joint to accelerate the healing process.\r\n<h2>Sports injuries do not need to put an end to the enjoyment of sports activities. There is an effective option for repair!</h2>\r\nRegenerative Orthopedics <span lang=\"en\">is a great non-surgical treatment ideal for</span> offering not only pain relief from sports injuries, but healing and reparation at the source of the injury. This regeneration and repair enables the athlete of all ages to speedily return to the sport or activity they love with minimal lifestyle interruption.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Regenerative Orthopedics: The Ideal Sports Medicine','','inherit','closed','closed','','3134-revision-v1','','','2020-08-25 02:51:50','2020-08-25 02:51:50','',3134,'https://www.drfields.com/uncategorized/3134-revision-v1/',0,'revision','',0),(4018,9,'2020-08-25 02:56:24','2020-08-25 02:56:24','<h2>Why Regenerative Orthopedics Is the Ideal Sports Medicine</h2>\r\nWe see athletes of all ages in our clinic all of the time. It doesn’t matter if you are 15 or 95. Because if you love sports or enjoy an active lifestyle, you don’t want to have to stop because of an injury. And Regenerative Orthopedics is the ideal sports medicine to get you back in the game!\r\n\r\nSports injuries from ligament tears, meniscus injuries, tendon injuries, wear and tear, and other soft tissue injuries are common reasons people seek care. In fact, over 90% of athletic injuries involve stretched, torn or weakened soft tissue of some sort. Sports injuries, whether of the ankle, knee, shoulder, hip, or back occur when the repetitive strain of the athletic activity is too much for a particular ligament, tendon, or muscle to perform.\r\n\r\n[caption id=\"attachment_3792\" align=\"alignleft\" width=\"395\"]<img class=\" wp-image-3792\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/joint-injury.do-what-you-love-Copy-2-1-500x500.png\" alt=\"Joint Injury.do What You Love Copy 2 (1)\" width=\"395\" height=\"395\" /> <strong>Keep Doing What You Love</strong>[/caption]\r\n<h2>How Do Injuries Occur to the Meniscus, Tendons, and Other Soft Tissue?</h2>\r\nInjury to these soft tissue structures can transpire from a sudden traumatic injury or as a result of accumulative damage over the years. Many are considered an acute exacerbation of a chronic injury. Whether you run 3, 6, 10 miles or even a marathon, ride your bike, participate in martial arts, lift weights, play golf or tennis, the repetitive impact from athletic events can be enough to damage the various soft tissue structures.\r\n\r\nOver time the joint degenerates as these non-healed soft tissue injuries destabilize the joint. And Regenerative Orthopedics is an ideal sports medicine because it is extremely effective at healing and repairing these soft tissue injuries.\r\n<h2>Why Use Regenerative Orthopedics as the Ideal Sports Medicine?</h2>\r\nDoesn’t the body just heal on its own? Unfortunately, not all of these structures heal well on their own. Soft tissue structures like the cartilage, discs, labrum, ligaments, menisci and tendons are whiter in nature. That means they have a poor blood supply.\r\n\r\nBlood is what nourishes the joint. And therefore, the blood poor structures have a compromised healing ability after injury. These structures aren’t like muscles. You’ve probably noticed when you pull a muscle, or sustain a muscle injury, that in time, it will get better. Why is that? The muscles are red. That means they have a good blood supply and repair more easily. Regenerative Orthopedics helps the body to get more blood to these blood poor structures so they can heal more efficiently.\r\n<h2>The Role of the Ligaments</h2>\r\nIn order for the joint to function like it should, all of the joint structures, including the white tissue structures, the muscles and the bony structures need to be well. They all work together to stabilize the joint and keep it working optimally. But the ligaments are the primary stabilizing structures.\r\n\r\nLigaments are key at maintaining joint health. Unfortunately, ligament injuries are one of the most common causes of pain from sport-related injuries. And they are white tissue structures. Plus, injured ligaments generate pain. They are a sensory organ with free nerve endings. The weakness that occurs after ligament injury to the knee, for example, may give rise to Runner’s knee, meniscal tears, chondromalacia patella, bone spurs and eventually to arthritis.\r\n\r\nWhen the ligament is injured, the harmony between the soft tissue, muscles and bony structures is disrupted. This interferes with mobility and joint stability. What results is an unstable joint, one that moves abnormally, and functions poorly. That results in more and more damage. When the ligaments are left untreated, the body will try to stabilize the joint by causing ongoing muscle spasms, and joint swelling. And eventually, bone spurs will form and arthritis will develop. A cycle of persistent pain is the result.\r\n<h3>Injury and the Path to Arthritis</h3>\r\nInvolvement in athletics provides us with physical, emotional and mental well-being. However, when we’re faced with injury, we often set into motion the cycle of instability in the joint as mentioned above. This cycle also leads to the eventual development of arthritis, which can occur within a few years with severe injuries, or take decades to develop when the injury is less severe.\r\n\r\n<span lang=\"en\">Although progressive cartilage loss with its inhibition of joint motion plays a central role in arthritis, injury to other soft tissue structures actually initiates the change in equilibrium that leads to this breakdown of cartilage and the path to arthritis. </span>Athletes of all ages desire to be as fit as when in the prime of their athletic careers. But the pain and symptoms from non-healed sports injuries interferes with that dream!\r\n\r\nRegenerative Orthopedics is the ideal sports medicine because in gets the athlete back on the path of healing and to reaching their goals and dreams.\r\n<h2>Treatment for Sports Injuries</h2>\r\nStandard treatments for sports injuries usually only involve the management of symptoms, which may include pain medications, cortisone/steroid injections, physical therapy, massage and other therapies to provide pain relief. These treatments may work to relieve pain temporarily or momentarily reduce the pain and inflammation.\r\n\r\nBut when the athlete turns off the pain signal with medication use, while the joint is still injured, and continues to play and remain active on an injured joint, further damage ensues. It is important to realize that these treatment modalities do not repair soft tissue injuries, such as tendon, ligament, and meniscus tears, nor do they regenerate cartilage.\r\n<h3>Regenerative Orthopedics Is the Ideal Sports Medicine to Stimulate the Body to Repair</h3>\r\nThe key to keeping joints strong is to stimulate the area to heal. Regenerative Orthopedics does just that, offering hope to those suffering from sports injuries. They are the ideal treatment for sports injuries because they get you back to doing what you love.\r\n\r\nPlus, these therapies are non-surgical. <em><strong>The treatments regenerate and repair the damaged ligaments and soft tissue, allowing the athlete to continue with their desired activity</strong></em>. Non-surgical regenerative therapies, including Stem Cell Therapy, PRP, and Prolotherapy, stimulate the natural regenerative processes in and around the joint. And they facilitate the restoration of the degenerated soft tissue to a healthy state, improving joint support and function, and reducing pain and symptoms.\r\n\r\nRegenerative Orthopedics involves the injection of natural solutions. And sometimes, depending on the nature of injury or degeneration, will also include injections of an autologous preparation, from a person’s own plasma (blood), fat or bone marrow, injected directly into the damaged joint to accelerate the healing process.\r\n<h2>Sports injuries do not need to put an end to the enjoyment of sports activities. There is an effective option for repair!</h2>\r\nRegenerative Orthopedics <span lang=\"en\">is a great non-surgical treatment ideal for</span> offering not only pain relief from sports injuries, but healing and reparation at the source of the injury. This regeneration and repair enables the athlete of all ages to speedily return to the sport or activity they love with minimal lifestyle interruption.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Regenerative Orthopedics: The Ideal Sports Medicine','','inherit','closed','closed','','3134-revision-v1','','','2020-08-25 02:56:24','2020-08-25 02:56:24','',3134,'https://www.drfields.com/uncategorized/3134-revision-v1/',0,'revision','',0),(4019,9,'2020-08-25 03:01:52','2020-08-25 03:01:52','<h2>Why Regenerative Orthopedics Is the Ideal Sports Medicine</h2>\r\nWe see athletes of all ages in our clinic all of the time. It doesn’t matter if you are 15 or 95. Because if you love sports or enjoy an active lifestyle, you don’t want to have to stop because of an injury. And Regenerative Orthopedics is the ideal sports medicine to get you back in the game!\r\n\r\nSports injuries from ligament tears, meniscus injuries, tendon injuries, wear and tear, and other soft tissue injuries are common reasons people seek care. In fact, over 90% of athletic injuries involve stretched, torn or weakened soft tissue of some sort. Sports injuries, whether of the ankle, knee, shoulder, hip, or back occur when the repetitive strain of the athletic activity is too much for a particular ligament, tendon, or muscle to perform.\r\n\r\n[caption id=\"attachment_3792\" align=\"alignleft\" width=\"395\"]<img class=\" wp-image-3792\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/joint-injury.do-what-you-love-Copy-2-1-500x500.png\" alt=\"Joint Injury.do What You Love Copy 2 (1)\" width=\"395\" height=\"395\" /> <strong>Keep Doing What You Love</strong>[/caption]\r\n<h2>How Do Injuries Occur to the Meniscus, Tendons, and Other Soft Tissue?</h2>\r\nInjury to these soft tissue structures can transpire from a sudden traumatic injury or as a result of accumulative damage over the years. Many are considered an acute exacerbation of a chronic injury. Whether you run 3, 6, 10 miles or even a marathon, ride your bike, participate in martial arts, lift weights, play golf or tennis, the repetitive impact from athletic events can be enough to damage the various soft tissue structures.\r\n\r\nOver time the joint degenerates as these non-healed soft tissue injuries destabilize the joint. And Regenerative Orthopedics is an ideal sports medicine because it is extremely effective at healing and repairing these soft tissue injuries.\r\n<h2>Why Use Regenerative Orthopedics as the Ideal Sports Medicine?</h2>\r\nDoesn’t the body just heal on its own? Unfortunately, not all of these structures heal well on their own. Soft tissue structures like the cartilage, discs, labrum, ligaments, menisci and tendons are whiter in nature. That means they have a poor blood supply.\r\n\r\nBlood is what nourishes the joint. And therefore, the blood poor structures have a compromised healing ability after injury. These structures aren’t like muscles. You’ve probably noticed when you pull a muscle, or sustain a muscle injury, that in time, it will get better. Why is that? The muscles are red. That means they have a good blood supply and repair more easily. Regenerative Orthopedics helps the body to get more blood to these blood poor structures so they can heal more efficiently.\r\n<h2>The Role of the Ligaments</h2>\r\nIn order for the joint to function like it should, all of the joint structures, including the white tissue structures, the muscles and the bony structures need to be well. They all work together to stabilize the joint and keep it working optimally. But the ligaments are the primary stabilizing structures.\r\n\r\nLigaments are key at maintaining joint health. Unfortunately, ligament injuries are one of the most common causes of pain from sport-related injuries. And they are white tissue structures. Plus, injured ligaments generate pain. They are a sensory organ with free nerve endings. The weakness that occurs after ligament injury to the knee, for example, may give rise to Runner’s knee, meniscal tears, chondromalacia patella, bone spurs and eventually to arthritis.\r\n\r\nWhen the ligament is injured, the harmony between the soft tissue, muscles and bony structures is disrupted. This interferes with mobility and joint stability. What results is an unstable joint, one that moves abnormally, and functions poorly. That results in more and more damage. When the ligaments are left untreated, the body will try to stabilize the joint by causing ongoing muscle spasms, and joint swelling. And eventually, bone spurs will form and arthritis will develop. A cycle of persistent pain is the result.\r\n<h3>Injury and the Path to Arthritis</h3>\r\nInvolvement in athletics provides us with physical, emotional and mental well-being. However, when we’re faced with injury, we often set into motion the cycle of instability in the joint as mentioned above. This cycle also leads to the eventual development of arthritis. The path to arthritis can occur within a few years with severe injuries, or take decades to develop when the injury is less severe.\r\n\r\n<span lang=\"en\">Although progressive cartilage loss with its inhibition of joint motion plays a central role in arthritis, injury to other soft tissue structures actually initiates the change in equilibrium that leads to this breakdown of cartilage and the path to arthritis. </span>Athletes of all ages desire to be as fit as when in the prime of their athletic careers. But the pain and symptoms from non-healed sports injuries interferes with that dream!\r\n\r\nRegenerative Orthopedics is the ideal sports medicine because in gets the athlete back on the path of healing and to reaching their goals and dreams.\r\n<h2>Treatment for Sports Injuries</h2>\r\nStandard treatments for sports injuries usually only involve the management of symptoms. Some of these treatments include pain medications, cortisone/steroid injections, physical therapy, massage and other therapies to provide pain relief. These treatments may work to relieve pain temporarily or momentarily reduce the pain and inflammation.\r\n\r\nBut when the athlete turns off the pain signal with medication use, while the joint is still injured, and continues to play and remain active on an injured joint, further damage ensues. It is important to realize that these treatment modalities do not repair soft tissue injuries, such as tendon, ligament, and meniscus tears, nor do they regenerate cartilage.\r\n<h3>Regenerative Orthopedics Is the Ideal Sports Medicine to Stimulate the Body to Repair</h3>\r\nThe key to keeping joints strong is to stimulate the area to heal. Regenerative Orthopedics does just that. And it offers hope to those suffering from sports injuries. They are the ideal treatment for sports injuries because they get you back to doing what you love.\r\n\r\nPlus, these therapies are non-surgical. <em><strong>The treatments regenerate and repair the damaged ligaments and soft tissues. And they allow the athlete to continue with their desired activity</strong></em>. Non-surgical regenerative therapies, including Stem Cell Therapy, PRP, and Prolotherapy, stimulate the natural regenerative processes in and around the joint. And they facilitate the restoration of the degenerated soft tissue to a healthy state. The result is improved joint support and function, and reduced pain and symptoms.\r\n\r\nRegenerative Orthopedics involves the injection of natural solutions. And sometimes, depending on the nature of injury or degeneration, will also include injections of an autologous preparation, from a person’s own plasma (blood), fat or bone marrow, injected directly into the damaged joint to accelerate the healing process.\r\n<h2>Sports injuries do not need to put an end to the enjoyment of sports activities. There is an effective option for repair!</h2>\r\nRegenerative Orthopedics <span lang=\"en\">is a great non-surgical treatment ideal for</span> offering not only pain relief from sports injuries, but healing and reparation at the source of the injury. This regeneration and repair enables the athlete of all ages to speedily return to the sport or activity they love with minimal lifestyle interruption.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Regenerative Orthopedics: The Ideal Sports Medicine','','inherit','closed','closed','','3134-revision-v1','','','2020-08-25 03:01:52','2020-08-25 03:01:52','',3134,'https://www.drfields.com/uncategorized/3134-revision-v1/',0,'revision','',0),(4020,9,'2020-08-25 15:23:31','2020-08-25 15:23:31','Cortisone','Cortisone','Cortisone','inherit','open','closed','','cortisone','','','2020-08-25 15:25:48','2020-08-25 15:25:48','',2915,'https://www.drfields.com/wp-content/uploads/2020/08/cortisone.png',0,'attachment','image/png',0),(4021,9,'2020-08-25 15:39:41','2020-08-25 15:39:41','We have made reference to cortisone injections in several previous articles regarding treatment options for joint pain, because cortisone (steroid injection) is generally recommended by conventional medicine. Cortisone treatment may only result in temporary relief. And it is frequently used to delay the eventual joint replacement.\n\nBut did you know this commonly used treatment option may not be as safe as you think? Recently released evidence in the medical journal “Radiology,” describes the negative risks of using cortisone injections. <a href=\"#_edn1\" name=\"_ednref1\">[i]</a>Although prior studies have been conducted showing cortisone to have a negative impact on joints, this most recent article helps to bring awareness to the adverse effects cortisone injections have on the joint.\n\n[caption id=\"attachment_4020\" align=\"alignright\" width=\"400\"]<img class=\"wp-image-4020 size-medium\" src=\"https://www.drfields.com/wp-content/uploads/2020/08/cortisone-400x500.png\" alt=\"Cortisone\" width=\"400\" height=\"500\" /> <strong>     Cortisone Injections Can Be Toxic to Cartilage</strong>[/caption]\n<h2>What Happens When Cortisone Is Injected Into the Joint?</h2>\n<em><strong>Cortisone appears to be toxic to cartilage.</strong></em> When cortisone is injected into the joint, it actually boosts the progression of the destruction of cartilage. That means it accelerates arthritis.\n\nOftentimes, cortisone is injected into joints for relief of arthritis pain and the symptoms associated with it. But doesn\'t it seem contrary then, to use a “treatment” that makes arthritis worse, in an effort to treat it? Cortisone destroys cartilage, boosts cell death in the joint, and increases bone loss.\n<h2>Behind the Use of Cortisone Injections</h2>\nArthritis is a very common disease of the joint that limits activity and quality of life. It often results in disability. In an effort to treat arthritis, physicians initially approach pain and symptom control in a non-surgical fashion, generally attempting to delay the eventual joint replacement.\n\nAdditionally, older or sicker patients may not be able to tolerate surgery, and in those cases, more conservative treatments are needed and recommended. Cortisone injections may provide some patients with days of relief. Others may get months of pain and symptom control with cortisone injections into the joint. For this reason it is a commonly performed treatment, because it does reduce the inflammation and swelling of arthritis.\n\nPhysicians have known there were risks involved in the use of cortisone injections into joints! <em><strong>Even though the study mentioned in this article is a new study, there have been many previous studies demonstrating the risks and the damage cortisone does to the joint structures.</strong></em> That is why, when your physician discusses cortisone injection with you, it is recommended that the injections not be given more than once every three months. Hopefully, the reason behind the limits is explained as well. It is important for the patient to be educated on the risks of treatment with cortisone injections.\n<h2>Cortisone Injections May Do More Harm than Good</h2>\nThe researchers in this most recent study looked at the effect of cortisone injected into knees and hips. And they found that cortisone boosted the progression of arthritis and <strong>accelerated the need for joint replacement surgery.</strong>\n\nThe researchers looked at 459 patients who received one to three cortisone injections into the hip or knee in 2018. Almost a tenth developed complications such as cartilage loss, stress fractures, bone loss, and joint destruction in the two to fifteen months following the injections. The authors note that this percentage may be an understatement because half of the participants did not receive follow-up imaging tests to assess the health of their joints.\n\n<strong>In summary, the studies are showing that cortisone injections accelerate arthritis and can be detrimental in the long-run</strong>. But even with this knowledge, cortisone injections continue to be recommended frequently for joint pain. Millions of Americans suffer from arthritis and its symptoms of pain, swelling, cartilage loss, and bone destruction. Sufferers want relief, and the injections often give relief. And they are also covered by insurance.\n<h3>Alternatives to Cortisone Injections</h3>\nGiven that cortisone injections are being given more and more to treat pain in patients with joint arthritis, what is the alternative? Especially when you consider that many arthritis sufferers are at the point where they need relief to just live day to day.\n\nThat’s where Regenerative Orthopedics comes in!  Treatments like Stem Cell Therapy, PRP, and Prolotherapy work to<strong> actually repair the arthritic joint.</strong> These treatments provide pain relief. But they don’t provide relief at the expense of the joint. <em><strong>They actually heal the joint, strengthen the structures of the joints, and even boost growth of cartilage</strong></em>. Regenerative Orthopedics regenerates the joint rather than causing degeneration like what occurs with cortisone injections.\n\nThere is also minimal downtime needed to receive these regenerative treatments. That means you can continue to exercise, and move the joint, which is essential for a healthy joint. Exercise helps ease pain, improve mobility, and strengthen muscles around the joints.\n\nRegenerative Orthopedics is the treatment of choice to achieve the pain relief you desire, while returning function to your painful arthritic joint, and helping you to once again enjoy the activities you desire to do.\n\n<a href=\"#_ednref1\" name=\"_edn1\"><strong>[i]</strong></a> Kompel AJ, Roemer FW, Murakami AM, Dias LE, Crema MD, Guermazi A.  Intra-articular Corticosteroid Injections in the Hip and Knee: Perhaps Not as Safe as We Thought? Radiology. Oct 15 2019. <a href=\"https://doi.org/10.1148/radiol.2019190341\" target=\"_blank\" rel=\"noopener noreferrer\">https://doi.org/10.1148/radiol.2019190341</a>\n\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Cortisone Injections Are As Safe As You Think','','inherit','closed','closed','','2915-autosave-v1','','','2020-08-25 15:39:41','2020-08-25 15:39:41','',2915,'https://www.drfields.com/uncategorized/2915-autosave-v1/',0,'revision','',0),(4022,9,'2020-08-25 15:25:39','2020-08-25 15:25:39','We have made reference to cortisone injections in several previous articles regarding treatment options for joint pain, because cortisone is generally recommended by conventional medicine. The treatment may only result in temporary relief, and is frequently used to delay the eventual joint replacement. But did you know this commonly used treatment option may not be as safe as you think? Recently released evidence in the medical journal “Radiology,” describes the negative risks of using cortisone injections. <a href=\"#_edn1\" name=\"_ednref1\">[i]</a>Although prior studies have been conducted showing cortisone to have a negative impact on joints, this most recent article helps to bring awareness to the adverse effects cortisone injections have on the joint.\r\n<h2>What Happens When Cortisone Is Injected Into the Joint?</h2>\r\nCortisone appears to be toxic to cartilage. When cortisone is injected into the joint it actually boosts the progression of the destruction of cartilage and therefore accelerates arthritis. Oftentimes, cortisone is injected into joints for relief of arthritis pain and the symptoms associated with it. It would seem contrary then, to use a “treatment” that makes arthritis worse, in an effort to treat it! Right? Cortisone destroys cartilage, boosts cell death in the joint, and increases bone loss.\r\n<h2>Behind the Use of Cortisone Injections</h2>\r\nArthritis is a very common disease of the joint that limits activity and quality of life, and often results in disability. In an effort to treat arthritis, physicians initially approach pain and symptom control in a non-surgical fashion, generally attempting to delay the eventual joint replacement. Additionally, older or sicker patients may not be able to tolerate surgery, and in those cases, more conservative treatments are needed and recommended. Cortisone injections may provide some patients with days of relief, while others may get months of pain and symptom control with cortisone injections into the joint. For this reason it is a commonly performed treatment, as it reduces the inflammation and swelling of arthritis.\r\n\r\nPhysicians have known there were risks involved in the use of cortisone injections into joints! Even though the study mentioned in this article is a new study, there have been many previous studies demonstrating the risks and the damage cortisone does to the joint structures. That is why, when your physician discusses cortisone injection with you, it is recommended that the injections not be given more than once every three months. Hopefully, the reason behind the limits is explained as well, since it is important for the patient to be educated on the risks of treatment with cortisone injections.\r\n<h2>Cortisone Injections May Do More Harm than Good</h2>\r\nThe researchers in this most recent study looked at the effect of cortisone injected into knees and hips, and found that the cortisone boosted the progression of arthritis and <strong>accelerated the need for joint replacement surgery.</strong> The researchers looked at 459 patients who received one to three cortisone injections into the hip or knee in 2018. Almost a tenth of these developed complications such as cartilage loss, stress fractures, bone loss, and joint destruction in the two to fifteen months following the injections. The authors note that this percentage may be an understatement because half of the participants did not receive follow-up imaging tests to assess the health of their joints.\r\n\r\n<strong>In summary, the studies are showing that cortisone injections accelerate arthritis and can be detrimental in the long-run</strong>. But even with this knowledge, cortisone injections continue to be recommended frequently for joint pain. Millions of Americans suffer from arthritis and its symptoms of pain, swelling, cartilage loss, and bone destruction. Sufferers want relief, and the injections often give relief. They are also covered by insurance.\r\n\r\nGiven that cortisone injections are being given more and more to treat pain in patients with joint arthritis, what is the alternative, especially since many sufferers are at the point where they need relief to just live day to day.\r\n\r\nThat’s where Regenerative Orthopedics comes in!  <strong>Treatments like Stem Cell Therapy, PRP, and Prolotherapy work to actually repair the arthritic joint.</strong> These treatments provide pain relief, but they don’t do so at the expense of the joint. They actually heal the joint, strengthen the structures of the joints, and even boost growth of cartilage. Regenerative Orthopedics <strong>regenerates the joint</strong> rather than causing degeneration like what occurs with cortisone injections.\r\n\r\nThere is also minimal downtime needed to receive these regenerative treatments, so you can continue to exercise, and move the joint, which is essential for a healthy joint. Exercise helps ease pain, improve mobility and strengthen muscles around the joints.\r\n\r\nRegenerative Orthopedics is the treatment of choice to achieve the pain relief you desire, while returning function to your painful arthritic joint, and helping you to once again enjoy the activities you desire to do.\r\n\r\n<a href=\"#_ednref1\" name=\"_edn1\"><strong>[i]</strong></a> Kompel AJ, Roemer FW, Murakami AM, Dias LE, Crema MD, Guermazi A.  Intra-articular Corticosteroid Injections in the Hip and Knee: Perhaps Not as Safe as We Thought? Radiology. Oct 15 2019. <a href=\"https://doi.org/10.1148/radiol.2019190341\" target=\"_blank\" rel=\"noopener noreferrer\">https://doi.org/10.1148/radiol.2019190341</a>\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Cortisone Injections Are As Safe As You Think','','inherit','closed','closed','','2915-revision-v1','','','2020-08-25 15:25:39','2020-08-25 15:25:39','',2915,'https://www.drfields.com/uncategorized/2915-revision-v1/',0,'revision','',0);
INSERT INTO `wp_posts` VALUES (4023,9,'2020-08-25 15:43:37','2020-08-25 15:43:37','We have made reference to cortisone injections in several previous articles regarding treatment options for joint pain, because cortisone (steroid injection) is generally recommended by conventional medicine. Cortisone treatment may only result in temporary relief. And it is frequently used to delay the eventual joint replacement.\r\n\r\nBut did you know this commonly used treatment option may not be as safe as you think? Recently released evidence in the medical journal “Radiology,” describes the negative risks of using cortisone injections. <a href=\"#_edn1\" name=\"_ednref1\">[i]</a>Although prior studies have been conducted showing cortisone to have a negative impact on joints, this most recent article helps to bring awareness to the adverse effects cortisone injections have on the joint.\r\n\r\n[caption id=\"attachment_4020\" align=\"alignright\" width=\"400\"]<img class=\"wp-image-4020 size-medium\" src=\"https://www.drfields.com/wp-content/uploads/2020/08/cortisone-400x500.png\" alt=\"Cortisone\" width=\"400\" height=\"500\" /> <strong>     Cortisone Injections Can Be Toxic to Cartilage</strong>[/caption]\r\n<h2>What Happens When Cortisone Is Injected Into the Joint?</h2>\r\n<em><strong>Cortisone appears to be toxic to cartilage.</strong></em> When cortisone is injected into the joint, it actually boosts the progression of the destruction of cartilage. That means it accelerates arthritis.\r\n\r\nOftentimes, cortisone is injected into joints for relief of arthritis pain and the symptoms associated with it. But doesn\'t it seem contrary then, to use a “treatment” that makes arthritis worse, in an effort to treat it? Cortisone destroys cartilage, boosts cell death in the joint, and increases bone loss.\r\n<h2>Behind the Use of Cortisone Injections</h2>\r\nArthritis is a very common disease of the joint that limits activity and quality of life. It often results in disability. In an effort to treat arthritis, physicians initially approach pain and symptom control in a non-surgical fashion, generally attempting to delay the eventual joint replacement.\r\n\r\nAdditionally, older or sicker patients may not be able to tolerate surgery, and in those cases, more conservative treatments are needed and recommended. Cortisone injections may provide some patients with days of relief. Others may get months of pain and symptom control with cortisone injections into the joint. For this reason it is a commonly performed treatment, because it does reduce the inflammation and swelling of arthritis.\r\n\r\nPhysicians have known there were risks involved in the use of cortisone injections into joints! <em><strong>Even though the study mentioned in this article is a new study, there have been many previous studies demonstrating the risks and the damage cortisone does to the joint structures.</strong></em> That is why, when your physician discusses cortisone injection with you, it is recommended that the injections not be given more than once every three months. Hopefully, the reason behind the limits is explained as well. It is important for the patient to be educated on the risks of treatment with cortisone injections.\r\n<h2>Cortisone Injections May Do More Harm than Good</h2>\r\nThe researchers in this most recent study looked at the effect of cortisone injected into knees and hips. And they found that cortisone boosted the progression of arthritis and <strong>accelerated the need for joint replacement surgery.</strong>\r\n\r\nThe researchers looked at 459 patients who received one to three cortisone injections into the hip or knee in 2018. Almost a tenth developed complications such as cartilage loss, stress fractures, bone loss, and joint destruction in the two to fifteen months following the injections. The authors note that this percentage may be an understatement because half of the participants did not receive follow-up imaging tests to assess the health of their joints.\r\n\r\n<strong>In summary, the studies are showing that cortisone injections accelerate arthritis and can be detrimental in the long-run</strong>. But even with this knowledge, cortisone injections continue to be recommended frequently for joint pain. Millions of Americans suffer from arthritis and its symptoms of pain, swelling, cartilage loss, and bone destruction. Sufferers want relief, and the injections often give relief. And they are also covered by insurance.\r\n<h3>Alternatives to Cortisone Injections</h3>\r\nGiven that cortisone injections are being given more and more to treat pain in patients with joint arthritis, what is the alternative? Especially when you consider that many arthritis sufferers are at the point where they need relief to just live day to day.\r\n\r\nThat’s where Regenerative Orthopedics comes in!  Treatments like Stem Cell Therapy, PRP, and Prolotherapy work to<strong> actually repair the arthritic joint.</strong> These treatments provide pain relief. But they don’t provide relief at the expense of the joint. <em><strong>They actually heal the joint, strengthen the structures of the joints, and even boost growth of cartilage</strong></em>. Regenerative Orthopedics regenerates the joint rather than causing degeneration like what occurs with cortisone injections.\r\n\r\nThere is also minimal downtime needed to receive these regenerative treatments. That means you can continue to exercise, and move the joint, which is essential for a healthy joint. Exercise helps ease pain, improve mobility, and strengthen muscles around the joints.\r\n\r\nRegenerative Orthopedics is the treatment of choice to achieve the pain relief you desire, while returning function to your painful arthritic joint, and helping you to once again enjoy the activities you desire to do.\r\n\r\n<a href=\"#_ednref1\" name=\"_edn1\"><strong>[i]</strong></a> Kompel AJ, Roemer FW, Murakami AM, Dias LE, Crema MD, Guermazi A.  Intra-articular Corticosteroid Injections in the Hip and Knee: Perhaps Not as Safe as We Thought? Radiology. Oct 15 2019. <a href=\"https://doi.org/10.1148/radiol.2019190341\" target=\"_blank\" rel=\"noopener noreferrer\">https://doi.org/10.1148/radiol.2019190341</a>\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Cortisone Injections Are As Safe As You Think','','inherit','closed','closed','','2915-revision-v1','','','2020-08-25 15:43:37','2020-08-25 15:43:37','',2915,'https://www.drfields.com/uncategorized/2915-revision-v1/',0,'revision','',0),(4024,9,'2020-08-25 16:06:26','2020-08-25 16:06:26','Overuse Injuries can happen in any joint of the body. Repetitive strain from repeat motion and overuse due to particular jobs and activities can lead to these injuries.  Injuries, such as Runner’s Knee, Rotator Cuff Tendonitis, and Tennis Elbow are examples of overuse injuries.\n\nOveruse injuries are progressive activity-related injuries linked to repetitive stress that is placed on the tendon, ligament or other joint structure. Individuals with overuse injuries may try to manage their pain on their own for a while. They may attempt to stabilize the knee, shoulder or elbow with a brace. Or calm the pain with over-the-counter medications. Or even rest the joint a bit in order to find enough relief to be able to play in the next game, continue to work, or participate in their upcoming event.\n<h2>Common Causes of Overuse Injuries</h2>\nDoing too much of the same activity strains the tendons, ligaments, and other soft tissue structures. Training error and improper technique may add to the possibility of an overuse injury. Using poor or improper form during training exercises, while running on uneven ground, and when swinging a tennis racket. Or even poor form when painting walls can overload the muscles, tendons, and ligaments, and cause an overuse injury.\n\nIn cases of Runners Knee, for example, the repeated stress again and again,  from the force of hitting hard surfaces while contracting the leg muscle when running, results in a weakening of the tendon and ligaments. In overuse injuries, many may think the tendon or ligaments are just inflamed. And although the injury may begin with inflammation, when left untreated, this overuse injury overloads the tendon and ligaments. The result is degeneration or even in a tear. Many cases of overuse injuries become chronic with instances of recurrence.\n<h2>Symptoms of Overuse Injuries</h2>\nIn the beginning, pain and tenderness are noted in the affected area after physical activity. As the problem progresses, the pain and discomfort occur during activity. Of course, symptoms vary with the various joints and from person to person. But as the condition advances, swelling and pain will restrict the ability to perform sports or particular activities. Eventually, the pain and symptoms will persist, even at rest.\n<h2>Treating Overuse Injuries</h2>\nChasing and suppressing symptoms with bracing and pain medications may keep the swelling down and provide momentary pain relief. But a knee sleeve, for example, will only give a false sense of security while only temporarily helping the sufferer to function. The debilitating pain can keep the individual and athlete searching for a cure.\n<h3>Is surgery the answer?</h3>\nSurgery prolongs the athlete’s return to sport.<a href=\"#_edn1\" name=\"_ednref1\"><sup>[i]</sup></a>  Fortunately, there are non-surgical options!\n\nHere’s what doctors in New York say about the overuse injury patellar tendonitis, “Due to its common refractory response (difficulty in treating) to conservative treatment, a variety of new treatments have emerged recently that include...<strong>Prolotherapy</strong>, <strong>platelet-rich plasma therapy (PRP)</strong><strong>,</strong> arthroscopic surgical procedures, surgical resection of the inferior patellar pole (cutting away tendon tissue at the kneecap)…”<a href=\"#_edn2\" name=\"_ednref2\"><sup>[ii]</sup></a>\n\nAt OrthoRegen<sup>®</sup>, the regenerative treatments we use for painful joint conditions include Platelet Rich Plasma and Prolotherapy. But the researchers listed surgery too! Why do surgery if PRP is good enough? And is PRP good enough to effectively treat overuse conditions?\n\nWhat\n\nStudies done in Europe demonstrate the effectiveness of Platelet Rich Plasma for those with overuse conditions of the knee. And it is able to improve pain symptoms and functionality. Here is what they say: “The most important finding in our meta-analysis is that PRP injections are statistically better than the control group at longer term follow-up suggesting that PRP is an effective and worthwhile treatment for Patellar Tendinopathy. <a href=\"#_edn3\" name=\"_ednref3\">[iii]</a><sup>,<a href=\"#_edn4\" name=\"_ednref4\">[iv]</a></sup>\n\nA 2018 study agreed that multiple PRP injections offer the most satisfactory results.<a href=\"#_edn5\" name=\"_ednref5\">[v]</a> Athletes are looking to non-surgical therapies such as Stem Cell Treatments, Platelet Rich Plasma, or Prolotherapy treatments, because they are showing improved outcomes in those with tendon and ligament conditions like Runner’s Knee.<a href=\"#_edn6\" name=\"_ednref6\">[vi]</a>\n<h2>Treating Overuse Injuries with Regenerative Orthopedics</h2>\nAt OrthoRegen<sup>®</sup>, using regenerative therapies like Stem Cell Therapy, Platelet Rich Plasma, and Prolotherapy is what we do. By treating overuse injuries with Regenerative Orthopedics, athletes can get back to their sport. And other individuals and non-athletes can return to the activities they love.\n\nWe see substantial, consistent improvements in pain outcomes when treating those with overuse injuries.  <strong>Regenerative Orthopedics can treat various joint disorders including problems of the tendons. </strong>That\'s because the injections are directed at the weakened tendons and involved ligaments which stimulate a string of healing events. The healing events include an increase of blood supply, an influx of reparative cells, and the deposition of collagen cells. And when the collagen matures, it will strengthen and tighten the damaged tendons and ligaments.\n\n<strong>Why would we treat the ligaments too? </strong>\n\nThe ongoing and recurring joint pain in overuse conditions is rooted in joint instability. Patients with overuse injuries often have concurrent weakness in the ligaments of the joint. These ligaments play a huge role in stabilizing the joint. And when weak, will put more strain on the tendon and other joint structures.\n\nThe problem of weak ligaments needs to be addressed in treatment. Therefore, we treat the joint comprehensively, and make sure we treat any injured and weakened ligaments as well, in order to achieve the best results. Comprehensive treatment will result in repair and healing of the entire joint, tightening of the ligaments, and strengthening and repair of the tendons. So the joint and all of its structures will function normally. And the athletes and individuals who were sidelined by overuse injuries will be able return confidently and pain-free to the sport and activities they love.\n\n<a href=\"#_ednref1\" name=\"_edn1\">[i]</a> Cook J L, Khan KM, Harcourt PR, <em>et al. </em><a href=\"http://bjsm.bmj.com/content/31/4/332.short\" target=\"_blank\" rel=\"noopener noreferrer\">A cross sectional study of 100 athletes with jumper’s knee managed conservatively and surgically.</a> The Victorian Institute of Sport Tendon Study Group. Br J Sports Med1997; 31: 332 – 336.\n\n<a href=\"#_ednref2\" name=\"_edn2\">[ii]</a> Christian RA, Rossy WH, Sherman OH. Patellar tendinopathy – recent developments toward treatment. Bull Hosp Jt Dis (2013). 2014;72(3):217-24.\n\n<a href=\"#_ednref3\" name=\"_edn3\">[iii]</a> Kaux JF, Bruyere O, Croisier JL, Forthomme B, Le Goff C, Crielaard JM. One-year follow-up of platelet-rich plasma infiltration to treat chronic proximal patellar tendinopathies. Acta Orthop Belg. 2015 Jun;81(2):251-6.\n\n<a href=\"#_ednref4\" name=\"_edn4\">[iv]</a> Dupley L, Charalambous CP. Platelet-Rich Plasma Injections as a Treatment for Refractory Patellar Tendinosis: A Meta-Analysis of Randomised Trials. Knee surgery &amp; related research. 2017 Sep;29(3):165.\n\n<a href=\"#_ednref5\" name=\"_edn5\">[v]</a> Andriolo L, Altamura SA, Reale D, Candrian C, Zaffagnini S, Filardo G. Nonsurgical Treatments of Patellar Tendinopathy: Multiple Injections of Platelet-Rich Plasma Are a Suitable Option: A Systematic Review and Meta-analysis. The American journal of sports medicine. 2018 Mar 1:0363546518759674.\n\n<a href=\"#_ednref6\" name=\"_edn6\">[vi]</a> Kopka M, Bradley JP. The Use of Biologic Agents in Athletes with Knee Injuries. J Knee Surg. 2016 Jul;29(5):379-86. doi: 10.1055/s-0036-1584194. Epub 2016 May 20.\n\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Do Overuse Injuries Have You Sidelined?','','inherit','closed','closed','','2912-autosave-v1','','','2020-08-25 16:06:26','2020-08-25 16:06:26','',2912,'https://www.drfields.com/uncategorized/2912-autosave-v1/',0,'revision','',0),(4025,9,'2020-08-25 16:06:42','2020-08-25 16:06:42','Overuse Injuries can happen in any joint of the body. Repetitive strain from repeat motion and overuse due to particular jobs and activities can lead to these injuries.  Injuries, such as Runner’s Knee, Rotator Cuff Tendonitis, and Tennis Elbow are examples of overuse injuries.\r\n\r\nOveruse injuries are progressive activity-related injuries linked to repetitive stress that is placed on the tendon, ligament or other joint structure. Individuals with overuse injuries may try to manage their pain on their own for a while. They may attempt to stabilize the knee, shoulder or elbow with a brace. Or calm the pain with over-the-counter medications. Or even rest the joint a bit in order to find enough relief to be able to play in the next game, continue to work, or participate in their upcoming event.\r\n<h2>Common Causes of Overuse Injuries</h2>\r\nDoing too much of the same activity strains the tendons, ligaments, and other soft tissue structures. Training error and improper technique may add to the possibility of an overuse injury. Using poor or improper form during training exercises, while running on uneven ground, and when swinging a tennis racket. Or even poor form when painting walls can overload the muscles, tendons, and ligaments, and cause an overuse injury.\r\n\r\nIn cases of Runners Knee, for example, the repeated stress again and again,  from the force of hitting hard surfaces while contracting the leg muscle when running, results in a weakening of the tendon and ligaments. In overuse injuries, many may think the tendon or ligaments are just inflamed. And although the injury may begin with inflammation, when left untreated, this overuse injury overloads the tendon and ligaments. The result is degeneration or even in a tear. Many cases of overuse injuries become chronic with instances of recurrence.\r\n<h2>Symptoms of Overuse Injuries</h2>\r\nIn the beginning, pain and tenderness are noted in the affected area after physical activity. As the problem progresses, the pain and discomfort occur during activity. Of course, symptoms vary with the various joints and from person to person. But as the condition advances, swelling and pain will restrict the ability to perform sports or particular activities. Eventually, the pain and symptoms will persist, even at rest.\r\n<h2>Treating Overuse Injuries</h2>\r\nChasing and suppressing symptoms with bracing and pain medications may keep the swelling down and provide momentary pain relief. But a knee sleeve, for example, will only give a false sense of security while only temporarily helping the sufferer to function. The debilitating pain can keep the individual and athlete searching for a cure.\r\n<h3>Is surgery the answer?</h3>\r\nSurgery prolongs the athlete’s return to sport.<a href=\"#_edn1\" name=\"_ednref1\"><sup>[i]</sup></a>  Fortunately, there are non-surgical options!\r\n\r\nHere’s what doctors in New York say about the overuse injury patellar tendonitis, “Due to its common refractory response (difficulty in treating) to conservative treatment, a variety of new treatments have emerged recently that include...<strong>Prolotherapy</strong>, <strong>platelet-rich plasma therapy (PRP)</strong><strong>,</strong> arthroscopic surgical procedures, surgical resection of the inferior patellar pole (cutting away tendon tissue at the kneecap)…”<a href=\"#_edn2\" name=\"_ednref2\"><sup>[ii]</sup></a>\r\n\r\nAt OrthoRegen<sup>®</sup>, the regenerative treatments we use for painful joint conditions include Platelet Rich Plasma and Prolotherapy. But the researchers listed surgery too! Why do surgery if PRP is good enough? And is PRP good enough to effectively treat overuse conditions?\r\n<h3>What Do the Studies Show?</h3>\r\nStudies done in Europe demonstrate the effectiveness of Platelet Rich Plasma for those with overuse conditions of the knee. And it is able to improve pain symptoms and functionality. Here is what they say: “The most important finding in our meta-analysis is that PRP injections are statistically better than the control group at longer term follow-up suggesting that PRP is an effective and worthwhile treatment for Patellar Tendinopathy. <a href=\"#_edn3\" name=\"_ednref3\">[iii]</a><sup>,<a href=\"#_edn4\" name=\"_ednref4\">[iv]</a></sup>\r\n\r\nA 2018 study agreed that multiple PRP injections offer the most satisfactory results.<a href=\"#_edn5\" name=\"_ednref5\">[v]</a> Athletes are looking to non-surgical therapies such as Stem Cell Treatments, Platelet Rich Plasma, or Prolotherapy treatments, because they are showing improved outcomes in those with tendon and ligament conditions like Runner’s Knee.<a href=\"#_edn6\" name=\"_ednref6\">[vi]</a>\r\n<h2>Treating Overuse Injuries with Regenerative Orthopedics</h2>\r\nAt OrthoRegen<sup>®</sup>, using regenerative therapies like Stem Cell Therapy, Platelet Rich Plasma, and Prolotherapy is what we do. By treating overuse injuries with Regenerative Orthopedics, athletes can get back to their sport. And other individuals and non-athletes can return to the activities they love.\r\n\r\nWe see substantial, consistent improvements in pain outcomes when treating those with overuse injuries.  <strong>Regenerative Orthopedics can treat various joint disorders including problems of the tendons. </strong>That\'s because the injections are directed at the weakened tendons and involved ligaments which stimulate a string of healing events. The healing events include an increase of blood supply, an influx of reparative cells, and the deposition of collagen cells. And when the collagen matures, it will strengthen and tighten the damaged tendons and ligaments.\r\n\r\n<strong>Why would we treat the ligaments too? </strong>\r\n\r\nThe ongoing and recurring joint pain in overuse conditions is rooted in joint instability. Patients with overuse injuries often have concurrent weakness in the ligaments of the joint. These ligaments play a huge role in stabilizing the joint. And when weak, will put more strain on the tendon and other joint structures.\r\n\r\nThe problem of weak ligaments needs to be addressed in treatment. Therefore, we treat the joint comprehensively, and make sure we treat any injured and weakened ligaments as well, in order to achieve the best results. Comprehensive treatment will result in repair and healing of the entire joint, tightening of the ligaments, and strengthening and repair of the tendons. So the joint and all of its structures will function normally. And the athletes and individuals who were sidelined by overuse injuries will be able return confidently and pain-free to the sport and activities they love.\r\n\r\n<a href=\"#_ednref1\" name=\"_edn1\">[i]</a> Cook J L, Khan KM, Harcourt PR, <em>et al. </em><a href=\"http://bjsm.bmj.com/content/31/4/332.short\" target=\"_blank\" rel=\"noopener noreferrer\">A cross sectional study of 100 athletes with jumper’s knee managed conservatively and surgically.</a> The Victorian Institute of Sport Tendon Study Group. Br J Sports Med1997; 31: 332 – 336.\r\n\r\n<a href=\"#_ednref2\" name=\"_edn2\">[ii]</a> Christian RA, Rossy WH, Sherman OH. Patellar tendinopathy – recent developments toward treatment. Bull Hosp Jt Dis (2013). 2014;72(3):217-24.\r\n\r\n<a href=\"#_ednref3\" name=\"_edn3\">[iii]</a> Kaux JF, Bruyere O, Croisier JL, Forthomme B, Le Goff C, Crielaard JM. One-year follow-up of platelet-rich plasma infiltration to treat chronic proximal patellar tendinopathies. Acta Orthop Belg. 2015 Jun;81(2):251-6.\r\n\r\n<a href=\"#_ednref4\" name=\"_edn4\">[iv]</a> Dupley L, Charalambous CP. Platelet-Rich Plasma Injections as a Treatment for Refractory Patellar Tendinosis: A Meta-Analysis of Randomised Trials. Knee surgery &amp; related research. 2017 Sep;29(3):165.\r\n\r\n<a href=\"#_ednref5\" name=\"_edn5\">[v]</a> Andriolo L, Altamura SA, Reale D, Candrian C, Zaffagnini S, Filardo G. Nonsurgical Treatments of Patellar Tendinopathy: Multiple Injections of Platelet-Rich Plasma Are a Suitable Option: A Systematic Review and Meta-analysis. The American journal of sports medicine. 2018 Mar 1:0363546518759674.\r\n\r\n<a href=\"#_ednref6\" name=\"_edn6\">[vi]</a> Kopka M, Bradley JP. The Use of Biologic Agents in Athletes with Knee Injuries. J Knee Surg. 2016 Jul;29(5):379-86. doi: 10.1055/s-0036-1584194. Epub 2016 May 20.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Do Overuse Injuries Have You Sidelined?','','inherit','closed','closed','','2912-revision-v1','','','2020-08-25 16:06:42','2020-08-25 16:06:42','',2912,'https://www.drfields.com/uncategorized/2912-revision-v1/',0,'revision','',0),(4026,9,'2020-08-25 16:07:25','2020-08-25 16:07:25','Overuse Injuries can happen in any joint of the body. Repetitive strain from repeat motion and overuse due to particular jobs and activities can lead to these injuries.  Injuries, such as Runner’s Knee, Rotator Cuff Tendonitis, and Tennis Elbow are examples of overuse injuries.\r\n\r\nOveruse injuries are progressive activity-related injuries linked to repetitive stress that is placed on the tendon, ligament or other joint structure. Individuals with overuse injuries may try to manage their pain on their own for a while. They may attempt to stabilize the knee, shoulder or elbow with a brace. Or calm the pain with over-the-counter medications. Or even rest the joint a bit in order to find enough relief to be able to play in the next game, continue to work, or participate in their upcoming event.\r\n<h2>Common Causes of Overuse Injuries</h2>\r\nDoing too much of the same activity strains the tendons, ligaments, and other soft tissue structures. Training error and improper technique may add to the possibility of an overuse injury. Using poor or improper form during training exercises, while running on uneven ground, and when swinging a tennis racket. Or even poor form when painting walls can overload the muscles, tendons, and ligaments, and cause an overuse injury.\r\n\r\nIn cases of Runners Knee, for example, the repeated stress again and again,  from the force of hitting hard surfaces while contracting the leg muscle when running, results in a weakening of the tendon and ligaments. In overuse injuries, many may think the tendon or ligaments are just inflamed. And although the injury may begin with inflammation, when left untreated, this overuse injury overloads the tendon and ligaments. The result is degeneration or even in a tear. Many cases of overuse injuries become chronic with instances of recurrence.\r\n<h2>Symptoms of Overuse Injuries</h2>\r\nIn the beginning, pain and tenderness are noted in the affected area after physical activity. As the problem progresses, the pain and discomfort occur during activity. Of course, symptoms vary with the various joints and from person to person. But as the condition advances, swelling and pain will restrict the ability to perform sports or particular activities. Eventually, the pain and symptoms will persist, even at rest.\r\n<h2>Treating Overuse Injuries</h2>\r\nChasing and suppressing symptoms with bracing and pain medications may keep the swelling down and provide momentary pain relief. But a knee sleeve, for example, will only give a false sense of security while only temporarily helping the sufferer to function. The debilitating pain can keep the individual and athlete searching for a cure.\r\n<h3>Is surgery the answer?</h3>\r\nSurgery prolongs the athlete’s return to sport.<a href=\"#_edn1\" name=\"_ednref1\"><sup>[i]</sup></a>  Fortunately, there are non-surgical options!\r\n\r\nHere’s what doctors in New York say about the overuse injury patellar tendonitis, “Due to its common refractory response (difficulty in treating) to conservative treatment, a variety of new treatments have emerged recently that include...<strong>Prolotherapy</strong>, <strong>platelet-rich plasma therapy (PRP)</strong><strong>,</strong> arthroscopic surgical procedures, surgical resection of the inferior patellar pole (cutting away tendon tissue at the kneecap)…”<a href=\"#_edn2\" name=\"_ednref2\"><sup>[ii]</sup></a>\r\n\r\nAt OrthoRegen<sup>®</sup>, the regenerative treatments we use for painful joint conditions include Platelet Rich Plasma and Prolotherapy. But the researchers listed surgery too! Why do surgery if PRP is good enough? And is PRP good enough to effectively treat overuse conditions?\r\n<h3>What Do the Studies Show?</h3>\r\nStudies done in Europe demonstrate the effectiveness of Platelet Rich Plasma for those with overuse conditions of the knee. And it is able to improve pain symptoms and functionality. Here is what they say: “The most important finding in our meta-analysis is that PRP injections are statistically better than the control group at longer term follow-up suggesting that PRP is an effective and worthwhile treatment for Patellar Tendinopathy. <a href=\"#_edn3\" name=\"_ednref3\">[iii]</a><sup>,<a href=\"#_edn4\" name=\"_ednref4\">[iv]</a></sup>\r\n\r\nA 2018 study agreed that multiple PRP injections offer the most satisfactory results.<a href=\"#_edn5\" name=\"_ednref5\">[v]</a> Athletes are looking to non-surgical therapies such as Stem Cell Treatments, Platelet Rich Plasma, or Prolotherapy treatments, because they are showing improved outcomes in those with tendon and ligament conditions like Runner’s Knee.<a href=\"#_edn6\" name=\"_ednref6\">[vi]</a>\r\n<h2>Treating Overuse Injuries with Regenerative Orthopedics</h2>\r\nAt OrthoRegen<sup>®</sup>, using regenerative therapies like Stem Cell Therapy, Platelet Rich Plasma, and Prolotherapy is what we do. By treating overuse injuries with Regenerative Orthopedics, athletes can get back to their sport. And other individuals and non-athletes can return to the activities they love.\r\n\r\nWe see substantial, consistent improvements in pain outcomes when treating those with overuse injuries.  <strong>Regenerative Orthopedics can treat various joint disorders including problems of the tendons. </strong>That\'s because the injections are directed at the weakened tendons and involved ligaments which stimulate a string of healing events. The healing events include an increase of blood supply, an influx of reparative cells, and the deposition of collagen cells. And when the collagen matures, it will strengthen and tighten the damaged tendons and ligaments.\r\n\r\n<strong>Why would we treat the ligaments too? </strong>\r\n\r\nThe ongoing and recurring joint pain in overuse conditions is rooted in joint instability. Patients with overuse injuries often have concurrent weakness in the ligaments of the joint. These ligaments play a huge role in stabilizing the joint. And when weak, will put more strain on the tendon and other joint structures.\r\n\r\nThe problem of weak ligaments needs to be addressed in treatment. Therefore, we treat the joint comprehensively, and make sure we treat any injured and weakened ligaments as well, in order to achieve the best results. Comprehensive treatment will result in repair and healing of the entire joint, tightening of the ligaments, and strengthening and repair of the tendons. So the joint and all of its structures will function normally. And the athletes and individuals who were sidelined by overuse injuries will be able return confidently and pain-free to the sport and activities they love.\r\n<h3>References</h3>\r\n<a href=\"#_ednref1\" name=\"_edn1\">[i]</a> Cook J L, Khan KM, Harcourt PR, <em>et al. </em><a href=\"http://bjsm.bmj.com/content/31/4/332.short\" target=\"_blank\" rel=\"noopener noreferrer\">A cross sectional study of 100 athletes with jumper’s knee managed conservatively and surgically.</a> The Victorian Institute of Sport Tendon Study Group. Br J Sports Med1997; 31: 332 – 336.\r\n\r\n<a href=\"#_ednref2\" name=\"_edn2\">[ii]</a> Christian RA, Rossy WH, Sherman OH. Patellar tendinopathy – recent developments toward treatment. Bull Hosp Jt Dis (2013). 2014;72(3):217-24.\r\n\r\n<a href=\"#_ednref3\" name=\"_edn3\">[iii]</a> Kaux JF, Bruyere O, Croisier JL, Forthomme B, Le Goff C, Crielaard JM. One-year follow-up of platelet-rich plasma infiltration to treat chronic proximal patellar tendinopathies. Acta Orthop Belg. 2015 Jun;81(2):251-6.\r\n\r\n<a href=\"#_ednref4\" name=\"_edn4\">[iv]</a> Dupley L, Charalambous CP. Platelet-Rich Plasma Injections as a Treatment for Refractory Patellar Tendinosis: A Meta-Analysis of Randomised Trials. Knee surgery &amp; related research. 2017 Sep;29(3):165.\r\n\r\n<a href=\"#_ednref5\" name=\"_edn5\">[v]</a> Andriolo L, Altamura SA, Reale D, Candrian C, Zaffagnini S, Filardo G. Nonsurgical Treatments of Patellar Tendinopathy: Multiple Injections of Platelet-Rich Plasma Are a Suitable Option: A Systematic Review and Meta-analysis. The American journal of sports medicine. 2018 Mar 1:0363546518759674.\r\n\r\n<a href=\"#_ednref6\" name=\"_edn6\">[vi]</a> Kopka M, Bradley JP. The Use of Biologic Agents in Athletes with Knee Injuries. J Knee Surg. 2016 Jul;29(5):379-86. doi: 10.1055/s-0036-1584194. Epub 2016 May 20.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Do Overuse Injuries Have You Sidelined?','','inherit','closed','closed','','2912-revision-v1','','','2020-08-25 16:07:25','2020-08-25 16:07:25','',2912,'https://www.drfields.com/uncategorized/2912-revision-v1/',0,'revision','',0),(4027,9,'2020-08-25 17:04:27','2020-08-25 17:04:27','Runners Knee','Runners Knee','Runners Knee','inherit','open','closed','','runners-knee','','','2020-08-25 17:04:27','2020-08-25 17:04:27','',2894,'https://www.drfields.com/wp-content/uploads/2019/10/Runners-Knee.jpg',0,'attachment','image/jpeg',0),(4028,9,'2022-03-04 19:40:59','2022-03-04 19:40:59','[caption id=\"attachment_4027\" align=\"alignleft\" width=\"500\"]<img class=\"size-medium wp-image-4027\" src=\"https://www.drfields.com/wp-content/uploads/2019/10/Runners-Knee-500x500.jpg\" alt=\"Runners Knee\" width=\"500\" height=\"500\" /> Runners Knee[/caption]\n\nRunner’s Knee is a painful knee condition that is, like the name says, common in runners. Another name for Runner’s Knee is Patellofemoral Pain Syndrome (PFPS). And it is characterized by anterior knee pain.\n\nSufferers of this condition commonly experience pain behind and around the kneecap or patella. Runner’s Knee can affect one or both knees and is a knee complaint among athletes and non-athletes alike. It particularly affects adolescents and young adults. And it is quite common in younger recreational runners, with females suffering more frequently than males.\n\nSeveral forces act on the patella to provide stability and keep it tracking properly, as it articulates with the patellofemoral groove in the femur.\n\nThe patella not only moves up and down but also tilts and rotates. That allows for various points of contact between the patella and femur. Repetitive contact at these locations combined with the abnormal articulation of the patella is thought to be the cause of the pain behind and around the patella in patellofemoral pain syndrome.\n\nPatellofemoral Pain Syndrome should be distinguished from chondromalacia. Chondromalacia is actual fraying and damage to the underlying patellar cartilage. Chondromalacia patella can be a cause of patellofemoral pain syndrome.\n<h2>What’s Behind Runner’s Knee?</h2>\nThere are many theories to explain the pathophysiology of Runner’s Knee. They include muscular, overuse, and biomechanical theories. The cause of pain and dysfunction may result from abnormal forces such as tight or weak quadriceps, subluxation, or dislocation of the patellofemoral joint can also present.\n\nRunner’s Knee may be due to prolonged repetitive activities such as running or jumping, which put excessive sheering forces on the patellofemoral joint. And anatomic factors that predispose toward patellofemoral pain or instability include excessive rotation of the hip or shin bone, knock knees, hyperextended knees, and/or poor foot alignment. Also, ligamentous, meniscal, and soft tissue damage can cause patellofemoral pain syndrome. Other causes of patellofemoral pain are fractures, arthritis of the knee, and bony tumors in or around the knee.\n\nAlthough the exact etiology of Runner’s Knee is unclear, the abnormal articulation along with abnormal muscular and other biomechanical factors change the forces placed upon the patellofemoral joint. The abnormal movement leads to instability and improper tracking as the patella articulates with the patellofemoral groove in the femur.\n\nFor example, when the knee is flexed, the patella glides through the groove in the femur. If the bones in the lower leg are not aligned correctly, this gliding becomes abnormal. An overload on the patellofemoral joint occurs with flexion of the knee (bending) as this movement increases the pressure between the patella and the various contact points with the femur. With repeated episodes, the joint becomes unstable. Especially if the joint remains out of alignment. This abnormal tracking can lead to increased wear between the bone surfaces, and eventually the articular cartilage.\n<h2>What Are the Symptoms?</h2>\nBesides the tenderness behind, around, and at the center of the patella, there may also be pain toward the back of the knee. Crepitation or cracking sounds may be heard, as well as a feeling of instability in the knee joint. The pain typically occurs with activity. And it often worsens with activities that include steps, hills, and uneven surfaces.\n\nGoing downhill or downstairs aggravates the condition. Prolonged sitting can trigger pain due to the extra pressure between the patella and femur during knee flexion. Straightening of the legs may decrease the discomfort. Squatting and kneeling also exacerbate the pain, which can be dull, sharp, or burning.\n<h2>How is Runner’s Knee Treated?</h2>\nThe common treatment approach for Runner’s Knee usually involves activity modification, anti-inflammatory medications, the RICE protocol, ultrasound, and orthotics. And physical therapy is often recommended. PT may include quadriceps-based exercises together with hamstrings, quadriceps, gastrocnemius, anterior hip muscles, and iliotibial band stretching exercises.\n\n[caption id=\"attachment_4957\" align=\"alignright\" width=\"500\"]<img class=\"size-medium wp-image-4957\" src=\"https://www.drfields.com/wp-content/uploads/2019/10/Runners-Knee.PRP_.Stems-4-500x419.png\" alt=\"Runner\'s Knee.prp.stems 4\" width=\"500\" height=\"419\" /> <strong>         PRP and Stem Cells Are Effective for Runner\'s Knee</strong>[/caption]\n\nThis approach may help temporarily. But it does not fix the problem of instability in the knee joint which is causing the misalignment. With Runner’s Knee, instead of tracking in the groove of the femur, the patella oftentimes tracks laterally. A sunrise view X-Ray and a functional assessment of the knee by the physician will reveal how the patella is tracking. Strengthening of the vastus medialis may be helpful. And exercises such as cycling are recommended, but often that alone will not resolve the Runner’s Knee.\n\nRegenerative Orthopedics, including PRP and/or Prolotherapy injections to the medial side of the patella, will strengthen the attachment of the vastus medialis to the patella. The resultant strengthening pulls the patella into the groove, which allows for a realignment of the patella.\nRegenerative Orthopedics along with vastus medialis strengthening will relieve the pain and speed up the process of normalizing the patellar tracking in Runner’s Knee. The combination allows for a quick return to activities.\n<div class=\"vk-ContentBody sc-NQaSp cRMilg\">\n<p class=\"sc-hSBNlM iAaHRI\">A 2021 article in \"The American Journal of Sports Medicine\" says PRP, in combination with rehabilitation, is effective in reducing pain and improving activity levels for those with knee injuries like Runner\'s Knee.1</p>\n\n</div>\n<h3>References</h3>\nRodas, Gil, et al. \"Effect of autologous expanded bone marrow mesenchymal stem cells or leukocyte-poor platelet-rich plasma in chronic patellar tendinopathy (with gap&gt; 3 mm): preliminary outcomes after 6 months of a double-blind, randomized, prospective study.\" <i>The American Journal of Sports Medicine</i> 49.6 (2021): 1492-1504.\n<div class=\"sc-fvjPtz dgNjOL\"></div>\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Runner’s Knee Pain','','inherit','closed','closed','','2894-autosave-v1','','','2022-03-04 19:40:59','2022-03-04 19:40:59','',2894,'https://www.drfields.com/uncategorized/2894-autosave-v1/',0,'revision','',0),(4029,9,'2020-08-25 17:10:40','2020-08-25 17:10:40','[caption id=\"attachment_4027\" align=\"alignleft\" width=\"500\"]<img class=\"size-medium wp-image-4027\" src=\"https://www.drfields.com/wp-content/uploads/2019/10/Runners-Knee-500x500.jpg\" alt=\"Runners Knee\" width=\"500\" height=\"500\" /> Runners Knee[/caption]\r\n\r\nRunner’s Knee is a painful knee condition that is, like the name says, common in runners. Another name for Runner’s Knee is Patellofemoral Pain Syndrome (PFPS). And it is characterized by anterior knee pain.\r\n\r\nSufferers of this condition commonly experience pain behind and around the kneecap or patella. Runner’s Knee can affect one or both knees and is a knee complaint among athletes and non-athletes alike. It particularly affects adolescents and young adults. And is quite common in younger recreational runners, with females suffering more frequently than males.\r\n\r\nSeveral forces act on the patella to provide stability and keep it tracking properly, as it articulates with the patellofemoral groove in the femur.\r\n\r\nThe patella not only moves up and down, but also tilts and rotates. That allows for various points of contact between the patella and femur. Repetitive contact at these locations combined with abnormal articulation of the patella, is thought to be the cause of the pain behind and around the patella in patellofemoral pain syndrome.\r\n\r\n&nbsp;\r\n\r\nPatellofemoral Pain Syndrome should be distinguished from chondromalacia, which is actual fraying and damage to the underlying patellar cartilage. Chondromalacia patella can be a cause of patellofemoral pain syndrome.\r\n<h2>What’s Behind Runner’s Knee?</h2>\r\nThere are many theories to explain the pathophysiology of Runner’s Knee. They include muscular, overuse, and biomechanical theories. The cause of pain and dysfunction of Runner’s Knee may result from abnormal forces such as tight or weak quadriceps along with subluxation or dislocation of the patellofemoral joint. Runner’s Knee may be due to prolonged repetitive activities such as running or jumping, which put excessive sheering forces on the patellofemoral joint. Anatomic factors that predispose toward patellofemoral pain or instability include excessive rotation of the hip or shin bone, knock knees, hyperextended knees, and/or poor foot alignment. Ligamentous, meniscal, and soft tissue damage can also cause patellofemoral pain syndrome. Other causes of patellofemoral pain are fractures, arthritis of the knee, and bony tumors in or around the knee.\r\n\r\nThere are many theories to explain the pathophysiology of Runner’s Knee. They include muscular, overuse, and biomechanical theories. The cause of pain and dysfunction of Runner’s Knee may result from abnormal forces such as tight or weak quadriceps along with subluxation or dislocation of the patellofemoral joint. Runner’s Knee may be due to prolonged repetitive activities such as running or jumping, which put excessive sheering forces on the patellofemoral joint. Anatomic factors that predispose toward patellofemoral pain or instability include excessive rotation of the hip or shin bone, knock knees, hyperextended knees, and/or poor foot alignment. Ligamentous, meniscal, and soft tissue damage can also cause patellofemoral pain syndrome. Other causes of patellofemoral pain are fractures, arthritis of the knee, and bony tumors in or around the knee.\r\n\r\nAlthough the exact etiology of Runner’s Knee is unclear, the abnormal articulation along with abnormal muscular and other biomechanical factors change the forces placed upon the patellofemoral joint, which causes instability and improper tracking as the patella articulates with the patellofemoral groove in the femur. For example, when the knee is flexed, the patella glides through the groove in the femur. If the bones in the lower leg are not aligned correctly, this gliding becomes abnormal. An overload on the patellofemoral joint occurs with flexion of the knee as this movement increases pressure between the patella and the various contact points with the femur. With repeated episodes, the joint becomes unstable, especially if the joint remains out of alignment. This abnormal tracking can lead to increased wear between the bone surfaces, and eventually the articular cartilage.\r\n<h2>Runner’s Knee Symptoms</h2>\r\nBesides the tenderness behind, around and at the center of the patella, there may also be pain toward the back of the knee. Crepitation or cracking sounds may be heard, as well as a feeling of instability in the knee joint. The pain typically occurs with activity and often worsens with activities that include steps, hills, and uneven surfaces. Going downhill or downstairs aggravates the condition. Pain can also be triggered by prolonged sitting, due to the extra pressure between the patella and femur during knee flexion. Straightening of the legs may decrease the discomfort. Squatting and kneeling also exacerbate the pain, which can be dull, sharp, or burning.\r\n<h2>How is Runner’s Knee Treated?</h2>\r\nThe common treatment approach for Runner’s Knee usually involves activity modification, anti-inflammatory medications, the RICE protocol, ultrasound, orthotics and physical therapy with quadriceps-based exercises together with hamstrings, quadriceps, gastrocnemius, anterior hip muscles and iliotibial band stretching exercises. This approach may help temporarily, but it does not fix the problem of instability in the knee joint which is causing the misalignment. With Runner’s Knee, instead of tracking in the groove of the femur, the patella oftentimes tracks laterally. A sunrise view X-Ray and a functional assessment of the knee by the physician will reveal how the patella is tracking. Strengthening of the vastus medialis may be helpful, and exercises such as cycling are recommended, but often that alone will not resolve the Runner’s Knee. Regenerative Orthopedics, including PRP and/or Prolotherapy injections to the medial side of the patella will strengthen the attachment of the vastus medialis to the patella. The resultant strengthening will pull the patella into the groove, allowing for a realignment of the patella.\r\nRegenerative Orthopedics along with vastus medialis strengthening will relieve the pain and speed up the process of normalizing the patellar tracking in Runner’s Knee, allowing for a quick return to activities.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Runner’s Knee Pain','','inherit','closed','closed','','2894-revision-v1','','','2020-08-25 17:10:40','2020-08-25 17:10:40','',2894,'https://www.drfields.com/uncategorized/2894-revision-v1/',0,'revision','',0),(4030,9,'2020-08-25 17:21:52','2020-08-25 17:21:52','[caption id=\"attachment_4027\" align=\"alignleft\" width=\"500\"]<img class=\"size-medium wp-image-4027\" src=\"https://www.drfields.com/wp-content/uploads/2019/10/Runners-Knee-500x500.jpg\" alt=\"Runners Knee\" width=\"500\" height=\"500\" /> Runners Knee[/caption]\r\n\r\nRunner’s Knee is a painful knee condition that is, like the name says, common in runners. Another name for Runner’s Knee is Patellofemoral Pain Syndrome (PFPS). And it is characterized by anterior knee pain.\r\n\r\nSufferers of this condition commonly experience pain behind and around the kneecap or patella. Runner’s Knee can affect one or both knees and is a knee complaint among athletes and non-athletes alike. It particularly affects adolescents and young adults. And is quite common in younger recreational runners, with females suffering more frequently than males.\r\n\r\nSeveral forces act on the patella to provide stability and keep it tracking properly, as it articulates with the patellofemoral groove in the femur.\r\n\r\nThe patella not only moves up and down, but also tilts and rotates. That allows for various points of contact between the patella and femur. Repetitive contact at these locations combined with abnormal articulation of the patella, is thought to be the cause of the pain behind and around the patella in patellofemoral pain syndrome.\r\n\r\n&nbsp;\r\n\r\nPatellofemoral Pain Syndrome should be distinguished from chondromalacia, which is actual fraying and damage to the underlying patellar cartilage. Chondromalacia patella can be a cause of patellofemoral pain syndrome.\r\n<h2>What’s Behind Runner’s Knee?</h2>\r\nThere are many theories to explain the pathophysiology of Runner’s Knee. They include muscular, overuse, and biomechanical theories. The cause of pain and dysfunction may result from abnormal forces such as tight or weak quadriceps. subluxation or dislocation of the patellofemoral joint can also present.\r\n\r\nRunner’s Knee may be due to prolonged repetitive activities such as running or jumping, which put excessive sheering forces on the patellofemoral joint. And anatomic factors that predispose toward patellofemoral pain or instability include excessive rotation of the hip or shin bone, knock knees, hyperextended knees, and/or poor foot alignment. Also, ligamentous, meniscal, and soft tissue damage can cause patellofemoral pain syndrome. Other causes of patellofemoral pain are fractures, arthritis of the knee, and bony tumors in or around the knee.\r\n\r\nAlthough the exact etiology of Runner’s Knee is unclear, the abnormal articulation along with abnormal muscular and other biomechanical factors change the forces placed upon the patellofemoral joint. The abnormal movement leads to instability and improper tracking as the patella articulates with the patellofemoral groove in the femur.\r\n\r\nFor example, when the knee is flexed, the patella glides through the groove in the femur. If the bones in the lower leg are not aligned correctly, this gliding becomes abnormal. An overload on the patellofemoral joint occurs with flexion of the knee (bending) as this movement increases pressure between the patella and the various contact points with the femur. With repeated episodes, the joint becomes unstable. Especially if the joint remains out of alignment. This abnormal tracking can lead to increased wear between the bone surfaces, and eventually the articular cartilage.\r\n<h2>What Are the Symptoms?</h2>\r\nBesides the tenderness behind, around, and at the center of the patella, there may also be pain toward the back of the knee. Crepitation or cracking sounds may be heard, as well as a feeling of instability in the knee joint. The pain typically occurs with activity. And it often worsens with activities that include steps, hills, and uneven surfaces.\r\n\r\nGoing downhill or downstairs aggravates the condition. Pain can also be triggered by prolonged sitting, due to the extra pressure between the patella and femur during knee flexion. Straightening of the legs may decrease the discomfort. Squatting and kneeling also exacerbate the pain, which can be dull, sharp, or burning.\r\n<h2>How is Runner’s Knee Treated?</h2>\r\nThe common treatment approach for Runner’s Knee usually involves activity modification, anti-inflammatory medications, the RICE protocol, ultrasound, and orthotics. And physical therapy is commonly recommended. It often includes quadriceps-based exercises together with hamstrings, quadriceps, gastrocnemius, anterior hip muscles, and iliotibial band stretching exercises.\r\n\r\nThis approach may help temporarily. But it does not fix the problem of instability in the knee joint which is causing the misalignment. With Runner’s Knee, instead of tracking in the groove of the femur, the patella oftentimes tracks laterally. A sunrise view X-Ray and a functional assessment of the knee by the physician will reveal how the patella is tracking. Strengthening of the vastus medialis may be helpful, and exercises such as cycling are recommended, but often that alone will not resolve the Runner’s Knee.\r\n\r\nRegenerative Orthopedics, including PRP and/or Prolotherapy injections to the medial side of the patella will strengthen the attachment of the vastus medialis to the patella. The resultant strengthening will pull the patella into the groove, allowing for a realignment of the patella.\r\nRegenerative Orthopedics along with vastus medialis strengthening will relieve the pain and speed up the process of normalizing the patellar tracking in Runner’s Knee. The combinations allows for a quick return to activities.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Runner’s Knee Pain','','inherit','closed','closed','','2894-revision-v1','','','2020-08-25 17:21:52','2020-08-25 17:21:52','',2894,'https://www.drfields.com/uncategorized/2894-revision-v1/',0,'revision','',0),(4031,9,'2020-08-25 17:29:24','2020-08-25 17:29:24','[caption id=\"attachment_4027\" align=\"alignleft\" width=\"500\"]<img class=\"size-medium wp-image-4027\" src=\"https://www.drfields.com/wp-content/uploads/2019/10/Runners-Knee-500x500.jpg\" alt=\"Runners Knee\" width=\"500\" height=\"500\" /> Runners Knee[/caption]\r\n\r\nRunner’s Knee is a painful knee condition that is, like the name says, common in runners. Another name for Runner’s Knee is Patellofemoral Pain Syndrome (PFPS). And it is characterized by anterior knee pain.\r\n\r\nSufferers of this condition commonly experience pain behind and around the kneecap or patella. Runner’s Knee can affect one or both knees and is a knee complaint among athletes and non-athletes alike. It particularly affects adolescents and young adults. And it is quite common in younger recreational runners, with females suffering more frequently than males.\r\n\r\nSeveral forces act on the patella to provide stability and keep it tracking properly, as it articulates with the patellofemoral groove in the femur.\r\n\r\nThe patella not only moves up and down, but also tilts and rotates. That allows for various points of contact between the patella and femur. Repetitive contact at these locations combined with abnormal articulation of the patella, is thought to be the cause of the pain behind and around the patella in patellofemoral pain syndrome.\r\n\r\n&nbsp;\r\n\r\nPatellofemoral Pain Syndrome should be distinguished from chondromalacia. Chondromalacia is actual fraying and damage to the underlying patellar cartilage. Chondromalacia patella can be a cause of patellofemoral pain syndrome.\r\n<h2>What’s Behind Runner’s Knee?</h2>\r\nThere are many theories to explain the pathophysiology of Runner’s Knee. They include muscular, overuse, and biomechanical theories. The cause of pain and dysfunction may result from abnormal forces such as tight or weak quadriceps, subluxation, or dislocation of the patellofemoral joint can also present.\r\n\r\nRunner’s Knee may be due to prolonged repetitive activities such as running or jumping, which put excessive sheering forces on the patellofemoral joint. And anatomic factors that predispose toward patellofemoral pain or instability include excessive rotation of the hip or shin bone, knock knees, hyperextended knees, and/or poor foot alignment. Also, ligamentous, meniscal, and soft tissue damage can cause patellofemoral pain syndrome. Other causes of patellofemoral pain are fractures, arthritis of the knee, and bony tumors in or around the knee.\r\n\r\nAlthough the exact etiology of Runner’s Knee is unclear, the abnormal articulation along with abnormal muscular and other biomechanical factors change the forces placed upon the patellofemoral joint. The abnormal movement leads to instability and improper tracking as the patella articulates with the patellofemoral groove in the femur.\r\n\r\nFor example, when the knee is flexed, the patella glides through the groove in the femur. If the bones in the lower leg are not aligned correctly, this gliding becomes abnormal. An overload on the patellofemoral joint occurs with flexion of the knee (bending) as this movement increases pressure between the patella and the various contact points with the femur. With repeated episodes, the joint becomes unstable. Especially if the joint remains out of alignment. This abnormal tracking can lead to increased wear between the bone surfaces, and eventually the articular cartilage.\r\n<h2>What Are the Symptoms?</h2>\r\nBesides the tenderness behind, around, and at the center of the patella, there may also be pain toward the back of the knee. Crepitation or cracking sounds may be heard, as well as a feeling of instability in the knee joint. The pain typically occurs with activity. And it often worsens with activities that include steps, hills, and uneven surfaces.\r\n\r\nGoing downhill or downstairs aggravates the condition. Prolonged sitting can trigger pain due to the extra pressure between the patella and femur during knee flexion. Straightening of the legs may decrease the discomfort. Squatting and kneeling also exacerbate the pain, which can be dull, sharp, or burning.\r\n<h2>How is Runner’s Knee Treated?</h2>\r\nThe common treatment approach for Runner’s Knee usually involves activity modification, anti-inflammatory medications, the RICE protocol, ultrasound, and orthotics. And physical therapy is often recommended. PT may include quadriceps-based exercises together with hamstrings, quadriceps, gastrocnemius, anterior hip muscles, and iliotibial band stretching exercises.\r\n\r\nThis approach may help temporarily. But it does not fix the problem of instability in the knee joint which is causing the misalignment. With Runner’s Knee, instead of tracking in the groove of the femur, the patella oftentimes tracks laterally. A sunrise view X-Ray and a functional assessment of the knee by the physician will reveal how the patella is tracking. Strengthening of the vastus medialis may be helpful. And exercises such as cycling are recommended, but often that alone will not resolve the Runner’s Knee.\r\n\r\nRegenerative Orthopedics, including PRP and/or Prolotherapy injections to the medial side of the patella will strengthen the attachment of the vastus medialis to the patella. The resultant strengthening pulls the patella into the groove, which allows for a realignment of the patella.\r\nRegenerative Orthopedics along with vastus medialis strengthening will relieve the pain and speed up the process of normalizing the patellar tracking in Runner’s Knee. The combination allows for a quick return to activities.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Runner’s Knee Pain','','inherit','closed','closed','','2894-revision-v1','','','2020-08-25 17:29:24','2020-08-25 17:29:24','',2894,'https://www.drfields.com/uncategorized/2894-revision-v1/',0,'revision','',0),(4032,9,'2020-08-25 17:31:21','2020-08-25 17:31:21','Snapping Hip Syndrome','Snapping Hip Syndrome','Snapping Hip Syndrome','inherit','open','closed','','snapping-hip-syndrome-2','','','2020-08-25 17:31:21','2020-08-25 17:31:21','',2892,'https://www.drfields.com/wp-content/uploads/2019/10/Snapping-Hip-Syndrome.png',0,'attachment','image/png',0),(4033,9,'2020-08-25 17:48:07','2020-08-25 17:48:07','In Snapping Hip Syndrome, sufferers hear or feel a snap, pop, or click when they move their hip joint. Encountering these symptoms is not a normal process, but one that points to an injury or degenerative condition.\n<h2>What Is the Cause of Snapping Hip Syndrome?</h2>\nThere are several reasons Snapping Hip Syndrome occurs, and they can be due to problems either inside or outside of the hip joint.\n\nMost commonly, the condition involves a thick, wide tendon called the <em><strong>iliotibial band</strong> </em>that runs along the outside or lateral side of the hip joint. The iliotibial band snaps over the bony prominence, a part of the thigh bone that sticks out, called the greater trochanter on the outside of the hip.\n\nWhen a person with this condition moves into a standing position for example, the band may be positioned behind the trochanter. And then when bending the hip, the band will move and “snap” over towards the front of the bony prominence. Over time, irritation from this “snapping” may also result in bursitis.\n\nAnother tendon is involved in the second cause of Snapping Hip Syndrome, as it catches on underlying bony prominences of the pelvis. The <em><strong>iliopsoas tendon</strong></em> snaps over the iliopectineal eminence when bending or flexing the hip. The annoying snapping sensation or sound is generally the only symptom involved when the iliopsoas tendon is the source.\n\nAn additional area where snapping can occur is located where the ball of the hip joint fits into the socket. This snapping involves the <em><strong>rectus femoris</strong></em> tendon as it runs from inside the thighbone and up through the pelvis. When the hip joint bends and straightens, the tendon moves and snaps back and forth across the ball of the hip joint.\n\nThe least common cause of Snapping Hip Syndrome occurs inside the hip joint and involves a <em><strong>tear in the hip labrum or a tear in the cartilage</strong></em>. Bits of cartilage or even bone can also become loose inside the joint, in these types of injuries. These pieces are called loose fragments and can be an associated cause of Snapping Hip Syndrome which can cause the hip to lock up. In this scenario inside the hip, the sufferer often experiences pain that is disabling.\n\nA combination of the various causes, plus muscle injury can also occur. Additionally, if the problem is ongoing and the tendons remain lax over a prolonged period of time, Snapping Hip Syndrome can lead to arthritis.\n<h2>Who Experiences Snapping Hip Syndrome?</h2>\n[caption id=\"attachment_4032\" align=\"alignright\" width=\"510\"]<img class=\"wp-image-4032 \" src=\"https://www.drfields.com/wp-content/uploads/2019/10/Snapping-Hip-Syndrome-500x500.png\" alt=\"Snapping Hip Syndrome\" width=\"510\" height=\"510\" /> <strong>                                  Snapping Hip Syndrome in Athletes </strong>[/caption]\n\nSnapping Hip Syndrome is common in young athletes like ballet dancers, soccer players, and runners. Dancers and other athletes repetitively move their hip in order to perform their dance or sport.\n\nIf the hip and the tendons are moving abnormally, such as with Snapping Hip Syndrome, the abnormal rubbing and snapping of the tissue over bony prominences will occur again and again.\n\nWhen experiencing the symptoms, these athletes will frequently turn to treatments to relieve tight muscles, because they attribute their problem to overtraining. Treating muscles may give some relief, but will not repair the underlying injury to the ligaments, tendons, and/or hip labrum.\n\nTreatments that repair these soft tissue structures are necessary to stabilize the hip joint and stop the snapping from occurring.\n<h2>Regenerative Orthopedic Treatments for Snapping Hip Syndrome</h2>\nRegenerative Orthopedics directed towards the strengthening of these tendons and any involved ligaments, plus repair of the hip labrum, can tighten the joint and resolve the problem.\n\nOftentimes an underlying problem of looseness or laxity of the hip joint is involved, causing instability of the hip joint. Regenerative Orthopedics treats the hip instability, because it tightens and strengthens the injured and lax structures, and regenerates the areas that need healing. The treatment actually gets to the root cause of the problem, and is effective at repairing the injured soft tissue, and resolving the problem.\n\nThe injected solutions in Regenerative Orthopedic treatments draw immune cells and growth factors to the area in an effort to build new healthy soft tissue. The healing and repair boosts the body’s natural response of healing in soft-tissue injuries.  The result is ligaments and tendons that are stronger, and no longer loose.  The snapping and pain goes away, and the athlete can return to the sport they love.\n\nIf the cause of Snapping Hip Syndrome is a torn labrum or cartilage, a more advanced technique of Regenerative Orthopedics, including Stem Cell Therapy and/or PRP, may be required.  Labral tears respond well to these treatments. And cartilage, if involved, can regenerate too. If loose fragments are an issue, the physician will need to determine whether or not surgical removal is necessary.\n\nRegenerative Orthopedic treatments for Snapping Hip Syndrome get to the root cause of the condition. Specifically, the damaged connective tissues like tendons ligaments, and labrum, can be repaired and healed. That means you return quickly to the sports and activities you enjoy doing.\n\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Snapping Hip Syndrome and Athletes','','inherit','closed','closed','','2892-autosave-v1','','','2020-08-25 17:48:07','2020-08-25 17:48:07','',2892,'https://www.drfields.com/uncategorized/2892-autosave-v1/',0,'revision','',0),(4034,9,'2020-08-25 17:48:58','2020-08-25 17:48:58','In Snapping Hip Syndrome, sufferers hear or feel a snap, pop, or click when they move their hip joint. Encountering these symptoms is not a normal process, but one that points to an injury or degenerative condition.\r\n<h2>What Is the Cause of Snapping Hip Syndrome?</h2>\r\nThere are several reasons Snapping Hip Syndrome occurs, and they can be due to problems either inside or outside of the hip joint.\r\n\r\nMost commonly, the condition involves a thick, wide tendon called the <em><strong>iliotibial band</strong> </em>that runs along the outside or lateral side of the hip joint. The iliotibial band snaps over the bony prominence, a part of the thigh bone that sticks out, called the greater trochanter on the outside of the hip.\r\n\r\nWhen a person with this condition moves into a standing position for example, the band may be positioned behind the trochanter. And then when bending the hip, the band will move and “snap” over towards the front of the bony prominence. Over time, irritation from this “snapping” may also result in bursitis.\r\n\r\nAnother tendon is involved in the second cause of Snapping Hip Syndrome, as it catches on underlying bony prominences of the pelvis. The <em><strong>iliopsoas tendon</strong></em> snaps over the iliopectineal eminence when bending or flexing the hip. The annoying snapping sensation or sound is generally the only symptom involved when the iliopsoas tendon is the source.\r\n\r\nAn additional area where snapping can occur is located where the ball of the hip joint fits into the socket. This snapping involves the <em><strong>rectus femoris</strong></em> tendon as it runs from inside the thighbone and up through the pelvis. When the hip joint bends and straightens, the tendon moves and snaps back and forth across the ball of the hip joint.\r\n\r\nThe least common cause of Snapping Hip Syndrome occurs inside the hip joint and involves a <em><strong>tear in the hip labrum or a tear in the cartilage</strong></em>. Bits of cartilage or even bone can also become loose inside the joint, in these types of injuries. These pieces are called loose fragments and can be an associated cause of Snapping Hip Syndrome which can cause the hip to lock up. In this scenario inside the hip, the sufferer often experiences pain that is disabling.\r\n\r\nA combination of the various causes, plus muscle injury can also occur. Additionally, if the problem is ongoing and the tendons remain lax over a prolonged period of time, Snapping Hip Syndrome can lead to arthritis.\r\n<h2>Who Experiences Snapping Hip Syndrome?</h2>\r\n[caption id=\"attachment_4032\" align=\"alignright\" width=\"510\"]<img class=\"wp-image-4032 \" src=\"https://www.drfields.com/wp-content/uploads/2019/10/Snapping-Hip-Syndrome-500x500.png\" alt=\"Snapping Hip Syndrome\" width=\"510\" height=\"510\" /> <strong>                                  Snapping Hip Syndrome in Athletes </strong>[/caption]\r\n\r\nSnapping Hip Syndrome is common in young athletes like ballet dancers, soccer players, and runners. Dancers and other athletes repetitively move their hip in order to perform their dance or sport.\r\n\r\nIf the hip and the tendons are moving abnormally, such as with Snapping Hip Syndrome, the abnormal rubbing and snapping of the tissue over bony prominences will occur again and again.\r\n\r\nWhen experiencing the symptoms, these athletes will frequently turn to treatments to relieve tight muscles, because they attribute their problem to overtraining. Treating muscles may give some relief, but will not repair the underlying injury to the ligaments, tendons, and/or hip labrum.\r\n\r\nTreatments that repair these soft tissue structures are necessary to stabilize the hip joint and stop the snapping from occurring.\r\n<h2>Regenerative Orthopedic Treatments for Snapping Hip Syndrome</h2>\r\nRegenerative Orthopedics directed towards the strengthening of these tendons and any involved ligaments, plus repair of the hip labrum, can tighten the joint and resolve the problem.\r\n\r\nOftentimes an underlying problem of looseness or laxity of the hip joint is involved, causing instability of the hip joint. Regenerative Orthopedics treats the hip instability, because it tightens and strengthens the injured and lax structures, and regenerates the areas that need healing. The treatment actually gets to the root cause of the problem, and is effective at repairing the injured soft tissue, and resolving the problem.\r\n\r\nThe injected solutions in Regenerative Orthopedic treatments draw immune cells and growth factors to the area in an effort to build new healthy soft tissue. The healing and repair boosts the body’s natural response of healing in soft-tissue injuries.  The result is ligaments and tendons that are stronger, and no longer loose.  The snapping and pain goes away, and the athlete can return to the sport they love.\r\n\r\nIf the cause of Snapping Hip Syndrome is a torn labrum or cartilage, a more advanced technique of Regenerative Orthopedics, including <a href=\"https://www.drfields.com/regenerative-techniques/stem-cell-treatment/\">Stem Cell Therapy</a> and/or PRP, may be required.  Labral tears respond well to these treatments. And cartilage, if involved, can regenerate too. If loose fragments are an issue, the physician will need to determine whether or not surgical removal is necessary.\r\n\r\nRegenerative Orthopedic treatments for Snapping Hip Syndrome get to the root cause of the condition. Specifically, the damaged connective tissues like tendons ligaments, and labrum, can be repaired and healed. That means you return quickly to the sports and activities you enjoy doing.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Snapping Hip Syndrome and Athletes','','inherit','closed','closed','','2892-revision-v1','','','2020-08-25 17:48:58','2020-08-25 17:48:58','',2892,'https://www.drfields.com/uncategorized/2892-revision-v1/',0,'revision','',0),(4035,9,'2020-08-25 18:21:26','2020-08-25 18:21:26','<img class=\"alignleft size-full wp-image-288\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/mother-child-reading.jpg\" alt=\"Mother Child Reading\" width=\"200\" height=\"300\" /><u><strong>Fee’s and Payment/Insurance Policies</strong></u> <a href=\"https://www.drfields.com/about/fees-policies/\" rel=\"noopener noreferrer\">Click Here</a>\r\n\r\n<u><strong>Are medical records or MRI’s/X-rays necessary?</strong></u>\r\nAny pertinent medical records can be faxed [phone] to the office prior to your visit. The report (reading) of the MRI/X-ray can also be faxed or brought with you.\r\n\r\nActual MRI’s or x-rays are not absolutely necessary but may be brought with you.\r\n\r\n<u><strong>How long is each visit?</strong></u>\r\nThe first visit is approximately one hour. Each additional visit is about half an hour unless there is more than one area being treated. You can discuss this with the doctor on your first visit.\r\n\r\n<u><strong>Do I receive a Prolotherapy treatment on the initial visit?</strong></u>\r\nIf after history and examination it is determined that you are a prolotherapy candidate, then you will receive Prolotherapy on your first visit.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n<h6>Fees</h6>\r\nFor your first visit:\r\nA complete Regenerative Orthopedics history and physical is done at that time.\r\nThis takes approximately 30-40 minutes.\r\nThen the treatment options are explained (prices below).\r\n\r\nInitial Regenerative Orthopedic Consultation: <strong>$300</strong>\r\n<h6>Prolotherapy Charges</h6>\r\nSmall Joint (Foot, hand, fingers, toes, ankle, elbow, TMJ ): <strong>$400</strong>\r\nMedium Joint (knee, hip, shoulder, ribs): <strong>$550</strong>\r\nLarge Joint (Groin, Neck, Mid Back or Low Back): <strong>$700</strong>\r\nPRP (in addition to the above joint charges): <strong>$550</strong>\r\nStem Cell Therapy: <strong>Please call for pricing</strong>\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n\r\n<strong>Payment Policy</strong>\r\n\r\nInvesting in your health should be very important to you. Since the future of health care is changing, you should be involved with this investment. When you make a financial investment, you measure it by how much it grows each year. Investing in your health pays off in many different ways: wellness, health stability, quality of life, energy, happiness and more.\r\n\r\nOnly you can decide what is fair and if it is worth the investment even if you pay out-of-pocket costs for your health care.\r\n\r\nWe will make every effort to instill the feeling that your time with us is worth it.\r\n\r\nAs a <strong>Fee for Service Office</strong> we request that the <u><strong>fee is paid in full at the time of service</strong></u>.\r\nWe accept credit cards, checks, or cash for payment of services.\r\nWe will provide you with a detailed invoice that you can submit to your insurance company for possible reimbursement. <u><strong>We cannot guarantee insurance reimbursement.</strong></u>\r\n\r\nWe <u>do not subscribe to any insurance networks.</u> Insurance billing can be up to 40 percent of a medical office\'s overhead. It involves a lot of time and effort. We would rather put that time and effort into caring for our patients instead of billing insurance companies. It also helps us keep our prices reasonable.\r\n\r\nRemember that health insurance is a contract between you and your insurance carrier.\r\n\r\nIf so inclined, you can contact your insurance carrier and ask them if they cover an MD office visit (codes: 99203 or 4; 99213 or 4.) They will not tell you how much they cover - only whether they cover it or not. Most insurance companies cover MD\'s office visits. This is what we bill for.\r\n\r\nAll bills are issued under Dr Fields\' medical license (MD). Unfortunately, there is still no guarantee that insurance companies will reimburse you for your treatments even after they have said yes to complete or partial coverage.\r\n\r\n<u><strong>We cannot bill Medicare or Medi-cal since we are not a provider.</strong></u>\r\nPlease do not ask us to attempt this as it is not possible.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>','Questions + Costs','','inherit','closed','closed','','2536-revision-v1','','','2020-08-25 18:21:26','2020-08-25 18:21:26','',2536,'https://www.drfields.com/uncategorized/2536-revision-v1/',0,'revision','',0),(4036,9,'2020-08-26 02:17:24','2020-08-26 02:17:24','Meniscus Tears','Meniscus Tears','Meniscus Tears','inherit','open','closed','','meniscus-tears','','','2020-08-26 02:17:24','2020-08-26 02:17:24','',1397,'https://www.drfields.com/wp-content/uploads/2019/10/meniscus-tears.jpg',0,'attachment','image/jpeg',0),(4037,9,'2020-08-26 02:43:47','2020-08-26 02:43:47','Meniscus tears of the knee and labral tears of the hip commonly occur from some form of trauma. Sporting events and activities are common culprits. The tears are not always immediate, but can arise after another structure of the hip or knee is damaged.\n\nInjury or damage to the joint inhibits normal functioning. And with continual use and wear and tear, the bones in the joint will rub against each other abnormally. Oftentimes,  the injury of ligaments, tendons and the meniscus or labrum make the joint unstable and painful. As this course continues, the knee or hip joint will degenerate and progress to arthritis.\n\n[caption id=\"attachment_4036\" align=\"alignright\" width=\"500\"]<img class=\"wp-image-4036 size-medium\" src=\"https://www.drfields.com/wp-content/uploads/2019/10/meniscus-tears-500x500.jpg\" alt=\"Meniscus Tears\" width=\"500\" height=\"500\" /> <strong>          Meniscus Tears Can Be Repaired Non-Surgically</strong>[/caption]\n<h4>The Meniscus Tears and Surgery</h4>\nThe menisci protect the cartilage in the knee from high stresses placed upon the joint. They are located between the femur and the tibia bones. Injury to the meniscus is one of the most common knee injuries for which people seek medical care.\n\nSurgery is frequently recommended for various types of meniscus tears. Types of meniscus tears include bucket handle tears, radial tears, horizontal tears, and oblique tears. When more than one of these patterns is present, the tear is called a complex tear. Surgery is frequently recommended for these tears. But surgery, including arthroscopic surgery, adds to the instability of the joint. Why? Because during the surgery joint structures are cut, scraped and removed.\n\nThe meniscus and the articular cartilage are the most commonly removed structures, when arthroscopic surgery of the knee is performed. When the meniscus and cartilage are removed, the femur bone is unable to glide smoothly over the tibia. This enhances knee instability and hastens the arthritic rate. Iet changes th dynamics within the joint causing abnormal knee joint function.\n\nArthroscopic surgery boosts arthritic degeneration, because pressure on the cartilage escalates when the meniscus is removed, and the joint becomes more unstable with the stretching, cutting and scraping of the ligaments, tendons and cartilage. The degeneration of the articular cartilage appears to be proportional to the size of the segment removed. The joint breakdown leads to further thinning of the remaining articular cartilage. This allows for increased pressure on the underlying tibia bone which then increases pressure on the ligaments.\n\nWhen the ligaments tear, the instability becomes even worse. The result of this breakdown of the joint is a cycle of knee pain, joint degeneration, structure damage, and even more pain.\n\n[caption id=\"attachment_4038\" align=\"alignleft\" width=\"500\"]<img class=\"size-medium wp-image-4038\" src=\"https://www.drfields.com/wp-content/uploads/2019/10/labral-tear-copy-500x446.png\" alt=\"Labral Tear Copy\" width=\"500\" height=\"446\" /> <strong>   Treat Labral Tears Effectively with Regenerative Orthopedics</strong>[/caption]\n<h4>Hip Labral Tears</h4>\nThe hip labrum, along with various hip ligaments and the normal deep socket configuration of the anatomy of the hip joint, provide most of the stability of the hip\n\nInjury to the ligaments, tendons and labrum, initiate the same damage and pain cycle that we described for the knee, which results in ongoing hip pain and can lead to hip arthritis. Surgical repair of the hip labrum and hip replacement are needed at times, but in our opinion, should be sought as a last resort.Tr\n\nJust as removal of the meniscus increases instability in the knee, extraction of the labrum makes the hip joint more unstable, and will eventually degenerate the hip and lead to further arthritis.\n<h4>Treating Meniscus &amp; Labral Tears Non-Surgically with Regenerative Orthopedics</h4>\nNon-surgical options do exist to treat both meniscal and labral tears.\n\nRegenerative Orthopedics, a regenerative injection therapy, has been successfully utilized to repair and regenerate the injured ligaments, tendons, meniscus, labrum and cartilage in injured and degenerated knee and hip joints. The therapy boosts collagen formation both outside and inside the knee and hip joint, by stimulating the body to repair itself.\n<h3>Meniscus and Labral Tears With Joint Instability Should Be Treated Comprehensively</h3>\nComprehensively treating all of the ligament attachments of the joint, ensures the stability of the hip and knee joint, since treating the ligaments tightens the loose supporting structures, aiding in the elimination of pain. In cases of advanced degeneration and arthritis, the Gold Standard in Stem Cell Therapy can be utilized, which incorporates bone marrow stem cells, as well as adipose stem cells, plus Platelet Rich Plasma (PRP), and Prolotherapy in a combined regenerative procedure.\n\nStem cells can self-renew and differentiate (or change) into a variety of cell types, and repair injured tissue. PRP and Prolotherapy activate growth factors which augment stem cell proliferation and aid in the repair of conditions with cellular deficiencies, like a damaged meniscus or labrum. The Gold Standard in Stem Cell Therapy provides the cells and growth factors that the damaged tissues and degenerative conditions lack, to aid in their healing.\n\nMost painful joint conditions begin with joint instability due to damage to the surrounding ligaments. The instability can progress to meniscal injuries or labral degeneration and eventually to knee or hip arthritis. Treatments such as arthroscopy to repair these tears can actually increase the arthritic process.\n\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Meniscus and Labral Tears','','inherit','closed','closed','','1397-autosave-v1','','','2020-08-26 02:43:47','2020-08-26 02:43:47','',1397,'https://www.drfields.com/uncategorized/1397-autosave-v1/',0,'revision','',0),(4038,9,'2020-08-26 02:19:11','2020-08-26 02:19:11','Labral Tear Copy','Labral Tear Copy','Labral Tear Copy','inherit','open','closed','','labral-tear-copy','','','2020-08-26 02:19:11','2020-08-26 02:19:11','',1397,'https://www.drfields.com/wp-content/uploads/2019/10/labral-tear-copy.png',0,'attachment','image/png',0),(4039,9,'2020-08-26 02:44:35','2020-08-26 02:44:35','Meniscus tears of the knee and labral tears of the hip commonly occur from some form of trauma. Sporting events and activities are common culprits. The tears are not always immediate, but can arise after another structure of the hip or knee is damaged.\r\n\r\nInjury or damage to the joint inhibits normal functioning. And with continual use and wear and tear, the bones in the joint will rub against each other abnormally. Oftentimes,  the injury of ligaments, tendons and the meniscus or labrum make the joint unstable and painful. As this course continues, the knee or hip joint will degenerate and progress to arthritis.\r\n\r\n[caption id=\"attachment_4036\" align=\"alignright\" width=\"500\"]<img class=\"wp-image-4036 size-medium\" src=\"https://www.drfields.com/wp-content/uploads/2019/10/meniscus-tears-500x500.jpg\" alt=\"Meniscus Tears\" width=\"500\" height=\"500\" /> <strong>          Meniscus Tears Can Be Repaired Non-Surgically</strong>[/caption]\r\n<h4>The Meniscus Tears and Surgery</h4>\r\nThe menisci protect the cartilage in the knee from high stresses placed upon the joint. They are located between the femur and the tibia bones. Injury to the meniscus is one of the most common knee injuries for which people seek medical care.\r\n\r\nSurgery is frequently recommended for various types of meniscus tears. Types of meniscus tears include bucket handle tears, radial tears, horizontal tears, and oblique tears. When more than one of these patterns is present, the tear is called a complex tear. Surgery is frequently recommended for these tears. But surgery, including arthroscopic surgery, adds to the instability of the joint. Why? Because during the surgery joint structures are cut, scraped and removed.\r\n\r\nThe meniscus and the articular cartilage are the most commonly removed structures, when arthroscopic surgery of the knee is performed. When the meniscus and cartilage are removed, the femur bone is unable to glide smoothly over the tibia. This enhances knee instability and hastens the arthritic rate. It changes the dynamics within the joint causing abnormal knee joint function.\r\n\r\nArthroscopic surgery boosts arthritic degeneration, because pressure on the cartilage escalates when the meniscus is removed, and the joint becomes more unstable with the stretching, cutting and scraping of the ligaments, tendons and cartilage. The degeneration of the articular cartilage appears to be proportional to the size of the segment removed. The joint breakdown leads to further thinning of the remaining articular cartilage. This allows for increased pressure on the underlying tibia bone which then increases pressure on the ligaments.\r\n\r\nWhen the ligaments tear, the instability becomes even worse. The result of this breakdown of the joint is a cycle of knee pain, joint degeneration, structure damage, and even more pain.\r\n\r\n[caption id=\"attachment_4038\" align=\"alignleft\" width=\"500\"]<img class=\"size-medium wp-image-4038\" src=\"https://www.drfields.com/wp-content/uploads/2019/10/labral-tear-copy-500x446.png\" alt=\"Labral Tear Copy\" width=\"500\" height=\"446\" /> <strong>   Treat Labral Tears Effectively with Regenerative Orthopedics</strong>[/caption]\r\n<h4>Hip Labral Tears</h4>\r\nThe hip labrum, along with various hip ligaments and the normal deep socket configuration of the anatomy of the hip joint, provide most of the stability of the hip\r\n\r\nInjury to the ligaments, tendons and labrum, initiate the same damage and pain cycle that we described for the knee, which results in ongoing hip pain and can lead to hip arthritis. Surgical repair of the hip labrum and hip replacement are needed at times, but in our opinion, should be sought as a last resort.Tr\r\n\r\nJust as removal of the meniscus increases instability in the knee, extraction of the labrum makes the hip joint more unstable, and will eventually degenerate the hip and lead to further arthritis.\r\n<h4>Treating Meniscus &amp; Labral Tears Non-Surgically with Regenerative Orthopedics</h4>\r\nNon-surgical options do exist to treat both meniscal and labral tears.\r\n\r\nRegenerative Orthopedics, a regenerative injection therapy, has been successfully utilized to repair and regenerate the injured ligaments, tendons, meniscus, labrum and cartilage in injured and degenerated knee and hip joints. The therapy boosts collagen formation both outside and inside the knee and hip joint, by stimulating the body to repair itself.\r\n<h3>Meniscus and Labral Tears With Joint Instability Should Be Treated Comprehensively</h3>\r\nComprehensively treating all of the ligament attachments of the joint, ensures the stability of the hip and knee joint, since treating the ligaments tightens the loose supporting structures, aiding in the elimination of pain. In cases of advanced degeneration and arthritis, the Gold Standard in Stem Cell Therapy can be utilized, which incorporates bone marrow stem cells, as well as adipose stem cells, plus Platelet Rich Plasma (PRP), and Prolotherapy in a combined regenerative procedure.\r\n\r\nStem cells can self-renew and differentiate (or change) into a variety of cell types, and repair injured tissue. PRP and Prolotherapy activate growth factors which augment stem cell proliferation and aid in the repair of conditions with cellular deficiencies, like a damaged meniscus or labrum. The Gold Standard in Stem Cell Therapy provides the cells and growth factors that the damaged tissues and degenerative conditions lack, to aid in their healing.\r\n\r\nMost painful joint conditions begin with joint instability due to damage to the surrounding ligaments. The instability can progress to meniscal injuries or labral degeneration and eventually to knee or hip arthritis. Treatments such as arthroscopy to repair these tears can actually increase the arthritic process.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Meniscus and Labral Tears','','inherit','closed','closed','','1397-revision-v1','','','2020-08-26 02:44:35','2020-08-26 02:44:35','',1397,'https://www.drfields.com/uncategorized/1397-revision-v1/',0,'revision','',0),(4040,9,'2020-08-26 03:06:09','2020-08-26 03:06:09','[caption id=\"attachment_4044\" align=\"alignright\" width=\"500\"]<img class=\"wp-image-4044 size-medium\" src=\"https://www.drfields.com/wp-content/uploads/2019/10/Claire.-pro-triathlete-500x500.jpg\" alt=\"Claire. Pro Triathlete\" width=\"500\" height=\"500\" /> <strong>Claire, a Pro-Triathlete, avoided joint replacement with     Regenerative Orthopedics</strong>[/caption]\n<h2>Avoid Joint Replacement and Stay Active</h2>\nWe see many people in our office who want to avoid joint replacement. This scenario occurs more often than you might imagine. Folks of all ages come seeking treatment.\n\nThey come because they want to continue their distance running, weightlifting, bicycling, and other activities. They come because the pain is getting in the way of the things in life they enjoy, and they want that to change.\n<h3>Looking for an Alternative to Joint Replacement</h3>\nFrequently, they have been told that their problem, which is likely arthritis, is too advanced, and the only option left is a joint replacement. Meanwhile, the sufferer looks for an alternative, often left to chase symptoms, taking pain medications and trying various therapies in an attempt to find some relief.\n\nThey hear about OrthoRegen<sup>®</sup>, and call or email us, inquiring whether Regenerative Orthopedics can help them, so they don’t have to replace their joint. In the majority of musculoskeletal pain cases, Regenerative Orthopedics can give you pain relief, while improveing the function of your joint.\n\n<strong>Yes, Regenerative Orthopedics Works Even After Many Other Treatments Fail</strong>\n\nHow does Regenerative Orthopedics work if so many treatment options have already failed? Many treatment suggestions are therapies that ONLY prolong or delay the need for joint replacement. You are likely familiar with over-the-counter pain relievers and prescription medications like NSAIDS and steroids.\n\nThere are also injectable medications, such as corticosteroids and hyaluronic acid injections. These treatments are not curative though. And they only give temporary relief. Some, such as NSAIDS and steroids, actually weaken the joint further, which only promotes the arthritic process.\n\nRegenerative Orthopedics encourages collagen formation at the joint. It stimulates the body to repair itself, heals injured ligaments and tendons, and stimulates new tissue formation. And it doesn’t just cover up pain or chase symptoms.\n\n<strong>Regenerative Orthopedics Repairs the Joint.</strong>\n\nWhy not choose an alternative that works by repairing your joint and eliminating the pain? Regenerative Orthopedics, including Stem Cell Therapy, Platelet Rich Plasma, and Comprehensive Prolotherapy, is an effective way to treat your degenerated joint.. And it does it in a non-surgical manner.\n\n<strong>Be Aware! Not All Stem Cell Therapies Are Alike!</strong>\n\nIf you are like many who desire to avoid a joint replacement, you have probably already looked into Stem Cell Therapies. Or you have even gone to a seminar. If you have been to a seminar, the presenter may have emphasized the need to get some type of amniotic stem cell product.\n\nThe line of thinking is that if you are older, your stem cells are too old, so you need donated cells! This is not the truth! First of all, it is important to understand that amniotic “stem cells” are void of live stem cells. How is that possible? The process necessary to make them available to you actually kills the live cells.\n\nOn the other hand, your own stem cells are still alive and potent enough to work. Why use a donated product when you have your own <strong>live</strong> cells?\n\n<strong>What Does OrthoRegen<sup>®</sup> Do Differently Than Other Clinics?</strong>\n\nClinics in the United States that use a patient’s own stem cells, take the stem cells from bone marrow or from the fat in the abdominal area. Once they have retrieved the cells, they are then reintroduced into the degenerated or injured joint.\n\nAt OrthoRegen<sup>®</sup>, we use the Gold Standard in Stem Cell Therapy. Many other clinics use just one form of treatment. For example, they may use bone marrow stem cells only. Or they may possibly just use PRP. The Gold Standard encompasses four types of treatments, including stem cells from bone marrow, stem cells from fat, platelets from blood (PRP), and comprehensive dextrose Prolotherapy.\n<h3>Isn\'t Just One Type of Regenerative Therapy Enough?</h3>\nIn many instances, just one type of regenerative therapy may be sufficient enough to bring healing. Dextrose Prolotherapy, for example, is known to stimulate repair of a painful, degenerated area. As it boosts the normal healing abilities in the injured area, it also attracts immune cells to the degenerated structure for the purpose of repair and healing. And it is possible that we may recommend this therapy, depending on the diagnosis.\n\nHowever, when a joint is damaged or degenerated to the point where the surgeon wants to replace it, and greater levels of regeneration are needed due to the severity, it would make sense to choose the Gold Standard in Stem Cell Therapy. The Gold Standard is uniquely effective at repair of the degenerated joint.\n\n<strong>Avoid Joint Replacement with Regenerative Orthopedics</strong>\n\nBy treating the whole joint in a comprehensive manner, a more complete repair is established. The annoying, persistent and disabling pain of arthritis is almost always due to underlying injured soft tissue. Like in ligament and tendon injuries, which cause the joint to be unstable.\n\nThe injury to the soft tissue occurred after some type of trauma (even an old sprain) or wear and tear. And the weak ligaments cause the joint to move in an abnormal motion. Over time, this abnormal joint motion will injure other joint structures, setting the joint up for the degeneration that occurs in the arthritic process. By treating the joint comprehensively, Regenerative Orthopedics stimulates the repair of the injured joint structures. The treatment stops the abnormal joint motion, and halts the degenerative process.\n<h3>Using the Gold Standard in Stem Cell Therapy</h3>\nWhen the Gold Standard in Stem Cell Therapy is used, this treatment combination helps to regenerate the joint when cartilage has been lost. It also stimulates the other soft tissue structures to repair and strengthen, which fixes the root problem of joint instability. The results are the elimination of pain and the return to function for those with degenerative joint conditions.\n\nRegenerative Orthopedics is an effective treatment option for those desiring to avoid surgery and get back to the sports and level of activities they love. Even after many other treatments have failed! Don’t let joint pain put a damper on your active lifestyle. Non-surgical Regenerative Orthopedics can resolve your joint pain and help you to meet your activity goals.\n\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Avoid Joint Replacement and Stay Active','','inherit','closed','closed','','2865-autosave-v1','','','2020-08-26 03:06:09','2020-08-26 03:06:09','',2865,'https://www.drfields.com/uncategorized/2865-autosave-v1/',0,'revision','',0),(4041,9,'2020-08-26 02:47:03','2020-08-26 02:47:03','We see many people in our office who want to avoid a joint replacement. This scenario occurs more often than you might imagine. Folks of all ages come seeking treatment so they can continue their distance running, weightlifting, bicycling, and other activities, because pain is getting in the way of the things in life they enjoy. Frequently, they have been told that their problem, which is likely arthritis, is too advanced, and the only option left is a joint replacement. Meanwhile, the sufferer looks for an alternative, often left to chase symptoms, taking pain medications and trying various therapies in an attempt to find some relief. They hear about OrthoRegen<sup>®</sup>, and call or email us, inquiring whether Regenerative Orthopedics can help them, so they don’t have to replace their joint. In the majority of musculoskeletal pain cases, Regenerative Orthopedics can give you pain relief, while improveing the function of your joint.\r\n\r\n<strong>Yes, Regenerative Orthopedics Works Even After Many Other Treatments Fail</strong>\r\n\r\nHow does Regenerative Orthopedics work if so many treatment options have already failed? Many treatment suggestions are therapies that ONLY prolong or delay the need for joint replacement. You are likely familiar with over-the-counter pain relievers and prescription medications like NSAIDS and steroids. There are also injectable medications, such as corticosteroids and hyaluronic acid injections. These treatments are not curative though, and only give temporary relief. Some, such as NSAIDS and steroids, actually weaken the joint further, which only promotes the arthritic process.\r\n\r\nRegenerative Orthopedics encourages collagen formation at the joint, stimulates the body to repair itself, heals injured ligaments and tendons, and stimulates new tissue formation. It doesn’t just cover up pain or chase symptoms.\r\n\r\n<strong>Regenerative Orthopedics repairs the joint.</strong>\r\n\r\nWhy not choose an alternative that works by repairing your joint and eliminating the pain? Regenerative Orthopedics, including Stem Cell Therapy, Platelet Rich Plasma, and Comprehensive Prolotherapy, is an effective way to treat your degenerated joint, in a non-surgical manner.\r\n\r\n<strong>Be Aware! Not All Stem Cell Therapies Are Alike!</strong>\r\n\r\nIf you are like many who desire to avoid a joint replacement, you have probably already looked into Stem Cell Therapies, or even gone to a seminar. If you have been to a seminar, the presenter may have emphasized the need to get some type of amniotic stem cell product. The line of thinking is that if you are older, your stem cells are too old, so you need donated cells! This is not the truth! First of all, it is important to understand that amniotic “stem cells” are void of live stem cells, because the process necessary to make them available to you actually kills the live cells. On the other hand, your own stem cells are still alive and potent enough to work. Why use a donated product when you have your own <strong>live</strong> cells?\r\n\r\n<strong>What Does OrthoRegen<sup>®</sup> Do Differently Than Other Clinics?</strong>\r\n\r\nClinics in the United States that use a patient’s own stem cells, take the stem cells from bone marrow or from the fat in the abdominal area. Once they have retrieved the cells, they are then reintroduced into the degenerated or injured joint.\r\n\r\nAt OrthoRegen<sup>®</sup>, we use the Gold Standard in Stem Cell Therapy. Many other clinics use just one form of treatment. For example, they may use bone marrow stem cells only, or they may possibly just use PRP. The Gold Standard encompasses four types of treatments, including stem cells from bone marrow, stem cells from fat, platelets from blood (PRP), and comprehensive dextrose Prolotherapy. In many instances, just one type of regenerative therapy may be sufficient enough to bring healing. Dextrose Prolotherapy, for example, is known to stimulate repair of a painful, degenerated area, as it boosts the normal healing abilities in the injured area, attracting immune cells to the degenerated structure for the purpose of repair and healing. And it is possible that we may recommend this therapy, depending on the diagnosis. However, when a joint is damaged or degenerated to the point where the surgeon wants to replace it, and greater levels of regeneration are needed due to the severity, it would make sense to choose the Gold Standard in Stem Cell Therapy. The Gold Standard is uniquely effective at repair of the degenerated joint.\r\n\r\n<strong>Avoid Joint Replacement with Regenerative Orthopedics</strong>\r\n\r\nBy treating the whole joint in a comprehensive manner, a more complete repair is established. The annoying, persistent and disabling pain of arthritis is almost always due to underlying injured soft tissue, like the ligaments and tendons, which cause the joint to be unstable. The injury to the soft tissue occurred after some type of trauma (even an old sprain) or wear and tear, and the weak ligaments cause the joint to move in an abnormal motion. Over time, this abnormal joint motion will injure other joint structures, setting the joint up for the degeneration that occurs in the arthritic process. By treating the joint comprehensively, Regenerative Orthopedics stimulates the repair of the injured joint structures, which stops the abnormal joint motion, and halts the degenerative process.\r\n\r\nWhen the Gold Standard in Stem Cell Therapy is used, this treatment combination helps to regenerate the joint when cartilage has been lost, while also stimulating the other soft tissue structures to repair and strengthen, which fixes the root problem of joint instability, and results in the elimination of pain and the return to function for those with degenerative joint conditions.\r\n\r\nRegenerative Orthopedics is an effective treatment option for those desiring to avoid surgery and get back to the sports and level of activities they love…even after many other treatments have failed. Don’t let joint pain put a damper on your active lifestyle. Non-surgical Regenerative Orthopedics can resolve your joint pain and help you to meet your activity goals.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Active and Looking To Avoid Joint Replacement','','inherit','closed','closed','','2865-revision-v1','','','2020-08-26 02:47:03','2020-08-26 02:47:03','',2865,'https://www.drfields.com/uncategorized/2865-revision-v1/',0,'revision','',0),(4042,9,'2020-08-26 02:47:31','2020-08-26 02:47:31','We see many people in our office who want to avoid a joint replacement. This scenario occurs more often than you might imagine. Folks of all ages come seeking treatment so they can continue their distance running, weightlifting, bicycling, and other activities, because pain is getting in the way of the things in life they enjoy. Frequently, they have been told that their problem, which is likely arthritis, is too advanced, and the only option left is a joint replacement. Meanwhile, the sufferer looks for an alternative, often left to chase symptoms, taking pain medications and trying various therapies in an attempt to find some relief. They hear about OrthoRegen<sup>®</sup>, and call or email us, inquiring whether Regenerative Orthopedics can help them, so they don’t have to replace their joint. In the majority of musculoskeletal pain cases, Regenerative Orthopedics can give you pain relief, while improveing the function of your joint.\r\n\r\n<strong>Yes, Regenerative Orthopedics Works Even After Many Other Treatments Fail</strong>\r\n\r\nHow does Regenerative Orthopedics work if so many treatment options have already failed? Many treatment suggestions are therapies that ONLY prolong or delay the need for joint replacement. You are likely familiar with over-the-counter pain relievers and prescription medications like NSAIDS and steroids. There are also injectable medications, such as corticosteroids and hyaluronic acid injections. These treatments are not curative though, and only give temporary relief. Some, such as NSAIDS and steroids, actually weaken the joint further, which only promotes the arthritic process.\r\n\r\nRegenerative Orthopedics encourages collagen formation at the joint, stimulates the body to repair itself, heals injured ligaments and tendons, and stimulates new tissue formation. It doesn’t just cover up pain or chase symptoms.\r\n\r\n<strong>Regenerative Orthopedics repairs the joint.</strong>\r\n\r\nWhy not choose an alternative that works by repairing your joint and eliminating the pain? Regenerative Orthopedics, including Stem Cell Therapy, Platelet Rich Plasma, and Comprehensive Prolotherapy, is an effective way to treat your degenerated joint, in a non-surgical manner.\r\n\r\n<strong>Be Aware! Not All Stem Cell Therapies Are Alike!</strong>\r\n\r\nIf you are like many who desire to avoid a joint replacement, you have probably already looked into Stem Cell Therapies, or even gone to a seminar. If you have been to a seminar, the presenter may have emphasized the need to get some type of amniotic stem cell product. The line of thinking is that if you are older, your stem cells are too old, so you need donated cells! This is not the truth! First of all, it is important to understand that amniotic “stem cells” are void of live stem cells, because the process necessary to make them available to you actually kills the live cells. On the other hand, your own stem cells are still alive and potent enough to work. Why use a donated product when you have your own <strong>live</strong> cells?\r\n\r\n<strong>What Does OrthoRegen<sup>®</sup> Do Differently Than Other Clinics?</strong>\r\n\r\nClinics in the United States that use a patient’s own stem cells, take the stem cells from bone marrow or from the fat in the abdominal area. Once they have retrieved the cells, they are then reintroduced into the degenerated or injured joint.\r\n\r\nAt OrthoRegen<sup>®</sup>, we use the Gold Standard in Stem Cell Therapy. Many other clinics use just one form of treatment. For example, they may use bone marrow stem cells only, or they may possibly just use PRP. The Gold Standard encompasses four types of treatments, including stem cells from bone marrow, stem cells from fat, platelets from blood (PRP), and comprehensive dextrose Prolotherapy. In many instances, just one type of regenerative therapy may be sufficient enough to bring healing. Dextrose Prolotherapy, for example, is known to stimulate repair of a painful, degenerated area, as it boosts the normal healing abilities in the injured area, attracting immune cells to the degenerated structure for the purpose of repair and healing. And it is possible that we may recommend this therapy, depending on the diagnosis. However, when a joint is damaged or degenerated to the point where the surgeon wants to replace it, and greater levels of regeneration are needed due to the severity, it would make sense to choose the Gold Standard in Stem Cell Therapy. The Gold Standard is uniquely effective at repair of the degenerated joint.\r\n\r\n<strong>Avoid Joint Replacement with Regenerative Orthopedics</strong>\r\n\r\nBy treating the whole joint in a comprehensive manner, a more complete repair is established. The annoying, persistent and disabling pain of arthritis is almost always due to underlying injured soft tissue, like the ligaments and tendons, which cause the joint to be unstable. The injury to the soft tissue occurred after some type of trauma (even an old sprain) or wear and tear, and the weak ligaments cause the joint to move in an abnormal motion. Over time, this abnormal joint motion will injure other joint structures, setting the joint up for the degeneration that occurs in the arthritic process. By treating the joint comprehensively, Regenerative Orthopedics stimulates the repair of the injured joint structures, which stops the abnormal joint motion, and halts the degenerative process.\r\n\r\nWhen the Gold Standard in Stem Cell Therapy is used, this treatment combination helps to regenerate the joint when cartilage has been lost, while also stimulating the other soft tissue structures to repair and strengthen, which fixes the root problem of joint instability, and results in the elimination of pain and the return to function for those with degenerative joint conditions.\r\n\r\nRegenerative Orthopedics is an effective treatment option for those desiring to avoid surgery and get back to the sports and level of activities they love…even after many other treatments have failed. Don’t let joint pain put a damper on your active lifestyle. Non-surgical Regenerative Orthopedics can resolve your joint pain and help you to meet your activity goals.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Avoid Joint Replacement and Stay Active','','inherit','closed','closed','','2865-revision-v1','','','2020-08-26 02:47:31','2020-08-26 02:47:31','',2865,'https://www.drfields.com/uncategorized/2865-revision-v1/',0,'revision','',0),(4043,9,'2020-08-26 02:48:08','2020-08-26 02:48:08','Jun. Shoulder Injury Copy','Jun. Shoulder Injury Copy','Jun. Shoulder Injury Copy','inherit','open','closed','','jun-shoulder-injury-copy','','','2020-08-26 02:48:08','2020-08-26 02:48:08','',2865,'https://www.drfields.com/wp-content/uploads/2019/10/Jun.-Shoulder-injury-Copy.png',0,'attachment','image/png',0),(4044,9,'2020-08-26 02:49:00','2020-08-26 02:49:00','Claire. Pro Triathlete','Claire. Pro Triathlete','Claire. Pro Triathlete','inherit','open','closed','','claire-pro-triathlete','','','2020-08-26 02:49:00','2020-08-26 02:49:00','',2865,'https://www.drfields.com/wp-content/uploads/2019/10/Claire.-pro-triathlete.jpg',0,'attachment','image/jpeg',0),(4045,9,'2020-08-26 03:05:07','2020-08-26 03:05:07','[caption id=\"attachment_4044\" align=\"alignright\" width=\"500\"]<img class=\"wp-image-4044 size-medium\" src=\"https://www.drfields.com/wp-content/uploads/2019/10/Claire.-pro-triathlete-500x500.jpg\" alt=\"Claire. Pro Triathlete\" width=\"500\" height=\"500\" /> <strong>Claire, a Pro-Triathlete, avoided joint replacement with     Regenerative Orthopedics</strong>[/caption]\r\n<h2>Avoid Joint Replacement and Stay Active</h2>\r\nWe see many people in our office who want to avoid joint replacement. This scenario occurs more often than you might imagine. Folks of all ages come seeking treatment. They come because they want to continue their distance running, weightlifting, bicycling, and other activities. They come because the pain is getting in the way of the things in life they enjoy, and they want that to change.\r\n<h3>Looking for an Alternative to Joint Replacement</h3>\r\nFrequently, they have been told that their problem, which is likely arthritis, is too advanced, and the only option left is a joint replacement. Meanwhile, the sufferer looks for an alternative, often left to chase symptoms, taking pain medications and trying various therapies in an attempt to find some relief.\r\n\r\nThey hear about OrthoRegen<sup>®</sup>, and call or email us, inquiring whether Regenerative Orthopedics can help them, so they don’t have to replace their joint. In the majority of musculoskeletal pain cases, Regenerative Orthopedics can give you pain relief, while improveing the function of your joint.\r\n\r\n<strong>Yes, Regenerative Orthopedics Works Even After Many Other Treatments Fail</strong>\r\n\r\nHow does Regenerative Orthopedics work if so many treatment options have already failed? Many treatment suggestions are therapies that ONLY prolong or delay the need for joint replacement. You are likely familiar with over-the-counter pain relievers and prescription medications like NSAIDS and steroids.\r\n\r\nThere are also injectable medications, such as corticosteroids and hyaluronic acid injections. These treatments are not curative though. And they only give temporary relief. Some, such as NSAIDS and steroids, actually weaken the joint further, which only promotes the arthritic process.\r\n\r\nRegenerative Orthopedics encourages collagen formation at the joint. It stimulates the body to repair itself, heals injured ligaments and tendons, and stimulates new tissue formation. And it doesn’t just cover up pain or chase symptoms.\r\n\r\n<strong>Regenerative Orthopedics Repairs the Joint.</strong>\r\n\r\nWhy not choose an alternative that works by repairing your joint and eliminating the pain? Regenerative Orthopedics, including Stem Cell Therapy, Platelet Rich Plasma, and Comprehensive Prolotherapy, is an effective way to treat your degenerated joint.. And it does it in a non-surgical manner.\r\n\r\n<strong>Be Aware! Not All Stem Cell Therapies Are Alike!</strong>\r\n\r\nIf you are like many who desire to avoid a joint replacement, you have probably already looked into Stem Cell Therapies. Or you have even gone to a seminar. If you have been to a seminar, the presenter may have emphasized the need to get some type of amniotic stem cell product.\r\n\r\nThe line of thinking is that if you are older, your stem cells are too old, so you need donated cells! This is not the truth! First of all, it is important to understand that amniotic “stem cells” are void of live stem cells. How is that possible? The process necessary to make them available to you actually kills the live cells.\r\n\r\nOn the other hand, your own stem cells are still alive and potent enough to work. Why use a donated product when you have your own <strong>live</strong> cells?\r\n\r\n<strong>What Does OrthoRegen<sup>®</sup> Do Differently Than Other Clinics?</strong>\r\n\r\nClinics in the United States that use a patient’s own stem cells, take the stem cells from bone marrow or from the fat in the abdominal area. Once they have retrieved the cells, they are then reintroduced into the degenerated or injured joint.\r\n\r\nAt OrthoRegen<sup>®</sup>, we use the Gold Standard in Stem Cell Therapy. Many other clinics use just one form of treatment. For example, they may use bone marrow stem cells only. Or they may possibly just use PRP. The Gold Standard encompasses four types of treatments, including stem cells from bone marrow, stem cells from fat, platelets from blood (PRP), and comprehensive dextrose Prolotherapy.\r\n<h3>Isn\'t Just One Type of Regenerative Therapy Enough?</h3>\r\nIn many instances, just one type of regenerative therapy may be sufficient enough to bring healing. Dextrose Prolotherapy, for example, is known to stimulate repair of a painful, degenerated area. As it boosts the normal healing abilities in the injured area, it also attracts immune cells to the degenerated structure for the purpose of repair and healing. And it is possible that we may recommend this therapy, depending on the diagnosis.\r\n\r\nHowever, when a joint is damaged or degenerated to the point where the surgeon wants to replace it, and greater levels of regeneration are needed due to the severity, it would make sense to choose the Gold Standard in Stem Cell Therapy. The Gold Standard is uniquely effective at repair of the degenerated joint.\r\n\r\n<strong>Avoid Joint Replacement with Regenerative Orthopedics</strong>\r\n\r\nBy treating the whole joint in a comprehensive manner, a more complete repair is established. The annoying, persistent and disabling pain of arthritis is almost always due to underlying injured soft tissue. Like in ligament and tendon injuries, which cause the joint to be unstable.\r\n\r\nThe injury to the soft tissue occurred after some type of trauma (even an old sprain) or wear and tear. And the weak ligaments cause the joint to move in an abnormal motion. Over time, this abnormal joint motion will injure other joint structures, setting the joint up for the degeneration that occurs in the arthritic process. By treating the joint comprehensively, Regenerative Orthopedics stimulates the repair of the injured joint structures. The treatment stops the abnormal joint motion, and halts the degenerative process.\r\n<h3>Using the Gold Standard in Stem Cell Therapy</h3>\r\nWhen the Gold Standard in Stem Cell Therapy is used, this treatment combination helps to regenerate the joint when cartilage has been lost. It also stimulates the other soft tissue structures to repair and strengthen, which fixes the root problem of joint instability. The results are the elimination of pain and the return to function for those with degenerative joint conditions.\r\n\r\nRegenerative Orthopedics is an effective treatment option for those desiring to avoid surgery and get back to the sports and level of activities they love. Even after many other treatments have failed! Don’t let joint pain put a damper on your active lifestyle. Non-surgical Regenerative Orthopedics can resolve your joint pain and help you to meet your activity goals.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Avoid Joint Replacement and Stay Active','','inherit','closed','closed','','2865-revision-v1','','','2020-08-26 03:05:07','2020-08-26 03:05:07','',2865,'https://www.drfields.com/uncategorized/2865-revision-v1/',0,'revision','',0),(4046,9,'2020-08-26 17:39:34','2020-08-26 17:39:34','[caption id=\"attachment_4044\" align=\"alignright\" width=\"500\"]<img class=\"wp-image-4044 size-medium\" src=\"https://www.drfields.com/wp-content/uploads/2019/10/Claire.-pro-triathlete-500x500.jpg\" alt=\"Claire. Pro Triathlete\" width=\"500\" height=\"500\" /> <strong>Claire, a Pro-Triathlete, avoided joint replacement with     Regenerative Orthopedics</strong>[/caption]\r\n<h2>Avoid Joint Replacement and Stay Active</h2>\r\nWe see many people in our office who want to avoid joint replacement. This scenario occurs more often than you might imagine. Folks of all ages come seeking treatment.\r\n\r\nThey come because they want to continue their distance running, weightlifting, bicycling, and other activities. They come because the pain is getting in the way of the things in life they enjoy, and they want that to change.\r\n<h3>Looking for an Alternative to Joint Replacement</h3>\r\nFrequently, they have been told that their problem, which is likely arthritis, is too advanced, and the only option left is a joint replacement. Meanwhile, the sufferer looks for an alternative, often left to chase symptoms, taking pain medications and trying various therapies in an attempt to find some relief.\r\n\r\nThey hear about OrthoRegen<sup>®</sup>, and call or email us, inquiring whether Regenerative Orthopedics can help them, so they don’t have to replace their joint. In the majority of musculoskeletal pain cases, Regenerative Orthopedics can give you pain relief, while improveing the function of your joint.\r\n\r\n<strong>Yes, Regenerative Orthopedics Works Even After Many Other Treatments Fail</strong>\r\n\r\nHow does Regenerative Orthopedics work if so many treatment options have already failed? Many treatment suggestions are therapies that ONLY prolong or delay the need for joint replacement. You are likely familiar with over-the-counter pain relievers and prescription medications like NSAIDS and steroids.\r\n\r\nThere are also injectable medications, such as corticosteroids and hyaluronic acid injections. These treatments are not curative though. And they only give temporary relief. Some, such as NSAIDS and steroids, actually weaken the joint further, which only promotes the arthritic process.\r\n\r\nRegenerative Orthopedics encourages collagen formation at the joint. It stimulates the body to repair itself, heals injured ligaments and tendons, and stimulates new tissue formation. And it doesn’t just cover up pain or chase symptoms.\r\n\r\n<strong>Regenerative Orthopedics Repairs the Joint.</strong>\r\n\r\nWhy not choose an alternative that works by repairing your joint and eliminating the pain? Regenerative Orthopedics, including Stem Cell Therapy, Platelet Rich Plasma, and Comprehensive Prolotherapy, is an effective way to treat your degenerated joint.. And it does it in a non-surgical manner.\r\n\r\n<strong>Be Aware! Not All Stem Cell Therapies Are Alike!</strong>\r\n\r\nIf you are like many who desire to avoid a joint replacement, you have probably already looked into Stem Cell Therapies. Or you have even gone to a seminar. If you have been to a seminar, the presenter may have emphasized the need to get some type of amniotic stem cell product.\r\n\r\nThe line of thinking is that if you are older, your stem cells are too old, so you need donated cells! This is not the truth! First of all, it is important to understand that amniotic “stem cells” are void of live stem cells. How is that possible? The process necessary to make them available to you actually kills the live cells.\r\n\r\nOn the other hand, your own stem cells are still alive and potent enough to work. Why use a donated product when you have your own <strong>live</strong> cells?\r\n\r\n<strong>What Does OrthoRegen<sup>®</sup> Do Differently Than Other Clinics?</strong>\r\n\r\nClinics in the United States that use a patient’s own stem cells, take the stem cells from bone marrow or from the fat in the abdominal area. Once they have retrieved the cells, they are then reintroduced into the degenerated or injured joint.\r\n\r\nAt OrthoRegen<sup>®</sup>, we use the Gold Standard in Stem Cell Therapy. Many other clinics use just one form of treatment. For example, they may use bone marrow stem cells only. Or they may possibly just use PRP. The Gold Standard encompasses four types of treatments, including stem cells from bone marrow, stem cells from fat, platelets from blood (PRP), and comprehensive dextrose Prolotherapy.\r\n<h3>Isn\'t Just One Type of Regenerative Therapy Enough?</h3>\r\nIn many instances, just one type of regenerative therapy may be sufficient enough to bring healing. Dextrose Prolotherapy, for example, is known to stimulate repair of a painful, degenerated area. As it boosts the normal healing abilities in the injured area, it also attracts immune cells to the degenerated structure for the purpose of repair and healing. And it is possible that we may recommend this therapy, depending on the diagnosis.\r\n\r\nHowever, when a joint is damaged or degenerated to the point where the surgeon wants to replace it, and greater levels of regeneration are needed due to the severity, it would make sense to choose the Gold Standard in Stem Cell Therapy. The Gold Standard is uniquely effective at repair of the degenerated joint.\r\n\r\n<strong>Avoid Joint Replacement with Regenerative Orthopedics</strong>\r\n\r\nBy treating the whole joint in a comprehensive manner, a more complete repair is established. The annoying, persistent and disabling pain of arthritis is almost always due to underlying injured soft tissue. Like in ligament and tendon injuries, which cause the joint to be unstable.\r\n\r\nThe injury to the soft tissue occurred after some type of trauma (even an old sprain) or wear and tear. And the weak ligaments cause the joint to move in an abnormal motion. Over time, this abnormal joint motion will injure other joint structures, setting the joint up for the degeneration that occurs in the arthritic process. By treating the joint comprehensively, Regenerative Orthopedics stimulates the repair of the injured joint structures. The treatment stops the abnormal joint motion, and halts the degenerative process.\r\n<h3>Using the Gold Standard in Stem Cell Therapy</h3>\r\nWhen the Gold Standard in Stem Cell Therapy is used, this treatment combination helps to regenerate the joint when cartilage has been lost. It also stimulates the other soft tissue structures to repair and strengthen, which fixes the root problem of joint instability. The results are the elimination of pain and the return to function for those with degenerative joint conditions.\r\n\r\nRegenerative Orthopedics is an effective treatment option for those desiring to avoid surgery and get back to the sports and level of activities they love. Even after many other treatments have failed! Don’t let joint pain put a damper on your active lifestyle. Non-surgical Regenerative Orthopedics can resolve your joint pain and help you to meet your activity goals.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Avoid Joint Replacement and Stay Active','','inherit','closed','closed','','2865-revision-v1','','','2020-08-26 17:39:34','2020-08-26 17:39:34','',2865,'https://www.drfields.com/uncategorized/2865-revision-v1/',0,'revision','',0),(4047,9,'2020-08-26 21:16:48','2020-08-26 21:16:48','[caption id=\"attachment_4049\" align=\"alignright\" width=\"500\"]<img class=\"wp-image-4049 size-medium\" src=\"https://www.drfields.com/wp-content/uploads/2019/10/MCL-tears-500x500.jpg\" alt=\"Medial Collateral Ligament Injuries\" width=\"500\" height=\"500\" /> Repair Medial Collateral Ligament Injuries at OrthoRegen[/caption]\n\n<span style=\"font-weight: 400;\">The <b>Medial Collateral Ligament (</b><strong>MCL)</strong> is a vital knee structure for providing stability to the knee joint. It is one of four major ligaments of the knee, along with the anterior cruciate (ACL), the posterior cruciate (PCL), and the lateral collateral (LCL) ligaments, all of which stabilize the knee. Other ligaments are often injured when the medial collateral ligament is injured</span>\n\n<span style=\"font-weight: 400;\">MCL injuries also affect the meniscus. Since part of the MCL is attached to the meniscus, a tear of the meniscus can accompany an MCL injury. </span>\n<h3><span style=\"font-weight: 400;\"><strong>Spontaneous or Self-Healing Is a Consideration in Medial Collateral Ligament Injuries</strong></span></h3>\n<span style=\"font-weight: 400;\"><span style=\"font-size: 16px;\">When a ligament in the knee is injured, the most common ligament affected is the medial collateral ligament (MCL).  In general, the MCL is a very strong ligament. And it is pretty resilient when injured. In many circumstances, physicians will opt for non-surgical treatments, because they take into consideration the ability of the MCL to heal on its own. </span></span>\n\n<span style=\"font-weight: 400;\"><span style=\"font-size: 16px;\">An athlete with injury to their MCL often returns to their usual training or routine after just a few weeks. But is this the best course of treatment for an injured MCL? In this article, we will explore the injury and healing process of the knee and its MCL, and also examine whether a medial collateral ligament injury should just heal on its own or if  this path allows for a weaker MCL. Also, does allowing the MCL heal on its own make one more susceptible to re-injury?</span>   </span>\n<h3><span style=\"font-weight: 400;\"><strong>The Self-Healed MCL vs the Pre-Injured State</strong></span></h3>\n<span style=\"font-weight: 400;\">The MCL has a greater blood supply than the ACL one thing. And that adds to its greater ability to heal.  However, studies have shown that even though conservative therapy for MCL injuries has been shown to be more effective than in ACL or even PCL injuries, the healed MCL remains weaker and less efficient than the ligament in its pre-injured state. </span>\n\n<span style=\"font-weight: 400;\">The ligament heals by scar formation, which is an inferior type of healing, which results in less strength than in normal ligaments. And the weak ligament leads to ligament laxity and an unstable joint. Joint instability as the result of an MCL injury begins the process of arthritis. The healing scarred ligament becomes longer and loose, which causes the joint to move and rotate differently. </span>\n\n<span style=\"font-weight: 400;\">The abnormal movement alters how the knee can handle loads and pressures placed upon it. The instability allows for more sliding between joint surfaces, and decreases the efficiency of the muscles. That leads to disruption of the underlying cartilage and bone, and boosts overall degeneration. The result is the eventual formation of arthritis.</span><span style=\"font-weight: 400;\">  </span>\n\n<b>An Injury to One Knee Structure Affects the Rest of the Knee</b>\n\n<span style=\"font-weight: 400;\">Wear and tear, trauma type injuries, and anything else that affects one ligament of the knee, will affect the other structures of the knee. The MCL helps the knee to bend and twist correctly. But when it is injured, those dynamics are changed. MCL injuries usually occur near where the ligament attaches to the thigh bone at the knee. </span>\n\n<span style=\"font-weight: 400;\">The ligament attaches to a bony prominence called the medial condyle and assists in keeping the knee from hyperextending. When the MCL becomes weak and unstable, it starts a cascade of degeneration of the condyles. Since the medial condyle bears a lot of weight, the weak ligament boosts the wear on the bony condyle. And as the bone wears, the degeneration will also cause injury to the meniscus. </span>\n\n<span style=\"font-weight: 400;\">The cycle then continues as these bony attachments continue to degenerate, because the attached ligaments will lose their tautness and become even more loose and weak.</span><span style=\"font-weight: 400;\"> </span>\n\n<b>Treatment of an Injured MCL</b>\n\n<span style=\"font-weight: 400;\">The care of MCL injuries ranges from conservative to surgical measures. Surgery involves the cutting and removal of tissue, and since medial collateral ligament injuries often involve other structures, that would entail even more cutting. </span>\n\n<span style=\"font-weight: 400;\">It is important to understand that removal and cutting of knee structures adds to knee instability and to further degeneration of the knee in the long run. So avoidance of surgery would be preferred. What can be done then? And what are your options, considering the inferior healing of the MCL when left to heal on its own?</span>\n<h3><strong>Regenerative Orthopedics Options for MCL Injuries</strong></h3>\n<span style=\"font-weight: 400;\">Regenerative Orthopedics, including <a href=\"https://www.drfields.com/regenerative-techniques/stem-cell-treatment/\">Stem Cell Therapy</a>, <a href=\"https://www.drfields.com/regenerative-techniques/prp-treatment/\">PRP</a>, and Prolotherapy are treatment options available for MCL injuries. They help to provide healing of the entire knee. And they also allow for stabilization of the injured MCL. Studies have shown that these treatments are effective at increasing the strength of the ligament at the attachment site, as well as boosting the overall ligament mass and strength. </span>\n\n<span style=\"font-weight: 400;\">Regenerative Orthopedics for MCL injuries encourages collagen formation at the knee joint. It stimulates the body to repair itself. And it heals the ligaments by stimulating new tissue formation, rather than scar tissue formation.When the ligament is completely torn, surgery is necessary. But Regenerative Orthopedics is helpful when both ends of the ligament remain attached to bone. And in 98% of ligament injuries this is the case, since the injuries are partial tears. </span>\n<h3>Strong Ligaments and Tendons Are Key to a Healthy Knee Joint</h3>\n<span style=\"font-weight: 400;\">The key to healthy knees is strong ligaments and tendons. In the case of the medial collateral ligament injuries, co-injury of ligaments, and other involved structures in MCL injuries, the goal is to treat the whole knee with Regenerative Orthopedics. The treatment will stimulate repair, and strengthen the injured and weakened structures. New collagen, the material the ligaments and tendons are made of, is deposited at the site of repair. </span>\n\n<span style=\"font-weight: 400;\">The end result is a stronger, more stable knee joint. Rather than just allowing the MCL to heal on its own, Regenerative Orthopedics ensures proper regeneration of the ligament tissue, allowing for effective elimination of pain, the repair of the MCL injury, and a safe return to sport and activities.</span>\n\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Medial Collateral Ligament Injuries','','inherit','closed','closed','','2858-autosave-v1','','','2020-08-26 21:16:48','2020-08-26 21:16:48','',2858,'https://www.drfields.com/uncategorized/2858-autosave-v1/',0,'revision','',0),(4048,9,'2020-08-26 17:48:22','2020-08-26 17:48:22','<span style=\"font-weight: 400;\">When a ligament in the knee is injured, the most common ligament affected is the medial collateral ligament (MCL).  In general, the MCL is a very strong ligament and is pretty resilient when injured, and in many circumstances, physicians will opt for non-surgical treatments, because they take into consideration the ability of the MCL to heal on its own. An athlete with injury to their MCL often returns to their usual training or routine after just a few weeks. But is this the best course of treatment for an injured MCL? In this article, we will explore the injury and healing process of the knee and its MCL, and also examine whether an injured MCL should just heal on its own or if  this path allows for a weaker MCL, and one more susceptible to re-injury.</span>\r\n\r\n<b>Let’s Take a Look at the Medial Collateral Ligament (MCL)</b>\r\n\r\n<span style=\"font-weight: 400;\">The MCL is a vital knee structure for providing stability to the knee joint. It is one of four major ligaments of the knee, along with the anterior cruciate (ACL), the posterior cruciate (PCL), and the lateral collateral (LCL) ligaments, all of which stabilize the knee. When the MCL is injured, very often these other ligaments are injured too! MCL injuries also affect the meniscus. Since part of the MCL is attached to the meniscus, a tear of the meniscus can also accompany an MCL injury. </span>\r\n\r\n<span style=\"font-weight: 400;\">Why is spontaneous or self-healing a consideration in MCL injuries? The MCL has a greater blood supply than the ACL, for example, which adds to its greater ability to heal.  However, studies have shown that even though conservative therapy for MCL injuries has been shown to be more effective than in ACL or even PCL injuries, the healed MCL remains weaker and less efficient than the ligament in its pre-injured state. The ligament heals by scar formation, which is an inferior type of healing, and results in less strength than in normal ligaments, and the weak ligament leads to ligament laxity and an unstable joint. Joint instability as the result of an MCL injury begins the process of arthritis. The healing scarred ligament becomes longer and loose, which causes the joint to move and rotate differently, which alters how the knee can handle loads and pressures placed upon it. The instability allows for more sliding between joint surfaces, decreasing the efficiency of the muscles, disrupting the underlying cartilage and bone, and boosts overall degeneration which leads to the eventual arthritis formation.</span><span style=\"font-weight: 400;\">     </span>\r\n\r\n<b>An Injury to One Knee Structure Affects the Rest of the Knee</b>\r\n\r\n<span style=\"font-weight: 400;\">Wear and tear, trauma type injuries, and anything else that affects one ligament of the knee, will affect the other structures of the knee. The MCL helps the knee to bend and twist correctly, but when it is injured, those dynamics are changed. MCL injuries usually occur near where the ligament attaches to the thigh bone at the knee. The ligament attaches to a bony prominence called the medial condyle and assists in keeping the knee from hyperextending. When the MCL becomes weak and unstable, it starts a cascade of degeneration of the condyles. Since the medial condyle bears a lot of weight, the weak ligament boosts the wear on the bony condyle, and as the bone wears, the degeneration will also cause injury to the meniscus. The cycle then continues as these bony attachments continue to degenerate, because the attached ligaments will lose their tautness and become even more loose and weak.</span><span style=\"font-weight: 400;\"> </span>\r\n\r\n<b>Treatment of an Injured MCL</b>\r\n\r\n<span style=\"font-weight: 400;\">The care of MCL injuries ranges from conservative to surgical measures. Surgery involves the cutting and removal of tissue, and since MCL injuries often involve other structures, that would entail even more cutting. It is important to understand that removal and cutting of knee structures adds to knee instability and to further degeneration of the knee in the long run, so avoidance of surgery would be preferred. What can be done then, and what are your options, considering the inferior healing of the MCL when left to heal on its own? Regenerative Orthopedics, including Stem Cell Therapy, PRP, and Prolotherapy are treatment options available for MCL injuries, because they help to provide healing to the entire knee and also allow for stabilization of the injured MCL. Studies have shown that these treatments are effective at increasing the strength of the ligament at the attachment site, as well as boosting the overall ligament mass and strength. </span>\r\n\r\n<span style=\"font-weight: 400;\">Regenerative Orthopedics for MCL injuries encourages collagen formation at the knee joint, stimulates the body to repair itself, and heals the ligaments, by stimulating new tissue formation, rather than scar tissue formation. Surgery will be necessary when the ligament is completely torn, but Regenerative Orthopedics is helpful when both ends of the ligament remain attached to bone, and in 98% of ligament injuries this is the case, since the injuries are partial tears. </span>\r\n\r\n<span style=\"font-weight: 400;\">The key to healthy knees is strong ligaments and tendons. In the case of the injured MCL, co-injury of ligaments, and other involved structures in MCL injuries, the goal is to treat the whole knee with Regenerative Orthopedics to stimulate repair, and strengthen the injured and weakened structures. The treatment will lead to the deposits of new collagen, the material the ligaments and tendons are made of. The end result is a stronger, more stable knee joint. Rather than just allowing the MCL to heal on its own, Regenerative Orthopedics ensures proper regeneration of the ligament tissue, allowing for effective elimination of pain, the repair of the MCL injury, and a safe return to sport and activities.</span>\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Medial Collateral Ligament Injuries','','inherit','closed','closed','','2858-revision-v1','','','2020-08-26 17:48:22','2020-08-26 17:48:22','',2858,'https://www.drfields.com/uncategorized/2858-revision-v1/',0,'revision','',0),(4049,9,'2020-08-26 17:49:38','2020-08-26 17:49:38','Mcl Tears','Prolotherapy for Medial Collateral Ligament Injuries','Mcl Tears','inherit','open','closed','','mcl-tears','','','2020-08-26 17:50:11','2020-08-26 17:50:11','',2858,'https://www.drfields.com/wp-content/uploads/2019/10/MCL-tears.jpg',0,'attachment','image/jpeg',0),(4050,9,'2020-08-26 20:27:19','2020-08-26 20:27:19','<img class=\"size-medium wp-image-4049\" src=\"https://www.drfields.com/wp-content/uploads/2019/10/MCL-tears-500x500.jpg\" alt=\"Mcl Tears\" width=\"500\" height=\"500\" />\r\n\r\n<b>Let’s Take a Look at the Medial Collateral Ligament (MCL)</b>\r\n\r\n<span style=\"font-weight: 400;\">The <b>Medial Collateral Ligament (</b><strong>MCL)</strong> is a vital knee structure for providing stability to the knee joint. It is one of four major ligaments of the knee, along with the anterior cruciate (ACL), the posterior cruciate (PCL), and the lateral collateral (LCL) ligaments, all of which stabilize the knee. In medial collateral ligament injuries, very often these other ligaments are injured too! </span>\r\n\r\n<span style=\"font-weight: 400;\">MCL injuries also affect the meniscus. Since part of the MCL is attached to the meniscus, a tear of the meniscus can also accompany an MCL injury. </span>\r\n<h3>The Most Common Knee Ligament Injury</h3>\r\n<span style=\"font-weight: 400;\"><span style=\"font-size: 16px;\">When a ligament in the knee is injured, the most common ligament affected is the medial collateral ligament (MCL).  In general, the MCL is a very strong ligament and is pretty resilient when injured, and in many circumstances, physicians will opt for non-surgical treatments, because they take into consideration the ability of the MCL to heal on its own. An athlete with injury to their MCL often returns to their usual training or routine after just a few weeks. But is this the best course of treatment for an injured MCL? In this article, we will explore the injury and healing process of the knee and its MCL, and also examine whether an injured MCL should just heal on its own or if  this path allows for a weaker MCL, and one more susceptible to re-injury.</span>   </span>\r\n<h3><span style=\"font-weight: 400;\"><strong>Why Is Spontaneous or Self-Healing a Consideration in Medial Collateral Ligament injuries?</strong> </span></h3>\r\n<span style=\"font-weight: 400;\">The MCL has a greater blood supply than the ACL one thing. And that adds to its greater ability to heal.  However, studies have shown that even though conservative therapy for MCL injuries has been shown to be more effective than in ACL or even PCL injuries, the healed MCL remains weaker and less efficient than the ligament in its pre-injured state. </span>\r\n\r\n<span style=\"font-weight: 400;\">The ligament heals by scar formation, which is an inferior type of healing, and results in less strength than in normal ligaments, and the weak ligament leads to ligament laxity and an unstable joint. Joint instability as the result of an MCL injury begins the process of arthritis. The healing scarred ligament becomes longer and loose, which causes the joint to move and rotate differently, which alters how the knee can handle loads and pressures placed upon it. The instability allows for more sliding between joint surfaces, decreasing the efficiency of the muscles, disrupting the underlying cartilage and bone, and boosts overall degeneration which leads to the eventual arthritis formation.</span><span style=\"font-weight: 400;\">  </span>\r\n\r\n&nbsp;\r\n\r\n<b>An Injury to One Knee Structure Affects the Rest of the Knee</b>\r\n\r\n<span style=\"font-weight: 400;\">Wear and tear, trauma type injuries, and anything else that affects one ligament of the knee, will affect the other structures of the knee. The MCL helps the knee to bend and twist correctly, but when it is injured, those dynamics are changed. MCL injuries usually occur near where the ligament attaches to the thigh bone at the knee. The ligament attaches to a bony prominence called the medial condyle and assists in keeping the knee from hyperextending. When the MCL becomes weak and unstable, it starts a cascade of degeneration of the condyles. Since the medial condyle bears a lot of weight, the weak ligament boosts the wear on the bony condyle, and as the bone wears, the degeneration will also cause injury to the meniscus. The cycle then continues as these bony attachments continue to degenerate, because the attached ligaments will lose their tautness and become even more loose and weak.</span><span style=\"font-weight: 400;\"> </span>\r\n\r\n<b>Treatment of an Injured MCL</b>\r\n\r\n<span style=\"font-weight: 400;\">The care of MCL injuries ranges from conservative to surgical measures. Surgery involves the cutting and removal of tissue, and since MCL injuries often involve other structures, that would entail even more cutting. It is important to understand that removal and cutting of knee structures adds to knee instability and to further degeneration of the knee in the long run, so avoidance of surgery would be preferred. What can be done then, and what are your options, considering the inferior healing of the MCL when left to heal on its own? Regenerative Orthopedics, including Stem Cell Therapy, PRP, and Prolotherapy are treatment options available for MCL injuries, because they help to provide healing to the entire knee and also allow for stabilization of the injured MCL. Studies have shown that these treatments are effective at increasing the strength of the ligament at the attachment site, as well as boosting the overall ligament mass and strength. </span>\r\n\r\n<span style=\"font-weight: 400;\">Regenerative Orthopedics for MCL injuries encourages collagen formation at the knee joint, stimulates the body to repair itself, and heals the ligaments, by stimulating new tissue formation, rather than scar tissue formation. Surgery will be necessary when the ligament is completely torn, but Regenerative Orthopedics is helpful when both ends of the ligament remain attached to bone, and in 98% of ligament injuries this is the case, since the injuries are partial tears. </span>\r\n\r\n<span style=\"font-weight: 400;\">The key to healthy knees is strong ligaments and tendons. In the case of the injured MCL, co-injury of ligaments, and other involved structures in MCL injuries, the goal is to treat the whole knee with Regenerative Orthopedics to stimulate repair, and strengthen the injured and weakened structures. The treatment will lead to the deposits of new collagen, the material the ligaments and tendons are made of. The end result is a stronger, more stable knee joint. Rather than just allowing the MCL to heal on its own, Regenerative Orthopedics ensures proper regeneration of the ligament tissue, allowing for effective elimination of pain, the repair of the MCL injury, and a safe return to sport and activities.</span>\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Medial Collateral Ligament Injuries','','inherit','closed','closed','','2858-revision-v1','','','2020-08-26 20:27:19','2020-08-26 20:27:19','',2858,'https://www.drfields.com/uncategorized/2858-revision-v1/',0,'revision','',0),(4051,9,'2020-08-26 20:52:42','2020-08-26 20:52:42','<img class=\" wp-image-4049 alignright\" src=\"https://www.drfields.com/wp-content/uploads/2019/10/MCL-tears-500x500.jpg\" alt=\"Mcl Tears\" width=\"460\" height=\"460\" />\r\n\r\n<b>Let’s Take a Look at the Medial Collateral Ligament (MCL)</b>\r\n\r\n<span style=\"font-weight: 400;\">The <b>Medial Collateral Ligament (</b><strong>MCL)</strong> is a vital knee structure for providing stability to the knee joint. It is one of four major ligaments of the knee, along with the anterior cruciate (ACL), the posterior cruciate (PCL), and the lateral collateral (LCL) ligaments, all of which stabilize the knee. In medial collateral ligament injuries, very often these other ligaments are injured too! </span>\r\n\r\n<span style=\"font-weight: 400;\">MCL injuries also affect the meniscus. Since part of the MCL is attached to the meniscus, a tear of the meniscus can also accompany an MCL injury. </span>\r\n<h3><span style=\"font-weight: 400;\"><strong>Spontaneous or Self-Healing Is a Consideration in Medial Collateral Ligament Injuries</strong></span></h3>\r\n<span style=\"font-weight: 400;\"><span style=\"font-size: 16px;\">When a ligament in the knee is injured, the most common ligament affected is the medial collateral ligament (MCL).  In general, the MCL is a very strong ligament. And it is pretty resilient when injured. In many circumstances, physicians will opt for non-surgical treatments, because they take into consideration the ability of the MCL to heal on its own. </span></span>\r\n\r\n<span style=\"font-weight: 400;\"><span style=\"font-size: 16px;\">An athlete with injury to their MCL often returns to their usual training or routine after just a few weeks. But is this the best course of treatment for an injured MCL? In this article, we will explore the injury and healing process of the knee and its MCL, and also examine whether a medial collateral ligament injury should just heal on its own or if  this path allows for a weaker MCL. Also, does allowing the MCL heal on its own make one more susceptible to re-injury?</span>   </span>\r\n<h3><span style=\"font-weight: 400;\"><strong>The Self-Healed Medial Collateral Ligament vs the Pre-Injured State</strong></span></h3>\r\n<span style=\"font-weight: 400;\">The MCL has a greater blood supply than the ACL one thing. And that adds to its greater ability to heal.  However, studies have shown that even though conservative therapy for MCL injuries has been shown to be more effective than in ACL or even PCL injuries, the healed MCL remains weaker and less efficient than the ligament in its pre-injured state. </span>\r\n\r\n<span style=\"font-weight: 400;\">The ligament heals by scar formation, which is an inferior type of healing, which results in less strength than in normal ligaments. And the weak ligament leads to ligament laxity and an unstable joint. Joint instability as the result of an MCL injury begins the process of arthritis. The healing scarred ligament becomes longer and loose, which causes the joint to move and rotate differently. </span>\r\n\r\n<span style=\"font-weight: 400;\">The abnormal movement alters how the knee can handle loads and pressures placed upon it. The instability allows for more sliding between joint surfaces, and decreases the efficiency of the muscles. That leads to disruption of the underlying cartilage and bone, and boosts overall degeneration. The result is the eventual formation of arthritis.</span><span style=\"font-weight: 400;\">  </span>\r\n\r\n<b>An Injury to One Knee Structure Affects the Rest of the Knee</b>\r\n\r\n<span style=\"font-weight: 400;\">Wear and tear, trauma type injuries, and anything else that affects one ligament of the knee, will affect the other structures of the knee. The MCL helps the knee to bend and twist correctly. But when it is injured, those dynamics are changed. MCL injuries usually occur near where the ligament attaches to the thigh bone at the knee. </span>\r\n\r\n<span style=\"font-weight: 400;\">The ligament attaches to a bony prominence called the medial condyle and assists in keeping the knee from hyperextending. When the MCL becomes weak and unstable, it starts a cascade of degeneration of the condyles. Since the medial condyle bears a lot of weight, the weak ligament boosts the wear on the bony condyle. And as the bone wears, the degeneration will also cause injury to the meniscus. </span>\r\n\r\n<span style=\"font-weight: 400;\">The cycle then continues as these bony attachments continue to degenerate, because the attached ligaments will lose their tautness and become even more loose and weak.</span><span style=\"font-weight: 400;\"> </span>\r\n\r\n<b>Treatment of an Injured MCL</b>\r\n\r\n<span style=\"font-weight: 400;\">The care of MCL injuries ranges from conservative to surgical measures. Surgery involves the cutting and removal of tissue, and since MCL injuries often involve other structures, that would entail even more cutting. It is important to understand that removal and cutting of knee structures adds to knee instability and to further degeneration of the knee in the long run, so avoidance of surgery would be preferred. What can be done then, and what are your options, considering the inferior healing of the MCL when left to heal on its own? Regenerative Orthopedics, including Stem Cell Therapy, PRP, and Prolotherapy are treatment options available for MCL injuries, because they help to provide healing to the entire knee and also allow for stabilization of the injured MCL. Studies have shown that these treatments are effective at increasing the strength of the ligament at the attachment site, as well as boosting the overall ligament mass and strength. </span>\r\n\r\n<span style=\"font-weight: 400;\">Regenerative Orthopedics for MCL injuries encourages collagen formation at the knee joint, stimulates the body to repair itself, and heals the ligaments, by stimulating new tissue formation, rather than scar tissue formation. Surgery will be necessary when the ligament is completely torn, but Regenerative Orthopedics is helpful when both ends of the ligament remain attached to bone, and in 98% of ligament injuries this is the case, since the injuries are partial tears. </span>\r\n\r\n<span style=\"font-weight: 400;\">The key to healthy knees is strong ligaments and tendons. In the case of the injured MCL, co-injury of ligaments, and other involved structures in MCL injuries, the goal is to treat the whole knee with Regenerative Orthopedics to stimulate repair, and strengthen the injured and weakened structures. The treatment will lead to the deposits of new collagen, the material the ligaments and tendons are made of. The end result is a stronger, more stable knee joint. Rather than just allowing the MCL to heal on its own, Regenerative Orthopedics ensures proper regeneration of the ligament tissue, allowing for effective elimination of pain, the repair of the MCL injury, and a safe return to sport and activities.</span>\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Medial Collateral Ligament Injuries','','inherit','closed','closed','','2858-revision-v1','','','2020-08-26 20:52:42','2020-08-26 20:52:42','',2858,'https://www.drfields.com/uncategorized/2858-revision-v1/',0,'revision','',0),(4052,9,'2020-08-26 20:53:06','2020-08-26 20:53:06','<img class=\" wp-image-4049 alignright\" src=\"https://www.drfields.com/wp-content/uploads/2019/10/MCL-tears-500x500.jpg\" alt=\"Mcl Tears\" width=\"460\" height=\"460\" />\r\n\r\n<span style=\"font-weight: 400;\">The <b>Medial Collateral Ligament (</b><strong>MCL)</strong> is a vital knee structure for providing stability to the knee joint. It is one of four major ligaments of the knee, along with the anterior cruciate (ACL), the posterior cruciate (PCL), and the lateral collateral (LCL) ligaments, all of which stabilize the knee. In medial collateral ligament injuries, very often these other ligaments are injured too! </span>\r\n\r\n<span style=\"font-weight: 400;\">MCL injuries also affect the meniscus. Since part of the MCL is attached to the meniscus, a tear of the meniscus can also accompany an MCL injury. </span>\r\n<h3><span style=\"font-weight: 400;\"><strong>Spontaneous or Self-Healing Is a Consideration in Medial Collateral Ligament Injuries</strong></span></h3>\r\n<span style=\"font-weight: 400;\"><span style=\"font-size: 16px;\">When a ligament in the knee is injured, the most common ligament affected is the medial collateral ligament (MCL).  In general, the MCL is a very strong ligament. And it is pretty resilient when injured. In many circumstances, physicians will opt for non-surgical treatments, because they take into consideration the ability of the MCL to heal on its own. </span></span>\r\n\r\n<span style=\"font-weight: 400;\"><span style=\"font-size: 16px;\">An athlete with injury to their MCL often returns to their usual training or routine after just a few weeks. But is this the best course of treatment for an injured MCL? In this article, we will explore the injury and healing process of the knee and its MCL, and also examine whether a medial collateral ligament injury should just heal on its own or if  this path allows for a weaker MCL. Also, does allowing the MCL heal on its own make one more susceptible to re-injury?</span>   </span>\r\n<h3><span style=\"font-weight: 400;\"><strong>The Self-Healed Medial Collateral Ligament vs the Pre-Injured State</strong></span></h3>\r\n<span style=\"font-weight: 400;\">The MCL has a greater blood supply than the ACL one thing. And that adds to its greater ability to heal.  However, studies have shown that even though conservative therapy for MCL injuries has been shown to be more effective than in ACL or even PCL injuries, the healed MCL remains weaker and less efficient than the ligament in its pre-injured state. </span>\r\n\r\n<span style=\"font-weight: 400;\">The ligament heals by scar formation, which is an inferior type of healing, which results in less strength than in normal ligaments. And the weak ligament leads to ligament laxity and an unstable joint. Joint instability as the result of an MCL injury begins the process of arthritis. The healing scarred ligament becomes longer and loose, which causes the joint to move and rotate differently. </span>\r\n\r\n<span style=\"font-weight: 400;\">The abnormal movement alters how the knee can handle loads and pressures placed upon it. The instability allows for more sliding between joint surfaces, and decreases the efficiency of the muscles. That leads to disruption of the underlying cartilage and bone, and boosts overall degeneration. The result is the eventual formation of arthritis.</span><span style=\"font-weight: 400;\">  </span>\r\n\r\n<b>An Injury to One Knee Structure Affects the Rest of the Knee</b>\r\n\r\n<span style=\"font-weight: 400;\">Wear and tear, trauma type injuries, and anything else that affects one ligament of the knee, will affect the other structures of the knee. The MCL helps the knee to bend and twist correctly. But when it is injured, those dynamics are changed. MCL injuries usually occur near where the ligament attaches to the thigh bone at the knee. </span>\r\n\r\n<span style=\"font-weight: 400;\">The ligament attaches to a bony prominence called the medial condyle and assists in keeping the knee from hyperextending. When the MCL becomes weak and unstable, it starts a cascade of degeneration of the condyles. Since the medial condyle bears a lot of weight, the weak ligament boosts the wear on the bony condyle. And as the bone wears, the degeneration will also cause injury to the meniscus. </span>\r\n\r\n<span style=\"font-weight: 400;\">The cycle then continues as these bony attachments continue to degenerate, because the attached ligaments will lose their tautness and become even more loose and weak.</span><span style=\"font-weight: 400;\"> </span>\r\n\r\n<b>Treatment of an Injured MCL</b>\r\n\r\n<span style=\"font-weight: 400;\">The care of MCL injuries ranges from conservative to surgical measures. Surgery involves the cutting and removal of tissue, and since MCL injuries often involve other structures, that would entail even more cutting. It is important to understand that removal and cutting of knee structures adds to knee instability and to further degeneration of the knee in the long run, so avoidance of surgery would be preferred. What can be done then, and what are your options, considering the inferior healing of the MCL when left to heal on its own? Regenerative Orthopedics, including Stem Cell Therapy, PRP, and Prolotherapy are treatment options available for MCL injuries, because they help to provide healing to the entire knee and also allow for stabilization of the injured MCL. Studies have shown that these treatments are effective at increasing the strength of the ligament at the attachment site, as well as boosting the overall ligament mass and strength. </span>\r\n\r\n<span style=\"font-weight: 400;\">Regenerative Orthopedics for MCL injuries encourages collagen formation at the knee joint, stimulates the body to repair itself, and heals the ligaments, by stimulating new tissue formation, rather than scar tissue formation. Surgery will be necessary when the ligament is completely torn, but Regenerative Orthopedics is helpful when both ends of the ligament remain attached to bone, and in 98% of ligament injuries this is the case, since the injuries are partial tears. </span>\r\n\r\n<span style=\"font-weight: 400;\">The key to healthy knees is strong ligaments and tendons. In the case of the injured MCL, co-injury of ligaments, and other involved structures in MCL injuries, the goal is to treat the whole knee with Regenerative Orthopedics to stimulate repair, and strengthen the injured and weakened structures. The treatment will lead to the deposits of new collagen, the material the ligaments and tendons are made of. The end result is a stronger, more stable knee joint. Rather than just allowing the MCL to heal on its own, Regenerative Orthopedics ensures proper regeneration of the ligament tissue, allowing for effective elimination of pain, the repair of the MCL injury, and a safe return to sport and activities.</span>\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Medial Collateral Ligament Injuries','','inherit','closed','closed','','2858-revision-v1','','','2020-08-26 20:53:06','2020-08-26 20:53:06','',2858,'https://www.drfields.com/uncategorized/2858-revision-v1/',0,'revision','',0),(4053,9,'2020-08-26 21:07:31','2020-08-26 21:07:31','[caption id=\"attachment_4049\" align=\"alignright\" width=\"500\"]<img class=\"wp-image-4049 size-medium\" src=\"https://www.drfields.com/wp-content/uploads/2019/10/MCL-tears-500x500.jpg\" alt=\"Medial Collateral Ligament Injuries\" width=\"500\" height=\"500\" /> <strong>            Repair Medial Collateral Ligament Injuries at OrthoRegen</strong>[/caption]\r\n\r\n<span style=\"font-weight: 400;\">The <b>Medial Collateral Ligament (</b><strong>MCL)</strong> is a vital knee structure for providing stability to the knee joint. It is one of four major ligaments of the knee, along with the anterior cruciate (ACL), the posterior cruciate (PCL), and the lateral collateral (LCL) ligaments, all of which stabilize the knee. In medial collateral ligament injuries, very often these other ligaments are injured too! </span>\r\n\r\n<span style=\"font-weight: 400;\">MCL injuries also affect the meniscus. Since part of the MCL is attached to the meniscus, a tear of the meniscus can also accompany an MCL injury. </span>\r\n<h3><span style=\"font-weight: 400;\"><strong>Spontaneous or Self-Healing Is a Consideration in Medial Collateral Ligament Injuries</strong></span></h3>\r\n<span style=\"font-weight: 400;\"><span style=\"font-size: 16px;\">When a ligament in the knee is injured, the most common ligament affected is the medial collateral ligament (MCL).  In general, the MCL is a very strong ligament. And it is pretty resilient when injured. In many circumstances, physicians will opt for non-surgical treatments, because they take into consideration the ability of the MCL to heal on its own. </span></span>\r\n\r\n<span style=\"font-weight: 400;\"><span style=\"font-size: 16px;\">An athlete with injury to their MCL often returns to their usual training or routine after just a few weeks. But is this the best course of treatment for an injured MCL? In this article, we will explore the injury and healing process of the knee and its MCL, and also examine whether a medial collateral ligament injury should just heal on its own or if  this path allows for a weaker MCL. Also, does allowing the MCL heal on its own make one more susceptible to re-injury?</span>   </span>\r\n<h3><span style=\"font-weight: 400;\"><strong>The Self-Healed MCL vs the Pre-Injured State</strong></span></h3>\r\n<span style=\"font-weight: 400;\">The MCL has a greater blood supply than the ACL one thing. And that adds to its greater ability to heal.  However, studies have shown that even though conservative therapy for MCL injuries has been shown to be more effective than in ACL or even PCL injuries, the healed MCL remains weaker and less efficient than the ligament in its pre-injured state. </span>\r\n\r\n<span style=\"font-weight: 400;\">The ligament heals by scar formation, which is an inferior type of healing, which results in less strength than in normal ligaments. And the weak ligament leads to ligament laxity and an unstable joint. Joint instability as the result of an MCL injury begins the process of arthritis. The healing scarred ligament becomes longer and loose, which causes the joint to move and rotate differently. </span>\r\n\r\n<span style=\"font-weight: 400;\">The abnormal movement alters how the knee can handle loads and pressures placed upon it. The instability allows for more sliding between joint surfaces, and decreases the efficiency of the muscles. That leads to disruption of the underlying cartilage and bone, and boosts overall degeneration. The result is the eventual formation of arthritis.</span><span style=\"font-weight: 400;\">  </span>\r\n\r\n<b>An Injury to One Knee Structure Affects the Rest of the Knee</b>\r\n\r\n<span style=\"font-weight: 400;\">Wear and tear, trauma type injuries, and anything else that affects one ligament of the knee, will affect the other structures of the knee. The MCL helps the knee to bend and twist correctly. But when it is injured, those dynamics are changed. MCL injuries usually occur near where the ligament attaches to the thigh bone at the knee. </span>\r\n\r\n<span style=\"font-weight: 400;\">The ligament attaches to a bony prominence called the medial condyle and assists in keeping the knee from hyperextending. When the MCL becomes weak and unstable, it starts a cascade of degeneration of the condyles. Since the medial condyle bears a lot of weight, the weak ligament boosts the wear on the bony condyle. And as the bone wears, the degeneration will also cause injury to the meniscus. </span>\r\n\r\n<span style=\"font-weight: 400;\">The cycle then continues as these bony attachments continue to degenerate, because the attached ligaments will lose their tautness and become even more loose and weak.</span><span style=\"font-weight: 400;\"> </span>\r\n\r\n<b>Treatment of an Injured MCL</b>\r\n\r\n<span style=\"font-weight: 400;\">The care of MCL injuries ranges from conservative to surgical measures. Surgery involves the cutting and removal of tissue, and since medial collateral ligament injuries often involve other structures, that would entail even more cutting. </span>\r\n\r\n<span style=\"font-weight: 400;\">It is important to understand that removal and cutting of knee structures adds to knee instability and to further degeneration of the knee in the long run. So avoidance of surgery would be preferred. What can be done then? And what are your options, considering the inferior healing of the MCL when left to heal on its own?</span>\r\n<h3><strong>Regenerative Orthopedics Options for MCL Injuries</strong></h3>\r\n<span style=\"font-weight: 400;\">Regenerative Orthopedics, including <a href=\"https://www.drfields.com/regenerative-techniques/stem-cell-treatment/\">Stem Cell Therapy</a>, <a href=\"https://www.drfields.com/regenerative-techniques/prp-treatment/\">PRP</a>, and Prolotherapy are treatment options available for MCL injuries. They help to provide healing of the entire knee. And they also allow for stabilization of the injured MCL. Studies have shown that these treatments are effective at increasing the strength of the ligament at the attachment site, as well as boosting the overall ligament mass and strength. </span>\r\n\r\n<span style=\"font-weight: 400;\">Regenerative Orthopedics for MCL injuries encourages collagen formation at the knee joint. It stimulates the body to repair itself, and heals the ligaments, by stimulating new tissue formation, rather than scar tissue formation. Surgery will be necessary when the ligament is completely torn. But Regenerative Orthopedics is helpful when both ends of the ligament remain attached to bone. And in 98% of ligament injuries this is the case, since the injuries are partial tears. </span>\r\n\r\n<span style=\"font-weight: 400;\">The key to healthy knees is strong ligaments and tendons. In the case of the medial collateral ligament injuries, co-injury of ligaments, and other involved structures in MCL injuries, the goal is to treat the whole knee with Regenerative Orthopedics. The treatment will stimulate repair, and strengthen the injured and weakened structures. It will lead to the deposits of new collagen, the material the ligaments and tendons are made of. </span>\r\n\r\n<span style=\"font-weight: 400;\">The end result is a stronger, more stable knee joint. Rather than just allowing the MCL to heal on its own, Regenerative Orthopedics ensures proper regeneration of the ligament tissue, allowing for effective elimination of pain, the repair of the MCL injury, and a safe return to sport and activities.</span>\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Medial Collateral Ligament Injuries','','inherit','closed','closed','','2858-revision-v1','','','2020-08-26 21:07:31','2020-08-26 21:07:31','',2858,'https://www.drfields.com/uncategorized/2858-revision-v1/',0,'revision','',0),(4054,9,'2020-08-26 21:09:04','2020-08-26 21:09:04','[caption id=\"attachment_4049\" align=\"alignright\" width=\"500\"]<img class=\"wp-image-4049 size-medium\" src=\"https://www.drfields.com/wp-content/uploads/2019/10/MCL-tears-500x500.jpg\" alt=\"Medial Collateral Ligament Injuries\" width=\"500\" height=\"500\" /> <strong>            Repair Medial Collateral Ligament Injuries at OrthoRegen</strong>[/caption]\r\n\r\n<span style=\"font-weight: 400;\">The <b>Medial Collateral Ligament (</b><strong>MCL)</strong> is a vital knee structure for providing stability to the knee joint. It is one of four major ligaments of the knee, along with the anterior cruciate (ACL), the posterior cruciate (PCL), and the lateral collateral (LCL) ligaments, all of which stabilize the knee. Other ligaments are often injured when the medial collateral ligament is injured</span>\r\n\r\n<span style=\"font-weight: 400;\">MCL injuries also affect the meniscus. Since part of the MCL is attached to the meniscus, a tear of the meniscus can accompany an MCL injury. </span>\r\n<h3><span style=\"font-weight: 400;\"><strong>Spontaneous or Self-Healing Is a Consideration in Medial Collateral Ligament Injuries</strong></span></h3>\r\n<span style=\"font-weight: 400;\"><span style=\"font-size: 16px;\">When a ligament in the knee is injured, the most common ligament affected is the medial collateral ligament (MCL).  In general, the MCL is a very strong ligament. And it is pretty resilient when injured. In many circumstances, physicians will opt for non-surgical treatments, because they take into consideration the ability of the MCL to heal on its own. </span></span>\r\n\r\n<span style=\"font-weight: 400;\"><span style=\"font-size: 16px;\">An athlete with injury to their MCL often returns to their usual training or routine after just a few weeks. But is this the best course of treatment for an injured MCL? In this article, we will explore the injury and healing process of the knee and its MCL, and also examine whether a medial collateral ligament injury should just heal on its own or if  this path allows for a weaker MCL. Also, does allowing the MCL heal on its own make one more susceptible to re-injury?</span>   </span>\r\n<h3><span style=\"font-weight: 400;\"><strong>The Self-Healed MCL vs the Pre-Injured State</strong></span></h3>\r\n<span style=\"font-weight: 400;\">The MCL has a greater blood supply than the ACL one thing. And that adds to its greater ability to heal.  However, studies have shown that even though conservative therapy for MCL injuries has been shown to be more effective than in ACL or even PCL injuries, the healed MCL remains weaker and less efficient than the ligament in its pre-injured state. </span>\r\n\r\n<span style=\"font-weight: 400;\">The ligament heals by scar formation, which is an inferior type of healing, which results in less strength than in normal ligaments. And the weak ligament leads to ligament laxity and an unstable joint. Joint instability as the result of an MCL injury begins the process of arthritis. The healing scarred ligament becomes longer and loose, which causes the joint to move and rotate differently. </span>\r\n\r\n<span style=\"font-weight: 400;\">The abnormal movement alters how the knee can handle loads and pressures placed upon it. The instability allows for more sliding between joint surfaces, and decreases the efficiency of the muscles. That leads to disruption of the underlying cartilage and bone, and boosts overall degeneration. The result is the eventual formation of arthritis.</span><span style=\"font-weight: 400;\">  </span>\r\n\r\n<b>An Injury to One Knee Structure Affects the Rest of the Knee</b>\r\n\r\n<span style=\"font-weight: 400;\">Wear and tear, trauma type injuries, and anything else that affects one ligament of the knee, will affect the other structures of the knee. The MCL helps the knee to bend and twist correctly. But when it is injured, those dynamics are changed. MCL injuries usually occur near where the ligament attaches to the thigh bone at the knee. </span>\r\n\r\n<span style=\"font-weight: 400;\">The ligament attaches to a bony prominence called the medial condyle and assists in keeping the knee from hyperextending. When the MCL becomes weak and unstable, it starts a cascade of degeneration of the condyles. Since the medial condyle bears a lot of weight, the weak ligament boosts the wear on the bony condyle. And as the bone wears, the degeneration will also cause injury to the meniscus. </span>\r\n\r\n<span style=\"font-weight: 400;\">The cycle then continues as these bony attachments continue to degenerate, because the attached ligaments will lose their tautness and become even more loose and weak.</span><span style=\"font-weight: 400;\"> </span>\r\n\r\n<b>Treatment of an Injured MCL</b>\r\n\r\n<span style=\"font-weight: 400;\">The care of MCL injuries ranges from conservative to surgical measures. Surgery involves the cutting and removal of tissue, and since medial collateral ligament injuries often involve other structures, that would entail even more cutting. </span>\r\n\r\n<span style=\"font-weight: 400;\">It is important to understand that removal and cutting of knee structures adds to knee instability and to further degeneration of the knee in the long run. So avoidance of surgery would be preferred. What can be done then? And what are your options, considering the inferior healing of the MCL when left to heal on its own?</span>\r\n<h3><strong>Regenerative Orthopedics Options for MCL Injuries</strong></h3>\r\n<span style=\"font-weight: 400;\">Regenerative Orthopedics, including <a href=\"https://www.drfields.com/regenerative-techniques/stem-cell-treatment/\">Stem Cell Therapy</a>, <a href=\"https://www.drfields.com/regenerative-techniques/prp-treatment/\">PRP</a>, and Prolotherapy are treatment options available for MCL injuries. They help to provide healing of the entire knee. And they also allow for stabilization of the injured MCL. Studies have shown that these treatments are effective at increasing the strength of the ligament at the attachment site, as well as boosting the overall ligament mass and strength. </span>\r\n\r\n<span style=\"font-weight: 400;\">Regenerative Orthopedics for MCL injuries encourages collagen formation at the knee joint. It stimulates the body to repair itself, and heals the ligaments, by stimulating new tissue formation, rather than scar tissue formation. Surgery will be necessary when the ligament is completely torn. But Regenerative Orthopedics is helpful when both ends of the ligament remain attached to bone. And in 98% of ligament injuries this is the case, since the injuries are partial tears. </span>\r\n\r\n<span style=\"font-weight: 400;\">The key to healthy knees is strong ligaments and tendons. In the case of the medial collateral ligament injuries, co-injury of ligaments, and other involved structures in MCL injuries, the goal is to treat the whole knee with Regenerative Orthopedics. The treatment will stimulate repair, and strengthen the injured and weakened structures. It will lead to the deposits of new collagen, the material the ligaments and tendons are made of. </span>\r\n\r\n<span style=\"font-weight: 400;\">The end result is a stronger, more stable knee joint. Rather than just allowing the MCL to heal on its own, Regenerative Orthopedics ensures proper regeneration of the ligament tissue, allowing for effective elimination of pain, the repair of the MCL injury, and a safe return to sport and activities.</span>\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Medial Collateral Ligament Injuries','','inherit','closed','closed','','2858-revision-v1','','','2020-08-26 21:09:04','2020-08-26 21:09:04','',2858,'https://www.drfields.com/uncategorized/2858-revision-v1/',0,'revision','',0),(4055,9,'2020-08-26 21:12:31','2020-08-26 21:12:31','<span style=\"font-weight: 400;\">The <b>Medial Collateral Ligament (</b><strong>MCL)</strong> is a vital knee structure for providing stability to the knee joint. It is one of four major ligaments of the knee, along with the anterior cruciate (ACL), the posterior cruciate (PCL), and the lateral collateral (LCL) ligaments, all of which stabilize the knee. Other ligaments are often injured when the medial collateral ligament is injured</span>\r\n\r\n<span style=\"font-weight: 400;\">MCL injuries also affect the meniscus. Since part of the MCL is attached to the meniscus, a tear of the meniscus can accompany an MCL injury. </span>\r\n<h3><span style=\"font-weight: 400;\"><strong>Spontaneous or Self-Healing Is a Consideration in Medial Collateral Ligament Injuries</strong></span></h3>\r\n<span style=\"font-weight: 400;\"><span style=\"font-size: 16px;\">When a ligament in the knee is injured, the most common ligament affected is the medial collateral ligament (MCL).  In general, the MCL is a very strong ligament. And it is pretty resilient when injured. In many circumstances, physicians will opt for non-surgical treatments, because they take into consideration the ability of the MCL to heal on its own. </span></span>\r\n\r\n<span style=\"font-weight: 400;\"><span style=\"font-size: 16px;\">An athlete with injury to their MCL often returns to their usual training or routine after just a few weeks. But is this the best course of treatment for an injured MCL? In this article, we will explore the injury and healing process of the knee and its MCL, and also examine whether a medial collateral ligament injury should just heal on its own or if  this path allows for a weaker MCL. Also, does allowing the MCL heal on its own make one more susceptible to re-injury?</span>   </span>\r\n<h3><span style=\"font-weight: 400;\"><strong>The Self-Healed MCL vs the Pre-Injured State</strong></span></h3>\r\n<span style=\"font-weight: 400;\">The MCL has a greater blood supply than the ACL one thing. And that adds to its greater ability to heal.  However, studies have shown that even though conservative therapy for MCL injuries has been shown to be more effective than in ACL or even PCL injuries, the healed MCL remains weaker and less efficient than the ligament in its pre-injured state. </span>\r\n\r\n<span style=\"font-weight: 400;\">The ligament heals by scar formation, which is an inferior type of healing, which results in less strength than in normal ligaments. And the weak ligament leads to ligament laxity and an unstable joint. Joint instability as the result of an MCL injury begins the process of arthritis. The healing scarred ligament becomes longer and loose, which causes the joint to move and rotate differently. </span>\r\n\r\n<span style=\"font-weight: 400;\">The abnormal movement alters how the knee can handle loads and pressures placed upon it. The instability allows for more sliding between joint surfaces, and decreases the efficiency of the muscles. That leads to disruption of the underlying cartilage and bone, and boosts overall degeneration. The result is the eventual formation of arthritis.</span><span style=\"font-weight: 400;\">  </span>\r\n\r\n<b>An Injury to One Knee Structure Affects the Rest of the Knee</b>\r\n\r\n<span style=\"font-weight: 400;\">Wear and tear, trauma type injuries, and anything else that affects one ligament of the knee, will affect the other structures of the knee. The MCL helps the knee to bend and twist correctly. But when it is injured, those dynamics are changed. MCL injuries usually occur near where the ligament attaches to the thigh bone at the knee. </span>\r\n\r\n<span style=\"font-weight: 400;\">The ligament attaches to a bony prominence called the medial condyle and assists in keeping the knee from hyperextending. When the MCL becomes weak and unstable, it starts a cascade of degeneration of the condyles. Since the medial condyle bears a lot of weight, the weak ligament boosts the wear on the bony condyle. And as the bone wears, the degeneration will also cause injury to the meniscus. </span>\r\n\r\n<span style=\"font-weight: 400;\">The cycle then continues as these bony attachments continue to degenerate, because the attached ligaments will lose their tautness and become even more loose and weak.</span><span style=\"font-weight: 400;\"> </span>\r\n\r\n<b>Treatment of an Injured MCL</b>\r\n\r\n<span style=\"font-weight: 400;\">The care of MCL injuries ranges from conservative to surgical measures. Surgery involves the cutting and removal of tissue, and since medial collateral ligament injuries often involve other structures, that would entail even more cutting. </span>\r\n\r\n<span style=\"font-weight: 400;\">It is important to understand that removal and cutting of knee structures adds to knee instability and to further degeneration of the knee in the long run. So avoidance of surgery would be preferred. What can be done then? And what are your options, considering the inferior healing of the MCL when left to heal on its own?</span>\r\n<h3><strong>Regenerative Orthopedics Options for MCL Injuries</strong></h3>\r\n<span style=\"font-weight: 400;\">Regenerative Orthopedics, including <a href=\"https://www.drfields.com/regenerative-techniques/stem-cell-treatment/\">Stem Cell Therapy</a>, <a href=\"https://www.drfields.com/regenerative-techniques/prp-treatment/\">PRP</a>, and Prolotherapy are treatment options available for MCL injuries. They help to provide healing of the entire knee. And they also allow for stabilization of the injured MCL. Studies have shown that these treatments are effective at increasing the strength of the ligament at the attachment site, as well as boosting the overall ligament mass and strength. </span>\r\n\r\n<span style=\"font-weight: 400;\">Regenerative Orthopedics for MCL injuries encourages collagen formation at the knee joint. It stimulates the body to repair itself. And it heals the ligaments by stimulating new tissue formation, rather than scar tissue formation.When the ligament is completely torn, surgery is necessary. But Regenerative Orthopedics is helpful when both ends of the ligament remain attached to bone. And in 98% of ligament injuries this is the case, since the injuries are partial tears. </span>\r\n<h3>Strong Ligaments and Tendons Are Key to a Healthy Knee Joint</h3>\r\n<span style=\"font-weight: 400;\">The key to healthy knees is strong ligaments and tendons. In the case of the medial collateral ligament injuries, co-injury of ligaments, and other involved structures in MCL injuries, the goal is to treat the whole knee with Regenerative Orthopedics. The treatment will stimulate repair, and strengthen the injured and weakened structures. It will lead to the deposits of new collagen, the material the ligaments and tendons are made of. </span>\r\n\r\n<span style=\"font-weight: 400;\">The end result is a stronger, more stable knee joint. Rather than just allowing the MCL to heal on its own, Regenerative Orthopedics ensures proper regeneration of the ligament tissue, allowing for effective elimination of pain, the repair of the MCL injury, and a safe return to sport and activities.</span>\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Medial Collateral Ligament Injuries','','inherit','closed','closed','','2858-revision-v1','','','2020-08-26 21:12:31','2020-08-26 21:12:31','',2858,'https://www.drfields.com/uncategorized/2858-revision-v1/',0,'revision','',0),(4056,9,'2020-08-26 21:17:00','2020-08-26 21:17:00','[caption id=\"attachment_4049\" align=\"alignright\" width=\"500\"]<img class=\"wp-image-4049 size-medium\" src=\"https://www.drfields.com/wp-content/uploads/2019/10/MCL-tears-500x500.jpg\" alt=\"Medial Collateral Ligament Injuries\" width=\"500\" height=\"500\" /> <strong>          Repair Medial Collateral Ligament Injuries at OrthoRegen</strong>[/caption]\r\n\r\n<span style=\"font-weight: 400;\">The <b>Medial Collateral Ligament (</b><strong>MCL)</strong> is a vital knee structure for providing stability to the knee joint. It is one of four major ligaments of the knee, along with the anterior cruciate (ACL), the posterior cruciate (PCL), and the lateral collateral (LCL) ligaments, all of which stabilize the knee. Other ligaments are often injured when the medial collateral ligament is injured</span>\r\n\r\n<span style=\"font-weight: 400;\">MCL injuries also affect the meniscus. Since part of the MCL is attached to the meniscus, a tear of the meniscus can accompany an MCL injury. </span>\r\n<h3><span style=\"font-weight: 400;\"><strong>Spontaneous or Self-Healing Is a Consideration in Medial Collateral Ligament Injuries</strong></span></h3>\r\n<span style=\"font-weight: 400;\"><span style=\"font-size: 16px;\">When a ligament in the knee is injured, the most common ligament affected is the medial collateral ligament (MCL).  In general, the MCL is a very strong ligament. And it is pretty resilient when injured. In many circumstances, physicians will opt for non-surgical treatments, because they take into consideration the ability of the MCL to heal on its own. </span></span>\r\n\r\n<span style=\"font-weight: 400;\"><span style=\"font-size: 16px;\">An athlete with injury to their MCL often returns to their usual training or routine after just a few weeks. But is this the best course of treatment for an injured MCL? In this article, we will explore the injury and healing process of the knee and its MCL, and also examine whether a medial collateral ligament injury should just heal on its own or if  this path allows for a weaker MCL. Also, does allowing the MCL heal on its own make one more susceptible to re-injury?</span>   </span>\r\n<h3><span style=\"font-weight: 400;\"><strong>The Self-Healed MCL vs the Pre-Injured State</strong></span></h3>\r\n<span style=\"font-weight: 400;\">The MCL has a greater blood supply than the ACL one thing. And that adds to its greater ability to heal.  However, studies have shown that even though conservative therapy for MCL injuries has been shown to be more effective than in ACL or even PCL injuries, the healed MCL remains weaker and less efficient than the ligament in its pre-injured state. </span>\r\n\r\n<span style=\"font-weight: 400;\">The ligament heals by scar formation, which is an inferior type of healing, which results in less strength than in normal ligaments. And the weak ligament leads to ligament laxity and an unstable joint. Joint instability as the result of an MCL injury begins the process of arthritis. The healing scarred ligament becomes longer and loose, which causes the joint to move and rotate differently. </span>\r\n\r\n<span style=\"font-weight: 400;\">The abnormal movement alters how the knee can handle loads and pressures placed upon it. The instability allows for more sliding between joint surfaces, and decreases the efficiency of the muscles. That leads to disruption of the underlying cartilage and bone, and boosts overall degeneration. The result is the eventual formation of arthritis.</span><span style=\"font-weight: 400;\">  </span>\r\n\r\n<b>An Injury to One Knee Structure Affects the Rest of the Knee</b>\r\n\r\n<span style=\"font-weight: 400;\">Wear and tear, trauma type injuries, and anything else that affects one ligament of the knee, will affect the other structures of the knee. The MCL helps the knee to bend and twist correctly. But when it is injured, those dynamics are changed. MCL injuries usually occur near where the ligament attaches to the thigh bone at the knee. </span>\r\n\r\n<span style=\"font-weight: 400;\">The ligament attaches to a bony prominence called the medial condyle and assists in keeping the knee from hyperextending. When the MCL becomes weak and unstable, it starts a cascade of degeneration of the condyles. Since the medial condyle bears a lot of weight, the weak ligament boosts the wear on the bony condyle. And as the bone wears, the degeneration will also cause injury to the meniscus. </span>\r\n\r\n<span style=\"font-weight: 400;\">The cycle then continues as these bony attachments continue to degenerate, because the attached ligaments will lose their tautness and become even more loose and weak.</span><span style=\"font-weight: 400;\"> </span>\r\n\r\n<b>Treatment of an Injured MCL</b>\r\n\r\n<span style=\"font-weight: 400;\">The care of MCL injuries ranges from conservative to surgical measures. Surgery involves the cutting and removal of tissue, and since medial collateral ligament injuries often involve other structures, that would entail even more cutting. </span>\r\n\r\n<span style=\"font-weight: 400;\">It is important to understand that removal and cutting of knee structures adds to knee instability and to further degeneration of the knee in the long run. So avoidance of surgery would be preferred. What can be done then? And what are your options, considering the inferior healing of the MCL when left to heal on its own?</span>\r\n<h3><strong>Regenerative Orthopedics Options for MCL Injuries</strong></h3>\r\n<span style=\"font-weight: 400;\">Regenerative Orthopedics, including <a href=\"https://www.drfields.com/regenerative-techniques/stem-cell-treatment/\">Stem Cell Therapy</a>, <a href=\"https://www.drfields.com/regenerative-techniques/prp-treatment/\">PRP</a>, and Prolotherapy are treatment options available for MCL injuries. They help to provide healing of the entire knee. And they also allow for stabilization of the injured MCL. Studies have shown that these treatments are effective at increasing the strength of the ligament at the attachment site, as well as boosting the overall ligament mass and strength. </span>\r\n\r\n<span style=\"font-weight: 400;\">Regenerative Orthopedics for MCL injuries encourages collagen formation at the knee joint. It stimulates the body to repair itself. And it heals the ligaments by stimulating new tissue formation, rather than scar tissue formation.When the ligament is completely torn, surgery is necessary. But Regenerative Orthopedics is helpful when both ends of the ligament remain attached to bone. And in 98% of ligament injuries this is the case, since the injuries are partial tears. </span>\r\n<h3>Strong Ligaments and Tendons Are Key to a Healthy Knee Joint</h3>\r\n<span style=\"font-weight: 400;\">The key to healthy knees is strong ligaments and tendons. In the case of the medial collateral ligament injuries, co-injury of ligaments, and other involved structures in MCL injuries, the goal is to treat the whole knee with Regenerative Orthopedics. The treatment will stimulate repair, and strengthen the injured and weakened structures. New collagen, the material the ligaments and tendons are made of, is deposited at the site of repair. </span>\r\n\r\n<span style=\"font-weight: 400;\">The end result is a stronger, more stable knee joint. Rather than just allowing the MCL to heal on its own, Regenerative Orthopedics ensures proper regeneration of the ligament tissue, allowing for effective elimination of pain, the repair of the MCL injury, and a safe return to sport and activities.</span>\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Medial Collateral Ligament Injuries','','inherit','closed','closed','','2858-revision-v1','','','2020-08-26 21:17:00','2020-08-26 21:17:00','',2858,'https://www.drfields.com/uncategorized/2858-revision-v1/',0,'revision','',0),(4057,9,'2020-08-26 21:17:50','2020-08-26 21:17:50','[caption id=\"attachment_4049\" align=\"alignright\" width=\"500\"]<img class=\"wp-image-4049 size-medium\" src=\"https://www.drfields.com/wp-content/uploads/2019/10/MCL-tears-500x500.jpg\" alt=\"Medial Collateral Ligament Injuries\" width=\"500\" height=\"500\" /> <strong>          Repair Medial Collateral Ligament Injuries at OrthoRegen</strong>[/caption]\r\n\r\n<span style=\"font-weight: 400;\">The <b>Medial Collateral Ligament (</b><strong>MCL)</strong> is a vital knee structure for providing stability to the knee joint. It is one of four major ligaments of the knee, along with the anterior cruciate (ACL), the posterior cruciate (PCL), and the lateral collateral (LCL) ligaments, all of which stabilize the knee. Other ligaments are often injured when the medial collateral ligament is injured</span>\r\n\r\n<span style=\"font-weight: 400;\">MCL injuries also affect the meniscus. Since part of the MCL is attached to the meniscus, a tear of the meniscus can accompany an MCL injury. </span>\r\n<h3><span style=\"font-weight: 400;\"><strong>Spontaneous or Self-Healing Is a Consideration in Medial Collateral Ligament Injuries</strong></span></h3>\r\n<span style=\"font-weight: 400;\"><span style=\"font-size: 16px;\">When a ligament in the knee is injured, the most common ligament affected is the medial collateral ligament (MCL).  In general, the MCL is a very strong ligament. And it is pretty resilient when injured. In many circumstances, physicians will opt for non-surgical treatments, because they take into consideration the ability of the MCL to heal on its own. </span></span>\r\n\r\n<span style=\"font-weight: 400;\"><span style=\"font-size: 16px;\">An athlete with injury to their MCL often returns to their usual training or routine after just a few weeks. But is this the best course of treatment for an injured MCL? In this article, we will explore the injury and healing process of the knee and its MCL, and also examine whether a medial collateral ligament injury should just heal on its own or if  this path allows for a weaker MCL. Also, does allowing the MCL heal on its own make one more susceptible to re-injury?</span>   </span>\r\n<h3><span style=\"font-weight: 400;\"><strong>The Self-Healed MCL vs the Pre-Injured State</strong></span></h3>\r\n<span style=\"font-weight: 400;\">The MCL has a greater blood supply than the ACL one thing. And that adds to its greater ability to heal.  However, studies have shown that even though conservative therapy for MCL injuries has been shown to be more effective than in ACL or even PCL injuries, the healed MCL remains weaker and less efficient than the ligament in its pre-injured state. </span>\r\n\r\n<span style=\"font-weight: 400;\">The ligament heals by scar formation, which is an inferior type of healing, which results in less strength than in normal ligaments. And the weak ligament leads to ligament laxity and an unstable joint. Joint instability as the result of an MCL injury begins the process of arthritis. The healing scarred ligament becomes longer and loose, which causes the joint to move and rotate differently. </span>\r\n\r\n<span style=\"font-weight: 400;\">The abnormal movement alters how the knee can handle loads and pressures placed upon it. The instability allows for more sliding between joint surfaces, and decreases the efficiency of the muscles. That leads to disruption of the underlying cartilage and bone, and boosts overall degeneration. The result is the eventual formation of arthritis.</span><span style=\"font-weight: 400;\">  </span>\r\n\r\n<b>An Injury to One Knee Structure Affects the Rest of the Knee</b>\r\n\r\n<span style=\"font-weight: 400;\">Wear and tear, trauma type injuries, and anything else that affects one ligament of the knee, will affect the other structures of the knee. The MCL helps the knee to bend and twist correctly. But when it is injured, those dynamics are changed. MCL injuries usually occur near where the ligament attaches to the thigh bone at the knee. </span>\r\n\r\n<span style=\"font-weight: 400;\">The ligament attaches to a bony prominence called the medial condyle and assists in keeping the knee from hyperextending. When the MCL becomes weak and unstable, it starts a cascade of degeneration of the condyles. Since the medial condyle bears a lot of weight, the weak ligament boosts the wear on the bony condyle. And as the bone wears, the degeneration will also cause injury to the meniscus. </span>\r\n\r\n<span style=\"font-weight: 400;\">The cycle then continues as these bony attachments continue to degenerate, because the attached ligaments will lose their tautness and become even more loose and weak.</span><span style=\"font-weight: 400;\"> </span>\r\n\r\n<b>Treatment of an Injured MCL</b>\r\n\r\n<span style=\"font-weight: 400;\">The care of MCL injuries ranges from conservative to surgical measures. Surgery involves the cutting and removal of tissue, and since medial collateral ligament injuries often involve other structures, that would entail even more cutting. </span>\r\n\r\n<span style=\"font-weight: 400;\">It is important to understand that removal and cutting of knee structures adds to knee instability and to further degeneration of the knee in the long run. So avoidance of surgery would be preferred. What can be done then? And what are your options, considering the inferior healing of the MCL when left to heal on its own?</span>\r\n<h3><strong>Regenerative Orthopedics Options for Medial Collateral Ligament Injuries</strong></h3>\r\n<span style=\"font-weight: 400;\">Regenerative Orthopedics, including <a href=\"https://www.drfields.com/regenerative-techniques/stem-cell-treatment/\">Stem Cell Therapy</a>, <a href=\"https://www.drfields.com/regenerative-techniques/prp-treatment/\">PRP</a>, and Prolotherapy are treatment options available for MCL injuries. They help to provide healing of the entire knee. And they also allow for stabilization of the injured MCL. Studies have shown that these treatments are effective at increasing the strength of the ligament at the attachment site, as well as boosting the overall ligament mass and strength. </span>\r\n\r\n<span style=\"font-weight: 400;\">Regenerative Orthopedics for MCL injuries encourages collagen formation at the knee joint. It stimulates the body to repair itself. And it heals the ligaments by stimulating new tissue formation, rather than scar tissue formation.When the ligament is completely torn, surgery is necessary. But Regenerative Orthopedics is helpful when both ends of the ligament remain attached to bone. And in 98% of ligament injuries this is the case, since the injuries are partial tears. </span>\r\n<h3>Strong Ligaments and Tendons Are Key to a Healthy Knee Joint</h3>\r\n<span style=\"font-weight: 400;\">The key to healthy knees is strong ligaments and tendons. In the case of the medial collateral ligament injuries, co-injury of ligaments, and other involved structures in MCL injuries, the goal is to treat the whole knee with Regenerative Orthopedics. The treatment will stimulate repair, and strengthen the injured and weakened structures. New collagen, the material the ligaments and tendons are made of, is deposited at the site of repair. </span>\r\n\r\n<span style=\"font-weight: 400;\">The end result is a stronger, more stable knee joint. Rather than just allowing the MCL to heal on its own, Regenerative Orthopedics ensures proper regeneration of the ligament tissue, allowing for effective elimination of pain, the repair of the MCL injury, and a safe return to sport and activities.</span>\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Medial Collateral Ligament Injuries','','inherit','closed','closed','','2858-revision-v1','','','2020-08-26 21:17:50','2020-08-26 21:17:50','',2858,'https://www.drfields.com/uncategorized/2858-revision-v1/',0,'revision','',0),(4058,9,'2020-08-31 21:48:38','2020-08-31 21:48:38','<span style=\"font-weight: 400;\">The shoulder is quite an amazing, and incredibly mobile joint. But injury to the glenoid labrum of the shoulder can keep you from reaching your sport or professional goals. If you are a tradesman or woman whose work requires repetitive overhead motion to accomplish your trade, and shoulder pain is making your day almost impossible, a labral injury may be part of the problem.</span>\n<h3>Repetitive Overhead Motion Can Lead to Tears of the  Glenoid Labrum of the Shoulder</h3>\n<span style=\"font-weight: 400;\">Athletes and others who rely on their shoulders for the movements necessary to carry out their sports and professions are especially susceptible to injuries and tears of the glenoid labrum.  There are a couple types of labral tears. A SLAP tear (Superior Labral, Anterior to Posterior) is one of the most common, and results in a tear from the front to back of the glenoid labrum. Other labral tears include flap tears, Bankart lesions, and degenerative lesions. </span>\n\n<span style=\"font-weight: 400;\">With injury to the glenoid labrum of the shoulder, overhead strokes of a painter can be difficult too. Or the strum of a chord for a guitar player may bring shooting pains. And a pitcher might experience pain while throwing a ball compromising big hopes for the season. Shoulder pain from a glenoid labrum injury can put a major damper on your life. And those suffering from the injury want a quick way out of the discomfort in order to get their lives back. Getting there non-surgically would be an added bonus. </span>\n\n<span style=\"font-weight: 400;\">The shoulder has a lot of mobility.  The shoulder lacks big ligamentous structures to add to its ability to move well. But that also makes it more prone to injury, since big ligament structures would add support. The glenoid labrum provides some stabilization for the shoulder. So it is an important shoulder structure. </span>\n<h3><strong>What is the Glenoid Labrum of the Shoulder?</strong></h3>\n<span style=\"font-weight: 400;\">The glenoid labrum </span><span style=\"font-weight: 400;\">is a smooth ring of fibrous cartilage that surrounds the socket part of the shoulder- a ball and socket joint. The shoulder joint has three bones that come together: the scapula (shoulder blade), the clavicle (collar bone), and the humerus (upper arm bone). The glenoid labrum is located where the top part of the upper arm comes into contact with the socket in the scapula. And it forms a deep pocket that helps keep the humerus bone in the shoulder socket and provides pain-free range of motion.</span>\n<h3><span style=\"font-weight: 400;\"><strong>How does the glenoid labrum stabilize the shoulder and provide smooth movement?</strong> </span></h3>\n<span style=\"font-weight: 400;\">The ball at the top of the arm is larger than the socket. So the labrum helps to stabilize the shoulder by increasing the socket depth and providing a place for the ligaments and tendons to attach. </span><span style=\"font-weight: 400;\">When injured, the labrum is unable to do its job adequately. And pain and symptoms are experienced. </span>\n\n<span style=\"font-weight: 400;\">Injuries to the labrum occur during traumatic events, with repetitive motions, or from recurrent dislocations. Other soft tissue, such as the ligaments and tendons, are often injured along with the damaged labrum. This is because forces strong enough to injure the labrum will also be sufficiently forceful to injure them too. </span>\n\n<span style=\"font-weight: 400;\">Keep this in mind when seeking repair. Because all of the injured shoulder structures need to be treated in order to achieve complete healing of the shoulder joint. Otherwise, a cycle of shoulder injury, re-injury, and pain will be set in motion. </span>\n<h3><b>Symptoms of a Labral Tear</b><span style=\"font-weight: 400;\"> </span></h3>\n<span style=\"font-weight: 400;\">When the glenoid labrum is torn or injured, the shoulder may feel unstable, go out easily, and be susceptible to dislocations.  The shoulder may also click, catch, and lock because the torn parts get “trapped” when the shoulder joint moves. Pain is usually noticed with overhead activities, along with the popping, locking, catching, or grinding sensations during movement. Weakness, instability, and loss of range of motion may also be experienced. </span>\n\n<b>Glenoid Labrum Injuries Treated with Regenerative Orthopedics </b>\n\n<span style=\"font-weight: 400;\">Regenerative Orthopedics effectively treats and repairs glenoid labrum injuries without the need for surgery. Athletes might consider surgery in an attempt to return quickly to their sport. But is a quick return the true outcome of surgical repair? Maybe not! </span>\n\n<span style=\"font-weight: 400;\">Researchers in the medical journal “Arthroscopy: The Journal of Arthroscopic &amp; Related Surgery” say, “SLAP repair in throwing athletes should be approached with caution. Surgery may help improve symptoms but may not guarantee a return to the pre-injury level of competition. And even in the most expert of hands, the </span><b><i>rate of return to the pre-injury level of performance ranges from 38% to 60% and is as low as 10% for pitchers</i></b><span style=\"font-weight: 400;\">.”</span>\n<h3><span style=\"font-weight: 400;\"><strong>Regenerative Orthopedics Should be Sought as a Non-surgical Alternative</strong></span></h3>\n<span style=\"font-weight: 400;\">Surgery is needed on rare occasions, but should be a last resort. Non-Surgical Regenerative Orthopedics repairs the underlying joint instability of the shoulder joint, by treating all of the damaged soft tissue structures. Without this repair, the labral tear, ligament injury, or tendon damage will cause the shoulder to remain unstable. And shoulder problems, immobility and impingement will continue. </span>\n\n<span style=\"font-weight: 400;\">Besides being an effective treatment, Regenerative Orthopedics has several advantages. It is non-surgical, which avoids the risks of anesthesia, as well as the cutting, scraping, and probing. All of these can add to the instability of the joint. </span>\n\n<span style=\"font-weight: 400;\">Other advantages include minimal time missed from work, and no long recovery times. Regenerative Orthopedics stimulates repair of the labrum and other soft tissue structures of the shoulder, significantly improving pain levels, alleviating stiffness and the need for pain medication, and returning motion back to the shoulder joint. The repair allows for an accelerated return to sport and the profession you enjoy. </span>\n\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','The Glenoid Labrum of the Shoulder','','inherit','closed','closed','','2773-autosave-v1','','','2020-08-31 21:48:38','2020-08-31 21:48:38','',2773,'https://www.drfields.com/uncategorized/2773-autosave-v1/',0,'revision','',0),(4059,9,'2020-08-31 21:50:05','2020-08-31 21:50:05','<span style=\"font-weight: 400;\">The shoulder is quite an amazing, and incredibly mobile joint. But injury to the glenoid labrum of the shoulder can keep you from reaching your sport or professional goals. If you are a tradesman or woman whose work requires repetitive overhead motion to accomplish your trade, and shoulder pain is making your day almost impossible, a labral injury may be part of the problem.</span>\r\n<h3>Repetitive Overhead Motion Can Lead to Tears of the  Glenoid Labrum of the Shoulder</h3>\r\n<span style=\"font-weight: 400;\">Athletes and others who rely on their shoulders for the movements necessary to carry out their sports and professions are especially susceptible to injuries and tears of the glenoid labrum.  There are a couple types of labral tears. A SLAP tear (Superior Labral, Anterior to Posterior) is one of the most common, and results in a tear from the front to back of the glenoid labrum. Other labral tears include flap tears, Bankart lesions, and degenerative lesions. </span>\r\n\r\n<span style=\"font-weight: 400;\">With injury to the glenoid labrum of the shoulder, overhead strokes of a painter can be difficult too. Or the strum of a chord for a guitar player may bring shooting pains. And a pitcher might experience pain while throwing a ball compromising big hopes for the season. Shoulder pain from a glenoid labrum injury can put a major damper on your life. And those suffering from the injury want a quick way out of the discomfort in order to get their lives back. Getting there non-surgically would be an added bonus. </span>\r\n\r\n<span style=\"font-weight: 400;\">The shoulder has a lot of mobility.  The shoulder lacks big ligamentous structures to add to its ability to move well. But that also makes it more prone to injury, since big ligament structures would add support. The glenoid labrum provides some stabilization for the shoulder. So it is an important shoulder structure. </span>\r\n<h3><strong>What is the Glenoid Labrum of the Shoulder?</strong></h3>\r\n<span style=\"font-weight: 400;\">The glenoid labrum </span><span style=\"font-weight: 400;\">is a smooth ring of fibrous cartilage that surrounds the socket part of the shoulder- a ball and socket joint. The shoulder joint has three bones that come together: the scapula (shoulder blade), the clavicle (collar bone), and the humerus (upper arm bone). The glenoid labrum is located where the top part of the upper arm comes into contact with the socket in the scapula. And it forms a deep pocket that helps keep the humerus bone in the shoulder socket and provides pain-free range of motion.</span>\r\n<h3><span style=\"font-weight: 400;\"><strong>How does the glenoid labrum stabilize the shoulder and provide smooth movement?</strong> </span></h3>\r\n<span style=\"font-weight: 400;\">The ball at the top of the arm is larger than the socket. So the labrum helps to stabilize the shoulder by increasing the socket depth and providing a place for the ligaments and tendons to attach. </span><span style=\"font-weight: 400;\">When injured, the labrum is unable to do its job adequately. And pain and symptoms are experienced. </span>\r\n\r\n<span style=\"font-weight: 400;\">Injuries to the labrum occur during traumatic events, with repetitive motions, or from recurrent dislocations. Other soft tissue, such as the ligaments and tendons, are often injured along with the damaged labrum. This is because forces strong enough to injure the labrum will also be sufficiently forceful to injure them too. </span>\r\n\r\n<span style=\"font-weight: 400;\">Keep this in mind when seeking repair. Because all of the injured shoulder structures need to be treated in order to achieve complete healing of the shoulder joint. Otherwise, a cycle of shoulder injury, re-injury, and pain will be set in motion. </span>\r\n<h3><b>Symptoms of a Labral Tear</b><span style=\"font-weight: 400;\"> </span></h3>\r\n<span style=\"font-weight: 400;\">When the glenoid labrum is torn or injured, the shoulder may feel unstable, go out easily, and be susceptible to dislocations.  The shoulder may also click, catch, and lock because the torn parts get “trapped” when the shoulder joint moves. Pain is usually noticed with overhead activities, along with the popping, locking, catching, or grinding sensations during movement. Weakness, instability, and loss of range of motion may also be experienced. </span>\r\n\r\n<b>Glenoid Labrum Injuries Treated with Regenerative Orthopedics </b>\r\n\r\n<span style=\"font-weight: 400;\">Regenerative Orthopedics effectively treats and repairs glenoid labrum injuries without the need for surgery. Athletes might consider surgery in an attempt to return quickly to their sport. But is a quick return the true outcome of surgical repair? Maybe not! </span>\r\n\r\n<span style=\"font-weight: 400;\">Researchers in the medical journal “Arthroscopy: The Journal of Arthroscopic &amp; Related Surgery” say, “SLAP repair in throwing athletes should be approached with caution. Surgery may help improve symptoms but may not guarantee a return to the pre-injury level of competition. And even in the most expert of hands, the </span><b><i>rate of return to the pre-injury level of performance ranges from 38% to 60% and is as low as 10% for pitchers</i></b><span style=\"font-weight: 400;\">.”</span>\r\n<h3><span style=\"font-weight: 400;\"><strong>Regenerative Orthopedics Should be Sought as a Non-surgical Alternative</strong></span></h3>\r\n<span style=\"font-weight: 400;\">Surgery is needed on rare occasions, but should be a last resort. Non-Surgical Regenerative Orthopedics repairs the underlying joint instability of the shoulder joint, by treating all of the damaged soft tissue structures. Without this repair, the labral tear, ligament injury, or tendon damage will cause the shoulder to remain unstable. And shoulder problems, immobility and impingement will continue. </span>\r\n\r\n<span style=\"font-weight: 400;\">Besides being an effective treatment, Regenerative Orthopedics has several advantages. It is non-surgical, which avoids the risks of anesthesia, as well as the cutting, scraping, and probing. All of these can add to the instability of the joint. </span>\r\n\r\n<span style=\"font-weight: 400;\">Other advantages include minimal time missed from work, and no long recovery times. Regenerative Orthopedics stimulates repair of the labrum and other soft tissue structures of the shoulder, significantly improving pain levels, alleviating stiffness and the need for pain medication, and returning motion back to the shoulder joint. The repair allows for an accelerated return to sport and the profession you enjoy. </span>\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','The Glenoid Labrum of the Shoulder','','inherit','closed','closed','','2773-revision-v1','','','2020-08-31 21:50:05','2020-08-31 21:50:05','',2773,'https://www.drfields.com/uncategorized/2773-revision-v1/',0,'revision','',0),(4060,9,'2021-06-18 21:45:38','2021-06-18 21:45:38','<h4>Stop Back Pain and the Endless Cycle of Chasing Symptoms</h4>\n<span style=\"font-weight: 400;\">So many people suffer from back pain, stuck in a cycle of pain medications, hours of therapy appointments, more prescription medications, over-the-counter medications, supplements, and more therapy. Only to continue to suffer from continued back pain. The cycle is an attempt to manage the pain. </span><span style=\"font-weight: 400;\">You might think, “Of course, I want to manage the pain!” But what if there is a better way and one that actually corrects the back pain problem. Regenerative Orthopedics can stop back pain and the cycle because it repairs the underlying source of pain. Since it treats at the source, it ends up resolving the pain.</span>\n\nStudies show the effectiveness of this non-surgical alternative. In one four-year study of 145 patients, 89% experienced more than 50% pain relief with Prolotherapy. Those are great results at improving quality of life and reducing pain!\n\n<span style=\"font-weight: 400;\">There\'s no need to continue chasing symptoms with ineffective treatments that keep you in the pain cycle. Instead, correct the problems with Regenerative Orthopedics and stop back pain and the endless cycle!</span>\n\n[caption id=\"attachment_4739\" align=\"alignright\" width=\"500\"]<img class=\"size-medium wp-image-4739\" src=\"https://www.drfields.com/wp-content/uploads/2019/09/Back-Pain.-Prolotherapy-500x375.jpeg\" alt=\"Back Pain. Prolotherapy\" width=\"500\" height=\"375\" /> <strong>                     Stop Back Pain with Prolotherapy</strong>[/caption]\n\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>\n\n<b>What Is the Reason Behind Most Back Pain?</b>\n\n<span style=\"font-weight: 400;\">Since back pain is so common and a leading cause of disability, it is important to look at the reason for it. The underlying cause of most back pain issues is </span><b><i>spinal instability</i></b><span style=\"font-weight: 400;\">. </span>\n\n<span style=\"font-weight: 400;\">What is spinal instability you might ask? When you bend and twist and tweak your back, you injure soft tissue, like muscle and ligaments. Muscles have a great blood supply, so they heal quickly. Ligaments have a poor blood supply and take quite a while to heal. In fact, they heal quite poorly. </span>\n\n<span style=\"font-weight: 400;\">Unhealed ligaments are weak and lax, similar to stretched-out rubber bands. Ligaments connect bone to bone. So if the ligaments are weak, then the bone connection will be weak and wobbly. That bone connection or joint is then unstable. </span>\n<h3>The Vertebral Spine</h3>\n<span style=\"font-weight: 400;\">The vertebral bones in the back make up the spine. So when the ligaments in the spine are weak or wobbly, that makes for spinal instability. When these ligaments remain unhealed, the problem gets worse and worse. The ligaments get more lax and the spine becomes more unstable. You can imagine that if the joints of the spine become wobbly, that the bony structures will have difficulty moving as they should. </span>\n\n<span style=\"font-weight: 400;\">When motion in the vertebral joint connections stops being smooth, the abnormal motion causes the joint structures to degenerate. Instability and abnormal joint motion are behind all types of painful back conditions. Painful problems like bulging discs, arthritis, sciatica and degenerative joint disease can result from abnormal motion in the spine.</span>\n\n<span style=\"font-weight: 400;\"> The underlying problem is ligament weakness, which creates abnormal joint motion that will eventually damage the joint structures and elicit pain. Pain pills aren’t able to fix the weakened ligaments. And cortisone makes soft tissue weaker. So even if these things provide some short-term relief, they will eventually worsen the problem in the long run. Massage can’t strengthen weakened ligaments either.</span>\n\n<a style=\"display: block; margin: 0 auto; max-width: 275px;\" href=\"https://www.carecredit.com/go/762HNB/bb3poscustacqbtnclk08132020/?dtc=Ds5X&amp;promocode=CLT/\"><img style=\"max-width: 100%;\" src=\"https://www.carecredit.com/sites/pc/image/carecredit_button_applynow_280x100_a_v1.jpg\" width=\"275\" /></a>\n<h4><em>Regenerative Orthopedics Can Stop Back Pain</em></h4>\n<span style=\"font-weight: 400;\">What’s the solution? The degenerative condition needs regenerative treatment. Regenerative Orthopedics, like Stem Cell Therapy, PRP, and Prolotherapy are all regenerative treatments that strengthen ligaments, restore normal joint motion, and regenerate joint structures. Good quality <a href=\"https://lyfebotanicals.com/health/turmeric-back-pain/\">supplements</a>, like turmeric, which can aid in the healing process, are also of benefit.</span>\n\n<b>Ligaments Are Structures that Provide Stability to the Joint</b>\n\n<span style=\"font-weight: 400;\">As mentioned earlier, the most common cause of unresolved back pain is spinal instability, due to weakened and stretched-out ligaments. Ligaments are very important for the stability of the spine and for proper motion. In fact, they are some of the main stabilizing structures for the joint. </span>\n\n<span style=\"font-weight: 400;\">Sure, those with back pain will definitely complain of muscle spasms and tightness, because muscles help with stability too. But muscles will spasm because they are overcompensating for the inability of the injured ligaments to keep the spine in place. Treatments that relieve muscle spasms will give temporary reprieve of the spasms. But they will not address the ligament weakness. Instability and pain will continue because the ligaments are unable to hold the adjacent bones of the spine together properly.</span>\n\n<b>How Can You Stop Back Pain?</b>\n\n<span style=\"font-weight: 400;\">Each year, thousands and thousands of people are disabled due to some type of painful back condition. Back pain is actually one of the main reasons people come to see us at OrthoRegen<sup>®</sup>. By the time they come to see us, they have usually tried numerous types of pills, treatments, and even surgery. </span>\n\n<span style=\"font-weight: 400;\">But they are in our office because the pain has not stopped!</span><span style=\"font-weight: 400;\"> That’s because these other treatments are only short-lived and because they only provide temporary relief. Even surgical treatments end up with poor rates of success. Surgery may emphasize the treatment of the disc, for example, but it misses treating the ligament injury which is the originating source of the pain. So the pain continues.</span>\n<h3>Ligaments Can Refer Pain Too</h3>\n<span style=\"font-weight: 400;\">The places where the ligaments attach to the bones are full of nerves, which elicit pain when stretched out or injured. Injured ligaments can send out referral pain down the back of the leg and even to the foot. They can also refer pain to the groin and pelvic floor. If weak ligaments exist, the physician knowledgeable in examination techniques can diagnose instability during the physical examination with varied maneuvers and positioning. Even palpating, or pressing with the thumb at the ligament attachments will elicit pain indicating ligament laxity.</span>\n\n<span style=\"font-weight: 400;\">Back pain is one of the easiest conditions to treat with Regenerative Orthopedics. Most often, the pain is located in the lower back, where the vertebrae of the lumbar spine meet the pelvis. Four structures adjoin there in a pretty small area, with all of it held together by ligaments, connecting the sacrum to the sides of the iliac crest and the ilium, while the lower part of the lumbar spine connects to the sacrum. </span>\n\n<span style=\"font-weight: 400;\">Regenerative Orthopedics to the ligaments in this area strengthens the ligaments and their connecting attachments, making the whole area stronger, more stable, and alleviating the pain. Treatment to the back results in a high rate of improvement, with increased functional abilities, a return to desired activities and exercise, and a reduction and usually the elimination of the need for pain medication. </span>\n\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>','Stop Back Pain with Regenerative Orthopedics','','inherit','closed','closed','','2760-autosave-v1','','','2021-06-18 21:45:38','2021-06-18 21:45:38','',2760,'https://www.drfields.com/uncategorized/2760-autosave-v1/',0,'revision','',0),(4061,9,'2020-09-01 01:58:59','2020-09-01 01:58:59','<h4>Stop Back Pain and the Endless Cycle of Chasing Symptoms</h4>\r\n<span style=\"font-weight: 400;\">So many people suffer with back pain, stuck in a cycle of pain medications, hours of therapy appointments, more prescription medications, over the counter medications, supplements, and more therapy. Only to continue to suffer from continued back pain. The cycle is an attempt to manage the pain. </span><span style=\"font-weight: 400;\">You might think, “Of course, I want to manage the pain!” But what if there is a better way, and one that actually corrects the back pain problem. Regenerative Orthopedics can stop back pain and the cycle because it repairs the underlying source of pain. Since it treats at the source, it ends up resolving the pain.</span>\r\n\r\n<span style=\"font-weight: 400;\"> Chasing symptoms keeps the sufferer in the pain cycle. Correcting the problems with Regenerative Orthopedics can stop back pain and the endless cycle!</span>\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>\r\n\r\n<b>What Is the Reason Behind Most Back Pain?</b>\r\n\r\n<span style=\"font-weight: 400;\">Since back pain is so common and a leading cause of disability, it is important to look at the reason for it. The underlying cause of most back pain issues is </span><b><i>spinal instability</i></b><span style=\"font-weight: 400;\">. </span>\r\n\r\n<span style=\"font-weight: 400;\">What is spinal instability you might ask? When you bend and twist and tweak your back, you injure soft tissue, like muscle and ligaments. Muscles have a great blood supply, so they heal quickly. Ligaments have a poor blood supply, and take quite a while to heal. In fact, they heal quite poorly. </span>\r\n\r\n<span style=\"font-weight: 400;\">Unhealed ligaments are weak and lax, similar to stretched out rubber bands. Ligaments connect bone to bone. So if the ligaments are weak, then the bone connection will be weak and wobbly. That bone connection or joint is then unstable. </span>\r\n<h3>The Vertebral Spine</h3>\r\n<span style=\"font-weight: 400;\">The vertebral bones in the back make up the spine. So when the ligaments in the spine are weak or wobbly, that makes for spinal instability. When these ligaments remain unhealed, the problem gets worse and worse. The ligaments get more lax and the spine becomes more unstable. You can imagine that if the joints of the spine become wobbly, that the bony structures will have difficulty moving like they should. </span>\r\n\r\n<span style=\"font-weight: 400;\">When motion in the vertebral joint connections stops being smooth, the abnormal motion causes the joint structures to degenerate. Instability and abnormal joint motion is behind all types of painful back conditions. Painful problems like bulging discs, arthritis, sciatica, and degenerative joint disease can result from abnormal motion in the spine.</span>\r\n\r\n<span style=\"font-weight: 400;\"> The underlying problem is ligament weakness, which creates the abnormal joint motion that will eventually damage the joint structures and elicit pain. Pain pills aren’t able to fix the weakened ligaments. And cortisone makes soft tissue weaker. So even if these things provide some short-term relief, they will eventually worsen the problem in the long run. Massage can’t strengthen weakened ligaments either.</span>\r\n<h4><em>Regenerative Orthopedics Can Stop Back Pain</em></h4>\r\n<span style=\"font-weight: 400;\">What’s the solution? The degenerative condition needs a regenerative treatment. Regenerative Orthopedics, like Stem Cell Therapy, PRP, and Prolotherapy are all regenerative treatments that strengthen ligaments, restore normal joint motion, and regenerate joint structures.</span>\r\n\r\n<b>Ligaments Are Structures that Provide Stability to the Joint</b>\r\n\r\n<span style=\"font-weight: 400;\">As mentioned earlier, the most common cause of unresolved back pain is spinal instability, due to weakened and stretched out ligaments. Ligaments are very important for stability of the spine and for proper motion. In fact, they are some of the main stabilizing structure for the joint. </span>\r\n\r\n<span style=\"font-weight: 400;\">Sure, those with back pain will definitely complain of muscle spasms and tightness, because muscles help with stability too. But muscles will spasm because they are overcompensating for the inability of the injured ligaments to keep the spine in place. Treatments that relieve muscle spasms will give temporary reprieve of the spasms. But they will not address the ligament weakness. Instability and pain will continue, because the ligaments are unable to hold the adjacent bones of the spine together properly.</span>\r\n\r\n<b>How Can You Stop Back Pain?</b>\r\n\r\n<span style=\"font-weight: 400;\">Each year, thousands and thousands of people are disabled due to some type of painful back condition. Back pain is actually one of the main reasons people come to see us at OrthoRegen<sup>®</sup>. By the time they come to see us, they have usually tried numerous types of pills, treatments, and even surgery. </span>\r\n\r\n<span style=\"font-weight: 400;\">But they are in our office because the pain has not stopped!</span><span style=\"font-weight: 400;\"> That’s because these other treatments are only short-lived and because they only provide temporary relief. Even surgical treatments end up with poor rates of success. Surgery may emphasize treatment of the disc, for example, but it misses treating the ligament injury which is the originating source of the pain. So pain continues.</span>\r\n<h3>Ligaments Can Refer Pain Too</h3>\r\n<span style=\"font-weight: 400;\">The places where the ligaments attach to the bones are full of nerves, which elicit pain when stretched out or injured. Injured ligaments can send out referral pain down the back of the leg and even to the foot. They can also refer pain into the groin and pelvic floor. If weak ligaments exist, the physician knowledgeable in examination techniques can diagnose instability during the physical examination with varied maneuvers and positioning. Even palpating, or pressing with the thumb at the ligament attachments will elicit pain indicating ligament laxity.</span>\r\n\r\n<span style=\"font-weight: 400;\">Back pain is one of the easiest conditions to treat with Regenerative Orthopedics. Most often, the pain is located in the lower back, where the vertebrae of the lumbar spine meet the pelvis. Four structures adjoin there in a pretty small area, with all of it held together by ligaments, connecting the sacrum to the sides of the iliac crest and the ilium, while the lower part of the lumbar spine connects to the sacrum. </span>\r\n\r\n<span style=\"font-weight: 400;\">Regenerative Orthopedics to the ligaments in this area strengthens the ligaments and their connecting attachments, making the whole area stronger, more stable, and alleviating the pain. Treatment to the back results in a high rate of improvement, with increased functional abilities, a return to desired activities and exercise, and a reduction and usually the elimination of the need for pain medication.</span>\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>','Stop Back Pain with Regenerative Orthopedics','','inherit','closed','closed','','2760-revision-v1','','','2020-09-01 01:58:59','2020-09-01 01:58:59','',2760,'https://www.drfields.com/uncategorized/2760-revision-v1/',0,'revision','',0),(4062,9,'2020-09-01 18:03:08','2020-09-01 18:03:08','<h3><strong>Stroke As a Major Cause of Disability</strong></h3>\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>In this article, we will look at how surgery can cause strokes.\r\n<h3><em>What Does the American Heart Association Say About Stroke?</em></h3>\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 Whether Surgery Can Cause Strokes?</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. 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>\r\n\r\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>\r\n\r\n<b>What Does the Research About Surgery and Strokes?</b>\r\n\r\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>\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. </span>\r\n\r\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>\r\n\r\n<em><strong>So, the research does say that surgery can cause stroke</strong></em>s.\r\n<h4>What Type of Surgery is High Risk?</h4>\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 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>\r\n\r\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>\r\n\r\n<b>What about Surgery and Anesthesia, and the Relationship to Stroke Risk?</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. </span>\r\n\r\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>\r\n<h3>Regenerative Orthopedics As An Alternative to Surgery</h3>\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. 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>\r\n\r\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>\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>','Surgery Can Cause Strokes','','inherit','closed','closed','','2697-revision-v1','','','2020-09-01 18:03:08','2020-09-01 18:03:08','',2697,'https://www.drfields.com/uncategorized/2697-revision-v1/',0,'revision','',0),