(5762,8,'2023-04-29 03:21:33','2023-04-29 03:21:33','<h2>What Are the Common Treatments for a Meniscus Tear?</h2>\r\n[caption id=\"attachment_5761\" align=\"alignright\" width=\"300\"]<img class=\"wp-image-5761\" src=\"https://www.drfields.com/wp-content/uploads/2023/04/meniscectomy.-Osteoarthritis-and-Cartilage-500x419.png\" alt=\"Meniscectomy. Osteoarthritis And Cartilage\" width=\"300\" height=\"251\" /> Meniscectomy. Osteoarthritis And Cartilage[/caption]\r\n\r\nWhen an injury to the meniscus occurs, patients commonly try non-surgical therapies like rest, ice, compression, and elevation, pain medications, physical therapy, and cortisone injections. When those do not work, their doctor may recommend arthroscopic surgery.\r\n\r\nSurgery, though, has not been shown to be an effective means to treat meniscus injuries. In fact, studies have found no significant difference between meniscectomy and sham surgery. And recent studies show the surgery does not reduce the mechanical symptoms of knee catching and locking, which patients often experience.\r\n\r\nAs you can see, the effectiveness of meniscectomies is questionable. So why do patients seek surgery to fix their meniscus?\r\n<h2>Patients Believe Meniscus Surgery Will Restore Knee Function. But Will It?</h2>\r\nWhen a patient is in pain they want the pain to stop. And when an athlete has an injury, they want to get it fixed so they can return to the game. Therefore, they make the decision to receive surgery so they can return to the activities they love, believing that the surgery will restore knee function.\r\n\r\nSure, there are successful meniscus surgeries. But that\'s not who we see in our office.\r\nWe see patients who want to avoid surgery, and those who have continued pain after surgery. But what about people we don\'t see? What are the outcomes of patients receiving surgical meniscectomy? And what does the research say about meniscus surgery?\r\n\r\nThe medical journal Cureus states, “Arthroscopic partial meniscectomy (APM) is currently the most performed orthopedic procedure around the globe. However, recent studies have conclusively <strong>shown that outcomes after an arthroscopic partial meniscectomy are no better than the outcomes after a sham/placebo surgery.</strong> (1)\r\n<h2>What About Athletes? Does Surgery Help?</h2>\r\nDo athletes who choose surgery to get back to their sport more quickly achieve their goal? A team of doctors in the journal Knee Surgery, Sports Traumatology and Arthroscopy evaluated 421 elite athletes who received partial meniscectomy or a meniscus repair. They found that 84.7% returned to sport after partial meniscectomy (piece of meniscus removed) and 78.3% returned to sport after a meniscal repair (a small tear sewn with suture). (2)\r\n\r\nThe study also showed that although surgery allowed for a return to sports in these patients, it also increased the risk for the development of knee arthritis. If you do the math, that means over 15-20% or about 1 in 5 elite athletes do not return to their sport. And those that do, now have a higher arthritis risk.\r\nWhy does the risk of arthritis increase with surgery? The meniscus and the ligaments are stabilizing structures for the knee. When this soft tissue is cut and trimmed during the surgical process, the knee is destabilized. The knee instability sets the arthritic cycle in motion.\r\n<h2>Is Meniscectomy the Way to Go for Patients Over 50?</h2>\r\nSurgeons have a more difficult time predicting who will benefit from meniscectomy in patients over 50. In the journal, Current Reviews in Musculoskeletal Medicine, reviewers wrote, \"Despite an abundance of literature exploring outcomes of arthroscopic partial meniscus for degenerative meniscus tears, there is little consensus among surgeons about the drivers of good outcomes following arthroscopic partial meniscus.\"(3)\r\n\r\nIn older patients or in active patients with arthritis, more conservative therapies should be sought for meniscal tears.\r\n<h2>\"Can even experienced orthopaedic surgeons predict who will benefit from surgery when patients present with degenerative meniscal tears?\"</h2>\r\nThat\'s the exact title of an article in the British Journal of Sports Medicine. Researchers questioned whether orthopedic surgeons could predict the outcomes for treatment of meniscal tears with arthroscopic partial meniscectomy. The answer? The surgeons were only correct 50% of the time. How eye-opening! Only half the time, these experienced surgeons had it right when recommending that surgery was indicated. The results are no different than the flip of a coin!! (4)\r\n<h2>What About Patients Who Already Have Arthritis?</h2>\r\nPatients with meniscal tears and severe arthritis have a high risk of needing more surgery. The Indian Journal of Orthopaedics says, “Clinical practice is moving away from treating meniscal tears in patients with osteoarthritis unless there are mechanical symptoms (Knee function is significantly compromised). This study assessed the risk of needing further surgery for osteoarthritis in the five years following partial meniscectomy in different age groups and different grades of knee osteoarthritis”(5).\r\n\r\nUnfortunately, patients are often too optimistic that surgery will fix everything. “In general, <strong>patients undergoing arthroscopic meniscus surgery were too optimistic regarding their recovery time</strong> and postoperative participation in leisure activities. This highlights the need for shared decision making which should include giving the patient information on realistic expectations. . .\"(6)\r\n<h2>The Controversy Continues Regarding the Efficacy of Partial Meniscectomy</h2>\r\nIn a January 2023 paper published in the journal Osteoarthritis Cartilage, researchers examined comparison studies between arthroscopic partial meniscectomy versus non-surgical or sham treatment in patients with MRI-confirmed degenerative meniscus tears. What did they find? Overall knee function and health-related quality of life did not differ between the two groups. And across all outcomes, no relevant subgroup of patients benefitted more from the arthroscopic partial meniscectomy than the sham surgery. (7)\r\n<h2>What Is the Alternative to Menisectomy?</h2>\r\nGiven these poor outcomes and up to 6 months recovery time even in \"successful\" surgeries, what alternative does a patient with an injured meniscus have?\r\n\r\n<strong>Regenerative Orthopedics, like Prolotherapy, PRP, and Stem Cell Therapy stabilize the soft tissue structures and stop the arthritic cycle.</strong> As we said earlier, the meniscus is a primary stabilizing structure, as are the ligaments. When detabilized from meniscectomy, abnormal motion will occur, and friction will increase, causing the acceleration of cartilage breakdown.\r\n\r\nRegenerative Orthopedics will strengthen the ligaments, repair the meniscus, and stop the breakdown of cartilage.\r\n<h2>PRP for Meniscal Repair</h2>\r\nAt OrthoRegen, our regenerative specialists may recommend PRP along with Prolotherapy, to repair the damaged knee.\r\n\r\n• PRP is full of growth factors that boost the healing and repair of the damaged meniscus.\r\n• Dextrose Prolotherapy is a successful treatment for the repair of ligaments and tendons. Whenever an injury is significant enough to damage a meniscus, it is also very likely that ligaments have also been damaged. Prolotherapy effectively repairs the damaged ligaments or involved tendons.\r\n\r\nRegenerative Orthopedics are safe, conservative treatment alternatives for the injured meniscus. In the athlete and non-athlete alike, these treatments offer an effective non-surgical option for the repair of the injured meniscus.\r\n\r\nGiven the accumulation of evidence demonstrating not only the overwhelming lack of efficacy and benefit, but also the risk for serious adverse effects of this widely used procedure for meniscus tears, it is important to consider potential safe and effective alternatives.\r\n\r\nRegenerative Orthopedic treatments work by boosting the healing process, raising the levels of growth factors, and initiating repair. The treatments stimulate new cell growth and rebuild depleted tissue, including the regeneration of cartilage.\r\n\r\nRegenerative Orthopedic treatments can safely and effectively treat meniscus tears non-surgically, returning you quickly to the activities and sports you enjoy.\r\n<h3>References</h3>\r\n(1) Bhan K. Meniscal Tears: Current Understanding, Diagnosis, and Management. Cureus. 2020;12(6):e8590. Published 2020 Jun 13. doi:10.7759/cureus.8590.\r\n(2) D’Ambrosi R, Meena A, Raj A, Ursino N, Mangiavini L, Herbort M, Fink C. In elite athletes with meniscal injuries, always repair the lateral, think about the medial! A systematic review. Knee Surgery, Sports Traumatology, Arthroscopy. 2022 Nov 2:1-1.\r\n(3) Avila A, Vasavada K, Shankar DS, Petrera M, Jazrawi LM, Strauss EJ. Current Controversies in Arthroscopic Partial Meniscectomy. Current Reviews in Musculoskeletal Medicine. 2022 Jun 21:1-8.\r\n(4) Van De Graaf VA, Bloembergen CH, Willigenburg NW, Noorduyn JC, Saris DB, Harris IA, Poolman RW. Can even experienced orthopaedic surgeons predict who will benefit from surgery when patients present with degenerative meniscal tears? A survey of 194 orthopaedic surgeons who made 3880 predictions. British Journal of Sports Medicine. 2020 Mar 1;54(6):354-9.\r\n(5) Chitnis SS, Al-Azzani WA, Kakar R. Medium-Term Results of Arthroscopic Partial Meniscectomy from a Single High-Volume Center. Indian Journal of Orthopaedics. 2020 May;54(3):358-65.\r\n(6) Pihl K, Roos EM, Nissen N, JøRgensen U, Schjerning J, Thorlund JB. Over-optimistic patient expectations of recovery and leisure activities after arthroscopic meniscus surgery: A prospective cohort study of 478 patients. Acta Orthopaedica. 2016;87(6):615-621.\r\n(7) Wijn SR, Hannink G, Østerås H, Risberg MA, Roos EM, Hare KB, van de Graaf VA, Poolman RW, Ahn HW, Seon JK, Englund M. Arthroscopic partial meniscectomy versus non-surgical or sham treatment in patients with MRI-confirmed degenerative meniscus tears: a systematic review and meta-analysis with individual participant data from 605 randomised patients. Osteoarthritis and Cartilage. 2023 Jan 13.\r\n(8) Hackett GS, Hemwall GA, Montgomery GA. Ligament and Tendon Relaxation Treated by Prolotherapy. 5th ed. Oak Park, IL: Gustav A. Hemwall; 1993.\r\n(9) Hauser RA, Blakemore PJ, Wang J, Steilen D. Structural basis of joint instability as cause for chronic musculoskeletal pain and its successful treatment with regenerative injection therapy (prolotherapy). The Open Pain Journal 2014; 7: 9-22.','Meniscus Tear Treatment','','inherit','closed','closed','','5760-revision-v1','','','2023-04-29 03:21:33','2023-04-29 03:21:33','',5760,'https://www.drfields.com/?p=5762',0,'revision','',0),(5763,8,'2023-04-29 03:24:05','2023-04-29 03:24:05','<div class=\"clear\"></div>\r\n<div id=\"slider\">\r\n<div class=\"owl-carousel slider-carousel\">\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/12/Slider-2-v3-261222.jpg\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/Slider-v1-021120.jpg\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-santa-monica-pier-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">New Article:</span>\r\n<span class=\"header_text_second\">Keep Looking Forward Despite COVID-19</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dealing-with-covid-19/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-11.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/0_header-orthoregen-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Get Back In The Game!</span>\r\n<span class=\"header_text_second\">Avoid Joint and Spine Surgery </span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">Stem Cell/PRP/Prolotherapy</span>\r\n<a class=\"btn-more\" title=\"Get Help Now!\" href=\"Contact-Us\"> Get Help Now!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item slide-article\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-ocean-mountains-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_second\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/0_Kili-top-header-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\" style=\"text-align: left;\"><span class=\"header_text_first\">Congratulations\r\nPeter A. Fields, MD, DC</span>\r\n<span class=\"header_text_second\">The Athletic Doc<sup>®</sup>\r\nsuccessfully climbed</span>\r\n<span class=\"header_text_third white-text\">Mt. Kilimanjaro in\r\nTanzania, Africa.19,341 feet!!!</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/report-of-my-kilimanjaro-climb/\">Read More</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/Sider-01-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Peter A. Fields, MD, DC\r\nThe Athletic Doc<sup>®</sup></span>\r\n<span class=\"header_text_second\">Completed His 11th Ironman</span>\r\n<span class=\"header_text_third\">Sunday, November 24th in Cozumel Mexico</span>\r\n<a class=\"btn-more\" title=\"Read More\" href=\"#\">Images &amp; Story Coming Soon</a></div>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"jumbotron-fluid\">\r\n<div class=\"row\">\r\n<div class=\"col-md-4 box1\">\r\n\r\nWhat\'s\r\n<h3>New</h3>\r\n<ul>\r\n 	<li><a href=\"/articles/meniscus-tear-treatment/\">Meniscus Tear Treatment</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/neck-pain-treatment/\">Neck Pain Treatment</a></li>\r\n 	<li><a href=\"/uncategorized/knee-replacement-failure/\">Knee Replacement Failure</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/best-treatments-for-low-back-pain/\">Best Treatments For Low Back Pain</a></li>\r\n 	<li><a href=\"https://www.drfields.com/uncategorized/arthritis-knee-treatment/\">Arthritis Knee Treatment</a></li>\r\n 	<li><a href=\"https://www.drfields.com/uncategorized/back-pain-treatment/\">Back Pain Treatment</a></li>\r\n</ul>\r\n</div>\r\n<div id=\"testimonials\" class=\"col-md-4 box2\">\r\n\r\nPatient\r\n<h3>Testimonials</h3>\r\n<strong>Video:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I wished I had come earlier and listened to what my physical therapist had told me to do because Dr. Fields has been a real solution for me.\"\r\n\r\n<img class=\"testimonial-img\" title=\"Testimonial\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-larry.png\" alt=\"Testimonial\" />\r\n<h3>Larry</h3>\r\n<h4>Stem Cell Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I highly recommend it to anyone who needs to recover fast and get back out there.\"\r\n\r\n<img class=\"testimonial-img\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-christopher.png\" alt=\"\" />\r\n<h3>Chris, Pro Basketball Player</h3>\r\n<h4>PRP Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"Now I can go walking, I go to my ballet class and I’m a happy camper because of Dr. Fields.\"\r\n\r\n<img class=\"testimonial-img\" title=\"\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-mary.png\" alt=\"Testimonial\" />\r\n<h3>Mary</h3>\r\n<h4>Stem Cell Hip</h4>\r\n</div>\r\n</div>\r\n<strong>Written:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I need to say a big thank you to Dr Fields for getting me back on the tennis court. I am an avid tennis player who tried to ignore the terrible pain in my elbow.\"\r\n<h3 style=\"margin-left: 0;\">Mindy</h3>\r\n<h4 style=\"margin-left: 0;\">Elbow</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I chose Dr. Peter Fields because he is an athlete and would have more direct knowledge of my particular circumstances than anyone else.\"\r\n<h3 style=\"margin-left: 0;\">Robert</h3>\r\n<h4 style=\"margin-left: 0;\">Shoulder</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"After the final treatments ended I am still without all the pain and have more muscle strength in my legs.\"\r\n<h3 style=\"margin-left: 0;\">Lois</h3>\r\n<h4 style=\"margin-left: 0;\">Knee</h4>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"col-md-4 box3\">\r\n\r\nNews &amp;\r\n<h3>Events</h3>\r\n<ul>\r\n 	<li><a href=\"https://www.drfields.com/articles/health-news/dr-fields-to-lecture-in-mexico-city-on-july-9th/\">Peter A. Fields, MD, DC to lecture in Mexico City on July 9th</a></li>\r\n 	<li><a class=\"buttonlink\" style=\"width: 100%; font-size: 24px; text-align: center; padding: 25px 8%;\" href=\"https://www.drfields.com/contact/\"> Are you a Stem Cell Candidate?</a></li>\r\n</ul>\r\n</div>\r\n</div>\r\n</div>\r\n<div id=\"search-articles\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n<h2 class=\"text-center\">Search <b>Dr. Fields\'</b> Articles</h2>\r\n<form id=\"searchform\" action=\"/\" method=\"get\"><input class=\"search-field\" name=\"s\" type=\"text\" placeholder=\"What\'s Your Condition?\" />\r\n<input type=\"submit\" value=\"Search\" /></form></div>\r\n</div>\r\n</div>\r\n<div id=\"intro\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n<h1 class=\"text-center\">Welcome to OrthoRegen<sup>®</sup>!</h1>\r\n<p class=\"intro_text welcome\"><a href=\"http://orthoregen.com\"><span style=\"font-size: 26px;\">OrthoRegen<sup>®</sup></span></a> is dedicated to providing the best of <span class=\"nowrap\">Regenerative Orthopedics</span> by offering non-surgical alternatives for joint and spine repair</p>\r\n<a class=\"primaryButton\" title=\"Read More About U\" href=\"https://www.drfields.com/about/orthoregen-our-philosophy/\">Read More About Us</a>\r\n<a id=\"candidateButton\" title=\"Are you a good candidate?\" href=\"/contact/\">Are you a good candidate?</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"about\">\r\n<div class=\"col-md-5 drfields\"><img class=\"alignnone\" title=\"Regenerative Orthopedics Leader\" src=\"https://www.drfields.com/wp-content/uploads/2022/11/dr-fields-v1-021120.png\" alt=\"Regenerative Orthopedics Leader\" width=\"460\" height=\"737\" /></div>\r\n<div class=\"col-md-7 about_holder\">\r\n<h1>Peter A. Fields, <span class=\"nowrap\">MD, DC</span></h1>\r\n<p class=\"intro_text\">Medical Physician and Chiropractor\r\nThe Athletic Doc<sup>®</sup> - 11x Ironman Triathlete</p>\r\n\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"icon info\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-info.png\" alt=\"icon info\" /></div>\r\n<div class=\"about_text\">\r\n<h3>About</h3>\r\nPeter A. Fields, MD, DC is one of a handful of physicians in the nation with both medical and chiropractic degrees...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/dr-fields-bio/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"Man Icon\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-ironman.png\" alt=\"Man Icon\" /></div>\r\n<div class=\"about_text\">\r\n<h3>11x Ironman</h3>\r\nDr. Peter A. Fields is also known as The Athletic Doc<sup>®</sup> He not only treats athletes in his practice but is an athlete himself. For over...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n&nbsp;\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Call Us Today! 310-453-1234</a>','Home','','inherit','closed','closed','','2109-revision-v1','','','2023-04-29 03:24:05','2023-04-29 03:24:05','',2109,'https://www.drfields.com/?p=5763',0,'revision','',0),(5766,9,'2023-05-03 20:31:38','2023-05-03 20:31:38','[caption id=\"attachment_5737\" align=\"alignright\" width=\"300\"]<img class=\"wp-image-5737\" src=\"https://www.drfields.com/wp-content/uploads/2023/04/Knee-Replacement-Failures-500x419.png\" alt=\"Knee Replacement Failures\" width=\"300\" height=\"251\" /> <strong> Knee Replacement Failure Statistics</strong>[/caption]\r\n<h2>Understanding Knee Replacement Failure</h2>\r\nKnee replacement is a huge undertaking. The surgery requires hospitalization and prolonged downtime. But is this surgery just a one-time thing? Unfortunately, it may not be!\r\n\r\nAdditionally, there is also a risk of replacement failure necessitating revision surgery down the road. How high is that risk?\r\n<h3><strong>Why Do Knee Replacements Fail?</strong></h3>\r\nThe leading cause of knee replacement failure is infection. Instability, looseness, persistent stiffness, ongoing pain, and metal allergies are additional reasons for failure.\r\n<h4><strong>Reasons for Increased Knee Replacement Failure Include:</strong></h4>\r\n<em>Revision Surgery</em>\r\n\r\nWhen replacements fail, revision surgery is needed, and revision surgeries have even worse outcomes than the initial replacement. (1)\r\n\r\n<em>Higher Recipient Rates</em>\r\n\r\nOne reason failure rates are getting higher is that more people are getting knee replacements. People are receiving knee replacements at a younger age too. And knee replacements don\'t last forever. In time, all knee replacements fail.\r\n\r\n<em>Continued Pain after Knee Replacement</em>\r\n\r\nKnee replacement recipients report a substantial rate of continued pain after knee replacement. Twenty percent or one in five patients who undergo total knee replacement for osteoarthritis report an unfavorable pain outcome after surgery. (2)\r\n\r\nGerman physicians reported even higher rates of pain, “About one-third of all patients after total knee arthroplasty experience persistent or recurring pain and/or dissatisfaction.\"(3)\r\n\r\nAnd researchers from the United Kingdom reported that \"adverse knee pain occurs in 10-34% of all total knee replacements, and 20% of total knee replacements patients experience more pain post-operatively than pre-operatively.\"(4)\r\n<h3><strong>How Long Do Knee Replacements Last?</strong></h3>\r\nResults vary when data is reviewed to show how long knee replacements last. Some studies show 15 years, others 20 years, and still others 25 years. (2,5,6)\r\n<h3><strong>What Is Your Idea of a Successful Knee Replacement?</strong></h3>\r\nYou may be surprised that your idea of success and the surgeon\'s idea of surgical success may differ completely. The surgeon may be satisfied that the surgery itself went well. But you may not be happy with that alone. If you have pain, a loose knee, swelling, and less walking ability after surgery than before, you may not feel like the surgery was a success.\r\n\r\nIn the Journal of Arthroplasty, researchers described patient dissatisfaction with their knee replacement due to looseness. The patients reported more pain and unmet expectations. (7)\r\n\r\nPatients generally expect a better quality of life after surgery, including less pain and an increased ability to do the activities they want. When these expectations are not met, patients are dissatisfied.\r\n<h3><strong>Is There An Alternative?</strong></h3>\r\nRegenerative Orthopedics is an alternative therapy that can be sought before surgery. The treatment should also be sought if surgery has already been done, and the patient is dissatisfied, or if the pain continues.\r\n\r\nBefore getting to the point of surgery, these regenerative treatments can stop the cycle of degeneration, reduce pain, and improve function. Osteoarthritis is the main reason people end up facing a knee replacement. Arthritis occurs because of instability in the knee joint. The instability is the result of an old or new injury. Regenerative Orthopedics can stabilize the knee and stop the degenerative process in these cases.\r\n\r\nRegenerative treatments can also help once a replacement has been done. The connective tissues damaged by the surgery or the damage due to the new stress placed on them by the implant can be strengthened and repaired.\r\n\r\nWe are pleased to offer this alternative to knee replacement and a solution when pain and dissatisfaction continue after knee replacement. Give us a call at 310-453-1234.\r\n<h3><strong>References</strong></h3>\r\n(1) Agarwal, Sanjeev, et al. \"Why are revision knee replacements failing?.\" <em>The Knee</em> 26.3 (2019): 774-778.\r\n\r\n(2) Beswick AD, Wylde V, Gooberman-Hill R, et al. What proportion of patients report long-term pain after total hip or knee replacement for osteoarthritis? A systematic review of prospective studies in unselected patients. BMJ Open 2012; 2:e000435. doi: 10.1136/bmjopen-2011-000435\r\n\r\n(3) Mathis DT, Hirschmann MT. Trotz Knietotalprothese schmerzt das Knie – was nun? [Painful knee after total knee arthroplasty – what can be done?]. Ther Umsch. 2020;77(10):491-497. German.\r\n\r\n(4) Li CY, Ng Cheong Chung KJ, Ali OM, Chung ND, Li CH. Literature review of the causes of pain following total knee replacement surgery: prosthesis, inflammation and arthrofibrosis. EFORT Open Reviews. 2020 Sep;5(9):534-43.\r\n\r\n(5) P van der List, DL Sheng, LJ Kleeblad, H Chawla, AD Pearle. Outcomes of cementless unicompartmental and total knee arthroplasty: a systematic review. Knee, 24 (2017), pp. 497-507.\r\n\r\n(6) T Niinimaki, A Eskelinen, K Makela, P Ohtonen, A-P Puhto, V Remes. Unicompartmental knee arthroplasty survivorship is lower than TKA survivorship: a 27-year Finnish registry study. Clin Orthop Relat Res, 472 (2014), pp. 1496-1501.\r\n\r\n(7) Broberg JS, Naudie DD, Lanting BA, Howard JL, Vasarhelyi EM, Teeter MG. Patient and Implant Performance of Satisfied and Dissatisfied Total Knee Arthroplasty Patients. The Journal of Arthroplasty. 2022 Jun 1;37(6):S98-104.','Knee Replacement Failure','','inherit','closed','closed','','5736-revision-v1','','','2023-05-03 20:31:38','2023-05-03 20:31:38','',5736,'https://www.drfields.com/?p=5766',0,'revision','',0),(5767,9,'2023-05-03 20:49:24','2023-05-03 20:49:24','<h2>What Are the Common Meniscus Tear Treatments?</h2>\n<img class=\"wp-image-5761 alignright\" src=\"https://www.drfields.com/wp-content/uploads/2023/04/meniscectomy.-Osteoarthritis-and-Cartilage-500x419.png\" alt=\"Meniscectomy. Osteoarthritis And Cartilage\" width=\"300\" height=\"251\" />\n\nWhen an injury to the meniscus occurs, patients commonly try non-surgical meniscus tear treatments like rest, ice, compression, elevation, pain medications, physical therapy, and cortisone injections. When those do not work, their doctor may recommend arthroscopic surgery.\n\nSurgery, though, has not been shown to be an effective means to treat meniscus injuries. Studies have found no significant difference between meniscectomy and sham surgery. And recent studies show that surgery does not reduce the mechanical symptoms of knee catching and locking, which patients often experience.\n\nAs you can see, the effectiveness of meniscectomies is questionable. So why do patients seek surgery to fix their meniscus?\n<h2>Patients Believe Meniscus Surgery Will Restore Knee Function. But Will It?</h2>\nWhen a patient is in pain, they want the pain to stop. And when an athlete has an injury, they want to get it fixed so they can return to the game. Therefore, they decide to receive surgery so they can return to the activities they love, believing that the surgery will restore knee function.\n\nSure, there are successful meniscus surgeries. But that\'s not who we see in our office.\nWe see patients who want to avoid surgery and those who have continued pain after surgery. But what about people we don\'t see? What are the outcomes of patients receiving surgical meniscectomy? And what does the research say about meniscus surgery?\n\nThe medical journal Cureus states, “Arthroscopic partial meniscectomy (APM) is currently the most performed orthopedic procedure around the globe. However, recent studies have conclusively <strong>shown that outcomes after an arthroscopic partial meniscectomy are no better than the outcomes after a sham/placebo surgery.\"</strong> (1)\n<h2>What About Athletes? Does Surgery Help?</h2>\nDo athletes who choose surgery to return to their sport more quickly achieve their goals? A team of doctors in the journal Knee Surgery, Sports Traumatology and Arthroscopy evaluated 421 elite athletes who received partial meniscectomy or a meniscus repair. They found that 84.7% returned to the sport after a partial meniscectomy (a piece of meniscus removed), and 78.3% returned to the sport after a meniscal repair (a small tear sewn with suture). (2)\n\nThe study also showed that although surgery allowed for a return to sports in these patients, it also increased the risk of developing knee arthritis. If you do the math, that means over 15-20% or about 1 in 5 elite athletes do not return to their sport. And those that do now have a higher arthritis risk.\n\nWhy does the risk of arthritis increase with surgery? The meniscus and the ligaments are stabilizing structures for the knee. When this soft tissue is cut and trimmed during the surgical process, the knee is destabilized. The knee instability sets the arthritic cycle in motion.\n<h2>Is Meniscectomy the Meniscus Tear Treatment for Patients Over 50?</h2>\nSurgeons have a more difficult time predicting who will benefit from meniscectomy in patients over 50. In the journal, Current Reviews in Musculoskeletal Medicine, reviewers wrote, \"Despite an abundance of literature exploring outcomes of arthroscopic partial meniscus for degenerative meniscus tears, there is little consensus among surgeons about the drivers of good outcomes following arthroscopic partial meniscus.\"(3)\n\nIn older patients or active patients with arthritis, more conservative therapies should be sought for meniscal tears.\n<h2>\"Can even experienced orthopaedic surgeons predict who will benefit from surgery when patients present with degenerative meniscal tears?\"</h2>\nThat\'s the exact title of an article in the British Journal of Sports Medicine. Researchers questioned whether orthopedic surgeons could predict the outcomes of treating meniscal tears with arthroscopic partial meniscectomy. The answer? The surgeons were only correct 50% of the time. How eye-opening! Only half the time, these experienced surgeons had it right when recommending that surgery be indicated. The results are no different than the flip of a coin!! (4)\n<h2>What\'s the Meniscus Tear Treatment for Patients Who Already Have Arthritis?</h2>\nPatients with meniscal tears and severe arthritis have a high risk of needing more surgery. The Indian Journal of Orthopaedics says, “Clinical practice is moving away from treating meniscal tears in patients with osteoarthritis unless there are mechanical symptoms (Knee function is significantly compromised). This study assessed the risk of needing further surgery for osteoarthritis in the five years following partial meniscectomy in different age groups and different grades of knee osteoarthritis”(5).\n\nUnfortunately, patients are often too optimistic that surgery will fix everything. “In general, <strong>patients undergoing arthroscopic meniscus surgery were too optimistic regarding their recovery time</strong> and postoperative participation in leisure activities. This highlights the need for shared decision making which should include giving the patient information on realistic expectations. . .\"(6)\n<h2>The Controversy Continues Regarding the Efficacy of Partial Meniscectomy</h2>\nIn a January 2023 paper published in the journal Osteoarthritis Cartilage, researchers examined comparison studies between arthroscopic partial meniscectomy versus non-surgical or sham treatment in patients with MRI-confirmed degenerative meniscus tears. What did they find? Overall knee function and health-related quality of life did not differ between the two groups. And across all outcomes, no relevant subgroup of patients benefitted more from the arthroscopic partial meniscectomy than the sham surgery. (7)\n<h2>What Is the Alternative to Meniscectomy?</h2>\nGiven these poor outcomes and up to 6 months of recovery time even in \"successful\" surgeries, what alternative does a patient with an injured meniscus have?\n\n<strong>Regenerative Orthopedics, like Prolotherapy, PRP, and Stem Cell Therapy, stabilize the soft tissue structures and stop the arthritic cycle.</strong> As we said earlier, the meniscus is a primary stabilizing structure, as are the ligaments. When destabilized from meniscectomy, the abnormal motion will occur, and friction will increase, causing the acceleration of cartilage breakdown.\n\nRegenerative Orthopedics will strengthen the ligaments, repair the meniscus, and stop the breakdown of cartilage.\n<h2>PRP for Meniscal Repair</h2>\nAt OrthoRegen, our regenerative specialists may recommend PRP and Prolotherapy to repair the damaged knee.\n\n• PRP is full of growth factors that boost the healing and repair of the damaged meniscus.\n• Dextrose Prolotherapy is a successful treatment for the repair of ligaments and tendons. Whenever an injury is significant enough to damage a meniscus, it is also very likely that ligaments have also been damaged. Prolotherapy effectively repairs the damaged ligaments or involved tendons.\n\nRegenerative Orthopedics are safe, conservative treatment alternatives for the injured meniscus. In the athlete and non-athlete alike, these treatments offer an effective non-surgical option for the repair of the injured meniscus.\n\nGiven the accumulation of evidence demonstrating the overwhelming lack of efficacy and benefit and the risk for serious adverse effects of this widely used procedure for meniscus tears, it is essential to consider potential safe and effective alternatives.\n\nRegenerative Orthopedic treatments boost the healing process, raise growth factors, and initiate repair. The treatments stimulate new cell growth and rebuild depleted tissue, including cartilage regeneration.\n\nRegenerative Orthopedic treatments can safely and effectively treat meniscus tears non-surgically, returning you quickly to the activities and sports you enjoy.\n<h3>References</h3>\n(1) Bhan K. Meniscal Tears: Current Understanding, Diagnosis, and Management. Cureus. 2020;12(6):e8590. Published 2020 Jun 13. doi:10.7759/cureus.8590.\n(2) D’Ambrosi R, Meena A, Raj A, Ursino N, Mangiavini L, Herbort M, Fink C. In elite athletes with meniscal injuries, always repair the lateral, think about the medial! A systematic review. Knee Surgery, Sports Traumatology, Arthroscopy. 2022 Nov 2:1-1.\n(3) Avila A, Vasavada K, Shankar DS, Petrera M, Jazrawi LM, Strauss EJ. Current Controversies in Arthroscopic Partial Meniscectomy. Current Reviews in Musculoskeletal Medicine. 2022 Jun 21:1-8.\n(4) Van De Graaf VA, Bloembergen CH, Willigenburg NW, Noorduyn JC, Saris DB, Harris IA, Poolman RW. Can even experienced orthopaedic surgeons predict who will benefit from surgery when patients present with degenerative meniscal tears? A survey of 194 orthopaedic surgeons who made 3880 predictions. British Journal of Sports Medicine. 2020 Mar 1;54(6):354-9.\n(5) Chitnis SS, Al-Azzani WA, Kakar R. Medium-Term Results of Arthroscopic Partial Meniscectomy from a Single High-Volume Center. Indian Journal of Orthopaedics. 2020 May;54(3):358-65.\n(6) Pihl K, Roos EM, Nissen N, JøRgensen U, Schjerning J, Thorlund JB. Over-optimistic patient expectations of recovery and leisure activities after arthroscopic meniscus surgery: A prospective cohort study of 478 patients. Acta Orthopaedica. 2016;87(6):615-621.\n(7) Wijn SR, Hannink G, Østerås H, Risberg MA, Roos EM, Hare KB, van de Graaf VA, Poolman RW, Ahn HW, Seon JK, Englund M. Arthroscopic partial meniscectomy versus non-surgical or sham treatment in patients with MRI-confirmed degenerative meniscus tears: a systematic review and meta-analysis with individual participant data from 605 randomised patients. Osteoarthritis and Cartilage. 2023 Jan 13.\n(8) Hackett GS, Hemwall GA, Montgomery GA. Ligament and Tendon Relaxation Treated by Prolotherapy. 5th ed. Oak Park, IL: Gustav A. Hemwall; 1993.\n(9) Hauser RA, Blakemore PJ, Wang J, Steilen D. Structural basis of joint instability as cause for chronic musculoskeletal pain and its successful treatment with regenerative injection therapy (prolotherapy). The Open Pain Journal 2014; 7: 9-22.','Meniscus Tear Treatments','','inherit','closed','closed','','5760-autosave-v1','','','2023-05-03 20:49:24','2023-05-03 20:49:24','',5760,'https://www.drfields.com/?p=5767',0,'revision','',0),(5768,9,'2023-05-03 20:37:20','2023-05-03 20:37:20','<h2>What Are the Common Meniscus Tear Treatments?</h2>\r\n<img class=\"wp-image-5761\" src=\"https://www.drfields.com/wp-content/uploads/2023/04/meniscectomy.-Osteoarthritis-and-Cartilage-500x419.png\" alt=\"Meniscectomy. Osteoarthritis And Cartilage\" width=\"300\" height=\"251\" />\r\n\r\nWhen an injury to the meniscus occurs, patients commonly try non-surgical meniscus tear treatments like rest, ice, compression, elevation, pain medications, physical therapy, and cortisone injections. When those do not work, their doctor may recommend arthroscopic surgery.\r\n\r\nSurgery, though, has not been shown to be an effective means to treat meniscus injuries. Studies have found no significant difference between meniscectomy and sham surgery. And recent studies show that surgery does not reduce the mechanical symptoms of knee catching and locking, which patients often experience.\r\n\r\nAs you can see, the effectiveness of meniscectomies is questionable. So why do patients seek surgery to fix their meniscus?\r\n<h2>Patients Believe Meniscus Surgery Will Restore Knee Function. But Will It?</h2>\r\nWhen a patient is in pain they want the pain to stop. And when an athlete has an injury, they want to get it fixed so they can return to the game. Therefore, they make the decision to receive surgery so they can return to the activities they love, believing that the surgery will restore knee function.\r\n\r\nSure, there are successful meniscus surgeries. But that\'s not who we see in our office.\r\nWe see patients who want to avoid surgery, and those who have continued pain after surgery. But what about people we don\'t see? What are the outcomes of patients receiving surgical meniscectomy? And what does the research say about meniscus surgery?\r\n\r\nThe medical journal Cureus states, “Arthroscopic partial meniscectomy (APM) is currently the most performed orthopedic procedure around the globe. However, recent studies have conclusively <strong>shown that outcomes after an arthroscopic partial meniscectomy are no better than the outcomes after a sham/placebo surgery.</strong> (1)\r\n<h2>What About Athletes? Does Surgery Help?</h2>\r\nDo athletes who choose surgery to get back to their sport more quickly achieve their goal? A team of doctors in the journal Knee Surgery, Sports Traumatology and Arthroscopy evaluated 421 elite athletes who received partial meniscectomy or a meniscus repair. They found that 84.7% returned to sport after partial meniscectomy (piece of meniscus removed) and 78.3% returned to sport after a meniscal repair (a small tear sewn with suture). (2)\r\n\r\nThe study also showed that although surgery allowed for a return to sports in these patients, it also increased the risk for the development of knee arthritis. If you do the math, that means over 15-20% or about 1 in 5 elite athletes do not return to their sport. And those that do, now have a higher arthritis risk.\r\nWhy does the risk of arthritis increase with surgery? The meniscus and the ligaments are stabilizing structures for the knee. When this soft tissue is cut and trimmed during the surgical process, the knee is destabilized. The knee instability sets the arthritic cycle in motion.\r\n<h2>Is Meniscectomy the Way to Go for Patients Over 50?</h2>\r\nSurgeons have a more difficult time predicting who will benefit from meniscectomy in patients over 50. In the journal, Current Reviews in Musculoskeletal Medicine, reviewers wrote, \"Despite an abundance of literature exploring outcomes of arthroscopic partial meniscus for degenerative meniscus tears, there is little consensus among surgeons about the drivers of good outcomes following arthroscopic partial meniscus.\"(3)\r\n\r\nIn older patients or in active patients with arthritis, more conservative therapies should be sought for meniscal tears.\r\n<h2>\"Can even experienced orthopaedic surgeons predict who will benefit from surgery when patients present with degenerative meniscal tears?\"</h2>\r\nThat\'s the exact title of an article in the British Journal of Sports Medicine. Researchers questioned whether orthopedic surgeons could predict the outcomes for treatment of meniscal tears with arthroscopic partial meniscectomy. The answer? The surgeons were only correct 50% of the time. How eye-opening! Only half the time, these experienced surgeons had it right when recommending that surgery was indicated. The results are no different than the flip of a coin!! (4)\r\n<h2>What About Patients Who Already Have Arthritis?</h2>\r\nPatients with meniscal tears and severe arthritis have a high risk of needing more surgery. The Indian Journal of Orthopaedics says, “Clinical practice is moving away from treating meniscal tears in patients with osteoarthritis unless there are mechanical symptoms (Knee function is significantly compromised). This study assessed the risk of needing further surgery for osteoarthritis in the five years following partial meniscectomy in different age groups and different grades of knee osteoarthritis”(5).\r\n\r\nUnfortunately, patients are often too optimistic that surgery will fix everything. “In general, <strong>patients undergoing arthroscopic meniscus surgery were too optimistic regarding their recovery time</strong> and postoperative participation in leisure activities. This highlights the need for shared decision making which should include giving the patient information on realistic expectations. . .\"(6)\r\n<h2>The Controversy Continues Regarding the Efficacy of Partial Meniscectomy</h2>\r\nIn a January 2023 paper published in the journal Osteoarthritis Cartilage, researchers examined comparison studies between arthroscopic partial meniscectomy versus non-surgical or sham treatment in patients with MRI-confirmed degenerative meniscus tears. What did they find? Overall knee function and health-related quality of life did not differ between the two groups. And across all outcomes, no relevant subgroup of patients benefitted more from the arthroscopic partial meniscectomy than the sham surgery. (7)\r\n<h2>What Is the Alternative to Menisectomy?</h2>\r\nGiven these poor outcomes and up to 6 months recovery time even in \"successful\" surgeries, what alternative does a patient with an injured meniscus have?\r\n\r\n<strong>Regenerative Orthopedics, like Prolotherapy, PRP, and Stem Cell Therapy stabilize the soft tissue structures and stop the arthritic cycle.</strong> As we said earlier, the meniscus is a primary stabilizing structure, as are the ligaments. When detabilized from meniscectomy, abnormal motion will occur, and friction will increase, causing the acceleration of cartilage breakdown.\r\n\r\nRegenerative Orthopedics will strengthen the ligaments, repair the meniscus, and stop the breakdown of cartilage.\r\n<h2>PRP for Meniscal Repair</h2>\r\nAt OrthoRegen, our regenerative specialists may recommend PRP along with Prolotherapy, to repair the damaged knee.\r\n\r\n• PRP is full of growth factors that boost the healing and repair of the damaged meniscus.\r\n• Dextrose Prolotherapy is a successful treatment for the repair of ligaments and tendons. Whenever an injury is significant enough to damage a meniscus, it is also very likely that ligaments have also been damaged. Prolotherapy effectively repairs the damaged ligaments or involved tendons.\r\n\r\nRegenerative Orthopedics are safe, conservative treatment alternatives for the injured meniscus. In the athlete and non-athlete alike, these treatments offer an effective non-surgical option for the repair of the injured meniscus.\r\n\r\nGiven the accumulation of evidence demonstrating not only the overwhelming lack of efficacy and benefit, but also the risk for serious adverse effects of this widely used procedure for meniscus tears, it is important to consider potential safe and effective alternatives.\r\n\r\nRegenerative Orthopedic treatments work by boosting the healing process, raising the levels of growth factors, and initiating repair. The treatments stimulate new cell growth and rebuild depleted tissue, including the regeneration of cartilage.\r\n\r\nRegenerative Orthopedic treatments can safely and effectively treat meniscus tears non-surgically, returning you quickly to the activities and sports you enjoy.\r\n<h3>References</h3>\r\n(1) Bhan K. Meniscal Tears: Current Understanding, Diagnosis, and Management. Cureus. 2020;12(6):e8590. Published 2020 Jun 13. doi:10.7759/cureus.8590.\r\n(2) D’Ambrosi R, Meena A, Raj A, Ursino N, Mangiavini L, Herbort M, Fink C. In elite athletes with meniscal injuries, always repair the lateral, think about the medial! A systematic review. Knee Surgery, Sports Traumatology, Arthroscopy. 2022 Nov 2:1-1.\r\n(3) Avila A, Vasavada K, Shankar DS, Petrera M, Jazrawi LM, Strauss EJ. Current Controversies in Arthroscopic Partial Meniscectomy. Current Reviews in Musculoskeletal Medicine. 2022 Jun 21:1-8.\r\n(4) Van De Graaf VA, Bloembergen CH, Willigenburg NW, Noorduyn JC, Saris DB, Harris IA, Poolman RW. Can even experienced orthopaedic surgeons predict who will benefit from surgery when patients present with degenerative meniscal tears? A survey of 194 orthopaedic surgeons who made 3880 predictions. British Journal of Sports Medicine. 2020 Mar 1;54(6):354-9.\r\n(5) Chitnis SS, Al-Azzani WA, Kakar R. Medium-Term Results of Arthroscopic Partial Meniscectomy from a Single High-Volume Center. Indian Journal of Orthopaedics. 2020 May;54(3):358-65.\r\n(6) Pihl K, Roos EM, Nissen N, JøRgensen U, Schjerning J, Thorlund JB. Over-optimistic patient expectations of recovery and leisure activities after arthroscopic meniscus surgery: A prospective cohort study of 478 patients. Acta Orthopaedica. 2016;87(6):615-621.\r\n(7) Wijn SR, Hannink G, Østerås H, Risberg MA, Roos EM, Hare KB, van de Graaf VA, Poolman RW, Ahn HW, Seon JK, Englund M. Arthroscopic partial meniscectomy versus non-surgical or sham treatment in patients with MRI-confirmed degenerative meniscus tears: a systematic review and meta-analysis with individual participant data from 605 randomised patients. Osteoarthritis and Cartilage. 2023 Jan 13.\r\n(8) Hackett GS, Hemwall GA, Montgomery GA. Ligament and Tendon Relaxation Treated by Prolotherapy. 5th ed. Oak Park, IL: Gustav A. Hemwall; 1993.\r\n(9) Hauser RA, Blakemore PJ, Wang J, Steilen D. Structural basis of joint instability as cause for chronic musculoskeletal pain and its successful treatment with regenerative injection therapy (prolotherapy). The Open Pain Journal 2014; 7: 9-22.','Meniscus Tear Treatment','','inherit','closed','closed','','5760-revision-v1','','','2023-05-03 20:37:20','2023-05-03 20:37:20','',5760,'https://www.drfields.com/?p=5768',0,'revision','',0),(5769,9,'2023-05-03 20:44:16','2023-05-03 20:44:16','<h2>What Are the Common Meniscus Tear Treatments?</h2>\r\n<img class=\"wp-image-5761 alignright\" src=\"https://www.drfields.com/wp-content/uploads/2023/04/meniscectomy.-Osteoarthritis-and-Cartilage-500x419.png\" alt=\"Meniscectomy. Osteoarthritis And Cartilage\" width=\"300\" height=\"251\" />\r\n\r\nWhen an injury to the meniscus occurs, patients commonly try non-surgical meniscus tear treatments like rest, ice, compression, elevation, pain medications, physical therapy, and cortisone injections. When those do not work, their doctor may recommend arthroscopic surgery.\r\n\r\nSurgery, though, has not been shown to be an effective means to treat meniscus injuries. Studies have found no significant difference between meniscectomy and sham surgery. And recent studies show that surgery does not reduce the mechanical symptoms of knee catching and locking, which patients often experience.\r\n\r\nAs you can see, the effectiveness of meniscectomies is questionable. So why do patients seek surgery to fix their meniscus?\r\n<h2>Patients Believe Meniscus Surgery Will Restore Knee Function. But Will It?</h2>\r\nWhen a patient is in pain, they want the pain to stop. And when an athlete has an injury, they want to get it fixed so they can return to the game. Therefore, they decide to receive surgery so they can return to the activities they love, believing that the surgery will restore knee function.\r\n\r\nSure, there are successful meniscus surgeries. But that\'s not who we see in our office.\r\nWe see patients who want to avoid surgery and those who have continued pain after surgery. But what about people we don\'t see? What are the outcomes of patients receiving surgical meniscectomy? And what does the research say about meniscus surgery?\r\n\r\nThe medical journal Cureus states, “Arthroscopic partial meniscectomy (APM) is currently the most performed orthopedic procedure around the globe. However, recent studies have conclusively <strong>shown that outcomes after an arthroscopic partial meniscectomy are no better than the outcomes after a sham/placebo surgery.\"</strong> (1)\r\n<h2>What About Athletes? Does Surgery Help?</h2>\r\nDo athletes who choose surgery to return to their sport more quickly achieve their goals? A team of doctors in the journal Knee Surgery, Sports Traumatology and Arthroscopy evaluated 421 elite athletes who received partial meniscectomy or a meniscus repair. They found that 84.7% returned to the sport after a partial meniscectomy (a piece of meniscus removed), and 78.3% returned to the sport after a meniscal repair (a small tear sewn with suture). (2)\r\n\r\nThe study also showed that although surgery allowed for a return to sports in these patients, it also increased the risk of developing knee arthritis. If you do the math, that means over 15-20% or about 1 in 5 elite athletes do not return to their sport. And those that do now have a higher arthritis risk.\r\n\r\nWhy does the risk of arthritis increase with surgery? The meniscus and the ligaments are stabilizing structures for the knee. When this soft tissue is cut and trimmed during the surgical process, the knee is destabilized. The knee instability sets the arthritic cycle in motion.\r\n<h2>Is Meniscectomy the Way to Go for Patients Over 50?</h2>\r\nSurgeons have a more difficult time predicting who will benefit from meniscectomy in patients over 50. In the journal, Current Reviews in Musculoskeletal Medicine, reviewers wrote, \"Despite an abundance of literature exploring outcomes of arthroscopic partial meniscus for degenerative meniscus tears, there is little consensus among surgeons about the drivers of good outcomes following arthroscopic partial meniscus.\"(3)\r\n\r\nIn older patients or active patients with arthritis, more conservative therapies should be sought for meniscal tears.\r\n<h2>\"Can even experienced orthopaedic surgeons predict who will benefit from surgery when patients present with degenerative meniscal tears?\"</h2>\r\nThat\'s the exact title of an article in the British Journal of Sports Medicine. Researchers questioned whether orthopedic surgeons could predict the outcomes of treating meniscal tears with arthroscopic partial meniscectomy. The answer? The surgeons were only correct 50% of the time. How eye-opening! Only half the time, these experienced surgeons had it right when recommending that surgery be indicated. The results are no different than the flip of a coin!! (4)\r\n<h2>What About Patients Who Already Have Arthritis?</h2>\r\nPatients with meniscal tears and severe arthritis have a high risk of needing more surgery. The Indian Journal of Orthopaedics says, “Clinical practice is moving away from treating meniscal tears in patients with osteoarthritis unless there are mechanical symptoms (Knee function is significantly compromised). This study assessed the risk of needing further surgery for osteoarthritis in the five years following partial meniscectomy in different age groups and different grades of knee osteoarthritis”(5).\r\n\r\nUnfortunately, patients are often too optimistic that surgery will fix everything. “In general, <strong>patients undergoing arthroscopic meniscus surgery were too optimistic regarding their recovery time</strong> and postoperative participation in leisure activities. This highlights the need for shared decision making which should include giving the patient information on realistic expectations. . .\"(6)\r\n<h2>The Controversy Continues Regarding the Efficacy of Partial Meniscectomy</h2>\r\nIn a January 2023 paper published in the journal Osteoarthritis Cartilage, researchers examined comparison studies between arthroscopic partial meniscectomy versus non-surgical or sham treatment in patients with MRI-confirmed degenerative meniscus tears. What did they find? Overall knee function and health-related quality of life did not differ between the two groups. And across all outcomes, no relevant subgroup of patients benefitted more from the arthroscopic partial meniscectomy than the sham surgery. (7)\r\n<h2>What Is the Alternative to Meniscectomy?</h2>\r\nGiven these poor outcomes and up to 6 months of recovery time even in \"successful\" surgeries, what alternative does a patient with an injured meniscus have?\r\n\r\n<strong>Regenerative Orthopedics, like Prolotherapy, PRP, and Stem Cell Therapy, stabilize the soft tissue structures and stop the arthritic cycle.</strong> As we said earlier, the meniscus is a primary stabilizing structure, as are the ligaments. When destabilized from meniscectomy, the abnormal motion will occur, and friction will increase, causing the acceleration of cartilage breakdown.\r\n\r\nRegenerative Orthopedics will strengthen the ligaments, repair the meniscus, and stop the breakdown of cartilage.\r\n<h2>PRP for Meniscal Repair</h2>\r\nAt OrthoRegen, our regenerative specialists may recommend PRP and Prolotherapy to repair the damaged knee.\r\n\r\n• PRP is full of growth factors that boost the healing and repair of the damaged meniscus.\r\n• Dextrose Prolotherapy is a successful treatment for the repair of ligaments and tendons. Whenever an injury is significant enough to damage a meniscus, it is also very likely that ligaments have also been damaged. Prolotherapy effectively repairs the damaged ligaments or involved tendons.\r\n\r\nRegenerative Orthopedics are safe, conservative treatment alternatives for the injured meniscus. In the athlete and non-athlete alike, these treatments offer an effective non-surgical option for the repair of the injured meniscus.\r\n\r\nGiven the accumulation of evidence demonstrating the overwhelming lack of efficacy and benefit and the risk for serious adverse effects of this widely used procedure for meniscus tears, it is essential to consider potential safe and effective alternatives.\r\n\r\nRegenerative Orthopedic treatments boost the healing process, raise growth factors, and initiate repair. The treatments stimulate new cell growth and rebuild depleted tissue, including cartilage regeneration.\r\n\r\nRegenerative Orthopedic treatments can safely and effectively treat meniscus tears non-surgically, returning you quickly to the activities and sports you enjoy.\r\n<h3>References</h3>\r\n(1) Bhan K. Meniscal Tears: Current Understanding, Diagnosis, and Management. Cureus. 2020;12(6):e8590. Published 2020 Jun 13. doi:10.7759/cureus.8590.\r\n(2) D’Ambrosi R, Meena A, Raj A, Ursino N, Mangiavini L, Herbort M, Fink C. In elite athletes with meniscal injuries, always repair the lateral, think about the medial! A systematic review. Knee Surgery, Sports Traumatology, Arthroscopy. 2022 Nov 2:1-1.\r\n(3) Avila A, Vasavada K, Shankar DS, Petrera M, Jazrawi LM, Strauss EJ. Current Controversies in Arthroscopic Partial Meniscectomy. Current Reviews in Musculoskeletal Medicine. 2022 Jun 21:1-8.\r\n(4) Van De Graaf VA, Bloembergen CH, Willigenburg NW, Noorduyn JC, Saris DB, Harris IA, Poolman RW. Can even experienced orthopaedic surgeons predict who will benefit from surgery when patients present with degenerative meniscal tears? A survey of 194 orthopaedic surgeons who made 3880 predictions. British Journal of Sports Medicine. 2020 Mar 1;54(6):354-9.\r\n(5) Chitnis SS, Al-Azzani WA, Kakar R. Medium-Term Results of Arthroscopic Partial Meniscectomy from a Single High-Volume Center. Indian Journal of Orthopaedics. 2020 May;54(3):358-65.\r\n(6) Pihl K, Roos EM, Nissen N, JøRgensen U, Schjerning J, Thorlund JB. Over-optimistic patient expectations of recovery and leisure activities after arthroscopic meniscus surgery: A prospective cohort study of 478 patients. Acta Orthopaedica. 2016;87(6):615-621.\r\n(7) Wijn SR, Hannink G, Østerås H, Risberg MA, Roos EM, Hare KB, van de Graaf VA, Poolman RW, Ahn HW, Seon JK, Englund M. Arthroscopic partial meniscectomy versus non-surgical or sham treatment in patients with MRI-confirmed degenerative meniscus tears: a systematic review and meta-analysis with individual participant data from 605 randomised patients. Osteoarthritis and Cartilage. 2023 Jan 13.\r\n(8) Hackett GS, Hemwall GA, Montgomery GA. Ligament and Tendon Relaxation Treated by Prolotherapy. 5th ed. Oak Park, IL: Gustav A. Hemwall; 1993.\r\n(9) Hauser RA, Blakemore PJ, Wang J, Steilen D. Structural basis of joint instability as cause for chronic musculoskeletal pain and its successful treatment with regenerative injection therapy (prolotherapy). The Open Pain Journal 2014; 7: 9-22.','Meniscus Tear Treatment','','inherit','closed','closed','','5760-revision-v1','','','2023-05-03 20:44:16','2023-05-03 20:44:16','',5760,'https://www.drfields.com/?p=5769',0,'revision','',0),(5770,9,'2023-05-03 20:47:16','2023-05-03 20:47:16','<h2>What Are the Common Meniscus Tear Treatments?</h2>\r\n<img class=\"wp-image-5761 alignright\" src=\"https://www.drfields.com/wp-content/uploads/2023/04/meniscectomy.-Osteoarthritis-and-Cartilage-500x419.png\" alt=\"Meniscectomy. Osteoarthritis And Cartilage\" width=\"300\" height=\"251\" />\r\n\r\nWhen an injury to the meniscus occurs, patients commonly try non-surgical meniscus tear treatments like rest, ice, compression, elevation, pain medications, physical therapy, and cortisone injections. When those do not work, their doctor may recommend arthroscopic surgery.\r\n\r\nSurgery, though, has not been shown to be an effective means to treat meniscus injuries. Studies have found no significant difference between meniscectomy and sham surgery. And recent studies show that surgery does not reduce the mechanical symptoms of knee catching and locking, which patients often experience.\r\n\r\nAs you can see, the effectiveness of meniscectomies is questionable. So why do patients seek surgery to fix their meniscus?\r\n<h2>Patients Believe Meniscus Surgery Will Restore Knee Function. But Will It?</h2>\r\nWhen a patient is in pain, they want the pain to stop. And when an athlete has an injury, they want to get it fixed so they can return to the game. Therefore, they decide to receive surgery so they can return to the activities they love, believing that the surgery will restore knee function.\r\n\r\nSure, there are successful meniscus surgeries. But that\'s not who we see in our office.\r\nWe see patients who want to avoid surgery and those who have continued pain after surgery. But what about people we don\'t see? What are the outcomes of patients receiving surgical meniscectomy? And what does the research say about meniscus surgery?\r\n\r\nThe medical journal Cureus states, “Arthroscopic partial meniscectomy (APM) is currently the most performed orthopedic procedure around the globe. However, recent studies have conclusively <strong>shown that outcomes after an arthroscopic partial meniscectomy are no better than the outcomes after a sham/placebo surgery.\"</strong> (1)\r\n<h2>What About Athletes? Does Surgery Help?</h2>\r\nDo athletes who choose surgery to return to their sport more quickly achieve their goals? A team of doctors in the journal Knee Surgery, Sports Traumatology and Arthroscopy evaluated 421 elite athletes who received partial meniscectomy or a meniscus repair. They found that 84.7% returned to the sport after a partial meniscectomy (a piece of meniscus removed), and 78.3% returned to the sport after a meniscal repair (a small tear sewn with suture). (2)\r\n\r\nThe study also showed that although surgery allowed for a return to sports in these patients, it also increased the risk of developing knee arthritis. If you do the math, that means over 15-20% or about 1 in 5 elite athletes do not return to their sport. And those that do now have a higher arthritis risk.\r\n\r\nWhy does the risk of arthritis increase with surgery? The meniscus and the ligaments are stabilizing structures for the knee. When this soft tissue is cut and trimmed during the surgical process, the knee is destabilized. The knee instability sets the arthritic cycle in motion.\r\n<h2>Is Meniscectomy the Meniscus Tear Treatment for Patients Over 50?</h2>\r\nSurgeons have a more difficult time predicting who will benefit from meniscectomy in patients over 50. In the journal, Current Reviews in Musculoskeletal Medicine, reviewers wrote, \"Despite an abundance of literature exploring outcomes of arthroscopic partial meniscus for degenerative meniscus tears, there is little consensus among surgeons about the drivers of good outcomes following arthroscopic partial meniscus.\"(3)\r\n\r\nIn older patients or active patients with arthritis, more conservative therapies should be sought for meniscal tears.\r\n<h2>\"Can even experienced orthopaedic surgeons predict who will benefit from surgery when patients present with degenerative meniscal tears?\"</h2>\r\nThat\'s the exact title of an article in the British Journal of Sports Medicine. Researchers questioned whether orthopedic surgeons could predict the outcomes of treating meniscal tears with arthroscopic partial meniscectomy. The answer? The surgeons were only correct 50% of the time. How eye-opening! Only half the time, these experienced surgeons had it right when recommending that surgery be indicated. The results are no different than the flip of a coin!! (4)\r\n<h2>What About Patients Who Already Have Arthritis?</h2>\r\nPatients with meniscal tears and severe arthritis have a high risk of needing more surgery. The Indian Journal of Orthopaedics says, “Clinical practice is moving away from treating meniscal tears in patients with osteoarthritis unless there are mechanical symptoms (Knee function is significantly compromised). This study assessed the risk of needing further surgery for osteoarthritis in the five years following partial meniscectomy in different age groups and different grades of knee osteoarthritis”(5).\r\n\r\nUnfortunately, patients are often too optimistic that surgery will fix everything. “In general, <strong>patients undergoing arthroscopic meniscus surgery were too optimistic regarding their recovery time</strong> and postoperative participation in leisure activities. This highlights the need for shared decision making which should include giving the patient information on realistic expectations. . .\"(6)\r\n<h2>The Controversy Continues Regarding the Efficacy of Partial Meniscectomy</h2>\r\nIn a January 2023 paper published in the journal Osteoarthritis Cartilage, researchers examined comparison studies between arthroscopic partial meniscectomy versus non-surgical or sham treatment in patients with MRI-confirmed degenerative meniscus tears. What did they find? Overall knee function and health-related quality of life did not differ between the two groups. And across all outcomes, no relevant subgroup of patients benefitted more from the arthroscopic partial meniscectomy than the sham surgery. (7)\r\n<h2>What Is the Alternative to Meniscectomy?</h2>\r\nGiven these poor outcomes and up to 6 months of recovery time even in \"successful\" surgeries, what alternative does a patient with an injured meniscus have?\r\n\r\n<strong>Regenerative Orthopedics, like Prolotherapy, PRP, and Stem Cell Therapy, stabilize the soft tissue structures and stop the arthritic cycle.</strong> As we said earlier, the meniscus is a primary stabilizing structure, as are the ligaments. When destabilized from meniscectomy, the abnormal motion will occur, and friction will increase, causing the acceleration of cartilage breakdown.\r\n\r\nRegenerative Orthopedics will strengthen the ligaments, repair the meniscus, and stop the breakdown of cartilage.\r\n<h2>PRP for Meniscal Repair</h2>\r\nAt OrthoRegen, our regenerative specialists may recommend PRP and Prolotherapy to repair the damaged knee.\r\n\r\n• PRP is full of growth factors that boost the healing and repair of the damaged meniscus.\r\n• Dextrose Prolotherapy is a successful treatment for the repair of ligaments and tendons. Whenever an injury is significant enough to damage a meniscus, it is also very likely that ligaments have also been damaged. Prolotherapy effectively repairs the damaged ligaments or involved tendons.\r\n\r\nRegenerative Orthopedics are safe, conservative treatment alternatives for the injured meniscus. In the athlete and non-athlete alike, these treatments offer an effective non-surgical option for the repair of the injured meniscus.\r\n\r\nGiven the accumulation of evidence demonstrating the overwhelming lack of efficacy and benefit and the risk for serious adverse effects of this widely used procedure for meniscus tears, it is essential to consider potential safe and effective alternatives.\r\n\r\nRegenerative Orthopedic treatments boost the healing process, raise growth factors, and initiate repair. The treatments stimulate new cell growth and rebuild depleted tissue, including cartilage regeneration.\r\n\r\nRegenerative Orthopedic treatments can safely and effectively treat meniscus tears non-surgically, returning you quickly to the activities and sports you enjoy.\r\n<h3>References</h3>\r\n(1) Bhan K. Meniscal Tears: Current Understanding, Diagnosis, and Management. Cureus. 2020;12(6):e8590. Published 2020 Jun 13. doi:10.7759/cureus.8590.\r\n(2) D’Ambrosi R, Meena A, Raj A, Ursino N, Mangiavini L, Herbort M, Fink C. In elite athletes with meniscal injuries, always repair the lateral, think about the medial! A systematic review. Knee Surgery, Sports Traumatology, Arthroscopy. 2022 Nov 2:1-1.\r\n(3) Avila A, Vasavada K, Shankar DS, Petrera M, Jazrawi LM, Strauss EJ. Current Controversies in Arthroscopic Partial Meniscectomy. Current Reviews in Musculoskeletal Medicine. 2022 Jun 21:1-8.\r\n(4) Van De Graaf VA, Bloembergen CH, Willigenburg NW, Noorduyn JC, Saris DB, Harris IA, Poolman RW. Can even experienced orthopaedic surgeons predict who will benefit from surgery when patients present with degenerative meniscal tears? A survey of 194 orthopaedic surgeons who made 3880 predictions. British Journal of Sports Medicine. 2020 Mar 1;54(6):354-9.\r\n(5) Chitnis SS, Al-Azzani WA, Kakar R. Medium-Term Results of Arthroscopic Partial Meniscectomy from a Single High-Volume Center. Indian Journal of Orthopaedics. 2020 May;54(3):358-65.\r\n(6) Pihl K, Roos EM, Nissen N, JøRgensen U, Schjerning J, Thorlund JB. Over-optimistic patient expectations of recovery and leisure activities after arthroscopic meniscus surgery: A prospective cohort study of 478 patients. Acta Orthopaedica. 2016;87(6):615-621.\r\n(7) Wijn SR, Hannink G, Østerås H, Risberg MA, Roos EM, Hare KB, van de Graaf VA, Poolman RW, Ahn HW, Seon JK, Englund M. Arthroscopic partial meniscectomy versus non-surgical or sham treatment in patients with MRI-confirmed degenerative meniscus tears: a systematic review and meta-analysis with individual participant data from 605 randomised patients. Osteoarthritis and Cartilage. 2023 Jan 13.\r\n(8) Hackett GS, Hemwall GA, Montgomery GA. Ligament and Tendon Relaxation Treated by Prolotherapy. 5th ed. Oak Park, IL: Gustav A. Hemwall; 1993.\r\n(9) Hauser RA, Blakemore PJ, Wang J, Steilen D. Structural basis of joint instability as cause for chronic musculoskeletal pain and its successful treatment with regenerative injection therapy (prolotherapy). The Open Pain Journal 2014; 7: 9-22.','Meniscus Tear Treatment','','inherit','closed','closed','','5760-revision-v1','','','2023-05-03 20:47:16','2023-05-03 20:47:16','',5760,'https://www.drfields.com/?p=5770',0,'revision','',0),(5771,9,'2023-05-03 20:49:35','2023-05-03 20:49:35','<h2>What Are the Common Meniscus Tear Treatments?</h2>\r\n<img class=\"wp-image-5761 alignright\" src=\"https://www.drfields.com/wp-content/uploads/2023/04/meniscectomy.-Osteoarthritis-and-Cartilage-500x419.png\" alt=\"Meniscectomy. Osteoarthritis And Cartilage\" width=\"300\" height=\"251\" />\r\n\r\nWhen an injury to the meniscus occurs, patients commonly try non-surgical meniscus tear treatments like rest, ice, compression, elevation, pain medications, physical therapy, and cortisone injections. When those do not work, their doctor may recommend arthroscopic surgery.\r\n\r\nSurgery, though, has not been shown to be an effective means to treat meniscus injuries. Studies have found no significant difference between meniscectomy and sham surgery. And recent studies show that surgery does not reduce the mechanical symptoms of knee catching and locking, which patients often experience.\r\n\r\nAs you can see, the effectiveness of meniscectomies is questionable. So why do patients seek surgery to fix their meniscus?\r\n<h2>Patients Believe Meniscus Surgery Will Restore Knee Function. But Will It?</h2>\r\nWhen a patient is in pain, they want the pain to stop. And when an athlete has an injury, they want to get it fixed so they can return to the game. Therefore, they decide to receive surgery so they can return to the activities they love, believing that the surgery will restore knee function.\r\n\r\nSure, there are successful meniscus surgeries. But that\'s not who we see in our office.\r\nWe see patients who want to avoid surgery and those who have continued pain after surgery. But what about people we don\'t see? What are the outcomes of patients receiving surgical meniscectomy? And what does the research say about meniscus surgery?\r\n\r\nThe medical journal Cureus states, “Arthroscopic partial meniscectomy (APM) is currently the most performed orthopedic procedure around the globe. However, recent studies have conclusively <strong>shown that outcomes after an arthroscopic partial meniscectomy are no better than the outcomes after a sham/placebo surgery.\"</strong> (1)\r\n<h2>What About Athletes? Does Surgery Help?</h2>\r\nDo athletes who choose surgery to return to their sport more quickly achieve their goals? A team of doctors in the journal Knee Surgery, Sports Traumatology and Arthroscopy evaluated 421 elite athletes who received partial meniscectomy or a meniscus repair. They found that 84.7% returned to the sport after a partial meniscectomy (a piece of meniscus removed), and 78.3% returned to the sport after a meniscal repair (a small tear sewn with suture). (2)\r\n\r\nThe study also showed that although surgery allowed for a return to sports in these patients, it also increased the risk of developing knee arthritis. If you do the math, that means over 15-20% or about 1 in 5 elite athletes do not return to their sport. And those that do now have a higher arthritis risk.\r\n\r\nWhy does the risk of arthritis increase with surgery? The meniscus and the ligaments are stabilizing structures for the knee. When this soft tissue is cut and trimmed during the surgical process, the knee is destabilized. The knee instability sets the arthritic cycle in motion.\r\n<h2>Is Meniscectomy the Meniscus Tear Treatment for Patients Over 50?</h2>\r\nSurgeons have a more difficult time predicting who will benefit from meniscectomy in patients over 50. In the journal, Current Reviews in Musculoskeletal Medicine, reviewers wrote, \"Despite an abundance of literature exploring outcomes of arthroscopic partial meniscus for degenerative meniscus tears, there is little consensus among surgeons about the drivers of good outcomes following arthroscopic partial meniscus.\"(3)\r\n\r\nIn older patients or active patients with arthritis, more conservative therapies should be sought for meniscal tears.\r\n<h2>\"Can even experienced orthopaedic surgeons predict who will benefit from surgery when patients present with degenerative meniscal tears?\"</h2>\r\nThat\'s the exact title of an article in the British Journal of Sports Medicine. Researchers questioned whether orthopedic surgeons could predict the outcomes of treating meniscal tears with arthroscopic partial meniscectomy. The answer? The surgeons were only correct 50% of the time. How eye-opening! Only half the time, these experienced surgeons had it right when recommending that surgery be indicated. The results are no different than the flip of a coin!! (4)\r\n<h2>What\'s the Meniscus Tear Treatment for Patients Who Already Have Arthritis?</h2>\r\nPatients with meniscal tears and severe arthritis have a high risk of needing more surgery. The Indian Journal of Orthopaedics says, “Clinical practice is moving away from treating meniscal tears in patients with osteoarthritis unless there are mechanical symptoms (Knee function is significantly compromised). This study assessed the risk of needing further surgery for osteoarthritis in the five years following partial meniscectomy in different age groups and different grades of knee osteoarthritis”(5).\r\n\r\nUnfortunately, patients are often too optimistic that surgery will fix everything. “In general, <strong>patients undergoing arthroscopic meniscus surgery were too optimistic regarding their recovery time</strong> and postoperative participation in leisure activities. This highlights the need for shared decision making which should include giving the patient information on realistic expectations. . .\"(6)\r\n<h2>The Controversy Continues Regarding the Efficacy of Partial Meniscectomy</h2>\r\nIn a January 2023 paper published in the journal Osteoarthritis Cartilage, researchers examined comparison studies between arthroscopic partial meniscectomy versus non-surgical or sham treatment in patients with MRI-confirmed degenerative meniscus tears. What did they find? Overall knee function and health-related quality of life did not differ between the two groups. And across all outcomes, no relevant subgroup of patients benefitted more from the arthroscopic partial meniscectomy than the sham surgery. (7)\r\n<h2>What Is the Alternative to Meniscectomy?</h2>\r\nGiven these poor outcomes and up to 6 months of recovery time even in \"successful\" surgeries, what alternative does a patient with an injured meniscus have?\r\n\r\n<strong>Regenerative Orthopedics, like Prolotherapy, PRP, and Stem Cell Therapy, stabilize the soft tissue structures and stop the arthritic cycle.</strong> As we said earlier, the meniscus is a primary stabilizing structure, as are the ligaments. When destabilized from meniscectomy, the abnormal motion will occur, and friction will increase, causing the acceleration of cartilage breakdown.\r\n\r\nRegenerative Orthopedics will strengthen the ligaments, repair the meniscus, and stop the breakdown of cartilage.\r\n<h2>PRP for Meniscal Repair</h2>\r\nAt OrthoRegen, our regenerative specialists may recommend PRP and Prolotherapy to repair the damaged knee.\r\n\r\n• PRP is full of growth factors that boost the healing and repair of the damaged meniscus.\r\n• Dextrose Prolotherapy is a successful treatment for the repair of ligaments and tendons. Whenever an injury is significant enough to damage a meniscus, it is also very likely that ligaments have also been damaged. Prolotherapy effectively repairs the damaged ligaments or involved tendons.\r\n\r\nRegenerative Orthopedics are safe, conservative treatment alternatives for the injured meniscus. In the athlete and non-athlete alike, these treatments offer an effective non-surgical option for the repair of the injured meniscus.\r\n\r\nGiven the accumulation of evidence demonstrating the overwhelming lack of efficacy and benefit and the risk for serious adverse effects of this widely used procedure for meniscus tears, it is essential to consider potential safe and effective alternatives.\r\n\r\nRegenerative Orthopedic treatments boost the healing process, raise growth factors, and initiate repair. The treatments stimulate new cell growth and rebuild depleted tissue, including cartilage regeneration.\r\n\r\nRegenerative Orthopedic treatments can safely and effectively treat meniscus tears non-surgically, returning you quickly to the activities and sports you enjoy.\r\n<h3>References</h3>\r\n(1) Bhan K. Meniscal Tears: Current Understanding, Diagnosis, and Management. Cureus. 2020;12(6):e8590. Published 2020 Jun 13. doi:10.7759/cureus.8590.\r\n(2) D’Ambrosi R, Meena A, Raj A, Ursino N, Mangiavini L, Herbort M, Fink C. In elite athletes with meniscal injuries, always repair the lateral, think about the medial! A systematic review. Knee Surgery, Sports Traumatology, Arthroscopy. 2022 Nov 2:1-1.\r\n(3) Avila A, Vasavada K, Shankar DS, Petrera M, Jazrawi LM, Strauss EJ. Current Controversies in Arthroscopic Partial Meniscectomy. Current Reviews in Musculoskeletal Medicine. 2022 Jun 21:1-8.\r\n(4) Van De Graaf VA, Bloembergen CH, Willigenburg NW, Noorduyn JC, Saris DB, Harris IA, Poolman RW. Can even experienced orthopaedic surgeons predict who will benefit from surgery when patients present with degenerative meniscal tears? A survey of 194 orthopaedic surgeons who made 3880 predictions. British Journal of Sports Medicine. 2020 Mar 1;54(6):354-9.\r\n(5) Chitnis SS, Al-Azzani WA, Kakar R. Medium-Term Results of Arthroscopic Partial Meniscectomy from a Single High-Volume Center. Indian Journal of Orthopaedics. 2020 May;54(3):358-65.\r\n(6) Pihl K, Roos EM, Nissen N, JøRgensen U, Schjerning J, Thorlund JB. Over-optimistic patient expectations of recovery and leisure activities after arthroscopic meniscus surgery: A prospective cohort study of 478 patients. Acta Orthopaedica. 2016;87(6):615-621.\r\n(7) Wijn SR, Hannink G, Østerås H, Risberg MA, Roos EM, Hare KB, van de Graaf VA, Poolman RW, Ahn HW, Seon JK, Englund M. Arthroscopic partial meniscectomy versus non-surgical or sham treatment in patients with MRI-confirmed degenerative meniscus tears: a systematic review and meta-analysis with individual participant data from 605 randomised patients. Osteoarthritis and Cartilage. 2023 Jan 13.\r\n(8) Hackett GS, Hemwall GA, Montgomery GA. Ligament and Tendon Relaxation Treated by Prolotherapy. 5th ed. Oak Park, IL: Gustav A. Hemwall; 1993.\r\n(9) Hauser RA, Blakemore PJ, Wang J, Steilen D. Structural basis of joint instability as cause for chronic musculoskeletal pain and its successful treatment with regenerative injection therapy (prolotherapy). The Open Pain Journal 2014; 7: 9-22.','Meniscus Tear Treatments','','inherit','closed','closed','','5760-revision-v1','','','2023-05-03 20:49:35','2023-05-03 20:49:35','',5760,'https://www.drfields.com/?p=5771',0,'revision','',0),(5773,8,'2023-05-09 03:50:21','2023-05-09 03:50:21','<img class=\"alignright wp-image-5774\" src=\"https://www.drfields.com/wp-content/uploads/2023/05/JSES-Reviews-Reports-and-Techniques.-Musculoskeletal-500x419.png\" alt=\"Chronic Pain Management\" width=\"350\" height=\"293\" />\r\n<h2>Chronic Pain Management:</h2>\r\n<h2>Musculoskeletal Pain</h2>\r\nPain can be defined as a feeling of distress, suffering, or agony caused by the stimulation of specialized nerve endings in the body resulting from injury or disease. Musculoskeletal pain affects the muscles, ligaments, tendons, and bones. When a person suffers from musculoskeletal pain, their quality of life is reduced, and they seek treatment options for chronic pain management.\r\n\r\nAs a person ages, musculoskeletal diseases increase in frequency. Millions of Americans suffer from arthritis, a chronic musculoskeletal disease that often leads to joint replacements.\r\n<h2>What Is Chronic Pain?</h2>\r\nChronic pain is pain that continues or recurs over a prolonged period. Chronic pain, however, can range from mild to severe and last weeks, months, or longer.\r\n\r\nAnother type of pain is acute pain. Acute pain is intense and can last a few seconds to hours or days. This severe pain should wane as healing of the injury or disease occurs.\r\n<h2>What Causes Musculoskeletal Pain?</h2>\r\nPain often acts as a warning that tissues are being damaged. There are different reasons for musculoskeletal pain. Soft tissue, like muscles, tendons, and ligaments, can become damaged by wear and tear from various activities.\r\n\r\nTrauma from falls, accidents, sprains, dislocations, and fractures can also damage musculoskeletal tissue. Musculoskeletal pain can be caused by any trauma to the muscles, ligaments, tendons, bones, and other soft tissue of the joint.\r\n\r\nVery often, the pain in a joint is due to ligament and/or tendon injury. Ligaments and tendons are the main connective tissue structures that stabilize and move joints. Unfortunately, these soft tissue structures have a poor blood supply and often fail to heal completely once injured.\r\n\r\n<strong>That is why an old injury sets into motion a chronic cycle that can rear its head up years later.</strong> Ligament tears and injuries alter joint mechanics. They cause the joint to move abnormally. An injured area remains weak. Month after month, and year after year, that weakened joint, moving abnormally, causes degeneration of the joint.\r\n<h2>How Can Chronic Pain Be Managed?</h2>\r\nRegenerative Orthopedics, including Prolotherapy, PRP, and Stem Cell Therapy, effectively repair the damaged, weakened ligaments and tendons. These treatments build stronger tendons and ligaments that can stabilize the joint structures. With treatment, the weakened soft tissue is healed, and the patient’s pain is reduced or eliminated.\r\n<h2>Types of Regenerative Orthopedics:</h2>\r\n<ul>\r\n 	<li><strong>Prolotherapy </strong>involves injections given into and around the entire painful or injured area. Prolotherapy strengthens ligaments and tendons by inducing repair through stimulating growth factors and boosting the body\'s healing mechanism.</li>\r\n 	<li>PRP involves the injection of the person\'s platelets. These platelets release growth factors that stimulate recovery in blood-poor tissue, such as tendons. PRP is great at accelerating the regeneration of soft tissue injuries such as knee meniscus tears.</li>\r\n 	<li><strong>Stem Cell Therapy </strong>describes the use of a person\'s adult mesenchymal stem cells (MSCs) taken from the individual’s bone marrow or adipose (fat) tissue. Stem Cell Therapy is typically done in more advanced cases of joint degeneration or injury.</li>\r\n</ul>\r\n<h2>Regenerative Orthopedics for Chronic Musculoskeletal Pain</h2>\r\nRegenerative Orthopedics significantly relieves chronic musculoskeletal pain in the neck, back, knee, elbow, foot, hand, shoulder, and wrist. The use of Regenerative Orthopedics results in a decrease in pain and an increase in function.\r\n\r\nThese regenerative therapies are effective for arthritis, ligament injury, tendinopathy,  joint instability, labrum or meniscus injury, joint hypermobility syndrome, and many other musculoskeletal pain conditions.\r\n\r\nRegenerative Orthopedics are viable alternatives to pain medications, NSAIDs, cortisone (steroid) injections, and surgery.\r\n\r\nMusculoskeletal diseases are prevalent causes of pain and have devastating consequences for millions. Non-Surgical Regenerative Orthopedics are effective treatment options that do not just manage pain but effectively repair the underlying source of the pain...the ligament and tendon injuries.\r\n\r\nMany patients come to us tired of ‘managing’ their chronic pain with NSAIDs, narcotic medications, various therapies, and exercises that fail to provide relief. That\'s because they do not get to the root of the problem.\r\n\r\nThe <i>Journal of Prolotherapy</i> says, \"Clinicians make their recommendations to patients on the basis of their knowledge of human physiology in both health and disease. Since most chronic pain results from the degeneration and injury of musculoskeletal structures such as ligaments, tendons, other soft tissues and joints, and the nerves that support them, then regenerative injection therapy (Prolotherapy) makes physiological sense. Prolotherapy should be one of the preferred therapies when clinicians, including doctors, nurses, and other allied health care professionals, discuss treatment options with patients who suffer from musculoskeletal pain.\"2\r\n<h2>Don\'t Just Manage Your Pain, Repair It</h2>\r\nDo you suffer from musculoskeletal pain, such as <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-knee-pain/\">chronic knee pain</a>? <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-shoulder-pain/\">Chronic shoulder pain</a>? <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-neck-pain/\">Chronic neck pain</a>? <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-elbow-pain/\">Chronic elbow pain</a>? If you are afflicted with chronic musculoskeletal pain, Regenerative Orthopedics may be your answer. <a href=\"https://www.drfields.com/contact/\">Contact us for a consultation</a> to see if you are a candidate or to get a second opinion for a recommended surgery. At OrthoRegen®, we want to help you achieve your goals of optimal health and sustained wellness. We will use the most effective and least invasive methods in your treatment. Don\'t just manage your pain; repair it with Regenerative Orthopedics. Call today at 310-453-1234.\r\n<h2>References</h2>\r\n1 Haunschild, Eric D., et al. \"Biologics in shoulder and elbow pathology.\" <i>JSES Reviews, Reports, and Techniques</i> 1.1 (2021): 1-6.\r\n\r\n2 Hauser, RA, Maddela, H., et al. \"Journal of Prolotherapy International Medical Editorial Board Consensus Statement on the Use of Prolotherapy for Musculoskeletal Pain.\"<i>Journal of Prolotherapy.</i> 2011;3(4):744-764.','Chronic Pain Management','','publish','closed','open','','chronic-pain-management','','','2023-05-12 21:46:28','2023-05-12 21:46:28','',0,'https://www.drfields.com/?p=5773',0,'post','',0),(5774,8,'2023-05-09 03:49:47','2023-05-09 03:49:47','Jses Reviews, Reports, And Techniques. Musculoskeletal','','Chronic Pain Management','inherit','closed','closed','','jses-reviews-reports-and-techniques-musculoskeletal','','','2023-05-09 03:50:09','2023-05-09 03:50:09','',5773,'https://www.drfields.com/wp-content/uploads/2023/05/JSES-Reviews-Reports-and-Techniques.-Musculoskeletal.png',0,'attachment','image/png',0),(5775,8,'2023-05-09 03:50:21','2023-05-09 03:50:21','[caption id=\"attachment_5774\" align=\"alignright\" width=\"350\"]<img class=\"wp-image-5774\" src=\"https://www.drfields.com/wp-content/uploads/2023/05/JSES-Reviews-Reports-and-Techniques.-Musculoskeletal-500x419.png\" alt=\"Chronic Pain Management\" width=\"350\" height=\"293\" /> Chronic Pain Management[/caption]\r\n<h2>Musculoskeletal Pain</h2>\r\nPain can be defined as a feeling of distress, suffering, or agony, caused by stimulation of specialized nerve endings in the body, resulting from injury or disease. Musculoskeletal pain is pain that affects the muscles, ligaments, tendons, and bones. When a person suffers from musculoskeletal pain, their quality of life is reduced.\r\n\r\nAs a person ages, musculoskeletal diseases increase in frequency. Millions of Americans suffer from arthritis, a chronic musculoskeletal disease, that often leads to joint replacements.\r\n<h2>What Is Chronic Pain?</h2>\r\nChronic pain is pain that continues or recurs over a prolonged period. Chronic pain however, can range from mild to severe and can last weeks, months or longer.\r\n\r\nAnother type of pain is acute pain. Acute pain is intense and can last from a few seconds to hours or days. This severe pain should wane as healing of the injury or disease occurs.\r\n<h2>What Causes Musculoskeletal Pain?</h2>\r\nThere are different causes of musculoskeletal pain. Pain often acts as a warning that tissues are being damaged. Soft tissue, like muscle, tendons, and ligaments, can become damaged by wear and tear from a variety of activities.\r\n\r\nMusculoskeletal tissue can also be damaged by trauma, such as can occur through falls, accidents, sprains, dislocations, and fractures. Musculoskeletal pain can be caused by any type of trauma to the muscles, ligaments, tendons, bones, and other soft tissue of the joint.\r\n\r\nVery often the pain in a joint is due to ligament and/or tendon injury. Ligaments and tendons are the main connective tissue structures that stabilize and move joints. Unfortunately, these soft tissue structures have a poor blood supply, and they often fail to completely heal once injured.\r\n\r\n<strong>That is why an old injury sets into motion a chronic cycle that can rear its head up years later.</strong> Ligament tears and injuries alter joint mechanics. They cause the joint to move abnormally. An injured area remains weak. Month after month, and year after year, that weakened joint, moving abnormally, causes degeneration of the joint.\r\n<h2>How Can Chronic Pain Be Managed?</h2>\r\nRegenerative Orthopedics, including Prolotherapy, PRP, and Stem Cell Therapy, effectively repair the damaged, weakened ligaments and tendons. These treatments build stronger tendons and ligaments that can stabilize the joint structures. With treatment, the weakened soft tissue are healed, and the patient’s pain is reduced or eliminated.\r\n<h2>Types of Regenerative Orthopedics:</h2>\r\n<ul>\r\n 	<li><strong>Prolotherapy </strong>involves injections that are given into and around the entire painful or injured area. Prolotherapy strengthens ligaments and tendons by inducing repair through the stimulation of growth factors and boosting the body\'s own healing mechanism.</li>\r\n 	<li>PRP involves the injection of the person\'s own platelets. These platelets release growth factors that stimulate recovery in these blood poor tissue such as tendons. PRP is great at accelerating the regeneration in soft tissue injuries such as meniscus tears of the knee.</li>\r\n 	<li><strong>Stem Cell Therapy </strong>describes the use of a person\'s own adult mesenchymal stem cells (MSCs) taken from the individual’s bone marrow or adipose (fat) tissue. Stem Cell Therapy is typically done in more advanced cases of joint degeneration or injury, and at our clinic also involves PRP and Prolotherapy.</li>\r\n</ul>\r\n<h2>Regenerative Orthopedics for Chronic Musculoskeletal Pain</h2>\r\nRegenerative Orthopedics provide significant relief of chronic musculoskeletal pain in the neck, back, knee, elbow, foot, hand, shoulder, and wrist. The use of Regenerative Orthopedics results in a decrease in pain and an increase in function.\r\n\r\nThese regenerative therapies are effective for arthritis, ligament injury, tendinopathy,  joint instability, labrum or meniscus injury, joint hypermobility syndrome, and many other musculoskeletal pain conditions.\r\n\r\nRegenerative Orthopedics are viable alternatives to pain medications, NSAIDs, cortisone (steroid) injection, and surgery.\r\n\r\nMusculoskeletal diseases are extremely common causes of pain and result in devastating consequences to millions of people. Non-Surgical Regenerative Orthopedics are effective treatment options that do not just manage pain, but effectively repair the underlying source of the pain...the ligament and tendon injuries.\r\n\r\nMany patients come to us tired of ‘managing’ their chronic pain with NSAIDs, narcotic medications, various therapies, and exercises that fail to provide relief. That\'s because they do not get to the root of the problem.\r\n<h2>Don\'t Just Manage Your Pain, Repair It</h2>\r\nIf you suffer from <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-knee-pain/\">chronic knee pain</a>? <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-shoulder-pain/\">Chronic shoulder pain</a>? <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-neck-pain/\">Chronic neck pain</a>? <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-elbow-pain/\">Chronic elbow pain</a>? Or if you are afflicted with another chronic musculoskeletal pain, Regenerative Orthopedics may be your answer. <a href=\"https://www.drfields.com/contact/\">Contact us for a consultation</a> to see if you are a candidate or to get a second opinion for a recommended surgery. At OrthoRegen®, we want to help you achieve your goals of optimal health and sustained wellness. We will use the most effective and least invasive methods in your treatment. Don\'t just manage your pain, repair it with Regenerative Orthopedics. Call today at 310-453-1234.\r\n\r\nHaunschild, Eric D., et al. \"Biologics in shoulder and elbow pathology.\" <em>JSES Reviews, Reports, and Techniques</em> 1.1 (2021): 1-6.','Chronic Pain Management','','inherit','closed','closed','','5773-revision-v1','','','2023-05-09 03:50:21','2023-05-09 03:50:21','',5773,'https://www.drfields.com/?p=5775',0,'revision','',0),(5776,8,'2023-05-09 03:50:40','2023-05-09 03:50:40','<img class=\"alignright wp-image-5774\" src=\"https://www.drfields.com/wp-content/uploads/2023/05/JSES-Reviews-Reports-and-Techniques.-Musculoskeletal-500x419.png\" alt=\"Chronic Pain Management\" width=\"350\" height=\"293\" />\r\n<h2>Musculoskeletal Pain</h2>\r\nPain can be defined as a feeling of distress, suffering, or agony, caused by stimulation of specialized nerve endings in the body, resulting from injury or disease. Musculoskeletal pain is pain that affects the muscles, ligaments, tendons, and bones. When a person suffers from musculoskeletal pain, their quality of life is reduced.\r\n\r\nAs a person ages, musculoskeletal diseases increase in frequency. Millions of Americans suffer from arthritis, a chronic musculoskeletal disease, that often leads to joint replacements.\r\n<h2>What Is Chronic Pain?</h2>\r\nChronic pain is pain that continues or recurs over a prolonged period. Chronic pain however, can range from mild to severe and can last weeks, months or longer.\r\n\r\nAnother type of pain is acute pain. Acute pain is intense and can last from a few seconds to hours or days. This severe pain should wane as healing of the injury or disease occurs.\r\n<h2>What Causes Musculoskeletal Pain?</h2>\r\nThere are different causes of musculoskeletal pain. Pain often acts as a warning that tissues are being damaged. Soft tissue, like muscle, tendons, and ligaments, can become damaged by wear and tear from a variety of activities.\r\n\r\nMusculoskeletal tissue can also be damaged by trauma, such as can occur through falls, accidents, sprains, dislocations, and fractures. Musculoskeletal pain can be caused by any type of trauma to the muscles, ligaments, tendons, bones, and other soft tissue of the joint.\r\n\r\nVery often the pain in a joint is due to ligament and/or tendon injury. Ligaments and tendons are the main connective tissue structures that stabilize and move joints. Unfortunately, these soft tissue structures have a poor blood supply, and they often fail to completely heal once injured.\r\n\r\n<strong>That is why an old injury sets into motion a chronic cycle that can rear its head up years later.</strong> Ligament tears and injuries alter joint mechanics. They cause the joint to move abnormally. An injured area remains weak. Month after month, and year after year, that weakened joint, moving abnormally, causes degeneration of the joint.\r\n<h2>How Can Chronic Pain Be Managed?</h2>\r\nRegenerative Orthopedics, including Prolotherapy, PRP, and Stem Cell Therapy, effectively repair the damaged, weakened ligaments and tendons. These treatments build stronger tendons and ligaments that can stabilize the joint structures. With treatment, the weakened soft tissue are healed, and the patient’s pain is reduced or eliminated.\r\n<h2>Types of Regenerative Orthopedics:</h2>\r\n<ul>\r\n 	<li><strong>Prolotherapy </strong>involves injections that are given into and around the entire painful or injured area. Prolotherapy strengthens ligaments and tendons by inducing repair through the stimulation of growth factors and boosting the body\'s own healing mechanism.</li>\r\n 	<li>PRP involves the injection of the person\'s own platelets. These platelets release growth factors that stimulate recovery in these blood poor tissue such as tendons. PRP is great at accelerating the regeneration in soft tissue injuries such as meniscus tears of the knee.</li>\r\n 	<li><strong>Stem Cell Therapy </strong>describes the use of a person\'s own adult mesenchymal stem cells (MSCs) taken from the individual’s bone marrow or adipose (fat) tissue. Stem Cell Therapy is typically done in more advanced cases of joint degeneration or injury, and at our clinic also involves PRP and Prolotherapy.</li>\r\n</ul>\r\n<h2>Regenerative Orthopedics for Chronic Musculoskeletal Pain</h2>\r\nRegenerative Orthopedics provide significant relief of chronic musculoskeletal pain in the neck, back, knee, elbow, foot, hand, shoulder, and wrist. The use of Regenerative Orthopedics results in a decrease in pain and an increase in function.\r\n\r\nThese regenerative therapies are effective for arthritis, ligament injury, tendinopathy,  joint instability, labrum or meniscus injury, joint hypermobility syndrome, and many other musculoskeletal pain conditions.\r\n\r\nRegenerative Orthopedics are viable alternatives to pain medications, NSAIDs, cortisone (steroid) injection, and surgery.\r\n\r\nMusculoskeletal diseases are extremely common causes of pain and result in devastating consequences to millions of people. Non-Surgical Regenerative Orthopedics are effective treatment options that do not just manage pain, but effectively repair the underlying source of the pain...the ligament and tendon injuries.\r\n\r\nMany patients come to us tired of ‘managing’ their chronic pain with NSAIDs, narcotic medications, various therapies, and exercises that fail to provide relief. That\'s because they do not get to the root of the problem.\r\n<h2>Don\'t Just Manage Your Pain, Repair It</h2>\r\nIf you suffer from <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-knee-pain/\">chronic knee pain</a>? <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-shoulder-pain/\">Chronic shoulder pain</a>? <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-neck-pain/\">Chronic neck pain</a>? <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-elbow-pain/\">Chronic elbow pain</a>? Or if you are afflicted with another chronic musculoskeletal pain, Regenerative Orthopedics may be your answer. <a href=\"https://www.drfields.com/contact/\">Contact us for a consultation</a> to see if you are a candidate or to get a second opinion for a recommended surgery. At OrthoRegen®, we want to help you achieve your goals of optimal health and sustained wellness. We will use the most effective and least invasive methods in your treatment. Don\'t just manage your pain, repair it with Regenerative Orthopedics. Call today at 310-453-1234.\r\n\r\nHaunschild, Eric D., et al. \"Biologics in shoulder and elbow pathology.\" <em>JSES Reviews, Reports, and Techniques</em> 1.1 (2021): 1-6.','Chronic Pain Management','','inherit','closed','closed','','5773-revision-v1','','','2023-05-09 03:50:40','2023-05-09 03:50:40','',5773,'https://www.drfields.com/?p=5776',0,'revision','',0),(5777,8,'2023-05-09 03:52:08','2023-05-09 03:52:08','<div class=\"clear\"></div>\r\n<div id=\"slider\">\r\n<div class=\"owl-carousel slider-carousel\">\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/12/Slider-2-v3-261222.jpg\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/Slider-v1-021120.jpg\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-santa-monica-pier-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">New Article:</span>\r\n<span class=\"header_text_second\">Keep Looking Forward Despite COVID-19</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dealing-with-covid-19/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-11.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/0_header-orthoregen-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Get Back In The Game!</span>\r\n<span class=\"header_text_second\">Avoid Joint and Spine Surgery </span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">Stem Cell/PRP/Prolotherapy</span>\r\n<a class=\"btn-more\" title=\"Get Help Now!\" href=\"Contact-Us\"> Get Help Now!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item slide-article\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-ocean-mountains-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_second\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/0_Kili-top-header-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\" style=\"text-align: left;\"><span class=\"header_text_first\">Congratulations\r\nPeter A. Fields, MD, DC</span>\r\n<span class=\"header_text_second\">The Athletic Doc<sup>®</sup>\r\nsuccessfully climbed</span>\r\n<span class=\"header_text_third white-text\">Mt. Kilimanjaro in\r\nTanzania, Africa.19,341 feet!!!</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/report-of-my-kilimanjaro-climb/\">Read More</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/Sider-01-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Peter A. Fields, MD, DC\r\nThe Athletic Doc<sup>®</sup></span>\r\n<span class=\"header_text_second\">Completed His 11th Ironman</span>\r\n<span class=\"header_text_third\">Sunday, November 24th in Cozumel Mexico</span>\r\n<a class=\"btn-more\" title=\"Read More\" href=\"#\">Images &amp; Story Coming Soon</a></div>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"jumbotron-fluid\">\r\n<div class=\"row\">\r\n<div class=\"col-md-4 box1\">\r\n\r\nWhat\'s\r\n<h3>New</h3>\r\n<ul>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/chronic-pain-management/\">Chronic Pain Management</a></li>\r\n        <li><a href=\"/articles/meniscus-tear-treatment/\">Meniscus Tear Treatment</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/neck-pain-treatment/\">Neck Pain Treatment</a></li>\r\n 	<li><a href=\"/uncategorized/knee-replacement-failure/\">Knee Replacement Failure</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/best-treatments-for-low-back-pain/\">Best Treatments For Low Back Pain</a></li>\r\n 	<li><a href=\"https://www.drfields.com/uncategorized/arthritis-knee-treatment/\">Arthritis Knee Treatment</a></li>\r\n 	<li><a href=\"https://www.drfields.com/uncategorized/back-pain-treatment/\">Back Pain Treatment</a></li>\r\n</ul>\r\n</div>\r\n<div id=\"testimonials\" class=\"col-md-4 box2\">\r\n\r\nPatient\r\n<h3>Testimonials</h3>\r\n<strong>Video:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I wished I had come earlier and listened to what my physical therapist had told me to do because Dr. Fields has been a real solution for me.\"\r\n\r\n<img class=\"testimonial-img\" title=\"Testimonial\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-larry.png\" alt=\"Testimonial\" />\r\n<h3>Larry</h3>\r\n<h4>Stem Cell Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I highly recommend it to anyone who needs to recover fast and get back out there.\"\r\n\r\n<img class=\"testimonial-img\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-christopher.png\" alt=\"\" />\r\n<h3>Chris, Pro Basketball Player</h3>\r\n<h4>PRP Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"Now I can go walking, I go to my ballet class and I’m a happy camper because of Dr. Fields.\"\r\n\r\n<img class=\"testimonial-img\" title=\"\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-mary.png\" alt=\"Testimonial\" />\r\n<h3>Mary</h3>\r\n<h4>Stem Cell Hip</h4>\r\n</div>\r\n</div>\r\n<strong>Written:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I need to say a big thank you to Dr Fields for getting me back on the tennis court. I am an avid tennis player who tried to ignore the terrible pain in my elbow.\"\r\n<h3 style=\"margin-left: 0;\">Mindy</h3>\r\n<h4 style=\"margin-left: 0;\">Elbow</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I chose Dr. Peter Fields because he is an athlete and would have more direct knowledge of my particular circumstances than anyone else.\"\r\n<h3 style=\"margin-left: 0;\">Robert</h3>\r\n<h4 style=\"margin-left: 0;\">Shoulder</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"After the final treatments ended I am still without all the pain and have more muscle strength in my legs.\"\r\n<h3 style=\"margin-left: 0;\">Lois</h3>\r\n<h4 style=\"margin-left: 0;\">Knee</h4>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"col-md-4 box3\">\r\n\r\nNews &amp;\r\n<h3>Events</h3>\r\n<ul>\r\n 	<li><a href=\"https://www.drfields.com/articles/health-news/dr-fields-to-lecture-in-mexico-city-on-july-9th/\">Peter A. Fields, MD, DC to lecture in Mexico City on July 9th</a></li>\r\n 	<li><a class=\"buttonlink\" style=\"width: 100%; font-size: 24px; text-align: center; padding: 25px 8%;\" href=\"https://www.drfields.com/contact/\"> Are you a Stem Cell Candidate?</a></li>\r\n</ul>\r\n</div>\r\n</div>\r\n</div>\r\n<div id=\"search-articles\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n<h2 class=\"text-center\">Search <b>Dr. Fields\'</b> Articles</h2>\r\n<form id=\"searchform\" action=\"/\" method=\"get\"><input class=\"search-field\" name=\"s\" type=\"text\" placeholder=\"What\'s Your Condition?\" />\r\n<input type=\"submit\" value=\"Search\" /></form></div>\r\n</div>\r\n</div>\r\n<div id=\"intro\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n<h1 class=\"text-center\">Welcome to OrthoRegen<sup>®</sup>!</h1>\r\n<p class=\"intro_text welcome\"><a href=\"http://orthoregen.com\"><span style=\"font-size: 26px;\">OrthoRegen<sup>®</sup></span></a> is dedicated to providing the best of <span class=\"nowrap\">Regenerative Orthopedics</span> by offering non-surgical alternatives for joint and spine repair</p>\r\n<a class=\"primaryButton\" title=\"Read More About U\" href=\"https://www.drfields.com/about/orthoregen-our-philosophy/\">Read More About Us</a>\r\n<a id=\"candidateButton\" title=\"Are you a good candidate?\" href=\"/contact/\">Are you a good candidate?</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"about\">\r\n<div class=\"col-md-5 drfields\"><img class=\"alignnone\" title=\"Regenerative Orthopedics Leader\" src=\"https://www.drfields.com/wp-content/uploads/2022/11/dr-fields-v1-021120.png\" alt=\"Regenerative Orthopedics Leader\" width=\"460\" height=\"737\" /></div>\r\n<div class=\"col-md-7 about_holder\">\r\n<h1>Peter A. Fields, <span class=\"nowrap\">MD, DC</span></h1>\r\n<p class=\"intro_text\">Medical Physician and Chiropractor\r\nThe Athletic Doc<sup>®</sup> - 11x Ironman Triathlete</p>\r\n\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"icon info\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-info.png\" alt=\"icon info\" /></div>\r\n<div class=\"about_text\">\r\n<h3>About</h3>\r\nPeter A. Fields, MD, DC is one of a handful of physicians in the nation with both medical and chiropractic degrees...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/dr-fields-bio/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"Man Icon\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-ironman.png\" alt=\"Man Icon\" /></div>\r\n<div class=\"about_text\">\r\n<h3>11x Ironman</h3>\r\nDr. Peter A. Fields is also known as The Athletic Doc<sup>®</sup> He not only treats athletes in his practice but is an athlete himself. For over...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n&nbsp;\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Call Us Today! 310-453-1234</a>','Home','','inherit','closed','closed','','2109-revision-v1','','','2023-05-09 03:52:08','2023-05-09 03:52:08','',2109,'https://www.drfields.com/?p=5777',0,'revision','',0),(5779,9,'2023-05-12 21:45:32','2023-05-12 21:45:32','<img class=\"alignright wp-image-5774\" src=\"https://www.drfields.com/wp-content/uploads/2023/05/JSES-Reviews-Reports-and-Techniques.-Musculoskeletal-500x419.png\" alt=\"Chronic Pain Management\" width=\"350\" height=\"293\" />\n<h2>Chronic Pain Management:</h2>\n<h2>Musculoskeletal Pain</h2>\nPain can be defined as a feeling of distress, suffering, or agony caused by the stimulation of specialized nerve endings in the body resulting from injury or disease. Musculoskeletal pain affects the muscles, ligaments, tendons, and bones. When a person suffers from musculoskeletal pain, their quality of life is reduced, and they seek treatment options for chronic pain management.\n\nAs a person ages, musculoskeletal diseases increase in frequency. Millions of Americans suffer from arthritis, a chronic musculoskeletal disease that often leads to joint replacements.\n<h2>What Is Chronic Pain?</h2>\nChronic pain is pain that continues or recurs over a prolonged period. Chronic pain, however, can range from mild to severe and last weeks, months, or longer.\n\nAnother type of pain is acute pain. Acute pain is intense and can last a few seconds to hours or days. This severe pain should wane as healing of the injury or disease occurs.\n<h2>What Causes Musculoskeletal Pain?</h2>\nPain often acts as a warning that tissues are being damaged. There are different reasons for musculoskeletal pain. Soft tissue, like muscles, tendons, and ligaments, can become damaged by wear and tear from various activities.\n\nTrauma from falls, accidents, sprains, dislocations, and fractures can also damage musculoskeletal tissue. Musculoskeletal pain can be caused by any trauma to the muscles, ligaments, tendons, bones, and other soft tissue of the joint.\n\nVery often, the pain in a joint is due to ligament and/or tendon injury. Ligaments and tendons are the main connective tissue structures that stabilize and move joints. Unfortunately, these soft tissue structures have a poor blood supply and often fail to heal completely once injured.\n\n<strong>That is why an old injury sets into motion a chronic cycle that can rear its head up years later.</strong> Ligament tears and injuries alter joint mechanics. They cause the joint to move abnormally. An injured area remains weak. Month after month, and year after year, that weakened joint, moving abnormally, causes degeneration of the joint.\n<h2>How Can Chronic Pain Be Managed?</h2>\nRegenerative Orthopedics, including Prolotherapy, PRP, and Stem Cell Therapy, effectively repair the damaged, weakened ligaments and tendons. These treatments build stronger tendons and ligaments that can stabilize the joint structures. With treatment, the weakened soft tissue is healed, and the patient’s pain is reduced or eliminated.\n<h2>Types of Regenerative Orthopedics:</h2>\n<ul>\n 	<li><strong>Prolotherapy </strong>involves injections given into and around the entire painful or injured area. Prolotherapy strengthens ligaments and tendons by inducing repair through stimulating growth factors and boosting the body\'s healing mechanism.</li>\n 	<li>PRP involves the injection of the person\'s platelets. These platelets release growth factors that stimulate recovery in blood-poor tissue, such as tendons. PRP is great at accelerating the regeneration of soft tissue injuries such as knee meniscus tears.</li>\n 	<li><strong>Stem Cell Therapy </strong>describes the use of a person\'s adult mesenchymal stem cells (MSCs) taken from the individual’s bone marrow or adipose (fat) tissue. Stem Cell Therapy is typically done in more advanced cases of joint degeneration or injury.</li>\n</ul>\n<h2>Regenerative Orthopedics for Chronic Musculoskeletal Pain</h2>\nRegenerative Orthopedics provides significant relief of chronic musculoskeletal pain in the neck, back, knee, elbow, foot, hand, shoulder, and wrist. The use of Regenerative Orthopedics results in a decrease in pain and an increase in function.\n\nThese regenerative therapies are effective for arthritis, ligament injury, tendinopathy,  joint instability, labrum or meniscus injury, joint hypermobility syndrome, and many other musculoskeletal pain conditions.\n\nRegenerative Orthopedics are viable alternatives to pain medications, NSAIDs, cortisone (steroid) injection, and surgery.\n\nMusculoskeletal diseases are extremely common causes of pain and result in devastating consequences to millions of people. Non-Surgical Regenerative Orthopedics are effective treatment options that do not just manage pain but effectively repair the underlying source of the pain...the ligament and tendon injuries.\n\nMany patients come to us tired of ‘managing’ their chronic pain with NSAIDs, narcotic medications, various therapies, and exercises that fail to provide relief. That\'s because they do not get to the root of the problem.\n\nThe <i>Journal of Prolotherapy</i> says, \"Clinicians make their recommendations to patients on the basis of their knowledge of human physiology in both health and disease. Since most chronic pain results from the degeneration and injury of musculoskeletal structures such as ligaments, tendons, other soft tissues and joints, and the nerves that support them, then regenerative injection therapy (Prolotherapy) makes physiological sense. Prolotherapy should be one of the preferred therapies when clinicians, including doctors, nurses, and other allied health care professionals, discuss treatment options with patients who suffer from musculoskeletal pain.\"2\n<h2>Don\'t Just Manage Your Pain, Repair It</h2>\nDo you suffer from musculoskeletal pain, such as <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-knee-pain/\">chronic knee pain</a>? <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-shoulder-pain/\">Chronic shoulder pain</a>? <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-neck-pain/\">Chronic neck pain</a>? <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-elbow-pain/\">Chronic elbow pain</a>? If you are afflicted with chronic musculoskeletal pain, Regenerative Orthopedics may be your answer. <a href=\"https://www.drfields.com/contact/\">Contact us for a consultation</a> to see if you are a candidate or to get a second opinion for a recommended surgery. At OrthoRegen®, we want to help you achieve your goals of optimal health and sustained wellness. We will use the most effective and least invasive methods in your treatment. Don\'t just manage your pain; repair it with Regenerative Orthopedics. Call today at 310-453-1234.\n<h2>References</h2>\n1 Haunschild, Eric D., et al. \"Biologics in shoulder and elbow pathology.\" <i>JSES Reviews, Reports, and Techniques</i> 1.1 (2021): 1-6.\n\n2 Hauser, RA, Maddela, H., et al. \"Journal of Prolotherapy International Medical Editorial Board Consensus Statement on the Use of Prolotherapy for Musculoskeletal Pain.\"<i>Journal of Prolotherapy.</i> 2011;3(4):744-764.','Chronic Pain Management','','inherit','closed','closed','','5773-autosave-v1','','','2023-05-12 21:45:32','2023-05-12 21:45:32','',5773,'https://www.drfields.com/?p=5779',0,'revision','',0),(5780,9,'2023-05-12 21:40:42','2023-05-12 21:40:42','<img class=\"alignright wp-image-5774\" src=\"https://www.drfields.com/wp-content/uploads/2023/05/JSES-Reviews-Reports-and-Techniques.-Musculoskeletal-500x419.png\" alt=\"Chronic Pain Management\" width=\"350\" height=\"293\" />\r\n<h2>Musculoskeletal Pain</h2>\r\nPain can be defined as a feeling of distress, suffering, or agony caused by the stimulation of specialized nerve endings in the body resulting from injury or disease. Musculoskeletal pain affects the muscles, ligaments, tendons, and bones. When a person suffers from musculoskeletal pain, their quality of life is reduced, and they seek treatment options for chronic pain management.\r\n\r\nAs a person ages, musculoskeletal diseases increase in frequency. Millions of Americans suffer from arthritis, a chronic musculoskeletal disease that often leads to joint replacements.\r\n<h2>What Is Chronic Pain?</h2>\r\nChronic pain is pain that continues or recurs over a prolonged period. Chronic pain, however, can range from mild to severe and last weeks, months, or longer.\r\n\r\nAnother type of pain is acute pain. Acute pain is intense and can last a few seconds to hours or days. This severe pain should wane as healing of the injury or disease occurs.\r\n<h2>What Causes Musculoskeletal Pain?</h2>\r\nPain often acts as a warning that tissues are being damaged. There are different reasons for musculoskeletal pain. Soft tissue, like muscle, tendons, and ligaments, can become damaged by wear and tear from a variety of activities.\r\n\r\nMusculoskeletal tissue can also be damaged by trauma, such as falls, accidents, sprains, dislocations, and fractures. Musculoskeletal pain can be caused by any trauma to the muscles, ligaments, tendons, bones, and other soft tissue of the joint.\r\n\r\nVery often the pain in a joint is due to ligament and/or tendon injury. Ligaments and tendons are the main connective tissue structures that stabilize and move joints. Unfortunately, these soft tissue structures have a poor blood supply and often fail to  heal completely once injured.\r\n\r\n<strong>That is why an old injury sets into motion a chronic cycle that can rear its head up years later.</strong> Ligament tears and injuries alter joint mechanics. They cause the joint to move abnormally. An injured area remains weak. Month after month, and year after year, that weakened joint, moving abnormally, causes degeneration of the joint.\r\n<h2>How Can Chronic Pain Be Managed?</h2>\r\nRegenerative Orthopedics, including Prolotherapy, PRP, and Stem Cell Therapy, effectively repair the damaged, weakened ligaments and tendons. These treatments build stronger tendons and ligaments that can stabilize the joint structures. With treatment, the weakened soft tissue is healed, and the patient’s pain is reduced or eliminated.\r\n<h2>Types of Regenerative Orthopedics:</h2>\r\n<ul>\r\n 	<li><strong>Prolotherapy </strong>involves injections given into and around the entire painful or injured area. Prolotherapy strengthens ligaments and tendons by inducing repair through stimulating growth factors and boosting the body\'s healing mechanism.</li>\r\n 	<li>PRP involves the injection of the person\'s own platelets. These platelets release growth factors that stimulate recovery in these blood-poor tissue, such as tendons. PRP is great at accelerating the regeneration of soft tissue injuries such as knee meniscus tears.</li>\r\n 	<li><strong>Stem Cell Therapy </strong>describes the use of a person\'s adult mesenchymal stem cells (MSCs) taken from the individual’s bone marrow or adipose (fat) tissue. Stem Cell Therapy is typically done in more advanced cases of joint degeneration or injury.</li>\r\n</ul>\r\n<h2>Regenerative Orthopedics for Chronic Musculoskeletal Pain</h2>\r\nRegenerative Orthopedics provides significant relief of chronic musculoskeletal pain in the neck, back, knee, elbow, foot, hand, shoulder, and wrist. The use of Regenerative Orthopedics results in a decrease in pain and an increase in function.\r\n\r\nThese regenerative therapies are effective for arthritis, ligament injury, tendinopathy,  joint instability, labrum or meniscus injury, joint hypermobility syndrome, and many other musculoskeletal pain conditions.\r\n\r\nRegenerative Orthopedics are viable alternatives to pain medications, NSAIDs, cortisone (steroid) injection, and surgery.\r\n\r\nMusculoskeletal diseases are extremely common causes of pain and result in devastating consequences to millions of people. Non-Surgical Regenerative Orthopedics are effective treatment options that do not just manage pain but effectively repair the underlying source of the pain...the ligament and tendon injuries.\r\n\r\nMany patients come to us tired of ‘managing’ their chronic pain with NSAIDs, narcotic medications, various therapies, and exercises that fail to provide relief. That\'s because they do not get to the root of the problem.\r\n\r\nThe <i>Journal of Prolotherapy</i> says, \"Clinicians make their recommendations to patients on the basis of their knowledge of human physiology in both health and disease. Since most chronic pain results from the degeneration and injury of musculoskeletal structures such as ligaments, tendons, other soft tissues and joints, and the nerves that support them, then regenerative injection therapy (Prolotherapy) makes physiological sense. Prolotherapy should be one of the preferred therapies when clinicians, including doctors, nurses, and other allied health care professionals, discuss treatment options with patients who suffer from musculoskeletal pain.\"2\r\n<h2>Don\'t Just Manage Your Pain, Repair It</h2>\r\nDo you suffer from musculoskeletal pain, such as <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-knee-pain/\">chronic knee pain</a>? <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-shoulder-pain/\">Chronic shoulder pain</a>? <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-neck-pain/\">Chronic neck pain</a>? <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-elbow-pain/\">Chronic elbow pain</a>? If you are afflicted with chronic musculoskeletal pain, Regenerative Orthopedics may be your answer. <a href=\"https://www.drfields.com/contact/\">Contact us for a consultation</a> to see if you are a candidate or to get a second opinion for a recommended surgery. At OrthoRegen®, we want to help you achieve your goals of optimal health and sustained wellness. We will use the most effective and least invasive methods in your treatment. Don\'t just manage your pain; repair it with Regenerative Orthopedics. Call today at 310-453-1234.\r\n<h2>References</h2>\r\n1 Haunschild, Eric D., et al. \"Biologics in shoulder and elbow pathology.\" <i>JSES Reviews, Reports, and Techniques</i> 1.1 (2021): 1-6.\r\n\r\n2 Hauser, RA, Maddela, H., et al. \"Journal of Prolotherapy International Medical Editorial Board Consensus Statement on the Use of Prolotherapy for Musculoskeletal Pain.\"<i>Journal of Prolotherapy.</i> 2011;3(4):744-764.','Chronic Pain Management','','inherit','closed','closed','','5773-revision-v1','','','2023-05-12 21:40:42','2023-05-12 21:40:42','',5773,'https://www.drfields.com/?p=5780',0,'revision','',0),(5781,9,'2023-05-12 21:46:28','2023-05-12 21:46:28','<img class=\"alignright wp-image-5774\" src=\"https://www.drfields.com/wp-content/uploads/2023/05/JSES-Reviews-Reports-and-Techniques.-Musculoskeletal-500x419.png\" alt=\"Chronic Pain Management\" width=\"350\" height=\"293\" />\r\n<h2>Chronic Pain Management:</h2>\r\n<h2>Musculoskeletal Pain</h2>\r\nPain can be defined as a feeling of distress, suffering, or agony caused by the stimulation of specialized nerve endings in the body resulting from injury or disease. Musculoskeletal pain affects the muscles, ligaments, tendons, and bones. When a person suffers from musculoskeletal pain, their quality of life is reduced, and they seek treatment options for chronic pain management.\r\n\r\nAs a person ages, musculoskeletal diseases increase in frequency. Millions of Americans suffer from arthritis, a chronic musculoskeletal disease that often leads to joint replacements.\r\n<h2>What Is Chronic Pain?</h2>\r\nChronic pain is pain that continues or recurs over a prolonged period. Chronic pain, however, can range from mild to severe and last weeks, months, or longer.\r\n\r\nAnother type of pain is acute pain. Acute pain is intense and can last a few seconds to hours or days. This severe pain should wane as healing of the injury or disease occurs.\r\n<h2>What Causes Musculoskeletal Pain?</h2>\r\nPain often acts as a warning that tissues are being damaged. There are different reasons for musculoskeletal pain. Soft tissue, like muscles, tendons, and ligaments, can become damaged by wear and tear from various activities.\r\n\r\nTrauma from falls, accidents, sprains, dislocations, and fractures can also damage musculoskeletal tissue. Musculoskeletal pain can be caused by any trauma to the muscles, ligaments, tendons, bones, and other soft tissue of the joint.\r\n\r\nVery often, the pain in a joint is due to ligament and/or tendon injury. Ligaments and tendons are the main connective tissue structures that stabilize and move joints. Unfortunately, these soft tissue structures have a poor blood supply and often fail to heal completely once injured.\r\n\r\n<strong>That is why an old injury sets into motion a chronic cycle that can rear its head up years later.</strong> Ligament tears and injuries alter joint mechanics. They cause the joint to move abnormally. An injured area remains weak. Month after month, and year after year, that weakened joint, moving abnormally, causes degeneration of the joint.\r\n<h2>How Can Chronic Pain Be Managed?</h2>\r\nRegenerative Orthopedics, including Prolotherapy, PRP, and Stem Cell Therapy, effectively repair the damaged, weakened ligaments and tendons. These treatments build stronger tendons and ligaments that can stabilize the joint structures. With treatment, the weakened soft tissue is healed, and the patient’s pain is reduced or eliminated.\r\n<h2>Types of Regenerative Orthopedics:</h2>\r\n<ul>\r\n 	<li><strong>Prolotherapy </strong>involves injections given into and around the entire painful or injured area. Prolotherapy strengthens ligaments and tendons by inducing repair through stimulating growth factors and boosting the body\'s healing mechanism.</li>\r\n 	<li>PRP involves the injection of the person\'s platelets. These platelets release growth factors that stimulate recovery in blood-poor tissue, such as tendons. PRP is great at accelerating the regeneration of soft tissue injuries such as knee meniscus tears.</li>\r\n 	<li><strong>Stem Cell Therapy </strong>describes the use of a person\'s adult mesenchymal stem cells (MSCs) taken from the individual’s bone marrow or adipose (fat) tissue. Stem Cell Therapy is typically done in more advanced cases of joint degeneration or injury.</li>\r\n</ul>\r\n<h2>Regenerative Orthopedics for Chronic Musculoskeletal Pain</h2>\r\nRegenerative Orthopedics significantly relieves chronic musculoskeletal pain in the neck, back, knee, elbow, foot, hand, shoulder, and wrist. The use of Regenerative Orthopedics results in a decrease in pain and an increase in function.\r\n\r\nThese regenerative therapies are effective for arthritis, ligament injury, tendinopathy,  joint instability, labrum or meniscus injury, joint hypermobility syndrome, and many other musculoskeletal pain conditions.\r\n\r\nRegenerative Orthopedics are viable alternatives to pain medications, NSAIDs, cortisone (steroid) injections, and surgery.\r\n\r\nMusculoskeletal diseases are prevalent causes of pain and have devastating consequences for millions. Non-Surgical Regenerative Orthopedics are effective treatment options that do not just manage pain but effectively repair the underlying source of the pain...the ligament and tendon injuries.\r\n\r\nMany patients come to us tired of ‘managing’ their chronic pain with NSAIDs, narcotic medications, various therapies, and exercises that fail to provide relief. That\'s because they do not get to the root of the problem.\r\n\r\nThe <i>Journal of Prolotherapy</i> says, \"Clinicians make their recommendations to patients on the basis of their knowledge of human physiology in both health and disease. Since most chronic pain results from the degeneration and injury of musculoskeletal structures such as ligaments, tendons, other soft tissues and joints, and the nerves that support them, then regenerative injection therapy (Prolotherapy) makes physiological sense. Prolotherapy should be one of the preferred therapies when clinicians, including doctors, nurses, and other allied health care professionals, discuss treatment options with patients who suffer from musculoskeletal pain.\"2\r\n<h2>Don\'t Just Manage Your Pain, Repair It</h2>\r\nDo you suffer from musculoskeletal pain, such as <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-knee-pain/\">chronic knee pain</a>? <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-shoulder-pain/\">Chronic shoulder pain</a>? <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-neck-pain/\">Chronic neck pain</a>? <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-elbow-pain/\">Chronic elbow pain</a>? If you are afflicted with chronic musculoskeletal pain, Regenerative Orthopedics may be your answer. <a href=\"https://www.drfields.com/contact/\">Contact us for a consultation</a> to see if you are a candidate or to get a second opinion for a recommended surgery. At OrthoRegen®, we want to help you achieve your goals of optimal health and sustained wellness. We will use the most effective and least invasive methods in your treatment. Don\'t just manage your pain; repair it with Regenerative Orthopedics. Call today at 310-453-1234.\r\n<h2>References</h2>\r\n1 Haunschild, Eric D., et al. \"Biologics in shoulder and elbow pathology.\" <i>JSES Reviews, Reports, and Techniques</i> 1.1 (2021): 1-6.\r\n\r\n2 Hauser, RA, Maddela, H., et al. \"Journal of Prolotherapy International Medical Editorial Board Consensus Statement on the Use of Prolotherapy for Musculoskeletal Pain.\"<i>Journal of Prolotherapy.</i> 2011;3(4):744-764.','Chronic Pain Management','','inherit','closed','closed','','5773-revision-v1','','','2023-05-12 21:46:28','2023-05-12 21:46:28','',5773,'https://www.drfields.com/?p=5781',0,'revision','',0),(5783,8,'2023-05-19 09:00:44','2023-05-19 09:00:44','<img class=\"alignright wp-image-5784\" src=\"https://www.drfields.com/wp-content/uploads/2023/05/Arthritis.-Orthopedic-Reviews-500x419.png\" alt=\"Arthritis. Orthopedic Reviews\" width=\"300\" height=\"251\" />\r\n<h2>Regenerative Orthopedics: Alternative Treatments for Arthritis</h2>\r\nArthritis is one of the most common conditions plaguing people worldwide. The annoying arthritis symptoms, like joint pain and stiffness, are a result of the progressive loss of cartilage as the joint degenerates. These symptoms can put a real damper on people\'s lives, hindering the ability to move, slowing down progress, and making it difficult to accomplish desired activities. When common treatments fail, what are alternative treatments for arthritis?\r\n\r\nRegenerative Orthopedics are effective arthritis treatments. At OrthoRegen,® we have seen arthritis sufferers finally get the relief they seek by choosing Prolotherapy, Platelet Rich Plasma, and the Gold Standard in Stem Cell Therapy.\r\n<h2>Why Does Arthritis Even Start in the First Place?</h2>\r\nThere is a reason for the degeneration that is prevalent with arthritis. At some point, the structures of the joint become injured. This injury may have occurred as a traumatic event, such as a sports injury or fall.  Or, the injury transpired over time from wear and tear. Either way, the damage to the joint structures, like the ligaments and tendons, causes the joint to move abnormally. As the joint moves abnormally, friction and pressure are placed on the joint structures, which injures and wears them further.\r\n\r\nImagine a door with loose hinges. The door may now scrape on the floor, leaving grooves on it because the door moves abnormally. Whatever caused the loose hinge, either wear and tear or something/someone banged into it; the result is the same. The door is now unstable, leading to abnormal motion and new wear on the floor.\r\n\r\nThat same process happens to our joints when the stabilizing joint structures, the tendons, and ligaments, are injured. Ligaments become lax once they are injured, and the abnormal motion that takes place begins a cycle that ultimately results in degenerative changes and osteoarthritis.\r\n<h2>Can Joint Motion Be Restored?</h2>\r\nRegenerative Orthopedic therapies, such as Prolotherapy, PRP, and Stem Cells, can restore normal joint motion. The great thing about these treatments is that they are regenerative and restorative. Many other treatments, such as pain medications, only chase arthritic symptoms. They do not repair the underlying problem. These regenerative therapies do! Regenerative Orthopedics repairs the underlying ligament and tendon injury, restore the abnormal joint motion, and stop the degenerative cycle.\r\n<h2>What Does the Research Say about Regenerative Orthopedics as An Alternative Arthritis Treatment?</h2>\r\nStudies show that Regenerative Orthopedics are beneficial alternative arthritis treatments that can bring significant pain relief and healing in degenerated joints.\r\n<h3>Here\'s what some of the studies say:</h3>\r\nResearchers analyzed 1093 patients for the efficacy and safety of intra-articular injections of platelet-rich plasma (PRP) and mesenchymal stem cells (MSCs) in treating knee arthritis. They noted \"beneficial clinical outcomes by means of lowered pain perception and increased physical functionality; therefore, the quality of life in KOA (knee osteoarthritis) patients had been significantly improved.\"1\r\n<h4><em>PRP and Stem Cells as an Alternative Arthritis Treatment</em></h4>\r\nThis study, documented in the journal, <em>Cureus</em>, looked at 30 published medical articles and found that PRP and stem cell injections are effective at repairing tissue, providing pain relief, and restoring function in patients with mild to moderate knee arthritis. Stem Cell injections are more effective at repair in more severely degenerated knees. Both treatments are well tolerated without serious adverse effects observed. Additionally, this study concluded that regenerative medicine injections show superior results compared to hyaluronic acid injections. (1)\r\n<h4><em>Prolotherapy as an Alternative Arthritis Treatment</em></h4>\r\nProlotherapy is a successful treatment option for various musculoskeletal conditions. Physicians commonly choose intra-articular injections, such as cortisone injections, once over-the-counter medications, topicals, and other treatments fail. However, cortisone treatments increase cartilage loss and make the arthritic joint worse. (2)\r\n<h2>Is Prolotherapy an Effective Alternative?</h2>\r\nResearchers in the medical journal <em>Orthopedic Reviews</em> say, \"Numerous clinical trials show significant improvement of osteoarthritic knee pain without any significant side effects reported following the use of prolotherapy. The results consistently show significant improvement in radiographic outcomes, pain scores, and quality of life with prolotherapy treatment. <strong>Prolotherapy appears to be a safe and effective alternative</strong> to physical therapy, surgery, NSAIDs, steroids, and opiates when they fail to provide clinical relief.\"(3)\r\n\r\nA 2023 Indonesian study concluded, \"Prolotherapy effectively improves functional outcomes in all stages of knee osteoarthritis.\"(4)\r\n\r\nAll of the above studies reviewed the effects of Regenerative Orthopedic treatments on knees. <strong>What about other joints?</strong> Hauser et al. reviewed 32 research studies to determine the efficacy of dextrose prolotherapy in chronic musculoskeletal pain. In other words, this team reviewed the effects of regenerative treatment on multiple joint conditions.\r\n<h4>What were the results?</h4>\r\nThe Hauser et al. study demonstrated the effectiveness of Prolotherapy on multiple joints and various types of joint conditions and found, \"Overall, dextrose prolotherapy has been demonstrated to be efficacious and should be considered as a treatment for pain and dysfunction associated with chronic musculoskeletal conditions, particularly tendinopathies, and <strong>osteoarthritis</strong>.\"(5)\r\n<h2>Regenerative Orthopedics at OrthoRegen®</h2>\r\nAt OrthoRegen,® we have been a leader in regenerative treatments, helping arthritis sufferers get pain relief and restore joint function. We have many years of experience in providing regenerative treatments as alternative treatments for arthritis including Prolotherapy, Platelet Rich Plasma, and the Gold Standard in Stem Cell Therapy.  These treatments have helped thousands of patients restore their joint integrity. If arthritis is affecting your knees, back, shoulders, hips, or other joints, please give us a call and make an appointment soon, so you can get back to the activities you love.\r\n<ul>\r\n 	<li>Ip, Hoi Leng, et al. \"Regenerative medicine for knee osteoarthritis–the efficacy and safety of intra-articular platelet-rich plasma and mesenchymal Stem cells injections: a literature review.\" <em>Cureus</em>9 (2020).</li>\r\n 	<li>Zeng C, Lane NE, Hunter DJ, et al. Intra-articular corticosteroids and the risk of knee osteoarthritis progression: results from the Osteoarthritis Initiative. <em>Osteoarthr Cartil</em>. 2019;27(6):855-862.</li>\r\n 	<li>Zhao, Alex Tang, et al. \"A Comprehensive Update of Prolotherapy in the Management of Osteoarthritis of the Knee.\" <em>Orthopedic Reviews</em>4 (2022).</li>\r\n 	<li>Waluyo, Y., Artika, S. R. ., Wahyuni, I. N. ., Adnan, E. ., Budu, &amp; Bukhari, A. . (2023). Functional outcome in knee osteoarthritis after dextrose prolotherapy intervention: A severity-based pilot study. JKKI : Jurnal Kedokteran Dan Kesehatan Indonesia, 14(1), 47–54. <a href=\"https://doi.org/10.20885/JKKI.Vol14.Iss1.art8\">https://doi.org/10.20885/JKKI.Vol14.Iss1.art8</a></li>\r\n 	<li>Hauser, Ross A., et al. \"A systematic review of dextrose prolotherapy for chronic musculoskeletal pain.\" <em>Clinical medicine insights: arthritis and musculoskeletal disorders</em> 9 (2016): CMAMD-S39160.</li>\r\n</ul>','Alternative Treatments for Arthritis','','publish','closed','open','','alternative-treatments-for-arthritis','','','2023-05-26 21:41:25','2023-05-26 21:41:25','',0,'https://www.drfields.com/?p=5783',0,'post','',0),(5784,8,'2023-05-21 16:02:02','2023-05-21 16:02:02','Arthritis. Orthopedic Reviews','Arthritis. Orthopedic Reviews','Arthritis. Orthopedic Reviews','inherit','closed','closed','','arthritis-orthopedic-reviews','','','2023-05-21 16:02:02','2023-05-21 16:02:02','',5783,'https://www.drfields.com/wp-content/uploads/2023/05/Arthritis.-Orthopedic-Reviews.png',0,'attachment','image/png',0),(5785,8,'2023-05-21 16:03:33','2023-05-21 16:03:33','<img class=\"alignright wp-image-5784\" src=\"https://www.drfields.com/wp-content/uploads/2023/05/Arthritis.-Orthopedic-Reviews-500x419.png\" alt=\"Arthritis. Orthopedic Reviews\" width=\"300\" height=\"251\" />\r\n\r\nArthritis is one of the most common conditions plaguing people all over the world. The annoying arthritis symptoms, like joint pain and stiffness, are a result of progressive loss of cartilage as the joint degenerates. These symptoms can put a real damper on people\'s lives, hindering the ability to move, slowing down progress, and making it difficult to accomplish desired activities.\r\n\r\n<strong>Why Does Arthritis Even Start in the First Place?</strong>\r\n\r\nThere is a reason for the degeneration that is prevalent with arthritis. At some point, the structures of the joint become injured. This injury may have occurred as a traumatic event, such as a sports injury or fall; or, the injury transpired over time, from wear and tear. Either way, the injury to the joint structures, like the ligaments and tendons, causes the joint to move abnormally. As the joint moves abnormally, friction and pressure is placed on the joint structures, which injures and wears them further.\r\n\r\nImagine a door with loose hinges. The door may now scrape on the floor, leaving grooves on the floor, because it moves abnormally. Whatever caused the loose hinge, either wear and tear or something/someone banged into it, the result is the same. The door is now unstable, leading to the abnormal motion, and the new wear on the floor.\r\n\r\nThat same process happens to our joints when the stabilizing joint structures, the tendons and ligaments, are injured. Ligaments become lax once they are injured, and the abnormal motion that takes place begins a cycle that ultimately results in degenerative changes and osteoarthritis.\r\n\r\n<strong>Can Joint Motion Be Restored?</strong>\r\n\r\nRegenerative Orthopedic therapies, such as Prolotherapy, PRP, and Stem Cells, can restore normal joint motion. The great thing about these treatments is that they are regenerative and restorative. Many other treatments, such as pain medications, only chase arthritic symptoms. They do not repair the underlying problem. These regenerative therapies do! Regenerative Orthopedics repair the underlying ligament and tendon injury, restore the abnormal joint motion, and stop the degenerative cycle.\r\n\r\n<strong>What Does the Research Say about Regenerative Orthopedics as An Alternative Arthritis Treatment?</strong>\r\n\r\nStudies show that Regenerative Orthopedics are beneficial alternative arthritis treatments that can bring a significant amount of pain relief and healing in degenerated joints.\r\n\r\n<strong>Here\'s what some of the studies say:</strong>\r\n\r\nResearchers analyzed 1093 patients for the efficacy and safety of intra-articular injections of platelet-rich plasma (PRP) and mesenchymal stem cells (MSCs) in the treatments of knee arthritis. They noted \"beneficial clinical outcomes by means of lowered pain perception and increased physical functionality; therefore, the quality of life in KOA (knee osteoarthritis) patients had been significantly improved.\"1\r\n\r\n<em>PRP and Stem Cell as an Alternative Arthritis Treatment</em>\r\n\r\nThis study documented in the journal, <em>Cureus</em>, looked at 30 published medical articles and found that PRP and stem cell injections are both effective at repairing tissue, providing pain relief, and restoring function in patients with mild to moderate knee arthritis. Stem Cell injections are more effective at repair in more severely degenerated knees. Both treatments are well tolerated without serious adverse effects observed. Additionally, this study concluded that regenerative medicine injections show superior results when compared to hyaluronic acid injections. (1)\r\n\r\n<strong><em>Prolotherapy as an Alternative Arthritis Treatment</em></strong>\r\n\r\nProlotherapy has been shown to be a successful treatment option for a variety of musculoskeletal conditions. Physicians commonly choose intra-articular injections, such as cortisone injections, once over-the-counter medications, topicals, and other treatments fail. However, cortisone treatments increase cartilage loss and make the arthritic joint worse.(2)\r\n\r\n<strong><em>Is Prolotherapy an Effective Alternative?</em></strong>\r\n\r\nResearchers in the medical journal <em>Orthopedic Reviews</em> say, \"Numerous clinical trials show significant improvement of osteoarthritic pain of the knee without any significant side effects reported following the use of prolotherapy. The results consistently show significant improvement in radiographic outcomes, pain scores, and quality of life with prolotherapy treatment. <strong>Prolotherapy appears to be a safe and effective alternative</strong> to physical therapy, surgery, NSAIDs, steroids, and opiates when they fail to provide clinical relief.\"(3)\r\n\r\nA 2023 Indonesian study concluded, \"Prolotherapy effectively improves functional outcomes in all stages of knee osteoarthritis.\"(4)\r\n\r\nAll of the above studies reviewed the effects of Regenerative Orthopedic treatments on knees. <strong>What about other joints?</strong> Hauser et al reviewed 32 research studies to determine the efficacy of dextrose prolotherapy in chronic musculoskeletal pain. In other words, this team reviewed the effects of regenerative treatment on multiple joint conditions.\r\n\r\n<strong>What were the results?</strong>\r\n\r\nThe Hauser et al study demonstrated the effectiveness of Prolotherapy on multiple joints and various types of joint conditions and found, \"Overall, dextrose prolotherapy has been demonstrated to be efficacious and should be considered as a treatment for pain and dysfunction associated with chronic musculoskeletal conditions, particularly tendinopathies and <strong>osteoarthritis</strong>.\"(5)\r\n\r\n<strong>Regenerative Orthopedics at OrthoRegen®</strong>\r\n\r\nAt OrthoRegen,® we have been a leader in regenerative treatments, helping arthritis sufferers get pain relief and restoration of joint function. We have many years of experience in providing regenerative treatments including Prolotherapy, Platelet Rich Plasma, and the Gold Standard in Stem Cell Therapy.  These treatments have helped thousands of patients with the restoration of their joint integrity. If arthritis is affecting your knees, back, shoulders, hips, or other joints, please give us a call and make an appointment soon, so you can get back to the activities you love.\r\n<ul>\r\n 	<li>Ip, Hoi Leng, et al. \"Regenerative medicine for knee osteoarthritis–the efficacy and safety of intra-articular platelet-rich plasma and mesenchymal Stem cells injections: a literature review.\" <em>Cureus</em>9 (2020).</li>\r\n 	<li>Zeng C, Lane NE, Hunter DJ, et al. Intra-articular corticosteroids and the risk of knee osteoarthritis progression: results from the Osteoarthritis Initiative. <em>Osteoarthr Cartil</em>. 2019;27(6):855-862.</li>\r\n 	<li>Zhao, Alex Tang, et al. \"A Comprehensive Update of Prolotherapy in the Management of Osteoarthritis of the Knee.\" <em>Orthopedic Reviews</em>4 (2022).</li>\r\n 	<li>Waluyo, Y., Artika, S. R. ., Wahyuni, I. N. ., Adnan, E. ., Budu, &amp; Bukhari, A. . (2023). Functional outcome in knee osteoarthritis after dextrose prolotherapy intervention: A severity-based pilot study. JKKI : Jurnal Kedokteran Dan Kesehatan Indonesia, 14(1), 47–54. <a href=\"https://doi.org/10.20885/JKKI.Vol14.Iss1.art8\">https://doi.org/10.20885/JKKI.Vol14.Iss1.art8</a></li>\r\n 	<li>Hauser, Ross A., et al. \"A systematic review of dextrose prolotherapy for chronic musculoskeletal pain.\" <em>Clinical medicine insights: arthritis and musculoskeletal disorders</em> 9 (2016): CMAMD-S39160.</li>\r\n</ul>','','','inherit','closed','closed','','5783-revision-v1','','','2023-05-21 16:03:33','2023-05-21 16:03:33','',5783,'https://www.drfields.com/?p=5785',0,'revision','',0),(5786,8,'2023-05-21 16:03:52','2023-05-21 16:03:52','<img class=\"alignright wp-image-5784\" src=\"https://www.drfields.com/wp-content/uploads/2023/05/Arthritis.-Orthopedic-Reviews-500x419.png\" alt=\"Arthritis. Orthopedic Reviews\" width=\"300\" height=\"251\" />\r\n\r\nArthritis is one of the most common conditions plaguing people all over the world. The annoying arthritis symptoms, like joint pain and stiffness, are a result of progressive loss of cartilage as the joint degenerates. These symptoms can put a real damper on people\'s lives, hindering the ability to move, slowing down progress, and making it difficult to accomplish desired activities.\r\n\r\n<strong>Why Does Arthritis Even Start in the First Place?</strong>\r\n\r\nThere is a reason for the degeneration that is prevalent with arthritis. At some point, the structures of the joint become injured. This injury may have occurred as a traumatic event, such as a sports injury or fall; or, the injury transpired over time, from wear and tear. Either way, the injury to the joint structures, like the ligaments and tendons, causes the joint to move abnormally. As the joint moves abnormally, friction and pressure is placed on the joint structures, which injures and wears them further.\r\n\r\nImagine a door with loose hinges. The door may now scrape on the floor, leaving grooves on the floor, because it moves abnormally. Whatever caused the loose hinge, either wear and tear or something/someone banged into it, the result is the same. The door is now unstable, leading to the abnormal motion, and the new wear on the floor.\r\n\r\nThat same process happens to our joints when the stabilizing joint structures, the tendons and ligaments, are injured. Ligaments become lax once they are injured, and the abnormal motion that takes place begins a cycle that ultimately results in degenerative changes and osteoarthritis.\r\n\r\n<strong>Can Joint Motion Be Restored?</strong>\r\n\r\nRegenerative Orthopedic therapies, such as Prolotherapy, PRP, and Stem Cells, can restore normal joint motion. The great thing about these treatments is that they are regenerative and restorative. Many other treatments, such as pain medications, only chase arthritic symptoms. They do not repair the underlying problem. These regenerative therapies do! Regenerative Orthopedics repair the underlying ligament and tendon injury, restore the abnormal joint motion, and stop the degenerative cycle.\r\n\r\n<strong>What Does the Research Say about Regenerative Orthopedics as An Alternative Arthritis Treatment?</strong>\r\n\r\nStudies show that Regenerative Orthopedics are beneficial alternative arthritis treatments that can bring a significant amount of pain relief and healing in degenerated joints.\r\n\r\n<strong>Here\'s what some of the studies say:</strong>\r\n\r\nResearchers analyzed 1093 patients for the efficacy and safety of intra-articular injections of platelet-rich plasma (PRP) and mesenchymal stem cells (MSCs) in the treatments of knee arthritis. They noted \"beneficial clinical outcomes by means of lowered pain perception and increased physical functionality; therefore, the quality of life in KOA (knee osteoarthritis) patients had been significantly improved.\"1\r\n\r\n<em>PRP and Stem Cell as an Alternative Arthritis Treatment</em>\r\n\r\nThis study documented in the journal, <em>Cureus</em>, looked at 30 published medical articles and found that PRP and stem cell injections are both effective at repairing tissue, providing pain relief, and restoring function in patients with mild to moderate knee arthritis. Stem Cell injections are more effective at repair in more severely degenerated knees. Both treatments are well tolerated without serious adverse effects observed. Additionally, this study concluded that regenerative medicine injections show superior results when compared to hyaluronic acid injections. (1)\r\n\r\n<strong><em>Prolotherapy as an Alternative Arthritis Treatment</em></strong>\r\n\r\nProlotherapy has been shown to be a successful treatment option for a variety of musculoskeletal conditions. Physicians commonly choose intra-articular injections, such as cortisone injections, once over-the-counter medications, topicals, and other treatments fail. However, cortisone treatments increase cartilage loss and make the arthritic joint worse.(2)\r\n\r\n<strong><em>Is Prolotherapy an Effective Alternative?</em></strong>\r\n\r\nResearchers in the medical journal <em>Orthopedic Reviews</em> say, \"Numerous clinical trials show significant improvement of osteoarthritic pain of the knee without any significant side effects reported following the use of prolotherapy. The results consistently show significant improvement in radiographic outcomes, pain scores, and quality of life with prolotherapy treatment. <strong>Prolotherapy appears to be a safe and effective alternative</strong> to physical therapy, surgery, NSAIDs, steroids, and opiates when they fail to provide clinical relief.\"(3)\r\n\r\nA 2023 Indonesian study concluded, \"Prolotherapy effectively improves functional outcomes in all stages of knee osteoarthritis.\"(4)\r\n\r\nAll of the above studies reviewed the effects of Regenerative Orthopedic treatments on knees. <strong>What about other joints?</strong> Hauser et al reviewed 32 research studies to determine the efficacy of dextrose prolotherapy in chronic musculoskeletal pain. In other words, this team reviewed the effects of regenerative treatment on multiple joint conditions.\r\n\r\n<strong>What were the results?</strong>\r\n\r\nThe Hauser et al study demonstrated the effectiveness of Prolotherapy on multiple joints and various types of joint conditions and found, \"Overall, dextrose prolotherapy has been demonstrated to be efficacious and should be considered as a treatment for pain and dysfunction associated with chronic musculoskeletal conditions, particularly tendinopathies and <strong>osteoarthritis</strong>.\"(5)\r\n\r\n<strong>Regenerative Orthopedics at OrthoRegen®</strong>\r\n\r\nAt OrthoRegen,® we have been a leader in regenerative treatments, helping arthritis sufferers get pain relief and restoration of joint function. We have many years of experience in providing regenerative treatments including Prolotherapy, Platelet Rich Plasma, and the Gold Standard in Stem Cell Therapy.  These treatments have helped thousands of patients with the restoration of their joint integrity. If arthritis is affecting your knees, back, shoulders, hips, or other joints, please give us a call and make an appointment soon, so you can get back to the activities you love.\r\n<ul>\r\n 	<li>Ip, Hoi Leng, et al. \"Regenerative medicine for knee osteoarthritis–the efficacy and safety of intra-articular platelet-rich plasma and mesenchymal Stem cells injections: a literature review.\" <em>Cureus</em>9 (2020).</li>\r\n 	<li>Zeng C, Lane NE, Hunter DJ, et al. Intra-articular corticosteroids and the risk of knee osteoarthritis progression: results from the Osteoarthritis Initiative. <em>Osteoarthr Cartil</em>. 2019;27(6):855-862.</li>\r\n 	<li>Zhao, Alex Tang, et al. \"A Comprehensive Update of Prolotherapy in the Management of Osteoarthritis of the Knee.\" <em>Orthopedic Reviews</em>4 (2022).</li>\r\n 	<li>Waluyo, Y., Artika, S. R. ., Wahyuni, I. N. ., Adnan, E. ., Budu, &amp; Bukhari, A. . (2023). Functional outcome in knee osteoarthritis after dextrose prolotherapy intervention: A severity-based pilot study. JKKI : Jurnal Kedokteran Dan Kesehatan Indonesia, 14(1), 47–54. <a href=\"https://doi.org/10.20885/JKKI.Vol14.Iss1.art8\">https://doi.org/10.20885/JKKI.Vol14.Iss1.art8</a></li>\r\n 	<li>Hauser, Ross A., et al. \"A systematic review of dextrose prolotherapy for chronic musculoskeletal pain.\" <em>Clinical medicine insights: arthritis and musculoskeletal disorders</em> 9 (2016): CMAMD-S39160.</li>\r\n</ul>','Alternative Treatment for Arthritis','','inherit','closed','closed','','5783-revision-v1','','','2023-05-21 16:03:52','2023-05-21 16:03:52','',5783,'https://www.drfields.com/?p=5786',0,'revision','',0),(5787,8,'2023-05-21 16:05:18','2023-05-21 16:05:18','<div class=\"clear\"></div>\r\n<div id=\"slider\">\r\n<div class=\"owl-carousel slider-carousel\">\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/12/Slider-2-v3-261222.jpg\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/Slider-v1-021120.jpg\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-santa-monica-pier-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">New Article:</span>\r\n<span class=\"header_text_second\">Keep Looking Forward Despite COVID-19</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dealing-with-covid-19/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-11.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/0_header-orthoregen-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Get Back In The Game!</span>\r\n<span class=\"header_text_second\">Avoid Joint and Spine Surgery </span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">Stem Cell/PRP/Prolotherapy</span>\r\n<a class=\"btn-more\" title=\"Get Help Now!\" href=\"Contact-Us\"> Get Help Now!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item slide-article\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-ocean-mountains-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_second\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/0_Kili-top-header-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\" style=\"text-align: left;\"><span class=\"header_text_first\">Congratulations\r\nPeter A. Fields, MD, DC</span>\r\n<span class=\"header_text_second\">The Athletic Doc<sup>®</sup>\r\nsuccessfully climbed</span>\r\n<span class=\"header_text_third white-text\">Mt. Kilimanjaro in\r\nTanzania, Africa.19,341 feet!!!</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/report-of-my-kilimanjaro-climb/\">Read More</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/Sider-01-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Peter A. Fields, MD, DC\r\nThe Athletic Doc<sup>®</sup></span>\r\n<span class=\"header_text_second\">Completed His 11th Ironman</span>\r\n<span class=\"header_text_third\">Sunday, November 24th in Cozumel Mexico</span>\r\n<a class=\"btn-more\" title=\"Read More\" href=\"#\">Images &amp; Story Coming Soon</a></div>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"jumbotron-fluid\">\r\n<div class=\"row\">\r\n<div class=\"col-md-4 box1\">\r\n\r\nWhat\'s\r\n<h3>New</h3>\r\n<ul>\r\n 	<li><a href=\"/uncategorized/alternative-treatment-for-arthritis/\">Alternative Treatment for Arthritis</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/chronic-pain-management/\">Chronic Pain Management</a></li>\r\n 	<li><a href=\"/articles/meniscus-tear-treatment/\">Meniscus Tear Treatment</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/neck-pain-treatment/\">Neck Pain Treatment</a></li>\r\n 	<li><a href=\"/uncategorized/knee-replacement-failure/\">Knee Replacement Failure</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/best-treatments-for-low-back-pain/\">Best Treatments For Low Back Pain</a></li>\r\n 	<li><a href=\"https://www.drfields.com/uncategorized/arthritis-knee-treatment/\">Arthritis Knee Treatment</a></li></ul>\r\n</div>\r\n<div id=\"testimonials\" class=\"col-md-4 box2\">\r\n\r\nPatient\r\n<h3>Testimonials</h3>\r\n<strong>Video:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I wished I had come earlier and listened to what my physical therapist had told me to do because Dr. Fields has been a real solution for me.\"\r\n\r\n<img class=\"testimonial-img\" title=\"Testimonial\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-larry.png\" alt=\"Testimonial\" />\r\n<h3>Larry</h3>\r\n<h4>Stem Cell Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I highly recommend it to anyone who needs to recover fast and get back out there.\"\r\n\r\n<img class=\"testimonial-img\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-christopher.png\" alt=\"\" />\r\n<h3>Chris, Pro Basketball Player</h3>\r\n<h4>PRP Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"Now I can go walking, I go to my ballet class and I’m a happy camper because of Dr. Fields.\"\r\n\r\n<img class=\"testimonial-img\" title=\"\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-mary.png\" alt=\"Testimonial\" />\r\n<h3>Mary</h3>\r\n<h4>Stem Cell Hip</h4>\r\n</div>\r\n</div>\r\n<strong>Written:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I need to say a big thank you to Dr Fields for getting me back on the tennis court. I am an avid tennis player who tried to ignore the terrible pain in my elbow.\"\r\n<h3 style=\"margin-left: 0;\">Mindy</h3>\r\n<h4 style=\"margin-left: 0;\">Elbow</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I chose Dr. Peter Fields because he is an athlete and would have more direct knowledge of my particular circumstances than anyone else.\"\r\n<h3 style=\"margin-left: 0;\">Robert</h3>\r\n<h4 style=\"margin-left: 0;\">Shoulder</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"After the final treatments ended I am still without all the pain and have more muscle strength in my legs.\"\r\n<h3 style=\"margin-left: 0;\">Lois</h3>\r\n<h4 style=\"margin-left: 0;\">Knee</h4>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"col-md-4 box3\">\r\n\r\nNews &amp;\r\n<h3>Events</h3>\r\n<ul>\r\n 	<li><a href=\"https://www.drfields.com/articles/health-news/dr-fields-to-lecture-in-mexico-city-on-july-9th/\">Peter A. Fields, MD, DC to lecture in Mexico City on July 9th</a></li>\r\n 	<li><a class=\"buttonlink\" style=\"width: 100%; font-size: 24px; text-align: center; padding: 25px 8%;\" href=\"https://www.drfields.com/contact/\"> Are you a Stem Cell Candidate?</a></li>\r\n</ul>\r\n</div>\r\n</div>\r\n</div>\r\n<div id=\"search-articles\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n<h2 class=\"text-center\">Search <b>Dr. Fields\'</b> Articles</h2>\r\n<form id=\"searchform\" action=\"/\" method=\"get\"><input class=\"search-field\" name=\"s\" type=\"text\" placeholder=\"What\'s Your Condition?\" />\r\n<input type=\"submit\" value=\"Search\" /></form></div>\r\n</div>\r\n</div>\r\n<div id=\"intro\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n<h1 class=\"text-center\">Welcome to OrthoRegen<sup>®</sup>!</h1>\r\n<p class=\"intro_text welcome\"><a href=\"http://orthoregen.com\"><span style=\"font-size: 26px;\">OrthoRegen<sup>®</sup></span></a> is dedicated to providing the best of <span class=\"nowrap\">Regenerative Orthopedics</span> by offering non-surgical alternatives for joint and spine repair</p>\r\n<a class=\"primaryButton\" title=\"Read More About U\" href=\"https://www.drfields.com/about/orthoregen-our-philosophy/\">Read More About Us</a>\r\n<a id=\"candidateButton\" title=\"Are you a good candidate?\" href=\"/contact/\">Are you a good candidate?</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"about\">\r\n<div class=\"col-md-5 drfields\"><img class=\"alignnone\" title=\"Regenerative Orthopedics Leader\" src=\"https://www.drfields.com/wp-content/uploads/2022/11/dr-fields-v1-021120.png\" alt=\"Regenerative Orthopedics Leader\" width=\"460\" height=\"737\" /></div>\r\n<div class=\"col-md-7 about_holder\">\r\n<h1>Peter A. Fields, <span class=\"nowrap\">MD, DC</span></h1>\r\n<p class=\"intro_text\">Medical Physician and Chiropractor\r\nThe Athletic Doc<sup>®</sup> - 11x Ironman Triathlete</p>\r\n\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"icon info\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-info.png\" alt=\"icon info\" /></div>\r\n<div class=\"about_text\">\r\n<h3>About</h3>\r\nPeter A. Fields, MD, DC is one of a handful of physicians in the nation with both medical and chiropractic degrees...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/dr-fields-bio/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"Man Icon\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-ironman.png\" alt=\"Man Icon\" /></div>\r\n<div class=\"about_text\">\r\n<h3>11x Ironman</h3>\r\nDr. Peter A. Fields is also known as The Athletic Doc<sup>®</sup> He not only treats athletes in his practice but is an athlete himself. For over...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n&nbsp;\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Call Us Today! 310-453-1234</a>','Home','','inherit','closed','closed','','2109-revision-v1','','','2023-05-21 16:05:18','2023-05-21 16:05:18','',2109,'https://www.drfields.com/?p=5787',0,'revision','',0),(5788,8,'2023-05-23 03:49:11','2023-05-23 03:49:11','<img class=\"alignright wp-image-5784\" src=\"https://www.drfields.com/wp-content/uploads/2023/05/Arthritis.-Orthopedic-Reviews-500x419.png\" alt=\"Arthritis. Orthopedic Reviews\" width=\"300\" height=\"251\" />\n\nArthritis is one of the most common conditions plaguing people all over the world. The annoying arthritis symptoms, like joint pain and stiffness, are a result of progressive loss of cartilage as the joint degenerates. These symptoms can put a real damper on people\'s lives, hindering the ability to move, slowing down progress, and making it difficult to accomplish desired activities.\n<h2>Why Does Arthritis Even Start in the First Place?</h2>\nThere is a reason for the degeneration that is prevalent with arthritis. At some point, the structures of the joint become injured. This injury may have occurred as a traumatic event, such as a sports injury or fall; or, the injury transpired over time, from wear and tear. Either way, the injury to the joint structures, like the ligaments and tendons, causes the joint to move abnormally. As the joint moves abnormally, friction and pressure is placed on the joint structures, which injures and wears them further.\n\nImagine a door with loose hinges. The door may now scrape on the floor, leaving grooves on the floor, because it moves abnormally. Whatever caused the loose hinge, either wear and tear or something/someone banged into it, the result is the same. The door is now unstable, leading to the abnormal motion, and the new wear on the floor.\n\nThat same process happens to our joints when the stabilizing joint structures, the tendons and ligaments, are injured. Ligaments become lax once they are injured, and the abnormal motion that takes place begins a cycle that ultimately results in degenerative changes and osteoarthritis.\n<h2>Can Joint Motion Be Restored?</h2>\nRegenerative Orthopedic therapies, such as Prolotherapy, PRP, and Stem Cells, can restore normal joint motion. The great thing about these treatments is that they are regenerative and restorative. Many other treatments, such as pain medications, only chase arthritic symptoms. They do not repair the underlying problem. These regenerative therapies do! Regenerative Orthopedics repair the underlying ligament and tendon injury, restore the abnormal joint motion, and stop the degenerative cycle.\n<h2>What Does the Research Say about Regenerative Orthopedics as An Alternative Arthritis Treatment?</h2>\nStudies show that Regenerative Orthopedics are beneficial alternative arthritis treatments that can bring a significant amount of pain relief and healing in degenerated joints.\n<h2>Here\'s what some of the studies say:</h2>\nResearchers analyzed 1093 patients for the efficacy and safety of intra-articular injections of platelet-rich plasma (PRP) and mesenchymal stem cells (MSCs) in the treatments of knee arthritis. They noted \"beneficial clinical outcomes by means of lowered pain perception and increased physical functionality; therefore, the quality of life in KOA (knee osteoarthritis) patients had been significantly improved.\"1\n\n<em>PRP and Stem Cell as an Alternative Arthritis Treatment</em>\n\nThis study documented in the journal, <em>Cureus</em>, looked at 30 published medical articles and found that PRP and stem cell injections are both effective at repairing tissue, providing pain relief, and restoring function in patients with mild to moderate knee arthritis. Stem Cell injections are more effective at repair in more severely degenerated knees. Both treatments are well tolerated without serious adverse effects observed. Additionally, this study concluded that regenerative medicine injections show superior results when compared to hyaluronic acid injections. (1)\n\n<strong><em>Prolotherapy as an Alternative Arthritis Treatment</em></strong>\n\nProlotherapy has been shown to be a successful treatment option for a variety of musculoskeletal conditions. Physicians commonly choose intra-articular injections, such as cortisone injections, once over-the-counter medications, topicals, and other treatments fail. However, cortisone treatments increase cartilage loss and make the arthritic joint worse.(2)\n<h2>Is Prolotherapy an Effective Alternative?</h2>\nResearchers in the medical journal <em>Orthopedic Reviews</em> say, \"Numerous clinical trials show significant improvement of osteoarthritic pain of the knee without any significant side effects reported following the use of prolotherapy. The results consistently show significant improvement in radiographic outcomes, pain scores, and quality of life with prolotherapy treatment. <strong>Prolotherapy appears to be a safe and effective alternative</strong> to physical therapy, surgery, NSAIDs, steroids, and opiates when they fail to provide clinical relief.\"(3)\n\nA 2023 Indonesian study concluded, \"Prolotherapy effectively improves functional outcomes in all stages of knee osteoarthritis.\"(4)\n\nAll of the above studies reviewed the effects of Regenerative Orthopedic treatments on knees. <strong>What about other joints?</strong> Hauser et al reviewed 32 research studies to determine the efficacy of dextrose prolotherapy in chronic musculoskeletal pain. In other words, this team reviewed the effects of regenerative treatment on multiple joint conditions.\n<h2>What were the results?</h2>\nThe Hauser et al study demonstrated the effectiveness of Prolotherapy on multiple joints and various types of joint conditions and found, \"Overall, dextrose prolotherapy has been demonstrated to be efficacious and should be considered as a treatment for pain and dysfunction associated with chronic musculoskeletal conditions, particularly tendinopathies and <strong>osteoarthritis</strong>.\"(5)\n<h2>Regenerative Orthopedics at OrthoRegen®</h2>\nAt OrthoRegen,® we have been a leader in regenerative treatments, helping arthritis sufferers get pain relief and restoration of joint function. We have many years of experience in providing regenerative treatments including Prolotherapy, Platelet Rich Plasma, and the Gold Standard in Stem Cell Therapy.  These treatments have helped thousands of patients with the restoration of their joint integrity. If arthritis is affecting your knees, back, shoulders, hips, or other joints, please give us a call and make an appointment soon, so you can get back to the activities you love.\n<ul>\n 	<li>Ip, Hoi Leng, et al. \"Regenerative medicine for knee osteoarthritis–the efficacy and safety of intra-articular platelet-rich plasma and mesenchymal Stem cells injections: a literature review.\" <em>Cureus</em>9 (2020).</li>\n 	<li>Zeng C, Lane NE, Hunter DJ, et al. Intra-articular corticosteroids and the risk of knee osteoarthritis progression: results from the Osteoarthritis Initiative. <em>Osteoarthr Cartil</em>. 2019;27(6):855-862.</li>\n 	<li>Zhao, Alex Tang, et al. \"A Comprehensive Update of Prolotherapy in the Management of Osteoarthritis of the Knee.\" <em>Orthopedic Reviews</em>4 (2022).</li>\n 	<li>Waluyo, Y., Artika, S. R. ., Wahyuni, I. N. ., Adnan, E. ., Budu, &amp; Bukhari, A. . (2023). Functional outcome in knee osteoarthritis after dextrose prolotherapy intervention: A severity-based pilot study. JKKI : Jurnal Kedokteran Dan Kesehatan Indonesia, 14(1), 47–54. <a href=\"https://doi.org/10.20885/JKKI.Vol14.Iss1.art8\">https://doi.org/10.20885/JKKI.Vol14.Iss1.art8</a></li>\n 	<li>Hauser, Ross A., et al. \"A systematic review of dextrose prolotherapy for chronic musculoskeletal pain.\" <em>Clinical medicine insights: arthritis and musculoskeletal disorders</em> 9 (2016): CMAMD-S39160.</li>\n</ul>','Alternative Treatment for Arthritis','','inherit','closed','closed','','5783-autosave-v1','','','2023-05-23 03:49:11','2023-05-23 03:49:11','',5783,'https://www.drfields.com/?p=5788',0,'revision','',0),(5789,8,'2023-05-23 03:49:21','2023-05-23 03:49:21','<img class=\"alignright wp-image-5784\" src=\"https://www.drfields.com/wp-content/uploads/2023/05/Arthritis.-Orthopedic-Reviews-500x419.png\" alt=\"Arthritis. Orthopedic Reviews\" width=\"300\" height=\"251\" />\r\n\r\nArthritis is one of the most common conditions plaguing people all over the world. The annoying arthritis symptoms, like joint pain and stiffness, are a result of progressive loss of cartilage as the joint degenerates. These symptoms can put a real damper on people\'s lives, hindering the ability to move, slowing down progress, and making it difficult to accomplish desired activities.\r\n<h2>Why Does Arthritis Even Start in the First Place?</h2>\r\nThere is a reason for the degeneration that is prevalent with arthritis. At some point, the structures of the joint become injured. This injury may have occurred as a traumatic event, such as a sports injury or fall; or, the injury transpired over time, from wear and tear. Either way, the injury to the joint structures, like the ligaments and tendons, causes the joint to move abnormally. As the joint moves abnormally, friction and pressure is placed on the joint structures, which injures and wears them further.\r\n\r\nImagine a door with loose hinges. The door may now scrape on the floor, leaving grooves on the floor, because it moves abnormally. Whatever caused the loose hinge, either wear and tear or something/someone banged into it, the result is the same. The door is now unstable, leading to the abnormal motion, and the new wear on the floor.\r\n\r\nThat same process happens to our joints when the stabilizing joint structures, the tendons and ligaments, are injured. Ligaments become lax once they are injured, and the abnormal motion that takes place begins a cycle that ultimately results in degenerative changes and osteoarthritis.\r\n<h2>Can Joint Motion Be Restored?</h2>\r\nRegenerative Orthopedic therapies, such as Prolotherapy, PRP, and Stem Cells, can restore normal joint motion. The great thing about these treatments is that they are regenerative and restorative. Many other treatments, such as pain medications, only chase arthritic symptoms. They do not repair the underlying problem. These regenerative therapies do! Regenerative Orthopedics repair the underlying ligament and tendon injury, restore the abnormal joint motion, and stop the degenerative cycle.\r\n<h2>What Does the Research Say about Regenerative Orthopedics as An Alternative Arthritis Treatment?</h2>\r\nStudies show that Regenerative Orthopedics are beneficial alternative arthritis treatments that can bring a significant amount of pain relief and healing in degenerated joints.\r\n<h2>Here\'s what some of the studies say:</h2>\r\nResearchers analyzed 1093 patients for the efficacy and safety of intra-articular injections of platelet-rich plasma (PRP) and mesenchymal stem cells (MSCs) in the treatments of knee arthritis. They noted \"beneficial clinical outcomes by means of lowered pain perception and increased physical functionality; therefore, the quality of life in KOA (knee osteoarthritis) patients had been significantly improved.\"1\r\n\r\n<em>PRP and Stem Cell as an Alternative Arthritis Treatment</em>\r\n\r\nThis study documented in the journal, <em>Cureus</em>, looked at 30 published medical articles and found that PRP and stem cell injections are both effective at repairing tissue, providing pain relief, and restoring function in patients with mild to moderate knee arthritis. Stem Cell injections are more effective at repair in more severely degenerated knees. Both treatments are well tolerated without serious adverse effects observed. Additionally, this study concluded that regenerative medicine injections show superior results when compared to hyaluronic acid injections. (1)\r\n<h2>Prolotherapy as an Alternative Arthritis Treatment</h2>\r\nProlotherapy has been shown to be a successful treatment option for a variety of musculoskeletal conditions. Physicians commonly choose intra-articular injections, such as cortisone injections, once over-the-counter medications, topicals, and other treatments fail. However, cortisone treatments increase cartilage loss and make the arthritic joint worse.(2)\r\n<h2>Is Prolotherapy an Effective Alternative?</h2>\r\nResearchers in the medical journal <em>Orthopedic Reviews</em> say, \"Numerous clinical trials show significant improvement of osteoarthritic pain of the knee without any significant side effects reported following the use of prolotherapy. The results consistently show significant improvement in radiographic outcomes, pain scores, and quality of life with prolotherapy treatment. <strong>Prolotherapy appears to be a safe and effective alternative</strong> to physical therapy, surgery, NSAIDs, steroids, and opiates when they fail to provide clinical relief.\"(3)\r\n\r\nA 2023 Indonesian study concluded, \"Prolotherapy effectively improves functional outcomes in all stages of knee osteoarthritis.\"(4)\r\n\r\nAll of the above studies reviewed the effects of Regenerative Orthopedic treatments on knees. <strong>What about other joints?</strong> Hauser et al reviewed 32 research studies to determine the efficacy of dextrose prolotherapy in chronic musculoskeletal pain. In other words, this team reviewed the effects of regenerative treatment on multiple joint conditions.\r\n<h2>What were the results?</h2>\r\nThe Hauser et al study demonstrated the effectiveness of Prolotherapy on multiple joints and various types of joint conditions and found, \"Overall, dextrose prolotherapy has been demonstrated to be efficacious and should be considered as a treatment for pain and dysfunction associated with chronic musculoskeletal conditions, particularly tendinopathies and <strong>osteoarthritis</strong>.\"(5)\r\n<h2>Regenerative Orthopedics at OrthoRegen®</h2>\r\nAt OrthoRegen,® we have been a leader in regenerative treatments, helping arthritis sufferers get pain relief and restoration of joint function. We have many years of experience in providing regenerative treatments including Prolotherapy, Platelet Rich Plasma, and the Gold Standard in Stem Cell Therapy.  These treatments have helped thousands of patients with the restoration of their joint integrity. If arthritis is affecting your knees, back, shoulders, hips, or other joints, please give us a call and make an appointment soon, so you can get back to the activities you love.\r\n<ul>\r\n 	<li>Ip, Hoi Leng, et al. \"Regenerative medicine for knee osteoarthritis–the efficacy and safety of intra-articular platelet-rich plasma and mesenchymal Stem cells injections: a literature review.\" <em>Cureus</em>9 (2020).</li>\r\n 	<li>Zeng C, Lane NE, Hunter DJ, et al. Intra-articular corticosteroids and the risk of knee osteoarthritis progression: results from the Osteoarthritis Initiative. <em>Osteoarthr Cartil</em>. 2019;27(6):855-862.</li>\r\n 	<li>Zhao, Alex Tang, et al. \"A Comprehensive Update of Prolotherapy in the Management of Osteoarthritis of the Knee.\" <em>Orthopedic Reviews</em>4 (2022).</li>\r\n 	<li>Waluyo, Y., Artika, S. R. ., Wahyuni, I. N. ., Adnan, E. ., Budu, &amp; Bukhari, A. . (2023). Functional outcome in knee osteoarthritis after dextrose prolotherapy intervention: A severity-based pilot study. JKKI : Jurnal Kedokteran Dan Kesehatan Indonesia, 14(1), 47–54. <a href=\"https://doi.org/10.20885/JKKI.Vol14.Iss1.art8\">https://doi.org/10.20885/JKKI.Vol14.Iss1.art8</a></li>\r\n 	<li>Hauser, Ross A., et al. \"A systematic review of dextrose prolotherapy for chronic musculoskeletal pain.\" <em>Clinical medicine insights: arthritis and musculoskeletal disorders</em> 9 (2016): CMAMD-S39160.</li>\r\n</ul>','Alternative Treatment for Arthritis','','inherit','closed','closed','','5783-revision-v1','','','2023-05-23 03:49:21','2023-05-23 03:49:21','',5783,'https://www.drfields.com/?p=5789',0,'revision','',0),(5790,8,'2023-05-23 03:50:12','2023-05-23 03:50:12','<div class=\"clear\"></div>\r\n<div id=\"slider\">\r\n<div class=\"owl-carousel slider-carousel\">\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/12/Slider-2-v3-261222.jpg\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/Slider-v1-021120.jpg\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-santa-monica-pier-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">New Article:</span>\r\n<span class=\"header_text_second\">Keep Looking Forward Despite COVID-19</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dealing-with-covid-19/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-11.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/0_header-orthoregen-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Get Back In The Game!</span>\r\n<span class=\"header_text_second\">Avoid Joint and Spine Surgery </span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">Stem Cell/PRP/Prolotherapy</span>\r\n<a class=\"btn-more\" title=\"Get Help Now!\" href=\"Contact-Us\"> Get Help Now!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item slide-article\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-ocean-mountains-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_second\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/0_Kili-top-header-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\" style=\"text-align: left;\"><span class=\"header_text_first\">Congratulations\r\nPeter A. Fields, MD, DC</span>\r\n<span class=\"header_text_second\">The Athletic Doc<sup>®</sup>\r\nsuccessfully climbed</span>\r\n<span class=\"header_text_third white-text\">Mt. Kilimanjaro in\r\nTanzania, Africa.19,341 feet!!!</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/report-of-my-kilimanjaro-climb/\">Read More</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/Sider-01-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Peter A. Fields, MD, DC\r\nThe Athletic Doc<sup>®</sup></span>\r\n<span class=\"header_text_second\">Completed His 11th Ironman</span>\r\n<span class=\"header_text_third\">Sunday, November 24th in Cozumel Mexico</span>\r\n<a class=\"btn-more\" title=\"Read More\" href=\"#\">Images &amp; Story Coming Soon</a></div>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"jumbotron-fluid\">\r\n<div class=\"row\">\r\n<div class=\"col-md-4 box1\">\r\n\r\nWhat\'s\r\n<h3>New</h3>\r\n<ul>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/alternative-treatment-for-arthritis/\">Alternative Treatment for Arthritis</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/chronic-pain-management/\">Chronic Pain Management</a></li>\r\n 	<li><a href=\"/articles/meniscus-tear-treatment/\">Meniscus Tear Treatment</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/neck-pain-treatment/\">Neck Pain Treatment</a></li>\r\n 	<li><a href=\"/uncategorized/knee-replacement-failure/\">Knee Replacement Failure</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/best-treatments-for-low-back-pain/\">Best Treatments For Low Back Pain</a></li>\r\n 	<li><a href=\"https://www.drfields.com/uncategorized/arthritis-knee-treatment/\">Arthritis Knee Treatment</a></li>\r\n</ul>\r\n</div>\r\n<div id=\"testimonials\" class=\"col-md-4 box2\">\r\n\r\nPatient\r\n<h3>Testimonials</h3>\r\n<strong>Video:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I wished I had come earlier and listened to what my physical therapist had told me to do because Dr. Fields has been a real solution for me.\"\r\n\r\n<img class=\"testimonial-img\" title=\"Testimonial\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-larry.png\" alt=\"Testimonial\" />\r\n<h3>Larry</h3>\r\n<h4>Stem Cell Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I highly recommend it to anyone who needs to recover fast and get back out there.\"\r\n\r\n<img class=\"testimonial-img\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-christopher.png\" alt=\"\" />\r\n<h3>Chris, Pro Basketball Player</h3>\r\n<h4>PRP Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"Now I can go walking, I go to my ballet class and I’m a happy camper because of Dr. Fields.\"\r\n\r\n<img class=\"testimonial-img\" title=\"\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-mary.png\" alt=\"Testimonial\" />\r\n<h3>Mary</h3>\r\n<h4>Stem Cell Hip</h4>\r\n</div>\r\n</div>\r\n<strong>Written:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I need to say a big thank you to Dr Fields for getting me back on the tennis court. I am an avid tennis player who tried to ignore the terrible pain in my elbow.\"\r\n<h3 style=\"margin-left: 0;\">Mindy</h3>\r\n<h4 style=\"margin-left: 0;\">Elbow</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I chose Dr. Peter Fields because he is an athlete and would have more direct knowledge of my particular circumstances than anyone else.\"\r\n<h3 style=\"margin-left: 0;\">Robert</h3>\r\n<h4 style=\"margin-left: 0;\">Shoulder</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"After the final treatments ended I am still without all the pain and have more muscle strength in my legs.\"\r\n<h3 style=\"margin-left: 0;\">Lois</h3>\r\n<h4 style=\"margin-left: 0;\">Knee</h4>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"col-md-4 box3\">\r\n\r\nNews &amp;\r\n<h3>Events</h3>\r\n<ul>\r\n 	<li><a href=\"https://www.drfields.com/articles/health-news/dr-fields-to-lecture-in-mexico-city-on-july-9th/\">Peter A. Fields, MD, DC to lecture in Mexico City on July 9th</a></li>\r\n 	<li><a class=\"buttonlink\" style=\"width: 100%; font-size: 24px; text-align: center; padding: 25px 8%;\" href=\"https://www.drfields.com/contact/\"> Are you a Stem Cell Candidate?</a></li>\r\n</ul>\r\n</div>\r\n</div>\r\n</div>\r\n<div id=\"search-articles\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n<h2 class=\"text-center\">Search <b>Dr. Fields\'</b> Articles</h2>\r\n<form id=\"searchform\" action=\"/\" method=\"get\"><input class=\"search-field\" name=\"s\" type=\"text\" placeholder=\"What\'s Your Condition?\" />\r\n<input type=\"submit\" value=\"Search\" /></form></div>\r\n</div>\r\n</div>\r\n<div id=\"intro\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n<h1 class=\"text-center\">Welcome to OrthoRegen<sup>®</sup>!</h1>\r\n<p class=\"intro_text welcome\"><a href=\"http://orthoregen.com\"><span style=\"font-size: 26px;\">OrthoRegen<sup>®</sup></span></a> is dedicated to providing the best of <span class=\"nowrap\">Regenerative Orthopedics</span> by offering non-surgical alternatives for joint and spine repair</p>\r\n<a class=\"primaryButton\" title=\"Read More About U\" href=\"https://www.drfields.com/about/orthoregen-our-philosophy/\">Read More About Us</a>\r\n<a id=\"candidateButton\" title=\"Are you a good candidate?\" href=\"/contact/\">Are you a good candidate?</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"about\">\r\n<div class=\"col-md-5 drfields\"><img class=\"alignnone\" title=\"Regenerative Orthopedics Leader\" src=\"https://www.drfields.com/wp-content/uploads/2022/11/dr-fields-v1-021120.png\" alt=\"Regenerative Orthopedics Leader\" width=\"460\" height=\"737\" /></div>\r\n<div class=\"col-md-7 about_holder\">\r\n<h1>Peter A. Fields, <span class=\"nowrap\">MD, DC</span></h1>\r\n<p class=\"intro_text\">Medical Physician and Chiropractor\r\nThe Athletic Doc<sup>®</sup> - 11x Ironman Triathlete</p>\r\n\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"icon info\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-info.png\" alt=\"icon info\" /></div>\r\n<div class=\"about_text\">\r\n<h3>About</h3>\r\nPeter A. Fields, MD, DC is one of a handful of physicians in the nation with both medical and chiropractic degrees...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/dr-fields-bio/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"Man Icon\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-ironman.png\" alt=\"Man Icon\" /></div>\r\n<div class=\"about_text\">\r\n<h3>11x Ironman</h3>\r\nDr. Peter A. Fields is also known as The Athletic Doc<sup>®</sup> He not only treats athletes in his practice but is an athlete himself. For over...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n&nbsp;\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Call Us Today! 310-453-1234</a>','Home','','inherit','closed','closed','','2109-revision-v1','','','2023-05-23 03:50:12','2023-05-23 03:50:12','',2109,'https://www.drfields.com/?p=5790',0,'revision','',0),(5792,9,'2023-05-26 21:39:35','2023-05-26 21:39:35','<img class=\"alignright wp-image-5784\" src=\"https://www.drfields.com/wp-content/uploads/2023/05/Arthritis.-Orthopedic-Reviews-500x419.png\" alt=\"Arthritis. Orthopedic Reviews\" width=\"300\" height=\"251\" />\n<h2>Regenerative Orthopedics: Alternative Treatments for Arthritis</h2>\nArthritis is one of the most common conditions plaguing people worldwide. The annoying arthritis symptoms, like joint pain and stiffness, are a result of the progressive loss of cartilage as the joint degenerates. These symptoms can put a real damper on people\'s lives, hindering the ability to move, slowing down progress, and making it difficult to accomplish desired activities. When common treatments fail, what are alternative treatments for arthritis?\n\nRegenerative Orthopedics are effective arthritis treatments. At OrthoRegen, we have seen arthritis sufferers finally get the relief they seek by choosing Prolotherapy, Platelet Rich Plasma, and the Gold Standard in Stem Cell Therapy.\n<h2>Why Does Arthritis Even Start in the First Place?</h2>\nThere is a reason for the degeneration that is prevalent with arthritis. At some point, the structures of the joint become injured. This injury may have occurred as a traumatic event, such as a sports injury or fall.  Or, the injury transpired over time from wear and tear. Either way, the damage to the joint structures, like the ligaments and tendons, causes the joint to move abnormally. As the joint moves abnormally, friction and pressure are placed on the joint structures, which injures and wears them further.\n\nImagine a door with loose hinges. The door may now scrape on the floor, leaving grooves on it because the door moves abnormally. Whatever caused the loose hinge, either wear and tear or something/someone banged into it; the result is the same. The door is now unstable, leading to abnormal motion and new wear on the floor.\n\nThat same process happens to our joints when the stabilizing joint structures, the tendons, and ligaments, are injured. Ligaments become lax once they are injured, and the abnormal motion that takes place begins a cycle that ultimately results in degenerative changes and osteoarthritis.\n<h2>Can Joint Motion Be Restored?</h2>\nRegenerative Orthopedic therapies, such as Prolotherapy, PRP, and Stem Cells, can restore normal joint motion. The great thing about these treatments is that they are regenerative and restorative. Many other treatments, such as pain medications, only chase arthritic symptoms. They do not repair the underlying problem. These regenerative therapies do! Regenerative Orthopedics repairs the underlying ligament and tendon injury, restore the abnormal joint motion, and stop the degenerative cycle.\n<h2>What Does the Research Say about Regenerative Orthopedics as An Alternative Arthritis Treatment?</h2>\nStudies show that Regenerative Orthopedics are beneficial alternative arthritis treatments that can bring significant pain relief and healing in degenerated joints.\n<h3>Here\'s what some of the studies say:</h3>\nResearchers analyzed 1093 patients for the efficacy and safety of intra-articular injections of platelet-rich plasma (PRP) and mesenchymal stem cells (MSCs) in treating knee arthritis. They noted \"beneficial clinical outcomes by means of lowered pain perception and increased physical functionality; therefore, the quality of life in KOA (knee osteoarthritis) patients had been significantly improved.\"1\n<h4><em>PRP and Stem Cells as an Alternative Arthritis Treatment</em></h4>\nThis study, documented in the journal, <em>Cureus</em>, looked at 30 published medical articles and found that PRP and stem cell injections are effective at repairing tissue, providing pain relief, and restoring function in patients with mild to moderate knee arthritis. Stem Cell injections are more effective at repair in more severely degenerated knees. Both treatments are well tolerated without serious adverse effects observed. Additionally, this study concluded that regenerative medicine injections show superior results compared to hyaluronic acid injections. (1)\n<h4><em>Prolotherapy as an Alternative Arthritis Treatment</em></h4>\nProlotherapy is a successful treatment option for various musculoskeletal conditions. Physicians commonly choose intra-articular injections, such as cortisone injections, once over-the-counter medications, topicals, and other treatments fail. However, cortisone treatments increase cartilage loss and make the arthritic joint worse. (2)\n<h2>Is Prolotherapy an Effective Alternative?</h2>\nResearchers in the medical journal <em>Orthopedic Reviews</em> say, \"Numerous clinical trials show significant improvement of osteoarthritic knee pain without any significant side effects reported following the use of prolotherapy. The results consistently show significant improvement in radiographic outcomes, pain scores, and quality of life with prolotherapy treatment. <strong>Prolotherapy appears to be a safe and effective alternative</strong> to physical therapy, surgery, NSAIDs, steroids, and opiates when they fail to provide clinical relief.\"(3)\n\nA 2023 Indonesian study concluded, \"Prolotherapy effectively improves functional outcomes in all stages of knee osteoarthritis.\"(4)\n\nAll of the above studies reviewed the effects of Regenerative Orthopedic treatments on knees. <strong>What about other joints?</strong> Hauser et al. reviewed 32 research studies to determine the efficacy of dextrose prolotherapy in chronic musculoskeletal pain. In other words, this team reviewed the effects of regenerative treatment on multiple joint conditions.\n<h4>What were the results?</h4>\nThe Hauser et al. study demonstrated the effectiveness of Prolotherapy on multiple joints and various types of joint conditions and found, \"Overall, dextrose prolotherapy has been demonstrated to be efficacious and should be considered as a treatment for pain and dysfunction associated with chronic musculoskeletal conditions, particularly tendinopathies, and <strong>osteoarthritis</strong>.\"(5)\n<h2>Regenerative Orthopedics at OrthoRegen®</h2>\nAt OrthoRegen,® we have been a leader in regenerative treatments, helping arthritis sufferers get pain relief and restore joint function. We have many years of experience in providing regenerative treatments as alternative treatments for arthritis including Prolotherapy, Platelet Rich Plasma, and the Gold Standard in Stem Cell Therapy.  These treatments have helped thousands of patients restore their joint integrity. If arthritis is affecting your knees, back, shoulders, hips, or other joints, please give us a call and make an appointment soon, so you can get back to the activities you love.\n<ul>\n 	<li>Ip, Hoi Leng, et al. \"Regenerative medicine for knee osteoarthritis–the efficacy and safety of intra-articular platelet-rich plasma and mesenchymal Stem cells injections: a literature review.\" <em>Cureus</em>9 (2020).</li>\n 	<li>Zeng C, Lane NE, Hunter DJ, et al. Intra-articular corticosteroids and the risk of knee osteoarthritis progression: results from the Osteoarthritis Initiative. <em>Osteoarthr Cartil</em>. 2019;27(6):855-862.</li>\n 	<li>Zhao, Alex Tang, et al. \"A Comprehensive Update of Prolotherapy in the Management of Osteoarthritis of the Knee.\" <em>Orthopedic Reviews</em>4 (2022).</li>\n 	<li>Waluyo, Y., Artika, S. R. ., Wahyuni, I. N. ., Adnan, E. ., Budu, &amp; Bukhari, A. . (2023). Functional outcome in knee osteoarthritis after dextrose prolotherapy intervention: A severity-based pilot study. JKKI : Jurnal Kedokteran Dan Kesehatan Indonesia, 14(1), 47–54. <a href=\"https://doi.org/10.20885/JKKI.Vol14.Iss1.art8\">https://doi.org/10.20885/JKKI.Vol14.Iss1.art8</a></li>\n 	<li>Hauser, Ross A., et al. \"A systematic review of dextrose prolotherapy for chronic musculoskeletal pain.\" <em>Clinical medicine insights: arthritis and musculoskeletal disorders</em> 9 (2016): CMAMD-S39160.</li>\n</ul>','Alternative Treatments for Arthritis','','inherit','closed','closed','','5783-autosave-v1','','','2023-05-26 21:39:35','2023-05-26 21:39:35','',5783,'https://www.drfields.com/?p=5792',0,'revision','',0),(5793,9,'2023-05-26 21:39:48','2023-05-26 21:39:48','<img class=\"alignright wp-image-5784\" src=\"https://www.drfields.com/wp-content/uploads/2023/05/Arthritis.-Orthopedic-Reviews-500x419.png\" alt=\"Arthritis. Orthopedic Reviews\" width=\"300\" height=\"251\" />\r\n<h2>Regenerative Orthopedics: Alternative Treatments for Arthritis</h2>\r\nArthritis is one of the most common conditions plaguing people worldwide. The annoying arthritis symptoms, like joint pain and stiffness, are a result of the progressive loss of cartilage as the joint degenerates. These symptoms can put a real damper on people\'s lives, hindering the ability to move, slowing down progress, and making it difficult to accomplish desired activities. When common treatments fail, what are alternative treatments for arthritis?\r\n\r\nRegenerative Orthopedics are effective arthritis treatments. At OrthoRegen,® we have seen arthritis sufferers finally get the relief they seek by choosing Prolotherapy, Platelet Rich Plasma, and the Gold Standard in Stem Cell Therapy.\r\n<h2>Why Does Arthritis Even Start in the First Place?</h2>\r\nThere is a reason for the degeneration that is prevalent with arthritis. At some point, the structures of the joint become injured. This injury may have occurred as a traumatic event, such as a sports injury or fall.  Or, the injury transpired over time from wear and tear. Either way, the damage to the joint structures, like the ligaments and tendons, causes the joint to move abnormally. As the joint moves abnormally, friction and pressure are placed on the joint structures, which injures and wears them further.\r\n\r\nImagine a door with loose hinges. The door may now scrape on the floor, leaving grooves on it because the door moves abnormally. Whatever caused the loose hinge, either wear and tear or something/someone banged into it; the result is the same. The door is now unstable, leading to abnormal motion and new wear on the floor.\r\n\r\nThat same process happens to our joints when the stabilizing joint structures, the tendons, and ligaments, are injured. Ligaments become lax once they are injured, and the abnormal motion that takes place begins a cycle that ultimately results in degenerative changes and osteoarthritis.\r\n<h2>Can Joint Motion Be Restored?</h2>\r\nRegenerative Orthopedic therapies, such as Prolotherapy, PRP, and Stem Cells, can restore normal joint motion. The great thing about these treatments is that they are regenerative and restorative. Many other treatments, such as pain medications, only chase arthritic symptoms. They do not repair the underlying problem. These regenerative therapies do! Regenerative Orthopedics repairs the underlying ligament and tendon injury, restore the abnormal joint motion, and stop the degenerative cycle.\r\n<h2>What Does the Research Say about Regenerative Orthopedics as An Alternative Arthritis Treatment?</h2>\r\nStudies show that Regenerative Orthopedics are beneficial alternative arthritis treatments that can bring significant pain relief and healing in degenerated joints.\r\n<h3>Here\'s what some of the studies say:</h3>\r\nResearchers analyzed 1093 patients for the efficacy and safety of intra-articular injections of platelet-rich plasma (PRP) and mesenchymal stem cells (MSCs) in treating knee arthritis. They noted \"beneficial clinical outcomes by means of lowered pain perception and increased physical functionality; therefore, the quality of life in KOA (knee osteoarthritis) patients had been significantly improved.\"1\r\n<h4><em>PRP and Stem Cells as an Alternative Arthritis Treatment</em></h4>\r\nThis study, documented in the journal, <em>Cureus</em>, looked at 30 published medical articles and found that PRP and stem cell injections are effective at repairing tissue, providing pain relief, and restoring function in patients with mild to moderate knee arthritis. Stem Cell injections are more effective at repair in more severely degenerated knees. Both treatments are well tolerated without serious adverse effects observed. Additionally, this study concluded that regenerative medicine injections show superior results compared to hyaluronic acid injections. (1)\r\n<h4><em>Prolotherapy as an Alternative Arthritis Treatment</em></h4>\r\nProlotherapy is a successful treatment option for various musculoskeletal conditions. Physicians commonly choose intra-articular injections, such as cortisone injections, once over-the-counter medications, topicals, and other treatments fail. However, cortisone treatments increase cartilage loss and make the arthritic joint worse. (2)\r\n<h2>Is Prolotherapy an Effective Alternative?</h2>\r\nResearchers in the medical journal <em>Orthopedic Reviews</em> say, \"Numerous clinical trials show significant improvement of osteoarthritic knee pain without any significant side effects reported following the use of prolotherapy. The results consistently show significant improvement in radiographic outcomes, pain scores, and quality of life with prolotherapy treatment. <strong>Prolotherapy appears to be a safe and effective alternative</strong> to physical therapy, surgery, NSAIDs, steroids, and opiates when they fail to provide clinical relief.\"(3)\r\n\r\nA 2023 Indonesian study concluded, \"Prolotherapy effectively improves functional outcomes in all stages of knee osteoarthritis.\"(4)\r\n\r\nAll of the above studies reviewed the effects of Regenerative Orthopedic treatments on knees. <strong>What about other joints?</strong> Hauser et al. reviewed 32 research studies to determine the efficacy of dextrose prolotherapy in chronic musculoskeletal pain. In other words, this team reviewed the effects of regenerative treatment on multiple joint conditions.\r\n<h4>What were the results?</h4>\r\nThe Hauser et al. study demonstrated the effectiveness of Prolotherapy on multiple joints and various types of joint conditions and found, \"Overall, dextrose prolotherapy has been demonstrated to be efficacious and should be considered as a treatment for pain and dysfunction associated with chronic musculoskeletal conditions, particularly tendinopathies, and <strong>osteoarthritis</strong>.\"(5)\r\n<h2>Regenerative Orthopedics at OrthoRegen®</h2>\r\nAt OrthoRegen,® we have been a leader in regenerative treatments, helping arthritis sufferers get pain relief and restore joint function. We have many years of experience in providing regenerative treatments as alternative treatments for arthritis including Prolotherapy, Platelet Rich Plasma, and the Gold Standard in Stem Cell Therapy.  These treatments have helped thousands of patients restore their joint integrity. If arthritis is affecting your knees, back, shoulders, hips, or other joints, please give us a call and make an appointment soon, so you can get back to the activities you love.\r\n<ul>\r\n 	<li>Ip, Hoi Leng, et al. \"Regenerative medicine for knee osteoarthritis–the efficacy and safety of intra-articular platelet-rich plasma and mesenchymal Stem cells injections: a literature review.\" <em>Cureus</em>9 (2020).</li>\r\n 	<li>Zeng C, Lane NE, Hunter DJ, et al. Intra-articular corticosteroids and the risk of knee osteoarthritis progression: results from the Osteoarthritis Initiative. <em>Osteoarthr Cartil</em>. 2019;27(6):855-862.</li>\r\n 	<li>Zhao, Alex Tang, et al. \"A Comprehensive Update of Prolotherapy in the Management of Osteoarthritis of the Knee.\" <em>Orthopedic Reviews</em>4 (2022).</li>\r\n 	<li>Waluyo, Y., Artika, S. R. ., Wahyuni, I. N. ., Adnan, E. ., Budu, &amp; Bukhari, A. . (2023). Functional outcome in knee osteoarthritis after dextrose prolotherapy intervention: A severity-based pilot study. JKKI : Jurnal Kedokteran Dan Kesehatan Indonesia, 14(1), 47–54. <a href=\"https://doi.org/10.20885/JKKI.Vol14.Iss1.art8\">https://doi.org/10.20885/JKKI.Vol14.Iss1.art8</a></li>\r\n 	<li>Hauser, Ross A., et al. \"A systematic review of dextrose prolotherapy for chronic musculoskeletal pain.\" <em>Clinical medicine insights: arthritis and musculoskeletal disorders</em> 9 (2016): CMAMD-S39160.</li>\r\n</ul>','Alternative Treatments for Arthritis','','inherit','closed','closed','','5783-revision-v1','','','2023-05-26 21:39:48','2023-05-26 21:39:48','',5783,'https://www.drfields.com/?p=5793',0,'revision','',0),(5795,8,'2023-06-08 14:49:25','2023-06-08 14:49:25','<h2><img class=\"alignright wp-image-5796\" src=\"https://www.drfields.com/wp-content/uploads/2023/06/Tennis-Elbow-American-Journal-of-Phy-Med-Rehab-1-500x419.png\" alt=\"Tennis Elbow Treatment\" width=\"365\" height=\"305\" />Tennis Elbow Treatment</h2>\r\nYou don\'t have to be a tennis player to have tennis elbow. Tennis elbow is a condition caused by overuse. Sufferers might be painters, writers, guitar players, or anyone who does an activity requiring repetitive use of the arm and elbow. In this article, we\'ll delve into tennis elbow as well as tennis elbow treatment.\r\n\r\nTennis elbow pain may radiate from the outer elbow into the forearm and wrist. These symptoms may make daily activities difficult. Even simple tasks like turning a doorknob or picking up, holding, and gripping objects.\r\n\r\nOver-the-counter pain medications, NSAIDs, cortisone injections, bracing, taping, physical therapy, and massage, may work to bring some relief. But when these fail to achieve the desired relief, and your elbow continues to hurt, it is time to seek reparative, regenerative treatments like Regenerative Orthopedics.\r\n<h2>Lateral Epicondylitis</h2>\r\nThe medical terminology for tennis elbow is lateral epicondylitis. The \"itis\" at the end of this word suggests inflammation of the tendon where it attaches to the bony prominence of the elbow (the lateral epicondyle). However, in tennis elbow, there is not always evidence of inflammation.  And because of that, there is some controversy about the treatment for the condition. The <em>Journal of Shoulder and Elbow Surgery says this</em>:\r\n<ul>\r\n 	<li>“As orthopaedic surgeons, we are besieged by myths that guide our treatment of lateral epicondylitis, or “tennis elbow.” This extends from the term used to describe the condition to the nonoperative and operative treatments as well. The term epicondylitis suggests an inflammatory cause; however, in all but 1 publication examining pathologic specimens of patients operated on for this condition, <strong>no evidence of acute or chronic inflammation is found</strong>.\"(<a href=\"https://www.ncbi.nlm.nih.gov/pubmed/10543604\">1</a>)</li>\r\n</ul>\r\nThe Open Access Journal of Sports Medicine also notes the controversy:\r\n<ul>\r\n 	<li>“Although most cases are self-limiting over several years, controversy exists regarding the best treatment strategy for chronic lateral epicondylitis.”(2)</li>\r\n</ul>\r\n<h2>Tendinosis Rather Than Tendonitis</h2>\r\nWhen elbow pain is chronic, and has lasted for an extended amount of time, it is likely that the problem is tendinosis, a condition of tendon degeneration.\r\n\r\n<strong><em>What does all of that mean? What is tendinopathy, tendonitis, or tendinosis?</em></strong>\r\n\r\nTendinopathy is a broad term often used to describe any problem with a tendon.\r\n\r\nTendonitis refers to inflammation of the tendon, and is actually a less common cause of tendon pain than you might think.\r\n\r\nTendinosis is the breakdown (degeneration) of the collagen fibers in the tendon. It happens slowly and is often the result of tendon overuse.\r\n\r\nTendinosis is therefore the chronic non-inflammatory degeneration of a tendon. The condition may develop as a result of chronic tendonitis or due to repetitive strain-injuries to a tendon without adequate time to heal. Tendinosis is a more common cause of tendon pain. Since inflammation is not the issue, the problem does not respond well to anti-inflammatories.<strong> </strong>\r\n<h2>Tennis Elbow: An Overuse Injury</h2>\r\nOveruse injuries are activity-related injuries linked to repetitive stress placed on the tendon, ligament or other joint structure. Doing too much of the same activity strains the soft tissue structures of the elbow. Using poor or improper technique while training or poor form when painting can overload the muscles, tendons, and ligaments, and cause an overuse injury.\r\n<h2>Instability May Be Behind Tennis Elbow</h2>\r\nChronic elbow pain may be related to ligament, muscle, and tendon injury. In order to resolve the problem, all of these areas need to be addressed for alleviation of the pain.\r\n\r\nIt is possible that elbow pain is a result of injury of the elbow ligaments. When elbow ligaments are involved, they may be frayed, torn, or otherwise weakened. Why is it important to address the ligaments if tennis elbow is a tendon problem? Ligaments are dense bands of connective tissue that attach one bone to another. They hold the bones in place, and allow for a strong, stable base upon which the muscles contract and move the joint. When a tendon is injured, there is often ligament involvement as well, and these soft tissue structures need to be repaired to stop the problem.\r\n\r\nWhen the ligaments are injured or weakened, they can cause strain on the tendon and other joint structures. This allows for excessive elbow movement and instability. In this cycle of instability, the tendons will attempt to hold the muscle to the bone, increasing stress, and increasing the possibility of injury to the tendon.<strong> </strong>\r\n<h2>Is Bracing a Tennis Elbow Treatment that Helps?<strong> </strong></h2>\r\n<em><u>Bracing</u></em>\r\n\r\nThe journal <em>Prosthetics and Orthotics International</em> (3) examined the popular counterforce brace in people with problems of lateral elbow tendinopathy and found that physical therapy had better results.\r\n\r\nIn fact, researchers have concluded that braces, sleeves, tapes, and elbow bands may just be a waste of money, and that they probably only provide placebo affects.(4)\r\n<h2><em><u>What About Surgery as a Tennis Elbow Treatment?</u></em></h2>\r\n<strong>The <em>US National Institutes of Health Clinical Trial</em></strong><strong> website</strong><strong> says: “<em>Despite its promise, there have been no high-quality studies evaluating the efficacy of arthroscopic tennis elbow release, bringing the actual efficacy of this procedure into question.” </em>(5)</strong>\r\n\r\n<em>The British Journal of Sports Medicine </em>has an article entitled:<strong> “Time to put down the scalpel?”</strong> It says,“Our published review highlighted the importance of sham surgery in randomized controlled surgical trials including those in tendinopathy. Compared with using a non-surgical control group, sham surgery equalizes the placebo effect of surgery and gives more realistic insights into the effectiveness of the actual surgical procedure in question.\"(6)<strong> </strong>\r\n<h2>There’s Another Way and It Does Not Require Surgery!</h2>\r\n<h3><em>Regenerative Orthopedics: Tennis Elbow Treatment</em></h3>\r\nRegenerative Orthopedics is a non-surgical treatment that effectively repairs the tendons and ligaments involved in tennis elbow. Prolotherapy is one type of Regenerative Orthopedics and studies show its effectiveness in treating tennis elbow.\r\n\r\nProlotherapy is an injection technique that works to regenerate the degenerated tendon and ligaments. The injection of simple dextrose mimics the natural healing response and stimulates healing growth factors to repair the tissue.\r\n<h2>What Does the Research Say About Prolotherapy?</h2>\r\n<ul>\r\n 	<li>Researchers published a study in the <em>American Journal of Physical Medicine &amp; Rehabilitation </em>that evaluated Prolotherapy for tennis elbow. They concluded: <em>“Prolotherapy resulted in safe, significant improvement of elbow pain and function compared with baseline status and follow-up data and the wait-and-see control group” </em>(7).</li>\r\n</ul>\r\n<ul>\r\n 	<li>A study of 84 patients with tennis elbow who were treated with dextrose prolotherapy had statistically significant reductions in pain levels. (8)</li>\r\n</ul>\r\n<ul>\r\n 	<li>Archives of Physical Medicine and Rehabilitation concluded: “Hypertonic dextrose prolotherapy is superior to (placebo) at 12 weeks for decreasing pain intensity and functioning by margins that meet criteria for clinical relevance in the treatment of lateral elbow tendinosis.\" (9)<strong> </strong></li>\r\n</ul>\r\nProlotherapy is effective for tennis elbow! It works because it boosts the body’s healing abilities naturally. It works because it addresses the problem by repairing the injured soft tissue. And it works because it reduces or eliminates the symptoms.\r\n\r\nProlotherapy and other Regenerative Orthopedics, such as PRP and Stem Cell Therapy, all strengthen the involved ligaments and tendons. These therapies stabilize the elbow, strengthen the elbow, address the instability, and put an end to the pain and symptoms of tennis elbow. Recommendations may be made for PRP and/or Stem Cell in more advanced cases, but all treatments would include Prolotherapy.\r\n\r\nIf tennis elbow is a condition you are currently facing, please reach out and give us a call. We would be happy to help you become symptom free.\r\n<h2><strong>References</strong></h2>\r\n(1) Boyer MI. Lateral tennis elbow:” Is there any science out there?.”Journal of Shoulder and Elbow Surgery. 1999;8(5):481-91.\r\n\r\n(2) Lai WC, Erickson BJ, Mlynarek RA, Wang D. Chronic lateral epicondylitis: challenges and solutions. Open Access Journal of Sports Medicine. 2018;9:243.\r\n\r\n(3) Shahabi S, Bagheri Lankarani K, Heydari ST, Jalali M, Ghahramani S, Kamyab M, Tabrizi R, Hosseinabadi M. The effects of counterforce brace on pain in subjects with lateral elbow tendinopathy: A systematic review and meta-analysis of randomized controlled trials. Prosthetics and Orthotics International. 2020 Jul 8:0309364620930618.\r\n\r\n(4) Au IP, Fan PC, Lee WY, Leong MW, Tang OY, An WW, Cheung RT. Effects of Kinesio tape in individuals with lateral epicondylitis: a deceptive crossover trial. Physiotherapy Theory and Practice. 2017 Dec 2;33(12):914-9.\r\n\r\n(5) Kroslak M, Murrell GAC. Surgical Treatment of Lateral Epicondylitis: A Prospective, Randomized, Double-Blinded, Placebo-Controlled Clinical Trial. Am J Sports Med. 2018 Mar 1:363546517753385. doi: 10.1177/0363546517753385.\r\n\r\n(6) Millar, Neal L., George AC Murrell, and Paul Kirwan. \"Time to put down the scalpel? The role of surgery in tendinopathy.\" British Journal of Sports Medicine 54.8 (2020): 441-442.\r\n\r\n(7) Rabago D, Lee KS, Ryan M, Chourasia AO, Sesto ME, Zgierska A, Kijowski R, Grettie J, Wilson J, Miller D. Hypertonic Dextrose and Morrhuate Sodium Injections (Prolotherapy) for Lateral Epicondylosis (Tennis Elbow): Results of a Single-blind, Pilot-Level, Randomized Controlled Trial. Am J Phys Med Rehabil. 2013 Jan 3.\r\n\r\n(8) 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(9) Zhu M, Rabago D, Chung VC, Reeves KD, Wong SY, Sit RW. Effects of Hypertonic Dextrose Injection (Prolotherapy) in Lateral Elbow Tendinosis: A Systematic Review and Meta-analysis. Archives of Physical Medicine and Rehabilitation. 2022 Feb 28.','Tennis Elbow Treatment','','publish','closed','open','','tennis-elbow-treatment','','','2023-06-09 21:18:33','2023-06-09 21:18:33','',0,'https://www.drfields.com/?p=5795',0,'post','',0),(5796,8,'2023-06-08 14:48:43','2023-06-08 14:48:43','','Tennis Elbow Treatment','','inherit','closed','closed','','tennis-elbow-american-journal-of-phy-med-rehab-1','','','2023-06-08 14:49:09','2023-06-08 14:49:09','',5795,'https://www.drfields.com/wp-content/uploads/2023/06/Tennis-Elbow-American-Journal-of-Phy-Med-Rehab-1.png',0,'attachment','image/png',0),(5797,8,'2023-06-08 14:49:25','2023-06-08 14:49:25','<img class=\"alignright wp-image-5796\" src=\"https://www.drfields.com/wp-content/uploads/2023/06/Tennis-Elbow-American-Journal-of-Phy-Med-Rehab-1-500x419.png\" alt=\"Tennis Elbow Treatment\" width=\"300\" height=\"251\" />You don\'t have to be a tennis player to have tennis elbow. Tennis elbow is a condition caused by overuse. Sufferers might be painters, writers, guitar players, or anyone who does an activity requiring repetitive use of the arm and elbow.\r\n\r\nTennis elbow pain may radiate from the outer elbow into the forearm and wrist. These symptoms may make daily activities difficult. Even simple tasks like turning a doorknob or picking up, holding, and gripping objects.\r\n\r\nOver-the-counter pain medications, NSAIDs, cortisone injections, bracing, taping, physical therapy, and massage, may work to bring some relief. But when these fail to achieve the desired relief, and your elbow continues to hurt, it is time to seek reparative, regenerative treatments like Regenerative Orthopedics.\r\n<h2>Lateral Epicondylitis</h2>\r\nThe medical terminology for tennis elbow is lateral epicondylitis. The \"itis\" at the end of this word suggests inflammation of the tendon where it attaches to the bony prominence of the elbow (the lateral epicondyle). However, in tennis elbow, there is not always evidence of inflammation.  And because of that, there is some controversy about the treatment for the condition. The <em>Journal of Shoulder and Elbow Surgery says this</em>:\r\n<ul>\r\n 	<li>“As orthopaedic surgeons, we are besieged by myths that guide our treatment of lateral epicondylitis, or “tennis elbow.” This extends from the term used to describe the condition to the nonoperative and operative treatments as well. The term epicondylitis suggests an inflammatory cause; however, in all but 1 publication examining pathologic specimens of patients operated on for this condition, <strong>no evidence of acute or chronic inflammation is found</strong>.\"(<a href=\"https://www.ncbi.nlm.nih.gov/pubmed/10543604\">1</a>)</li>\r\n</ul>\r\nThe Open Access Journal of Sports Medicine also notes the controversy:\r\n<ul>\r\n 	<li>“Although most cases are self-limiting over several years, controversy exists regarding the best treatment strategy for chronic lateral epicondylitis.”(2)</li>\r\n</ul>\r\n<h2>Tendinosis Rather Than Tendonitis</h2>\r\nWhen elbow pain is chronic, and has lasted for an extended amount of time, it is likely that the problem is tendinosis, a condition of tendon degeneration.\r\n<h2>What does all of that mean? What is tendinopathy, tendonitis, or tendinosis?</h2>\r\nTendinopathy is a broad term often used to describe any problem with a tendon.\r\n\r\nTendonitis refers to inflammation of the tendon, and is actually a less common cause of tendon pain than you might think.\r\n\r\nTendinosis is the breakdown (degeneration) of the collagen fibers in the tendon. It happens slowly and is often the result of tendon overuse.\r\n\r\nTendinosis is therefore the chronic non-inflammatory degeneration of a tendon. Tendinosis may develop as a result of chronic tendonitis or due to repetitive strain-injuries to a tendon without adequate time to heal. Tendinosis is a more common cause of tendon pain. Since inflammation is not the issue, the problem does not respond well to anti-inflammatories.<strong> </strong>\r\n\r\nTennis Elbow: An Overuse Injury\r\n\r\nOveruse injuries are activity-related injuries linked to repetitive stress placed on the tendon, ligament or other joint structure. Doing too much of the same activity strains the soft tissue structures of the elbow. Using poor or improper technique while training or poor form when painting can overload the muscles, tendons, and ligaments, and cause an overuse injury.\r\n<h2>Instability May Be Behind Tennis Elbow</h2>\r\nChronic elbow pain may be related to ligament, muscle, and tendon injury. In order to resolve the problem, all of these areas need to be addressed for alleviation of the pain.\r\n\r\nIt is possible that elbow pain is a result of injury of the elbow ligaments. When elbow ligaments are involved, they may be frayed, torn, or otherwise weakened. Why is it important to address the ligaments if tennis elbow is a tendon problem? Ligaments are dense bands of connective tissue that attach one bone to another. They hold the bones in place, and allow for a strong, stable base upon which the muscles contract and move the joint. When a tendon is injured, there is often ligament involvement as well, and these soft tissue structures need to be repaired to stop the problem.\r\n\r\nWhen the ligaments are injured or weakened, they can cause strain on the tendon and other joint structures. This allows for excessive elbow movement and instability. In this cycle of instability, the tendons will attempt to hold the muscle to the bone, increasing stress, and increasing the possibility of injury to the tendon.<strong> </strong>\r\n<h2>Is Bracing a Tennis Elbow Treatment that Helps?<strong> </strong></h2>\r\n<em><u>Bracing</u></em>\r\n\r\nThe journal <em>Prosthetics and Orthotics International</em> (3) examined the popular counterforce brace in people with problems of lateral elbow tendinopathy and found that physical therapy had better results.\r\n\r\nIn fact, researchers have concluded that braces, sleeves, tapes, and elbow bands may just be a waste of money, and that they probably only provide placebo affects.(4)\r\n\r\n<em><u>What About Surgery as a Tennis Elbow Treatment?</u></em>\r\n\r\n<strong>The <em>US National Institutes of Health Clinical Trial</em></strong><strong> website</strong><strong> says: “<em>Despite its promise, there have been no high-quality studies evaluating the efficacy of arthroscopic tennis elbow release, bringing the actual efficacy of this procedure into question.” </em>(5)</strong>\r\n\r\n<em>The British Journal of Sports Medicine </em>has an article entitled: “Time to put down the scalpel?” It says,“Our published review highlighted the importance of sham surgery in randomized controlled surgical trials including those in tendinopathy. Compared with using a non-surgical control group, sham surgery equalizes the placebo effect of surgery and gives more realistic insights into the effectiveness of the actual surgical procedure in question.\"(6)<strong> </strong>\r\n\r\nThere’s Another Way and It Does Not Require Surgery!\r\n\r\nRegenerative Orthopedics: Tennis Elbow Treatment\r\n\r\nRegenerative Orthopedics is a non-surgical treatment that effectively repairs the tendons and ligaments involved in tennis elbow. Prolotherapy is one type of Regenerative Orthopedics and studies show its effectiveness in treating tennis elbow.\r\n\r\nProlotherapy is an injection technique that works to regenerate the degenerated tendon and ligaments. The injection of simple dextrose mimics the natural healing response and stimulates healing growth factors to repair the tissue.\r\n<h2>What Does the Research Say About Prolotherapy?</h2>\r\n<ul>\r\n 	<li>Researchers published a study in the <em>American Journal of Physical Medicine &amp; Rehabilitation </em>that evaluated Prolotherapy for tennis elbow. They concluded: <em>“Prolotherapy resulted in safe, significant improvement of elbow pain and function compared with baseline status and follow-up data and the wait-and-see control group” </em>(7).</li>\r\n</ul>\r\n<ul>\r\n 	<li>A study of 84 patients with tennis elbow who were treated with dextrose prolotherapy had statistically significant reductions in pain levels. (8)</li>\r\n</ul>\r\n<ul>\r\n 	<li>Archives of Physical Medicine and Rehabilitation concluded: “Hypertonic dextrose prolotherapy is superior to (placebo) at 12 weeks for decreasing pain intensity and functioning by margins that meet criteria for clinical relevance in the treatment of lateral elbow tendinosis.\" (9)<strong> </strong></li>\r\n</ul>\r\nProlotherapy is effective for tennis elbow! It works because it boosts the body’s healing abilities naturally. It works because it addresses the problem by repairing the injured soft tissue. And it works because it reduces or eliminates the symptoms.\r\n\r\nProlotherapy and other Regenerative Orthopedics, such as PRP and Stem Cell Therapy, all strengthen the involved ligaments and tendons. These therapies stabilize the elbow, strengthen the elbow, address the instability, and put an end to the pain and symptoms of tennis elbow. Recommendations may be made for PRP and/or Stem Cell in more advanced cases, but all treatments would include Prolotherapy.\r\n\r\nIf tennis elbow is a condition you are currently facing, please reach out and give us a call. We would be happy to help you become symptom free.\r\n\r\n<strong>References</strong>\r\n<ul>\r\n 	<li>Boyer MI. Lateral tennis elbow:” Is there any science out there?.”Journal of Shoulder and Elbow Surgery. 1999;8(5):481-91.</li>\r\n 	<li>Lai WC, Erickson BJ, Mlynarek RA, Wang D. Chronic lateral epicondylitis: challenges and solutions. Open access journal of sports medicine. 2018;9:243.</li>\r\n 	<li>Shahabi S, Bagheri Lankarani K, Heydari ST, Jalali M, Ghahramani S, Kamyab M, Tabrizi R, Hosseinabadi M. The effects of counterforce brace on pain in subjects with lateral elbow tendinopathy: A systematic review and meta-analysis of randomized controlled trials. Prosthetics and Orthotics International. 2020 Jul 8:0309364620930618.</li>\r\n 	<li>Au IP, Fan PC, Lee WY, Leong MW, Tang OY, An WW, Cheung RT. Effects of Kinesio tape in individuals with lateral epicondylitis: a deceptive crossover trial. Physiotherapy theory and practice. 2017 Dec 2;33(12):914-9.</li>\r\n 	<li>Kroslak M, Murrell GAC. Surgical Treatment of Lateral Epicondylitis: A Prospective, Randomized, Double-Blinded, Placebo-Controlled Clinical Trial. Am J Sports Med. 2018 Mar 1:363546517753385. doi: 10.1177/0363546517753385.</li>\r\n 	<li>Millar, Neal L., George AC Murrell, and Paul Kirwan. \"Time to put down the scalpel? The role of surgery in tendinopathy.\" British Journal of Sports Medicine 54.8 (2020): 441-442.</li>\r\n 	<li>Rabago D, Lee KS, Ryan M, Chourasia AO, Sesto ME, Zgierska A, Kijowski R, Grettie J, Wilson J, Miller D. Hypertonic Dextrose and Morrhuate Sodium Injections (Prolotherapy) for Lateral Epicondylosis (Tennis Elbow): Results of a Single-blind, Pilot-Level, Randomized Controlled Trial. Am J Phys Med Rehabil. 2013 Jan 3.</li>\r\n 	<li>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.</li>\r\n 	<li>Zhu M, Rabago D, Chung VC, Reeves KD, Wong SY, Sit RW. Effects of Hypertonic Dextrose Injection (Prolotherapy) in Lateral Elbow Tendinosis: A Systematic Review and Meta-analysis. Archives of Physical Medicine and Rehabilitation. 2022 Feb 28.</li>\r\n</ul>','Tennis Elbow Treatment','','inherit','closed','closed','','5795-revision-v1','','','2023-06-08 14:49:25','2023-06-08 14:49:25','',5795,'https://www.drfields.com/?p=5797',0,'revision','',0),(5798,8,'2023-06-08 14:52:38','2023-06-08 14:52:38','<h2><img class=\"alignright wp-image-5799\" src=\"https://www.drfields.com/wp-content/uploads/2023/06/Hip-Arthritis-500x419.png\" alt=\"Hip Arthritis Treatment\" width=\"300\" height=\"251\" /><span style=\"font-size: 16px;\">Hip Arthritis Treatment</span></h2>\r\nIf you have hip arthritis, there is a good chance you are looking for an alternative to hip replacement. Are you seeking a way to preserve your hip from hip replacement surgery? What is the best hip arthritis treatment?\r\n\r\nFor those who still have good range of motion in their hip, Regenerative Orthopedics may be your alternative to hip replacement. Regenerative Orthopedics is a non-surgical regenerative therapy that includes Prolotherapy, PRP, and Stem Cell Therapy. At OrthoRegen®, we use the Gold Standard in Stem Cell Therapy.\r\n<h2>An Alternative to Hip Replacement Surgery</h2>\r\nOften, hip replacement is chosen because the patient is told they have bone-on-bone arthritis, and hip replacement is the only option. As you read, you will see that hip replacement is not the only option for bone-on-bone arthritis, but Regenerative Orthopedics is practical in many arthritis cases.\r\n\r\nMany people assume that once they get a hip replacement, they will be good to go, and can get back to all the activities they want. This is not always the case. Some people continue to have pain after the replacement.\r\n\r\nAdditionally, it\'s essential to remember that hip replacements do not last forever. If the patient is younger, remember that replacements will wear out after 15-plus years.\r\n\r\nHip replacements may not provide the desired relief sought. Instead, chronic pain and incomplete function after surgery is a possibility. And surgery is permanent. Once surgery is done, it cannot be undone. Fortunately, there is an alternative! Regenerative Orthopedics is an effective hip arthritis treatment that can help get you back to the activities you enjoy.\r\n<h2>Background: The Hip Arthritis Cycle</h2>\r\nThe cycle of hip arthritis begins sometime after an injury occurs to the hip joint. That injury could have been an acute trauma-type injury. Or the damage relates to wear and tear over time. The injury then causes the hip joint to move abnormally. Once the soft tissue, like tendons, ligaments, and even the hip labrum, become injured, worn, and/or weakened, they allow for the hip joint to become unstable. The hip instability then causes further joint injury. The cartilage that lines the hip joint also degenerates, and sclerotic changes can be seen on an x-ray, and arthritis is diagnosed.\r\n\r\nIs the cartilage degeneration causing the pain? Interestingly, cartilage has no nerve endings, so the pain is not coming from the cartilage. Ligaments, however, are highly innervated. They do have nerves. And when injured, can elicit pain. Therefore, the injured, weak ligaments can be the source of joint pain.\r\n<h2>Hip Ligaments and Hip Arthritis</h2>\r\nPeople do not wake up one morning with advanced bone-on-bone hip osteoarthritis. Something did cause it. Bone-on-bone hip osteoarthritis is the end result of continued, prolonged, unrelenting hip joint degeneration due to damaged, loose hip ligaments.\r\n\r\nFortunately, Regenerative Orthopedics treats the weak, injured, and lax ligaments and other soft tissue structures of the hip that are in need of repair. The treatments do not just cover up pain, as pain meds and anti-inflammatories do. Regenerative Orthopedics regenerates and repair the hip.\r\n\r\nThe three main ligaments of the hip, the iliofemoral, pubofemoral, and ischiofemoral ligaments, are very strong. Normally, when these ligaments are healthy, they keep your hip stable. But when they become injured, the hip becomes unstable. With the instability, the hip labrum and other soft tissue begin to tear. And the ball of the hip bone rubs the wrong way and causes the degeneration to continue. Researchers agree about the importance of healthy ligaments in order to have a healthy hip joint.\r\n<h2>Research on How Ligaments Affect the Health of the Hip Joint</h2>\r\nWhen examining why patients continue to have pain after hip surgery, Researchers said this in the Knee Surgery, Sports Traumatology, Arthroscopy journal, \"surgical management for hip disorders should preserve the soft tissue constraints (ligaments) in the hip when possible to maintain normal hip biomechanics.”(1)\r\n<h3><em>How Important Are Hip Ligaments?</em></h3>\r\nPlus, a study in the <em>Journal of Biomechanics</em> explained the importance of hip ligaments while stressing the need to save the ligaments writing, “Laboratory data indicate the hip capsular ligaments prevent an excessive range of motion, may protect the joint against adverse edge loading, and contribute to synovial fluid replenishment at the cartilage surfaces of the joint. However, their repair after joint preserving (hip arthroscopy) or arthroplasty (hip replacement) surgery is not routine.\" (2)\r\n<h3>Bone-On-Bone Is Not the Only Problem to Address with Damaged Joints</h3>\r\nThe researchers stress the importance of preserving the ligaments. Clearly, the bone-on-bone situation is not the only problem that needs to be addressed in the degenerated hip. It is vital to repair the injured ligaments because if not, the problem and the pain can continue. The hip needs to be treated comprehensively.\r\n\r\nA February 2021 paper in the journal <em>International Orthopaedics</em> offers this opinion on the future of surgery: “Orthopedic surgeons are at an exciting crossroads in medicine, where hip biologic therapies are evolving and increasingly available. Time-tested interventions such as arthroplasty have shown good results and still have a major role to play <strong>but newer, regenerative approaches have the potential to effectively delay or reduce the requirement for such invasive procedures.</strong><strong>”</strong> (3)\r\n\r\nThere are certainly times when surgery is needed. However, regenerative treatments are great alternatives in many cases.\r\n<h2>Regenerative Orthopedics: Hip Arthritis Treatment</h2>\r\nLet\'s look at some of the studies and see what they say about the effectiveness of regenerative therapies like Prolotherapy, PRP, and Stem Cell Therapy.\r\n\r\n<strong><em>Prolotherapy</em></strong>\r\n\r\nHauser et al. looked at 61 patients with hip pain, and 95% said their pain decreased after Prolotherapy. (4)\r\n\r\nResearchers in the journal <em>Medical Science Monitor</em> said, “To our best knowledge, this study is the first regarding the effects of an injection method in treating osteoarthritis secondary to developmental dysplasia of the hip. According to our study, Prolotherapy is superior to exercise. Prolotherapy could provide significant improvement for clinical outcomes in developmental dysplasia of the hip and might delay surgery.\" (5)\r\n\r\n<strong><em>PRP</em></strong>\r\n\r\nAs far as PRP, the <em>American Journal of Sports Medicine</em> journal says this: “Results indicated that intra-articular PRP injections offer a significant clinical improvement in patients with hip osteoarthritis without relevant side effects.\" (6)\r\n\r\n<strong><em>Stem Cell Therapy</em></strong>\r\n\r\nAt OrthoRegen®, we may use PRP and Stem Cell Therapy in cases where the hip degeneration is more advanced. We call this the Gold Standard in Stem Cell Therapy because we will use Prolotherapy, PRP, and stem cells to comprehensively treat all of the injured structures of the hip joint.\r\n\r\n<em>Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders</em> shows that stem cells regenerate tissue damage within the osteoarthritic joint and, when used in combination with <strong>Prolotherapy injections</strong>, can repair hip stability. (7)\r\n\r\nAt OrthoRegen, we\'ve had years of experience in regenerative therapies as a hip arthritis treatment. If you are suffering from hip arthritis and are looking for an alternative to hip replacement, please call us. We\'d love to help you stop the arthritis cycle and repair the damaged hip structures so you can return to the activities you love.\r\n\r\n(1) Smith MV, Costic RS, Allaire R, Schilling PL, Sekiya JK. A biomechanical analysis of the soft tissue and osseous constraints of the hip joint. Knee Surgery, Sports Traumatology, Arthroscopy. 2014 Apr 1;22(4):946-52.\r\n\r\n(2) Van Arkel RJ, Amis AA, Jeffers JR. The envelope of passive motion allowed by the capsular ligaments of the hip. Journal of biomechanics. 2015 Nov 5;48(14):3803-9.\r\n\r\n(3) Hevesi M, Jacob G, Shimomura K, Ando W, Nakamura N, Krych AJ. Current hip cartilage regeneration/repair modalities: a scoping review of biologics and surgery. International Orthopaedics. 2020 Sep 10:1-5.\r\n\r\n(4) Hauser RA, Hauser MA. A Retrospective Study on Hackett-Hemwall Dextrose Prolotherapy for Chronic Hip Pain at an Outpatient Charity Clinic in Rural Illinois. Journal of Prolotherapy. 2009;2:76-88.\r\n\r\n(5) Gül D, Orsçelik A, Akpancar S. Treatment of Osteoarthritis Secondary to Developmental Dysplasia of the Hip with Prolotherapy Injection versus a Supervised Progressive Exercise Control. <em>Med Sci Monit</em>. 2020;26:e919166. Published 2020 Feb 11. doi:10.12659/MSM.919166\r\n\r\n(6) Dallari D, Stagni C, Rani N, Sabbioni G, Pelotti P, Torricelli P, Tschon M, Giavaresi G.Ultrasound-Guided Injection of Platelet-Rich Plasma and Hyaluronic Acid, Separately and in Combination, for Hip Osteoarthritis: A Randomized Controlled Study. <em>Am J Sports Med</em>. 2016 Mar;44(3):664-71. doi: 10.1177/0363546515620383. Epub 2016 Jan 21\r\n\r\n(7) Hauser RA, Orlofsky A. Regenerative injection therapy with whole bone marrow aspirate for degenerative joint disease: a case series. <em>Clin Med Insights Arthritis Musculoskelet Disord</em>. 2013 Sep 4;6:65-72. doi: 10.4137/CMAMD.S10951. eCollection 2013.','Hip Arthritis?','','publish','closed','open','','hip-arthritis-treatment','','','2023-06-09 21:16:09','2023-06-09 21:16:09','',0,'https://www.drfields.com/?p=5798',0,'post','',0),(5799,8,'2023-06-08 14:52:13','2023-06-08 14:52:13','','Hip Arthritis Treatment','','inherit','closed','closed','','hip-arthritis','','','2023-06-08 14:52:28','2023-06-08 14:52:28','',5798,'https://www.drfields.com/wp-content/uploads/2023/06/Hip-Arthritis.png',0,'attachment','image/png',0),(5800,8,'2023-06-08 14:52:38','2023-06-08 14:52:38','<img class=\"alignright wp-image-5799\" src=\"https://www.drfields.com/wp-content/uploads/2023/06/Hip-Arthritis-500x419.png\" alt=\"Hip Arthritis Treatment\" width=\"300\" height=\"251\" />If you have hip arthritis, there is a good chance you are looking for an alternative to hip replacement. Are you looking for a way to preserve your hip from hip replacement surgery?\r\n\r\nFor those who still have good range of motion in their hip, Regenerative Orthopedics may be your alternative to hip replacement. Regenerative Orthopedics is a non-surgical regenerative therapy that includes Prolotherapy, PRP, and Stem Cell Therapy. At OrthoRegen®, we use the Gold Standard in Stem Cell Therapy.\r\n<h2>An Alternative to Hip Replacement</h2>\r\nOftentimes, hip replacement is chosen because the patient is told they have bone on bone arthritis, and hip replacement is the only option. As you read on, you will see that hip replacement is not the only option for bone on bone arthritis, but Regenerative Orthopedics is effective in many arthritis cases.\r\n\r\nMany people assume that once they get a hip replacement, they will be good to go, and can get back to all of the activities they want. This is not always the case. Some people continue to have pain after the replacement.\r\n\r\nAdditionally, it\'s important to keep in mind that hip replacements do not last forever. If the patient is younger, remember that replacements will wear out after 15 plus years.\r\n\r\nHip replacements may not provide the desired relief sought. Instead, chronic pain and incomplete function after surgery is a possibility. And surgery is permanent. Once surgery is done, it cannot be undone.\r\n<h2>Background: The Hip Arthritis Cycle</h2>\r\nThe cycle of hip arthritis begins sometime after an injury occurs to the hip joint. That injury could have been an acute trauma-type injury. Or the injury relates to wear and tear over time. The injury then causes the hip joint to move abnormally. Once the soft tissue, like tendons, ligaments, and even the hip labrum become injured, worn, and/or weakened, they allow for the hip joint to become unstable. The hip instability then cause further joint injury. The cartilage that lines the hip joint also degenerates and sclerotic changes can be seen on an x-ray and arthritis is diagnosed.\r\n\r\nIs the cartilage degeneration causing the pain? Interestingly, cartilage has no nerve endings, so the pain is not coming from the cartilage. Ligaments, however, are highly innervated. They do have nerves. And when injured, can elicit pain. Therefore, the injured, weak ligaments can be the source of the joint pain.\r\n<h2>Hip Ligaments and Hip Arthritis</h2>\r\nPeople do not wake up one morning with advanced bone-on-bone hip osteoarthritis. Something did cause it. Bone-on-bone hip osteoarthritis is the end result of continued, prolonged, unrelenting hip joint degeneration due to damaged, loose, hip ligaments.\r\n\r\nFortunately, Regenerative Orthopedics treat the weak, injured, and lax ligaments and other soft tissue structures of the hip that are in need of repair. The treatments do not just cover up pain, like pain meds and anti-inflammatories do. Regenerative Orthopedics regenerate and repair the hip.\r\n\r\nThe three main ligaments of the hip, the iliofemoral, pubofemoral, and ischiofemoral ligaments are very strong. Normally, when these ligaments are healthy, they keep your hip stable. But when they become injured, the hip becomes unstable. With the instability, the hip labrum and other soft tissue begin to tear. And the ball of the hip bone rubs the wrong way, and causes the degeneration to continue. Researchers agree about the importance of healthy ligaments in order to have a healthy hip joint.\r\n<h2>Research on How Ligaments Affect the Health of the Hip Joint</h2>\r\nWhen examining why patients continue to have pain after hip surgery, Researchers said this in the Knee Surgery, Sports Traumatology, Arthroscopy journal, \"surgical management for hip disorders should preserve the soft tissue constraints (ligaments) in the hip when possible to maintain normal hip biomechanics.”(1)\r\n\r\nPlus, a study in the <em>Journal of Biomechanics</em> explained the importance of hip ligaments while stressing the need to save the ligaments writing, “Laboratory data indicate the hip capsular ligaments prevent excessive range of motion, may protect the joint against adverse edge loading, and contribute to synovial fluid replenishment at the cartilage surfaces of the joint. However, their repair after joint preserving (hip arthroscopy) or arthroplasty (hip replacement) surgery is not routine.\" (2)\r\n\r\nThe researchers definitely stress the importance of preserving the ligaments. Clearly, the bone on bone situation is not the only problem that needs to be addressed in the degenerated hip. It is vital to repair the injured ligaments, because if not, the problem and the pain can continue. The hip needs to be treated in a comprehensive fashion.\r\n\r\nA February 2021 paper in the journal <em>International Orthopaedics</em> offers this opinion on the future of surgery: “Orthopedic surgeons are at an exciting crossroads in medicine, where hip biologic therapies are evolving and increasingly available. Time-tested interventions such as arthroplasty have shown good results and still have a major role to play <strong>but newer, regenerative approaches have the potential to effectively delay or reduce the requirement for such invasive procedures.</strong><strong>”</strong> (3)\r\n\r\nThere are certainly times when surgery is needed. However, regenerative treatments are great alternatives in many cases.\r\n<h2>Regenerative Orthopedics for the Treatment of Hip Arthritis</h2>\r\nLet\'s take a look at some of the studies and see what they say about the effectiveness of regenerative therapies like Prolotherapy, PRP, and Stem Cell Therapy.\r\n\r\n<strong><em>Prolotherapy</em></strong>\r\n\r\nHauser, et al looked at 61 patients with hip pain and 95% said their pain was decreased after Prolotherapy. (4)\r\n\r\nResearchers in the journal <em>Medical Science Monitor</em> said, “To our best knowledge, this study is the first regarding the effects of an injection method in the treatment of osteoarthritis secondary to developmental dysplasia of the hip. According to our study, Prolotherapy is superior to exercise. Prolotherapy could provide significant improvement for clinical outcomes in developmental dysplasia of the hip and might delay surgery.\" (5)\r\n\r\n<strong><em>PRP</em></strong>\r\n\r\nAs far as PRP, the <em>American Journal of Sports Medicine</em> journal says this: “Results indicated that intra-articular PRP injections offer a significant clinical improvement in patients with hip osteoarthritis without relevant side effects.\" (6)\r\n\r\n<strong><em>Stem Cell Therapy</em></strong>\r\n\r\nAt OrthoRegen®, we may choose to use PRP and Stem Cell Therapy in cases where the hip degeneration is more advanced. We call this the Gold Standard in Stem Cell Therapy, because we will use Prolotherapy, PRP, and stem cells to comprehensively treat all of the injured structures of the hip joint.\r\n\r\n<em>Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders</em>, shows that stem cells regenerate tissue damage within the osteoarthritic joint, and when used in combination with <strong>Prolotherapy injections</strong>, are able to repair hip stability.(7)\r\n\r\nAt OrthoRegen, we\'ve had years of experience in regenerative therapies. If you are suffering with hip arthritis and are looking for an alternative to hip replacement, please give us a call. We\'d love to help you stop the arthritis cycle and repair the damaged hip structures so you can return to the activities you love.\r\n\r\n(1) Smith MV, Costic RS, Allaire R, Schilling PL, Sekiya JK. A biomechanical analysis of the soft tissue and osseous constraints of the hip joint. Knee Surgery, Sports Traumatology, Arthroscopy. 2014 Apr 1;22(4):946-52.\r\n\r\n(2) Van Arkel RJ, Amis AA, Jeffers JR. The envelope of passive motion allowed by the capsular ligaments of the hip. Journal of biomechanics. 2015 Nov 5;48(14):3803-9.\r\n\r\n(3) Hevesi M, Jacob G, Shimomura K, Ando W, Nakamura N, Krych AJ. Current hip cartilage regeneration/repair modalities: a scoping review of biologics and surgery. International Orthopaedics. 2020 Sep 10:1-5.\r\n\r\n(4) Hauser RA, Hauser MA. A Retrospective Study on Hackett-Hemwall Dextrose Prolotherapy for Chronic Hip Pain at an Outpatient Charity Clinic in Rural Illinois. Journal of Prolotherapy. 2009;2:76-88.\r\n\r\n(5) Gül D, Orsçelik A, Akpancar S. Treatment of Osteoarthritis Secondary to Developmental Dysplasia of the Hip with Prolotherapy Injection versus a Supervised Progressive Exercise Control. <em>Med Sci Monit</em>. 2020;26:e919166. Published 2020 Feb 11. doi:10.12659/MSM.919166\r\n\r\n(6) Dallari D, Stagni C, Rani N, Sabbioni G, Pelotti P, Torricelli P, Tschon M, Giavaresi G.Ultrasound-Guided Injection of Platelet-Rich Plasma and Hyaluronic Acid, Separately and in Combination, for Hip Osteoarthritis: A Randomized Controlled Study. <em>Am J Sports Med</em>. 2016 Mar;44(3):664-71. doi: 10.1177/0363546515620383. Epub 2016 Jan 21\r\n\r\n(7) Hauser RA, Orlofsky A. Regenerative injection therapy with whole bone marrow aspirate for degenerative joint disease: a case series. <em>Clin Med Insights Arthritis Musculoskelet Disord</em>. 2013 Sep 4;6:65-72. doi: 10.4137/CMAMD.S10951. eCollection 2013.','Hip Arthritis Treatment','','inherit','closed','closed','','5798-revision-v1','','','2023-06-08 14:52:38','2023-06-08 14:52:38','',5798,'https://www.drfields.com/?p=5800',0,'revision','',0);
INSERT INTO `wp_posts` VALUES (5801,8,'2023-06-08 14:54:17','2023-06-08 14:54:17','<div class=\"clear\"></div>\r\n<div id=\"slider\">\r\n<div class=\"owl-carousel slider-carousel\">\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/12/Slider-2-v3-261222.jpg\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/Slider-v1-021120.jpg\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-santa-monica-pier-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">New Article:</span>\r\n<span class=\"header_text_second\">Keep Looking Forward Despite COVID-19</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dealing-with-covid-19/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-11.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/0_header-orthoregen-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Get Back In The Game!</span>\r\n<span class=\"header_text_second\">Avoid Joint and Spine Surgery </span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">Stem Cell/PRP/Prolotherapy</span>\r\n<a class=\"btn-more\" title=\"Get Help Now!\" href=\"Contact-Us\"> Get Help Now!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item slide-article\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-ocean-mountains-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_second\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/0_Kili-top-header-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\" style=\"text-align: left;\"><span class=\"header_text_first\">Congratulations\r\nPeter A. Fields, MD, DC</span>\r\n<span class=\"header_text_second\">The Athletic Doc<sup>®</sup>\r\nsuccessfully climbed</span>\r\n<span class=\"header_text_third white-text\">Mt. Kilimanjaro in\r\nTanzania, Africa.19,341 feet!!!</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/report-of-my-kilimanjaro-climb/\">Read More</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/Sider-01-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Peter A. Fields, MD, DC\r\nThe Athletic Doc<sup>®</sup></span>\r\n<span class=\"header_text_second\">Completed His 11th Ironman</span>\r\n<span class=\"header_text_third\">Sunday, November 24th in Cozumel Mexico</span>\r\n<a class=\"btn-more\" title=\"Read More\" href=\"#\">Images &amp; Story Coming Soon</a></div>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"jumbotron-fluid\">\r\n<div class=\"row\">\r\n<div class=\"col-md-4 box1\">\r\n\r\nWhat\'s\r\n<h3>New</h3>\r\n<ul>\r\n        <li><a href=\"/articles/regenerative-orthopedics/tennis-elbow-treatment/\">Tennis Elbow Treatment</a></li>\r\n        <li><a href=\"/articles/regenerative-orthopedics/hip-arthritis-treatment/\">Hip Arthritis Treatment</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/alternative-treatment-for-arthritis/\">Alternative Treatment for Arthritis</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/chronic-pain-management/\">Chronic Pain Management</a></li>\r\n 	<li><a href=\"/articles/meniscus-tear-treatment/\">Meniscus Tear Treatment</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/neck-pain-treatment/\">Neck Pain Treatment</a></li>\r\n 	<li><a href=\"/uncategorized/knee-replacement-failure/\">Knee Replacement Failure</a></li>\r\n 	\r\n</ul>\r\n</div>\r\n<div id=\"testimonials\" class=\"col-md-4 box2\">\r\n\r\nPatient\r\n<h3>Testimonials</h3>\r\n<strong>Video:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I wished I had come earlier and listened to what my physical therapist had told me to do because Dr. Fields has been a real solution for me.\"\r\n\r\n<img class=\"testimonial-img\" title=\"Testimonial\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-larry.png\" alt=\"Testimonial\" />\r\n<h3>Larry</h3>\r\n<h4>Stem Cell Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I highly recommend it to anyone who needs to recover fast and get back out there.\"\r\n\r\n<img class=\"testimonial-img\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-christopher.png\" alt=\"\" />\r\n<h3>Chris, Pro Basketball Player</h3>\r\n<h4>PRP Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"Now I can go walking, I go to my ballet class and I’m a happy camper because of Dr. Fields.\"\r\n\r\n<img class=\"testimonial-img\" title=\"\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-mary.png\" alt=\"Testimonial\" />\r\n<h3>Mary</h3>\r\n<h4>Stem Cell Hip</h4>\r\n</div>\r\n</div>\r\n<strong>Written:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I need to say a big thank you to Dr Fields for getting me back on the tennis court. I am an avid tennis player who tried to ignore the terrible pain in my elbow.\"\r\n<h3 style=\"margin-left: 0;\">Mindy</h3>\r\n<h4 style=\"margin-left: 0;\">Elbow</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I chose Dr. Peter Fields because he is an athlete and would have more direct knowledge of my particular circumstances than anyone else.\"\r\n<h3 style=\"margin-left: 0;\">Robert</h3>\r\n<h4 style=\"margin-left: 0;\">Shoulder</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"After the final treatments ended I am still without all the pain and have more muscle strength in my legs.\"\r\n<h3 style=\"margin-left: 0;\">Lois</h3>\r\n<h4 style=\"margin-left: 0;\">Knee</h4>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"col-md-4 box3\">\r\n\r\nNews &amp;\r\n<h3>Events</h3>\r\n<ul>\r\n 	<li><a href=\"https://www.drfields.com/articles/health-news/dr-fields-to-lecture-in-mexico-city-on-july-9th/\">Peter A. Fields, MD, DC to lecture in Mexico City on July 9th</a></li>\r\n 	<li><a class=\"buttonlink\" style=\"width: 100%; font-size: 24px; text-align: center; padding: 25px 8%;\" href=\"https://www.drfields.com/contact/\"> Are you a Stem Cell Candidate?</a></li>\r\n</ul>\r\n</div>\r\n</div>\r\n</div>\r\n<div id=\"search-articles\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n<h2 class=\"text-center\">Search <b>Dr. Fields\'</b> Articles</h2>\r\n<form id=\"searchform\" action=\"/\" method=\"get\"><input class=\"search-field\" name=\"s\" type=\"text\" placeholder=\"What\'s Your Condition?\" />\r\n<input type=\"submit\" value=\"Search\" /></form></div>\r\n</div>\r\n</div>\r\n<div id=\"intro\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n<h1 class=\"text-center\">Welcome to OrthoRegen<sup>®</sup>!</h1>\r\n<p class=\"intro_text welcome\"><a href=\"http://orthoregen.com\"><span style=\"font-size: 26px;\">OrthoRegen<sup>®</sup></span></a> is dedicated to providing the best of <span class=\"nowrap\">Regenerative Orthopedics</span> by offering non-surgical alternatives for joint and spine repair</p>\r\n<a class=\"primaryButton\" title=\"Read More About U\" href=\"https://www.drfields.com/about/orthoregen-our-philosophy/\">Read More About Us</a>\r\n<a id=\"candidateButton\" title=\"Are you a good candidate?\" href=\"/contact/\">Are you a good candidate?</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"about\">\r\n<div class=\"col-md-5 drfields\"><img class=\"alignnone\" title=\"Regenerative Orthopedics Leader\" src=\"https://www.drfields.com/wp-content/uploads/2022/11/dr-fields-v1-021120.png\" alt=\"Regenerative Orthopedics Leader\" width=\"460\" height=\"737\" /></div>\r\n<div class=\"col-md-7 about_holder\">\r\n<h1>Peter A. Fields, <span class=\"nowrap\">MD, DC</span></h1>\r\n<p class=\"intro_text\">Medical Physician and Chiropractor\r\nThe Athletic Doc<sup>®</sup> - 11x Ironman Triathlete</p>\r\n\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"icon info\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-info.png\" alt=\"icon info\" /></div>\r\n<div class=\"about_text\">\r\n<h3>About</h3>\r\nPeter A. Fields, MD, DC is one of a handful of physicians in the nation with both medical and chiropractic degrees...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/dr-fields-bio/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"Man Icon\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-ironman.png\" alt=\"Man Icon\" /></div>\r\n<div class=\"about_text\">\r\n<h3>11x Ironman</h3>\r\nDr. Peter A. Fields is also known as The Athletic Doc<sup>®</sup> He not only treats athletes in his practice but is an athlete himself. For over...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n&nbsp;\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Call Us Today! 310-453-1234</a>','Home','','inherit','closed','closed','','2109-revision-v1','','','2023-06-08 14:54:17','2023-06-08 14:54:17','',2109,'https://www.drfields.com/?p=5801',0,'revision','',0),(5803,9,'2023-06-09 20:47:09','2023-06-09 20:47:09','<h2><img class=\"alignright wp-image-5796\" src=\"https://www.drfields.com/wp-content/uploads/2023/06/Tennis-Elbow-American-Journal-of-Phy-Med-Rehab-1-500x419.png\" alt=\"Tennis Elbow Treatment\" width=\"365\" height=\"305\" />Tennis Elbow Treatment</h2>\nYou don\'t have to be a tennis player to have tennis elbow. Tennis elbow is a condition caused by overuse. Sufferers might be painters, writers, guitar players, or anyone who does an activity requiring repetitive use of the arm and elbow. In this article, we\'ll take a look delve into tennis elbow as well as tennis elbow treatment.\n\nTennis elbow pain may radiate from the outer elbow into the forearm and wrist. These symptoms may make daily activities difficult. Even simple tasks like turning a doorknob or picking up, holding, and gripping objects.\n\nOver-the-counter pain medications, NSAIDs, cortisone injections, bracing, taping, physical therapy, and massage, may work to bring some relief. But when these fail to achieve the desired relief, and your elbow continues to hurt, it is time to seek reparative, regenerative treatments like Regenerative Orthopedics.\n<h2>Lateral Epicondylitis</h2>\nThe medical terminology for tennis elbow is lateral epicondylitis. The \"itis\" at the end of this word suggests inflammation of the tendon where it attaches to the bony prominence of the elbow (the lateral epicondyle). However, in tennis elbow, there is not always evidence of inflammation.  And because of that, there is some controversy about the treatment for the condition. The <em>Journal of Shoulder and Elbow Surgery says this</em>:\n<ul>\n 	<li>“As orthopaedic surgeons, we are besieged by myths that guide our treatment of lateral epicondylitis, or “tennis elbow.” This extends from the term used to describe the condition to the nonoperative and operative treatments as well. The term epicondylitis suggests an inflammatory cause; however, in all but 1 publication examining pathologic specimens of patients operated on for this condition, <strong>no evidence of acute or chronic inflammation is found</strong>.\"(<a href=\"https://www.ncbi.nlm.nih.gov/pubmed/10543604\">1</a>)</li>\n</ul>\nThe Open Access Journal of Sports Medicine also notes the controversy:\n<ul>\n 	<li>“Although most cases are self-limiting over several years, controversy exists regarding the best treatment strategy for chronic lateral epicondylitis.”(2)</li>\n</ul>\n<h2>Tendinosis Rather Than Tendonitis</h2>\nWhen elbow pain is chronic, and has lasted for an extended amount of time, it is likely that the problem is tendinosis, a condition of tendon degeneration.\n\n<strong><em>What does all of that mean? What is tendinopathy, tendonitis, or tendinosis?</em></strong>\n\nTendinopathy is a broad term often used to describe any problem with a tendon.\n\nTendonitis refers to inflammation of the tendon, and is actually a less common cause of tendon pain than you might think.\n\nTendinosis is the breakdown (degeneration) of the collagen fibers in the tendon. It happens slowly and is often the result of tendon overuse.\n\nTendinosis is therefore the chronic non-inflammatory degeneration of a tendon. Tendinosis may develop as a result of chronic tendonitis or due to repetitive strain-injuries to a tendon without adequate time to heal. Tendinosis is a more common cause of tendon pain. Since inflammation is not the issue, the problem does not respond well to anti-inflammatories.<strong> </strong>\n<h2>Tennis Elbow: An Overuse Injury</h2>\nOveruse injuries are activity-related injuries linked to repetitive stress placed on the tendon, ligament or other joint structure. Doing too much of the same activity strains the soft tissue structures of the elbow. Using poor or improper technique while training or poor form when painting can overload the muscles, tendons, and ligaments, and cause an overuse injury.\n<h2>Instability May Be Behind Tennis Elbow</h2>\nChronic elbow pain may be related to ligament, muscle, and tendon injury. In order to resolve the problem, all of these areas need to be addressed for alleviation of the pain.\n\nIt is possible that elbow pain is a result of injury of the elbow ligaments. When elbow ligaments are involved, they may be frayed, torn, or otherwise weakened. Why is it important to address the ligaments if tennis elbow is a tendon problem? Ligaments are dense bands of connective tissue that attach one bone to another. They hold the bones in place, and allow for a strong, stable base upon which the muscles contract and move the joint. When a tendon is injured, there is often ligament involvement as well, and these soft tissue structures need to be repaired to stop the problem.\n\nWhen the ligaments are injured or weakened, they can cause strain on the tendon and other joint structures. This allows for excessive elbow movement and instability. In this cycle of instability, the tendons will attempt to hold the muscle to the bone, increasing stress, and increasing the possibility of injury to the tendon.<strong> </strong>\n<h2>Is Bracing a Tennis Elbow Treatment that Helps?<strong> </strong></h2>\n<em><u>Bracing</u></em>\n\nThe journal <em>Prosthetics and Orthotics International</em> (3) examined the popular counterforce brace in people with problems of lateral elbow tendinopathy and found that physical therapy had better results.\n\nIn fact, researchers have concluded that braces, sleeves, tapes, and elbow bands may just be a waste of money, and that they probably only provide placebo affects.(4)\n<h2><em><u>What About Surgery as a Tennis Elbow Treatment?</u></em></h2>\n<strong>The <em>US National Institutes of Health Clinical Trial</em></strong><strong> website</strong><strong> says: “<em>Despite its promise, there have been no high-quality studies evaluating the efficacy of arthroscopic tennis elbow release, bringing the actual efficacy of this procedure into question.” </em>(5)</strong>\n\n<em>The British Journal of Sports Medicine </em>has an article entitled:<strong> “Time to put down the scalpel?”</strong> It says,“Our published review highlighted the importance of sham surgery in randomized controlled surgical trials including those in tendinopathy. Compared with using a non-surgical control group, sham surgery equalizes the placebo effect of surgery and gives more realistic insights into the effectiveness of the actual surgical procedure in question.\"(6)<strong> </strong>\n<h2>There’s Another Way and It Does Not Require Surgery!</h2>\n<h3><em>Regenerative Orthopedics: Tennis Elbow Treatment</em></h3>\nRegenerative Orthopedics is a non-surgical treatment that effectively repairs the tendons and ligaments involved in tennis elbow. Prolotherapy is one type of Regenerative Orthopedics and studies show its effectiveness in treating tennis elbow.\n\nProlotherapy is an injection technique that works to regenerate the degenerated tendon and ligaments. The injection of simple dextrose mimics the natural healing response and stimulates healing growth factors to repair the tissue.\n<h2>What Does the Research Say About Prolotherapy?</h2>\n<ul>\n 	<li>Researchers published a study in the <em>American Journal of Physical Medicine &amp; Rehabilitation </em>that evaluated Prolotherapy for tennis elbow. They concluded: <em>“Prolotherapy resulted in safe, significant improvement of elbow pain and function compared with baseline status and follow-up data and the wait-and-see control group” </em>(7).</li>\n</ul>\n<ul>\n 	<li>A study of 84 patients with tennis elbow who were treated with dextrose prolotherapy had statistically significant reductions in pain levels. (8)</li>\n</ul>\n<ul>\n 	<li>Archives of Physical Medicine and Rehabilitation concluded: “Hypertonic dextrose prolotherapy is superior to (placebo) at 12 weeks for decreasing pain intensity and functioning by margins that meet criteria for clinical relevance in the treatment of lateral elbow tendinosis.\" (9)<strong> </strong></li>\n</ul>\nProlotherapy is effective for tennis elbow! It works because it boosts the body’s healing abilities naturally. It works because it addresses the problem by repairing the injured soft tissue. And it works because it reduces or eliminates the symptoms.\n\nProlotherapy and other Regenerative Orthopedics, such as PRP and Stem Cell Therapy, all strengthen the involved ligaments and tendons. These therapies stabilize the elbow, strengthen the elbow, address the instability, and put an end to the pain and symptoms of tennis elbow. Recommendations may be made for PRP and/or Stem Cell in more advanced cases, but all treatments would include Prolotherapy.\n\nIf tennis elbow is a condition you are currently facing, please reach out and give us a call. We would be happy to help you become symptom free.\n<h2><strong>References</strong></h2>\n(1) Boyer MI. Lateral tennis elbow:” Is there any science out there?.”Journal of Shoulder and Elbow Surgery. 1999;8(5):481-91.\n\n(2) Lai WC, Erickson BJ, Mlynarek RA, Wang D. Chronic lateral epicondylitis: challenges and solutions. Open Access Journal of Sports Medicine. 2018;9:243.\n\n(3) Shahabi S, Bagheri Lankarani K, Heydari ST, Jalali M, Ghahramani S, Kamyab M, Tabrizi R, Hosseinabadi M. The effects of counterforce brace on pain in subjects with lateral elbow tendinopathy: A systematic review and meta-analysis of randomized controlled trials. Prosthetics and Orthotics International. 2020 Jul 8:0309364620930618.\n\n(4) Au IP, Fan PC, Lee WY, Leong MW, Tang OY, An WW, Cheung RT. Effects of Kinesio tape in individuals with lateral epicondylitis: a deceptive crossover trial. Physiotherapy Theory and Practice. 2017 Dec 2;33(12):914-9.\n\n(5) Kroslak M, Murrell GAC. Surgical Treatment of Lateral Epicondylitis: A Prospective, Randomized, Double-Blinded, Placebo-Controlled Clinical Trial. Am J Sports Med. 2018 Mar 1:363546517753385. doi: 10.1177/0363546517753385.\n\n(6) Millar, Neal L., George AC Murrell, and Paul Kirwan. \"Time to put down the scalpel? The role of surgery in tendinopathy.\" British Journal of Sports Medicine 54.8 (2020): 441-442.\n\n(7) Rabago D, Lee KS, Ryan M, Chourasia AO, Sesto ME, Zgierska A, Kijowski R, Grettie J, Wilson J, Miller D. Hypertonic Dextrose and Morrhuate Sodium Injections (Prolotherapy) for Lateral Epicondylosis (Tennis Elbow): Results of a Single-blind, Pilot-Level, Randomized Controlled Trial. Am J Phys Med Rehabil. 2013 Jan 3.\n\n(8) 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(9) Zhu M, Rabago D, Chung VC, Reeves KD, Wong SY, Sit RW. Effects of Hypertonic Dextrose Injection (Prolotherapy) in Lateral Elbow Tendinosis: A Systematic Review and Meta-analysis. Archives of Physical Medicine and Rehabilitation. 2022 Feb 28.','Tennis Elbow Treatment','','inherit','closed','closed','','5795-autosave-v1','','','2023-06-09 20:47:09','2023-06-09 20:47:09','',5795,'https://www.drfields.com/?p=5803',0,'revision','',0),(5804,9,'2023-06-09 20:32:36','2023-06-09 20:32:36','<h2><img class=\"alignright wp-image-5796\" src=\"https://www.drfields.com/wp-content/uploads/2023/06/Tennis-Elbow-American-Journal-of-Phy-Med-Rehab-1-500x419.png\" alt=\"Tennis Elbow Treatment\" width=\"300\" height=\"251\" />Tennis Elbow Treatment</h2>\r\nYou don\'t have to be a tennis player to have tennis elbow. Tennis elbow is a condition caused by overuse. Sufferers might be painters, writers, guitar players, or anyone who does an activity requiring repetitive use of the arm and elbow.\r\n\r\nTennis elbow pain may radiate from the outer elbow into the forearm and wrist. These symptoms may make daily activities difficult. Even simple tasks like turning a doorknob or picking up, holding, and gripping objects.\r\n\r\nOver-the-counter pain medications, NSAIDs, cortisone injections, bracing, taping, physical therapy, and massage, may work to bring some relief. But when these fail to achieve the desired relief, and your elbow continues to hurt, it is time to seek reparative, regenerative treatments like Regenerative Orthopedics.\r\n<h2>Lateral Epicondylitis</h2>\r\nThe medical terminology for tennis elbow is lateral epicondylitis. The \"itis\" at the end of this word suggests inflammation of the tendon where it attaches to the bony prominence of the elbow (the lateral epicondyle). However, in tennis elbow, there is not always evidence of inflammation.  And because of that, there is some controversy about the treatment for the condition. The <em>Journal of Shoulder and Elbow Surgery says this</em>:\r\n<ul>\r\n 	<li>“As orthopaedic surgeons, we are besieged by myths that guide our treatment of lateral epicondylitis, or “tennis elbow.” This extends from the term used to describe the condition to the nonoperative and operative treatments as well. The term epicondylitis suggests an inflammatory cause; however, in all but 1 publication examining pathologic specimens of patients operated on for this condition, <strong>no evidence of acute or chronic inflammation is found</strong>.\"(<a href=\"https://www.ncbi.nlm.nih.gov/pubmed/10543604\">1</a>)</li>\r\n</ul>\r\nThe Open Access Journal of Sports Medicine also notes the controversy:\r\n<ul>\r\n 	<li>“Although most cases are self-limiting over several years, controversy exists regarding the best treatment strategy for chronic lateral epicondylitis.”(2)</li>\r\n</ul>\r\n<h2>Tendinosis Rather Than Tendonitis</h2>\r\nWhen elbow pain is chronic, and has lasted for an extended amount of time, it is likely that the problem is tendinosis, a condition of tendon degeneration.\r\n<h2>What does all of that mean? What is tendinopathy, tendonitis, or tendinosis?</h2>\r\nTendinopathy is a broad term often used to describe any problem with a tendon.\r\n\r\nTendonitis refers to inflammation of the tendon, and is actually a less common cause of tendon pain than you might think.\r\n\r\nTendinosis is the breakdown (degeneration) of the collagen fibers in the tendon. It happens slowly and is often the result of tendon overuse.\r\n\r\nTendinosis is therefore the chronic non-inflammatory degeneration of a tendon. Tendinosis may develop as a result of chronic tendonitis or due to repetitive strain-injuries to a tendon without adequate time to heal. Tendinosis is a more common cause of tendon pain. Since inflammation is not the issue, the problem does not respond well to anti-inflammatories.<strong> </strong>\r\n\r\nTennis Elbow: An Overuse Injury\r\n\r\nOveruse injuries are activity-related injuries linked to repetitive stress placed on the tendon, ligament or other joint structure. Doing too much of the same activity strains the soft tissue structures of the elbow. Using poor or improper technique while training or poor form when painting can overload the muscles, tendons, and ligaments, and cause an overuse injury.\r\n<h2>Instability May Be Behind Tennis Elbow</h2>\r\nChronic elbow pain may be related to ligament, muscle, and tendon injury. In order to resolve the problem, all of these areas need to be addressed for alleviation of the pain.\r\n\r\nIt is possible that elbow pain is a result of injury of the elbow ligaments. When elbow ligaments are involved, they may be frayed, torn, or otherwise weakened. Why is it important to address the ligaments if tennis elbow is a tendon problem? Ligaments are dense bands of connective tissue that attach one bone to another. They hold the bones in place, and allow for a strong, stable base upon which the muscles contract and move the joint. When a tendon is injured, there is often ligament involvement as well, and these soft tissue structures need to be repaired to stop the problem.\r\n\r\nWhen the ligaments are injured or weakened, they can cause strain on the tendon and other joint structures. This allows for excessive elbow movement and instability. In this cycle of instability, the tendons will attempt to hold the muscle to the bone, increasing stress, and increasing the possibility of injury to the tendon.<strong> </strong>\r\n<h2>Is Bracing a Tennis Elbow Treatment that Helps?<strong> </strong></h2>\r\n<em><u>Bracing</u></em>\r\n\r\nThe journal <em>Prosthetics and Orthotics International</em> (3) examined the popular counterforce brace in people with problems of lateral elbow tendinopathy and found that physical therapy had better results.\r\n\r\nIn fact, researchers have concluded that braces, sleeves, tapes, and elbow bands may just be a waste of money, and that they probably only provide placebo affects.(4)\r\n\r\n<em><u>What About Surgery as a Tennis Elbow Treatment?</u></em>\r\n\r\n<strong>The <em>US National Institutes of Health Clinical Trial</em></strong><strong> website</strong><strong> says: “<em>Despite its promise, there have been no high-quality studies evaluating the efficacy of arthroscopic tennis elbow release, bringing the actual efficacy of this procedure into question.” </em>(5)</strong>\r\n\r\n<em>The British Journal of Sports Medicine </em>has an article entitled: “Time to put down the scalpel?” It says,“Our published review highlighted the importance of sham surgery in randomized controlled surgical trials including those in tendinopathy. Compared with using a non-surgical control group, sham surgery equalizes the placebo effect of surgery and gives more realistic insights into the effectiveness of the actual surgical procedure in question.\"(6)<strong> </strong>\r\n\r\nThere’s Another Way and It Does Not Require Surgery!\r\n\r\nRegenerative Orthopedics: Tennis Elbow Treatment\r\n\r\nRegenerative Orthopedics is a non-surgical treatment that effectively repairs the tendons and ligaments involved in tennis elbow. Prolotherapy is one type of Regenerative Orthopedics and studies show its effectiveness in treating tennis elbow.\r\n\r\nProlotherapy is an injection technique that works to regenerate the degenerated tendon and ligaments. The injection of simple dextrose mimics the natural healing response and stimulates healing growth factors to repair the tissue.\r\n<h2>What Does the Research Say About Prolotherapy?</h2>\r\n<ul>\r\n 	<li>Researchers published a study in the <em>American Journal of Physical Medicine &amp; Rehabilitation </em>that evaluated Prolotherapy for tennis elbow. They concluded: <em>“Prolotherapy resulted in safe, significant improvement of elbow pain and function compared with baseline status and follow-up data and the wait-and-see control group” </em>(7).</li>\r\n</ul>\r\n<ul>\r\n 	<li>A study of 84 patients with tennis elbow who were treated with dextrose prolotherapy had statistically significant reductions in pain levels. (8)</li>\r\n</ul>\r\n<ul>\r\n 	<li>Archives of Physical Medicine and Rehabilitation concluded: “Hypertonic dextrose prolotherapy is superior to (placebo) at 12 weeks for decreasing pain intensity and functioning by margins that meet criteria for clinical relevance in the treatment of lateral elbow tendinosis.\" (9)<strong> </strong></li>\r\n</ul>\r\nProlotherapy is effective for tennis elbow! It works because it boosts the body’s healing abilities naturally. It works because it addresses the problem by repairing the injured soft tissue. And it works because it reduces or eliminates the symptoms.\r\n\r\nProlotherapy and other Regenerative Orthopedics, such as PRP and Stem Cell Therapy, all strengthen the involved ligaments and tendons. These therapies stabilize the elbow, strengthen the elbow, address the instability, and put an end to the pain and symptoms of tennis elbow. Recommendations may be made for PRP and/or Stem Cell in more advanced cases, but all treatments would include Prolotherapy.\r\n\r\nIf tennis elbow is a condition you are currently facing, please reach out and give us a call. We would be happy to help you become symptom free.\r\n\r\n<strong>References</strong>\r\n<ul>\r\n 	<li>Boyer MI. Lateral tennis elbow:” Is there any science out there?.”Journal of Shoulder and Elbow Surgery. 1999;8(5):481-91.</li>\r\n 	<li>Lai WC, Erickson BJ, Mlynarek RA, Wang D. Chronic lateral epicondylitis: challenges and solutions. Open access journal of sports medicine. 2018;9:243.</li>\r\n 	<li>Shahabi S, Bagheri Lankarani K, Heydari ST, Jalali M, Ghahramani S, Kamyab M, Tabrizi R, Hosseinabadi M. The effects of counterforce brace on pain in subjects with lateral elbow tendinopathy: A systematic review and meta-analysis of randomized controlled trials. Prosthetics and Orthotics International. 2020 Jul 8:0309364620930618.</li>\r\n 	<li>Au IP, Fan PC, Lee WY, Leong MW, Tang OY, An WW, Cheung RT. Effects of Kinesio tape in individuals with lateral epicondylitis: a deceptive crossover trial. Physiotherapy theory and practice. 2017 Dec 2;33(12):914-9.</li>\r\n 	<li>Kroslak M, Murrell GAC. Surgical Treatment of Lateral Epicondylitis: A Prospective, Randomized, Double-Blinded, Placebo-Controlled Clinical Trial. Am J Sports Med. 2018 Mar 1:363546517753385. doi: 10.1177/0363546517753385.</li>\r\n 	<li>Millar, Neal L., George AC Murrell, and Paul Kirwan. \"Time to put down the scalpel? The role of surgery in tendinopathy.\" British Journal of Sports Medicine 54.8 (2020): 441-442.</li>\r\n 	<li>Rabago D, Lee KS, Ryan M, Chourasia AO, Sesto ME, Zgierska A, Kijowski R, Grettie J, Wilson J, Miller D. Hypertonic Dextrose and Morrhuate Sodium Injections (Prolotherapy) for Lateral Epicondylosis (Tennis Elbow): Results of a Single-blind, Pilot-Level, Randomized Controlled Trial. Am J Phys Med Rehabil. 2013 Jan 3.</li>\r\n 	<li>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.</li>\r\n 	<li>Zhu M, Rabago D, Chung VC, Reeves KD, Wong SY, Sit RW. Effects of Hypertonic Dextrose Injection (Prolotherapy) in Lateral Elbow Tendinosis: A Systematic Review and Meta-analysis. Archives of Physical Medicine and Rehabilitation. 2022 Feb 28.</li>\r\n</ul>','Tennis Elbow Treatment','','inherit','closed','closed','','5795-revision-v1','','','2023-06-09 20:32:36','2023-06-09 20:32:36','',5795,'https://www.drfields.com/?p=5804',0,'revision','',0),(5805,9,'2023-06-09 20:41:28','2023-06-09 20:41:28','<h2><img class=\"alignright wp-image-5796\" src=\"https://www.drfields.com/wp-content/uploads/2023/06/Tennis-Elbow-American-Journal-of-Phy-Med-Rehab-1-500x419.png\" alt=\"Tennis Elbow Treatment\" width=\"365\" height=\"305\" />Tennis Elbow Treatment</h2>\r\nYou don\'t have to be a tennis player to have tennis elbow. Tennis elbow is a condition caused by overuse. Sufferers might be painters, writers, guitar players, or anyone who does an activity requiring repetitive use of the arm and elbow.\r\n\r\nTennis elbow pain may radiate from the outer elbow into the forearm and wrist. These symptoms may make daily activities difficult. Even simple tasks like turning a doorknob or picking up, holding, and gripping objects.\r\n\r\nOver-the-counter pain medications, NSAIDs, cortisone injections, bracing, taping, physical therapy, and massage, may work to bring some relief. But when these fail to achieve the desired relief, and your elbow continues to hurt, it is time to seek reparative, regenerative treatments like Regenerative Orthopedics.\r\n<h2>Lateral Epicondylitis</h2>\r\nThe medical terminology for tennis elbow is lateral epicondylitis. The \"itis\" at the end of this word suggests inflammation of the tendon where it attaches to the bony prominence of the elbow (the lateral epicondyle). However, in tennis elbow, there is not always evidence of inflammation.  And because of that, there is some controversy about the treatment for the condition. The <em>Journal of Shoulder and Elbow Surgery says this</em>:\r\n<ul>\r\n 	<li>“As orthopaedic surgeons, we are besieged by myths that guide our treatment of lateral epicondylitis, or “tennis elbow.” This extends from the term used to describe the condition to the nonoperative and operative treatments as well. The term epicondylitis suggests an inflammatory cause; however, in all but 1 publication examining pathologic specimens of patients operated on for this condition, <strong>no evidence of acute or chronic inflammation is found</strong>.\"(<a href=\"https://www.ncbi.nlm.nih.gov/pubmed/10543604\">1</a>)</li>\r\n</ul>\r\nThe Open Access Journal of Sports Medicine also notes the controversy:\r\n<ul>\r\n 	<li>“Although most cases are self-limiting over several years, controversy exists regarding the best treatment strategy for chronic lateral epicondylitis.”(2)</li>\r\n</ul>\r\n<h2>Tendinosis Rather Than Tendonitis</h2>\r\nWhen elbow pain is chronic, and has lasted for an extended amount of time, it is likely that the problem is tendinosis, a condition of tendon degeneration.\r\n\r\n<strong><em>What does all of that mean? What is tendinopathy, tendonitis, or tendinosis?</em></strong>\r\n\r\nTendinopathy is a broad term often used to describe any problem with a tendon.\r\n\r\nTendonitis refers to inflammation of the tendon, and is actually a less common cause of tendon pain than you might think.\r\n\r\nTendinosis is the breakdown (degeneration) of the collagen fibers in the tendon. It happens slowly and is often the result of tendon overuse.\r\n\r\nTendinosis is therefore the chronic non-inflammatory degeneration of a tendon. Tendinosis may develop as a result of chronic tendonitis or due to repetitive strain-injuries to a tendon without adequate time to heal. Tendinosis is a more common cause of tendon pain. Since inflammation is not the issue, the problem does not respond well to anti-inflammatories.<strong> </strong>\r\n<h2>Tennis Elbow: An Overuse Injury</h2>\r\nOveruse injuries are activity-related injuries linked to repetitive stress placed on the tendon, ligament or other joint structure. Doing too much of the same activity strains the soft tissue structures of the elbow. Using poor or improper technique while training or poor form when painting can overload the muscles, tendons, and ligaments, and cause an overuse injury.\r\n<h2>Instability May Be Behind Tennis Elbow</h2>\r\nChronic elbow pain may be related to ligament, muscle, and tendon injury. In order to resolve the problem, all of these areas need to be addressed for alleviation of the pain.\r\n\r\nIt is possible that elbow pain is a result of injury of the elbow ligaments. When elbow ligaments are involved, they may be frayed, torn, or otherwise weakened. Why is it important to address the ligaments if tennis elbow is a tendon problem? Ligaments are dense bands of connective tissue that attach one bone to another. They hold the bones in place, and allow for a strong, stable base upon which the muscles contract and move the joint. When a tendon is injured, there is often ligament involvement as well, and these soft tissue structures need to be repaired to stop the problem.\r\n\r\nWhen the ligaments are injured or weakened, they can cause strain on the tendon and other joint structures. This allows for excessive elbow movement and instability. In this cycle of instability, the tendons will attempt to hold the muscle to the bone, increasing stress, and increasing the possibility of injury to the tendon.<strong> </strong>\r\n<h2>Is Bracing a Tennis Elbow Treatment that Helps?<strong> </strong></h2>\r\n<em><u>Bracing</u></em>\r\n\r\nThe journal <em>Prosthetics and Orthotics International</em> (3) examined the popular counterforce brace in people with problems of lateral elbow tendinopathy and found that physical therapy had better results.\r\n\r\nIn fact, researchers have concluded that braces, sleeves, tapes, and elbow bands may just be a waste of money, and that they probably only provide placebo affects.(4)\r\n<h2><em><u>What About Surgery as a Tennis Elbow Treatment?</u></em></h2>\r\n<strong>The <em>US National Institutes of Health Clinical Trial</em></strong><strong> website</strong><strong> says: “<em>Despite its promise, there have been no high-quality studies evaluating the efficacy of arthroscopic tennis elbow release, bringing the actual efficacy of this procedure into question.” </em>(5)</strong>\r\n\r\n<em>The British Journal of Sports Medicine </em>has an article entitled:<strong> “Time to put down the scalpel?”</strong> It says,“Our published review highlighted the importance of sham surgery in randomized controlled surgical trials including those in tendinopathy. Compared with using a non-surgical control group, sham surgery equalizes the placebo effect of surgery and gives more realistic insights into the effectiveness of the actual surgical procedure in question.\"(6)<strong> </strong>\r\n<h2>There’s Another Way and It Does Not Require Surgery!</h2>\r\n<h3><em>Regenerative Orthopedics: Tennis Elbow Treatment</em></h3>\r\nRegenerative Orthopedics is a non-surgical treatment that effectively repairs the tendons and ligaments involved in tennis elbow. Prolotherapy is one type of Regenerative Orthopedics and studies show its effectiveness in treating tennis elbow.\r\n\r\nProlotherapy is an injection technique that works to regenerate the degenerated tendon and ligaments. The injection of simple dextrose mimics the natural healing response and stimulates healing growth factors to repair the tissue.\r\n<h2>What Does the Research Say About Prolotherapy?</h2>\r\n<ul>\r\n 	<li>Researchers published a study in the <em>American Journal of Physical Medicine &amp; Rehabilitation </em>that evaluated Prolotherapy for tennis elbow. They concluded: <em>“Prolotherapy resulted in safe, significant improvement of elbow pain and function compared with baseline status and follow-up data and the wait-and-see control group” </em>(7).</li>\r\n</ul>\r\n<ul>\r\n 	<li>A study of 84 patients with tennis elbow who were treated with dextrose prolotherapy had statistically significant reductions in pain levels. (8)</li>\r\n</ul>\r\n<ul>\r\n 	<li>Archives of Physical Medicine and Rehabilitation concluded: “Hypertonic dextrose prolotherapy is superior to (placebo) at 12 weeks for decreasing pain intensity and functioning by margins that meet criteria for clinical relevance in the treatment of lateral elbow tendinosis.\" (9)<strong> </strong></li>\r\n</ul>\r\nProlotherapy is effective for tennis elbow! It works because it boosts the body’s healing abilities naturally. It works because it addresses the problem by repairing the injured soft tissue. And it works because it reduces or eliminates the symptoms.\r\n\r\nProlotherapy and other Regenerative Orthopedics, such as PRP and Stem Cell Therapy, all strengthen the involved ligaments and tendons. These therapies stabilize the elbow, strengthen the elbow, address the instability, and put an end to the pain and symptoms of tennis elbow. Recommendations may be made for PRP and/or Stem Cell in more advanced cases, but all treatments would include Prolotherapy.\r\n\r\nIf tennis elbow is a condition you are currently facing, please reach out and give us a call. We would be happy to help you become symptom free.\r\n<h2><strong>References</strong></h2>\r\n(1) Boyer MI. Lateral tennis elbow:” Is there any science out there?.”Journal of Shoulder and Elbow Surgery. 1999;8(5):481-91.\r\n\r\n(2) Lai WC, Erickson BJ, Mlynarek RA, Wang D. Chronic lateral epicondylitis: challenges and solutions. Open Access Journal of Sports Medicine. 2018;9:243.\r\n\r\n(3) Shahabi S, Bagheri Lankarani K, Heydari ST, Jalali M, Ghahramani S, Kamyab M, Tabrizi R, Hosseinabadi M. The effects of counterforce brace on pain in subjects with lateral elbow tendinopathy: A systematic review and meta-analysis of randomized controlled trials. Prosthetics and Orthotics International. 2020 Jul 8:0309364620930618.\r\n\r\n(4) Au IP, Fan PC, Lee WY, Leong MW, Tang OY, An WW, Cheung RT. Effects of Kinesio tape in individuals with lateral epicondylitis: a deceptive crossover trial. Physiotherapy Theory and Practice. 2017 Dec 2;33(12):914-9.\r\n\r\n(5) Kroslak M, Murrell GAC. Surgical Treatment of Lateral Epicondylitis: A Prospective, Randomized, Double-Blinded, Placebo-Controlled Clinical Trial. Am J Sports Med. 2018 Mar 1:363546517753385. doi: 10.1177/0363546517753385.\r\n\r\n(6) Millar, Neal L., George AC Murrell, and Paul Kirwan. \"Time to put down the scalpel? The role of surgery in tendinopathy.\" British Journal of Sports Medicine 54.8 (2020): 441-442.\r\n\r\n(7) Rabago D, Lee KS, Ryan M, Chourasia AO, Sesto ME, Zgierska A, Kijowski R, Grettie J, Wilson J, Miller D. Hypertonic Dextrose and Morrhuate Sodium Injections (Prolotherapy) for Lateral Epicondylosis (Tennis Elbow): Results of a Single-blind, Pilot-Level, Randomized Controlled Trial. Am J Phys Med Rehabil. 2013 Jan 3.\r\n\r\n(8) 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(9) Zhu M, Rabago D, Chung VC, Reeves KD, Wong SY, Sit RW. Effects of Hypertonic Dextrose Injection (Prolotherapy) in Lateral Elbow Tendinosis: A Systematic Review and Meta-analysis. Archives of Physical Medicine and Rehabilitation. 2022 Feb 28.','Tennis Elbow Treatment','','inherit','closed','closed','','5795-revision-v1','','','2023-06-09 20:41:28','2023-06-09 20:41:28','',5795,'https://www.drfields.com/?p=5805',0,'revision','',0),(5806,9,'2023-06-09 20:47:57','2023-06-09 20:47:57','<h2><img class=\"alignright wp-image-5796\" src=\"https://www.drfields.com/wp-content/uploads/2023/06/Tennis-Elbow-American-Journal-of-Phy-Med-Rehab-1-500x419.png\" alt=\"Tennis Elbow Treatment\" width=\"365\" height=\"305\" />Tennis Elbow Treatment</h2>\r\nYou don\'t have to be a tennis player to have tennis elbow. Tennis elbow is a condition caused by overuse. Sufferers might be painters, writers, guitar players, or anyone who does an activity requiring repetitive use of the arm and elbow. In this article, we\'ll take a look delve into tennis elbow as well as tennis elbow treatment.\r\n\r\nTennis elbow pain may radiate from the outer elbow into the forearm and wrist. These symptoms may make daily activities difficult. Even simple tasks like turning a doorknob or picking up, holding, and gripping objects.\r\n\r\nOver-the-counter pain medications, NSAIDs, cortisone injections, bracing, taping, physical therapy, and massage, may work to bring some relief. But when these fail to achieve the desired relief, and your elbow continues to hurt, it is time to seek reparative, regenerative treatments like Regenerative Orthopedics.\r\n<h2>Lateral Epicondylitis</h2>\r\nThe medical terminology for tennis elbow is lateral epicondylitis. The \"itis\" at the end of this word suggests inflammation of the tendon where it attaches to the bony prominence of the elbow (the lateral epicondyle). However, in tennis elbow, there is not always evidence of inflammation.  And because of that, there is some controversy about the treatment for the condition. The <em>Journal of Shoulder and Elbow Surgery says this</em>:\r\n<ul>\r\n 	<li>“As orthopaedic surgeons, we are besieged by myths that guide our treatment of lateral epicondylitis, or “tennis elbow.” This extends from the term used to describe the condition to the nonoperative and operative treatments as well. The term epicondylitis suggests an inflammatory cause; however, in all but 1 publication examining pathologic specimens of patients operated on for this condition, <strong>no evidence of acute or chronic inflammation is found</strong>.\"(<a href=\"https://www.ncbi.nlm.nih.gov/pubmed/10543604\">1</a>)</li>\r\n</ul>\r\nThe Open Access Journal of Sports Medicine also notes the controversy:\r\n<ul>\r\n 	<li>“Although most cases are self-limiting over several years, controversy exists regarding the best treatment strategy for chronic lateral epicondylitis.”(2)</li>\r\n</ul>\r\n<h2>Tendinosis Rather Than Tendonitis</h2>\r\nWhen elbow pain is chronic, and has lasted for an extended amount of time, it is likely that the problem is tendinosis, a condition of tendon degeneration.\r\n\r\n<strong><em>What does all of that mean? What is tendinopathy, tendonitis, or tendinosis?</em></strong>\r\n\r\nTendinopathy is a broad term often used to describe any problem with a tendon.\r\n\r\nTendonitis refers to inflammation of the tendon, and is actually a less common cause of tendon pain than you might think.\r\n\r\nTendinosis is the breakdown (degeneration) of the collagen fibers in the tendon. It happens slowly and is often the result of tendon overuse.\r\n\r\nTendinosis is therefore the chronic non-inflammatory degeneration of a tendon. The condition may develop as a result of chronic tendonitis or due to repetitive strain-injuries to a tendon without adequate time to heal. Tendinosis is a more common cause of tendon pain. Since inflammation is not the issue, the problem does not respond well to anti-inflammatories.<strong> </strong>\r\n<h2>Tennis Elbow: An Overuse Injury</h2>\r\nOveruse injuries are activity-related injuries linked to repetitive stress placed on the tendon, ligament or other joint structure. Doing too much of the same activity strains the soft tissue structures of the elbow. Using poor or improper technique while training or poor form when painting can overload the muscles, tendons, and ligaments, and cause an overuse injury.\r\n<h2>Instability May Be Behind Tennis Elbow</h2>\r\nChronic elbow pain may be related to ligament, muscle, and tendon injury. In order to resolve the problem, all of these areas need to be addressed for alleviation of the pain.\r\n\r\nIt is possible that elbow pain is a result of injury of the elbow ligaments. When elbow ligaments are involved, they may be frayed, torn, or otherwise weakened. Why is it important to address the ligaments if tennis elbow is a tendon problem? Ligaments are dense bands of connective tissue that attach one bone to another. They hold the bones in place, and allow for a strong, stable base upon which the muscles contract and move the joint. When a tendon is injured, there is often ligament involvement as well, and these soft tissue structures need to be repaired to stop the problem.\r\n\r\nWhen the ligaments are injured or weakened, they can cause strain on the tendon and other joint structures. This allows for excessive elbow movement and instability. In this cycle of instability, the tendons will attempt to hold the muscle to the bone, increasing stress, and increasing the possibility of injury to the tendon.<strong> </strong>\r\n<h2>Is Bracing a Tennis Elbow Treatment that Helps?<strong> </strong></h2>\r\n<em><u>Bracing</u></em>\r\n\r\nThe journal <em>Prosthetics and Orthotics International</em> (3) examined the popular counterforce brace in people with problems of lateral elbow tendinopathy and found that physical therapy had better results.\r\n\r\nIn fact, researchers have concluded that braces, sleeves, tapes, and elbow bands may just be a waste of money, and that they probably only provide placebo affects.(4)\r\n<h2><em><u>What About Surgery as a Tennis Elbow Treatment?</u></em></h2>\r\n<strong>The <em>US National Institutes of Health Clinical Trial</em></strong><strong> website</strong><strong> says: “<em>Despite its promise, there have been no high-quality studies evaluating the efficacy of arthroscopic tennis elbow release, bringing the actual efficacy of this procedure into question.” </em>(5)</strong>\r\n\r\n<em>The British Journal of Sports Medicine </em>has an article entitled:<strong> “Time to put down the scalpel?”</strong> It says,“Our published review highlighted the importance of sham surgery in randomized controlled surgical trials including those in tendinopathy. Compared with using a non-surgical control group, sham surgery equalizes the placebo effect of surgery and gives more realistic insights into the effectiveness of the actual surgical procedure in question.\"(6)<strong> </strong>\r\n<h2>There’s Another Way and It Does Not Require Surgery!</h2>\r\n<h3><em>Regenerative Orthopedics: Tennis Elbow Treatment</em></h3>\r\nRegenerative Orthopedics is a non-surgical treatment that effectively repairs the tendons and ligaments involved in tennis elbow. Prolotherapy is one type of Regenerative Orthopedics and studies show its effectiveness in treating tennis elbow.\r\n\r\nProlotherapy is an injection technique that works to regenerate the degenerated tendon and ligaments. The injection of simple dextrose mimics the natural healing response and stimulates healing growth factors to repair the tissue.\r\n<h2>What Does the Research Say About Prolotherapy?</h2>\r\n<ul>\r\n 	<li>Researchers published a study in the <em>American Journal of Physical Medicine &amp; Rehabilitation </em>that evaluated Prolotherapy for tennis elbow. They concluded: <em>“Prolotherapy resulted in safe, significant improvement of elbow pain and function compared with baseline status and follow-up data and the wait-and-see control group” </em>(7).</li>\r\n</ul>\r\n<ul>\r\n 	<li>A study of 84 patients with tennis elbow who were treated with dextrose prolotherapy had statistically significant reductions in pain levels. (8)</li>\r\n</ul>\r\n<ul>\r\n 	<li>Archives of Physical Medicine and Rehabilitation concluded: “Hypertonic dextrose prolotherapy is superior to (placebo) at 12 weeks for decreasing pain intensity and functioning by margins that meet criteria for clinical relevance in the treatment of lateral elbow tendinosis.\" (9)<strong> </strong></li>\r\n</ul>\r\nProlotherapy is effective for tennis elbow! It works because it boosts the body’s healing abilities naturally. It works because it addresses the problem by repairing the injured soft tissue. And it works because it reduces or eliminates the symptoms.\r\n\r\nProlotherapy and other Regenerative Orthopedics, such as PRP and Stem Cell Therapy, all strengthen the involved ligaments and tendons. These therapies stabilize the elbow, strengthen the elbow, address the instability, and put an end to the pain and symptoms of tennis elbow. Recommendations may be made for PRP and/or Stem Cell in more advanced cases, but all treatments would include Prolotherapy.\r\n\r\nIf tennis elbow is a condition you are currently facing, please reach out and give us a call. We would be happy to help you become symptom free.\r\n<h2><strong>References</strong></h2>\r\n(1) Boyer MI. Lateral tennis elbow:” Is there any science out there?.”Journal of Shoulder and Elbow Surgery. 1999;8(5):481-91.\r\n\r\n(2) Lai WC, Erickson BJ, Mlynarek RA, Wang D. Chronic lateral epicondylitis: challenges and solutions. Open Access Journal of Sports Medicine. 2018;9:243.\r\n\r\n(3) Shahabi S, Bagheri Lankarani K, Heydari ST, Jalali M, Ghahramani S, Kamyab M, Tabrizi R, Hosseinabadi M. The effects of counterforce brace on pain in subjects with lateral elbow tendinopathy: A systematic review and meta-analysis of randomized controlled trials. Prosthetics and Orthotics International. 2020 Jul 8:0309364620930618.\r\n\r\n(4) Au IP, Fan PC, Lee WY, Leong MW, Tang OY, An WW, Cheung RT. Effects of Kinesio tape in individuals with lateral epicondylitis: a deceptive crossover trial. Physiotherapy Theory and Practice. 2017 Dec 2;33(12):914-9.\r\n\r\n(5) Kroslak M, Murrell GAC. Surgical Treatment of Lateral Epicondylitis: A Prospective, Randomized, Double-Blinded, Placebo-Controlled Clinical Trial. Am J Sports Med. 2018 Mar 1:363546517753385. doi: 10.1177/0363546517753385.\r\n\r\n(6) Millar, Neal L., George AC Murrell, and Paul Kirwan. \"Time to put down the scalpel? The role of surgery in tendinopathy.\" British Journal of Sports Medicine 54.8 (2020): 441-442.\r\n\r\n(7) Rabago D, Lee KS, Ryan M, Chourasia AO, Sesto ME, Zgierska A, Kijowski R, Grettie J, Wilson J, Miller D. Hypertonic Dextrose and Morrhuate Sodium Injections (Prolotherapy) for Lateral Epicondylosis (Tennis Elbow): Results of a Single-blind, Pilot-Level, Randomized Controlled Trial. Am J Phys Med Rehabil. 2013 Jan 3.\r\n\r\n(8) 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(9) Zhu M, Rabago D, Chung VC, Reeves KD, Wong SY, Sit RW. Effects of Hypertonic Dextrose Injection (Prolotherapy) in Lateral Elbow Tendinosis: A Systematic Review and Meta-analysis. Archives of Physical Medicine and Rehabilitation. 2022 Feb 28.','Tennis Elbow Treatment','','inherit','closed','closed','','5795-revision-v1','','','2023-06-09 20:47:57','2023-06-09 20:47:57','',5795,'https://www.drfields.com/?p=5806',0,'revision','',0),(5807,9,'2023-06-09 21:15:13','2023-06-09 21:15:13','<h2><img class=\"alignright wp-image-5799\" src=\"https://www.drfields.com/wp-content/uploads/2023/06/Hip-Arthritis-500x419.png\" alt=\"Hip Arthritis Treatment\" width=\"300\" height=\"251\" /><span style=\"font-size: 16px;\">Hip Arthritis Treatment</span></h2>\nIf you have hip arthritis, there is a good chance you are looking for an alternative to hip replacement. Are you seeking a way to preserve your hip from hip replacement surgery? What is the best hip arthritis treatment?\n\nFor those who still have good range of motion in their hip, Regenerative Orthopedics may be your alternative to hip replacement. Regenerative Orthopedics is a non-surgical regenerative therapy that includes Prolotherapy, PRP, and Stem Cell Therapy. At OrthoRegen®, we use the Gold Standard in Stem Cell Therapy.\n<h2>An Alternative to Hip Replacement Surgery</h2>\nOften, hip replacement is chosen because the patient is told they have bone-on-bone arthritis, and hip replacement is the only option. As you read, you will see that hip replacement is not the only option for bone-on-bone arthritis, but Regenerative Orthopedics is practical in many arthritis cases.\n\nMany people assume that once they get a hip replacement, they will be good to go, and can get back to all the activities they want. This is not always the case. Some people continue to have pain after the replacement.\n\nAdditionally, it\'s essential to remember that hip replacements do not last forever. If the patient is younger, remember that replacements will wear out after 15-plus years.\n\nHip replacements may not provide the desired relief sought. Instead, chronic pain and incomplete function after surgery is a possibility. And surgery is permanent. Once surgery is done, it cannot be undone. Fortunately, there is an alternative! Regenerative Orthopedics is an effective hip arthritis treatment that can help get you back to the activities you enjoy.\n<h2>Background: The Hip Arthritis Cycle</h2>\nThe cycle of hip arthritis begins sometime after an injury occurs to the hip joint. That injury could have been an acute trauma-type injury. Or the damage relates to wear and tear over time. The injury then causes the hip joint to move abnormally. Once the soft tissue, like tendons, ligaments, and even the hip labrum, become injured, worn, and/or weakened, they allow for the hip joint to become unstable. The hip instability then causes further joint injury. The cartilage that lines the hip joint also degenerates, and sclerotic changes can be seen on an x-ray, and arthritis is diagnosed.\n\nIs the cartilage degeneration causing the pain? Interestingly, cartilage has no nerve endings, so the pain is not coming from the cartilage. Ligaments, however, are highly innervated. They do have nerves. And when injured, can elicit pain. Therefore, the injured, weak ligaments can be the source of joint pain.\n<h2>Hip Ligaments and Hip Arthritis</h2>\nPeople do not wake up one morning with advanced bone-on-bone hip osteoarthritis. Something did cause it. Bone-on-bone hip osteoarthritis is the end result of continued, prolonged, unrelenting hip joint degeneration due to damaged, loose hip ligaments.\n\nFortunately, Regenerative Orthopedics treats the weak, injured, and lax ligaments and other soft tissue structures of the hip that are in need of repair. The treatments do not just cover up pain, as pain meds and anti-inflammatories do. Regenerative Orthopedics regenerates and repair the hip.\n\nThe three main ligaments of the hip, the iliofemoral, pubofemoral, and ischiofemoral ligaments, are very strong. Normally, when these ligaments are healthy, they keep your hip stable. But when they become injured, the hip becomes unstable. With the instability, the hip labrum and other soft tissue begin to tear. And the ball of the hip bone rubs the wrong way and causes the degeneration to continue. Researchers agree about the importance of healthy ligaments in order to have a healthy hip joint.\n<h2>Research on How Ligaments Affect the Health of the Hip Joint</h2>\nWhen examining why patients continue to have pain after hip surgery, Researchers said this in the Knee Surgery, Sports Traumatology, Arthroscopy journal, \"surgical management for hip disorders should preserve the soft tissue constraints (ligaments) in the hip when possible to maintain normal hip biomechanics.”(1)\n<h3><em>How Important Are Hip Ligaments?</em></h3>\nPlus, a study in the <em>Journal of Biomechanics</em> explained the importance of hip ligaments while stressing the need to save the ligaments writing, “Laboratory data indicate the hip capsular ligaments prevent an excessive range of motion, may protect the joint against adverse edge loading, and contribute to synovial fluid replenishment at the cartilage surfaces of the joint. However, their repair after joint preserving (hip arthroscopy) or arthroplasty (hip replacement) surgery is not routine.\" (2)\n<h3>Bone-On-Bone Is Not the Only Problem to Address with Damaged Joints</h3>\nThe researchers stress the importance of preserving the ligaments. Clearly, the bone-on-bone situation is not the only problem that needs to be addressed in the degenerated hip. It is vital to repair the injured ligaments because if not, the problem and the pain can continue. The hip needs to be treated comprehensively.\n\nA February 2021 paper in the journal <em>International Orthopaedics</em> offers this opinion on the future of surgery: “Orthopedic surgeons are at an exciting crossroads in medicine, where hip biologic therapies are evolving and increasingly available. Time-tested interventions such as arthroplasty have shown good results and still have a major role to play <strong>but newer, regenerative approaches have the potential to effectively delay or reduce the requirement for such invasive procedures.</strong><strong>”</strong> (3)\n\nThere are certainly times when surgery is needed. However, regenerative treatments are great alternatives in many cases.\n<h2>Regenerative Orthopedics: Hip Arthritis Treatment</h2>\nLet\'s look at some of the studies and see what they say about the effectiveness of regenerative therapies like Prolotherapy, PRP, and Stem Cell Therapy.\n\n<strong><em>Prolotherapy</em></strong>\n\nHauser et al. looked at 61 patients with hip pain, and 95% said their pain decreased after Prolotherapy. (4)\n\nResearchers in the journal <em>Medical Science Monitor</em> said, “To our best knowledge, this study is the first regarding the effects of an injection method in treating osteoarthritis secondary to developmental dysplasia of the hip. According to our study, Prolotherapy is superior to exercise. Prolotherapy could provide significant improvement for clinical outcomes in developmental dysplasia of the hip and might delay surgery.\" (5)\n\n<strong><em>PRP</em></strong>\n\nAs far as PRP, the <em>American Journal of Sports Medicine</em> journal says this: “Results indicated that intra-articular PRP injections offer a significant clinical improvement in patients with hip osteoarthritis without relevant side effects.\" (6)\n\n<strong><em>Stem Cell Therapy</em></strong>\n\nAt OrthoRegen®, we may use PRP and Stem Cell Therapy in cases where the hip degeneration is more advanced. We call this the Gold Standard in Stem Cell Therapy because we will use Prolotherapy, PRP, and stem cells to comprehensively treat all of the injured structures of the hip joint.\n\n<em>Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders</em> shows that stem cells regenerate tissue damage within the osteoarthritic joint and, when used in combination with <strong>Prolotherapy injections</strong>, can repair hip stability. (7)\n\nAt OrthoRegen, we\'ve had years of experience in regenerative therapies as a hip arthritis treatment. If you are suffering from hip arthritis and are looking for an alternative to hip replacement, please call us. We\'d love to help you stop the arthritis cycle and repair the damaged hip structures so you can return to the activities you love.\n\n(1) Smith MV, Costic RS, Allaire R, Schilling PL, Sekiya JK. A biomechanical analysis of the soft tissue and osseous constraints of the hip joint. Knee Surgery, Sports Traumatology, Arthroscopy. 2014 Apr 1;22(4):946-52.\n\n(2) Van Arkel RJ, Amis AA, Jeffers JR. The envelope of passive motion allowed by the capsular ligaments of the hip. Journal of biomechanics. 2015 Nov 5;48(14):3803-9.\n\n(3) Hevesi M, Jacob G, Shimomura K, Ando W, Nakamura N, Krych AJ. Current hip cartilage regeneration/repair modalities: a scoping review of biologics and surgery. International Orthopaedics. 2020 Sep 10:1-5.\n\n(4) Hauser RA, Hauser MA. A Retrospective Study on Hackett-Hemwall Dextrose Prolotherapy for Chronic Hip Pain at an Outpatient Charity Clinic in Rural Illinois. Journal of Prolotherapy. 2009;2:76-88.\n\n(5) Gül D, Orsçelik A, Akpancar S. Treatment of Osteoarthritis Secondary to Developmental Dysplasia of the Hip with Prolotherapy Injection versus a Supervised Progressive Exercise Control. <em>Med Sci Monit</em>. 2020;26:e919166. Published 2020 Feb 11. doi:10.12659/MSM.919166\n\n(6) Dallari D, Stagni C, Rani N, Sabbioni G, Pelotti P, Torricelli P, Tschon M, Giavaresi G.Ultrasound-Guided Injection of Platelet-Rich Plasma and Hyaluronic Acid, Separately and in Combination, for Hip Osteoarthritis: A Randomized Controlled Study. <em>Am J Sports Med</em>. 2016 Mar;44(3):664-71. doi: 10.1177/0363546515620383. Epub 2016 Jan 21\n\n(7) Hauser RA, Orlofsky A. Regenerative injection therapy with whole bone marrow aspirate for degenerative joint disease: a case series. <em>Clin Med Insights Arthritis Musculoskelet Disord</em>. 2013 Sep 4;6:65-72. doi: 10.4137/CMAMD.S10951. eCollection 2013.','Hip Arthritis?','','inherit','closed','closed','','5798-autosave-v1','','','2023-06-09 21:15:13','2023-06-09 21:15:13','',5798,'https://www.drfields.com/?p=5807',0,'revision','',0),(5808,9,'2023-06-09 21:03:51','2023-06-09 21:03:51','<h2><img class=\"alignright wp-image-5799\" src=\"https://www.drfields.com/wp-content/uploads/2023/06/Hip-Arthritis-500x419.png\" alt=\"Hip Arthritis Treatment\" width=\"300\" height=\"251\" />Hip Arthritis Treatment</h2>\r\nIf you have hip arthritis, there is a good chance you are looking for an alternative to hip replacement. Are you looking for a way to preserve your hip from hip replacement surgery? What is the best hip arthritis treatment?\r\n\r\nFor those who still have good range of motion in their hip, Regenerative Orthopedics may be your alternative to hip replacement. Regenerative Orthopedics is a non-surgical regenerative therapy that includes Prolotherapy, PRP, and Stem Cell Therapy. At OrthoRegen®, we use the Gold Standard in Stem Cell Therapy.\r\n<h2>An Alternative to Hip Replacment Surgery</h2>\r\nOftentimes, hip replacement is chosen because the patient is told they have bone-on-bone arthritis, and hip replacement is the only option. As you read, you will see that hip replacement is not the only option for bone-on-bone arthritis, but Regenerative Orthopedics is practical in many arthritis cases.\r\n\r\nMany people assume that once they get a hip replacement, they will be good to go, and can get back to all the activities they want. This is not always the case. Some people continue to have pain after the replacement.\r\n\r\nAdditionally, it\'s essential to remember that hip replacements do not last forever. If the patient is younger, remember that replacements will wear out after 15-plus years.\r\n\r\nHip replacements may not provide the desired relief sought. Instead, chronic pain and incomplete function after surgery is a possibility. And surgery is permanent. Once surgery is done, it cannot be undone.\r\n<h2>Background: The Hip Arthritis Cycle</h2>\r\nThe cycle of hip arthritis begins sometime after an injury occurs to the hip joint. That injury could have been an acute trauma-type injury. Or the damage relates to wear and tear over time. The injury then causes the hip joint to move abnormally. Once the soft tissue, like tendons, ligaments, and even the hip labrum, become injured, worn, and/or weakened, they allow for the hip joint to become unstable. The hip instability then causes further joint injury. The cartilage that lines the hip joint also degenerates, and sclerotic changes can be seen on an x-ray, and arthritis is diagnosed.\r\n\r\nIs the cartilage degeneration causing the pain? Interestingly, cartilage has no nerve endings, so the pain is not coming from the cartilage. Ligaments, however, are highly innervated. They do have nerves. And when injured, can elicit pain. Therefore, the injured, weak ligaments can be the source of joint pain.\r\n<h2>Hip Ligaments and Hip Arthritis</h2>\r\nPeople do not wake up one morning with advanced bone-on-bone hip osteoarthritis. Something did cause it. Bone-on-bone hip osteoarthritis is the end result of continued, prolonged, unrelenting hip joint degeneration due to damaged, loose hip ligaments.\r\n\r\nFortunately, Regenerative Orthopedics treats the weak, injured, and lax ligaments and other soft tissue structures of the hip that are in need of repair. The treatments do not just cover up pain, as pain meds and anti-inflammatories do. Regenerative Orthopedics regenerates and repair the hip.\r\n\r\nThe three main ligaments of the hip, the iliofemoral, pubofemoral, and ischiofemoral ligaments, are very strong. Normally, when these ligaments are healthy, they keep your hip stable. But when they become injured, the hip becomes unstable. With the instability, the hip labrum and other soft tissue begin to tear. And the ball of the hip bone rubs the wrong way and causes the degeneration to continue. Researchers agree about the importance of healthy ligaments in order to have a healthy hip joint.\r\n<h2>Research on How Ligaments Affect the Health of the Hip Joint</h2>\r\nWhen examining why patients continue to have pain after hip surgery, Researchers said this in the Knee Surgery, Sports Traumatology, Arthroscopy journal, \"surgical management for hip disorders should preserve the soft tissue constraints (ligaments) in the hip when possible to maintain normal hip biomechanics.”(1)\r\n\r\nPlus, a study in the <em>Journal of Biomechanics</em> explained the importance of hip ligaments while stressing the need to save the ligaments writing, “Laboratory data indicate the hip capsular ligaments prevent an excessive range of motion, may protect the joint against adverse edge loading, and contribute to synovial fluid replenishment at the cartilage surfaces of the joint. However, their repair after joint preserving (hip arthroscopy) or arthroplasty (hip replacement) surgery is not routine.\" (2)\r\n\r\nThe researchers stress the importance of preserving the ligaments. Clearly, the bone-on-bone situation is not the only problem that needs to be addressed in the degenerated hip. It is vital to repair the injured ligaments because if not, the problem and the pain can continue. The hip needs to be treated comprehensively.\r\n\r\nA February 2021 paper in the journal <em>International Orthopaedics</em> offers this opinion on the future of surgery: “Orthopedic surgeons are at an exciting crossroads in medicine, where hip biologic therapies are evolving and increasingly available. Time-tested interventions such as arthroplasty have shown good results and still have a major role to play <strong>but newer, regenerative approaches have the potential to effectively delay or reduce the requirement for such invasive procedures.</strong><strong>”</strong> (3)\r\n\r\nThere are certainly times when surgery is needed. However, regenerative treatments are great alternatives in many cases.\r\n<h2>Regenerative Orthopedics: Hip Arthritis Treatment</h2>\r\nLet\'s look at some of the studies and see what they say about the effectiveness of regenerative therapies like Prolotherapy, PRP, and Stem Cell Therapy.\r\n\r\n<strong><em>Prolotherapy</em></strong>\r\n\r\nHauser et al. looked at 61 patients with hip pain, and 95% said their pain decreased after Prolotherapy. (4)\r\n\r\nResearchers in the journal <em>Medical Science Monitor</em> said, “To our best knowledge, this study is the first regarding the effects of an injection method in treating osteoarthritis secondary to developmental dysplasia of the hip. According to our study, Prolotherapy is superior to exercise. Prolotherapy could provide significant improvement for clinical outcomes in developmental dysplasia of the hip and might delay surgery.\" (5)\r\n\r\n<strong><em>PRP</em></strong>\r\n\r\nAs far as PRP, the <em>American Journal of Sports Medicine</em> journal says this: “Results indicated that intra-articular PRP injections offer a significant clinical improvement in patients with hip osteoarthritis without relevant side effects.\" (6)\r\n\r\n<strong><em>Stem Cell Therapy</em></strong>\r\n\r\nAt OrthoRegen®, we may use PRP and Stem Cell Therapy in cases where the hip degeneration is more advanced. We call this the Gold Standard in Stem Cell Therapy because we will use Prolotherapy, PRP, and stem cells to comprehensively treat all of the injured structures of the hip joint.\r\n\r\n<em>Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders</em> shows that stem cells regenerate tissue damage within the osteoarthritic joint and, when used in combination with <strong>Prolotherapy injections</strong>, can repair hip stability. (7)\r\n\r\nAt OrthoRegen, we\'ve had years of experience in regenerative therapies. If you are suffering from hip arthritis and are looking for an alternative to hip replacement, please call us. We\'d love to help you stop the arthritis cycle and repair the damaged hip structures so you can return to the activities you love.\r\n\r\n(1) Smith MV, Costic RS, Allaire R, Schilling PL, Sekiya JK. A biomechanical analysis of the soft tissue and osseous constraints of the hip joint. Knee Surgery, Sports Traumatology, Arthroscopy. 2014 Apr 1;22(4):946-52.\r\n\r\n(2) Van Arkel RJ, Amis AA, Jeffers JR. The envelope of passive motion allowed by the capsular ligaments of the hip. Journal of biomechanics. 2015 Nov 5;48(14):3803-9.\r\n\r\n(3) Hevesi M, Jacob G, Shimomura K, Ando W, Nakamura N, Krych AJ. Current hip cartilage regeneration/repair modalities: a scoping review of biologics and surgery. International Orthopaedics. 2020 Sep 10:1-5.\r\n\r\n(4) Hauser RA, Hauser MA. A Retrospective Study on Hackett-Hemwall Dextrose Prolotherapy for Chronic Hip Pain at an Outpatient Charity Clinic in Rural Illinois. Journal of Prolotherapy. 2009;2:76-88.\r\n\r\n(5) Gül D, Orsçelik A, Akpancar S. Treatment of Osteoarthritis Secondary to Developmental Dysplasia of the Hip with Prolotherapy Injection versus a Supervised Progressive Exercise Control. <em>Med Sci Monit</em>. 2020;26:e919166. Published 2020 Feb 11. doi:10.12659/MSM.919166\r\n\r\n(6) Dallari D, Stagni C, Rani N, Sabbioni G, Pelotti P, Torricelli P, Tschon M, Giavaresi G.Ultrasound-Guided Injection of Platelet-Rich Plasma and Hyaluronic Acid, Separately and in Combination, for Hip Osteoarthritis: A Randomized Controlled Study. <em>Am J Sports Med</em>. 2016 Mar;44(3):664-71. doi: 10.1177/0363546515620383. Epub 2016 Jan 21\r\n\r\n(7) Hauser RA, Orlofsky A. Regenerative injection therapy with whole bone marrow aspirate for degenerative joint disease: a case series. <em>Clin Med Insights Arthritis Musculoskelet Disord</em>. 2013 Sep 4;6:65-72. doi: 10.4137/CMAMD.S10951. eCollection 2013.','Hip Arthritis?','','inherit','closed','closed','','5798-revision-v1','','','2023-06-09 21:03:51','2023-06-09 21:03:51','',5798,'https://www.drfields.com/?p=5808',0,'revision','',0),(5809,9,'2023-06-09 21:06:00','2023-06-09 21:06:00','<h2><img class=\"alignright wp-image-5799\" src=\"https://www.drfields.com/wp-content/uploads/2023/06/Hip-Arthritis-500x419.png\" alt=\"Hip Arthritis Treatment\" width=\"300\" height=\"251\" />Hip Arthritis Treatment</h2>\r\nIf you have hip arthritis, there is a good chance you are looking for an alternative to hip replacement. Are you looking for a way to preserve your hip from hip replacement surgery? What is the best hip arthritis treatment?\r\n\r\nFor those who still have good range of motion in their hip, Regenerative Orthopedics may be your alternative to hip replacement. Regenerative Orthopedics is a non-surgical regenerative therapy that includes Prolotherapy, PRP, and Stem Cell Therapy. At OrthoRegen®, we use the Gold Standard in Stem Cell Therapy.\r\n<h2>An Alternative to Hip Replacement Surgery</h2>\r\nOften, hip replacement is chosen because the patient is told they have bone-on-bone arthritis, and hip replacement is the only option. As you read, you will see that hip replacement is not the only option for bone-on-bone arthritis, but Regenerative Orthopedics is practical in many arthritis cases.\r\n\r\nMany people assume that once they get a hip replacement, they will be good to go, and can get back to all the activities they want. This is not always the case. Some people continue to have pain after the replacement.\r\n\r\nAdditionally, it\'s essential to remember that hip replacements do not last forever. If the patient is younger, remember that replacements will wear out after 15-plus years.\r\n\r\nHip replacements may not provide the desired relief sought. Instead, chronic pain and incomplete function after surgery is a possibility. And surgery is permanent. Once surgery is done, it cannot be undone. Fortunately, there is an alternative! Regenerative Orthopedics is an effective hip arthritis treatment that can help get you back to the activities you enjoy.\r\n<h2>Background: The Hip Arthritis Cycle</h2>\r\nThe cycle of hip arthritis begins sometime after an injury occurs to the hip joint. That injury could have been an acute trauma-type injury. Or the damage relates to wear and tear over time. The injury then causes the hip joint to move abnormally. Once the soft tissue, like tendons, ligaments, and even the hip labrum, become injured, worn, and/or weakened, they allow for the hip joint to become unstable. The hip instability then causes further joint injury. The cartilage that lines the hip joint also degenerates, and sclerotic changes can be seen on an x-ray, and arthritis is diagnosed.\r\n\r\nIs the cartilage degeneration causing the pain? Interestingly, cartilage has no nerve endings, so the pain is not coming from the cartilage. Ligaments, however, are highly innervated. They do have nerves. And when injured, can elicit pain. Therefore, the injured, weak ligaments can be the source of joint pain.\r\n<h2>Hip Ligaments and Hip Arthritis</h2>\r\nPeople do not wake up one morning with advanced bone-on-bone hip osteoarthritis. Something did cause it. Bone-on-bone hip osteoarthritis is the end result of continued, prolonged, unrelenting hip joint degeneration due to damaged, loose hip ligaments.\r\n\r\nFortunately, Regenerative Orthopedics treats the weak, injured, and lax ligaments and other soft tissue structures of the hip that are in need of repair. The treatments do not just cover up pain, as pain meds and anti-inflammatories do. Regenerative Orthopedics regenerates and repair the hip.\r\n\r\nThe three main ligaments of the hip, the iliofemoral, pubofemoral, and ischiofemoral ligaments, are very strong. Normally, when these ligaments are healthy, they keep your hip stable. But when they become injured, the hip becomes unstable. With the instability, the hip labrum and other soft tissue begin to tear. And the ball of the hip bone rubs the wrong way and causes the degeneration to continue. Researchers agree about the importance of healthy ligaments in order to have a healthy hip joint.\r\n<h2>Research on How Ligaments Affect the Health of the Hip Joint</h2>\r\nWhen examining why patients continue to have pain after hip surgery, Researchers said this in the Knee Surgery, Sports Traumatology, Arthroscopy journal, \"surgical management for hip disorders should preserve the soft tissue constraints (ligaments) in the hip when possible to maintain normal hip biomechanics.”(1)\r\n\r\nPlus, a study in the <em>Journal of Biomechanics</em> explained the importance of hip ligaments while stressing the need to save the ligaments writing, “Laboratory data indicate the hip capsular ligaments prevent an excessive range of motion, may protect the joint against adverse edge loading, and contribute to synovial fluid replenishment at the cartilage surfaces of the joint. However, their repair after joint preserving (hip arthroscopy) or arthroplasty (hip replacement) surgery is not routine.\" (2)\r\n\r\nThe researchers stress the importance of preserving the ligaments. Clearly, the bone-on-bone situation is not the only problem that needs to be addressed in the degenerated hip. It is vital to repair the injured ligaments because if not, the problem and the pain can continue. The hip needs to be treated comprehensively.\r\n\r\nA February 2021 paper in the journal <em>International Orthopaedics</em> offers this opinion on the future of surgery: “Orthopedic surgeons are at an exciting crossroads in medicine, where hip biologic therapies are evolving and increasingly available. Time-tested interventions such as arthroplasty have shown good results and still have a major role to play <strong>but newer, regenerative approaches have the potential to effectively delay or reduce the requirement for such invasive procedures.</strong><strong>”</strong> (3)\r\n\r\nThere are certainly times when surgery is needed. However, regenerative treatments are great alternatives in many cases.\r\n<h2>Regenerative Orthopedics: Hip Arthritis Treatment</h2>\r\nLet\'s look at some of the studies and see what they say about the effectiveness of regenerative therapies like Prolotherapy, PRP, and Stem Cell Therapy.\r\n\r\n<strong><em>Prolotherapy</em></strong>\r\n\r\nHauser et al. looked at 61 patients with hip pain, and 95% said their pain decreased after Prolotherapy. (4)\r\n\r\nResearchers in the journal <em>Medical Science Monitor</em> said, “To our best knowledge, this study is the first regarding the effects of an injection method in treating osteoarthritis secondary to developmental dysplasia of the hip. According to our study, Prolotherapy is superior to exercise. Prolotherapy could provide significant improvement for clinical outcomes in developmental dysplasia of the hip and might delay surgery.\" (5)\r\n\r\n<strong><em>PRP</em></strong>\r\n\r\nAs far as PRP, the <em>American Journal of Sports Medicine</em> journal says this: “Results indicated that intra-articular PRP injections offer a significant clinical improvement in patients with hip osteoarthritis without relevant side effects.\" (6)\r\n\r\n<strong><em>Stem Cell Therapy</em></strong>\r\n\r\nAt OrthoRegen®, we may use PRP and Stem Cell Therapy in cases where the hip degeneration is more advanced. We call this the Gold Standard in Stem Cell Therapy because we will use Prolotherapy, PRP, and stem cells to comprehensively treat all of the injured structures of the hip joint.\r\n\r\n<em>Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders</em> shows that stem cells regenerate tissue damage within the osteoarthritic joint and, when used in combination with <strong>Prolotherapy injections</strong>, can repair hip stability. (7)\r\n\r\nAt OrthoRegen, we\'ve had years of experience in regenerative therapies. If you are suffering from hip arthritis and are looking for an alternative to hip replacement, please call us. We\'d love to help you stop the arthritis cycle and repair the damaged hip structures so you can return to the activities you love.\r\n\r\n(1) Smith MV, Costic RS, Allaire R, Schilling PL, Sekiya JK. A biomechanical analysis of the soft tissue and osseous constraints of the hip joint. Knee Surgery, Sports Traumatology, Arthroscopy. 2014 Apr 1;22(4):946-52.\r\n\r\n(2) Van Arkel RJ, Amis AA, Jeffers JR. The envelope of passive motion allowed by the capsular ligaments of the hip. Journal of biomechanics. 2015 Nov 5;48(14):3803-9.\r\n\r\n(3) Hevesi M, Jacob G, Shimomura K, Ando W, Nakamura N, Krych AJ. Current hip cartilage regeneration/repair modalities: a scoping review of biologics and surgery. International Orthopaedics. 2020 Sep 10:1-5.\r\n\r\n(4) Hauser RA, Hauser MA. A Retrospective Study on Hackett-Hemwall Dextrose Prolotherapy for Chronic Hip Pain at an Outpatient Charity Clinic in Rural Illinois. Journal of Prolotherapy. 2009;2:76-88.\r\n\r\n(5) Gül D, Orsçelik A, Akpancar S. Treatment of Osteoarthritis Secondary to Developmental Dysplasia of the Hip with Prolotherapy Injection versus a Supervised Progressive Exercise Control. <em>Med Sci Monit</em>. 2020;26:e919166. Published 2020 Feb 11. doi:10.12659/MSM.919166\r\n\r\n(6) Dallari D, Stagni C, Rani N, Sabbioni G, Pelotti P, Torricelli P, Tschon M, Giavaresi G.Ultrasound-Guided Injection of Platelet-Rich Plasma and Hyaluronic Acid, Separately and in Combination, for Hip Osteoarthritis: A Randomized Controlled Study. <em>Am J Sports Med</em>. 2016 Mar;44(3):664-71. doi: 10.1177/0363546515620383. Epub 2016 Jan 21\r\n\r\n(7) Hauser RA, Orlofsky A. Regenerative injection therapy with whole bone marrow aspirate for degenerative joint disease: a case series. <em>Clin Med Insights Arthritis Musculoskelet Disord</em>. 2013 Sep 4;6:65-72. doi: 10.4137/CMAMD.S10951. eCollection 2013.','Hip Arthritis?','','inherit','closed','closed','','5798-revision-v1','','','2023-06-09 21:06:00','2023-06-09 21:06:00','',5798,'https://www.drfields.com/?p=5809',0,'revision','',0),(5810,9,'2023-06-09 21:07:48','2023-06-09 21:07:48','<h2><img class=\"alignright wp-image-5799\" src=\"https://www.drfields.com/wp-content/uploads/2023/06/Hip-Arthritis-500x419.png\" alt=\"Hip Arthritis Treatment\" width=\"300\" height=\"251\" />Hip Arthritis Treatment</h2>\r\nIf you have hip arthritis, there is a good chance you are looking for an alternative to hip replacement. Are you looking for a way to preserve your hip from hip replacement surgery? What is the best hip arthritis treatment?\r\n\r\nFor those who still have good range of motion in their hip, Regenerative Orthopedics may be your alternative to hip replacement. Regenerative Orthopedics is a non-surgical regenerative therapy that includes Prolotherapy, PRP, and Stem Cell Therapy. At OrthoRegen®, we use the Gold Standard in Stem Cell Therapy.\r\n<h2>An Alternative to Hip Replacement Surgery</h2>\r\nOften, hip replacement is chosen because the patient is told they have bone-on-bone arthritis, and hip replacement is the only option. As you read, you will see that hip replacement is not the only option for bone-on-bone arthritis, but Regenerative Orthopedics is practical in many arthritis cases.\r\n\r\nMany people assume that once they get a hip replacement, they will be good to go, and can get back to all the activities they want. This is not always the case. Some people continue to have pain after the replacement.\r\n\r\nAdditionally, it\'s essential to remember that hip replacements do not last forever. If the patient is younger, remember that replacements will wear out after 15-plus years.\r\n\r\nHip replacements may not provide the desired relief sought. Instead, chronic pain and incomplete function after surgery is a possibility. And surgery is permanent. Once surgery is done, it cannot be undone. Fortunately, there is an alternative! Regenerative Orthopedics is an effective hip arthritis treatment that can help get you back to the activities you enjoy.\r\n<h2>Background: The Hip Arthritis Cycle</h2>\r\nThe cycle of hip arthritis begins sometime after an injury occurs to the hip joint. That injury could have been an acute trauma-type injury. Or the damage relates to wear and tear over time. The injury then causes the hip joint to move abnormally. Once the soft tissue, like tendons, ligaments, and even the hip labrum, become injured, worn, and/or weakened, they allow for the hip joint to become unstable. The hip instability then causes further joint injury. The cartilage that lines the hip joint also degenerates, and sclerotic changes can be seen on an x-ray, and arthritis is diagnosed.\r\n\r\nIs the cartilage degeneration causing the pain? Interestingly, cartilage has no nerve endings, so the pain is not coming from the cartilage. Ligaments, however, are highly innervated. They do have nerves. And when injured, can elicit pain. Therefore, the injured, weak ligaments can be the source of joint pain.\r\n<h2>Hip Ligaments and Hip Arthritis</h2>\r\nPeople do not wake up one morning with advanced bone-on-bone hip osteoarthritis. Something did cause it. Bone-on-bone hip osteoarthritis is the end result of continued, prolonged, unrelenting hip joint degeneration due to damaged, loose hip ligaments.\r\n\r\nFortunately, Regenerative Orthopedics treats the weak, injured, and lax ligaments and other soft tissue structures of the hip that are in need of repair. The treatments do not just cover up pain, as pain meds and anti-inflammatories do. Regenerative Orthopedics regenerates and repair the hip.\r\n\r\nThe three main ligaments of the hip, the iliofemoral, pubofemoral, and ischiofemoral ligaments, are very strong. Normally, when these ligaments are healthy, they keep your hip stable. But when they become injured, the hip becomes unstable. With the instability, the hip labrum and other soft tissue begin to tear. And the ball of the hip bone rubs the wrong way and causes the degeneration to continue. Researchers agree about the importance of healthy ligaments in order to have a healthy hip joint.\r\n<h2>Research on How Ligaments Affect the Health of the Hip Joint</h2>\r\nWhen examining why patients continue to have pain after hip surgery, Researchers said this in the Knee Surgery, Sports Traumatology, Arthroscopy journal, \"surgical management for hip disorders should preserve the soft tissue constraints (ligaments) in the hip when possible to maintain normal hip biomechanics.”(1)\r\n\r\nPlus, a study in the <em>Journal of Biomechanics</em> explained the importance of hip ligaments while stressing the need to save the ligaments writing, “Laboratory data indicate the hip capsular ligaments prevent an excessive range of motion, may protect the joint against adverse edge loading, and contribute to synovial fluid replenishment at the cartilage surfaces of the joint. However, their repair after joint preserving (hip arthroscopy) or arthroplasty (hip replacement) surgery is not routine.\" (2)\r\n\r\nThe researchers stress the importance of preserving the ligaments. Clearly, the bone-on-bone situation is not the only problem that needs to be addressed in the degenerated hip. It is vital to repair the injured ligaments because if not, the problem and the pain can continue. The hip needs to be treated comprehensively.\r\n\r\nA February 2021 paper in the journal <em>International Orthopaedics</em> offers this opinion on the future of surgery: “Orthopedic surgeons are at an exciting crossroads in medicine, where hip biologic therapies are evolving and increasingly available. Time-tested interventions such as arthroplasty have shown good results and still have a major role to play <strong>but newer, regenerative approaches have the potential to effectively delay or reduce the requirement for such invasive procedures.</strong><strong>”</strong> (3)\r\n\r\nThere are certainly times when surgery is needed. However, regenerative treatments are great alternatives in many cases.\r\n<h2>Regenerative Orthopedics: Hip Arthritis Treatment</h2>\r\nLet\'s look at some of the studies and see what they say about the effectiveness of regenerative therapies like Prolotherapy, PRP, and Stem Cell Therapy.\r\n\r\n<strong><em>Prolotherapy</em></strong>\r\n\r\nHauser et al. looked at 61 patients with hip pain, and 95% said their pain decreased after Prolotherapy. (4)\r\n\r\nResearchers in the journal <em>Medical Science Monitor</em> said, “To our best knowledge, this study is the first regarding the effects of an injection method in treating osteoarthritis secondary to developmental dysplasia of the hip. According to our study, Prolotherapy is superior to exercise. Prolotherapy could provide significant improvement for clinical outcomes in developmental dysplasia of the hip and might delay surgery.\" (5)\r\n\r\n<strong><em>PRP</em></strong>\r\n\r\nAs far as PRP, the <em>American Journal of Sports Medicine</em> journal says this: “Results indicated that intra-articular PRP injections offer a significant clinical improvement in patients with hip osteoarthritis without relevant side effects.\" (6)\r\n\r\n<strong><em>Stem Cell Therapy</em></strong>\r\n\r\nAt OrthoRegen®, we may use PRP and Stem Cell Therapy in cases where the hip degeneration is more advanced. We call this the Gold Standard in Stem Cell Therapy because we will use Prolotherapy, PRP, and stem cells to comprehensively treat all of the injured structures of the hip joint.\r\n\r\n<em>Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders</em> shows that stem cells regenerate tissue damage within the osteoarthritic joint and, when used in combination with <strong>Prolotherapy injections</strong>, can repair hip stability. (7)\r\n\r\nAt OrthoRegen, we\'ve had years of experience in regenerative therapies as hip arthritis treatments. If you are suffering from hip arthritis and are looking for an alternative to hip replacement, please call us. We\'d love to help you stop the arthritis cycle and repair the damaged hip structures so you can return to the activities you love.\r\n\r\n(1) Smith MV, Costic RS, Allaire R, Schilling PL, Sekiya JK. A biomechanical analysis of the soft tissue and osseous constraints of the hip joint. Knee Surgery, Sports Traumatology, Arthroscopy. 2014 Apr 1;22(4):946-52.\r\n\r\n(2) Van Arkel RJ, Amis AA, Jeffers JR. The envelope of passive motion allowed by the capsular ligaments of the hip. Journal of biomechanics. 2015 Nov 5;48(14):3803-9.\r\n\r\n(3) Hevesi M, Jacob G, Shimomura K, Ando W, Nakamura N, Krych AJ. Current hip cartilage regeneration/repair modalities: a scoping review of biologics and surgery. International Orthopaedics. 2020 Sep 10:1-5.\r\n\r\n(4) Hauser RA, Hauser MA. A Retrospective Study on Hackett-Hemwall Dextrose Prolotherapy for Chronic Hip Pain at an Outpatient Charity Clinic in Rural Illinois. Journal of Prolotherapy. 2009;2:76-88.\r\n\r\n(5) Gül D, Orsçelik A, Akpancar S. Treatment of Osteoarthritis Secondary to Developmental Dysplasia of the Hip with Prolotherapy Injection versus a Supervised Progressive Exercise Control. <em>Med Sci Monit</em>. 2020;26:e919166. Published 2020 Feb 11. doi:10.12659/MSM.919166\r\n\r\n(6) Dallari D, Stagni C, Rani N, Sabbioni G, Pelotti P, Torricelli P, Tschon M, Giavaresi G.Ultrasound-Guided Injection of Platelet-Rich Plasma and Hyaluronic Acid, Separately and in Combination, for Hip Osteoarthritis: A Randomized Controlled Study. <em>Am J Sports Med</em>. 2016 Mar;44(3):664-71. doi: 10.1177/0363546515620383. Epub 2016 Jan 21\r\n\r\n(7) Hauser RA, Orlofsky A. Regenerative injection therapy with whole bone marrow aspirate for degenerative joint disease: a case series. <em>Clin Med Insights Arthritis Musculoskelet Disord</em>. 2013 Sep 4;6:65-72. doi: 10.4137/CMAMD.S10951. eCollection 2013.','Hip Arthritis?','','inherit','closed','closed','','5798-revision-v1','','','2023-06-09 21:07:48','2023-06-09 21:07:48','',5798,'https://www.drfields.com/?p=5810',0,'revision','',0),(5811,9,'2023-06-09 21:10:24','2023-06-09 21:10:24','<h2>\r\n<img class=\"alignright wp-image-5799\" src=\"https://www.drfields.com/wp-content/uploads/2023/06/Hip-Arthritis-500x419.png\" alt=\"Hip Arthritis Treatment\" width=\"300\" height=\"251\" /><span style=\"font-size: 16px;\">Hip Arthritis Treatment</span></h2>\r\nIf you have hip arthritis, there is a good chance you are looking for an alternative to hip replacement. Are you seeking a way to preserve your hip from hip replacement surgery? What is the best hip arthritis treatment?\r\n\r\nFor those who still have good range of motion in their hip, Regenerative Orthopedics may be your alternative to hip replacement. Regenerative Orthopedics is a non-surgical regenerative therapy that includes Prolotherapy, PRP, and Stem Cell Therapy. At OrthoRegen®, we use the Gold Standard in Stem Cell Therapy.\r\n<h2>An Alternative to Hip Replacement Surgery</h2>\r\nOften, hip replacement is chosen because the patient is told they have bone-on-bone arthritis, and hip replacement is the only option. As you read, you will see that hip replacement is not the only option for bone-on-bone arthritis, but Regenerative Orthopedics is practical in many arthritis cases.\r\n\r\nMany people assume that once they get a hip replacement, they will be good to go, and can get back to all the activities they want. This is not always the case. Some people continue to have pain after the replacement.\r\n\r\nAdditionally, it\'s essential to remember that hip replacements do not last forever. If the patient is younger, remember that replacements will wear out after 15-plus years.\r\n\r\nHip replacements may not provide the desired relief sought. Instead, chronic pain and incomplete function after surgery is a possibility. And surgery is permanent. Once surgery is done, it cannot be undone. Fortunately, there is an alternative! Regenerative Orthopedics is an effective hip arthritis treatment that can help get you back to the activities you enjoy.\r\n<h2>Background: The Hip Arthritis Cycle</h2>\r\nThe cycle of hip arthritis begins sometime after an injury occurs to the hip joint. That injury could have been an acute trauma-type injury. Or the damage relates to wear and tear over time. The injury then causes the hip joint to move abnormally. Once the soft tissue, like tendons, ligaments, and even the hip labrum, become injured, worn, and/or weakened, they allow for the hip joint to become unstable. The hip instability then causes further joint injury. The cartilage that lines the hip joint also degenerates, and sclerotic changes can be seen on an x-ray, and arthritis is diagnosed.\r\n\r\nIs the cartilage degeneration causing the pain? Interestingly, cartilage has no nerve endings, so the pain is not coming from the cartilage. Ligaments, however, are highly innervated. They do have nerves. And when injured, can elicit pain. Therefore, the injured, weak ligaments can be the source of joint pain.\r\n<h2>Hip Ligaments and Hip Arthritis</h2>\r\nPeople do not wake up one morning with advanced bone-on-bone hip osteoarthritis. Something did cause it. Bone-on-bone hip osteoarthritis is the end result of continued, prolonged, unrelenting hip joint degeneration due to damaged, loose hip ligaments.\r\n\r\nFortunately, Regenerative Orthopedics treats the weak, injured, and lax ligaments and other soft tissue structures of the hip that are in need of repair. The treatments do not just cover up pain, as pain meds and anti-inflammatories do. Regenerative Orthopedics regenerates and repair the hip.\r\n\r\nThe three main ligaments of the hip, the iliofemoral, pubofemoral, and ischiofemoral ligaments, are very strong. Normally, when these ligaments are healthy, they keep your hip stable. But when they become injured, the hip becomes unstable. With the instability, the hip labrum and other soft tissue begin to tear. And the ball of the hip bone rubs the wrong way and causes the degeneration to continue. Researchers agree about the importance of healthy ligaments in order to have a healthy hip joint.\r\n<h2>Research on How Ligaments Affect the Health of the Hip Joint</h2>\r\nWhen examining why patients continue to have pain after hip surgery, Researchers said this in the Knee Surgery, Sports Traumatology, Arthroscopy journal, \"surgical management for hip disorders should preserve the soft tissue constraints (ligaments) in the hip when possible to maintain normal hip biomechanics.”(1)\r\n\r\nPlus, a study in the <em>Journal of Biomechanics</em> explained the importance of hip ligaments while stressing the need to save the ligaments writing, “Laboratory data indicate the hip capsular ligaments prevent an excessive range of motion, may protect the joint against adverse edge loading, and contribute to synovial fluid replenishment at the cartilage surfaces of the joint. However, their repair after joint preserving (hip arthroscopy) or arthroplasty (hip replacement) surgery is not routine.\" (2)\r\n\r\nThe researchers stress the importance of preserving the ligaments. Clearly, the bone-on-bone situation is not the only problem that needs to be addressed in the degenerated hip. It is vital to repair the injured ligaments because if not, the problem and the pain can continue. The hip needs to be treated comprehensively.\r\n\r\nA February 2021 paper in the journal <em>International Orthopaedics</em> offers this opinion on the future of surgery: “Orthopedic surgeons are at an exciting crossroads in medicine, where hip biologic therapies are evolving and increasingly available. Time-tested interventions such as arthroplasty have shown good results and still have a major role to play <strong>but newer, regenerative approaches have the potential to effectively delay or reduce the requirement for such invasive procedures.</strong><strong>”</strong> (3)\r\n\r\nThere are certainly times when surgery is needed. However, regenerative treatments are great alternatives in many cases.\r\n<h2>Regenerative Orthopedics: Hip Arthritis Treatment</h2>\r\nLet\'s look at some of the studies and see what they say about the effectiveness of regenerative therapies like Prolotherapy, PRP, and Stem Cell Therapy.\r\n\r\n<strong><em>Prolotherapy</em></strong>\r\n\r\nHauser et al. looked at 61 patients with hip pain, and 95% said their pain decreased after Prolotherapy. (4)\r\n\r\nResearchers in the journal <em>Medical Science Monitor</em> said, “To our best knowledge, this study is the first regarding the effects of an injection method in treating osteoarthritis secondary to developmental dysplasia of the hip. According to our study, Prolotherapy is superior to exercise. Prolotherapy could provide significant improvement for clinical outcomes in developmental dysplasia of the hip and might delay surgery.\" (5)\r\n\r\n<strong><em>PRP</em></strong>\r\n\r\nAs far as PRP, the <em>American Journal of Sports Medicine</em> journal says this: “Results indicated that intra-articular PRP injections offer a significant clinical improvement in patients with hip osteoarthritis without relevant side effects.\" (6)\r\n\r\n<strong><em>Stem Cell Therapy</em></strong>\r\n\r\nAt OrthoRegen®, we may use PRP and Stem Cell Therapy in cases where the hip degeneration is more advanced. We call this the Gold Standard in Stem Cell Therapy because we will use Prolotherapy, PRP, and stem cells to comprehensively treat all of the injured structures of the hip joint.\r\n\r\n<em>Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders</em> shows that stem cells regenerate tissue damage within the osteoarthritic joint and, when used in combination with <strong>Prolotherapy injections</strong>, can repair hip stability. (7)\r\n\r\nAt OrthoRegen, we\'ve had years of experience in regenerative therapies as a hip arthritis treatment. If you are suffering from hip arthritis and are looking for an alternative to hip replacement, please call us. We\'d love to help you stop the arthritis cycle and repair the damaged hip structures so you can return to the activities you love.\r\n\r\n(1) Smith MV, Costic RS, Allaire R, Schilling PL, Sekiya JK. A biomechanical analysis of the soft tissue and osseous constraints of the hip joint. Knee Surgery, Sports Traumatology, Arthroscopy. 2014 Apr 1;22(4):946-52.\r\n\r\n(2) Van Arkel RJ, Amis AA, Jeffers JR. The envelope of passive motion allowed by the capsular ligaments of the hip. Journal of biomechanics. 2015 Nov 5;48(14):3803-9.\r\n\r\n(3) Hevesi M, Jacob G, Shimomura K, Ando W, Nakamura N, Krych AJ. Current hip cartilage regeneration/repair modalities: a scoping review of biologics and surgery. International Orthopaedics. 2020 Sep 10:1-5.\r\n\r\n(4) Hauser RA, Hauser MA. A Retrospective Study on Hackett-Hemwall Dextrose Prolotherapy for Chronic Hip Pain at an Outpatient Charity Clinic in Rural Illinois. Journal of Prolotherapy. 2009;2:76-88.\r\n\r\n(5) Gül D, Orsçelik A, Akpancar S. Treatment of Osteoarthritis Secondary to Developmental Dysplasia of the Hip with Prolotherapy Injection versus a Supervised Progressive Exercise Control. <em>Med Sci Monit</em>. 2020;26:e919166. Published 2020 Feb 11. doi:10.12659/MSM.919166\r\n\r\n(6) Dallari D, Stagni C, Rani N, Sabbioni G, Pelotti P, Torricelli P, Tschon M, Giavaresi G.Ultrasound-Guided Injection of Platelet-Rich Plasma and Hyaluronic Acid, Separately and in Combination, for Hip Osteoarthritis: A Randomized Controlled Study. <em>Am J Sports Med</em>. 2016 Mar;44(3):664-71. doi: 10.1177/0363546515620383. Epub 2016 Jan 21\r\n\r\n(7) Hauser RA, Orlofsky A. Regenerative injection therapy with whole bone marrow aspirate for degenerative joint disease: a case series. <em>Clin Med Insights Arthritis Musculoskelet Disord</em>. 2013 Sep 4;6:65-72. doi: 10.4137/CMAMD.S10951. eCollection 2013.','Hip Arthritis?','','inherit','closed','closed','','5798-revision-v1','','','2023-06-09 21:10:24','2023-06-09 21:10:24','',5798,'https://www.drfields.com/?p=5811',0,'revision','',0),(5812,9,'2023-06-09 21:15:57','2023-06-09 21:15:57','<h2><img class=\"alignright wp-image-5799\" src=\"https://www.drfields.com/wp-content/uploads/2023/06/Hip-Arthritis-500x419.png\" alt=\"Hip Arthritis Treatment\" width=\"300\" height=\"251\" /><span style=\"font-size: 16px;\">Hip Arthritis Treatment</span></h2>\r\nIf you have hip arthritis, there is a good chance you are looking for an alternative to hip replacement. Are you seeking a way to preserve your hip from hip replacement surgery? What is the best hip arthritis treatment?\r\n\r\nFor those who still have good range of motion in their hip, Regenerative Orthopedics may be your alternative to hip replacement. Regenerative Orthopedics is a non-surgical regenerative therapy that includes Prolotherapy, PRP, and Stem Cell Therapy. At OrthoRegen®, we use the Gold Standard in Stem Cell Therapy.\r\n<h2>An Alternative to Hip Replacement Surgery</h2>\r\nOften, hip replacement is chosen because the patient is told they have bone-on-bone arthritis, and hip replacement is the only option. As you read, you will see that hip replacement is not the only option for bone-on-bone arthritis, but Regenerative Orthopedics is practical in many arthritis cases.\r\n\r\nMany people assume that once they get a hip replacement, they will be good to go, and can get back to all the activities they want. This is not always the case. Some people continue to have pain after the replacement.\r\n\r\nAdditionally, it\'s essential to remember that hip replacements do not last forever. If the patient is younger, remember that replacements will wear out after 15-plus years.\r\n\r\nHip replacements may not provide the desired relief sought. Instead, chronic pain and incomplete function after surgery is a possibility. And surgery is permanent. Once surgery is done, it cannot be undone. Fortunately, there is an alternative! Regenerative Orthopedics is an effective hip arthritis treatment that can help get you back to the activities you enjoy.\r\n<h2>Background: The Hip Arthritis Cycle</h2>\r\nThe cycle of hip arthritis begins sometime after an injury occurs to the hip joint. That injury could have been an acute trauma-type injury. Or the damage relates to wear and tear over time. The injury then causes the hip joint to move abnormally. Once the soft tissue, like tendons, ligaments, and even the hip labrum, become injured, worn, and/or weakened, they allow for the hip joint to become unstable. The hip instability then causes further joint injury. The cartilage that lines the hip joint also degenerates, and sclerotic changes can be seen on an x-ray, and arthritis is diagnosed.\r\n\r\nIs the cartilage degeneration causing the pain? Interestingly, cartilage has no nerve endings, so the pain is not coming from the cartilage. Ligaments, however, are highly innervated. They do have nerves. And when injured, can elicit pain. Therefore, the injured, weak ligaments can be the source of joint pain.\r\n<h2>Hip Ligaments and Hip Arthritis</h2>\r\nPeople do not wake up one morning with advanced bone-on-bone hip osteoarthritis. Something did cause it. Bone-on-bone hip osteoarthritis is the end result of continued, prolonged, unrelenting hip joint degeneration due to damaged, loose hip ligaments.\r\n\r\nFortunately, Regenerative Orthopedics treats the weak, injured, and lax ligaments and other soft tissue structures of the hip that are in need of repair. The treatments do not just cover up pain, as pain meds and anti-inflammatories do. Regenerative Orthopedics regenerates and repair the hip.\r\n\r\nThe three main ligaments of the hip, the iliofemoral, pubofemoral, and ischiofemoral ligaments, are very strong. Normally, when these ligaments are healthy, they keep your hip stable. But when they become injured, the hip becomes unstable. With the instability, the hip labrum and other soft tissue begin to tear. And the ball of the hip bone rubs the wrong way and causes the degeneration to continue. Researchers agree about the importance of healthy ligaments in order to have a healthy hip joint.\r\n<h2>Research on How Ligaments Affect the Health of the Hip Joint</h2>\r\nWhen examining why patients continue to have pain after hip surgery, Researchers said this in the Knee Surgery, Sports Traumatology, Arthroscopy journal, \"surgical management for hip disorders should preserve the soft tissue constraints (ligaments) in the hip when possible to maintain normal hip biomechanics.”(1)\r\n<h3><em>How Important Are Hip Ligaments?</em></h3>\r\nPlus, a study in the <em>Journal of Biomechanics</em> explained the importance of hip ligaments while stressing the need to save the ligaments writing, “Laboratory data indicate the hip capsular ligaments prevent an excessive range of motion, may protect the joint against adverse edge loading, and contribute to synovial fluid replenishment at the cartilage surfaces of the joint. However, their repair after joint preserving (hip arthroscopy) or arthroplasty (hip replacement) surgery is not routine.\" (2)\r\n<h3>Bone-On-Bone Is Not the Only Problem to Address with Damaged Joints</h3>\r\nThe researchers stress the importance of preserving the ligaments. Clearly, the bone-on-bone situation is not the only problem that needs to be addressed in the degenerated hip. It is vital to repair the injured ligaments because if not, the problem and the pain can continue. The hip needs to be treated comprehensively.\r\n\r\nA February 2021 paper in the journal <em>International Orthopaedics</em> offers this opinion on the future of surgery: “Orthopedic surgeons are at an exciting crossroads in medicine, where hip biologic therapies are evolving and increasingly available. Time-tested interventions such as arthroplasty have shown good results and still have a major role to play <strong>but newer, regenerative approaches have the potential to effectively delay or reduce the requirement for such invasive procedures.</strong><strong>”</strong> (3)\r\n\r\nThere are certainly times when surgery is needed. However, regenerative treatments are great alternatives in many cases.\r\n<h2>Regenerative Orthopedics: Hip Arthritis Treatment</h2>\r\nLet\'s look at some of the studies and see what they say about the effectiveness of regenerative therapies like Prolotherapy, PRP, and Stem Cell Therapy.\r\n\r\n<strong><em>Prolotherapy</em></strong>\r\n\r\nHauser et al. looked at 61 patients with hip pain, and 95% said their pain decreased after Prolotherapy. (4)\r\n\r\nResearchers in the journal <em>Medical Science Monitor</em> said, “To our best knowledge, this study is the first regarding the effects of an injection method in treating osteoarthritis secondary to developmental dysplasia of the hip. According to our study, Prolotherapy is superior to exercise. Prolotherapy could provide significant improvement for clinical outcomes in developmental dysplasia of the hip and might delay surgery.\" (5)\r\n\r\n<strong><em>PRP</em></strong>\r\n\r\nAs far as PRP, the <em>American Journal of Sports Medicine</em> journal says this: “Results indicated that intra-articular PRP injections offer a significant clinical improvement in patients with hip osteoarthritis without relevant side effects.\" (6)\r\n\r\n<strong><em>Stem Cell Therapy</em></strong>\r\n\r\nAt OrthoRegen®, we may use PRP and Stem Cell Therapy in cases where the hip degeneration is more advanced. We call this the Gold Standard in Stem Cell Therapy because we will use Prolotherapy, PRP, and stem cells to comprehensively treat all of the injured structures of the hip joint.\r\n\r\n<em>Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders</em> shows that stem cells regenerate tissue damage within the osteoarthritic joint and, when used in combination with <strong>Prolotherapy injections</strong>, can repair hip stability. (7)\r\n\r\nAt OrthoRegen, we\'ve had years of experience in regenerative therapies as a hip arthritis treatment. If you are suffering from hip arthritis and are looking for an alternative to hip replacement, please call us. We\'d love to help you stop the arthritis cycle and repair the damaged hip structures so you can return to the activities you love.\r\n\r\n(1) Smith MV, Costic RS, Allaire R, Schilling PL, Sekiya JK. A biomechanical analysis of the soft tissue and osseous constraints of the hip joint. Knee Surgery, Sports Traumatology, Arthroscopy. 2014 Apr 1;22(4):946-52.\r\n\r\n(2) Van Arkel RJ, Amis AA, Jeffers JR. The envelope of passive motion allowed by the capsular ligaments of the hip. Journal of biomechanics. 2015 Nov 5;48(14):3803-9.\r\n\r\n(3) Hevesi M, Jacob G, Shimomura K, Ando W, Nakamura N, Krych AJ. Current hip cartilage regeneration/repair modalities: a scoping review of biologics and surgery. International Orthopaedics. 2020 Sep 10:1-5.\r\n\r\n(4) Hauser RA, Hauser MA. A Retrospective Study on Hackett-Hemwall Dextrose Prolotherapy for Chronic Hip Pain at an Outpatient Charity Clinic in Rural Illinois. Journal of Prolotherapy. 2009;2:76-88.\r\n\r\n(5) Gül D, Orsçelik A, Akpancar S. Treatment of Osteoarthritis Secondary to Developmental Dysplasia of the Hip with Prolotherapy Injection versus a Supervised Progressive Exercise Control. <em>Med Sci Monit</em>. 2020;26:e919166. Published 2020 Feb 11. doi:10.12659/MSM.919166\r\n\r\n(6) Dallari D, Stagni C, Rani N, Sabbioni G, Pelotti P, Torricelli P, Tschon M, Giavaresi G.Ultrasound-Guided Injection of Platelet-Rich Plasma and Hyaluronic Acid, Separately and in Combination, for Hip Osteoarthritis: A Randomized Controlled Study. <em>Am J Sports Med</em>. 2016 Mar;44(3):664-71. doi: 10.1177/0363546515620383. Epub 2016 Jan 21\r\n\r\n(7) Hauser RA, Orlofsky A. Regenerative injection therapy with whole bone marrow aspirate for degenerative joint disease: a case series. <em>Clin Med Insights Arthritis Musculoskelet Disord</em>. 2013 Sep 4;6:65-72. doi: 10.4137/CMAMD.S10951. eCollection 2013.','Hip Arthritis?','','inherit','closed','closed','','5798-revision-v1','','','2023-06-09 21:15:57','2023-06-09 21:15:57','',5798,'https://www.drfields.com/?p=5812',0,'revision','',0),(5813,9,'2023-06-09 21:18:33','2023-06-09 21:18:33','<h2><img class=\"alignright wp-image-5796\" src=\"https://www.drfields.com/wp-content/uploads/2023/06/Tennis-Elbow-American-Journal-of-Phy-Med-Rehab-1-500x419.png\" alt=\"Tennis Elbow Treatment\" width=\"365\" height=\"305\" />Tennis Elbow Treatment</h2>\r\nYou don\'t have to be a tennis player to have tennis elbow. Tennis elbow is a condition caused by overuse. Sufferers might be painters, writers, guitar players, or anyone who does an activity requiring repetitive use of the arm and elbow. In this article, we\'ll delve into tennis elbow as well as tennis elbow treatment.\r\n\r\nTennis elbow pain may radiate from the outer elbow into the forearm and wrist. These symptoms may make daily activities difficult. Even simple tasks like turning a doorknob or picking up, holding, and gripping objects.\r\n\r\nOver-the-counter pain medications, NSAIDs, cortisone injections, bracing, taping, physical therapy, and massage, may work to bring some relief. But when these fail to achieve the desired relief, and your elbow continues to hurt, it is time to seek reparative, regenerative treatments like Regenerative Orthopedics.\r\n<h2>Lateral Epicondylitis</h2>\r\nThe medical terminology for tennis elbow is lateral epicondylitis. The \"itis\" at the end of this word suggests inflammation of the tendon where it attaches to the bony prominence of the elbow (the lateral epicondyle). However, in tennis elbow, there is not always evidence of inflammation.  And because of that, there is some controversy about the treatment for the condition. The <em>Journal of Shoulder and Elbow Surgery says this</em>:\r\n<ul>\r\n 	<li>“As orthopaedic surgeons, we are besieged by myths that guide our treatment of lateral epicondylitis, or “tennis elbow.” This extends from the term used to describe the condition to the nonoperative and operative treatments as well. The term epicondylitis suggests an inflammatory cause; however, in all but 1 publication examining pathologic specimens of patients operated on for this condition, <strong>no evidence of acute or chronic inflammation is found</strong>.\"(<a href=\"https://www.ncbi.nlm.nih.gov/pubmed/10543604\">1</a>)</li>\r\n</ul>\r\nThe Open Access Journal of Sports Medicine also notes the controversy:\r\n<ul>\r\n 	<li>“Although most cases are self-limiting over several years, controversy exists regarding the best treatment strategy for chronic lateral epicondylitis.”(2)</li>\r\n</ul>\r\n<h2>Tendinosis Rather Than Tendonitis</h2>\r\nWhen elbow pain is chronic, and has lasted for an extended amount of time, it is likely that the problem is tendinosis, a condition of tendon degeneration.\r\n\r\n<strong><em>What does all of that mean? What is tendinopathy, tendonitis, or tendinosis?</em></strong>\r\n\r\nTendinopathy is a broad term often used to describe any problem with a tendon.\r\n\r\nTendonitis refers to inflammation of the tendon, and is actually a less common cause of tendon pain than you might think.\r\n\r\nTendinosis is the breakdown (degeneration) of the collagen fibers in the tendon. It happens slowly and is often the result of tendon overuse.\r\n\r\nTendinosis is therefore the chronic non-inflammatory degeneration of a tendon. The condition may develop as a result of chronic tendonitis or due to repetitive strain-injuries to a tendon without adequate time to heal. Tendinosis is a more common cause of tendon pain. Since inflammation is not the issue, the problem does not respond well to anti-inflammatories.<strong> </strong>\r\n<h2>Tennis Elbow: An Overuse Injury</h2>\r\nOveruse injuries are activity-related injuries linked to repetitive stress placed on the tendon, ligament or other joint structure. Doing too much of the same activity strains the soft tissue structures of the elbow. Using poor or improper technique while training or poor form when painting can overload the muscles, tendons, and ligaments, and cause an overuse injury.\r\n<h2>Instability May Be Behind Tennis Elbow</h2>\r\nChronic elbow pain may be related to ligament, muscle, and tendon injury. In order to resolve the problem, all of these areas need to be addressed for alleviation of the pain.\r\n\r\nIt is possible that elbow pain is a result of injury of the elbow ligaments. When elbow ligaments are involved, they may be frayed, torn, or otherwise weakened. Why is it important to address the ligaments if tennis elbow is a tendon problem? Ligaments are dense bands of connective tissue that attach one bone to another. They hold the bones in place, and allow for a strong, stable base upon which the muscles contract and move the joint. When a tendon is injured, there is often ligament involvement as well, and these soft tissue structures need to be repaired to stop the problem.\r\n\r\nWhen the ligaments are injured or weakened, they can cause strain on the tendon and other joint structures. This allows for excessive elbow movement and instability. In this cycle of instability, the tendons will attempt to hold the muscle to the bone, increasing stress, and increasing the possibility of injury to the tendon.<strong> </strong>\r\n<h2>Is Bracing a Tennis Elbow Treatment that Helps?<strong> </strong></h2>\r\n<em><u>Bracing</u></em>\r\n\r\nThe journal <em>Prosthetics and Orthotics International</em> (3) examined the popular counterforce brace in people with problems of lateral elbow tendinopathy and found that physical therapy had better results.\r\n\r\nIn fact, researchers have concluded that braces, sleeves, tapes, and elbow bands may just be a waste of money, and that they probably only provide placebo affects.(4)\r\n<h2><em><u>What About Surgery as a Tennis Elbow Treatment?</u></em></h2>\r\n<strong>The <em>US National Institutes of Health Clinical Trial</em></strong><strong> website</strong><strong> says: “<em>Despite its promise, there have been no high-quality studies evaluating the efficacy of arthroscopic tennis elbow release, bringing the actual efficacy of this procedure into question.” </em>(5)</strong>\r\n\r\n<em>The British Journal of Sports Medicine </em>has an article entitled:<strong> “Time to put down the scalpel?”</strong> It says,“Our published review highlighted the importance of sham surgery in randomized controlled surgical trials including those in tendinopathy. Compared with using a non-surgical control group, sham surgery equalizes the placebo effect of surgery and gives more realistic insights into the effectiveness of the actual surgical procedure in question.\"(6)<strong> </strong>\r\n<h2>There’s Another Way and It Does Not Require Surgery!</h2>\r\n<h3><em>Regenerative Orthopedics: Tennis Elbow Treatment</em></h3>\r\nRegenerative Orthopedics is a non-surgical treatment that effectively repairs the tendons and ligaments involved in tennis elbow. Prolotherapy is one type of Regenerative Orthopedics and studies show its effectiveness in treating tennis elbow.\r\n\r\nProlotherapy is an injection technique that works to regenerate the degenerated tendon and ligaments. The injection of simple dextrose mimics the natural healing response and stimulates healing growth factors to repair the tissue.\r\n<h2>What Does the Research Say About Prolotherapy?</h2>\r\n<ul>\r\n 	<li>Researchers published a study in the <em>American Journal of Physical Medicine &amp; Rehabilitation </em>that evaluated Prolotherapy for tennis elbow. They concluded: <em>“Prolotherapy resulted in safe, significant improvement of elbow pain and function compared with baseline status and follow-up data and the wait-and-see control group” </em>(7).</li>\r\n</ul>\r\n<ul>\r\n 	<li>A study of 84 patients with tennis elbow who were treated with dextrose prolotherapy had statistically significant reductions in pain levels. (8)</li>\r\n</ul>\r\n<ul>\r\n 	<li>Archives of Physical Medicine and Rehabilitation concluded: “Hypertonic dextrose prolotherapy is superior to (placebo) at 12 weeks for decreasing pain intensity and functioning by margins that meet criteria for clinical relevance in the treatment of lateral elbow tendinosis.\" (9)<strong> </strong></li>\r\n</ul>\r\nProlotherapy is effective for tennis elbow! It works because it boosts the body’s healing abilities naturally. It works because it addresses the problem by repairing the injured soft tissue. And it works because it reduces or eliminates the symptoms.\r\n\r\nProlotherapy and other Regenerative Orthopedics, such as PRP and Stem Cell Therapy, all strengthen the involved ligaments and tendons. These therapies stabilize the elbow, strengthen the elbow, address the instability, and put an end to the pain and symptoms of tennis elbow. Recommendations may be made for PRP and/or Stem Cell in more advanced cases, but all treatments would include Prolotherapy.\r\n\r\nIf tennis elbow is a condition you are currently facing, please reach out and give us a call. We would be happy to help you become symptom free.\r\n<h2><strong>References</strong></h2>\r\n(1) Boyer MI. Lateral tennis elbow:” Is there any science out there?.”Journal of Shoulder and Elbow Surgery. 1999;8(5):481-91.\r\n\r\n(2) Lai WC, Erickson BJ, Mlynarek RA, Wang D. Chronic lateral epicondylitis: challenges and solutions. Open Access Journal of Sports Medicine. 2018;9:243.\r\n\r\n(3) Shahabi S, Bagheri Lankarani K, Heydari ST, Jalali M, Ghahramani S, Kamyab M, Tabrizi R, Hosseinabadi M. The effects of counterforce brace on pain in subjects with lateral elbow tendinopathy: A systematic review and meta-analysis of randomized controlled trials. Prosthetics and Orthotics International. 2020 Jul 8:0309364620930618.\r\n\r\n(4) Au IP, Fan PC, Lee WY, Leong MW, Tang OY, An WW, Cheung RT. Effects of Kinesio tape in individuals with lateral epicondylitis: a deceptive crossover trial. Physiotherapy Theory and Practice. 2017 Dec 2;33(12):914-9.\r\n\r\n(5) Kroslak M, Murrell GAC. Surgical Treatment of Lateral Epicondylitis: A Prospective, Randomized, Double-Blinded, Placebo-Controlled Clinical Trial. Am J Sports Med. 2018 Mar 1:363546517753385. doi: 10.1177/0363546517753385.\r\n\r\n(6) Millar, Neal L., George AC Murrell, and Paul Kirwan. \"Time to put down the scalpel? The role of surgery in tendinopathy.\" British Journal of Sports Medicine 54.8 (2020): 441-442.\r\n\r\n(7) Rabago D, Lee KS, Ryan M, Chourasia AO, Sesto ME, Zgierska A, Kijowski R, Grettie J, Wilson J, Miller D. Hypertonic Dextrose and Morrhuate Sodium Injections (Prolotherapy) for Lateral Epicondylosis (Tennis Elbow): Results of a Single-blind, Pilot-Level, Randomized Controlled Trial. Am J Phys Med Rehabil. 2013 Jan 3.\r\n\r\n(8) 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(9) Zhu M, Rabago D, Chung VC, Reeves KD, Wong SY, Sit RW. Effects of Hypertonic Dextrose Injection (Prolotherapy) in Lateral Elbow Tendinosis: A Systematic Review and Meta-analysis. Archives of Physical Medicine and Rehabilitation. 2022 Feb 28.','Tennis Elbow Treatment','','inherit','closed','closed','','5795-revision-v1','','','2023-06-09 21:18:33','2023-06-09 21:18:33','',5795,'https://www.drfields.com/?p=5813',0,'revision','',0),(5815,8,'2023-06-26 09:41:28','2023-06-26 09:41:28','<img class=\"alignright wp-image-5816\" src=\"https://www.drfields.com/wp-content/uploads/2023/07/Low-Back-Pain-500x419.png\" alt=\"Low Back Pain\" width=\"300\" height=\"251\" />\r\n<h2>Back Pain Specialists</h2>\r\nAt OrthoRegen®, we specialize in treating the joints and the spine. Low back pain is one of the conditions we see quite often. People who come to our clinic typically have already tried various treatments that did not achieve the results they sought, leaving them with a reduced quality of life due to the pain and loss of function they experience. Therefore, they are seeking a back pain specialist and a treatment that works to bring relief.\r\n\r\nIn many cases, our Regenerative Orthopedics specialists can help low back pain sufferers return to the quality of life they desire, with less pain and increased function. If you are tired of taking anti-inflammatories, supplements, cortisone injections, and other remedies and are looking for a solution to your back pain, we believe we can help.\r\n\r\nRegenerative Orthopedics is a non-surgical treatment that repairs the soft tissue of the joints and spine by naturally and effectively strengthening the structures involved and eliminating the pain. Regenerative Orthopedics stimulates the body to repair the painful area and develops new healthy and strong tissue.\r\n<h2>Why Choose OrthoRegen® Back Pain Specialists?</h2>\r\nRegenerative Orthopedics are effective treatment options that do not require surgery. It\'s a great, beneficial treatment that is proven to provide pain relief and repair of the injured soft tissues of the joints and spine. As with any treatment, it is vital to choose an experienced practitioner. Peter A. Fields, MD, DC, has successfully treated back pain patients for many years. He is a joint and back pain specialist who gets results.\r\n<h2>Many Pharmaceuticals Do Not Provide Benefit</h2>\r\nThe Journal of Orthopedic Surgery and Research says, “Clinicians have to choose from drugs with very modest effects and variable risk profiles. Hence, the widespread recommendations to use pharmacological options as a last resort. <strong>The benefits are just not there to justify the routine prolonged use of any given drug in nonspecific chronic low back pain</strong>: this is a major challenge, and it is often hard to accept for clinicians and patients . . . ”\r\n<h2>Lumbar Instability As the Root Cause of Low Back Pain</h2>\r\nIf you have spent months or even years trying to get relief from your back pain, we recommend that you seek out a treatment that repairs the underlying issue, commonly lumbar instability. Other common therapies fail to attain the relief sought because they do not address the root cause of lumbar instability.\r\n\r\nThere are many reasons for low back pain. Conditions such as herniated discs, stenosis, spondylolisthesis, and others. However, the root cause behind these conditions is lumbar instability.\r\n<h2>What Is Lumbar Instability, and How Does it Begin?</h2>\r\nLumbar instability is caused by weakened and damaged ligaments. Once the ligaments become damaged, either by sudden trauma or prolonged wear and tear, the vertebrae begin to move abnormally.\r\n\r\nLigaments are bands of connective tissue that hold bone to bone. Spinal ligaments are primary stabilizers of the vertebrae of the spine. When spinal ligaments can no longer hold the adjacent vertebrae in their correct place, spinal instability becomes an issue. The weakened ligaments allow for excess mobility/motion in the spine. Spinal instability is the most common cause of unresolved low back pain.\r\n\r\nThe body will respond to this instability and attempt to stabilize the area. The result is muscle spasms, swelling, and eventual bone spurs (arthritis).\r\n<h2>OrthoRegen® Back Pain Specialists in Regenerative Orthopedics</h2>\r\nAt OrthoRegen®, we use Regenerative Orthopedics to treat lumbar instability. The various regenerative treatments, including Prolotherapy, PRP, and stem cells, can be directed toward the pain sources, often the ligaments.\r\n\r\nProlotherapy strengthens lumbar vertebral ligaments and prevents progressive degeneration. Researchers in the Journal of Spine Disorders demonstrated that Prolotherapy was effective in patients with chronic low back pain who failed to respond to conservative care. (2)\r\n\r\nHauser et al. also found that Prolotherapy can be effective for chronic back pain due to spinal instability. (3) Prolotherapy strengthens the ligaments and eliminates the back pain problem.\r\n\r\nAt OrthoRegen®, our back pain specialists have effectively treated many patients suffering from low back pain and the associated conditions that occur due to spinal instability. We would love to help you too!\r\n<h3>References</h3>\r\n(1) Migliorini F, Maffulli N. Choosing the appropriate pharmacotherapy for nonspecific chronic low back pain. Journal of Orthopaedic Surgery and Research. 2022 Dec;17(1):1-3.\r\n\r\n(2) Klein RG, Eek BC, DeLong WB, Mooney V. A randomized, double-blind trial of dextrose-glycerine-phenol injections for chronic, low back pain. Journal of Spinal Disorders. 1993 Feb 1;6(1):23-33.\r\n\r\n(3) Hauser RA, Matias D, Woznica D, Rawlings B, Woldin BA. Lumbar instability as an etiology of low back pain and its treatment by prolotherapy: A review. J Back Musculoskelet Rehabil. 2022;35(4):701-712. doi: 10.3233/BMR-210097. PMID: 34957989; PMCID: PMC9398090.','Back Pain Specialist','','publish','closed','open','','back-pain-specialists','','','2023-07-05 21:19:35','2023-07-05 21:19:35','',0,'https://www.drfields.com/?p=5815',0,'post','',0),(5816,8,'2023-07-02 19:43:03','2023-07-02 19:43:03','Low Back Pain','Low Back Pain','Low Back Pain','inherit','closed','closed','','low-back-pain','','','2023-07-02 19:43:03','2023-07-02 19:43:03','',5815,'https://www.drfields.com/wp-content/uploads/2023/07/Low-Back-Pain.png',0,'attachment','image/png',0),(5817,8,'2023-07-02 19:44:35','2023-07-02 19:44:35','<img class=\"alignright wp-image-5816\" src=\"https://www.drfields.com/wp-content/uploads/2023/07/Low-Back-Pain-500x419.png\" alt=\"Low Back Pain\" width=\"300\" height=\"251\" />\r\n\r\nAt OrthoRegen®, we specialize in treating the joints and the spine. Low back pain is one of the conditions we see quite often. People who come to our clinic typically have already tried various treatments that did not achieve the results they sought, leaving them with a quality of life that is reduced as a result of the pain and loss of function they experience. Therefore, they are seeking a treatment that actually works to bring relief.\r\n\r\nIn many cases, our Regenerative Orthopedics specialists can help low back pain sufferers return to the quality of life they desire, one with less pain and increased function. If you are tired of taking anti-inflammatories, supplements, cortisone injections, and other remedies, and are looking for a solution to your back pain, we believe we can help.\r\n\r\nRegenerative Orthopedics is a non-surgical treatment that repairs the soft tissue of the joints and spine by naturally and effectively strengthening the structures involved and eliminating the pain. Regenerative Orthopedics stimulates the body to repair the painful area and starts developing new healthy and strong tissue.\r\n\r\n<strong>Why Choose OrthoRegen® Back Pain Specialists?</strong>\r\n\r\nRegenerative Orthopedics are effective treatment options that do not require surgery. It\'s a great treatment that is very beneficial and one that is proven to provide pain relief and repair of the injured soft tissues of the joints and spine. As with any treatment, it is vital to choose an experienced practitioner. Peter A. Fields, MD, DC has been treating back pain patients successfully for many years. He is a joint and back pain specialist who gets results.\r\n\r\n<strong>Many Pharmaceuticals Just Do Not Provide Benefit</strong>\r\n\r\nThe Journal of Orthopedic Surgery and Research says, “Clinicians have to choose from drugs with very modest effects and variable risk profiles. Hence, the widespread recommendations to use pharmacological options as a last resort. <strong>The benefits are just not there to justify the routine prolonged use of any given drug in nonspecific chronic low back pain</strong>: this is a major challenge, and it is often hard to accept for clinicians and patients . . . ”\r\n\r\n<strong>Lumbar Instability As the Root Cause of Low Back Pain</strong>\r\n\r\nIf you have spent months or even years trying to get relief from your back pain, we recommend that you seek out a treatment that repairs the underlying issue, commonly lumbar instability. Other common treatments fail to attain the relief sought because they do not address the root cause of lumbar instability.\r\n\r\nThere are many reasons for low back pain. Conditions such as herniated discs, stenosis, spondylolisthesis, and others. However, the root cause behind these conditions is lumbar instability.\r\n\r\n<strong>What is lumbar instability, and how does it begin?</strong>\r\n\r\nLumbar instability is caused by weakened and damaged ligaments. Once the ligaments become damaged, either by sudden trauma or prolonged wear and tear, the vertebrae begin to move abnormally.\r\n\r\nLigaments are bands of connective tissue that hold bone to bone. Spinal ligaments are primary stabilizers of the vertebrae of the spine. When the spinal ligaments are no longer able to hold the adjacent vertebrae in their correct place, spinal instability becomes an issue. The weakened ligaments allow for excess mobility/motion in the spine. Spinal instability is the most common cause of unresolved low back pain.\r\n\r\nThe body will respond to this instability and attempt to stabilize the area. The result is muscle spasms, swelling, and eventual bone spurs (arthritis).\r\n\r\n<strong>OrthoRegen® Back Pain Specialist and Regenerative Orthopedics</strong>\r\n\r\nAt OrthoRegen®, we use Regenerative Orthopedics to treat lumbar instability. The various regenerative treatments, including Prolotherapy, PRP, and stem cells, can be directed towards the pain sources, which are often the ligaments.\r\n\r\nProlotherapy strengthens lumbar vertebral ligaments and prevents the progressive degeneration. Researchers in the Journal of Spine Disorders demonstrated that Prolotherapy was effective in patients with chronic low back pain who failed to respond to conservative care. (2)\r\n\r\nHauser et al, also found that Prolotherapy can be effective for chronic back pain due to spinal instability. (3) Prolotherapy strengthens the ligaments and eliminates the back pain problem.\r\n\r\nAt OrthoRegen®, our back pain specialists have effectively treated many patients suffering with low back pain and the associated conditions that occur due to spinal instability. We would love to help you too!\r\n\r\n(1) Migliorini F, Maffulli N. Choosing the appropriate pharmacotherapy for nonspecific chronic low back pain. Journal of Orthopaedic Surgery and Research. 2022 Dec;17(1):1-3.\r\n\r\n(2) Klein RG, Eek BC, DeLong WB, Mooney V. A randomized double-blind trial of dextrose-glycerine-phenol injections for chronic, low back pain. Journal of Spinal Disorders. 1993 Feb 1;6(1):23-33.\r\n\r\n(3) Hauser RA, Matias D, Woznica D, Rawlings B, Woldin BA. Lumbar instability as an etiology of low back pain and its treatment by prolotherapy: A review. J Back Musculoskelet Rehabil. 2022;35(4):701-712. doi: 10.3233/BMR-210097. PMID: 34957989; PMCID: PMC9398090.','Back Pain Specialist','','inherit','closed','closed','','5815-revision-v1','','','2023-07-02 19:44:35','2023-07-02 19:44:35','',5815,'https://www.drfields.com/?p=5817',0,'revision','',0),(5818,8,'2023-07-02 19:46:04','2023-07-02 19:46:04','<div class=\"clear\"></div>\r\n<div id=\"slider\">\r\n<div class=\"owl-carousel slider-carousel\">\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/12/Slider-2-v3-261222.jpg\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/Slider-v1-021120.jpg\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-santa-monica-pier-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">New Article:</span>\r\n<span class=\"header_text_second\">Keep Looking Forward Despite COVID-19</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dealing-with-covid-19/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-11.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/0_header-orthoregen-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Get Back In The Game!</span>\r\n<span class=\"header_text_second\">Avoid Joint and Spine Surgery </span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">Stem Cell/PRP/Prolotherapy</span>\r\n<a class=\"btn-more\" title=\"Get Help Now!\" href=\"Contact-Us\"> Get Help Now!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item slide-article\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-ocean-mountains-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_second\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/0_Kili-top-header-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\" style=\"text-align: left;\"><span class=\"header_text_first\">Congratulations\r\nPeter A. Fields, MD, DC</span>\r\n<span class=\"header_text_second\">The Athletic Doc<sup>®</sup>\r\nsuccessfully climbed</span>\r\n<span class=\"header_text_third white-text\">Mt. Kilimanjaro in\r\nTanzania, Africa.19,341 feet!!!</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/report-of-my-kilimanjaro-climb/\">Read More</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/Sider-01-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Peter A. Fields, MD, DC\r\nThe Athletic Doc<sup>®</sup></span>\r\n<span class=\"header_text_second\">Completed His 11th Ironman</span>\r\n<span class=\"header_text_third\">Sunday, November 24th in Cozumel Mexico</span>\r\n<a class=\"btn-more\" title=\"Read More\" href=\"#\">Images &amp; Story Coming Soon</a></div>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"jumbotron-fluid\">\r\n<div class=\"row\">\r\n<div class=\"col-md-4 box1\">\r\n\r\nWhat\'s\r\n<h3>New</h3>\r\n<ul>\r\n 	<li><a href=\"/uncategorized/back-pain-specialist/\">Back Pain Specialist</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/tennis-elbow-treatment/\">Tennis Elbow Treatment</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/hip-arthritis-treatment/\">Hip Arthritis Treatment</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/alternative-treatment-for-arthritis/\">Alternative Treatment for Arthritis</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/chronic-pain-management/\">Chronic Pain Management</a></li>\r\n 	<li><a href=\"/articles/meniscus-tear-treatment/\">Meniscus Tear Treatment</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/neck-pain-treatment/\">Neck Pain Treatment</a></li>\r\n</ul>\r\n</div>\r\n<div id=\"testimonials\" class=\"col-md-4 box2\">\r\n\r\nPatient\r\n<h3>Testimonials</h3>\r\n<strong>Video:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I wished I had come earlier and listened to what my physical therapist had told me to do because Dr. Fields has been a real solution for me.\"\r\n\r\n<img class=\"testimonial-img\" title=\"Testimonial\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-larry.png\" alt=\"Testimonial\" />\r\n<h3>Larry</h3>\r\n<h4>Stem Cell Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I highly recommend it to anyone who needs to recover fast and get back out there.\"\r\n\r\n<img class=\"testimonial-img\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-christopher.png\" alt=\"\" />\r\n<h3>Chris, Pro Basketball Player</h3>\r\n<h4>PRP Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"Now I can go walking, I go to my ballet class and I’m a happy camper because of Dr. Fields.\"\r\n\r\n<img class=\"testimonial-img\" title=\"\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-mary.png\" alt=\"Testimonial\" />\r\n<h3>Mary</h3>\r\n<h4>Stem Cell Hip</h4>\r\n</div>\r\n</div>\r\n<strong>Written:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I need to say a big thank you to Dr Fields for getting me back on the tennis court. I am an avid tennis player who tried to ignore the terrible pain in my elbow.\"\r\n<h3 style=\"margin-left: 0;\">Mindy</h3>\r\n<h4 style=\"margin-left: 0;\">Elbow</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I chose Dr. Peter Fields because he is an athlete and would have more direct knowledge of my particular circumstances than anyone else.\"\r\n<h3 style=\"margin-left: 0;\">Robert</h3>\r\n<h4 style=\"margin-left: 0;\">Shoulder</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"After the final treatments ended I am still without all the pain and have more muscle strength in my legs.\"\r\n<h3 style=\"margin-left: 0;\">Lois</h3>\r\n<h4 style=\"margin-left: 0;\">Knee</h4>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"col-md-4 box3\">\r\n\r\nNews &amp;\r\n<h3>Events</h3>\r\n<ul>\r\n 	<li><a href=\"https://www.drfields.com/articles/health-news/dr-fields-to-lecture-in-mexico-city-on-july-9th/\">Peter A. Fields, MD, DC to lecture in Mexico City on July 9th</a></li>\r\n 	<li><a class=\"buttonlink\" style=\"width: 100%; font-size: 24px; text-align: center; padding: 25px 8%;\" href=\"https://www.drfields.com/contact/\"> Are you a Stem Cell Candidate?</a></li>\r\n</ul>\r\n</div>\r\n</div>\r\n</div>\r\n<div id=\"search-articles\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n<h2 class=\"text-center\">Search <b>Dr. Fields\'</b> Articles</h2>\r\n<form id=\"searchform\" action=\"/\" method=\"get\"><input class=\"search-field\" name=\"s\" type=\"text\" placeholder=\"What\'s Your Condition?\" />\r\n<input type=\"submit\" value=\"Search\" /></form></div>\r\n</div>\r\n</div>\r\n<div id=\"intro\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n<h1 class=\"text-center\">Welcome to OrthoRegen<sup>®</sup>!</h1>\r\n<p class=\"intro_text welcome\"><a href=\"http://orthoregen.com\"><span style=\"font-size: 26px;\">OrthoRegen<sup>®</sup></span></a> is dedicated to providing the best of <span class=\"nowrap\">Regenerative Orthopedics</span> by offering non-surgical alternatives for joint and spine repair</p>\r\n<a class=\"primaryButton\" title=\"Read More About U\" href=\"https://www.drfields.com/about/orthoregen-our-philosophy/\">Read More About Us</a>\r\n<a id=\"candidateButton\" title=\"Are you a good candidate?\" href=\"/contact/\">Are you a good candidate?</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"about\">\r\n<div class=\"col-md-5 drfields\"><img class=\"alignnone\" title=\"Regenerative Orthopedics Leader\" src=\"https://www.drfields.com/wp-content/uploads/2022/11/dr-fields-v1-021120.png\" alt=\"Regenerative Orthopedics Leader\" width=\"460\" height=\"737\" /></div>\r\n<div class=\"col-md-7 about_holder\">\r\n<h1>Peter A. Fields, <span class=\"nowrap\">MD, DC</span></h1>\r\n<p class=\"intro_text\">Medical Physician and Chiropractor\r\nThe Athletic Doc<sup>®</sup> - 11x Ironman Triathlete</p>\r\n\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"icon info\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-info.png\" alt=\"icon info\" /></div>\r\n<div class=\"about_text\">\r\n<h3>About</h3>\r\nPeter A. Fields, MD, DC is one of a handful of physicians in the nation with both medical and chiropractic degrees...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/dr-fields-bio/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"Man Icon\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-ironman.png\" alt=\"Man Icon\" /></div>\r\n<div class=\"about_text\">\r\n<h3>11x Ironman</h3>\r\nDr. Peter A. Fields is also known as The Athletic Doc<sup>®</sup> He not only treats athletes in his practice but is an athlete himself. For over...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n&nbsp;\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Call Us Today! 310-453-1234</a>','Home','','inherit','closed','closed','','2109-revision-v1','','','2023-07-02 19:46:04','2023-07-02 19:46:04','',2109,'https://www.drfields.com/?p=5818',0,'revision','',0),(5819,8,'2023-07-03 03:14:07','2023-07-03 03:14:07','<img class=\"alignright wp-image-5816\" src=\"https://www.drfields.com/wp-content/uploads/2023/07/Low-Back-Pain-500x419.png\" alt=\"Low Back Pain\" width=\"300\" height=\"251\" />\r\n\r\nAt OrthoRegen®, we specialize in treating the joints and the spine. Low back pain is one of the conditions we see quite often. People who come to our clinic typically have already tried various treatments that did not achieve the results they sought, leaving them with a quality of life that is reduced as a result of the pain and loss of function they experience. Therefore, they are seeking a treatment that actually works to bring relief.\r\n\r\nIn many cases, our Regenerative Orthopedics specialists can help low back pain sufferers return to the quality of life they desire, one with less pain and increased function. If you are tired of taking anti-inflammatories, supplements, cortisone injections, and other remedies, and are looking for a solution to your back pain, we believe we can help.\r\n\r\nRegenerative Orthopedics is a non-surgical treatment that repairs the soft tissue of the joints and spine by naturally and effectively strengthening the structures involved and eliminating the pain. Regenerative Orthopedics stimulates the body to repair the painful area and starts developing new healthy and strong tissue.\r\n<h2>Why Choose OrthoRegen® Back Pain Specialists?</h2>\r\nRegenerative Orthopedics are effective treatment options that do not require surgery. It\'s a great treatment that is very beneficial and one that is proven to provide pain relief and repair of the injured soft tissues of the joints and spine. As with any treatment, it is vital to choose an experienced practitioner. Peter A. Fields, MD, DC has been treating back pain patients successfully for many years. He is a joint and back pain specialist who gets results.\r\n<h2>Many Pharmaceuticals Just Do Not Provide Benefit</h2>\r\nThe Journal of Orthopedic Surgery and Research says, “Clinicians have to choose from drugs with very modest effects and variable risk profiles. Hence, the widespread recommendations to use pharmacological options as a last resort. <strong>The benefits are just not there to justify the routine prolonged use of any given drug in nonspecific chronic low back pain</strong>: this is a major challenge, and it is often hard to accept for clinicians and patients . . . ”\r\n<h2>Lumbar Instability As the Root Cause of Low Back Pain</h2>\r\nIf you have spent months or even years trying to get relief from your back pain, we recommend that you seek out a treatment that repairs the underlying issue, commonly lumbar instability. Other common treatments fail to attain the relief sought because they do not address the root cause of lumbar instability.\r\n\r\nThere are many reasons for low back pain. Conditions such as herniated discs, stenosis, spondylolisthesis, and others. However, the root cause behind these conditions is lumbar instability.\r\n<h2>What is lumbar instability, and how does it begin?</h2>\r\nLumbar instability is caused by weakened and damaged ligaments. Once the ligaments become damaged, either by sudden trauma or prolonged wear and tear, the vertebrae begin to move abnormally.\r\n\r\nLigaments are bands of connective tissue that hold bone to bone. Spinal ligaments are primary stabilizers of the vertebrae of the spine. When the spinal ligaments are no longer able to hold the adjacent vertebrae in their correct place, spinal instability becomes an issue. The weakened ligaments allow for excess mobility/motion in the spine. Spinal instability is the most common cause of unresolved low back pain.\r\n\r\nThe body will respond to this instability and attempt to stabilize the area. The result is muscle spasms, swelling, and eventual bone spurs (arthritis).\r\n<h2>OrthoRegen® Back Pain Specialist and Regenerative Orthopedics</h2>\r\nAt OrthoRegen®, we use Regenerative Orthopedics to treat lumbar instability. The various regenerative treatments, including Prolotherapy, PRP, and stem cells, can be directed towards the pain sources, which are often the ligaments.\r\n\r\nProlotherapy strengthens lumbar vertebral ligaments and prevents the progressive degeneration. Researchers in the Journal of Spine Disorders demonstrated that Prolotherapy was effective in patients with chronic low back pain who failed to respond to conservative care. (2)\r\n\r\nHauser et al, also found that Prolotherapy can be effective for chronic back pain due to spinal instability. (3) Prolotherapy strengthens the ligaments and eliminates the back pain problem.\r\n\r\nAt OrthoRegen®, our back pain specialists have effectively treated many patients suffering with low back pain and the associated conditions that occur due to spinal instability. We would love to help you too!\r\n\r\n(1) Migliorini F, Maffulli N. Choosing the appropriate pharmacotherapy for nonspecific chronic low back pain. Journal of Orthopaedic Surgery and Research. 2022 Dec;17(1):1-3.\r\n\r\n(2) Klein RG, Eek BC, DeLong WB, Mooney V. A randomized double-blind trial of dextrose-glycerine-phenol injections for chronic, low back pain. Journal of Spinal Disorders. 1993 Feb 1;6(1):23-33.\r\n\r\n(3) Hauser RA, Matias D, Woznica D, Rawlings B, Woldin BA. Lumbar instability as an etiology of low back pain and its treatment by prolotherapy: A review. J Back Musculoskelet Rehabil. 2022;35(4):701-712. doi: 10.3233/BMR-210097. PMID: 34957989; PMCID: PMC9398090.','Back Pain Specialist','','inherit','closed','closed','','5815-revision-v1','','','2023-07-03 03:14:07','2023-07-03 03:14:07','',5815,'https://www.drfields.com/?p=5819',0,'revision','',0),(5820,8,'2023-07-03 03:14:44','2023-07-03 03:14:44','<div class=\"clear\"></div>\r\n<div id=\"slider\">\r\n<div class=\"owl-carousel slider-carousel\">\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/12/Slider-2-v3-261222.jpg\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/Slider-v1-021120.jpg\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-santa-monica-pier-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">New Article:</span>\r\n<span class=\"header_text_second\">Keep Looking Forward Despite COVID-19</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dealing-with-covid-19/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-11.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/0_header-orthoregen-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Get Back In The Game!</span>\r\n<span class=\"header_text_second\">Avoid Joint and Spine Surgery </span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">Stem Cell/PRP/Prolotherapy</span>\r\n<a class=\"btn-more\" title=\"Get Help Now!\" href=\"Contact-Us\"> Get Help Now!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item slide-article\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-ocean-mountains-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_second\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/0_Kili-top-header-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\" style=\"text-align: left;\"><span class=\"header_text_first\">Congratulations\r\nPeter A. Fields, MD, DC</span>\r\n<span class=\"header_text_second\">The Athletic Doc<sup>®</sup>\r\nsuccessfully climbed</span>\r\n<span class=\"header_text_third white-text\">Mt. Kilimanjaro in\r\nTanzania, Africa.19,341 feet!!!</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/report-of-my-kilimanjaro-climb/\">Read More</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/Sider-01-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Peter A. Fields, MD, DC\r\nThe Athletic Doc<sup>®</sup></span>\r\n<span class=\"header_text_second\">Completed His 11th Ironman</span>\r\n<span class=\"header_text_third\">Sunday, November 24th in Cozumel Mexico</span>\r\n<a class=\"btn-more\" title=\"Read More\" href=\"#\">Images &amp; Story Coming Soon</a></div>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"jumbotron-fluid\">\r\n<div class=\"row\">\r\n<div class=\"col-md-4 box1\">\r\n\r\nWhat\'s\r\n<h3>New</h3>\r\n<ul>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/back-pain-specialist/\">Back Pain Specialist</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/tennis-elbow-treatment/\">Tennis Elbow Treatment</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/hip-arthritis-treatment/\">Hip Arthritis Treatment</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/alternative-treatment-for-arthritis/\">Alternative Treatment for Arthritis</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/chronic-pain-management/\">Chronic Pain Management</a></li>\r\n 	<li><a href=\"/articles/meniscus-tear-treatment/\">Meniscus Tear Treatment</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/neck-pain-treatment/\">Neck Pain Treatment</a></li>\r\n</ul>\r\n</div>\r\n<div id=\"testimonials\" class=\"col-md-4 box2\">\r\n\r\nPatient\r\n<h3>Testimonials</h3>\r\n<strong>Video:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I wished I had come earlier and listened to what my physical therapist had told me to do because Dr. Fields has been a real solution for me.\"\r\n\r\n<img class=\"testimonial-img\" title=\"Testimonial\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-larry.png\" alt=\"Testimonial\" />\r\n<h3>Larry</h3>\r\n<h4>Stem Cell Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I highly recommend it to anyone who needs to recover fast and get back out there.\"\r\n\r\n<img class=\"testimonial-img\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-christopher.png\" alt=\"\" />\r\n<h3>Chris, Pro Basketball Player</h3>\r\n<h4>PRP Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"Now I can go walking, I go to my ballet class and I’m a happy camper because of Dr. Fields.\"\r\n\r\n<img class=\"testimonial-img\" title=\"\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-mary.png\" alt=\"Testimonial\" />\r\n<h3>Mary</h3>\r\n<h4>Stem Cell Hip</h4>\r\n</div>\r\n</div>\r\n<strong>Written:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I need to say a big thank you to Dr Fields for getting me back on the tennis court. I am an avid tennis player who tried to ignore the terrible pain in my elbow.\"\r\n<h3 style=\"margin-left: 0;\">Mindy</h3>\r\n<h4 style=\"margin-left: 0;\">Elbow</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I chose Dr. Peter Fields because he is an athlete and would have more direct knowledge of my particular circumstances than anyone else.\"\r\n<h3 style=\"margin-left: 0;\">Robert</h3>\r\n<h4 style=\"margin-left: 0;\">Shoulder</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"After the final treatments ended I am still without all the pain and have more muscle strength in my legs.\"\r\n<h3 style=\"margin-left: 0;\">Lois</h3>\r\n<h4 style=\"margin-left: 0;\">Knee</h4>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"col-md-4 box3\">\r\n\r\nNews &amp;\r\n<h3>Events</h3>\r\n<ul>\r\n 	<li><a href=\"https://www.drfields.com/articles/health-news/dr-fields-to-lecture-in-mexico-city-on-july-9th/\">Peter A. Fields, MD, DC to lecture in Mexico City on July 9th</a></li>\r\n 	<li><a class=\"buttonlink\" style=\"width: 100%; font-size: 24px; text-align: center; padding: 25px 8%;\" href=\"https://www.drfields.com/contact/\"> Are you a Stem Cell Candidate?</a></li>\r\n</ul>\r\n</div>\r\n</div>\r\n</div>\r\n<div id=\"search-articles\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n<h2 class=\"text-center\">Search <b>Dr. Fields\'</b> Articles</h2>\r\n<form id=\"searchform\" action=\"/\" method=\"get\"><input class=\"search-field\" name=\"s\" type=\"text\" placeholder=\"What\'s Your Condition?\" />\r\n<input type=\"submit\" value=\"Search\" /></form></div>\r\n</div>\r\n</div>\r\n<div id=\"intro\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n<h1 class=\"text-center\">Welcome to OrthoRegen<sup>®</sup>!</h1>\r\n<p class=\"intro_text welcome\"><a href=\"http://orthoregen.com\"><span style=\"font-size: 26px;\">OrthoRegen<sup>®</sup></span></a> is dedicated to providing the best of <span class=\"nowrap\">Regenerative Orthopedics</span> by offering non-surgical alternatives for joint and spine repair</p>\r\n<a class=\"primaryButton\" title=\"Read More About U\" href=\"https://www.drfields.com/about/orthoregen-our-philosophy/\">Read More About Us</a>\r\n<a id=\"candidateButton\" title=\"Are you a good candidate?\" href=\"/contact/\">Are you a good candidate?</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"about\">\r\n<div class=\"col-md-5 drfields\"><img class=\"alignnone\" title=\"Regenerative Orthopedics Leader\" src=\"https://www.drfields.com/wp-content/uploads/2022/11/dr-fields-v1-021120.png\" alt=\"Regenerative Orthopedics Leader\" width=\"460\" height=\"737\" /></div>\r\n<div class=\"col-md-7 about_holder\">\r\n<h1>Peter A. Fields, <span class=\"nowrap\">MD, DC</span></h1>\r\n<p class=\"intro_text\">Medical Physician and Chiropractor\r\nThe Athletic Doc<sup>®</sup> - 11x Ironman Triathlete</p>\r\n\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"icon info\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-info.png\" alt=\"icon info\" /></div>\r\n<div class=\"about_text\">\r\n<h3>About</h3>\r\nPeter A. Fields, MD, DC is one of a handful of physicians in the nation with both medical and chiropractic degrees...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/dr-fields-bio/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"Man Icon\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-ironman.png\" alt=\"Man Icon\" /></div>\r\n<div class=\"about_text\">\r\n<h3>11x Ironman</h3>\r\nDr. Peter A. Fields is also known as The Athletic Doc<sup>®</sup> He not only treats athletes in his practice but is an athlete himself. For over...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n&nbsp;\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Call Us Today! 310-453-1234</a>','Home','','inherit','closed','closed','','2109-revision-v1','','','2023-07-03 03:14:44','2023-07-03 03:14:44','',2109,'https://www.drfields.com/?p=5820',0,'revision','',0),(5822,9,'2023-07-05 21:19:18','2023-07-05 21:19:18','<img class=\"alignright wp-image-5816\" src=\"https://www.drfields.com/wp-content/uploads/2023/07/Low-Back-Pain-500x419.png\" alt=\"Low Back Pain\" width=\"300\" height=\"251\" />\n<h2>Back Pain Specialists</h2>\nAt OrthoRegen®, we specialize in treating the joints and the spine. Low back pain is one of the conditions we see quite often. People who come to our clinic typically have already tried various treatments that did not achieve the results they sought, leaving them with a reduced quality of life due to the pain and loss of function they experience. Therefore, they are seeking a back pain specialist and a treatment that works to bring relief.\n\nIn many cases, our Regenerative Orthopedics specialists can help low back pain sufferers return to the quality of life they desire, with less pain and increased function. If you are tired of taking anti-inflammatories, supplements, cortisone injections, and other remedies and are looking for a solution to your back pain, we believe we can help.\n\nRegenerative Orthopedics is a non-surgical treatment that repairs the soft tissue of the joints and spine by naturally and effectively strengthening the structures involved and eliminating the pain. Regenerative Orthopedics stimulates the body to repair the painful area and develops new healthy and strong tissue.\n<h2>Why Choose OrthoRegen® Back Pain Specialists?</h2>\nRegenerative Orthopedics are effective treatment options that do not require surgery. It\'s a great, beneficial treatment that is proven to provide pain relief and repair of the injured soft tissues of the joints and spine. As with any treatment, it is vital to choose an experienced practitioner. Peter A. Fields, MD, DC, has successfully treated back pain patients for many years. He is a joint and back pain specialist who gets results.\n<h2>Many Pharmaceuticals Do Not Provide Benefit</h2>\nThe Journal of Orthopedic Surgery and Research says, “Clinicians have to choose from drugs with very modest effects and variable risk profiles. Hence, the widespread recommendations to use pharmacological options as a last resort. <strong>The benefits are just not there to justify the routine prolonged use of any given drug in nonspecific chronic low back pain</strong>: this is a major challenge, and it is often hard to accept for clinicians and patients . . . ”\n<h2>Lumbar Instability As the Root Cause of Low Back Pain</h2>\nIf you have spent months or even years trying to get relief from your back pain, we recommend that you seek out a treatment that repairs the underlying issue, commonly lumbar instability. Other common therapies fail to attain the relief sought because they do not address the root cause of lumbar instability.\n\nThere are many reasons for low back pain. Conditions such as herniated discs, stenosis, spondylolisthesis, and others. However, the root cause behind these conditions is lumbar instability.\n<h2>What Is Lumbar Instability, and How Does it Begin?</h2>\nLumbar instability is caused by weakened and damaged ligaments. Once the ligaments become damaged, either by sudden trauma or prolonged wear and tear, the vertebrae begin to move abnormally.\n\nLigaments are bands of connective tissue that hold bone to bone. Spinal ligaments are primary stabilizers of the vertebrae of the spine. When spinal ligaments can no longer hold the adjacent vertebrae in their correct place, spinal instability becomes an issue. The weakened ligaments allow for excess mobility/motion in the spine. Spinal instability is the most common cause of unresolved low back pain.\n\nThe body will respond to this instability and attempt to stabilize the area. The result is muscle spasms, swelling, and eventual bone spurs (arthritis).\n<h2>OrthoRegen® Back Pain Specialists in Regenerative Orthopedics</h2>\nAt OrthoRegen®, we use Regenerative Orthopedics to treat lumbar instability. The various regenerative treatments, including Prolotherapy, PRP, and stem cells, can be directed toward the pain sources, often the ligaments.\n\nProlotherapy strengthens lumbar vertebral ligaments and prevents progressive degeneration. Researchers in the Journal of Spine Disorders demonstrated that Prolotherapy was effective in patients with chronic low back pain who failed to respond to conservative care. (2)\n\nHauser et al. also found that Prolotherapy can be effective for chronic back pain due to spinal instability. (3) Prolotherapy strengthens the ligaments and eliminates the back pain problem.\n\nAt OrthoRegen®, our back pain specialists have effectively treated many patients suffering from low back pain and the associated conditions that occur due to spinal instability. We would love to help you too!\n\nReferences\n\n(1) Migliorini F, Maffulli N. Choosing the appropriate pharmacotherapy for nonspecific chronic low back pain. Journal of Orthopaedic Surgery and Research. 2022 Dec;17(1):1-3.\n\n(2) Klein RG, Eek BC, DeLong WB, Mooney V. A randomized, double-blind trial of dextrose-glycerine-phenol injections for chronic, low back pain. Journal of Spinal Disorders. 1993 Feb 1;6(1):23-33.\n\n(3) Hauser RA, Matias D, Woznica D, Rawlings B, Woldin BA. Lumbar instability as an etiology of low back pain and its treatment by prolotherapy: A review. J Back Musculoskelet Rehabil. 2022;35(4):701-712. doi: 10.3233/BMR-210097. PMID: 34957989; PMCID: PMC9398090.','Back Pain Specialist','','inherit','closed','closed','','5815-autosave-v1','','','2023-07-05 21:19:18','2023-07-05 21:19:18','',5815,'https://www.drfields.com/?p=5822',0,'revision','',0),(5823,9,'2023-07-05 21:13:38','2023-07-05 21:13:38','<img class=\"alignright wp-image-5816\" src=\"https://www.drfields.com/wp-content/uploads/2023/07/Low-Back-Pain-500x419.png\" alt=\"Low Back Pain\" width=\"300\" height=\"251\" />\r\n<h2>Back Pain Specialist</h2>\r\nAt OrthoRegen®, we specialize in treating the joints and the spine. Low back pain is one of the conditions we see quite often. People who come to our clinic typically have already tried various treatments that did not achieve the results they sought, leaving them with a reduced quality of life due to the pain and loss of function they experience. Therefore, they are seeking a back pain specialist and a treatment that works to bring relief.\r\n\r\nIn many cases, our Regenerative Orthopedics specialists can help low back pain sufferers return to the quality of life they desire, with less pain and increased function. If you are tired of taking anti-inflammatories, supplements, cortisone injections, and other remedies and are looking for a solution to your back pain, we believe we can help.\r\n\r\nRegenerative Orthopedics is a non-surgical treatment that repairs the soft tissue of the joints and spine by naturally and effectively strengthening the structures involved and eliminating the pain. Regenerative Orthopedics stimulates the body to repair the painful area and develops new healthy and strong tissue.\r\n<h2>Why Choose OrthoRegen® Back Pain Specialists?</h2>\r\nRegenerative Orthopedics are effective treatment options that do not require surgery. It\'s a great, beneficial treatment that is proven to provide pain relief and repair of the injured soft tissues of the joints and spine. As with any treatment, it is vital to choose an experienced practitioner. Peter A. Fields, MD, DC, has successfully treated back pain patients for many years. He is a joint and back pain specialist who gets results.\r\n<h2>Many Pharmaceuticals Do Not Provide Benefit</h2>\r\nThe Journal of Orthopedic Surgery and Research says, “Clinicians have to choose from drugs with very modest effects and variable risk profiles. Hence, the widespread recommendations to use pharmacological options as a last resort. <strong>The benefits are just not there to justify the routine prolonged use of any given drug in nonspecific chronic low back pain</strong>: this is a major challenge, and it is often hard to accept for clinicians and patients . . . ”\r\n<h2>Lumbar Instability As the Root Cause of Low Back Pain</h2>\r\nIf you have spent months or even years trying to get relief from your back pain, we recommend that you seek out a treatment that repairs the underlying issue, commonly lumbar instability. Other common therapies fail to attain the relief sought because they do not address the root cause of lumbar instability.\r\n\r\nThere are many reasons for low back pain. Conditions such as herniated discs, stenosis, spondylolisthesis, and others. However, the root cause behind these conditions is lumbar instability.\r\n<h2>What Is Lumbar Instability, and How Does it Begin?</h2>\r\nLumbar instability is caused by weakened and damaged ligaments. Once the ligaments become damaged, either by sudden trauma or prolonged wear and tear, the vertebrae begin to move abnormally.\r\n\r\nLigaments are bands of connective tissue that hold bone to bone. Spinal ligaments are primary stabilizers of the vertebrae of the spine. When spinal ligaments can no longer hold the adjacent vertebrae in their correct place, spinal instability becomes an issue. The weakened ligaments allow for excess mobility/motion in the spine. Spinal instability is the most common cause of unresolved low back pain.\r\n\r\nThe body will respond to this instability and attempt to stabilize the area. The result is muscle spasms, swelling, and eventual bone spurs (arthritis).\r\n<h2>OrthoRegen® Back Pain Specialist and Regenerative Orthopedics</h2>\r\nAt OrthoRegen®, we use Regenerative Orthopedics to treat lumbar instability. The various regenerative treatments, including Prolotherapy, PRP, and stem cells, can be directed toward the pain sources, often the ligaments.\r\n\r\nProlotherapy strengthens lumbar vertebral ligaments and prevents progressive degeneration. Researchers in the Journal of Spine Disorders demonstrated that Prolotherapy was effective in patients with chronic low back pain who failed to respond to conservative care. (2)\r\n\r\nHauser et al. also found that Prolotherapy can be effective for chronic back pain due to spinal instability. (3) Prolotherapy strengthens the ligaments and eliminates the back pain problem.\r\n\r\nAt OrthoRegen®, our back pain specialists have effectively treated many patients suffering from low back pain and the associated conditions that occur due to spinal instability. We would love to help you too!\r\n\r\n(1) Migliorini F, Maffulli N. Choosing the appropriate pharmacotherapy for nonspecific chronic low back pain. Journal of Orthopaedic Surgery and Research. 2022 Dec;17(1):1-3.\r\n\r\n(2) Klein RG, Eek BC, DeLong WB, Mooney V. A randomized, double-blind trial of dextrose-glycerine-phenol injections for chronic, low back pain. Journal of Spinal Disorders. 1993 Feb 1;6(1):23-33.\r\n\r\n(3) Hauser RA, Matias D, Woznica D, Rawlings B, Woldin BA. Lumbar instability as an etiology of low back pain and its treatment by prolotherapy: A review. J Back Musculoskelet Rehabil. 2022;35(4):701-712. doi: 10.3233/BMR-210097. PMID: 34957989; PMCID: PMC9398090.','Back Pain Specialist','','inherit','closed','closed','','5815-revision-v1','','','2023-07-05 21:13:38','2023-07-05 21:13:38','',5815,'https://www.drfields.com/?p=5823',0,'revision','',0),(5824,9,'2023-07-05 21:18:15','2023-07-05 21:18:15','<img class=\"alignright wp-image-5816\" src=\"https://www.drfields.com/wp-content/uploads/2023/07/Low-Back-Pain-500x419.png\" alt=\"Low Back Pain\" width=\"300\" height=\"251\" />\r\n<h2>Back Pain Specialist</h2>\r\nAt OrthoRegen®, we specialize in treating the joints and the spine. Low back pain is one of the conditions we see quite often. People who come to our clinic typically have already tried various treatments that did not achieve the results they sought, leaving them with a reduced quality of life due to the pain and loss of function they experience. Therefore, they are seeking a back pain specialist and a treatment that works to bring relief.\r\n\r\nIn many cases, our Regenerative Orthopedics specialists can help low back pain sufferers return to the quality of life they desire, with less pain and increased function. If you are tired of taking anti-inflammatories, supplements, cortisone injections, and other remedies and are looking for a solution to your back pain, we believe we can help.\r\n\r\nRegenerative Orthopedics is a non-surgical treatment that repairs the soft tissue of the joints and spine by naturally and effectively strengthening the structures involved and eliminating the pain. Regenerative Orthopedics stimulates the body to repair the painful area and develops new healthy and strong tissue.\r\n<h2>Why Choose OrthoRegen® Back Pain Specialists?</h2>\r\nRegenerative Orthopedics are effective treatment options that do not require surgery. It\'s a great, beneficial treatment that is proven to provide pain relief and repair of the injured soft tissues of the joints and spine. As with any treatment, it is vital to choose an experienced practitioner. Peter A. Fields, MD, DC, has successfully treated back pain patients for many years. He is a joint and back pain specialist who gets results.\r\n<h2>Many Pharmaceuticals Do Not Provide Benefit</h2>\r\nThe Journal of Orthopedic Surgery and Research says, “Clinicians have to choose from drugs with very modest effects and variable risk profiles. Hence, the widespread recommendations to use pharmacological options as a last resort. <strong>The benefits are just not there to justify the routine prolonged use of any given drug in nonspecific chronic low back pain</strong>: this is a major challenge, and it is often hard to accept for clinicians and patients . . . ”\r\n<h2>Lumbar Instability As the Root Cause of Low Back Pain</h2>\r\nIf you have spent months or even years trying to get relief from your back pain, we recommend that you seek out a treatment that repairs the underlying issue, commonly lumbar instability. Other common therapies fail to attain the relief sought because they do not address the root cause of lumbar instability.\r\n\r\nThere are many reasons for low back pain. Conditions such as herniated discs, stenosis, spondylolisthesis, and others. However, the root cause behind these conditions is lumbar instability.\r\n<h2>What Is Lumbar Instability, and How Does it Begin?</h2>\r\nLumbar instability is caused by weakened and damaged ligaments. Once the ligaments become damaged, either by sudden trauma or prolonged wear and tear, the vertebrae begin to move abnormally.\r\n\r\nLigaments are bands of connective tissue that hold bone to bone. Spinal ligaments are primary stabilizers of the vertebrae of the spine. When spinal ligaments can no longer hold the adjacent vertebrae in their correct place, spinal instability becomes an issue. The weakened ligaments allow for excess mobility/motion in the spine. Spinal instability is the most common cause of unresolved low back pain.\r\n\r\nThe body will respond to this instability and attempt to stabilize the area. The result is muscle spasms, swelling, and eventual bone spurs (arthritis).\r\n<h2>OrthoRegen® Back Pain Specialists in Regenerative Orthopedics</h2>\r\nAt OrthoRegen®, we use Regenerative Orthopedics to treat lumbar instability. The various regenerative treatments, including Prolotherapy, PRP, and stem cells, can be directed toward the pain sources, often the ligaments.\r\n\r\nProlotherapy strengthens lumbar vertebral ligaments and prevents progressive degeneration. Researchers in the Journal of Spine Disorders demonstrated that Prolotherapy was effective in patients with chronic low back pain who failed to respond to conservative care. (2)\r\n\r\nHauser et al. also found that Prolotherapy can be effective for chronic back pain due to spinal instability. (3) Prolotherapy strengthens the ligaments and eliminates the back pain problem.\r\n\r\nAt OrthoRegen®, our back pain specialists have effectively treated many patients suffering from low back pain and the associated conditions that occur due to spinal instability. We would love to help you too!\r\n\r\n(1) Migliorini F, Maffulli N. Choosing the appropriate pharmacotherapy for nonspecific chronic low back pain. Journal of Orthopaedic Surgery and Research. 2022 Dec;17(1):1-3.\r\n\r\n(2) Klein RG, Eek BC, DeLong WB, Mooney V. A randomized, double-blind trial of dextrose-glycerine-phenol injections for chronic, low back pain. Journal of Spinal Disorders. 1993 Feb 1;6(1):23-33.\r\n\r\n(3) Hauser RA, Matias D, Woznica D, Rawlings B, Woldin BA. Lumbar instability as an etiology of low back pain and its treatment by prolotherapy: A review. J Back Musculoskelet Rehabil. 2022;35(4):701-712. doi: 10.3233/BMR-210097. PMID: 34957989; PMCID: PMC9398090.','Back Pain Specialist','','inherit','closed','closed','','5815-revision-v1','','','2023-07-05 21:18:15','2023-07-05 21:18:15','',5815,'https://www.drfields.com/?p=5824',0,'revision','',0),(5825,9,'2023-07-05 21:19:35','2023-07-05 21:19:35','<img class=\"alignright wp-image-5816\" src=\"https://www.drfields.com/wp-content/uploads/2023/07/Low-Back-Pain-500x419.png\" alt=\"Low Back Pain\" width=\"300\" height=\"251\" />\r\n<h2>Back Pain Specialists</h2>\r\nAt OrthoRegen®, we specialize in treating the joints and the spine. Low back pain is one of the conditions we see quite often. People who come to our clinic typically have already tried various treatments that did not achieve the results they sought, leaving them with a reduced quality of life due to the pain and loss of function they experience. Therefore, they are seeking a back pain specialist and a treatment that works to bring relief.\r\n\r\nIn many cases, our Regenerative Orthopedics specialists can help low back pain sufferers return to the quality of life they desire, with less pain and increased function. If you are tired of taking anti-inflammatories, supplements, cortisone injections, and other remedies and are looking for a solution to your back pain, we believe we can help.\r\n\r\nRegenerative Orthopedics is a non-surgical treatment that repairs the soft tissue of the joints and spine by naturally and effectively strengthening the structures involved and eliminating the pain. Regenerative Orthopedics stimulates the body to repair the painful area and develops new healthy and strong tissue.\r\n<h2>Why Choose OrthoRegen® Back Pain Specialists?</h2>\r\nRegenerative Orthopedics are effective treatment options that do not require surgery. It\'s a great, beneficial treatment that is proven to provide pain relief and repair of the injured soft tissues of the joints and spine. As with any treatment, it is vital to choose an experienced practitioner. Peter A. Fields, MD, DC, has successfully treated back pain patients for many years. He is a joint and back pain specialist who gets results.\r\n<h2>Many Pharmaceuticals Do Not Provide Benefit</h2>\r\nThe Journal of Orthopedic Surgery and Research says, “Clinicians have to choose from drugs with very modest effects and variable risk profiles. Hence, the widespread recommendations to use pharmacological options as a last resort. <strong>The benefits are just not there to justify the routine prolonged use of any given drug in nonspecific chronic low back pain</strong>: this is a major challenge, and it is often hard to accept for clinicians and patients . . . ”\r\n<h2>Lumbar Instability As the Root Cause of Low Back Pain</h2>\r\nIf you have spent months or even years trying to get relief from your back pain, we recommend that you seek out a treatment that repairs the underlying issue, commonly lumbar instability. Other common therapies fail to attain the relief sought because they do not address the root cause of lumbar instability.\r\n\r\nThere are many reasons for low back pain. Conditions such as herniated discs, stenosis, spondylolisthesis, and others. However, the root cause behind these conditions is lumbar instability.\r\n<h2>What Is Lumbar Instability, and How Does it Begin?</h2>\r\nLumbar instability is caused by weakened and damaged ligaments. Once the ligaments become damaged, either by sudden trauma or prolonged wear and tear, the vertebrae begin to move abnormally.\r\n\r\nLigaments are bands of connective tissue that hold bone to bone. Spinal ligaments are primary stabilizers of the vertebrae of the spine. When spinal ligaments can no longer hold the adjacent vertebrae in their correct place, spinal instability becomes an issue. The weakened ligaments allow for excess mobility/motion in the spine. Spinal instability is the most common cause of unresolved low back pain.\r\n\r\nThe body will respond to this instability and attempt to stabilize the area. The result is muscle spasms, swelling, and eventual bone spurs (arthritis).\r\n<h2>OrthoRegen® Back Pain Specialists in Regenerative Orthopedics</h2>\r\nAt OrthoRegen®, we use Regenerative Orthopedics to treat lumbar instability. The various regenerative treatments, including Prolotherapy, PRP, and stem cells, can be directed toward the pain sources, often the ligaments.\r\n\r\nProlotherapy strengthens lumbar vertebral ligaments and prevents progressive degeneration. Researchers in the Journal of Spine Disorders demonstrated that Prolotherapy was effective in patients with chronic low back pain who failed to respond to conservative care. (2)\r\n\r\nHauser et al. also found that Prolotherapy can be effective for chronic back pain due to spinal instability. (3) Prolotherapy strengthens the ligaments and eliminates the back pain problem.\r\n\r\nAt OrthoRegen®, our back pain specialists have effectively treated many patients suffering from low back pain and the associated conditions that occur due to spinal instability. We would love to help you too!\r\n<h3>References</h3>\r\n(1) Migliorini F, Maffulli N. Choosing the appropriate pharmacotherapy for nonspecific chronic low back pain. Journal of Orthopaedic Surgery and Research. 2022 Dec;17(1):1-3.\r\n\r\n(2) Klein RG, Eek BC, DeLong WB, Mooney V. A randomized, double-blind trial of dextrose-glycerine-phenol injections for chronic, low back pain. Journal of Spinal Disorders. 1993 Feb 1;6(1):23-33.\r\n\r\n(3) Hauser RA, Matias D, Woznica D, Rawlings B, Woldin BA. Lumbar instability as an etiology of low back pain and its treatment by prolotherapy: A review. J Back Musculoskelet Rehabil. 2022;35(4):701-712. doi: 10.3233/BMR-210097. PMID: 34957989; PMCID: PMC9398090.','Back Pain Specialist','','inherit','closed','closed','','5815-revision-v1','','','2023-07-05 21:19:35','2023-07-05 21:19:35','',5815,'https://www.drfields.com/?p=5825',0,'revision','',0),(5827,8,'2023-07-18 03:33:37','2023-07-18 03:33:37','<h2><img class=\"alignright wp-image-5828\" src=\"https://www.drfields.com/wp-content/uploads/2023/07/Neck-Arthritis-500x419.png\" alt=\"Arthritis Neck Treatment\" width=\"300\" height=\"251\" />Arthritis Neck Treatment</h2>\r\nNeck arthritis can deter you from moving your neck normally, disrupt your life, and limit the activities you enjoy. When the neck is uninjured and stable, it moves and functions normally. But an injury to the ligaments changes this whole dynamic because it causes the cervical spine to become unstable. Left untreated, the instability will lead to the development of arthritis, and the sufferer will eventually seek an arthritis neck treatment.\r\n\r\nAs a Chiropractor (although I do not practice it anymore), I understand that chiropractic care can provide significant relief and do a fantastic job at bringing relief from neck pain and symptoms.\r\n\r\nHowever, when injured ligaments are the source of the problem, causing a cycle of instability in the neck or cervical spine, a treatment focused on repairing these ligaments may need to be sought. Regenerative Orthopedics is a treatment that repairs and strengthens injured ligaments and resolves many of these symptoms.\r\n<h3>Regenerative Orthopedics As An Arthritis Neck Treatment</h3>\r\nNeck arthritis is often due to neck instability. Neck or cervical instability occurs after an injury to  the ligaments of the neck transpires. Since the ligaments are the primary structures that stabilize joints, they are especially vulnerable when trauma occurs.\r\n\r\nAn unstable cervical spine cannot provide adequate support to function properly. The instability creates a cycle of imbalance between the different neck structures causing too much movement of the neighboring vertebrae. And that stresses the ligaments that support the vertebrae even more. It also puts undue pressure on the nerve endings within those structures. The result is neck pain and other symptoms.\r\n\r\nRegenerative Orthopedics is a great solution to the puzzle of neck pain caused by cervical instability. and the eventual neck arthritis that develops as a result. Stem Cell Therapy, PRP, and Prolotherapy are regenerative therapies that repair the injured ligaments at the core of the problem. These regenerative injection therapies tighten, repair, and regenerate the ligaments involved in neck (cervical) instability. By strengthening the injured ligaments, the arthritis cycle is slowed down.\r\n<h2>Symptoms of Cervical Instability and Neck Arthritis</h2>\r\nThe body will respond to neck instability by trying to stabilize the neck. At first, muscles will spasm, and in time, <strong>the body will create bone spurs to stabilize the neck. That result is arthritis.</strong> Besides neck pain, other symptoms might include headache, arm numbness, dizziness, fatigue, and nausea.\r\n\r\nCervical instability can also affect the nerves and blood supply that travel up to the brain, manifesting as other concerning symptoms such as hearing, vision, speaking, and vertigo.\r\n<h2>Time Hunched Over Smartphones Can Add to the Neck Arthritis Problem</h2>\r\nMany people suffer from symptoms of neck arthritis, but they don\'t know the reason behind the symptoms. One possible causative factor is the amount of time we spend hunched over smartphones and devices! In this position, we are stretching our neck ligaments and changing our spinal curves. Even children are losing the normal curve of the cervical spine. This position places incredible stress on the neck ligaments and exacerbates the problem of neck instability and neck arthritis. (1)\r\n<h2>Arthritis Neck Treatment Options</h2>\r\nAs noted earlier, chiropractors can provide significant relief from neck pain and symptoms. But when adjustments are not holding, and symptoms continue, cervical instability from ligament injury may be an underlying cause of the discomfort. Regenerative Orthopedics is a safe, non-surgical option that brings stability to the neck and its structures, improving function, and eliminating pain.\r\n\r\nDoes Regenerative Orthopedics work? One research team demonstrated that Regenerative Orthopedics, specifically Prolotherapy, met the expectations of 95% of patients in regards to pain relief and functionality. (2)\r\n\r\nRegenerative Orthopedics is a beneficial and effective non-surgical arthritis neck treatment option for those suffering from this life-altering condition.<strong> </strong>\r\n\r\n<strong>References</strong>\r\n<ul>\r\n 	<li>David D, Giannini C, Chiarelli F, Mohn A. Text neck syndrome in children and adolescents. International journal of environmental research and public health. 2021 Feb;18(4):1565.</li>\r\n 	<li>Hauser RA, Steilen D, Gordin K. The Biology of Prolotherapy and Its Application in Clinical Cervical Spine Instability and Chronic Neck Pain: A Retrospective Study. European Journal of Preventive Medicine. 2015 Jun 16;3(4):85.</li>\r\n</ul>','Arthritis Neck Treatment','','publish','closed','open','','arthritis-neck-treatment','','','2023-07-20 20:00:08','2023-07-20 20:00:08','',0,'https://www.drfields.com/?p=5827',0,'post','',0),(5828,8,'2023-07-18 03:33:06','2023-07-18 03:33:06','','Arthritis Neck Treatment','','inherit','closed','closed','','neck-arthritis','','','2023-07-18 03:33:21','2023-07-18 03:33:21','',5827,'https://www.drfields.com/wp-content/uploads/2023/07/Neck-Arthritis.png',0,'attachment','image/png',0),(5829,8,'2023-07-18 03:33:37','2023-07-18 03:33:37','<img class=\"alignright wp-image-5828\" src=\"https://www.drfields.com/wp-content/uploads/2023/07/Neck-Arthritis-500x419.png\" alt=\"Arthritis Neck Treatment\" width=\"300\" height=\"251\" />Neck arthritis can deter you from moving your neck normally, disrupt your life, and limit the activities you enjoy. When the neck is uninjured and stable, it moves and functions normally. But an injury to the ligaments changes this whole dynamic because it causes the cervical spine to become unstable.\r\n\r\nNeck arthritis is often due to neck instability. Neck or cervical instability occurs after an injury to  the ligaments of the neck transpires. Since the ligaments are the primary structures that stabilize joints, they are especially vulnerable when trauma occurs.\r\n\r\nAn unstable cervical spine cannot provide adequate support to function properly. The instability creates a cycle of imbalance between the different neck structures causing too much movement of the neighboring vertebrae. And that stresses the ligaments that support the vertebrae even more. It also puts undue pressure on the nerve endings within those structures. The result is neck pain.\r\n<h2>Symptoms of Cervical Instability and Neck Arthritis</h2>\r\nThe body will respond by trying to stabilize the neck. At first, muscles will go into spasm, and in time, <strong>the body will create bone spurs to stabilize the neck. That result is arthritis.</strong> Besides neck pain, other symptoms might include headache, arm numbness, dizziness, fatigue, and nausea.\r\n\r\nCervical instability can also affect the nerves and blood supply that travel up to the brain, which can manifest as other concerning symptoms such as disturbances in hearing, vision, speaking, and vertigo.\r\n<h2>Time Hunched Over Smartphones Can Add to the Neck Arthritis Problem</h2>\r\nMany people suffer from symptoms of neck arthritis but they don\'t know the reason behind the symptoms. Also, since we now spend so much time hunched over smartphones and devices, we are stretching out our neck ligaments and changing our spinal curves. Even children are loosing the normal curve of the cervical spine. This position is putting a lot of stress on the neck ligaments, and exacerbating the problem of neck instability and neck arthritis. (1)\r\n<h2>Arthritis Neck Treatment Options</h2>\r\nChiropractors can provide great relief, and upper cervical chiropractic specialists do an amazing job at bringing relief from the symptoms of cervical instability.\r\n\r\nHowever, when injured ligaments are the problem, a treatment focused at repairing these ligaments should be sought. Regenerative Orthopedics repairs and strengthens injured ligaments, and resolves many of these symptoms. Strengthening the injured ligaments also slows down the arthritis cycle.\r\n\r\nHauser et al found 95 percent of patients with chronic neck pain reported that Prolotherapy met their expectations in regards to pain relief and functionality. (2)\r\n\r\nRegenerative Orthopedics is actually a great solution to the puzzle of neck pain, cervical instability, and neck arthritis. Stem Cell Therapy, PRP, and Prolotherapy are types of regenerative therapies that repair the injured ligaments at the core of the problem. These regenerative injection therapies tighten, repair, and regenerate the ligaments involved in neck instability and neck arthritis. The treatments work to 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 and relief to those suffering from this life-altering condition.<strong> </strong>\r\n\r\n<strong>References</strong>\r\n<ul>\r\n 	<li>David D, Giannini C, Chiarelli F, Mohn A. Text neck syndrome in children and adolescents. International journal of environmental research and public health. 2021 Feb;18(4):1565.</li>\r\n 	<li>Hauser RA, Steilen D, Gordin K. The Biology of Prolotherapy and Its Application in Clinical Cervical Spine Instability and Chronic Neck Pain: A Retrospective Study. European Journal of Preventive Medicine. 2015 Jun 16;3(4):85.</li>\r\n</ul>','Arthritis Neck Treatment','','inherit','closed','closed','','5827-revision-v1','','','2023-07-18 03:33:37','2023-07-18 03:33:37','',5827,'https://www.drfields.com/?p=5829',0,'revision','',0),(5830,8,'2023-07-18 03:35:12','2023-07-18 03:35:12','<div class=\"clear\"></div>\r\n<div id=\"slider\">\r\n<div class=\"owl-carousel slider-carousel\">\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/12/Slider-2-v3-261222.jpg\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/Slider-v1-021120.jpg\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-santa-monica-pier-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">New Article:</span>\r\n<span class=\"header_text_second\">Keep Looking Forward Despite COVID-19</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dealing-with-covid-19/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-11.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/0_header-orthoregen-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Get Back In The Game!</span>\r\n<span class=\"header_text_second\">Avoid Joint and Spine Surgery </span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">Stem Cell/PRP/Prolotherapy</span>\r\n<a class=\"btn-more\" title=\"Get Help Now!\" href=\"Contact-Us\"> Get Help Now!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item slide-article\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-ocean-mountains-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_second\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/0_Kili-top-header-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\" style=\"text-align: left;\"><span class=\"header_text_first\">Congratulations\r\nPeter A. Fields, MD, DC</span>\r\n<span class=\"header_text_second\">The Athletic Doc<sup>®</sup>\r\nsuccessfully climbed</span>\r\n<span class=\"header_text_third white-text\">Mt. Kilimanjaro in\r\nTanzania, Africa.19,341 feet!!!</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/report-of-my-kilimanjaro-climb/\">Read More</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/Sider-01-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Peter A. Fields, MD, DC\r\nThe Athletic Doc<sup>®</sup></span>\r\n<span class=\"header_text_second\">Completed His 11th Ironman</span>\r\n<span class=\"header_text_third\">Sunday, November 24th in Cozumel Mexico</span>\r\n<a class=\"btn-more\" title=\"Read More\" href=\"#\">Images &amp; Story Coming Soon</a></div>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"jumbotron-fluid\">\r\n<div class=\"row\">\r\n<div class=\"col-md-4 box1\">\r\n\r\nWhat\'s\r\n<h3>New</h3>\r\n<ul>\r\n        <li><a href=\"/articles/regenerative-orthopedics/arthritis-neck-treatment/\">Arthritis Neck Treatment</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/back-pain-specialist/\">Back Pain Specialist</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/tennis-elbow-treatment/\">Tennis Elbow Treatment</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/hip-arthritis-treatment/\">Hip Arthritis Treatment</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/alternative-treatment-for-arthritis/\">Alternative Treatment for Arthritis</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/chronic-pain-management/\">Chronic Pain Management</a></li>\r\n 	<li><a href=\"/articles/meniscus-tear-treatment/\">Meniscus Tear Treatment</a></li>\r\n</ul>\r\n</div>\r\n<div id=\"testimonials\" class=\"col-md-4 box2\">\r\n\r\nPatient\r\n<h3>Testimonials</h3>\r\n<strong>Video:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I wished I had come earlier and listened to what my physical therapist had told me to do because Dr. Fields has been a real solution for me.\"\r\n\r\n<img class=\"testimonial-img\" title=\"Testimonial\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-larry.png\" alt=\"Testimonial\" />\r\n<h3>Larry</h3>\r\n<h4>Stem Cell Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I highly recommend it to anyone who needs to recover fast and get back out there.\"\r\n\r\n<img class=\"testimonial-img\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-christopher.png\" alt=\"\" />\r\n<h3>Chris, Pro Basketball Player</h3>\r\n<h4>PRP Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"Now I can go walking, I go to my ballet class and I’m a happy camper because of Dr. Fields.\"\r\n\r\n<img class=\"testimonial-img\" title=\"\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-mary.png\" alt=\"Testimonial\" />\r\n<h3>Mary</h3>\r\n<h4>Stem Cell Hip</h4>\r\n</div>\r\n</div>\r\n<strong>Written:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I need to say a big thank you to Dr Fields for getting me back on the tennis court. I am an avid tennis player who tried to ignore the terrible pain in my elbow.\"\r\n<h3 style=\"margin-left: 0;\">Mindy</h3>\r\n<h4 style=\"margin-left: 0;\">Elbow</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I chose Dr. Peter Fields because he is an athlete and would have more direct knowledge of my particular circumstances than anyone else.\"\r\n<h3 style=\"margin-left: 0;\">Robert</h3>\r\n<h4 style=\"margin-left: 0;\">Shoulder</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"After the final treatments ended I am still without all the pain and have more muscle strength in my legs.\"\r\n<h3 style=\"margin-left: 0;\">Lois</h3>\r\n<h4 style=\"margin-left: 0;\">Knee</h4>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"col-md-4 box3\">\r\n\r\nNews &amp;\r\n<h3>Events</h3>\r\n<ul>\r\n 	<li><a href=\"https://www.drfields.com/articles/health-news/dr-fields-to-lecture-in-mexico-city-on-july-9th/\">Peter A. Fields, MD, DC to lecture in Mexico City on July 9th</a></li>\r\n 	<li><a class=\"buttonlink\" style=\"width: 100%; font-size: 24px; text-align: center; padding: 25px 8%;\" href=\"https://www.drfields.com/contact/\"> Are you a Stem Cell Candidate?</a></li>\r\n</ul>\r\n</div>\r\n</div>\r\n</div>\r\n<div id=\"search-articles\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n<h2 class=\"text-center\">Search <b>Dr. Fields\'</b> Articles</h2>\r\n<form id=\"searchform\" action=\"/\" method=\"get\"><input class=\"search-field\" name=\"s\" type=\"text\" placeholder=\"What\'s Your Condition?\" />\r\n<input type=\"submit\" value=\"Search\" /></form></div>\r\n</div>\r\n</div>\r\n<div id=\"intro\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n<h1 class=\"text-center\">Welcome to OrthoRegen<sup>®</sup>!</h1>\r\n<p class=\"intro_text welcome\"><a href=\"http://orthoregen.com\"><span style=\"font-size: 26px;\">OrthoRegen<sup>®</sup></span></a> is dedicated to providing the best of <span class=\"nowrap\">Regenerative Orthopedics</span> by offering non-surgical alternatives for joint and spine repair</p>\r\n<a class=\"primaryButton\" title=\"Read More About U\" href=\"https://www.drfields.com/about/orthoregen-our-philosophy/\">Read More About Us</a>\r\n<a id=\"candidateButton\" title=\"Are you a good candidate?\" href=\"/contact/\">Are you a good candidate?</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"about\">\r\n<div class=\"col-md-5 drfields\"><img class=\"alignnone\" title=\"Regenerative Orthopedics Leader\" src=\"https://www.drfields.com/wp-content/uploads/2022/11/dr-fields-v1-021120.png\" alt=\"Regenerative Orthopedics Leader\" width=\"460\" height=\"737\" /></div>\r\n<div class=\"col-md-7 about_holder\">\r\n<h1>Peter A. Fields, <span class=\"nowrap\">MD, DC</span></h1>\r\n<p class=\"intro_text\">Medical Physician and Chiropractor\r\nThe Athletic Doc<sup>®</sup> - 11x Ironman Triathlete</p>\r\n\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"icon info\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-info.png\" alt=\"icon info\" /></div>\r\n<div class=\"about_text\">\r\n<h3>About</h3>\r\nPeter A. Fields, MD, DC is one of a handful of physicians in the nation with both medical and chiropractic degrees...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/dr-fields-bio/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"Man Icon\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-ironman.png\" alt=\"Man Icon\" /></div>\r\n<div class=\"about_text\">\r\n<h3>11x Ironman</h3>\r\nDr. Peter A. Fields is also known as The Athletic Doc<sup>®</sup> He not only treats athletes in his practice but is an athlete himself. For over...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n&nbsp;\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Call Us Today! 310-453-1234</a>','Home','','inherit','closed','closed','','2109-revision-v1','','','2023-07-18 03:35:12','2023-07-18 03:35:12','',2109,'https://www.drfields.com/?p=5830',0,'revision','',0),(5832,9,'2023-07-20 19:59:49','2023-07-20 19:59:49','<h2><img class=\"alignright wp-image-5828\" src=\"https://www.drfields.com/wp-content/uploads/2023/07/Neck-Arthritis-500x419.png\" alt=\"Arthritis Neck Treatment\" width=\"300\" height=\"251\" />Arthritis Neck Treatment</h2>\nNeck arthritis can deter you from moving your neck normally, disrupt your life, and limit the activities you enjoy. When the neck is uninjured and stable, it moves and functions normally. But an injury to the ligaments changes this whole dynamic because it causes the cervical spine to become unstable. Left untreated, the instability will lead to the development of arthritis, and the sufferer will eventually seek an arthritis neck treatment.\n\nAs a Chiropractor (although I do not practice it anymore), I understand that chiropractic care can provide significant relief and do a fantastic job at bringing relief from neck pain and symptoms.\n\nHowever, when injured ligaments are the source of the problem, causing a cycle of instability in the neck or cervical spine, a treatment focused on repairing these ligaments may need to be sought. Regenerative Orthopedics is a treatment that repairs and strengthens injured ligaments and resolves many of these symptoms.\n<h3>Regenerative Orthopedics As An Arthritis Neck Treatment</h3>\nNeck arthritis is often due to neck instability. Neck or cervical instability occurs after an injury to  the ligaments of the neck transpires. Since the ligaments are the primary structures that stabilize joints, they are especially vulnerable when trauma occurs.\n\nAn unstable cervical spine cannot provide adequate support to function properly. The instability creates a cycle of imbalance between the different neck structures causing too much movement of the neighboring vertebrae. And that stresses the ligaments that support the vertebrae even more. It also puts undue pressure on the nerve endings within those structures. The result is neck pain and other symptoms.\n\nRegenerative Orthopedics is a great solution to the puzzle of neck pain caused by cervical instability. and the eventual neck arthritis that develops as a result. Stem Cell Therapy, PRP, and Prolotherapy are regenerative therapies that repair the injured ligaments at the core of the problem. These regenerative injection therapies tighten, repair, and regenerate the ligaments involved in neck (cervical) instability. By strengthening the injured ligaments, the arthritis cycle is slowed down.\n<h2>Symptoms of Cervical Instability and Neck Arthritis</h2>\nThe body will respond to neck instability by trying to stabilize the neck. At first, muscles will spasm, and in time, <strong>the body will create bone spurs to stabilize the neck. That result is arthritis.</strong> Besides neck pain, other symptoms might include headache, arm numbness, dizziness, fatigue, and nausea.\n\nCervical instability can also affect the nerves and blood supply that travel up to the brain, manifesting as other concerning symptoms such as hearing, vision, speaking, and vertigo.\n<h2>Time Hunched Over Smartphones Can Add to the Neck Arthritis Problem</h2>\nMany people suffer from symptoms of neck arthritis, but they don\'t know the reason behind the symptoms. One possible causative factor is the amount of time we spend hunched over smartphones and devices! In this position, we are stretching our neck ligaments and changing our spinal curves. Even children are losing the normal curve of the cervical spine. This position places incredible stress on the neck ligaments and exacerbates the problem of neck instability and neck arthritis. (1)\n<h2>Arthritis Neck Treatment Options</h2>\nAs noted earlier, chiropractors can provide significant relief from neck pain and symptoms. But when adjustments are not holding, and symptoms continue, cervical instability from ligament injury may be an underlying cause of the discomfort. Regenerative Orthopedics is a safe, non-surgical option that brings stability to the neck and its structures, improving function, and eliminating pain.\n\nDoes Regenerative Orthopedics work? One research team demonstrated that Regenerative Orthopedics, specifically Prolotherapy, met the expectations of 95% of patients in regards to pain relief and functionality. (2)\n\nRegenerative Orthopedics is a beneficial and effective non-surgical arthritis neck treatment option for those suffering from this life-altering condition.<strong> </strong>\n\n<strong>References</strong>\n<ul>\n 	<li>David D, Giannini C, Chiarelli F, Mohn A. Text neck syndrome in children and adolescents. International journal of environmental research and public health. 2021 Feb;18(4):1565.</li>\n 	<li>Hauser RA, Steilen D, Gordin K. The Biology of Prolotherapy and Its Application in Clinical Cervical Spine Instability and Chronic Neck Pain: A Retrospective Study. European Journal of Preventive Medicine. 2015 Jun 16;3(4):85.</li>\n</ul>','Arthritis Neck Treatment','','inherit','closed','closed','','5827-autosave-v1','','','2023-07-20 19:59:49','2023-07-20 19:59:49','',5827,'https://www.drfields.com/?p=5832',0,'revision','',0),(5833,9,'2023-07-20 20:00:08','2023-07-20 20:00:08','<h2><img class=\"alignright wp-image-5828\" src=\"https://www.drfields.com/wp-content/uploads/2023/07/Neck-Arthritis-500x419.png\" alt=\"Arthritis Neck Treatment\" width=\"300\" height=\"251\" />Arthritis Neck Treatment</h2>\r\nNeck arthritis can deter you from moving your neck normally, disrupt your life, and limit the activities you enjoy. When the neck is uninjured and stable, it moves and functions normally. But an injury to the ligaments changes this whole dynamic because it causes the cervical spine to become unstable. Left untreated, the instability will lead to the development of arthritis, and the sufferer will eventually seek an arthritis neck treatment.\r\n\r\nAs a Chiropractor (although I do not practice it anymore), I understand that chiropractic care can provide significant relief and do a fantastic job at bringing relief from neck pain and symptoms.\r\n\r\nHowever, when injured ligaments are the source of the problem, causing a cycle of instability in the neck or cervical spine, a treatment focused on repairing these ligaments may need to be sought. Regenerative Orthopedics is a treatment that repairs and strengthens injured ligaments and resolves many of these symptoms.\r\n<h3>Regenerative Orthopedics As An Arthritis Neck Treatment</h3>\r\nNeck arthritis is often due to neck instability. Neck or cervical instability occurs after an injury to  the ligaments of the neck transpires. Since the ligaments are the primary structures that stabilize joints, they are especially vulnerable when trauma occurs.\r\n\r\nAn unstable cervical spine cannot provide adequate support to function properly. The instability creates a cycle of imbalance between the different neck structures causing too much movement of the neighboring vertebrae. And that stresses the ligaments that support the vertebrae even more. It also puts undue pressure on the nerve endings within those structures. The result is neck pain and other symptoms.\r\n\r\nRegenerative Orthopedics is a great solution to the puzzle of neck pain caused by cervical instability. and the eventual neck arthritis that develops as a result. Stem Cell Therapy, PRP, and Prolotherapy are regenerative therapies that repair the injured ligaments at the core of the problem. These regenerative injection therapies tighten, repair, and regenerate the ligaments involved in neck (cervical) instability. By strengthening the injured ligaments, the arthritis cycle is slowed down.\r\n<h2>Symptoms of Cervical Instability and Neck Arthritis</h2>\r\nThe body will respond to neck instability by trying to stabilize the neck. At first, muscles will spasm, and in time, <strong>the body will create bone spurs to stabilize the neck. That result is arthritis.</strong> Besides neck pain, other symptoms might include headache, arm numbness, dizziness, fatigue, and nausea.\r\n\r\nCervical instability can also affect the nerves and blood supply that travel up to the brain, manifesting as other concerning symptoms such as hearing, vision, speaking, and vertigo.\r\n<h2>Time Hunched Over Smartphones Can Add to the Neck Arthritis Problem</h2>\r\nMany people suffer from symptoms of neck arthritis, but they don\'t know the reason behind the symptoms. One possible causative factor is the amount of time we spend hunched over smartphones and devices! In this position, we are stretching our neck ligaments and changing our spinal curves. Even children are losing the normal curve of the cervical spine. This position places incredible stress on the neck ligaments and exacerbates the problem of neck instability and neck arthritis. (1)\r\n<h2>Arthritis Neck Treatment Options</h2>\r\nAs noted earlier, chiropractors can provide significant relief from neck pain and symptoms. But when adjustments are not holding, and symptoms continue, cervical instability from ligament injury may be an underlying cause of the discomfort. Regenerative Orthopedics is a safe, non-surgical option that brings stability to the neck and its structures, improving function, and eliminating pain.\r\n\r\nDoes Regenerative Orthopedics work? One research team demonstrated that Regenerative Orthopedics, specifically Prolotherapy, met the expectations of 95% of patients in regards to pain relief and functionality. (2)\r\n\r\nRegenerative Orthopedics is a beneficial and effective non-surgical arthritis neck treatment option for those suffering from this life-altering condition.<strong> </strong>\r\n\r\n<strong>References</strong>\r\n<ul>\r\n 	<li>David D, Giannini C, Chiarelli F, Mohn A. Text neck syndrome in children and adolescents. International journal of environmental research and public health. 2021 Feb;18(4):1565.</li>\r\n 	<li>Hauser RA, Steilen D, Gordin K. The Biology of Prolotherapy and Its Application in Clinical Cervical Spine Instability and Chronic Neck Pain: A Retrospective Study. European Journal of Preventive Medicine. 2015 Jun 16;3(4):85.</li>\r\n</ul>','Arthritis Neck Treatment','','inherit','closed','closed','','5827-revision-v1','','','2023-07-20 20:00:08','2023-07-20 20:00:08','',5827,'https://www.drfields.com/?p=5833',0,'revision','',0),(5835,8,'2023-07-31 04:43:22','2023-07-31 04:43:22','<h2><img class=\"alignright wp-image-5836\" src=\"https://www.drfields.com/wp-content/uploads/2023/07/foot-pain-1-500x419.png\" alt=\"Foot Pain Treatment\" width=\"300\" height=\"251\" />Foot Pain Treatment</h2>\r\nFoot pain afflicts many people. We depend on our feet for so much, from simply getting from place to place to running, working, and dancing. When our feet hurt, our lives are greatly affected, and we\'ll try everything we can to get relief. What foot pain treatments are available for this disabling chronic foot pain?\r\n\r\nOptions for relief may include orthotics, massage, and over-the-counter medications. When those don\'t work, steroid injections, or even surgery may be recommended. Are there other options for foot pain?\r\n<h2>Regenerative Orthopedic Foot Pain Treatments</h2>\r\nWhen these common treatments fail to achieve the results you seek, regenerative treatments are effective alternatives. At OrthoRegen®, we offer non-surgical alternatives for foot and toe pain called Regenerative Orthopedics. The standard treatment options mentioned earlier may not achieve the relief sought because they oftentimes do not repair the underlying injury causing the pain. Regenerative Orthopedics addresses the underlying issue, which is commonly joint instability caused by tendon or ligament injury.\r\n\r\nThe foot, ankle, and toes consist of a lot of bones and joints. These joints are supported by soft tissue such as muscles, tendons, and ligaments. When any of these soft tissue structures become injured, the joint becomes weakened, setting in motion a cycle of abnormal joint movement. As time goes on, the abnormal movement increases, injuring the soft tissue further. The eventual result is arthritis in the joint.\r\n\r\nRegenerative Orthopedics directed at the injured soft tissue, strengthens the tissue, and results in repair of the injured area. The joint stabilizes, function is enhanced, and pain will decrease.\r\n\r\nAthlete and non-athletes alike who are experiencing a foot injury, very likely desire a treatment option that will get results quickly. Of course, you want to get back to training, return to your sport, or be able to do all of the activities that foot pain has disturbed for way too long. Regenerative Orthopedics rebuilds and restores the injured soft tissue, so you can return to what you love without long recovery times.\r\n<h2>But Does It Work?</h2>\r\nHow can I know this treatment works? Regenerative Orthopedics are not a new treatment option. It\'s been around for quite some time. And research has been done proving how beneficial it is.\r\n\r\nFor almost 100 years, research has shown the effectiveness of the regenerative treatment option Prolotherapy. (1)\r\n\r\nProlotherapy is simple, and works by boosting the bodies\' healing abilities at the injured or weakened area, strengthening and repairing damaged ligaments, tendons, and joint structures. (2)\r\n\r\nEven in Morton\'s Neuroma, a difficult to treat condition, Prolotherapy has been shown to be effective. (3) Morton\'s Neuroma, like many other foot conditions, is most likely due to abnormal motion, combined with excessive stress of activity and weight bearing.\r\n\r\n<strong>What about PRP?</strong> A study in the medical journal <em>International Orthopedics</em> showed that PRP injections were \"associated with improved pain and function scores when compared with steroid injections\" in patients with plantar fasciopathy who had failed to achieve relief with other conservative measures. (4)\r\n\r\nPlantar fasciitis is the most common cause of pain in the heel (plantar) of the foot. Another journal, the <em>Orthopedic Journal of Sports Medicine</em> says,\"that PRP may lead to a greater improvement in pain and functional outcome over corticosteroid injections in patients with plantar fasciitis.\" (5)\r\n\r\nRegenerative Orthopedics to the weakened areas strengthens and repairs the affected structures, resulting in increased ability to walk, exercise, and work without pain.\r\n\r\nIf foot, ankle, or toe pain is hindering you from carrying out or enjoying daily activities, and the common treatment options you\'ve tried have not resulted in the relief you desire, we encourage you to try Regenerative Orthopedics. Call us to set up an appointment at 310-453-1234.\r\n<h3><strong>References</strong></h3>\r\n(1) Rabago D. Prolotherapy in primary care practice. Primary Care 2010 37: 65-80.\r\n\r\n(2) Rabago D, <a href=\"http://www.ncbi.nlm.nih.gov/pubmed?term=Best%20TM%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=16162983\">Best TM</a>, <a href=\"http://www.ncbi.nlm.nih.gov/pubmed?term=Beamsley%20M%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=16162983\">Beamsley M</a>, <a href=\"http://www.ncbi.nlm.nih.gov/pubmed?term=Patterson%20J%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=16162983\">Patterson J</a>. A systematic review of prolotherapy for chronic musculoskeletal pain. Clin J Sports Medicine 2005 15: 376-380.\r\n\r\n(3) Hauser, Ross A., Wayne A. Feister, and Debra K. Brinker. \"Dextrose Prolotherapy Treatment for Unresolved “Morton’s Neuroma” Pain.\"<em>The Foot and Ankle Online Journal. 2012. </em><em>doi: 10.3827/faoj.2012.0506.0001</em>.\r\n\r\n(4) Singh, Prashant, et al. \"A systematic review and meta-analysis of platelet-rich plasma versus corticosteroid injections for plantar fasciopathy.\" <em>International orthopaedics</em> 41 (2017): 1169-1181.\r\n\r\n(5) Hurley, Eoghan T., et al. \"Platelet-rich plasma versus corticosteroids for plantar fasciitis: a systematic review of randomized controlled trials.\" <em>Orthopaedic Journal of Sports Medicine</em> 8.4 (2020): 2325967120915704.','Foot Pain Treatment','','publish','closed','open','','foot-pain-treatment','','','2023-08-02 17:50:51','2023-08-02 17:50:51','',0,'https://www.drfields.com/?p=5835',0,'post','',0),(5836,8,'2023-07-31 04:42:46','2023-07-31 04:42:46','','Foot Pain Treatment','','inherit','closed','closed','','foot-pain-1','','','2023-07-31 04:43:11','2023-07-31 04:43:11','',5835,'https://www.drfields.com/wp-content/uploads/2023/07/foot-pain-1.png',0,'attachment','image/png',0),(5837,8,'2023-07-31 04:43:22','2023-07-31 04:43:22','<img class=\"alignright wp-image-5836\" src=\"https://www.drfields.com/wp-content/uploads/2023/07/foot-pain-1-500x419.png\" alt=\"Foot Pain Treatment\" width=\"300\" height=\"251\" />Foot pain afflicts many people. We depend on our feet for so much, from simply getting from place to place to running, working, and dancing. When our feet hurt, our lives are greatly affected, and we\'ll try everything we can to get relief. What foot pain treatments are available for this disabling chronic foot pain?\r\n\r\nOptions for relief may include orthotics, massage, and over-the-counter medications. When those don\'t work, steroid injections, or even surgery may be recommended. Are there other options for foot pain?\r\n<h2>Regenerative Orthopedic Foot Pain Treatments</h2>\r\nWhen these common treatments fail to achieve the results you seek, regenerative treatments are effective alternatives. At OrthoRegen®, we offer non-surgical alternatives for foot and toe pain called Regenerative Orthopedics. The standard treatment options mentioned earlier may not achieve the relief sought because they oftentimes do not repair the underlying injury causing the pain. Regenerative Orthopedics addresses the underlying issue, which is commonly joint instability caused by tendon or ligament injury.\r\n\r\nThe foot, ankle, and toes consist of a lot of bones and joints. These joints are supported by soft tissue such as muscles, tendons, and ligaments. When any of these soft tissue structures become injured, the joint becomes weakened, setting in motion a cycle of abnormal joint movement. As time goes on, the abnormal movement increases, injuring the soft tissue further. The eventual result is arthritis in the joint.\r\n\r\nRegenerative Orthopedics directed at the injured soft tissue, strengthens the tissue, and results in repair of the injured area. The joint stabilizes, function is enhanced, and pain will decrease.\r\n\r\nAthlete and non-athletes alike who are experiencing a foot injury, very likely desire a treatment option that will get results quickly. Of course, you want to get back to training, return to your sport, or be able to do all of the activities that foot pain has disturbed for way too long. Regenerative Orthopedics rebuilds and restores the injured soft tissue, so you can return to what you love without long recovery times.\r\n<h2>But Does It Work?</h2>\r\nHow can I know this treatment works? Regenerative Orthopedics are not a new treatment option. It\'s been around for quite some time. And research has been done proving how beneficial it is.\r\n\r\nFor almost 100 years, research has shown the effectiveness of the regenerative treatment option Prolotherapy. (1)\r\n\r\nProlotherapy is simple, and works by boosting the bodies\' healing abilities at the injured or weakened area, strengthening and repairing damaged ligaments, tendons, and joint structures. (2)\r\n\r\nEven in Morton\'s Neuroma, a difficult to treat condition, Prolotherapy has been shown to be effective. (3) Morton\'s Neuroma, like many other foot conditions, is most likely due to abnormal motion, combined with excessive stress of activity and weight bearing.\r\n\r\n<strong>What about PRP?</strong> A study in the medical journal <em>International Orthopedics</em> showed that PRP injections were \"associated with improved pain and function scores when compared with steroid injections\" in patients with plantar fasciopathy who had failed to achieve relief with other conservative measures. (4)\r\n\r\nPlantar fasciitis is the most common cause of pain in the heel (plantar) of the foot. Another journal, the <em>Orthopedic Journal of Sports Medicine</em> says,\"that PRP may lead to a greater improvement in pain and functional outcome over corticosteroid injections in patients with plantar fasciitis.\" (5)\r\n\r\nRegenerative Orthopedics to the weakened areas strengthens and repairs the affected structures, resulting in increased ability to walk, exercise, and work without pain.\r\n\r\nIf foot, ankle, or toe pain is hindering you from carrying out or enjoying daily activities, and the common treatment options you\'ve tried have not resulted in the relief you desire, we encourage you to try Regenerative Orthopedics. Call us to set up an appointment at 310-453-1234.\r\n\r\n<strong>References</strong>\r\n\r\n(1) Rabago D. Prolotherapy in primary care practice. Primary Care 2010 37: 65-80.\r\n\r\n(2) Rabago D, <a href=\"http://www.ncbi.nlm.nih.gov/pubmed?term=Best%20TM%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=16162983\">Best TM</a>, <a href=\"http://www.ncbi.nlm.nih.gov/pubmed?term=Beamsley%20M%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=16162983\">Beamsley M</a>, <a href=\"http://www.ncbi.nlm.nih.gov/pubmed?term=Patterson%20J%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=16162983\">Patterson J</a>. A systematic review of prolotherapy for chronic musculoskeletal pain. Clin J Sports Medicine 2005 15: 376-380.\r\n\r\n(3) Hauser, Ross A., Wayne A. Feister, and Debra K. Brinker. \"Dextrose Prolotherapy Treatment for Unresolved “Morton’s Neuroma” Pain.\"<em>The Foot and Ankle Online Journal. 2012. </em><em>doi: 10.3827/faoj.2012.0506.0001</em>.\r\n\r\n(4) Singh, Prashant, et al. \"A systematic review and meta-analysis of platelet-rich plasma versus corticosteroid injections for plantar fasciopathy.\" <em>International orthopaedics</em> 41 (2017): 1169-1181.\r\n\r\n(5) Hurley, Eoghan T., et al. \"Platelet-rich plasma versus corticosteroids for plantar fasciitis: a systematic review of randomized controlled trials.\" <em>Orthopaedic Journal of Sports Medicine</em> 8.4 (2020): 2325967120915704.','Foot Pain Treatment','','inherit','closed','closed','','5835-revision-v1','','','2023-07-31 04:43:22','2023-07-31 04:43:22','',5835,'https://www.drfields.com/?p=5837',0,'revision','',0),(5838,8,'2023-07-31 04:44:35','2023-07-31 04:44:35','<div class=\"clear\"></div>\r\n<div id=\"slider\">\r\n<div class=\"owl-carousel slider-carousel\">\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/12/Slider-2-v3-261222.jpg\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/Slider-v1-021120.jpg\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-santa-monica-pier-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">New Article:</span>\r\n<span class=\"header_text_second\">Keep Looking Forward Despite COVID-19</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dealing-with-covid-19/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-11.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/0_header-orthoregen-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Get Back In The Game!</span>\r\n<span class=\"header_text_second\">Avoid Joint and Spine Surgery </span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">Stem Cell/PRP/Prolotherapy</span>\r\n<a class=\"btn-more\" title=\"Get Help Now!\" href=\"Contact-Us\"> Get Help Now!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item slide-article\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-ocean-mountains-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_second\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/0_Kili-top-header-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\" style=\"text-align: left;\"><span class=\"header_text_first\">Congratulations\r\nPeter A. Fields, MD, DC</span>\r\n<span class=\"header_text_second\">The Athletic Doc<sup>®</sup>\r\nsuccessfully climbed</span>\r\n<span class=\"header_text_third white-text\">Mt. Kilimanjaro in\r\nTanzania, Africa.19,341 feet!!!</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/report-of-my-kilimanjaro-climb/\">Read More</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/Sider-01-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Peter A. Fields, MD, DC\r\nThe Athletic Doc<sup>®</sup></span>\r\n<span class=\"header_text_second\">Completed His 11th Ironman</span>\r\n<span class=\"header_text_third\">Sunday, November 24th in Cozumel Mexico</span>\r\n<a class=\"btn-more\" title=\"Read More\" href=\"#\">Images &amp; Story Coming Soon</a></div>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"jumbotron-fluid\">\r\n<div class=\"row\">\r\n<div class=\"col-md-4 box1\">\r\n\r\nWhat\'s\r\n<h3>New</h3>\r\n<ul>\r\n        <li><a href=\"/articles/regenerative-orthopedics/foot-pain-treatment/\">Foot Pain Treatment</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/arthritis-neck-treatment/\">Arthritis Neck Treatment</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/back-pain-specialist/\">Back Pain Specialist</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/tennis-elbow-treatment/\">Tennis Elbow Treatment</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/hip-arthritis-treatment/\">Hip Arthritis Treatment</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/alternative-treatment-for-arthritis/\">Alternative Treatment for Arthritis</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/chronic-pain-management/\">Chronic Pain Management</a></li>\r\n 	\r\n</ul>\r\n</div>\r\n<div id=\"testimonials\" class=\"col-md-4 box2\">\r\n\r\nPatient\r\n<h3>Testimonials</h3>\r\n<strong>Video:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I wished I had come earlier and listened to what my physical therapist had told me to do because Dr. Fields has been a real solution for me.\"\r\n\r\n<img class=\"testimonial-img\" title=\"Testimonial\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-larry.png\" alt=\"Testimonial\" />\r\n<h3>Larry</h3>\r\n<h4>Stem Cell Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I highly recommend it to anyone who needs to recover fast and get back out there.\"\r\n\r\n<img class=\"testimonial-img\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-christopher.png\" alt=\"\" />\r\n<h3>Chris, Pro Basketball Player</h3>\r\n<h4>PRP Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"Now I can go walking, I go to my ballet class and I’m a happy camper because of Dr. Fields.\"\r\n\r\n<img class=\"testimonial-img\" title=\"\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-mary.png\" alt=\"Testimonial\" />\r\n<h3>Mary</h3>\r\n<h4>Stem Cell Hip</h4>\r\n</div>\r\n</div>\r\n<strong>Written:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I need to say a big thank you to Dr Fields for getting me back on the tennis court. I am an avid tennis player who tried to ignore the terrible pain in my elbow.\"\r\n<h3 style=\"margin-left: 0;\">Mindy</h3>\r\n<h4 style=\"margin-left: 0;\">Elbow</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I chose Dr. Peter Fields because he is an athlete and would have more direct knowledge of my particular circumstances than anyone else.\"\r\n<h3 style=\"margin-left: 0;\">Robert</h3>\r\n<h4 style=\"margin-left: 0;\">Shoulder</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"After the final treatments ended I am still without all the pain and have more muscle strength in my legs.\"\r\n<h3 style=\"margin-left: 0;\">Lois</h3>\r\n<h4 style=\"margin-left: 0;\">Knee</h4>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"col-md-4 box3\">\r\n\r\nNews &amp;\r\n<h3>Events</h3>\r\n<ul>\r\n 	<li><a href=\"https://www.drfields.com/articles/health-news/dr-fields-to-lecture-in-mexico-city-on-july-9th/\">Peter A. Fields, MD, DC to lecture in Mexico City on July 9th</a></li>\r\n 	<li><a class=\"buttonlink\" style=\"width: 100%; font-size: 24px; text-align: center; padding: 25px 8%;\" href=\"https://www.drfields.com/contact/\"> Are you a Stem Cell Candidate?</a></li>\r\n</ul>\r\n</div>\r\n</div>\r\n</div>\r\n<div id=\"search-articles\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n<h2 class=\"text-center\">Search <b>Dr. Fields\'</b> Articles</h2>\r\n<form id=\"searchform\" action=\"/\" method=\"get\"><input class=\"search-field\" name=\"s\" type=\"text\" placeholder=\"What\'s Your Condition?\" />\r\n<input type=\"submit\" value=\"Search\" /></form></div>\r\n</div>\r\n</div>\r\n<div id=\"intro\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n<h1 class=\"text-center\">Welcome to OrthoRegen<sup>®</sup>!</h1>\r\n<p class=\"intro_text welcome\"><a href=\"http://orthoregen.com\"><span style=\"font-size: 26px;\">OrthoRegen<sup>®</sup></span></a> is dedicated to providing the best of <span class=\"nowrap\">Regenerative Orthopedics</span> by offering non-surgical alternatives for joint and spine repair</p>\r\n<a class=\"primaryButton\" title=\"Read More About U\" href=\"https://www.drfields.com/about/orthoregen-our-philosophy/\">Read More About Us</a>\r\n<a id=\"candidateButton\" title=\"Are you a good candidate?\" href=\"/contact/\">Are you a good candidate?</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"about\">\r\n<div class=\"col-md-5 drfields\"><img class=\"alignnone\" title=\"Regenerative Orthopedics Leader\" src=\"https://www.drfields.com/wp-content/uploads/2022/11/dr-fields-v1-021120.png\" alt=\"Regenerative Orthopedics Leader\" width=\"460\" height=\"737\" /></div>\r\n<div class=\"col-md-7 about_holder\">\r\n<h1>Peter A. Fields, <span class=\"nowrap\">MD, DC</span></h1>\r\n<p class=\"intro_text\">Medical Physician and Chiropractor\r\nThe Athletic Doc<sup>®</sup> - 11x Ironman Triathlete</p>\r\n\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"icon info\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-info.png\" alt=\"icon info\" /></div>\r\n<div class=\"about_text\">\r\n<h3>About</h3>\r\nPeter A. Fields, MD, DC is one of a handful of physicians in the nation with both medical and chiropractic degrees...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/dr-fields-bio/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"Man Icon\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-ironman.png\" alt=\"Man Icon\" /></div>\r\n<div class=\"about_text\">\r\n<h3>11x Ironman</h3>\r\nDr. Peter A. Fields is also known as The Athletic Doc<sup>®</sup> He not only treats athletes in his practice but is an athlete himself. For over...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n&nbsp;\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Call Us Today! 310-453-1234</a>','Home','','inherit','closed','closed','','2109-revision-v1','','','2023-07-31 04:44:35','2023-07-31 04:44:35','',2109,'https://www.drfields.com/?p=5838',0,'revision','',0),(5840,9,'2023-08-02 17:50:47','2023-08-02 17:50:47','<h2><img class=\"alignright wp-image-5836\" src=\"https://www.drfields.com/wp-content/uploads/2023/07/foot-pain-1-500x419.png\" alt=\"Foot Pain Treatment\" width=\"300\" height=\"251\" />Foot Pain Treatment</h2>\nFoot pain afflicts many people. We depend on our feet for so much, from simply getting from place to place to running, working, and dancing. When our feet hurt, our lives are greatly affected, and we\'ll try everything we can to get relief. What foot pain treatments are available for this disabling chronic foot pain?\n\nOptions for relief may include orthotics, massage, and over-the-counter medications. When those don\'t work, steroid injections, or even surgery may be recommended. Are there other options for foot pain?\n<h2>Regenerative Orthopedic Foot Pain Treatments</h2>\nWhen these common treatments fail to achieve the results you seek, regenerative treatments are effective alternatives. At OrthoRegen®, we offer non-surgical alternatives for foot and toe pain called Regenerative Orthopedics. The standard treatment options mentioned earlier may not achieve the relief sought because they oftentimes do not repair the underlying injury causing the pain. Regenerative Orthopedics addresses the underlying issue, which is commonly joint instability caused by tendon or ligament injury.\n\nThe foot, ankle, and toes consist of a lot of bones and joints. These joints are supported by soft tissue such as muscles, tendons, and ligaments. When any of these soft tissue structures become injured, the joint becomes weakened, setting in motion a cycle of abnormal joint movement. As time goes on, the abnormal movement increases, injuring the soft tissue further. The eventual result is arthritis in the joint.\n\nRegenerative Orthopedics directed at the injured soft tissue, strengthens the tissue, and results in repair of the injured area. The joint stabilizes, function is enhanced, and pain will decrease.\n\nAthlete and non-athletes alike who are experiencing a foot injury, very likely desire a treatment option that will get results quickly. Of course, you want to get back to training, return to your sport, or be able to do all of the activities that foot pain has disturbed for way too long. Regenerative Orthopedics rebuilds and restores the injured soft tissue, so you can return to what you love without long recovery times.\n<h2>But Does It Work?</h2>\nHow can I know this treatment works? Regenerative Orthopedics are not a new treatment option. It\'s been around for quite some time. And research has been done proving how beneficial it is.\n\nFor almost 100 years, research has shown the effectiveness of the regenerative treatment option Prolotherapy. (1)\n\nProlotherapy is simple, and works by boosting the bodies\' healing abilities at the injured or weakened area, strengthening and repairing damaged ligaments, tendons, and joint structures. (2)\n\nEven in Morton\'s Neuroma, a difficult to treat condition, Prolotherapy has been shown to be effective. (3) Morton\'s Neuroma, like many other foot conditions, is most likely due to abnormal motion, combined with excessive stress of activity and weight bearing.\n\n<strong>What about PRP?</strong> A study in the medical journal <em>International Orthopedics</em> showed that PRP injections were \"associated with improved pain and function scores when compared with steroid injections\" in patients with plantar fasciopathy who had failed to achieve relief with other conservative measures. (4)\n\nPlantar fasciitis is the most common cause of pain in the heel (plantar) of the foot. Another journal, the <em>Orthopedic Journal of Sports Medicine</em> says,\"that PRP may lead to a greater improvement in pain and functional outcome over corticosteroid injections in patients with plantar fasciitis.\" (5)\n\nRegenerative Orthopedics to the weakened areas strengthens and repairs the affected structures, resulting in increased ability to walk, exercise, and work without pain.\n\nIf foot, ankle, or toe pain is hindering you from carrying out or enjoying daily activities, and the common treatment options you\'ve tried have not resulted in the relief you desire, we encourage you to try Regenerative Orthopedics. Call us to set up an appointment at 310-453-1234.\n<h3><strong>References</strong></h3>\n(1) Rabago D. Prolotherapy in primary care practice. Primary Care 2010 37: 65-80.\n\n(2) Rabago D, <a href=\"http://www.ncbi.nlm.nih.gov/pubmed?term=Best%20TM%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=16162983\">Best TM</a>, <a href=\"http://www.ncbi.nlm.nih.gov/pubmed?term=Beamsley%20M%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=16162983\">Beamsley M</a>, <a href=\"http://www.ncbi.nlm.nih.gov/pubmed?term=Patterson%20J%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=16162983\">Patterson J</a>. A systematic review of prolotherapy for chronic musculoskeletal pain. Clin J Sports Medicine 2005 15: 376-380.\n\n(3) Hauser, Ross A., Wayne A. Feister, and Debra K. Brinker. \"Dextrose Prolotherapy Treatment for Unresolved “Morton’s Neuroma” Pain.\"<em>The Foot and Ankle Online Journal. 2012. </em><em>doi: 10.3827/faoj.2012.0506.0001</em>.\n\n(4) Singh, Prashant, et al. \"A systematic review and meta-analysis of platelet-rich plasma versus corticosteroid injections for plantar fasciopathy.\" <em>International orthopaedics</em> 41 (2017): 1169-1181.\n\n(5) Hurley, Eoghan T., et al. \"Platelet-rich plasma versus corticosteroids for plantar fasciitis: a systematic review of randomized controlled trials.\" <em>Orthopaedic Journal of Sports Medicine</em> 8.4 (2020): 2325967120915704.','Foot Pain Treatment','','inherit','closed','closed','','5835-autosave-v1','','','2023-08-02 17:50:47','2023-08-02 17:50:47','',5835,'https://www.drfields.com/?p=5840',0,'revision','',0),(5841,9,'2023-08-02 17:49:19','2023-08-02 17:49:19','<h2><img class=\"alignright wp-image-5836\" src=\"https://www.drfields.com/wp-content/uploads/2023/07/foot-pain-1-500x419.png\" alt=\"Foot Pain Treatment\" width=\"300\" height=\"251\" />Foot Pain Treatment</h2>\r\nFoot pain afflicts many people. We depend on our feet for so much, from simply getting from place to place to running, working, and dancing. When our feet hurt, our lives are greatly affected, and we\'ll try everything we can to get relief. What foot pain treatments are available for this disabling chronic foot pain?\r\n\r\nOptions for relief may include orthotics, massage, and over-the-counter medications. When those don\'t work, steroid injections, or even surgery may be recommended. Are there other options for foot pain?\r\n<h2>Regenerative Orthopedic Foot Pain Treatments</h2>\r\nWhen these common treatments fail to achieve the results you seek, regenerative treatments are effective alternatives. At OrthoRegen®, we offer non-surgical alternatives for foot and toe pain called Regenerative Orthopedics. The standard treatment options mentioned earlier may not achieve the relief sought because they oftentimes do not repair the underlying injury causing the pain. Regenerative Orthopedics addresses the underlying issue, which is commonly joint instability caused by tendon or ligament injury.\r\n\r\nThe foot, ankle, and toes consist of a lot of bones and joints. These joints are supported by soft tissue such as muscles, tendons, and ligaments. When any of these soft tissue structures become injured, the joint becomes weakened, setting in motion a cycle of abnormal joint movement. As time goes on, the abnormal movement increases, injuring the soft tissue further. The eventual result is arthritis in the joint.\r\n\r\nRegenerative Orthopedics directed at the injured soft tissue, strengthens the tissue, and results in repair of the injured area. The joint stabilizes, function is enhanced, and pain will decrease.\r\n\r\nAthlete and non-athletes alike who are experiencing a foot injury, very likely desire a treatment option that will get results quickly. Of course, you want to get back to training, return to your sport, or be able to do all of the activities that foot pain has disturbed for way too long. Regenerative Orthopedics rebuilds and restores the injured soft tissue, so you can return to what you love without long recovery times.\r\n<h2>But Does It Work?</h2>\r\nHow can I know this treatment works? Regenerative Orthopedics are not a new treatment option. It\'s been around for quite some time. And research has been done proving how beneficial it is.\r\n\r\nFor almost 100 years, research has shown the effectiveness of the regenerative treatment option Prolotherapy. (1)\r\n\r\nProlotherapy is simple, and works by boosting the bodies\' healing abilities at the injured or weakened area, strengthening and repairing damaged ligaments, tendons, and joint structures. (2)\r\n\r\nEven in Morton\'s Neuroma, a difficult to treat condition, Prolotherapy has been shown to be effective. (3) Morton\'s Neuroma, like many other foot conditions, is most likely due to abnormal motion, combined with excessive stress of activity and weight bearing.\r\n\r\n<strong>What about PRP?</strong> A study in the medical journal <em>International Orthopedics</em> showed that PRP injections were \"associated with improved pain and function scores when compared with steroid injections\" in patients with plantar fasciopathy who had failed to achieve relief with other conservative measures. (4)\r\n\r\nPlantar fasciitis is the most common cause of pain in the heel (plantar) of the foot. Another journal, the <em>Orthopedic Journal of Sports Medicine</em> says,\"that PRP may lead to a greater improvement in pain and functional outcome over corticosteroid injections in patients with plantar fasciitis.\" (5)\r\n\r\nRegenerative Orthopedics to the weakened areas strengthens and repairs the affected structures, resulting in increased ability to walk, exercise, and work without pain.\r\n\r\nIf foot, ankle, or toe pain is hindering you from carrying out or enjoying daily activities, and the common treatment options you\'ve tried have not resulted in the relief you desire, we encourage you to try Regenerative Orthopedics. Call us to set up an appointment at 310-453-1234.\r\n\r\n<strong>References</strong>\r\n\r\n(1) Rabago D. Prolotherapy in primary care practice. Primary Care 2010 37: 65-80.\r\n\r\n(2) Rabago D, <a href=\"http://www.ncbi.nlm.nih.gov/pubmed?term=Best%20TM%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=16162983\">Best TM</a>, <a href=\"http://www.ncbi.nlm.nih.gov/pubmed?term=Beamsley%20M%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=16162983\">Beamsley M</a>, <a href=\"http://www.ncbi.nlm.nih.gov/pubmed?term=Patterson%20J%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=16162983\">Patterson J</a>. A systematic review of prolotherapy for chronic musculoskeletal pain. Clin J Sports Medicine 2005 15: 376-380.\r\n\r\n(3) Hauser, Ross A., Wayne A. Feister, and Debra K. Brinker. \"Dextrose Prolotherapy Treatment for Unresolved “Morton’s Neuroma” Pain.\"<em>The Foot and Ankle Online Journal. 2012. </em><em>doi: 10.3827/faoj.2012.0506.0001</em>.\r\n\r\n(4) Singh, Prashant, et al. \"A systematic review and meta-analysis of platelet-rich plasma versus corticosteroid injections for plantar fasciopathy.\" <em>International orthopaedics</em> 41 (2017): 1169-1181.\r\n\r\n(5) Hurley, Eoghan T., et al. \"Platelet-rich plasma versus corticosteroids for plantar fasciitis: a systematic review of randomized controlled trials.\" <em>Orthopaedic Journal of Sports Medicine</em> 8.4 (2020): 2325967120915704.','Foot Pain Treatment','','inherit','closed','closed','','5835-revision-v1','','','2023-08-02 17:49:19','2023-08-02 17:49:19','',5835,'https://www.drfields.com/?p=5841',0,'revision','',0),(5842,9,'2023-08-02 17:50:51','2023-08-02 17:50:51','<h2><img class=\"alignright wp-image-5836\" src=\"https://www.drfields.com/wp-content/uploads/2023/07/foot-pain-1-500x419.png\" alt=\"Foot Pain Treatment\" width=\"300\" height=\"251\" />Foot Pain Treatment</h2>\r\nFoot pain afflicts many people. We depend on our feet for so much, from simply getting from place to place to running, working, and dancing. When our feet hurt, our lives are greatly affected, and we\'ll try everything we can to get relief. What foot pain treatments are available for this disabling chronic foot pain?\r\n\r\nOptions for relief may include orthotics, massage, and over-the-counter medications. When those don\'t work, steroid injections, or even surgery may be recommended. Are there other options for foot pain?\r\n<h2>Regenerative Orthopedic Foot Pain Treatments</h2>\r\nWhen these common treatments fail to achieve the results you seek, regenerative treatments are effective alternatives. At OrthoRegen®, we offer non-surgical alternatives for foot and toe pain called Regenerative Orthopedics. The standard treatment options mentioned earlier may not achieve the relief sought because they oftentimes do not repair the underlying injury causing the pain. Regenerative Orthopedics addresses the underlying issue, which is commonly joint instability caused by tendon or ligament injury.\r\n\r\nThe foot, ankle, and toes consist of a lot of bones and joints. These joints are supported by soft tissue such as muscles, tendons, and ligaments. When any of these soft tissue structures become injured, the joint becomes weakened, setting in motion a cycle of abnormal joint movement. As time goes on, the abnormal movement increases, injuring the soft tissue further. The eventual result is arthritis in the joint.\r\n\r\nRegenerative Orthopedics directed at the injured soft tissue, strengthens the tissue, and results in repair of the injured area. The joint stabilizes, function is enhanced, and pain will decrease.\r\n\r\nAthlete and non-athletes alike who are experiencing a foot injury, very likely desire a treatment option that will get results quickly. Of course, you want to get back to training, return to your sport, or be able to do all of the activities that foot pain has disturbed for way too long. Regenerative Orthopedics rebuilds and restores the injured soft tissue, so you can return to what you love without long recovery times.\r\n<h2>But Does It Work?</h2>\r\nHow can I know this treatment works? Regenerative Orthopedics are not a new treatment option. It\'s been around for quite some time. And research has been done proving how beneficial it is.\r\n\r\nFor almost 100 years, research has shown the effectiveness of the regenerative treatment option Prolotherapy. (1)\r\n\r\nProlotherapy is simple, and works by boosting the bodies\' healing abilities at the injured or weakened area, strengthening and repairing damaged ligaments, tendons, and joint structures. (2)\r\n\r\nEven in Morton\'s Neuroma, a difficult to treat condition, Prolotherapy has been shown to be effective. (3) Morton\'s Neuroma, like many other foot conditions, is most likely due to abnormal motion, combined with excessive stress of activity and weight bearing.\r\n\r\n<strong>What about PRP?</strong> A study in the medical journal <em>International Orthopedics</em> showed that PRP injections were \"associated with improved pain and function scores when compared with steroid injections\" in patients with plantar fasciopathy who had failed to achieve relief with other conservative measures. (4)\r\n\r\nPlantar fasciitis is the most common cause of pain in the heel (plantar) of the foot. Another journal, the <em>Orthopedic Journal of Sports Medicine</em> says,\"that PRP may lead to a greater improvement in pain and functional outcome over corticosteroid injections in patients with plantar fasciitis.\" (5)\r\n\r\nRegenerative Orthopedics to the weakened areas strengthens and repairs the affected structures, resulting in increased ability to walk, exercise, and work without pain.\r\n\r\nIf foot, ankle, or toe pain is hindering you from carrying out or enjoying daily activities, and the common treatment options you\'ve tried have not resulted in the relief you desire, we encourage you to try Regenerative Orthopedics. Call us to set up an appointment at 310-453-1234.\r\n<h3><strong>References</strong></h3>\r\n(1) Rabago D. Prolotherapy in primary care practice. Primary Care 2010 37: 65-80.\r\n\r\n(2) Rabago D, <a href=\"http://www.ncbi.nlm.nih.gov/pubmed?term=Best%20TM%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=16162983\">Best TM</a>, <a href=\"http://www.ncbi.nlm.nih.gov/pubmed?term=Beamsley%20M%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=16162983\">Beamsley M</a>, <a href=\"http://www.ncbi.nlm.nih.gov/pubmed?term=Patterson%20J%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=16162983\">Patterson J</a>. A systematic review of prolotherapy for chronic musculoskeletal pain. Clin J Sports Medicine 2005 15: 376-380.\r\n\r\n(3) Hauser, Ross A., Wayne A. Feister, and Debra K. Brinker. \"Dextrose Prolotherapy Treatment for Unresolved “Morton’s Neuroma” Pain.\"<em>The Foot and Ankle Online Journal. 2012. </em><em>doi: 10.3827/faoj.2012.0506.0001</em>.\r\n\r\n(4) Singh, Prashant, et al. \"A systematic review and meta-analysis of platelet-rich plasma versus corticosteroid injections for plantar fasciopathy.\" <em>International orthopaedics</em> 41 (2017): 1169-1181.\r\n\r\n(5) Hurley, Eoghan T., et al. \"Platelet-rich plasma versus corticosteroids for plantar fasciitis: a systematic review of randomized controlled trials.\" <em>Orthopaedic Journal of Sports Medicine</em> 8.4 (2020): 2325967120915704.','Foot Pain Treatment','','inherit','closed','closed','','5835-revision-v1','','','2023-08-02 17:50:51','2023-08-02 17:50:51','',5835,'https://www.drfields.com/?p=5842',0,'revision','',0),