(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),(5843,8,'2023-08-07 03:44:39','2023-08-07 03:44:39','<h2>Common Questions for Services at OrthoRegen<sup>®</sup></h2>\r\n[caption id=\"attachment_4393\" align=\"alignright\" width=\"500\"]<img class=\"wp-image-4393 size-medium\" src=\"https://www.drfields.com/wp-content/uploads/2021/01/Prolotherapy-copy-2-500x500.png\" alt=\"Prolotherapy Copy 2\" width=\"500\" height=\"500\" /> <em><strong> Non-Surgical Services at OrthoRegen for Joint Pain</strong></em>[/caption]\r\n<h3><strong>What Is the Payment Policy for Service?</strong></h3>\r\nInvesting in your health should be very important to you. And we are so happy you have chosen to look into the services offered at OrthoRegen.<sup>® </sup>\r\n\r\nSince the future of health care is changing, you should be involved with this investment. When you make a financial investment, you measure it by how much it grows each year. Investing in your health pays off in many different ways: wellness, health stability, quality of life, energy, happiness, and more.\r\n\r\nOnly you can decide what is fair and if it is worth the investment even if you pay out-of-pocket costs for your health care.\r\n\r\nWe will make every effort to instill the feeling that your time with us is worth it.\r\n<h3>Is OrthoRegen<sup>® </sup>a Fee for Service Office?</h3>\r\nYes! And as a <strong>Fee for Service Office,</strong> we request that the <u><strong>fee is paid in full at the time of service</strong></u>.\r\n\r\n<em>We accept credit cards, checks, or cash for payment of services.</em>\r\n<h4>What Should I Expect at the First Visit?</h4>\r\nDuring your first visit to OrthoRegen,<sup>® </sup>a complete Regenerative Orthopedics history and physical is done. This takes approximately 30-40 minutes. Your regenerative medicine expert will then recommend the best treatment option according to your particular needs and case.\r\n<h4>The Regenerative Orthopedic treatment options are explained below with current fees:</h4>\r\n[caption id=\"\" align=\"alignright\" width=\"586\"]<a class=\"enhancr_card_5084827434\" href=\"https://www.carecredit.com/go/762HNB/bb3poscustacqbtnclk08132020/?dtc=Ds5X&amp;promocode=CLT/\" target=\"_blank\" rel=\"nofollow noopener\"><img class=\"ydpb17459af\" src=\"https://www.carecredit.com/sites/pc/image/carecredit_button_applynow_tile_v2.png\" alt=\"\" width=\"586\" height=\"434\" data-inlineimagemanipulating=\"true\" data-id=\"1624650312930\" /></a> <em>We accept credit cards, checks, or cash for payment of services at OrthoRegen.</em>[/caption]\r\n<h3></h3>\r\n<h3>What Are the Regenerative Orthopedics Fees?</h3>\r\nInitial Regenerative Orthopedic Consultation: $550\r\n<h4>Prolotherapy Charges:</h4>\r\nSmall Joint (Foot, hand, fingers, toes, ankle, elbow, TMJ): $500\r\nMedium Joint (Knee, hip, shoulder, ribs): $600\r\nLarge Joint (Groin, neck, mid-back, or low back): $1600\r\n<h4></h4>\r\n<h4></h4>\r\n<h4></h4>\r\n<h4></h4>\r\n<h4></h4>\r\n<h4><strong>Platelet Rich Plasma:</strong></h4>\r\n<strong> </strong>$550 Plus, the above joint charges\r\n<h4>Stem Cell Therapy:</h4>\r\nPlease call for pricing\r\n<h3>What Is the Insurance Policy at OrthoRegen<sup>® </sup>for Services?</h3>\r\nWe will provide you with a detailed invoice that you can submit to your insurance company for possible reimbursement. As noted above, we are a <strong>Fee for Service Office. And as such,</strong> we request that the <u><strong>fee is paid in full at the time of service</strong></u>.\r\n\r\nSince <strong>we do not subscribe to any insurance networks</strong>, <strong>we</strong><u><strong> cannot guarantee insurance reimbursement.</strong></u>\r\n\r\nInsurance billing can be up to 40 percent of a medical office’s overhead. It involves a lot of time and effort. We would rather put that time and effort into caring for our patients instead of billing insurance companies. It also helps us keep our prices reasonable.\r\n<h4>Remember that health insurance is a contract between you and your insurance carrier.</h4>\r\nIf so inclined, you can contact your insurance carrier and ask them if they cover an MD office visit (codes: 99203 or 4; 99213 or 4.) They will not tell you how much they cover – only whether they cover it or not. Most insurance companies cover MD’s office visits. This is what we bill for.\r\n\r\nAll bills are issued under Dr. Fields’ medical license (MD). Unfortunately, there is still no guarantee that insurance companies will reimburse you for your treatments even after they have said yes to complete or partial coverage.\r\n<h3><u><strong>Are You a Medicare of Medi-cal Provider?</strong></u></h3>\r\n<u>No. And since we are not a Medicare or Medi-cal provider, <strong>we cannot bill Medicare or Medi-cal.</strong></u>\r\nPlease do not ask us to attempt this, as it is not possible.\r\n<h3><u><strong>Are Medical Records or MRI’s/X-rays Necessary?</strong></u></h3>\r\nAny pertinent medical records can be faxed [phone] to the office prior to your visit. The report of the MRI/X-ray can also be faxed or brought with you.\r\n\r\nActual MRIs or x-rays are not absolutely necessary but may be brought with you.\r\n<h3><u><strong>How Long Is Each Visit?</strong></u></h3>\r\nThe first visit is approximately one hour. Each additional visit is about half an hour unless there is more than one area being treated. You can discuss this with the doctor on your first visit.\r\n<h3><u><strong>Can I Receive Treatment at the Initial Visit?</strong></u></h3>\r\nIf after your history and examination it is determined that you are a good candidate for Regenerative Orthopedics treatments, then after reviewing the recommendations with your clinician, you can receive treatment on your first visit.\r\n\r\nWe are excited that you are looking into this non-surgical alternative. Are you ready to get back to all the things you loved doing before pain changed your life? We are here to help you get your life back. Call us soon!\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>','Common Questions','','inherit','closed','closed','','207-revision-v1','','','2023-08-07 03:44:39','2023-08-07 03:44:39','',207,'https://www.drfields.com/?p=5843',0,'revision','',0),(5845,9,'2023-08-11 20:56:39','2023-08-11 20:56:39','<h2 style=\"text-align: left;\">The Athletic Doc<sup>®</sup></h2>\r\nPeter A. Fields, MD, DC has become known as <strong>The Athletic Doc<sup>®.  </sup></strong>\r\n\r\nHe not only treats athletes but is an athlete himself, so he understands the desire to keep active. So if you suffer an injury, he gets what it means to you to get back into the game or to return quickly to your sport.\r\n\r\n[caption id=\"attachment_374\" align=\"alignright\" width=\"498\"]<img class=\" wp-image-374\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/dr-fields-pete-jacobs-small.jpg\" alt=\"Dr Fields Pete Jacobs Small\" width=\"498\" height=\"369\" /> <em><strong> Pete Jacobs 2012 Ironman World Champion and Dr. Fields           (The Atletic Doc<sup>®)</sup></strong></em><span style=\"font-size: 16px;\">He not only treats athletes in his practice but is an athlete himself.</span>[/caption]\r\n<h3>How Doctor Fields Became <strong class=\"subhead\">The Athletic Doc<sup>®</sup></strong></h3>\r\nFor over twenty years, Dr. Fields has been active in the sport of Triathlon which has led to him becoming known as <strong>The Athletic Doc<sup>®</sup></strong>. To date, he has completed eleven Ironman Triathlons. An Ironman Triathlon is a 2.4-mile swim, a 112-mile bike, and a 26.2-mile run. Dr. Fields has competed in over 60 other Triathlons in his career, including eight half (70.3) Ironman competitions as well as numerous Olympic distance ones. He says that even with all the years of training and racing, he still enjoys the challenges of it all.\r\n\r\nWith a busy practice, Dr. Fields still makes time to work out. During the triathlon season, he can be found swimming, biking, or running six to seven days a week in addition to a regime of active stretching twice a day. On most weekends, Dr. Fields can be found on long training rides. Besides being outdoors and keeping himself very physically active, Dr. Fields also enjoys the camaraderie of his training partners. In addition to the sport of Triathlon, Dr. Fields is a competitive tennis player and participates in several other athletic activities including skiing, lifting weights, scuba diving, and hiking to name just a few.\r\n\r\n[caption id=\"attachment_4938\" align=\"alignleft\" width=\"359\"]<img class=\" wp-image-4938\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/3c2609ba-657a-4097-a191-6a009c32f46e-366x500.jpg\" alt=\"The Athletic Doc Scuba Diving\" width=\"359\" height=\"490\" /> <strong>      <em>The Athletic Doc Scuba Diving</em></strong>[/caption]\r\n<h3><strong class=\"subhead\">Peter A. Fields, MD, DC</strong> Keeps Active and Fit to Maintain Optimal Health</h3>\r\nDr. Fields finds that keeping fit and active is not only important in keeping him in top physical shape but also in staying in touch with those patients that are, or want to be, active. To keep his body at maximum efficiency and maintain optimal health, Dr. Fields eats a very healthy diet which includes lots of organic fruits and vegetables and other whole food products. He avoids processed foods, fried foods, and white flour or white sugar products. <em>The Athletic Doc<sup>®</sup></em> also utilizes a daily vitamin and supplement regime as well as massage therapy, chiropractic, and of course, <strong>Prolotherapy</strong> for those injuries that just won\'t heal. Plus he makes sure to get plenty of sleep, drink lots of water, and have some quiet time in his life.\r\n\r\nDr. Fields is a nationally known <a href=\"#\">Prolotherapy</a> Doctor. For more severe injuries, Dr. Fields recommends <a href=\"#\">PRP Prolotherapy</a>, which uses a patient\'s own cells to stimulate healing. And for his patients who have arthritic joints, torn or missing cartilage, or bone-on-bone conditions, Dr. Fields is a nationally known <a href=\"#\">Stem Cell Prolotherapy</a> doctor who regularly helps his patients avoid joint replacement surgery.\r\n<h2>About Peter A. Fields, MD, DC</h2>\r\nDr. Fields is the Director of OrthoRegen<sup>®</sup> in Santa Monica, California, one of the largest practices in the world dedicated to Regenerative Orthopedics. Dr. Fields treats patients from around the United States and the World: from professional athletes to weekend warriors and even non-athletes. He helps people avoid orthopedic surgeries whether full surgery or arthroscopic.\r\n\r\nDr. Fields is a leading expert in Regenerative Orthopedic treatments such as Stem Cells, PRP, and Prolotherapy, to help people reduce pain and prevent joint replacement.\r\n\r\n<strong><em>The Athletic Doc<sup>®</sup> motto is \"not only train hard but smart – as if your body depended on it\"</em></strong>\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n<div class=\"fullwidth color_bar\">\r\n<div id=\"aboutdocgallery\" class=\"col-md-12\">\r\n<h4>Ironman Photos &amp; Stories</h4>\r\n<ul>\r\n 	<li><a href=\"https://www.drfields.com/about/the-athletic-doc/race-report-9th-ironman/\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Ironman-Santa-Rosa-Finishline-3.jpg\" />2017 Ironman Santa Rose</a></li>\r\n 	<li><a href=\"https://www.drfields.com/about/the-athletic-doc/race-report-8th-ironman/\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Cozumel-2016-Finish-160.jpg\" />2016 Ironman Cozumel</a></li>\r\n 	<li><a href=\"https://www.drfields.com/about/the-athletic-doc/race-report-7th-ironman/\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Switzerland-Finish-Line-2016-275.jpg\" />2016 Ironman Switzerland</a></li>\r\n 	<li><a href=\"https://www.drfields.com/about/the-athletic-doc/race-report-6th-ironman/\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Cozumel-Finish-2015-275.jpg\" />2015 Ironman Cozumel</a></li>\r\n 	<li><a href=\"https://www.drfields.com/about/the-athletic-doc/race-report-5th-ironman/\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman-brazil-finish.jpg\" />2015 Ironman Brazil</a></li>\r\n 	<li><a href=\"https://www.drfields.com/about/the-athletic-doc/race-report-4th-ironman/\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman2014-large.jpg\" />2014 Ironman Austria</a></li>\r\n 	<li><a href=\"https://www.drfields.com/about/the-athletic-doc/race-report-3rd-ironman/\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2011-finish2.jpg\" />2013 Ironman Canada</a></li>\r\n 	<li><a href=\"https://www.drfields.com/about/the-athletic-doc/race-report-2nd-ironman/\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2012-finish2.jpg\" />2012 Ironman Cozumel</a></li>\r\n</ul>\r\n</div>\r\n</div>','About The Athletic Doc','','inherit','closed','closed','','373-revision-v1','','','2023-08-11 20:56:39','2023-08-11 20:56:39','',373,'https://www.drfields.com/?p=5845',0,'revision','',0),(5847,8,'2023-08-16 04:09:29','2023-08-16 04:09:29','<img class=\"alignright wp-image-5848\" src=\"https://www.drfields.com/wp-content/uploads/2023/08/ACL-Tearblog.1png-500x419.png\" alt=\"ACL TEAR Repair\" width=\"350\" height=\"293\" />\r\n<h2>Anterior Cruciate Ligament (ACL) Tear Repair</h2>\r\nAn anterior cruciate ligament (ACL) injury often means that you feel your knee giving out. A \"popping\" noise may also be heard, and there may be pain along the outside or back of knee. Partial ACL tears may \"heal\" on their own, but other problems can develop down the road because of incomplete healing and other associated injuries. Complete healing and repair of the entire injury is important, and comprehensive Regenerative Orthopedics are effective treatment options for ACL injuries.\r\n<h2>Treatment Options for ACL Tear Repair</h2>\r\nRepair of the anterior cruciate ligament (ACL) has traditionally been surgical, but an increase in injuries has lead to a higher need of repair and an increase in younger patients who may end up with complications with these surgical repairs. Because of these changes, alternatives to surgery are being sought. Regenerative techniques are being considered because they enhance repair and regeneration of tissue and are excellent options specific to the repair of ligament and tendon soft tissue structures.\r\n\r\nWhy is ACL repair important? Because the knee instability that occurs due to injury needs to be resolved, or further damage can occur to the other knee structures. Without resolution of the instability, the long-term complication of arthritis will also likely occur. Additionally, regenerating the injured ligament, rather than replacing it with grafts, can help boost the normal biomechanics of the knee. (1)\r\n<h2>ACL Tear Repair with Regenerative Orthopedics</h2>\r\nThe ACL responds well to healing by regenerative treatments like Platelet Rich Plasma, which provide the needed fibrin-platelet clot and growth factors for repair. PRP is a rich source of growth factors, limiting inflammation, and promoting tissue regeneration. (2) This platelet concentrate releases a number of crucial growth factors that stimulate repair and collagen production.(3)\r\n\r\nRegenerative Orthopedics are an effective alternative for the difficult-to-treat younger patient with ACL injury. Researchers in the <em>Sports medicine and arthroscopy Review </em>say this<em>:</em>\r\n\r\n\"Younger and more active patients benefit from regenerative approaches that encourage biological repair since they prevent complications provoked by the high stresses due to high physical demand over a prolonged time after classic replacement with synthetic materials.\"(3)\r\n\r\nAt our OrthoRegen® clinic, patients are looking to avoid surgery, or have tried surgery and continue to have knee issues. Many young athletes choose surgery because they expect it to get that back in the game. Sometimes it does and sometimes it fails. Physical Therapy also works to strengthen the leg, but unfortunately may not work to sufficiently stabilize the knee, because the ligament cannot be repaired with PT. Therefore, a non-surgical solution to repair the instability is desired.\r\n<h2>ACL Injury and Accompanying Injuries</h2>\r\nAdditionally, when an injury is significant enough to injure the ACL, it is very likely that other knee ligaments and/or the meniscus are injured as well. That\'s when comprehensive regenerative treatments really shine. Why is that? Because comprehensive Regenerative Orthopedics treat the entire knee. All of the injured areas will be attended to for maximal healing results. On the other hand, ligament reconstruction, the usual management technique for significant ACL injuries, using replacement auto- or allografts, as noted earlier, have less than satisfactory outcomes, including instability that could progressively damage other knee structures, and result in arthritis.\r\n<h4><em><strong>What happens to those who skip repair altogether?</strong></em></h4>\r\nA November 2021 study in the <em>Progress in Rehabilitation Medicine</em> investigated whether student-athletes with anterior cruciate ligament (ACL) injuries who returned to sports without reconstruction could continue their sporting activities until the end of the season and whether there was an increase in secondary damage associated with knee instability. What did they find? The majority of athletes experienced their knees giving way and some experienced injury of their meniscus. Unfortunately, with ACL injury, instability occurs and the knee needs to be repaired. Non-surgical repair with Regenerative Orthopedics is an effective option.\r\n<h4><em><strong>Is surgery the answer?</strong></em></h4>\r\nHere\'s what researchers from Brown University say, “Accelerated rehabilitation has made recovery from (ACL) surgery more predictable and shortened the timeline for return to play (from ACL reconstruction surgery). (However) Despite success with advancements in anterior cruciate ligament reconstructions, <strong>some athletes still fail to return to play</strong>.” There may be short-term results, but in the long-term, stability of the knee becomes problematic. A solution that saves the biological ligament, like Regenerative Orthopedics is able to do, is the optimal way to go, because it repairs the underlying problem of instability and treats the whole knee, including the meniscus. (4)\r\n\r\nInstability of the knee after ACL injury or even ACL surgery will lead to the eventual breakdown of the knee structures. <strong>The instability needs to be addressed.</strong> The abnormal motion that is caused by the ACL injury needs to be repaired to stop secondary pathology from the instability. Knee instability is the problem that needs to be solved, and no amount of surgery will address it. Regenerative Orthopedics do address knee instability.\r\n<h2>The Benefits of Regenerative Orthopedics for ACL Tears and Injuries</h2>\r\nProlotherapy, one type of regenerative therapy, has been around a very long time. The treatment has long been associated with being effectiveness in treating joint instability due to ligament and/or damage. Over the years, research continues to prove its efficacy as a non-surgical treatment for joint and spine pain and injury. (5)\r\n\r\nWe also mentioned the research on the benefits of PRP earlier. That study and others, show the  benefits of biological augmentation, using PRP and stem cells, to improve healing and a faster return to sport and activities of daily living for those with partial ACL tears. (6)\r\n\r\nIt is important to note that if the tear is complete, these regenerative therapies cannot regrow an absent ligament. They can restore strength and stability for a partial tear, ACL damage, and other knee soft tissue injury. Additionally, for the highest success, the entire knee should be addressed and treated comprehensively in order to repair all damaged structures and prevent the development of arthritis.\r\n\r\nDepending on the severity of injury, Prolotherapy alone may be recommended. If meniscus injury is present, Prolotherapy and PRP may be recommended. And, if more advanced degeneration and/or arthritis is evident, stem cell treatment may also be indicated.\r\n\r\nHas surgery has been recommended for an ACL repair? Are you are seeking a non-surgical solution for an ACL injury? If so, we would be happy to discuss our Regenerative Orthopedic approaches and your options for ACL tear repair.<strong> </strong>\r\n<h3><strong>References</strong></h3>\r\n(1) Vavken P, Murray MM. Translational Studies in ACL repair. <em>Tissue Eng Part A. </em>2009\r\n\r\n(2) El-Sharkawy H, Kantarci A, Deady J, et al. Platelet-rich plasma: growth factors and pro- and anti-inflammatory properties. <em>J Periodontol. </em>2007;78:661–669.\r\n\r\n(3) Vavken, Patrick, and Martha M. Murray. \"The potential for primary repair of the ACL.\" <em>Sports medicine and arthroscopy review</em> 19.1 (2011): 44.\r\n\r\n(4) Morris RC, Hulstyn MJ, Fleming BC, Owens BD, Fadale PD. Return to Play Following Anterior Cruciate Ligament Reconstruction. Clin Sports Med. 2016 Oct;35(4):655-68. doi: 10.1016/j.csm.2016.05.009. Epub 2016 Jun 22. PMID: 27543405.\r\n\r\n(5) Reeves KD, Hassanein KM. Long-term effects of dextrose prolotherapy for anterior cruciate ligament laxity. Altern Ther Health Med. 2003 May-Jun;9(3):58-62. PMID: 12776476.\r\n\r\n(6) Dallo I, Chahla J, Mitchell JJ, Pascual-Garrido C, Feagin JA, LaPrade RF. Biologic Approaches for the Treatment of Partial Tears of the Anterior Cruciate Ligament: A Current Concepts Review. Orthop J Sports Med. 2017 Jan 25;5(1):2325967116681724. doi: 10.1177/2325967116681724. PMID: 28210653; PMCID: PMC5298533.','ACL TEAR Repair','','publish','closed','open','','acl-tear-repair','','','2023-08-16 21:39:22','2023-08-16 21:39:22','',0,'https://www.drfields.com/?p=5847',0,'post','',0),(5848,8,'2023-08-16 04:09:01','2023-08-16 04:09:01','Acl Tearblog.1png','ACL TEAR Repair','Acl Tearblog.1png','inherit','closed','closed','','acl-tearblog-1png','','','2023-08-16 04:09:18','2023-08-16 04:09:18','',5847,'https://www.drfields.com/wp-content/uploads/2023/08/ACL-Tearblog.1png.png',0,'attachment','image/png',0),(5849,8,'2023-08-16 04:09:29','2023-08-16 04:09:29','[caption id=\"attachment_5848\" align=\"alignright\" width=\"350\"]<img class=\"wp-image-5848\" src=\"https://www.drfields.com/wp-content/uploads/2023/08/ACL-Tearblog.1png-500x419.png\" alt=\"ACL TEAR Repair\" width=\"350\" height=\"293\" /> Acl Tearblog.1png[/caption]\r\n\r\nAn anterior cruciate ligament (ACL) injury often means that you feel your knee giving out. A \"popping\" noise may also be heard, and there may be pain along the outside or back of knee. Partial tears of this ligament may \"heal\" on their own, but other problems can develop down the road because of incomplete healing and other associated injuries. Complete healing and repair of the entire injury is important, and comprehensive Regenerative Orthopedics are effective treatment options for ACL injuries.\r\n<h2>Treatment Options for ACL Repair</h2>\r\nRepair of the anterior cruciate ligament (ACL) has traditionally been surgical, but an increase in injuries has lead to a higher need of repair and an increase in younger patients who may end up with complications with these surgical repairs. Because of these changes, alternatives to surgery are being sought. Regenerative techniques are being considered because they enhance repair and regeneration of tissue and are excellent options specific to the repair of ligament and tendon soft tissue structures.\r\n\r\nWhy is ACL repair important? Because the knee instability that occurs due to injury needs to be resolved, or further damage can occur to the other knee structures. Without resolution of the instability, the long-term complication of arthritis will also likely occur. Additionally, regenerating the injured ligament, rather than replacing it with grafts, can help boost the normal biomechanics of the knee. (1)\r\n<h2>ACL Repair with Regenerative Orthopedics</h2>\r\nThe ACL responds well to healing by regenerative treatments like Platelet Rich Plasma, which provide the needed fibrin-platelet clot and growth factors for repair. PRP is a rich source of growth factors, limiting inflammation, and promoting tissue regeneration. (2) This platelet concentrate releases a number of crucial growth factors that stimulate repair and collagen production.(3)\r\n\r\nRegenerative Orthopedics are an effective alternative for the difficult-to-treat younger patient with ACL injury. Researchers in the <em>Sports medicine and arthroscopy Review </em>say this<em>:</em>\r\n\r\n\"Younger and more active patients benefit from regenerative approaches that encourage biological repair since they prevent complications provoked by the high stresses due to high physical demand over a prolonged time after classic replacement with synthetic materials.\"(3)\r\n\r\nAt our OrthoRegen® clinic, patients are looking to avoid surgery, or have tried surgery and continue to have knee issues. Many young athletes choose surgery because they expect it to get that back in the game. Sometimes it does and sometimes it fails. Physical Therapy also works to strengthen the leg, but unfortunately may not work to sufficiently stabilize the knee, because the ligament cannot be repaired with PT. Therefore, a non-surgical solution to repair the instability is desired.\r\n<h2>ACL Injury and Accompanying Injuries</h2>\r\nAdditionally, when an injury is significant enough to injure the ACL, it is very likely that other knee ligaments and/or the meniscus are injured as well. That\'s when comprehensive regenerative treatments really shine. Why is that? Because comprehensive Regenerative Orthopedics treat the entire knee. All of the injured areas will be attended to for maximal healing results. On the other hand, ligament reconstruction, the usual management technique for significant ACL injuries, using replacement auto- or allografts, as noted earlier, have less than satisfactory outcomes, including instability that could progressively damage other knee structures, and result in arthritis.\r\n\r\n<strong>What happens to those who skip repair altogether?</strong> A November 2021 study in the <em>Progress in Rehabilitation Medicine</em> investigated whether student-athletes with anterior cruciate ligament (ACL) injuries who returned to sports without reconstruction could continue their sporting activities until the end of the season and whether there was an increase in secondary damage associated with knee instability. What did they find? The majority of athletes experienced their knees giving way and some experienced injury of their meniscus. Unfortunately, with ACL injury, instability occurs and the knee needs to be repaired. Non-surgical repair with Regenerative Orthopedics is an effective option.\r\n\r\n<strong>Is surgery the answer?</strong> Here\'s what researchers from Brown University say, “Accelerated rehabilitation has made recovery from (ACL) surgery more predictable and shortened the timeline for return to play (from ACL reconstruction surgery). (However) Despite success with advancements in anterior cruciate ligament reconstructions, <strong>some athletes still fail to return to play</strong>.” There may be short-term results, but in the long-term, stability of the knee becomes problematic. A solution that saves the biological ligament, like Regenerative Orthopedics is able to do, is the optimal way to go, because it repairs the underlying problem of instability and treats the whole knee, including the meniscus. (4)\r\n\r\nInstability of the knee after ACL injury or even ACL surgery will lead to the eventual breakdown of the knee structures. <strong>The instability needs to be addressed.</strong> The abnormal motion that is caused by the ACL injury needs to be repaired to stop secondary pathology from the instability. Knee instability is the problem that needs to be solved, and no amount of surgery will address it. Regenerative Orthopedics do address knee instability.\r\n<h2>The Benefits of Regenerative Orthopedics</h2>\r\nProlotherapy, one type of regenerative therapy, has been around a very long time. The treatment has long been associated with being effectiveness in treating joint instability due to ligament and/or damage. Over the years, research continues to prove its efficacy as a non-surgical treatment for joint and spine pain and injury. (5)\r\n\r\nWe also mentioned the research on the benefits of PRP earlier. That study and others, show the  benefits of biological augmentation, using PRP and stem cells, to improve healing and a faster return to sport and activities of daily living for those with partial ACL tears. (6)\r\n\r\nIt is important to note that if the tear is complete, these regenerative therapies cannot regrow an absent ligament. They can restore strength and stability for a partial tear, ACL damage, and other knee soft tissue injury. Additionally, for the highest success, the entire knee should be addressed and treated comprehensively in order to repair all damaged structures and prevent the development of arthritis.\r\n\r\nDepending on the severity of injury, Prolotherapy alone may be recommended. If meniscus injury is present, Prolotherapy and PRP may be recommended. And, if more advanced degeneration and/or arthritis is evident, stem cell treatment may also be indicated.\r\n\r\nHas surgery has been recommended for an ACL repair? Are you are seeking a non-surgical solution for an ACL injury? If so, we would be happy to discuss our Regenerative Orthopedic approaches and your options.<strong> </strong>\r\n\r\n<strong>References</strong>\r\n\r\n(1) Vavken P, Murray MM. Translational Studies in ACL repair. <em>Tissue Eng Part A. </em>2009\r\n\r\n(2) El-Sharkawy H, Kantarci A, Deady J, et al. Platelet-rich plasma: growth factors and pro- and anti-inflammatory properties. <em>J Periodontol. </em>2007;78:661–669.\r\n\r\n(3) Vavken, Patrick, and Martha M. Murray. \"The potential for primary repair of the ACL.\" <em>Sports medicine and arthroscopy review</em> 19.1 (2011): 44.\r\n\r\n(4) Morris RC, Hulstyn MJ, Fleming BC, Owens BD, Fadale PD. Return to Play Following Anterior Cruciate Ligament Reconstruction. Clin Sports Med. 2016 Oct;35(4):655-68. doi: 10.1016/j.csm.2016.05.009. Epub 2016 Jun 22. PMID: 27543405.\r\n\r\n(5) Reeves KD, Hassanein KM. Long-term effects of dextrose prolotherapy for anterior cruciate ligament laxity. Altern Ther Health Med. 2003 May-Jun;9(3):58-62. PMID: 12776476.\r\n\r\n(6) Dallo I, Chahla J, Mitchell JJ, Pascual-Garrido C, Feagin JA, LaPrade RF. Biologic Approaches for the Treatment of Partial Tears of the Anterior Cruciate Ligament: A Current Concepts Review. Orthop J Sports Med. 2017 Jan 25;5(1):2325967116681724. doi: 10.1177/2325967116681724. PMID: 28210653; PMCID: PMC5298533.','ACL TEAR Repair','','inherit','closed','closed','','5847-revision-v1','','','2023-08-16 04:09:29','2023-08-16 04:09:29','',5847,'https://www.drfields.com/?p=5849',0,'revision','',0),(5850,8,'2023-08-16 04:09:46','2023-08-16 04:09:46','<img class=\"alignright wp-image-5848\" src=\"https://www.drfields.com/wp-content/uploads/2023/08/ACL-Tearblog.1png-500x419.png\" alt=\"ACL TEAR Repair\" width=\"350\" height=\"293\" />\r\n\r\nAn anterior cruciate ligament (ACL) injury often means that you feel your knee giving out. A \"popping\" noise may also be heard, and there may be pain along the outside or back of knee. Partial tears of this ligament may \"heal\" on their own, but other problems can develop down the road because of incomplete healing and other associated injuries. Complete healing and repair of the entire injury is important, and comprehensive Regenerative Orthopedics are effective treatment options for ACL injuries.\r\n<h2>Treatment Options for ACL Repair</h2>\r\nRepair of the anterior cruciate ligament (ACL) has traditionally been surgical, but an increase in injuries has lead to a higher need of repair and an increase in younger patients who may end up with complications with these surgical repairs. Because of these changes, alternatives to surgery are being sought. Regenerative techniques are being considered because they enhance repair and regeneration of tissue and are excellent options specific to the repair of ligament and tendon soft tissue structures.\r\n\r\nWhy is ACL repair important? Because the knee instability that occurs due to injury needs to be resolved, or further damage can occur to the other knee structures. Without resolution of the instability, the long-term complication of arthritis will also likely occur. Additionally, regenerating the injured ligament, rather than replacing it with grafts, can help boost the normal biomechanics of the knee. (1)\r\n<h2>ACL Repair with Regenerative Orthopedics</h2>\r\nThe ACL responds well to healing by regenerative treatments like Platelet Rich Plasma, which provide the needed fibrin-platelet clot and growth factors for repair. PRP is a rich source of growth factors, limiting inflammation, and promoting tissue regeneration. (2) This platelet concentrate releases a number of crucial growth factors that stimulate repair and collagen production.(3)\r\n\r\nRegenerative Orthopedics are an effective alternative for the difficult-to-treat younger patient with ACL injury. Researchers in the <em>Sports medicine and arthroscopy Review </em>say this<em>:</em>\r\n\r\n\"Younger and more active patients benefit from regenerative approaches that encourage biological repair since they prevent complications provoked by the high stresses due to high physical demand over a prolonged time after classic replacement with synthetic materials.\"(3)\r\n\r\nAt our OrthoRegen® clinic, patients are looking to avoid surgery, or have tried surgery and continue to have knee issues. Many young athletes choose surgery because they expect it to get that back in the game. Sometimes it does and sometimes it fails. Physical Therapy also works to strengthen the leg, but unfortunately may not work to sufficiently stabilize the knee, because the ligament cannot be repaired with PT. Therefore, a non-surgical solution to repair the instability is desired.\r\n<h2>ACL Injury and Accompanying Injuries</h2>\r\nAdditionally, when an injury is significant enough to injure the ACL, it is very likely that other knee ligaments and/or the meniscus are injured as well. That\'s when comprehensive regenerative treatments really shine. Why is that? Because comprehensive Regenerative Orthopedics treat the entire knee. All of the injured areas will be attended to for maximal healing results. On the other hand, ligament reconstruction, the usual management technique for significant ACL injuries, using replacement auto- or allografts, as noted earlier, have less than satisfactory outcomes, including instability that could progressively damage other knee structures, and result in arthritis.\r\n\r\n<strong>What happens to those who skip repair altogether?</strong> A November 2021 study in the <em>Progress in Rehabilitation Medicine</em> investigated whether student-athletes with anterior cruciate ligament (ACL) injuries who returned to sports without reconstruction could continue their sporting activities until the end of the season and whether there was an increase in secondary damage associated with knee instability. What did they find? The majority of athletes experienced their knees giving way and some experienced injury of their meniscus. Unfortunately, with ACL injury, instability occurs and the knee needs to be repaired. Non-surgical repair with Regenerative Orthopedics is an effective option.\r\n\r\n<strong>Is surgery the answer?</strong> Here\'s what researchers from Brown University say, “Accelerated rehabilitation has made recovery from (ACL) surgery more predictable and shortened the timeline for return to play (from ACL reconstruction surgery). (However) Despite success with advancements in anterior cruciate ligament reconstructions, <strong>some athletes still fail to return to play</strong>.” There may be short-term results, but in the long-term, stability of the knee becomes problematic. A solution that saves the biological ligament, like Regenerative Orthopedics is able to do, is the optimal way to go, because it repairs the underlying problem of instability and treats the whole knee, including the meniscus. (4)\r\n\r\nInstability of the knee after ACL injury or even ACL surgery will lead to the eventual breakdown of the knee structures. <strong>The instability needs to be addressed.</strong> The abnormal motion that is caused by the ACL injury needs to be repaired to stop secondary pathology from the instability. Knee instability is the problem that needs to be solved, and no amount of surgery will address it. Regenerative Orthopedics do address knee instability.\r\n<h2>The Benefits of Regenerative Orthopedics</h2>\r\nProlotherapy, one type of regenerative therapy, has been around a very long time. The treatment has long been associated with being effectiveness in treating joint instability due to ligament and/or damage. Over the years, research continues to prove its efficacy as a non-surgical treatment for joint and spine pain and injury. (5)\r\n\r\nWe also mentioned the research on the benefits of PRP earlier. That study and others, show the  benefits of biological augmentation, using PRP and stem cells, to improve healing and a faster return to sport and activities of daily living for those with partial ACL tears. (6)\r\n\r\nIt is important to note that if the tear is complete, these regenerative therapies cannot regrow an absent ligament. They can restore strength and stability for a partial tear, ACL damage, and other knee soft tissue injury. Additionally, for the highest success, the entire knee should be addressed and treated comprehensively in order to repair all damaged structures and prevent the development of arthritis.\r\n\r\nDepending on the severity of injury, Prolotherapy alone may be recommended. If meniscus injury is present, Prolotherapy and PRP may be recommended. And, if more advanced degeneration and/or arthritis is evident, stem cell treatment may also be indicated.\r\n\r\nHas surgery has been recommended for an ACL repair? Are you are seeking a non-surgical solution for an ACL injury? If so, we would be happy to discuss our Regenerative Orthopedic approaches and your options.<strong> </strong>\r\n\r\n<strong>References</strong>\r\n\r\n(1) Vavken P, Murray MM. Translational Studies in ACL repair. <em>Tissue Eng Part A. </em>2009\r\n\r\n(2) El-Sharkawy H, Kantarci A, Deady J, et al. Platelet-rich plasma: growth factors and pro- and anti-inflammatory properties. <em>J Periodontol. </em>2007;78:661–669.\r\n\r\n(3) Vavken, Patrick, and Martha M. Murray. \"The potential for primary repair of the ACL.\" <em>Sports medicine and arthroscopy review</em> 19.1 (2011): 44.\r\n\r\n(4) Morris RC, Hulstyn MJ, Fleming BC, Owens BD, Fadale PD. Return to Play Following Anterior Cruciate Ligament Reconstruction. Clin Sports Med. 2016 Oct;35(4):655-68. doi: 10.1016/j.csm.2016.05.009. Epub 2016 Jun 22. PMID: 27543405.\r\n\r\n(5) Reeves KD, Hassanein KM. Long-term effects of dextrose prolotherapy for anterior cruciate ligament laxity. Altern Ther Health Med. 2003 May-Jun;9(3):58-62. PMID: 12776476.\r\n\r\n(6) Dallo I, Chahla J, Mitchell JJ, Pascual-Garrido C, Feagin JA, LaPrade RF. Biologic Approaches for the Treatment of Partial Tears of the Anterior Cruciate Ligament: A Current Concepts Review. Orthop J Sports Med. 2017 Jan 25;5(1):2325967116681724. doi: 10.1177/2325967116681724. PMID: 28210653; PMCID: PMC5298533.','ACL TEAR Repair','','inherit','closed','closed','','5847-revision-v1','','','2023-08-16 04:09:46','2023-08-16 04:09:46','',5847,'https://www.drfields.com/?p=5850',0,'revision','',0),(5851,8,'2023-08-16 04:10:43','2023-08-16 04:10:43','<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/acl-tear-repair/\">ACL TEAR Repair</a></li>\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 	\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','','','2023-08-16 04:10:43','2023-08-16 04:10:43','',2109,'https://www.drfields.com/?p=5851',0,'revision','',0),(5852,9,'2023-08-16 21:35:50','2023-08-16 21:35:50','<img class=\"alignright wp-image-5848\" src=\"https://www.drfields.com/wp-content/uploads/2023/08/ACL-Tearblog.1png-500x419.png\" alt=\"ACL TEAR Repair\" width=\"350\" height=\"293\" />\n<h2>Anterior Cruciate Ligament (ACL) Tear Repair</h2>\nAn anterior cruciate ligament (ACL) injury often means that you feel your knee giving out. A \"popping\" noise may also be heard, and there may be pain along the outside or back of knee. Partial ACL tears may \"heal\" on their own, but other problems can develop down the road because of incomplete healing and other associated injuries. Complete healing and repair of the entire injury is important, and comprehensive Regenerative Orthopedics are effective treatment options for ACL injuries.\n<h2>Treatment Options for ACL Tear Repair</h2>\nRepair of the anterior cruciate ligament (ACL) has traditionally been surgical, but an increase in injuries has lead to a higher need of repair and an increase in younger patients who may end up with complications with these surgical repairs. Because of these changes, alternatives to surgery are being sought. Regenerative techniques are being considered because they enhance repair and regeneration of tissue and are excellent options specific to the repair of ligament and tendon soft tissue structures.\n\nWhy is ACL repair important? Because the knee instability that occurs due to injury needs to be resolved, or further damage can occur to the other knee structures. Without resolution of the instability, the long-term complication of arthritis will also likely occur. Additionally, regenerating the injured ligament, rather than replacing it with grafts, can help boost the normal biomechanics of the knee. (1)\n<h2>ACL Tear Repair with Regenerative Orthopedics</h2>\nThe ACL responds well to healing by regenerative treatments like Platelet Rich Plasma, which provide the needed fibrin-platelet clot and growth factors for repair. PRP is a rich source of growth factors, limiting inflammation, and promoting tissue regeneration. (2) This platelet concentrate releases a number of crucial growth factors that stimulate repair and collagen production.(3)\n\nRegenerative Orthopedics are an effective alternative for the difficult-to-treat younger patient with ACL injury. Researchers in the <em>Sports medicine and arthroscopy Review </em>say this<em>:</em>\n\n\"Younger and more active patients benefit from regenerative approaches that encourage biological repair since they prevent complications provoked by the high stresses due to high physical demand over a prolonged time after classic replacement with synthetic materials.\"(3)\n\nAt our OrthoRegen® clinic, patients are looking to avoid surgery, or have tried surgery and continue to have knee issues. Many young athletes choose surgery because they expect it to get that back in the game. Sometimes it does and sometimes it fails. Physical Therapy also works to strengthen the leg, but unfortunately may not work to sufficiently stabilize the knee, because the ligament cannot be repaired with PT. Therefore, a non-surgical solution to repair the instability is desired.\n<h2>ACL Injury and Accompanying Injuries</h2>\nAdditionally, when an injury is significant enough to injure the ACL, it is very likely that other knee ligaments and/or the meniscus are injured as well. That\'s when comprehensive regenerative treatments really shine. Why is that? Because comprehensive Regenerative Orthopedics treat the entire knee. All of the injured areas will be attended to for maximal healing results. On the other hand, ligament reconstruction, the usual management technique for significant ACL injuries, using replacement auto- or allografts, as noted earlier, have less than satisfactory outcomes, including instability that could progressively damage other knee structures, and result in arthritis.\n\n<strong>What happens to those who skip repair altogether?</strong>\n\nA November 2021 study in the <em>Progress in Rehabilitation Medicine</em> investigated whether student-athletes with anterior cruciate ligament (ACL) injuries who returned to sports without reconstruction could continue their sporting activities until the end of the season and whether there was an increase in secondary damage associated with knee instability. What did they find? The majority of athletes experienced their knees giving way and some experienced injury of their meniscus. Unfortunately, with ACL injury, instability occurs and the knee needs to be repaired. Non-surgical repair with Regenerative Orthopedics is an effective option.\n\n<strong>Is surgery the answer?</strong> Here\'s what researchers from Brown University say, “Accelerated rehabilitation has made recovery from (ACL) surgery more predictable and shortened the timeline for return to play (from ACL reconstruction surgery). (However) Despite success with advancements in anterior cruciate ligament reconstructions, <strong>some athletes still fail to return to play</strong>.” There may be short-term results, but in the long-term, stability of the knee becomes problematic. A solution that saves the biological ligament, like Regenerative Orthopedics is able to do, is the optimal way to go, because it repairs the underlying problem of instability and treats the whole knee, including the meniscus. (4)\n\nInstability of the knee after ACL injury or even ACL surgery will lead to the eventual breakdown of the knee structures. <strong>The instability needs to be addressed.</strong> The abnormal motion that is caused by the ACL injury needs to be repaired to stop secondary pathology from the instability. Knee instability is the problem that needs to be solved, and no amount of surgery will address it. Regenerative Orthopedics do address knee instability.\n<h2>The Benefits of Regenerative Orthopedics for ACL Tears and Injuries</h2>\nProlotherapy, one type of regenerative therapy, has been around a very long time. The treatment has long been associated with being effectiveness in treating joint instability due to ligament and/or damage. Over the years, research continues to prove its efficacy as a non-surgical treatment for joint and spine pain and injury. (5)\n\nWe also mentioned the research on the benefits of PRP earlier. That study and others, show the  benefits of biological augmentation, using PRP and stem cells, to improve healing and a faster return to sport and activities of daily living for those with partial ACL tears. (6)\n\nIt is important to note that if the tear is complete, these regenerative therapies cannot regrow an absent ligament. They can restore strength and stability for a partial tear, ACL damage, and other knee soft tissue injury. Additionally, for the highest success, the entire knee should be addressed and treated comprehensively in order to repair all damaged structures and prevent the development of arthritis.\n\nDepending on the severity of injury, Prolotherapy alone may be recommended. If meniscus injury is present, Prolotherapy and PRP may be recommended. And, if more advanced degeneration and/or arthritis is evident, stem cell treatment may also be indicated.\n\nHas surgery has been recommended for an ACL repair? Are you are seeking a non-surgical solution for an ACL injury? If so, we would be happy to discuss our Regenerative Orthopedic approaches and your options for ACL tear repair.<strong> </strong>\n<h3><strong>References</strong></h3>\n(1) Vavken P, Murray MM. Translational Studies in ACL repair. <em>Tissue Eng Part A. </em>2009\n\n(2) El-Sharkawy H, Kantarci A, Deady J, et al. Platelet-rich plasma: growth factors and pro- and anti-inflammatory properties. <em>J Periodontol. </em>2007;78:661–669.\n\n(3) Vavken, Patrick, and Martha M. Murray. \"The potential for primary repair of the ACL.\" <em>Sports medicine and arthroscopy review</em> 19.1 (2011): 44.\n\n(4) Morris RC, Hulstyn MJ, Fleming BC, Owens BD, Fadale PD. Return to Play Following Anterior Cruciate Ligament Reconstruction. Clin Sports Med. 2016 Oct;35(4):655-68. doi: 10.1016/j.csm.2016.05.009. Epub 2016 Jun 22. PMID: 27543405.\n\n(5) Reeves KD, Hassanein KM. Long-term effects of dextrose prolotherapy for anterior cruciate ligament laxity. Altern Ther Health Med. 2003 May-Jun;9(3):58-62. PMID: 12776476.\n\n(6) Dallo I, Chahla J, Mitchell JJ, Pascual-Garrido C, Feagin JA, LaPrade RF. Biologic Approaches for the Treatment of Partial Tears of the Anterior Cruciate Ligament: A Current Concepts Review. Orthop J Sports Med. 2017 Jan 25;5(1):2325967116681724. doi: 10.1177/2325967116681724. PMID: 28210653; PMCID: PMC5298533.','ACL TEAR Repair','','inherit','closed','closed','','5847-autosave-v1','','','2023-08-16 21:35:50','2023-08-16 21:35:50','',5847,'https://www.drfields.com/?p=5852',0,'revision','',0),(5853,9,'2023-08-16 21:34:27','2023-08-16 21:34:27','<img class=\"alignright wp-image-5848\" src=\"https://www.drfields.com/wp-content/uploads/2023/08/ACL-Tearblog.1png-500x419.png\" alt=\"ACL TEAR Repair\" width=\"350\" height=\"293\" />\r\n<h2>Anterior Cruciate Ligament (ACL) Tear Repair</h2>\r\nAn anterior cruciate ligament (ACL) injury often means that you feel your knee giving out. A \"popping\" noise may also be heard, and there may be pain along the outside or back of knee. Partial ACL tears may \"heal\" on their own, but other problems can develop down the road because of incomplete healing and other associated injuries. Complete healing and repair of the entire injury is important, and comprehensive Regenerative Orthopedics are effective treatment options for ACL injuries.\r\n<h2>Treatment Options for ACL Tear Repair</h2>\r\nRepair of the anterior cruciate ligament (ACL) has traditionally been surgical, but an increase in injuries has lead to a higher need of repair and an increase in younger patients who may end up with complications with these surgical repairs. Because of these changes, alternatives to surgery are being sought. Regenerative techniques are being considered because they enhance repair and regeneration of tissue and are excellent options specific to the repair of ligament and tendon soft tissue structures.\r\n\r\nWhy is ACL repair important? Because the knee instability that occurs due to injury needs to be resolved, or further damage can occur to the other knee structures. Without resolution of the instability, the long-term complication of arthritis will also likely occur. Additionally, regenerating the injured ligament, rather than replacing it with grafts, can help boost the normal biomechanics of the knee. (1)\r\n<h2>ACL Tear Repair with Regenerative Orthopedics</h2>\r\nThe ACL responds well to healing by regenerative treatments like Platelet Rich Plasma, which provide the needed fibrin-platelet clot and growth factors for repair. PRP is a rich source of growth factors, limiting inflammation, and promoting tissue regeneration. (2) This platelet concentrate releases a number of crucial growth factors that stimulate repair and collagen production.(3)\r\n\r\nRegenerative Orthopedics are an effective alternative for the difficult-to-treat younger patient with ACL injury. Researchers in the <em>Sports medicine and arthroscopy Review </em>say this<em>:</em>\r\n\r\n\"Younger and more active patients benefit from regenerative approaches that encourage biological repair since they prevent complications provoked by the high stresses due to high physical demand over a prolonged time after classic replacement with synthetic materials.\"(3)\r\n\r\nAt our OrthoRegen® clinic, patients are looking to avoid surgery, or have tried surgery and continue to have knee issues. Many young athletes choose surgery because they expect it to get that back in the game. Sometimes it does and sometimes it fails. Physical Therapy also works to strengthen the leg, but unfortunately may not work to sufficiently stabilize the knee, because the ligament cannot be repaired with PT. Therefore, a non-surgical solution to repair the instability is desired.\r\n<h2>ACL Injury and Accompanying Injuries</h2>\r\nAdditionally, when an injury is significant enough to injure the ACL, it is very likely that other knee ligaments and/or the meniscus are injured as well. That\'s when comprehensive regenerative treatments really shine. Why is that? Because comprehensive Regenerative Orthopedics treat the entire knee. All of the injured areas will be attended to for maximal healing results. On the other hand, ligament reconstruction, the usual management technique for significant ACL injuries, using replacement auto- or allografts, as noted earlier, have less than satisfactory outcomes, including instability that could progressively damage other knee structures, and result in arthritis.\r\n\r\n<strong>What happens to those who skip repair altogether?</strong> A November 2021 study in the <em>Progress in Rehabilitation Medicine</em> investigated whether student-athletes with anterior cruciate ligament (ACL) injuries who returned to sports without reconstruction could continue their sporting activities until the end of the season and whether there was an increase in secondary damage associated with knee instability. What did they find? The majority of athletes experienced their knees giving way and some experienced injury of their meniscus. Unfortunately, with ACL injury, instability occurs and the knee needs to be repaired. Non-surgical repair with Regenerative Orthopedics is an effective option.\r\n\r\n<strong>Is surgery the answer?</strong> Here\'s what researchers from Brown University say, “Accelerated rehabilitation has made recovery from (ACL) surgery more predictable and shortened the timeline for return to play (from ACL reconstruction surgery). (However) Despite success with advancements in anterior cruciate ligament reconstructions, <strong>some athletes still fail to return to play</strong>.” There may be short-term results, but in the long-term, stability of the knee becomes problematic. A solution that saves the biological ligament, like Regenerative Orthopedics is able to do, is the optimal way to go, because it repairs the underlying problem of instability and treats the whole knee, including the meniscus. (4)\r\n\r\nInstability of the knee after ACL injury or even ACL surgery will lead to the eventual breakdown of the knee structures. <strong>The instability needs to be addressed.</strong> The abnormal motion that is caused by the ACL injury needs to be repaired to stop secondary pathology from the instability. Knee instability is the problem that needs to be solved, and no amount of surgery will address it. Regenerative Orthopedics do address knee instability.\r\n<h2>The Benefits of Regenerative Orthopedics for ACL Tears and Injuries</h2>\r\nProlotherapy, one type of regenerative therapy, has been around a very long time. The treatment has long been associated with being effectiveness in treating joint instability due to ligament and/or damage. Over the years, research continues to prove its efficacy as a non-surgical treatment for joint and spine pain and injury. (5)\r\n\r\nWe also mentioned the research on the benefits of PRP earlier. That study and others, show the  benefits of biological augmentation, using PRP and stem cells, to improve healing and a faster return to sport and activities of daily living for those with partial ACL tears. (6)\r\n\r\nIt is important to note that if the tear is complete, these regenerative therapies cannot regrow an absent ligament. They can restore strength and stability for a partial tear, ACL damage, and other knee soft tissue injury. Additionally, for the highest success, the entire knee should be addressed and treated comprehensively in order to repair all damaged structures and prevent the development of arthritis.\r\n\r\nDepending on the severity of injury, Prolotherapy alone may be recommended. If meniscus injury is present, Prolotherapy and PRP may be recommended. And, if more advanced degeneration and/or arthritis is evident, stem cell treatment may also be indicated.\r\n\r\nHas surgery has been recommended for an ACL repair? Are you are seeking a non-surgical solution for an ACL injury? If so, we would be happy to discuss our Regenerative Orthopedic approaches and your options for ACL tear repair.<strong> </strong>\r\n<h3><strong>References</strong></h3>\r\n(1) Vavken P, Murray MM. Translational Studies in ACL repair. <em>Tissue Eng Part A. </em>2009\r\n\r\n(2) El-Sharkawy H, Kantarci A, Deady J, et al. Platelet-rich plasma: growth factors and pro- and anti-inflammatory properties. <em>J Periodontol. </em>2007;78:661–669.\r\n\r\n(3) Vavken, Patrick, and Martha M. Murray. \"The potential for primary repair of the ACL.\" <em>Sports medicine and arthroscopy review</em> 19.1 (2011): 44.\r\n\r\n(4) Morris RC, Hulstyn MJ, Fleming BC, Owens BD, Fadale PD. Return to Play Following Anterior Cruciate Ligament Reconstruction. Clin Sports Med. 2016 Oct;35(4):655-68. doi: 10.1016/j.csm.2016.05.009. Epub 2016 Jun 22. PMID: 27543405.\r\n\r\n(5) Reeves KD, Hassanein KM. Long-term effects of dextrose prolotherapy for anterior cruciate ligament laxity. Altern Ther Health Med. 2003 May-Jun;9(3):58-62. PMID: 12776476.\r\n\r\n(6) Dallo I, Chahla J, Mitchell JJ, Pascual-Garrido C, Feagin JA, LaPrade RF. Biologic Approaches for the Treatment of Partial Tears of the Anterior Cruciate Ligament: A Current Concepts Review. Orthop J Sports Med. 2017 Jan 25;5(1):2325967116681724. doi: 10.1177/2325967116681724. PMID: 28210653; PMCID: PMC5298533.','ACL TEAR Repair','','inherit','closed','closed','','5847-revision-v1','','','2023-08-16 21:34:27','2023-08-16 21:34:27','',5847,'https://www.drfields.com/?p=5853',0,'revision','',0),(5854,9,'2023-08-16 21:37:46','2023-08-16 21:37:46','<img class=\"alignright wp-image-5848\" src=\"https://www.drfields.com/wp-content/uploads/2023/08/ACL-Tearblog.1png-500x419.png\" alt=\"ACL TEAR Repair\" width=\"350\" height=\"293\" />\r\n<h2>Anterior Cruciate Ligament (ACL) Tear Repair</h2>\r\nAn anterior cruciate ligament (ACL) injury often means that you feel your knee giving out. A \"popping\" noise may also be heard, and there may be pain along the outside or back of knee. Partial ACL tears may \"heal\" on their own, but other problems can develop down the road because of incomplete healing and other associated injuries. Complete healing and repair of the entire injury is important, and comprehensive Regenerative Orthopedics are effective treatment options for ACL injuries.\r\n<h2>Treatment Options for ACL Tear Repair</h2>\r\nRepair of the anterior cruciate ligament (ACL) has traditionally been surgical, but an increase in injuries has lead to a higher need of repair and an increase in younger patients who may end up with complications with these surgical repairs. Because of these changes, alternatives to surgery are being sought. Regenerative techniques are being considered because they enhance repair and regeneration of tissue and are excellent options specific to the repair of ligament and tendon soft tissue structures.\r\n\r\nWhy is ACL repair important? Because the knee instability that occurs due to injury needs to be resolved, or further damage can occur to the other knee structures. Without resolution of the instability, the long-term complication of arthritis will also likely occur. Additionally, regenerating the injured ligament, rather than replacing it with grafts, can help boost the normal biomechanics of the knee. (1)\r\n<h2>ACL Tear Repair with Regenerative Orthopedics</h2>\r\nThe ACL responds well to healing by regenerative treatments like Platelet Rich Plasma, which provide the needed fibrin-platelet clot and growth factors for repair. PRP is a rich source of growth factors, limiting inflammation, and promoting tissue regeneration. (2) This platelet concentrate releases a number of crucial growth factors that stimulate repair and collagen production.(3)\r\n\r\nRegenerative Orthopedics are an effective alternative for the difficult-to-treat younger patient with ACL injury. Researchers in the <em>Sports medicine and arthroscopy Review </em>say this<em>:</em>\r\n\r\n\"Younger and more active patients benefit from regenerative approaches that encourage biological repair since they prevent complications provoked by the high stresses due to high physical demand over a prolonged time after classic replacement with synthetic materials.\"(3)\r\n\r\nAt our OrthoRegen® clinic, patients are looking to avoid surgery, or have tried surgery and continue to have knee issues. Many young athletes choose surgery because they expect it to get that back in the game. Sometimes it does and sometimes it fails. Physical Therapy also works to strengthen the leg, but unfortunately may not work to sufficiently stabilize the knee, because the ligament cannot be repaired with PT. Therefore, a non-surgical solution to repair the instability is desired.\r\n<h2>ACL Injury and Accompanying Injuries</h2>\r\nAdditionally, when an injury is significant enough to injure the ACL, it is very likely that other knee ligaments and/or the meniscus are injured as well. That\'s when comprehensive regenerative treatments really shine. Why is that? Because comprehensive Regenerative Orthopedics treat the entire knee. All of the injured areas will be attended to for maximal healing results. On the other hand, ligament reconstruction, the usual management technique for significant ACL injuries, using replacement auto- or allografts, as noted earlier, have less than satisfactory outcomes, including instability that could progressively damage other knee structures, and result in arthritis.\r\n<h4><strong>What happens to those who skip repair altogether?</strong></h4>\r\nA November 2021 study in the <em>Progress in Rehabilitation Medicine</em> investigated whether student-athletes with anterior cruciate ligament (ACL) injuries who returned to sports without reconstruction could continue their sporting activities until the end of the season and whether there was an increase in secondary damage associated with knee instability. What did they find? The majority of athletes experienced their knees giving way and some experienced injury of their meniscus. Unfortunately, with ACL injury, instability occurs and the knee needs to be repaired. Non-surgical repair with Regenerative Orthopedics is an effective option.\r\n<h4><strong>Is surgery the answer?</strong></h4>\r\nHere\'s what researchers from Brown University say, “Accelerated rehabilitation has made recovery from (ACL) surgery more predictable and shortened the timeline for return to play (from ACL reconstruction surgery). (However) Despite success with advancements in anterior cruciate ligament reconstructions, <strong>some athletes still fail to return to play</strong>.” There may be short-term results, but in the long-term, stability of the knee becomes problematic. A solution that saves the biological ligament, like Regenerative Orthopedics is able to do, is the optimal way to go, because it repairs the underlying problem of instability and treats the whole knee, including the meniscus. (4)\r\n\r\nInstability of the knee after ACL injury or even ACL surgery will lead to the eventual breakdown of the knee structures. <strong>The instability needs to be addressed.</strong> The abnormal motion that is caused by the ACL injury needs to be repaired to stop secondary pathology from the instability. Knee instability is the problem that needs to be solved, and no amount of surgery will address it. Regenerative Orthopedics do address knee instability.\r\n<h2>The Benefits of Regenerative Orthopedics for ACL Tears and Injuries</h2>\r\nProlotherapy, one type of regenerative therapy, has been around a very long time. The treatment has long been associated with being effectiveness in treating joint instability due to ligament and/or damage. Over the years, research continues to prove its efficacy as a non-surgical treatment for joint and spine pain and injury. (5)\r\n\r\nWe also mentioned the research on the benefits of PRP earlier. That study and others, show the  benefits of biological augmentation, using PRP and stem cells, to improve healing and a faster return to sport and activities of daily living for those with partial ACL tears. (6)\r\n\r\nIt is important to note that if the tear is complete, these regenerative therapies cannot regrow an absent ligament. They can restore strength and stability for a partial tear, ACL damage, and other knee soft tissue injury. Additionally, for the highest success, the entire knee should be addressed and treated comprehensively in order to repair all damaged structures and prevent the development of arthritis.\r\n\r\nDepending on the severity of injury, Prolotherapy alone may be recommended. If meniscus injury is present, Prolotherapy and PRP may be recommended. And, if more advanced degeneration and/or arthritis is evident, stem cell treatment may also be indicated.\r\n\r\nHas surgery has been recommended for an ACL repair? Are you are seeking a non-surgical solution for an ACL injury? If so, we would be happy to discuss our Regenerative Orthopedic approaches and your options for ACL tear repair.<strong> </strong>\r\n<h3><strong>References</strong></h3>\r\n(1) Vavken P, Murray MM. Translational Studies in ACL repair. <em>Tissue Eng Part A. </em>2009\r\n\r\n(2) El-Sharkawy H, Kantarci A, Deady J, et al. Platelet-rich plasma: growth factors and pro- and anti-inflammatory properties. <em>J Periodontol. </em>2007;78:661–669.\r\n\r\n(3) Vavken, Patrick, and Martha M. Murray. \"The potential for primary repair of the ACL.\" <em>Sports medicine and arthroscopy review</em> 19.1 (2011): 44.\r\n\r\n(4) Morris RC, Hulstyn MJ, Fleming BC, Owens BD, Fadale PD. Return to Play Following Anterior Cruciate Ligament Reconstruction. Clin Sports Med. 2016 Oct;35(4):655-68. doi: 10.1016/j.csm.2016.05.009. Epub 2016 Jun 22. PMID: 27543405.\r\n\r\n(5) Reeves KD, Hassanein KM. Long-term effects of dextrose prolotherapy for anterior cruciate ligament laxity. Altern Ther Health Med. 2003 May-Jun;9(3):58-62. PMID: 12776476.\r\n\r\n(6) Dallo I, Chahla J, Mitchell JJ, Pascual-Garrido C, Feagin JA, LaPrade RF. Biologic Approaches for the Treatment of Partial Tears of the Anterior Cruciate Ligament: A Current Concepts Review. Orthop J Sports Med. 2017 Jan 25;5(1):2325967116681724. doi: 10.1177/2325967116681724. PMID: 28210653; PMCID: PMC5298533.','ACL TEAR Repair','','inherit','closed','closed','','5847-revision-v1','','','2023-08-16 21:37:46','2023-08-16 21:37:46','',5847,'https://www.drfields.com/?p=5854',0,'revision','',0),(5855,9,'2023-08-16 21:39:22','2023-08-16 21:39:22','<img class=\"alignright wp-image-5848\" src=\"https://www.drfields.com/wp-content/uploads/2023/08/ACL-Tearblog.1png-500x419.png\" alt=\"ACL TEAR Repair\" width=\"350\" height=\"293\" />\r\n<h2>Anterior Cruciate Ligament (ACL) Tear Repair</h2>\r\nAn anterior cruciate ligament (ACL) injury often means that you feel your knee giving out. A \"popping\" noise may also be heard, and there may be pain along the outside or back of knee. Partial ACL tears may \"heal\" on their own, but other problems can develop down the road because of incomplete healing and other associated injuries. Complete healing and repair of the entire injury is important, and comprehensive Regenerative Orthopedics are effective treatment options for ACL injuries.\r\n<h2>Treatment Options for ACL Tear Repair</h2>\r\nRepair of the anterior cruciate ligament (ACL) has traditionally been surgical, but an increase in injuries has lead to a higher need of repair and an increase in younger patients who may end up with complications with these surgical repairs. Because of these changes, alternatives to surgery are being sought. Regenerative techniques are being considered because they enhance repair and regeneration of tissue and are excellent options specific to the repair of ligament and tendon soft tissue structures.\r\n\r\nWhy is ACL repair important? Because the knee instability that occurs due to injury needs to be resolved, or further damage can occur to the other knee structures. Without resolution of the instability, the long-term complication of arthritis will also likely occur. Additionally, regenerating the injured ligament, rather than replacing it with grafts, can help boost the normal biomechanics of the knee. (1)\r\n<h2>ACL Tear Repair with Regenerative Orthopedics</h2>\r\nThe ACL responds well to healing by regenerative treatments like Platelet Rich Plasma, which provide the needed fibrin-platelet clot and growth factors for repair. PRP is a rich source of growth factors, limiting inflammation, and promoting tissue regeneration. (2) This platelet concentrate releases a number of crucial growth factors that stimulate repair and collagen production.(3)\r\n\r\nRegenerative Orthopedics are an effective alternative for the difficult-to-treat younger patient with ACL injury. Researchers in the <em>Sports medicine and arthroscopy Review </em>say this<em>:</em>\r\n\r\n\"Younger and more active patients benefit from regenerative approaches that encourage biological repair since they prevent complications provoked by the high stresses due to high physical demand over a prolonged time after classic replacement with synthetic materials.\"(3)\r\n\r\nAt our OrthoRegen® clinic, patients are looking to avoid surgery, or have tried surgery and continue to have knee issues. Many young athletes choose surgery because they expect it to get that back in the game. Sometimes it does and sometimes it fails. Physical Therapy also works to strengthen the leg, but unfortunately may not work to sufficiently stabilize the knee, because the ligament cannot be repaired with PT. Therefore, a non-surgical solution to repair the instability is desired.\r\n<h2>ACL Injury and Accompanying Injuries</h2>\r\nAdditionally, when an injury is significant enough to injure the ACL, it is very likely that other knee ligaments and/or the meniscus are injured as well. That\'s when comprehensive regenerative treatments really shine. Why is that? Because comprehensive Regenerative Orthopedics treat the entire knee. All of the injured areas will be attended to for maximal healing results. On the other hand, ligament reconstruction, the usual management technique for significant ACL injuries, using replacement auto- or allografts, as noted earlier, have less than satisfactory outcomes, including instability that could progressively damage other knee structures, and result in arthritis.\r\n<h4><em><strong>What happens to those who skip repair altogether?</strong></em></h4>\r\nA November 2021 study in the <em>Progress in Rehabilitation Medicine</em> investigated whether student-athletes with anterior cruciate ligament (ACL) injuries who returned to sports without reconstruction could continue their sporting activities until the end of the season and whether there was an increase in secondary damage associated with knee instability. What did they find? The majority of athletes experienced their knees giving way and some experienced injury of their meniscus. Unfortunately, with ACL injury, instability occurs and the knee needs to be repaired. Non-surgical repair with Regenerative Orthopedics is an effective option.\r\n<h4><em><strong>Is surgery the answer?</strong></em></h4>\r\nHere\'s what researchers from Brown University say, “Accelerated rehabilitation has made recovery from (ACL) surgery more predictable and shortened the timeline for return to play (from ACL reconstruction surgery). (However) Despite success with advancements in anterior cruciate ligament reconstructions, <strong>some athletes still fail to return to play</strong>.” There may be short-term results, but in the long-term, stability of the knee becomes problematic. A solution that saves the biological ligament, like Regenerative Orthopedics is able to do, is the optimal way to go, because it repairs the underlying problem of instability and treats the whole knee, including the meniscus. (4)\r\n\r\nInstability of the knee after ACL injury or even ACL surgery will lead to the eventual breakdown of the knee structures. <strong>The instability needs to be addressed.</strong> The abnormal motion that is caused by the ACL injury needs to be repaired to stop secondary pathology from the instability. Knee instability is the problem that needs to be solved, and no amount of surgery will address it. Regenerative Orthopedics do address knee instability.\r\n<h2>The Benefits of Regenerative Orthopedics for ACL Tears and Injuries</h2>\r\nProlotherapy, one type of regenerative therapy, has been around a very long time. The treatment has long been associated with being effectiveness in treating joint instability due to ligament and/or damage. Over the years, research continues to prove its efficacy as a non-surgical treatment for joint and spine pain and injury. (5)\r\n\r\nWe also mentioned the research on the benefits of PRP earlier. That study and others, show the  benefits of biological augmentation, using PRP and stem cells, to improve healing and a faster return to sport and activities of daily living for those with partial ACL tears. (6)\r\n\r\nIt is important to note that if the tear is complete, these regenerative therapies cannot regrow an absent ligament. They can restore strength and stability for a partial tear, ACL damage, and other knee soft tissue injury. Additionally, for the highest success, the entire knee should be addressed and treated comprehensively in order to repair all damaged structures and prevent the development of arthritis.\r\n\r\nDepending on the severity of injury, Prolotherapy alone may be recommended. If meniscus injury is present, Prolotherapy and PRP may be recommended. And, if more advanced degeneration and/or arthritis is evident, stem cell treatment may also be indicated.\r\n\r\nHas surgery has been recommended for an ACL repair? Are you are seeking a non-surgical solution for an ACL injury? If so, we would be happy to discuss our Regenerative Orthopedic approaches and your options for ACL tear repair.<strong> </strong>\r\n<h3><strong>References</strong></h3>\r\n(1) Vavken P, Murray MM. Translational Studies in ACL repair. <em>Tissue Eng Part A. </em>2009\r\n\r\n(2) El-Sharkawy H, Kantarci A, Deady J, et al. Platelet-rich plasma: growth factors and pro- and anti-inflammatory properties. <em>J Periodontol. </em>2007;78:661–669.\r\n\r\n(3) Vavken, Patrick, and Martha M. Murray. \"The potential for primary repair of the ACL.\" <em>Sports medicine and arthroscopy review</em> 19.1 (2011): 44.\r\n\r\n(4) Morris RC, Hulstyn MJ, Fleming BC, Owens BD, Fadale PD. Return to Play Following Anterior Cruciate Ligament Reconstruction. Clin Sports Med. 2016 Oct;35(4):655-68. doi: 10.1016/j.csm.2016.05.009. Epub 2016 Jun 22. PMID: 27543405.\r\n\r\n(5) Reeves KD, Hassanein KM. Long-term effects of dextrose prolotherapy for anterior cruciate ligament laxity. Altern Ther Health Med. 2003 May-Jun;9(3):58-62. PMID: 12776476.\r\n\r\n(6) Dallo I, Chahla J, Mitchell JJ, Pascual-Garrido C, Feagin JA, LaPrade RF. Biologic Approaches for the Treatment of Partial Tears of the Anterior Cruciate Ligament: A Current Concepts Review. Orthop J Sports Med. 2017 Jan 25;5(1):2325967116681724. doi: 10.1177/2325967116681724. PMID: 28210653; PMCID: PMC5298533.','ACL TEAR Repair','','inherit','closed','closed','','5847-revision-v1','','','2023-08-16 21:39:22','2023-08-16 21:39:22','',5847,'https://www.drfields.com/?p=5855',0,'revision','',0),(5856,9,'2023-08-16 21:41:38','2023-08-16 21:41:38','','iwp_log_64dd4292f3319','','publish','closed','closed','','iwp_log_64dd4292f3319','','','2023-08-16 21:41:38','2023-08-16 21:41:38','',0,'https://www.drfields.com/iwp_log/iwp_log_64dd4292f3319/',0,'iwp_log','',0),(5858,8,'2023-08-24 06:51:12','2023-08-24 06:51:12','','Hip Replacement Alternatives','','trash','closed','open','','__trashed','','','2023-08-24 06:51:12','2023-08-24 06:51:12','',0,'https://www.drfields.com/?p=5858',0,'post','',0),(5859,8,'2023-08-24 06:51:12','2023-08-24 06:51:12','','Hip Replacement Alternatives','','inherit','closed','closed','','5858-revision-v1','','','2023-08-24 06:51:12','2023-08-24 06:51:12','',5858,'https://www.drfields.com/?p=5859',0,'revision','',0),(5860,8,'2023-08-27 17:10:34','2023-08-27 17:10:34','<h2><img class=\"alignright wp-image-5862\" src=\"https://www.drfields.com/wp-content/uploads/2023/08/hip-replacement-alternative-1-500x422.png\" alt=\"Hip Replacement Alternative\" width=\"300\" height=\"253\" />Hip Replacement Alternative</h2>\r\nWe see many people in our office trying to avoid hip replacement surgery. These patients have usually already tried all kinds of treatments to \"preserve their hip\" and avoid surgery. Often, just mentioning surgery sends people searching for an alternative. Regenerative Orthopedic options are effective hip replacement alternatives.\r\n<h3><strong>Why Look for An Alternative to Hip Replacement?</strong></h3>\r\nHip replacement can be a successful means of improving quality of life, especially when the hip has become severely degenerated. However, there are issues to be considered before choosing a hip replacement.\r\n\r\nHip replacements do not last forever; they wear out. So, if the patient is younger, it is essential to keep in mind that the replacement will wear out in 15-plus years.\r\n\r\nAlso, some people have continued pain after hip replacement. The surgery doesn\'t go as well as planned! But there are alternatives. And Regenerative Orthopedics is a non-surgical option.\r\n\r\nDebris can leak from the replacement, causing an inflammatory response that further destroys the hip joint. Researchers in the journal <em>Orthopaedic Surgery</em> say, “Inflammatory responses to polyethylene wear debris can lead to severe bone resorption and aseptic loosening in the long-term following total hip replacement.” (1)\r\n\r\nAnd I always say, \"Remember, once the surgery is done, it cannot be undone.\" Surgery is permanent. There is no going back!\r\n<h3><strong>But My Doctor Says My Hip Is Bone-On-Bone?</strong></h3>\r\nHip replacement is often chosen because the patient has been told they have bone-on-bone arthritis, and hip replacement is the only option. The hip replacement is chosen because the patient thinks there is no other choice. But hip replacement is not the only option for bone-on-bone arthritis. Regenerative Orthopedics is a practical option in many arthritis cases.\r\n<h3><em>How do you get to bone-on-bone in the first place?</em></h3>\r\nBone-on-bone refers to the condition of arthritis where the smooth cartilage that lines the hip bones wears away, leaving the joint without its cushion, allowing bone to rub against bone. The bones no longer glide normally.\r\n\r\nBone-on-bone doesn\'t happen suddenly. That bone-on-bone condition began when the soft tissue, like tendons, ligaments, and even the hip labrum, became injured, worn, and/or weakened, making the hip joint unstable. Eventually, the person with this worn-out hip will experience loss of motion. Over time, the hip instability causes further joint injury, the wearing away of the cartilage lining of the hip joint, the development of bone spurs, and the “bumping” of bones into one another. The eventual degenerative changes can be seen on an x-ray, and bone-on-bone arthritis is diagnosed.\r\n\r\nBut what\'s interesting is that cartilage has no nerve endings. Where is the pain coming from if it\'s not from the worn cartilage? It\'s likely the ligaments! All of the abnormal motion from the unstable hip changes the balance in the hip joint and distributes forces differently, injuring other joint structures like the ligaments. Ligaments are highly innervated. They do have nerves. And when damaged, can elicit pain. The injured soft tissue needs to be addressed and repaired. What repairs joint soft tissue? Regenerative Orthopedics!\r\n<h3><strong>Which Treatments Are Hip Replacement Alternatives?</strong></h3>\r\nInjury to soft tissue, like the ligaments, tendons, and cartilage, causes the joint to become unstable. It is crucial to address the cause and not just the effect of the wearing-out hip. Regenerative Orthopedics, such as Dextrose Prolotherapy, Platelet Rich Plasma, and Stem Cell Prolotherapy, are all non-surgical treatment options that get to the root of the problem. They actually stimulate ligament, tendon, and cartilage repair.\r\n<h3><strong>But I Have Already Tried Conservative Care</strong></h3>\r\nHave you tried pain medications, cortisone injections, hyaluronic injections, or even massage and PT? But you still have pain? Pain medications, NSAIDs, and cortisone injections may help with the pain but not repair the joint\'s soft tissue. It\'s also possible that massage and physical therapy helped for a time. These treatments are great for resolving and repairing muscle issues. However, if the problem involves ligaments, tendons, and cartilage that need repair, a treatment must be sought to address these soft tissue injuries. Regenerative Orthopedics does just that!\r\n<h3><strong>The Ligaments of the Hip Need to Be Repaired!</strong></h3>\r\nWhen your hip is unstable, it destroys the supporting tissue of the hip. The ball starts to rub the socket the wrong way, and it moves abnormally. This is what\'s often referred to as “wear and tear” degeneration. This abnormal motion must be fixed.\r\n\r\nThe ligaments of the hip need to be repaired to stop the degenerative effect of the injured ligaments. Surgery often cuts through ligaments, but it does not repair them! The Journal of Biomechanics says, “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, <strong>their repair after joint preserving (hip arthroscopy) or arthroplasty (hip replacement) surgery is not routine.</strong>\"(2)\r\n\r\nThe hip ligaments need to be repaired. Many people continue to have pain even after hip replacement. The problem may be related to the lack of repair of these soft tissue structures. You can’t save the hip without saving and repairing the hip ligaments.\r\n<h3><strong>Why Is Hip Ligament Repair Important?</strong></h3>\r\n<ul>\r\n 	<li>Hip ligaments prevent an excessive range of motion and contribute to the natural lubrication process of joints, preventing friction and wear and tear.</li>\r\n 	<li>When ligaments are not repaired, this often leads to the need for hip revision surgery.</li>\r\n 	<li>Failing to restore hip ligament function may increase the risk of hip degeneration and arthritis.</li>\r\n</ul>\r\n<h3><strong>Regenerative Orthopedics Is an Effective Hip Replacement Alternative</strong></h3>\r\n<h4><em>Studies Demonstrating the Effectiveness of the Regenerative Orthopedic Treatment of Prolotherapy:</em></h4>\r\nRegenerative Orthopedics offers an alternative for repairing hip ligaments, which can reduce the need for hip replacement. The journal <em>International Orthopaedics says, </em>\"Newer, regenerative approaches have the potential to effectively delay or reduce the requirement for such invasive procedures.”(3)\r\n\r\nRegenerative Orthopedics is an effective alternative to hip replacement surgery. Researchers in the <em>Journal of Prolotherapy</em> demonstrated that Prolotherapy helps decrease pain and improve the quality of life of patients with chronic hip pain. Ninety-five percent of patients stated their pain was better after Prolotherapy. (4)\r\n\r\nAnother medical journal reported, “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<h4><em>Studies Demonstrating the Effectiveness of the Regenerative Orthopedic Treatment of PRP and Stem Cells:</em></h4>\r\nIn many cases, Prolotherapy alone is sufficient to repair the hip. But PRP and Stem Cells may be needed in cases of more advanced degeneration. At OrthoRegen®, we use the Gold Standard in Stem Cell Repair, which includes Prolotherapy, PRP, adipose stem cells, and bone marrow stem cells. This combination is highly effective for advanced cases of hip arthritis. The stem cells and PRP address the cartilage problem, and Prolotherapy addresses ligament repair, stabilizing the hip and restoring joint stability. The repair is a comprehensive treatment of the entire hip.\r\n\r\nIn the <em>American Journal of Sports Medicine, researchers say,</em> “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\nIn the journal <em>Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders</em>, researchers show that stem cells regenerate tissue damage within the osteoarthritic joint and, when combined with Prolotherapy injections, were able to restore hip stability. (7)\r\n\r\nHip surgeries are going through the roof, with close to 10 million hip surgeries performed annually. If you prefer to avoid surgery, please call us to see if you are a good candidate for Regenerative Orthopedics.\r\n\r\n&nbsp;\r\n<h3><strong>References</strong></h3>\r\n<ul>\r\n 	<li>Xing D, Li R, Li JJ, Tao K, Lin J, Yan T, Zhou D. Catastrophic Periprosthetic Osteolysis in Total Hip Arthroplasty at 20 Years: A Case Report and Literature Review. Orthopaedic Surgery. 2022 Aug.</li>\r\n 	<li>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</li>\r\n 	<li>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.</li>\r\n 	<li>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.</li>\r\n 	<li>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</li>\r\n 	<li>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.</li>\r\n</ul>\r\nHauser 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 Replacement Alternative','','publish','closed','open','','hip-replacement-alternative','','','2023-08-30 20:19:17','2023-08-30 20:19:17','',0,'https://www.drfields.com/?p=5860',0,'post','',0),(5861,8,'2023-08-27 17:06:11','2023-08-27 17:06:11','Hip Replacement Alternative','Hip Replacement Alternative','Hip Replacement Alternative','inherit','closed','closed','','hip-replacement-alternative','','','2023-08-27 17:06:11','2023-08-27 17:06:11','',5860,'https://www.drfields.com/wp-content/uploads/2023/08/hip-replacement-alternative.png',0,'attachment','image/png',0),(5862,8,'2023-08-27 17:08:37','2023-08-27 17:08:37','','Hip Replacement Alternative','','inherit','closed','closed','','hip-replacement-alternative-2','','','2023-08-27 17:09:51','2023-08-27 17:09:51','',5860,'https://www.drfields.com/wp-content/uploads/2023/08/hip-replacement-alternative-1.png',0,'attachment','image/png',0),(5863,8,'2023-08-27 17:10:34','2023-08-27 17:10:34','<img class=\"alignright wp-image-5862\" src=\"https://www.drfields.com/wp-content/uploads/2023/08/hip-replacement-alternative-1-500x422.png\" alt=\"Hip Replacement Alternative\" width=\"300\" height=\"253\" />We see a lot of people in our office trying to avoid hip replacement surgery. These patients have usually already tried all kinds of treatments in an effort to \"preserve their hip\" and avoid surgery. Oftentimes, just the mention of surgery sends people searching for an alternative, and Regenerative Orthopedic options are effective hip replacement alternatives.\r\n\r\n&nbsp;\r\n\r\n<strong>Why Look for An Alternative to Hip Replacement?</strong>\r\n\r\n&nbsp;\r\n\r\nHip replacement can be a successful means of improving quality of life, especially when the hip has become severely degenerated. But there are issues to be considered prior to choosing hip replacement.\r\n\r\n&nbsp;\r\n\r\nHip replacements do not last forever, they wear out. So if the patient is younger, it is important to keep in mind that the replacement will wear out in 15-plus years.\r\n\r\n&nbsp;\r\n\r\nAlso, some people have continued pain after hip replacement.The surgery just doesn\'t go as well as planned! But there are alternatives. And Regenerative Orthopedics is a non-surgical option.\r\n\r\n&nbsp;\r\n\r\nDebris can leak from the replacement causing an inflammatory response that leads to further destruction of the hip joint. Researchers in the journal <em>Orthopaedic Surgery</em> say, “Inflammatory responses to polyethylene wear debris can lead to severe bone resorption and aseptic loosening in the long-term following total hip replacement.” (1)\r\n\r\n&nbsp;\r\n\r\nAnd I always say, \"remember, once the surgery is done, it cannot be undone.\" Surgery is permanent. There is no going back!\r\n\r\n&nbsp;\r\n\r\n<strong>But My Doctor Says My Hip Is Bone-On-Bone?</strong>\r\n\r\nHip replacement is often chosen because the patient has been told they have bone-on-bone arthritis, and hip replacement is the only option. The hip replacement is chosen because the patient thinks there is no other choice. But hip replacement is not the only option for bone-on-bone arthritis. Regenerative Orthopedics is a practical option in many arthritis cases.\r\n\r\n&nbsp;\r\n\r\n<em>How do you get to bone-on-bone in the first place?</em>\r\n\r\nBone-on-bone refers to the a condition of arthritis where the smooth cartilage that lines the hip bones wears away, leaving the joint without its cushion, allowing bone to rub against bone. The bones no longer glide normally.\r\n\r\n&nbsp;\r\n\r\nBone-on-bone doesn\'t happen suddenly. That bone-on-bone condition began when the soft tissue, like tendons, ligaments, and even the hip labrum, became injured, worn, and/or weakened, and allowed for the hip joint to become unstable. Eventually, the person with this worn-out hip will experience loss of motion. Over time, the hip instability causes further joint injury, the wearing away of the cartilage lining of the hip joint, the development of bone spurs, and the “bumping” of bones into one another. The eventual degenerative changes can be seen on an x-ray, and bone-on-bone arthritis is diagnosed.\r\n\r\n&nbsp;\r\n\r\nBut what\'s really interesting is that cartilage has no nerve endings. Where is the pain coming from then if it\'s not from the worn cartilage? It\'s likely the ligaments! All of the abnormal motion from the unstable hip changes the balance in the hip joint and distributes forces differently, injuring other joint structures like the ligaments. Ligaments are highly innervated. They do have nerves. And when injured, can elicit pain. The injured soft tissue needs to be addressed and repaired. What repairs joint soft tissue? Regenerative Orthopedics!\r\n\r\n&nbsp;\r\n\r\n<strong>Which Treatments Can Help Me Avoid Surgery?</strong>\r\n\r\nInjury to soft tissue, like the ligaments, tendons, and cartilage, causes the joint to become unstable. It is important to address the cause and not just the effect of the wearing out hip. Regenerative Orthopedics, such as Dextrose Prolotherapy, Platelet Rich Plasma, and Stem Cell Prolotherapy, are all non-surgical treatment options that get to the root of the problem. They actually stimulate ligament, tendon, and cartilage repair. And most people have pain because of injury to one or all of these structures.\r\n\r\n&nbsp;\r\n\r\n<strong>But I Have Already Tried Conservative Care</strong>\r\n\r\nHave you already tried pain medications, cortisone injections, hyaluronic injections, or even massage and PT? But you still have pain? Pains medications, NSAIDs, and cortisone injections may help with the pain, but they do not repair the soft tissue of the joint. It\'s also very possible massage and physical therapy helped for a time. These treatments are great to resolve and repair muscle issues. However, if the problem involves ligaments, tendons, and cartilage, that need repair, then a treatment needs to be sought that addresses these soft tissue injuries. Regenerative Orthopedics does just that!\r\n\r\n&nbsp;\r\n\r\n<strong>The Ligaments of the Hip Need to Be Repaired!</strong>\r\n\r\nWhen your hip is unstable it destroys supporting tissue of the hip. The ball starts to rub the socket the wrong way and it moves abnormally. This is what\'s often referred to as “wear and tear” degeneration. This abnormal motion must be fixed.\r\n\r\n&nbsp;\r\n\r\nThe ligaments of the hip need to be repaired in order to stop the degenerative effect of the injured ligaments. Surgery often cuts through ligaments but it does not repair them! The Journal of Biomechanics says this, “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, <strong>their repair after joint preserving (hip arthroscopy) or arthroplasty (hip replacement) surgery is not routine.</strong>\"(2)\r\n\r\n&nbsp;\r\n\r\nThe hip ligaments need to be repaired. Many people continue to have pain even after hip replacement. It is quite possible the problem is related to the lack of repair of these soft tissue structures. You can’t save the hip without saving and repairing the hip ligaments.\r\n\r\n&nbsp;\r\n\r\n<strong>Why Is Hip Ligament Repair Important?</strong>\r\n<ul>\r\n 	<li>Hip ligaments prevent an excessive range of motion and contribute to the natural lubrication process of joints preventing friction and wear and tear.</li>\r\n 	<li>The repair of ligaments after hip replacement surgery is not routine, and often leads to the need for hip revision surgery.</li>\r\n 	<li>Failing to restore hip ligament function may increase the risk joint</li>\r\n</ul>\r\n&nbsp;\r\n\r\n<strong>Regenerative Repair of the Ligaments Is an Effective Treatment Option</strong>\r\n\r\nRegenerative Orthopedics offer an alternative for the repair of hip ligaments which can reduce the need for hip replacement. The journal <em>International Orthopaedics says, </em>\"Newer, regenerative approaches have the potential to effectively delay or reduce the requirement for such invasive procedures.”(3)\r\n\r\n&nbsp;\r\n\r\nRegenerative Orthopedics are an effective alternative to hip replacement surgery. Researchers in the <em>Journal of Prolotherapy</em> demonstrated that Prolotherapy helps decrease pain and improve the quality of life of patients with chronic hip pain. Ninety-five percent of patients stated their pain was better after Prolotherapy. (4)\r\n\r\n&nbsp;\r\n\r\nAnother medical journal reported, “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&nbsp;\r\n\r\nIn many cases, Prolotherapy alone is sufficient to repair the hip. But in cases of more advanced degeneration, the addition of PRP and Stem Cells may be needed. At OrthoRegen®, we use the Gold Standard in Stem Cell Repair, which includes Prolotherapy, PRP, adipose stem cells, and bone marrow stem cells. This combination is extremely effective for advanced cases of hip arthritis. The stem cells and PRP address the cartilage problem and the Prolotherapy addresses ligament repair, stabilizing the hip, and restoring joint stability. The repair is comprehensive treatment of the entire hip.\r\n\r\n&nbsp;\r\n\r\nIn the <em>American Journal of Sports Medicine, researchers say,</em> “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> </strong>\r\n\r\nAnd in the journal <em>Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders</em>, researchers show that stem cells regenerate tissue damage within the osteoarthritic joint, and when combined with Prolotherapy injections, were able to restore hip stability. (7)\r\n\r\n&nbsp;\r\n\r\nHip surgeries are going through the roof with close to 10 million hip surgeries performed annually. If you would prefer to avoid surgery, please give us a call to see if you are a good candidate for Regenerative Orthopedics.\r\n\r\n&nbsp;\r\n\r\n&nbsp;\r\n\r\n<strong>References</strong>\r\n<ul>\r\n 	<li>Xing D, Li R, Li JJ, Tao K, Lin J, Yan T, Zhou D. Catastrophic Periprosthetic Osteolysis in Total Hip Arthroplasty at 20 Years: A Case Report and Literature Review. Orthopaedic Surgery. 2022 Aug.</li>\r\n 	<li>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</li>\r\n 	<li>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.</li>\r\n 	<li>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.</li>\r\n 	<li>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</li>\r\n 	<li>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.</li>\r\n</ul>\r\nHauser 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 Replacement Alternatives','','inherit','closed','closed','','5860-revision-v1','','','2023-08-27 17:10:34','2023-08-27 17:10:34','',5860,'https://www.drfields.com/?p=5863',0,'revision','',0),(5864,8,'2023-08-27 17:18:41','2023-08-27 17:18:41','<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/hip-replacement-alternatives/\" title=\"Hip Replacement Alternatives\">Hip Replacement Alternatives</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/acl-tear-repair/\">ACL TEAR Repair</a></li>\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</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','','','2023-08-27 17:18:41','2023-08-27 17:18:41','',2109,'https://www.drfields.com/?p=5864',0,'revision','',0),(5866,9,'2023-08-30 20:10:40','2023-08-30 20:10:40','<h2><img class=\"alignright wp-image-5862\" src=\"https://www.drfields.com/wp-content/uploads/2023/08/hip-replacement-alternative-1-500x422.png\" alt=\"Hip Replacement Alternative\" width=\"300\" height=\"253\" />Hip Replacement Alternative</h2>\nWe see many people in our office trying to avoid hip replacement surgery. These patients have usually already tried all kinds of treatments to \"preserve their hip\" and avoid surgery. Often, just mentioning surgery sends people searching for an alternative. Regenerative Orthopedic options are effective hip replacement alternatives.\n<h3><strong>Why Look for An Alternative to Hip Replacement?</strong></h3>\nHip replacement can be a successful means of improving quality of life, especially when the hip has become severely degenerated. However, there are issues to be considered before choosing a hip replacement.\n\nHip replacements do not last forever; they wear out. So, if the patient is younger, it is essential to keep in mind that the replacement will wear out in 15-plus years.\n\nAlso, some people have continued pain after hip replacement. The surgery doesn\'t go as well as planned! But there are alternatives. And Regenerative Orthopedics is a non-surgical option.\n\nDebris can leak from the replacement, causing an inflammatory response that further destroys the hip joint. Researchers in the journal <em>Orthopaedic Surgery</em> say, “Inflammatory responses to polyethylene wear debris can lead to severe bone resorption and aseptic loosening in the long-term following total hip replacement.” (1)\n\nAnd I always say, \"Remember, once the surgery is done, it cannot be undone.\" Surgery is permanent. There is no going back!\n<h3><strong>But My Doctor Says My Hip Is Bone-On-Bone?</strong></h3>\nHip replacement is often chosen because the patient has been told they have bone-on-bone arthritis, and hip replacement is the only option. The hip replacement is chosen because the patient thinks there is no other choice. But hip replacement is not the only option for bone-on-bone arthritis. Regenerative Orthopedics is a practical option in many arthritis cases.\n<h3><em>How do you get to bone-on-bone in the first place?</em></h3>\nBone-on-bone refers to the condition of arthritis where the smooth cartilage that lines the hip bones wears away, leaving the joint without its cushion, allowing bone to rub against bone. The bones no longer glide normally.\n\nBone-on-bone doesn\'t happen suddenly. That bone-on-bone condition began when the soft tissue, like tendons, ligaments, and even the hip labrum, became injured, worn, and/or weakened, making the hip joint unstable. Eventually, the person with this worn-out hip will experience loss of motion. Over time, the hip instability causes further joint injury, the wearing away of the cartilage lining of the hip joint, the development of bone spurs, and the “bumping” of bones into one another. The eventual degenerative changes can be seen on an x-ray, and bone-on-bone arthritis is diagnosed.\n\nBut what\'s interesting is that cartilage has no nerve endings. Where is the pain coming from if it\'s not from the worn cartilage? It\'s likely the ligaments! All of the abnormal motion from the unstable hip changes the balance in the hip joint and distributes forces differently, injuring other joint structures like the ligaments. Ligaments are highly innervated. They do have nerves. And when damaged, can elicit pain. The injured soft tissue needs to be addressed and repaired. What repairs joint soft tissue? Regenerative Orthopedics!\n<h3><strong>Which Treatments Are Hip Replacement Alternatives?</strong></h3>\nInjury to soft tissue, like the ligaments, tendons, and cartilage, causes the joint to become unstable. It is crucial to address the cause and not just the effect of the wearing-out hip. Regenerative Orthopedics, such as Dextrose Prolotherapy, Platelet Rich Plasma, and Stem Cell Prolotherapy, are all non-surgical treatment options that get to the root of the problem. They actually stimulate ligament, tendon, and cartilage repair.\n<h3><strong>But I Have Already Tried Conservative Care</strong></h3>\nHave you tried pain medications, cortisone injections, hyaluronic injections, or even massage and PT? But you still have pain? Pain medications, NSAIDs, and cortisone injections may help with the pain but not repair the joint\'s soft tissue. It\'s also possible that massage and physical therapy helped for a time. These treatments are great for resolving and repairing muscle issues. However, if the problem involves ligaments, tendons, and cartilage that need repair, a treatment must be sought to address these soft tissue injuries. Regenerative Orthopedics does just that!\n<h3><strong>The Ligaments of the Hip Need to Be Repaired!</strong></h3>\nWhen your hip is unstable, it destroys the supporting tissue of the hip. The ball starts to rub the socket the wrong way, and it moves abnormally. This is what\'s often referred to as “wear and tear” degeneration. This abnormal motion must be fixed.\n\nThe ligaments of the hip need to be repaired to stop the degenerative effect of the injured ligaments. Surgery often cuts through ligaments, but it does not repair them! The Journal of Biomechanics says, “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, <strong>their repair after joint preserving (hip arthroscopy) or arthroplasty (hip replacement) surgery is not routine.</strong>\"(2)\n\nThe hip ligaments need to be repaired. Many people continue to have pain even after hip replacement. The problem may be related to the lack of repair of these soft tissue structures. You can’t save the hip without saving and repairing the hip ligaments.\n<h3><strong>Why Is Hip Ligament Repair Important?</strong></h3>\n<ul>\n 	<li>Hip ligaments prevent an excessive range of motion and contribute to the natural lubrication process of joints, preventing friction and wear and tear.</li>\n 	<li>When ligaments are not repaired, this often leads to the need for hip revision surgery.</li>\n 	<li>Failing to restore hip ligament function may increase the risk of hip degeneration and arthritis.</li>\n</ul>\n<h3><strong>Regenerative Orthopedics Is an Effective Hip Replacement Alternative</strong></h3>\n<h4><em>Studies Demonstrating the Effectiveness of the Regenerative Orthopedic Treatment of Prolotherapy:</em></h4>\nRegenerative Orthopedics offers an alternative for repairing hip ligaments, which can reduce the need for hip replacement. The journal <em>International Orthopaedics says, </em>\"Newer, regenerative approaches have the potential to effectively delay or reduce the requirement for such invasive procedures.”(3)\n\nRegenerative Orthopedics is an effective alternative to hip replacement surgery. Researchers in the <em>Journal of Prolotherapy</em> demonstrated that Prolotherapy helps decrease pain and improve the quality of life of patients with chronic hip pain. Ninety-five percent of patients stated their pain was better after Prolotherapy. (4)\n\nAnother medical journal reported, “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<h4><em>Studies Demonstrating the Effectiveness of the Regenerative Orthopedic Treatment of PRP </em></h4>\nIn many cases, Prolotherapy alone is sufficient to repair the hip. But PRP and Stem Cells may be needed in cases of more advanced degeneration. At OrthoRegen®, we use the Gold Standard in Stem Cell Repair, which includes Prolotherapy, PRP, adipose stem cells, and bone marrow stem cells. This combination is highly effective for advanced cases of hip arthritis. The stem cells and PRP address the cartilage problem, and Prolotherapy addresses ligament repair, stabilizing the hip and restoring joint stability. The repair is a comprehensive treatment of the entire hip.\n\nIn the <em>American Journal of Sports Medicine, researchers say,</em> “Results indicated that intra-articular PRP injections offer a significant clinical improvement in patients with hip osteoarthritis without relevant side effects.”(6)\n\nIn the journal <em>Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders</em>, researchers show that stem cells regenerate tissue damage within the osteoarthritic joint and, when combined with Prolotherapy injections, were able to restore hip stability. (7)\n\nHip surgeries are going through the roof, with close to 10 million hip surgeries performed annually. If you prefer to avoid surgery, please call us to see if you are a good candidate for Regenerative Orthopedics.\n\n&nbsp;\n<h3><strong>References</strong></h3>\n<ul>\n 	<li>Xing D, Li R, Li JJ, Tao K, Lin J, Yan T, Zhou D. Catastrophic Periprosthetic Osteolysis in Total Hip Arthroplasty at 20 Years: A Case Report and Literature Review. Orthopaedic Surgery. 2022 Aug.</li>\n 	<li>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</li>\n 	<li>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.</li>\n 	<li>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.</li>\n 	<li>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</li>\n 	<li>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.</li>\n</ul>\nHauser 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 Replacement Alternative','','inherit','closed','closed','','5860-autosave-v1','','','2023-08-30 20:10:40','2023-08-30 20:10:40','',5860,'https://www.drfields.com/?p=5866',0,'revision','',0),(5867,9,'2023-08-30 19:48:38','2023-08-30 19:48:38','<img class=\"alignright wp-image-5862\" src=\"https://www.drfields.com/wp-content/uploads/2023/08/hip-replacement-alternative-1-500x422.png\" alt=\"Hip Replacement Alternative\" width=\"300\" height=\"253\" />We see a lot of people in our office trying to avoid hip replacement surgery. These patients have usually already tried all kinds of treatments in an effort to \"preserve their hip\" and avoid surgery. Oftentimes, just the mention of surgery sends people searching for an alternative, and Regenerative Orthopedic options are effective hip replacement alternatives.\r\n\r\n<strong>Why Look for An Alternative to Hip Replacement?</strong>\r\n\r\nHip replacement can be a successful means of improving quality of life, especially when the hip has become severely degenerated. But there are issues to be considered prior to choosing hip replacement.\r\n\r\nHip replacements do not last forever, they wear out. So if the patient is younger, it is important to keep in mind that the replacement will wear out in 15-plus years.\r\n\r\nAlso, some people have continued pain after hip replacement.The surgery just doesn\'t go as well as planned! But there are alternatives. And Regenerative Orthopedics is a non-surgical option.\r\n\r\nDebris can leak from the replacement causing an inflammatory response that leads to further destruction of the hip joint. Researchers in the journal <em>Orthopaedic Surgery</em> say, “Inflammatory responses to polyethylene wear debris can lead to severe bone resorption and aseptic loosening in the long-term following total hip replacement.” (1)\r\n\r\nAnd I always say, \"remember, once the surgery is done, it cannot be undone.\" Surgery is permanent. There is no going back!\r\n\r\n<strong>But My Doctor Says My Hip Is Bone-On-Bone?</strong>\r\n\r\nHip replacement is often chosen because the patient has been told they have bone-on-bone arthritis, and hip replacement is the only option. The hip replacement is chosen because the patient thinks there is no other choice. But hip replacement is not the only option for bone-on-bone arthritis. Regenerative Orthopedics is a practical option in many arthritis cases.\r\n\r\n<em>How do you get to bone-on-bone in the first place?</em>\r\n\r\nBone-on-bone refers to the condition of arthritis where the smooth cartilage that lines the hip bones wears away, leaving the joint without its cushion, allowing bone to rub against bone. The bones no longer glide normally.\r\n\r\nBone-on-bone doesn\'t happen suddenly. That bone-on-bone condition began when the soft tissue, like tendons, ligaments, and even the hip labrum, became injured, worn, and/or weakened, and allowed for the hip joint to become unstable. Eventually, the person with this worn-out hip will experience loss of motion. Over time, the hip instability causes further joint injury, the wearing away of the cartilage lining of the hip joint, the development of bone spurs, and the “bumping” of bones into one another. The eventual degenerative changes can be seen on an x-ray, and bone-on-bone arthritis is diagnosed.\r\n\r\nBut what\'s really interesting is that cartilage has no nerve endings. Where is the pain coming from then if it\'s not from the worn cartilage? It\'s likely the ligaments! All of the abnormal motion from the unstable hip changes the balance in the hip joint and distributes forces differently, injuring other joint structures like the ligaments. Ligaments are highly innervated. They do have nerves. And when injured, can elicit pain. The injured soft tissue needs to be addressed and repaired. What repairs joint soft tissue? Regenerative Orthopedics!\r\n\r\n<strong>Which Treatments Can Help Me Avoid Surgery?</strong>\r\n\r\nInjury to soft tissue, like the ligaments, tendons, and cartilage, causes the joint to become unstable. It is important to address the cause and not just the effect of the wearing out hip. Regenerative Orthopedics, such as Dextrose Prolotherapy, Platelet Rich Plasma, and Stem Cell Prolotherapy, are all non-surgical treatment options that get to the root of the problem. They actually stimulate ligament, tendon, and cartilage repair. And most people have pain because of injury to one or all of these structures.\r\n\r\n<strong>But I Have Already Tried Conservative Care</strong>\r\n\r\nHave you already tried pain medications, cortisone injections, hyaluronic injections, or even massage and PT? But you still have pain? Pains medications, NSAIDs, and cortisone injections may help with the pain, but they do not repair the soft tissue of the joint. It\'s also very possible massage and physical therapy helped for a time. These treatments are great to resolve and repair muscle issues. However, if the problem involves ligaments, tendons, and cartilage, that need repair, then a treatment needs to be sought that addresses these soft tissue injuries. Regenerative Orthopedics does just that!\r\n\r\n<strong>The Ligaments of the Hip Need to Be Repaired!</strong>\r\n\r\nWhen your hip is unstable it destroys supporting tissue of the hip. The ball starts to rub the socket the wrong way and it moves abnormally. This is what\'s often referred to as “wear and tear” degeneration. This abnormal motion must be fixed.\r\n\r\nThe ligaments of the hip need to be repaired in order to stop the degenerative effect of the injured ligaments. Surgery often cuts through ligaments but it does not repair them! The Journal of Biomechanics says this, “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, <strong>their repair after joint preserving (hip arthroscopy) or arthroplasty (hip replacement) surgery is not routine.</strong>\"(2)\r\n\r\nThe hip ligaments need to be repaired. Many people continue to have pain even after hip replacement. It is quite possible the problem is related to the lack of repair of these soft tissue structures. You can’t save the hip without saving and repairing the hip ligaments.\r\n\r\n<strong>Why Is Hip Ligament Repair Important?</strong>\r\n<ul>\r\n 	<li>Hip ligaments prevent an excessive range of motion and contribute to the natural lubrication process of joints preventing friction and wear and tear.</li>\r\n 	<li>The repair of ligaments after hip replacement surgery is not routine, and often leads to the need for hip revision surgery.</li>\r\n 	<li>Failing to restore hip ligament function may increase the risk joint</li>\r\n</ul>\r\n<strong>Regenerative Repair of the Ligaments Is an Effective Treatment Option</strong>\r\n\r\nRegenerative Orthopedics offer an alternative for the repair of hip ligaments which can reduce the need for hip replacement. The journal <em>International Orthopaedics says, </em>\"Newer, regenerative approaches have the potential to effectively delay or reduce the requirement for such invasive procedures.”(3)\r\n\r\nRegenerative Orthopedics are an effective alternative to hip replacement surgery. Researchers in the <em>Journal of Prolotherapy</em> demonstrated that Prolotherapy helps decrease pain and improve the quality of life of patients with chronic hip pain. Ninety-five percent of patients stated their pain was better after Prolotherapy. (4)\r\n\r\nAnother medical journal reported, “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\nIn many cases, Prolotherapy alone is sufficient to repair the hip. But in cases of more advanced degeneration, the addition of PRP and Stem Cells may be needed. At OrthoRegen®, we use the Gold Standard in Stem Cell Repair, which includes Prolotherapy, PRP, adipose stem cells, and bone marrow stem cells. This combination is extremely effective for advanced cases of hip arthritis. The stem cells and PRP address the cartilage problem and the Prolotherapy addresses ligament repair, stabilizing the hip, and restoring joint stability. The repair is comprehensive treatment of the entire hip.\r\n\r\nIn the <em>American Journal of Sports Medicine, researchers say,</em> “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\nAnd in the journal <em>Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders</em>, researchers show that stem cells regenerate tissue damage within the osteoarthritic joint, and when combined with Prolotherapy injections, were able to restore hip stability. (7)\r\n\r\nHip surgeries are going through the roof, with close to 10 million hip surgeries performed annually. If you prefer to avoid surgery, please call us to see if you are a good candidate for Regenerative Orthopedics.\r\n\r\n&nbsp;\r\n\r\n<strong>References</strong>\r\n<ul>\r\n 	<li>Xing D, Li R, Li JJ, Tao K, Lin J, Yan T, Zhou D. Catastrophic Periprosthetic Osteolysis in Total Hip Arthroplasty at 20 Years: A Case Report and Literature Review. Orthopaedic Surgery. 2022 Aug.</li>\r\n 	<li>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</li>\r\n 	<li>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.</li>\r\n 	<li>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.</li>\r\n 	<li>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</li>\r\n 	<li>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.</li>\r\n</ul>\r\nHauser 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 Replacement Alternatives','','inherit','closed','closed','','5860-revision-v1','','','2023-08-30 19:48:38','2023-08-30 19:48:38','',5860,'https://www.drfields.com/?p=5867',0,'revision','',0),(5868,9,'2023-08-30 20:00:37','2023-08-30 20:00:37','<h2><img class=\"alignright wp-image-5862\" src=\"https://www.drfields.com/wp-content/uploads/2023/08/hip-replacement-alternative-1-500x422.png\" alt=\"Hip Replacement Alternative\" width=\"300\" height=\"253\" />Hip Replacement Alternative</h2>\r\nWe see many people in our office trying to avoid hip replacement surgery. These patients have usually already tried all kinds of treatments to \"preserve their hip\" and avoid surgery. Often, just mentioning surgery sends people searching for an alternative. Regenerative Orthopedic options are effective hip replacement alternatives.\r\n\r\n<strong>Why Look for An Alternative to Hip Replacement?</strong>\r\n\r\nHip replacement can be a successful means of improving quality of life, especially when the hip has become severely degenerated. However, there are issues to be considered before choosing a hip replacement.\r\n\r\nHip replacements do not last forever; they wear out. So, if the patient is younger, it is essential to keep in mind that the replacement will wear out in 15-plus years.\r\n\r\nAlso, some people have continued pain after hip replacement. The surgery doesn\'t go as well as planned! But there are alternatives. And Regenerative Orthopedics is a non-surgical option.\r\n\r\nDebris can leak from the replacement, causing an inflammatory response that further destroys the hip joint. Researchers in the journal <em>Orthopaedic Surgery</em> say, “Inflammatory responses to polyethylene wear debris can lead to severe bone resorption and aseptic loosening in the long-term following total hip replacement.” (1)\r\n\r\nAnd I always say, \"Remember, once the surgery is done, it cannot be undone.\" Surgery is permanent. There is no going back!\r\n\r\n<strong>But My Doctor Says My Hip Is Bone-On-Bone?</strong>\r\n\r\nHip replacement is often chosen because the patient has been told they have bone-on-bone arthritis, and hip replacement is the only option. The hip replacement is chosen because the patient thinks there is no other choice. But hip replacement is not the only option for bone-on-bone arthritis. Regenerative Orthopedics is a practical option in many arthritis cases.\r\n\r\n<em>How do you get to bone-on-bone in the first place?</em>\r\n\r\nBone-on-bone refers to the condition of arthritis where the smooth cartilage that lines the hip bones wears away, leaving the joint without its cushion, allowing bone to rub against bone. The bones no longer glide normally.\r\n\r\nBone-on-bone doesn\'t happen suddenly. That bone-on-bone condition began when the soft tissue, like tendons, ligaments, and even the hip labrum, became injured, worn, and/or weakened, making the hip joint unstable. Eventually, the person with this worn-out hip will experience loss of motion. Over time, the hip instability causes further joint injury, the wearing away of the cartilage lining of the hip joint, the development of bone spurs, and the “bumping” of bones into one another. The eventual degenerative changes can be seen on an x-ray, and bone-on-bone arthritis is diagnosed.\r\n\r\nBut what\'s interesting is that cartilage has no nerve endings. Where is the pain coming from if it\'s not from the worn cartilage? It\'s likely the ligaments! All of the abnormal motion from the unstable hip changes the balance in the hip joint and distributes forces differently, injuring other joint structures like the ligaments. Ligaments are highly innervated. They do have nerves. And when damaged, can elicit pain. The injured soft tissue needs to be addressed and repaired. What repairs joint soft tissue? Regenerative Orthopedics!\r\n\r\n<strong>Which Treatments Can Help Me Avoid Surgery?</strong>\r\n\r\nInjury to soft tissue, like the ligaments, tendons, and cartilage, causes the joint to become unstable. It is crucial to address the cause and not just the effect of the wearing-out hip. Regenerative Orthopedics, such as Dextrose Prolotherapy, Platelet Rich Plasma, and Stem Cell Prolotherapy, are all non-surgical treatment options that get to the root of the problem. They actually stimulate ligament, tendon, and cartilage repair.\r\n\r\n<strong>But I Have Already Tried Conservative Care</strong>\r\n\r\nHave you tried pain medications, cortisone injections, hyaluronic injections, or even massage and PT? But you still have pain? Pain medications, NSAIDs, and cortisone injections may help with the pain but not repair the joint\'s soft tissue. It\'s also possible that massage and physical therapy helped for a time. These treatments are great for resolving and repairing muscle issues. However, if the problem involves ligaments, tendons, and cartilage that need repair, then a treatment needs to be sought that addresses these soft tissue injuries. Regenerative Orthopedics does just that!\r\n\r\n<strong>The Ligaments of the Hip Need to Be Repaired!</strong>\r\n\r\nWhen your hip is unstable, it destroys the supporting tissue of the hip. The ball starts to rub the socket the wrong way, and it moves abnormally. This is what\'s often referred to as “wear and tear” degeneration. This abnormal motion must be fixed.\r\n\r\nThe ligaments of the hip need to be repaired to stop the degenerative effect of the injured ligaments. Surgery often cuts through ligaments, but it does not repair them! The Journal of Biomechanics says, “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, <strong>their repair after joint preserving (hip arthroscopy) or arthroplasty (hip replacement) surgery is not routine.</strong>\"(2)\r\n\r\nThe hip ligaments need to be repaired. Many people continue to have pain even after hip replacement. The problem may be related to the lack of repair of these soft tissue structures. You can’t save the hip without saving and repairing the hip ligaments.\r\n\r\n<strong>Why Is Hip Ligament Repair Important?</strong>\r\n<ul>\r\n 	<li>Hip ligaments prevent an excessive range of motion and contribute to the natural lubrication process of joints, preventing friction and wear and tear.</li>\r\n 	<li>When ligaments are not repaired, this often leads to the need for hip revision surgery.</li>\r\n 	<li>Failing to restore hip ligament function may increase the risk of hip degeneration and arthritis</li>\r\n</ul>\r\n<strong>Regenerative Repair of the Ligaments Is an Effective Treatment Option</strong>\r\n\r\nRegenerative Orthopedics offers an alternative for repairing hip ligaments, which can reduce the need for hip replacement. The journal <em>International Orthopaedics says, </em>\"Newer, regenerative approaches have the potential to effectively delay or reduce the requirement for such invasive procedures.”(3)\r\n\r\nRegenerative Orthopedics is an effective alternative to hip replacement surgery. Researchers in the <em>Journal of Prolotherapy</em> demonstrated that Prolotherapy helps decrease pain and improve the quality of life of patients with chronic hip pain. Ninety-five percent of patients stated their pain was better after Prolotherapy. (4)\r\n\r\nAnother medical journal reported, “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\nIn many cases, Prolotherapy alone is sufficient to repair the hip. But PRP and Stem Cells may be needed in cases of more advanced degeneration. At OrthoRegen®, we use the Gold Standard in Stem Cell Repair, which includes Prolotherapy, PRP, adipose stem cells, and bone marrow stem cells. This combination is highly effective for advanced cases of hip arthritis. The stem cells and PRP address the cartilage problem, and Prolotherapy addresses ligament repair, stabilizing the hip and restoring joint stability. The repair is a comprehensive treatment of the entire hip.\r\n\r\nIn the <em>American Journal of Sports Medicine, researchers say,</em> “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\nAnd in the journal <em>Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders</em>, researchers show that stem cells regenerate tissue damage within the osteoarthritic joint and when combined with Prolotherapy injections, were able to restore hip stability. (7)\r\n\r\nHip surgeries are going through the roof, with close to 10 million hip surgeries performed annually. If you prefer to avoid surgery, please call us to see if you are a good candidate for Regenerative Orthopedics.\r\n\r\n&nbsp;\r\n\r\n<strong>References</strong>\r\n<ul>\r\n 	<li>Xing D, Li R, Li JJ, Tao K, Lin J, Yan T, Zhou D. Catastrophic Periprosthetic Osteolysis in Total Hip Arthroplasty at 20 Years: A Case Report and Literature Review. Orthopaedic Surgery. 2022 Aug.</li>\r\n 	<li>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</li>\r\n 	<li>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.</li>\r\n 	<li>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.</li>\r\n 	<li>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</li>\r\n 	<li>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.</li>\r\n</ul>\r\nHauser 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 Replacement Alternative','','inherit','closed','closed','','5860-revision-v1','','','2023-08-30 20:00:37','2023-08-30 20:00:37','',5860,'https://www.drfields.com/?p=5868',0,'revision','',0),(5869,9,'2023-08-30 20:05:50','2023-08-30 20:05:50','<h2><img class=\"alignright wp-image-5862\" src=\"https://www.drfields.com/wp-content/uploads/2023/08/hip-replacement-alternative-1-500x422.png\" alt=\"Hip Replacement Alternative\" width=\"300\" height=\"253\" />Hip Replacement Alternative</h2>\r\nWe see many people in our office trying to avoid hip replacement surgery. These patients have usually already tried all kinds of treatments to \"preserve their hip\" and avoid surgery. Often, just mentioning surgery sends people searching for an alternative. Regenerative Orthopedic options are effective hip replacement alternatives.\r\n<h3><strong>Why Look for An Alternative to Hip Replacement?</strong></h3>\r\nHip replacement can be a successful means of improving quality of life, especially when the hip has become severely degenerated. However, there are issues to be considered before choosing a hip replacement.\r\n\r\nHip replacements do not last forever; they wear out. So, if the patient is younger, it is essential to keep in mind that the replacement will wear out in 15-plus years.\r\n\r\nAlso, some people have continued pain after hip replacement. The surgery doesn\'t go as well as planned! But there are alternatives. And Regenerative Orthopedics is a non-surgical option.\r\n\r\nDebris can leak from the replacement, causing an inflammatory response that further destroys the hip joint. Researchers in the journal <em>Orthopaedic Surgery</em> say, “Inflammatory responses to polyethylene wear debris can lead to severe bone resorption and aseptic loosening in the long-term following total hip replacement.” (1)\r\n\r\nAnd I always say, \"Remember, once the surgery is done, it cannot be undone.\" Surgery is permanent. There is no going back!\r\n<h3><strong>But My Doctor Says My Hip Is Bone-On-Bone?</strong></h3>\r\nHip replacement is often chosen because the patient has been told they have bone-on-bone arthritis, and hip replacement is the only option. The hip replacement is chosen because the patient thinks there is no other choice. But hip replacement is not the only option for bone-on-bone arthritis. Regenerative Orthopedics is a practical option in many arthritis cases.\r\n<h3><em>How do you get to bone-on-bone in the first place?</em></h3>\r\nBone-on-bone refers to the condition of arthritis where the smooth cartilage that lines the hip bones wears away, leaving the joint without its cushion, allowing bone to rub against bone. The bones no longer glide normally.\r\n\r\nBone-on-bone doesn\'t happen suddenly. That bone-on-bone condition began when the soft tissue, like tendons, ligaments, and even the hip labrum, became injured, worn, and/or weakened, making the hip joint unstable. Eventually, the person with this worn-out hip will experience loss of motion. Over time, the hip instability causes further joint injury, the wearing away of the cartilage lining of the hip joint, the development of bone spurs, and the “bumping” of bones into one another. The eventual degenerative changes can be seen on an x-ray, and bone-on-bone arthritis is diagnosed.\r\n\r\nBut what\'s interesting is that cartilage has no nerve endings. Where is the pain coming from if it\'s not from the worn cartilage? It\'s likely the ligaments! All of the abnormal motion from the unstable hip changes the balance in the hip joint and distributes forces differently, injuring other joint structures like the ligaments. Ligaments are highly innervated. They do have nerves. And when damaged, can elicit pain. The injured soft tissue needs to be addressed and repaired. What repairs joint soft tissue? Regenerative Orthopedics!\r\n<h3><strong>Which Treatments Can Help Me Avoid Surgery?</strong></h3>\r\nInjury to soft tissue, like the ligaments, tendons, and cartilage, causes the joint to become unstable. It is crucial to address the cause and not just the effect of the wearing-out hip. Regenerative Orthopedics, such as Dextrose Prolotherapy, Platelet Rich Plasma, and Stem Cell Prolotherapy, are all non-surgical treatment options that get to the root of the problem. They actually stimulate ligament, tendon, and cartilage repair.\r\n<h3><strong>But I Have Already Tried Conservative Care</strong></h3>\r\nHave you tried pain medications, cortisone injections, hyaluronic injections, or even massage and PT? But you still have pain? Pain medications, NSAIDs, and cortisone injections may help with the pain but not repair the joint\'s soft tissue. It\'s also possible that massage and physical therapy helped for a time. These treatments are great for resolving and repairing muscle issues. However, if the problem involves ligaments, tendons, and cartilage that need repair, then a treatment needs to be sought that addresses these soft tissue injuries. Regenerative Orthopedics does just that!\r\n<h3><strong>The Ligaments of the Hip Need to Be Repaired!</strong></h3>\r\nWhen your hip is unstable, it destroys the supporting tissue of the hip. The ball starts to rub the socket the wrong way, and it moves abnormally. This is what\'s often referred to as “wear and tear” degeneration. This abnormal motion must be fixed.\r\n\r\nThe ligaments of the hip need to be repaired to stop the degenerative effect of the injured ligaments. Surgery often cuts through ligaments, but it does not repair them! The Journal of Biomechanics says, “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, <strong>their repair after joint preserving (hip arthroscopy) or arthroplasty (hip replacement) surgery is not routine.</strong>\"(2)\r\n\r\nThe hip ligaments need to be repaired. Many people continue to have pain even after hip replacement. The problem may be related to the lack of repair of these soft tissue structures. You can’t save the hip without saving and repairing the hip ligaments.\r\n<h3><strong>Why Is Hip Ligament Repair Important?</strong></h3>\r\n<ul>\r\n 	<li>Hip ligaments prevent an excessive range of motion and contribute to the natural lubrication process of joints, preventing friction and wear and tear.</li>\r\n 	<li>When ligaments are not repaired, this often leads to the need for hip revision surgery.</li>\r\n 	<li>Failing to restore hip ligament function may increase the risk of hip degeneration and arthritis</li>\r\n</ul>\r\n<h3><strong>Regenerative Repair of the Ligaments Is an Effective Treatment Option</strong></h3>\r\nRegenerative Orthopedics offers an alternative for repairing hip ligaments, which can reduce the need for hip replacement. The journal <em>International Orthopaedics says, </em>\"Newer, regenerative approaches have the potential to effectively delay or reduce the requirement for such invasive procedures.”(3)\r\n\r\nRegenerative Orthopedics is an effective alternative to hip replacement surgery. Researchers in the <em>Journal of Prolotherapy</em> demonstrated that Prolotherapy helps decrease pain and improve the quality of life of patients with chronic hip pain. Ninety-five percent of patients stated their pain was better after Prolotherapy. (4)\r\n\r\nAnother medical journal reported, “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\nIn many cases, Prolotherapy alone is sufficient to repair the hip. But PRP and Stem Cells may be needed in cases of more advanced degeneration. At OrthoRegen®, we use the Gold Standard in Stem Cell Repair, which includes Prolotherapy, PRP, adipose stem cells, and bone marrow stem cells. This combination is highly effective for advanced cases of hip arthritis. The stem cells and PRP address the cartilage problem, and Prolotherapy addresses ligament repair, stabilizing the hip and restoring joint stability. The repair is a comprehensive treatment of the entire hip.\r\n\r\nIn the <em>American Journal of Sports Medicine, researchers say,</em> “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\nIn the journal <em>Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders</em>, researchers show that stem cells regenerate tissue damage within the osteoarthritic joint and, when combined with Prolotherapy injections, were able to restore hip stability. (7)\r\n\r\nHip surgeries are going through the roof, with close to 10 million hip surgeries performed annually. If you prefer to avoid surgery, please call us to see if you are a good candidate for Regenerative Orthopedics.\r\n\r\n&nbsp;\r\n<h3><strong>References</strong></h3>\r\n<ul>\r\n 	<li>Xing D, Li R, Li JJ, Tao K, Lin J, Yan T, Zhou D. Catastrophic Periprosthetic Osteolysis in Total Hip Arthroplasty at 20 Years: A Case Report and Literature Review. Orthopaedic Surgery. 2022 Aug.</li>\r\n 	<li>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</li>\r\n 	<li>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.</li>\r\n 	<li>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.</li>\r\n 	<li>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</li>\r\n 	<li>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.</li>\r\n</ul>\r\nHauser 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 Replacement Alternative','','inherit','closed','closed','','5860-revision-v1','','','2023-08-30 20:05:50','2023-08-30 20:05:50','',5860,'https://www.drfields.com/?p=5869',0,'revision','',0),(5870,9,'2023-08-30 20:11:03','2023-08-30 20:11:03','<h2><img class=\"alignright wp-image-5862\" src=\"https://www.drfields.com/wp-content/uploads/2023/08/hip-replacement-alternative-1-500x422.png\" alt=\"Hip Replacement Alternative\" width=\"300\" height=\"253\" />Hip Replacement Alternative</h2>\r\nWe see many people in our office trying to avoid hip replacement surgery. These patients have usually already tried all kinds of treatments to \"preserve their hip\" and avoid surgery. Often, just mentioning surgery sends people searching for an alternative. Regenerative Orthopedic options are effective hip replacement alternatives.\r\n<h3><strong>Why Look for An Alternative to Hip Replacement?</strong></h3>\r\nHip replacement can be a successful means of improving quality of life, especially when the hip has become severely degenerated. However, there are issues to be considered before choosing a hip replacement.\r\n\r\nHip replacements do not last forever; they wear out. So, if the patient is younger, it is essential to keep in mind that the replacement will wear out in 15-plus years.\r\n\r\nAlso, some people have continued pain after hip replacement. The surgery doesn\'t go as well as planned! But there are alternatives. And Regenerative Orthopedics is a non-surgical option.\r\n\r\nDebris can leak from the replacement, causing an inflammatory response that further destroys the hip joint. Researchers in the journal <em>Orthopaedic Surgery</em> say, “Inflammatory responses to polyethylene wear debris can lead to severe bone resorption and aseptic loosening in the long-term following total hip replacement.” (1)\r\n\r\nAnd I always say, \"Remember, once the surgery is done, it cannot be undone.\" Surgery is permanent. There is no going back!\r\n<h3><strong>But My Doctor Says My Hip Is Bone-On-Bone?</strong></h3>\r\nHip replacement is often chosen because the patient has been told they have bone-on-bone arthritis, and hip replacement is the only option. The hip replacement is chosen because the patient thinks there is no other choice. But hip replacement is not the only option for bone-on-bone arthritis. Regenerative Orthopedics is a practical option in many arthritis cases.\r\n<h3><em>How do you get to bone-on-bone in the first place?</em></h3>\r\nBone-on-bone refers to the condition of arthritis where the smooth cartilage that lines the hip bones wears away, leaving the joint without its cushion, allowing bone to rub against bone. The bones no longer glide normally.\r\n\r\nBone-on-bone doesn\'t happen suddenly. That bone-on-bone condition began when the soft tissue, like tendons, ligaments, and even the hip labrum, became injured, worn, and/or weakened, making the hip joint unstable. Eventually, the person with this worn-out hip will experience loss of motion. Over time, the hip instability causes further joint injury, the wearing away of the cartilage lining of the hip joint, the development of bone spurs, and the “bumping” of bones into one another. The eventual degenerative changes can be seen on an x-ray, and bone-on-bone arthritis is diagnosed.\r\n\r\nBut what\'s interesting is that cartilage has no nerve endings. Where is the pain coming from if it\'s not from the worn cartilage? It\'s likely the ligaments! All of the abnormal motion from the unstable hip changes the balance in the hip joint and distributes forces differently, injuring other joint structures like the ligaments. Ligaments are highly innervated. They do have nerves. And when damaged, can elicit pain. The injured soft tissue needs to be addressed and repaired. What repairs joint soft tissue? Regenerative Orthopedics!\r\n<h3><strong>Which Treatments Are Hip Replacement Alternatives?</strong></h3>\r\nInjury to soft tissue, like the ligaments, tendons, and cartilage, causes the joint to become unstable. It is crucial to address the cause and not just the effect of the wearing-out hip. Regenerative Orthopedics, such as Dextrose Prolotherapy, Platelet Rich Plasma, and Stem Cell Prolotherapy, are all non-surgical treatment options that get to the root of the problem. They actually stimulate ligament, tendon, and cartilage repair.\r\n<h3><strong>But I Have Already Tried Conservative Care</strong></h3>\r\nHave you tried pain medications, cortisone injections, hyaluronic injections, or even massage and PT? But you still have pain? Pain medications, NSAIDs, and cortisone injections may help with the pain but not repair the joint\'s soft tissue. It\'s also possible that massage and physical therapy helped for a time. These treatments are great for resolving and repairing muscle issues. However, if the problem involves ligaments, tendons, and cartilage that need repair, a treatment must be sought to address these soft tissue injuries. Regenerative Orthopedics does just that!\r\n<h3><strong>The Ligaments of the Hip Need to Be Repaired!</strong></h3>\r\nWhen your hip is unstable, it destroys the supporting tissue of the hip. The ball starts to rub the socket the wrong way, and it moves abnormally. This is what\'s often referred to as “wear and tear” degeneration. This abnormal motion must be fixed.\r\n\r\nThe ligaments of the hip need to be repaired to stop the degenerative effect of the injured ligaments. Surgery often cuts through ligaments, but it does not repair them! The Journal of Biomechanics says, “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, <strong>their repair after joint preserving (hip arthroscopy) or arthroplasty (hip replacement) surgery is not routine.</strong>\"(2)\r\n\r\nThe hip ligaments need to be repaired. Many people continue to have pain even after hip replacement. The problem may be related to the lack of repair of these soft tissue structures. You can’t save the hip without saving and repairing the hip ligaments.\r\n<h3><strong>Why Is Hip Ligament Repair Important?</strong></h3>\r\n<ul>\r\n 	<li>Hip ligaments prevent an excessive range of motion and contribute to the natural lubrication process of joints, preventing friction and wear and tear.</li>\r\n 	<li>When ligaments are not repaired, this often leads to the need for hip revision surgery.</li>\r\n 	<li>Failing to restore hip ligament function may increase the risk of hip degeneration and arthritis.</li>\r\n</ul>\r\n<h3><strong>Regenerative Orthopedics Is an Effective Hip Replacement Alternative</strong></h3>\r\n<h4><em>Studies Demonstrating the Effectiveness of the Regenerative Orthopedic Treatment of Prolotherapy:</em></h4>\r\nRegenerative Orthopedics offers an alternative for repairing hip ligaments, which can reduce the need for hip replacement. The journal <em>International Orthopaedics says, </em>\"Newer, regenerative approaches have the potential to effectively delay or reduce the requirement for such invasive procedures.”(3)\r\n\r\nRegenerative Orthopedics is an effective alternative to hip replacement surgery. Researchers in the <em>Journal of Prolotherapy</em> demonstrated that Prolotherapy helps decrease pain and improve the quality of life of patients with chronic hip pain. Ninety-five percent of patients stated their pain was better after Prolotherapy. (4)\r\n\r\nAnother medical journal reported, “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<h4><em>Studies Demonstrating the Effectiveness of the Regenerative Orthopedic Treatment of PRP and Stem Cells:</em></h4>\r\nIn many cases, Prolotherapy alone is sufficient to repair the hip. But PRP and Stem Cells may be needed in cases of more advanced degeneration. At OrthoRegen®, we use the Gold Standard in Stem Cell Repair, which includes Prolotherapy, PRP, adipose stem cells, and bone marrow stem cells. This combination is highly effective for advanced cases of hip arthritis. The stem cells and PRP address the cartilage problem, and Prolotherapy addresses ligament repair, stabilizing the hip and restoring joint stability. The repair is a comprehensive treatment of the entire hip.\r\n\r\nIn the <em>American Journal of Sports Medicine, researchers say,</em> “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\nIn the journal <em>Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders</em>, researchers show that stem cells regenerate tissue damage within the osteoarthritic joint and, when combined with Prolotherapy injections, were able to restore hip stability. (7)\r\n\r\nHip surgeries are going through the roof, with close to 10 million hip surgeries performed annually. If you prefer to avoid surgery, please call us to see if you are a good candidate for Regenerative Orthopedics.\r\n\r\n&nbsp;\r\n<h3><strong>References</strong></h3>\r\n<ul>\r\n 	<li>Xing D, Li R, Li JJ, Tao K, Lin J, Yan T, Zhou D. Catastrophic Periprosthetic Osteolysis in Total Hip Arthroplasty at 20 Years: A Case Report and Literature Review. Orthopaedic Surgery. 2022 Aug.</li>\r\n 	<li>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</li>\r\n 	<li>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.</li>\r\n 	<li>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.</li>\r\n 	<li>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</li>\r\n 	<li>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.</li>\r\n</ul>\r\nHauser 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 Replacement Alternative','','inherit','closed','closed','','5860-revision-v1','','','2023-08-30 20:11:03','2023-08-30 20:11:03','',5860,'https://www.drfields.com/?p=5870',0,'revision','',0),(5871,9,'2023-08-30 20:18:32','2023-08-30 20:18:32','','iwp_log_64efa418b0e63','','publish','closed','closed','','iwp_log_64efa418b0e63','','','2023-08-30 20:18:32','2023-08-30 20:18:32','',0,'https://www.drfields.com/iwp_log/iwp_log_64efa418b0e63/',0,'iwp_log','',0),(5872,9,'2023-08-30 20:18:32','2023-08-30 20:18:32','','iwp_log_64efa418e6957','','publish','closed','closed','','iwp_log_64efa418e6957','','','2023-08-30 20:18:32','2023-08-30 20:18:32','',0,'https://www.drfields.com/iwp_log/iwp_log_64efa418e6957/',0,'iwp_log','',0),(5873,9,'2023-08-30 20:18:33','2023-08-30 20:18:33','','iwp_log_64efa41959212','','publish','closed','closed','','iwp_log_64efa41959212','','','2023-08-30 20:18:33','2023-08-30 20:18:33','',0,'https://www.drfields.com/iwp_log/iwp_log_64efa41959212/',0,'iwp_log','',0),(5874,9,'2023-08-30 20:18:33','2023-08-30 20:18:33','','iwp_log_64efa419bfee3','','publish','closed','closed','','iwp_log_64efa419bfee3','','','2023-08-30 20:18:33','2023-08-30 20:18:33','',0,'https://www.drfields.com/iwp_log/iwp_log_64efa419bfee3/',0,'iwp_log','',0),(5875,9,'2023-08-30 20:18:34','2023-08-30 20:18:34','','iwp_log_64efa41a33ace','','publish','closed','closed','','iwp_log_64efa41a33ace','','','2023-08-30 20:18:34','2023-08-30 20:18:34','',0,'https://www.drfields.com/iwp_log/iwp_log_64efa41a33ace/',0,'iwp_log','',0),(5877,8,'2023-09-01 09:02:38','2023-09-01 09:02:38','<h2><img class=\"alignright wp-image-5880\" src=\"https://www.drfields.com/wp-content/uploads/2023/09/osteoarthritis-knee-treatment--500x419.png\" alt=\"Osteoarthritis Knee Treatment\" width=\"300\" height=\"251\" />Osteoarthritis Knee Treatment</h2>\r\nYour knee hurts. But you don\'t want surgery. Now what? We see many patients trying to avoid surgery. Some come because they injured their knee and are looking for repair to get back to their game. But many have arthritis pain. Their knee grinds and cracks and hurts. Plus, the arthritis symptoms limit their activity level, and they are looking for an osteoarthritis knee treatment to increase their function again.\r\n\r\nMost have already tried pain medications and therapies, but the symptoms continue. Their orthopedic surgeon has likely recommended surgery, but is surgery the only option?\r\n\r\nSome have even had surgery already, but their pain continues. So what\'s the solution? We recommend Regenerative Orthopedics!\r\n<h3><strong>What Can Regenerative Orthopedics Offer for Knee Osteoarthritis?</strong></h3>\r\nRegenerative Orthopedic treatments, like Prolotherapy, have been found to improve osteoarthritis pain. The journal <em>Orthopedic Reviews</em> says, “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.\" (1)\r\n\r\nThat\'s excellent news. But it\'s only one study!\r\n<h3><strong>Is There More Research on the Effectiveness of Prolotherapy?</strong></h3>\r\nIn 2022, the journal <em>Clinical Rehabilitation</em> looked at the effectiveness of Prolotherapy for knee osteoarthritis patients. The results? Prolotherapy had favorable results, yielding a greater reduction in pain scores over placebo and achieving comparable pain and function outcomes to other invasive therapies. (2)\r\n\r\nWe\'ve mentioned in previous articles that Prolotherapy is not a new treatment. It is gaining popularity lately, along with other regenerative therapies, but it has been around for quite some time. Back in the 1950s, Dr. George Hackett demonstrated Prolotherapy\'s effectiveness in treating ligament damage. His research showed that ligament damage caused joint instability, which led to the eventual osteoarthritis in a joint.\r\n\r\nOne of the reasons Prolotherapy is so effective for knee arthritis is because it addresses the entire knee and the instability from ligament damage. The instability that leads to arthritis is the same instability that is addressed with Prolotherapy. Often, it\'s not just one ligament that is damaged. If the force during the original injury was significant enough to damage one ligament, other ligaments, and joint structures were likely affected. And these all need to be treated.\r\n\r\nKnee osteoarthritis is a progressive disease. It did not just happen overnight! The weak and injured ligaments cause the joint to move abnormally. That abnormal movement causes forces on the knee joint to change, leading to more and more joint damage. Eventually, degeneration in the joint destroys the cartilage...and arthritis becomes apparent.\r\n\r\nAgain, the good news is that Prolotherapy addresses the entire knee joint, repairing all the involved soft tissue structures.\r\n<h3><strong>Prolotherapy Is An Effective Osteoarthritis Knee Treatment</strong></h3>\r\nThe journal <em>Therapeutic Advances in Musculoskeletal Disease</em> says, \"Prolotherapy has been reported as a useful method in treating chronic musculoskeletal and joint diseases. It is proposed that Prolotherapy causes mild inflammation and cell stress in the weakened ligament or tendon area, releases cytokines and growth factors, and induces a new healing cascade in that area, which leads to the activation of fibroblasts, generation of collagen precursors and strengthening of the connective tissue.” (3)\r\n\r\nAnother study in the <em>Annals of Family Medicine</em> reports these findings about Prolotherapy for knee osteoarthritis: “Intra-articular dextrose Prolotherapy injections reduced pain, improved function and quality of life in patients with knee osteoarthritis compared with blinded saline injections. The procedure is straightforward and safe; the adherence and satisfaction were high.” (4)\r\n<h3><strong>And evidence even suggests that Prolotherapy can help with cartilage growth.</strong></h3>\r\nThe Researchers from the University of Southern California say this, \"(Prolotherapy) solution appears to be associated with the increased metabolic activity of chondrocytes (cells that make cartilage), increased collagen deposition, and increased chondrocyte proliferation. These results support clinical Prolotherapy research suggesting that intra-articular hypertonic dextrose joint injections reduce knee pain.”\r\n\r\nAll of this research suggests that Prolotherapy is a viable treatment for knee osteoarthritis.\r\n\r\nWe recommend comprehensively treating the knee with regenerative treatment directed at all of the involved structures. Remember that osteoarthritis does not happen suddenly but is a degenerative process that occurs over time. To achieve optimal results, all of the involved structures need to be treated. Prolotherapy is a safe and effective treatment option that addresses soft tissue damage and degeneration resulting in the repair of the osteoarthritic knee.\r\n\r\nKnee osteoarthritis is one of the most common complaints that we see at OrthoRegen<sup>®</sup>. Regenerative Orthopedics are excellent osteoarthritis knee treatments because they address the root cause of what started the osteoarthritic progression...structural damage to the soft tissue of the knee that leads to degenerative changes in the knee. Stop the degenerative process with regenerative injection treatments such as Prolotherapy, PRP, and Stem Cells.\r\n<h3><strong>References</strong></h3>\r\n<ul>\r\n 	<li>Zhao AT, Caballero CJ, Nguyen LT, Vienne HC, Lee C, Kaye AD. A Comprehensive Update of Prolotherapy in the Management of Osteoarthritis of the Knee. Orthopedic Reviews. 2022 May 31;14(4):33921.</li>\r\n 	<li>Chen YW, Lin YN, Chen HC, Liou TH, Liao CD, Huang SW. Effectiveness, Compliance, and Safety of Dextrose Prolotherapy for Knee Osteoarthritis: A Meta-Analysis and Metaregression of Randomized Controlled Trials. Clinical Rehabilitation. 2022 Jun;36(6):740-52.</li>\r\n 	<li>Eslamian F, Amouzandeh B. Therapeutic effects of prolotherapy with intra-articular dextrose injection in patients with moderate knee osteoarthritis: a single-arm study with 6 months follow-up. Ther Adv Musculoskelet Dis. 2015 Apr;7(2):35-44.</li>\r\n 	<li>Shan Sit RW, Keung Wu RW, Rabago D, et al. Efficacy of Intra-Articular Hypertonic Dextrose (Prolotherapy) for Knee Osteoarthritis: A Randomized Controlled Trial. <em>Ann Fam Med</em>. 2020;18(3):235‐242. doi:10.1370/afm.2520</li>\r\n</ul>','Osteoarthritis Knee Treatment','','publish','closed','open','','osteoarthritis-knee-treatment','','','2023-09-15 23:59:12','2023-09-15 23:59:12','',0,'https://www.drfields.com/?p=5877',0,'post','',0),(5880,8,'2023-09-04 07:08:05','2023-09-04 07:08:05','Osteoarthritis Knee Treatment','Osteoarthritis Knee Treatment','Osteoarthritis Knee Treatment','inherit','closed','closed','','osteoarthritis-knee-treatment','','','2023-09-04 07:08:05','2023-09-04 07:08:05','',5877,'https://www.drfields.com/wp-content/uploads/2023/09/osteoarthritis-knee-treatment-.png',0,'attachment','image/png',0),(5881,8,'2023-09-04 07:09:02','2023-09-04 07:09:02','<img class=\"alignright wp-image-5880\" src=\"https://www.drfields.com/wp-content/uploads/2023/09/osteoarthritis-knee-treatment--500x419.png\" alt=\"Osteoarthritis Knee Treatment\" width=\"300\" height=\"251\" />\r\n\r\nYour knee hurts. But you don\'t want surgery. Now what?\r\n\r\nWe see many patients trying to avoid surgery. Some come because they injured their knee and are looking for repair to get back to their game. But many have arthritis pain. Their knee grinds and cracks and hurts. Plus, the arthritis symptoms are limiting their activity level, and they are looking for an osteoarthritis knee treatment that will increase their function again.\r\n\r\nThe majority have already tried pain medications and therapies, but the symptoms continue. Their orthopedic surgeon has likely recommended surgery, but is surgery the only option?\r\n\r\nSome have even had surgery already, but their pain continues. So what\'s the solution? We recommend Regenerative Orthopedics!\r\n\r\n<strong>What Can Regenerative Orthopedics Offer for Knee Osteoarthritis?</strong>\r\n\r\nThe Regenerative Orthopedic treatment Prolotherapy has been found to improve osteoarthritis pain. The journal <em>Orthopedic Reviews</em> says “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.\" (1)\r\n\r\nThat\'s great news. But it\'s only one study!\r\n\r\n<strong>Is There More Research on the Effectiveness of Prolotherapy?</strong>\r\n\r\nIn 2022, the journal <em>Clinical Rehabilitation</em> took a look at the effectiveness of Prolotherapy for knee osteoarthritis patients. The results? Prolotherapy had favorable results and yielded greater reduction in pain scores over placebo, and achieved comparable pain and function outcomes as other invasive therapies. (2)\r\n\r\nWe\'ve mentioned in previous articles that Prolotherapy is not a new treatment. It is gaining popularity lately, along with other regenerative treatments, but it has been around for quite some time. Back in the 1950s, Dr. George Hackett demonstrated the effectiveness of Prolotherapy to treat ligament damage. His research showed that ligament damage caused joint instability, which lead to the eventual osteoarthritis in a joint.\r\n\r\nOne of the reasons Prolotherapy is so effective for knee arthritis is because it addresses the entire knee and the instability from ligament damage. The instability that leads to arthritis is the same instability that is addressed with Prolotherapy. Oftentimes, it\'s not just one ligament that is damaged. If the force during the original injury was great enough to damage one ligament, it is very likely that other ligaments, as well as other joint structures, were affected. And these all need to be treated.\r\n\r\nKnee osteoarthritis is a progressive disease. It did not just happen overnight! The weak and injured ligaments, cause the joint to move abnormally. That abnormal movement causes forces on the knee joint to change, leading to more and more joint damage. Eventually, degeneration in the joint destroys the cartilage...and arthritis becomes apparent.\r\n\r\nAgain, the good news here is that Prolotherapy addresses the entire knee joint, repairing all of the involved soft tissue structures.\r\n\r\n<strong>Prolotherapy Is An Effective Osteoarthritis Knee Treatment</strong>\r\n\r\nThe journal, <em>Therapeutic Advances in Musculoskeletal Disease,</em> says that “Prolotherapy has been reported as a useful method in the treatment of chronic musculoskeletal and joint diseases. It is proposed that Prolotherapy causes mild inflammation and cell stress in the weakened ligament or tendon area, releases cytokines and growth factors and induces a new healing cascade in that area, which leads to activation of fibroblasts, generation of collagen precursors, and strengthening of the connective tissue.” (3)\r\n\r\nAnother study in the <em>Annals of Family Medicine</em> reports these findings about Prolotherapy for knee osteoarthritis: “Intra-articular dextrose Prolotherapy injections reduced pain, improved function and quality of life in patients with knee osteoarthritis compared with blinded saline injections. The procedure is straightforward and safe; the adherence and satisfaction were high.” (4)\r\n\r\n<strong>And evidence even suggests that Prolotherapy can help with cartilage growth.</strong>\r\n\r\nThe Researchers from the University of Southern California say this, \"(Prolotherapy) solution appears to be associated with the increased metabolic activity of chondrocytes (cells that make cartilage), increased collagen deposition, and increased chondrocyte proliferation. These results support clinical Prolotherapy research suggesting that intra-articular hypertonic dextrose joint injections reduce knee pain.”\r\n\r\nAll of this research definitely suggests that Prolotherapy is a viable treatment for knee osteoarthritis.\r\n\r\nWe suggest treating the knee in a comprehensive fashion, directed at all of the involved structures. Keep in mind that osteoarthritis did not happen suddenly, but is a degenerative process that occurs over time. In order to achieve optimal results, all of the involved structures need to be treated. Prolotherapy is a safe and effective treatment option that addresses soft tissue damage and degeneration and results in repair of the osteoarthritic knee.\r\n\r\nKnee osteoarthritis is one of the most common complaints that we see at OrthoRegen. Regenerative Orthopedics are excellent osteoarthritis knee treatments because they address the root cause of what started the osteoarthritic progression...structural damage to the soft tissue of the knee that leads to degenerative changes in the knee. Stop the degenerative process with regenerative injection treatments such as Prolotherapy, PRP, and Stem Cells.\r\n\r\n&nbsp;\r\n\r\n<strong>References</strong>\r\n<ul>\r\n 	<li>Zhao AT, Caballero CJ, Nguyen LT, Vienne HC, Lee C, Kaye AD. A Comprehensive Update of Prolotherapy in the Management of Osteoarthritis of the Knee. Orthopedic Reviews. 2022 May 31;14(4):33921.</li>\r\n 	<li>Chen YW, Lin YN, Chen HC, Liou TH, Liao CD, Huang SW. Effectiveness, Compliance, and Safety of Dextrose Prolotherapy for Knee Osteoarthritis: A Meta-Analysis and Metaregression of Randomized Controlled Trials. Clinical Rehabilitation. 2022 Jun;36(6):740-52.</li>\r\n 	<li>Eslamian F, Amouzandeh B. Therapeutic effects of prolotherapy with intra-articular dextrose injection in patients with moderate knee osteoarthritis: a single-arm study with 6 months follow-up. Ther Adv Musculoskelet Dis. 2015 Apr;7(2):35-44.</li>\r\n 	<li>Shan Sit RW, Keung Wu RW, Rabago D, et al. Efficacy of Intra-Articular Hypertonic Dextrose (Prolotherapy) for Knee Osteoarthritis: A Randomized Controlled Trial. <em>Ann Fam Med</em>. 2020;18(3):235‐242. doi:10.1370/afm.2520</li>\r\n</ul>','Osteoarthritis Knee Treatment','','inherit','closed','closed','','5877-revision-v1','','','2023-09-04 07:09:02','2023-09-04 07:09:02','',5877,'https://www.drfields.com/?p=5881',0,'revision','',0),(5883,9,'2023-09-12 21:41:09','2023-09-12 21:41:09','','iwp_log_6500daf5b55f2','','publish','closed','closed','','iwp_log_6500daf5b55f2','','','2023-09-12 21:41:09','2023-09-12 21:41:09','',0,'https://www.drfields.com/iwp_log/iwp_log_6500daf5b55f2/',0,'iwp_log','',0),(5884,9,'2023-09-12 21:58:22','2023-09-12 21:58:22','<h2><img class=\"alignright wp-image-5880\" src=\"https://www.drfields.com/wp-content/uploads/2023/09/osteoarthritis-knee-treatment--500x419.png\" alt=\"Osteoarthritis Knee Treatment\" width=\"300\" height=\"251\" />Osteoarthritis Knee Treatment</h2>\nYour knee hurts. But you don\'t want surgery. Now what? We see many patients trying to avoid surgery. Some come because they injured their knee and are looking for repair to get back to their game. But many have arthritis pain. Their knee grinds and cracks and hurts. Plus, the arthritis symptoms limit their activity level, and they are looking for an osteoarthritis knee treatment to increase their function again.\n\nMost have already tried pain medications and therapies, but the symptoms continue. Their orthopedic surgeon has likely recommended surgery, but is surgery the only option?\n\nSome have even had surgery already, but their pain continues. So what\'s the solution? We recommend Regenerative Orthopedics!\n<h3><strong>What Can Regenerative Orthopedics Offer for Knee Osteoarthritis?</strong></h3>\nRegenerative Orthopedic treatments, like Prolotherapy, have been found to improve osteoarthritis pain. The journal <em>Orthopedic Reviews</em> says, “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.\" (1)\n\nThat\'s excellent news. But it\'s only one study!\n<h3><strong>Is There More Research on the Effectiveness of Prolotherapy?</strong></h3>\nIn 2022, the journal <em>Clinical Rehabilitation</em> looked at the effectiveness of Prolotherapy for knee osteoarthritis patients. The results? Prolotherapy had favorable results, yielding a greater reduction in pain scores over placebo and achieving comparable pain and function outcomes to other invasive therapies. (2)\n\nWe\'ve mentioned in previous articles that Prolotherapy is not a new treatment. It is gaining popularity lately, along with other regenerative therapies, but it has been around for quite some time. Back in the 1950s, Dr. George Hackett demonstrated Prolotherapy\'s effectiveness in treating ligament damage. His research showed that ligament damage caused joint instability, which led to the eventual osteoarthritis in a joint.\n\nOne of the reasons Prolotherapy is so effective for knee arthritis is because it addresses the entire knee and the instability from ligament damage. The instability that leads to arthritis is the same instability that is addressed with Prolotherapy. Often, it\'s not just one ligament that is damaged. If the force during the original injury was significant enough to damage one ligament, other ligaments, and joint structures were likely affected. And these all need to be treated.\n\nKnee osteoarthritis is a progressive disease. It did not just happen overnight! The weak and injured ligaments cause the joint to move abnormally. That abnormal movement causes forces on the knee joint to change, leading to more and more joint damage. Eventually, degeneration in the joint destroys the cartilage...and arthritis becomes apparent.\n\nAgain, the good news is that Prolotherapy addresses the entire knee joint, repairing all the involved soft tissue structures.\n<h3><strong>Prolotherapy Is An Effective Osteoarthritis Knee Treatment</strong></h3>\nThe journal <em>Therapeutic Advances in Musculoskeletal Disease</em> says, \"Prolotherapy has been reported as a useful method in treating chronic musculoskeletal and joint diseases. It is proposed that Prolotherapy causes mild inflammation and cell stress in the weakened ligament or tendon area, releases cytokines and growth factors, and induces a new healing cascade in that area, which leads to the activation of fibroblasts, generation of collagen precursors and strengthening of the connective tissue.” (3)\n\nAnother study in the <em>Annals of Family Medicine</em> reports these findings about Prolotherapy for knee osteoarthritis: “Intra-articular dextrose Prolotherapy injections reduced pain, improved function and quality of life in patients with knee osteoarthritis compared with blinded saline injections. The procedure is straightforward and safe; the adherence and satisfaction were high.” (4)\n<h3><strong>And evidence even suggests that Prolotherapy can help with cartilage growth.</strong></h3>\nThe Researchers from the University of Southern California say this, \"(Prolotherapy) solution appears to be associated with the increased metabolic activity of chondrocytes (cells that make cartilage), increased collagen deposition, and increased chondrocyte proliferation. These results support clinical Prolotherapy research suggesting that intra-articular hypertonic dextrose joint injections reduce knee pain.”\n\nAll of this research suggests that Prolotherapy is a viable treatment for knee osteoarthritis.\n\nWe recommend comprehensively treating the knee with regenerative treatment directed at all of the involved structures. Remember that osteoarthritis does not happen suddenly but is a degenerative process that occurs over time. To achieve optimal results, all of the involved structures need to be treated. Prolotherapy is a safe and effective treatment option that addresses soft tissue damage and degeneration   in repair of the osteoarthritic knee.\n\nKnee osteoarthritis is one of the most common complaints that we see at OrthoRegen<sup>®</sup>. Regenerative Orthopedics are excellent osteoarthritis knee treatments because they address the root cause of what started the osteoarthritic progression...structural damage to the soft tissue of the knee that leads to degenerative changes in the knee. Stop the degenerative process with regenerative injection treatments such as Prolotherapy, PRP, and Stem Cells.\n<h3><strong>References</strong></h3>\n<ul>\n 	<li>Zhao AT, Caballero CJ, Nguyen LT, Vienne HC, Lee C, Kaye AD. A Comprehensive Update of Prolotherapy in the Management of Osteoarthritis of the Knee. Orthopedic Reviews. 2022 May 31;14(4):33921.</li>\n 	<li>Chen YW, Lin YN, Chen HC, Liou TH, Liao CD, Huang SW. Effectiveness, Compliance, and Safety of Dextrose Prolotherapy for Knee Osteoarthritis: A Meta-Analysis and Metaregression of Randomized Controlled Trials. Clinical Rehabilitation. 2022 Jun;36(6):740-52.</li>\n 	<li>Eslamian F, Amouzandeh B. Therapeutic effects of prolotherapy with intra-articular dextrose injection in patients with moderate knee osteoarthritis: a single-arm study with 6 months follow-up. Ther Adv Musculoskelet Dis. 2015 Apr;7(2):35-44.</li>\n 	<li>Shan Sit RW, Keung Wu RW, Rabago D, et al. Efficacy of Intra-Articular Hypertonic Dextrose (Prolotherapy) for Knee Osteoarthritis: A Randomized Controlled Trial. <em>Ann Fam Med</em>. 2020;18(3):235‐242. doi:10.1370/afm.2520</li>\n</ul>','Osteoarthritis Knee Treatment','','inherit','closed','closed','','5877-autosave-v1','','','2023-09-12 21:58:22','2023-09-12 21:58:22','',5877,'https://www.drfields.com/?p=5884',0,'revision','',0),(5885,9,'2023-09-12 21:46:13','2023-09-12 21:46:13','<h2><img class=\"alignright wp-image-5880\" src=\"https://www.drfields.com/wp-content/uploads/2023/09/osteoarthritis-knee-treatment--500x419.png\" alt=\"Osteoarthritis Knee Treatment\" width=\"300\" height=\"251\" />Osteoarthritis Knee Treatment</h2>\r\nYour knee hurts. But you don\'t want surgery. Now what?\r\n\r\nWe see many patients trying to avoid surgery. Some come because they injured their knee and are looking for repair to get back to their game. But many have arthritis pain. Their knee grinds and cracks and hurts. Plus, the arthritis symptoms are limiting their activity level, and they are looking for an osteoarthritis knee treatment that will increase their function again.\r\n\r\nThe majority have already tried pain medications and therapies, but the symptoms continue. Their orthopedic surgeon has likely recommended surgery, but is surgery the only option?\r\n\r\nSome have even had surgery already, but their pain continues. So what\'s the solution? We recommend Regenerative Orthopedics!\r\n<h3><strong>What Can Regenerative Orthopedics Offer for Knee Osteoarthritis?</strong></h3>\r\nThe Regenerative Orthopedic treatment Prolotherapy has been found to improve osteoarthritis pain. The journal <em>Orthopedic Reviews</em> says “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.\" (1)\r\n\r\nThat\'s great news. But it\'s only one study!\r\n<h3><strong>Is There More Research on the Effectiveness of Prolotherapy?</strong></h3>\r\nIn 2022, the journal <em>Clinical Rehabilitation</em> took a look at the effectiveness of Prolotherapy for knee osteoarthritis patients. The results? Prolotherapy had favorable results and yielded greater reduction in pain scores over placebo, and achieved comparable pain and function outcomes as other invasive therapies. (2)\r\n\r\nWe\'ve mentioned in previous articles that Prolotherapy is not a new treatment. It is gaining popularity lately, along with other regenerative treatments, but it has been around for quite some time. Back in the 1950s, Dr. George Hackett demonstrated the effectiveness of Prolotherapy to treat ligament damage. His research showed that ligament damage caused joint instability, which lead to the eventual osteoarthritis in a joint.\r\n\r\nOne of the reasons Prolotherapy is so effective for knee arthritis is because it addresses the entire knee and the instability from ligament damage. The instability that leads to arthritis is the same instability that is addressed with Prolotherapy. Oftentimes, it\'s not just one ligament that is damaged. If the force during the original injury was great enough to damage one ligament, it is very likely that other ligaments, as well as other joint structures, were affected. And these all need to be treated.\r\n\r\nKnee osteoarthritis is a progressive disease. It did not just happen overnight! The weak and injured ligaments, cause the joint to move abnormally. That abnormal movement causes forces on the knee joint to change, leading to more and more joint damage. Eventually, degeneration in the joint destroys the cartilage...and arthritis becomes apparent.\r\n\r\nAgain, the good news here is that Prolotherapy addresses the entire knee joint, repairing all of the involved soft tissue structures.\r\n<h3><strong>Prolotherapy Is An Effective Osteoarthritis Knee Treatment</strong></h3>\r\nThe journal, <em>Therapeutic Advances in Musculoskeletal Disease,</em> says that “Prolotherapy has been reported as a useful method in the treatment of chronic musculoskeletal and joint diseases. It is proposed that Prolotherapy causes mild inflammation and cell stress in the weakened ligament or tendon area, releases cytokines and growth factors and induces a new healing cascade in that area, which leads to activation of fibroblasts, generation of collagen precursors, and strengthening of the connective tissue.” (3)\r\n\r\nAnother study in the <em>Annals of Family Medicine</em> reports these findings about Prolotherapy for knee osteoarthritis: “Intra-articular dextrose Prolotherapy injections reduced pain, improved function and quality of life in patients with knee osteoarthritis compared with blinded saline injections. The procedure is straightforward and safe; the adherence and satisfaction were high.” (4)\r\n<h3><strong>And evidence even suggests that Prolotherapy can help with cartilage growth.</strong></h3>\r\nThe Researchers from the University of Southern California say this, \"(Prolotherapy) solution appears to be associated with the increased metabolic activity of chondrocytes (cells that make cartilage), increased collagen deposition, and increased chondrocyte proliferation. These results support clinical Prolotherapy research suggesting that intra-articular hypertonic dextrose joint injections reduce knee pain.”\r\n\r\nAll of this research definitely suggests that Prolotherapy is a viable treatment for knee osteoarthritis.\r\n\r\nWe suggest treating the knee in a comprehensive fashion, directed at all of the involved structures. Keep in mind that osteoarthritis did not happen suddenly, but is a degenerative process that occurs over time. In order to achieve optimal results, all of the involved structures need to be treated. Prolotherapy is a safe and effective treatment option that addresses soft tissue damage and degeneration and results in repair of the osteoarthritic knee.\r\n\r\nKnee osteoarthritis is one of the most common complaints that we see at OrthoRegen<sup>®</sup>. Regenerative Orthopedics are excellent osteoarthritis knee treatments because they address the root cause of what started the osteoarthritic progression...structural damage to the soft tissue of the knee that leads to degenerative changes in the knee. Stop the degenerative process with regenerative injection treatments such as Prolotherapy, PRP, and Stem Cells.\r\n<h3><strong>References</strong></h3>\r\n<ul>\r\n 	<li>Zhao AT, Caballero CJ, Nguyen LT, Vienne HC, Lee C, Kaye AD. A Comprehensive Update of Prolotherapy in the Management of Osteoarthritis of the Knee. Orthopedic Reviews. 2022 May 31;14(4):33921.</li>\r\n 	<li>Chen YW, Lin YN, Chen HC, Liou TH, Liao CD, Huang SW. Effectiveness, Compliance, and Safety of Dextrose Prolotherapy for Knee Osteoarthritis: A Meta-Analysis and Metaregression of Randomized Controlled Trials. Clinical Rehabilitation. 2022 Jun;36(6):740-52.</li>\r\n 	<li>Eslamian F, Amouzandeh B. Therapeutic effects of prolotherapy with intra-articular dextrose injection in patients with moderate knee osteoarthritis: a single-arm study with 6 months follow-up. Ther Adv Musculoskelet Dis. 2015 Apr;7(2):35-44.</li>\r\n 	<li>Shan Sit RW, Keung Wu RW, Rabago D, et al. Efficacy of Intra-Articular Hypertonic Dextrose (Prolotherapy) for Knee Osteoarthritis: A Randomized Controlled Trial. <em>Ann Fam Med</em>. 2020;18(3):235‐242. doi:10.1370/afm.2520</li>\r\n</ul>','Osteoarthritis Knee Treatment','','inherit','closed','closed','','5877-revision-v1','','','2023-09-12 21:46:13','2023-09-12 21:46:13','',5877,'https://www.drfields.com/?p=5885',0,'revision','',0),(5886,9,'2023-09-12 21:47:20','2023-09-12 21:47:20','<h2><img class=\"alignright wp-image-5880\" src=\"https://www.drfields.com/wp-content/uploads/2023/09/osteoarthritis-knee-treatment--500x419.png\" alt=\"Osteoarthritis Knee Treatment\" width=\"300\" height=\"251\" />Osteoarthritis Knee Treatment</h2>\r\nYour knee hurts. But you don\'t want surgery. Now what? We see many patients trying to avoid surgery. Some come because they injured their knee and are looking for repair to get back to their game. But many have arthritis pain. Their knee grinds and cracks and hurts. Plus, the arthritis symptoms are limiting their activity level, and they are looking for an osteoarthritis knee treatment that will increase their function again.\r\n\r\nThe majority have already tried pain medications and therapies, but the symptoms continue. Their orthopedic surgeon has likely recommended surgery, but is surgery the only option?\r\n\r\nSome have even had surgery already, but their pain continues. So what\'s the solution? We recommend Regenerative Orthopedics!\r\n<h3><strong>What Can Regenerative Orthopedics Offer for Knee Osteoarthritis?</strong></h3>\r\nThe Regenerative Orthopedic treatment Prolotherapy has been found to improve osteoarthritis pain. The journal <em>Orthopedic Reviews</em> says “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.\" (1)\r\n\r\nThat\'s great news. But it\'s only one study!\r\n<h3><strong>Is There More Research on the Effectiveness of Prolotherapy?</strong></h3>\r\nIn 2022, the journal <em>Clinical Rehabilitation</em> took a look at the effectiveness of Prolotherapy for knee osteoarthritis patients. The results? Prolotherapy had favorable results and yielded greater reduction in pain scores over placebo, and achieved comparable pain and function outcomes as other invasive therapies. (2)\r\n\r\nWe\'ve mentioned in previous articles that Prolotherapy is not a new treatment. It is gaining popularity lately, along with other regenerative treatments, but it has been around for quite some time. Back in the 1950s, Dr. George Hackett demonstrated the effectiveness of Prolotherapy to treat ligament damage. His research showed that ligament damage caused joint instability, which lead to the eventual osteoarthritis in a joint.\r\n\r\nOne of the reasons Prolotherapy is so effective for knee arthritis is because it addresses the entire knee and the instability from ligament damage. The instability that leads to arthritis is the same instability that is addressed with Prolotherapy. Oftentimes, it\'s not just one ligament that is damaged. If the force during the original injury was great enough to damage one ligament, it is very likely that other ligaments, as well as other joint structures, were affected. And these all need to be treated.\r\n\r\nKnee osteoarthritis is a progressive disease. It did not just happen overnight! The weak and injured ligaments, cause the joint to move abnormally. That abnormal movement causes forces on the knee joint to change, leading to more and more joint damage. Eventually, degeneration in the joint destroys the cartilage...and arthritis becomes apparent.\r\n\r\nAgain, the good news here is that Prolotherapy addresses the entire knee joint, repairing all of the involved soft tissue structures.\r\n<h3><strong>Prolotherapy Is An Effective Osteoarthritis Knee Treatment</strong></h3>\r\nThe journal, <em>Therapeutic Advances in Musculoskeletal Disease,</em> says that “Prolotherapy has been reported as a useful method in the treatment of chronic musculoskeletal and joint diseases. It is proposed that Prolotherapy causes mild inflammation and cell stress in the weakened ligament or tendon area, releases cytokines and growth factors and induces a new healing cascade in that area, which leads to activation of fibroblasts, generation of collagen precursors, and strengthening of the connective tissue.” (3)\r\n\r\nAnother study in the <em>Annals of Family Medicine</em> reports these findings about Prolotherapy for knee osteoarthritis: “Intra-articular dextrose Prolotherapy injections reduced pain, improved function and quality of life in patients with knee osteoarthritis compared with blinded saline injections. The procedure is straightforward and safe; the adherence and satisfaction were high.” (4)\r\n<h3><strong>And evidence even suggests that Prolotherapy can help with cartilage growth.</strong></h3>\r\nThe Researchers from the University of Southern California say this, \"(Prolotherapy) solution appears to be associated with the increased metabolic activity of chondrocytes (cells that make cartilage), increased collagen deposition, and increased chondrocyte proliferation. These results support clinical Prolotherapy research suggesting that intra-articular hypertonic dextrose joint injections reduce knee pain.”\r\n\r\nAll of this research definitely suggests that Prolotherapy is a viable treatment for knee osteoarthritis.\r\n\r\nWe suggest treating the knee in a comprehensive fashion, directed at all of the involved structures. Keep in mind that osteoarthritis did not happen suddenly, but is a degenerative process that occurs over time. In order to achieve optimal results, all of the involved structures need to be treated. Prolotherapy is a safe and effective treatment option that addresses soft tissue damage and degeneration and results in repair of the osteoarthritic knee.\r\n\r\nKnee osteoarthritis is one of the most common complaints that we see at OrthoRegen<sup>®</sup>. Regenerative Orthopedics are excellent osteoarthritis knee treatments because they address the root cause of what started the osteoarthritic progression...structural damage to the soft tissue of the knee that leads to degenerative changes in the knee. Stop the degenerative process with regenerative injection treatments such as Prolotherapy, PRP, and Stem Cells.\r\n<h3><strong>References</strong></h3>\r\n<ul>\r\n 	<li>Zhao AT, Caballero CJ, Nguyen LT, Vienne HC, Lee C, Kaye AD. A Comprehensive Update of Prolotherapy in the Management of Osteoarthritis of the Knee. Orthopedic Reviews. 2022 May 31;14(4):33921.</li>\r\n 	<li>Chen YW, Lin YN, Chen HC, Liou TH, Liao CD, Huang SW. Effectiveness, Compliance, and Safety of Dextrose Prolotherapy for Knee Osteoarthritis: A Meta-Analysis and Metaregression of Randomized Controlled Trials. Clinical Rehabilitation. 2022 Jun;36(6):740-52.</li>\r\n 	<li>Eslamian F, Amouzandeh B. Therapeutic effects of prolotherapy with intra-articular dextrose injection in patients with moderate knee osteoarthritis: a single-arm study with 6 months follow-up. Ther Adv Musculoskelet Dis. 2015 Apr;7(2):35-44.</li>\r\n 	<li>Shan Sit RW, Keung Wu RW, Rabago D, et al. Efficacy of Intra-Articular Hypertonic Dextrose (Prolotherapy) for Knee Osteoarthritis: A Randomized Controlled Trial. <em>Ann Fam Med</em>. 2020;18(3):235‐242. doi:10.1370/afm.2520</li>\r\n</ul>','Osteoarthritis Knee Treatment','','inherit','closed','closed','','5877-revision-v1','','','2023-09-12 21:47:20','2023-09-12 21:47:20','',5877,'https://www.drfields.com/?p=5886',0,'revision','',0),(5887,9,'2023-09-12 21:58:52','2023-09-12 21:58:52','<h2><img class=\"alignright wp-image-5880\" src=\"https://www.drfields.com/wp-content/uploads/2023/09/osteoarthritis-knee-treatment--500x419.png\" alt=\"Osteoarthritis Knee Treatment\" width=\"300\" height=\"251\" />Osteoarthritis Knee Treatment</h2>\r\nYour knee hurts. But you don\'t want surgery. Now what? We see many patients trying to avoid surgery. Some come because they injured their knee and are looking for repair to get back to their game. But many have arthritis pain. Their knee grinds and cracks and hurts. Plus, the arthritis symptoms limit their activity level, and they are looking for an osteoarthritis knee treatment to increase their function again.\r\n\r\nMost have already tried pain medications and therapies, but the symptoms continue. Their orthopedic surgeon has likely recommended surgery, but is surgery the only option?\r\n\r\nSome have even had surgery already, but their pain continues. So what\'s the solution? We recommend Regenerative Orthopedics!\r\n<h3><strong>What Can Regenerative Orthopedics Offer for Knee Osteoarthritis?</strong></h3>\r\nRegenerative Orthopedic treatments, like Prolotherapy, have been found to improve osteoarthritis pain. The journal <em>Orthopedic Reviews</em> says, “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.\" (1)\r\n\r\nThat\'s excellent news. But it\'s only one study!\r\n<h3><strong>Is There More Research on the Effectiveness of Prolotherapy?</strong></h3>\r\nIn 2022, the journal <em>Clinical Rehabilitation</em> looked at the effectiveness of Prolotherapy for knee osteoarthritis patients. The results? Prolotherapy had favorable results, yielding a greater reduction in pain scores over placebo and achieving comparable pain and function outcomes to other invasive therapies. (2)\r\n\r\nWe\'ve mentioned in previous articles that Prolotherapy is not a new treatment. It is gaining popularity lately, along with other regenerative therapies, but it has been around for quite some time. Back in the 1950s, Dr. George Hackett demonstrated Prolotherapy\'s effectiveness in treating ligament damage. His research showed that ligament damage caused joint instability, which led to the eventual osteoarthritis in a joint.\r\n\r\nOne of the reasons Prolotherapy is so effective for knee arthritis is because it addresses the entire knee and the instability from ligament damage. The instability that leads to arthritis is the same instability that is addressed with Prolotherapy. Often, it\'s not just one ligament that is damaged. If the force during the original injury was significant enough to damage one ligament, other ligaments, and joint structures were likely affected. And these all need to be treated.\r\n\r\nKnee osteoarthritis is a progressive disease. It did not just happen overnight! The weak and injured ligaments cause the joint to move abnormally. That abnormal movement causes forces on the knee joint to change, leading to more and more joint damage. Eventually, degeneration in the joint destroys the cartilage...and arthritis becomes apparent.\r\n\r\nAgain, the good news is that Prolotherapy addresses the entire knee joint, repairing all the involved soft tissue structures.\r\n<h3><strong>Prolotherapy Is An Effective Osteoarthritis Knee Treatment</strong></h3>\r\nThe journal <em>Therapeutic Advances in Musculoskeletal Disease</em> says, \"Prolotherapy has been reported as a useful method in treating chronic musculoskeletal and joint diseases. It is proposed that Prolotherapy causes mild inflammation and cell stress in the weakened ligament or tendon area, releases cytokines and growth factors, and induces a new healing cascade in that area, which leads to the activation of fibroblasts, generation of collagen precursors and strengthening of the connective tissue.” (3)\r\n\r\nAnother study in the <em>Annals of Family Medicine</em> reports these findings about Prolotherapy for knee osteoarthritis: “Intra-articular dextrose Prolotherapy injections reduced pain, improved function and quality of life in patients with knee osteoarthritis compared with blinded saline injections. The procedure is straightforward and safe; the adherence and satisfaction were high.” (4)\r\n<h3><strong>And evidence even suggests that Prolotherapy can help with cartilage growth.</strong></h3>\r\nThe Researchers from the University of Southern California say this, \"(Prolotherapy) solution appears to be associated with the increased metabolic activity of chondrocytes (cells that make cartilage), increased collagen deposition, and increased chondrocyte proliferation. These results support clinical Prolotherapy research suggesting that intra-articular hypertonic dextrose joint injections reduce knee pain.”\r\n\r\nAll of this research suggests that Prolotherapy is a viable treatment for knee osteoarthritis.\r\n\r\nWe recommend comprehensively treating the knee with regenerative treatment directed at all of the involved structures. Remember that osteoarthritis does not happen suddenly but is a degenerative process that occurs over time. To achieve optimal results, all of the involved structures need to be treated. Prolotherapy is a safe and effective treatment option that addresses soft tissue damage and degeneration resulting in the repair of the osteoarthritic knee.\r\n\r\nKnee osteoarthritis is one of the most common complaints that we see at OrthoRegen<sup>®</sup>. Regenerative Orthopedics are excellent osteoarthritis knee treatments because they address the root cause of what started the osteoarthritic progression...structural damage to the soft tissue of the knee that leads to degenerative changes in the knee. Stop the degenerative process with regenerative injection treatments such as Prolotherapy, PRP, and Stem Cells.\r\n<h3><strong>References</strong></h3>\r\n<ul>\r\n 	<li>Zhao AT, Caballero CJ, Nguyen LT, Vienne HC, Lee C, Kaye AD. A Comprehensive Update of Prolotherapy in the Management of Osteoarthritis of the Knee. Orthopedic Reviews. 2022 May 31;14(4):33921.</li>\r\n 	<li>Chen YW, Lin YN, Chen HC, Liou TH, Liao CD, Huang SW. Effectiveness, Compliance, and Safety of Dextrose Prolotherapy for Knee Osteoarthritis: A Meta-Analysis and Metaregression of Randomized Controlled Trials. Clinical Rehabilitation. 2022 Jun;36(6):740-52.</li>\r\n 	<li>Eslamian F, Amouzandeh B. Therapeutic effects of prolotherapy with intra-articular dextrose injection in patients with moderate knee osteoarthritis: a single-arm study with 6 months follow-up. Ther Adv Musculoskelet Dis. 2015 Apr;7(2):35-44.</li>\r\n 	<li>Shan Sit RW, Keung Wu RW, Rabago D, et al. Efficacy of Intra-Articular Hypertonic Dextrose (Prolotherapy) for Knee Osteoarthritis: A Randomized Controlled Trial. <em>Ann Fam Med</em>. 2020;18(3):235‐242. doi:10.1370/afm.2520</li>\r\n</ul>','Osteoarthritis Knee Treatment','','inherit','closed','closed','','5877-revision-v1','','','2023-09-12 21:58:52','2023-09-12 21:58:52','',5877,'https://www.drfields.com/?p=5887',0,'revision','',0),(5888,8,'2023-09-15 23:52:12','0000-00-00 00:00:00','','Auto Draft','','auto-draft','','open','','','','','2023-09-15 23:52:12','0000-00-00 00:00:00','',0,'https://www.drfields.com/?p=5888',0,'post','',0),(5889,8,'2023-09-15 23:53:23','2023-09-15 23:53:23','<p class=\"p1\"><strong>Your knee hurts. But you don\'t want surgery. Now what?</strong></p>\r\n<p class=\"p1\">We see many patients trying to avoid surgery. Some come because they injured their knee and are looking for repair to get back to doing what they love. And many have arthritis pain. Their knee grinds and cracks and hurts. Plus, the arthritis symptoms are limiting their activity level, and they are looking for an osteoarthritis knee treatment that will increase their function again.</p>\r\n<p class=\"p1\">The majority have already tried pain medications and therapies, but the symptoms continue. Their orthopedic surgeon has likely recommended surgery. Some have even had surgery already, but their pain continues. So what\'s the solution? We recommend Regenerative Orthopedics!</p>\r\n\r\n<h2 class=\"p1\"><b>What Can Regenerative Orthopedics Offer for Knee Osteoarthritis?</b></h2>\r\n<p class=\"p1\">The Regenerative Orthopedic treatment Prolotherapy has been found to improve osteoarthritis pain. The journal <i>Orthopedic Reviews</i> says, “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.\" (1)</p>\r\n<p class=\"p1\">That\'s great news. But do other studies show the same results from Prolotherapy?</p>\r\n\r\n<h2 class=\"p1\"><b>More Research on the Effectiveness of Prolotherapy</b></h2>\r\n<p class=\"p1\">In 2022, the journal <i>Clinical Rehabilitation</i> took a look at the effectiveness of Prolotherapy for knee osteoarthritis patients. The results? Prolotherapy had favorable results and yielded greater reduction in pain scores over placebo, and achieved comparable pain and function outcomes as invasive therapies. (2)</p>\r\n<p class=\"p1\">We\'ve mentioned in previous articles that Prolotherapy is not a new treatment. It\'s true that it is gaining popularity lately, along with other regenerative treatments, but it has been around for quite some time. In fact, back in the 1950s, Dr. George Hackett demonstrated the effectiveness of Prolotherapy to treat ligament damage. His research showed that ligament damage caused joint instability, and that joint instability lead to the eventual development of osteoarthritis in a joint.</p>\r\n<p class=\"p1\">One of the reasons Prolotherapy is so effective for knee arthritis is because it addresses the entire knee and the instability brought about by ligament damage. That means the instability that leads to arthritis is the same instability that is addressed with Prolotherapy. Oftentimes, it\'s not just one ligament that is damaged. When the force during the original injury is great enough to damage one ligament, it is very likely that other ligaments, and possibly other joint structures, were affected as well. And these all need to be treated.</p>\r\n\r\n<h2 class=\"p1\"><b>Knee Osteoarthritis Is Progressive</b></h2>\r\n<p class=\"p1\">Knee osteoarthritis is a progressive disease. It did not just happen overnight! The weak and injured ligaments, cause the joint to move abnormally (joint instability). That abnormal movement causes forces on the knee joint to change, leading to more and more joint damage. Eventually, degeneration in the joint destroys the cartilage...and arthritis becomes apparent.</p>\r\n<p class=\"p1\">Again, the good news here is that Prolotherapy addresses the entire knee joint, repairing all of the involved soft tissue structures.</p>\r\n\r\n<h2 class=\"p1\"><b>Prolotherapy Is An Effective Osteoarthritis Knee Treatment</b></h2>\r\n<p class=\"p4\">Research shows that Prolotherapy is effective for joint diseases, including knee osteoarthritis. The journal, <i>Therapeutic Advances in Musculoskeletal Disease </i>says“Prolotherapy has been reported as a useful method in the treatment of chronic musculoskeletal and joint diseases.” (3)</p>\r\n<p class=\"p4\">Another study in the <i>Annals of Family Medicine</i> reports, “Intra-articular dextrose Prolotherapy injections reduced pain, improved function and quality of life in patients with <b>knee osteoarthritis</b> compared with blinded saline injections. The procedure is straightforward and safe; the adherence and satisfaction were high.” (4)</p>\r\n\r\n<h2 class=\"p1\"><b>And evidence even suggests that Prolotherapy can help with cartilage growth.</b></h2>\r\n<p class=\"p1\">The Researchers from the University of Southern California say, \"(Prolotherapy) solution appears to be associated with the increased metabolic activity of chondrocytes (cells that make cartilage), increased collagen deposition, and increased chondrocyte proliferation. These results support clinical Prolotherapy research suggesting that intra-articular hypertonic dextrose joint injections reduce knee pain.”</p>\r\n<p class=\"p1\">All of this research definitely suggests that Prolotherapy is a viable treatment for knee osteoarthritis.</p>\r\n\r\n<h2 class=\"p1\"><b>Knee Osteoarthritis Treatment at OrthoRegen®</b></h2>\r\n<p class=\"p1\">We suggest treating the knee in a comprehensive fashion, directed at all of the involved structures. Keep in mind that osteoarthritis did not happen suddenly, but is a degenerative process that occurs over time. In order to achieve optimal results, all of the involved structures need to be treated. Prolotherapy is a safe and effective treatment option that addresses soft tissue damage and degeneration, resulting in repair of the osteoarthritic knee.</p>\r\n<p class=\"p4\">Knee osteoarthritis is one of the most common complaints that we see at OrthoRegen®. Regenerative Orthopedics, like Prolotherapy, are excellent osteoarthritis knee treatments because they address the root cause of what started the osteoarthritic progression, the structural damage to the soft tissue of the knee. Stop the degenerative process with regenerative injection treatments such as Prolotherapy, PRP, and Stem Cells.</p>\r\n\r\n<h3 class=\"p4\"><b>References</b></h3>\r\n<ol class=\"ol1\">\r\n 	<li class=\"li4\">Zhao AT, Caballero CJ, Nguyen LT, Vienne HC, Lee C, Kaye AD. A Comprehensive Update of Prolotherapy in the Management of Osteoarthritis of the Knee. Orthopedic Reviews. 2022 May 31;14(4):33921.</li>\r\n 	<li class=\"li4\">Chen YW, Lin YN, Chen HC, Liou TH, Liao CD, Huang SW. Effectiveness, Compliance, and Safety of Dextrose Prolotherapy for Knee Osteoarthritis: A Meta-Analysis and Metaregression of Randomized Controlled Trials. Clinical Rehabilitation. 2022 Jun;36(6):740-52.</li>\r\n 	<li class=\"li4\">Eslamian F, Amouzandeh B. Therapeutic effects of prolotherapy with intra-articular dextrose injection in patients with moderate knee osteoarthritis: a single-arm study with 6 months follow-up. Ther Adv Musculoskelet Dis. 2015 Apr;7(2):35-44.</li>\r\n 	<li class=\"li4\">Shan Sit RW, Keung Wu RW, Rabago D, et al. Efficacy of Intra-Articular Hypertonic Dextrose (Prolotherapy) for Knee Osteoarthritis: A Randomized Controlled Trial. <i>Ann Fam Med</i>. 2020;18(3):235‐242. doi:10.1370/afm.2520</li>\r\n</ol>','Osteoarthritis Knee Treatment','','trash','closed','open','','osteoarthritis-knee-treatment-2__trashed','','','2023-09-15 23:53:47','2023-09-15 23:53:47','',0,'https://www.drfields.com/?p=5889',0,'post','',0),(5890,8,'2023-09-15 23:52:52','2023-09-15 23:52:52','<p class=\"p1\">Your knee hurts. But you don\'t want surgery. Now what?</p>\r\n<p class=\"p1\">We see many patients trying to avoid surgery. Some come because they injured their knee and are looking for repair to get back to doing what they love. And many have arthritis pain. Their knee grinds and cracks and hurts. Plus, the arthritis symptoms are limiting their activity level, and they are looking for an osteoarthritis knee treatment that will increase their function again.</p>\r\n<p class=\"p1\">The majority have already tried pain medications and therapies, but the symptoms continue. Their orthopedic surgeon has likely recommended surgery. Some have even had surgery already, but their pain continues. So what\'s the solution? We recommend Regenerative Orthopedics!</p>\r\n<p class=\"p1\"><b>What Can Regenerative Orthopedics Offer for Knee Osteoarthritis?</b></p>\r\n<p class=\"p1\">The Regenerative Orthopedic treatment Prolotherapy has been found to improve osteoarthritis pain. The journal <i>Orthopedic Reviews</i> says, “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.\" (1)</p>\r\n<p class=\"p1\">That\'s great news. But do other studies show the same results from Prolotherapy?</p>\r\n<p class=\"p1\"><b>More Research on the Effectiveness of Prolotherapy</b></p>\r\n<p class=\"p1\">In 2022, the journal <i>Clinical Rehabilitation</i> took a look at the effectiveness of Prolotherapy for knee osteoarthritis patients. The results? Prolotherapy had favorable results and yielded greater reduction in pain scores over placebo, and achieved comparable pain and function outcomes as invasive therapies. (2)</p>\r\n<p class=\"p1\">We\'ve mentioned in previous articles that Prolotherapy is not a new treatment. It\'s true that it is gaining popularity lately, along with other regenerative treatments, but it has been around for quite some time. In fact, back in the 1950s, Dr. George Hackett demonstrated the effectiveness of Prolotherapy to treat ligament damage. His research showed that ligament damage caused joint instability, and that joint instability lead to the eventual development of osteoarthritis in a joint.</p>\r\n<p class=\"p1\">One of the reasons Prolotherapy is so effective for knee arthritis is because it addresses the entire knee and the instability brought about by ligament damage. That means the instability that leads to arthritis is the same instability that is addressed with Prolotherapy. Oftentimes, it\'s not just one ligament that is damaged. When the force during the original injury is great enough to damage one ligament, it is very likely that other ligaments, and possibly other joint structures, were affected as well. And these all need to be treated.</p>\r\n\r\n<h2 class=\"p1\"><b>Knee Osteoarthritis Is Progressive</b></h2>\r\n<p class=\"p1\">Knee osteoarthritis is a progressive disease. It did not just happen overnight! The weak and injured ligaments, cause the joint to move abnormally (joint instability). That abnormal movement causes forces on the knee joint to change, leading to more and more joint damage. Eventually, degeneration in the joint destroys the cartilage...and arthritis becomes apparent.</p>\r\n<p class=\"p1\">Again, the good news here is that Prolotherapy addresses the entire knee joint, repairing all of the involved soft tissue structures.</p>\r\n\r\n<h2 class=\"p1\"><b>Prolotherapy Is An Effective Osteoarthritis Knee Treatment</b></h2>\r\n<p class=\"p4\">Research shows that Prolotherapy is effective for joint diseases, including knee osteoarthritis. The journal, <i>Therapeutic Advances in Musculoskeletal Disease </i>says“Prolotherapy has been reported as a useful method in the treatment of chronic musculoskeletal and joint diseases.” (3)</p>\r\n<p class=\"p4\">Another study in the <i>Annals of Family Medicine</i> reports, “Intra-articular dextrose Prolotherapy injections reduced pain, improved function and quality of life in patients with <b>knee osteoarthritis</b> compared with blinded saline injections. The procedure is straightforward and safe; the adherence and satisfaction were high.” (4)</p>\r\n\r\n<h2 class=\"p1\"><b>And evidence even suggests that Prolotherapy can help with cartilage growth.</b></h2>\r\n<p class=\"p1\">The Researchers from the University of Southern California say, \"(Prolotherapy) solution appears to be associated with the increased metabolic activity of chondrocytes (cells that make cartilage), increased collagen deposition, and increased chondrocyte proliferation. These results support clinical Prolotherapy research suggesting that intra-articular hypertonic dextrose joint injections reduce knee pain.”</p>\r\n<p class=\"p1\">All of this research definitely suggests that Prolotherapy is a viable treatment for knee osteoarthritis.</p>\r\n\r\n<h2 class=\"p1\"><b>Knee Osteoarthritis Treatment at OrthoRegen®</b></h2>\r\n<p class=\"p1\">We suggest treating the knee in a comprehensive fashion, directed at all of the involved structures. Keep in mind that osteoarthritis did not happen suddenly, but is a degenerative process that occurs over time. In order to achieve optimal results, all of the involved structures need to be treated. Prolotherapy is a safe and effective treatment option that addresses soft tissue damage and degeneration, resulting in repair of the osteoarthritic knee.</p>\r\n<p class=\"p4\">Knee osteoarthritis is one of the most common complaints that we see at OrthoRegen®. Regenerative Orthopedics, like Prolotherapy, are excellent osteoarthritis knee treatments because they address the root cause of what started the osteoarthritic progression, the structural damage to the soft tissue of the knee. Stop the degenerative process with regenerative injection treatments such as Prolotherapy, PRP, and Stem Cells.</p>\r\n<p class=\"p4\"><b>References</b></p>\r\n\r\n<ol class=\"ol1\">\r\n 	<li class=\"li4\">Zhao AT, Caballero CJ, Nguyen LT, Vienne HC, Lee C, Kaye AD. A Comprehensive Update of Prolotherapy in the Management of Osteoarthritis of the Knee. Orthopedic Reviews. 2022 May 31;14(4):33921.</li>\r\n 	<li class=\"li4\">Chen YW, Lin YN, Chen HC, Liou TH, Liao CD, Huang SW. Effectiveness, Compliance, and Safety of Dextrose Prolotherapy for Knee Osteoarthritis: A Meta-Analysis and Metaregression of Randomized Controlled Trials. Clinical Rehabilitation. 2022 Jun;36(6):740-52.</li>\r\n 	<li class=\"li4\">Eslamian F, Amouzandeh B. Therapeutic effects of prolotherapy with intra-articular dextrose injection in patients with moderate knee osteoarthritis: a single-arm study with 6 months follow-up. Ther Adv Musculoskelet Dis. 2015 Apr;7(2):35-44.</li>\r\n 	<li class=\"li4\">Shan Sit RW, Keung Wu RW, Rabago D, et al. Efficacy of Intra-Articular Hypertonic Dextrose (Prolotherapy) for Knee Osteoarthritis: A Randomized Controlled Trial. <i>Ann Fam Med</i>. 2020;18(3):235‐242. doi:10.1370/afm.2520</li>\r\n</ol>','Osteoarthritis Knee Treatment','','inherit','closed','closed','','5889-revision-v1','','','2023-09-15 23:52:52','2023-09-15 23:52:52','',5889,'https://www.drfields.com/?p=5890',0,'revision','',0),