(5456,9,'2022-08-03 21:25:52','2022-08-03 21:25:52','<img class=\"wp-image-5455 \" src=\"https://www.drfields.com/wp-content/uploads/2022/08/Cortisone.-Jama-1-500x419.png\" alt=\"Cortisone. Jama\" width=\"419\" height=\"351\" />\r\n<h2>Are Cortisone Shots a Good Option?</h2>\r\nCortisone shots are a common treatment option for joint pain relief. But are these injections a good course of action? Many times they are not! Even though cortisone injections are frequently recommended, they have an adverse effect on the bone and soft tissue healing.\r\n<h2>Cortisone Injections Are Harmful?</h2>\r\nCortisone shots, or corticosteroid injections, inactivate vitamin D. That means they limit calcium absorption by the gastrointestinal tract, which decreases calcium uptake for the bone. This process will ultimately lead to weakness in the bone.\r\n\r\nAdditionally, corticosteroids inhibit the release of growth hormones. What does that mean? The decrease in growth hormone will interfere with soft tissue and bone repair. The result is an overall decrease in the strength of the bones, ligaments, and tendons.\r\n\r\nFurthermore, corticosteroids inhibit chondrocyte production. Chondrocytes are the cells responsible for cartilage formation. Therefore, corticosteroids interfere with the formation of cartilage, collagen, and even blood vessel formation.\r\n<h2>Will Just One Shot of Cortisone Be a Problem?</h2>\r\nThe medical journal <em>Radiology </em>lists the side effects of cortisone injections in an article called “Intra-articular Corticosteroid Injections in the Hip and Knee: Perhaps Not as Safe as We Thought?”.1 The article states that the side effects of cortisone injections include:\r\n<ul>\r\n 	<li><strong>Accelerated osteoarthritis progression</strong></li>\r\n 	<li><strong>Subchondral insufficiency fracture</strong></li>\r\n 	<li><strong>Complications of osteonecrosis</strong></li>\r\n 	<li><strong>Rapid joint destruction with bone loss</strong></li>\r\n</ul>\r\nThe study\'s lead researcher found that “corticosteroid injections may be associated with complications that potentially accelerate the destruction of the joint and may hasten the need for total hip and knee replacements.” He also says, “We’ve been telling patients that even if these injections don’t relieve your pain, they’re not going to hurt you.” But that is not really true. He says, “But now we suspect this is not necessarily the case.”1\r\n\r\nThe researcher continues, “Physicians do not commonly tell patients about the possibility of joint collapse or subchondral insufficiency fractures that may lead to earlier total hip or knee replacement,” “This information should be part of the consent when you inject patients with intra-articular corticosteroids.”\r\n\r\nWith this information, it would seem then that even one injection should be avoided if possible.\r\n<h2>But Does Cortisone Help with Pain?</h2>\r\nSome people do get relief from cortisone. But not all people do! And corticosteroid injections have been used for a very long time. Their anti-inflammatory and pain relief properties made their use a common practice within the medical community.\r\n\r\nHowever, the same properties that make them effective in decreasing inflammation and pain are the same properties that lead to the destruction of cartilage.\r\n<h2>The Effects of Cortisone Injections on Cartilage</h2>\r\nIn 2017, an article in the Journal of the American Medical Association (JAMA) asks the question, “What are the effects of intra-articular injection of 40 mg of triamcinolone acetonide every three months on the progression of cartilage loss and knee pain in patients with osteoarthritis?”2\r\n\r\nThe answer: “Among patients with symptomatic knee osteoarthritis, two years of intra-articular triamcinolone, compared with intra-articular saline, resulted in significantly greater cartilage volume loss and no significant difference in knee pain. These findings do not support this treatment for patients with symptomatic knee osteoarthritis.”2\r\n<h2>Regenerative Orthopedics: An Alternative to Cortisone Injections</h2>\r\nSo what is the alternative to cortisone, considering pain relief is still necessary? That’s where Regenerative Orthopedics comes in!  Treatments like Stem Cell Therapy, PRP, and Prolotherapy work to actually repair the arthritic joint. They don’t just cover up the pain as many other treatments do. These treatments provide pain relief. They actually heal the joints, strengthen the structures of the joints, and even boost the growth of cartilage.\r\n\r\nRegenerative Orthopedics regenerates the joint rather than causing degeneration like what occurs with cortisone injections. There is also minimal downtime needed when receiving these regenerative treatments. That means you can continue to exercise and move the joint, which is essential for a healthy joint. Exercise helps ease pain, improve mobility, and strengthen muscles around the joints.\r\n\r\nRegenerative Orthopedics is the treatment of choice to achieve the pain relief you desire while returning function to your painful joint and helping you to once again participate in the activities you enjoy.\r\n\r\n1Kompel AJ, Roemer FW, Murakami AM, Diaz LE, Crema MD, Guermazi A. Intra-articular Corticosteroid Injections in the Hip and Knee: Perhaps Not as Safe as We Thought? <em>Radiology</em>, 2019; 190341\r\n\r\n2McAlindon TE, LaValley MP, Harvey WF, Price LL, Driban JB, Zhang M, Ward RJ. Effect of Intra-articular Triamcinolone vs Saline on Knee Cartilage Volume and Pain in Patients With Knee OsteoarthritisA Randomized Clinical Trial. <em>JAMA.</em> 2017;317(19):1967-1975.','Are Cortisone Shots a Good Option?','','inherit','closed','closed','','5446-revision-v1','','','2022-08-03 21:25:52','2022-08-03 21:25:52','',5446,'https://www.drfields.com/?p=5456',0,'revision','',0),(5457,9,'2022-08-03 21:26:01','2022-08-03 21:26:01','<img class=\"wp-image-5455  alignright\" src=\"https://www.drfields.com/wp-content/uploads/2022/08/Cortisone.-Jama-1-500x419.png\" alt=\"Cortisone. Jama\" width=\"419\" height=\"351\" />\r\n<h2>Are Cortisone Shots a Good Option?</h2>\r\nCortisone shots are a common treatment option for joint pain relief. But are these injections a good course of action? Many times they are not! Even though cortisone injections are frequently recommended, they have an adverse effect on the bone and soft tissue healing.\r\n<h2>Cortisone Injections Are Harmful?</h2>\r\nCortisone shots, or corticosteroid injections, inactivate vitamin D. That means they limit calcium absorption by the gastrointestinal tract, which decreases calcium uptake for the bone. This process will ultimately lead to weakness in the bone.\r\n\r\nAdditionally, corticosteroids inhibit the release of growth hormones. What does that mean? The decrease in growth hormone will interfere with soft tissue and bone repair. The result is an overall decrease in the strength of the bones, ligaments, and tendons.\r\n\r\nFurthermore, corticosteroids inhibit chondrocyte production. Chondrocytes are the cells responsible for cartilage formation. Therefore, corticosteroids interfere with the formation of cartilage, collagen, and even blood vessel formation.\r\n<h2>Will Just One Shot of Cortisone Be a Problem?</h2>\r\nThe medical journal <em>Radiology </em>lists the side effects of cortisone injections in an article called “Intra-articular Corticosteroid Injections in the Hip and Knee: Perhaps Not as Safe as We Thought?”.1 The article states that the side effects of cortisone injections include:\r\n<ul>\r\n 	<li><strong>Accelerated osteoarthritis progression</strong></li>\r\n 	<li><strong>Subchondral insufficiency fracture</strong></li>\r\n 	<li><strong>Complications of osteonecrosis</strong></li>\r\n 	<li><strong>Rapid joint destruction with bone loss</strong></li>\r\n</ul>\r\nThe study\'s lead researcher found that “corticosteroid injections may be associated with complications that potentially accelerate the destruction of the joint and may hasten the need for total hip and knee replacements.” He also says, “We’ve been telling patients that even if these injections don’t relieve your pain, they’re not going to hurt you.” But that is not really true. He says, “But now we suspect this is not necessarily the case.”1\r\n\r\nThe researcher continues, “Physicians do not commonly tell patients about the possibility of joint collapse or subchondral insufficiency fractures that may lead to earlier total hip or knee replacement,” “This information should be part of the consent when you inject patients with intra-articular corticosteroids.”\r\n\r\nWith this information, it would seem then that even one injection should be avoided if possible.\r\n<h2>But Does Cortisone Help with Pain?</h2>\r\nSome people do get relief from cortisone. But not all people do! And corticosteroid injections have been used for a very long time. Their anti-inflammatory and pain relief properties made their use a common practice within the medical community.\r\n\r\nHowever, the same properties that make them effective in decreasing inflammation and pain are the same properties that lead to the destruction of cartilage.\r\n<h2>The Effects of Cortisone Injections on Cartilage</h2>\r\nIn 2017, an article in the Journal of the American Medical Association (JAMA) asks the question, “What are the effects of intra-articular injection of 40 mg of triamcinolone acetonide every three months on the progression of cartilage loss and knee pain in patients with osteoarthritis?”2\r\n\r\nThe answer: “Among patients with symptomatic knee osteoarthritis, two years of intra-articular triamcinolone, compared with intra-articular saline, resulted in significantly greater cartilage volume loss and no significant difference in knee pain. These findings do not support this treatment for patients with symptomatic knee osteoarthritis.”2\r\n<h2>Regenerative Orthopedics: An Alternative to Cortisone Injections</h2>\r\nSo what is the alternative to cortisone, considering pain relief is still necessary? That’s where Regenerative Orthopedics comes in!  Treatments like Stem Cell Therapy, PRP, and Prolotherapy work to actually repair the arthritic joint. They don’t just cover up the pain as many other treatments do. These treatments provide pain relief. They actually heal the joints, strengthen the structures of the joints, and even boost the growth of cartilage.\r\n\r\nRegenerative Orthopedics regenerates the joint rather than causing degeneration like what occurs with cortisone injections. There is also minimal downtime needed when receiving these regenerative treatments. That means you can continue to exercise and move the joint, which is essential for a healthy joint. Exercise helps ease pain, improve mobility, and strengthen muscles around the joints.\r\n\r\nRegenerative Orthopedics is the treatment of choice to achieve the pain relief you desire while returning function to your painful joint and helping you to once again participate in the activities you enjoy.\r\n\r\n1Kompel AJ, Roemer FW, Murakami AM, Diaz LE, Crema MD, Guermazi A. Intra-articular Corticosteroid Injections in the Hip and Knee: Perhaps Not as Safe as We Thought? <em>Radiology</em>, 2019; 190341\r\n\r\n2McAlindon TE, LaValley MP, Harvey WF, Price LL, Driban JB, Zhang M, Ward RJ. Effect of Intra-articular Triamcinolone vs Saline on Knee Cartilage Volume and Pain in Patients With Knee OsteoarthritisA Randomized Clinical Trial. <em>JAMA.</em> 2017;317(19):1967-1975.','Are Cortisone Shots a Good Option?','','inherit','closed','closed','','5446-revision-v1','','','2022-08-03 21:26:01','2022-08-03 21:26:01','',5446,'https://www.drfields.com/?p=5457',0,'revision','',0),(5459,8,'2022-08-10 06:00:58','2022-08-10 06:00:58','<img class=\"wp-image-5460 alignright\" title=\"Non-Surgical Partial Rotator Cuff Tear Repair\" src=\"https://www.drfields.com/wp-content/uploads/2022/08/Rotator-Cuff.-J-Ortho-Surg-Research-500x425.jpeg\" alt=\"Non-Surgical Partial Rotator Cuff Tear Repair\" width=\"300\" height=\"255\" />\r\n<h2>Partial Rotator Cuff Tear Repair</h2>\r\nHave you been told you have a partial rotator cuff tear? Surgery may have also been recommended, but you would like to avoid that. So what else can you do? At OrthoRegen®, you have a non-surgical option.\r\n\r\nWe often see patients in our office trying to avoid surgery after diagnosing a partial rotator cuff tear. And we would like to help them accomplish their pain relief and restoration of function goals! Once we do a physical examination and take a medical history, we can assess which regenerative treatment will most effectively repair your shoulder from the damage sustained to the rotator cuff.\r\n<h2>The Rotator Cuff</h2>\r\nThere are four muscles inside of the shoulder that allow us to rotate our arms. These four muscles form a cuff of tendons around the top of the arm or the humeral head. With a rotator cuff tear, one or more of the tendons of those four rotator cuff muscles of the shoulder are involved.\r\n\r\nThe rotator cuff is designed to move the shoulder joint. When there is a tear, the tendons are weakened and will degenerate, increasing their susceptibility to even more tears. Rotator cuff tears will create a cycle of instability in the shoulder and set it up for more damage if not treated.\r\n<h2>What Is Done for Shoulder Instability from Rotator Cuff Tears?</h2>\r\nTreatment for shoulder instability from tears often involves rotator cuff strengthening exercises of the four muscles of the shoulder, which include the supraspinatus, infraspinatus, subscapularis, and teres minor. They help stabilize the shoulder and assist with movement.\r\n\r\nUnfortunately, even though strengthening exercises help strengthen the shoulder muscles, they often do not resolve the underlying problem of shoulder instability. To fix shoulder joint instability, the shoulder tendons, ligaments, and shoulder capsular structures must all be strengthened. And that’s where Regenerative Orthopedics comes in!\r\n<h2>Regenerative Orthopedics Effectively Repairs Partial Rotator Cuff Tears</h2>\r\nRegenerative Orthopedics, like Prolotherapy, PRP, and Stem Cells, are excellent options for rotator cuff injuries because the treatments involve repairing and regenerating soft tissue. Plus, these non-surgical therapies offer repair with a short recovery time.\r\n\r\nRegenerative Orthopedics addresses the root cause of the problem by repairing the tear and the instability as a first-line alternative to costly and invasive surgery. And that leads to a better recovery.\r\n<h2>What If Surgery Has Been Recommended?</h2>\r\nA February 2022 paper in the journal Orthopedic Research and Reviews(1) discussed the challenges of treating a partial rotator cuff tear.\r\n\r\nThey said: “Partial thickness tears of the rotator cuff are a common cause of shoulder pain and disability. Surgery is confined to those experiencing severe symptoms despite non-operative measures and for tears involving greater than 50% thickness. A number of surgical strategies have been described, but there is insufficient evidence to advocate one repair technique over another. . . ”\r\n\r\nSure, it’s possible to have successful shoulder surgery. But why choose surgery when there is an alternative that has a much shorter recovery period? We see many patients who are exploring alternatives to rotator cuff surgery because they would like to get back to work or a sport more quickly and would prefer to avoid the long post-surgical recovery time.\r\n<h2>Is Partial Rotator Cuff Surgery Even Effective?</h2>\r\n<ul>\r\n 	<li><strong>The American Journal of Sports Medicine</strong> reports that rotator cuff repair often results in significant pain postoperatively. They studied patients who underwent arthroscopic rotator cuff repair. Even a smaller tear area was associated with more frequent and severe pain after repair. Plus, even younger patients who had partial-thickness tears and had occupational injuries experienced more pain postoperatively.(2)</li>\r\n 	<li><strong>The Orthopaedic Journal of Sports Medicine</strong> found that “After rotator cuff repair, some patients have ongoing problems significant enough to warrant presentation to a clinic for reassessment.” About 1 in 6 patients had problems after the surgical procedure. (3)</li>\r\n</ul>\r\n<h2>The Regenerative Orthopedics Alternative</h2>\r\nRegenerative Orthopedics is the non-surgical alternative that can offer repair without the prolonged recovery time of surgery.\r\n\r\nPRP or Stem Cells may be recommended depending on the injury or degeneration involved. PRP and Stem Cells accelerate healing by using your own blood platelets and/or stem cells. These are always used in conjunction with Dextrose Prolotherapy to provide the most comprehensive treatment and repair.\r\n<h2>Are Stem Cells and PRP Effective for Rotator Cuff Tears?</h2>\r\nThe Orthopedic Research and Reviews journal reports, “Stem cell treatment for rotator cuff tears is a promising development because they have been shown to result in an anti-inflammatory response, improved tendon regeneration, optimized collagen fiber arrangement, higher load-to-failure, and higher tensile strength. . . In a non-randomized controlled trial comparing the effects of an exercise regime to PRP combined with bone marrow aspirate (BMAC-PRP complex) on partial rotator cuff tears, the experimental group demonstrated a significantly greater improvement in (pain, function and disability) scores compared to controls at three months. Tear size decreased after BMAC-PRP injection although this did not significantly differ from controls.”(1)\r\n\r\nThe Journal of Orthopaedic Surgery and Research found a positive benefit of a combined bone marrow aspirate concentrate (stem cell) and platelet-rich plasma (PRP) BMAC-PRP injection in patients with a partial tear of the rotator cuff tendon. (4)\r\n\r\nThe combination of repair with these regenerative treatments promises an excellent chance for full recovery and full performance. In the event that surgery is truly necessary, Regenerative Orthopedics is also an excellent post-operative treatment to improve tissue strength, stability, and overall recovery. This may be a possibility when a rotator cuff tear has become large enough to produce profound weakness in the shoulder.\r\n\r\nPlease <a href=\"https://www.drfields.com/contact/\">contact us</a> at OrthoRegen®, and tell us more about your case to determine if you are a good candidate for Comprehensive Regenerative Orthopedics.\r\n<h3><strong>References</strong></h3>\r\n1Thangarajah T, Lo IK. Optimal Management of Partial Thickness Rotator Cuff Tears: Clinical Considerations and Practical Management. Orthopedic Research and Reviews. 2022;14:59.\r\n\r\n2Yeo, Daniel YT, et al. \"The relationship between intraoperative tear dimensions and postoperative pain in 1624 consecutive arthroscopic rotator cuff repairs.\" The American Journal of Sports Medicine 45.4 (2017): 788-793.\r\n\r\n3Rizvi SM, Lam P, Murrell GA. Repair Integrity in Patients Returning for an Unscheduled Visit After Arthroscopic Rotator Cuff Repair: Retorn or Not? Orthopaedic journal of sports medicine. 2018 May 29;6(6):2325967118775061.\r\n\r\n4Kim SJ, Kim EK, Kim SJ. Effects of bone marrow aspirate concentrate and platelet-rich plasma on patients with partial tear of the rotator cuff tendon. Journal of orthopaedic surgery and research. 2018 Dec;13(1):1.','Non-Surgical Partial Rotator Cuff Tear Repair','','publish','closed','open','','non-surgical-partial-rotator-cuff-tear-repair','','','2022-08-22 20:03:16','2022-08-22 20:03:16','',0,'https://www.drfields.com/?p=5459',0,'post','',0),(5460,8,'2022-08-10 03:56:52','2022-08-10 03:56:52','Rotator Cuff. J Ortho Surg Research','Rotator Cuff. J Ortho Surg Research','Rotator Cuff. J Ortho Surg Research','inherit','closed','closed','','rotator-cuff-j-ortho-surg-research','','','2022-08-10 03:56:52','2022-08-10 03:56:52','',5459,'https://www.drfields.com/wp-content/uploads/2022/08/Rotator-Cuff.-J-Ortho-Surg-Research.jpeg',0,'attachment','image/jpeg',0),(5461,8,'2022-08-10 03:57:32','2022-08-10 03:57:32','<img class=\"wp-image-5460\" title=\"Non-Surgical Partial Rotator Cuff Tear Repair\" src=\"https://www.drfields.com/wp-content/uploads/2022/08/Rotator-Cuff.-J-Ortho-Surg-Research-500x425.jpeg\" alt=\"Non-Surgical Partial Rotator Cuff Tear Repair\" width=\"300\" height=\"255\" />\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Have you been told you have a partial rotator cuff tear? Surgery may have also been recommended but you would like to avoid that. So what else can you do? At OrthoRegen</span>®<span lang=\"en-US\">, you have a non-surgical option.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">We often see patients in our office who are trying to avoid surgery after a diagnosis of a partial rotator cuff tear. And we would like to help them accomplish their pain relief and restoration of function goals! Once we do a physical examination and take a medical history, we can assess which regenerative treatment will be the most effective at repairing your shoulder from the damage sustained to the rotator cuff.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">The Rotator Cuff</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">There are four muscles inside of the shoulder that allow us to rotate our arm.</span> <span lang=\"en-US\">These four muscles form a cuff of tendons around the top of the arm or the humeral head. With a the rotator cuff tear, one or more of the tendons of those four rotator cuff muscles of the shoulder are involved</span>.</p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The rotator cuff is designed to move the shoulder joint. When there is a tear, the tendons are weakened and will degenerate, increasing their susceptibility to even more tearing. Rotator cuff tears will create a cycle of instability in the shoulder and set it up for more damage if not treated.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">What Is Done for Shoulder Instability from Rotator Cuff Tears? </span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Treatment for shoulder instability from tears often involves rotator cuff strengthening exercises, of the four muscles of the shoulder which include the supraspinatus, infraspinatus, subscapularis, and teres minor. They help stabilize the shoulder and assist with movement. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Unfortunately, even though strengthening exercises help strengthen the shoulder muscles,</span> <span lang=\"en-US\">they often do not resolve the underlying problem of shoulder instability. To fix shoulder joint instability, the shoulder tendons, ligaments and shoulder capsular structures must all be strengthened. And that’s where Regenerative Orthopedics comes in!</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative Orthopedics Effectively Repairs Partial Rotator Cuff Tears</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative Orthopedics, like Prolotherapy, PRP, and Stem Cells,</span> <span lang=\"en-US\">are excellent options for rotator cuff injuries because the treatments involve the repair and the regeneration of soft tissue. Plus, these non-surgical therapies offer repair with a short recovery time.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">As a first-line alternative to costly and invasive surgery, Regenerative Orthopedics addresses the root cause of the problem by repairing the tear and the instability. And that leads to a better recovery. </span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">What If Surgery Has Been Recommended?</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">A February 2022 paper in the journal </span><span lang=\"en-US\">Orthopedic Research and Reviews</span><span lang=\"en-US\"> discussed the challenges of treating a partial rotator cuff tear. They said: </span>“<span lang=\"en-US\">Partial thickness tears of the rotator cuff are a common cause of shoulder pain and disability. Surgery is confined to those experiencing severe symptoms despite non-operative measures, and for tears involving greater than 50% thickness. A number of surgical strategies have been described, but there is insufficient evidence to advocate one repair technique over another. . . </span>” <span lang=\"en-US\">1</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Sure, it’s possible to have a successful shoulder surgery</span>. <span lang=\"en-US\">But why choose surgery when there is an alternative that has a much shorter recovery period? We see many patients who are exploring alternatives to rotator cuff surgery because they would like to get back to work or a sport more quickly, and would prefer to avoid the long post-surgical recovery time. </span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Is Partial Rotator Cuff Surgery Even Effective?</span></h2>\r\n<ul>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><strong><span lang=\"en-US\">The </span><span lang=\"en-US\">American Journal of Sports Medicine </span></strong><span lang=\"en-US\">reports that rotator cuff repair often results in significant pain postoperatively. They studied patients who underwent arthroscopic rotator cuff repair. Even a smaller tear area was associated with more frequent and severe pain after repair. </span>P<span lang=\"en-US\">lus, even younger patients who had partial-thickness tears and had occupational injuries experienced more pain postoperatively.2</span></p>\r\n</li>\r\n</ul>\r\n<ul>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><strong><span lang=\"en-US\">The </span><span lang=\"en-US\">Orthopaedic Journal of Sports Medicine </span></strong><span lang=\"en-US\">found that </span>“<span lang=\"en-US\">After rotator cuff repair, some patients have ongoing problems significant enough to warrant presentation to a clinic for reassessment.</span>” <span lang=\"en-US\">About 1 in 6 patients had problems after the surgical procedure</span>.<span lang=\"en-US\">3</span></p>\r\n</li>\r\n</ul>\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">The Regenerative Orthopedics Alternative</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative Orthopedics is the non-surgical alternative that can offer repair without the prolonged recovery time of surgery.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Depending on the injury or degeneration involved, PRP or Stem Cells may be recommended. PRP and Stem Cells accelerate healing by using your own blood platelets and/or stem cells. These are always utilized in conjunction with Dextrose Prolotherapy in order to provide the most comprehensive treatment and repair.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Are Stem Cells and PRP Effective for Rotator Cuff Tears?</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The </span><span lang=\"en-US\">Orthopedic Research and Reviews</span> <span lang=\"en-US\">journal reports, </span>“<span lang=\"en-US\">Stem cell treatment for rotator cuff tears is a promising development because they have been shown to result in an anti-inflammatory response, improved tendon regeneration, optimized collagen fiber arrangement, higher load-to-failure, and higher tensile strength. . . In a non-randomized controlled trial comparing the effects of an exercise regime to PRP combined with bone marrow aspirate (BMAC-PRP complex) on partial rotator cuff tears, the experimental group demonstrated a significantly greater improvement in (pain, function and disability) scores compared to controls at three months. Tear size decreased after BMAC-PRP injection although this did not significantly differ from controls.</span>”<span lang=\"en-US\">1</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The </span><span lang=\"en-US\">Journal of Orthopaedic Surgery and Research</span><span lang=\"en-US\"> found a positive benefit of a combined </span><a href=\"https://www.caringmedical.com/prolotherapy-news/bone-marrow-aspirate-concentrate-prolotherapy/\"><span lang=\"en-US\">bone marrow aspirate concentrate</span></a><span lang=\"en-US\"> (stem cell) and </span><a href=\"https://www.caringmedical.com/what-is-prolotherapy-with-platelet-rich-plasma/\">platelet-rich plasma</a><span lang=\"en-US\"> (PRP)</span> <span lang=\"en-US\">BMAC-PRP injection in patients with a partial tear of the rotator cuff tendon.4</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The combination of repair with these regenerative treatments promises an excellent chance for a full recovery and full performance. In the event that surgery is truly necessary, Regenerative Orthopedics is also an excellent post-operative treatment to improve tissue strength, stability, and overall recovery. This may be a possibility when a rotator cuff tear has become large enough to produce profound weakness in the shoulder.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Please </span><a href=\"https://www.drfields.com/contact/\"><span lang=\"en-US\">contact us</span></a><span lang=\"en-US\"> at OrthoRegen</span>®<span lang=\"en-US\">, and tell us more about your case to determine if you are a good candidate for Comprehensive Regenerative Orthopedics.</span></p>\r\n<p align=\"JUSTIFY\"><strong><span lang=\"en-US\">References</span></strong></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">1Thangarajah T, Lo IK. Optimal Management of Partial Thickness Rotator Cuff Tears: Clinical Considerations and Practical Management. Orthopedic Research and Reviews. 2022;14:59.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">2Yeo, Daniel YT, et al. \"The relationship between intraoperative tear dimensions and postoperative pain in 1624 consecutive arthroscopic rotator cuff repairs.\" </span><span lang=\"en-US\">The American Journal of Sports Medicine</span> 45.4 (2017): 788-793.</p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">3Rizvi SM, Lam P, Murrell GA. Repair Integrity in Patients Returning for an Unscheduled Visit After Arthroscopic Rotator Cuff Repair: Retorn or Not?. Orthopaedic journal of sports medicine. 2018 May 29;6(6):2325967118775061.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">4Kim SJ, Kim EK, Kim SJ. Effects of bone marrow aspirate concentrate and platelet-rich plasma on patients with partial tear of the rotator cuff tendon. Journal of orthopaedic surgery and research. 2018 Dec;13(1):1.</span></p>','Non-Surgical Partial Rotator Cuff Tear Repair','','inherit','closed','closed','','5459-revision-v1','','','2022-08-10 03:57:32','2022-08-10 03:57:32','',5459,'https://www.drfields.com/?p=5461',0,'revision','',0),(5462,8,'2022-08-10 03:58:26','2022-08-10 03:58:26','<img class=\"wp-image-5460 alignright\" title=\"Non-Surgical Partial Rotator Cuff Tear Repair\" src=\"https://www.drfields.com/wp-content/uploads/2022/08/Rotator-Cuff.-J-Ortho-Surg-Research-500x425.jpeg\" alt=\"Non-Surgical Partial Rotator Cuff Tear Repair\" width=\"300\" height=\"255\" />\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Have you been told you have a partial rotator cuff tear? Surgery may have also been recommended but you would like to avoid that. So what else can you do? At OrthoRegen</span>®<span lang=\"en-US\">, you have a non-surgical option.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">We often see patients in our office who are trying to avoid surgery after a diagnosis of a partial rotator cuff tear. And we would like to help them accomplish their pain relief and restoration of function goals! Once we do a physical examination and take a medical history, we can assess which regenerative treatment will be the most effective at repairing your shoulder from the damage sustained to the rotator cuff.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">The Rotator Cuff</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">There are four muscles inside of the shoulder that allow us to rotate our arm.</span> <span lang=\"en-US\">These four muscles form a cuff of tendons around the top of the arm or the humeral head. With a the rotator cuff tear, one or more of the tendons of those four rotator cuff muscles of the shoulder are involved</span>.</p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The rotator cuff is designed to move the shoulder joint. When there is a tear, the tendons are weakened and will degenerate, increasing their susceptibility to even more tearing. Rotator cuff tears will create a cycle of instability in the shoulder and set it up for more damage if not treated.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">What Is Done for Shoulder Instability from Rotator Cuff Tears? </span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Treatment for shoulder instability from tears often involves rotator cuff strengthening exercises, of the four muscles of the shoulder which include the supraspinatus, infraspinatus, subscapularis, and teres minor. They help stabilize the shoulder and assist with movement. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Unfortunately, even though strengthening exercises help strengthen the shoulder muscles,</span> <span lang=\"en-US\">they often do not resolve the underlying problem of shoulder instability. To fix shoulder joint instability, the shoulder tendons, ligaments and shoulder capsular structures must all be strengthened. And that’s where Regenerative Orthopedics comes in!</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative Orthopedics Effectively Repairs Partial Rotator Cuff Tears</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative Orthopedics, like Prolotherapy, PRP, and Stem Cells,</span> <span lang=\"en-US\">are excellent options for rotator cuff injuries because the treatments involve the repair and the regeneration of soft tissue. Plus, these non-surgical therapies offer repair with a short recovery time.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">As a first-line alternative to costly and invasive surgery, Regenerative Orthopedics addresses the root cause of the problem by repairing the tear and the instability. And that leads to a better recovery. </span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">What If Surgery Has Been Recommended?</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">A February 2022 paper in the journal </span><span lang=\"en-US\">Orthopedic Research and Reviews</span><span lang=\"en-US\"> discussed the challenges of treating a partial rotator cuff tear. They said: </span>“<span lang=\"en-US\">Partial thickness tears of the rotator cuff are a common cause of shoulder pain and disability. Surgery is confined to those experiencing severe symptoms despite non-operative measures, and for tears involving greater than 50% thickness. A number of surgical strategies have been described, but there is insufficient evidence to advocate one repair technique over another. . . </span>” <span lang=\"en-US\">1</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Sure, it’s possible to have a successful shoulder surgery</span>. <span lang=\"en-US\">But why choose surgery when there is an alternative that has a much shorter recovery period? We see many patients who are exploring alternatives to rotator cuff surgery because they would like to get back to work or a sport more quickly, and would prefer to avoid the long post-surgical recovery time. </span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Is Partial Rotator Cuff Surgery Even Effective?</span></h2>\r\n<ul>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><strong><span lang=\"en-US\">The </span><span lang=\"en-US\">American Journal of Sports Medicine </span></strong><span lang=\"en-US\">reports that rotator cuff repair often results in significant pain postoperatively. They studied patients who underwent arthroscopic rotator cuff repair. Even a smaller tear area was associated with more frequent and severe pain after repair. </span>P<span lang=\"en-US\">lus, even younger patients who had partial-thickness tears and had occupational injuries experienced more pain postoperatively.2</span></p>\r\n</li>\r\n</ul>\r\n<ul>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><strong><span lang=\"en-US\">The </span><span lang=\"en-US\">Orthopaedic Journal of Sports Medicine </span></strong><span lang=\"en-US\">found that </span>“<span lang=\"en-US\">After rotator cuff repair, some patients have ongoing problems significant enough to warrant presentation to a clinic for reassessment.</span>” <span lang=\"en-US\">About 1 in 6 patients had problems after the surgical procedure</span>.<span lang=\"en-US\">3</span></p>\r\n</li>\r\n</ul>\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">The Regenerative Orthopedics Alternative</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative Orthopedics is the non-surgical alternative that can offer repair without the prolonged recovery time of surgery.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Depending on the injury or degeneration involved, PRP or Stem Cells may be recommended. PRP and Stem Cells accelerate healing by using your own blood platelets and/or stem cells. These are always utilized in conjunction with Dextrose Prolotherapy in order to provide the most comprehensive treatment and repair.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Are Stem Cells and PRP Effective for Rotator Cuff Tears?</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The </span><span lang=\"en-US\">Orthopedic Research and Reviews</span> <span lang=\"en-US\">journal reports, </span>“<span lang=\"en-US\">Stem cell treatment for rotator cuff tears is a promising development because they have been shown to result in an anti-inflammatory response, improved tendon regeneration, optimized collagen fiber arrangement, higher load-to-failure, and higher tensile strength. . . In a non-randomized controlled trial comparing the effects of an exercise regime to PRP combined with bone marrow aspirate (BMAC-PRP complex) on partial rotator cuff tears, the experimental group demonstrated a significantly greater improvement in (pain, function and disability) scores compared to controls at three months. Tear size decreased after BMAC-PRP injection although this did not significantly differ from controls.</span>”<span lang=\"en-US\">1</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The </span><span lang=\"en-US\">Journal of Orthopaedic Surgery and Research</span><span lang=\"en-US\"> found a positive benefit of a combined </span><a href=\"https://www.caringmedical.com/prolotherapy-news/bone-marrow-aspirate-concentrate-prolotherapy/\"><span lang=\"en-US\">bone marrow aspirate concentrate</span></a><span lang=\"en-US\"> (stem cell) and </span><a href=\"https://www.caringmedical.com/what-is-prolotherapy-with-platelet-rich-plasma/\">platelet-rich plasma</a><span lang=\"en-US\"> (PRP)</span> <span lang=\"en-US\">BMAC-PRP injection in patients with a partial tear of the rotator cuff tendon.4</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The combination of repair with these regenerative treatments promises an excellent chance for a full recovery and full performance. In the event that surgery is truly necessary, Regenerative Orthopedics is also an excellent post-operative treatment to improve tissue strength, stability, and overall recovery. This may be a possibility when a rotator cuff tear has become large enough to produce profound weakness in the shoulder.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Please </span><a title=\"Contact us\" href=\"https://www.drfields.com/contact/\"><span lang=\"en-US\">contact us</span></a><span lang=\"en-US\"> at OrthoRegen</span>®<span lang=\"en-US\">, and tell us more about your case to determine if you are a good candidate for Comprehensive Regenerative Orthopedics.</span></p>\r\n<p align=\"JUSTIFY\"><strong><span lang=\"en-US\">References</span></strong></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">1Thangarajah T, Lo IK. Optimal Management of Partial Thickness Rotator Cuff Tears: Clinical Considerations and Practical Management. Orthopedic Research and Reviews. 2022;14:59.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">2Yeo, Daniel YT, et al. \"The relationship between intraoperative tear dimensions and postoperative pain in 1624 consecutive arthroscopic rotator cuff repairs.\" </span><span lang=\"en-US\">The American Journal of Sports Medicine</span> 45.4 (2017): 788-793.</p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">3Rizvi SM, Lam P, Murrell GA. Repair Integrity in Patients Returning for an Unscheduled Visit After Arthroscopic Rotator Cuff Repair: Retorn or Not?. Orthopaedic journal of sports medicine. 2018 May 29;6(6):2325967118775061.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">4Kim SJ, Kim EK, Kim SJ. Effects of bone marrow aspirate concentrate and platelet-rich plasma on patients with partial tear of the rotator cuff tendon. Journal of orthopaedic surgery and research. 2018 Dec;13(1):1.</span></p>','Non-Surgical Partial Rotator Cuff Tear Repair','','inherit','closed','closed','','5459-revision-v1','','','2022-08-10 03:58:26','2022-08-10 03:58:26','',5459,'https://www.drfields.com/?p=5462',0,'revision','',0),(5463,8,'2022-08-10 04:01:40','2022-08-10 04:01:40','<img class=\"wp-image-5460 alignright\" title=\"Non-Surgical Partial Rotator Cuff Tear Repair\" src=\"https://www.drfields.com/wp-content/uploads/2022/08/Rotator-Cuff.-J-Ortho-Surg-Research-500x425.jpeg\" alt=\"Non-Surgical Partial Rotator Cuff Tear Repair\" width=\"300\" height=\"255\" />\n\nHave you been told you have a partial rotator cuff tear? Surgery may have also been recommended but you would like to avoid that. So what else can you do? At OrthoRegen®, you have a non-surgical option.\n\nWe often see patients in our office who are trying to avoid surgery after a diagnosis of a partial rotator cuff tear. And we would like to help them accomplish their pain relief and restoration of function goals! Once we do a physical examination and take a medical history, we can assess which regenerative treatment will be the most effective at repairing your shoulder from the damage sustained to the rotator cuff.\n<h2>The Rotator Cuff</h2>\nThere are four muscles inside of the shoulder that allow us to rotate our arm. These four muscles form a cuff of tendons around the top of the arm or the humeral head. With a the rotator cuff tear, one or more of the tendons of those four rotator cuff muscles of the shoulder are involved.\n\nThe rotator cuff is designed to move the shoulder joint. When there is a tear, the tendons are weakened and will degenerate, increasing their susceptibility to even more tearing. Rotator cuff tears will create a cycle of instability in the shoulder and set it up for more damage if not treated.\n<h2>What Is Done for Shoulder Instability from Rotator Cuff Tears?</h2>\nTreatment for shoulder instability from tears often involves rotator cuff strengthening exercises, of the four muscles of the shoulder which include the supraspinatus, infraspinatus, subscapularis, and teres minor. They help stabilize the shoulder and assist with movement.\n\nUnfortunately, even though strengthening exercises help strengthen the shoulder muscles, they often do not resolve the underlying problem of shoulder instability. To fix shoulder joint instability, the shoulder tendons, ligaments and shoulder capsular structures must all be strengthened. And that’s where Regenerative Orthopedics comes in!\n<h2>Regenerative Orthopedics Effectively Repairs Partial Rotator Cuff Tears</h2>\nRegenerative Orthopedics, like Prolotherapy, PRP, and Stem Cells, are excellent options for rotator cuff injuries because the treatments involve the repair and the regeneration of soft tissue. Plus, these non-surgical therapies offer repair with a short recovery time.\n\nAs a first-line alternative to costly and invasive surgery, Regenerative Orthopedics addresses the root cause of the problem by repairing the tear and the instability. And that leads to a better recovery.\n<h2>What If Surgery Has Been Recommended?</h2>\nA February 2022 paper in the journal Orthopedic Research and Reviews discussed the challenges of treating a partial rotator cuff tear. They said: “Partial thickness tears of the rotator cuff are a common cause of shoulder pain and disability. Surgery is confined to those experiencing severe symptoms despite non-operative measures, and for tears involving greater than 50% thickness. A number of surgical strategies have been described, but there is insufficient evidence to advocate one repair technique over another. . . ”\n\nSure, it’s possible to have a successful shoulder surgery. But why choose surgery when there is an alternative that has a much shorter recovery period? We see many patients who are exploring alternatives to rotator cuff surgery because they would like to get back to work or a sport more quickly, and would prefer to avoid the long post-surgical recovery time.\n<h2>Is Partial Rotator Cuff Surgery Even Effective?</h2>\n<ul>\n 	<li><strong>The American Journal of Sports Medicine</strong> reports that rotator cuff repair often results in significant pain postoperatively. They studied patients who underwent arthroscopic rotator cuff repair. Even a smaller tear area was associated with more frequent and severe pain after repair. Plus, even younger patients who had partial-thickness tears and had occupational injuries experienced more pain postoperatively.2</li>\n 	<li><strong>The Orthopaedic Journal of Sports Medicine</strong> found that “After rotator cuff repair, some patients have ongoing problems significant enough to warrant presentation to a clinic for reassessment.” About 1 in 6 patients had problems after the surgical procedure.</li>\n</ul>\n<h2>The Regenerative Orthopedics Alternative</h2>\nRegenerative Orthopedics is the non-surgical alternative that can offer repair without the prolonged recovery time of surgery.\n\nDepending on the injury or degeneration involved, PRP or Stem Cells may be recommended. PRP and Stem Cells accelerate healing by using your own blood platelets and/or stem cells. These are always utilized in conjunction with Dextrose Prolotherapy in order to provide the most comprehensive treatment and repair.\n<h2>Are Stem Cells and PRP Effective for Rotator Cuff Tears?</h2>\nThe Orthopedic Research and Reviews journal reports, “Stem cell treatment for rotator cuff tears is a promising development because they have been shown to result in an anti-inflammatory response, improved tendon regeneration, optimized collagen fiber arrangement, higher load-to-failure, and higher tensile strength. . . In a non-randomized controlled trial comparing the effects of an exercise regime to PRP combined with bone marrow aspirate (BMAC-PRP complex) on partial rotator cuff tears, the experimental group demonstrated a significantly greater improvement in (pain, function and disability) scores compared to controls at three months. Tear size decreased after BMAC-PRP injection although this did not significantly differ from controls.”1\n\nThe Journal of Orthopaedic Surgery and Research found a positive benefit of a combined bone marrow aspirate concentrate (stem cell) and platelet-rich plasma (PRP) BMAC-PRP injection in patients with a partial tear of the rotator cuff tendon.4\n\nThe combination of repair with these regenerative treatments promises an excellent chance for a full recovery and full performance. In the event that surgery is truly necessary, Regenerative Orthopedics is also an excellent post-operative treatment to improve tissue strength, stability, and overall recovery. This may be a possibility when a rotator cuff tear has become large enough to produce profound weakness in the shoulder.\n\nPlease contact us at OrthoRegen®, and tell us more about your case to determine if you are a good candidate for Comprehensive Regenerative Orthopedics.\n\n<strong>References</strong>\n\n1Thangarajah T, Lo IK. Optimal Management of Partial Thickness Rotator Cuff Tears: Clinical Considerations and Practical Management. Orthopedic Research and Reviews. 2022;14:59.\n\n2Yeo, Daniel YT, et al. \"The relationship between intraoperative tear dimensions and postoperative pain in 1624 consecutive arthroscopic rotator cuff repairs.\" The American Journal of Sports Medicine 45.4 (2017): 788-793.\n\n3Rizvi SM, Lam P, Murrell GA. Repair Integrity in Patients Returning for an Unscheduled Visit After Arthroscopic Rotator Cuff Repair: Retorn or Not?. Orthopaedic journal of sports medicine. 2018 May 29;6(6):2325967118775061.\n\n4Kim SJ, Kim EK, Kim SJ. Effects of bone marrow aspirate concentrate and platelet-rich plasma on patients with partial tear of the rotator cuff tendon. Journal of orthopaedic surgery and research. 2018 Dec;13(1):1.','Non-Surgical Partial Rotator Cuff Tear Repair','','inherit','closed','closed','','5459-autosave-v1','','','2022-08-10 04:01:40','2022-08-10 04:01:40','',5459,'https://www.drfields.com/?p=5463',0,'revision','',0),(5464,8,'2022-08-10 04:02:35','2022-08-10 04:02:35','<img class=\"wp-image-5460 alignright\" title=\"Non-Surgical Partial Rotator Cuff Tear Repair\" src=\"https://www.drfields.com/wp-content/uploads/2022/08/Rotator-Cuff.-J-Ortho-Surg-Research-500x425.jpeg\" alt=\"Non-Surgical Partial Rotator Cuff Tear Repair\" width=\"300\" height=\"255\" />\r\n\r\nHave you been told you have a partial rotator cuff tear? Surgery may have also been recommended but you would like to avoid that. So what else can you do? At OrthoRegen®, you have a non-surgical option.\r\n\r\nWe often see patients in our office who are trying to avoid surgery after a diagnosis of a partial rotator cuff tear. And we would like to help them accomplish their pain relief and restoration of function goals! Once we do a physical examination and take a medical history, we can assess which regenerative treatment will be the most effective at repairing your shoulder from the damage sustained to the rotator cuff.\r\n<h2>The Rotator Cuff</h2>\r\nThere are four muscles inside of the shoulder that allow us to rotate our arm. These four muscles form a cuff of tendons around the top of the arm or the humeral head. With a the rotator cuff tear, one or more of the tendons of those four rotator cuff muscles of the shoulder are involved.\r\n\r\nThe rotator cuff is designed to move the shoulder joint. When there is a tear, the tendons are weakened and will degenerate, increasing their susceptibility to even more tearing. Rotator cuff tears will create a cycle of instability in the shoulder and set it up for more damage if not treated.\r\n<h2>What Is Done for Shoulder Instability from Rotator Cuff Tears?</h2>\r\nTreatment for shoulder instability from tears often involves rotator cuff strengthening exercises, of the four muscles of the shoulder which include the supraspinatus, infraspinatus, subscapularis, and teres minor. They help stabilize the shoulder and assist with movement.\r\n\r\nUnfortunately, even though strengthening exercises help strengthen the shoulder muscles, they often do not resolve the underlying problem of shoulder instability. To fix shoulder joint instability, the shoulder tendons, ligaments and shoulder capsular structures must all be strengthened. And that’s where Regenerative Orthopedics comes in!\r\n<h2>Regenerative Orthopedics Effectively Repairs Partial Rotator Cuff Tears</h2>\r\nRegenerative Orthopedics, like Prolotherapy, PRP, and Stem Cells, are excellent options for rotator cuff injuries because the treatments involve the repair and the regeneration of soft tissue. Plus, these non-surgical therapies offer repair with a short recovery time.\r\n\r\nAs a first-line alternative to costly and invasive surgery, Regenerative Orthopedics addresses the root cause of the problem by repairing the tear and the instability. And that leads to a better recovery.\r\n<h2>What If Surgery Has Been Recommended?</h2>\r\nA February 2022 paper in the journal Orthopedic Research and Reviews discussed the challenges of treating a partial rotator cuff tear. They said: “Partial thickness tears of the rotator cuff are a common cause of shoulder pain and disability. Surgery is confined to those experiencing severe symptoms despite non-operative measures, and for tears involving greater than 50% thickness. A number of surgical strategies have been described, but there is insufficient evidence to advocate one repair technique over another. . . ”\r\n\r\nSure, it’s possible to have a successful shoulder surgery. But why choose surgery when there is an alternative that has a much shorter recovery period? We see many patients who are exploring alternatives to rotator cuff surgery because they would like to get back to work or a sport more quickly, and would prefer to avoid the long post-surgical recovery time.\r\n<h2>Is Partial Rotator Cuff Surgery Even Effective?</h2>\r\n<ul>\r\n 	<li><strong>The American Journal of Sports Medicine</strong> reports that rotator cuff repair often results in significant pain postoperatively. They studied patients who underwent arthroscopic rotator cuff repair. Even a smaller tear area was associated with more frequent and severe pain after repair. Plus, even younger patients who had partial-thickness tears and had occupational injuries experienced more pain postoperatively.2</li>\r\n 	<li><strong>The Orthopaedic Journal of Sports Medicine</strong> found that “After rotator cuff repair, some patients have ongoing problems significant enough to warrant presentation to a clinic for reassessment.” About 1 in 6 patients had problems after the surgical procedure.</li>\r\n</ul>\r\n<h2>The Regenerative Orthopedics Alternative</h2>\r\nRegenerative Orthopedics is the non-surgical alternative that can offer repair without the prolonged recovery time of surgery.\r\n\r\nDepending on the injury or degeneration involved, PRP or Stem Cells may be recommended. PRP and Stem Cells accelerate healing by using your own blood platelets and/or stem cells. These are always utilized in conjunction with Dextrose Prolotherapy in order to provide the most comprehensive treatment and repair.\r\n<h2>Are Stem Cells and PRP Effective for Rotator Cuff Tears?</h2>\r\nThe Orthopedic Research and Reviews journal reports, “Stem cell treatment for rotator cuff tears is a promising development because they have been shown to result in an anti-inflammatory response, improved tendon regeneration, optimized collagen fiber arrangement, higher load-to-failure, and higher tensile strength. . . In a non-randomized controlled trial comparing the effects of an exercise regime to PRP combined with bone marrow aspirate (BMAC-PRP complex) on partial rotator cuff tears, the experimental group demonstrated a significantly greater improvement in (pain, function and disability) scores compared to controls at three months. Tear size decreased after BMAC-PRP injection although this did not significantly differ from controls.”1\r\n\r\nThe Journal of Orthopaedic Surgery and Research found a positive benefit of a combined <a title=\"Bone marrow aspirate concentrate\" href=\"https://www.caringmedical.com/prolotherapy-news/stem-cell-prolotherapy-cartilage-regeneration/\">bone marrow aspirate concentrate</a> (stem cell) and <a title=\"Platelet-rich plasma\" href=\"https://www.caringmedical.com/what-is-prolotherapy-with-platelet-rich-plasma/\">platelet-rich plasma</a> (PRP) BMAC-PRP injection in patients with a partial tear of the rotator cuff tendon.4\r\n\r\nThe combination of repair with these regenerative treatments promises an excellent chance for a full recovery and full performance. In the event that surgery is truly necessary, Regenerative Orthopedics is also an excellent post-operative treatment to improve tissue strength, stability, and overall recovery. This may be a possibility when a rotator cuff tear has become large enough to produce profound weakness in the shoulder.\r\n\r\nPlease <a href=\"https://www.drfields.com/contact/\">contact us</a> at OrthoRegen®, and tell us more about your case to determine if you are a good candidate for Comprehensive Regenerative Orthopedics.\r\n\r\n<strong>References</strong>\r\n\r\n1Thangarajah T, Lo IK. Optimal Management of Partial Thickness Rotator Cuff Tears: Clinical Considerations and Practical Management. Orthopedic Research and Reviews. 2022;14:59.\r\n\r\n2Yeo, Daniel YT, et al. \"The relationship between intraoperative tear dimensions and postoperative pain in 1624 consecutive arthroscopic rotator cuff repairs.\" The American Journal of Sports Medicine 45.4 (2017): 788-793.\r\n\r\n3Rizvi SM, Lam P, Murrell GA. Repair Integrity in Patients Returning for an Unscheduled Visit After Arthroscopic Rotator Cuff Repair: Retorn or Not?. Orthopaedic journal of sports medicine. 2018 May 29;6(6):2325967118775061.\r\n\r\n4Kim SJ, Kim EK, Kim SJ. Effects of bone marrow aspirate concentrate and platelet-rich plasma on patients with partial tear of the rotator cuff tendon. Journal of orthopaedic surgery and research. 2018 Dec;13(1):1.','Non-Surgical Partial Rotator Cuff Tear Repair','','inherit','closed','closed','','5459-revision-v1','','','2022-08-10 04:02:35','2022-08-10 04:02:35','',5459,'https://www.drfields.com/?p=5464',0,'revision','',0),(5465,8,'2022-08-10 04:03:18','2022-08-10 04:03:18','<img class=\"wp-image-5460 alignright\" title=\"Non-Surgical Partial Rotator Cuff Tear Repair\" src=\"https://www.drfields.com/wp-content/uploads/2022/08/Rotator-Cuff.-J-Ortho-Surg-Research-500x425.jpeg\" alt=\"Non-Surgical Partial Rotator Cuff Tear Repair\" width=\"300\" height=\"255\" />\r\n\r\nHave you been told you have a partial rotator cuff tear? Surgery may have also been recommended but you would like to avoid that. So what else can you do? At OrthoRegen®, you have a non-surgical option.\r\n\r\nWe often see patients in our office who are trying to avoid surgery after a diagnosis of a partial rotator cuff tear. And we would like to help them accomplish their pain relief and restoration of function goals! Once we do a physical examination and take a medical history, we can assess which regenerative treatment will be the most effective at repairing your shoulder from the damage sustained to the rotator cuff.\r\n<h2>The Rotator Cuff</h2>\r\nThere are four muscles inside of the shoulder that allow us to rotate our arm. These four muscles form a cuff of tendons around the top of the arm or the humeral head. With a the rotator cuff tear, one or more of the tendons of those four rotator cuff muscles of the shoulder are involved.\r\n\r\nThe rotator cuff is designed to move the shoulder joint. When there is a tear, the tendons are weakened and will degenerate, increasing their susceptibility to even more tearing. Rotator cuff tears will create a cycle of instability in the shoulder and set it up for more damage if not treated.\r\n<h2>What Is Done for Shoulder Instability from Rotator Cuff Tears?</h2>\r\nTreatment for shoulder instability from tears often involves rotator cuff strengthening exercises, of the four muscles of the shoulder which include the supraspinatus, infraspinatus, subscapularis, and teres minor. They help stabilize the shoulder and assist with movement.\r\n\r\nUnfortunately, even though strengthening exercises help strengthen the shoulder muscles, they often do not resolve the underlying problem of shoulder instability. To fix shoulder joint instability, the shoulder tendons, ligaments and shoulder capsular structures must all be strengthened. And that’s where Regenerative Orthopedics comes in!\r\n<h2>Regenerative Orthopedics Effectively Repairs Partial Rotator Cuff Tears</h2>\r\nRegenerative Orthopedics, like Prolotherapy, PRP, and Stem Cells, are excellent options for rotator cuff injuries because the treatments involve the repair and the regeneration of soft tissue. Plus, these non-surgical therapies offer repair with a short recovery time.\r\n\r\nAs a first-line alternative to costly and invasive surgery, Regenerative Orthopedics addresses the root cause of the problem by repairing the tear and the instability. And that leads to a better recovery.\r\n<h2>What If Surgery Has Been Recommended?</h2>\r\nA February 2022 paper in the journal Orthopedic Research and Reviews discussed the challenges of treating a partial rotator cuff tear. They said: “Partial thickness tears of the rotator cuff are a common cause of shoulder pain and disability. Surgery is confined to those experiencing severe symptoms despite non-operative measures, and for tears involving greater than 50% thickness. A number of surgical strategies have been described, but there is insufficient evidence to advocate one repair technique over another. . . ”\r\n\r\nSure, it’s possible to have a successful shoulder surgery. But why choose surgery when there is an alternative that has a much shorter recovery period? We see many patients who are exploring alternatives to rotator cuff surgery because they would like to get back to work or a sport more quickly, and would prefer to avoid the long post-surgical recovery time.\r\n<h2>Is Partial Rotator Cuff Surgery Even Effective?</h2>\r\n<ul>\r\n 	<li><strong>The American Journal of Sports Medicine</strong> reports that rotator cuff repair often results in significant pain postoperatively. They studied patients who underwent arthroscopic rotator cuff repair. Even a smaller tear area was associated with more frequent and severe pain after repair. Plus, even younger patients who had partial-thickness tears and had occupational injuries experienced more pain postoperatively.2</li>\r\n 	<li><strong>The Orthopaedic Journal of Sports Medicine</strong> found that “After rotator cuff repair, some patients have ongoing problems significant enough to warrant presentation to a clinic for reassessment.” About 1 in 6 patients had problems after the surgical procedure.</li>\r\n</ul>\r\n<h2>The Regenerative Orthopedics Alternative</h2>\r\nRegenerative Orthopedics is the non-surgical alternative that can offer repair without the prolonged recovery time of surgery.\r\n\r\nDepending on the injury or degeneration involved, PRP or Stem Cells may be recommended. PRP and Stem Cells accelerate healing by using your own blood platelets and/or stem cells. These are always utilized in conjunction with Dextrose Prolotherapy in order to provide the most comprehensive treatment and repair.\r\n<h2>Are Stem Cells and PRP Effective for Rotator Cuff Tears?</h2>\r\nThe Orthopedic Research and Reviews journal reports, “Stem cell treatment for rotator cuff tears is a promising development because they have been shown to result in an anti-inflammatory response, improved tendon regeneration, optimized collagen fiber arrangement, higher load-to-failure, and higher tensile strength. . . In a non-randomized controlled trial comparing the effects of an exercise regime to PRP combined with bone marrow aspirate (BMAC-PRP complex) on partial rotator cuff tears, the experimental group demonstrated a significantly greater improvement in (pain, function and disability) scores compared to controls at three months. Tear size decreased after BMAC-PRP injection although this did not significantly differ from controls.”1\r\n\r\nThe Journal of Orthopaedic Surgery and Research found a positive benefit of a combined <a title=\"Bone marrow aspirate concentrate\" href=\"https://www.caringmedical.com/prolotherapy-news/stem-cell-prolotherapy-cartilage-regeneration/\" target=\"_blank\" rel=\"noopener\">bone marrow aspirate concentrate</a> (stem cell) and <a title=\"Platelet-rich plasma\" href=\"https://www.caringmedical.com/what-is-prolotherapy-with-platelet-rich-plasma/\" target=\"_blank\" rel=\"noopener\">platelet-rich plasma</a> (PRP) BMAC-PRP injection in patients with a partial tear of the rotator cuff tendon.4\r\n\r\nThe combination of repair with these regenerative treatments promises an excellent chance for a full recovery and full performance. In the event that surgery is truly necessary, Regenerative Orthopedics is also an excellent post-operative treatment to improve tissue strength, stability, and overall recovery. This may be a possibility when a rotator cuff tear has become large enough to produce profound weakness in the shoulder.\r\n\r\nPlease <a href=\"https://www.drfields.com/contact/\">contact us</a> at OrthoRegen®, and tell us more about your case to determine if you are a good candidate for Comprehensive Regenerative Orthopedics.\r\n\r\n<strong>References</strong>\r\n\r\n1Thangarajah T, Lo IK. Optimal Management of Partial Thickness Rotator Cuff Tears: Clinical Considerations and Practical Management. Orthopedic Research and Reviews. 2022;14:59.\r\n\r\n2Yeo, Daniel YT, et al. \"The relationship between intraoperative tear dimensions and postoperative pain in 1624 consecutive arthroscopic rotator cuff repairs.\" The American Journal of Sports Medicine 45.4 (2017): 788-793.\r\n\r\n3Rizvi SM, Lam P, Murrell GA. Repair Integrity in Patients Returning for an Unscheduled Visit After Arthroscopic Rotator Cuff Repair: Retorn or Not?. Orthopaedic journal of sports medicine. 2018 May 29;6(6):2325967118775061.\r\n\r\n4Kim SJ, Kim EK, Kim SJ. Effects of bone marrow aspirate concentrate and platelet-rich plasma on patients with partial tear of the rotator cuff tendon. Journal of orthopaedic surgery and research. 2018 Dec;13(1):1.','Non-Surgical Partial Rotator Cuff Tear Repair','','inherit','closed','closed','','5459-revision-v1','','','2022-08-10 04:03:18','2022-08-10 04:03:18','',5459,'https://www.drfields.com/?p=5465',0,'revision','',0),(5467,9,'2022-08-22 20:03:01','2022-08-22 20:03:01','<img class=\"wp-image-5460 alignright\" title=\"Non-Surgical Partial Rotator Cuff Tear Repair\" src=\"https://www.drfields.com/wp-content/uploads/2022/08/Rotator-Cuff.-J-Ortho-Surg-Research-500x425.jpeg\" alt=\"Non-Surgical Partial Rotator Cuff Tear Repair\" width=\"300\" height=\"255\" />\n<h2>Partial Rotator Cuff Tear Repair</h2>\nHave you been told you have a partial rotator cuff tear? Surgery may have also been recommended, but you would like to avoid that. So what else can you do? At OrthoRegen®, you have a non-surgical option.\n\nWe often see patients in our office trying to avoid surgery after diagnosing a partial rotator cuff tear. And we would like to help them accomplish their pain relief and restoration of function goals! Once we do a physical examination and take a medical history, we can assess which regenerative treatment will most effectively repair your shoulder from the damage sustained to the rotator cuff.\n<h2>The Rotator Cuff</h2>\nThere are four muscles inside of the shoulder that allow us to rotate our arms. These four muscles form a cuff of tendons around the top of the arm or the humeral head. With a rotator cuff tear, one or more of the tendons of those four rotator cuff muscles of the shoulder are involved.\n\nThe rotator cuff is designed to move the shoulder joint. When there is a tear, the tendons are weakened and will degenerate, increasing their susceptibility to even more tears. Rotator cuff tears will create a cycle of instability in the shoulder and set it up for more damage if not treated.\n<h2>What Is Done for Shoulder Instability from Rotator Cuff Tears?</h2>\nTreatment for shoulder instability from tears often involves rotator cuff strengthening exercises of the four muscles of the shoulder, which include the supraspinatus, infraspinatus, subscapularis, and teres minor. They help stabilize the shoulder and assist with movement.\n\nUnfortunately, even though strengthening exercises help strengthen the shoulder muscles, they often do not resolve the underlying problem of shoulder instability. To fix shoulder joint instability, the shoulder tendons, ligaments, and shoulder capsular structures must all be strengthened. And that’s where Regenerative Orthopedics comes in!\n<h2>Regenerative Orthopedics Effectively Repairs Partial Rotator Cuff Tears</h2>\nRegenerative Orthopedics, like Prolotherapy, PRP, and Stem Cells, are excellent options for rotator cuff injuries because the treatments involve repairing and regenerating soft tissue. Plus, these non-surgical therapies offer repair with a short recovery time.\n\nRegenerative Orthopedics addresses the root cause of the problem by repairing the tear and the instability as a first-line alternative to costly and invasive surgery. And that leads to a better recovery.\n<h2>What If Surgery Has Been Recommended?</h2>\nA February 2022 paper in the journal Orthopedic Research and Reviews(1) discussed the challenges of treating a partial rotator cuff tear.\n\nThey said: “Partial thickness tears of the rotator cuff are a common cause of shoulder pain and disability. Surgery is confined to those experiencing severe symptoms despite non-operative measures and for tears involving greater than 50% thickness. A number of surgical strategies have been described, but there is insufficient evidence to advocate one repair technique over another. . . ”\n\nSure, it’s possible to have successful shoulder surgery. But why choose surgery when there is an alternative that has a much shorter recovery period? We see many patients who are exploring alternatives to rotator cuff surgery because they would like to get back to work or a sport more quickly and would prefer to avoid the long post-surgical recovery time.\n<h2>Is Partial Rotator Cuff Surgery Even Effective?</h2>\n<ul>\n 	<li><strong>The American Journal of Sports Medicine</strong> reports that rotator cuff repair often results in significant pain postoperatively. They studied patients who underwent arthroscopic rotator cuff repair. Even a smaller tear area was associated with more frequent and severe pain after repair. Plus, even younger patients who had partial-thickness tears and had occupational injuries experienced more pain postoperatively.(2)</li>\n 	<li><strong>The Orthopaedic Journal of Sports Medicine</strong> found that “After rotator cuff repair, some patients have ongoing problems significant enough to warrant presentation to a clinic for reassessment.” About 1 in 6 patients had problems after the surgical procedure. (3)</li>\n</ul>\n<h2>The Regenerative Orthopedics Alternative</h2>\nRegenerative Orthopedics is the non-surgical alternative that can offer repair without the prolonged recovery time of surgery.\n\nPRP or Stem Cells may be recommended depending on the injury or degeneration involved. PRP and Stem Cells accelerate healing by using your own blood platelets and/or stem cells. These are always used in conjunction with Dextrose Prolotherapy to provide the most comprehensive treatment and repair.\n<h2>Are Stem Cells and PRP Effective for Rotator Cuff Tears?</h2>\nThe Orthopedic Research and Reviews journal reports, “Stem cell treatment for rotator cuff tears is a promising development because they have been shown to result in an anti-inflammatory response, improved tendon regeneration, optimized collagen fiber arrangement, higher load-to-failure, and higher tensile strength. . . In a non-randomized controlled trial comparing the effects of an exercise regime to PRP combined with bone marrow aspirate (BMAC-PRP complex) on partial rotator cuff tears, the experimental group demonstrated a significantly greater improvement in (pain, function and disability) scores compared to controls at three months. Tear size decreased after BMAC-PRP injection although this did not significantly differ from controls.”(1)\n\nThe Journal of Orthopaedic Surgery and Research found a positive benefit of a combined bone marrow aspirate concentrate (stem cell) and platelet-rich plasma (PRP) BMAC-PRP injection in patients with a partial tear of the rotator cuff tendon. (4)\n\nThe combination of repair with these regenerative treatments promises an excellent chance for full recovery and full performance. In the event that surgery is truly necessary, Regenerative Orthopedics is also an excellent post-operative treatment to improve tissue strength, stability, and overall recovery. This may be a possibility when a rotator cuff tear has become large enough to produce profound weakness in the shoulder.\n\nPlease <a href=\"https://www.drfields.com/contact/\">contact us</a> at OrthoRegen®, and tell us more about your case to determine if you are a good candidate for Comprehensive Regenerative Orthopedics.\n<h3><strong>References</strong></h3>\n1Thangarajah T, Lo IK. Optimal Management of Partial Thickness Rotator Cuff Tears: Clinical Considerations and Practical Management. Orthopedic Research and Reviews. 2022;14:59.\n\n2Yeo, Daniel YT, et al. \"The relationship between intraoperative tear dimensions and postoperative pain in 1624 consecutive arthroscopic rotator cuff repairs.\" The American Journal of Sports Medicine 45.4 (2017): 788-793.\n\n3Rizvi SM, Lam P, Murrell GA. Repair Integrity in Patients Returning for an Unscheduled Visit After Arthroscopic Rotator Cuff Repair: Retorn or Not? Orthopaedic journal of sports medicine. 2018 May 29;6(6):2325967118775061.\n\n4Kim SJ, Kim EK, Kim SJ. Effects of bone marrow aspirate concentrate and platelet-rich plasma on patients with partial tear of the rotator cuff tendon. Journal of orthopaedic surgery and research. 2018 Dec;13(1):1.','Non-Surgical Partial Rotator Cuff Tear Repair','','inherit','closed','closed','','5459-autosave-v1','','','2022-08-22 20:03:01','2022-08-22 20:03:01','',5459,'https://www.drfields.com/?p=5467',0,'revision','',0),(5468,9,'2022-08-22 20:03:16','2022-08-22 20:03:16','<img class=\"wp-image-5460 alignright\" title=\"Non-Surgical Partial Rotator Cuff Tear Repair\" src=\"https://www.drfields.com/wp-content/uploads/2022/08/Rotator-Cuff.-J-Ortho-Surg-Research-500x425.jpeg\" alt=\"Non-Surgical Partial Rotator Cuff Tear Repair\" width=\"300\" height=\"255\" />\r\n<h2>Partial Rotator Cuff Tear Repair</h2>\r\nHave you been told you have a partial rotator cuff tear? Surgery may have also been recommended, but you would like to avoid that. So what else can you do? At OrthoRegen®, you have a non-surgical option.\r\n\r\nWe often see patients in our office trying to avoid surgery after diagnosing a partial rotator cuff tear. And we would like to help them accomplish their pain relief and restoration of function goals! Once we do a physical examination and take a medical history, we can assess which regenerative treatment will most effectively repair your shoulder from the damage sustained to the rotator cuff.\r\n<h2>The Rotator Cuff</h2>\r\nThere are four muscles inside of the shoulder that allow us to rotate our arms. These four muscles form a cuff of tendons around the top of the arm or the humeral head. With a rotator cuff tear, one or more of the tendons of those four rotator cuff muscles of the shoulder are involved.\r\n\r\nThe rotator cuff is designed to move the shoulder joint. When there is a tear, the tendons are weakened and will degenerate, increasing their susceptibility to even more tears. Rotator cuff tears will create a cycle of instability in the shoulder and set it up for more damage if not treated.\r\n<h2>What Is Done for Shoulder Instability from Rotator Cuff Tears?</h2>\r\nTreatment for shoulder instability from tears often involves rotator cuff strengthening exercises of the four muscles of the shoulder, which include the supraspinatus, infraspinatus, subscapularis, and teres minor. They help stabilize the shoulder and assist with movement.\r\n\r\nUnfortunately, even though strengthening exercises help strengthen the shoulder muscles, they often do not resolve the underlying problem of shoulder instability. To fix shoulder joint instability, the shoulder tendons, ligaments, and shoulder capsular structures must all be strengthened. And that’s where Regenerative Orthopedics comes in!\r\n<h2>Regenerative Orthopedics Effectively Repairs Partial Rotator Cuff Tears</h2>\r\nRegenerative Orthopedics, like Prolotherapy, PRP, and Stem Cells, are excellent options for rotator cuff injuries because the treatments involve repairing and regenerating soft tissue. Plus, these non-surgical therapies offer repair with a short recovery time.\r\n\r\nRegenerative Orthopedics addresses the root cause of the problem by repairing the tear and the instability as a first-line alternative to costly and invasive surgery. And that leads to a better recovery.\r\n<h2>What If Surgery Has Been Recommended?</h2>\r\nA February 2022 paper in the journal Orthopedic Research and Reviews(1) discussed the challenges of treating a partial rotator cuff tear.\r\n\r\nThey said: “Partial thickness tears of the rotator cuff are a common cause of shoulder pain and disability. Surgery is confined to those experiencing severe symptoms despite non-operative measures and for tears involving greater than 50% thickness. A number of surgical strategies have been described, but there is insufficient evidence to advocate one repair technique over another. . . ”\r\n\r\nSure, it’s possible to have successful shoulder surgery. But why choose surgery when there is an alternative that has a much shorter recovery period? We see many patients who are exploring alternatives to rotator cuff surgery because they would like to get back to work or a sport more quickly and would prefer to avoid the long post-surgical recovery time.\r\n<h2>Is Partial Rotator Cuff Surgery Even Effective?</h2>\r\n<ul>\r\n 	<li><strong>The American Journal of Sports Medicine</strong> reports that rotator cuff repair often results in significant pain postoperatively. They studied patients who underwent arthroscopic rotator cuff repair. Even a smaller tear area was associated with more frequent and severe pain after repair. Plus, even younger patients who had partial-thickness tears and had occupational injuries experienced more pain postoperatively.(2)</li>\r\n 	<li><strong>The Orthopaedic Journal of Sports Medicine</strong> found that “After rotator cuff repair, some patients have ongoing problems significant enough to warrant presentation to a clinic for reassessment.” About 1 in 6 patients had problems after the surgical procedure. (3)</li>\r\n</ul>\r\n<h2>The Regenerative Orthopedics Alternative</h2>\r\nRegenerative Orthopedics is the non-surgical alternative that can offer repair without the prolonged recovery time of surgery.\r\n\r\nPRP or Stem Cells may be recommended depending on the injury or degeneration involved. PRP and Stem Cells accelerate healing by using your own blood platelets and/or stem cells. These are always used in conjunction with Dextrose Prolotherapy to provide the most comprehensive treatment and repair.\r\n<h2>Are Stem Cells and PRP Effective for Rotator Cuff Tears?</h2>\r\nThe Orthopedic Research and Reviews journal reports, “Stem cell treatment for rotator cuff tears is a promising development because they have been shown to result in an anti-inflammatory response, improved tendon regeneration, optimized collagen fiber arrangement, higher load-to-failure, and higher tensile strength. . . In a non-randomized controlled trial comparing the effects of an exercise regime to PRP combined with bone marrow aspirate (BMAC-PRP complex) on partial rotator cuff tears, the experimental group demonstrated a significantly greater improvement in (pain, function and disability) scores compared to controls at three months. Tear size decreased after BMAC-PRP injection although this did not significantly differ from controls.”(1)\r\n\r\nThe Journal of Orthopaedic Surgery and Research found a positive benefit of a combined bone marrow aspirate concentrate (stem cell) and platelet-rich plasma (PRP) BMAC-PRP injection in patients with a partial tear of the rotator cuff tendon. (4)\r\n\r\nThe combination of repair with these regenerative treatments promises an excellent chance for full recovery and full performance. In the event that surgery is truly necessary, Regenerative Orthopedics is also an excellent post-operative treatment to improve tissue strength, stability, and overall recovery. This may be a possibility when a rotator cuff tear has become large enough to produce profound weakness in the shoulder.\r\n\r\nPlease <a href=\"https://www.drfields.com/contact/\">contact us</a> at OrthoRegen®, and tell us more about your case to determine if you are a good candidate for Comprehensive Regenerative Orthopedics.\r\n<h3><strong>References</strong></h3>\r\n1Thangarajah T, Lo IK. Optimal Management of Partial Thickness Rotator Cuff Tears: Clinical Considerations and Practical Management. Orthopedic Research and Reviews. 2022;14:59.\r\n\r\n2Yeo, Daniel YT, et al. \"The relationship between intraoperative tear dimensions and postoperative pain in 1624 consecutive arthroscopic rotator cuff repairs.\" The American Journal of Sports Medicine 45.4 (2017): 788-793.\r\n\r\n3Rizvi SM, Lam P, Murrell GA. Repair Integrity in Patients Returning for an Unscheduled Visit After Arthroscopic Rotator Cuff Repair: Retorn or Not? Orthopaedic journal of sports medicine. 2018 May 29;6(6):2325967118775061.\r\n\r\n4Kim SJ, Kim EK, Kim SJ. Effects of bone marrow aspirate concentrate and platelet-rich plasma on patients with partial tear of the rotator cuff tendon. Journal of orthopaedic surgery and research. 2018 Dec;13(1):1.','Non-Surgical Partial Rotator Cuff Tear Repair','','inherit','closed','closed','','5459-revision-v1','','','2022-08-22 20:03:16','2022-08-22 20:03:16','',5459,'https://www.drfields.com/?p=5468',0,'revision','',0),(5469,9,'2022-08-22 20:05:56','2022-08-22 20:05:56','&nbsp;\r\n<h4>Honduras 2007</h4>\r\n&nbsp;\r\n<div class=\"col-md-5\">\r\n\r\n[caption id=\"attachment_444\" align=\"aligncenter\" width=\"225\"]<img class=\"size-full wp-image-444\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Attending-a-noon-lecture.jpg\" alt=\"Attending A Noon Lecture\" width=\"225\" height=\"150\" /> Attending A Noon Lecture[/caption]\r\n\r\n</div>\r\n<div class=\"col-md-5\">\r\n\r\n[caption id=\"attachment_449\" align=\"aligncenter\" width=\"225\"]<img class=\"size-full wp-image-449\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Dr.-Timmerman-instructs-a-new-physician.jpg\" alt=\"Dr. Timmerman Instructs A New Physician\" width=\"225\" height=\"150\" /> Dr. Timmerman Instructs A New Physician[/caption]\r\n\r\n</div>\r\n<div class=\"col-md-5\">\r\n\r\n[caption id=\"attachment_446\" align=\"aligncenter\" width=\"225\"]<img class=\"size-full wp-image-446\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Dr.-Fields-a-colleague-and-two-translators1.jpg\" alt=\"Dr. Fields, A Colleague And Two Translators1\" width=\"225\" height=\"150\" /> Dr. Fields, A Colleague And Two Translators1[/caption]\r\n\r\n</div>\r\n<div class=\"col-md-5\">\r\n\r\n[caption id=\"attachment_447\" align=\"aligncenter\" width=\"225\"]<img class=\"size-full wp-image-447\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Dr.-Fields-two-young-translators-and-the-owner-of-the-local-bi-lingual-school.jpg\" alt=\"Dr. Fields, Two Young Translators And The Owner Of The Local Bi Lingual School\" width=\"225\" height=\"150\" /> Dr. Fields, Two Young Translators And The Owner Of The Local Bi Lingual School[/caption]\r\n\r\n</div>\r\n<div class=\"col-md-5\">\r\n\r\n[caption id=\"attachment_448\" align=\"aligncenter\" width=\"225\"]<img class=\"size-full wp-image-448\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Dr.-Patterson-giving-a-noon-time-lecture.jpg\" alt=\"Dr. Patterson Giving A Noon Time Lecture\" width=\"225\" height=\"150\" /> Dr. Patterson Giving A Noon Time Lecture[/caption]\r\n\r\n</div>\r\n<div class=\"col-md-5\">\r\n\r\n[caption id=\"attachment_445\" align=\"aligncenter\" width=\"225\"]<img class=\"size-full wp-image-445\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Dr..-Fields-and-the-owner-of-a-local-restaurant.jpg\" alt=\"Dr.. Fields And The Owner Of A Local Restaurant\" width=\"225\" height=\"150\" /> Dr.. Fields And The Owner Of A Local Restaurant[/caption]\r\n\r\n</div>\r\n<div class=\"col-md-5\">\r\n\r\n[caption id=\"attachment_450\" align=\"aligncenter\" width=\"225\"]<img class=\"size-full wp-image-450\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Local-transport.jpg\" alt=\"Local Transport!\" width=\"225\" height=\"150\" /> Local Transport![/caption]\r\n\r\n</div>\r\n<div class=\"col-md-5\">\r\n\r\n[caption id=\"attachment_451\" align=\"aligncenter\" width=\"225\"]<img class=\"size-full wp-image-451\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/One-of-the-treatment-rooms.jpg\" alt=\"One Of The Treatment Rooms\" width=\"225\" height=\"150\" /> One Of The Treatment Rooms[/caption]\r\n\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"col-md-5\">\r\n\r\n[caption id=\"attachment_452\" align=\"aligncenter\" width=\"225\"]<img class=\"size-full wp-image-452\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Our-make-shift-treatment-area.jpg\" alt=\"Our Make Shift Treatment Area\" width=\"225\" height=\"150\" /> Our Make Shift Treatment Area[/caption]\r\n\r\n</div>','Honduras 2007','','inherit','closed','closed','','453-revision-v1','','','2022-08-22 20:05:56','2022-08-22 20:05:56','',453,'https://www.drfields.com/?p=5469',0,'revision','',0),(5470,9,'2022-08-22 20:07:24','2022-08-22 20:07:24','&nbsp;\r\n<h4>Honduras 2009</h4>\r\n<table class=\"resptable\" border=\"0\" cellspacing=\"0\" cellpadding=\"0\" align=\"center\">\r\n<tbody>\r\n<tr>\r\n<td>\r\n\r\n[caption id=\"attachment_488\" align=\"aligncenter\" width=\"255\"]<img class=\"size-full wp-image-488\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Drs-Peter-and-Matt.jpg\" alt=\"Dr\'s Peter And Matt\" width=\"255\" height=\"191\" /> Dr. Fields instructs Dr. Matt[/caption]</td>\r\n<td>\r\n\r\n[caption id=\"attachment_489\" align=\"aligncenter\" width=\"255\"]<img class=\"size-full wp-image-489\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Dr-F.-Lecturing-1.jpg\" alt=\"Dr F. Lecturing 1\" width=\"255\" height=\"191\" /> Dr. Fields lecturing[/caption]</td>\r\n</tr>\r\n<tr>\r\n<td>\r\n\r\n[caption id=\"attachment_490\" align=\"aligncenter\" width=\"255\"]<img class=\"size-full wp-image-490\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/DSCN1562.jpg\" alt=\"Dscn1562\" width=\"255\" height=\"192\" /> Dr\'s Bill, Saul and Peter[/caption]</td>\r\n<td>\r\n\r\n[caption id=\"attachment_491\" align=\"aligncenter\" width=\"255\"]<img class=\"size-full wp-image-491\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/DSCN1727.jpg\" alt=\"Dscn1727\" width=\"255\" height=\"191\" /> Dr. Fields and student Dr. Laurent[/caption]</td>\r\n</tr>\r\n<tr>\r\n<td>\r\n\r\n[caption id=\"attachment_492\" align=\"aligncenter\" width=\"255\"]<img class=\"size-full wp-image-492\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/DSCN1739.jpg\" alt=\"Dscn1739\" width=\"255\" height=\"191\" /> Dr. Fields and the La Ceiba Red Cross Staff[/caption]</td>\r\n<td>\r\n\r\n[caption id=\"attachment_493\" align=\"aligncenter\" width=\"255\"]<img class=\"size-full wp-image-493\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/DSCN1760.jpg\" alt=\"Dscn1760\" width=\"255\" height=\"191\" /> Dr\'s Saul, Matt, Laurent and Dr. Pedro Campos![/caption]</td>\r\n</tr>\r\n<tr>\r\n<td>\r\n\r\n[caption id=\"attachment_494\" align=\"aligncenter\" width=\"255\"]<img class=\"size-full wp-image-494\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/DSCN1761.jpg\" alt=\"Dscn1761\" width=\"255\" height=\"191\" /> Dr\'s Sandra and Josette- our Honduran Docs[/caption]</td>\r\n<td>\r\n\r\n[caption id=\"attachment_495\" align=\"aligncenter\" width=\"255\"]<img class=\"size-full wp-image-495\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/DSCN1790.jpg\" alt=\"Dscn1790\" width=\"255\" height=\"191\" /> Dr\'s Peter, Deb, Saul, Red Cross aid with a pt and her child[/caption]</td>\r\n</tr>\r\n<tr>\r\n<td>\r\n\r\n[caption id=\"attachment_496\" align=\"aligncenter\" width=\"255\"]<img class=\"size-full wp-image-496\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/DSCN1796.jpg\" alt=\"Dscn1796\" width=\"255\" height=\"191\" /> The La Ceiba team[/caption]</td>\r\n<td>\r\n\r\n[caption id=\"attachment_497\" align=\"aligncenter\" width=\"255\"]<img class=\"size-full wp-image-497\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Dr-Fields-adjusts-a-patient.jpg\" alt=\"Dr Fields Adjusts A Patient\" width=\"255\" height=\"191\" /> Dr. Fields adjusts a patient while other<br />doctors obserserve[/caption]</td>\r\n</tr>\r\n<tr>\r\n<td>\r\n\r\n[caption id=\"attachment_498\" align=\"aligncenter\" width=\"255\"]<img class=\"size-full wp-image-498\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Dr-Fields-instructs.jpg\" alt=\"Dr Fields Instructs\" width=\"255\" height=\"191\" /> Dr. Fields Instructs[/caption]</td>\r\n<td>\r\n\r\n[caption id=\"attachment_499\" align=\"aligncenter\" width=\"255\"]<img class=\"size-full wp-image-499\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Drs-Peter-Bill-Joe-and-patient.jpg\" alt=\"Dr\'s Peter, Bill, Joe And Patient\" width=\"255\" height=\"191\" /> Dr\'s Peter, Bill, Joe and patient[/caption]</td>\r\n</tr>\r\n<tr>\r\n<td>\r\n\r\n[caption id=\"attachment_500\" align=\"aligncenter\" width=\"217\"]<img class=\"size-full wp-image-500\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Dr-Fields-giving-a-lecture.jpg\" alt=\"Dr Fields Giving A Lecture\" width=\"217\" height=\"255\" /> Dr. Fields giving a lecture[/caption]</td>\r\n<td>\r\n\r\n[caption id=\"attachment_501\" align=\"aligncenter\" width=\"200\"]<img class=\"size-full wp-image-501\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Dr-F-and-skeleton.jpg\" alt=\"Dr F And Skeleton\" width=\"200\" height=\"255\" /> Dr. Fields and Dr. Bones[/caption]</td>\r\n</tr>\r\n<tr>\r\n<td>\r\n\r\n[caption id=\"attachment_502\" align=\"aligncenter\" width=\"255\"]<img class=\"size-full wp-image-502\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Dinner-at-the-hotel.jpg\" alt=\"Dinner At The Hotel\" width=\"255\" height=\"191\" /> Dinner at the hotel[/caption]</td>\r\n<td>\r\n\r\n[caption id=\"attachment_503\" align=\"aligncenter\" width=\"255\"]<img class=\"size-full wp-image-503\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/horse.jpg\" alt=\"Horse\" width=\"255\" height=\"202\" /> Local transport[/caption]</td>\r\n</tr>\r\n</tbody>\r\n</table>','Honduras 2009','','inherit','closed','closed','','504-revision-v1','','','2022-08-22 20:07:24','2022-08-22 20:07:24','',504,'https://www.drfields.com/?p=5470',0,'revision','',0),(5471,9,'2022-08-22 20:09:45','2022-08-22 20:09:45','<h4>Lecture in Mexico City on July 9th about Stem Cells/PRP/Prolotherapy</h4>\r\n<img class=\"wp-image-5147 size-medium alignright\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Copy-of-Mexico-City-Lecture-2-500x419.png\" alt=\"Copy Of Mexico City Lecture 2\" width=\"500\" height=\"419\" />\r\n\r\nPeter A. Fields, MD, DC will lecture at the 14th World Congress on Anti-Aging and Longevity Medicine in Mexico City, Mexico on July 9th.\r\n\r\nLecture time: <strong>11:00 AM</strong>\r\n\r\nEmail pcc@drfields.com for more information.\r\n<h4>Regenerative Medicine Teaching in Mexico</h4>\r\nWe\'re excited to teach more professionals about this effective treatment to fix joints and the spine without surgery. <a href=\"https://www.drfields.com/regenerative-techniques/stem-cell-treatment/\">Stem Cells</a>, PRP, and Prolotherapy are all effective regenerative medicine treatments that help people with joint and spine pain to achieve both relief and repair.\r\n\r\nTo access the information for the conference you can <a href=\"http://www.medicina-antienvejecimiento.net/\">click</a> on the following link. <a href=\"https://urldefense.proofpoint.com/v2/url?u=http-3A__www.medicina-2Dantienvejecimiento.net_&amp;d=DwMCaQ&amp;c=WO-RGvefibhHBZq3fL85hQ&amp;r=1mlZdwzxLMndjoil0MO5evkLwBowWYcXVyCp4Vbxfds&amp;m=-Zcix8_Tm618JjCVm5ExeqsI0cYP75-OIrRKIfbDyJL_F3-gD7ZpIucCH6k9b3dQ&amp;s=HPDad0dRWasD0G4qNd1wGul0XoVhEbEukb3zY8ki5Go&amp;e=\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">www.medicina-antienvejecimiento.net/</a>\r\n\r\n[caption id=\"attachment_5146\" align=\"alignnone\" width=\"500\"]<img class=\"wp-image-5146 size-medium\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/14th-World-Congress-on-Anti-Aging-and-Longevity-Medicine-500x239.png\" alt=\"14th World Congress On Anti Aging And Longevity Medicine\" width=\"500\" height=\"239\" /> <strong>     14th World Congress On Anti-Aging And Longevity Medicine</strong>[/caption]\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>','Dr. Fields to Lecture in Mexico City on July 9th','','inherit','closed','closed','','1471-revision-v1','','','2022-08-22 20:09:45','2022-08-22 20:09:45','',1471,'https://www.drfields.com/?p=5471',0,'revision','',0),(5472,9,'2022-08-22 20:10:39','2022-08-22 20:10:39','<h4>Lecture in Mexico City on July 9th about Stem Cells/PRP/Prolotherapy</h4>\r\n<img class=\"wp-image-5147 size-medium alignright\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Copy-of-Mexico-City-Lecture-2-500x419.png\" alt=\"Copy Of Mexico City Lecture 2\" width=\"500\" height=\"419\" />\r\n\r\nPeter A. Fields, MD, DC, will lecture in Mexico City at the 14th World Congress on Anti-Aging and Longevity Medicine on July 9th.\r\n\r\nLecture time: <strong>11:00 AM</strong>\r\n\r\nEmail pcc@drfields.com for more information.\r\n<h4>Regenerative Medicine Teaching in Mexico</h4>\r\nWe\'re excited to teach more professionals about this effective treatment to fix joints and the spine without surgery. <a href=\"https://www.drfields.com/regenerative-techniques/stem-cell-treatment/\">Stem Cells</a>, PRP, and Prolotherapy are all effective regenerative medicine treatments that help people with joint and spine pain to achieve both relief and repair.\r\n\r\nTo access the information for the conference you can <a href=\"http://www.medicina-antienvejecimiento.net/\">click</a> on the following link. <a href=\"https://urldefense.proofpoint.com/v2/url?u=http-3A__www.medicina-2Dantienvejecimiento.net_&amp;d=DwMCaQ&amp;c=WO-RGvefibhHBZq3fL85hQ&amp;r=1mlZdwzxLMndjoil0MO5evkLwBowWYcXVyCp4Vbxfds&amp;m=-Zcix8_Tm618JjCVm5ExeqsI0cYP75-OIrRKIfbDyJL_F3-gD7ZpIucCH6k9b3dQ&amp;s=HPDad0dRWasD0G4qNd1wGul0XoVhEbEukb3zY8ki5Go&amp;e=\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">www.medicina-antienvejecimiento.net/</a>\r\n\r\n[caption id=\"attachment_5146\" align=\"alignnone\" width=\"500\"]<img class=\"wp-image-5146 size-medium\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/14th-World-Congress-on-Anti-Aging-and-Longevity-Medicine-500x239.png\" alt=\"14th World Congress On Anti Aging And Longevity Medicine\" width=\"500\" height=\"239\" /> <strong>     14th World Congress On Anti-Aging And Longevity Medicine</strong>[/caption]\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>','Dr. Fields to Lecture in Mexico City on July 9th','','inherit','closed','closed','','1471-revision-v1','','','2022-08-22 20:10:39','2022-08-22 20:10:39','',1471,'https://www.drfields.com/?p=5472',0,'revision','',0),(5474,8,'2022-08-23 06:00:06','2022-08-23 06:00:06','<img class=\"wp-image-5475 alignright\" title=\"Sprained Ankle?\" src=\"https://www.drfields.com/wp-content/uploads/2022/08/Sprained-Ankle-500x419.png\" alt=\"Sprained Ankle?\" width=\"300\" height=\"251\" />\r\n<h2>Sprained Ankles?</h2>\r\nDo you experience recurrent sprained ankles? Is your ankle constantly giving out or overturning? These are common problems for those with instability in their ankle! Frequent swelling, pain, and a decrease in range of motion or possibly an excess of movement are also symptoms of those who experience recurring ankle sprains.\r\n<h2>What Causes Frequent Sprained Ankles?</h2>\r\nAnything that stretches the ankle further than it is used to can cause an injury to the ankle ligaments. For example, overturning the ankle inwards or outwards can injure the ligaments. Ankle sprains consist of some type of ligament injury. These injuries may be mild, moderate, or severe, but all involve ligament injury and/or tears of the ankle\'s ligaments.\r\n\r\nIf this ligament injury does not fully heal, a cycle of instability begins because the ligament(s) are weakened, allowing for abnormal ankle joint movement. As time progresses, other structures of the unstable ankle joint will also begin to degenerate, resulting in eventual arthritis.\r\n<h2>Why Haven’t Common Treatments Worked to Stabilize Weak or Sprained Ankles?</h2>\r\nIf you look up common treatments for ankle sprains, you will find rest, ice, compression, elevation, anti-inflammatory medications, and bracing or casting. Those with repeat ankle sprains have most likely tried all of these treatments.\r\n\r\nSure, they may provide some relief, but the ankle remains unstable. That is because none of these treatments repair the injured ligaments.\r\n<ul>\r\n 	<li>Ice does not repair ligaments.</li>\r\n 	<li>Braces, taping, and casts do not repair ligaments</li>\r\n 	<li>Elevation does not repair ligaments</li>\r\n 	<li>Anti-inflammatories do not repair ligaments</li>\r\n 	<li>Pain medications do not repair ligaments</li>\r\n</ul>\r\nAnd since 86% of ankle injuries are ligament sprains1, a treatment directed at ligament repair is what is necessary. Yes, treatments like physical therapy to strengthen musculature are helpful, but since muscles also depend on strong tendons and ligaments for proper function and stability, repair of these soft tissue structures will need to be addressed.\r\n<h2>Regenerative Treatment Is An Effective Way to Repair Weakened Ligaments</h2>\r\nAt OrthoRegen®, our treatment of choice is Regenerative Orthopedics. The great news is that these non-surgical treatments actually work to repair the ligaments. The treatment is not just a bandaid or a cover-up for the pain. Regenerative therapies, like Prolotherapy, PRP, and Stem Cells, have been shown to repair and regenerate the injured soft tissue structures.\r\n\r\nThe joint is strengthened by repairing the ligaments and other soft tissue structures, and the instability is resolved. Regenerative Orthopedics is a comprehensive treatment directed at all of the involved structures for the best possible outcome. The result is decreased pain and stiffness and increased function, improving quality of life.2\r\n\r\nIn cases with more deterioration, PRP or Stem Cells may be recommended in addition to Prolotherapy. Research has shown that these treatments also repair the ankle\'s soft tissue and boost function. Even in high ankle sprains, PRP has been shown to return athletes to full activity.\r\n\r\nAt OrthoRegen®, we have many years of experience in Regenerative therapies and would be happy to help you resolve your recurrent ankle sprains and improve your ankle function. Call us today at (310)453-1234.\r\n\r\n1Mulcahey MK, Bernhardson AS, Murphy CP, Chang A, Zajac T, Sanchez G, Sanchez A, Whalen JM, Price MD, Clanton TO, Provencher MT. The Epidemiology of Ankle Injuries Identified at the National Football League Combine, 2009-2015. Orthopaedic journal of sports medicine. 2018 Jul 17;6(7):2325967118786227.\r\n\r\n2Hauser RA, Hauser, MA, Cukla J. Dextrose Prolotherapy Injections for Chronic Ankle Pain Practical PAIN MANAGEMENT, January/February 2010 p 70-76.\r\n\r\n3Laver L, Carmont MR, McConkey MO, Palmanovich E, Yaacobi E, Mann G, Nyska M, Kots E, Mei-Dan O. Plasma rich in growth factors (PRGF) as a treatment for high ankle sprain in elite athletes: a randomized control trial. Knee Surg Sports Traumatol Arthrosc. 2015 Nov;23(11):3383-92.','Sprained or Overturned Ankle?','','publish','closed','open','','sprained-ankles','','','2022-08-26 22:03:16','2022-08-26 22:03:16','',0,'https://www.drfields.com/?p=5474',0,'post','',0),(5475,8,'2022-08-23 05:20:22','2022-08-23 05:20:22','Sprained Ankle','Sprained Ankle','Sprained Ankle','inherit','closed','closed','','sprained-ankle','','','2022-08-23 05:20:22','2022-08-23 05:20:22','',5474,'https://www.drfields.com/wp-content/uploads/2022/08/Sprained-Ankle.png',0,'attachment','image/png',0),(5476,8,'2022-08-23 05:23:20','2022-08-23 05:23:20','<img class=\"wp-image-5475 alignright\" title=\"Sprained Ankle?\" src=\"https://www.drfields.com/wp-content/uploads/2022/08/Sprained-Ankle-500x419.png\" alt=\"Sprained Ankle?\" width=\"300\" height=\"251\" />\r\n\r\nIs your ankle constantly giving out? That’s a common problem for those with instability in their ankle! Frequent swelling, pain, and a decrease in range of motion or possibly an excess of movement are also symptoms of those who experience recurring ankle sprains.\r\n<h2>What Causes Frequent Ankle Sprains?</h2>\r\nAnything that stretches the ankle further than it is used to can cause an injury to the ankle ligaments. For example, overturning the ankle inwards or outwards can injure the ligaments. Ankle sprains consist of some type of ligament injury. These injuries may be mild, moderate, or severe, but all involve ligament injury and/or tears of the ligaments of the ankle.\r\n\r\nIf this ligament injury does not fully heal, a cycle of instability begins because the ligament or ligaments are weakened, allowing for abnormal movement of the ankle joint. As time progresses, other structures of the unstable ankle joint will also begin to degenerate resulting in eventual arthritis.\r\n<h2>Why Haven’t Common Treatments Worked to Stabilize the Ankle?</h2>\r\nIf you look up common treatments for ankle sprains, you will find rest, ice, compression, elevation, anti-inflammatory medications, and bracing or casting. Those with repeat ankle sprains have most likely tried all of these treatments.\r\n\r\nSure, they may provide some relief, but the ankle remains unstable. That is because none of these treatments repair the injured ligaments.\r\n<ul>\r\n 	<li>Ice does not repair ligaments</li>\r\n 	<li>Braces, taping, and casts do not repair ligaments</li>\r\n 	<li>Elevation does not repair ligaments</li>\r\n 	<li>Anti-inflammatories do not repair ligaments</li>\r\n 	<li>Pain medications do not repair ligaments</li>\r\n</ul>\r\nAnd since 86% of ankle injuries are ligament sprains1, a treatment directed at ligament repair is what is necessary. Yes, treatments like physical therapy to strengthen musculature are helpful, but since muscles also depend on strong tendons and ligaments for proper function and stability, repair of these soft tissue structures will need to be addressed.\r\n<h2>Regenerative Treatment Is An Effective Way to Repair Ligaments</h2>\r\nAt OrthoRegen®, our treatment of choice is Regenerative Orthopedics. The great news is that these non-surgical treatment actually work to repair the ligaments. The treatment is not just a bandaid or a cover-up for the pain. Regenerative therapies, like Prolotherapy, PRP, and Stem Cells, have been shown to repair and regenerate the injured soft tissue structures.\r\n\r\nBy repairing the ligaments and any other involved soft tissue structures, the joint is strengthened and the instability is resolved. Regenerative Orthopedics is a comprehensive treatment directed at all of involved structures for the best possible outcome. The result is decreased pain and stiffness and an increase in function, which together improve quality of life.2\r\n\r\nIn cases that involve more deterioration, PRP or Stem Cells may be recommended in addition to Prolotherapy. Research has shown that these treatments are also effective at repairing the soft tissue of the ankle and boost function. Even in high ankle sprains, PRP has been shown to return athletes to full activity.\r\n\r\nAt OrthoRegen®, we have many years of experience in Regenerative therapies and would be happy to help you resolve your recurrent ankle sprains and improve your ankle function. Call us today at (310)453-1234.\r\n\r\n1Mulcahey MK, Bernhardson AS, Murphy CP, Chang A, Zajac T, Sanchez G, Sanchez A, Whalen JM, Price MD, Clanton TO, Provencher MT. The Epidemiology of Ankle Injuries Identified at the National Football League Combine, 2009-2015. Orthopaedic journal of sports medicine. 2018 Jul 17;6(7):2325967118786227.\r\n\r\n2Hauser RA, Hauser, MA, Cukla J. Dextrose Prolotherapy Injections for Chronic Ankle Pain Practical PAIN MANAGEMENT, January/February 2010 p 70-76.\r\n\r\n3Laver L, Carmont MR, McConkey MO, Palmanovich E, Yaacobi E, Mann G, Nyska M, Kots E, Mei-Dan O. Plasma rich in growth factors (PRGF) as a treatment for high ankle sprain in elite athletes: a randomized control trial. Knee Surg Sports Traumatol Arthrosc. 2015 Nov;23(11):3383-92.','Sprained Ankle?','','inherit','closed','closed','','5474-revision-v1','','','2022-08-23 05:23:20','2022-08-23 05:23:20','',5474,'https://www.drfields.com/?p=5476',0,'revision','',0),(5477,8,'2022-08-23 05:28:07','2022-08-23 05:28:07','<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/2019/06/header-orthoregen-4.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/07/Slider-2v05072022.png\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/05/header-orthoregen-santa-monica-pier.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">New Article:</span>\r\n<span class=\"header_text_second\">Keep Looking Forward Despite COVID-19</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dealing-with-covid-19/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-11.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-9.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Get Back In The Game!</span>\r\n<span class=\"header_text_second\">Avoid Joint and Spine Surgery </span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">Stem Cell/PRP/Prolotherapy</span>\r\n<a class=\"btn-more\" title=\"Get Help Now!\" href=\"Contact-Us\"> Get Help Now!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item slide-article\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/05/header-orthoregen-ocean-mountains.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_second\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/12/Kili-top-header-2.jpg\');\">\r\n<div class=\"carousel-caption\" style=\"text-align: left;\"><span class=\"header_text_first\">Congratulations\r\nPeter A. Fields, MD, DC</span>\r\n<span class=\"header_text_second\">The Athletic Doc<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/2019/12/Sider-01-V8.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Peter A. Fields, MD, DC\r\nThe Athletic Doc<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=\"https://www.drfields.com/articles/regenerative-orthopedics/sprained-ankle/\">Sprained Ankle?</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/are-cortisone-shots-a-good-option/\">Are Cortisone Shots a Good Option?</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/try-regenerative-treatments-for-your-hip-pain-or-injury/\">Try Regenerative Treatments for Your Hip Pain or Injury</a></li>\r\n 	<li class=\"last\"><a title=\"Nagging Back Pain\" href=\"/articles/regenerative-orthopedics/nagging-back-pain/\">Nagging Back Pain</a></li>\r\n 	<li class=\"last\"><a title=\"Treating Knee Pain and Injuries with Regenerative Orthopedics\" href=\"/articles/regenerative-orthopedics/treating-knee-pain-and-injuries-with-regenerative-orthopedics/\">Treating Knee Pain and Injuries with Regenerative Orthopedics</a></li>\r\n 	<li class=\"last\"><a title=\"Keep Looking Forward Despite COVID-19\" href=\"/articles/health-news/dealing-with-covid-19/\">Keep Looking Forward Despite COVID-19</a></li>\r\n 	<li class=\"last\"><a title=\"COVID-19 Advice: Don’t Fear the Fear Itself!\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</a></li>\r\n 	<li class=\"last\"><a title=\"Rotator Cuff Tendonitis\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/rotator-cuff-tendonitis/\">Rotator Cuff Tendonitis</a></li>\r\n 	<li><a title=\"Allergic Reactions and Problems of Corrosion with Joint Replacements\" href=\"https://www.drfields.com/articles/allergic-reactions-and-problems-of-corrosion-with-joint-replacements/\">Allergic Reactions and Problems of Corrosion with Joint Replacements\r\n</a></li>\r\n 	<li><a title=\"Treat Sciatica Pain Non-Surgically\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/treat-sciatica-pain-non-surgically/\">Treat Sciatica Pain Non-Surgically</a></li>\r\n 	<li class=\"last\"><a title=\"Stem Cell Therapy at OrthoRegen&lt;sup&gt;®&lt;/sup&gt; – Why We are Different\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/stem-cell-therapy-at-orthoregen-why-we-are-different/\">Stem Cell Therapy at OrthoRegen<sup>®</sup> – Why We are Different</a></li>\r\n 	<li class=\"last\"><a title=\"Is Your Hip Bursitis Treatment Working?\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/is-your-hip-bursitis-treatment-working/\">Is Your Hip Bursitis Treatment Working?</a></li>\r\n</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/2019/06/dr-fields.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','','','2022-08-23 05:28:07','2022-08-23 05:28:07','',2109,'https://www.drfields.com/?p=5477',0,'revision','',0),(5478,9,'2022-08-25 01:26:59','2022-08-25 01:26:59','<div class=\"youtube-click-div video_left\">[video_lightbox_youtube video_id=\"bC6PwyGefiY\" width=\"640\" height=\"480\" anchor=\"https://www.drfields.com/wp-content/uploads/2019/06/Mark-neck-pain.jpg\" alt=\"Mark-Neck\"]\n<strong>Mark - Neck</strong></div>\n<h2>Regenerative Orthopedics for Chronic Neck Pain</h2>\nSince the neck is less protected than the rest of the spine, it is far more vulnerable to injuries and disorders that can cause pain and even restrict your motion. The neck enables the head to move and rotate, but if you are unable to move your neck normally, your life can be severely disrupted, and your activities can be limited. Depending on the cause and type of your neck injury or condition, your best choice may be Regenerative Orthopedics for chronic neck pain.\n<h3>What Causes Neck Pain?</h3>\nYour neck is composed of seven cervical vertebrae. These vertebrae support your head, serve as an attachment point for the muscles that move your head, and protect the spinal cord between the brain and thoracic vertebrae.\n\n<em>Symptoms involved with <a href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-faq/\">neck pain</a> can include:</em>\n<ul>\n 	<li>Headaches</li>\n 	<li>Pain in the shoulder, arm, or hand</li>\n 	<li>Reduced range of motion in the neck</li>\n 	<li>Numbness, weakness, and slower reflexes in the arms, legs, hands, and feet.</li>\n</ul>\nIf you are experiencing ongoing neck pain, you may be experiencing early symptoms of arthritis. Osteoarthritis can begin as young as thirty, and symptoms may begin to appear years after the disease begins.\n\n<em>Other Causes of Neck Pain?</em>\n\nA strain or spasm of the muscles in the neck or inflammation of the neck may be a cause of the neck pain you feel. Pain in the neck can also be caused by injuries such as whiplash or a blow to the head or neck while playing sports. Cervical disk degeneration, disc herniation, a pinched nerve, meningitis, influenza, a heart attack, or torticollis can also be causes of neck pain. Anything that causes stress on the muscles in the upper body and arms, including poor posture and sleeping on a pillow that is too high, can be causes of localized neck pain.\n\n<a style=\"display: block; margin: 0 auto; max-width: 275px;\" href=\"https://www.carecredit.com/go/762HNB/bb3poscustacqbtnclk08132020/?dtc=Ds5X&amp;promocode=CLT/\"><img style=\"max-width: 100%;\" src=\"https://www.carecredit.com/sites/pc/image/carecredit_button_applynow_280x100_a_v1.jpg\" width=\"275\" /></a>\n<h3>How Regenerative Orthopedics Are Used To Treat Chronic Neck Pain</h3>\nMany patients are tired of ‘managing’ their chronic pain with NSAID or narcotic medications, various therapies, and exercises. Unfortunately, in many cases, these methods do not take care of the cause of the pain.\n\nMusculoskeletal pain is primarily due to weakness in the ligaments, tendons, and possibly cartilage. The good news is that Regenerative Orthopedics, including Prolotherapy, PRP, and Stem Cell Therapy,  can regenerate these damaged tissues and ultimately alleviate the problem causing the pain.\n<h3><em>What Does Research Say?</em></h3>\n<div class=\"page\" title=\"Page 1\">\n<div class=\"section\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n\n<em><strong>The Journal of Spine Research conducted a clinical study to evaluate the safety and effectiveness of PRP for the treatment of neck and low back pain. The specific cause of the pain in the study participants was spinal disc herniation (HNP). The patients had already tried different conservative treatments that did not work. However, the PRP treatments resulted in over 80% improvement. Plus, the improvement lasted. These patients were followed for eight years.1</strong></em>\n\n</div>\n</div>\n</div>\n</div>\nRegenerative Orthopedics work because they stimulate the healing cascade in the body. Solutions are injected into the affected neck ligaments, tendons, or joints, leading to local inflammation in that area. The localized inflammation triggers the deposition of new collagen, the material in which ligaments and tendons are made. New collagen shrinks as it matures and tightens the injected ligament, making it stronger.\n<h3>Are you a Candidate For Regenerative Orthopedics for Chronic Neck Pain?</h3>\nOur goal at OrthoRegen<sup>®</sup> is for our patients to have an active, healthy, pain-free life. Regenerative Orthopedics is a safe, affordable option that allows you to keep working and remain active during recovery. These chronic neck pain treatments are among the few that encourage movement post-treatment. Movement is essential since it aids the healing process. By contrast, surgery requires you to reduce activity after treatment.\n\nWould you like a <strong>second opinion before you have neck surgery or begin other treatments</strong>? Would you like to know if you are a candidate for Prolotherapy for your chronic neck pain? The only way to know for sure is to get a consultation. <a href=\"https://www.drfields.com/contact/\">Contact Us Today</a> for a consultation or call Dr. Fields at <a href=\"tel:+[phone_raw]\">[phone]</a>.\n<h3><strong>Reference</strong></h3>\n<div class=\"page\" title=\"Page 1\">\n<div class=\"section\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n\n1Cameron JA, Thielen KM (2017) Autologous Platelet Rich Plasma for Neck and Lower Back Pain Secondary to Spinal Disc Herniation: Midterm Results. Spine Res. Vol. 3 No. 2:10.\n\n</div>\n</div>\n</div>\n</div>\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>','Stubborn, Persistent Neck Pain','','inherit','closed','closed','','509-autosave-v1','','','2022-08-25 01:26:59','2022-08-25 01:26:59','',509,'https://www.drfields.com/?p=5478',0,'revision','',0),(5479,9,'2022-08-25 00:51:43','2022-08-25 00:51:43','<div class=\"youtube-click-div video_left\">[video_lightbox_youtube video_id=\"bC6PwyGefiY\" width=\"640\" height=\"480\" anchor=\"https://www.drfields.com/wp-content/uploads/2019/06/Mark-neck-pain.jpg\" alt=\"Mark-Neck\"]\r\n<strong>Mark - Neck</strong></div>\r\n<h2>Prolotherapy for Chronic Neck Pain</h2>\r\nBecause the neck is less protected than the rest of the spine, it is far more vulnerable to injuries and disorders that can cause pain and even restrict your motion. The neck enables the head to move and to rotate, but if you can\'t move your neck normally, your life can be severely disrupted and your activities can be limited. Depending on the cause and type of your neck injury or condition, your best choice may be prolotherapy for chronic neck pain.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">  Schedule Your Appointment Today!</a>\r\n<h4>What Causes Neck Pain?</h4>\r\nYour neck is composed of seven cervical vertebrae. These vertebrae support your head, serve as an attachment point for the muscles that move your head, and protect the spinal cord between the brain and thoracic vertebrae.\r\n\r\nSymptoms of <a href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-faq/\">neck pain</a> can include:\r\n<ul>\r\n 	<li>Headaches</li>\r\n 	<li>Pain in the shoulder, arm, or hand</li>\r\n 	<li>Reduced range of motion in the neck</li>\r\n 	<li>Numbness, weakness, and slower reflexes in the arms, legs, hands, and feet.</li>\r\n</ul>\r\nIf you are experiencing minor neck pain, you may be experiencing early symptoms of arthritis. Osteoarthritis can begin as young as thirty, and symptoms may begin to appear years after the disease begins.\r\n\r\nA strain or spasm of the muscles in the neck or inflammation of the neck can be the causes of the neck pain you feel. Pain in the neck can also be caused by injuries such as whiplash or a blow to the head or neck while playing sports. Cervical disk degeneration, a pinched nerve, meningitis, influenza, a heart attack, or torticollis can also be causes of neck pain. Anything that causes stress on the muscles in the upper body and arms, including poor posture and sleeping on a pillow that is too high, can be causes of localized neck pain.\r\n\r\n<a style=\"display: block; margin: 0 auto; max-width: 275px;\" href=\"https://www.carecredit.com/go/762HNB/bb3poscustacqbtnclk08132020/?dtc=Ds5X&amp;promocode=CLT/\"><img style=\"max-width: 100%;\" src=\"https://www.carecredit.com/sites/pc/image/carecredit_button_applynow_280x100_a_v1.jpg\" width=\"275\" /></a>\r\n<h4>How Prolotherapy Is Used To Treat Chronic Neck Pain</h4>\r\nMany patients are tired of ‘managing’ their chronic pain with NSAID or narcotic medications, various therapies, and exercises. In many cases, these methods do not take care of the cause of the pain.\r\n\r\nPatients with pain in almost any joint in the body can now <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-pain-overview/\">treat their chronic pain with Prolotherapy</a>. It just depends on the cause of your particular pain.\r\n\r\nMusculoskeletal pain is mostly due to weakness in the ligaments, tendons, and possibly cartilage. The good news is that Prolotherapy can regenerate these damaged tissues and ultimately alleviate the problem causing the pain.\r\n\r\nProlotherapy works because it stimulates an inflammatory reaction in the body. Solutions are injected into the affected neck ligaments, tendons, or joints, leading to local inflammation in that area. The localized inflammation triggers the deposition of new collagen, the material in which ligaments and tendons are made. New collagen shrinks as it matures and tightens the injected ligament, making it stronger.\r\n<h4>Are you a Candidate For Prolotherapy for Chronic Neck Pain?</h4>\r\nOur goal at OrthoRegen<sup>®</sup> is for our patients to have an active, healthy, pain-free life. Prolotherapy is a safe, affordable option that allows you to keep working, training, and living a normal life during recovery. Prolotherapy for chronic neck pain is one of the few treatments that encourages movement post-treatment. Movement actually aids the healing process after <a title=\"Prolotherapy\" href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-treatment-overview/\">Prolotherapy</a>. By contrast, surgery requires you to reduce activity after treatment.\r\n\r\nWould you like a <strong>second opinion before you have neck surgery or begin other treatments</strong>? Would you like to know if you are a candidate for Prolotherapy for your chronic neck pain? The only way to know for sure is to get a consultation. <a href=\"https://www.drfields.com/contact/\">Contact Us Today</a> for a consultation or call Dr. Fields at <a href=\"tel:+[phone_raw]\">[phone]</a>.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>','Stubborn Neck Pain','','inherit','closed','closed','','509-revision-v1','','','2022-08-25 00:51:43','2022-08-25 00:51:43','',509,'https://www.drfields.com/?p=5479',0,'revision','',0),(5480,9,'2022-08-25 01:09:19','2022-08-25 01:09:19','<div class=\"youtube-click-div video_left\">[video_lightbox_youtube video_id=\"bC6PwyGefiY\" width=\"640\" height=\"480\" anchor=\"https://www.drfields.com/wp-content/uploads/2019/06/Mark-neck-pain.jpg\" alt=\"Mark-Neck\"]\r\n<strong>Mark - Neck</strong></div>\r\n<h2>Regenerative Orthopedics for Chronic Neck Pain</h2>\r\nSince the neck is less protected than the rest of the spine, it is far more vulnerable to injuries and disorders that can cause pain and even restrict your motion. The neck enables the head to move and rotate, but if you can\'t move your neck normally, your life can be severely disrupted, and your activities can be limited. Depending on the cause and type of your neck injury or condition, your best choice may be Regenerative Orthopedics for chronic neck pain.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">  Schedule Your Appointment Today!</a>\r\n<h4>What Causes Neck Pain?</h4>\r\nYour neck is composed of seven cervical vertebrae. These vertebrae support your head, serve as an attachment point for the muscles that move your head, and protect the spinal cord between the brain and thoracic vertebrae.\r\n\r\n<em>Symptoms involved with <a href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-faq/\">neck pain</a> can include:</em>\r\n<ul>\r\n 	<li>Headaches</li>\r\n 	<li>Pain in the shoulder, arm, or hand</li>\r\n 	<li>Reduced range of motion in the neck</li>\r\n 	<li>Numbness, weakness, and slower reflexes in the arms, legs, hands, and feet.</li>\r\n</ul>\r\nIf you are experiencing ongoing neck pain, you may be experiencing early symptoms of arthritis. Osteoarthritis can begin as young as thirty, and symptoms may begin to appear years after the disease begins.\r\n\r\n<em>Other Causes of Neck Pain?</em>\r\n\r\nA strain or spasm of the muscles in the neck or inflammation of the neck may be a cause of the neck pain you feel. Pain in the neck can also be caused by injuries such as whiplash or a blow to the head or neck while playing sports. Cervical disk degeneration, a pinched nerve, meningitis, influenza, a heart attack, or torticollis can also be causes of neck pain. Anything that causes stress on the muscles in the upper body and arms, including poor posture and sleeping on a pillow that is too high, can be causes of localized neck pain.\r\n\r\n<a style=\"display: block; margin: 0 auto; max-width: 275px;\" href=\"https://www.carecredit.com/go/762HNB/bb3poscustacqbtnclk08132020/?dtc=Ds5X&amp;promocode=CLT/\"><img style=\"max-width: 100%;\" src=\"https://www.carecredit.com/sites/pc/image/carecredit_button_applynow_280x100_a_v1.jpg\" width=\"275\" /></a>\r\n<h4>How Regenerative Orthopedics Are Used To Treat Chronic Neck Pain</h4>\r\nMany patients are tired of ‘managing’ their chronic pain with NSAID or narcotic medications, various therapies, and exercises. In many cases, these methods do not take care of the cause of the pain.\r\n\r\nPatients with pain in almost any joint in the body can now <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-pain-overview/\">treat their chronic pain with Prolotherapy</a>. It just depends on the cause of your particular pain.\r\n\r\nMusculoskeletal pain is mostly due to weakness in the ligaments, tendons, and possibly cartilage. The good news is that Regenerative Orthopedics, including Prolotherapy, PRP, and Stem Cell Therapy,  can regenerate these damaged tissues and ultimately alleviate the problem causing the pain.\r\n\r\nRegenerative Orthopedics work because they stimulate the healing cascade in the body. Solutions are injected into the affected neck ligaments, tendons, or joints, leading to local inflammation in that area. The localized inflammation triggers the deposition of new collagen, the material in which ligaments and tendons are made. New collagen shrinks as it matures and tightens the injected ligament, making it stronger.\r\n<h4>Are you a Candidate For Regenerative Orthopedics for Chronic Neck Pain?</h4>\r\nOur goal at OrthoRegen<sup>®</sup> is for our patients to have an active, healthy, pain-free life. Regenerative Orthopedics is a safe, affordable option that allows you to keep working, training, and living a normal life during recovery. These chronic neck pain treatments are among the few that encourage movement post-treatment. Movement actually aids the healing process. By contrast, surgery requires you to reduce activity after treatment.\r\n\r\nWould you like a <strong>second opinion before you have neck surgery or begin other treatments</strong>? Would you like to know if you are a candidate for Prolotherapy for your chronic neck pain? The only way to know for sure is to get a consultation. <a href=\"https://www.drfields.com/contact/\">Contact Us Today</a> for a consultation or call Dr. Fields at <a href=\"tel:+[phone_raw]\">[phone]</a>.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>','Stubborn, Persistent Neck Pain','','inherit','closed','closed','','509-revision-v1','','','2022-08-25 01:09:19','2022-08-25 01:09:19','',509,'https://www.drfields.com/?p=5480',0,'revision','',0),(5481,9,'2022-08-25 01:18:07','2022-08-25 01:18:07','<div class=\"youtube-click-div video_left\">[video_lightbox_youtube video_id=\"bC6PwyGefiY\" width=\"640\" height=\"480\" anchor=\"https://www.drfields.com/wp-content/uploads/2019/06/Mark-neck-pain.jpg\" alt=\"Mark-Neck\"]\r\n<strong>Mark - Neck</strong></div>\r\n<h2>Regenerative Orthopedics for Chronic Neck Pain</h2>\r\nSince the neck is less protected than the rest of the spine, it is far more vulnerable to injuries and disorders that can cause pain and even restrict your motion. The neck enables the head to move and rotate, but if you can\'t move your neck normally, your life can be severely disrupted, and your activities can be limited. Depending on the cause and type of your neck injury or condition, your best choice may be Regenerative Orthopedics for chronic neck pain.\r\n<h4>What Causes Neck Pain?</h4>\r\nYour neck is composed of seven cervical vertebrae. These vertebrae support your head, serve as an attachment point for the muscles that move your head, and protect the spinal cord between the brain and thoracic vertebrae.\r\n\r\n<em>Symptoms involved with <a href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-faq/\">neck pain</a> can include:</em>\r\n<ul>\r\n 	<li>Headaches</li>\r\n 	<li>Pain in the shoulder, arm, or hand</li>\r\n 	<li>Reduced range of motion in the neck</li>\r\n 	<li>Numbness, weakness, and slower reflexes in the arms, legs, hands, and feet.</li>\r\n</ul>\r\nIf you are experiencing ongoing neck pain, you may be experiencing early symptoms of arthritis. Osteoarthritis can begin as young as thirty, and symptoms may begin to appear years after the disease begins.\r\n\r\n<em>Other Causes of Neck Pain?</em>\r\n\r\nA strain or spasm of the muscles in the neck or inflammation of the neck may be a cause of the neck pain you feel. Pain in the neck can also be caused by injuries such as whiplash or a blow to the head or neck while playing sports. Cervical disk degeneration, disc herniation, a pinched nerve, meningitis, influenza, a heart attack, or torticollis can also be causes of neck pain. Anything that causes stress on the muscles in the upper body and arms, including poor posture and sleeping on a pillow that is too high, can be causes of localized neck pain.\r\n\r\n<a style=\"display: block; margin: 0 auto; max-width: 275px;\" href=\"https://www.carecredit.com/go/762HNB/bb3poscustacqbtnclk08132020/?dtc=Ds5X&amp;promocode=CLT/\"><img style=\"max-width: 100%;\" src=\"https://www.carecredit.com/sites/pc/image/carecredit_button_applynow_280x100_a_v1.jpg\" width=\"275\" /></a>\r\n<h4>How Regenerative Orthopedics Are Used To Treat Chronic Neck Pain</h4>\r\nMany patients are tired of ‘managing’ their chronic pain with NSAID or narcotic medications, various therapies, and exercises. In many cases, these methods do not take care of the cause of the pain.\r\n\r\nMusculoskeletal pain is mostly due to weakness in the ligaments, tendons, and possibly cartilage. The good news is that Regenerative Orthopedics, including Prolotherapy, PRP, and Stem Cell Therapy,  can regenerate these damaged tissues and ultimately alleviate the problem causing the pain.\r\n<div class=\"page\" title=\"Page 1\">\r\n<div class=\"section\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\nThe <em>Journal of Spine Research</em> conducted a clinical study to evaluate the safety and effectiveness of PRP for the treatment of neck as well as low back pain. The specific cause of the pain in the study participants was spinal disc herniation (HNP). The patients had already tried different conservative treatments that didn\'t work. The PRP treatments resulted in over 80% improvement, and these patients were followed for 8 years.1\r\n\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\nRegenerative Orthopedics work because they stimulate the healing cascade in the body. Solutions are injected into the affected neck ligaments, tendons, or joints, leading to local inflammation in that area. The localized inflammation triggers the deposition of new collagen, the material in which ligaments and tendons are made. New collagen shrinks as it matures and tightens the injected ligament, making it stronger.\r\n<h4>Are you a Candidate For Regenerative Orthopedics for Chronic Neck Pain?</h4>\r\nOur goal at OrthoRegen<sup>®</sup> is for our patients to have an active, healthy, pain-free life. Regenerative Orthopedics is a safe, affordable option that allows you to keep working, training, and living a normal life during recovery. These chronic neck pain treatments are among the few that encourage movement post-treatment. Movement actually aids the healing process. By contrast, surgery requires you to reduce activity after treatment.\r\n\r\nWould you like a <strong>second opinion before you have neck surgery or begin other treatments</strong>? Would you like to know if you are a candidate for Prolotherapy for your chronic neck pain? The only way to know for sure is to get a consultation. <a href=\"https://www.drfields.com/contact/\">Contact Us Today</a> for a consultation or call Dr. Fields at <a href=\"tel:+[phone_raw]\">[phone]</a>.\r\n\r\n<strong>Reference</strong>\r\n<div class=\"page\" title=\"Page 1\">\r\n<div class=\"section\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\n1Cameron JA, Thielen KM (2017) Autologous Platelet Rich Plasma for Neck and Lower Back Pain Secondary to Spinal Disc Herniation: Midterm Results. Spine Res. Vol. 3 No. 2:10.\r\n\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>','Stubborn, Persistent Neck Pain','','inherit','closed','closed','','509-revision-v1','','','2022-08-25 01:18:07','2022-08-25 01:18:07','',509,'https://www.drfields.com/?p=5481',0,'revision','',0),(5482,9,'2022-08-25 01:24:07','2022-08-25 01:24:07','<div class=\"youtube-click-div video_left\">[video_lightbox_youtube video_id=\"bC6PwyGefiY\" width=\"640\" height=\"480\" anchor=\"https://www.drfields.com/wp-content/uploads/2019/06/Mark-neck-pain.jpg\" alt=\"Mark-Neck\"]\r\n<strong>Mark - Neck</strong></div>\r\n<h2>Regenerative Orthopedics for Chronic Neck Pain</h2>\r\nSince the neck is less protected than the rest of the spine, it is far more vulnerable to injuries and disorders that can cause pain and even restrict your motion. The neck enables the head to move and rotate, but if you are unable to move your neck normally, your life can be severely disrupted, and your activities can be limited. Depending on the cause and type of your neck injury or condition, your best choice may be Regenerative Orthopedics for chronic neck pain.\r\n<h4>What Causes Neck Pain?</h4>\r\nYour neck is composed of seven cervical vertebrae. These vertebrae support your head, serve as an attachment point for the muscles that move your head, and protect the spinal cord between the brain and thoracic vertebrae.\r\n\r\n<em>Symptoms involved with <a href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-faq/\">neck pain</a> can include:</em>\r\n<ul>\r\n 	<li>Headaches</li>\r\n 	<li>Pain in the shoulder, arm, or hand</li>\r\n 	<li>Reduced range of motion in the neck</li>\r\n 	<li>Numbness, weakness, and slower reflexes in the arms, legs, hands, and feet.</li>\r\n</ul>\r\nIf you are experiencing ongoing neck pain, you may be experiencing early symptoms of arthritis. Osteoarthritis can begin as young as thirty, and symptoms may begin to appear years after the disease begins.\r\n\r\n<em>Other Causes of Neck Pain?</em>\r\n\r\nA strain or spasm of the muscles in the neck or inflammation of the neck may be a cause of the neck pain you feel. Pain in the neck can also be caused by injuries such as whiplash or a blow to the head or neck while playing sports. Cervical disk degeneration, disc herniation, a pinched nerve, meningitis, influenza, a heart attack, or torticollis can also be causes of neck pain. Anything that causes stress on the muscles in the upper body and arms, including poor posture and sleeping on a pillow that is too high, can be causes of localized neck pain.\r\n\r\n<a style=\"display: block; margin: 0 auto; max-width: 275px;\" href=\"https://www.carecredit.com/go/762HNB/bb3poscustacqbtnclk08132020/?dtc=Ds5X&amp;promocode=CLT/\"><img style=\"max-width: 100%;\" src=\"https://www.carecredit.com/sites/pc/image/carecredit_button_applynow_280x100_a_v1.jpg\" width=\"275\" /></a>\r\n<h4>How Regenerative Orthopedics Are Used To Treat Chronic Neck Pain</h4>\r\nMany patients are tired of ‘managing’ their chronic pain with NSAID or narcotic medications, various therapies, and exercises. Unfortunately, in many cases, these methods do not take care of the cause of the pain.\r\n\r\nMusculoskeletal pain is primarily due to weakness in the ligaments, tendons, and possibly cartilage. The good news is that Regenerative Orthopedics, including Prolotherapy, PRP, and Stem Cell Therapy,  can regenerate these damaged tissues and ultimately alleviate the problem causing the pain.\r\n<div class=\"page\" title=\"Page 1\">\r\n<div class=\"section\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\nThe <em>Journal of Spine Research</em> conducted a clinical study to evaluate the safety and effectiveness of PRP for the treatment of neck and low back pain. The specific cause of the pain in the study participants was spinal disc herniation (HNP). The patients had already tried different conservative treatments that did not work. However, the PRP treatments resulted in over 80% improvement. Plus, the improvement lasted. These patients were followed for eight years.1\r\n\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\nRegenerative Orthopedics work because they stimulate the healing cascade in the body. Solutions are injected into the affected neck ligaments, tendons, or joints, leading to local inflammation in that area. The localized inflammation triggers the deposition of new collagen, the material in which ligaments and tendons are made. New collagen shrinks as it matures and tightens the injected ligament, making it stronger.\r\n<h4>Are you a Candidate For Regenerative Orthopedics for Chronic Neck Pain?</h4>\r\nOur goal at OrthoRegen<sup>®</sup> is for our patients to have an active, healthy, pain-free life. Regenerative Orthopedics is a safe, affordable option that allows you to keep working and remain active during recovery. These chronic neck pain treatments are among the few that encourage movement post-treatment. Movement is essential since it aids the healing process. By contrast, surgery requires you to reduce activity after treatment.\r\n\r\nWould you like a <strong>second opinion before you have neck surgery or begin other treatments</strong>? Would you like to know if you are a candidate for Prolotherapy for your chronic neck pain? The only way to know for sure is to get a consultation. <a href=\"https://www.drfields.com/contact/\">Contact Us Today</a> for a consultation or call Dr. Fields at <a href=\"tel:+[phone_raw]\">[phone]</a>.\r\n\r\n<strong>Reference</strong>\r\n<div class=\"page\" title=\"Page 1\">\r\n<div class=\"section\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\n1Cameron JA, Thielen KM (2017) Autologous Platelet Rich Plasma for Neck and Lower Back Pain Secondary to Spinal Disc Herniation: Midterm Results. Spine Res. Vol. 3 No. 2:10.\r\n\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>','Stubborn, Persistent Neck Pain','','inherit','closed','closed','','509-revision-v1','','','2022-08-25 01:24:07','2022-08-25 01:24:07','',509,'https://www.drfields.com/?p=5482',0,'revision','',0),(5483,9,'2022-08-25 01:25:52','2022-08-25 01:25:52','<div class=\"youtube-click-div video_left\">[video_lightbox_youtube video_id=\"bC6PwyGefiY\" width=\"640\" height=\"480\" anchor=\"https://www.drfields.com/wp-content/uploads/2019/06/Mark-neck-pain.jpg\" alt=\"Mark-Neck\"]\r\n<strong>Mark - Neck</strong></div>\r\n<h2>Regenerative Orthopedics for Chronic Neck Pain</h2>\r\nSince the neck is less protected than the rest of the spine, it is far more vulnerable to injuries and disorders that can cause pain and even restrict your motion. The neck enables the head to move and rotate, but if you are unable to move your neck normally, your life can be severely disrupted, and your activities can be limited. Depending on the cause and type of your neck injury or condition, your best choice may be Regenerative Orthopedics for chronic neck pain.\r\n<h3>What Causes Neck Pain?</h3>\r\nYour neck is composed of seven cervical vertebrae. These vertebrae support your head, serve as an attachment point for the muscles that move your head, and protect the spinal cord between the brain and thoracic vertebrae.\r\n\r\n<em>Symptoms involved with <a href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-faq/\">neck pain</a> can include:</em>\r\n<ul>\r\n 	<li>Headaches</li>\r\n 	<li>Pain in the shoulder, arm, or hand</li>\r\n 	<li>Reduced range of motion in the neck</li>\r\n 	<li>Numbness, weakness, and slower reflexes in the arms, legs, hands, and feet.</li>\r\n</ul>\r\nIf you are experiencing ongoing neck pain, you may be experiencing early symptoms of arthritis. Osteoarthritis can begin as young as thirty, and symptoms may begin to appear years after the disease begins.\r\n\r\n<em>Other Causes of Neck Pain?</em>\r\n\r\nA strain or spasm of the muscles in the neck or inflammation of the neck may be a cause of the neck pain you feel. Pain in the neck can also be caused by injuries such as whiplash or a blow to the head or neck while playing sports. Cervical disk degeneration, disc herniation, a pinched nerve, meningitis, influenza, a heart attack, or torticollis can also be causes of neck pain. Anything that causes stress on the muscles in the upper body and arms, including poor posture and sleeping on a pillow that is too high, can be causes of localized neck pain.\r\n\r\n<a style=\"display: block; margin: 0 auto; max-width: 275px;\" href=\"https://www.carecredit.com/go/762HNB/bb3poscustacqbtnclk08132020/?dtc=Ds5X&amp;promocode=CLT/\"><img style=\"max-width: 100%;\" src=\"https://www.carecredit.com/sites/pc/image/carecredit_button_applynow_280x100_a_v1.jpg\" width=\"275\" /></a>\r\n<h3>How Regenerative Orthopedics Are Used To Treat Chronic Neck Pain</h3>\r\nMany patients are tired of ‘managing’ their chronic pain with NSAID or narcotic medications, various therapies, and exercises. Unfortunately, in many cases, these methods do not take care of the cause of the pain.\r\n\r\nMusculoskeletal pain is primarily due to weakness in the ligaments, tendons, and possibly cartilage. The good news is that Regenerative Orthopedics, including Prolotherapy, PRP, and Stem Cell Therapy,  can regenerate these damaged tissues and ultimately alleviate the problem causing the pain.\r\n<h3><em>What Does Research Say?</em></h3>\r\n<div class=\"page\" title=\"Page 1\">\r\n<div class=\"section\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\nThe <em>Journal of Spine Research</em> conducted a clinical study to evaluate the safety and effectiveness of PRP for the treatment of neck and low back pain. The specific cause of the pain in the study participants was spinal disc herniation (HNP). The patients had already tried different conservative treatments that did not work. However, the PRP treatments resulted in over 80% improvement. Plus, the improvement lasted. These patients were followed for eight years.1\r\n\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\nRegenerative Orthopedics work because they stimulate the healing cascade in the body. Solutions are injected into the affected neck ligaments, tendons, or joints, leading to local inflammation in that area. The localized inflammation triggers the deposition of new collagen, the material in which ligaments and tendons are made. New collagen shrinks as it matures and tightens the injected ligament, making it stronger.\r\n<h3>Are you a Candidate For Regenerative Orthopedics for Chronic Neck Pain?</h3>\r\nOur goal at OrthoRegen<sup>®</sup> is for our patients to have an active, healthy, pain-free life. Regenerative Orthopedics is a safe, affordable option that allows you to keep working and remain active during recovery. These chronic neck pain treatments are among the few that encourage movement post-treatment. Movement is essential since it aids the healing process. By contrast, surgery requires you to reduce activity after treatment.\r\n\r\nWould you like a <strong>second opinion before you have neck surgery or begin other treatments</strong>? Would you like to know if you are a candidate for Prolotherapy for your chronic neck pain? The only way to know for sure is to get a consultation. <a href=\"https://www.drfields.com/contact/\">Contact Us Today</a> for a consultation or call Dr. Fields at <a href=\"tel:+[phone_raw]\">[phone]</a>.\r\n<h3><strong>Reference</strong></h3>\r\n<div class=\"page\" title=\"Page 1\">\r\n<div class=\"section\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\n1Cameron JA, Thielen KM (2017) Autologous Platelet Rich Plasma for Neck and Lower Back Pain Secondary to Spinal Disc Herniation: Midterm Results. Spine Res. Vol. 3 No. 2:10.\r\n\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>','Stubborn, Persistent Neck Pain','','inherit','closed','closed','','509-revision-v1','','','2022-08-25 01:25:52','2022-08-25 01:25:52','',509,'https://www.drfields.com/?p=5483',0,'revision','',0),(5484,9,'2022-08-25 01:27:27','2022-08-25 01:27:27','<div class=\"youtube-click-div video_left\">[video_lightbox_youtube video_id=\"bC6PwyGefiY\" width=\"640\" height=\"480\" anchor=\"https://www.drfields.com/wp-content/uploads/2019/06/Mark-neck-pain.jpg\" alt=\"Mark-Neck\"]\r\n<strong>Mark - Neck</strong></div>\r\n<h2>Regenerative Orthopedics for Chronic Neck Pain</h2>\r\nSince the neck is less protected than the rest of the spine, it is far more vulnerable to injuries and disorders that can cause pain and even restrict your motion. The neck enables the head to move and rotate, but if you are unable to move your neck normally, your life can be severely disrupted, and your activities can be limited. Depending on the cause and type of your neck injury or condition, your best choice may be Regenerative Orthopedics for chronic neck pain.\r\n<h3>What Causes Neck Pain?</h3>\r\nYour neck is composed of seven cervical vertebrae. These vertebrae support your head, serve as an attachment point for the muscles that move your head, and protect the spinal cord between the brain and thoracic vertebrae.\r\n\r\n<em>Symptoms involved with <a href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-faq/\">neck pain</a> can include:</em>\r\n<ul>\r\n 	<li>Headaches</li>\r\n 	<li>Pain in the shoulder, arm, or hand</li>\r\n 	<li>Reduced range of motion in the neck</li>\r\n 	<li>Numbness, weakness, and slower reflexes in the arms, legs, hands, and feet.</li>\r\n</ul>\r\nIf you are experiencing ongoing neck pain, you may be experiencing early symptoms of arthritis. Osteoarthritis can begin as young as thirty, and symptoms may begin to appear years after the disease begins.\r\n\r\n<em>Other Causes of Neck Pain?</em>\r\n\r\nA strain or spasm of the muscles in the neck or inflammation of the neck may be a cause of the neck pain you feel. Pain in the neck can also be caused by injuries such as whiplash or a blow to the head or neck while playing sports. Cervical disk degeneration, disc herniation, a pinched nerve, meningitis, influenza, a heart attack, or torticollis can also be causes of neck pain. Anything that causes stress on the muscles in the upper body and arms, including poor posture and sleeping on a pillow that is too high, can be causes of localized neck pain.\r\n\r\n<a style=\"display: block; margin: 0 auto; max-width: 275px;\" href=\"https://www.carecredit.com/go/762HNB/bb3poscustacqbtnclk08132020/?dtc=Ds5X&amp;promocode=CLT/\"><img style=\"max-width: 100%;\" src=\"https://www.carecredit.com/sites/pc/image/carecredit_button_applynow_280x100_a_v1.jpg\" width=\"275\" /></a>\r\n<h3>How Regenerative Orthopedics Are Used To Treat Chronic Neck Pain</h3>\r\nMany patients are tired of ‘managing’ their chronic pain with NSAID or narcotic medications, various therapies, and exercises. Unfortunately, in many cases, these methods do not take care of the cause of the pain.\r\n\r\nMusculoskeletal pain is primarily due to weakness in the ligaments, tendons, and possibly cartilage. The good news is that Regenerative Orthopedics, including Prolotherapy, PRP, and Stem Cell Therapy,  can regenerate these damaged tissues and ultimately alleviate the problem causing the pain.\r\n<h3><em>What Does Research Say?</em></h3>\r\n<div class=\"page\" title=\"Page 1\">\r\n<div class=\"section\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\n<em>The Journal of Spine Research conducted a clinical study to evaluate the safety and effectiveness of PRP for the treatment of neck and low back pain. The specific cause of the pain in the study participants was spinal disc herniation (HNP). The patients had already tried different conservative treatments that did not work. <strong>However, the PRP treatments resulted in over 80% improvement.</strong> Plus, the improvement lasted. These patients were followed for eight years.1</em>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\nRegenerative Orthopedics work because they stimulate the healing cascade in the body. Solutions are injected into the affected neck ligaments, tendons, or joints, leading to local inflammation in that area. The localized inflammation triggers the deposition of new collagen, the material in which ligaments and tendons are made. New collagen shrinks as it matures and tightens the injected ligament, making it stronger.\r\n<h3>Are you a Candidate For Regenerative Orthopedics for Chronic Neck Pain?</h3>\r\nOur goal at OrthoRegen<sup>®</sup> is for our patients to have an active, healthy, pain-free life. Regenerative Orthopedics is a safe, affordable option that allows you to keep working and remain active during recovery. These chronic neck pain treatments are among the few that encourage movement post-treatment. Movement is essential since it aids the healing process. By contrast, surgery requires you to reduce activity after treatment.\r\n\r\nWould you like a <strong>second opinion before you have neck surgery or begin other treatments</strong>? Would you like to know if you are a candidate for Prolotherapy for your chronic neck pain? The only way to know for sure is to get a consultation. <a href=\"https://www.drfields.com/contact/\">Contact Us Today</a> for a consultation or call Dr. Fields at <a href=\"tel:+[phone_raw]\">[phone]</a>.\r\n<h3><strong>Reference</strong></h3>\r\n<div class=\"page\" title=\"Page 1\">\r\n<div class=\"section\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\n1Cameron JA, Thielen KM (2017) Autologous Platelet Rich Plasma for Neck and Lower Back Pain Secondary to Spinal Disc Herniation: Midterm Results. Spine Res. Vol. 3 No. 2:10.\r\n\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>','Stubborn, Persistent Neck Pain','','inherit','closed','closed','','509-revision-v1','','','2022-08-25 01:27:27','2022-08-25 01:27:27','',509,'https://www.drfields.com/?p=5484',0,'revision','',0),(5485,9,'2022-08-25 01:31:35','2022-08-25 01:31:35','<div class=\"youtube-click-div video_left\">[video_lightbox_youtube video_id=\"bC6PwyGefiY\" width=\"640\" height=\"480\" anchor=\"https://www.drfields.com/wp-content/uploads/2019/06/Mark-neck-pain.jpg\" alt=\"Mark-Neck\"]\r\n<strong>Mark - Neck</strong></div>\r\n<h2>Stubborn, Chronic Neck Pain</h2>\r\nSince the neck is less protected than the rest of the spine, it is far more vulnerable to injuries and disorders that can cause pain and even restrict your motion. The neck enables the head to move and rotate, but if you are unable to move your neck normally, your life can be severely disrupted, and your activities can be limited. Depending on the cause and type of your neck injury or condition, your best choice may be Regenerative Orthopedics for chronic neck pain.\r\n<h3>What Causes Neck Pain?</h3>\r\nYour neck is composed of seven cervical vertebrae. These vertebrae support your head, serve as an attachment point for the muscles that move your head, and protect the spinal cord between the brain and thoracic vertebrae.\r\n\r\n<em>Symptoms involved with <a href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-faq/\">neck pain</a> can include:</em>\r\n<ul>\r\n 	<li>Headaches</li>\r\n 	<li>Pain in the shoulder, arm, or hand</li>\r\n 	<li>Reduced range of motion in the neck</li>\r\n 	<li>Numbness, weakness, and slower reflexes in the arms, legs, hands, and feet.</li>\r\n</ul>\r\nIf you are experiencing ongoing neck pain, you may be experiencing early symptoms of arthritis. Osteoarthritis can begin as young as thirty, and symptoms may begin to appear years after the disease begins.\r\n\r\n<em>Other Causes of Neck Pain?</em>\r\n\r\nA strain or spasm of the muscles in the neck or inflammation of the neck may be a cause of the neck pain you feel. Pain in the neck can also be caused by injuries such as whiplash or a blow to the head or neck while playing sports. Cervical disk degeneration, disc herniation, a pinched nerve, meningitis, influenza, a heart attack, or torticollis can also be causes of neck pain. Anything that causes stress on the muscles in the upper body and arms, including poor posture and sleeping on a pillow that is too high, can be causes of localized neck pain.\r\n\r\n<a style=\"display: block; margin: 0 auto; max-width: 275px;\" href=\"https://www.carecredit.com/go/762HNB/bb3poscustacqbtnclk08132020/?dtc=Ds5X&amp;promocode=CLT/\"><img style=\"max-width: 100%;\" src=\"https://www.carecredit.com/sites/pc/image/carecredit_button_applynow_280x100_a_v1.jpg\" width=\"275\" /></a>\r\n<h3>Regenerative Orthopedics and Chronic Neck Pain</h3>\r\nMany patients are tired of ‘managing’ their chronic pain with NSAID or narcotic medications, various therapies, and exercises. Unfortunately, in many cases, these methods do not take care of the cause of the pain.\r\n\r\nMusculoskeletal pain is primarily due to weakness in the ligaments, tendons, and possibly cartilage. The good news is that Regenerative Orthopedics, including Prolotherapy, PRP, and Stem Cell Therapy,  can regenerate these damaged tissues and ultimately alleviate the problem causing the pain.\r\n<h3><em>What Does Research Say?</em></h3>\r\n<div class=\"page\" title=\"Page 1\">\r\n<div class=\"section\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\n<em>The Journal of Spine Research conducted a clinical study to evaluate the safety and effectiveness of PRP for the treatment of neck and low back pain. The specific cause of the pain in the study participants was spinal disc herniation (HNP). The patients had already tried different conservative treatments that did not work. <strong>However, the PRP treatments resulted in over 80% improvement.</strong> Plus, the improvement lasted. These patients were followed for eight years.1</em>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\nRegenerative Orthopedics work because they stimulate the healing cascade in the body. Solutions are injected into the affected neck ligaments, tendons, or joints, leading to local inflammation in that area. The localized inflammation triggers the deposition of new collagen, the material in which ligaments and tendons are made. New collagen shrinks as it matures and tightens the injected ligament, making it stronger.\r\n<h3>Are you a Candidate For Regenerative Orthopedics for Chronic Neck Pain?</h3>\r\nOur goal at OrthoRegen<sup>®</sup> is for our patients to have an active, healthy, pain-free life. Regenerative Orthopedics is a safe, affordable option that allows you to keep working and remain active during recovery. These chronic neck pain treatments are among the few that encourage movement post-treatment. Movement is essential since it aids the healing process. By contrast, surgery requires you to reduce activity after treatment.\r\n\r\nWould you like a <strong>second opinion before you have neck surgery or begin other treatments</strong>? Would you like to know if you are a candidate for Prolotherapy for your chronic neck pain? The only way to know for sure is to get a consultation. <a href=\"https://www.drfields.com/contact/\">Contact Us Today</a> for a consultation or call Dr. Fields at <a href=\"tel:+[phone_raw]\">[phone]</a>.\r\n<h3><strong>Reference</strong></h3>\r\n<div class=\"page\" title=\"Page 1\">\r\n<div class=\"section\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\n1Cameron JA, Thielen KM (2017) Autologous Platelet Rich Plasma for Neck and Lower Back Pain Secondary to Spinal Disc Herniation: Midterm Results. Spine Res. Vol. 3 No. 2:10.\r\n\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>','Stubborn, Persistent Neck Pain','','inherit','closed','closed','','509-revision-v1','','','2022-08-25 01:31:35','2022-08-25 01:31:35','',509,'https://www.drfields.com/?p=5485',0,'revision','',0),(5486,9,'2022-08-25 01:33:04','2022-08-25 01:33:04','<div class=\"youtube-click-div video_left\">[video_lightbox_youtube video_id=\"bC6PwyGefiY\" width=\"640\" height=\"480\" anchor=\"https://www.drfields.com/wp-content/uploads/2019/06/Mark-neck-pain.jpg\" alt=\"Mark-Neck\"]\r\n<strong>Mark - Neck</strong></div>\r\n<h2>Stubborn, Chronic Neck Pain</h2>\r\nSince the neck is less protected than the rest of the spine, it is far more vulnerable to injuries and disorders that can cause pain and even restrict your motion. The neck enables the head to move and rotate, but if you are unable to move your neck normally, your life can be severely disrupted, and your activities can be limited. Depending on the cause and type of your neck injury or condition, your best choice may be Regenerative Orthopedics for chronic neck pain.\r\n<h3>What Causes Neck Pain?</h3>\r\nYour neck is composed of seven cervical vertebrae. These vertebrae support your head, serve as an attachment point for the muscles that move your head, and protect the spinal cord between the brain and thoracic vertebrae.\r\n\r\n<em>Symptoms involved with <a href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-faq/\">neck pain</a> can include:</em>\r\n<ul>\r\n 	<li>Headaches</li>\r\n 	<li>Pain in the shoulder, arm, or hand</li>\r\n 	<li>Reduced range of motion in the neck</li>\r\n 	<li>Numbness, weakness, and slower reflexes in the arms, legs, hands, and feet.</li>\r\n</ul>\r\nIf you are experiencing ongoing neck pain, you may be experiencing early symptoms of arthritis. Osteoarthritis can begin as young as thirty, and symptoms may begin to appear years after the disease begins.\r\n\r\n<em>Other Causes of Neck Pain?</em>\r\n\r\nA strain or spasm of the muscles in the neck or inflammation of the neck may be a cause of the neck pain you feel. Pain in the neck can also be caused by injuries such as whiplash or a blow to the head or neck while playing sports. Cervical disk degeneration, disc herniation, a pinched nerve, meningitis, influenza, a heart attack, or torticollis can also be causes of neck pain. Anything that causes stress on the muscles in the upper body and arms, including poor posture and sleeping on a pillow that is too high, can be causes of localized neck pain.\r\n\r\n<a style=\"display: block; margin: 0 auto; max-width: 275px;\" href=\"https://www.carecredit.com/go/762HNB/bb3poscustacqbtnclk08132020/?dtc=Ds5X&amp;promocode=CLT/\"><img style=\"max-width: 100%;\" src=\"https://www.carecredit.com/sites/pc/image/carecredit_button_applynow_280x100_a_v1.jpg\" width=\"275\" /></a>\r\n<h3>Regenerative Orthopedics and Chronic Neck Pain</h3>\r\nMany patients are tired of ‘managing’ their chronic pain with NSAID or narcotic medications, various therapies, and exercises. Unfortunately, in many cases, these methods do not take care of the cause of the pain.\r\n\r\nMusculoskeletal pain is primarily due to weakness in the ligaments, tendons, and possibly cartilage. <strong>The good news is that Regenerative Orthopedics, including Prolotherapy, PRP, and Stem Cell Therapy,  can regenerate these damaged tissues and ultimately alleviate the problem causing the pain.</strong>\r\n<h3><em>What Does Research Say?</em></h3>\r\n<div class=\"page\" title=\"Page 1\">\r\n<div class=\"section\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\n<em>The Journal of Spine Research conducted a clinical study to evaluate the safety and effectiveness of PRP for the treatment of neck and low back pain. The specific cause of the pain in the study participants was spinal disc herniation (HNP). The patients had already tried different conservative treatments that did not work. <strong>However, the PRP treatments resulted in over 80% improvement.</strong> Plus, the improvement lasted. These patients were followed for eight years.1</em>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\nRegenerative Orthopedics work because they stimulate the healing cascade in the body. Solutions are injected into the affected neck ligaments, tendons, or joints, leading to local inflammation in that area. The localized inflammation triggers the deposition of new collagen, the material in which ligaments and tendons are made. New collagen shrinks as it matures and tightens the injected ligament, making it stronger.\r\n<h3>Are you a Candidate For Regenerative Orthopedics for Chronic Neck Pain?</h3>\r\nOur goal at OrthoRegen<sup>®</sup> is for our patients to have an active, healthy, pain-free life. Regenerative Orthopedics is a safe, affordable option that allows you to keep working and remain active during recovery. These chronic neck pain treatments are among the few that encourage movement post-treatment. Movement is essential since it aids the healing process. By contrast, surgery requires you to reduce activity after treatment.\r\n\r\nWould you like a <strong>second opinion before you have neck surgery or begin other treatments</strong>? Would you like to know if you are a candidate for Prolotherapy for your chronic neck pain? The only way to know for sure is to get a consultation. <a href=\"https://www.drfields.com/contact/\">Contact Us Today</a> for a consultation or call Dr. Fields at <a href=\"tel:+[phone_raw]\">[phone]</a>.\r\n<h3><strong>Reference</strong></h3>\r\n<div class=\"page\" title=\"Page 1\">\r\n<div class=\"section\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\n1Cameron JA, Thielen KM (2017) Autologous Platelet Rich Plasma for Neck and Lower Back Pain Secondary to Spinal Disc Herniation: Midterm Results. Spine Res. Vol. 3 No. 2:10.\r\n\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>','Stubborn, Persistent Neck Pain','','inherit','closed','closed','','509-revision-v1','','','2022-08-25 01:33:04','2022-08-25 01:33:04','',509,'https://www.drfields.com/?p=5486',0,'revision','',0),(5487,8,'2022-08-26 03:43:07','2022-08-26 03:43:07','<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/2019/06/header-orthoregen-4.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/07/Slider-2v05072022.png\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/05/header-orthoregen-santa-monica-pier.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">New Article:</span>\r\n<span class=\"header_text_second\">Keep Looking Forward Despite COVID-19</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dealing-with-covid-19/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-11.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-9.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Get Back In The Game!</span>\r\n<span class=\"header_text_second\">Avoid Joint and Spine Surgery </span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">Stem Cell/PRP/Prolotherapy</span>\r\n<a class=\"btn-more\" title=\"Get Help Now!\" href=\"Contact-Us\"> Get Help Now!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item slide-article\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/05/header-orthoregen-ocean-mountains.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_second\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/12/Kili-top-header-2.jpg\');\">\r\n<div class=\"carousel-caption\" style=\"text-align: left;\"><span class=\"header_text_first\">Congratulations\r\nPeter A. Fields, MD, DC</span>\r\n<span class=\"header_text_second\">The Athletic Doc<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/2019/12/Sider-01-V8.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Peter A. Fields, MD, DC\r\nThe Athletic Doc<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=\"https://www.drfields.com/articles/regenerative-orthopedics/sprained-ankle/\">Sprained Ankle?</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/non-surgical-partial-rotator-cuff-tear-repair/\">Non-surgical Partial Rotator Cuff Tear Repair</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/are-cortisone-shots-a-good-option/\">Are Cortisone Shots a Good Option?</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/try-regenerative-treatments-for-your-hip-pain-or-injury/\">Try Regenerative Treatments for Your Hip Pain or Injury</a></li>\r\n 	<li class=\"last\"><a title=\"Nagging Back Pain\" href=\"/articles/regenerative-orthopedics/nagging-back-pain/\">Nagging Back Pain</a></li>\r\n 	<li class=\"last\"><a title=\"Treating Knee Pain and Injuries with Regenerative Orthopedics\" href=\"/articles/regenerative-orthopedics/treating-knee-pain-and-injuries-with-regenerative-orthopedics/\">Treating Knee Pain and Injuries with Regenerative Orthopedics</a></li>\r\n 	<li class=\"last\"><a title=\"Keep Looking Forward Despite COVID-19\" href=\"/articles/health-news/dealing-with-covid-19/\">Keep Looking Forward Despite COVID-19</a></li>\r\n 	<li class=\"last\"><a title=\"COVID-19 Advice: Don’t Fear the Fear Itself!\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</a></li>\r\n 	<li class=\"last\"><a title=\"Rotator Cuff Tendonitis\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/rotator-cuff-tendonitis/\">Rotator Cuff Tendonitis</a></li>\r\n 	<li><a title=\"Allergic Reactions and Problems of Corrosion with Joint Replacements\" href=\"https://www.drfields.com/articles/allergic-reactions-and-problems-of-corrosion-with-joint-replacements/\">Allergic Reactions and Problems of Corrosion with Joint Replacements\r\n</a></li>\r\n 	<li><a title=\"Treat Sciatica Pain Non-Surgically\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/treat-sciatica-pain-non-surgically/\">Treat Sciatica Pain Non-Surgically</a></li>\r\n 	<li class=\"last\"><a title=\"Stem Cell Therapy at OrthoRegen&lt;sup&gt;®&lt;/sup&gt; – Why We are Different\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/stem-cell-therapy-at-orthoregen-why-we-are-different/\">Stem Cell Therapy at OrthoRegen<sup>®</sup> – Why We are Different</a></li>\r\n 	<li class=\"last\"><a title=\"Is Your Hip Bursitis Treatment Working?\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/is-your-hip-bursitis-treatment-working/\">Is Your Hip Bursitis Treatment Working?</a></li>\r\n</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/2019/06/dr-fields.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','','','2022-08-26 03:43:07','2022-08-26 03:43:07','',2109,'https://www.drfields.com/?p=5487',0,'revision','',0),(5488,8,'2022-08-26 04:49:18','2022-08-26 04:49:18','Prp. Neck. Lower Back','Prp. Neck. Lower Back','Prp. Neck. Lower Back','inherit','closed','closed','','prp-neck-lower-back','','','2022-08-26 04:49:19','2022-08-26 04:49:19','',509,'https://www.drfields.com/wp-content/uploads/2019/06/PRP.-Neck.-Lower-back.jpeg',0,'attachment','image/jpeg',0),(5489,8,'2022-08-26 04:50:26','2022-08-26 04:50:26','<img class=\"wp-image-5488 size-wcsquare\" title=\"Stubborn, Persistent Neck Pain\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/PRP.-Neck.-Lower-back-300x300.jpeg\" alt=\"Stubborn, Persistent Neck Pain\" width=\"300\" height=\"300\" />\r\n<h2>Stubborn, Chronic Neck Pain</h2>\r\nSince the neck is less protected than the rest of the spine, it is far more vulnerable to injuries and disorders that can cause pain and even restrict your motion. The neck enables the head to move and rotate, but if you are unable to move your neck normally, your life can be severely disrupted, and your activities can be limited. Depending on the cause and type of your neck injury or condition, your best choice may be Regenerative Orthopedics for chronic neck pain.\r\n<h2>What Causes Neck Pain?</h2>\r\nYour neck is composed of seven cervical vertebrae. These vertebrae support your head, serve as an attachment point for the muscles that move your head, and protect the spinal cord between the brain and thoracic vertebrae.\r\n\r\n<em>Symptoms involved with <a href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-faq/\">neck pain</a> can include:</em>\r\n<ul>\r\n 	<li>Headaches</li>\r\n 	<li>Pain in the shoulder, arm, or hand</li>\r\n 	<li>Reduced range of motion in the neck</li>\r\n 	<li>Numbness, weakness, and slower reflexes in the arms, legs, hands, and feet.</li>\r\n</ul>\r\nIf you are experiencing ongoing neck pain, you may be experiencing early symptoms of arthritis. Osteoarthritis can begin as young as thirty, and symptoms may begin to appear years after the disease begins.\r\n\r\n[video_lightbox_youtube video_id=\"bC6PwyGefiY\" width=\"640\" height=\"480\" anchor=\"https://www.drfields.com/wp-content/uploads/2019/06/Mark-neck-pain.jpg\" alt=\"Mark-Neck\"]\r\n<strong>Mark - Neck</strong>\r\n\r\n<em>Other Causes of Neck Pain?</em>\r\n\r\nA strain or spasm of the muscles in the neck or inflammation of the neck may be a cause of the neck pain you feel. Pain in the neck can also be caused by injuries such as whiplash or a blow to the head or neck while playing sports. Cervical disk degeneration, disc herniation, a pinched nerve, meningitis, influenza, a heart attack, or torticollis can also be causes of neck pain. Anything that causes stress on the muscles in the upper body and arms, including poor posture and sleeping on a pillow that is too high, can be causes of localized neck pain.\r\n\r\n<a style=\"display: block; margin: 0 auto; max-width: 275px;\" href=\"https://www.carecredit.com/go/762HNB/bb3poscustacqbtnclk08132020/?dtc=Ds5X&amp;promocode=CLT/\"><img style=\"max-width: 100%;\" src=\"https://www.carecredit.com/sites/pc/image/carecredit_button_applynow_280x100_a_v1.jpg\" width=\"275\" /></a>\r\n<h3>Regenerative Orthopedics and Chronic Neck Pain</h3>\r\nMany patients are tired of ‘managing’ their chronic pain with NSAID or narcotic medications, various therapies, and exercises. Unfortunately, in many cases, these methods do not take care of the cause of the pain.\r\n\r\nMusculoskeletal pain is primarily due to weakness in the ligaments, tendons, and possibly cartilage. <strong>The good news is that Regenerative Orthopedics, including Prolotherapy, PRP, and Stem Cell Therapy,  can regenerate these damaged tissues and ultimately alleviate the problem causing the pain.</strong>\r\n<h3><em>What Does Research Say?</em></h3>\r\n<div class=\"page\" title=\"Page 1\">\r\n<div class=\"section\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\n<em>The Journal of Spine Research conducted a clinical study to evaluate the safety and effectiveness of PRP for the treatment of neck and low back pain. The specific cause of the pain in the study participants was spinal disc herniation (HNP). The patients had already tried different conservative treatments that did not work. <strong>However, the PRP treatments resulted in over 80% improvement.</strong> Plus, the improvement lasted. These patients were followed for eight years.1</em>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\nRegenerative Orthopedics work because they stimulate the healing cascade in the body. Solutions are injected into the affected neck ligaments, tendons, or joints, leading to local inflammation in that area. The localized inflammation triggers the deposition of new collagen, the material in which ligaments and tendons are made. New collagen shrinks as it matures and tightens the injected ligament, making it stronger.\r\n<h3>Are you a Candidate For Regenerative Orthopedics for Chronic Neck Pain?</h3>\r\nOur goal at OrthoRegen<sup>®</sup> is for our patients to have an active, healthy, pain-free life. Regenerative Orthopedics is a safe, affordable option that allows you to keep working and remain active during recovery. These chronic neck pain treatments are among the few that encourage movement post-treatment. Movement is essential since it aids the healing process. By contrast, surgery requires you to reduce activity after treatment.\r\n\r\nWould you like a <strong>second opinion before you have neck surgery or begin other treatments</strong>? Would you like to know if you are a candidate for Prolotherapy for your chronic neck pain? The only way to know for sure is to get a consultation. <a href=\"https://www.drfields.com/contact/\">Contact Us Today</a> for a consultation or call Dr. Fields at <a href=\"tel:+[phone_raw]\">[phone]</a>.\r\n<h3><strong>Reference</strong></h3>\r\n<div class=\"page\" title=\"Page 1\">\r\n<div class=\"section\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\n1Cameron JA, Thielen KM (2017) Autologous Platelet Rich Plasma for Neck and Lower Back Pain Secondary to Spinal Disc Herniation: Midterm Results. Spine Res. Vol. 3 No. 2:10.\r\n\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>','Stubborn, Persistent Neck Pain','','inherit','closed','closed','','509-revision-v1','','','2022-08-26 04:50:26','2022-08-26 04:50:26','',509,'https://www.drfields.com/?p=5489',0,'revision','',0),(5490,8,'2022-08-26 04:51:35','2022-08-26 04:51:35','<img class=\"wp-image-5488 size-wcsquare alignright\" title=\"Stubborn, Persistent Neck Pain\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/PRP.-Neck.-Lower-back-300x300.jpeg\" alt=\"Stubborn, Persistent Neck Pain\" width=\"300\" height=\"300\" />\r\n<h2>Stubborn, Chronic Neck Pain</h2>\r\nSince the neck is less protected than the rest of the spine, it is far more vulnerable to injuries and disorders that can cause pain and even restrict your motion. The neck enables the head to move and rotate, but if you are unable to move your neck normally, your life can be severely disrupted, and your activities can be limited. Depending on the cause and type of your neck injury or condition, your best choice may be Regenerative Orthopedics for chronic neck pain.\r\n<h2>What Causes Neck Pain?</h2>\r\nYour neck is composed of seven cervical vertebrae. These vertebrae support your head, serve as an attachment point for the muscles that move your head, and protect the spinal cord between the brain and thoracic vertebrae.\r\n\r\n<em>Symptoms involved with <a href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-faq/\">neck pain</a> can include:</em>\r\n<ul>\r\n 	<li>Headaches</li>\r\n 	<li>Pain in the shoulder, arm, or hand</li>\r\n 	<li>Reduced range of motion in the neck</li>\r\n 	<li>Numbness, weakness, and slower reflexes in the arms, legs, hands, and feet.</li>\r\n</ul>\r\nIf you are experiencing ongoing neck pain, you may be experiencing early symptoms of arthritis. Osteoarthritis can begin as young as thirty, and symptoms may begin to appear years after the disease begins.\r\n\r\n[video_lightbox_youtube video_id=\"bC6PwyGefiY\" width=\"640\" height=\"480\" anchor=\"https://www.drfields.com/wp-content/uploads/2019/06/Mark-neck-pain.jpg\" alt=\"Mark-Neck\"]\r\n<strong>Mark - Neck</strong>\r\n\r\n<em>Other Causes of Neck Pain?</em>\r\n\r\nA strain or spasm of the muscles in the neck or inflammation of the neck may be a cause of the neck pain you feel. Pain in the neck can also be caused by injuries such as whiplash or a blow to the head or neck while playing sports. Cervical disk degeneration, disc herniation, a pinched nerve, meningitis, influenza, a heart attack, or torticollis can also be causes of neck pain. Anything that causes stress on the muscles in the upper body and arms, including poor posture and sleeping on a pillow that is too high, can be causes of localized neck pain.\r\n\r\n<a style=\"display: block; margin: 0 auto; max-width: 275px;\" href=\"https://www.carecredit.com/go/762HNB/bb3poscustacqbtnclk08132020/?dtc=Ds5X&amp;promocode=CLT/\"><img style=\"max-width: 100%;\" src=\"https://www.carecredit.com/sites/pc/image/carecredit_button_applynow_280x100_a_v1.jpg\" width=\"275\" /></a>\r\n<h3>Regenerative Orthopedics and Chronic Neck Pain</h3>\r\nMany patients are tired of ‘managing’ their chronic pain with NSAID or narcotic medications, various therapies, and exercises. Unfortunately, in many cases, these methods do not take care of the cause of the pain.\r\n\r\nMusculoskeletal pain is primarily due to weakness in the ligaments, tendons, and possibly cartilage. <strong>The good news is that Regenerative Orthopedics, including Prolotherapy, PRP, and Stem Cell Therapy,  can regenerate these damaged tissues and ultimately alleviate the problem causing the pain.</strong>\r\n<h3><em>What Does Research Say?</em></h3>\r\n<div class=\"page\" title=\"Page 1\">\r\n<div class=\"section\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\n<em>The Journal of Spine Research conducted a clinical study to evaluate the safety and effectiveness of PRP for the treatment of neck and low back pain. The specific cause of the pain in the study participants was spinal disc herniation (HNP). The patients had already tried different conservative treatments that did not work. <strong>However, the PRP treatments resulted in over 80% improvement.</strong> Plus, the improvement lasted. These patients were followed for eight years.1</em>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\nRegenerative Orthopedics work because they stimulate the healing cascade in the body. Solutions are injected into the affected neck ligaments, tendons, or joints, leading to local inflammation in that area. The localized inflammation triggers the deposition of new collagen, the material in which ligaments and tendons are made. New collagen shrinks as it matures and tightens the injected ligament, making it stronger.\r\n<h3>Are you a Candidate For Regenerative Orthopedics for Chronic Neck Pain?</h3>\r\nOur goal at OrthoRegen<sup>®</sup> is for our patients to have an active, healthy, pain-free life. Regenerative Orthopedics is a safe, affordable option that allows you to keep working and remain active during recovery. These chronic neck pain treatments are among the few that encourage movement post-treatment. Movement is essential since it aids the healing process. By contrast, surgery requires you to reduce activity after treatment.\r\n\r\nWould you like a <strong>second opinion before you have neck surgery or begin other treatments</strong>? Would you like to know if you are a candidate for Prolotherapy for your chronic neck pain? The only way to know for sure is to get a consultation. <a href=\"https://www.drfields.com/contact/\">Contact Us Today</a> for a consultation or call Dr. Fields at <a href=\"tel:+[phone_raw]\">[phone]</a>.\r\n<h3><strong>Reference</strong></h3>\r\n<div class=\"page\" title=\"Page 1\">\r\n<div class=\"section\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\n1Cameron JA, Thielen KM (2017) Autologous Platelet Rich Plasma for Neck and Lower Back Pain Secondary to Spinal Disc Herniation: Midterm Results. Spine Res. Vol. 3 No. 2:10.\r\n\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>','Stubborn, Persistent Neck Pain','','inherit','closed','closed','','509-revision-v1','','','2022-08-26 04:51:35','2022-08-26 04:51:35','',509,'https://www.drfields.com/?p=5490',0,'revision','',0),(5491,8,'2022-08-26 04:56:22','2022-08-26 04:56:22','Prp. Neck. Lower Back','Prp. Neck. Lower Back','Prp. Neck. Lower Back','inherit','closed','closed','','prp-neck-lower-back-2','','','2022-08-26 04:56:22','2022-08-26 04:56:22','',509,'https://www.drfields.com/wp-content/uploads/2019/06/PRP.-Neck.-Lower-back-1.jpeg',0,'attachment','image/jpeg',0),(5492,8,'2022-08-26 04:56:45','2022-08-26 04:56:45','<img class=\"alignright wp-image-5491\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/PRP.-Neck.-Lower-back-1-500x375.jpeg\" alt=\"Prp. Neck. Lower Back\" width=\"300\" height=\"225\" />\r\n<h2>Stubborn, Chronic Neck Pain</h2>\r\nSince the neck is less protected than the rest of the spine, it is far more vulnerable to injuries and disorders that can cause pain and even restrict your motion. The neck enables the head to move and rotate, but if you are unable to move your neck normally, your life can be severely disrupted, and your activities can be limited. Depending on the cause and type of your neck injury or condition, your best choice may be Regenerative Orthopedics for chronic neck pain.\r\n<h2>What Causes Neck Pain?</h2>\r\nYour neck is composed of seven cervical vertebrae. These vertebrae support your head, serve as an attachment point for the muscles that move your head, and protect the spinal cord between the brain and thoracic vertebrae.\r\n\r\n<em>Symptoms involved with <a href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-faq/\">neck pain</a> can include:</em>\r\n<ul>\r\n 	<li>Headaches</li>\r\n 	<li>Pain in the shoulder, arm, or hand</li>\r\n 	<li>Reduced range of motion in the neck</li>\r\n 	<li>Numbness, weakness, and slower reflexes in the arms, legs, hands, and feet.</li>\r\n</ul>\r\nIf you are experiencing ongoing neck pain, you may be experiencing early symptoms of arthritis. Osteoarthritis can begin as young as thirty, and symptoms may begin to appear years after the disease begins.\r\n\r\n[video_lightbox_youtube video_id=\"bC6PwyGefiY\" width=\"640\" height=\"480\" anchor=\"https://www.drfields.com/wp-content/uploads/2019/06/Mark-neck-pain.jpg\" alt=\"Mark-Neck\"]\r\n<strong>Mark - Neck</strong>\r\n\r\n<em>Other Causes of Neck Pain?</em>\r\n\r\nA strain or spasm of the muscles in the neck or inflammation of the neck may be a cause of the neck pain you feel. Pain in the neck can also be caused by injuries such as whiplash or a blow to the head or neck while playing sports. Cervical disk degeneration, disc herniation, a pinched nerve, meningitis, influenza, a heart attack, or torticollis can also be causes of neck pain. Anything that causes stress on the muscles in the upper body and arms, including poor posture and sleeping on a pillow that is too high, can be causes of localized neck pain.\r\n\r\n<a style=\"display: block; margin: 0 auto; max-width: 275px;\" href=\"https://www.carecredit.com/go/762HNB/bb3poscustacqbtnclk08132020/?dtc=Ds5X&amp;promocode=CLT/\"><img style=\"max-width: 100%;\" src=\"https://www.carecredit.com/sites/pc/image/carecredit_button_applynow_280x100_a_v1.jpg\" width=\"275\" /></a>\r\n<h3>Regenerative Orthopedics and Chronic Neck Pain</h3>\r\nMany patients are tired of ‘managing’ their chronic pain with NSAID or narcotic medications, various therapies, and exercises. Unfortunately, in many cases, these methods do not take care of the cause of the pain.\r\n\r\nMusculoskeletal pain is primarily due to weakness in the ligaments, tendons, and possibly cartilage. <strong>The good news is that Regenerative Orthopedics, including Prolotherapy, PRP, and Stem Cell Therapy,  can regenerate these damaged tissues and ultimately alleviate the problem causing the pain.</strong>\r\n<h3><em>What Does Research Say?</em></h3>\r\n<div class=\"page\" title=\"Page 1\">\r\n<div class=\"section\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\n<em>The Journal of Spine Research conducted a clinical study to evaluate the safety and effectiveness of PRP for the treatment of neck and low back pain. The specific cause of the pain in the study participants was spinal disc herniation (HNP). The patients had already tried different conservative treatments that did not work. <strong>However, the PRP treatments resulted in over 80% improvement.</strong> Plus, the improvement lasted. These patients were followed for eight years.1</em>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\nRegenerative Orthopedics work because they stimulate the healing cascade in the body. Solutions are injected into the affected neck ligaments, tendons, or joints, leading to local inflammation in that area. The localized inflammation triggers the deposition of new collagen, the material in which ligaments and tendons are made. New collagen shrinks as it matures and tightens the injected ligament, making it stronger.\r\n<h3>Are you a Candidate For Regenerative Orthopedics for Chronic Neck Pain?</h3>\r\nOur goal at OrthoRegen<sup>®</sup> is for our patients to have an active, healthy, pain-free life. Regenerative Orthopedics is a safe, affordable option that allows you to keep working and remain active during recovery. These chronic neck pain treatments are among the few that encourage movement post-treatment. Movement is essential since it aids the healing process. By contrast, surgery requires you to reduce activity after treatment.\r\n\r\nWould you like a <strong>second opinion before you have neck surgery or begin other treatments</strong>? Would you like to know if you are a candidate for Prolotherapy for your chronic neck pain? The only way to know for sure is to get a consultation. <a href=\"https://www.drfields.com/contact/\">Contact Us Today</a> for a consultation or call Dr. Fields at <a href=\"tel:+[phone_raw]\">[phone]</a>.\r\n<h3><strong>Reference</strong></h3>\r\n<div class=\"page\" title=\"Page 1\">\r\n<div class=\"section\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\n1Cameron JA, Thielen KM (2017) Autologous Platelet Rich Plasma for Neck and Lower Back Pain Secondary to Spinal Disc Herniation: Midterm Results. Spine Res. Vol. 3 No. 2:10.\r\n\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>','Stubborn, Persistent Neck Pain','','inherit','closed','closed','','509-revision-v1','','','2022-08-26 04:56:45','2022-08-26 04:56:45','',509,'https://www.drfields.com/?p=5492',0,'revision','',0),(5493,8,'2022-08-26 04:59:00','2022-08-26 04:59:00','<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/2019/06/header-orthoregen-4.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/07/Slider-2v05072022.png\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/05/header-orthoregen-santa-monica-pier.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">New Article:</span>\r\n<span class=\"header_text_second\">Keep Looking Forward Despite COVID-19</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dealing-with-covid-19/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-11.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-9.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Get Back In The Game!</span>\r\n<span class=\"header_text_second\">Avoid Joint and Spine Surgery </span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">Stem Cell/PRP/Prolotherapy</span>\r\n<a class=\"btn-more\" title=\"Get Help Now!\" href=\"Contact-Us\"> Get Help Now!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item slide-article\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/05/header-orthoregen-ocean-mountains.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_second\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/12/Kili-top-header-2.jpg\');\">\r\n<div class=\"carousel-caption\" style=\"text-align: left;\"><span class=\"header_text_first\">Congratulations\r\nPeter A. Fields, MD, DC</span>\r\n<span class=\"header_text_second\">The Athletic Doc<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/2019/12/Sider-01-V8.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Peter A. Fields, MD, DC\r\nThe Athletic Doc<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=\"https://www.drfields.com/articles/regenerative-orthopedics/sprained-ankle/\">Sprained Ankle?</a></li>\r\n 	<li><a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-neck-pain/\">Stubborn, Persistent Neck Pain</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/non-surgical-partial-rotator-cuff-tear-repair/\">Non-surgical Partial Rotator Cuff Tear Repair</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/are-cortisone-shots-a-good-option/\">Are Cortisone Shots a Good Option?</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/try-regenerative-treatments-for-your-hip-pain-or-injury/\">Try Regenerative Treatments for Your Hip Pain or Injury</a></li>\r\n 	<li class=\"last\"><a title=\"Nagging Back Pain\" href=\"/articles/regenerative-orthopedics/nagging-back-pain/\">Nagging Back Pain</a></li>\r\n 	<li class=\"last\"><a title=\"Treating Knee Pain and Injuries with Regenerative Orthopedics\" href=\"/articles/regenerative-orthopedics/treating-knee-pain-and-injuries-with-regenerative-orthopedics/\">Treating Knee Pain and Injuries with Regenerative Orthopedics</a></li>\r\n 	<li class=\"last\"><a title=\"Keep Looking Forward Despite COVID-19\" href=\"/articles/health-news/dealing-with-covid-19/\">Keep Looking Forward Despite COVID-19</a></li>\r\n 	<li class=\"last\"><a title=\"COVID-19 Advice: Don’t Fear the Fear Itself!\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</a></li>\r\n 	<li class=\"last\"><a title=\"Rotator Cuff Tendonitis\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/rotator-cuff-tendonitis/\">Rotator Cuff Tendonitis</a></li>\r\n 	<li><a title=\"Allergic Reactions and Problems of Corrosion with Joint Replacements\" href=\"https://www.drfields.com/articles/allergic-reactions-and-problems-of-corrosion-with-joint-replacements/\">Allergic Reactions and Problems of Corrosion with Joint Replacements\r\n</a></li>\r\n 	<li><a title=\"Treat Sciatica Pain Non-Surgically\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/treat-sciatica-pain-non-surgically/\">Treat Sciatica Pain Non-Surgically</a></li>\r\n 	<li class=\"last\"><a title=\"Stem Cell Therapy at OrthoRegen&lt;sup&gt;®&lt;/sup&gt; – Why We are Different\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/stem-cell-therapy-at-orthoregen-why-we-are-different/\">Stem Cell Therapy at OrthoRegen<sup>®</sup> – Why We are Different</a></li>\r\n 	<li class=\"last\"><a title=\"Is Your Hip Bursitis Treatment Working?\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/is-your-hip-bursitis-treatment-working/\">Is Your Hip Bursitis Treatment Working?</a></li>\r\n</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/2019/06/dr-fields.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','','','2022-08-26 04:59:00','2022-08-26 04:59:00','',2109,'https://www.drfields.com/?p=5493',0,'revision','',0),(5494,9,'2022-08-26 22:00:50','2022-08-26 22:00:50','<img class=\"wp-image-5475 alignright\" title=\"Sprained Ankle?\" src=\"https://www.drfields.com/wp-content/uploads/2022/08/Sprained-Ankle-500x419.png\" alt=\"Sprained Ankle?\" width=\"300\" height=\"251\" />\n<h2>Sprained Ankles?</h2>\nDo you experience recurrent ankle sprains? Is your ankle constantly giving out or overturning? These are common problems for those with instability in their ankle! Frequent swelling, pain, and a decrease in range of motion or possibly an excess of movement are also symptoms of those who experience recurring ankle sprains.\n<h2>What Causes Frequent Sprained Ankles?</h2>\nAnything that stretches the ankle further than it is used to can cause an injury to the ankle ligaments. For example, overturning the ankle inwards or outwards can injure the ligaments. Ankle sprains consist of some type of ligament injury. These injuries may be mild, moderate, or severe, but all involve ligament injury and/or tears of the ankle\'s ligaments.\n\nIf this ligament injury does not fully heal, a cycle of instability begins because the ligament(s) are weakened, allowing for abnormal ankle joint movement. As time progresses, other structures of the unstable ankle joint will also begin to degenerate, resulting in eventual arthritis.\n<h2>Why Haven’t Common Treatments Worked to Stabilize Weak or Sprained Ankles?</h2>\nIf you look up common treatments for ankle sprains, you will find rest, ice, compression, elevation, anti-inflammatory medications, and bracing or casting. Those with repeat ankle sprains have most likely tried all of these treatments.\n\nSure, they may provide some relief, but the ankle remains unstable. That is because none of these treatments repair the injured ligaments.\n<ul>\n 	<li>Ice does not repair ligaments.</li>\n 	<li>Braces, taping, and casts do not repair ligaments</li>\n 	<li>Elevation does not repair ligaments</li>\n 	<li>Anti-inflammatories do not repair ligaments</li>\n 	<li>Pain medications do not repair ligaments</li>\n</ul>\nAnd since 86% of ankle injuries are ligament sprains1, a treatment directed at ligament repair is what is necessary. Yes, treatments like physical therapy to strengthen musculature are helpful, but since muscles also depend on strong tendons and ligaments for proper function and stability, repair of these soft tissue structures will need to be addressed.\n<h2>Regenerative Treatment Is An Effective Way to Repair Weakened Ligaments</h2>\nAt OrthoRegen®, our treatment of choice is Regenerative Orthopedics. The great news is that these non-surgical treatments actually work to repair the ligaments. The treatment is not just a bandaid or a cover-up for the pain. Regenerative therapies, like Prolotherapy, PRP, and Stem Cells, have been shown to repair and regenerate the injured soft tissue structures.\n\nThe joint is strengthened by repairing the ligaments and any other involved soft tissue structures, and the instability is resolved. Regenerative Orthopedics is a comprehensive treatment directed at all of the involved structures for the best possible outcome. The result is decreased pain and stiffness and increased function, improving quality of life.2\n\nIn cases with more deterioration, PRP or Stem Cells may be recommended in addition to Prolotherapy. Research has shown that these treatments also repair the ankle\'s soft tissue and boost function. Even in high ankle sprains, PRP has been shown to return athletes to full activity.\n\nAt OrthoRegen®, we have many years of experience in Regenerative therapies and would be happy to help you resolve your recurrent ankle sprains and improve your ankle function. Call us today at (310)453-1234.\n\n1Mulcahey MK, Bernhardson AS, Murphy CP, Chang A, Zajac T, Sanchez G, Sanchez A, Whalen JM, Price MD, Clanton TO, Provencher MT. The Epidemiology of Ankle Injuries Identified at the National Football League Combine, 2009-2015. Orthopaedic journal of sports medicine. 2018 Jul 17;6(7):2325967118786227.\n\n2Hauser RA, Hauser, MA, Cukla J. Dextrose Prolotherapy Injections for Chronic Ankle Pain Practical PAIN MANAGEMENT, January/February 2010 p 70-76.\n\n3Laver L, Carmont MR, McConkey MO, Palmanovich E, Yaacobi E, Mann G, Nyska M, Kots E, Mei-Dan O. Plasma rich in growth factors (PRGF) as a treatment for high ankle sprain in elite athletes: a randomized control trial. Knee Surg Sports Traumatol Arthrosc. 2015 Nov;23(11):3383-92.','Sprained or Overturned Ankle?','','inherit','closed','closed','','5474-autosave-v1','','','2022-08-26 22:00:50','2022-08-26 22:00:50','',5474,'https://www.drfields.com/?p=5494',0,'revision','',0),(5495,9,'2022-08-26 21:59:44','2022-08-26 21:59:44','<img class=\"wp-image-5475 alignright\" title=\"Sprained Ankle?\" src=\"https://www.drfields.com/wp-content/uploads/2022/08/Sprained-Ankle-500x419.png\" alt=\"Sprained Ankle?\" width=\"300\" height=\"251\" />\r\n<h2>Sprained Ankle?</h2>\r\nDo you experience recurrent ankle sprains? Is your ankle constantly giving out or overturning? These are common problems for those with instability in their ankle! Frequent swelling, pain, and a decrease in range of motion or possibly an excess of movement are also symptoms of those who experience recurring ankle sprains.\r\n<h2>What Causes Frequent Sprained Ankles?</h2>\r\nAnything that stretches the ankle further than it is used to can cause an injury to the ankle ligaments. For example, overturning the ankle inwards or outwards can injure the ligaments. Ankle sprains consist of some type of ligament injury. These injuries may be mild, moderate, or severe, but all involve ligament injury and/or tears of the ankle\'s ligaments.\r\n\r\nIf this ligament injury does not fully heal, a cycle of instability begins because the ligament(s) are weakened, allowing for abnormal ankle joint movement. As time progresses, other structures of the unstable ankle joint will also begin to degenerate, resulting in eventual arthritis.\r\n<h2>Why Haven’t Common Treatments Worked to Stabilize Weak or Sprained Ankles?</h2>\r\nIf you look up common treatments for ankle sprains, you will find rest, ice, compression, elevation, anti-inflammatory medications, and bracing or casting. Those with repeat ankle sprains have most likely tried all of these treatments.\r\n\r\nSure, they may provide some relief, but the ankle remains unstable. That is because none of these treatments repair the injured ligaments.\r\n<ul>\r\n 	<li>Ice does not repair ligaments.</li>\r\n 	<li>Braces, taping, and casts do not repair ligaments</li>\r\n 	<li>Elevation does not repair ligaments</li>\r\n 	<li>Anti-inflammatories do not repair ligaments</li>\r\n 	<li>Pain medications do not repair ligaments</li>\r\n</ul>\r\nAnd since 86% of ankle injuries are ligament sprains1, a treatment directed at ligament repair is what is necessary. Yes, treatments like physical therapy to strengthen musculature are helpful, but since muscles also depend on strong tendons and ligaments for proper function and stability, repair of these soft tissue structures will need to be addressed.\r\n<h2>Regenerative Treatment Is An Effective Way to Repair Weakened Ligaments</h2>\r\nAt OrthoRegen®, our treatment of choice is Regenerative Orthopedics. The great news is that these non-surgical treatments actually work to repair the ligaments. The treatment is not just a bandaid or a cover-up for the pain. Regenerative therapies, like Prolotherapy, PRP, and Stem Cells, have been shown to repair and regenerate the injured soft tissue structures.\r\n\r\nThe joint is strengthened by repairing the ligaments and any other involved soft tissue structures, and the instability is resolved. Regenerative Orthopedics is a comprehensive treatment directed at all of the involved structures for the best possible outcome. The result is decreased pain and stiffness and increased function, improving quality of life.2\r\n\r\nIn cases with more deterioration, PRP or Stem Cells may be recommended in addition to Prolotherapy. Research has shown that these treatments also repair the ankle\'s soft tissue and boost function. Even in high ankle sprains, PRP has been shown to return athletes to full activity.\r\n\r\nAt OrthoRegen®, we have many years of experience in Regenerative therapies and would be happy to help you resolve your recurrent ankle sprains and improve your ankle function. Call us today at (310)453-1234.\r\n\r\n1Mulcahey MK, Bernhardson AS, Murphy CP, Chang A, Zajac T, Sanchez G, Sanchez A, Whalen JM, Price MD, Clanton TO, Provencher MT. The Epidemiology of Ankle Injuries Identified at the National Football League Combine, 2009-2015. Orthopaedic journal of sports medicine. 2018 Jul 17;6(7):2325967118786227.\r\n\r\n2Hauser RA, Hauser, MA, Cukla J. Dextrose Prolotherapy Injections for Chronic Ankle Pain Practical PAIN MANAGEMENT, January/February 2010 p 70-76.\r\n\r\n3Laver L, Carmont MR, McConkey MO, Palmanovich E, Yaacobi E, Mann G, Nyska M, Kots E, Mei-Dan O. Plasma rich in growth factors (PRGF) as a treatment for high ankle sprain in elite athletes: a randomized control trial. Knee Surg Sports Traumatol Arthrosc. 2015 Nov;23(11):3383-92.','Sprained or Overturned Ankle?','','inherit','closed','closed','','5474-revision-v1','','','2022-08-26 21:59:44','2022-08-26 21:59:44','',5474,'https://www.drfields.com/?p=5495',0,'revision','',0),(5496,9,'2022-08-26 22:01:27','2022-08-26 22:01:27','<img class=\"wp-image-5475 alignright\" title=\"Sprained Ankle?\" src=\"https://www.drfields.com/wp-content/uploads/2022/08/Sprained-Ankle-500x419.png\" alt=\"Sprained Ankle?\" width=\"300\" height=\"251\" />\r\n<h2>Sprained Ankles?</h2>\r\nDo you experience recurrent sprained ankles? Is your ankle constantly giving out or overturning? These are common problems for those with instability in their ankle! Frequent swelling, pain, and a decrease in range of motion or possibly an excess of movement are also symptoms of those who experience recurring ankle sprains.\r\n<h2>What Causes Frequent Sprained Ankles?</h2>\r\nAnything that stretches the ankle further than it is used to can cause an injury to the ankle ligaments. For example, overturning the ankle inwards or outwards can injure the ligaments. Ankle sprains consist of some type of ligament injury. These injuries may be mild, moderate, or severe, but all involve ligament injury and/or tears of the ankle\'s ligaments.\r\n\r\nIf this ligament injury does not fully heal, a cycle of instability begins because the ligament(s) are weakened, allowing for abnormal ankle joint movement. As time progresses, other structures of the unstable ankle joint will also begin to degenerate, resulting in eventual arthritis.\r\n<h2>Why Haven’t Common Treatments Worked to Stabilize Weak or Sprained Ankles?</h2>\r\nIf you look up common treatments for ankle sprains, you will find rest, ice, compression, elevation, anti-inflammatory medications, and bracing or casting. Those with repeat ankle sprains have most likely tried all of these treatments.\r\n\r\nSure, they may provide some relief, but the ankle remains unstable. That is because none of these treatments repair the injured ligaments.\r\n<ul>\r\n 	<li>Ice does not repair ligaments.</li>\r\n 	<li>Braces, taping, and casts do not repair ligaments</li>\r\n 	<li>Elevation does not repair ligaments</li>\r\n 	<li>Anti-inflammatories do not repair ligaments</li>\r\n 	<li>Pain medications do not repair ligaments</li>\r\n</ul>\r\nAnd since 86% of ankle injuries are ligament sprains1, a treatment directed at ligament repair is what is necessary. Yes, treatments like physical therapy to strengthen musculature are helpful, but since muscles also depend on strong tendons and ligaments for proper function and stability, repair of these soft tissue structures will need to be addressed.\r\n<h2>Regenerative Treatment Is An Effective Way to Repair Weakened Ligaments</h2>\r\nAt OrthoRegen®, our treatment of choice is Regenerative Orthopedics. The great news is that these non-surgical treatments actually work to repair the ligaments. The treatment is not just a bandaid or a cover-up for the pain. Regenerative therapies, like Prolotherapy, PRP, and Stem Cells, have been shown to repair and regenerate the injured soft tissue structures.\r\n\r\nThe joint is strengthened by repairing the ligaments and any other involved soft tissue structures, and the instability is resolved. Regenerative Orthopedics is a comprehensive treatment directed at all of the involved structures for the best possible outcome. The result is decreased pain and stiffness and increased function, improving quality of life.2\r\n\r\nIn cases with more deterioration, PRP or Stem Cells may be recommended in addition to Prolotherapy. Research has shown that these treatments also repair the ankle\'s soft tissue and boost function. Even in high ankle sprains, PRP has been shown to return athletes to full activity.\r\n\r\nAt OrthoRegen®, we have many years of experience in Regenerative therapies and would be happy to help you resolve your recurrent ankle sprains and improve your ankle function. Call us today at (310)453-1234.\r\n\r\n1Mulcahey MK, Bernhardson AS, Murphy CP, Chang A, Zajac T, Sanchez G, Sanchez A, Whalen JM, Price MD, Clanton TO, Provencher MT. The Epidemiology of Ankle Injuries Identified at the National Football League Combine, 2009-2015. Orthopaedic journal of sports medicine. 2018 Jul 17;6(7):2325967118786227.\r\n\r\n2Hauser RA, Hauser, MA, Cukla J. Dextrose Prolotherapy Injections for Chronic Ankle Pain Practical PAIN MANAGEMENT, January/February 2010 p 70-76.\r\n\r\n3Laver L, Carmont MR, McConkey MO, Palmanovich E, Yaacobi E, Mann G, Nyska M, Kots E, Mei-Dan O. Plasma rich in growth factors (PRGF) as a treatment for high ankle sprain in elite athletes: a randomized control trial. Knee Surg Sports Traumatol Arthrosc. 2015 Nov;23(11):3383-92.','Sprained or Overturned Ankle?','','inherit','closed','closed','','5474-revision-v1','','','2022-08-26 22:01:27','2022-08-26 22:01:27','',5474,'https://www.drfields.com/?p=5496',0,'revision','',0),(5497,9,'2022-08-26 22:03:16','2022-08-26 22:03:16','<img class=\"wp-image-5475 alignright\" title=\"Sprained Ankle?\" src=\"https://www.drfields.com/wp-content/uploads/2022/08/Sprained-Ankle-500x419.png\" alt=\"Sprained Ankle?\" width=\"300\" height=\"251\" />\r\n<h2>Sprained Ankles?</h2>\r\nDo you experience recurrent sprained ankles? Is your ankle constantly giving out or overturning? These are common problems for those with instability in their ankle! Frequent swelling, pain, and a decrease in range of motion or possibly an excess of movement are also symptoms of those who experience recurring ankle sprains.\r\n<h2>What Causes Frequent Sprained Ankles?</h2>\r\nAnything that stretches the ankle further than it is used to can cause an injury to the ankle ligaments. For example, overturning the ankle inwards or outwards can injure the ligaments. Ankle sprains consist of some type of ligament injury. These injuries may be mild, moderate, or severe, but all involve ligament injury and/or tears of the ankle\'s ligaments.\r\n\r\nIf this ligament injury does not fully heal, a cycle of instability begins because the ligament(s) are weakened, allowing for abnormal ankle joint movement. As time progresses, other structures of the unstable ankle joint will also begin to degenerate, resulting in eventual arthritis.\r\n<h2>Why Haven’t Common Treatments Worked to Stabilize Weak or Sprained Ankles?</h2>\r\nIf you look up common treatments for ankle sprains, you will find rest, ice, compression, elevation, anti-inflammatory medications, and bracing or casting. Those with repeat ankle sprains have most likely tried all of these treatments.\r\n\r\nSure, they may provide some relief, but the ankle remains unstable. That is because none of these treatments repair the injured ligaments.\r\n<ul>\r\n 	<li>Ice does not repair ligaments.</li>\r\n 	<li>Braces, taping, and casts do not repair ligaments</li>\r\n 	<li>Elevation does not repair ligaments</li>\r\n 	<li>Anti-inflammatories do not repair ligaments</li>\r\n 	<li>Pain medications do not repair ligaments</li>\r\n</ul>\r\nAnd since 86% of ankle injuries are ligament sprains1, a treatment directed at ligament repair is what is necessary. Yes, treatments like physical therapy to strengthen musculature are helpful, but since muscles also depend on strong tendons and ligaments for proper function and stability, repair of these soft tissue structures will need to be addressed.\r\n<h2>Regenerative Treatment Is An Effective Way to Repair Weakened Ligaments</h2>\r\nAt OrthoRegen®, our treatment of choice is Regenerative Orthopedics. The great news is that these non-surgical treatments actually work to repair the ligaments. The treatment is not just a bandaid or a cover-up for the pain. Regenerative therapies, like Prolotherapy, PRP, and Stem Cells, have been shown to repair and regenerate the injured soft tissue structures.\r\n\r\nThe joint is strengthened by repairing the ligaments and other soft tissue structures, and the instability is resolved. Regenerative Orthopedics is a comprehensive treatment directed at all of the involved structures for the best possible outcome. The result is decreased pain and stiffness and increased function, improving quality of life.2\r\n\r\nIn cases with more deterioration, PRP or Stem Cells may be recommended in addition to Prolotherapy. Research has shown that these treatments also repair the ankle\'s soft tissue and boost function. Even in high ankle sprains, PRP has been shown to return athletes to full activity.\r\n\r\nAt OrthoRegen®, we have many years of experience in Regenerative therapies and would be happy to help you resolve your recurrent ankle sprains and improve your ankle function. Call us today at (310)453-1234.\r\n\r\n1Mulcahey MK, Bernhardson AS, Murphy CP, Chang A, Zajac T, Sanchez G, Sanchez A, Whalen JM, Price MD, Clanton TO, Provencher MT. The Epidemiology of Ankle Injuries Identified at the National Football League Combine, 2009-2015. Orthopaedic journal of sports medicine. 2018 Jul 17;6(7):2325967118786227.\r\n\r\n2Hauser RA, Hauser, MA, Cukla J. Dextrose Prolotherapy Injections for Chronic Ankle Pain Practical PAIN MANAGEMENT, January/February 2010 p 70-76.\r\n\r\n3Laver L, Carmont MR, McConkey MO, Palmanovich E, Yaacobi E, Mann G, Nyska M, Kots E, Mei-Dan O. Plasma rich in growth factors (PRGF) as a treatment for high ankle sprain in elite athletes: a randomized control trial. Knee Surg Sports Traumatol Arthrosc. 2015 Nov;23(11):3383-92.','Sprained or Overturned Ankle?','','inherit','closed','closed','','5474-revision-v1','','','2022-08-26 22:03:16','2022-08-26 22:03:16','',5474,'https://www.drfields.com/?p=5497',0,'revision','',0),(5500,8,'2022-09-06 06:00:27','2022-09-06 06:00:27','<h2><img class=\"alignright wp-image-5506 size-wcsquare\" src=\"https://www.drfields.com/wp-content/uploads/2022/09/Patellar-Tendinopathy.-PRP.-Amer-J-of-Sports-Med.2ndpng-300x300.png\" alt=\"Patellar Tendinopathy. Prp. Amer J Of Sports Med.2ndpng\" width=\"300\" height=\"300\" />Patellar Tendinopathy</h2>\r\nHave you been diagnosed with patellar tendinopathy? If so, your condition relates to the tendon that passes from the large muscle at the front of the thigh and over the kneecap (patella) to connect to the shinbone.\r\n\r\nWhen someone has knee pain from a tendon problem or other causes, conservative self-management is usually the next step, or a doctor may recommend a brace, wrap, and/or anti-inflammatory medication. These treatments may keep down swelling down and possibly relieve some pain. However, any actual injury is not repaired with these conventional measures.\r\n\r\nAfter a few weeks of rest, once you are active again, you may still experience problems with pain and instability. Repair is needed. Fortunately, Regenerative Orthopedics is an available solution that can repair the tendons and any involved ligaments. Plus, it is non-surgical.\r\n<h2>Tendinitis vs Tendinosis</h2>\r\nBefore we go on, let’s talk about the difference between tendinitis and tendinosis:\r\n<ul>\r\n 	<li>With tendinitis, there is inflammation, pain, and swelling. The body is still trying to heal the knee</li>\r\n 	<li>When tendinosis is diagnosed, there is pain and weakness without the inflammation. At this point, the soft tissue is degenerated and the body has pretty much stopped trying to heal the tendon. And even though inflammation can be painful, inflammation is the body’s way of healing.</li>\r\n</ul>\r\n<h2>Patellar Tendinopathy Explained</h2>\r\nThe Journal of the American Academy of Orthopaedic Surgeons explains patellar tendinopathy like this: “The main problem in patellar tendinopathy is tendinosis, which is a degenerative disorder rather than an inflammatory disorder; therefore, the other popular term for this disease, tendinitis, is not appropriate.”\r\n\r\nRegenerative treatments are needed to repair and regenerate the degenerated soft tissue.\r\n<h2>Do Cortisone Injections Help?</h2>\r\nCortisone injections may help to calm down the inflammation and pain, but cortisone can make the tendon weaker. A recent study on the effect of dexamethasone (a type of cortisone injection) on the patellar tendon showed that dexamethasone had a “paradoxical” effect or changed the tendon stem cells into non-tendon tissue which weakened the tendon. Keep in mind then, that if cortisone is recommended, that while it may calm down inflammation, the injection could weaken rather than strengthen the tendon. (2)\r\n\r\nUnfortunately, with a tendon injury, the structure is already weakened. Plus, once it is weakened or damaged through injury or degenerative wear and tear, the knee becomes unstable. Stability needs to be regained, and Regenerative Orthopedics can stabilize and repair the soft tissue structures.\r\n<h2>Can Taping Help?</h2>\r\nIn the Annals of Translational Medicine (3), taping for the purpose of stabilizing the patella was discussed. “Patellar taping is commonly used in conjunction with manual and exercise therapies in the management of patellofemoral pain syndrome. Taping is predominately used to help decrease pain. Other studies show it can also help with patellar alignment and muscle activation. As patellar hypermobility has been shown as a predisposing factor for developing patellofemoral pain syndrome, taping can be indicated to promote patellar positioning and decrease pain. . . Overall, the effects of taping, are conflicting,…short-term it can be helpful with acute management of symptoms with functional activity.”\r\n\r\nThe goal of taping is to get the patella back into place, and to stabilize it temporarily. It is not reparative. Regenerative Orthopedics can stabilize the patellar, get it back in alignment, and resolve the pain. Regenerative Orthopedics is reparative.\r\n<h2>What About Surgery?</h2>\r\nSurgery may help the condition, but the downtime is very long. Researchers in the medical journal Orthopedics found that open surgery and arthroscopic techniques achieved similar satisfactory results but the average time to return to play was 5.6 months and 5 months, respectively (4). But keep in mind, there is also the possibility that surgery may not work.\r\n\r\nWhy not choose a non-surgical option that results in repair? Plus, effective Regenerative Orthopedics does not require the downtime of surgery. Movement is encouraged!\r\n<h2>Research about Regenerative Therapies?</h2>\r\nThe Journal of Experimental Orthopaedics examined the use of Prolotherapy in ten different studies for tendinopathies and found: “Among all ten studies, no serious adverse events were reported. Based on this limited set of studies, there seems to be some evidence that…Prolotherapy may be an effective treatment option to treat pain and to improve function in patients with Chronic Patellar Tendinopathy.” (5)\r\n\r\nPRP, another form of Regenerative Orthopedics, may also be warranted depending on the severity of the knee condition and for patellar tendinopathy. Do researchers recommend it? Doctors looking for a non-surgical options to treat patellar tendinopathy concluded in the American Journal of Sports Medicine: “Eccentric exercises may seem the strategy of choice in the short-term, but multiple PRP injections may offer more satisfactory results at long-term follow-up and can be therefore considered a suitable option for the treatment of patellar tendinopathy.”(6)\r\n\r\nRegenerative Orthopedics is a successful non-surgical solution for many knee pain conditions, including patellar tendinopathy. If you are suffering from knee pain, call us today. We are more than happy to help you resolve your pain and get you back to what you love quickly and with improved knee function.\r\n<h3><strong>References</strong></h3>\r\n1 Figueroa D, Figueroa F, Calvo R. Patellar Tendinopathy: Diagnosis and Treatment. J Am Acad Orthop Surg. 2016 Dec;24(12):e184-e192.\r\n\r\n2 Zhang J, Keenan C, Wang JH. The Effects of Dexamethasone on Human Patellar Tendon Stem Cells: Implications for Dexamethasone Treatment of Tendon Injury. Journal of orthopaedic research: official publication of the Orthopaedic Research Society. 2013 Jan;31(1):105.\r\n\r\n3 Mellinger S, Neurohr GA. Evidence-based treatment options for common knee injuries in runners. Annals of translational medicine. 2019 Oct;7(Suppl 7).\r\n\r\n4 Stuhlman CR, Stowers K, Stowers L, Smith J. Current Concepts and the Role of Surgery in the Treatment of Jumper’s Knee. Orthopedics. Nov 1 2016;39(6):e1028-e1035. doi: 10.3928/01477447-20160714-06.\r\n\r\n5 Morath O, Beck M, Taeymans J, Hirschmüller A. Sclerotherapy and prolotherapy for chronic patellar tendinopathies – a promising therapy with limited available evidence, a systematic review. J Exp Orthop. 2020 Nov 9;7(1):89. doi: 10.1186/s40634-020-00303-0. PMID: 33165667.\r\n\r\n6 Andriolo L, Altamura SA, Reale D, Candrian C, Zaffagnini S, Filardo G. Nonsurgical Treatments of Patellar Tendinopathy: Multiple Injections of Platelet-Rich Plasma Are a Suitable Option: A Systematic Review and Meta-analysis. The American journal of sports medicine. 2018 Mar 1:0363546518759674.','Patellar Tendinopathy','','publish','closed','open','','patellar-tendinopathy','','','2023-03-10 17:38:54','2023-03-10 17:38:54','',0,'https://www.drfields.com/?p=5500',0,'post','',0),(5501,8,'2022-09-07 06:06:04','2022-09-07 06:06:04','Patellar Tendinopathy. Prp. Amer J Of Sports Med','Patellar Tendinopathy. Prp. Amer J Of Sports Med','Patellar Tendinopathy. Prp. Amer J Of Sports Med','inherit','closed','closed','','patellar-tendinopathy-prp-amer-j-of-sports-med','','','2022-09-07 06:06:04','2022-09-07 06:06:04','',5500,'https://www.drfields.com/wp-content/uploads/2022/09/Patellar-Tendinopathy.-PRP.-Amer-J-of-Sports-Med.png',0,'attachment','image/png',0),(5502,8,'2022-09-07 06:08:21','2022-09-07 06:08:21','<img class=\"wp-image-5501 size-wcsquare\" title=\"Patellar Tendinopathy\" src=\"https://www.drfields.com/wp-content/uploads/2022/09/Patellar-Tendinopathy.-PRP.-Amer-J-of-Sports-Med-300x300.png\" alt=\"Patellar Tendinopathy\" width=\"300\" height=\"300\" />\r\n\r\nHave you been diagnosed with patellar tendinopathy? If so, your condition relates to the tendon that passes from the large muscle at the front of the thigh and over the kneecap (patella) to connect to the shinbone.\r\n\r\nWhen someone has knee pain from a tendon problem or other causes, conservative self-management is usually the next step, or a doctor may recommend a brace, wrap, and/or anti-inflammatory medication. These treatments may keep down swelling down and possibly relieve some pain. However, any actual injury is not repaired with these conventional measures.\r\n\r\nAfter a few weeks of rest, once you are active again, you may still experience problems with pain and instability. Repair is needed. Fortunately, Regenerative Orthopedics is an available solution that can repair the tendons and any involved ligaments. Plus, it is non-surgical.\r\n<h2>Tendinitis vs Tendinosis</h2>\r\nBefore we go on, let’s talk about the difference between tendinitis and tendinosis:\r\n<ul>\r\n 	<li>With tendinitis, there is inflammation, pain, and swelling. The body is still trying to heal the knee</li>\r\n 	<li>When tendinosis is diagnosed, there is pain and weakness without the inflammation. At this point, the soft tissue is degenerated and the body has pretty much stopped trying to heal the tendon. And even though inflammation can be painful, inflammation is the body’s way of healing.</li>\r\n</ul>\r\n<h2>Patellar Tendinopathy Explained</h2>\r\nThe Journal of the American Academy of Orthopaedic Surgeons explains patellar tendinopathy like this: “The main problem in patellar tendinopathy is tendinosis, which is a degenerative disorder rather than an inflammatory disorder; therefore, the other popular term for this disease, tendinitis, is not appropriate.”\r\n\r\nRegenerative treatments are needed to repair and regenerate the degenerated soft tissue.\r\n<h2>Do Cortisone Injections Help?</h2>\r\nCortisone injections may help to calm down the inflammation and pain, but cortisone can make the tendon weaker. A recent study on the effect of dexamethasone (a type of cortisone injection) on the patellar tendon showed that dexamethasone had a “paradoxical” effect or changed the tendon stem cells into non-tendon tissue which weakened the tendon. Keep in mind then, that if cortisone is recommended, that while it may calm down inflammation, the injection could weaken rather than strengthen the tendon. (2)\r\n\r\nUnfortunately, with a tendon injury, the structure is already weakened. Plus, once it is weakened or damaged through injury or degenerative wear and tear, the knee becomes unstable. Stability needs to be regained, and Regenerative Orthopedics can stabilize and repair the soft tissue structures.\r\n<h2>Can Taping Help?</h2>\r\nIn the Annals of Translational Medicine (3), taping for the purpose of stabilizing the patella was discussed. “Patellar taping is commonly used in conjunction with manual and exercise therapies in the management of patellofemoral pain syndrome. Taping is predominately used to help decrease pain. Other studies show it can also help with patellar alignment and muscle activation. As patellar hypermobility has been shown as a predisposing factor for developing patellofemoral pain syndrome, taping can be indicated to promote patellar positioning and decrease pain. . . Overall, the effects of taping, are conflicting,…short-term it can be helpful with acute management of symptoms with functional activity.”\r\n\r\nThe goal of taping is to get the patella back into place, and to stabilize it temporarily. It is not reparative. Regenerative Orthopedics can stabilize the patellar, get it back in alignment, and resolve the pain. Regenerative Orthopedics is reparative.\r\n<h2>What About Surgery?</h2>\r\nSurgery may help the condition, but the downtime is very long. Researchers in the medical journal Orthopedics found that open surgery and arthroscopic techniques achieved similar satisfactory results but the average time to return to play was 5.6 months and 5 months, respectively (4). But keep in mind, there is also the possibility that surgery may not work.\r\n\r\nWhy not choose a non-surgical option that results in repair? Plus, effective Regenerative Orthopedics does not require the downtime of surgery. Movement is encouraged!\r\n<h2>Research about Regenerative Therapies?</h2>\r\nThe Journal of Experimental Orthopaedics examined the use of Prolotherapy in ten different studies for tendinopathies and found: “Among all ten studies, no serious adverse events were reported. Based on this limited set of studies, there seems to be some evidence that…Prolotherapy may be an effective treatment option to treat pain and to improve function in patients with Chronic Patellar Tendinopathy.” (5)\r\n\r\nPRP, another form of Regenerative Orthopedics, may also be warranted depending on the severity of the knee condition and for patellar tendinopathy. Do researchers recommend it? Doctors looking for a non-surgical options to treat patellar tendinopathy concluded in the American Journal of Sports Medicine: “Eccentric exercises may seem the strategy of choice in the short-term, but multiple PRP injections may offer more satisfactory results at long-term follow-up and can be therefore considered a suitable option for the treatment of patellar tendinopathy.”(6)\r\n\r\nRegenerative Orthopedics is a successful non-surgical solution for many knee pain conditions, including patellar tendinopathy. If you are suffering from knee pain, call us today. We are more than happy to help you resolve your pain and get you back to what you love quickly and with improved knee function.\r\n\r\n<strong>References</strong>\r\n\r\n1 Figueroa D, Figueroa F, Calvo R. Patellar Tendinopathy: Diagnosis and Treatment. J Am Acad Orthop Surg. 2016 Dec;24(12):e184-e192.\r\n\r\n2 Zhang J, Keenan C, Wang JH. The Effects of Dexamethasone on Human Patellar Tendon Stem Cells: Implications for Dexamethasone Treatment of Tendon Injury. Journal of orthopaedic research: official publication of the Orthopaedic Research Society. 2013 Jan;31(1):105.\r\n\r\n3 Mellinger S, Neurohr GA. Evidence-based treatment options for common knee injuries in runners. Annals of translational medicine. 2019 Oct;7(Suppl 7).\r\n\r\n4 Stuhlman CR, Stowers K, Stowers L, Smith J. Current Concepts and the Role of Surgery in the Treatment of Jumper’s Knee. Orthopedics. Nov 1 2016;39(6):e1028-e1035. doi: 10.3928/01477447-20160714-06.\r\n\r\n5 Morath O, Beck M, Taeymans J, Hirschmüller A. Sclerotherapy and prolotherapy for chronic patellar tendinopathies – a promising therapy with limited available evidence, a systematic review. J Exp Orthop. 2020 Nov 9;7(1):89. doi: 10.1186/s40634-020-00303-0. PMID: 33165667.\r\n\r\n6 Andriolo L, Altamura SA, Reale D, Candrian C, Zaffagnini S, Filardo G. Nonsurgical Treatments of Patellar Tendinopathy: Multiple Injections of Platelet-Rich Plasma Are a Suitable Option: A Systematic Review and Meta-analysis. The American journal of sports medicine. 2018 Mar 1:0363546518759674.','Patellar Tendinopathy','','inherit','closed','closed','','5500-revision-v1','','','2022-09-07 06:08:21','2022-09-07 06:08:21','',5500,'https://www.drfields.com/?p=5502',0,'revision','',0),(5503,8,'2022-09-07 06:09:31','2022-09-07 06:09:31','<img class=\"wp-image-5501 size-wcsquare alignright\" title=\"Patellar Tendinopathy\" src=\"https://www.drfields.com/wp-content/uploads/2022/09/Patellar-Tendinopathy.-PRP.-Amer-J-of-Sports-Med-300x300.png\" alt=\"Patellar Tendinopathy\" width=\"300\" height=\"300\" />\n\nHave you been diagnosed with patellar tendinopathy? If so, your condition relates to the tendon that passes from the large muscle at the front of the thigh and over the kneecap (patella) to connect to the shinbone.\n\nWhen someone has knee pain from a tendon problem or other causes, conservative self-management is usually the next step, or a doctor may recommend a brace, wrap, and/or anti-inflammatory medication. These treatments may keep down swelling down and possibly relieve some pain. However, any actual injury is not repaired with these conventional measures.\n\nAfter a few weeks of rest, once you are active again, you may still experience problems with pain and instability. Repair is needed. Fortunately, Regenerative Orthopedics is an available solution that can repair the tendons and any involved ligaments. Plus, it is non-surgical.\n<h2>Tendinitis vs Tendinosis</h2>\nBefore we go on, let’s talk about the difference between tendinitis and tendinosis:\n<ul>\n 	<li>With tendinitis, there is inflammation, pain, and swelling. The body is still trying to heal the knee</li>\n 	<li>When tendinosis is diagnosed, there is pain and weakness without the inflammation. At this point, the soft tissue is degenerated and the body has pretty much stopped trying to heal the tendon. And even though inflammation can be painful, inflammation is the body’s way of healing.</li>\n</ul>\n<h2>Patellar Tendinopathy Explained</h2>\nThe Journal of the American Academy of Orthopaedic Surgeons explains patellar tendinopathy like this: “The main problem in patellar tendinopathy is tendinosis, which is a degenerative disorder rather than an inflammatory disorder; therefore, the other popular term for this disease, tendinitis, is not appropriate.”\n\nRegenerative treatments are needed to repair and regenerate the degenerated soft tissue.\n<h2>Do Cortisone Injections Help?</h2>\nCortisone injections may help to calm down the inflammation and pain, but cortisone can make the tendon weaker. A recent study on the effect of dexamethasone (a type of cortisone injection) on the patellar tendon showed that dexamethasone had a “paradoxical” effect or changed the tendon stem cells into non-tendon tissue which weakened the tendon. Keep in mind then, that if cortisone is recommended, that while it may calm down inflammation, the injection could weaken rather than strengthen the tendon. (2)\n\nUnfortunately, with a tendon injury, the structure is already weakened. Plus, once it is weakened or damaged through injury or degenerative wear and tear, the knee becomes unstable. Stability needs to be regained, and Regenerative Orthopedics can stabilize and repair the soft tissue structures.\n<h2>Can Taping Help?</h2>\nIn the Annals of Translational Medicine (3), taping for the purpose of stabilizing the patella was discussed. “Patellar taping is commonly used in conjunction with manual and exercise therapies in the management of patellofemoral pain syndrome. Taping is predominately used to help decrease pain. Other studies show it can also help with patellar alignment and muscle activation. As patellar hypermobility has been shown as a predisposing factor for developing patellofemoral pain syndrome, taping can be indicated to promote patellar positioning and decrease pain. . . Overall, the effects of taping, are conflicting,…short-term it can be helpful with acute management of symptoms with functional activity.”\n\nThe goal of taping is to get the patella back into place, and to stabilize it temporarily. It is not reparative. Regenerative Orthopedics can stabilize the patellar, get it back in alignment, and resolve the pain. Regenerative Orthopedics is reparative.\n<h2>What About Surgery?</h2>\nSurgery may help the condition, but the downtime is very long. Researchers in the medical journal Orthopedics found that open surgery and arthroscopic techniques achieved similar satisfactory results but the average time to return to play was 5.6 months and 5 months, respectively (4). But keep in mind, there is also the possibility that surgery may not work.\n\nWhy not choose a non-surgical option that results in repair? Plus, effective Regenerative Orthopedics does not require the downtime of surgery. Movement is encouraged!\n<h2>Research about Regenerative Therapies?</h2>\nThe Journal of Experimental Orthopaedics examined the use of Prolotherapy in ten different studies for tendinopathies and found: “Among all ten studies, no serious adverse events were reported. Based on this limited set of studies, there seems to be some evidence that…Prolotherapy may be an effective treatment option to treat pain and to improve function in patients with Chronic Patellar Tendinopathy.” (5)\n\nPRP, another form of Regenerative Orthopedics, may also be warranted depending on the severity of the knee condition and for patellar tendinopathy. Do researchers recommend it? Doctors looking for a non-surgical options to treat patellar tendinopathy concluded in the American Journal of Sports Medicine: “Eccentric exercises may seem the strategy of choice in the short-term, but multiple PRP injections may offer more satisfactory results at long-term follow-up and can be therefore considered a suitable option for the treatment of patellar tendinopathy.”(6)\n\nRegenerative Orthopedics is a successful non-surgical solution for many knee pain conditions, including patellar tendinopathy. If you are suffering from knee pain, call us today. We are more than happy to help you resolve your pain and get you back to what you love quickly and with improved knee function.\n\n<strong>References</strong>\n\n1 Figueroa D, Figueroa F, Calvo R. Patellar Tendinopathy: Diagnosis and Treatment. J Am Acad Orthop Surg. 2016 Dec;24(12):e184-e192.\n\n2 Zhang J, Keenan C, Wang JH. The Effects of Dexamethasone on Human Patellar Tendon Stem Cells: Implications for Dexamethasone Treatment of Tendon Injury. Journal of orthopaedic research: official publication of the Orthopaedic Research Society. 2013 Jan;31(1):105.\n\n3 Mellinger S, Neurohr GA. Evidence-based treatment options for common knee injuries in runners. Annals of translational medicine. 2019 Oct;7(Suppl 7).\n\n4 Stuhlman CR, Stowers K, Stowers L, Smith J. Current Concepts and the Role of Surgery in the Treatment of Jumper’s Knee. Orthopedics. Nov 1 2016;39(6):e1028-e1035. doi: 10.3928/01477447-20160714-06.\n\n5 Morath O, Beck M, Taeymans J, Hirschmüller A. Sclerotherapy and prolotherapy for chronic patellar tendinopathies – a promising therapy with limited available evidence, a systematic review. J Exp Orthop. 2020 Nov 9;7(1):89. doi: 10.1186/s40634-020-00303-0. PMID: 33165667.\n\n6 Andriolo L, Altamura SA, Reale D, Candrian C, Zaffagnini S, Filardo G. Nonsurgical Treatments of Patellar Tendinopathy: Multiple Injections of Platelet-Rich Plasma Are a Suitable Option: A Systematic Review and Meta-analysis. The American journal of sports medicine. 2018 Mar 1:0363546518759674.','Patellar Tendinopathy','','inherit','closed','closed','','5500-autosave-v1','','','2022-09-07 06:09:31','2022-09-07 06:09:31','',5500,'https://www.drfields.com/?p=5503',0,'revision','',0),(5504,8,'2022-09-07 06:09:43','2022-09-07 06:09:43','<img class=\"wp-image-5501 size-wcsquare alignright\" title=\"Patellar Tendinopathy\" src=\"https://www.drfields.com/wp-content/uploads/2022/09/Patellar-Tendinopathy.-PRP.-Amer-J-of-Sports-Med-300x300.png\" alt=\"Patellar Tendinopathy\" width=\"300\" height=\"300\" />\r\n\r\nHave you been diagnosed with patellar tendinopathy? If so, your condition relates to the tendon that passes from the large muscle at the front of the thigh and over the kneecap (patella) to connect to the shinbone.\r\n\r\nWhen someone has knee pain from a tendon problem or other causes, conservative self-management is usually the next step, or a doctor may recommend a brace, wrap, and/or anti-inflammatory medication. These treatments may keep down swelling down and possibly relieve some pain. However, any actual injury is not repaired with these conventional measures.\r\n\r\nAfter a few weeks of rest, once you are active again, you may still experience problems with pain and instability. Repair is needed. Fortunately, Regenerative Orthopedics is an available solution that can repair the tendons and any involved ligaments. Plus, it is non-surgical.\r\n<h2>Tendinitis vs Tendinosis</h2>\r\nBefore we go on, let’s talk about the difference between tendinitis and tendinosis:\r\n<ul>\r\n 	<li>With tendinitis, there is inflammation, pain, and swelling. The body is still trying to heal the knee</li>\r\n 	<li>When tendinosis is diagnosed, there is pain and weakness without the inflammation. At this point, the soft tissue is degenerated and the body has pretty much stopped trying to heal the tendon. And even though inflammation can be painful, inflammation is the body’s way of healing.</li>\r\n</ul>\r\n<h2>Patellar Tendinopathy Explained</h2>\r\nThe Journal of the American Academy of Orthopaedic Surgeons explains patellar tendinopathy like this: “The main problem in patellar tendinopathy is tendinosis, which is a degenerative disorder rather than an inflammatory disorder; therefore, the other popular term for this disease, tendinitis, is not appropriate.”\r\n\r\nRegenerative treatments are needed to repair and regenerate the degenerated soft tissue.\r\n<h2>Do Cortisone Injections Help?</h2>\r\nCortisone injections may help to calm down the inflammation and pain, but cortisone can make the tendon weaker. A recent study on the effect of dexamethasone (a type of cortisone injection) on the patellar tendon showed that dexamethasone had a “paradoxical” effect or changed the tendon stem cells into non-tendon tissue which weakened the tendon. Keep in mind then, that if cortisone is recommended, that while it may calm down inflammation, the injection could weaken rather than strengthen the tendon. (2)\r\n\r\nUnfortunately, with a tendon injury, the structure is already weakened. Plus, once it is weakened or damaged through injury or degenerative wear and tear, the knee becomes unstable. Stability needs to be regained, and Regenerative Orthopedics can stabilize and repair the soft tissue structures.\r\n<h2>Can Taping Help?</h2>\r\nIn the Annals of Translational Medicine (3), taping for the purpose of stabilizing the patella was discussed. “Patellar taping is commonly used in conjunction with manual and exercise therapies in the management of patellofemoral pain syndrome. Taping is predominately used to help decrease pain. Other studies show it can also help with patellar alignment and muscle activation. As patellar hypermobility has been shown as a predisposing factor for developing patellofemoral pain syndrome, taping can be indicated to promote patellar positioning and decrease pain. . . Overall, the effects of taping, are conflicting,…short-term it can be helpful with acute management of symptoms with functional activity.”\r\n\r\nThe goal of taping is to get the patella back into place, and to stabilize it temporarily. It is not reparative. Regenerative Orthopedics can stabilize the patellar, get it back in alignment, and resolve the pain. Regenerative Orthopedics is reparative.\r\n<h2>What About Surgery?</h2>\r\nSurgery may help the condition, but the downtime is very long. Researchers in the medical journal Orthopedics found that open surgery and arthroscopic techniques achieved similar satisfactory results but the average time to return to play was 5.6 months and 5 months, respectively (4). But keep in mind, there is also the possibility that surgery may not work.\r\n\r\nWhy not choose a non-surgical option that results in repair? Plus, effective Regenerative Orthopedics does not require the downtime of surgery. Movement is encouraged!\r\n<h2>Research about Regenerative Therapies?</h2>\r\nThe Journal of Experimental Orthopaedics examined the use of Prolotherapy in ten different studies for tendinopathies and found: “Among all ten studies, no serious adverse events were reported. Based on this limited set of studies, there seems to be some evidence that…Prolotherapy may be an effective treatment option to treat pain and to improve function in patients with Chronic Patellar Tendinopathy.” (5)\r\n\r\nPRP, another form of Regenerative Orthopedics, may also be warranted depending on the severity of the knee condition and for patellar tendinopathy. Do researchers recommend it? Doctors looking for a non-surgical options to treat patellar tendinopathy concluded in the American Journal of Sports Medicine: “Eccentric exercises may seem the strategy of choice in the short-term, but multiple PRP injections may offer more satisfactory results at long-term follow-up and can be therefore considered a suitable option for the treatment of patellar tendinopathy.”(6)\r\n\r\nRegenerative Orthopedics is a successful non-surgical solution for many knee pain conditions, including patellar tendinopathy. If you are suffering from knee pain, call us today. We are more than happy to help you resolve your pain and get you back to what you love quickly and with improved knee function.\r\n\r\n<strong>References</strong>\r\n\r\n1 Figueroa D, Figueroa F, Calvo R. Patellar Tendinopathy: Diagnosis and Treatment. J Am Acad Orthop Surg. 2016 Dec;24(12):e184-e192.\r\n\r\n2 Zhang J, Keenan C, Wang JH. The Effects of Dexamethasone on Human Patellar Tendon Stem Cells: Implications for Dexamethasone Treatment of Tendon Injury. Journal of orthopaedic research: official publication of the Orthopaedic Research Society. 2013 Jan;31(1):105.\r\n\r\n3 Mellinger S, Neurohr GA. Evidence-based treatment options for common knee injuries in runners. Annals of translational medicine. 2019 Oct;7(Suppl 7).\r\n\r\n4 Stuhlman CR, Stowers K, Stowers L, Smith J. Current Concepts and the Role of Surgery in the Treatment of Jumper’s Knee. Orthopedics. Nov 1 2016;39(6):e1028-e1035. doi: 10.3928/01477447-20160714-06.\r\n\r\n5 Morath O, Beck M, Taeymans J, Hirschmüller A. Sclerotherapy and prolotherapy for chronic patellar tendinopathies – a promising therapy with limited available evidence, a systematic review. J Exp Orthop. 2020 Nov 9;7(1):89. doi: 10.1186/s40634-020-00303-0. PMID: 33165667.\r\n\r\n6 Andriolo L, Altamura SA, Reale D, Candrian C, Zaffagnini S, Filardo G. Nonsurgical Treatments of Patellar Tendinopathy: Multiple Injections of Platelet-Rich Plasma Are a Suitable Option: A Systematic Review and Meta-analysis. The American journal of sports medicine. 2018 Mar 1:0363546518759674.','Patellar Tendinopathy','','inherit','closed','closed','','5500-revision-v1','','','2022-09-07 06:09:43','2022-09-07 06:09:43','',5500,'https://www.drfields.com/?p=5504',0,'revision','',0),(5505,8,'2022-09-07 06:13:04','2022-09-07 06:13:04','<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/2019/06/header-orthoregen-4.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/07/Slider-2v05072022.png\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/05/header-orthoregen-santa-monica-pier.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">New Article:</span>\r\n<span class=\"header_text_second\">Keep Looking Forward Despite COVID-19</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dealing-with-covid-19/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-11.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-9.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Get Back In The Game!</span>\r\n<span class=\"header_text_second\">Avoid Joint and Spine Surgery </span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">Stem Cell/PRP/Prolotherapy</span>\r\n<a class=\"btn-more\" title=\"Get Help Now!\" href=\"Contact-Us\"> Get Help Now!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item slide-article\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/05/header-orthoregen-ocean-mountains.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_second\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/12/Kili-top-header-2.jpg\');\">\r\n<div class=\"carousel-caption\" style=\"text-align: left;\"><span class=\"header_text_first\">Congratulations\r\nPeter A. Fields, MD, DC</span>\r\n<span class=\"header_text_second\">The Athletic Doc<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/2019/12/Sider-01-V8.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Peter A. Fields, MD, DC\r\nThe Athletic Doc<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=\"https://www.drfields.com/articles/regenerative-orthopedics/patellar-tendinopathy/\">Patellar Tendinopathy</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/sprained-ankle/\">Sprained Ankle?</a></li>\r\n 	<li><a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-neck-pain/\">Stubborn, Persistent Neck Pain</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/non-surgical-partial-rotator-cuff-tear-repair/\">Non-surgical Partial Rotator Cuff Tear Repair</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/are-cortisone-shots-a-good-option/\">Are Cortisone Shots a Good Option?</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/try-regenerative-treatments-for-your-hip-pain-or-injury/\">Try Regenerative Treatments for Your Hip Pain or Injury</a></li>\r\n 	<li class=\"last\"><a title=\"Nagging Back Pain\" href=\"/articles/regenerative-orthopedics/nagging-back-pain/\">Nagging Back Pain</a></li>\r\n 	<li class=\"last\"><a title=\"Treating Knee Pain and Injuries with Regenerative Orthopedics\" href=\"/articles/regenerative-orthopedics/treating-knee-pain-and-injuries-with-regenerative-orthopedics/\">Treating Knee Pain and Injuries with Regenerative Orthopedics</a></li>\r\n 	<li class=\"last\"><a title=\"Keep Looking Forward Despite COVID-19\" href=\"/articles/health-news/dealing-with-covid-19/\">Keep Looking Forward Despite COVID-19</a></li>\r\n 	<li class=\"last\"><a title=\"COVID-19 Advice: Don’t Fear the Fear Itself!\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</a></li>\r\n 	<li class=\"last\"><a title=\"Rotator Cuff Tendonitis\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/rotator-cuff-tendonitis/\">Rotator Cuff Tendonitis</a></li>\r\n 	<li><a title=\"Allergic Reactions and Problems of Corrosion with Joint Replacements\" href=\"https://www.drfields.com/articles/allergic-reactions-and-problems-of-corrosion-with-joint-replacements/\">Allergic Reactions and Problems of Corrosion with Joint Replacements\r\n</a></li>\r\n 	<li><a title=\"Treat Sciatica Pain Non-Surgically\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/treat-sciatica-pain-non-surgically/\">Treat Sciatica Pain Non-Surgically</a></li>\r\n 	<li class=\"last\"><a title=\"Stem Cell Therapy at OrthoRegen&lt;sup&gt;®&lt;/sup&gt; – Why We are Different\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/stem-cell-therapy-at-orthoregen-why-we-are-different/\">Stem Cell Therapy at OrthoRegen<sup>®</sup> – Why We are Different</a></li>\r\n 	<li class=\"last\"><a title=\"Is Your Hip Bursitis Treatment Working?\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/is-your-hip-bursitis-treatment-working/\">Is Your Hip Bursitis Treatment Working?</a></li>\r\n</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/2019/06/dr-fields.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','','','2022-09-07 06:13:04','2022-09-07 06:13:04','',2109,'https://www.drfields.com/?p=5505',0,'revision','',0),(5506,8,'2022-09-09 14:53:19','2022-09-09 14:53:19','Patellar Tendinopathy. Prp. Amer J Of Sports Med.2ndpng','Patellar Tendinopathy. Prp. Amer J Of Sports Med.2ndpng','Patellar Tendinopathy. Prp. Amer J Of Sports Med.2ndpng','inherit','closed','closed','','patellar-tendinopathy-prp-amer-j-of-sports-med-2ndpng','','','2022-09-09 14:53:19','2022-09-09 14:53:19','',5500,'https://www.drfields.com/wp-content/uploads/2022/09/Patellar-Tendinopathy.-PRP.-Amer-J-of-Sports-Med.2ndpng.png',0,'attachment','image/png',0),(5507,8,'2022-09-09 14:53:48','2022-09-09 14:53:48','[caption id=\"attachment_5506\" align=\"alignright\" width=\"500\"]<a href=\"https://www.drfields.com/wp-content/uploads/2022/09/Patellar-Tendinopathy.-PRP.-Amer-J-of-Sports-Med.2ndpng.png\"><img class=\"size-medium wp-image-5506\" src=\"https://www.drfields.com/wp-content/uploads/2022/09/Patellar-Tendinopathy.-PRP.-Amer-J-of-Sports-Med.2ndpng-500x419.png\" alt=\"Patellar Tendinopathy. Prp. Amer J Of Sports Med.2ndpng\" width=\"500\" height=\"419\" /></a> Patellar Tendinopathy. Prp. Amer J Of Sports Med.2ndpng[/caption]\r\n\r\nHave you been diagnosed with patellar tendinopathy? If so, your condition relates to the tendon that passes from the large muscle at the front of the thigh and over the kneecap (patella) to connect to the shinbone.\r\n\r\nWhen someone has knee pain from a tendon problem or other causes, conservative self-management is usually the next step, or a doctor may recommend a brace, wrap, and/or anti-inflammatory medication. These treatments may keep down swelling down and possibly relieve some pain. However, any actual injury is not repaired with these conventional measures.\r\n\r\nAfter a few weeks of rest, once you are active again, you may still experience problems with pain and instability. Repair is needed. Fortunately, Regenerative Orthopedics is an available solution that can repair the tendons and any involved ligaments. Plus, it is non-surgical.\r\n<h2>Tendinitis vs Tendinosis</h2>\r\nBefore we go on, let’s talk about the difference between tendinitis and tendinosis:\r\n<ul>\r\n 	<li>With tendinitis, there is inflammation, pain, and swelling. The body is still trying to heal the knee</li>\r\n 	<li>When tendinosis is diagnosed, there is pain and weakness without the inflammation. At this point, the soft tissue is degenerated and the body has pretty much stopped trying to heal the tendon. And even though inflammation can be painful, inflammation is the body’s way of healing.</li>\r\n</ul>\r\n<h2>Patellar Tendinopathy Explained</h2>\r\nThe Journal of the American Academy of Orthopaedic Surgeons explains patellar tendinopathy like this: “The main problem in patellar tendinopathy is tendinosis, which is a degenerative disorder rather than an inflammatory disorder; therefore, the other popular term for this disease, tendinitis, is not appropriate.”\r\n\r\nRegenerative treatments are needed to repair and regenerate the degenerated soft tissue.\r\n<h2>Do Cortisone Injections Help?</h2>\r\nCortisone injections may help to calm down the inflammation and pain, but cortisone can make the tendon weaker. A recent study on the effect of dexamethasone (a type of cortisone injection) on the patellar tendon showed that dexamethasone had a “paradoxical” effect or changed the tendon stem cells into non-tendon tissue which weakened the tendon. Keep in mind then, that if cortisone is recommended, that while it may calm down inflammation, the injection could weaken rather than strengthen the tendon. (2)\r\n\r\nUnfortunately, with a tendon injury, the structure is already weakened. Plus, once it is weakened or damaged through injury or degenerative wear and tear, the knee becomes unstable. Stability needs to be regained, and Regenerative Orthopedics can stabilize and repair the soft tissue structures.\r\n<h2>Can Taping Help?</h2>\r\nIn the Annals of Translational Medicine (3), taping for the purpose of stabilizing the patella was discussed. “Patellar taping is commonly used in conjunction with manual and exercise therapies in the management of patellofemoral pain syndrome. Taping is predominately used to help decrease pain. Other studies show it can also help with patellar alignment and muscle activation. As patellar hypermobility has been shown as a predisposing factor for developing patellofemoral pain syndrome, taping can be indicated to promote patellar positioning and decrease pain. . . Overall, the effects of taping, are conflicting,…short-term it can be helpful with acute management of symptoms with functional activity.”\r\n\r\nThe goal of taping is to get the patella back into place, and to stabilize it temporarily. It is not reparative. Regenerative Orthopedics can stabilize the patellar, get it back in alignment, and resolve the pain. Regenerative Orthopedics is reparative.\r\n<h2>What About Surgery?</h2>\r\nSurgery may help the condition, but the downtime is very long. Researchers in the medical journal Orthopedics found that open surgery and arthroscopic techniques achieved similar satisfactory results but the average time to return to play was 5.6 months and 5 months, respectively (4). But keep in mind, there is also the possibility that surgery may not work.\r\n\r\nWhy not choose a non-surgical option that results in repair? Plus, effective Regenerative Orthopedics does not require the downtime of surgery. Movement is encouraged!\r\n<h2>Research about Regenerative Therapies?</h2>\r\nThe Journal of Experimental Orthopaedics examined the use of Prolotherapy in ten different studies for tendinopathies and found: “Among all ten studies, no serious adverse events were reported. Based on this limited set of studies, there seems to be some evidence that…Prolotherapy may be an effective treatment option to treat pain and to improve function in patients with Chronic Patellar Tendinopathy.” (5)\r\n\r\nPRP, another form of Regenerative Orthopedics, may also be warranted depending on the severity of the knee condition and for patellar tendinopathy. Do researchers recommend it? Doctors looking for a non-surgical options to treat patellar tendinopathy concluded in the American Journal of Sports Medicine: “Eccentric exercises may seem the strategy of choice in the short-term, but multiple PRP injections may offer more satisfactory results at long-term follow-up and can be therefore considered a suitable option for the treatment of patellar tendinopathy.”(6)\r\n\r\nRegenerative Orthopedics is a successful non-surgical solution for many knee pain conditions, including patellar tendinopathy. If you are suffering from knee pain, call us today. We are more than happy to help you resolve your pain and get you back to what you love quickly and with improved knee function.\r\n\r\n<strong>References</strong>\r\n\r\n1 Figueroa D, Figueroa F, Calvo R. Patellar Tendinopathy: Diagnosis and Treatment. J Am Acad Orthop Surg. 2016 Dec;24(12):e184-e192.\r\n\r\n2 Zhang J, Keenan C, Wang JH. The Effects of Dexamethasone on Human Patellar Tendon Stem Cells: Implications for Dexamethasone Treatment of Tendon Injury. Journal of orthopaedic research: official publication of the Orthopaedic Research Society. 2013 Jan;31(1):105.\r\n\r\n3 Mellinger S, Neurohr GA. Evidence-based treatment options for common knee injuries in runners. Annals of translational medicine. 2019 Oct;7(Suppl 7).\r\n\r\n4 Stuhlman CR, Stowers K, Stowers L, Smith J. Current Concepts and the Role of Surgery in the Treatment of Jumper’s Knee. Orthopedics. Nov 1 2016;39(6):e1028-e1035. doi: 10.3928/01477447-20160714-06.\r\n\r\n5 Morath O, Beck M, Taeymans J, Hirschmüller A. Sclerotherapy and prolotherapy for chronic patellar tendinopathies – a promising therapy with limited available evidence, a systematic review. J Exp Orthop. 2020 Nov 9;7(1):89. doi: 10.1186/s40634-020-00303-0. PMID: 33165667.\r\n\r\n6 Andriolo L, Altamura SA, Reale D, Candrian C, Zaffagnini S, Filardo G. Nonsurgical Treatments of Patellar Tendinopathy: Multiple Injections of Platelet-Rich Plasma Are a Suitable Option: A Systematic Review and Meta-analysis. The American journal of sports medicine. 2018 Mar 1:0363546518759674.','Patellar Tendinopathy','','inherit','closed','closed','','5500-revision-v1','','','2022-09-09 14:53:48','2022-09-09 14:53:48','',5500,'https://www.drfields.com/?p=5507',0,'revision','',0),(5508,8,'2022-09-09 14:54:07','2022-09-09 14:54:07','[caption id=\"attachment_5506\" align=\"alignright\" width=\"500\"]<img class=\"wp-image-5506 size-medium\" src=\"https://www.drfields.com/wp-content/uploads/2022/09/Patellar-Tendinopathy.-PRP.-Amer-J-of-Sports-Med.2ndpng-500x419.png\" alt=\"Patellar Tendinopathy. Prp. Amer J Of Sports Med.2ndpng\" width=\"500\" height=\"419\" /> Patellar Tendinopathy. Prp. Amer J Of Sports Med.2ndpng[/caption]\r\n\r\nHave you been diagnosed with patellar tendinopathy? If so, your condition relates to the tendon that passes from the large muscle at the front of the thigh and over the kneecap (patella) to connect to the shinbone.\r\n\r\nWhen someone has knee pain from a tendon problem or other causes, conservative self-management is usually the next step, or a doctor may recommend a brace, wrap, and/or anti-inflammatory medication. These treatments may keep down swelling down and possibly relieve some pain. However, any actual injury is not repaired with these conventional measures.\r\n\r\nAfter a few weeks of rest, once you are active again, you may still experience problems with pain and instability. Repair is needed. Fortunately, Regenerative Orthopedics is an available solution that can repair the tendons and any involved ligaments. Plus, it is non-surgical.\r\n<h2>Tendinitis vs Tendinosis</h2>\r\nBefore we go on, let’s talk about the difference between tendinitis and tendinosis:\r\n<ul>\r\n 	<li>With tendinitis, there is inflammation, pain, and swelling. The body is still trying to heal the knee</li>\r\n 	<li>When tendinosis is diagnosed, there is pain and weakness without the inflammation. At this point, the soft tissue is degenerated and the body has pretty much stopped trying to heal the tendon. And even though inflammation can be painful, inflammation is the body’s way of healing.</li>\r\n</ul>\r\n<h2>Patellar Tendinopathy Explained</h2>\r\nThe Journal of the American Academy of Orthopaedic Surgeons explains patellar tendinopathy like this: “The main problem in patellar tendinopathy is tendinosis, which is a degenerative disorder rather than an inflammatory disorder; therefore, the other popular term for this disease, tendinitis, is not appropriate.”\r\n\r\nRegenerative treatments are needed to repair and regenerate the degenerated soft tissue.\r\n<h2>Do Cortisone Injections Help?</h2>\r\nCortisone injections may help to calm down the inflammation and pain, but cortisone can make the tendon weaker. A recent study on the effect of dexamethasone (a type of cortisone injection) on the patellar tendon showed that dexamethasone had a “paradoxical” effect or changed the tendon stem cells into non-tendon tissue which weakened the tendon. Keep in mind then, that if cortisone is recommended, that while it may calm down inflammation, the injection could weaken rather than strengthen the tendon. (2)\r\n\r\nUnfortunately, with a tendon injury, the structure is already weakened. Plus, once it is weakened or damaged through injury or degenerative wear and tear, the knee becomes unstable. Stability needs to be regained, and Regenerative Orthopedics can stabilize and repair the soft tissue structures.\r\n<h2>Can Taping Help?</h2>\r\nIn the Annals of Translational Medicine (3), taping for the purpose of stabilizing the patella was discussed. “Patellar taping is commonly used in conjunction with manual and exercise therapies in the management of patellofemoral pain syndrome. Taping is predominately used to help decrease pain. Other studies show it can also help with patellar alignment and muscle activation. As patellar hypermobility has been shown as a predisposing factor for developing patellofemoral pain syndrome, taping can be indicated to promote patellar positioning and decrease pain. . . Overall, the effects of taping, are conflicting,…short-term it can be helpful with acute management of symptoms with functional activity.”\r\n\r\nThe goal of taping is to get the patella back into place, and to stabilize it temporarily. It is not reparative. Regenerative Orthopedics can stabilize the patellar, get it back in alignment, and resolve the pain. Regenerative Orthopedics is reparative.\r\n<h2>What About Surgery?</h2>\r\nSurgery may help the condition, but the downtime is very long. Researchers in the medical journal Orthopedics found that open surgery and arthroscopic techniques achieved similar satisfactory results but the average time to return to play was 5.6 months and 5 months, respectively (4). But keep in mind, there is also the possibility that surgery may not work.\r\n\r\nWhy not choose a non-surgical option that results in repair? Plus, effective Regenerative Orthopedics does not require the downtime of surgery. Movement is encouraged!\r\n<h2>Research about Regenerative Therapies?</h2>\r\nThe Journal of Experimental Orthopaedics examined the use of Prolotherapy in ten different studies for tendinopathies and found: “Among all ten studies, no serious adverse events were reported. Based on this limited set of studies, there seems to be some evidence that…Prolotherapy may be an effective treatment option to treat pain and to improve function in patients with Chronic Patellar Tendinopathy.” (5)\r\n\r\nPRP, another form of Regenerative Orthopedics, may also be warranted depending on the severity of the knee condition and for patellar tendinopathy. Do researchers recommend it? Doctors looking for a non-surgical options to treat patellar tendinopathy concluded in the American Journal of Sports Medicine: “Eccentric exercises may seem the strategy of choice in the short-term, but multiple PRP injections may offer more satisfactory results at long-term follow-up and can be therefore considered a suitable option for the treatment of patellar tendinopathy.”(6)\r\n\r\nRegenerative Orthopedics is a successful non-surgical solution for many knee pain conditions, including patellar tendinopathy. If you are suffering from knee pain, call us today. We are more than happy to help you resolve your pain and get you back to what you love quickly and with improved knee function.\r\n\r\n<strong>References</strong>\r\n\r\n1 Figueroa D, Figueroa F, Calvo R. Patellar Tendinopathy: Diagnosis and Treatment. J Am Acad Orthop Surg. 2016 Dec;24(12):e184-e192.\r\n\r\n2 Zhang J, Keenan C, Wang JH. The Effects of Dexamethasone on Human Patellar Tendon Stem Cells: Implications for Dexamethasone Treatment of Tendon Injury. Journal of orthopaedic research: official publication of the Orthopaedic Research Society. 2013 Jan;31(1):105.\r\n\r\n3 Mellinger S, Neurohr GA. Evidence-based treatment options for common knee injuries in runners. Annals of translational medicine. 2019 Oct;7(Suppl 7).\r\n\r\n4 Stuhlman CR, Stowers K, Stowers L, Smith J. Current Concepts and the Role of Surgery in the Treatment of Jumper’s Knee. Orthopedics. Nov 1 2016;39(6):e1028-e1035. doi: 10.3928/01477447-20160714-06.\r\n\r\n5 Morath O, Beck M, Taeymans J, Hirschmüller A. Sclerotherapy and prolotherapy for chronic patellar tendinopathies – a promising therapy with limited available evidence, a systematic review. J Exp Orthop. 2020 Nov 9;7(1):89. doi: 10.1186/s40634-020-00303-0. PMID: 33165667.\r\n\r\n6 Andriolo L, Altamura SA, Reale D, Candrian C, Zaffagnini S, Filardo G. Nonsurgical Treatments of Patellar Tendinopathy: Multiple Injections of Platelet-Rich Plasma Are a Suitable Option: A Systematic Review and Meta-analysis. The American journal of sports medicine. 2018 Mar 1:0363546518759674.','Patellar Tendinopathy','','inherit','closed','closed','','5500-revision-v1','','','2022-09-09 14:54:07','2022-09-09 14:54:07','',5500,'https://www.drfields.com/?p=5508',0,'revision','',0),(5509,8,'2022-09-14 06:45:54','2022-09-14 06:45:54','[caption id=\"attachment_5506\" align=\"alignright\" width=\"500\"]<img class=\"wp-image-5506 size-medium\" src=\"https://www.drfields.com/wp-content/uploads/2022/09/Patellar-Tendinopathy.-PRP.-Amer-J-of-Sports-Med.2ndpng-500x419.png\" alt=\"Patellar Tendinopathy. Prp. Amer J Of Sports Med.2ndpng\" width=\"500\" height=\"419\" />  [/caption]\r\n\r\nHave you been diagnosed with patellar tendinopathy? If so, your condition relates to the tendon that passes from the large muscle at the front of the thigh and over the kneecap (patella) to connect to the shinbone.\r\n\r\nWhen someone has knee pain from a tendon problem or other causes, conservative self-management is usually the next step, or a doctor may recommend a brace, wrap, and/or anti-inflammatory medication. These treatments may keep down swelling down and possibly relieve some pain. However, any actual injury is not repaired with these conventional measures.\r\n\r\nAfter a few weeks of rest, once you are active again, you may still experience problems with pain and instability. Repair is needed. Fortunately, Regenerative Orthopedics is an available solution that can repair the tendons and any involved ligaments. Plus, it is non-surgical.\r\n<h2>Tendinitis vs Tendinosis</h2>\r\nBefore we go on, let’s talk about the difference between tendinitis and tendinosis:\r\n<ul>\r\n 	<li>With tendinitis, there is inflammation, pain, and swelling. The body is still trying to heal the knee</li>\r\n 	<li>When tendinosis is diagnosed, there is pain and weakness without the inflammation. At this point, the soft tissue is degenerated and the body has pretty much stopped trying to heal the tendon. And even though inflammation can be painful, inflammation is the body’s way of healing.</li>\r\n</ul>\r\n<h2>Patellar Tendinopathy Explained</h2>\r\nThe Journal of the American Academy of Orthopaedic Surgeons explains patellar tendinopathy like this: “The main problem in patellar tendinopathy is tendinosis, which is a degenerative disorder rather than an inflammatory disorder; therefore, the other popular term for this disease, tendinitis, is not appropriate.”\r\n\r\nRegenerative treatments are needed to repair and regenerate the degenerated soft tissue.\r\n<h2>Do Cortisone Injections Help?</h2>\r\nCortisone injections may help to calm down the inflammation and pain, but cortisone can make the tendon weaker. A recent study on the effect of dexamethasone (a type of cortisone injection) on the patellar tendon showed that dexamethasone had a “paradoxical” effect or changed the tendon stem cells into non-tendon tissue which weakened the tendon. Keep in mind then, that if cortisone is recommended, that while it may calm down inflammation, the injection could weaken rather than strengthen the tendon. (2)\r\n\r\nUnfortunately, with a tendon injury, the structure is already weakened. Plus, once it is weakened or damaged through injury or degenerative wear and tear, the knee becomes unstable. Stability needs to be regained, and Regenerative Orthopedics can stabilize and repair the soft tissue structures.\r\n<h2>Can Taping Help?</h2>\r\nIn the Annals of Translational Medicine (3), taping for the purpose of stabilizing the patella was discussed. “Patellar taping is commonly used in conjunction with manual and exercise therapies in the management of patellofemoral pain syndrome. Taping is predominately used to help decrease pain. Other studies show it can also help with patellar alignment and muscle activation. As patellar hypermobility has been shown as a predisposing factor for developing patellofemoral pain syndrome, taping can be indicated to promote patellar positioning and decrease pain. . . Overall, the effects of taping, are conflicting,…short-term it can be helpful with acute management of symptoms with functional activity.”\r\n\r\nThe goal of taping is to get the patella back into place, and to stabilize it temporarily. It is not reparative. Regenerative Orthopedics can stabilize the patellar, get it back in alignment, and resolve the pain. Regenerative Orthopedics is reparative.\r\n<h2>What About Surgery?</h2>\r\nSurgery may help the condition, but the downtime is very long. Researchers in the medical journal Orthopedics found that open surgery and arthroscopic techniques achieved similar satisfactory results but the average time to return to play was 5.6 months and 5 months, respectively (4). But keep in mind, there is also the possibility that surgery may not work.\r\n\r\nWhy not choose a non-surgical option that results in repair? Plus, effective Regenerative Orthopedics does not require the downtime of surgery. Movement is encouraged!\r\n<h2>Research about Regenerative Therapies?</h2>\r\nThe Journal of Experimental Orthopaedics examined the use of Prolotherapy in ten different studies for tendinopathies and found: “Among all ten studies, no serious adverse events were reported. Based on this limited set of studies, there seems to be some evidence that…Prolotherapy may be an effective treatment option to treat pain and to improve function in patients with Chronic Patellar Tendinopathy.” (5)\r\n\r\nPRP, another form of Regenerative Orthopedics, may also be warranted depending on the severity of the knee condition and for patellar tendinopathy. Do researchers recommend it? Doctors looking for a non-surgical options to treat patellar tendinopathy concluded in the American Journal of Sports Medicine: “Eccentric exercises may seem the strategy of choice in the short-term, but multiple PRP injections may offer more satisfactory results at long-term follow-up and can be therefore considered a suitable option for the treatment of patellar tendinopathy.”(6)\r\n\r\nRegenerative Orthopedics is a successful non-surgical solution for many knee pain conditions, including patellar tendinopathy. If you are suffering from knee pain, call us today. We are more than happy to help you resolve your pain and get you back to what you love quickly and with improved knee function.\r\n\r\n<strong>References</strong>\r\n\r\n1 Figueroa D, Figueroa F, Calvo R. Patellar Tendinopathy: Diagnosis and Treatment. J Am Acad Orthop Surg. 2016 Dec;24(12):e184-e192.\r\n\r\n2 Zhang J, Keenan C, Wang JH. The Effects of Dexamethasone on Human Patellar Tendon Stem Cells: Implications for Dexamethasone Treatment of Tendon Injury. Journal of orthopaedic research: official publication of the Orthopaedic Research Society. 2013 Jan;31(1):105.\r\n\r\n3 Mellinger S, Neurohr GA. Evidence-based treatment options for common knee injuries in runners. Annals of translational medicine. 2019 Oct;7(Suppl 7).\r\n\r\n4 Stuhlman CR, Stowers K, Stowers L, Smith J. Current Concepts and the Role of Surgery in the Treatment of Jumper’s Knee. Orthopedics. Nov 1 2016;39(6):e1028-e1035. doi: 10.3928/01477447-20160714-06.\r\n\r\n5 Morath O, Beck M, Taeymans J, Hirschmüller A. Sclerotherapy and prolotherapy for chronic patellar tendinopathies – a promising therapy with limited available evidence, a systematic review. J Exp Orthop. 2020 Nov 9;7(1):89. doi: 10.1186/s40634-020-00303-0. PMID: 33165667.\r\n\r\n6 Andriolo L, Altamura SA, Reale D, Candrian C, Zaffagnini S, Filardo G. Nonsurgical Treatments of Patellar Tendinopathy: Multiple Injections of Platelet-Rich Plasma Are a Suitable Option: A Systematic Review and Meta-analysis. The American journal of sports medicine. 2018 Mar 1:0363546518759674.','Patellar Tendinopathy','','inherit','closed','closed','','5500-revision-v1','','','2022-09-14 06:45:54','2022-09-14 06:45:54','',5500,'https://www.drfields.com/?p=5509',0,'revision','',0),(5510,8,'2022-09-14 06:46:12','2022-09-14 06:46:12','<img class=\"alignright wp-image-5506 size-wcsquare\" src=\"https://www.drfields.com/wp-content/uploads/2022/09/Patellar-Tendinopathy.-PRP.-Amer-J-of-Sports-Med.2ndpng-300x300.png\" alt=\"Patellar Tendinopathy. Prp. Amer J Of Sports Med.2ndpng\" width=\"300\" height=\"300\" />\r\n\r\nHave you been diagnosed with patellar tendinopathy? If so, your condition relates to the tendon that passes from the large muscle at the front of the thigh and over the kneecap (patella) to connect to the shinbone.\r\n\r\nWhen someone has knee pain from a tendon problem or other causes, conservative self-management is usually the next step, or a doctor may recommend a brace, wrap, and/or anti-inflammatory medication. These treatments may keep down swelling down and possibly relieve some pain. However, any actual injury is not repaired with these conventional measures.\r\n\r\nAfter a few weeks of rest, once you are active again, you may still experience problems with pain and instability. Repair is needed. Fortunately, Regenerative Orthopedics is an available solution that can repair the tendons and any involved ligaments. Plus, it is non-surgical.\r\n<h2>Tendinitis vs Tendinosis</h2>\r\nBefore we go on, let’s talk about the difference between tendinitis and tendinosis:\r\n<ul>\r\n 	<li>With tendinitis, there is inflammation, pain, and swelling. The body is still trying to heal the knee</li>\r\n 	<li>When tendinosis is diagnosed, there is pain and weakness without the inflammation. At this point, the soft tissue is degenerated and the body has pretty much stopped trying to heal the tendon. And even though inflammation can be painful, inflammation is the body’s way of healing.</li>\r\n</ul>\r\n<h2>Patellar Tendinopathy Explained</h2>\r\nThe Journal of the American Academy of Orthopaedic Surgeons explains patellar tendinopathy like this: “The main problem in patellar tendinopathy is tendinosis, which is a degenerative disorder rather than an inflammatory disorder; therefore, the other popular term for this disease, tendinitis, is not appropriate.”\r\n\r\nRegenerative treatments are needed to repair and regenerate the degenerated soft tissue.\r\n<h2>Do Cortisone Injections Help?</h2>\r\nCortisone injections may help to calm down the inflammation and pain, but cortisone can make the tendon weaker. A recent study on the effect of dexamethasone (a type of cortisone injection) on the patellar tendon showed that dexamethasone had a “paradoxical” effect or changed the tendon stem cells into non-tendon tissue which weakened the tendon. Keep in mind then, that if cortisone is recommended, that while it may calm down inflammation, the injection could weaken rather than strengthen the tendon. (2)\r\n\r\nUnfortunately, with a tendon injury, the structure is already weakened. Plus, once it is weakened or damaged through injury or degenerative wear and tear, the knee becomes unstable. Stability needs to be regained, and Regenerative Orthopedics can stabilize and repair the soft tissue structures.\r\n<h2>Can Taping Help?</h2>\r\nIn the Annals of Translational Medicine (3), taping for the purpose of stabilizing the patella was discussed. “Patellar taping is commonly used in conjunction with manual and exercise therapies in the management of patellofemoral pain syndrome. Taping is predominately used to help decrease pain. Other studies show it can also help with patellar alignment and muscle activation. As patellar hypermobility has been shown as a predisposing factor for developing patellofemoral pain syndrome, taping can be indicated to promote patellar positioning and decrease pain. . . Overall, the effects of taping, are conflicting,…short-term it can be helpful with acute management of symptoms with functional activity.”\r\n\r\nThe goal of taping is to get the patella back into place, and to stabilize it temporarily. It is not reparative. Regenerative Orthopedics can stabilize the patellar, get it back in alignment, and resolve the pain. Regenerative Orthopedics is reparative.\r\n<h2>What About Surgery?</h2>\r\nSurgery may help the condition, but the downtime is very long. Researchers in the medical journal Orthopedics found that open surgery and arthroscopic techniques achieved similar satisfactory results but the average time to return to play was 5.6 months and 5 months, respectively (4). But keep in mind, there is also the possibility that surgery may not work.\r\n\r\nWhy not choose a non-surgical option that results in repair? Plus, effective Regenerative Orthopedics does not require the downtime of surgery. Movement is encouraged!\r\n<h2>Research about Regenerative Therapies?</h2>\r\nThe Journal of Experimental Orthopaedics examined the use of Prolotherapy in ten different studies for tendinopathies and found: “Among all ten studies, no serious adverse events were reported. Based on this limited set of studies, there seems to be some evidence that…Prolotherapy may be an effective treatment option to treat pain and to improve function in patients with Chronic Patellar Tendinopathy.” (5)\r\n\r\nPRP, another form of Regenerative Orthopedics, may also be warranted depending on the severity of the knee condition and for patellar tendinopathy. Do researchers recommend it? Doctors looking for a non-surgical options to treat patellar tendinopathy concluded in the American Journal of Sports Medicine: “Eccentric exercises may seem the strategy of choice in the short-term, but multiple PRP injections may offer more satisfactory results at long-term follow-up and can be therefore considered a suitable option for the treatment of patellar tendinopathy.”(6)\r\n\r\nRegenerative Orthopedics is a successful non-surgical solution for many knee pain conditions, including patellar tendinopathy. If you are suffering from knee pain, call us today. We are more than happy to help you resolve your pain and get you back to what you love quickly and with improved knee function.\r\n\r\n<strong>References</strong>\r\n\r\n1 Figueroa D, Figueroa F, Calvo R. Patellar Tendinopathy: Diagnosis and Treatment. J Am Acad Orthop Surg. 2016 Dec;24(12):e184-e192.\r\n\r\n2 Zhang J, Keenan C, Wang JH. The Effects of Dexamethasone on Human Patellar Tendon Stem Cells: Implications for Dexamethasone Treatment of Tendon Injury. Journal of orthopaedic research: official publication of the Orthopaedic Research Society. 2013 Jan;31(1):105.\r\n\r\n3 Mellinger S, Neurohr GA. Evidence-based treatment options for common knee injuries in runners. Annals of translational medicine. 2019 Oct;7(Suppl 7).\r\n\r\n4 Stuhlman CR, Stowers K, Stowers L, Smith J. Current Concepts and the Role of Surgery in the Treatment of Jumper’s Knee. Orthopedics. Nov 1 2016;39(6):e1028-e1035. doi: 10.3928/01477447-20160714-06.\r\n\r\n5 Morath O, Beck M, Taeymans J, Hirschmüller A. Sclerotherapy and prolotherapy for chronic patellar tendinopathies – a promising therapy with limited available evidence, a systematic review. J Exp Orthop. 2020 Nov 9;7(1):89. doi: 10.1186/s40634-020-00303-0. PMID: 33165667.\r\n\r\n6 Andriolo L, Altamura SA, Reale D, Candrian C, Zaffagnini S, Filardo G. Nonsurgical Treatments of Patellar Tendinopathy: Multiple Injections of Platelet-Rich Plasma Are a Suitable Option: A Systematic Review and Meta-analysis. The American journal of sports medicine. 2018 Mar 1:0363546518759674.','Patellar Tendinopathy','','inherit','closed','closed','','5500-revision-v1','','','2022-09-14 06:46:12','2022-09-14 06:46:12','',5500,'https://www.drfields.com/?p=5510',0,'revision','',0),(5511,8,'2022-09-15 03:55:38','2022-09-15 03:55:38','<img class=\"alignright size-full wp-image-642\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/running.jpg\" alt=\"Running\" width=\"200\" height=\"265\" />\r\n<h4>What Are Prolotherapy Treatments?</h4>\r\nProlotherapy treatments are a natural non-surgical method of assisting the body to heal injured or weakened joints, ligaments and tendons. With Prolotherapy (also called Dextrose Prolotherapy), the weakened areas are injected with a solution that stimulates the growth of healthy, strong tissues. As the tendons and ligaments grow stronger and vibrant, the pain is alleviated and motion is restored.\r\n\r\nWhether a joint, ligament or tendon is causing you pain or limited movement, Prolotherapy might be the right choice for you. Prolotherapy can help with arthritis, <a href=\"https://www.drfields.com/conditions/sports-injuries/knee-injury-treatment/\">knee injuries</a>, tendinitis (tennis elbow), hip dysfunction, bulging discs, lumbar or cervical spine instability, bursitis, ACL Tears, <a href=\"#\">rotator cuff injuries</a> and more.\r\n<h4>How Prolotherapy Treatment Repairs Joints and Relieves Pain</h4>\r\nProlotherapy\'s modern model was founded in the 1950s by Drs. George Hackett and Gustav Hemwall. But the notion of irritating an injured area to stimulate the body to heal itself goes back to ancient Greece. Prolotherapy helps your body make new cells. And it strengthens lax or torn tendons and ligaments. Ligaments are the tough tissues which connect bones to bones and tendons are the same kind of tissue which connect muscles to bones.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n\r\nYou might wonder why you still have pain in an injured area or why that area remains weak, even after a healing period of weeks, months or years. The answer lies in the fact that both ligaments and tendons have very poor circulation and it is this lack of blood supply which deprives them of the nutrients they need to heal properly. These weakened areas may have <strong>little or no blood flow</strong>, but they have lots of nerves. That’s why you may feel a significant amount of pain.\r\n\r\nRelaxed and weak ligaments lead to increased cartilage degeneration and finally bone-on-bone friction, which may result in arthritis type pain. Additionally, nerves around the soft tissues become stretched and irritated, also producing pain.\r\n\r\n<img class=\"alignleft size-full wp-image-644\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/couple1.jpg\" alt=\"Couple1\" width=\"200\" height=\"298\" />\r\n<h4>What is Prolotherapy Treatment Like?</h4>\r\nThe Prolotherapy technique involves the injection of a proliferant that causes an inflammatory response which stimulates the healing process. A local anesthetic is used so there is <strong>minimal discomfort</strong> with the injections. This results in a stronger or larger tendon or ligament that can hold body structures in place more effectively. The weakened area heals, and the <strong>patient\'s pain is reduced or eliminated</strong>.\r\n\r\nProlotherapy is an excellent alternative to <a href=\"https://www.drfields.com/Articles/Prolo-News/Cortisone-Is-it-Really-Good-for-You\">cortisone injections</a>, which long-term studies have shown can actually weaken tissue.\r\n\r\nMost patients require about 4 to 6 Prolotherapy treatments to restore function and relieve pain, but many find improvement after only one session. The treatments are usually given at two to four week intervals.\r\n\r\nProlotherapy has been shown to be effective at eliminating the pain of such conditions as <a href=\"https://www.drfields.com/conditions/sports-injuries/sports-injuries-treatment-overview/\">sports injuries</a>, tendonitis, arthritis, sciatica, some headaches, degenerated joints, fibromyalgia, and more. And it is effective at treating many causes of chronic (and in some cases acute) back and <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-neck-pain/\">neck pain</a>, <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-shoulder-pain/\">shoulder</a>, <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-knee-pain/\">knee</a> and other joint pain, tendonitis, and bursitis.\r\n\r\nProlotherapy is a non-surgical treatment heartily endorsed by former U.S. Surgeon General C. Everett Koop, who himself was a prolotherapist. The late diet guru Robert Atkins, M.D., also used \"prolo\" at his New York clinic and called it a miraculous treatment.\r\n\r\n<a href=\"https://www.carecredit.com/go/762HNB/bb3poscustacqbtnclk08132020/?dtc=Ds5X&amp;promocode=CLT/\"><img style=\"max-width: 100%; margin: 0 auto;\" src=\"https://www.carecredit.com/sites/pc/image/carecredit_button_applynow_280x100_a_v1.jpg\" width=\"275\" /></a>\r\n<h4 class=\"text-center\">Video: What is Prolotherapy Treatment?</h4>\r\n<div style=\"display: table; margin: 0 auto;\">[video_lightbox_youtube video_id=\"scdadG1A2Vk\" width=\"640\" height=\"480\" anchor=\"https://www.drfields.com/wp-content/uploads/2019/06/Dextrose-Prolotherapy-Overview.jpg\" alt=\"Dextrose Prolotherapy Overview\"]</div>\r\n<a class=\"buttonlink\" href=\"/regenerative-techniques/prolotherapy-videos/\">View More Videos on Prolotherapy</a>\r\n<h4>Are You A Candidate for Prolotherapy Treatment?</h4>\r\nCall <a href=\"tel:+[phone_raw]\">[phone]</a> today for a phone consultation to see if Prolotherapy treatment can get you pain free and ‘back in the game’ or help you resume your normal lifestyle. You can also <a href=\"/contact/\">contact Dr. Fields\' office</a>  to set up an in-person consultation.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">  Schedule Your Appointment Today!</a>','Prolotherapy Treatment Overview','','inherit','closed','closed','','382-revision-v1','','','2022-09-15 03:55:38','2022-09-15 03:55:38','',382,'https://www.drfields.com/?p=5511',0,'revision','',0),(5513,8,'2022-09-25 06:00:50','2022-09-25 06:00:50','<a href=\"https://www.drfields.com/wp-content/uploads/2022/09/Tennis-Elbow.-PRP.-Amer-J-of-Phys-Med-Rehab.png\"><img class=\"wp-image-5514 alignright\" src=\"https://www.drfields.com/wp-content/uploads/2022/09/Tennis-Elbow.-PRP.-Amer-J-of-Phys-Med-Rehab-500x419.png\" alt=\"Tennis Elbow: It’s Not Strictly An Injury Afflicting Athletes\" width=\"300\" height=\"251\" /></a>\r\n<h2 align=\"JUSTIFY\">Tennis Elbow</h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Tennis elbow (</span><span lang=\"it-IT\">lateral epicondylitis)</span><span lang=\"en-US\"> is a painful condition</span> <span lang=\"en-US\">involving the tendon that attaches at the outside bony prominence of the elbow or</span><span lang=\"it-IT\"> lateral epicondyle.</span><span lang=\"en-US\"> Tennis elbow is a type of overuse injury that results from repetitive motion of the wrist and arm often from overuse due to particular jobs and activities.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">An Overuse Injury</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Because of the name, you might think that tennis elbow is strictly an injury that athletes develop. But that isn’t so. Tennis elbow can occur in people whose jobs require repeat motions, such as painters, secretaries, accountants, carpenters, and guitarists. This condition is often described as an overuse injury. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Overuse 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 tendons, ligaments, and other soft tissue structures of the elbow. Using poor or improper technique</span> <span lang=\"en-US\">while training or poor form when painting can overload the muscles, tendons, and ligaments, and cause an overuse injury.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Tennis Elbow Symptoms</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The pain involved in tennis elbow is usually noted where a tendon of the forearm attaches to the bony bump at the outside of the elbow. The pain may radiate from the outer elbow into the forearm and wrist. These symptoms may make daily activities difficult such as turning a doorknob or picking up, holding, and gripping objects.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Instability May Be Behind Tennis Elbow</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Chronic 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</span><span lang=\"it-IT\"> alleviat</span><span lang=\"en-US\">ion of the pain.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">When elbow ligaments are involved, they may be </span>fray<span lang=\"en-US\">ed, 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.</span>  <span lang=\"en-US\">When a tendon is injured, there is often ligament involvement as well.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">When 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,</span> <span lang=\"en-US\">t</span><span lang=\"it-IT\">he tendons</span><span lang=\"en-US\"> will attempt to hold the muscle to the bone, increasing stress, and increasing the possibility of</span> <span lang=\"en-US\">injury to the tendon.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Conventional Treatments for Tennis Elbow</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Those with tennis elbow often try to manage the pain with over-the-counter medications and/or conservative therapy to stabilize the elbow such as with a brace. Resting the elbow is another way sufferers attempt to find relief in order to continue to work or participate in activities. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Recommended conventional treatments for tennis elbow often include NSAIDs, physical therapy, bracing, and taping. Unfortunately, these treatments may only provide temporary relief but they are not reparative in nature.</span></p>\r\n<p align=\"LEFT\"><span lang=\"en-US\">Symptoms may be suppressed with pain medications or calmed down with bracing. However, a sleeve, for example, will only give a false sense of security while only temporarily helping the sufferer to function. If the pain continues, and becomes chronic, the individual requires a treatments that will repair the involved tendon and ligaments.</span></p>\r\n\r\n<h2 align=\"LEFT\"><span lang=\"en-US\">What Does the Research Say Regarding Bracing and Surgery?</span></h2>\r\n<h4 align=\"JUSTIFY\"><em><strong><span lang=\"en-US\">Bracing</span></strong></em></h4>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">T</span><span lang=\"fr-FR\">he journal</span> <em><span lang=\"en-US\">Prosthetics and Orthotics International</span></em> (<span lang=\"en-US\">1) examined the popular counterforce brace in people with problems of lateral elbow tendinopathy and found that physical therapy had better results.</span></p>\r\n\r\n<h4 align=\"JUSTIFY\"><em><strong><span lang=\"en-US\">Surgery</span></strong></em></h4>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The </span><em><span lang=\"en-US\">US National Institutes of Health Clinical Trial</span></em><span lang=\"nl-NL\"> website</span><span lang=\"en-US\"> says: </span><em>“<span lang=\"en-US\">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.” </span>(<span lang=\"en-US\">2</span>)</em></p>\r\n<p align=\"JUSTIFY\"><strong><span lang=\"en-US\">There’s Another Way and It Does Not Require Surgery!</span></strong></p>\r\n\r\n<h3 align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative Orthopedics, Including Prolotherapy Are Effective for Tennis Elbow</span></h3>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative 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. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy is an injection technique that works to regenerate the degenerated tendon. The injection of simple dextrose mimics the natural healing response and </span>stimulate<span lang=\"en-US\">s healing growth factors to repair the</span><span lang=\"fr-FR\"> tissue.</span></p>\r\n\r\n<ul>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Researchers published a study in the </span><em><span lang=\"en-US\">American Journal of Physical Medicine &amp; Rehabilitation </span></em><span lang=\"en-US\">that </span>evaluat<span lang=\"en-US\">ed Prolotherapy for tennis elbow. They concluded: </span><em>“<span lang=\"en-US\">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. This pilot study suggests the need for a definitive trial.”</span></em><span lang=\"en-US\">(3)</span></p>\r\n</li>\r\n</ul>\r\n<ul>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">A study of 84 patients with tennis elbow who were treated with dextrose prolotherapy had statistically significant reductions in pain levels. (4)</span></p>\r\n</li>\r\n</ul>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy is effective for tennis elbow! It works because it boosts the body’s healing abilities naturally. And, it works because it addresses the problem by repairing the injures soft tissue. Plus, it works because it reduces or eliminates the symptoms. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Fortunately, Prolotherapy and other Regenerative Orthopedics, such as PRP and Stem Cell Therapy, all strengthen the involved ligaments and tendons.</span> <span lang=\"en-US\">These therapies </span><span lang=\"pt-PT\">stabilize</span><span lang=\"en-US\"> the elbow, strengthen the elbow, address the instability, and put an end to the pain and symptoms of tennis elbow</span>.<span lang=\"en-US\"> Recommendations may be made for PRP and/or Stem Cell in more advanced cases, but all treatments would include Prolotherapy.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">If 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.</span></p>\r\n\r\n<h3 align=\"JUSTIFY\"><span lang=\"en-US\">References</span></h3>\r\n<ol>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">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.</span></p>\r\n</li>\r\n 	<li>\r\n<p align=\"JUSTIFY\">Kroslak M, Murrell GAC. <span lang=\"en-US\">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.</span></p>\r\n</li>\r\n 	<li>\r\n<p align=\"JUSTIFY\">Rabago D, Lee KS, Ryan M, Chourasia AO, Sesto ME, Zgierska A, Kijowski R, Grettie J, Wilson J, Miller D. <span lang=\"en-US\">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.</span></p>\r\n</li>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Shin J, Seo K-M, Kim D-K, Kim B-K, Kang SH. The effect of prolotherapy on lateral epicondylitis of elbow.</span> J Korean Acad Rehabil Med. 2002;26:764–8.</p>\r\n</li>\r\n</ol>','Tennis Elbow: It’s Not Strictly An Injury Afflicting Athletes','','publish','closed','open','','tennis-elbow-its-not-strictly-an-injury-afflicting-athletes','','','2022-10-05 21:16:17','2022-10-05 21:16:17','',0,'https://www.drfields.com/?p=5513',0,'post','',0),(5514,8,'2022-09-26 12:07:06','2022-09-26 12:07:06','Tennis Elbow. Prp. Amer J Of Phys Med & Rehab','Tennis Elbow. Prp. Amer J Of Phys Med & Rehab','Tennis Elbow. Prp. Amer J Of Phys Med & Rehab','inherit','closed','closed','','tennis-elbow-prp-amer-j-of-phys-med-rehab','','','2022-09-26 12:07:06','2022-09-26 12:07:06','',5513,'https://www.drfields.com/wp-content/uploads/2022/09/Tennis-Elbow.-PRP.-Amer-J-of-Phys-Med-Rehab.png',0,'attachment','image/png',0),(5515,8,'2022-09-26 12:09:50','2022-09-26 12:09:50','[caption id=\"attachment_5514\" align=\"alignright\" width=\"500\"]<a href=\"https://www.drfields.com/wp-content/uploads/2022/09/Tennis-Elbow.-PRP.-Amer-J-of-Phys-Med-Rehab.png\"><img class=\"size-medium wp-image-5514\" src=\"https://www.drfields.com/wp-content/uploads/2022/09/Tennis-Elbow.-PRP.-Amer-J-of-Phys-Med-Rehab-500x419.png\" alt=\"Tennis Elbow. Prp. Amer J Of Phys Med &amp; Rehab\" width=\"500\" height=\"419\" /></a> Tennis Elbow. Prp. Amer J Of Phys Med &amp; Rehab[/caption]\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Tennis elbow (</span><span lang=\"it-IT\">lateral epicondylitis)</span><span lang=\"en-US\"> is a painful condition</span> <span lang=\"en-US\">involving the tendon that attaches at the outside bony prominence of the elbow or</span><span lang=\"it-IT\"> lateral epicondyle.</span><span lang=\"en-US\"> Tennis elbow is a type of overuse injury that results from repetitive motion of the wrist and arm often from overuse due to particular jobs and activities.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Tennis Elbow Is Often Described As An Overuse Injury</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Because of the name, you might think that tennis elbow is strictly an injury that athletes develop. But that isn’t so. Tennis elbow can occur in people whose jobs require repeat motions, such as painters, secretaries, accountants, carpenters, and guitarists. This condition is often described as an overuse injury. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Overuse 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 tendons, ligaments, and other soft tissue structures of the elbow. Using poor or improper technique</span> <span lang=\"en-US\">while training or poor form when painting can overload the muscles, tendons, and ligaments, and cause an overuse injury.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Tennis Elbow Symptoms</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The pain involved in tennis elbow is usually noted where a tendon of the forearm attaches to the bony bump at the outside of the elbow. The pain may radiate from the outer elbow into the forearm and wrist. These symptoms may make daily activities difficult such as turning a doorknob or picking up, holding, and gripping objects.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Instability May Be Behind Tennis Elbow</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Chronic 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</span><span lang=\"it-IT\"> alleviat</span><span lang=\"en-US\">ion of the pain.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">When elbow ligaments are involved, they may be </span>fray<span lang=\"en-US\">ed, 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.</span>  <span lang=\"en-US\">When a tendon is injured, there is often ligament involvement as well.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">When 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,</span> <span lang=\"en-US\">t</span><span lang=\"it-IT\">he tendons</span><span lang=\"en-US\"> will attempt to hold the muscle to the bone, increasing stress, and increasing the possibility of</span> <span lang=\"en-US\">injury to the tendon.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Conventional Treatments for Tennis Elbow</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Those with tennis elbow often try to manage the pain with over-the-counter medications and/or conservative therapy to stabilize the elbow such as with a brace. Resting the elbow is another way sufferers attempt to find relief in order to continue to work or participate in activities. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Recommended conventional treatments for tennis elbow often include NSAIDs, physical therapy, bracing, and taping. These treatments may provide temporary relief but they are not reparative in nature.</span></p>\r\n<p align=\"LEFT\"><span lang=\"en-US\">Symptoms may be suppressed with pain medications or calmed down with bracing. However, a sleeve, for example, will only give a false sense of security while only temporarily helping the sufferer to function. If the pain continues, and becomes chronic, the individual requires a treatments that will repair the involved tendon and ligaments.</span></p>\r\n\r\n<h2 align=\"LEFT\"><span lang=\"en-US\">What Does the Research Say Regarding Bracing and Surgery?</span></h2>\r\n<p align=\"JUSTIFY\"><strong><span lang=\"en-US\">Bracing</span></strong></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">T</span><span lang=\"fr-FR\">he journal</span> <span lang=\"en-US\">Prosthetics and Orthotics International</span> (<span lang=\"en-US\">1) examined the popular counterforce brace in people with problems of lateral elbow tendinopathy and found that physical therapy had better results.</span></p>\r\n<p align=\"JUSTIFY\"><strong><span lang=\"en-US\">Surgery</span></strong></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The </span><span lang=\"en-US\">US National Institutes of Health Clinical Trial</span><span lang=\"nl-NL\"> website</span><span lang=\"en-US\"> says: </span>“<span lang=\"en-US\">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.” </span>(<span lang=\"en-US\">2</span>)</p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">There’s Another Way and It Does Not Require Surgery!</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative Orthopedics, Including Prolotherapy Are Effective for Tennis Elbow</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative 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. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy is an injection technique that works to regenerate the degenerated tendon. The injection of simple dextrose mimics the natural healing response and </span>stimulate<span lang=\"en-US\">s healing growth factors to repair the</span><span lang=\"fr-FR\"> tissue.</span></p>\r\n\r\n<ul>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Researchers published a study in the </span><span lang=\"en-US\">American Journal of Physical Medicine &amp; Rehabilitation </span><span lang=\"en-US\">that </span>evaluat<span lang=\"en-US\">ed Prolotherapy for tennis elbow. They concluded: </span>“<span lang=\"en-US\">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. This pilot study suggests the need for a definitive trial.”</span><span lang=\"en-US\">(3)</span></p>\r\n</li>\r\n</ul>\r\n<ul>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">A study of 84 patients with tennis elbow who were treated with dextrose prolotherapy had statistically significant reductions in pain levels. (4)</span></p>\r\n</li>\r\n</ul>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy 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 injures soft tissue. And it works because it reduces or eliminates the symptoms. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy and other Regenerative Orthopedics, such as PRP and Stem Cell Therapy, all strengthen the involved ligaments and tendons.</span> <span lang=\"en-US\">These therapies </span><span lang=\"pt-PT\">stabilize</span><span lang=\"en-US\"> the elbow, strengthen the elbow, address the instability, and put an end to the pain and symptoms of tennis elbow</span>.<span lang=\"en-US\"> Recommendations may be made for PRP and/or Stem Cell in more advanced cases, but all treatments would include Prolotherapy.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">If 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.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">References</span></p>\r\n\r\n<ol>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">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.</span></p>\r\n</li>\r\n 	<li>\r\n<p align=\"JUSTIFY\">Kroslak M, Murrell GAC. <span lang=\"en-US\">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.</span></p>\r\n</li>\r\n 	<li>\r\n<p align=\"JUSTIFY\">Rabago D, Lee KS, Ryan M, Chourasia AO, Sesto ME, Zgierska A, Kijowski R, Grettie J, Wilson J, Miller D. <span lang=\"en-US\">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.</span></p>\r\n</li>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Shin J, Seo K-M, Kim D-K, Kim B-K, Kang SH. The effect of prolotherapy on lateral epicondylitis of elbow.</span> J Korean Acad Rehabil Med. 2002;26:764–8.</p>\r\n</li>\r\n</ol>','Tennis Elbow: It’s Not Strictly An Injury Afflicting Athletes','','inherit','closed','closed','','5513-revision-v1','','','2022-09-26 12:09:50','2022-09-26 12:09:50','',5513,'https://www.drfields.com/?p=5515',0,'revision','',0),(5516,8,'2022-09-26 12:14:52','2022-09-26 12:14:52','<a href=\"https://www.drfields.com/wp-content/uploads/2022/09/Tennis-Elbow.-PRP.-Amer-J-of-Phys-Med-Rehab.png\"><img class=\"wp-image-5514\" src=\"https://www.drfields.com/wp-content/uploads/2022/09/Tennis-Elbow.-PRP.-Amer-J-of-Phys-Med-Rehab-500x419.png\" alt=\"Tennis Elbow: It’s Not Strictly An Injury Afflicting Athletes\" width=\"300\" height=\"251\" /></a>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Tennis elbow (</span><span lang=\"it-IT\">lateral epicondylitis)</span><span lang=\"en-US\"> is a painful condition</span> <span lang=\"en-US\">involving the tendon that attaches at the outside bony prominence of the elbow or</span><span lang=\"it-IT\"> lateral epicondyle.</span><span lang=\"en-US\"> Tennis elbow is a type of overuse injury that results from repetitive motion of the wrist and arm often from overuse due to particular jobs and activities.</span></p>\n\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Tennis Elbow Is Often Described As An Overuse Injury</span></h2>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Because of the name, you might think that tennis elbow is strictly an injury that athletes develop. But that isn’t so. Tennis elbow can occur in people whose jobs require repeat motions, such as painters, secretaries, accountants, carpenters, and guitarists. This condition is often described as an overuse injury. </span></p>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Overuse 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 tendons, ligaments, and other soft tissue structures of the elbow. Using poor or improper technique</span> <span lang=\"en-US\">while training or poor form when painting can overload the muscles, tendons, and ligaments, and cause an overuse injury.</span></p>\n\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Tennis Elbow Symptoms</span></h2>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The pain involved in tennis elbow is usually noted where a tendon of the forearm attaches to the bony bump at the outside of the elbow. The pain may radiate from the outer elbow into the forearm and wrist. These symptoms may make daily activities difficult such as turning a doorknob or picking up, holding, and gripping objects.</span></p>\n\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Instability May Be Behind Tennis Elbow</span></h2>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Chronic 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</span><span lang=\"it-IT\"> alleviat</span><span lang=\"en-US\">ion of the pain.</span></p>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">When elbow ligaments are involved, they may be </span>fray<span lang=\"en-US\">ed, 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.</span>  <span lang=\"en-US\">When a tendon is injured, there is often ligament involvement as well.</span></p>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">When 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,</span> <span lang=\"en-US\">t</span><span lang=\"it-IT\">he tendons</span><span lang=\"en-US\"> will attempt to hold the muscle to the bone, increasing stress, and increasing the possibility of</span> <span lang=\"en-US\">injury to the tendon.</span></p>\n\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Conventional Treatments for Tennis Elbow</span></h2>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Those with tennis elbow often try to manage the pain with over-the-counter medications and/or conservative therapy to stabilize the elbow such as with a brace. Resting the elbow is another way sufferers attempt to find relief in order to continue to work or participate in activities. </span></p>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Recommended conventional treatments for tennis elbow often include NSAIDs, physical therapy, bracing, and taping. These treatments may provide temporary relief but they are not reparative in nature.</span></p>\n<p align=\"LEFT\"><span lang=\"en-US\">Symptoms may be suppressed with pain medications or calmed down with bracing. However, a sleeve, for example, will only give a false sense of security while only temporarily helping the sufferer to function. If the pain continues, and becomes chronic, the individual requires a treatments that will repair the involved tendon and ligaments.</span></p>\n\n<h2 align=\"LEFT\"><span lang=\"en-US\">What Does the Research Say Regarding Bracing and Surgery?</span></h2>\n<p align=\"JUSTIFY\"><strong><span lang=\"en-US\">Bracing</span></strong></p>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">T</span><span lang=\"fr-FR\">he journal</span> <span lang=\"en-US\">Prosthetics and Orthotics International</span> (<span lang=\"en-US\">1) examined the popular counterforce brace in people with problems of lateral elbow tendinopathy and found that physical therapy had better results.</span></p>\n<p align=\"JUSTIFY\"><strong><span lang=\"en-US\">Surgery</span></strong></p>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The </span><span lang=\"en-US\">US National Institutes of Health Clinical Trial</span><span lang=\"nl-NL\"> website</span><span lang=\"en-US\"> says: </span>“<span lang=\"en-US\">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.” </span>(<span lang=\"en-US\">2</span>)</p>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">There’s Another Way and It Does Not Require Surgery!</span></p>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative Orthopedics, Including Prolotherapy Are Effective for Tennis Elbow</span></p>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative 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. </span></p>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy is an injection technique that works to regenerate the degenerated tendon. The injection of simple dextrose mimics the natural healing response and </span>stimulate<span lang=\"en-US\">s healing growth factors to repair the</span><span lang=\"fr-FR\"> tissue.</span></p>\n\n<ul>\n 	<li>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Researchers published a study in the </span><span lang=\"en-US\">American Journal of Physical Medicine &amp; Rehabilitation </span><span lang=\"en-US\">that </span>evaluat<span lang=\"en-US\">ed Prolotherapy for tennis elbow. They concluded: </span>“<span lang=\"en-US\">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. This pilot study suggests the need for a definitive trial.”</span><span lang=\"en-US\">(3)</span></p>\n</li>\n</ul>\n<ul>\n 	<li>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">A study of 84 patients with tennis elbow who were treated with dextrose prolotherapy had statistically significant reductions in pain levels. (4)</span></p>\n</li>\n</ul>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy 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 injures soft tissue. And it works because it reduces or eliminates the symptoms. </span></p>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy and other Regenerative Orthopedics, such as PRP and Stem Cell Therapy, all strengthen the involved ligaments and tendons.</span> <span lang=\"en-US\">These therapies </span><span lang=\"pt-PT\">stabilize</span><span lang=\"en-US\"> the elbow, strengthen the elbow, address the instability, and put an end to the pain and symptoms of tennis elbow</span>.<span lang=\"en-US\"> Recommendations may be made for PRP and/or Stem Cell in more advanced cases, but all treatments would include Prolotherapy.</span></p>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">If 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.</span></p>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">References</span></p>\n\n<ol>\n 	<li>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">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.</span></p>\n</li>\n 	<li>\n<p align=\"JUSTIFY\">Kroslak M, Murrell GAC. <span lang=\"en-US\">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.</span></p>\n</li>\n 	<li>\n<p align=\"JUSTIFY\">Rabago D, Lee KS, Ryan M, Chourasia AO, Sesto ME, Zgierska A, Kijowski R, Grettie J, Wilson J, Miller D. <span lang=\"en-US\">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.</span></p>\n</li>\n 	<li>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Shin J, Seo K-M, Kim D-K, Kim B-K, Kang SH. The effect of prolotherapy on lateral epicondylitis of elbow.</span> J Korean Acad Rehabil Med. 2002;26:764–8.</p>\n</li>\n</ol>','Tennis Elbow: It’s Not Strictly An Injury Afflicting Athletes','','inherit','closed','closed','','5513-autosave-v1','','','2022-09-26 12:14:52','2022-09-26 12:14:52','',5513,'https://www.drfields.com/?p=5516',0,'revision','',0),(5517,8,'2022-09-26 12:15:13','2022-09-26 12:15:13','<a href=\"https://www.drfields.com/wp-content/uploads/2022/09/Tennis-Elbow.-PRP.-Amer-J-of-Phys-Med-Rehab.png\"><img class=\"wp-image-5514\" src=\"https://www.drfields.com/wp-content/uploads/2022/09/Tennis-Elbow.-PRP.-Amer-J-of-Phys-Med-Rehab-500x419.png\" alt=\"Tennis Elbow: It’s Not Strictly An Injury Afflicting Athletes\" width=\"300\" height=\"251\" /></a>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Tennis elbow (</span><span lang=\"it-IT\">lateral epicondylitis)</span><span lang=\"en-US\"> is a painful condition</span> <span lang=\"en-US\">involving the tendon that attaches at the outside bony prominence of the elbow or</span><span lang=\"it-IT\"> lateral epicondyle.</span><span lang=\"en-US\"> Tennis elbow is a type of overuse injury that results from repetitive motion of the wrist and arm often from overuse due to particular jobs and activities.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Tennis Elbow Is Often Described As An Overuse Injury</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Because of the name, you might think that tennis elbow is strictly an injury that athletes develop. But that isn’t so. Tennis elbow can occur in people whose jobs require repeat motions, such as painters, secretaries, accountants, carpenters, and guitarists. This condition is often described as an overuse injury. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Overuse 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 tendons, ligaments, and other soft tissue structures of the elbow. Using poor or improper technique</span> <span lang=\"en-US\">while training or poor form when painting can overload the muscles, tendons, and ligaments, and cause an overuse injury.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Tennis Elbow Symptoms</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The pain involved in tennis elbow is usually noted where a tendon of the forearm attaches to the bony bump at the outside of the elbow. The pain may radiate from the outer elbow into the forearm and wrist. These symptoms may make daily activities difficult such as turning a doorknob or picking up, holding, and gripping objects.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Instability May Be Behind Tennis Elbow</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Chronic 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</span><span lang=\"it-IT\"> alleviat</span><span lang=\"en-US\">ion of the pain.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">When elbow ligaments are involved, they may be </span>fray<span lang=\"en-US\">ed, 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.</span>  <span lang=\"en-US\">When a tendon is injured, there is often ligament involvement as well.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">When 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,</span> <span lang=\"en-US\">t</span><span lang=\"it-IT\">he tendons</span><span lang=\"en-US\"> will attempt to hold the muscle to the bone, increasing stress, and increasing the possibility of</span> <span lang=\"en-US\">injury to the tendon.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Conventional Treatments for Tennis Elbow</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Those with tennis elbow often try to manage the pain with over-the-counter medications and/or conservative therapy to stabilize the elbow such as with a brace. Resting the elbow is another way sufferers attempt to find relief in order to continue to work or participate in activities. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Recommended conventional treatments for tennis elbow often include NSAIDs, physical therapy, bracing, and taping. These treatments may provide temporary relief but they are not reparative in nature.</span></p>\r\n<p align=\"LEFT\"><span lang=\"en-US\">Symptoms may be suppressed with pain medications or calmed down with bracing. However, a sleeve, for example, will only give a false sense of security while only temporarily helping the sufferer to function. If the pain continues, and becomes chronic, the individual requires a treatments that will repair the involved tendon and ligaments.</span></p>\r\n\r\n<h2 align=\"LEFT\"><span lang=\"en-US\">What Does the Research Say Regarding Bracing and Surgery?</span></h2>\r\n<p align=\"JUSTIFY\"><strong><span lang=\"en-US\">Bracing</span></strong></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">T</span><span lang=\"fr-FR\">he journal</span> <span lang=\"en-US\">Prosthetics and Orthotics International</span> (<span lang=\"en-US\">1) examined the popular counterforce brace in people with problems of lateral elbow tendinopathy and found that physical therapy had better results.</span></p>\r\n<p align=\"JUSTIFY\"><strong><span lang=\"en-US\">Surgery</span></strong></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The </span><span lang=\"en-US\">US National Institutes of Health Clinical Trial</span><span lang=\"nl-NL\"> website</span><span lang=\"en-US\"> says: </span>“<span lang=\"en-US\">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.” </span>(<span lang=\"en-US\">2</span>)</p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">There’s Another Way and It Does Not Require Surgery!</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative Orthopedics, Including Prolotherapy Are Effective for Tennis Elbow</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative 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. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy is an injection technique that works to regenerate the degenerated tendon. The injection of simple dextrose mimics the natural healing response and </span>stimulate<span lang=\"en-US\">s healing growth factors to repair the</span><span lang=\"fr-FR\"> tissue.</span></p>\r\n\r\n<ul>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Researchers published a study in the </span><span lang=\"en-US\">American Journal of Physical Medicine &amp; Rehabilitation </span><span lang=\"en-US\">that </span>evaluat<span lang=\"en-US\">ed Prolotherapy for tennis elbow. They concluded: </span>“<span lang=\"en-US\">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. This pilot study suggests the need for a definitive trial.”</span><span lang=\"en-US\">(3)</span></p>\r\n</li>\r\n</ul>\r\n<ul>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">A study of 84 patients with tennis elbow who were treated with dextrose prolotherapy had statistically significant reductions in pain levels. (4)</span></p>\r\n</li>\r\n</ul>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy 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 injures soft tissue. And it works because it reduces or eliminates the symptoms. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy and other Regenerative Orthopedics, such as PRP and Stem Cell Therapy, all strengthen the involved ligaments and tendons.</span> <span lang=\"en-US\">These therapies </span><span lang=\"pt-PT\">stabilize</span><span lang=\"en-US\"> the elbow, strengthen the elbow, address the instability, and put an end to the pain and symptoms of tennis elbow</span>.<span lang=\"en-US\"> Recommendations may be made for PRP and/or Stem Cell in more advanced cases, but all treatments would include Prolotherapy.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">If 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.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">References</span></p>\r\n\r\n<ol>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">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.</span></p>\r\n</li>\r\n 	<li>\r\n<p align=\"JUSTIFY\">Kroslak M, Murrell GAC. <span lang=\"en-US\">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.</span></p>\r\n</li>\r\n 	<li>\r\n<p align=\"JUSTIFY\">Rabago D, Lee KS, Ryan M, Chourasia AO, Sesto ME, Zgierska A, Kijowski R, Grettie J, Wilson J, Miller D. <span lang=\"en-US\">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.</span></p>\r\n</li>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Shin J, Seo K-M, Kim D-K, Kim B-K, Kang SH. The effect of prolotherapy on lateral epicondylitis of elbow.</span> J Korean Acad Rehabil Med. 2002;26:764–8.</p>\r\n</li>\r\n</ol>','Tennis Elbow: It’s Not Strictly An Injury Afflicting Athletes','','inherit','closed','closed','','5513-revision-v1','','','2022-09-26 12:15:13','2022-09-26 12:15:13','',5513,'https://www.drfields.com/?p=5517',0,'revision','',0),(5518,8,'2022-09-26 12:15:41','2022-09-26 12:15:41','<a href=\"https://www.drfields.com/wp-content/uploads/2022/09/Tennis-Elbow.-PRP.-Amer-J-of-Phys-Med-Rehab.png\"><img class=\"wp-image-5514 alignright\" src=\"https://www.drfields.com/wp-content/uploads/2022/09/Tennis-Elbow.-PRP.-Amer-J-of-Phys-Med-Rehab-500x419.png\" alt=\"Tennis Elbow: It’s Not Strictly An Injury Afflicting Athletes\" width=\"300\" height=\"251\" /></a>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Tennis elbow (</span><span lang=\"it-IT\">lateral epicondylitis)</span><span lang=\"en-US\"> is a painful condition</span> <span lang=\"en-US\">involving the tendon that attaches at the outside bony prominence of the elbow or</span><span lang=\"it-IT\"> lateral epicondyle.</span><span lang=\"en-US\"> Tennis elbow is a type of overuse injury that results from repetitive motion of the wrist and arm often from overuse due to particular jobs and activities.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Tennis Elbow Is Often Described As An Overuse Injury</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Because of the name, you might think that tennis elbow is strictly an injury that athletes develop. But that isn’t so. Tennis elbow can occur in people whose jobs require repeat motions, such as painters, secretaries, accountants, carpenters, and guitarists. This condition is often described as an overuse injury. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Overuse 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 tendons, ligaments, and other soft tissue structures of the elbow. Using poor or improper technique</span> <span lang=\"en-US\">while training or poor form when painting can overload the muscles, tendons, and ligaments, and cause an overuse injury.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Tennis Elbow Symptoms</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The pain involved in tennis elbow is usually noted where a tendon of the forearm attaches to the bony bump at the outside of the elbow. The pain may radiate from the outer elbow into the forearm and wrist. These symptoms may make daily activities difficult such as turning a doorknob or picking up, holding, and gripping objects.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Instability May Be Behind Tennis Elbow</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Chronic 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</span><span lang=\"it-IT\"> alleviat</span><span lang=\"en-US\">ion of the pain.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">When elbow ligaments are involved, they may be </span>fray<span lang=\"en-US\">ed, 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.</span>  <span lang=\"en-US\">When a tendon is injured, there is often ligament involvement as well.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">When 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,</span> <span lang=\"en-US\">t</span><span lang=\"it-IT\">he tendons</span><span lang=\"en-US\"> will attempt to hold the muscle to the bone, increasing stress, and increasing the possibility of</span> <span lang=\"en-US\">injury to the tendon.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Conventional Treatments for Tennis Elbow</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Those with tennis elbow often try to manage the pain with over-the-counter medications and/or conservative therapy to stabilize the elbow such as with a brace. Resting the elbow is another way sufferers attempt to find relief in order to continue to work or participate in activities. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Recommended conventional treatments for tennis elbow often include NSAIDs, physical therapy, bracing, and taping. These treatments may provide temporary relief but they are not reparative in nature.</span></p>\r\n<p align=\"LEFT\"><span lang=\"en-US\">Symptoms may be suppressed with pain medications or calmed down with bracing. However, a sleeve, for example, will only give a false sense of security while only temporarily helping the sufferer to function. If the pain continues, and becomes chronic, the individual requires a treatments that will repair the involved tendon and ligaments.</span></p>\r\n\r\n<h2 align=\"LEFT\"><span lang=\"en-US\">What Does the Research Say Regarding Bracing and Surgery?</span></h2>\r\n<p align=\"JUSTIFY\"><strong><span lang=\"en-US\">Bracing</span></strong></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">T</span><span lang=\"fr-FR\">he journal</span> <span lang=\"en-US\">Prosthetics and Orthotics International</span> (<span lang=\"en-US\">1) examined the popular counterforce brace in people with problems of lateral elbow tendinopathy and found that physical therapy had better results.</span></p>\r\n<p align=\"JUSTIFY\"><strong><span lang=\"en-US\">Surgery</span></strong></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The </span><span lang=\"en-US\">US National Institutes of Health Clinical Trial</span><span lang=\"nl-NL\"> website</span><span lang=\"en-US\"> says: </span>“<span lang=\"en-US\">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.” </span>(<span lang=\"en-US\">2</span>)</p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">There’s Another Way and It Does Not Require Surgery!</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative Orthopedics, Including Prolotherapy Are Effective for Tennis Elbow</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative 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. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy is an injection technique that works to regenerate the degenerated tendon. The injection of simple dextrose mimics the natural healing response and </span>stimulate<span lang=\"en-US\">s healing growth factors to repair the</span><span lang=\"fr-FR\"> tissue.</span></p>\r\n\r\n<ul>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Researchers published a study in the </span><span lang=\"en-US\">American Journal of Physical Medicine &amp; Rehabilitation </span><span lang=\"en-US\">that </span>evaluat<span lang=\"en-US\">ed Prolotherapy for tennis elbow. They concluded: </span>“<span lang=\"en-US\">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. This pilot study suggests the need for a definitive trial.”</span><span lang=\"en-US\">(3)</span></p>\r\n</li>\r\n</ul>\r\n<ul>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">A study of 84 patients with tennis elbow who were treated with dextrose prolotherapy had statistically significant reductions in pain levels. (4)</span></p>\r\n</li>\r\n</ul>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy 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 injures soft tissue. And it works because it reduces or eliminates the symptoms. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy and other Regenerative Orthopedics, such as PRP and Stem Cell Therapy, all strengthen the involved ligaments and tendons.</span> <span lang=\"en-US\">These therapies </span><span lang=\"pt-PT\">stabilize</span><span lang=\"en-US\"> the elbow, strengthen the elbow, address the instability, and put an end to the pain and symptoms of tennis elbow</span>.<span lang=\"en-US\"> Recommendations may be made for PRP and/or Stem Cell in more advanced cases, but all treatments would include Prolotherapy.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">If 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.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">References</span></p>\r\n\r\n<ol>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">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.</span></p>\r\n</li>\r\n 	<li>\r\n<p align=\"JUSTIFY\">Kroslak M, Murrell GAC. <span lang=\"en-US\">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.</span></p>\r\n</li>\r\n 	<li>\r\n<p align=\"JUSTIFY\">Rabago D, Lee KS, Ryan M, Chourasia AO, Sesto ME, Zgierska A, Kijowski R, Grettie J, Wilson J, Miller D. <span lang=\"en-US\">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.</span></p>\r\n</li>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Shin J, Seo K-M, Kim D-K, Kim B-K, Kang SH. The effect of prolotherapy on lateral epicondylitis of elbow.</span> J Korean Acad Rehabil Med. 2002;26:764–8.</p>\r\n</li>\r\n</ol>','Tennis Elbow: It’s Not Strictly An Injury Afflicting Athletes','','inherit','closed','closed','','5513-revision-v1','','','2022-09-26 12:15:41','2022-09-26 12:15:41','',5513,'https://www.drfields.com/?p=5518',0,'revision','',0),(5519,8,'2022-09-26 12:18:06','2022-09-26 12:18:06','<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/2019/06/header-orthoregen-4.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/07/Slider-2v05072022.png\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/05/header-orthoregen-santa-monica-pier.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">New Article:</span>\r\n<span class=\"header_text_second\">Keep Looking Forward Despite COVID-19</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dealing-with-covid-19/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-11.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-9.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Get Back In The Game!</span>\r\n<span class=\"header_text_second\">Avoid Joint and Spine Surgery </span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">Stem Cell/PRP/Prolotherapy</span>\r\n<a class=\"btn-more\" title=\"Get Help Now!\" href=\"Contact-Us\"> Get Help Now!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item slide-article\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/05/header-orthoregen-ocean-mountains.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_second\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/12/Kili-top-header-2.jpg\');\">\r\n<div class=\"carousel-caption\" style=\"text-align: left;\"><span class=\"header_text_first\">Congratulations\r\nPeter A. Fields, MD, DC</span>\r\n<span class=\"header_text_second\">The Athletic Doc<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/2019/12/Sider-01-V8.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Peter A. Fields, MD, DC\r\nThe Athletic Doc<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=\"https://www.drfields.com/articles/regenerative-orthopedics/tennis-elbow-its-not-strictly-an-injury-afflicting-athletes/\">Tennis Elbow: It’s Not Strictly An Injury Afflicting Athletes</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/patellar-tendinopathy/\">Patellar Tendinopathy</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/sprained-ankle/\">Sprained Ankle?</a></li>\r\n 	<li><a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-neck-pain/\">Stubborn, Persistent Neck Pain</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/non-surgical-partial-rotator-cuff-tear-repair/\">Non-surgical Partial Rotator Cuff Tear Repair</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/are-cortisone-shots-a-good-option/\">Are Cortisone Shots a Good Option?</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/try-regenerative-treatments-for-your-hip-pain-or-injury/\">Try Regenerative Treatments for Your Hip Pain or Injury</a></li>\r\n 	<li class=\"last\"><a title=\"Nagging Back Pain\" href=\"/articles/regenerative-orthopedics/nagging-back-pain/\">Nagging Back Pain</a></li>\r\n 	<li class=\"last\"><a title=\"Treating Knee Pain and Injuries with Regenerative Orthopedics\" href=\"/articles/regenerative-orthopedics/treating-knee-pain-and-injuries-with-regenerative-orthopedics/\">Treating Knee Pain and Injuries with Regenerative Orthopedics</a></li>\r\n 	<li class=\"last\"><a title=\"Keep Looking Forward Despite COVID-19\" href=\"/articles/health-news/dealing-with-covid-19/\">Keep Looking Forward Despite COVID-19</a></li>\r\n 	<li class=\"last\"><a title=\"COVID-19 Advice: Don’t Fear the Fear Itself!\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</a></li>\r\n 	<li class=\"last\"><a title=\"Rotator Cuff Tendonitis\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/rotator-cuff-tendonitis/\">Rotator Cuff Tendonitis</a></li>\r\n 	<li><a title=\"Allergic Reactions and Problems of Corrosion with Joint Replacements\" href=\"https://www.drfields.com/articles/allergic-reactions-and-problems-of-corrosion-with-joint-replacements/\">Allergic Reactions and Problems of Corrosion with Joint Replacements\r\n</a></li>\r\n 	<li><a title=\"Treat Sciatica Pain Non-Surgically\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/treat-sciatica-pain-non-surgically/\">Treat Sciatica Pain Non-Surgically</a></li>\r\n 	<li class=\"last\"><a title=\"Stem Cell Therapy at OrthoRegen&lt;sup&gt;®&lt;/sup&gt; – Why We are Different\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/stem-cell-therapy-at-orthoregen-why-we-are-different/\">Stem Cell Therapy at OrthoRegen<sup>®</sup> – Why We are Different</a></li>\r\n 	<li class=\"last\"><a title=\"Is Your Hip Bursitis Treatment Working?\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/is-your-hip-bursitis-treatment-working/\">Is Your Hip Bursitis Treatment Working?</a></li>\r\n</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/2019/06/dr-fields.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','','','2022-09-26 12:18:06','2022-09-26 12:18:06','',2109,'https://www.drfields.com/?p=5519',0,'revision','',0),(5520,8,'2022-09-28 06:08:26','2022-09-28 06:08:26','<img class=\"alignleft size-full wp-image-288\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/mother-child-reading.jpg\" alt=\"Mother Child Reading\" width=\"200\" height=\"300\" /><u><strong>Fee’s and Payment/Insurance Policies</strong></u> <a href=\"https://www.drfields.com/about/fees-policies/\" rel=\"noopener noreferrer\">Click Here</a>\r\n\r\n<u><strong>Are medical records or MRI’s/X-rays necessary?</strong></u>\r\nAny pertinent medical records can be faxed [phone] to the office prior to your visit. The report (reading) of the MRI/X-ray can also be faxed or brought with you.\r\n\r\nActual MRI’s or x-rays are not absolutely necessary but may be brought with you.\r\n\r\n<u><strong>How long is each visit?</strong></u>\r\nThe first visit is approximately one hour. Each additional visit is about half an hour unless there is more than one area being treated. You can discuss this with the doctor on your first visit.\r\n\r\n<u><strong>Do I receive a Prolotherapy treatment on the initial visit?</strong></u>\r\nIf after history and examination it is determined that you are a prolotherapy candidate, then you will receive Prolotherapy on your first visit.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n<h6>Fees</h6>\r\nFor your first visit:\r\nA complete Regenerative Orthopedics history and physical is done at that time.\r\nThis takes approximately 30-40 minutes.\r\nThen the treatment options are explained (prices below).\r\n<a href=\"https://www.carecredit.com/go/762HNB/bb3poscustacqbtnclk08132020/?dtc=Ds5X&amp;promocode=CLT/\"><img class=\"alignright\" style=\"max-width: 100%;\" src=\"https://www.carecredit.com/sites/pc/image/carecredit_button_applynow_tile_v2.png\" width=\"275\" /></a>\r\nInitial Regenerative Orthopedic Consultation: <strong>$550</strong>\r\n<h6>Prolotherapy Charges</h6>\r\nSmall Joint (fingers, toes, TMJ): <strong>$500</strong>\r\nMedium Joint (knee, hip, shoulder): <strong>$600</strong>\r\nLarge Joint (Neck, Mid Back, or Low Back): <strong>$900</strong>\r\nPRP (in addition to the above joint charges): <strong>$550</strong>\r\nStem Cell Therapy: <strong>Please call for pricing</strong>\r\n\r\n<h6>PRP Charges</h6>\r\nPRP Small joint: <strong>$1100</strong>\r\nPRP Medium joint: <strong>$1300</strong>\r\nPRP Large joint: <strong>$1600</strong>\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n\r\n<strong>Payment Policy</strong>\r\n\r\nInvesting in your health should be very important to you. Since the future of health care is changing, you should be involved with this investment. When you make a financial investment, you measure it by how much it grows each year. Investing in your health pays off in many different ways: wellness, health stability, quality of life, energy, happiness and more.\r\n\r\nOnly you can decide what is fair and if it is worth the investment even if you pay out-of-pocket costs for your health care.\r\n\r\nWe will make every effort to instill the feeling that your time with us is worth it.\r\n\r\nAs a <strong>Fee for Service Office</strong> we request that the <u><strong>fee is paid in full at the time of service</strong></u>.\r\nWe accept credit cards, checks, or cash for payment of services.\r\nWe will provide you with a detailed invoice that you can submit to your insurance company for possible reimbursement. <u><strong>We cannot guarantee insurance reimbursement.</strong></u>\r\n\r\nWe <u>do not subscribe to any insurance networks.</u> Insurance billing can be up to 40 percent of a medical office\'s overhead. It involves a lot of time and effort. We would rather put that time and effort into caring for our patients instead of billing insurance companies. It also helps us keep our prices reasonable.\r\n\r\nRemember that health insurance is a contract between you and your insurance carrier.\r\n\r\nIf so inclined, you can contact your insurance carrier and ask them if they cover an MD office visit (codes: 99203 or 4; 99213 or 4.) They will not tell you how much they cover - only whether they cover it or not. Most insurance companies cover MD\'s office visits. This is what we bill for.\r\n\r\nAll bills are issued under Dr Fields\' medical license (MD). Unfortunately, there is still no guarantee that insurance companies will reimburse you for your treatments even after they have said yes to complete or partial coverage.\r\n\r\n<u><strong>We cannot bill Medicare or Medi-cal since we are not a provider.</strong></u>\r\nPlease do not ask us to attempt this as it is not possible.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>','Questions + Costs','','inherit','closed','closed','','2536-revision-v1','','','2022-09-28 06:08:26','2022-09-28 06:08:26','',2536,'https://www.drfields.com/?p=5520',0,'revision','',0),(5521,8,'2022-09-28 06:09:37','2022-09-28 06:09:37','<img class=\"alignleft size-full wp-image-288\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/mother-child-reading.jpg\" alt=\"Mother Child Reading\" width=\"200\" height=\"300\" /><u><strong>Fee’s and Payment/Insurance Policies</strong></u> <a href=\"https://www.drfields.com/about/fees-policies/\" rel=\"noopener noreferrer\">Click Here</a>\r\n\r\n<u><strong>Are medical records or MRI’s/X-rays necessary?</strong></u>\r\nAny pertinent medical records can be faxed [phone] to the office prior to your visit. The report (reading) of the MRI/X-ray can also be faxed or brought with you.\r\n\r\nActual MRI’s or x-rays are not absolutely necessary but may be brought with you.\r\n\r\n<u><strong>How long is each visit?</strong></u>\r\nThe first visit is approximately one hour. Each additional visit is about half an hour unless there is more than one area being treated. You can discuss this with the doctor on your first visit.\r\n\r\n<u><strong>Do I receive a Prolotherapy treatment on the initial visit?</strong></u>\r\nIf after history and examination it is determined that you are a prolotherapy candidate, then you will receive Prolotherapy on your first visit.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n<h6>Fees</h6>\r\nFor your first visit:\r\nA complete Regenerative Orthopedics history and physical is done at that time.\r\nThis takes approximately 30-40 minutes.\r\nThen the treatment options are explained (prices below).\r\n<a href=\"https://www.carecredit.com/go/762HNB/bb3poscustacqbtnclk08132020/?dtc=Ds5X&amp;promocode=CLT/\"><img class=\"alignright\" style=\"max-width: 100%;\" src=\"https://www.carecredit.com/sites/pc/image/carecredit_button_applynow_tile_v2.png\" width=\"275\" /></a>\r\nInitial Regenerative Orthopedic Consultation: <strong>$550</strong>\r\n<h6>Prolotherapy Charges</h6>\r\nSmall Joint (fingers, toes, TMJ): <strong>$500</strong>\r\nMedium Joint (knee, hip, shoulder): <strong>$600</strong>\r\nLarge Joint (Neck, Mid Back, or Low Back): <strong>$900</strong>\r\nStem Cell Therapy: <strong>Please call for pricing</strong>\r\n\r\n<h6>PRP Charges</h6>\r\nPRP Small joint: <strong>$1100</strong>\r\nPRP Medium joint: <strong>$1300</strong>\r\nPRP Large joint: <strong>$1600</strong>\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n\r\n<strong>Payment Policy</strong>\r\n\r\nInvesting in your health should be very important to you. Since the future of health care is changing, you should be involved with this investment. When you make a financial investment, you measure it by how much it grows each year. Investing in your health pays off in many different ways: wellness, health stability, quality of life, energy, happiness and more.\r\n\r\nOnly you can decide what is fair and if it is worth the investment even if you pay out-of-pocket costs for your health care.\r\n\r\nWe will make every effort to instill the feeling that your time with us is worth it.\r\n\r\nAs a <strong>Fee for Service Office</strong> we request that the <u><strong>fee is paid in full at the time of service</strong></u>.\r\nWe accept credit cards, checks, or cash for payment of services.\r\nWe will provide you with a detailed invoice that you can submit to your insurance company for possible reimbursement. <u><strong>We cannot guarantee insurance reimbursement.</strong></u>\r\n\r\nWe <u>do not subscribe to any insurance networks.</u> Insurance billing can be up to 40 percent of a medical office\'s overhead. It involves a lot of time and effort. We would rather put that time and effort into caring for our patients instead of billing insurance companies. It also helps us keep our prices reasonable.\r\n\r\nRemember that health insurance is a contract between you and your insurance carrier.\r\n\r\nIf so inclined, you can contact your insurance carrier and ask them if they cover an MD office visit (codes: 99203 or 4; 99213 or 4.) They will not tell you how much they cover - only whether they cover it or not. Most insurance companies cover MD\'s office visits. This is what we bill for.\r\n\r\nAll bills are issued under Dr Fields\' medical license (MD). Unfortunately, there is still no guarantee that insurance companies will reimburse you for your treatments even after they have said yes to complete or partial coverage.\r\n\r\n<u><strong>We cannot bill Medicare or Medi-cal since we are not a provider.</strong></u>\r\nPlease do not ask us to attempt this as it is not possible.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>','Questions + Costs','','inherit','closed','closed','','2536-revision-v1','','','2022-09-28 06:09:37','2022-09-28 06:09:37','',2536,'https://www.drfields.com/?p=5521',0,'revision','',0),(5522,8,'2022-10-01 06:00:06','2022-10-01 06:00:06','<h2>Stem Cells Are Gaining in Popularity</h2>\r\n[caption id=\"attachment_5533\" align=\"alignright\" width=\"455\"]<img class=\"wp-image-5533\" src=\"https://www.drfields.com/wp-content/uploads/2022/10/Arthritis.-Jnl-Clinical-OrthoTrauma-500x419.png\" alt=\"Arthritis. Jnl Clinical Ortho&amp;trauma\" width=\"455\" height=\"381\" /> <strong>                             Stem Cells Are Gaining in Popularity</strong>[/caption]\r\n\r\nThe limitations of traditional treatments for arthritis are causing many to seek alternatives for relieving their arthritis pain and symptoms. Even current surgical procedures for arthritis come up short since they cannot reverse the damage arthritis causes to articular cartilage. As a result, stem cell treatments and other regenerative therapies are gaining popularity because they result in the repair and regeneration of the joints.\r\n<h2>What Do You Mean Conventional Treatments Have Limitations?</h2>\r\nConventional treatments for arthritis only manage the problem. These treatments “chase the symptoms.” For example, NSAIDs and opioids may be given for the pain of arthritis. And sure, they are helpful to get relief from the pain, but these medications do not repair the joint. As time goes on, the pain and symptoms will continue because the joint is still not repaired, and surgery will likely be recommended. But surgery comes with complications and long recovery times! In an effort to avoid this scenario, people living with arthritis are seeking stem cell treatments as an alternative to surgery.\r\n<h2>Stem Cells Are Gaining Popularity Because They Regenerate Cartilage</h2>\r\nStem cell treatments have great potential due to their ability to regenerate damaged cartilage (1). Stem cell-based therapy is gaining popularity as an alternative to joint replacement, especially since it has reparative effects. However, due to the ethical concerns in using embryonic cells, the current trend is more focused on adult stem cells for cartilage regeneration.\r\n<h2>Types of Adult Stem Cells</h2>\r\nThere are various types of stem cells being utilized which include mesenchymal stem cells (MSCs), bone marrow-derived stem cells (BMSCs), and adipose-derived stem cells (ADSCs) for the regeneration of cartilage. Again, these types of adult stem cells may be chosen for cartilage regeneration.\r\n<h2>Mesenchymal Stem Cells (MSCs) from Bone Marrow</h2>\r\nMSCs derived from bone marrow (BMSCs) can repair tissues such as tendons, bony defects, and cartilage (2). Plus, when placed in the injured and degenerated areas, such as in knee and hip arthritis cases, these cells can assist in cartilage regeneration of the joint and alleviate the pain experienced by arthritis patients (3).\r\n\r\n<em>“The versatility of mesenchymal stem cells (MSCs) as a treatment modality has landed it another repair target: osteoarthritis, a crippling cartilage disease that frequently afflicts the aged population. Through many studies, this newly discovered method has been shown to significantly alleviate the pain experienced by osteoarthritic patients.”(3)</em>\r\n\r\nOnce aspirated (drawn out), mesenchymal stem cells (MSCs) are centrifuged to have a more concentrated number of stem cells to boost recovery and effectiveness (3). In addition, since these stem cells are taken directly from the person who will receive them (autologous), the chance of cross-contamination is reduced, which increases the efficacy of the therapy.\r\n\r\nStudies have shown that mesenchymal stem cells (MSCs) from bone marrow (BMSCs) can successfully regenerate injured cartilage, repair chondral defects, and improve arthritis symptoms in humans.\r\n\r\n<em>“The capability of the mesenchymal stem cells to repair and regenerate cartilage has been widely investigated. . .Several studies have demonstrated promising results in the clinical application for repair of chondral defects as an adjuvant (during surgery in some cases) or independent procedure. Intra-articular (mesenchymal stem cells (MSCs)  provide improvements in pain and function in knee osteoarthritis at short-term follow-up in many studies.”(4)</em>\r\n<h2>Adipose-Derived Stem Cells (ADSCs)</h2>\r\nAdipose-derived stem cells (ADSCs) are a promising source of stem cells because this fat tissue is abundant. Plus, it is relatively easy to harvest and has minimal side effects. Studies also back the use of ADSCs for cartilage regeneration in treating arthritis.\r\n\r\n<em>“Among the different kinds of MSCs available, adipose-derived mesenchymal stem cells (ADSCs) are emerging due to their abundancy and easiness to harvest.”(5)</em>\r\n\r\n<em>“Adipose stem cells are an attractive and abundant stem cell source with therapeutic applicability in diverse fields for the repair and regeneration of acute and chronically damaged tissues.” (5)</em>\r\n<h2>Platelet-Rich Plasma (PRP) Used Along with Stem Cells</h2>\r\nPRP, or platelet-rich plasma, taken from your blood, is a regenerative therapy that helps to boost cartilage regeneration due to its many growth factors. These growth factors promote the growth and differentiation of the stem cells and encourage their adherence to cartilage lesions.\r\n<h2>Stem Cells Are Gaining Popularity and Are Available at OrthoRegen®</h2>\r\nAt OrthoRegen®, we have been using stem cells to successfully treat arthritic joints for many years. The treatment is well-established at our clinic. This non-surgical injection procedure is an excellent alternative to conventional therapies and surgeries. In addition, the self-renewing, reparative, and regenerative abilities of stem cell treatments have rendered them an attractive option for the treatment of arthritis.\r\n\r\nAdditionally, at OrthoRegen®, we use the Gold Standard in Stem Cell Therapy. That means we use four different types of regenerative therapies. Many other clinics only use 1 or 2. We will use MSCs derived from bone marrow (BMSCs), adipose-derived stem cells (ADSCs) taken from fat, PRP, or platelet-rich plasma drawn from your blood, and then Dextrose Prolotherapy. All of these together give you the best chance at repair and regeneration to help you return to all the activities you enjoy.\r\n\r\nStem cell treatments are gaining popularity because they work! Call us at 310-453-1234 and find out if you are a candidate for this treatment.\r\n<h3>References</h3>\r\n<ol>\r\n 	<li>Shapiro SA, Kazmerchak SE, Heckman MG, Zubair AC, O’Connor MI. A Prospective, Single-Blind, Placebo-Controlled Trial of Bone Marrow Aspirate Concentrate for Knee Osteoarthritis. Am J Sports Med. 2017 Jan;45(1):82-90.</li>\r\n 	<li>Gianakos AL, Sun L, Patel JN, Adams DM, Liporace FA. Clinical application of concentrated bone marrow aspirate in orthopaedics: A systematic review. World journal of orthopedics. 2017 Jun 18;8(6):491.</li>\r\n 	<li>Afizah H, Hui JH. Mesenchymal stem cell therapy for osteoarthritis. Journal of clinical orthopaedics and trauma. 2016 Sep 30;7(3):177-82</li>\r\n 	<li>Debnath UK. Mesenchymal Stem Cell Therapy in Chondral Defects of Knee: Current Concept Review. Indian Journal of Orthopaedics. 2020 Jul 27:1-9.</li>\r\n 	<li>Lindroos B, Suuronen R, Miettinen S. The potential of adipose stem cells in regenerative medicine. Stem Cell Rev Rep. 2011 Jun;7(2):269-91. doi: 10.1007/s12015-010-9193-7. PMID: 20853072.</li>\r\n</ol>','Stem Cells Are Gaining in Popularity','','publish','closed','open','','stem-cells-are-gaining-in-popularity','','','2022-10-05 21:48:27','2022-10-05 21:48:27','',0,'https://www.drfields.com/?p=5522',0,'post','',0),(5523,8,'2022-10-01 04:11:39','2022-10-01 04:11:39','The limitations of traditional treatments for arthritis are causing many to seek alternatives for relief of their arthritis pain and symptoms. Even current surgical procedures for arthritis come up short since they are unable to reverse the damage arthritis causes on articular cartilage. Stem cell treatments, as well as other regenerative therapies, are gaining popularity because they result in repair and regeneration of the joints.\r\n<h2>What Do You Mean Conventional Treatments Have Limitations?</h2>\r\nConventional treatments for arthritis really only manage the problem. These treatments “chase the symptoms.” For example, NSAIDs and opioids may be given for the pain of arthritis. And sure, it’s helpful to get relief from the pain, but these medications do not repair the joint. As time goes on, the pain and symptoms will continue because the joint is still not repaired, and surgery will likely be recommended. But surgery comes with complications and long recovery times! In an effort to avoid this scenario, arthritis sufferers are seeking stem cell treatments as an alternative to surgery.\r\n<h2>Stem Cell Treatments Regenerate Cartilage</h2>\r\nStem cell treatments have great potential due to their ability to regenerate damaged cartilage (1). Stem cell based therapy is gaining popularity as an alternative to joint replacement, especially since it has reparative effects. Due to the ethical concerns in the utilization of embryonic cells the current trend is more focused on adult stem cells for cartilage regeneration.\r\n<h2>Types of Adult Stem Cells</h2>\r\nThere are various types of stem cells being utilized which include, mesenchymal stem cells (MSCs), bone marrow-derived stem cells (BMSCs), and adipose-derived stem cells (ADSCs) for the regeneration of cartilage. Again, these are all types of adult stem cells that may be chosen for cartilage regeneration.\r\n<h2>Mesenchymal Stem Cells (MSCs) from Bone Marrow</h2>\r\nMSCs derived from bone marrow (BMSCs) are able to repair tissues such as tendons, bony defects, and cartilage (2). Plus, when placed at the injured and/or degenerated areas, such as in cases of knee and hip arthritis, these cells are able to assist in cartilage regeneration of the joint and alleviate the pain experienced by arthritis patients (3).\r\n\r\n“The versatility of mesenchymal stem cells (MSCs) as a treatment modality has landed it another repair target: osteoarthritis, a crippling cartilage disease that frequently afflicts the aged population. Through many studies, this newly discovered method has been shown to significantly alleviate the pain experienced by osteoarthritic patients.”(3)\r\n\r\nOnce aspirated (drawn out), mesenchymal stem cells (MSCs) are centrifuged in order to have a more concentrated number of stem cells to boost recovery and effectiveness (3). Since these stem cells are taken directly from the person who will receive them (autologous), the chance of cross-contamination is reduced which increases the efficacy of the therapy.\r\n\r\nStudies have shown that mesenchymal stem cells (MSCs) from bone marrow (BMSCs) can successfully regenerate injured cartilage, repair chondral defects, and improve arthritis symptoms in humans.\r\n\r\n“The capability of the mesenchymal stem cells to repair and regenerate cartilage has been widely investigated. . .Several studies have demonstrated promising results in the clinical application for repair of chondral defects as an adjuvant (during surgery in some cases) or independent procedure. Intra-articular (mesenchymal stem cells (MSCs)  provide improvements in pain and function in knee osteoarthritis at short-term follow-up in many studies.”(4)\r\n<h2>Adipose-Derived Stem Cells (ADSCs)</h2>\r\nAdipose-derived stem cells (ADSCs) are a promising source of stem cells because there is an abundance of this fat tissue. Plus, it is relatively easy to harvest and has minimal side effects. Studies also back the use of ADSCs for cartilage regeneration in the treatment of arthritis.\r\n\r\n“Among the different kinds of MSCs available, adipose-derived mesenchymal stem cells (ADSCs) are emerging due to their abundancy and easiness to harvest.”(5)\r\n\r\n“Adipose stem cells are an attractive and abundant stem cell source with therapeutic applicability in diverse fields for the repair and regeneration of acute and chronically damaged tissues.” (5)\r\n<h2>Platelet Rich Plasma (PRP) Used Along with Stem Cells</h2>\r\nPRP or platelet-rich plasma, which is taken from your own blood, is a regenerative therapy that helps to boost cartilage regeneration due to its many growth factors. These growth factors promote the growth and differentiation of the stem cells as well as boost their adherence to the cartilage lesions.\r\n<h2>Stem Cell Treatments at OrthoRegen®</h2>\r\nAt OrthoRegen®, we have been successfully using stem cells to treat arthritic joints for many years. The treatment is well-established at our clinic. This non-surgical injection procedure is an excellent alternative to conventional treatments and surgeries. The self-renewing, reparative, and regenerative abilities of stem cell treatments have rendered them an attractive option for the treatment of arthritis.\r\n\r\nAdditionally, at OrthoRegen®, we use the Gold Standard in Stem Cell Therapy. That means we use 4 different types of regenerative therapies. Many other clinics only use 1 or 2. We will use MSCs derived from bone marrow (BMSCs), adipose-derived stem cells (ADSCs) taken from fat, PRP or platelet-rich plasma drawn from your own blood, and then Dextrose Prolotherapy. All of these together give you the best chance at repair and regeneration in order to help you return to all of the activities you want to be involved in.\r\n\r\nStem cell treatments are gaining popularity because they work! Call us at 310-453-1234 and find out if you are a candidate for this treatment.\r\n<h3>References</h3>\r\n<ol>\r\n 	<li>Shapiro SA, Kazmerchak SE, Heckman MG, Zubair AC, O’Connor MI. A Prospective, Single-Blind, Placebo-Controlled Trial of Bone Marrow Aspirate Concentrate for Knee Osteoarthritis. Am J Sports Med. 2017 Jan;45(1):82-90.</li>\r\n 	<li>Gianakos AL, Sun L, Patel JN, Adams DM, Liporace FA. Clinical application of concentrated bone marrow aspirate in orthopaedics: A systematic review. World journal of orthopedics. 2017 Jun 18;8(6):491.</li>\r\n 	<li>Afizah H, Hui JH. Mesenchymal stem cell therapy for osteoarthritis. Journal of clinical orthopaedics and trauma. 2016 Sep 30;7(3):177-82</li>\r\n 	<li>Debnath UK. Mesenchymal Stem Cell Therapy in Chondral Defects of Knee: Current Concept Review. Indian Journal of Orthopaedics. 2020 Jul 27:1-9.</li>\r\n 	<li>Lindroos B, Suuronen R, Miettinen S. The potential of adipose stem cells in regenerative medicine. Stem Cell Rev Rep. 2011 Jun;7(2):269-91. doi: 10.1007/s12015-010-9193-7. PMID: 20853072.</li>\r\n</ol>','Stem Cells Are Gaining in Popularity','','inherit','closed','closed','','5522-revision-v1','','','2022-10-01 04:11:39','2022-10-01 04:11:39','',5522,'https://www.drfields.com/?p=5523',0,'revision','',0),(5524,8,'2022-10-01 04:13:44','2022-10-01 04:13:44','<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/2019/06/header-orthoregen-4.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/07/Slider-2v05072022.png\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/05/header-orthoregen-santa-monica-pier.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">New Article:</span>\r\n<span class=\"header_text_second\">Keep Looking Forward Despite COVID-19</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dealing-with-covid-19/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-11.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-9.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Get Back In The Game!</span>\r\n<span class=\"header_text_second\">Avoid Joint and Spine Surgery </span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">Stem Cell/PRP/Prolotherapy</span>\r\n<a class=\"btn-more\" title=\"Get Help Now!\" href=\"Contact-Us\"> Get Help Now!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item slide-article\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/05/header-orthoregen-ocean-mountains.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_second\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/12/Kili-top-header-2.jpg\');\">\r\n<div class=\"carousel-caption\" style=\"text-align: left;\"><span class=\"header_text_first\">Congratulations\r\nPeter A. Fields, MD, DC</span>\r\n<span class=\"header_text_second\">The Athletic Doc<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/2019/12/Sider-01-V8.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Peter A. Fields, MD, DC\r\nThe Athletic Doc<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=\"https://www.drfields.com/articles/regenerative-orthopedics/stem-cells-are-gaining-in-popularity/\">Stem Cells Are Gaining in Popularity</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/tennis-elbow-its-not-strictly-an-injury-afflicting-athletes/\">Tennis Elbow: It’s Not Strictly An Injury Afflicting Athletes</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/patellar-tendinopathy/\">Patellar Tendinopathy</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/sprained-ankle/\">Sprained Ankle?</a></li>\r\n 	<li><a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-neck-pain/\">Stubborn, Persistent Neck Pain</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/non-surgical-partial-rotator-cuff-tear-repair/\">Non-surgical Partial Rotator Cuff Tear Repair</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/are-cortisone-shots-a-good-option/\">Are Cortisone Shots a Good Option?</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/try-regenerative-treatments-for-your-hip-pain-or-injury/\">Try Regenerative Treatments for Your Hip Pain or Injury</a></li>\r\n 	<li class=\"last\"><a title=\"Nagging Back Pain\" href=\"/articles/regenerative-orthopedics/nagging-back-pain/\">Nagging Back Pain</a></li>\r\n 	<li class=\"last\"><a title=\"Treating Knee Pain and Injuries with Regenerative Orthopedics\" href=\"/articles/regenerative-orthopedics/treating-knee-pain-and-injuries-with-regenerative-orthopedics/\">Treating Knee Pain and Injuries with Regenerative Orthopedics</a></li>\r\n 	<li class=\"last\"><a title=\"Keep Looking Forward Despite COVID-19\" href=\"/articles/health-news/dealing-with-covid-19/\">Keep Looking Forward Despite COVID-19</a></li>\r\n 	<li class=\"last\"><a title=\"COVID-19 Advice: Don’t Fear the Fear Itself!\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</a></li>\r\n 	<li class=\"last\"><a title=\"Rotator Cuff Tendonitis\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/rotator-cuff-tendonitis/\">Rotator Cuff Tendonitis</a></li>\r\n 	<li><a title=\"Allergic Reactions and Problems of Corrosion with Joint Replacements\" href=\"https://www.drfields.com/articles/allergic-reactions-and-problems-of-corrosion-with-joint-replacements/\">Allergic Reactions and Problems of Corrosion with Joint Replacements\r\n</a></li>\r\n 	<li><a title=\"Treat Sciatica Pain Non-Surgically\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/treat-sciatica-pain-non-surgically/\">Treat Sciatica Pain Non-Surgically</a></li>\r\n 	<li class=\"last\"><a title=\"Stem Cell Therapy at OrthoRegen&lt;sup&gt;®&lt;/sup&gt; – Why We are Different\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/stem-cell-therapy-at-orthoregen-why-we-are-different/\">Stem Cell Therapy at OrthoRegen<sup>®</sup> – Why We are Different</a></li>\r\n 	<li class=\"last\"><a title=\"Is Your Hip Bursitis Treatment Working?\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/is-your-hip-bursitis-treatment-working/\">Is Your Hip Bursitis Treatment Working?</a></li>\r\n</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/2019/06/dr-fields.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','','','2022-10-01 04:13:44','2022-10-01 04:13:44','',2109,'https://www.drfields.com/?p=5524',0,'revision','',0),(5526,9,'2022-10-05 21:16:09','2022-10-05 21:16:09','<a href=\"https://www.drfields.com/wp-content/uploads/2022/09/Tennis-Elbow.-PRP.-Amer-J-of-Phys-Med-Rehab.png\"><img class=\"wp-image-5514 alignright\" src=\"https://www.drfields.com/wp-content/uploads/2022/09/Tennis-Elbow.-PRP.-Amer-J-of-Phys-Med-Rehab-500x419.png\" alt=\"Tennis Elbow: It’s Not Strictly An Injury Afflicting Athletes\" width=\"300\" height=\"251\" /></a>\n<h2 align=\"JUSTIFY\">Tennis Elbow</h2>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Tennis elbow (</span><span lang=\"it-IT\">lateral epicondylitis)</span><span lang=\"en-US\"> is a painful condition</span> <span lang=\"en-US\">involving the tendon that attaches at the outside bony prominence of the elbow or</span><span lang=\"it-IT\"> lateral epicondyle.</span><span lang=\"en-US\"> Tennis elbow is a type of overuse injury that results from repetitive motion of the wrist and arm often from overuse due to particular jobs and activities.</span></p>\n\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">An Overuse Injury</span></h2>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Because of the name, you might think that tennis elbow is strictly an injury that athletes develop. But that isn’t so. Tennis elbow can occur in people whose jobs require repeat motions, such as painters, secretaries, accountants, carpenters, and guitarists. This condition is often described as an overuse injury. </span></p>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Overuse 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 tendons, ligaments, and other soft tissue structures of the elbow. Using poor or improper technique</span> <span lang=\"en-US\">while training or poor form when painting can overload the muscles, tendons, and ligaments, and cause an overuse injury.</span></p>\n\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Tennis Elbow Symptoms</span></h2>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The pain involved in tennis elbow is usually noted where a tendon of the forearm attaches to the bony bump at the outside of the elbow. The pain may radiate from the outer elbow into the forearm and wrist. These symptoms may make daily activities difficult such as turning a doorknob or picking up, holding, and gripping objects.</span></p>\n\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Instability May Be Behind Tennis Elbow</span></h2>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Chronic 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</span><span lang=\"it-IT\"> alleviat</span><span lang=\"en-US\">ion of the pain.</span></p>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">When elbow ligaments are involved, they may be </span>fray<span lang=\"en-US\">ed, 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.</span>  <span lang=\"en-US\">When a tendon is injured, there is often ligament involvement as well.</span></p>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">When 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,</span> <span lang=\"en-US\">t</span><span lang=\"it-IT\">he tendons</span><span lang=\"en-US\"> will attempt to hold the muscle to the bone, increasing stress, and increasing the possibility of</span> <span lang=\"en-US\">injury to the tendon.</span></p>\n\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Conventional Treatments for Tennis Elbow</span></h2>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Those with tennis elbow often try to manage the pain with over-the-counter medications and/or conservative therapy to stabilize the elbow such as with a brace. Resting the elbow is another way sufferers attempt to find relief in order to continue to work or participate in activities. </span></p>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Recommended conventional treatments for tennis elbow often include NSAIDs, physical therapy, bracing, and taping. Unfortunately, these treatments may provide temporary relief but they are not reparative in nature.</span></p>\n<p align=\"LEFT\"><span lang=\"en-US\">Symptoms may be suppressed with pain medications or calmed down with bracing. However, a sleeve, for example, will only give a false sense of security while only temporarily helping the sufferer to function. If the pain continues, and becomes chronic, the individual requires a treatments that will repair the involved tendon and ligaments.</span></p>\n\n<h2 align=\"LEFT\"><span lang=\"en-US\">What Does the Research Say Regarding Bracing and Surgery?</span></h2>\n<h4 align=\"JUSTIFY\"><em><strong><span lang=\"en-US\">Bracing</span></strong></em></h4>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">T</span><span lang=\"fr-FR\">he journal</span> <em><span lang=\"en-US\">Prosthetics and Orthotics International</span></em> (<span lang=\"en-US\">1) examined the popular counterforce brace in people with problems of lateral elbow tendinopathy and found that physical therapy had better results.</span></p>\n\n<h4 align=\"JUSTIFY\"><em><strong><span lang=\"en-US\">Surgery</span></strong></em></h4>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The </span><em><span lang=\"en-US\">US National Institutes of Health Clinical Trial</span></em><span lang=\"nl-NL\"> website</span><span lang=\"en-US\"> says: </span><em>“<span lang=\"en-US\">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.” </span>(<span lang=\"en-US\">2</span>)</em></p>\n<p align=\"JUSTIFY\"><strong><span lang=\"en-US\">There’s Another Way and It Does Not Require Surgery!</span></strong></p>\n\n<h3 align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative Orthopedics, Including Prolotherapy Are Effective for Tennis Elbow</span></h3>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative 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. </span></p>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy is an injection technique that works to regenerate the degenerated tendon. The injection of simple dextrose mimics the natural healing response and </span>stimulate<span lang=\"en-US\">s healing growth factors to repair the</span><span lang=\"fr-FR\"> tissue.</span></p>\n\n<ul>\n 	<li>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Researchers published a study in the </span><em><span lang=\"en-US\">American Journal of Physical Medicine &amp; Rehabilitation </span></em><span lang=\"en-US\">that </span>evaluat<span lang=\"en-US\">ed Prolotherapy for tennis elbow. They concluded: </span><em>“<span lang=\"en-US\">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. This pilot study suggests the need for a definitive trial.”</span></em><span lang=\"en-US\">(3)</span></p>\n</li>\n</ul>\n<ul>\n 	<li>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">A study of 84 patients with tennis elbow who were treated with dextrose prolotherapy had statistically significant reductions in pain levels. (4)</span></p>\n</li>\n</ul>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy is effective for tennis elbow! It works because it boosts the body’s healing abilities naturally. And, it works because it addresses the problem by repairing the injures soft tissue. Plus, it works because it reduces or eliminates the symptoms. </span></p>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Fortunately, Prolotherapy and other Regenerative Orthopedics, such as PRP and Stem Cell Therapy, all strengthen the involved ligaments and tendons.</span> <span lang=\"en-US\">These therapies </span><span lang=\"pt-PT\">stabilize</span><span lang=\"en-US\"> the elbow, strengthen the elbow, address the instability, and put an end to the pain and symptoms of tennis elbow</span>.<span lang=\"en-US\"> Recommendations may be made for PRP and/or Stem Cell in more advanced cases, but all treatments would include Prolotherapy.</span></p>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">If 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.</span></p>\n\n<h3 align=\"JUSTIFY\"><span lang=\"en-US\">References</span></h3>\n<ol>\n 	<li>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">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.</span></p>\n</li>\n 	<li>\n<p align=\"JUSTIFY\">Kroslak M, Murrell GAC. <span lang=\"en-US\">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.</span></p>\n</li>\n 	<li>\n<p align=\"JUSTIFY\">Rabago D, Lee KS, Ryan M, Chourasia AO, Sesto ME, Zgierska A, Kijowski R, Grettie J, Wilson J, Miller D. <span lang=\"en-US\">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.</span></p>\n</li>\n 	<li>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Shin J, Seo K-M, Kim D-K, Kim B-K, Kang SH. The effect of prolotherapy on lateral epicondylitis of elbow.</span> J Korean Acad Rehabil Med. 2002;26:764–8.</p>\n</li>\n</ol>','Tennis Elbow: It’s Not Strictly An Injury Afflicting Athletes','','inherit','closed','closed','','5513-autosave-v1','','','2022-10-05 21:16:09','2022-10-05 21:16:09','',5513,'https://www.drfields.com/?p=5526',0,'revision','',0),(5527,9,'2022-10-05 21:11:41','2022-10-05 21:11:41','<a href=\"https://www.drfields.com/wp-content/uploads/2022/09/Tennis-Elbow.-PRP.-Amer-J-of-Phys-Med-Rehab.png\"><img class=\"wp-image-5514 alignright\" src=\"https://www.drfields.com/wp-content/uploads/2022/09/Tennis-Elbow.-PRP.-Amer-J-of-Phys-Med-Rehab-500x419.png\" alt=\"Tennis Elbow: It’s Not Strictly An Injury Afflicting Athletes\" width=\"300\" height=\"251\" /></a>\r\n<h2 align=\"JUSTIFY\">Tennis Elbow</h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Tennis elbow (</span><span lang=\"it-IT\">lateral epicondylitis)</span><span lang=\"en-US\"> is a painful condition</span> <span lang=\"en-US\">involving the tendon that attaches at the outside bony prominence of the elbow or</span><span lang=\"it-IT\"> lateral epicondyle.</span><span lang=\"en-US\"> Tennis elbow is a type of overuse injury that results from repetitive motion of the wrist and arm often from overuse due to particular jobs and activities.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Tennis Elbow Is Often Described As An Overuse Injury</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Because of the name, you might think that tennis elbow is strictly an injury that athletes develop. But that isn’t so. Tennis elbow can occur in people whose jobs require repeat motions, such as painters, secretaries, accountants, carpenters, and guitarists. This condition is often described as an overuse injury. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Overuse 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 tendons, ligaments, and other soft tissue structures of the elbow. Using poor or improper technique</span> <span lang=\"en-US\">while training or poor form when painting can overload the muscles, tendons, and ligaments, and cause an overuse injury.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Tennis Elbow Symptoms</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The pain involved in tennis elbow is usually noted where a tendon of the forearm attaches to the bony bump at the outside of the elbow. The pain may radiate from the outer elbow into the forearm and wrist. These symptoms may make daily activities difficult such as turning a doorknob or picking up, holding, and gripping objects.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Instability May Be Behind Tennis Elbow</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Chronic 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</span><span lang=\"it-IT\"> alleviat</span><span lang=\"en-US\">ion of the pain.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">When elbow ligaments are involved, they may be </span>fray<span lang=\"en-US\">ed, 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.</span>  <span lang=\"en-US\">When a tendon is injured, there is often ligament involvement as well.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">When 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,</span> <span lang=\"en-US\">t</span><span lang=\"it-IT\">he tendons</span><span lang=\"en-US\"> will attempt to hold the muscle to the bone, increasing stress, and increasing the possibility of</span> <span lang=\"en-US\">injury to the tendon.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Conventional Treatments for Tennis Elbow</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Those with tennis elbow often try to manage the pain with over-the-counter medications and/or conservative therapy to stabilize the elbow such as with a brace. Resting the elbow is another way sufferers attempt to find relief in order to continue to work or participate in activities. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Recommended conventional treatments for tennis elbow often include NSAIDs, physical therapy, bracing, and taping. These treatments may provide temporary relief but they are not reparative in nature.</span></p>\r\n<p align=\"LEFT\"><span lang=\"en-US\">Symptoms may be suppressed with pain medications or calmed down with bracing. However, a sleeve, for example, will only give a false sense of security while only temporarily helping the sufferer to function. If the pain continues, and becomes chronic, the individual requires a treatments that will repair the involved tendon and ligaments.</span></p>\r\n\r\n<h2 align=\"LEFT\"><span lang=\"en-US\">What Does the Research Say Regarding Bracing and Surgery?</span></h2>\r\n<h4 align=\"JUSTIFY\"><em><strong><span lang=\"en-US\">Bracing</span></strong></em></h4>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">T</span><span lang=\"fr-FR\">he journal</span> <em><span lang=\"en-US\">Prosthetics and Orthotics International</span></em> (<span lang=\"en-US\">1) examined the popular counterforce brace in people with problems of lateral elbow tendinopathy and found that physical therapy had better results.</span></p>\r\n\r\n<h4 align=\"JUSTIFY\"><em><strong><span lang=\"en-US\">Surgery</span></strong></em></h4>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The </span><em><span lang=\"en-US\">US National Institutes of Health Clinical Trial</span></em><span lang=\"nl-NL\"> website</span><span lang=\"en-US\"> says: </span><em>“<span lang=\"en-US\">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.” </span>(<span lang=\"en-US\">2</span>)</em></p>\r\n<p align=\"JUSTIFY\"><strong><span lang=\"en-US\">There’s Another Way and It Does Not Require Surgery!</span></strong></p>\r\n\r\n<h3 align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative Orthopedics, Including Prolotherapy Are Effective for Tennis Elbow</span></h3>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative 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. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy is an injection technique that works to regenerate the degenerated tendon. The injection of simple dextrose mimics the natural healing response and </span>stimulate<span lang=\"en-US\">s healing growth factors to repair the</span><span lang=\"fr-FR\"> tissue.</span></p>\r\n\r\n<ul>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Researchers published a study in the </span><em><span lang=\"en-US\">American Journal of Physical Medicine &amp; Rehabilitation </span></em><span lang=\"en-US\">that </span>evaluat<span lang=\"en-US\">ed Prolotherapy for tennis elbow. They concluded: </span><em>“<span lang=\"en-US\">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. This pilot study suggests the need for a definitive trial.”</span></em><span lang=\"en-US\">(3)</span></p>\r\n</li>\r\n</ul>\r\n<ul>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">A study of 84 patients with tennis elbow who were treated with dextrose prolotherapy had statistically significant reductions in pain levels. (4)</span></p>\r\n</li>\r\n</ul>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy 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 injures soft tissue. And it works because it reduces or eliminates the symptoms. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy and other Regenerative Orthopedics, such as PRP and Stem Cell Therapy, all strengthen the involved ligaments and tendons.</span> <span lang=\"en-US\">These therapies </span><span lang=\"pt-PT\">stabilize</span><span lang=\"en-US\"> the elbow, strengthen the elbow, address the instability, and put an end to the pain and symptoms of tennis elbow</span>.<span lang=\"en-US\"> Recommendations may be made for PRP and/or Stem Cell in more advanced cases, but all treatments would include Prolotherapy.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">If 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.</span></p>\r\n\r\n<h3 align=\"JUSTIFY\"><span lang=\"en-US\">References</span></h3>\r\n<ol>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">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.</span></p>\r\n</li>\r\n 	<li>\r\n<p align=\"JUSTIFY\">Kroslak M, Murrell GAC. <span lang=\"en-US\">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.</span></p>\r\n</li>\r\n 	<li>\r\n<p align=\"JUSTIFY\">Rabago D, Lee KS, Ryan M, Chourasia AO, Sesto ME, Zgierska A, Kijowski R, Grettie J, Wilson J, Miller D. <span lang=\"en-US\">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.</span></p>\r\n</li>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Shin J, Seo K-M, Kim D-K, Kim B-K, Kang SH. The effect of prolotherapy on lateral epicondylitis of elbow.</span> J Korean Acad Rehabil Med. 2002;26:764–8.</p>\r\n</li>\r\n</ol>','Tennis Elbow: It’s Not Strictly An Injury Afflicting Athletes','','inherit','closed','closed','','5513-revision-v1','','','2022-10-05 21:11:41','2022-10-05 21:11:41','',5513,'https://www.drfields.com/?p=5527',0,'revision','',0),(5528,9,'2022-10-05 21:13:06','2022-10-05 21:13:06','<a href=\"https://www.drfields.com/wp-content/uploads/2022/09/Tennis-Elbow.-PRP.-Amer-J-of-Phys-Med-Rehab.png\"><img class=\"wp-image-5514 alignright\" src=\"https://www.drfields.com/wp-content/uploads/2022/09/Tennis-Elbow.-PRP.-Amer-J-of-Phys-Med-Rehab-500x419.png\" alt=\"Tennis Elbow: It’s Not Strictly An Injury Afflicting Athletes\" width=\"300\" height=\"251\" /></a>\r\n<h2 align=\"JUSTIFY\">Tennis Elbow</h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Tennis elbow (</span><span lang=\"it-IT\">lateral epicondylitis)</span><span lang=\"en-US\"> is a painful condition</span> <span lang=\"en-US\">involving the tendon that attaches at the outside bony prominence of the elbow or</span><span lang=\"it-IT\"> lateral epicondyle.</span><span lang=\"en-US\"> Tennis elbow is a type of overuse injury that results from repetitive motion of the wrist and arm often from overuse due to particular jobs and activities.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">An Overuse Injury</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Because of the name, you might think that tennis elbow is strictly an injury that athletes develop. But that isn’t so. Tennis elbow can occur in people whose jobs require repeat motions, such as painters, secretaries, accountants, carpenters, and guitarists. This condition is often described as an overuse injury. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Overuse 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 tendons, ligaments, and other soft tissue structures of the elbow. Using poor or improper technique</span> <span lang=\"en-US\">while training or poor form when painting can overload the muscles, tendons, and ligaments, and cause an overuse injury.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Tennis Elbow Symptoms</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The pain involved in tennis elbow is usually noted where a tendon of the forearm attaches to the bony bump at the outside of the elbow. The pain may radiate from the outer elbow into the forearm and wrist. These symptoms may make daily activities difficult such as turning a doorknob or picking up, holding, and gripping objects.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Instability May Be Behind Tennis Elbow</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Chronic 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</span><span lang=\"it-IT\"> alleviat</span><span lang=\"en-US\">ion of the pain.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">When elbow ligaments are involved, they may be </span>fray<span lang=\"en-US\">ed, 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.</span>  <span lang=\"en-US\">When a tendon is injured, there is often ligament involvement as well.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">When 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,</span> <span lang=\"en-US\">t</span><span lang=\"it-IT\">he tendons</span><span lang=\"en-US\"> will attempt to hold the muscle to the bone, increasing stress, and increasing the possibility of</span> <span lang=\"en-US\">injury to the tendon.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Conventional Treatments for Tennis Elbow</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Those with tennis elbow often try to manage the pain with over-the-counter medications and/or conservative therapy to stabilize the elbow such as with a brace. Resting the elbow is another way sufferers attempt to find relief in order to continue to work or participate in activities. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Recommended conventional treatments for tennis elbow often include NSAIDs, physical therapy, bracing, and taping. These treatments may provide temporary relief but they are not reparative in nature.</span></p>\r\n<p align=\"LEFT\"><span lang=\"en-US\">Symptoms may be suppressed with pain medications or calmed down with bracing. However, a sleeve, for example, will only give a false sense of security while only temporarily helping the sufferer to function. If the pain continues, and becomes chronic, the individual requires a treatments that will repair the involved tendon and ligaments.</span></p>\r\n\r\n<h2 align=\"LEFT\"><span lang=\"en-US\">What Does the Research Say Regarding Bracing and Surgery?</span></h2>\r\n<h4 align=\"JUSTIFY\"><em><strong><span lang=\"en-US\">Bracing</span></strong></em></h4>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">T</span><span lang=\"fr-FR\">he journal</span> <em><span lang=\"en-US\">Prosthetics and Orthotics International</span></em> (<span lang=\"en-US\">1) examined the popular counterforce brace in people with problems of lateral elbow tendinopathy and found that physical therapy had better results.</span></p>\r\n\r\n<h4 align=\"JUSTIFY\"><em><strong><span lang=\"en-US\">Surgery</span></strong></em></h4>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The </span><em><span lang=\"en-US\">US National Institutes of Health Clinical Trial</span></em><span lang=\"nl-NL\"> website</span><span lang=\"en-US\"> says: </span><em>“<span lang=\"en-US\">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.” </span>(<span lang=\"en-US\">2</span>)</em></p>\r\n<p align=\"JUSTIFY\"><strong><span lang=\"en-US\">There’s Another Way and It Does Not Require Surgery!</span></strong></p>\r\n\r\n<h3 align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative Orthopedics, Including Prolotherapy Are Effective for Tennis Elbow</span></h3>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative 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. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy is an injection technique that works to regenerate the degenerated tendon. The injection of simple dextrose mimics the natural healing response and </span>stimulate<span lang=\"en-US\">s healing growth factors to repair the</span><span lang=\"fr-FR\"> tissue.</span></p>\r\n\r\n<ul>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Researchers published a study in the </span><em><span lang=\"en-US\">American Journal of Physical Medicine &amp; Rehabilitation </span></em><span lang=\"en-US\">that </span>evaluat<span lang=\"en-US\">ed Prolotherapy for tennis elbow. They concluded: </span><em>“<span lang=\"en-US\">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. This pilot study suggests the need for a definitive trial.”</span></em><span lang=\"en-US\">(3)</span></p>\r\n</li>\r\n</ul>\r\n<ul>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">A study of 84 patients with tennis elbow who were treated with dextrose prolotherapy had statistically significant reductions in pain levels. (4)</span></p>\r\n</li>\r\n</ul>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy 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 injures soft tissue. And it works because it reduces or eliminates the symptoms. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy and other Regenerative Orthopedics, such as PRP and Stem Cell Therapy, all strengthen the involved ligaments and tendons.</span> <span lang=\"en-US\">These therapies </span><span lang=\"pt-PT\">stabilize</span><span lang=\"en-US\"> the elbow, strengthen the elbow, address the instability, and put an end to the pain and symptoms of tennis elbow</span>.<span lang=\"en-US\"> Recommendations may be made for PRP and/or Stem Cell in more advanced cases, but all treatments would include Prolotherapy.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">If 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.</span></p>\r\n\r\n<h3 align=\"JUSTIFY\"><span lang=\"en-US\">References</span></h3>\r\n<ol>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">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.</span></p>\r\n</li>\r\n 	<li>\r\n<p align=\"JUSTIFY\">Kroslak M, Murrell GAC. <span lang=\"en-US\">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.</span></p>\r\n</li>\r\n 	<li>\r\n<p align=\"JUSTIFY\">Rabago D, Lee KS, Ryan M, Chourasia AO, Sesto ME, Zgierska A, Kijowski R, Grettie J, Wilson J, Miller D. <span lang=\"en-US\">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.</span></p>\r\n</li>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Shin J, Seo K-M, Kim D-K, Kim B-K, Kang SH. The effect of prolotherapy on lateral epicondylitis of elbow.</span> J Korean Acad Rehabil Med. 2002;26:764–8.</p>\r\n</li>\r\n</ol>','Tennis Elbow: It’s Not Strictly An Injury Afflicting Athletes','','inherit','closed','closed','','5513-revision-v1','','','2022-10-05 21:13:06','2022-10-05 21:13:06','',5513,'https://www.drfields.com/?p=5528',0,'revision','',0),(5529,9,'2022-10-05 21:14:26','2022-10-05 21:14:26','<a href=\"https://www.drfields.com/wp-content/uploads/2022/09/Tennis-Elbow.-PRP.-Amer-J-of-Phys-Med-Rehab.png\"><img class=\"wp-image-5514 alignright\" src=\"https://www.drfields.com/wp-content/uploads/2022/09/Tennis-Elbow.-PRP.-Amer-J-of-Phys-Med-Rehab-500x419.png\" alt=\"Tennis Elbow: It’s Not Strictly An Injury Afflicting Athletes\" width=\"300\" height=\"251\" /></a>\r\n<h2 align=\"JUSTIFY\">Tennis Elbow</h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Tennis elbow (</span><span lang=\"it-IT\">lateral epicondylitis)</span><span lang=\"en-US\"> is a painful condition</span> <span lang=\"en-US\">involving the tendon that attaches at the outside bony prominence of the elbow or</span><span lang=\"it-IT\"> lateral epicondyle.</span><span lang=\"en-US\"> Tennis elbow is a type of overuse injury that results from repetitive motion of the wrist and arm often from overuse due to particular jobs and activities.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">An Overuse Injury</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Because of the name, you might think that tennis elbow is strictly an injury that athletes develop. But that isn’t so. Tennis elbow can occur in people whose jobs require repeat motions, such as painters, secretaries, accountants, carpenters, and guitarists. This condition is often described as an overuse injury. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Overuse 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 tendons, ligaments, and other soft tissue structures of the elbow. Using poor or improper technique</span> <span lang=\"en-US\">while training or poor form when painting can overload the muscles, tendons, and ligaments, and cause an overuse injury.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Tennis Elbow Symptoms</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The pain involved in tennis elbow is usually noted where a tendon of the forearm attaches to the bony bump at the outside of the elbow. The pain may radiate from the outer elbow into the forearm and wrist. These symptoms may make daily activities difficult such as turning a doorknob or picking up, holding, and gripping objects.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Instability May Be Behind Tennis Elbow</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Chronic 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</span><span lang=\"it-IT\"> alleviat</span><span lang=\"en-US\">ion of the pain.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">When elbow ligaments are involved, they may be </span>fray<span lang=\"en-US\">ed, 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.</span>  <span lang=\"en-US\">When a tendon is injured, there is often ligament involvement as well.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">When 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,</span> <span lang=\"en-US\">t</span><span lang=\"it-IT\">he tendons</span><span lang=\"en-US\"> will attempt to hold the muscle to the bone, increasing stress, and increasing the possibility of</span> <span lang=\"en-US\">injury to the tendon.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Conventional Treatments for Tennis Elbow</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Those with tennis elbow often try to manage the pain with over-the-counter medications and/or conservative therapy to stabilize the elbow such as with a brace. Resting the elbow is another way sufferers attempt to find relief in order to continue to work or participate in activities. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Recommended conventional treatments for tennis elbow often include NSAIDs, physical therapy, bracing, and taping. These treatments may provide temporary relief but they are not reparative in nature.</span></p>\r\n<p align=\"LEFT\"><span lang=\"en-US\">Symptoms may be suppressed with pain medications or calmed down with bracing. However, a sleeve, for example, will only give a false sense of security while only temporarily helping the sufferer to function. If the pain continues, and becomes chronic, the individual requires a treatments that will repair the involved tendon and ligaments.</span></p>\r\n\r\n<h2 align=\"LEFT\"><span lang=\"en-US\">What Does the Research Say Regarding Bracing and Surgery?</span></h2>\r\n<h4 align=\"JUSTIFY\"><em><strong><span lang=\"en-US\">Bracing</span></strong></em></h4>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">T</span><span lang=\"fr-FR\">he journal</span> <em><span lang=\"en-US\">Prosthetics and Orthotics International</span></em> (<span lang=\"en-US\">1) examined the popular counterforce brace in people with problems of lateral elbow tendinopathy and found that physical therapy had better results.</span></p>\r\n\r\n<h4 align=\"JUSTIFY\"><em><strong><span lang=\"en-US\">Surgery</span></strong></em></h4>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The </span><em><span lang=\"en-US\">US National Institutes of Health Clinical Trial</span></em><span lang=\"nl-NL\"> website</span><span lang=\"en-US\"> says: </span><em>“<span lang=\"en-US\">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.” </span>(<span lang=\"en-US\">2</span>)</em></p>\r\n<p align=\"JUSTIFY\"><strong><span lang=\"en-US\">There’s Another Way and It Does Not Require Surgery!</span></strong></p>\r\n\r\n<h3 align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative Orthopedics, Including Prolotherapy Are Effective for Tennis Elbow</span></h3>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative 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. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy is an injection technique that works to regenerate the degenerated tendon. The injection of simple dextrose mimics the natural healing response and </span>stimulate<span lang=\"en-US\">s healing growth factors to repair the</span><span lang=\"fr-FR\"> tissue.</span></p>\r\n\r\n<ul>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Researchers published a study in the </span><em><span lang=\"en-US\">American Journal of Physical Medicine &amp; Rehabilitation </span></em><span lang=\"en-US\">that </span>evaluat<span lang=\"en-US\">ed Prolotherapy for tennis elbow. They concluded: </span><em>“<span lang=\"en-US\">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. This pilot study suggests the need for a definitive trial.”</span></em><span lang=\"en-US\">(3)</span></p>\r\n</li>\r\n</ul>\r\n<ul>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">A study of 84 patients with tennis elbow who were treated with dextrose prolotherapy had statistically significant reductions in pain levels. (4)</span></p>\r\n</li>\r\n</ul>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy is effective for tennis elbow! It works because it boosts the body’s healing abilities naturally. And, it works because it addresses the problem by repairing the injures soft tissue. Plus, it works because it reduces or eliminates the symptoms. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy and other Regenerative Orthopedics, such as PRP and Stem Cell Therapy, all strengthen the involved ligaments and tendons.</span> <span lang=\"en-US\">These therapies </span><span lang=\"pt-PT\">stabilize</span><span lang=\"en-US\"> the elbow, strengthen the elbow, address the instability, and put an end to the pain and symptoms of tennis elbow</span>.<span lang=\"en-US\"> Recommendations may be made for PRP and/or Stem Cell in more advanced cases, but all treatments would include Prolotherapy.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">If 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.</span></p>\r\n\r\n<h3 align=\"JUSTIFY\"><span lang=\"en-US\">References</span></h3>\r\n<ol>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">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.</span></p>\r\n</li>\r\n 	<li>\r\n<p align=\"JUSTIFY\">Kroslak M, Murrell GAC. <span lang=\"en-US\">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.</span></p>\r\n</li>\r\n 	<li>\r\n<p align=\"JUSTIFY\">Rabago D, Lee KS, Ryan M, Chourasia AO, Sesto ME, Zgierska A, Kijowski R, Grettie J, Wilson J, Miller D. <span lang=\"en-US\">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.</span></p>\r\n</li>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Shin J, Seo K-M, Kim D-K, Kim B-K, Kang SH. The effect of prolotherapy on lateral epicondylitis of elbow.</span> J Korean Acad Rehabil Med. 2002;26:764–8.</p>\r\n</li>\r\n</ol>','Tennis Elbow: It’s Not Strictly An Injury Afflicting Athletes','','inherit','closed','closed','','5513-revision-v1','','','2022-10-05 21:14:26','2022-10-05 21:14:26','',5513,'https://www.drfields.com/?p=5529',0,'revision','',0),(5530,9,'2022-10-05 21:15:02','2022-10-05 21:15:02','<a href=\"https://www.drfields.com/wp-content/uploads/2022/09/Tennis-Elbow.-PRP.-Amer-J-of-Phys-Med-Rehab.png\"><img class=\"wp-image-5514 alignright\" src=\"https://www.drfields.com/wp-content/uploads/2022/09/Tennis-Elbow.-PRP.-Amer-J-of-Phys-Med-Rehab-500x419.png\" alt=\"Tennis Elbow: It’s Not Strictly An Injury Afflicting Athletes\" width=\"300\" height=\"251\" /></a>\r\n<h2 align=\"JUSTIFY\">Tennis Elbow</h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Tennis elbow (</span><span lang=\"it-IT\">lateral epicondylitis)</span><span lang=\"en-US\"> is a painful condition</span> <span lang=\"en-US\">involving the tendon that attaches at the outside bony prominence of the elbow or</span><span lang=\"it-IT\"> lateral epicondyle.</span><span lang=\"en-US\"> Tennis elbow is a type of overuse injury that results from repetitive motion of the wrist and arm often from overuse due to particular jobs and activities.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">An Overuse Injury</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Because of the name, you might think that tennis elbow is strictly an injury that athletes develop. But that isn’t so. Tennis elbow can occur in people whose jobs require repeat motions, such as painters, secretaries, accountants, carpenters, and guitarists. This condition is often described as an overuse injury. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Overuse 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 tendons, ligaments, and other soft tissue structures of the elbow. Using poor or improper technique</span> <span lang=\"en-US\">while training or poor form when painting can overload the muscles, tendons, and ligaments, and cause an overuse injury.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Tennis Elbow Symptoms</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The pain involved in tennis elbow is usually noted where a tendon of the forearm attaches to the bony bump at the outside of the elbow. The pain may radiate from the outer elbow into the forearm and wrist. These symptoms may make daily activities difficult such as turning a doorknob or picking up, holding, and gripping objects.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Instability May Be Behind Tennis Elbow</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Chronic 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</span><span lang=\"it-IT\"> alleviat</span><span lang=\"en-US\">ion of the pain.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">When elbow ligaments are involved, they may be </span>fray<span lang=\"en-US\">ed, 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.</span>  <span lang=\"en-US\">When a tendon is injured, there is often ligament involvement as well.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">When 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,</span> <span lang=\"en-US\">t</span><span lang=\"it-IT\">he tendons</span><span lang=\"en-US\"> will attempt to hold the muscle to the bone, increasing stress, and increasing the possibility of</span> <span lang=\"en-US\">injury to the tendon.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Conventional Treatments for Tennis Elbow</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Those with tennis elbow often try to manage the pain with over-the-counter medications and/or conservative therapy to stabilize the elbow such as with a brace. Resting the elbow is another way sufferers attempt to find relief in order to continue to work or participate in activities. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Recommended conventional treatments for tennis elbow often include NSAIDs, physical therapy, bracing, and taping. These treatments may provide temporary relief but they are not reparative in nature.</span></p>\r\n<p align=\"LEFT\"><span lang=\"en-US\">Symptoms may be suppressed with pain medications or calmed down with bracing. However, a sleeve, for example, will only give a false sense of security while only temporarily helping the sufferer to function. If the pain continues, and becomes chronic, the individual requires a treatments that will repair the involved tendon and ligaments.</span></p>\r\n\r\n<h2 align=\"LEFT\"><span lang=\"en-US\">What Does the Research Say Regarding Bracing and Surgery?</span></h2>\r\n<h4 align=\"JUSTIFY\"><em><strong><span lang=\"en-US\">Bracing</span></strong></em></h4>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">T</span><span lang=\"fr-FR\">he journal</span> <em><span lang=\"en-US\">Prosthetics and Orthotics International</span></em> (<span lang=\"en-US\">1) examined the popular counterforce brace in people with problems of lateral elbow tendinopathy and found that physical therapy had better results.</span></p>\r\n\r\n<h4 align=\"JUSTIFY\"><em><strong><span lang=\"en-US\">Surgery</span></strong></em></h4>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The </span><em><span lang=\"en-US\">US National Institutes of Health Clinical Trial</span></em><span lang=\"nl-NL\"> website</span><span lang=\"en-US\"> says: </span><em>“<span lang=\"en-US\">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.” </span>(<span lang=\"en-US\">2</span>)</em></p>\r\n<p align=\"JUSTIFY\"><strong><span lang=\"en-US\">There’s Another Way and It Does Not Require Surgery!</span></strong></p>\r\n\r\n<h3 align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative Orthopedics, Including Prolotherapy Are Effective for Tennis Elbow</span></h3>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative 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. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy is an injection technique that works to regenerate the degenerated tendon. The injection of simple dextrose mimics the natural healing response and </span>stimulate<span lang=\"en-US\">s healing growth factors to repair the</span><span lang=\"fr-FR\"> tissue.</span></p>\r\n\r\n<ul>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Researchers published a study in the </span><em><span lang=\"en-US\">American Journal of Physical Medicine &amp; Rehabilitation </span></em><span lang=\"en-US\">that </span>evaluat<span lang=\"en-US\">ed Prolotherapy for tennis elbow. They concluded: </span><em>“<span lang=\"en-US\">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. This pilot study suggests the need for a definitive trial.”</span></em><span lang=\"en-US\">(3)</span></p>\r\n</li>\r\n</ul>\r\n<ul>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">A study of 84 patients with tennis elbow who were treated with dextrose prolotherapy had statistically significant reductions in pain levels. (4)</span></p>\r\n</li>\r\n</ul>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy is effective for tennis elbow! It works because it boosts the body’s healing abilities naturally. And, it works because it addresses the problem by repairing the injures soft tissue. Plus, it works because it reduces or eliminates the symptoms. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Fortunately, Prolotherapy and other Regenerative Orthopedics, such as PRP and Stem Cell Therapy, all strengthen the involved ligaments and tendons.</span> <span lang=\"en-US\">These therapies </span><span lang=\"pt-PT\">stabilize</span><span lang=\"en-US\"> the elbow, strengthen the elbow, address the instability, and put an end to the pain and symptoms of tennis elbow</span>.<span lang=\"en-US\"> Recommendations may be made for PRP and/or Stem Cell in more advanced cases, but all treatments would include Prolotherapy.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">If 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.</span></p>\r\n\r\n<h3 align=\"JUSTIFY\"><span lang=\"en-US\">References</span></h3>\r\n<ol>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">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.</span></p>\r\n</li>\r\n 	<li>\r\n<p align=\"JUSTIFY\">Kroslak M, Murrell GAC. <span lang=\"en-US\">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.</span></p>\r\n</li>\r\n 	<li>\r\n<p align=\"JUSTIFY\">Rabago D, Lee KS, Ryan M, Chourasia AO, Sesto ME, Zgierska A, Kijowski R, Grettie J, Wilson J, Miller D. <span lang=\"en-US\">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.</span></p>\r\n</li>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Shin J, Seo K-M, Kim D-K, Kim B-K, Kang SH. The effect of prolotherapy on lateral epicondylitis of elbow.</span> J Korean Acad Rehabil Med. 2002;26:764–8.</p>\r\n</li>\r\n</ol>','Tennis Elbow: It’s Not Strictly An Injury Afflicting Athletes','','inherit','closed','closed','','5513-revision-v1','','','2022-10-05 21:15:02','2022-10-05 21:15:02','',5513,'https://www.drfields.com/?p=5530',0,'revision','',0),(5531,9,'2022-10-05 21:16:17','2022-10-05 21:16:17','<a href=\"https://www.drfields.com/wp-content/uploads/2022/09/Tennis-Elbow.-PRP.-Amer-J-of-Phys-Med-Rehab.png\"><img class=\"wp-image-5514 alignright\" src=\"https://www.drfields.com/wp-content/uploads/2022/09/Tennis-Elbow.-PRP.-Amer-J-of-Phys-Med-Rehab-500x419.png\" alt=\"Tennis Elbow: It’s Not Strictly An Injury Afflicting Athletes\" width=\"300\" height=\"251\" /></a>\r\n<h2 align=\"JUSTIFY\">Tennis Elbow</h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Tennis elbow (</span><span lang=\"it-IT\">lateral epicondylitis)</span><span lang=\"en-US\"> is a painful condition</span> <span lang=\"en-US\">involving the tendon that attaches at the outside bony prominence of the elbow or</span><span lang=\"it-IT\"> lateral epicondyle.</span><span lang=\"en-US\"> Tennis elbow is a type of overuse injury that results from repetitive motion of the wrist and arm often from overuse due to particular jobs and activities.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">An Overuse Injury</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Because of the name, you might think that tennis elbow is strictly an injury that athletes develop. But that isn’t so. Tennis elbow can occur in people whose jobs require repeat motions, such as painters, secretaries, accountants, carpenters, and guitarists. This condition is often described as an overuse injury. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Overuse 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 tendons, ligaments, and other soft tissue structures of the elbow. Using poor or improper technique</span> <span lang=\"en-US\">while training or poor form when painting can overload the muscles, tendons, and ligaments, and cause an overuse injury.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Tennis Elbow Symptoms</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The pain involved in tennis elbow is usually noted where a tendon of the forearm attaches to the bony bump at the outside of the elbow. The pain may radiate from the outer elbow into the forearm and wrist. These symptoms may make daily activities difficult such as turning a doorknob or picking up, holding, and gripping objects.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Instability May Be Behind Tennis Elbow</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Chronic 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</span><span lang=\"it-IT\"> alleviat</span><span lang=\"en-US\">ion of the pain.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">When elbow ligaments are involved, they may be </span>fray<span lang=\"en-US\">ed, 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.</span>  <span lang=\"en-US\">When a tendon is injured, there is often ligament involvement as well.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">When 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,</span> <span lang=\"en-US\">t</span><span lang=\"it-IT\">he tendons</span><span lang=\"en-US\"> will attempt to hold the muscle to the bone, increasing stress, and increasing the possibility of</span> <span lang=\"en-US\">injury to the tendon.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Conventional Treatments for Tennis Elbow</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Those with tennis elbow often try to manage the pain with over-the-counter medications and/or conservative therapy to stabilize the elbow such as with a brace. Resting the elbow is another way sufferers attempt to find relief in order to continue to work or participate in activities. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Recommended conventional treatments for tennis elbow often include NSAIDs, physical therapy, bracing, and taping. Unfortunately, these treatments may only provide temporary relief but they are not reparative in nature.</span></p>\r\n<p align=\"LEFT\"><span lang=\"en-US\">Symptoms may be suppressed with pain medications or calmed down with bracing. However, a sleeve, for example, will only give a false sense of security while only temporarily helping the sufferer to function. If the pain continues, and becomes chronic, the individual requires a treatments that will repair the involved tendon and ligaments.</span></p>\r\n\r\n<h2 align=\"LEFT\"><span lang=\"en-US\">What Does the Research Say Regarding Bracing and Surgery?</span></h2>\r\n<h4 align=\"JUSTIFY\"><em><strong><span lang=\"en-US\">Bracing</span></strong></em></h4>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">T</span><span lang=\"fr-FR\">he journal</span> <em><span lang=\"en-US\">Prosthetics and Orthotics International</span></em> (<span lang=\"en-US\">1) examined the popular counterforce brace in people with problems of lateral elbow tendinopathy and found that physical therapy had better results.</span></p>\r\n\r\n<h4 align=\"JUSTIFY\"><em><strong><span lang=\"en-US\">Surgery</span></strong></em></h4>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The </span><em><span lang=\"en-US\">US National Institutes of Health Clinical Trial</span></em><span lang=\"nl-NL\"> website</span><span lang=\"en-US\"> says: </span><em>“<span lang=\"en-US\">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.” </span>(<span lang=\"en-US\">2</span>)</em></p>\r\n<p align=\"JUSTIFY\"><strong><span lang=\"en-US\">There’s Another Way and It Does Not Require Surgery!</span></strong></p>\r\n\r\n<h3 align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative Orthopedics, Including Prolotherapy Are Effective for Tennis Elbow</span></h3>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative 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. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy is an injection technique that works to regenerate the degenerated tendon. The injection of simple dextrose mimics the natural healing response and </span>stimulate<span lang=\"en-US\">s healing growth factors to repair the</span><span lang=\"fr-FR\"> tissue.</span></p>\r\n\r\n<ul>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Researchers published a study in the </span><em><span lang=\"en-US\">American Journal of Physical Medicine &amp; Rehabilitation </span></em><span lang=\"en-US\">that </span>evaluat<span lang=\"en-US\">ed Prolotherapy for tennis elbow. They concluded: </span><em>“<span lang=\"en-US\">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. This pilot study suggests the need for a definitive trial.”</span></em><span lang=\"en-US\">(3)</span></p>\r\n</li>\r\n</ul>\r\n<ul>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">A study of 84 patients with tennis elbow who were treated with dextrose prolotherapy had statistically significant reductions in pain levels. (4)</span></p>\r\n</li>\r\n</ul>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy is effective for tennis elbow! It works because it boosts the body’s healing abilities naturally. And, it works because it addresses the problem by repairing the injures soft tissue. Plus, it works because it reduces or eliminates the symptoms. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Fortunately, Prolotherapy and other Regenerative Orthopedics, such as PRP and Stem Cell Therapy, all strengthen the involved ligaments and tendons.</span> <span lang=\"en-US\">These therapies </span><span lang=\"pt-PT\">stabilize</span><span lang=\"en-US\"> the elbow, strengthen the elbow, address the instability, and put an end to the pain and symptoms of tennis elbow</span>.<span lang=\"en-US\"> Recommendations may be made for PRP and/or Stem Cell in more advanced cases, but all treatments would include Prolotherapy.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">If 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.</span></p>\r\n\r\n<h3 align=\"JUSTIFY\"><span lang=\"en-US\">References</span></h3>\r\n<ol>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">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.</span></p>\r\n</li>\r\n 	<li>\r\n<p align=\"JUSTIFY\">Kroslak M, Murrell GAC. <span lang=\"en-US\">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.</span></p>\r\n</li>\r\n 	<li>\r\n<p align=\"JUSTIFY\">Rabago D, Lee KS, Ryan M, Chourasia AO, Sesto ME, Zgierska A, Kijowski R, Grettie J, Wilson J, Miller D. <span lang=\"en-US\">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.</span></p>\r\n</li>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Shin J, Seo K-M, Kim D-K, Kim B-K, Kang SH. The effect of prolotherapy on lateral epicondylitis of elbow.</span> J Korean Acad Rehabil Med. 2002;26:764–8.</p>\r\n</li>\r\n</ol>','Tennis Elbow: It’s Not Strictly An Injury Afflicting Athletes','','inherit','closed','closed','','5513-revision-v1','','','2022-10-05 21:16:17','2022-10-05 21:16:17','',5513,'https://www.drfields.com/?p=5531',0,'revision','',0),(5532,9,'2022-10-05 21:47:48','2022-10-05 21:47:48','<h2>Stem Cells Are Gaining in Popularity</h2>\n[caption id=\"attachment_5533\" align=\"alignright\" width=\"455\"]<img class=\"wp-image-5533\" src=\"https://www.drfields.com/wp-content/uploads/2022/10/Arthritis.-Jnl-Clinical-OrthoTrauma-500x419.png\" alt=\"Arthritis. Jnl Clinical Ortho&amp;trauma\" width=\"455\" height=\"381\" /> <strong>                             Stem Cells Are Gaining in Popularity</strong>[/caption]\n\nThe limitations of traditional treatments for arthritis are causing many to seek alternatives for relieving their arthritis pain and symptoms. Even current surgical procedures for arthritis come up short since they cannot reverse the damage arthritis causes to articular cartilage. As a result, stem cell treatments and other regenerative therapies are gaining popularity because they result in the repair and regeneration of the joints.\n<h2>What Do You Mean Conventional Treatments Have Limitations?</h2>\nConventional treatments for arthritis only manage the problem. These treatments “chase the symptoms.” For example, NSAIDs and opioids may be given for the pain of arthritis. And sure, they are helpful to get relief from the pain, but these medications do not repair the joint. As time goes on, the pain and symptoms will continue because the joint is still not repaired, and surgery will likely be recommended. But surgery comes with complications and long recovery times! In an effort to avoid this scenario, people living with arthritis are seeking stem cell treatments as an alternative to surgery.\n<h2>Stem Cells Are Gaining Popularity Because They Regenerate Cartilage</h2>\nStem cell treatments have great potential due to their ability to regenerate damaged cartilage (1). Stem cell-based therapy is gaining popularity as an alternative to joint replacement, especially since it has reparative effects. However, due to the ethical concerns in using embryonic cells, the current trend is more focused on adult stem cells for cartilage regeneration.\n<h2>Types of Adult Stem Cells</h2>\nThere are various types of stem cells being utilized which include mesenchymal stem cells (MSCs), bone marrow-derived stem cells (BMSCs), and adipose-derived stem cells (ADSCs) for the regeneration of cartilage. Again, these types of adult stem cells may be chosen for cartilage regeneration.\n<h2>Mesenchymal Stem Cells (MSCs) from Bone Marrow</h2>\nMSCs derived from bone marrow (BMSCs) can repair tissues such as tendons, bony defects, and cartilage (2). Plus, when placed in the injured and degenerated areas, such as in knee and hip arthritis cases, these cells can assist in cartilage regeneration of the joint and alleviate the pain experienced by arthritis patients (3).\n\n<em>“The versatility of mesenchymal stem cells (MSCs) as a treatment modality has landed it another repair target: osteoarthritis, a crippling cartilage disease that frequently afflicts the aged population. Through many studies, this newly discovered method has been shown to significantly alleviate the pain experienced by osteoarthritic patients.”(3)</em>\n\nOnce aspirated (drawn out), mesenchymal stem cells (MSCs) are centrifuged to have a more concentrated number of stem cells to boost recovery and effectiveness (3). In addition, since these stem cells are taken directly from the person who will receive them (autologous), the chance of cross-contamination is reduced, which increases the efficacy of the therapy.\n\nStudies have shown that mesenchymal stem cells (MSCs) from bone marrow (BMSCs) can successfully regenerate injured cartilage, repair chondral defects, and improve arthritis symptoms in humans.\n\n<em>“The capability of the mesenchymal stem cells to repair and regenerate cartilage has been widely investigated. . .Several studies have demonstrated promising results in the clinical application for repair of chondral defects as an adjuvant (during surgery in some cases) or independent procedure. Intra-articular (mesenchymal stem cells (MSCs)  provide improvements in pain and function in knee osteoarthritis at short-term follow-up in many studies.”(4)</em>\n<h2>Adipose-Derived Stem Cells (ADSCs)</h2>\nAdipose-derived stem cells (ADSCs) are a promising source of stem cells because this fat tissue is abundant. Plus, it is relatively easy to harvest and has minimal side effects. Studies also back the use of ADSCs for cartilage regeneration in the treatment of arthritis.\n\n<em>“Among the different kinds of MSCs available, adipose-derived mesenchymal stem cells (ADSCs) are emerging due to their abundancy and easiness to harvest.”(5)</em>\n\n<em>“Adipose stem cells are an attractive and abundant stem cell source with therapeutic applicability in diverse fields for the repair and regeneration of acute and chronically damaged tissues.” (5)</em>\n<h2>Platelet-Rich Plasma (PRP) Used Along with Stem Cells</h2>\nPRP, or platelet-rich plasma, taken from your blood, is a regenerative therapy that helps to boost cartilage regeneration due to its many growth factors. These growth factors promote the growth and differentiation of the stem cells and encourage their adherence to cartilage lesions.\n<h2>Stem Cells Are Gaining Popularity and Are Available at OrthoRegen®</h2>\nAt OrthoRegen®, we have been using stem cells to successfully treat arthritic joints for many years. The treatment is well-established at our clinic. This non-surgical injection procedure is an excellent alternative to conventional treatments and surgeries. In addition, the self-renewing, reparative, and regenerative abilities of stem cell treatments have rendered them an attractive option for the treatment of arthritis.\n\nAdditionally, at OrthoRegen®, we use the Gold Standard in Stem Cell Therapy. That means we use four different types of regenerative therapies. Many other clinics only use 1 or 2. We will use MSCs derived from bone marrow (BMSCs), adipose-derived stem cells (ADSCs) taken from fat, PRP, or platelet-rich plasma drawn from your blood, and then Dextrose Prolotherapy. All of these together give you the best chance at repair and regeneration to help you return to all the activities you enjoy.\n\nStem cell treatments are gaining popularity because they work! Call us at 310-453-1234 and find out if you are a candidate for this treatment.\n<h3>References</h3>\n<ol>\n 	<li>Shapiro SA, Kazmerchak SE, Heckman MG, Zubair AC, O’Connor MI. A Prospective, Single-Blind, Placebo-Controlled Trial of Bone Marrow Aspirate Concentrate for Knee Osteoarthritis. Am J Sports Med. 2017 Jan;45(1):82-90.</li>\n 	<li>Gianakos AL, Sun L, Patel JN, Adams DM, Liporace FA. Clinical application of concentrated bone marrow aspirate in orthopaedics: A systematic review. World journal of orthopedics. 2017 Jun 18;8(6):491.</li>\n 	<li>Afizah H, Hui JH. Mesenchymal stem cell therapy for osteoarthritis. Journal of clinical orthopaedics and trauma. 2016 Sep 30;7(3):177-82</li>\n 	<li>Debnath UK. Mesenchymal Stem Cell Therapy in Chondral Defects of Knee: Current Concept Review. Indian Journal of Orthopaedics. 2020 Jul 27:1-9.</li>\n 	<li>Lindroos B, Suuronen R, Miettinen S. The potential of adipose stem cells in regenerative medicine. Stem Cell Rev Rep. 2011 Jun;7(2):269-91. doi: 10.1007/s12015-010-9193-7. PMID: 20853072.</li>\n</ol>','Stem Cells Are Gaining in Popularity','','inherit','closed','closed','','5522-autosave-v1','','','2022-10-05 21:47:48','2022-10-05 21:47:48','',5522,'https://www.drfields.com/?p=5532',0,'revision','',0),(5533,9,'2022-10-05 21:20:38','2022-10-05 21:20:38','Arthritis. Jnl Clinical Ortho&trauma','Arthritis. Jnl Clinical Ortho&trauma','Stem Cells Gaining Popularity','inherit','closed','closed','','arthritis-jnl-clinical-orthotrauma','','','2022-10-05 21:21:07','2022-10-05 21:21:07','',5522,'https://www.drfields.com/wp-content/uploads/2022/10/Arthritis.-Jnl-Clinical-OrthoTrauma.png',0,'attachment','image/png',0),(5534,9,'2022-10-05 21:25:43','2022-10-05 21:25:43','<h2>Stem Cell Treatments Are Gaining in Popularity</h2>\r\n[caption id=\"attachment_5533\" align=\"alignright\" width=\"455\"]<img class=\" wp-image-5533\" src=\"https://www.drfields.com/wp-content/uploads/2022/10/Arthritis.-Jnl-Clinical-OrthoTrauma-500x419.png\" alt=\"Arthritis. Jnl Clinical Ortho&amp;trauma\" width=\"455\" height=\"381\" /> <strong>                                    Stem Cells Gaining Popularity</strong>[/caption]\r\n\r\nThe limitations of traditional treatments for arthritis are causing many to seek alternatives for relief of their arthritis pain and symptoms. Even current surgical procedures for arthritis come up short since they are unable to reverse the damage arthritis causes on articular cartilage. Stem cell treatments, as well as other regenerative therapies, are gaining popularity because they result in repair and regeneration of the joints.\r\n<h2>What Do You Mean Conventional Treatments Have Limitations?</h2>\r\nConventional treatments for arthritis really only manage the problem. These treatments “chase the symptoms.” For example, NSAIDs and opioids may be given for the pain of arthritis. And sure, it’s helpful to get relief from the pain, but these medications do not repair the joint. As time goes on, the pain and symptoms will continue because the joint is still not repaired, and surgery will likely be recommended. But surgery comes with complications and long recovery times! In an effort to avoid this scenario, arthritis sufferers are seeking stem cell treatments as an alternative to surgery.\r\n<h2>Stem Cell Treatments Regenerate Cartilage</h2>\r\nStem cell treatments have great potential due to their ability to regenerate damaged cartilage (1). Stem cell based therapy is gaining popularity as an alternative to joint replacement, especially since it has reparative effects. Due to the ethical concerns in the utilization of embryonic cells the current trend is more focused on adult stem cells for cartilage regeneration.\r\n<h2>Types of Adult Stem Cells</h2>\r\nThere are various types of stem cells being utilized which include, mesenchymal stem cells (MSCs), bone marrow-derived stem cells (BMSCs), and adipose-derived stem cells (ADSCs) for the regeneration of cartilage. Again, these are all types of adult stem cells that may be chosen for cartilage regeneration.\r\n<h2>Mesenchymal Stem Cells (MSCs) from Bone Marrow</h2>\r\nMSCs derived from bone marrow (BMSCs) are able to repair tissues such as tendons, bony defects, and cartilage (2). Plus, when placed at the injured and/or degenerated areas, such as in cases of knee and hip arthritis, these cells are able to assist in cartilage regeneration of the joint and alleviate the pain experienced by arthritis patients (3).\r\n\r\n“The versatility of mesenchymal stem cells (MSCs) as a treatment modality has landed it another repair target: osteoarthritis, a crippling cartilage disease that frequently afflicts the aged population. Through many studies, this newly discovered method has been shown to significantly alleviate the pain experienced by osteoarthritic patients.”(3)\r\n\r\nOnce aspirated (drawn out), mesenchymal stem cells (MSCs) are centrifuged in order to have a more concentrated number of stem cells to boost recovery and effectiveness (3). Since these stem cells are taken directly from the person who will receive them (autologous), the chance of cross-contamination is reduced which increases the efficacy of the therapy.\r\n\r\nStudies have shown that mesenchymal stem cells (MSCs) from bone marrow (BMSCs) can successfully regenerate injured cartilage, repair chondral defects, and improve arthritis symptoms in humans.\r\n\r\n“The capability of the mesenchymal stem cells to repair and regenerate cartilage has been widely investigated. . .Several studies have demonstrated promising results in the clinical application for repair of chondral defects as an adjuvant (during surgery in some cases) or independent procedure. Intra-articular (mesenchymal stem cells (MSCs)  provide improvements in pain and function in knee osteoarthritis at short-term follow-up in many studies.”(4)\r\n<h2>Adipose-Derived Stem Cells (ADSCs)</h2>\r\nAdipose-derived stem cells (ADSCs) are a promising source of stem cells because there is an abundance of this fat tissue. Plus, it is relatively easy to harvest and has minimal side effects. Studies also back the use of ADSCs for cartilage regeneration in the treatment of arthritis.\r\n\r\n“Among the different kinds of MSCs available, adipose-derived mesenchymal stem cells (ADSCs) are emerging due to their abundancy and easiness to harvest.”(5)\r\n\r\n“Adipose stem cells are an attractive and abundant stem cell source with therapeutic applicability in diverse fields for the repair and regeneration of acute and chronically damaged tissues.” (5)\r\n<h2>Platelet Rich Plasma (PRP) Used Along with Stem Cells</h2>\r\nPRP or platelet-rich plasma, which is taken from your own blood, is a regenerative therapy that helps to boost cartilage regeneration due to its many growth factors. These growth factors promote the growth and differentiation of the stem cells as well as boost their adherence to the cartilage lesions.\r\n<h2>Stem Cell Treatments at OrthoRegen®</h2>\r\nAt OrthoRegen®, we have been successfully using stem cells to treat arthritic joints for many years. The treatment is well-established at our clinic. This non-surgical injection procedure is an excellent alternative to conventional treatments and surgeries. The self-renewing, reparative, and regenerative abilities of stem cell treatments have rendered them an attractive option for the treatment of arthritis.\r\n\r\nAdditionally, at OrthoRegen®, we use the Gold Standard in Stem Cell Therapy. That means we use 4 different types of regenerative therapies. Many other clinics only use 1 or 2. We will use MSCs derived from bone marrow (BMSCs), adipose-derived stem cells (ADSCs) taken from fat, PRP or platelet-rich plasma drawn from your own blood, and then Dextrose Prolotherapy. All of these together give you the best chance at repair and regeneration in order to help you return to all of the activities you want to be involved in.\r\n\r\nStem cell treatments are gaining popularity because they work! Call us at 310-453-1234 and find out if you are a candidate for this treatment.\r\n<h3>References</h3>\r\n<ol>\r\n 	<li>Shapiro SA, Kazmerchak SE, Heckman MG, Zubair AC, O’Connor MI. A Prospective, Single-Blind, Placebo-Controlled Trial of Bone Marrow Aspirate Concentrate for Knee Osteoarthritis. Am J Sports Med. 2017 Jan;45(1):82-90.</li>\r\n 	<li>Gianakos AL, Sun L, Patel JN, Adams DM, Liporace FA. Clinical application of concentrated bone marrow aspirate in orthopaedics: A systematic review. World journal of orthopedics. 2017 Jun 18;8(6):491.</li>\r\n 	<li>Afizah H, Hui JH. Mesenchymal stem cell therapy for osteoarthritis. Journal of clinical orthopaedics and trauma. 2016 Sep 30;7(3):177-82</li>\r\n 	<li>Debnath UK. Mesenchymal Stem Cell Therapy in Chondral Defects of Knee: Current Concept Review. Indian Journal of Orthopaedics. 2020 Jul 27:1-9.</li>\r\n 	<li>Lindroos B, Suuronen R, Miettinen S. The potential of adipose stem cells in regenerative medicine. Stem Cell Rev Rep. 2011 Jun;7(2):269-91. doi: 10.1007/s12015-010-9193-7. PMID: 20853072.</li>\r\n</ol>','Stem Cells Are Gaining in Popularity','','inherit','closed','closed','','5522-revision-v1','','','2022-10-05 21:25:43','2022-10-05 21:25:43','',5522,'https://www.drfields.com/?p=5534',0,'revision','',0),(5535,9,'2022-10-05 21:27:22','2022-10-05 21:27:22','<h2>Stem Cell Treatments Are Gaining in Popularity</h2>\r\n[caption id=\"attachment_5533\" align=\"alignright\" width=\"455\"]<img class=\" wp-image-5533\" src=\"https://www.drfields.com/wp-content/uploads/2022/10/Arthritis.-Jnl-Clinical-OrthoTrauma-500x419.png\" alt=\"Arthritis. Jnl Clinical Ortho&amp;trauma\" width=\"455\" height=\"381\" /> <strong>                             Stem Cells Are Gaining in Popularity</strong>[/caption]\r\n\r\nThe limitations of traditional treatments for arthritis are causing many to seek alternatives for relief of their arthritis pain and symptoms. Even current surgical procedures for arthritis come up short since they are unable to reverse the damage arthritis causes on articular cartilage. Stem cell treatments, as well as other regenerative therapies, are gaining popularity because they result in repair and regeneration of the joints.\r\n<h2>What Do You Mean Conventional Treatments Have Limitations?</h2>\r\nConventional treatments for arthritis really only manage the problem. These treatments “chase the symptoms.” For example, NSAIDs and opioids may be given for the pain of arthritis. And sure, it’s helpful to get relief from the pain, but these medications do not repair the joint. As time goes on, the pain and symptoms will continue because the joint is still not repaired, and surgery will likely be recommended. But surgery comes with complications and long recovery times! In an effort to avoid this scenario, arthritis sufferers are seeking stem cell treatments as an alternative to surgery.\r\n<h2>Stem Cell Treatments Regenerate Cartilage</h2>\r\nStem cell treatments have great potential due to their ability to regenerate damaged cartilage (1). Stem cell based therapy is gaining popularity as an alternative to joint replacement, especially since it has reparative effects. Due to the ethical concerns in the utilization of embryonic cells the current trend is more focused on adult stem cells for cartilage regeneration.\r\n<h2>Types of Adult Stem Cells</h2>\r\nThere are various types of stem cells being utilized which include, mesenchymal stem cells (MSCs), bone marrow-derived stem cells (BMSCs), and adipose-derived stem cells (ADSCs) for the regeneration of cartilage. Again, these are all types of adult stem cells that may be chosen for cartilage regeneration.\r\n<h2>Mesenchymal Stem Cells (MSCs) from Bone Marrow</h2>\r\nMSCs derived from bone marrow (BMSCs) are able to repair tissues such as tendons, bony defects, and cartilage (2). Plus, when placed at the injured and/or degenerated areas, such as in cases of knee and hip arthritis, these cells are able to assist in cartilage regeneration of the joint and alleviate the pain experienced by arthritis patients (3).\r\n\r\n“The versatility of mesenchymal stem cells (MSCs) as a treatment modality has landed it another repair target: osteoarthritis, a crippling cartilage disease that frequently afflicts the aged population. Through many studies, this newly discovered method has been shown to significantly alleviate the pain experienced by osteoarthritic patients.”(3)\r\n\r\nOnce aspirated (drawn out), mesenchymal stem cells (MSCs) are centrifuged in order to have a more concentrated number of stem cells to boost recovery and effectiveness (3). Since these stem cells are taken directly from the person who will receive them (autologous), the chance of cross-contamination is reduced which increases the efficacy of the therapy.\r\n\r\nStudies have shown that mesenchymal stem cells (MSCs) from bone marrow (BMSCs) can successfully regenerate injured cartilage, repair chondral defects, and improve arthritis symptoms in humans.\r\n\r\n“The capability of the mesenchymal stem cells to repair and regenerate cartilage has been widely investigated. . .Several studies have demonstrated promising results in the clinical application for repair of chondral defects as an adjuvant (during surgery in some cases) or independent procedure. Intra-articular (mesenchymal stem cells (MSCs)  provide improvements in pain and function in knee osteoarthritis at short-term follow-up in many studies.”(4)\r\n<h2>Adipose-Derived Stem Cells (ADSCs)</h2>\r\nAdipose-derived stem cells (ADSCs) are a promising source of stem cells because there is an abundance of this fat tissue. Plus, it is relatively easy to harvest and has minimal side effects. Studies also back the use of ADSCs for cartilage regeneration in the treatment of arthritis.\r\n\r\n“Among the different kinds of MSCs available, adipose-derived mesenchymal stem cells (ADSCs) are emerging due to their abundancy and easiness to harvest.”(5)\r\n\r\n“Adipose stem cells are an attractive and abundant stem cell source with therapeutic applicability in diverse fields for the repair and regeneration of acute and chronically damaged tissues.” (5)\r\n<h2>Platelet Rich Plasma (PRP) Used Along with Stem Cells</h2>\r\nPRP or platelet-rich plasma, which is taken from your own blood, is a regenerative therapy that helps to boost cartilage regeneration due to its many growth factors. These growth factors promote the growth and differentiation of the stem cells as well as boost their adherence to the cartilage lesions.\r\n<h2>Stem Cell Treatments at OrthoRegen®</h2>\r\nAt OrthoRegen®, we have been successfully using stem cells to treat arthritic joints for many years. The treatment is well-established at our clinic. This non-surgical injection procedure is an excellent alternative to conventional treatments and surgeries. The self-renewing, reparative, and regenerative abilities of stem cell treatments have rendered them an attractive option for the treatment of arthritis.\r\n\r\nAdditionally, at OrthoRegen®, we use the Gold Standard in Stem Cell Therapy. That means we use 4 different types of regenerative therapies. Many other clinics only use 1 or 2. We will use MSCs derived from bone marrow (BMSCs), adipose-derived stem cells (ADSCs) taken from fat, PRP or platelet-rich plasma drawn from your own blood, and then Dextrose Prolotherapy. All of these together give you the best chance at repair and regeneration in order to help you return to all of the activities you want to be involved in.\r\n\r\nStem cell treatments are gaining popularity because they work! Call us at 310-453-1234 and find out if you are a candidate for this treatment.\r\n<h3>References</h3>\r\n<ol>\r\n 	<li>Shapiro SA, Kazmerchak SE, Heckman MG, Zubair AC, O’Connor MI. A Prospective, Single-Blind, Placebo-Controlled Trial of Bone Marrow Aspirate Concentrate for Knee Osteoarthritis. Am J Sports Med. 2017 Jan;45(1):82-90.</li>\r\n 	<li>Gianakos AL, Sun L, Patel JN, Adams DM, Liporace FA. Clinical application of concentrated bone marrow aspirate in orthopaedics: A systematic review. World journal of orthopedics. 2017 Jun 18;8(6):491.</li>\r\n 	<li>Afizah H, Hui JH. Mesenchymal stem cell therapy for osteoarthritis. Journal of clinical orthopaedics and trauma. 2016 Sep 30;7(3):177-82</li>\r\n 	<li>Debnath UK. Mesenchymal Stem Cell Therapy in Chondral Defects of Knee: Current Concept Review. Indian Journal of Orthopaedics. 2020 Jul 27:1-9.</li>\r\n 	<li>Lindroos B, Suuronen R, Miettinen S. The potential of adipose stem cells in regenerative medicine. Stem Cell Rev Rep. 2011 Jun;7(2):269-91. doi: 10.1007/s12015-010-9193-7. PMID: 20853072.</li>\r\n</ol>','Stem Cells Are Gaining in Popularity','','inherit','closed','closed','','5522-revision-v1','','','2022-10-05 21:27:22','2022-10-05 21:27:22','',5522,'https://www.drfields.com/?p=5535',0,'revision','',0),(5536,9,'2022-10-05 21:28:51','2022-10-05 21:28:51','<h2>Stem Cell Are Gaining in Popularity</h2>\r\n[caption id=\"attachment_5533\" align=\"alignright\" width=\"455\"]<img class=\"wp-image-5533\" src=\"https://www.drfields.com/wp-content/uploads/2022/10/Arthritis.-Jnl-Clinical-OrthoTrauma-500x419.png\" alt=\"Arthritis. Jnl Clinical Ortho&amp;trauma\" width=\"455\" height=\"381\" /> <strong>                             Stem Cells Are Gaining in Popularity</strong>[/caption]\r\n\r\nThe limitations of traditional treatments for arthritis are causing many to seek alternatives for relief of their arthritis pain and symptoms. Even current surgical procedures for arthritis come up short since they are unable to reverse the damage arthritis causes on articular cartilage. Stem cell treatments, as well as other regenerative therapies, are gaining popularity because they result in repair and regeneration of the joints.\r\n<h2>What Do You Mean Conventional Treatments Have Limitations?</h2>\r\nConventional treatments for arthritis really only manage the problem. These treatments “chase the symptoms.” For example, NSAIDs and opioids may be given for the pain of arthritis. And sure, it’s helpful to get relief from the pain, but these medications do not repair the joint. As time goes on, the pain and symptoms will continue because the joint is still not repaired, and surgery will likely be recommended. But surgery comes with complications and long recovery times! In an effort to avoid this scenario, arthritis sufferers are seeking stem cell treatments as an alternative to surgery.\r\n<h2>Stem Cells Are Gaining Popularity Because They Regenerate Cartilage</h2>\r\nStem cell treatments have great potential due to their ability to regenerate damaged cartilage (1). Stem cell based therapy is gaining popularity as an alternative to joint replacement, especially since it has reparative effects. Due to the ethical concerns in the utilization of embryonic cells the current trend is more focused on adult stem cells for cartilage regeneration.\r\n<h2>Types of Adult Stem Cells</h2>\r\nThere are various types of stem cells being utilized which include, mesenchymal stem cells (MSCs), bone marrow-derived stem cells (BMSCs), and adipose-derived stem cells (ADSCs) for the regeneration of cartilage. Again, these are all types of adult stem cells that may be chosen for cartilage regeneration.\r\n<h2>Mesenchymal Stem Cells (MSCs) from Bone Marrow</h2>\r\nMSCs derived from bone marrow (BMSCs) are able to repair tissues such as tendons, bony defects, and cartilage (2). Plus, when placed at the injured and/or degenerated areas, such as in cases of knee and hip arthritis, these cells are able to assist in cartilage regeneration of the joint and alleviate the pain experienced by arthritis patients (3).\r\n\r\n“The versatility of mesenchymal stem cells (MSCs) as a treatment modality has landed it another repair target: osteoarthritis, a crippling cartilage disease that frequently afflicts the aged population. Through many studies, this newly discovered method has been shown to significantly alleviate the pain experienced by osteoarthritic patients.”(3)\r\n\r\nOnce aspirated (drawn out), mesenchymal stem cells (MSCs) are centrifuged in order to have a more concentrated number of stem cells to boost recovery and effectiveness (3). Since these stem cells are taken directly from the person who will receive them (autologous), the chance of cross-contamination is reduced which increases the efficacy of the therapy.\r\n\r\nStudies have shown that mesenchymal stem cells (MSCs) from bone marrow (BMSCs) can successfully regenerate injured cartilage, repair chondral defects, and improve arthritis symptoms in humans.\r\n\r\n“The capability of the mesenchymal stem cells to repair and regenerate cartilage has been widely investigated. . .Several studies have demonstrated promising results in the clinical application for repair of chondral defects as an adjuvant (during surgery in some cases) or independent procedure. Intra-articular (mesenchymal stem cells (MSCs)  provide improvements in pain and function in knee osteoarthritis at short-term follow-up in many studies.”(4)\r\n<h2>Adipose-Derived Stem Cells (ADSCs)</h2>\r\nAdipose-derived stem cells (ADSCs) are a promising source of stem cells because there is an abundance of this fat tissue. Plus, it is relatively easy to harvest and has minimal side effects. Studies also back the use of ADSCs for cartilage regeneration in the treatment of arthritis.\r\n\r\n“Among the different kinds of MSCs available, adipose-derived mesenchymal stem cells (ADSCs) are emerging due to their abundancy and easiness to harvest.”(5)\r\n\r\n“Adipose stem cells are an attractive and abundant stem cell source with therapeutic applicability in diverse fields for the repair and regeneration of acute and chronically damaged tissues.” (5)\r\n<h2>Platelet Rich Plasma (PRP) Used Along with Stem Cells</h2>\r\nPRP or platelet-rich plasma, which is taken from your own blood, is a regenerative therapy that helps to boost cartilage regeneration due to its many growth factors. These growth factors promote the growth and differentiation of the stem cells as well as boost their adherence to the cartilage lesions.\r\n<h2>Stem Cell Treatments at OrthoRegen®</h2>\r\nAt OrthoRegen®, we have been successfully using stem cells to treat arthritic joints for many years. The treatment is well-established at our clinic. This non-surgical injection procedure is an excellent alternative to conventional treatments and surgeries. The self-renewing, reparative, and regenerative abilities of stem cell treatments have rendered them an attractive option for the treatment of arthritis.\r\n\r\nAdditionally, at OrthoRegen®, we use the Gold Standard in Stem Cell Therapy. That means we use 4 different types of regenerative therapies. Many other clinics only use 1 or 2. We will use MSCs derived from bone marrow (BMSCs), adipose-derived stem cells (ADSCs) taken from fat, PRP or platelet-rich plasma drawn from your own blood, and then Dextrose Prolotherapy. All of these together give you the best chance at repair and regeneration in order to help you return to all of the activities you want to be involved in.\r\n\r\nStem cell treatments are gaining popularity because they work! Call us at 310-453-1234 and find out if you are a candidate for this treatment.\r\n<h3>References</h3>\r\n<ol>\r\n 	<li>Shapiro SA, Kazmerchak SE, Heckman MG, Zubair AC, O’Connor MI. A Prospective, Single-Blind, Placebo-Controlled Trial of Bone Marrow Aspirate Concentrate for Knee Osteoarthritis. Am J Sports Med. 2017 Jan;45(1):82-90.</li>\r\n 	<li>Gianakos AL, Sun L, Patel JN, Adams DM, Liporace FA. Clinical application of concentrated bone marrow aspirate in orthopaedics: A systematic review. World journal of orthopedics. 2017 Jun 18;8(6):491.</li>\r\n 	<li>Afizah H, Hui JH. Mesenchymal stem cell therapy for osteoarthritis. Journal of clinical orthopaedics and trauma. 2016 Sep 30;7(3):177-82</li>\r\n 	<li>Debnath UK. Mesenchymal Stem Cell Therapy in Chondral Defects of Knee: Current Concept Review. Indian Journal of Orthopaedics. 2020 Jul 27:1-9.</li>\r\n 	<li>Lindroos B, Suuronen R, Miettinen S. The potential of adipose stem cells in regenerative medicine. Stem Cell Rev Rep. 2011 Jun;7(2):269-91. doi: 10.1007/s12015-010-9193-7. PMID: 20853072.</li>\r\n</ol>','Stem Cells Are Gaining in Popularity','','inherit','closed','closed','','5522-revision-v1','','','2022-10-05 21:28:51','2022-10-05 21:28:51','',5522,'https://www.drfields.com/?p=5536',0,'revision','',0),(5537,9,'2022-10-05 21:30:05','2022-10-05 21:30:05','<h2>Stem Cell Are Gaining in Popularity</h2>\r\n[caption id=\"attachment_5533\" align=\"alignright\" width=\"455\"]<img class=\"wp-image-5533\" src=\"https://www.drfields.com/wp-content/uploads/2022/10/Arthritis.-Jnl-Clinical-OrthoTrauma-500x419.png\" alt=\"Arthritis. Jnl Clinical Ortho&amp;trauma\" width=\"455\" height=\"381\" /> <strong>                             Stem Cells Are Gaining in Popularity</strong>[/caption]\r\n\r\nThe limitations of traditional treatments for arthritis are causing many to seek alternatives for relief of their arthritis pain and symptoms. Even current surgical procedures for arthritis come up short since they are unable to reverse the damage arthritis causes on articular cartilage. Stem cell treatments, as well as other regenerative therapies, are gaining popularity because they result in repair and regeneration of the joints.\r\n<h2>What Do You Mean Conventional Treatments Have Limitations?</h2>\r\nConventional treatments for arthritis really only manage the problem. These treatments “chase the symptoms.” For example, NSAIDs and opioids may be given for the pain of arthritis. And sure, it’s helpful to get relief from the pain, but these medications do not repair the joint. As time goes on, the pain and symptoms will continue because the joint is still not repaired, and surgery will likely be recommended. But surgery comes with complications and long recovery times! In an effort to avoid this scenario, arthritis sufferers are seeking stem cell treatments as an alternative to surgery.\r\n<h2>Stem Cells Are Gaining Popularity Because They Regenerate Cartilage</h2>\r\nStem cell treatments have great potential due to their ability to regenerate damaged cartilage (1). Stem cell based therapy is gaining popularity as an alternative to joint replacement, especially since it has reparative effects. Due to the ethical concerns in the utilization of embryonic cells the current trend is more focused on adult stem cells for cartilage regeneration.\r\n<h2>Types of Adult Stem Cells</h2>\r\nThere are various types of stem cells being utilized which include, mesenchymal stem cells (MSCs), bone marrow-derived stem cells (BMSCs), and adipose-derived stem cells (ADSCs) for the regeneration of cartilage. Again, these are all types of adult stem cells that may be chosen for cartilage regeneration.\r\n<h2>Mesenchymal Stem Cells (MSCs) from Bone Marrow</h2>\r\nMSCs derived from bone marrow (BMSCs) are able to repair tissues such as tendons, bony defects, and cartilage (2). Plus, when placed at the injured and/or degenerated areas, such as in cases of knee and hip arthritis, these cells are able to assist in cartilage regeneration of the joint and alleviate the pain experienced by arthritis patients (3).\r\n\r\n“The versatility of mesenchymal stem cells (MSCs) as a treatment modality has landed it another repair target: osteoarthritis, a crippling cartilage disease that frequently afflicts the aged population. Through many studies, this newly discovered method has been shown to significantly alleviate the pain experienced by osteoarthritic patients.”(3)\r\n\r\nOnce aspirated (drawn out), mesenchymal stem cells (MSCs) are centrifuged in order to have a more concentrated number of stem cells to boost recovery and effectiveness (3). Since these stem cells are taken directly from the person who will receive them (autologous), the chance of cross-contamination is reduced which increases the efficacy of the therapy.\r\n\r\nStudies have shown that mesenchymal stem cells (MSCs) from bone marrow (BMSCs) can successfully regenerate injured cartilage, repair chondral defects, and improve arthritis symptoms in humans.\r\n\r\n“The capability of the mesenchymal stem cells to repair and regenerate cartilage has been widely investigated. . .Several studies have demonstrated promising results in the clinical application for repair of chondral defects as an adjuvant (during surgery in some cases) or independent procedure. Intra-articular (mesenchymal stem cells (MSCs)  provide improvements in pain and function in knee osteoarthritis at short-term follow-up in many studies.”(4)\r\n<h2>Adipose-Derived Stem Cells (ADSCs)</h2>\r\nAdipose-derived stem cells (ADSCs) are a promising source of stem cells because there is an abundance of this fat tissue. Plus, it is relatively easy to harvest and has minimal side effects. Studies also back the use of ADSCs for cartilage regeneration in the treatment of arthritis.\r\n\r\n“Among the different kinds of MSCs available, adipose-derived mesenchymal stem cells (ADSCs) are emerging due to their abundancy and easiness to harvest.”(5)\r\n\r\n“Adipose stem cells are an attractive and abundant stem cell source with therapeutic applicability in diverse fields for the repair and regeneration of acute and chronically damaged tissues.” (5)\r\n<h2>Platelet Rich Plasma (PRP) Used Along with Stem Cells</h2>\r\nPRP or platelet-rich plasma, which is taken from your own blood, is a regenerative therapy that helps to boost cartilage regeneration due to its many growth factors. These growth factors promote the growth and differentiation of the stem cells as well as boost their adherence to the cartilage lesions.\r\n<h2>Stem Cells Are Gaining Popularity and Are Available at OrthoRegen®</h2>\r\nAt OrthoRegen®, we have been successfully using stem cells to treat arthritic joints for many years. The treatment is well-established at our clinic. This non-surgical injection procedure is an excellent alternative to conventional treatments and surgeries. The self-renewing, reparative, and regenerative abilities of stem cell treatments have rendered them an attractive option for the treatment of arthritis.\r\n\r\nAdditionally, at OrthoRegen®, we use the Gold Standard in Stem Cell Therapy. That means we use 4 different types of regenerative therapies. Many other clinics only use 1 or 2. We will use MSCs derived from bone marrow (BMSCs), adipose-derived stem cells (ADSCs) taken from fat, PRP or platelet-rich plasma drawn from your own blood, and then Dextrose Prolotherapy. All of these together give you the best chance at repair and regeneration in order to help you return to all of the activities you want to be involved in.\r\n\r\nStem cell treatments are gaining popularity because they work! Call us at 310-453-1234 and find out if you are a candidate for this treatment.\r\n<h3>References</h3>\r\n<ol>\r\n 	<li>Shapiro SA, Kazmerchak SE, Heckman MG, Zubair AC, O’Connor MI. A Prospective, Single-Blind, Placebo-Controlled Trial of Bone Marrow Aspirate Concentrate for Knee Osteoarthritis. Am J Sports Med. 2017 Jan;45(1):82-90.</li>\r\n 	<li>Gianakos AL, Sun L, Patel JN, Adams DM, Liporace FA. Clinical application of concentrated bone marrow aspirate in orthopaedics: A systematic review. World journal of orthopedics. 2017 Jun 18;8(6):491.</li>\r\n 	<li>Afizah H, Hui JH. Mesenchymal stem cell therapy for osteoarthritis. Journal of clinical orthopaedics and trauma. 2016 Sep 30;7(3):177-82</li>\r\n 	<li>Debnath UK. Mesenchymal Stem Cell Therapy in Chondral Defects of Knee: Current Concept Review. Indian Journal of Orthopaedics. 2020 Jul 27:1-9.</li>\r\n 	<li>Lindroos B, Suuronen R, Miettinen S. The potential of adipose stem cells in regenerative medicine. Stem Cell Rev Rep. 2011 Jun;7(2):269-91. doi: 10.1007/s12015-010-9193-7. PMID: 20853072.</li>\r\n</ol>','Stem Cells Are Gaining in Popularity','','inherit','closed','closed','','5522-revision-v1','','','2022-10-05 21:30:05','2022-10-05 21:30:05','',5522,'https://www.drfields.com/?p=5537',0,'revision','',0),