(5710,9,'2023-03-10 17:28:30','2023-03-10 17:28:30','<img class=\"wp-image-5705 alignright\" src=\"https://www.drfields.com/wp-content/uploads/2023/02/Back-Pain-Treatment-500x419.png\" alt=\"Back Pain Treatment\" width=\"300\" height=\"251\" />\r\n<h2>Back Pain Treatment</h2>\r\n<p lang=\"en-US\" align=\"LEFT\"><span lang=\"en-US\">Looking for a back pain treatment to finally give you the relief you are seeking? It\'s not unusual for back pain sufferers to spend years trying to find relief. Relief may be experienced after massage, manipulations, or heating pads. Or over-the-counter or prescription pain medications may provide some help. But when back pain continues even after trying these and other conservative treatments, it is most likely because the actual problem is not being addressed. </span></p>\r\n\r\n<h2 lang=\"en-US\" align=\"LEFT\"><span lang=\"en-US\">What Is the Underlying Problem That Needs to Be Addressed?</span></h2>\r\n<p lang=\"en-US\" align=\"LEFT\"><span lang=\"en-US\">If the underlying problem is more than muscular pain, the back pain sufferer may be dealing with instability due to ligament injury. But what does instability have to do with anything? When injury occurs to the back, very often the ligaments that hold the spine in place get injured as well. Once injury to the ligaments takes place, they may become weaker. Weak ligaments will allow for more movement of the vertebrae. Then, when a person bends and twists, instability from weak ligaments makes the back more prone to further injury.</span></p>\r\n<p lang=\"en-US\" align=\"LEFT\"><span lang=\"en-US\">Weakness and instability of the back due to ligament weakness can become a chronic problem. The result? Back pain that comes and goes. Or back pain that just won\'t go away. </span></p>\r\n<p lang=\"en-US\" align=\"LEFT\"><span lang=\"en-US\">Back pain is a major challenge for clinicians because they are accustomed to managing the pain with medication, but the benefits of pharmacological management are just not there, and their use is not justified. The </span><span lang=\"en-US\">Journal of Orthopaedic Surgery and Research</span><span lang=\"en-US\"> says, \"The benefits are just not there to justify the routine prolonged use of any given drug in nonspecific chronic low back pain: this is a major challenge, and it is often hard to accept for clinicians and patients . . . </span>”<span lang=\"en-US\">(1)</span></p>\r\n<p lang=\"en-US\" align=\"LEFT\"><span lang=\"en-US\">And according to the </span><span lang=\"en-US\">Journal of Osteopathic Medicine</span><span lang=\"en-US\">, long-term opioid use for back pain only makes patients worse. (2)</span></p>\r\n\r\n<h2 lang=\"en-US\" align=\"LEFT\"><span lang=\"en-US\">What About Manipulation as a Back Pain Treatment?</span></h2>\r\n<p lang=\"en-US\" align=\"LEFT\"><span lang=\"en-US\">Chiropractic manipulation is a great treatment tool for back pain and one that is oftentimes very effective. But when pain persists and does not resolve after these treatments, ligament injury should be investigated, because many back conditions have underlying ligament involvement or ligament instability.</span></p>\r\n\r\n<h2 lang=\"en-US\" align=\"LEFT\"><span lang=\"en-US\">Explaining Spinal Instability</span></h2>\r\n<p lang=\"en-US\" align=\"LEFT\"><span lang=\"en-US\">Spinal instability is a problem when the stabilizing structures of the spine, such as the ligaments, are no longer able to hold the adjacent bones together. Abnormal motion of the spine is transpiring as a result. Oftentimes, problems with instability will arise after a patient overdoes an activity or exercise. Again, the most common cause of unresolved back pain is spinal instability.</span></p>\r\n\r\n<h2 lang=\"en-US\" align=\"LEFT\"><span lang=\"en-US\">Regenerative Orthopedics Is An Effective Back Pain Treatment</span></h2>\r\n<p align=\"LEFT\"><span lang=\"en-US\">What\'s the best treatment for spinal instability? Regenerative Orthopedics, like Prolotherapy, PRP, and Stem Cells. In fact, simple Dextrose Prolotherapy is a great tool to treat instability because it strengthens the vertebral ligaments and prevents further</span><span lang=\"it-IT\"> degeneration. </span></p>\r\n<p align=\"LEFT\"><span lang=\"en-US\">A patient with chronic low back pain can be treated with Prolotherapy injections into the various</span><span lang=\"pt-PT\"> ligaments</span><span lang=\"en-US\"> that have become weakened by injury, and the treatment can repair the injury.</span></p>\r\n<p align=\"LEFT\"><span lang=\"en-US\">A paper published in the </span><span lang=\"en-US\">Journal of Prolotherapy</span> <span lang=\"en-US\">says, </span>“<span lang=\"en-US\">In comparison to other soft tissues, ligaments have less vascularity. Once injured or degenerated, this lack of blood supply may delay healing. Prolotherapy may offer the stimulus for ligament regeneration.</span>”(3)</p>\r\n<p align=\"LEFT\"><span lang=\"en-US\">And the </span><span lang=\"en-US\">Journal of Back and Musculoskeletal Rehabilitation says,</span> “<span lang=\"en-US\">Prolotherapy can be regarded as a safe way of providing a meaningful improvement in pain and musculoskeletal function compared to the initial status.\" (4)</span></p>\r\n<p align=\"LEFT\"><span lang=\"en-US\">When the spine is stable and able to maintain alignment during activity it can protect the structures and not elicit pain. A stable spine means the bones, muscles, discs, and ligaments work collectively to maintain the alignment of the spinal column. But once stability is lost, spinal instability and pain can result</span>.<span lang=\"en-US\"> When this occurs, Regenerative Orthopedics are great non-surgical options</span> <span lang=\"en-US\">to give relief and provide repair for those suffering from back pain and associated conditions related to spinal instability. Regenerative treatment of injured ligaments has the potential and ability to strengthen the spine and relieve back pain.</span></p>\r\n<p lang=\"en-US\" align=\"LEFT\"><strong><span lang=\"en-US\">References</span></strong></p>\r\n<p align=\"LEFT\"><span lang=\"en-US\">(1)Migliorini F, Maffulli N. Choosing the appropriate pharmacotherapy for nonspecific chronic low back pain. Journal of Orthopaedic Surgery and Research. 2022 Dec;17(1):1-3. </span></p>\r\n<p align=\"LEFT\"><span lang=\"en-US\">(2) Schultz MJ, Licciardone JC. The effect of long-term opioid use on back-specific disability and health-related quality of life in patients with chronic low back pain. Journal of Osteopathic Medicine. 2022 Aug 11. </span></p>\r\n<p align=\"LEFT\"><span lang=\"en-US\">(3)Ferraro MC, Bagg MK, Wewege MA, Cashin AG, Leake HB, Rizzo RR, Jones MD, Gustin SM, Day R, Loo CK, McAuley JH. Efficacy, acceptability, and safety of antidepressants for low back pain: a systematic review and meta-analysis. Systematic reviews. 2021 Dec;10(1):1-3.</span></p>\r\n<p align=\"LEFT\"><span lang=\"en-US\">(4)Solmaz I, Orscelik A, Koroglu O. Modified prolotherapy by 5% dextrose: Two years experiences of a traditional and complementary medicine practice center in Turkey. Journal of Back and Musculoskeletal Rehabilitation. 2021(Preprint):1-8. </span></p>','Back Pain Treatment','','inherit','closed','closed','','5704-revision-v1','','','2023-03-10 17:28:30','2023-03-10 17:28:30','',5704,'https://www.drfields.com/?p=5710',0,'revision','',0),(5711,9,'2023-03-10 17:32:54','2023-03-10 17:32:54','<img class=\"wp-image-5705 alignright\" src=\"https://www.drfields.com/wp-content/uploads/2023/02/Back-Pain-Treatment-500x419.png\" alt=\"Back Pain Treatment\" width=\"300\" height=\"251\" />\r\n<h2>Back Pain Treatment</h2>\r\n<p lang=\"en-US\" align=\"LEFT\"><span lang=\"en-US\">Looking for a back pain treatment to finally give you the relief you are seeking? It\'s not unusual for back pain sufferers to spend years trying to find relief. Relief may be experienced after massage, manipulations, or heating pads. Or over-the-counter or prescription pain medications may provide some help. But when back pain continues even after trying these and other conservative treatments, it is most likely because the actual problem is not being addressed. </span></p>\r\n\r\n<h2 lang=\"en-US\" align=\"LEFT\"><span lang=\"en-US\">What Is the Underlying Problem That Needs to Be Addressed?</span></h2>\r\n<p lang=\"en-US\" align=\"LEFT\"><span lang=\"en-US\">If the underlying problem is more than muscular pain, the back pain sufferer may be dealing with instability due to ligament injury. But what does instability have to do with anything? When the injury occurs to the back, very often the ligaments that hold the spine in place get injured as well. Once injury to the ligaments takes place, they may become weaker. Weak ligaments will allow for more movement of the vertebrae. Then, when a person bends and twists, instability from weak ligaments makes the back more prone to further injury.</span></p>\r\n<p lang=\"en-US\" align=\"LEFT\"><span lang=\"en-US\">Weakness and instability of the back due to ligament weakness can become a chronic problem. The result? Back pain that comes and goes. Or back pain that just won\'t go away. </span></p>\r\n<p lang=\"en-US\" align=\"LEFT\"><span lang=\"en-US\">Back pain is a major challenge for clinicians because they are accustomed to managing the pain with medication, but the benefits of pharmacological management are just not there, and their use is not justified. The </span><span lang=\"en-US\">Journal of Orthopaedic Surgery and Research</span><span lang=\"en-US\"> says, \"The benefits are just not there to justify the routine prolonged use of any given drug in nonspecific chronic low back pain: this is a major challenge, and it is often hard to accept for clinicians and patients . . . </span>”<span lang=\"en-US\">(1)</span></p>\r\n<p lang=\"en-US\" align=\"LEFT\"><span lang=\"en-US\">And according to the </span><span lang=\"en-US\">Journal of Osteopathic Medicine</span><span lang=\"en-US\">, long-term opioid use for back pain only worsens patients. (2)</span></p>\r\n\r\n<h2 lang=\"en-US\" align=\"LEFT\"><span lang=\"en-US\">What About Manipulation as a Back Pain Treatment?</span></h2>\r\n<p lang=\"en-US\" align=\"LEFT\"><span lang=\"en-US\">Chiropractic manipulation is a great treatment tool for back pain and is often very effective. But when pain persists and does not resolve after these treatments, ligament injury should be investigated because many back conditions have underlying ligament involvement or ligament instability.</span></p>\r\n\r\n<h2 lang=\"en-US\" align=\"LEFT\"><span lang=\"en-US\">Explaining Spinal Instability</span></h2>\r\n<p lang=\"en-US\" align=\"LEFT\"><span lang=\"en-US\">Spinal instability is a problem when the stabilizing structures of the spine, such as the ligaments, are no longer able to hold the adjacent bones together. Abnormal motion of the spine is transpiring as a result. Oftentimes, problems with instability will arise after a patient overdoes on an activity or exercise. Again, the most common cause of unresolved back pain is spinal instability.</span></p>\r\n\r\n<h2 lang=\"en-US\" align=\"LEFT\"><span lang=\"en-US\">Regenerative Orthopedics Is An Effective Back Pain Treatment</span></h2>\r\n<p align=\"LEFT\"><span lang=\"en-US\">What\'s the best treatment for spinal instability? Regenerative Orthopedics, like Prolotherapy, PRP, and Stem Cells. In fact, simple Dextrose Prolotherapy is a great tool to treat instability because it strengthens the vertebral ligaments and prevents further</span><span lang=\"it-IT\"> degeneration. </span></p>\r\n<p align=\"LEFT\"><span lang=\"en-US\">A patient with chronic low back pain can be treated with Prolotherapy injections into the various</span><span lang=\"pt-PT\"> ligaments</span><span lang=\"en-US\"> that have become weakened by injury, and the treatment can repair the injury.</span></p>\r\n<p align=\"LEFT\"><span lang=\"en-US\">A paper published in the </span><span lang=\"en-US\">Journal of Prolotherapy</span> <span lang=\"en-US\">says, </span>“<span lang=\"en-US\">In comparison to other soft tissues, ligaments have less vascularity. Once injured or degenerated, this lack of blood supply may delay healing. Prolotherapy may offer the stimulus for ligament regeneration.</span>”(3)</p>\r\n<p align=\"LEFT\"><span lang=\"en-US\">And the </span><span lang=\"en-US\">Journal of Back and Musculoskeletal Rehabilitation says,</span> “<span lang=\"en-US\">Prolotherapy can be regarded as a safe way of providing a meaningful improvement in pain and musculoskeletal function compared to the initial status.\" (4)</span></p>\r\n<p align=\"LEFT\"><span lang=\"en-US\">When the spine is stable and able to maintain alignment during activity, it can protect the structures and not elicit pain. A stable spine means the bones, muscles, discs, and ligaments work collectively to maintain the alignment of the spinal column. But once stability is lost, spinal instability and pain can result</span>.<span lang=\"en-US\"> When this occurs, Regenerative Orthopedics are great non-surgical options</span> <span lang=\"en-US\">to give relief and provide repair for those suffering from back pain and associated conditions related to spinal instability. Regenerative treatment of injured ligaments has the potential and ability to strengthen the spine and relieve back pain.</span></p>\r\n\r\n<h3 lang=\"en-US\" align=\"LEFT\"><strong><span lang=\"en-US\">References</span></strong></h3>\r\n<p align=\"LEFT\"><span lang=\"en-US\">(1)Migliorini F, Maffulli N. Choosing the appropriate pharmacotherapy for nonspecific chronic low back pain. Journal of Orthopaedic Surgery and Research. 2022 Dec;17(1):1-3. </span></p>\r\n<p align=\"LEFT\"><span lang=\"en-US\">(2) Schultz MJ, Licciardone JC. The effect of long-term opioid use on back-specific disability and health-related quality of life in patients with chronic low back pain. Journal of Osteopathic Medicine. 2022 Aug 11. </span></p>\r\n<p align=\"LEFT\"><span lang=\"en-US\">(3)Ferraro MC, Bagg MK, Wewege MA, Cashin AG, Leake HB, Rizzo RR, Jones MD, Gustin SM, Day R, Loo CK, McAuley JH. Efficacy, acceptability, and safety of antidepressants for low back pain: a systematic review and meta-analysis. Systematic reviews. 2021 Dec;10(1):1-3.</span></p>\r\n<p align=\"LEFT\"><span lang=\"en-US\">(4)Solmaz I, Orscelik A, Koroglu O. Modified prolotherapy by 5% dextrose: Two years experiences of a traditional and complementary medicine practice center in Turkey. Journal of Back and Musculoskeletal Rehabilitation. 2021(Preprint):1-8. </span></p>','Back Pain Treatment','','inherit','closed','closed','','5704-revision-v1','','','2023-03-10 17:32:54','2023-03-10 17:32:54','',5704,'https://www.drfields.com/?p=5711',0,'revision','',0),(5712,9,'2023-03-10 17:34:38','2023-03-10 17:34:38','<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>\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','','','2023-03-10 17:34:38','2023-03-10 17:34:38','',5500,'https://www.drfields.com/?p=5712',0,'revision','',0),(5713,9,'2023-03-10 17:36:53','2023-03-10 17:36:53','<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','','inherit','closed','closed','','5500-revision-v1','','','2023-03-10 17:36:53','2023-03-10 17:36:53','',5500,'https://www.drfields.com/?p=5713',0,'revision','',0),(5715,8,'2023-03-10 06:00:19','2023-03-10 06:00:19','<h2><img class=\"wp-image-5716 alignright\" title=\"Arthritis Knee Treatment\" src=\"https://www.drfields.com/wp-content/uploads/2023/03/Prolotherapy-Knee-Arthritis-1-500x419.png\" alt=\"Arthritis Knee Treatment\" width=\"300\" height=\"251\" />Arthritis Knee Treatment</h2>\r\nKnee arthritis can put a damper on doing the activities you love. When the degeneration of arthritis interferes with your life, there is an arthritis knee treatment that can get you back to doing what you love. Regenerative Orthopedics are treatments that can repair the arthritic knee without surgery.\r\n\r\nIf you have knee arthritis, you most likely have already tried over-the-counter medications to help with the symptoms. You may even be bracing. Or you\'ve received cortisone injections to relieve the pain and swelling.\r\n\r\nYour physician may have even recommended surgery. You may have already had surgery! But unfortunately, even after all of these treatments, you continue to experience symptoms that are interfering with your life.\r\n\r\nWhat can you do now that you\'ve tried all kinds of treatments that you thought would help but didn\'t? The good news is, Regenerative Orthopedics is a treatment that can repair the knee and boost function and mobility. Plus, it\'s non-surgical!\r\n<h2>Regenerative Orthopedics, Includes Prolotherapy, PRP, and Stem Cells</h2>\r\nProlotherapy, PRP, and Stem Cells are all arthritis knee treatments. The journal Orthopedic Reviews says this about Prolotherapy: “Numerous clinical trials show significant improvement of osteoarthritic pain of the knee without any significant side effects reported following the use of prolotherapy. Although there is heterogeneity between studies concerning study variables, the results consistently show significant improvement in radiographic outcomes, pain scores, and quality of life with prolotherapy treatment.\" (1)\r\n\r\nAnd the journal Clinical Rehabilitation says, \"Compared with placebo injection and noninvasive control therapy, dextrose Prolotherapy had favorable effects on pain, global function, and quality of life during the overall follow-up.\"(2)\r\n\r\nAnother study from Taiwan concluded, \"In this study, after receiving hypertonic dextrose prolotherapy, the osteoarthritis patients clearly demonstrated a significant improvement in WOMAC index and increasing tendency in the medial minimum joint space width after intervention. (3)\r\n\r\nProlotherapy is not a new treatment. It\'s been around for decades. As a non-surgical regenerative injection therapy, Prolotherapy treats joints, ligaments, and other joint structures and promotes the repair of these tissues. It is simple yet highly effective! Arthritis is a degenerative disease that progressively destroys the knee joint. Prolotherapy is an answer for many because this arthritis knee treatment repairs and regenerates the knee.\r\n<h2>Arthritis Knee Treatment for More Severe Arthritis</h2>\r\nIn cases where arthritis in the knee is more severe, PRP and Stem Cells may be recommended. Fortunately, at OrthoRegen®, we have years of experience using the Gold Standard in Stem Cells to repair arthritic knees.\r\n\r\nOrthoRegen® offers stem cell therapy utilizing mesenchymal stem cells from bone marrow and adipose. The Gold Standard in Stem Cell Therapy includes two types of Stem Cells, plus PRP to augment the stem cells and Prolotherapy to treat the entire knee comprehensively. The Gold Standard offers the best opportunity for healing the knee. These non-surgical regenerative treatments stimulate natural healing repair in the knee and rebuild the injured tissue. (4)\r\n\r\nOur clinicians will recommend the best regenerative therapy for your particular case to strengthen, stabilize and repair your knee.\r\n\r\nRegenerative Orthopedics, such as Platelet Rich Plasma, Stem Cells, and Prolotherapy, stimulate tendon, ligament, and cartilage repair. These treatments are non-surgical, in-office procedures that are much less invasive than surgery and, therefore, require minimal downtown. These therapies are safe and conservative arthritis knee treatments to help relieve the disabling symptoms of knee arthritis.\r\n<h3>References</h3>\r\n(1) Zhao AT, Caballero CJ, Nguyen LT, Vienne HC, Lee C, Kaye AD. A Comprehensive Update of Prolotherapy in the Management of Osteoarthritis of the Knee. Orthopedic Reviews. 2022 May 31;14(4):33921.\r\n\r\n(2) Chen YW, Lin YN, Chen HC, Liou TH, Liao CD, Huang SW. Effectiveness, Compliance, and Safety of Dextrose Prolotherapy for Knee Osteoarthritis: A Meta-Analysis and Metaregression of Randomized Controlled Trials. Clinical Rehabilitation. 2022 Jun;36(6):740-52.\r\n\r\n(3) Pan PJ, Wang JC, Tsai CC, Kuo HC. Identification of early response to hypertonic dextrose prolotherapy markers in knee osteoarthritis patients by an inflammation-related cytokine array. J Chin Med Assoc. 2022 Jan 11. doi: 10.1097/JCMA.0000000000000693. Epub ahead of print. PMID: 35019866.\r\n\r\n(4) Hauser RA, Orlofsky A. Regenerative injection therapy with whole bone marrow aspirate for degenerative joint disease: a case series. Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders. 2013 Jan;6:CMAMD-S10951','Arthritis Knee Treatment','','publish','closed','open','','arthritis-knee-treatment','','','2023-03-15 19:20:57','2023-03-15 19:20:57','',0,'https://www.drfields.com/?p=5715',0,'post','',0),(5716,8,'2023-03-13 04:06:43','2023-03-13 04:06:43','Prolotherapy Knee Arthritis (1)','Prolotherapy Knee Arthritis (1)','Prolotherapy Knee Arthritis (1)','inherit','closed','closed','','prolotherapy-knee-arthritis-1','','','2023-03-13 04:06:43','2023-03-13 04:06:43','',5715,'https://www.drfields.com/wp-content/uploads/2023/03/Prolotherapy-Knee-Arthritis-1.png',0,'attachment','image/png',0),(5717,8,'2023-03-13 04:08:17','2023-03-13 04:08:17','<img class=\"wp-image-5716 alignright\" title=\"Arthritis Knee Treatment\" src=\"https://www.drfields.com/wp-content/uploads/2023/03/Prolotherapy-Knee-Arthritis-1-500x419.png\" alt=\"Arthritis Knee Treatment\" width=\"300\" height=\"251\" />Knee arthritis can really put a damper on doing the activities you love. When the degeneration of arthritis interferes with your life, there is an arthritis knee treatment that can get you back to doing what you love. Regenerative Orthopedics are treatments that can repair the arthritic knee without surgery.\r\n\r\nIf you have knee arthritis, you most likely have already tried over-the-counter medications to help with the symptoms. You may even be bracing. Or you\'ve received cortisone injections to give relief from the pain and swelling.\r\n\r\nYour physician may have even recommended surgery. You may have already had surgery! But unfortunately, even after all of these treatments, you continue to experience symptoms that are interfering with your life.\r\n\r\nWhat can you do now that you\'ve tried all kinds of treatments that you thought would help but didn\'t? The good news is, Regenerative Orthopedics is a treatment that can repair the knee and boost function and mobility. Plus, it\'s non-surgical!\r\n<h2>Regenerative Orthopedics, Includes Prolotherapy, PRP, and Stem Cells</h2>\r\nProlotherapy, PRP, and Stem Cells are all arthritis knee treatments. The journal Orthopedic Reviews says this about Prolotherapy: “Numerous clinical trials show significant improvement of osteoarthritic pain of the knee without any significant side effects reported following the use of prolotherapy. Although there is heterogeneity between studies with regard to study variables, the results consistently show significant improvement in radiographic outcomes, pain scores, and quality of life with prolotherapy treatment.\" (1)\r\n\r\nAnd the journal Clinical Rehabilitation says, \"Compared with placebo injection and noninvasive control therapy, dextrose Prolotherapy had favorable effects on pain, global function, and quality of life during the overall follow-up.\"(2)\r\n\r\nAnother study from Taiwan concluded, \"In this study, after receiving hypertonic dextrose prolotherapy, the osteoarthritis patients clearly demonstrated a significant improvement in WOMAC index and increasing tendency in the medial minimum joint space width after intervention. (3)\r\n\r\nProlotherapy is not a new treatment. It\'s been around for decades. As a non-surgical regenerative injection therapy, Prolotherapy treats joints, ligaments, and other joint structures and promotes repair of these tissues. It is simple, yet extremely effective! Arthritis is a degenerative disease that progressively destroys the knee joint. Prolotherapy is an answer for many because this arthritis knee treatment repairs and regenerates the knee.\r\n<h2>Arthritis Knee Treatment for More Severe Arthritis</h2>\r\nIn cases where the arthritis in the knee is more severe, PRP and Stem Cells may be recommended. Fortunately, at OrthoRegen®, we have years of experience using the Gold Standard in Stem Cells for the repair of arthritic knees.\r\n\r\nOrthoRegen® offers stem cell therapy utilizing mesenchymal stem cells from bone marrow and adipose. The Gold Standard in Stem Cell Therapy includes two types of Stem Cells, plus PRP to augment the stem cells, and Prolotherapy to comprehensively treat the entire knee. The Gold Standard offers the best opportunity for healing of the knee. These non-surgical regenerative treatments stimulate natural healing repair in the knee and rebuild the injured tissue. (4)\r\n\r\nOur clinicians will recommend the best regenerative therapy for your particular case to strengthen, stabilize and repair your knee.\r\n\r\nRegenerative Orthopedics, such as Platelet Rich Plasma, Stem Cells, and Prolotherapy, stimulate tendon, ligament, and cartilage repair. These treatments are non-surgical, in-office procedures that are much less invasive than surgery and, therefore, require minimal downtown. These therapies are safe and conservative arthritis knee treatments to help you give you relief from the disabling symptoms of knee arthritis.\r\n\r\n(1) Zhao AT, Caballero CJ, Nguyen LT, Vienne HC, Lee C, Kaye AD. A Comprehensive Update of Prolotherapy in the Management of Osteoarthritis of the Knee. Orthopedic Reviews. 2022 May 31;14(4):33921.\r\n\r\n(2) Chen YW, Lin YN, Chen HC, Liou TH, Liao CD, Huang SW. Effectiveness, Compliance, and Safety of Dextrose Prolotherapy for Knee Osteoarthritis: A Meta-Analysis and Metaregression of Randomized Controlled Trials. Clinical Rehabilitation. 2022 Jun;36(6):740-52.\r\n\r\n(3) Pan PJ, Wang JC, Tsai CC, Kuo HC. Identification of early response to hypertonic dextrose prolotherapy markers in knee osteoarthritis patients by an inflammation-related cytokine array. J Chin Med Assoc. 2022 Jan 11. doi: 10.1097/JCMA.0000000000000693. Epub ahead of print. PMID: 35019866.\r\n\r\n(4) Hauser RA, Orlofsky A. Regenerative injection therapy with whole bone marrow aspirate for degenerative joint disease: a case series. Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders. 2013 Jan;6:CMAMD-S10951','Arthritis Knee Treatment','','inherit','closed','closed','','5715-revision-v1','','','2023-03-13 04:08:17','2023-03-13 04:08:17','',5715,'https://www.drfields.com/?p=5717',0,'revision','',0),(5718,8,'2023-03-13 04:09:07','2023-03-13 04:09:07','<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/2022/11/header-orthoregen-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/12/Slider-2-v3-261222.jpg\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/Slider-v1-021120.jpg\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-santa-monica-pier-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">New Article:</span>\r\n<span class=\"header_text_second\">Keep Looking Forward Despite COVID-19</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dealing-with-covid-19/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-11.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/0_header-orthoregen-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Get Back In The Game!</span>\r\n<span class=\"header_text_second\">Avoid Joint and Spine Surgery </span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">Stem Cell/PRP/Prolotherapy</span>\r\n<a class=\"btn-more\" title=\"Get Help Now!\" href=\"Contact-Us\"> Get Help Now!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item slide-article\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-ocean-mountains-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_second\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/0_Kili-top-header-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\" style=\"text-align: left;\"><span class=\"header_text_first\">Congratulations\r\nPeter A. Fields, MD, DC</span>\r\n<span class=\"header_text_second\">The Athletic Doc<sup>®</sup>\r\nsuccessfully climbed</span>\r\n<span class=\"header_text_third white-text\">Mt. Kilimanjaro in\r\nTanzania, Africa.19,341 feet!!!</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/report-of-my-kilimanjaro-climb/\">Read More</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/Sider-01-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Peter A. Fields, MD, DC\r\nThe Athletic Doc<sup>®</sup></span>\r\n<span class=\"header_text_second\">Completed His 11th Ironman</span>\r\n<span class=\"header_text_third\">Sunday, November 24th in Cozumel Mexico</span>\r\n<a class=\"btn-more\" title=\"Read More\" href=\"#\">Images &amp; Story Coming Soon</a></div>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"jumbotron-fluid\">\r\n<div class=\"row\">\r\n<div class=\"col-md-4 box1\">\r\n\r\nWhat\'s\r\n<h3>New</h3>\r\n<ul>\r\n 	<li><a href=\"https://www.drfields.com/uncategorized/arthritis-knee-treatment/\">Arthritis Knee Treatment</a></li>\r\n 	<li><a href=\"https://www.drfields.com/uncategorized/back-pain-treatment/\">Back Pain Treatment</a></li>\r\n 	<li><a href=\"https://www.drfields.com/uncategorized/remedies-for-shoulder-repair/\">Remedies For Shoulder Repair</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/alternatives-for-the-red-knee-non-surgical-candidate-population/\">Alternatives for the \"Red Knee\" Non-Surgical Candidate Population</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/stem-cell-therapy-in-newport-beach-ca-area-regenerate-knee-cartilage-with-bone-marrow-concentrate-and-prp/\">Stem Cell Therapy in Newport Beach, CA Area</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/regenerative-orthopedics/\">Regenerative Orthopedics: Growing in Popularity</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/prolotherapy-the-answer-for-joint-repair/\">Prolotherapy – The Answer for Joint Repair</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/new-studies-reveal-cortisone-injections-make-knee-arthritis-worse/\">New Studies Reveal Cortisone Injections Make Knee Arthritis Worse</a></li>\r\n 	<li><a href=\"https://www.drfields.com/uncategorized/stem-cell-injections-in-los-angeles-ca/\">Stem Cell Injections in Los Angeles, CA</a></li>\r\n</ul>\r\n</div>\r\n<div id=\"testimonials\" class=\"col-md-4 box2\">\r\n\r\nPatient\r\n<h3>Testimonials</h3>\r\n<strong>Video:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I wished I had come earlier and listened to what my physical therapist had told me to do because Dr. Fields has been a real solution for me.\"\r\n\r\n<img class=\"testimonial-img\" title=\"Testimonial\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-larry.png\" alt=\"Testimonial\" />\r\n<h3>Larry</h3>\r\n<h4>Stem Cell Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I highly recommend it to anyone who needs to recover fast and get back out there.\"\r\n\r\n<img class=\"testimonial-img\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-christopher.png\" alt=\"\" />\r\n<h3>Chris, Pro Basketball Player</h3>\r\n<h4>PRP Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"Now I can go walking, I go to my ballet class and I’m a happy camper because of Dr. Fields.\"\r\n\r\n<img class=\"testimonial-img\" title=\"\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-mary.png\" alt=\"Testimonial\" />\r\n<h3>Mary</h3>\r\n<h4>Stem Cell Hip</h4>\r\n</div>\r\n</div>\r\n<strong>Written:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I need to say a big thank you to Dr Fields for getting me back on the tennis court. I am an avid tennis player who tried to ignore the terrible pain in my elbow.\"\r\n<h3 style=\"margin-left: 0;\">Mindy</h3>\r\n<h4 style=\"margin-left: 0;\">Elbow</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I chose Dr. Peter Fields because he is an athlete and would have more direct knowledge of my particular circumstances than anyone else.\"\r\n<h3 style=\"margin-left: 0;\">Robert</h3>\r\n<h4 style=\"margin-left: 0;\">Shoulder</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"After the final treatments ended I am still without all the pain and have more muscle strength in my legs.\"\r\n<h3 style=\"margin-left: 0;\">Lois</h3>\r\n<h4 style=\"margin-left: 0;\">Knee</h4>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"col-md-4 box3\">\r\n\r\nNews &amp;\r\n<h3>Events</h3>\r\n<ul>\r\n 	<li><a href=\"https://www.drfields.com/articles/health-news/dr-fields-to-lecture-in-mexico-city-on-july-9th/\">Peter A. Fields, MD, DC to lecture in Mexico City on July 9th</a></li>\r\n 	<li><a class=\"buttonlink\" style=\"width: 100%; font-size: 24px; text-align: center; padding: 25px 8%;\" href=\"https://www.drfields.com/contact/\"> Are you a Stem Cell Candidate?</a></li>\r\n</ul>\r\n</div>\r\n</div>\r\n</div>\r\n<div id=\"search-articles\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n<h2 class=\"text-center\">Search <b>Dr. Fields\'</b> Articles</h2>\r\n<form id=\"searchform\" action=\"/\" method=\"get\"><input class=\"search-field\" name=\"s\" type=\"text\" placeholder=\"What\'s Your Condition?\" />\r\n<input type=\"submit\" value=\"Search\" /></form></div>\r\n</div>\r\n</div>\r\n<div id=\"intro\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n<h1 class=\"text-center\">Welcome to OrthoRegen<sup>®</sup>!</h1>\r\n<p class=\"intro_text welcome\"><a href=\"http://orthoregen.com\"><span style=\"font-size: 26px;\">OrthoRegen<sup>®</sup></span></a> is dedicated to providing the best of <span class=\"nowrap\">Regenerative Orthopedics</span> by offering non-surgical alternatives for joint and spine repair</p>\r\n<a class=\"primaryButton\" title=\"Read More About U\" href=\"https://www.drfields.com/about/orthoregen-our-philosophy/\">Read More About Us</a>\r\n<a id=\"candidateButton\" title=\"Are you a good candidate?\" href=\"/contact/\">Are you a good candidate?</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"about\">\r\n<div class=\"col-md-5 drfields\"><img class=\"alignnone\" title=\"Regenerative Orthopedics Leader\" src=\"https://www.drfields.com/wp-content/uploads/2022/11/dr-fields-v1-021120.png\" alt=\"Regenerative Orthopedics Leader\" width=\"460\" height=\"737\" /></div>\r\n<div class=\"col-md-7 about_holder\">\r\n<h1>Peter A. Fields, <span class=\"nowrap\">MD, DC</span></h1>\r\n<p class=\"intro_text\">Medical Physician and Chiropractor\r\nThe Athletic Doc<sup>®</sup> - 11x Ironman Triathlete</p>\r\n\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"icon info\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-info.png\" alt=\"icon info\" /></div>\r\n<div class=\"about_text\">\r\n<h3>About</h3>\r\nPeter A. Fields, MD, DC is one of a handful of physicians in the nation with both medical and chiropractic degrees...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/dr-fields-bio/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"Man Icon\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-ironman.png\" alt=\"Man Icon\" /></div>\r\n<div class=\"about_text\">\r\n<h3>11x Ironman</h3>\r\nDr. Peter A. Fields is also known as The Athletic Doc<sup>®</sup> He not only treats athletes in his practice but is an athlete himself. For over...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n&nbsp;\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Call Us Today! 310-453-1234</a>','Home','','inherit','closed','closed','','2109-revision-v1','','','2023-03-13 04:09:07','2023-03-13 04:09:07','',2109,'https://www.drfields.com/?p=5718',0,'revision','',0),(5719,9,'2023-03-15 19:20:33','2023-03-15 19:20:33','<h2><img class=\"wp-image-5716 alignright\" title=\"Arthritis Knee Treatment\" src=\"https://www.drfields.com/wp-content/uploads/2023/03/Prolotherapy-Knee-Arthritis-1-500x419.png\" alt=\"Arthritis Knee Treatment\" width=\"300\" height=\"251\" />Arthritis Knee Treatment</h2>\nKnee arthritis can put a damper on doing the activities you love. When the degeneration of arthritis interferes with your life, there is an arthritis knee treatment that can get you back to doing what you love. Regenerative Orthopedics are treatments that can repair the arthritic knee without surgery.\n\nIf you have knee arthritis, you most likely have already tried over-the-counter medications to help with the symptoms. You may even be bracing. Or you\'ve received cortisone injections to relieve the pain and swelling.\n\nYour physician may have even recommended surgery. You may have already had surgery! But unfortunately, even after all of these treatments, you continue to experience symptoms that are interfering with your life.\n\nWhat can you do now that you\'ve tried all kinds of treatments that you thought would help but didn\'t? The good news is, Regenerative Orthopedics is a treatment that can repair the knee and boost function and mobility. Plus, it\'s non-surgical!\n<h2>Regenerative Orthopedics, Includes Prolotherapy, PRP, and Stem Cells</h2>\nProlotherapy, PRP, and Stem Cells are all arthritis knee treatments. The journal Orthopedic Reviews says this about Prolotherapy: “Numerous clinical trials show significant improvement of osteoarthritic pain of the knee without any significant side effects reported following the use of prolotherapy. Although there is heterogeneity between studies concerning study variables, the results consistently show significant improvement in radiographic outcomes, pain scores, and quality of life with prolotherapy treatment.\" (1)\n\nAnd the journal Clinical Rehabilitation says, \"Compared with placebo injection and noninvasive control therapy, dextrose Prolotherapy had favorable effects on pain, global function, and quality of life during the overall follow-up.\"(2)\n\nAnother study from Taiwan concluded, \"In this study, after receiving hypertonic dextrose prolotherapy, the osteoarthritis patients clearly demonstrated a significant improvement in WOMAC index and increasing tendency in the medial minimum joint space width after intervention. (3)\n\nProlotherapy is not a new treatment. It\'s been around for decades. As a non-surgical regenerative injection therapy, Prolotherapy treats joints, ligaments, and other joint structures and promotes the repair of these tissues. It is simple yet highly effective! Arthritis is a degenerative disease that progressively destroys the knee joint. Prolotherapy is an answer for many because this arthritis knee treatment repairs and regenerates the knee.\n<h2>Arthritis Knee Treatment for More Severe Arthritis</h2>\nIn cases where arthritis in the knee is more severe, PRP and Stem Cells may be recommended. Fortunately, at OrthoRegen®, we have years of experience using the Gold Standard in Stem Cells to repair arthritic knees.\n\nOrthoRegen® offers stem cell therapy utilizing mesenchymal stem cells from bone marrow and adipose. The Gold Standard in Stem Cell Therapy includes two types of Stem Cells, plus PRP to augment the stem cells and Prolotherapy to treat the entire knee comprehensively. The Gold Standard offers the best opportunity for healing the knee. These non-surgical regenerative treatments stimulate natural healing repair in the knee and rebuild the injured tissue. (4)\n\nOur clinicians will recommend the best regenerative therapy for your particular case to strengthen, stabilize and repair your knee.\n\nRegenerative Orthopedics, such as Platelet Rich Plasma, Stem Cells, and Prolotherapy, stimulate tendon, ligament, and cartilage repair. These treatments are non-surgical, in-office procedures that are much less invasive than surgery and, therefore, require minimal downtown. These therapies are safe and conservative arthritis knee treatments to help relieve from the disabling symptoms of knee arthritis.\n\n(1) Zhao AT, Caballero CJ, Nguyen LT, Vienne HC, Lee C, Kaye AD. A Comprehensive Update of Prolotherapy in the Management of Osteoarthritis of the Knee. Orthopedic Reviews. 2022 May 31;14(4):33921.\n\n(2) Chen YW, Lin YN, Chen HC, Liou TH, Liao CD, Huang SW. Effectiveness, Compliance, and Safety of Dextrose Prolotherapy for Knee Osteoarthritis: A Meta-Analysis and Metaregression of Randomized Controlled Trials. Clinical Rehabilitation. 2022 Jun;36(6):740-52.\n\n(3) Pan PJ, Wang JC, Tsai CC, Kuo HC. Identification of early response to hypertonic dextrose prolotherapy markers in knee osteoarthritis patients by an inflammation-related cytokine array. J Chin Med Assoc. 2022 Jan 11. doi: 10.1097/JCMA.0000000000000693. Epub ahead of print. PMID: 35019866.\n\n(4) Hauser RA, Orlofsky A. Regenerative injection therapy with whole bone marrow aspirate for degenerative joint disease: a case series. Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders. 2013 Jan;6:CMAMD-S10951','Arthritis Knee Treatment','','inherit','closed','closed','','5715-autosave-v1','','','2023-03-15 19:20:33','2023-03-15 19:20:33','',5715,'https://www.drfields.com/?p=5719',0,'revision','',0),(5720,9,'2023-03-15 19:20:57','2023-03-15 19:20:57','<h2><img class=\"wp-image-5716 alignright\" title=\"Arthritis Knee Treatment\" src=\"https://www.drfields.com/wp-content/uploads/2023/03/Prolotherapy-Knee-Arthritis-1-500x419.png\" alt=\"Arthritis Knee Treatment\" width=\"300\" height=\"251\" />Arthritis Knee Treatment</h2>\r\nKnee arthritis can put a damper on doing the activities you love. When the degeneration of arthritis interferes with your life, there is an arthritis knee treatment that can get you back to doing what you love. Regenerative Orthopedics are treatments that can repair the arthritic knee without surgery.\r\n\r\nIf you have knee arthritis, you most likely have already tried over-the-counter medications to help with the symptoms. You may even be bracing. Or you\'ve received cortisone injections to relieve the pain and swelling.\r\n\r\nYour physician may have even recommended surgery. You may have already had surgery! But unfortunately, even after all of these treatments, you continue to experience symptoms that are interfering with your life.\r\n\r\nWhat can you do now that you\'ve tried all kinds of treatments that you thought would help but didn\'t? The good news is, Regenerative Orthopedics is a treatment that can repair the knee and boost function and mobility. Plus, it\'s non-surgical!\r\n<h2>Regenerative Orthopedics, Includes Prolotherapy, PRP, and Stem Cells</h2>\r\nProlotherapy, PRP, and Stem Cells are all arthritis knee treatments. The journal Orthopedic Reviews says this about Prolotherapy: “Numerous clinical trials show significant improvement of osteoarthritic pain of the knee without any significant side effects reported following the use of prolotherapy. Although there is heterogeneity between studies concerning study variables, the results consistently show significant improvement in radiographic outcomes, pain scores, and quality of life with prolotherapy treatment.\" (1)\r\n\r\nAnd the journal Clinical Rehabilitation says, \"Compared with placebo injection and noninvasive control therapy, dextrose Prolotherapy had favorable effects on pain, global function, and quality of life during the overall follow-up.\"(2)\r\n\r\nAnother study from Taiwan concluded, \"In this study, after receiving hypertonic dextrose prolotherapy, the osteoarthritis patients clearly demonstrated a significant improvement in WOMAC index and increasing tendency in the medial minimum joint space width after intervention. (3)\r\n\r\nProlotherapy is not a new treatment. It\'s been around for decades. As a non-surgical regenerative injection therapy, Prolotherapy treats joints, ligaments, and other joint structures and promotes the repair of these tissues. It is simple yet highly effective! Arthritis is a degenerative disease that progressively destroys the knee joint. Prolotherapy is an answer for many because this arthritis knee treatment repairs and regenerates the knee.\r\n<h2>Arthritis Knee Treatment for More Severe Arthritis</h2>\r\nIn cases where arthritis in the knee is more severe, PRP and Stem Cells may be recommended. Fortunately, at OrthoRegen®, we have years of experience using the Gold Standard in Stem Cells to repair arthritic knees.\r\n\r\nOrthoRegen® offers stem cell therapy utilizing mesenchymal stem cells from bone marrow and adipose. The Gold Standard in Stem Cell Therapy includes two types of Stem Cells, plus PRP to augment the stem cells and Prolotherapy to treat the entire knee comprehensively. The Gold Standard offers the best opportunity for healing the knee. These non-surgical regenerative treatments stimulate natural healing repair in the knee and rebuild the injured tissue. (4)\r\n\r\nOur clinicians will recommend the best regenerative therapy for your particular case to strengthen, stabilize and repair your knee.\r\n\r\nRegenerative Orthopedics, such as Platelet Rich Plasma, Stem Cells, and Prolotherapy, stimulate tendon, ligament, and cartilage repair. These treatments are non-surgical, in-office procedures that are much less invasive than surgery and, therefore, require minimal downtown. These therapies are safe and conservative arthritis knee treatments to help relieve the disabling symptoms of knee arthritis.\r\n<h3>References</h3>\r\n(1) Zhao AT, Caballero CJ, Nguyen LT, Vienne HC, Lee C, Kaye AD. A Comprehensive Update of Prolotherapy in the Management of Osteoarthritis of the Knee. Orthopedic Reviews. 2022 May 31;14(4):33921.\r\n\r\n(2) Chen YW, Lin YN, Chen HC, Liou TH, Liao CD, Huang SW. Effectiveness, Compliance, and Safety of Dextrose Prolotherapy for Knee Osteoarthritis: A Meta-Analysis and Metaregression of Randomized Controlled Trials. Clinical Rehabilitation. 2022 Jun;36(6):740-52.\r\n\r\n(3) Pan PJ, Wang JC, Tsai CC, Kuo HC. Identification of early response to hypertonic dextrose prolotherapy markers in knee osteoarthritis patients by an inflammation-related cytokine array. J Chin Med Assoc. 2022 Jan 11. doi: 10.1097/JCMA.0000000000000693. Epub ahead of print. PMID: 35019866.\r\n\r\n(4) Hauser RA, Orlofsky A. Regenerative injection therapy with whole bone marrow aspirate for degenerative joint disease: a case series. Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders. 2013 Jan;6:CMAMD-S10951','Arthritis Knee Treatment','','inherit','closed','closed','','5715-revision-v1','','','2023-03-15 19:20:57','2023-03-15 19:20:57','',5715,'https://www.drfields.com/?p=5720',0,'revision','',0),(5721,9,'2023-03-15 19:24:53','2023-03-15 19:24:53','<h2>Hand Injury Treatment</h2>\r\n<div class=\"youtube-click-div video_left\">[video_lightbox_youtube video_id=\"ThzUVq3rx2Y\" width=\"640\" height=\"480\" anchor=\"https://www.drfields.com/wp-content/uploads/2019/06/Suzie-Wrist.jpg\" alt=\"Hand Injury Treatment Suzie Wrist\"]\r\n<strong>Suzie - Wrist</strong></div>\r\n<h4>Prolotherapy Hand and Wrist Injuries and Treatment</h4>\r\nWhether you suffer from a sprained finger from football or baseball or wrist pain from tennis or golf, OrthoRegen<sup>®</sup> treats numerous finger, hand, and wrist injuries with comprehensive <a title=\"Prolotherapy\" href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-treatment-overview/ \">Prolotherapy</a> hand treatments. We can treat your pain or injury without surgery, without pain medications, or without extended time away from training and competition.\r\n\r\nIn our experience, comprehensive Prolotherapy can successfully treat pain in your fingers, hands and wrists, with optimal long-term results. Dr. Fields, <a href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">The Athletic Doc<sup>®</sup></a>, can consult with you to determine if you are a candidate for <a title=\"Prolotherapy\" href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-treatment-overview/\">Prolotherapy</a>. Because of his participation in Triathlons and Ironman competitions, he understands your desire to return quickly to the sports in which you participate.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n<h4>Common Hand and Wrist Injuries are Treatable by Prolotherapy</h4>\r\nThe most common finger, wrist, and hand pain and injuries we treat with comprehensive Prolotherapy are:\r\n<ul>\r\n 	<li>Arthritis</li>\r\n 	<li>Baseball injuries</li>\r\n 	<li>Carpal tunnel</li>\r\n 	<li>Finger pain</li>\r\n 	<li>Football injuries</li>\r\n 	<li>Golf injuries</li>\r\n 	<li>Hand pain</li>\r\n 	<li>Overuse injury</li>\r\n 	<li>Sprain injury</li>\r\n 	<li>Stiffness</li>\r\n 	<li>Tennis injuries</li>\r\n 	<li>Thumb pain</li>\r\n 	<li>Wrist pain</li>\r\n</ul>\r\n<h4>Are You A Candidate for Prolotherapy?</h4>\r\nDr. Fields and our staff at OrthoRegen<sup>®</sup> offer traditional Dextrose Prolotherapy hand injury treatments, <a href=\"https://www.drfields.com/regenerative-techniques/prp-treatment/\">PRP Prolotherapy,</a> and <a href=\"/regenerative-techniques/stem-cell-treatment/\">Stem Cell Prolotherapy</a>. To see if you are a candidate for one of our Prolotherapy treatments or for a second opinion for a recommended surgery, contact us for a consultation, OrthoRegen<sup>®</sup>, <a href=\"tel:+[phone_raw]\">[phone]</a>.\r\n\r\nStill not convinced? Check out the testimonials on this page and on our <a href=\"https://www.drfields.com/Testimonials/Knee-Testimonials/\">Prolotherapy Hand and Wrist Testimonials page</a>.\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>','Hand Injury Treatment','','inherit','closed','closed','','615-revision-v1','','','2023-03-15 19:24:53','2023-03-15 19:24:53','',615,'https://www.drfields.com/?p=5721',0,'revision','',0),(5722,9,'2023-03-15 19:30:21','2023-03-15 19:30:21','<h4>Prolotherapy for Chronic Shoulder Pain</h4>\n[caption id=\"attachment_5599\" align=\"alignnone\" width=\"500\"]<img class=\"size-medium wp-image-5599\" src=\"https://www.drfields.com/wp-content/uploads/2022/11/shoulder-pain.-Hauser-500x419.png\" alt=\"Shoulder Pain. Hauser\" width=\"500\" height=\"419\" /> Shoulder Pain. Hauser[/caption]\n\n<div class=\"youtube-click-div video_left\">[video_lightbox_youtube video_id=\"VkDlCmTq6dE\" width=\"640\" height=\"480\" anchor=\"https://www.drfields.com/wp-content/uploads/2019/06/Wilbur-Shoulder.jpg\" alt=\"Mark-Neck\"]\n<strong>Wilbur - Shoulder</strong></div>\nIt\'s easy to take your own body for granted when your body is working well. But when a part of your body, such as your shoulder, begins to hurt or hurts for an extended period, you quickly realize how much you depend on your shoulders for reaching, raising your arm, lifting yourself up, or even just opening a cupboard. That\'s why so many people with shoulder pain or injuries look to <strong>Prolotherapy for chronic shoulder pain</strong> treatment.\n<h4>Causes of Shoulder Pain</h4>\nThe muscles and joints of the shoulder allow it to move through a remarkable range of motion, making it one of the most mobile joints in the human body. The shoulder can rotate, be raised in front of and behind the torso, and allow the arm to move a full 360°. This tremendous range of motion also makes the shoulder extremely unstable and far more prone to dislocation and injury than other joints.\n\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">  Schedule Your Appointment Today!</a>\n\nBecause the rounded head or ball of the upper arm bone (humerus) is larger than the socket of the shoulder bone (scapula), this area is especially susceptible to injury. The shoulder joint consists of bones, muscles, and ligaments subject to stress and overuse.\n\nCommon causes of shoulder pain can be:\n<ul>\n 	<li>Tendonitis</li>\n 	<li>Bursitis</li>\n 	<li>Dislocation and attendant injury</li>\n 	<li>Impingement syndrome</li>\n 	<li>Rotator cuff tear</li>\n 	<li>Adhesive capsulated (frozen shoulder)</li>\n 	<li>Fracture</li>\n 	<li>Poor posture.</li>\n</ul>\nBut the <strong>most common cause of chronic pain in the shoulder is arthritis</strong>. This can take many forms, such as osteoarthritis, rheumatoid, traumatic, and gouty arthritis.\n\n<a style=\"display: block; margin: 0 auto; max-width: 275px;\" href=\"https://www.carecredit.com/go/762HNB/bb3poscustacqbtnclk08132020/?dtc=Ds5X&amp;promocode=CLT/\"><img style=\"max-width: 100%;\" src=\"https://www.carecredit.com/sites/pc/image/carecredit_button_applynow_280x100_a_v1.jpg\" width=\"275\" /></a>\n<h4>Which Kind of Shoulder Pain Do You Have?</h4>\nIf you are experiencing pain from a rotator cuff injury, you will feel a dull aching pain, which worsens with movement.  A rotator cuff injury includes any irritation or damage to your <a href=\"https://www.drfields.com/Articles/Prolo-News/Stem-Cell-Therapy-For-Rotator-Cuff-Injuries\">rotator cuff</a> muscles or tendons. Causes of a rotator cuff injury may include falling, lifting, and repetitive arm activities — especially those done overhead.\n\n<strong>Shoulder tendonitis</strong> can produce symptoms including a slow onset of discomfort, pain in the upper third of your arm, and difficulty sleeping on the side of that arm.\n\nRedness and swelling that is tender and warm to the touch can be caused by <strong>bursitis</strong>.\n\nMinor shoulder pain, ‘clicking,’ ‘giving way,’ or frozen shoulder are symptoms of <strong>arthritis</strong>. Osteoarthritis can begin as early as thirty, but symptoms can appear later as the condition progresses.\n\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">  Schedule Your Appointment Today!</a>\n<h4>How Prolotherapy Is Used To Treat Chronic Shoulder Pain</h4>\nMany patients come to us tired of ‘managing’ their chronic pain with NSAID or narcotic medications, various therapies, and exercises. In many cases, these methods do not remove the cause of the pain.\n\nDr. Fields may be able to <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-pain-overview/\">treat your chronic pain with prolotherapy</a>. It just depends on the cause of your particular pain.\n\nMost of the time, musculoskeletal pain is due to weakness in the ligaments, tendons, and possibly cartilage. Prolotherapy can <strong>regenerate these damaged tissues</strong> and ultimately alleviate the problem causing the pain.\n\nProlotherapy works because it stimulates an inflammatory reaction in the body. Solutions are injected into the affected shoulder ligaments, tendons, or joints, to boost healing 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 ligament that was injected, making it stronger.\n<h4>Are you a Candidate For Prolotherapy for Chronic Shoulder Pain?</h4>\nOur goal at OrthoRegen<sup>®</sup> is for our patients to have an active, healthy, pain-free life. Prolotherapy is a very safe, affordable option that allows you to keep working, training, and living an everyday life during the recovery process. Prolotherapy for chronic shoulder pain is one of the few treatments that encourages movement post-treatment. Movement aids the healing process after <a title=\"Prolotherapy\" href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-treatment-overview/\">Prolotherapy</a>. By contrast, shoulder surgery requires you to\n\nreduce activity after treatment.\n\nAre you a candidate for Prolotherapy for your chronic shoulder pain? Would you like a <strong>second opinion before you have irreversible shoulder surgery</strong>? The only way to know for sure is to get a consultation. <a href=\"/contact/\">Contact Us today</a> for a consultation or call Dr. Fields at <a href=\"tel:+[phone_raw]\">[phone]</a>.\n\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>','Chronic Shoulder Pain','','inherit','closed','closed','','511-autosave-v1','','','2023-03-15 19:30:21','2023-03-15 19:30:21','',511,'https://www.drfields.com/?p=5722',0,'revision','',0),(5723,9,'2023-03-15 19:30:47','2023-03-15 19:30:47','<h4>Prolotherapy for Chronic Shoulder Pain</h4>\r\n<img class=\" wp-image-5599\" src=\"https://www.drfields.com/wp-content/uploads/2022/11/shoulder-pain.-Hauser-500x419.png\" alt=\"Shoulder Pain. Hauser\" width=\"428\" height=\"358\" />\r\n<div class=\"youtube-click-div video_left\">[video_lightbox_youtube video_id=\"VkDlCmTq6dE\" width=\"640\" height=\"480\" anchor=\"https://www.drfields.com/wp-content/uploads/2019/06/Wilbur-Shoulder.jpg\" alt=\"Mark-Neck\"]\r\n<strong>Wilbur - Shoulder</strong></div>\r\nIt\'s easy to take your own body for granted when your body is working well. But when a part of your body, such as your shoulder, begins to hurt or hurts for an extended period, you quickly realize how much you depend on your shoulders for reaching, raising your arm, lifting yourself up, or even just opening a cupboard. That\'s why so many people with shoulder pain or injuries look to <strong>Prolotherapy for chronic shoulder pain</strong> treatment.\r\n<h4>Causes of Shoulder Pain</h4>\r\nThe muscles and joints of the shoulder allow it to move through a remarkable range of motion, making it one of the most mobile joints in the human body. The shoulder can rotate, be raised in front of and behind the torso, and allow the arm to move a full 360°. This tremendous range of motion also makes the shoulder extremely unstable and far more prone to dislocation and injury than other joints.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">  Schedule Your Appointment Today!</a>\r\n\r\nBecause the rounded head or ball of the upper arm bone (humerus) is larger than the socket of the shoulder bone (scapula), this area is especially susceptible to injury. The shoulder joint consists of bones, muscles, and ligaments subject to stress and overuse.\r\n\r\nCommon causes of shoulder pain can be:\r\n<ul>\r\n 	<li>Tendonitis</li>\r\n 	<li>Bursitis</li>\r\n 	<li>Dislocation and attendant injury</li>\r\n 	<li>Impingement syndrome</li>\r\n 	<li>Rotator cuff tear</li>\r\n 	<li>Adhesive capsulated (frozen shoulder)</li>\r\n 	<li>Fracture</li>\r\n 	<li>Poor posture.</li>\r\n</ul>\r\nBut the <strong>most common cause of chronic pain in the shoulder is arthritis</strong>. This can take many forms, such as osteoarthritis, rheumatoid, traumatic, and gouty arthritis.\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>Which Kind of Shoulder Pain Do You Have?</h4>\r\nIf you are experiencing pain from a rotator cuff injury, you will feel a dull aching pain, which worsens with movement.  A rotator cuff injury includes any irritation or damage to your <a href=\"https://www.drfields.com/Articles/Prolo-News/Stem-Cell-Therapy-For-Rotator-Cuff-Injuries\">rotator cuff</a> muscles or tendons. Causes of a rotator cuff injury may include falling, lifting, and repetitive arm activities — especially those done overhead.\r\n\r\n<strong>Shoulder tendonitis</strong> can produce symptoms including a slow onset of discomfort, pain in the upper third of your arm, and difficulty sleeping on the side of that arm.\r\n\r\nRedness and swelling that is tender and warm to the touch can be caused by <strong>bursitis</strong>.\r\n\r\nMinor shoulder pain, ‘clicking,’ ‘giving way,’ or frozen shoulder are symptoms of <strong>arthritis</strong>. Osteoarthritis can begin as early as thirty, but symptoms can appear later as the condition progresses.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">  Schedule Your Appointment Today!</a>\r\n<h4>How Prolotherapy Is Used To Treat Chronic Shoulder Pain</h4>\r\nMany patients come to us tired of ‘managing’ their chronic pain with NSAID or narcotic medications, various therapies, and exercises. In many cases, these methods do not remove the cause of the pain.\r\n\r\nDr. Fields may be able to <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-pain-overview/\">treat your chronic pain with prolotherapy</a>. It just depends on the cause of your particular pain.\r\n\r\nMost of the time, musculoskeletal pain is due to weakness in the ligaments, tendons, and possibly cartilage. Prolotherapy can <strong>regenerate these damaged tissues</strong> 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 shoulder ligaments, tendons, or joints, to boost healing 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 ligament that was injected, making it stronger.\r\n<h4>Are you a Candidate For Prolotherapy for Chronic Shoulder Pain?</h4>\r\nOur goal at OrthoRegen<sup>®</sup> is for our patients to have an active, healthy, pain-free life. Prolotherapy is a very safe, affordable option that allows you to keep working, training, and living an everyday life during the recovery process. Prolotherapy for chronic shoulder pain is one of the few treatments that encourages movement post-treatment. Movement aids the healing process after <a title=\"Prolotherapy\" href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-treatment-overview/\">Prolotherapy</a>. By contrast, shoulder surgery requires you to\r\n\r\nreduce activity after treatment.\r\n\r\nAre you a candidate for Prolotherapy for your chronic shoulder pain? Would you like a <strong>second opinion before you have irreversible shoulder surgery</strong>? The only way to know for sure is to get a consultation. <a href=\"/contact/\">Contact Us today</a> for a consultation or call Dr. Fields at <a href=\"tel:+[phone_raw]\">[phone]</a>.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>','Chronic Shoulder Pain','','inherit','closed','closed','','511-revision-v1','','','2023-03-15 19:30:47','2023-03-15 19:30:47','',511,'https://www.drfields.com/?p=5723',0,'revision','',0),(5724,9,'2023-03-15 19:30:57','2023-03-15 19:30:57','<h4>Prolotherapy for Chronic Shoulder Pain</h4>\r\n<img class=\"wp-image-5599 alignright\" src=\"https://www.drfields.com/wp-content/uploads/2022/11/shoulder-pain.-Hauser-500x419.png\" alt=\"Shoulder Pain. Hauser\" width=\"428\" height=\"358\" />\r\n<div class=\"youtube-click-div video_left\">[video_lightbox_youtube video_id=\"VkDlCmTq6dE\" width=\"640\" height=\"480\" anchor=\"https://www.drfields.com/wp-content/uploads/2019/06/Wilbur-Shoulder.jpg\" alt=\"Mark-Neck\"]\r\n<strong>Wilbur - Shoulder</strong></div>\r\nIt\'s easy to take your own body for granted when your body is working well. But when a part of your body, such as your shoulder, begins to hurt or hurts for an extended period, you quickly realize how much you depend on your shoulders for reaching, raising your arm, lifting yourself up, or even just opening a cupboard. That\'s why so many people with shoulder pain or injuries look to <strong>Prolotherapy for chronic shoulder pain</strong> treatment.\r\n<h4>Causes of Shoulder Pain</h4>\r\nThe muscles and joints of the shoulder allow it to move through a remarkable range of motion, making it one of the most mobile joints in the human body. The shoulder can rotate, be raised in front of and behind the torso, and allow the arm to move a full 360°. This tremendous range of motion also makes the shoulder extremely unstable and far more prone to dislocation and injury than other joints.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">  Schedule Your Appointment Today!</a>\r\n\r\nBecause the rounded head or ball of the upper arm bone (humerus) is larger than the socket of the shoulder bone (scapula), this area is especially susceptible to injury. The shoulder joint consists of bones, muscles, and ligaments subject to stress and overuse.\r\n\r\nCommon causes of shoulder pain can be:\r\n<ul>\r\n 	<li>Tendonitis</li>\r\n 	<li>Bursitis</li>\r\n 	<li>Dislocation and attendant injury</li>\r\n 	<li>Impingement syndrome</li>\r\n 	<li>Rotator cuff tear</li>\r\n 	<li>Adhesive capsulated (frozen shoulder)</li>\r\n 	<li>Fracture</li>\r\n 	<li>Poor posture.</li>\r\n</ul>\r\nBut the <strong>most common cause of chronic pain in the shoulder is arthritis</strong>. This can take many forms, such as osteoarthritis, rheumatoid, traumatic, and gouty arthritis.\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>Which Kind of Shoulder Pain Do You Have?</h4>\r\nIf you are experiencing pain from a rotator cuff injury, you will feel a dull aching pain, which worsens with movement.  A rotator cuff injury includes any irritation or damage to your <a href=\"https://www.drfields.com/Articles/Prolo-News/Stem-Cell-Therapy-For-Rotator-Cuff-Injuries\">rotator cuff</a> muscles or tendons. Causes of a rotator cuff injury may include falling, lifting, and repetitive arm activities — especially those done overhead.\r\n\r\n<strong>Shoulder tendonitis</strong> can produce symptoms including a slow onset of discomfort, pain in the upper third of your arm, and difficulty sleeping on the side of that arm.\r\n\r\nRedness and swelling that is tender and warm to the touch can be caused by <strong>bursitis</strong>.\r\n\r\nMinor shoulder pain, ‘clicking,’ ‘giving way,’ or frozen shoulder are symptoms of <strong>arthritis</strong>. Osteoarthritis can begin as early as thirty, but symptoms can appear later as the condition progresses.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">  Schedule Your Appointment Today!</a>\r\n<h4>How Prolotherapy Is Used To Treat Chronic Shoulder Pain</h4>\r\nMany patients come to us tired of ‘managing’ their chronic pain with NSAID or narcotic medications, various therapies, and exercises. In many cases, these methods do not remove the cause of the pain.\r\n\r\nDr. Fields may be able to <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-pain-overview/\">treat your chronic pain with prolotherapy</a>. It just depends on the cause of your particular pain.\r\n\r\nMost of the time, musculoskeletal pain is due to weakness in the ligaments, tendons, and possibly cartilage. Prolotherapy can <strong>regenerate these damaged tissues</strong> 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 shoulder ligaments, tendons, or joints, to boost healing 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 ligament that was injected, making it stronger.\r\n<h4>Are you a Candidate For Prolotherapy for Chronic Shoulder Pain?</h4>\r\nOur goal at OrthoRegen<sup>®</sup> is for our patients to have an active, healthy, pain-free life. Prolotherapy is a very safe, affordable option that allows you to keep working, training, and living an everyday life during the recovery process. Prolotherapy for chronic shoulder pain is one of the few treatments that encourages movement post-treatment. Movement aids the healing process after <a title=\"Prolotherapy\" href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-treatment-overview/\">Prolotherapy</a>. By contrast, shoulder surgery requires you to\r\n\r\nreduce activity after treatment.\r\n\r\nAre you a candidate for Prolotherapy for your chronic shoulder pain? Would you like a <strong>second opinion before you have irreversible shoulder surgery</strong>? The only way to know for sure is to get a consultation. <a href=\"/contact/\">Contact Us today</a> for a consultation or call Dr. Fields at <a href=\"tel:+[phone_raw]\">[phone]</a>.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>','Chronic Shoulder Pain','','inherit','closed','closed','','511-revision-v1','','','2023-03-15 19:30:57','2023-03-15 19:30:57','',511,'https://www.drfields.com/?p=5724',0,'revision','',0),(5725,8,'2023-03-16 03:57:55','2023-03-16 03:57:55','<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, shoulder, Wrist): <strong>$600</strong>\r\nLarge Joint (hip, Neck, Mid Back, or Low Back): <strong>$900</strong>\r\nStem Cell Therapy: <strong>Please call for pricing</strong>\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','','','2023-03-16 03:57:55','2023-03-16 03:57:55','',2536,'https://www.drfields.com/?p=5725',0,'revision','',0),(5727,8,'2023-03-23 03:38:58','2023-03-23 03:38:58','<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>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, shoulder, Wrist): <strong>$600</strong>\r\nLarge Joint (hip, Neck, Mid Back, or Low Back): <strong>$900</strong>\r\nStem Cell Therapy: <strong>Please call for pricing</strong>\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','','','2023-03-23 03:38:58','2023-03-23 03:38:58','',2536,'https://www.drfields.com/?p=5727',0,'revision','',0),(5728,8,'2023-03-27 02:20:27','2023-03-27 02:20:27','<h2>Best Treatment for Low Back Pain</h2>\r\nIf you or someone you love is suffering from back pain, you understand the search for an answer for the resolution of the pain. The search for relief  or the best treatment for low back pain, can go on year after year.\r\n\r\nBack pain sufferers have tried many different treatment options like supplements, painkillers, anti-inflammatories, antidepressants, massage, manipulation, and possibly even surgery. But are these the best treatments for lower back pain?\r\n<h2>Why Do These Common Treatments Fail to Give Relief?</h2>\r\n<img class=\"alignright wp-image-5729\" src=\"https://www.drfields.com/wp-content/uploads/2023/03/DDD-Treatment-2-500x419.png\" alt=\"Best Treatments for Low Back Pain\" width=\"300\" height=\"251\" />Unfortunately, these common treatments for back pain do not address the real problem. Sure, they may address pain or inflammation, but pain and inflammation are symptoms of the underlying problem. What is the root cause of the pain and inflammation?\r\n\r\nVery often, the underlying problem causing back pain is instability. Instability in the back occurs when the ligaments connecting bone to bone become injured. Once ligaments are injured, they become more lax or loose. With this laxness comes abnormal motion in the joints.\r\n\r\nYou\'ve probably noticed that back pain comes and goes for many people. Back pain may be worse on some days and better on others. And when back pain is chronic, it continually comes back. Why does the pain always come back? If the underlying instability problem is not addressed, then the pain medications and anti-inflammatories only touch the symptoms of pain and inflammation. They do not repair the instability and abnormal motion in the vertebrae.\r\n<h2>What About Pain Medications? Are They the Best Treatment for Low Back Pain?</h2>\r\nCare for chronic low back pain is often very frustrating to clinicians and patients. It\'s frustrating because the commonly used treatments come up short. The Journal of Orthopaedic Surgery and Research says this, <em>\"The benefits are just not there to justify the routine prolonged use of any given drug in nonspecific chronic low back pain: this is a major challenge, and it is often hard to accept for clinicians and patients . . . ”(1)</em><em> </em>\r\n\r\nThere is also a subset of patients that have been prescribed narcotic pain relievers. Do these help long-term? The Journal of Osteopathic Medicine says,<em> \"Long-term opioid use (more than 12 months) patients had a worse disability, physical function, fatigue, and other pain-related problems including the earlier onset of sleep disturbance.\"(2) </em>As you can see, opioids do not help long-term, but rather increase disability.\r\n<h2>When Physical Therapy or Manipulation Aren\'t Working</h2>\r\nPhysical therapy and chiropractic manipulation are great treatment modalities and are effective in many cases of back pain. However, if the back pain is still an issue after the recommended treatments, ligament injury should be looked into, and Regenerative Orthopedics should be sought.\r\n<h2>What Can Repair the Abnormal Motion or Instability?</h2>\r\nRegenerative Orthopedic treatments repair the underlying damage to the ligaments and any involved tendons. These injured soft tissues naturally have a poor blood supply. But Regenerative Orthopedics boosts the blood supply to the ligaments. This increased blood supply helps the body to heal and repair. The result? The back is strengthening, the abnormal joint motion is stabilized, and the back pain sufferer experiences decreased pain and increased function!\r\n<h2>But I Have Disc Problems, What About That?</h2>\r\nEven if you have disc problems, the underlying problem can likely be instability. The injured ligaments allow for abnormal motion in the vertebrae and increase problems with the discs. Spinal ligament damage is at the core of the problem.\r\n\r\nIn degenerative disc disease, the disc height increases, and the lax ligaments lose tension. The vertebrae move even more, and the lack of stabilization increases pain in the discs and other spinal joint structures.\r\n\r\nIn many instances, the common underlying low back pain complaints, including arthritis and loss of spinal curve, are largely due to ligament injury. Instability in the spine is at the root of most chronic spinal pain.<em>  </em>\r\n<h2>The Most Common Cause of Unresolved Back Pain is Spinal Instability</h2>\r\nMuscles are one of the stabilizing structures of the spine. If the injury in the back is muscular, standard treatments will address the pain. The intervertebral discs and surrounding ligaments also hold together and stabilize the spine.\r\n\r\nWhen these standard treatments do not solve the problem of low back pain, underlying ligament damage and spinal instability need to be addressed. And the best treatment for back pain due to ligament damage is Regenerative Orthopedics.\r\n<h2>The Best Treatment for Low Back Pain Gets to the Underlying Issue</h2>\r\nOver time, after a traumatic injury, the ligaments will start to elongate and become loose and lax. Physically demanding activities or even sedentary postures can lead to this gradual loosening over time. Muscle spasms will develop because of these elongated ligaments. Swelling may occur, and eventually, arthritis will develop as the body attempts to stabilize the area by creating bone spurs.\r\n\r\nRegenerative Orthopedics strengthens the ligaments of the spine and prevents further degeneration. It gets to the underlying issue causing low back pain. Prolotherapy is a type of Regenerative Orthopedics. Researchers in the Journal of Prolotherapy say, “<em>In comparison to other soft tissues, ligaments have less vascularity. Once injured or degenerated, this lack of blood supply may delay healing. Prolotherapy may offer the stimulus for ligament regeneration.\"(3)</em>\r\n\r\nThe <em>Journal of Back and Musculoskeletal Rehabilitation</em> concluded, <em>“Prolotherapy can be regarded as a safe way of providing a meaningful improvement in pain and musculoskeletal function compared to the initial status. ...5% dextrose is a more simple and painless solution for Prolotherapy and also has a high success.”(4)</em>\r\n\r\nRemember, when back pain is an issue, the muscles may be in spasm because they are overcompensating for the injured ligaments as they try to stabilize the spine. Regenerative Orthopedics is the best treatment to repair the ligaments and get to the root of the back pain problem. Additionally, in cases of degenerative disc disease, Prolotherapy tightens the ligamentous structures and limits the abnormal vertebral motion, reducing the incidence of discogenic low back pain by improving stability.\r\n<h3>References</h3>\r\n(1)Migliorini F, Maffulli N. Choosing the appropriate pharmacotherapy for nonspecific chronic low back pain. Journal of Orthopaedic Surgery and Research. 2022 Dec;17(1):1-3.\r\n\r\n(2)Schultz MJ, Licciardone JC. The effect of long-term opioid use on back-specific disability and health-related quality of life in patients with chronic low back pain. Journal of Osteopathic Medicine. 2022 Aug 11.\r\n\r\n(3)Inklebarger J, Petrides S, Prolotherapy for Lumbar Segmental Instability Associated with Degenerative Disc Disease. Journal of Prolotherapy. 2016;8:e971-e977.\r\n\r\n(4)Solmaz I, Orscelik A, Koroglu O. Modified prolotherapy by 5% dextrose: Two years experiences of a traditional and complementary medicine practice center in Turkey. Journal of Back and Musculoskeletal Rehabilitation. 2021(Preprint):1-8.','Best Treatments for Low Back Pain','','publish','closed','open','','best-treatments-for-low-back-pain','','','2023-03-31 16:53:24','2023-03-31 16:53:24','',0,'https://www.drfields.com/?p=5728',0,'post','',0),(5729,8,'2023-03-27 02:19:24','2023-03-27 02:19:24','Ddd Treatment (2)','Best Treatments for Low Back Pain','','inherit','closed','closed','','ddd-treatment-2','','','2023-03-27 02:19:55','2023-03-27 02:19:55','',5728,'https://www.drfields.com/wp-content/uploads/2023/03/DDD-Treatment-2.png',0,'attachment','image/png',0),(5730,8,'2023-03-27 02:20:27','2023-03-27 02:20:27','If you or someone you love is suffering from back pain, you understand the search for an answer for the resolution of the pain. The search can go on year after year, as relief is sought.\r\n\r\nBack pain sufferers have surely tried many different treatment options like supplements, painkillers, anti-inflammatories, antidepressants, massage, manipulation, and possibly even surgery. But are these the best treatments for lower back pain?\r\n<h2>Why Do These Common Treatments Fail to Give Relief?</h2>\r\n<img class=\"alignright wp-image-5729\" src=\"https://www.drfields.com/wp-content/uploads/2023/03/DDD-Treatment-2-500x419.png\" alt=\"Best Treatments for Low Back Pain\" width=\"300\" height=\"251\" />Unfortunately, these common treatments for back pain do not address the real problem. Sure, they may address pain or they may address inflammation, but pain and inflammation are symptoms of the underlying problem. What is the root cause of the pain and inflammation?\r\n\r\nVery often, the underlying problem causing back pain is instability. Instability in the back occurs when the ligaments connecting bone to bone become injured. Once ligaments are injured, they become more lax or loose. With this laxness comes abnormal motion in the joints.\r\n\r\nYou\'ve probably noticed that for many people, back pain comes and goes. Back pain may be worse on some days and better on others. And when back pain is chronic, it continually comes back. Why does the pain always come back? If the underlying problem of the instability is not addressed, then the pain medications and anti-inflammatories are only touching the symptoms of pain and inflammation. They do not repair the instability and abnormal motion in the vertebrae.\r\n<h2>What About Pain Medications?</h2>\r\nCare for chronic low back pain is often very frustrating to both clinicians and patients. It\'s frustrating because the commonly used treatments come up short. The Journal of Orthopaedic Surgery and Research says this, <em>\"The benefits are just not there to justify the routine prolonged use of any given drug in nonspecific chronic low back pain: this is a major challenge, and it is often hard to accept for clinicians and patients . . . ”(1)</em><em> </em>\r\n\r\nThere is also a subset of patients that have been prescribed narcotic pain relievers. Do these help long-term? The Journal of Osteopathic Medicine says,<em> \"Long-term opioid use (more than 12 months) patients had a worse disability, physical function, fatigue, and other pain-related problems including the earlier onset of sleep disturbance.\"(2) </em>As you can see, opioids do not help long-term, but rather increase disability.\r\n<h2>When Physical Therapy or Manipulation Aren\'t Working</h2>\r\nPhysical therapy and chiropractic manipulation are great treatment modalities and effective in many cases of back pain. However, if after the recommended treatments, the back pain is still an issue, then ligament injury should be looked into, and Regenerative Orthopedics sought.\r\n<h2>What Can Repair the Abnormal Motion or Instability?</h2>\r\nRegenerative Orthopedic treatments repair the underlying damage to the ligaments and any involved tendons. These injured soft tissue naturally have a poor blood supply. But Regenerative Orthopedics boost the blood supply to the ligaments. This increased blood supply helps the body to heal and repair. The result? The back is strengthening, the abnormal  joint motion is stabilized, and the back pain sufferer experiences decreased pain and increased function!\r\n<h2>But I Have Disc Problems, What About That?</h2>\r\nEven if you have disc problems, the underlying problem can very likely be instability. The injured ligaments allow for abnormal motion in the vertebrae and increase problems with the discs. Spinal ligament damage is at the core of the problem.\r\n\r\nIn degenerative disc disease, the disc height increases, and the lax ligaments loose tension. The vertebrae move even more, and the lack of stabilization increases pain at the discs and other spinal joint structures.\r\n\r\nIn many instances, the common underlying low back pain complaints, including arthritis and loss of spinal curve, are in large part due to ligament injury. Instability in the spine is at the root of most chronic spinal pain.<em>  </em>\r\n<h2>The Most Common Cause of Unresolved Back Pain is Spinal Instability</h2>\r\nMuscles are one of the stabilizing structures of the spine. If injury in the back is muscular, common treatments will address the pain. The spine is also held together and stabilized by the intervertebral discs, and the surrounding ligaments.\r\n\r\nWhen these common treatments do not solve the problem of low back pain, underlying ligament damage and spinal instability need to be addressed. And the best treatment for back pain due to ligament damage is Regenerative Orthopedics.\r\n<h2>Regenerative Orthopedics Resolves the Underlying Problem</h2>\r\nOver time, after a traumatic injury has occurred, the ligaments will start to elongate and become loose and lax. Physically demanding activities or even sedentary postures can lead to this gradual loosening over time. Muscle spasms will develop because of these elongated ligaments. Swelling may occur, and eventually arthritis will develop as the body attempts to stabilize the area by the creation of bone spurs.\r\n\r\nRegenerative Orthopedics strengthen the ligaments of the spine and prevent further degeneration. Prolotherapy is a type of Regenerative Orthopedics. In the J<em>ournal of Prolotherapy</em> researchers say, “<em>In comparison to other soft tissues, ligaments have less vascularity. Once injured or degenerated, this lack of blood supply may delay healing. Prolotherapy may offer the stimulus for ligament regeneration.\"(3)</em>\r\n\r\nThe <em>Journal of Back and Musculoskeletal Rehabilitation</em> concluded, <em>“Prolotherapy can be regarded as a safe way of providing a meaningful improvement in pain and musculoskeletal function compared to the initial status. ...5% dextrose is a more simple and painless solution for Prolotherapy and also has a high success.”(4)</em>\r\n\r\nRemember, when back pain is an issue, the muscles may be in spasm because they are overcompensating for the injured ligaments as they try to stabilize the spine. Regenerative Orthopedics are the best treatment to repair the ligaments and get to the root of the back pain problem. Additionally, in cases of degenerative disc disease, Prolotherapy tightens the ligamentous structures and limits the abnormal vertebral motion, reducing the incidence of discogenic low back pain by improving stability.\r\n<h3>References</h3>\r\n(1)Migliorini F, Maffulli N. Choosing the appropriate pharmacotherapy for nonspecific chronic low back pain. Journal of Orthopaedic Surgery and Research. 2022 Dec;17(1):1-3.\r\n\r\n(2)Schultz MJ, Licciardone JC. The effect of long-term opioid use on back-specific disability and health-related quality of life in patients with chronic low back pain. Journal of Osteopathic Medicine. 2022 Aug 11.\r\n\r\n(3)Inklebarger J, Petrides S, Prolotherapy for Lumbar Segmental Instability Associated with Degenerative Disc Disease. Journal of Prolotherapy. 2016;8:e971-e977.\r\n\r\n(4)Solmaz I, Orscelik A, Koroglu O. Modified prolotherapy by 5% dextrose: Two years experiences of a traditional and complementary medicine practice center in Turkey. Journal of Back and Musculoskeletal Rehabilitation. 2021(Preprint):1-8.','Best Treatments for Low Back Pain','','inherit','closed','closed','','5728-revision-v1','','','2023-03-27 02:20:27','2023-03-27 02:20:27','',5728,'https://www.drfields.com/?p=5730',0,'revision','',0),(5731,8,'2023-03-27 02:22:51','2023-03-27 02:22:51','<div class=\"clear\"></div>\r\n<div id=\"slider\">\r\n<div class=\"owl-carousel slider-carousel\">\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/12/Slider-2-v3-261222.jpg\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/Slider-v1-021120.jpg\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-santa-monica-pier-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">New Article:</span>\r\n<span class=\"header_text_second\">Keep Looking Forward Despite COVID-19</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dealing-with-covid-19/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-11.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/0_header-orthoregen-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Get Back In The Game!</span>\r\n<span class=\"header_text_second\">Avoid Joint and Spine Surgery </span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">Stem Cell/PRP/Prolotherapy</span>\r\n<a class=\"btn-more\" title=\"Get Help Now!\" href=\"Contact-Us\"> Get Help Now!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item slide-article\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-ocean-mountains-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_second\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/0_Kili-top-header-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\" style=\"text-align: left;\"><span class=\"header_text_first\">Congratulations\r\nPeter A. Fields, MD, DC</span>\r\n<span class=\"header_text_second\">The Athletic Doc<sup>®</sup>\r\nsuccessfully climbed</span>\r\n<span class=\"header_text_third white-text\">Mt. Kilimanjaro in\r\nTanzania, Africa.19,341 feet!!!</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/report-of-my-kilimanjaro-climb/\">Read More</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/Sider-01-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Peter A. Fields, MD, DC\r\nThe Athletic Doc<sup>®</sup></span>\r\n<span class=\"header_text_second\">Completed His 11th Ironman</span>\r\n<span class=\"header_text_third\">Sunday, November 24th in Cozumel Mexico</span>\r\n<a class=\"btn-more\" title=\"Read More\" href=\"#\">Images &amp; Story Coming Soon</a></div>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"jumbotron-fluid\">\r\n<div class=\"row\">\r\n<div class=\"col-md-4 box1\">\r\n\r\nWhat\'s\r\n<h3>New</h3>\r\n<ul>\r\n        <li><a href=\"/articles/regenerative-orthopedics/best-treatments-for-low-back-pain/\">Best Treatments For Low Back Pain</a></li>\r\n 	<li><a href=\"https://www.drfields.com/uncategorized/arthritis-knee-treatment/\">Arthritis Knee Treatment</a></li>\r\n 	<li><a href=\"https://www.drfields.com/uncategorized/back-pain-treatment/\">Back Pain Treatment</a></li>\r\n 	<li><a href=\"https://www.drfields.com/uncategorized/remedies-for-shoulder-repair/\">Remedies For Shoulder Repair</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/alternatives-for-the-red-knee-non-surgical-candidate-population/\">Alternatives for the \"Red Knee\" Non-Surgical Candidate Population</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/stem-cell-therapy-in-newport-beach-ca-area-regenerate-knee-cartilage-with-bone-marrow-concentrate-and-prp/\">Stem Cell Therapy in Newport Beach, CA Area</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/regenerative-orthopedics/\">Regenerative Orthopedics: Growing in Popularity</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/prolotherapy-the-answer-for-joint-repair/\">Prolotherapy – The Answer for Joint Repair</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/new-studies-reveal-cortisone-injections-make-knee-arthritis-worse/\">New Studies Reveal Cortisone Injections Make Knee Arthritis Worse</a></li>\r\n 	</ul>\r\n</div>\r\n<div id=\"testimonials\" class=\"col-md-4 box2\">\r\n\r\nPatient\r\n<h3>Testimonials</h3>\r\n<strong>Video:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I wished I had come earlier and listened to what my physical therapist had told me to do because Dr. Fields has been a real solution for me.\"\r\n\r\n<img class=\"testimonial-img\" title=\"Testimonial\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-larry.png\" alt=\"Testimonial\" />\r\n<h3>Larry</h3>\r\n<h4>Stem Cell Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I highly recommend it to anyone who needs to recover fast and get back out there.\"\r\n\r\n<img class=\"testimonial-img\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-christopher.png\" alt=\"\" />\r\n<h3>Chris, Pro Basketball Player</h3>\r\n<h4>PRP Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"Now I can go walking, I go to my ballet class and I’m a happy camper because of Dr. Fields.\"\r\n\r\n<img class=\"testimonial-img\" title=\"\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-mary.png\" alt=\"Testimonial\" />\r\n<h3>Mary</h3>\r\n<h4>Stem Cell Hip</h4>\r\n</div>\r\n</div>\r\n<strong>Written:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I need to say a big thank you to Dr Fields for getting me back on the tennis court. I am an avid tennis player who tried to ignore the terrible pain in my elbow.\"\r\n<h3 style=\"margin-left: 0;\">Mindy</h3>\r\n<h4 style=\"margin-left: 0;\">Elbow</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I chose Dr. Peter Fields because he is an athlete and would have more direct knowledge of my particular circumstances than anyone else.\"\r\n<h3 style=\"margin-left: 0;\">Robert</h3>\r\n<h4 style=\"margin-left: 0;\">Shoulder</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"After the final treatments ended I am still without all the pain and have more muscle strength in my legs.\"\r\n<h3 style=\"margin-left: 0;\">Lois</h3>\r\n<h4 style=\"margin-left: 0;\">Knee</h4>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"col-md-4 box3\">\r\n\r\nNews &amp;\r\n<h3>Events</h3>\r\n<ul>\r\n 	<li><a href=\"https://www.drfields.com/articles/health-news/dr-fields-to-lecture-in-mexico-city-on-july-9th/\">Peter A. Fields, MD, DC to lecture in Mexico City on July 9th</a></li>\r\n 	<li><a class=\"buttonlink\" style=\"width: 100%; font-size: 24px; text-align: center; padding: 25px 8%;\" href=\"https://www.drfields.com/contact/\"> Are you a Stem Cell Candidate?</a></li>\r\n</ul>\r\n</div>\r\n</div>\r\n</div>\r\n<div id=\"search-articles\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n<h2 class=\"text-center\">Search <b>Dr. Fields\'</b> Articles</h2>\r\n<form id=\"searchform\" action=\"/\" method=\"get\"><input class=\"search-field\" name=\"s\" type=\"text\" placeholder=\"What\'s Your Condition?\" />\r\n<input type=\"submit\" value=\"Search\" /></form></div>\r\n</div>\r\n</div>\r\n<div id=\"intro\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n<h1 class=\"text-center\">Welcome to OrthoRegen<sup>®</sup>!</h1>\r\n<p class=\"intro_text welcome\"><a href=\"http://orthoregen.com\"><span style=\"font-size: 26px;\">OrthoRegen<sup>®</sup></span></a> is dedicated to providing the best of <span class=\"nowrap\">Regenerative Orthopedics</span> by offering non-surgical alternatives for joint and spine repair</p>\r\n<a class=\"primaryButton\" title=\"Read More About U\" href=\"https://www.drfields.com/about/orthoregen-our-philosophy/\">Read More About Us</a>\r\n<a id=\"candidateButton\" title=\"Are you a good candidate?\" href=\"/contact/\">Are you a good candidate?</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"about\">\r\n<div class=\"col-md-5 drfields\"><img class=\"alignnone\" title=\"Regenerative Orthopedics Leader\" src=\"https://www.drfields.com/wp-content/uploads/2022/11/dr-fields-v1-021120.png\" alt=\"Regenerative Orthopedics Leader\" width=\"460\" height=\"737\" /></div>\r\n<div class=\"col-md-7 about_holder\">\r\n<h1>Peter A. Fields, <span class=\"nowrap\">MD, DC</span></h1>\r\n<p class=\"intro_text\">Medical Physician and Chiropractor\r\nThe Athletic Doc<sup>®</sup> - 11x Ironman Triathlete</p>\r\n\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"icon info\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-info.png\" alt=\"icon info\" /></div>\r\n<div class=\"about_text\">\r\n<h3>About</h3>\r\nPeter A. Fields, MD, DC is one of a handful of physicians in the nation with both medical and chiropractic degrees...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/dr-fields-bio/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"Man Icon\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-ironman.png\" alt=\"Man Icon\" /></div>\r\n<div class=\"about_text\">\r\n<h3>11x Ironman</h3>\r\nDr. Peter A. Fields is also known as The Athletic Doc<sup>®</sup> He not only treats athletes in his practice but is an athlete himself. For over...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n&nbsp;\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Call Us Today! 310-453-1234</a>','Home','','inherit','closed','closed','','2109-revision-v1','','','2023-03-27 02:22:51','2023-03-27 02:22:51','',2109,'https://www.drfields.com/?p=5731',0,'revision','',0),(5733,9,'2023-03-31 16:53:12','2023-03-31 16:53:12','<h2>Best Treatment for Low Back Pain</h2>\nIf you or someone you love is suffering from back pain, you understand the search for an answer for the resolution of the pain. The search for relief  or the best treatment for low back pain, can go on year after year.\n\nBack pain sufferers have tried many different treatment options like supplements, painkillers, anti-inflammatories, antidepressants, massage, manipulation, and possibly even surgery. But are these the best treatments for lower back pain?\n<h2>Why Do These Common Treatments Fail to Give Relief?</h2>\n<img class=\"alignright wp-image-5729\" src=\"https://www.drfields.com/wp-content/uploads/2023/03/DDD-Treatment-2-500x419.png\" alt=\"Best Treatments for Low Back Pain\" width=\"300\" height=\"251\" />Unfortunately, these common treatments for back pain do not address the real problem. Sure, they may address pain or inflammation, but pain and inflammation are symptoms of the underlying problem. What is the root cause of the pain and inflammation?\n\nVery often, the underlying problem causing back pain is instability. Instability in the back occurs when the ligaments connecting bone to bone become injured. Once ligaments are injured, they become more lax or loose. With this laxness comes abnormal motion in the joints.\n\nYou\'ve probably noticed that back pain comes and goes for many people. Back pain may be worse on some days and better on others. And when back pain is chronic, it continually comes back. Why does the pain always come back? If the underlying instability problem is not addressed, then the pain medications and anti-inflammatories only touch the symptoms of pain and inflammation. They do not repair the instability and abnormal motion in the vertebrae.\n<h2>What About Pain Medications? Are They the Best Treatment for Low Back Pain?</h2>\nCare for chronic low back pain is often very frustrating to clinicians and patients. It\'s frustrating because the commonly used treatments come up short. The Journal of Orthopaedic Surgery and Research says this, <em>\"The benefits are just not there to justify the routine prolonged use of any given drug in nonspecific chronic low back pain: this is a major challenge, and it is often hard to accept for clinicians and patients . . . ”(1)</em><em> </em>\n\nThere is also a subset of patients that have been prescribed narcotic pain relievers. Do these help long-term? The Journal of Osteopathic Medicine says,<em> \"Long-term opioid use (more than 12 months) patients had a worse disability, physical function, fatigue, and other pain-related problems including the earlier onset of sleep disturbance.\"(2) </em>As you can see, opioids do not help long-term, but rather increase disability.\n<h2>When Physical Therapy or Manipulation Aren\'t Working</h2>\nPhysical therapy and chiropractic manipulation are great treatment modalities and are effective in many cases of back pain. However, if the back pain is still an issue after the recommended treatments, ligament injury should be looked into, and Regenerative Orthopedics should be sought.\n<h2>What Can Repair the Abnormal Motion or Instability?</h2>\nRegenerative Orthopedic treatments repair the underlying damage to the ligaments and any involved tendons. These injured soft tissues naturally have a poor blood supply. But Regenerative Orthopedics boosts the blood supply to the ligaments. This increased blood supply helps the body to heal and repair. The result? The back is strengthening, the abnormal joint motion is stabilized, and the back pain sufferer experiences decreased pain and increased function!\n<h2>But I Have Disc Problems, What About That?</h2>\nEven if you have disc problems, the underlying problem can likely be instability. The injured ligaments allow for abnormal motion in the vertebrae and increase problems with the discs. Spinal ligament damage is at the core of the problem.\n\nIn degenerative disc disease, the disc height increases, and the lax ligaments lose tension. The vertebrae move even more, and the lack of stabilization increases pain in the discs and other spinal joint structures.\n\nIn many instances, the common underlying low back pain complaints, including arthritis and loss of spinal curve, are largely due to ligament injury. Instability in the spine is at the root of most chronic spinal pain.<em>  </em>\n<h2>The Most Common Cause of Unresolved Back Pain is Spinal Instability</h2>\nMuscles are one of the stabilizing structures of the spine. If the injury in the back is muscular, standard treatments will address the pain. The intervertebral discs and surrounding ligaments also hold together and stabilize the spine.\n\nWhen these standard treatments do not solve the problem of low back pain, underlying ligament damage and spinal instability need to be addressed. And the best treatment for back pain due to ligament damage is Regenerative Orthopedics.\n<h2>The Best Treatment for Low Back Pain Gets to the Underlying Issue</h2>\nOver time, after a traumatic injury, the ligaments will start to elongate and become loose and lax. Physically demanding activities or even sedentary postures can lead to this gradual loosening over time. Muscle spasms will develop because of these elongated ligaments. Swelling may occur, and eventually, arthritis will develop as the body attempts to stabilize the area by creating bone spurs.\n\nRegenerative Orthopedics strengthens the ligaments of the spine and prevents further degeneration. It gets to the underlying issue causing low back pain. Prolotherapy is a type of Regenerative Orthopedics. Researchers in the Journal of Prolotherapy say, “<em>In comparison to other soft tissues, ligaments have less vascularity. Once injured or degenerated, this lack of blood supply may delay healing. Prolotherapy may offer the stimulus for ligament regeneration.\"(3)</em>\n\nThe <em>Journal of Back and Musculoskeletal Rehabilitation</em> concluded, <em>“Prolotherapy can be regarded as a safe way of providing a meaningful improvement in pain and musculoskeletal function compared to the initial status. ...5% dextrose is a more simple and painless solution for Prolotherapy and also has a high success.”(4)</em>\n\nRemember, when back pain is an issue, the muscles may be in spasm because they are overcompensating for the injured ligaments as they try to stabilize the spine. Regenerative Orthopedics is the best treatment to repair the ligaments and get to the root of the back pain problem. Additionally, in cases of degenerative disc disease, Prolotherapy tightens the ligamentous structures and limits the abnormal vertebral motion, reducing the incidence of discogenic low back pain by improving stability.\n<h3>References</h3>\n(1)Migliorini F, Maffulli N. Choosing the appropriate pharmacotherapy for nonspecific chronic low back pain. Journal of Orthopaedic Surgery and Research. 2022 Dec;17(1):1-3.\n\n(2)Schultz MJ, Licciardone JC. The effect of long-term opioid use on back-specific disability and health-related quality of life in patients with chronic low back pain. Journal of Osteopathic Medicine. 2022 Aug 11.\n\n(3)Inklebarger J, Petrides S, Prolotherapy for Lumbar Segmental Instability Associated with Degenerative Disc Disease. Journal of Prolotherapy. 2016;8:e971-e977.\n\n(4)Solmaz I, Orscelik A, Koroglu O. Modified prolotherapy by 5% dextrose: Two years experiences of a traditional and complementary medicine practice center in Turkey. Journal of Back and Musculoskeletal Rehabilitation. 2021(Preprint):1-8.','Best Treatments for Low Back Pain','','inherit','closed','closed','','5728-autosave-v1','','','2023-03-31 16:53:12','2023-03-31 16:53:12','',5728,'https://www.drfields.com/?p=5733',0,'revision','',0),(5734,9,'2023-03-31 16:53:24','2023-03-31 16:53:24','<h2>Best Treatment for Low Back Pain</h2>\r\nIf you or someone you love is suffering from back pain, you understand the search for an answer for the resolution of the pain. The search for relief  or the best treatment for low back pain, can go on year after year.\r\n\r\nBack pain sufferers have tried many different treatment options like supplements, painkillers, anti-inflammatories, antidepressants, massage, manipulation, and possibly even surgery. But are these the best treatments for lower back pain?\r\n<h2>Why Do These Common Treatments Fail to Give Relief?</h2>\r\n<img class=\"alignright wp-image-5729\" src=\"https://www.drfields.com/wp-content/uploads/2023/03/DDD-Treatment-2-500x419.png\" alt=\"Best Treatments for Low Back Pain\" width=\"300\" height=\"251\" />Unfortunately, these common treatments for back pain do not address the real problem. Sure, they may address pain or inflammation, but pain and inflammation are symptoms of the underlying problem. What is the root cause of the pain and inflammation?\r\n\r\nVery often, the underlying problem causing back pain is instability. Instability in the back occurs when the ligaments connecting bone to bone become injured. Once ligaments are injured, they become more lax or loose. With this laxness comes abnormal motion in the joints.\r\n\r\nYou\'ve probably noticed that back pain comes and goes for many people. Back pain may be worse on some days and better on others. And when back pain is chronic, it continually comes back. Why does the pain always come back? If the underlying instability problem is not addressed, then the pain medications and anti-inflammatories only touch the symptoms of pain and inflammation. They do not repair the instability and abnormal motion in the vertebrae.\r\n<h2>What About Pain Medications? Are They the Best Treatment for Low Back Pain?</h2>\r\nCare for chronic low back pain is often very frustrating to clinicians and patients. It\'s frustrating because the commonly used treatments come up short. The Journal of Orthopaedic Surgery and Research says this, <em>\"The benefits are just not there to justify the routine prolonged use of any given drug in nonspecific chronic low back pain: this is a major challenge, and it is often hard to accept for clinicians and patients . . . ”(1)</em><em> </em>\r\n\r\nThere is also a subset of patients that have been prescribed narcotic pain relievers. Do these help long-term? The Journal of Osteopathic Medicine says,<em> \"Long-term opioid use (more than 12 months) patients had a worse disability, physical function, fatigue, and other pain-related problems including the earlier onset of sleep disturbance.\"(2) </em>As you can see, opioids do not help long-term, but rather increase disability.\r\n<h2>When Physical Therapy or Manipulation Aren\'t Working</h2>\r\nPhysical therapy and chiropractic manipulation are great treatment modalities and are effective in many cases of back pain. However, if the back pain is still an issue after the recommended treatments, ligament injury should be looked into, and Regenerative Orthopedics should be sought.\r\n<h2>What Can Repair the Abnormal Motion or Instability?</h2>\r\nRegenerative Orthopedic treatments repair the underlying damage to the ligaments and any involved tendons. These injured soft tissues naturally have a poor blood supply. But Regenerative Orthopedics boosts the blood supply to the ligaments. This increased blood supply helps the body to heal and repair. The result? The back is strengthening, the abnormal joint motion is stabilized, and the back pain sufferer experiences decreased pain and increased function!\r\n<h2>But I Have Disc Problems, What About That?</h2>\r\nEven if you have disc problems, the underlying problem can likely be instability. The injured ligaments allow for abnormal motion in the vertebrae and increase problems with the discs. Spinal ligament damage is at the core of the problem.\r\n\r\nIn degenerative disc disease, the disc height increases, and the lax ligaments lose tension. The vertebrae move even more, and the lack of stabilization increases pain in the discs and other spinal joint structures.\r\n\r\nIn many instances, the common underlying low back pain complaints, including arthritis and loss of spinal curve, are largely due to ligament injury. Instability in the spine is at the root of most chronic spinal pain.<em>  </em>\r\n<h2>The Most Common Cause of Unresolved Back Pain is Spinal Instability</h2>\r\nMuscles are one of the stabilizing structures of the spine. If the injury in the back is muscular, standard treatments will address the pain. The intervertebral discs and surrounding ligaments also hold together and stabilize the spine.\r\n\r\nWhen these standard treatments do not solve the problem of low back pain, underlying ligament damage and spinal instability need to be addressed. And the best treatment for back pain due to ligament damage is Regenerative Orthopedics.\r\n<h2>The Best Treatment for Low Back Pain Gets to the Underlying Issue</h2>\r\nOver time, after a traumatic injury, the ligaments will start to elongate and become loose and lax. Physically demanding activities or even sedentary postures can lead to this gradual loosening over time. Muscle spasms will develop because of these elongated ligaments. Swelling may occur, and eventually, arthritis will develop as the body attempts to stabilize the area by creating bone spurs.\r\n\r\nRegenerative Orthopedics strengthens the ligaments of the spine and prevents further degeneration. It gets to the underlying issue causing low back pain. Prolotherapy is a type of Regenerative Orthopedics. Researchers in the Journal of Prolotherapy say, “<em>In comparison to other soft tissues, ligaments have less vascularity. Once injured or degenerated, this lack of blood supply may delay healing. Prolotherapy may offer the stimulus for ligament regeneration.\"(3)</em>\r\n\r\nThe <em>Journal of Back and Musculoskeletal Rehabilitation</em> concluded, <em>“Prolotherapy can be regarded as a safe way of providing a meaningful improvement in pain and musculoskeletal function compared to the initial status. ...5% dextrose is a more simple and painless solution for Prolotherapy and also has a high success.”(4)</em>\r\n\r\nRemember, when back pain is an issue, the muscles may be in spasm because they are overcompensating for the injured ligaments as they try to stabilize the spine. Regenerative Orthopedics is the best treatment to repair the ligaments and get to the root of the back pain problem. Additionally, in cases of degenerative disc disease, Prolotherapy tightens the ligamentous structures and limits the abnormal vertebral motion, reducing the incidence of discogenic low back pain by improving stability.\r\n<h3>References</h3>\r\n(1)Migliorini F, Maffulli N. Choosing the appropriate pharmacotherapy for nonspecific chronic low back pain. Journal of Orthopaedic Surgery and Research. 2022 Dec;17(1):1-3.\r\n\r\n(2)Schultz MJ, Licciardone JC. The effect of long-term opioid use on back-specific disability and health-related quality of life in patients with chronic low back pain. Journal of Osteopathic Medicine. 2022 Aug 11.\r\n\r\n(3)Inklebarger J, Petrides S, Prolotherapy for Lumbar Segmental Instability Associated with Degenerative Disc Disease. Journal of Prolotherapy. 2016;8:e971-e977.\r\n\r\n(4)Solmaz I, Orscelik A, Koroglu O. Modified prolotherapy by 5% dextrose: Two years experiences of a traditional and complementary medicine practice center in Turkey. Journal of Back and Musculoskeletal Rehabilitation. 2021(Preprint):1-8.','Best Treatments for Low Back Pain','','inherit','closed','closed','','5728-revision-v1','','','2023-03-31 16:53:24','2023-03-31 16:53:24','',5728,'https://www.drfields.com/?p=5734',0,'revision','',0),(5736,8,'2023-04-06 10:02:13','2023-04-06 10:02:13','[caption id=\"attachment_5737\" align=\"alignright\" width=\"300\"]<img class=\"wp-image-5737\" src=\"https://www.drfields.com/wp-content/uploads/2023/04/Knee-Replacement-Failures-500x419.png\" alt=\"Knee Replacement Failures\" width=\"300\" height=\"251\" /> <strong> Knee Replacement Failure Statistics</strong>[/caption]\r\n<h2>Understanding Knee Replacement Failure</h2>\r\nKnee replacement is a huge undertaking. The surgery requires hospitalization and prolonged downtime. But is this surgery just a one-time thing? Unfortunately, it may not be!\r\n\r\nAdditionally, there is also a risk of replacement failure necessitating revision surgery down the road. How high is that risk?\r\n<h3><strong>Why Do Knee Replacements Fail?</strong></h3>\r\nThe leading cause of knee replacement failure is infection. Instability, looseness, persistent stiffness, ongoing pain, and metal allergies are additional reasons for failure.\r\n<h4><strong>Reasons for Increased Knee Replacement Failure Include:</strong></h4>\r\n<em>Revision Surgery</em>\r\n\r\nWhen replacements fail, revision surgery is needed, and revision surgeries have even worse outcomes than the initial replacement. (1)\r\n\r\n<em>Higher Recipient Rates</em>\r\n\r\nOne reason failure rates are getting higher is that more people are getting knee replacements. People are receiving knee replacements at a younger age too. And knee replacements don\'t last forever. In time, all knee replacements fail.\r\n\r\n<em>Continued Pain after Knee Replacement</em>\r\n\r\nKnee replacement recipients report a substantial rate of continued pain after knee replacement. Twenty percent or one in five patients who undergo total knee replacement for osteoarthritis report an unfavorable pain outcome after surgery. (2)\r\n\r\nGerman physicians reported even higher rates of pain, “About one-third of all patients after total knee arthroplasty experience persistent or recurring pain and/or dissatisfaction.\"(3)\r\n\r\nAnd researchers from the United Kingdom reported that \"adverse knee pain occurs in 10-34% of all total knee replacements, and 20% of total knee replacements patients experience more pain post-operatively than pre-operatively.\"(4)\r\n<h3><strong>How Long Do Knee Replacements Last?</strong></h3>\r\nResults vary when data is reviewed to show how long knee replacements last. Some studies show 15 years, others 20 years, and still others 25 years. (2,5,6)\r\n<h3><strong>What Is Your Idea of a Successful Knee Replacement?</strong></h3>\r\nYou may be surprised that your idea of success and the surgeon\'s idea of surgical success may differ completely. The surgeon may be satisfied that the surgery itself went well. But you may not be happy with that alone. If you have pain, a loose knee, swelling, and less walking ability after surgery than before, you may not feel like the surgery was a success.\r\n\r\nIn the Journal of Arthroplasty, researchers described patient dissatisfaction with their knee replacement due to looseness. The patients reported more pain and unmet expectations. (7)\r\n\r\nPatients generally expect a better quality of life after surgery, including less pain and an increased ability to do the activities they want. When these expectations are not met, patients are dissatisfied.\r\n<h3><strong>Is There An Alternative?</strong></h3>\r\nRegenerative Orthopedics is an alternative therapy that can be sought before surgery. The treatment should also be sought if surgery has already been done, and the patient is dissatisfied, or if the pain continues.\r\n\r\nBefore getting to the point of surgery, these regenerative treatments can stop the cycle of degeneration, reduce pain, and improve function. Osteoarthritis is the main reason people end up facing a knee replacement. Arthritis occurs because of instability in the knee joint. The instability is the result of an old or new injury. Regenerative Orthopedics can stabilize the knee and stop the degenerative process in these cases.\r\n\r\nRegenerative treatments can also help once a replacement has been done. The connective tissues damaged by the surgery or the damage due to the new stress placed on them by the implant can be strengthened and repaired.\r\n\r\nWe are pleased to offer this alternative to knee replacement and a solution when pain and dissatisfaction continue after knee replacement. Give us a call at 310-453-1234.\r\n<h3><strong>References</strong></h3>\r\n(1) Agarwal, Sanjeev, et al. \"Why are revision knee replacements failing?.\" <em>The Knee</em> 26.3 (2019): 774-778.\r\n\r\n(2) Beswick AD, Wylde V, Gooberman-Hill R, et al. What proportion of patients report long-term pain after total hip or knee replacement for osteoarthritis? A systematic review of prospective studies in unselected patients. BMJ Open 2012; 2:e000435. doi: 10.1136/bmjopen-2011-000435\r\n\r\n(3) Mathis DT, Hirschmann MT. Trotz Knietotalprothese schmerzt das Knie – was nun? [Painful knee after total knee arthroplasty – what can be done?]. Ther Umsch. 2020;77(10):491-497. German.\r\n\r\n(4) Li CY, Ng Cheong Chung KJ, Ali OM, Chung ND, Li CH. Literature review of the causes of pain following total knee replacement surgery: prosthesis, inflammation and arthrofibrosis. EFORT Open Reviews. 2020 Sep;5(9):534-43.\r\n\r\n(5) P van der List, DL Sheng, LJ Kleeblad, H Chawla, AD Pearle. Outcomes of cementless unicompartmental and total knee arthroplasty: a systematic review. Knee, 24 (2017), pp. 497-507.\r\n\r\n(6) T Niinimaki, A Eskelinen, K Makela, P Ohtonen, A-P Puhto, V Remes. Unicompartmental knee arthroplasty survivorship is lower than TKA survivorship: a 27-year Finnish registry study. Clin Orthop Relat Res, 472 (2014), pp. 1496-1501.\r\n\r\n(7) Broberg JS, Naudie DD, Lanting BA, Howard JL, Vasarhelyi EM, Teeter MG. Patient and Implant Performance of Satisfied and Dissatisfied Total Knee Arthroplasty Patients. The Journal of Arthroplasty. 2022 Jun 1;37(6):S98-104.','Knee Replacement Failure','','publish','closed','open','','knee-replacement-failure','','','2023-05-03 20:31:38','2023-05-03 20:31:38','',0,'https://www.drfields.com/?p=5736',0,'post','',0),(5737,8,'2023-04-08 16:03:31','2023-04-08 16:03:31','Knee Replacement Failures','Knee Replacement Failures','Knee Replacement Failures','inherit','closed','closed','','knee-replacement-failures','','','2023-04-08 16:03:32','2023-04-08 16:03:32','',5736,'https://www.drfields.com/wp-content/uploads/2023/04/Knee-Replacement-Failures.png',0,'attachment','image/png',0),(5738,8,'2023-04-08 16:04:42','2023-04-08 16:04:42','[caption id=\"attachment_5737\" align=\"alignright\" width=\"300\"]<img class=\"wp-image-5737\" src=\"https://www.drfields.com/wp-content/uploads/2023/04/Knee-Replacement-Failures-500x419.png\" alt=\"Knee Replacement Failures\" width=\"300\" height=\"251\" /> Knee Replacement Failures[/caption]\r\n\r\nKnee replacement is a huge undertaking. The surgery requires hospitalization and prolonged downtown. But is this surgery just a one time thing? Unfortunately, there is also a risk of replacement failure necessitating revision surgery down the road. How high is that risk?\r\n\r\n<strong>Why Do Knee Replacements Fail?</strong>\r\n\r\nThe main cause of knee replacement failure is infection. Instability, looseness, persistent stiffness, ongoing pain, and metal allergies are additional reasons for failure.\r\n\r\n<strong>Reasons for Increased Replacement Failure Include:</strong>\r\n\r\n<em>Revision Surgery</em>\r\n\r\nWhen replacements fail, revision surgery is needed, and revision surgeries have even worse outcomes than the initial replacement. (1)\r\n\r\n<em>Higher Recipient Rates</em>\r\n\r\nFailure rates are also getting higher because there are more people getting knee replacements. People are receiving knee replacements at a younger age too. And knee replacements don\'t last forever. In time, all knee replacements fail.\r\n\r\n<em>Continued Pain after Knee Replacement</em>\r\n\r\nThere is also a high rate of continued pain after knee replacement. Twenty percent, or one in five patients who undergo total knee replacement for osteoarthritis report an unfavorable pain outcome after surgery. (2)\r\n\r\nGerman physicians reported even higher rates of pain, “About one-third of all patients after total knee arthroplasty experience persistent or recurring pain and/or dissatisfaction.\"(3)\r\n\r\nAnd researchers from the United Kingdom reported that \"adverse knee pain occurs in 10-34% of all total knee replacements, and 20% of total knee replacements patients experience more pain post-operatively than pre-operatively.\"(4)\r\n\r\n<strong>How Long Do Knee Replacements Last?</strong>\r\n\r\nWhen data is reviewed to show how long knee replacements last there is a variety of results. Some studies show 15 years, others 20 years, and still others 25 years. (2,5,6)\r\n\r\n<strong>What Is Your Idea of a Successful Knee Replacement?</strong>\r\n\r\nYou may be surprised to know that your idea of success and the surgeons idea of surgical success may be two completely different things. The surgeon may just be happy that the surgery itself went well. But you may not be happy with that alone. If you have pain, a loose knee, swelling, and less walking ability after surgery than you did before surgery, you very well may not feel like the surgery was a success.\r\n\r\nIn the Journal of Arthroplasty, researchers described patient dissatisfaction with their knee replacement due to looseness. The patients reported more pain and unmet expectations. (7)\r\n\r\nPatients generally expect to see a better quality of life after surgery, including less pain and an increased ability to do the activities they want to do. When these expectations are not met, patients are dissatisfied.\r\n\r\n<strong>Is There An Alternative?</strong>\r\n\r\nRegenerative Orthopedics can help prior to surgery and after the surgery has been done.\r\n\r\nBefore getting to the point of surgery, these regenerative treatments can stop the cycle of degeneration, reduce pain, and improve function. Osteoarthritis is the main reason people end up facing a knee replacement. Arthritis occurs, because of instability in the knee joint. The instability is the result of an old or new injury. In these cases, Regenerative Orthopedics can stabilize the knee and stop the degenerative process.\r\n\r\nRegenerative treatments can also help once a replacement has been done. The connective tissues that have been damaged by the surgery or the damage that has occurred due to the new stress placed on them by the implant, can be strengthened and repaired.\r\n\r\nWe are pleased to offer this alternative to knee replacement as well as a solution when pain and dissatisfaction continue after knee replacement. Give us a call 310-453-1234.\r\n\r\n<strong>References</strong>\r\n\r\n(1) Agarwal, Sanjeev, et al. \"Why are revision knee replacements failing?.\" <em>The Knee</em> 26.3 (2019): 774-778.\r\n\r\n(2) Beswick AD, Wylde V, Gooberman-Hill R, et al. What proportion of patients report long-term pain after total hip or knee replacement for osteoarthritis? A systematic review of prospective studies in unselected patients. BMJ Open 2012; 2:e000435. doi: 10.1136/bmjopen-2011-000435\r\n\r\n(3) Mathis DT, Hirschmann MT. Trotz Knietotalprothese schmerzt das Knie – was nun? [Painful knee after total knee arthroplasty – what can be done?]. Ther Umsch. 2020;77(10):491-497. German.\r\n\r\n(4) Li CY, Ng Cheong Chung KJ, Ali OM, Chung ND, Li CH. Literature review of the causes of pain following total knee replacement surgery: prosthesis, inflammation and arthrofibrosis. EFORT Open Reviews. 2020 Sep;5(9):534-43.\r\n\r\n(5) P van der List, DL Sheng, LJ Kleeblad, H Chawla, AD Pearle. Outcomes of cementless unicompartmental and total knee arthroplasty: a systematic review. Knee, 24 (2017), pp. 497-507.\r\n\r\n(6) T Niinimaki, A Eskelinen, K Makela, P Ohtonen, A-P Puhto, V Remes. Unicompartmental knee arthroplasty survivorship is lower than TKA survivorship: a 27-year Finnish registry study. Clin Orthop Relat Res, 472 (2014), pp. 1496-1501.\r\n\r\n(7) Broberg JS, Naudie DD, Lanting BA, Howard JL, Vasarhelyi EM, Teeter MG. Patient and Implant Performance of Satisfied and Dissatisfied Total Knee Arthroplasty Patients. The Journal of Arthroplasty. 2022 Jun 1;37(6):S98-104.','Knee Replacement Failure','','inherit','closed','closed','','5736-revision-v1','','','2023-04-08 16:04:42','2023-04-08 16:04:42','',5736,'https://www.drfields.com/?p=5738',0,'revision','',0),(5739,8,'2023-04-08 16:09:36','2023-04-08 16:09:36','<div class=\"clear\"></div>\r\n<div id=\"slider\">\r\n<div class=\"owl-carousel slider-carousel\">\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/12/Slider-2-v3-261222.jpg\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/Slider-v1-021120.jpg\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-santa-monica-pier-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">New Article:</span>\r\n<span class=\"header_text_second\">Keep Looking Forward Despite COVID-19</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dealing-with-covid-19/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-11.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/0_header-orthoregen-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Get Back In The Game!</span>\r\n<span class=\"header_text_second\">Avoid Joint and Spine Surgery </span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">Stem Cell/PRP/Prolotherapy</span>\r\n<a class=\"btn-more\" title=\"Get Help Now!\" href=\"Contact-Us\"> Get Help Now!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item slide-article\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-ocean-mountains-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_second\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/0_Kili-top-header-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\" style=\"text-align: left;\"><span class=\"header_text_first\">Congratulations\r\nPeter A. Fields, MD, DC</span>\r\n<span class=\"header_text_second\">The Athletic Doc<sup>®</sup>\r\nsuccessfully climbed</span>\r\n<span class=\"header_text_third white-text\">Mt. Kilimanjaro in\r\nTanzania, Africa.19,341 feet!!!</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/report-of-my-kilimanjaro-climb/\">Read More</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/Sider-01-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Peter A. Fields, MD, DC\r\nThe Athletic Doc<sup>®</sup></span>\r\n<span class=\"header_text_second\">Completed His 11th Ironman</span>\r\n<span class=\"header_text_third\">Sunday, November 24th in Cozumel Mexico</span>\r\n<a class=\"btn-more\" title=\"Read More\" href=\"#\">Images &amp; Story Coming Soon</a></div>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"jumbotron-fluid\">\r\n<div class=\"row\">\r\n<div class=\"col-md-4 box1\">\r\n\r\nWhat\'s\r\n<h3>New</h3>\r\n<ul>\r\n 	<li><a href=\"/uncategorized/knee-replacement-failure/\">Knee Replacement Failure</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/best-treatments-for-low-back-pain/\">Best Treatments For Low Back Pain</a></li>\r\n 	<li><a href=\"https://www.drfields.com/uncategorized/arthritis-knee-treatment/\">Arthritis Knee Treatment</a></li>\r\n 	<li><a href=\"https://www.drfields.com/uncategorized/back-pain-treatment/\">Back Pain Treatment</a></li>\r\n 	<li><a href=\"https://www.drfields.com/uncategorized/remedies-for-shoulder-repair/\">Remedies For Shoulder Repair</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/alternatives-for-the-red-knee-non-surgical-candidate-population/\">Alternatives for the \"Red Knee\" Non-Surgical Candidate Population</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/stem-cell-therapy-in-newport-beach-ca-area-regenerate-knee-cartilage-with-bone-marrow-concentrate-and-prp/\">Stem Cell Therapy in Newport Beach, CA Area</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/regenerative-orthopedics/\">Regenerative Orthopedics: Growing in Popularity</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/prolotherapy-the-answer-for-joint-repair/\">Prolotherapy – The Answer for Joint Repair</a></li>\r\n</ul>\r\n</div>\r\n<div id=\"testimonials\" class=\"col-md-4 box2\">\r\n\r\nPatient\r\n<h3>Testimonials</h3>\r\n<strong>Video:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I wished I had come earlier and listened to what my physical therapist had told me to do because Dr. Fields has been a real solution for me.\"\r\n\r\n<img class=\"testimonial-img\" title=\"Testimonial\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-larry.png\" alt=\"Testimonial\" />\r\n<h3>Larry</h3>\r\n<h4>Stem Cell Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I highly recommend it to anyone who needs to recover fast and get back out there.\"\r\n\r\n<img class=\"testimonial-img\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-christopher.png\" alt=\"\" />\r\n<h3>Chris, Pro Basketball Player</h3>\r\n<h4>PRP Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"Now I can go walking, I go to my ballet class and I’m a happy camper because of Dr. Fields.\"\r\n\r\n<img class=\"testimonial-img\" title=\"\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-mary.png\" alt=\"Testimonial\" />\r\n<h3>Mary</h3>\r\n<h4>Stem Cell Hip</h4>\r\n</div>\r\n</div>\r\n<strong>Written:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I need to say a big thank you to Dr Fields for getting me back on the tennis court. I am an avid tennis player who tried to ignore the terrible pain in my elbow.\"\r\n<h3 style=\"margin-left: 0;\">Mindy</h3>\r\n<h4 style=\"margin-left: 0;\">Elbow</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I chose Dr. Peter Fields because he is an athlete and would have more direct knowledge of my particular circumstances than anyone else.\"\r\n<h3 style=\"margin-left: 0;\">Robert</h3>\r\n<h4 style=\"margin-left: 0;\">Shoulder</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"After the final treatments ended I am still without all the pain and have more muscle strength in my legs.\"\r\n<h3 style=\"margin-left: 0;\">Lois</h3>\r\n<h4 style=\"margin-left: 0;\">Knee</h4>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"col-md-4 box3\">\r\n\r\nNews &amp;\r\n<h3>Events</h3>\r\n<ul>\r\n 	<li><a href=\"https://www.drfields.com/articles/health-news/dr-fields-to-lecture-in-mexico-city-on-july-9th/\">Peter A. Fields, MD, DC to lecture in Mexico City on July 9th</a></li>\r\n 	<li><a class=\"buttonlink\" style=\"width: 100%; font-size: 24px; text-align: center; padding: 25px 8%;\" href=\"https://www.drfields.com/contact/\"> Are you a Stem Cell Candidate?</a></li>\r\n</ul>\r\n</div>\r\n</div>\r\n</div>\r\n<div id=\"search-articles\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n<h2 class=\"text-center\">Search <b>Dr. Fields\'</b> Articles</h2>\r\n<form id=\"searchform\" action=\"/\" method=\"get\"><input class=\"search-field\" name=\"s\" type=\"text\" placeholder=\"What\'s Your Condition?\" />\r\n<input type=\"submit\" value=\"Search\" /></form></div>\r\n</div>\r\n</div>\r\n<div id=\"intro\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n<h1 class=\"text-center\">Welcome to OrthoRegen<sup>®</sup>!</h1>\r\n<p class=\"intro_text welcome\"><a href=\"http://orthoregen.com\"><span style=\"font-size: 26px;\">OrthoRegen<sup>®</sup></span></a> is dedicated to providing the best of <span class=\"nowrap\">Regenerative Orthopedics</span> by offering non-surgical alternatives for joint and spine repair</p>\r\n<a class=\"primaryButton\" title=\"Read More About U\" href=\"https://www.drfields.com/about/orthoregen-our-philosophy/\">Read More About Us</a>\r\n<a id=\"candidateButton\" title=\"Are you a good candidate?\" href=\"/contact/\">Are you a good candidate?</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"about\">\r\n<div class=\"col-md-5 drfields\"><img class=\"alignnone\" title=\"Regenerative Orthopedics Leader\" src=\"https://www.drfields.com/wp-content/uploads/2022/11/dr-fields-v1-021120.png\" alt=\"Regenerative Orthopedics Leader\" width=\"460\" height=\"737\" /></div>\r\n<div class=\"col-md-7 about_holder\">\r\n<h1>Peter A. Fields, <span class=\"nowrap\">MD, DC</span></h1>\r\n<p class=\"intro_text\">Medical Physician and Chiropractor\r\nThe Athletic Doc<sup>®</sup> - 11x Ironman Triathlete</p>\r\n\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"icon info\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-info.png\" alt=\"icon info\" /></div>\r\n<div class=\"about_text\">\r\n<h3>About</h3>\r\nPeter A. Fields, MD, DC is one of a handful of physicians in the nation with both medical and chiropractic degrees...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/dr-fields-bio/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"Man Icon\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-ironman.png\" alt=\"Man Icon\" /></div>\r\n<div class=\"about_text\">\r\n<h3>11x Ironman</h3>\r\nDr. Peter A. Fields is also known as The Athletic Doc<sup>®</sup> He not only treats athletes in his practice but is an athlete himself. For over...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n&nbsp;\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Call Us Today! 310-453-1234</a>','Home','','inherit','closed','closed','','2109-revision-v1','','','2023-04-08 16:09:36','2023-04-08 16:09:36','',2109,'https://www.drfields.com/?p=5739',0,'revision','',0),(5740,8,'2023-04-08 16:10:19','2023-04-08 16:10:19','<div class=\"clear\"></div>\r\n<div id=\"slider\">\r\n<div class=\"owl-carousel slider-carousel\">\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/12/Slider-2-v3-261222.jpg\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/Slider-v1-021120.jpg\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-santa-monica-pier-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">New Article:</span>\r\n<span class=\"header_text_second\">Keep Looking Forward Despite COVID-19</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dealing-with-covid-19/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-11.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/0_header-orthoregen-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Get Back In The Game!</span>\r\n<span class=\"header_text_second\">Avoid Joint and Spine Surgery </span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">Stem Cell/PRP/Prolotherapy</span>\r\n<a class=\"btn-more\" title=\"Get Help Now!\" href=\"Contact-Us\"> Get Help Now!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item slide-article\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-ocean-mountains-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_second\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/0_Kili-top-header-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\" style=\"text-align: left;\"><span class=\"header_text_first\">Congratulations\r\nPeter A. Fields, MD, DC</span>\r\n<span class=\"header_text_second\">The Athletic Doc<sup>®</sup>\r\nsuccessfully climbed</span>\r\n<span class=\"header_text_third white-text\">Mt. Kilimanjaro in\r\nTanzania, Africa.19,341 feet!!!</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/report-of-my-kilimanjaro-climb/\">Read More</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/Sider-01-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Peter A. Fields, MD, DC\r\nThe Athletic Doc<sup>®</sup></span>\r\n<span class=\"header_text_second\">Completed His 11th Ironman</span>\r\n<span class=\"header_text_third\">Sunday, November 24th in Cozumel Mexico</span>\r\n<a class=\"btn-more\" title=\"Read More\" href=\"#\">Images &amp; Story Coming Soon</a></div>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"jumbotron-fluid\">\r\n<div class=\"row\">\r\n<div class=\"col-md-4 box1\">\r\n\r\nWhat\'s\r\n<h3>New</h3>\r\n<ul>\r\n 	<li><a href=\"/uncategorized/knee-replacement-failure/\">Knee Replacement Failure</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/best-treatments-for-low-back-pain/\">Best Treatments For Low Back Pain</a></li>\r\n 	<li><a href=\"https://www.drfields.com/uncategorized/arthritis-knee-treatment/\">Arthritis Knee Treatment</a></li>\r\n 	<li><a href=\"https://www.drfields.com/uncategorized/back-pain-treatment/\">Back Pain Treatment</a></li>\r\n 	<li><a href=\"https://www.drfields.com/uncategorized/remedies-for-shoulder-repair/\">Remedies For Shoulder Repair</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/alternatives-for-the-red-knee-non-surgical-candidate-population/\">Alternatives for the \"Red Knee\" Non-Surgical Candidate Population</a></li>\r\n</ul>\r\n</div>\r\n<div id=\"testimonials\" class=\"col-md-4 box2\">\r\n\r\nPatient\r\n<h3>Testimonials</h3>\r\n<strong>Video:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I wished I had come earlier and listened to what my physical therapist had told me to do because Dr. Fields has been a real solution for me.\"\r\n\r\n<img class=\"testimonial-img\" title=\"Testimonial\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-larry.png\" alt=\"Testimonial\" />\r\n<h3>Larry</h3>\r\n<h4>Stem Cell Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I highly recommend it to anyone who needs to recover fast and get back out there.\"\r\n\r\n<img class=\"testimonial-img\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-christopher.png\" alt=\"\" />\r\n<h3>Chris, Pro Basketball Player</h3>\r\n<h4>PRP Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"Now I can go walking, I go to my ballet class and I’m a happy camper because of Dr. Fields.\"\r\n\r\n<img class=\"testimonial-img\" title=\"\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-mary.png\" alt=\"Testimonial\" />\r\n<h3>Mary</h3>\r\n<h4>Stem Cell Hip</h4>\r\n</div>\r\n</div>\r\n<strong>Written:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I need to say a big thank you to Dr Fields for getting me back on the tennis court. I am an avid tennis player who tried to ignore the terrible pain in my elbow.\"\r\n<h3 style=\"margin-left: 0;\">Mindy</h3>\r\n<h4 style=\"margin-left: 0;\">Elbow</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I chose Dr. Peter Fields because he is an athlete and would have more direct knowledge of my particular circumstances than anyone else.\"\r\n<h3 style=\"margin-left: 0;\">Robert</h3>\r\n<h4 style=\"margin-left: 0;\">Shoulder</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"After the final treatments ended I am still without all the pain and have more muscle strength in my legs.\"\r\n<h3 style=\"margin-left: 0;\">Lois</h3>\r\n<h4 style=\"margin-left: 0;\">Knee</h4>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"col-md-4 box3\">\r\n\r\nNews &amp;\r\n<h3>Events</h3>\r\n<ul>\r\n 	<li><a href=\"https://www.drfields.com/articles/health-news/dr-fields-to-lecture-in-mexico-city-on-july-9th/\">Peter A. Fields, MD, DC to lecture in Mexico City on July 9th</a></li>\r\n 	<li><a class=\"buttonlink\" style=\"width: 100%; font-size: 24px; text-align: center; padding: 25px 8%;\" href=\"https://www.drfields.com/contact/\"> Are you a Stem Cell Candidate?</a></li>\r\n</ul>\r\n</div>\r\n</div>\r\n</div>\r\n<div id=\"search-articles\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n<h2 class=\"text-center\">Search <b>Dr. Fields\'</b> Articles</h2>\r\n<form id=\"searchform\" action=\"/\" method=\"get\"><input class=\"search-field\" name=\"s\" type=\"text\" placeholder=\"What\'s Your Condition?\" />\r\n<input type=\"submit\" value=\"Search\" /></form></div>\r\n</div>\r\n</div>\r\n<div id=\"intro\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n<h1 class=\"text-center\">Welcome to OrthoRegen<sup>®</sup>!</h1>\r\n<p class=\"intro_text welcome\"><a href=\"http://orthoregen.com\"><span style=\"font-size: 26px;\">OrthoRegen<sup>®</sup></span></a> is dedicated to providing the best of <span class=\"nowrap\">Regenerative Orthopedics</span> by offering non-surgical alternatives for joint and spine repair</p>\r\n<a class=\"primaryButton\" title=\"Read More About U\" href=\"https://www.drfields.com/about/orthoregen-our-philosophy/\">Read More About Us</a>\r\n<a id=\"candidateButton\" title=\"Are you a good candidate?\" href=\"/contact/\">Are you a good candidate?</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"about\">\r\n<div class=\"col-md-5 drfields\"><img class=\"alignnone\" title=\"Regenerative Orthopedics Leader\" src=\"https://www.drfields.com/wp-content/uploads/2022/11/dr-fields-v1-021120.png\" alt=\"Regenerative Orthopedics Leader\" width=\"460\" height=\"737\" /></div>\r\n<div class=\"col-md-7 about_holder\">\r\n<h1>Peter A. Fields, <span class=\"nowrap\">MD, DC</span></h1>\r\n<p class=\"intro_text\">Medical Physician and Chiropractor\r\nThe Athletic Doc<sup>®</sup> - 11x Ironman Triathlete</p>\r\n\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"icon info\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-info.png\" alt=\"icon info\" /></div>\r\n<div class=\"about_text\">\r\n<h3>About</h3>\r\nPeter A. Fields, MD, DC is one of a handful of physicians in the nation with both medical and chiropractic degrees...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/dr-fields-bio/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"Man Icon\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-ironman.png\" alt=\"Man Icon\" /></div>\r\n<div class=\"about_text\">\r\n<h3>11x Ironman</h3>\r\nDr. Peter A. Fields is also known as The Athletic Doc<sup>®</sup> He not only treats athletes in his practice but is an athlete himself. For over...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n&nbsp;\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Call Us Today! 310-453-1234</a>','Home','','inherit','closed','closed','','2109-revision-v1','','','2023-04-08 16:10:19','2023-04-08 16:10:19','',2109,'https://www.drfields.com/?p=5740',0,'revision','',0),(5741,8,'2023-04-08 16:10:49','2023-04-08 16:10:49','<div class=\"clear\"></div>\r\n<div id=\"slider\">\r\n<div class=\"owl-carousel slider-carousel\">\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/12/Slider-2-v3-261222.jpg\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/Slider-v1-021120.jpg\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-santa-monica-pier-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">New Article:</span>\r\n<span class=\"header_text_second\">Keep Looking Forward Despite COVID-19</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dealing-with-covid-19/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-11.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/0_header-orthoregen-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Get Back In The Game!</span>\r\n<span class=\"header_text_second\">Avoid Joint and Spine Surgery </span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">Stem Cell/PRP/Prolotherapy</span>\r\n<a class=\"btn-more\" title=\"Get Help Now!\" href=\"Contact-Us\"> Get Help Now!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item slide-article\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-ocean-mountains-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_second\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/0_Kili-top-header-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\" style=\"text-align: left;\"><span class=\"header_text_first\">Congratulations\r\nPeter A. Fields, MD, DC</span>\r\n<span class=\"header_text_second\">The Athletic Doc<sup>®</sup>\r\nsuccessfully climbed</span>\r\n<span class=\"header_text_third white-text\">Mt. Kilimanjaro in\r\nTanzania, Africa.19,341 feet!!!</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/report-of-my-kilimanjaro-climb/\">Read More</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/Sider-01-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Peter A. Fields, MD, DC\r\nThe Athletic Doc<sup>®</sup></span>\r\n<span class=\"header_text_second\">Completed His 11th Ironman</span>\r\n<span class=\"header_text_third\">Sunday, November 24th in Cozumel Mexico</span>\r\n<a class=\"btn-more\" title=\"Read More\" href=\"#\">Images &amp; Story Coming Soon</a></div>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"jumbotron-fluid\">\r\n<div class=\"row\">\r\n<div class=\"col-md-4 box1\">\r\n\r\nWhat\'s\r\n<h3>New</h3>\r\n<ul>\r\n 	<li><a href=\"/uncategorized/knee-replacement-failure/\">Knee Replacement Failure</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/best-treatments-for-low-back-pain/\">Best Treatments For Low Back Pain</a></li>\r\n 	<li><a href=\"https://www.drfields.com/uncategorized/arthritis-knee-treatment/\">Arthritis Knee Treatment</a></li>\r\n 	<li><a href=\"https://www.drfields.com/uncategorized/back-pain-treatment/\">Back Pain Treatment</a></li>\r\n 	<li><a href=\"https://www.drfields.com/uncategorized/remedies-for-shoulder-repair/\">Remedies For Shoulder Repair</a></li>\r\n</ul>\r\n</div>\r\n<div id=\"testimonials\" class=\"col-md-4 box2\">\r\n\r\nPatient\r\n<h3>Testimonials</h3>\r\n<strong>Video:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I wished I had come earlier and listened to what my physical therapist had told me to do because Dr. Fields has been a real solution for me.\"\r\n\r\n<img class=\"testimonial-img\" title=\"Testimonial\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-larry.png\" alt=\"Testimonial\" />\r\n<h3>Larry</h3>\r\n<h4>Stem Cell Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I highly recommend it to anyone who needs to recover fast and get back out there.\"\r\n\r\n<img class=\"testimonial-img\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-christopher.png\" alt=\"\" />\r\n<h3>Chris, Pro Basketball Player</h3>\r\n<h4>PRP Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"Now I can go walking, I go to my ballet class and I’m a happy camper because of Dr. Fields.\"\r\n\r\n<img class=\"testimonial-img\" title=\"\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-mary.png\" alt=\"Testimonial\" />\r\n<h3>Mary</h3>\r\n<h4>Stem Cell Hip</h4>\r\n</div>\r\n</div>\r\n<strong>Written:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I need to say a big thank you to Dr Fields for getting me back on the tennis court. I am an avid tennis player who tried to ignore the terrible pain in my elbow.\"\r\n<h3 style=\"margin-left: 0;\">Mindy</h3>\r\n<h4 style=\"margin-left: 0;\">Elbow</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I chose Dr. Peter Fields because he is an athlete and would have more direct knowledge of my particular circumstances than anyone else.\"\r\n<h3 style=\"margin-left: 0;\">Robert</h3>\r\n<h4 style=\"margin-left: 0;\">Shoulder</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"After the final treatments ended I am still without all the pain and have more muscle strength in my legs.\"\r\n<h3 style=\"margin-left: 0;\">Lois</h3>\r\n<h4 style=\"margin-left: 0;\">Knee</h4>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"col-md-4 box3\">\r\n\r\nNews &amp;\r\n<h3>Events</h3>\r\n<ul>\r\n 	<li><a href=\"https://www.drfields.com/articles/health-news/dr-fields-to-lecture-in-mexico-city-on-july-9th/\">Peter A. Fields, MD, DC to lecture in Mexico City on July 9th</a></li>\r\n 	<li><a class=\"buttonlink\" style=\"width: 100%; font-size: 24px; text-align: center; padding: 25px 8%;\" href=\"https://www.drfields.com/contact/\"> Are you a Stem Cell Candidate?</a></li>\r\n</ul>\r\n</div>\r\n</div>\r\n</div>\r\n<div id=\"search-articles\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n<h2 class=\"text-center\">Search <b>Dr. Fields\'</b> Articles</h2>\r\n<form id=\"searchform\" action=\"/\" method=\"get\"><input class=\"search-field\" name=\"s\" type=\"text\" placeholder=\"What\'s Your Condition?\" />\r\n<input type=\"submit\" value=\"Search\" /></form></div>\r\n</div>\r\n</div>\r\n<div id=\"intro\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n<h1 class=\"text-center\">Welcome to OrthoRegen<sup>®</sup>!</h1>\r\n<p class=\"intro_text welcome\"><a href=\"http://orthoregen.com\"><span style=\"font-size: 26px;\">OrthoRegen<sup>®</sup></span></a> is dedicated to providing the best of <span class=\"nowrap\">Regenerative Orthopedics</span> by offering non-surgical alternatives for joint and spine repair</p>\r\n<a class=\"primaryButton\" title=\"Read More About U\" href=\"https://www.drfields.com/about/orthoregen-our-philosophy/\">Read More About Us</a>\r\n<a id=\"candidateButton\" title=\"Are you a good candidate?\" href=\"/contact/\">Are you a good candidate?</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"about\">\r\n<div class=\"col-md-5 drfields\"><img class=\"alignnone\" title=\"Regenerative Orthopedics Leader\" src=\"https://www.drfields.com/wp-content/uploads/2022/11/dr-fields-v1-021120.png\" alt=\"Regenerative Orthopedics Leader\" width=\"460\" height=\"737\" /></div>\r\n<div class=\"col-md-7 about_holder\">\r\n<h1>Peter A. Fields, <span class=\"nowrap\">MD, DC</span></h1>\r\n<p class=\"intro_text\">Medical Physician and Chiropractor\r\nThe Athletic Doc<sup>®</sup> - 11x Ironman Triathlete</p>\r\n\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"icon info\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-info.png\" alt=\"icon info\" /></div>\r\n<div class=\"about_text\">\r\n<h3>About</h3>\r\nPeter A. Fields, MD, DC is one of a handful of physicians in the nation with both medical and chiropractic degrees...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/dr-fields-bio/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"Man Icon\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-ironman.png\" alt=\"Man Icon\" /></div>\r\n<div class=\"about_text\">\r\n<h3>11x Ironman</h3>\r\nDr. Peter A. Fields is also known as The Athletic Doc<sup>®</sup> He not only treats athletes in his practice but is an athlete himself. For over...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n&nbsp;\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Call Us Today! 310-453-1234</a>','Home','','inherit','closed','closed','','2109-revision-v1','','','2023-04-08 16:10:49','2023-04-08 16:10:49','',2109,'https://www.drfields.com/?p=5741',0,'revision','',0),(5743,9,'2023-04-12 21:44:10','2023-04-12 21:44:10','[caption id=\"attachment_5737\" align=\"alignright\" width=\"300\"]<img class=\"wp-image-5737\" src=\"https://www.drfields.com/wp-content/uploads/2023/04/Knee-Replacement-Failures-500x419.png\" alt=\"Knee Replacement Failures\" width=\"300\" height=\"251\" />       <strong> Knee Replacement Failure Statistics</strong>[/caption]\n<h2>Understanding Knee Replacement Failure</h2>\nKnee replacement is a huge undertaking. The surgery requires hospitalization and prolonged downtown. But is this surgery just a one-time thing? Unfortunately, it may not be!\n\nAdditionally, there is also a risk of replacement failure necessitating revision surgery down the road. How high is that risk?\n<h3><strong>Why Do Knee Replacements Fail?</strong></h3>\nThe leading cause of knee replacement failure is infection. Instability, looseness, persistent stiffness, ongoing pain, and metal allergies are additional reasons for failure.\n<h4><strong>Reasons for Increased Knee Replacement Failure Include:</strong></h4>\n<em>Revision Surgery</em>\n\nWhen replacements fail, revision surgery is needed, and revision surgeries have even worse outcomes than the initial replacement. (1)\n\n<em>Higher Recipient Rates</em>\n\nOne reason failure rates are getting higher is that more people are getting knee replacements. People are receiving knee replacements at a younger age too. And knee replacements don\'t last forever. In time, all knee replacements fail.\n\n<em>Continued Pain after Knee Replacement</em>\n\nKnee replacement recipients report a substantial rate of continued pain after knee replacement. Twenty percent or one in five patients who undergo total knee replacement for osteoarthritis report an unfavorable pain outcome after surgery. (2)\n\nGerman physicians reported even higher rates of pain, “About one-third of all patients after total knee arthroplasty experience persistent or recurring pain and/or dissatisfaction.\"(3)\n\nAnd researchers from the United Kingdom reported that \"adverse knee pain occurs in 10-34% of all total knee replacements, and 20% of total knee replacements patients experience more pain post-operatively than pre-operatively.\"(4)\n<h3><strong>How Long Do Knee Replacements Last?</strong></h3>\nResults vary when data is reviewed to show how long knee replacements last. Some studies show 15 years, others 20 years, and still others 25 years. (2,5,6)\n<h3><strong>What Is Your Idea of a Successful Knee Replacement?</strong></h3>\nYou may be surprised that your idea of success and the surgeon\'s idea of surgical success may differ completely. The surgeon may be satisfied that the surgery itself went well. But you may not be happy with that alone. If you have pain, a loose knee, swelling, and less walking ability after surgery than before, you may not feel like the surgery was a success.\n\nIn the Journal of Arthroplasty, researchers described patient dissatisfaction with their knee replacement due to looseness. The patients reported more pain and unmet expectations. (7)\n\nPatients generally expect a better quality of life after surgery, including less pain and an increased ability to do the activities they want. When these expectations are not met, patients are dissatisfied.\n<h3><strong>Is There An Alternative?</strong></h3>\nRegenerative Orthopedics is an alternative therapy that can be sought before surgery. The treatment should also be sought if surgery has already been done, and the patient is dissatisfied, or if the pain continues.\n\nBefore getting to the point of surgery, these regenerative treatments can stop the cycle of degeneration, reduce pain, and improve function. Osteoarthritis is the main reason people end up facing a knee replacement. Arthritis occurs because of instability in the knee joint. The instability is the result of an old or new injury. Regenerative Orthopedics can stabilize the knee and stop the degenerative process in these cases.\n\nRegenerative treatments can also help once a replacement has been done. The connective tissues damaged by the surgery or the damage due to the new stress placed on them by the implant can be strengthened and repaired.\n\nWe are pleased to offer this alternative to knee replacement and a solution when pain and dissatisfaction continue after knee replacement. Give us a call at 310-453-1234.\n<h3><strong>References</strong></h3>\n(1) Agarwal, Sanjeev, et al. \"Why are revision knee replacements failing?.\" <em>The Knee</em> 26.3 (2019): 774-778.\n\n(2) Beswick AD, Wylde V, Gooberman-Hill R, et al. What proportion of patients report long-term pain after total hip or knee replacement for osteoarthritis? A systematic review of prospective studies in unselected patients. BMJ Open 2012; 2:e000435. doi: 10.1136/bmjopen-2011-000435\n\n(3) Mathis DT, Hirschmann MT. Trotz Knietotalprothese schmerzt das Knie – was nun? [Painful knee after total knee arthroplasty – what can be done?]. Ther Umsch. 2020;77(10):491-497. German.\n\n(4) Li CY, Ng Cheong Chung KJ, Ali OM, Chung ND, Li CH. Literature review of the causes of pain following total knee replacement surgery: prosthesis, inflammation and arthrofibrosis. EFORT Open Reviews. 2020 Sep;5(9):534-43.\n\n(5) P van der List, DL Sheng, LJ Kleeblad, H Chawla, AD Pearle. Outcomes of cementless unicompartmental and total knee arthroplasty: a systematic review. Knee, 24 (2017), pp. 497-507.\n\n(6) T Niinimaki, A Eskelinen, K Makela, P Ohtonen, A-P Puhto, V Remes. Unicompartmental knee arthroplasty survivorship is lower than TKA survivorship: a 27-year Finnish registry study. Clin Orthop Relat Res, 472 (2014), pp. 1496-1501.\n\n(7) Broberg JS, Naudie DD, Lanting BA, Howard JL, Vasarhelyi EM, Teeter MG. Patient and Implant Performance of Satisfied and Dissatisfied Total Knee Arthroplasty Patients. The Journal of Arthroplasty. 2022 Jun 1;37(6):S98-104.','Knee Replacement Failure','','inherit','closed','closed','','5736-autosave-v1','','','2023-04-12 21:44:10','2023-04-12 21:44:10','',5736,'https://www.drfields.com/?p=5743',0,'revision','',0),(5744,9,'2023-04-12 21:33:14','2023-04-12 21:33:14','[caption id=\"attachment_5737\" align=\"alignright\" width=\"300\"]<img class=\"wp-image-5737\" src=\"https://www.drfields.com/wp-content/uploads/2023/04/Knee-Replacement-Failures-500x419.png\" alt=\"Knee Replacement Failures\" width=\"300\" height=\"251\" /> Knee Replacement Failures[/caption]\r\n<h2>Understanding Knee Replacement Failure</h2>\r\nKnee replacement is a huge undertaking. The surgery requires hospitalization and prolonged downtown. But is this surgery just a one-time thing? Unfortunately, there is also a risk of replacement failure necessitating revision surgery down the road. How high is that risk?\r\n\r\n<strong>Why Do Knee Replacements Fail?</strong>\r\n\r\nThe leading cause of knee replacement failure is infection. Instability, looseness, persistent stiffness, ongoing pain, and metal allergies are additional reasons for failure.\r\n\r\n<strong>Reasons for Increased Replacement Failure Include:</strong>\r\n\r\n<em>Revision Surgery</em>\r\n\r\nWhen replacements fail, revision surgery is needed, and revision surgeries have even worse outcomes than the initial replacement. (1)\r\n\r\n<em>Higher Recipient Rates</em>\r\n\r\nFailure rates are also getting higher because there are more people getting knee replacements. People are receiving knee replacements at a younger age too. And knee replacements don\'t last forever. In time, all knee replacements fail.\r\n\r\n<em>Continued Pain after Knee Replacement</em>\r\n\r\nThere is also a high rate of continued pain after knee replacement. Twenty percent, or one in five patients who undergo total knee replacement for osteoarthritis report an unfavorable pain outcome after surgery. (2)\r\n\r\nGerman physicians reported even higher rates of pain, “About one-third of all patients after total knee arthroplasty experience persistent or recurring pain and/or dissatisfaction.\"(3)\r\n\r\nAnd researchers from the United Kingdom reported that \"adverse knee pain occurs in 10-34% of all total knee replacements, and 20% of total knee replacements patients experience more pain post-operatively than pre-operatively.\"(4)\r\n\r\n<strong>How Long Do Knee Replacements Last?</strong>\r\n\r\nWhen data is reviewed to show how long knee replacements last there is a variety of results. Some studies show 15 years, others 20 years, and still others 25 years. (2,5,6)\r\n\r\n<strong>What Is Your Idea of a Successful Knee Replacement?</strong>\r\n\r\nYou may be surprised to know that your idea of success and the surgeons idea of surgical success may be two completely different things. The surgeon may just be happy that the surgery itself went well. But you may not be happy with that alone. If you have pain, a loose knee, swelling, and less walking ability after surgery than you did before surgery, you very well may not feel like the surgery was a success.\r\n\r\nIn the Journal of Arthroplasty, researchers described patient dissatisfaction with their knee replacement due to looseness. The patients reported more pain and unmet expectations. (7)\r\n\r\nPatients generally expect to see a better quality of life after surgery, including less pain and an increased ability to do the activities they want to do. When these expectations are not met, patients are dissatisfied.\r\n\r\n<strong>Is There An Alternative?</strong>\r\n\r\nRegenerative Orthopedics can help prior to surgery and after the surgery has been done.\r\n\r\nBefore getting to the point of surgery, these regenerative treatments can stop the cycle of degeneration, reduce pain, and improve function. Osteoarthritis is the main reason people end up facing a knee replacement. Arthritis occurs, because of instability in the knee joint. The instability is the result of an old or new injury. In these cases, Regenerative Orthopedics can stabilize the knee and stop the degenerative process.\r\n\r\nRegenerative treatments can also help once a replacement has been done. The connective tissues that have been damaged by the surgery or the damage that has occurred due to the new stress placed on them by the implant, can be strengthened and repaired.\r\n\r\nWe are pleased to offer this alternative to knee replacement as well as a solution when pain and dissatisfaction continue after knee replacement. Give us a call 310-453-1234.\r\n\r\n<strong>References</strong>\r\n\r\n(1) Agarwal, Sanjeev, et al. \"Why are revision knee replacements failing?.\" <em>The Knee</em> 26.3 (2019): 774-778.\r\n\r\n(2) Beswick AD, Wylde V, Gooberman-Hill R, et al. What proportion of patients report long-term pain after total hip or knee replacement for osteoarthritis? A systematic review of prospective studies in unselected patients. BMJ Open 2012; 2:e000435. doi: 10.1136/bmjopen-2011-000435\r\n\r\n(3) Mathis DT, Hirschmann MT. Trotz Knietotalprothese schmerzt das Knie – was nun? [Painful knee after total knee arthroplasty – what can be done?]. Ther Umsch. 2020;77(10):491-497. German.\r\n\r\n(4) Li CY, Ng Cheong Chung KJ, Ali OM, Chung ND, Li CH. Literature review of the causes of pain following total knee replacement surgery: prosthesis, inflammation and arthrofibrosis. EFORT Open Reviews. 2020 Sep;5(9):534-43.\r\n\r\n(5) P van der List, DL Sheng, LJ Kleeblad, H Chawla, AD Pearle. Outcomes of cementless unicompartmental and total knee arthroplasty: a systematic review. Knee, 24 (2017), pp. 497-507.\r\n\r\n(6) T Niinimaki, A Eskelinen, K Makela, P Ohtonen, A-P Puhto, V Remes. Unicompartmental knee arthroplasty survivorship is lower than TKA survivorship: a 27-year Finnish registry study. Clin Orthop Relat Res, 472 (2014), pp. 1496-1501.\r\n\r\n(7) Broberg JS, Naudie DD, Lanting BA, Howard JL, Vasarhelyi EM, Teeter MG. Patient and Implant Performance of Satisfied and Dissatisfied Total Knee Arthroplasty Patients. The Journal of Arthroplasty. 2022 Jun 1;37(6):S98-104.','Knee Replacement Failure','','inherit','closed','closed','','5736-revision-v1','','','2023-04-12 21:33:14','2023-04-12 21:33:14','',5736,'https://www.drfields.com/?p=5744',0,'revision','',0),(5745,9,'2023-04-12 21:44:19','2023-04-12 21:44:19','[caption id=\"attachment_5737\" align=\"alignright\" width=\"300\"]<img class=\"wp-image-5737\" src=\"https://www.drfields.com/wp-content/uploads/2023/04/Knee-Replacement-Failures-500x419.png\" alt=\"Knee Replacement Failures\" width=\"300\" height=\"251\" />       <strong> Knee Replacement Failure Statistics</strong>[/caption]\r\n<h2>Understanding Knee Replacement Failure</h2>\r\nKnee replacement is a huge undertaking. The surgery requires hospitalization and prolonged downtown. But is this surgery just a one-time thing? Unfortunately, it may not be!\r\n\r\nAdditionally, there is also a risk of replacement failure necessitating revision surgery down the road. How high is that risk?\r\n<h3><strong>Why Do Knee Replacements Fail?</strong></h3>\r\nThe leading cause of knee replacement failure is infection. Instability, looseness, persistent stiffness, ongoing pain, and metal allergies are additional reasons for failure.\r\n<h4><strong>Reasons for Increased Knee Replacement Failure Include:</strong></h4>\r\n<em>Revision Surgery</em>\r\n\r\nWhen replacements fail, revision surgery is needed, and revision surgeries have even worse outcomes than the initial replacement. (1)\r\n\r\n<em>Higher Recipient Rates</em>\r\n\r\nOne reason failure rates are getting higher is that more people are getting knee replacements. People are receiving knee replacements at a younger age too. And knee replacements don\'t last forever. In time, all knee replacements fail.\r\n\r\n<em>Continued Pain after Knee Replacement</em>\r\n\r\nKnee replacement recipients report a substantial rate of continued pain after knee replacement. Twenty percent or one in five patients who undergo total knee replacement for osteoarthritis report an unfavorable pain outcome after surgery. (2)\r\n\r\nGerman physicians reported even higher rates of pain, “About one-third of all patients after total knee arthroplasty experience persistent or recurring pain and/or dissatisfaction.\"(3)\r\n\r\nAnd researchers from the United Kingdom reported that \"adverse knee pain occurs in 10-34% of all total knee replacements, and 20% of total knee replacements patients experience more pain post-operatively than pre-operatively.\"(4)\r\n<h3><strong>How Long Do Knee Replacements Last?</strong></h3>\r\nResults vary when data is reviewed to show how long knee replacements last. Some studies show 15 years, others 20 years, and still others 25 years. (2,5,6)\r\n<h3><strong>What Is Your Idea of a Successful Knee Replacement?</strong></h3>\r\nYou may be surprised that your idea of success and the surgeon\'s idea of surgical success may differ completely. The surgeon may be satisfied that the surgery itself went well. But you may not be happy with that alone. If you have pain, a loose knee, swelling, and less walking ability after surgery than before, you may not feel like the surgery was a success.\r\n\r\nIn the Journal of Arthroplasty, researchers described patient dissatisfaction with their knee replacement due to looseness. The patients reported more pain and unmet expectations. (7)\r\n\r\nPatients generally expect a better quality of life after surgery, including less pain and an increased ability to do the activities they want. When these expectations are not met, patients are dissatisfied.\r\n<h3><strong>Is There An Alternative?</strong></h3>\r\nRegenerative Orthopedics is an alternative therapy that can be sought before surgery. The treatment should also be sought if surgery has already been done, and the patient is dissatisfied, or if the pain continues.\r\n\r\nBefore getting to the point of surgery, these regenerative treatments can stop the cycle of degeneration, reduce pain, and improve function. Osteoarthritis is the main reason people end up facing a knee replacement. Arthritis occurs because of instability in the knee joint. The instability is the result of an old or new injury. Regenerative Orthopedics can stabilize the knee and stop the degenerative process in these cases.\r\n\r\nRegenerative treatments can also help once a replacement has been done. The connective tissues damaged by the surgery or the damage due to the new stress placed on them by the implant can be strengthened and repaired.\r\n\r\nWe are pleased to offer this alternative to knee replacement and a solution when pain and dissatisfaction continue after knee replacement. Give us a call at 310-453-1234.\r\n<h3><strong>References</strong></h3>\r\n(1) Agarwal, Sanjeev, et al. \"Why are revision knee replacements failing?.\" <em>The Knee</em> 26.3 (2019): 774-778.\r\n\r\n(2) Beswick AD, Wylde V, Gooberman-Hill R, et al. What proportion of patients report long-term pain after total hip or knee replacement for osteoarthritis? A systematic review of prospective studies in unselected patients. BMJ Open 2012; 2:e000435. doi: 10.1136/bmjopen-2011-000435\r\n\r\n(3) Mathis DT, Hirschmann MT. Trotz Knietotalprothese schmerzt das Knie – was nun? [Painful knee after total knee arthroplasty – what can be done?]. Ther Umsch. 2020;77(10):491-497. German.\r\n\r\n(4) Li CY, Ng Cheong Chung KJ, Ali OM, Chung ND, Li CH. Literature review of the causes of pain following total knee replacement surgery: prosthesis, inflammation and arthrofibrosis. EFORT Open Reviews. 2020 Sep;5(9):534-43.\r\n\r\n(5) P van der List, DL Sheng, LJ Kleeblad, H Chawla, AD Pearle. Outcomes of cementless unicompartmental and total knee arthroplasty: a systematic review. Knee, 24 (2017), pp. 497-507.\r\n\r\n(6) T Niinimaki, A Eskelinen, K Makela, P Ohtonen, A-P Puhto, V Remes. Unicompartmental knee arthroplasty survivorship is lower than TKA survivorship: a 27-year Finnish registry study. Clin Orthop Relat Res, 472 (2014), pp. 1496-1501.\r\n\r\n(7) Broberg JS, Naudie DD, Lanting BA, Howard JL, Vasarhelyi EM, Teeter MG. Patient and Implant Performance of Satisfied and Dissatisfied Total Knee Arthroplasty Patients. The Journal of Arthroplasty. 2022 Jun 1;37(6):S98-104.','Knee Replacement Failure','','inherit','closed','closed','','5736-revision-v1','','','2023-04-12 21:44:19','2023-04-12 21:44:19','',5736,'https://www.drfields.com/?p=5745',0,'revision','',0),(5747,8,'2023-04-18 03:01:17','2023-04-18 03:01:17','<img class=\"wp-image-5752  alignright\" src=\"https://www.drfields.com/wp-content/uploads/2023/04/Cervical-Instability-2-1-500x419.png\" alt=\"Cervical Instability 2\" width=\"415\" height=\"348\" />\r\n<h2>Neck Pain Treatment: Suffering from Cervical Instability?</h2>\r\nNeck pain and neck instability wreak havoc in a patient\'s life. If you or someone you know has been in a car accident or has hit their head, you are probably familiar with the symptoms that follow afterward and have sought neck pain treatment. Are you experiencing balance problems, neck pain, muscle spasms, dizziness, headaches/migraines, difficulty thinking, and neck mobility issues?\r\n\r\nThese symptoms are often due to cervical (neck) instability. They are frightening and interfere with your life. If that isn\'t bad enough, add to that the reality that many providers lack understanding about cervical instability. The result is exasperation! All you want is to find a treatment that provides relief.\r\n<h2>Regenerative Orthopedics: A Neck Pain Treatment and Answer for Cervical Instability</h2>\r\nAt OrthoRegen®, we understand what is behind cervical instability. We have years of experience treating patients with these symptoms. Why is Regenerative Orthopedics effective in resolving the symptoms of cervical instability? The treatment effectively repairs soft tissue injuries. It\'s not a bandaid, like pain medication or medications to relieve some dizziness. It actually repairs the underlying problem of neck instability.\r\n\r\nWhen a person experiences injuries such as whiplash, or when they hurt their neck while hitting their head, the ligaments in the neck are injured and weakened. This sets the person up for cervical instability, and the many symptoms that accompany it.\r\n\r\nWhen these ligaments are injured, they stretch out and become weak, allowing for excessive and abnormal movement in the vertebrae of the neck.\r\n<h2>As the instability worsens, so do the symptoms, and so does the frustration with the symptoms.</h2>\r\nYour doctor may even suggest surgery to stabilize the neck. Sure, surgery to fuse the vertebrae of the neck may be needed in some cases. However, a second opinion from a Regenerative Orthopedics specialist should be sought when possible. Why? Because Regenerative Orthopedics can often prevent the need for fusion surgery. Plus, Regenerative Orthopedics can strengthen the involved ligaments and restore proper motion to the neck. This cervical instability and neck pain treatment gets to the source of the problem.\r\n<h2>Explain the Neck (Cervical) Instability More, Please!</h2>\r\nThe neck is quite unique! The vertebrae in the neck are smaller and more mobile than all of the movable vertebrae of the spine. That ability is great so the neck can carry out its functions. But they also make the neck more vulnerable to injury.\r\n\r\nThe ligaments of the neck are primary stabilizing structures that connect adjacent bones. They are especially vulnerable when trauma occurs. The normal neck is stable, moving and functioning properly while remaining in correct alignment, and protecting the blood vessels, nerves, and spinal cord. Injury to the ligaments; however, changes this dynamic, and leads to instability of the cervical spine. Add to that all of the stresses and loads placed upon the neck, and a cycle of imbalance is set in motion generating even more abnormal changes in the vertebral alignment.\r\n\r\nRemember that cervical instability involves excessive and abnormal motion between vertebrae. That abnormal motion causes extra stress on the ligaments and the nerve endings within them, and results in a cycle of pain and the variety of aforementioned symptoms.\r\n<h2>Ligaments Are a Major Source of Neck Pain and Instability</h2>\r\nLigaments are a major source of the pain and symptoms in cervical instability because of the laxity of ligaments after injury. Regenerative Orthopedics, like Prolotherapy, are effective treatments to strengthen these ligaments. The treatments are safe to relieve the pain and symptoms of cervical instability. (1)\r\n\r\nA study in the European Journal of Preventive Medicine says, \"We found statistically significant reductions in pain and functionality, indicating the safety and viability of Prolotherapy for cervical spine instability. (2)\r\n<h2>An Answer for Cervical Instability and Neck Pain Treatment</h2>\r\nCervical instability changes a person\'s quality of life. Sufferers enter a cycle of seeking physician after physician to get some relief. The patient, family and friends become frustrated seeking an answer. But there is an answer. Regenerative Orthopedics can stop the cycle because it effectively strengthens and stabilizes the ligaments at the core of the neck instability problem. The result? A resolution of the disabling symptoms. The cervical instability patient can get back to the activities they love, with decreased pain, and increased function.\r\n<ul>\r\n 	<li>Steilen D, Hauser R, Woldin B, Sawyer S. Chronic neck pain: making the connection between capsular ligament laxity and cervical instability. The open orthopaedics journal. 2014;8:326.</li>\r\n 	<li>Hauser R, Steilen D, Gordin K The Biology of Prolotherapy and Its Application in Clinical Cervical Spine Instability and Chronic Neck Pain: A Retrospective Study. European Journal of Preventive Medicine. Vol. 3, No. 4, 2015, pp. 85-102. doi: 10.11648/j.ejpm.20150304.112396</li>\r\n</ul>','Neck Pain Treatment','','publish','closed','open','','neck-pain-treatment','','','2023-04-19 17:49:44','2023-04-19 17:49:44','',0,'https://www.drfields.com/?p=5747',0,'post','',0),(5748,8,'2023-04-18 03:00:18','2023-04-18 03:00:18','Cervical Instability 2','Neck Pain Treatment','','inherit','closed','closed','','cervical-instability-2','','','2023-04-18 03:00:52','2023-04-18 03:00:52','',5747,'https://www.drfields.com/wp-content/uploads/2023/04/Cervical-Instability-2.png',0,'attachment','image/png',0),(5749,8,'2023-04-18 03:01:17','2023-04-18 03:01:17','<img class=\"alignright wp-image-5748\" src=\"https://www.drfields.com/wp-content/uploads/2023/04/Cervical-Instability-2-500x419.png\" alt=\"Neck Pain Treatment\" width=\"350\" height=\"293\" />Neck pain and neck instability wreak havoc in a patient\'s life. If you or someone you know has been in a car accident or has hit their head, you are probably familiar with the symptoms that follow afterward. Are you experiencing balance problems, pain, muscle spasms, dizziness, headaches/migraines, difficulty thinking, confusion, and neck mobility issues?\r\n\r\nThese symptoms are often due to cervical (neck) instability. They are frightening and interfere with your life. If that isn\'t bad enough, add to that the reality that many providers lack understanding about cervical instability. The result is exasperation! All you want is to find a treatment that provides relief.\r\n<h2>Regenerative Orthopedics: A Neck Pain Treatment and Answer for Cervical Instability</h2>\r\nAt OrthoRegen®, we understand what is behind cervical instability. We have years of experience treating patients with these symptoms. Why is Regenerative Orthopedics effective in resolving the symptoms of cervical instability? The treatment effectively repairs soft tissue injuries. It\'s not a bandaid, like pain medication or medications to relieve some dizziness. It actually repairs the underlying problem of neck instability.\r\n\r\nWhen a person experiences injuries such as whiplash, or when they hurt their neck while hitting their head, the ligaments in the neck are injured and weakened. This sets the person up for cervical instability, and the many symptoms that accompany it.\r\n\r\nWhen these ligaments are injured, they stretch out and become weak, allowing for excessive and abnormal movement in the vertebrae of the neck.\r\n<h2>As the instability worsens, so do the symptoms, and so does the frustration with the symptoms.</h2>\r\nYour doctor may even suggest surgery to stabilize the neck. Sure, surgery to fuse the vertebrae of the neck may be needed in some cases. However, a second opinion from a Regenerative Orthopedics specialist should be sought when possible. Why? Because Regenerative Orthopedics can often prevent the need for fusion surgery. Plus, Regenerative Orthopedics can strengthen the involved ligaments and restore proper motion to the neck. This cervical instability and neck pain treatment gets to the source of the problem.\r\n<h2>Explain the Neck (Cervical) Instability More, Please!</h2>\r\nThe neck is quite unique! The vertebrae in the neck are smaller and more mobile than all of the movable vertebrae of the spine. That ability is great so the neck can carry out its functions. But they also make the neck more vulnerable to injury.\r\n\r\nThe ligaments of the neck are primary stabilizing structures that connect adjacent bones. They are especially vulnerable when trauma occurs. The normal neck is stable, moving and functioning properly while remaining in correct alignment, and protecting the blood vessels, nerves, and spinal cord. Injury to the ligaments; however, changes this dynamic, and leads to instability of the cervical spine. Add to that all of the stresses and loads placed upon the neck, and a cycle of imbalance is set in motion generating even more abnormal changes in the vertebral alignment.\r\n\r\nRemember that cervical instability involves excessive and abnormal motion between vertebrae. That abnormal motion causes extra stress on the ligaments and the nerve endings within them, and results in a cycle of pain and the variety of aforementioned symptoms.\r\n<h2>Ligaments Are a Major Source of Neck Pain and Instability</h2>\r\nLigaments are a major source of the pain and symptoms in cervical instability because of the laxity of ligaments after injury. Regenerative Orthopedics, like Prolotherapy, are effective treatments to strengthen these ligaments. The treatments are safe to relieve the pain and symptoms of cervical instability. (1)\r\n\r\nA study in the European Journal of Preventive Medicine says, \"We found statistically significant reductions in pain and functionality, indicating the safety and viability of Prolotherapy for cervical spine instability. (2)\r\n<h2>An Answer for Cervical Instability and Neck Pain Treatment</h2>\r\nCervical instability changes a person\'s quality of life. Sufferers enter a cycle of seeking physician after physician to get some relief. The patient, family and friends become frustrated seeking an answer. But there is an answer. Regenerative Orthopedics can stop the cycle because it effectively strengthens and stabilizes the ligaments at the core of the neck instability problem. The result? A resolution of the disabling symptoms. The cervical instability patient can get back to the activities they love, with decreased pain, and increased function.\r\n<ul>\r\n 	<li>Steilen D, Hauser R, Woldin B, Sawyer S. Chronic neck pain: making the connection between capsular ligament laxity and cervical instability. The open orthopaedics journal. 2014;8:326.</li>\r\n 	<li>Hauser R, Steilen D, Gordin K The Biology of Prolotherapy and Its Application in Clinical Cervical Spine Instability and Chronic Neck Pain: A Retrospective Study. European Journal of Preventive Medicine. Vol. 3, No. 4, 2015, pp. 85-102. doi: 10.11648/j.ejpm.20150304.112396</li>\r\n</ul>','Neck Pain Treatment','','inherit','closed','closed','','5747-revision-v1','','','2023-04-18 03:01:17','2023-04-18 03:01:17','',5747,'https://www.drfields.com/?p=5749',0,'revision','',0),(5750,8,'2023-04-18 03:02:59','2023-04-18 03:02:59','<div class=\"clear\"></div>\r\n<div id=\"slider\">\r\n<div class=\"owl-carousel slider-carousel\">\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/12/Slider-2-v3-261222.jpg\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/Slider-v1-021120.jpg\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-santa-monica-pier-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">New Article:</span>\r\n<span class=\"header_text_second\">Keep Looking Forward Despite COVID-19</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dealing-with-covid-19/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-11.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/0_header-orthoregen-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Get Back In The Game!</span>\r\n<span class=\"header_text_second\">Avoid Joint and Spine Surgery </span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">Stem Cell/PRP/Prolotherapy</span>\r\n<a class=\"btn-more\" title=\"Get Help Now!\" href=\"Contact-Us\"> Get Help Now!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item slide-article\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-ocean-mountains-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_second\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/0_Kili-top-header-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\" style=\"text-align: left;\"><span class=\"header_text_first\">Congratulations\r\nPeter A. Fields, MD, DC</span>\r\n<span class=\"header_text_second\">The Athletic Doc<sup>®</sup>\r\nsuccessfully climbed</span>\r\n<span class=\"header_text_third white-text\">Mt. Kilimanjaro in\r\nTanzania, Africa.19,341 feet!!!</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/report-of-my-kilimanjaro-climb/\">Read More</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/Sider-01-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Peter A. Fields, MD, DC\r\nThe Athletic Doc<sup>®</sup></span>\r\n<span class=\"header_text_second\">Completed His 11th Ironman</span>\r\n<span class=\"header_text_third\">Sunday, November 24th in Cozumel Mexico</span>\r\n<a class=\"btn-more\" title=\"Read More\" href=\"#\">Images &amp; Story Coming Soon</a></div>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"jumbotron-fluid\">\r\n<div class=\"row\">\r\n<div class=\"col-md-4 box1\">\r\n\r\nWhat\'s\r\n<h3>New</h3>\r\n<ul>\r\n        <li><a href=\"/articles/regenerative-orthopedics/neck-pain-treatment/\">Neck Pain Treatment</a></li>\r\n 	<li><a href=\"/uncategorized/knee-replacement-failure/\">Knee Replacement Failure</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/best-treatments-for-low-back-pain/\">Best Treatments For Low Back Pain</a></li>\r\n 	<li><a href=\"https://www.drfields.com/uncategorized/arthritis-knee-treatment/\">Arthritis Knee Treatment</a></li>\r\n 	<li><a href=\"https://www.drfields.com/uncategorized/back-pain-treatment/\">Back Pain Treatment</a></li>\r\n 	<li><a href=\"https://www.drfields.com/uncategorized/remedies-for-shoulder-repair/\">Remedies For Shoulder Repair</a></li>\r\n</ul>\r\n</div>\r\n<div id=\"testimonials\" class=\"col-md-4 box2\">\r\n\r\nPatient\r\n<h3>Testimonials</h3>\r\n<strong>Video:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I wished I had come earlier and listened to what my physical therapist had told me to do because Dr. Fields has been a real solution for me.\"\r\n\r\n<img class=\"testimonial-img\" title=\"Testimonial\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-larry.png\" alt=\"Testimonial\" />\r\n<h3>Larry</h3>\r\n<h4>Stem Cell Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I highly recommend it to anyone who needs to recover fast and get back out there.\"\r\n\r\n<img class=\"testimonial-img\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-christopher.png\" alt=\"\" />\r\n<h3>Chris, Pro Basketball Player</h3>\r\n<h4>PRP Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"Now I can go walking, I go to my ballet class and I’m a happy camper because of Dr. Fields.\"\r\n\r\n<img class=\"testimonial-img\" title=\"\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-mary.png\" alt=\"Testimonial\" />\r\n<h3>Mary</h3>\r\n<h4>Stem Cell Hip</h4>\r\n</div>\r\n</div>\r\n<strong>Written:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I need to say a big thank you to Dr Fields for getting me back on the tennis court. I am an avid tennis player who tried to ignore the terrible pain in my elbow.\"\r\n<h3 style=\"margin-left: 0;\">Mindy</h3>\r\n<h4 style=\"margin-left: 0;\">Elbow</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I chose Dr. Peter Fields because he is an athlete and would have more direct knowledge of my particular circumstances than anyone else.\"\r\n<h3 style=\"margin-left: 0;\">Robert</h3>\r\n<h4 style=\"margin-left: 0;\">Shoulder</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"After the final treatments ended I am still without all the pain and have more muscle strength in my legs.\"\r\n<h3 style=\"margin-left: 0;\">Lois</h3>\r\n<h4 style=\"margin-left: 0;\">Knee</h4>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"col-md-4 box3\">\r\n\r\nNews &amp;\r\n<h3>Events</h3>\r\n<ul>\r\n 	<li><a href=\"https://www.drfields.com/articles/health-news/dr-fields-to-lecture-in-mexico-city-on-july-9th/\">Peter A. Fields, MD, DC to lecture in Mexico City on July 9th</a></li>\r\n 	<li><a class=\"buttonlink\" style=\"width: 100%; font-size: 24px; text-align: center; padding: 25px 8%;\" href=\"https://www.drfields.com/contact/\"> Are you a Stem Cell Candidate?</a></li>\r\n</ul>\r\n</div>\r\n</div>\r\n</div>\r\n<div id=\"search-articles\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n<h2 class=\"text-center\">Search <b>Dr. Fields\'</b> Articles</h2>\r\n<form id=\"searchform\" action=\"/\" method=\"get\"><input class=\"search-field\" name=\"s\" type=\"text\" placeholder=\"What\'s Your Condition?\" />\r\n<input type=\"submit\" value=\"Search\" /></form></div>\r\n</div>\r\n</div>\r\n<div id=\"intro\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n<h1 class=\"text-center\">Welcome to OrthoRegen<sup>®</sup>!</h1>\r\n<p class=\"intro_text welcome\"><a href=\"http://orthoregen.com\"><span style=\"font-size: 26px;\">OrthoRegen<sup>®</sup></span></a> is dedicated to providing the best of <span class=\"nowrap\">Regenerative Orthopedics</span> by offering non-surgical alternatives for joint and spine repair</p>\r\n<a class=\"primaryButton\" title=\"Read More About U\" href=\"https://www.drfields.com/about/orthoregen-our-philosophy/\">Read More About Us</a>\r\n<a id=\"candidateButton\" title=\"Are you a good candidate?\" href=\"/contact/\">Are you a good candidate?</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"about\">\r\n<div class=\"col-md-5 drfields\"><img class=\"alignnone\" title=\"Regenerative Orthopedics Leader\" src=\"https://www.drfields.com/wp-content/uploads/2022/11/dr-fields-v1-021120.png\" alt=\"Regenerative Orthopedics Leader\" width=\"460\" height=\"737\" /></div>\r\n<div class=\"col-md-7 about_holder\">\r\n<h1>Peter A. Fields, <span class=\"nowrap\">MD, DC</span></h1>\r\n<p class=\"intro_text\">Medical Physician and Chiropractor\r\nThe Athletic Doc<sup>®</sup> - 11x Ironman Triathlete</p>\r\n\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"icon info\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-info.png\" alt=\"icon info\" /></div>\r\n<div class=\"about_text\">\r\n<h3>About</h3>\r\nPeter A. Fields, MD, DC is one of a handful of physicians in the nation with both medical and chiropractic degrees...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/dr-fields-bio/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"Man Icon\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-ironman.png\" alt=\"Man Icon\" /></div>\r\n<div class=\"about_text\">\r\n<h3>11x Ironman</h3>\r\nDr. Peter A. Fields is also known as The Athletic Doc<sup>®</sup> He not only treats athletes in his practice but is an athlete himself. For over...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n&nbsp;\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Call Us Today! 310-453-1234</a>','Home','','inherit','closed','closed','','2109-revision-v1','','','2023-04-18 03:02:59','2023-04-18 03:02:59','',2109,'https://www.drfields.com/?p=5750',0,'revision','',0),(5751,9,'2023-04-19 17:48:59','2023-04-19 17:48:59','<img class=\"wp-image-5752 \" src=\"https://www.drfields.com/wp-content/uploads/2023/04/Cervical-Instability-2-1-500x419.png\" alt=\"Cervical Instability 2\" width=\"415\" height=\"348\" />\n<h2>Neck Pain Treatment: Suffering from Cervical Instability?</h2>\nNeck pain and neck instability wreak havoc in a patient\'s life. If you or someone you know has been in a car accident or has hit their head, you are probably familiar with the symptoms that follow afterward and have sought neck pain treatment. Are you experiencing balance problems, neck pain, muscle spasms, dizziness, headaches/migraines, difficulty thinking, confusion, and neck mobility issues?\n\nThese symptoms are often due to cervical (neck) instability. They are frightening and interfere with your life. If that isn\'t bad enough, add to that the reality that many providers lack understanding about cervical instability. The result is exasperation! All you want is to find a treatment that provides relief.\n<h2>Regenerative Orthopedics: A Neck Pain Treatment and Answer for Cervical Instability</h2>\nAt OrthoRegen®, we understand what is behind cervical instability. We have years of experience treating patients with these symptoms. Why is Regenerative Orthopedics effective in resolving the symptoms of cervical instability? The treatment effectively repairs soft tissue injuries. It\'s not a bandaid, like pain medication or medications to relieve some dizziness. It actually repairs the underlying problem of neck instability.\n\nWhen a person experiences injuries such as whiplash, or when they hurt their neck while hitting their head, the ligaments in the neck are injured and weakened. This sets the person up for cervical instability, and the many symptoms that accompany it.\n\nWhen these ligaments are injured, they stretch out and become weak, allowing for excessive and abnormal movement in the vertebrae of the neck.\n<h2>As the instability worsens, so do the symptoms, and so does the frustration with the symptoms.</h2>\nYour doctor may even suggest surgery to stabilize the neck. Sure, surgery to fuse the vertebrae of the neck may be needed in some cases. However, a second opinion from a Regenerative Orthopedics specialist should be sought when possible. Why? Because Regenerative Orthopedics can often prevent the need for fusion surgery. Plus, Regenerative Orthopedics can strengthen the involved ligaments and restore proper motion to the neck. This cervical instability and neck pain treatment gets to the source of the problem.\n<h2>Explain the Neck (Cervical) Instability More, Please!</h2>\nThe neck is quite unique! The vertebrae in the neck are smaller and more mobile than all of the movable vertebrae of the spine. That ability is great so the neck can carry out its functions. But they also make the neck more vulnerable to injury.\n\nThe ligaments of the neck are primary stabilizing structures that connect adjacent bones. They are especially vulnerable when trauma occurs. The normal neck is stable, moving and functioning properly while remaining in correct alignment, and protecting the blood vessels, nerves, and spinal cord. Injury to the ligaments; however, changes this dynamic, and leads to instability of the cervical spine. Add to that all of the stresses and loads placed upon the neck, and a cycle of imbalance is set in motion generating even more abnormal changes in the vertebral alignment.\n\nRemember that cervical instability involves excessive and abnormal motion between vertebrae. That abnormal motion causes extra stress on the ligaments and the nerve endings within them, and results in a cycle of pain and the variety of aforementioned symptoms.\n<h2>Ligaments Are a Major Source of Neck Pain and Instability</h2>\nLigaments are a major source of the pain and symptoms in cervical instability because of the laxity of ligaments after injury. Regenerative Orthopedics, like Prolotherapy, are effective treatments to strengthen these ligaments. The treatments are safe to relieve the pain and symptoms of cervical instability. (1)\n\nA study in the European Journal of Preventive Medicine says, \"We found statistically significant reductions in pain and functionality, indicating the safety and viability of Prolotherapy for cervical spine instability. (2)\n<h2>An Answer for Cervical Instability and Neck Pain Treatment</h2>\nCervical instability changes a person\'s quality of life. Sufferers enter a cycle of seeking physician after physician to get some relief. The patient, family and friends become frustrated seeking an answer. But there is an answer. Regenerative Orthopedics can stop the cycle because it effectively strengthens and stabilizes the ligaments at the core of the neck instability problem. The result? A resolution of the disabling symptoms. The cervical instability patient can get back to the activities they love, with decreased pain, and increased function.\n<ul>\n 	<li>Steilen D, Hauser R, Woldin B, Sawyer S. Chronic neck pain: making the connection between capsular ligament laxity and cervical instability. The open orthopaedics journal. 2014;8:326.</li>\n 	<li>Hauser R, Steilen D, Gordin K The Biology of Prolotherapy and Its Application in Clinical Cervical Spine Instability and Chronic Neck Pain: A Retrospective Study. European Journal of Preventive Medicine. Vol. 3, No. 4, 2015, pp. 85-102. doi: 10.11648/j.ejpm.20150304.112396</li>\n</ul>','Neck Pain Treatment','','inherit','closed','closed','','5747-autosave-v1','','','2023-04-19 17:48:59','2023-04-19 17:48:59','',5747,'https://www.drfields.com/?p=5751',0,'revision','',0),(5752,9,'2023-04-19 17:40:56','2023-04-19 17:40:56','Cervical Instability 2','Cervical Instability 2','Neck Pain Treatment','inherit','closed','closed','','cervical-instability-2-2','','','2023-04-19 17:41:27','2023-04-19 17:41:27','',5747,'https://www.drfields.com/wp-content/uploads/2023/04/Cervical-Instability-2-1.png',0,'attachment','image/png',0),(5753,9,'2023-04-19 17:49:23','2023-04-19 17:49:23','<img class=\"wp-image-5752 \" src=\"https://www.drfields.com/wp-content/uploads/2023/04/Cervical-Instability-2-1-500x419.png\" alt=\"Cervical Instability 2\" width=\"415\" height=\"348\" />\r\n<h2>Neck Pain Treatment: Suffering from Cervical Instability?</h2>\r\nNeck pain and neck instability wreak havoc in a patient\'s life. If you or someone you know has been in a car accident or has hit their head, you are probably familiar with the symptoms that follow afterward and have sought neck pain treatment. Are you experiencing balance problems, neck pain, muscle spasms, dizziness, headaches/migraines, difficulty thinking, and neck mobility issues?\r\n\r\nThese symptoms are often due to cervical (neck) instability. They are frightening and interfere with your life. If that isn\'t bad enough, add to that the reality that many providers lack understanding about cervical instability. The result is exasperation! All you want is to find a treatment that provides relief.\r\n<h2>Regenerative Orthopedics: A Neck Pain Treatment and Answer for Cervical Instability</h2>\r\nAt OrthoRegen®, we understand what is behind cervical instability. We have years of experience treating patients with these symptoms. Why is Regenerative Orthopedics effective in resolving the symptoms of cervical instability? The treatment effectively repairs soft tissue injuries. It\'s not a bandaid, like pain medication or medications to relieve some dizziness. It actually repairs the underlying problem of neck instability.\r\n\r\nWhen a person experiences injuries such as whiplash, or when they hurt their neck while hitting their head, the ligaments in the neck are injured and weakened. This sets the person up for cervical instability, and the many symptoms that accompany it.\r\n\r\nWhen these ligaments are injured, they stretch out and become weak, allowing for excessive and abnormal movement in the vertebrae of the neck.\r\n<h2>As the instability worsens, so do the symptoms, and so does the frustration with the symptoms.</h2>\r\nYour doctor may even suggest surgery to stabilize the neck. Sure, surgery to fuse the vertebrae of the neck may be needed in some cases. However, a second opinion from a Regenerative Orthopedics specialist should be sought when possible. Why? Because Regenerative Orthopedics can often prevent the need for fusion surgery. Plus, Regenerative Orthopedics can strengthen the involved ligaments and restore proper motion to the neck. This cervical instability and neck pain treatment gets to the source of the problem.\r\n<h2>Explain the Neck (Cervical) Instability More, Please!</h2>\r\nThe neck is quite unique! The vertebrae in the neck are smaller and more mobile than all of the movable vertebrae of the spine. That ability is great so the neck can carry out its functions. But they also make the neck more vulnerable to injury.\r\n\r\nThe ligaments of the neck are primary stabilizing structures that connect adjacent bones. They are especially vulnerable when trauma occurs. The normal neck is stable, moving and functioning properly while remaining in correct alignment, and protecting the blood vessels, nerves, and spinal cord. Injury to the ligaments; however, changes this dynamic, and leads to instability of the cervical spine. Add to that all of the stresses and loads placed upon the neck, and a cycle of imbalance is set in motion generating even more abnormal changes in the vertebral alignment.\r\n\r\nRemember that cervical instability involves excessive and abnormal motion between vertebrae. That abnormal motion causes extra stress on the ligaments and the nerve endings within them, and results in a cycle of pain and the variety of aforementioned symptoms.\r\n<h2>Ligaments Are a Major Source of Neck Pain and Instability</h2>\r\nLigaments are a major source of the pain and symptoms in cervical instability because of the laxity of ligaments after injury. Regenerative Orthopedics, like Prolotherapy, are effective treatments to strengthen these ligaments. The treatments are safe to relieve the pain and symptoms of cervical instability. (1)\r\n\r\nA study in the European Journal of Preventive Medicine says, \"We found statistically significant reductions in pain and functionality, indicating the safety and viability of Prolotherapy for cervical spine instability. (2)\r\n<h2>An Answer for Cervical Instability and Neck Pain Treatment</h2>\r\nCervical instability changes a person\'s quality of life. Sufferers enter a cycle of seeking physician after physician to get some relief. The patient, family and friends become frustrated seeking an answer. But there is an answer. Regenerative Orthopedics can stop the cycle because it effectively strengthens and stabilizes the ligaments at the core of the neck instability problem. The result? A resolution of the disabling symptoms. The cervical instability patient can get back to the activities they love, with decreased pain, and increased function.\r\n<ul>\r\n 	<li>Steilen D, Hauser R, Woldin B, Sawyer S. Chronic neck pain: making the connection between capsular ligament laxity and cervical instability. The open orthopaedics journal. 2014;8:326.</li>\r\n 	<li>Hauser R, Steilen D, Gordin K The Biology of Prolotherapy and Its Application in Clinical Cervical Spine Instability and Chronic Neck Pain: A Retrospective Study. European Journal of Preventive Medicine. Vol. 3, No. 4, 2015, pp. 85-102. doi: 10.11648/j.ejpm.20150304.112396</li>\r\n</ul>','Neck Pain Treatment','','inherit','closed','closed','','5747-revision-v1','','','2023-04-19 17:49:23','2023-04-19 17:49:23','',5747,'https://www.drfields.com/?p=5753',0,'revision','',0),(5754,9,'2023-04-19 17:49:44','2023-04-19 17:49:44','<img class=\"wp-image-5752  alignright\" src=\"https://www.drfields.com/wp-content/uploads/2023/04/Cervical-Instability-2-1-500x419.png\" alt=\"Cervical Instability 2\" width=\"415\" height=\"348\" />\r\n<h2>Neck Pain Treatment: Suffering from Cervical Instability?</h2>\r\nNeck pain and neck instability wreak havoc in a patient\'s life. If you or someone you know has been in a car accident or has hit their head, you are probably familiar with the symptoms that follow afterward and have sought neck pain treatment. Are you experiencing balance problems, neck pain, muscle spasms, dizziness, headaches/migraines, difficulty thinking, and neck mobility issues?\r\n\r\nThese symptoms are often due to cervical (neck) instability. They are frightening and interfere with your life. If that isn\'t bad enough, add to that the reality that many providers lack understanding about cervical instability. The result is exasperation! All you want is to find a treatment that provides relief.\r\n<h2>Regenerative Orthopedics: A Neck Pain Treatment and Answer for Cervical Instability</h2>\r\nAt OrthoRegen®, we understand what is behind cervical instability. We have years of experience treating patients with these symptoms. Why is Regenerative Orthopedics effective in resolving the symptoms of cervical instability? The treatment effectively repairs soft tissue injuries. It\'s not a bandaid, like pain medication or medications to relieve some dizziness. It actually repairs the underlying problem of neck instability.\r\n\r\nWhen a person experiences injuries such as whiplash, or when they hurt their neck while hitting their head, the ligaments in the neck are injured and weakened. This sets the person up for cervical instability, and the many symptoms that accompany it.\r\n\r\nWhen these ligaments are injured, they stretch out and become weak, allowing for excessive and abnormal movement in the vertebrae of the neck.\r\n<h2>As the instability worsens, so do the symptoms, and so does the frustration with the symptoms.</h2>\r\nYour doctor may even suggest surgery to stabilize the neck. Sure, surgery to fuse the vertebrae of the neck may be needed in some cases. However, a second opinion from a Regenerative Orthopedics specialist should be sought when possible. Why? Because Regenerative Orthopedics can often prevent the need for fusion surgery. Plus, Regenerative Orthopedics can strengthen the involved ligaments and restore proper motion to the neck. This cervical instability and neck pain treatment gets to the source of the problem.\r\n<h2>Explain the Neck (Cervical) Instability More, Please!</h2>\r\nThe neck is quite unique! The vertebrae in the neck are smaller and more mobile than all of the movable vertebrae of the spine. That ability is great so the neck can carry out its functions. But they also make the neck more vulnerable to injury.\r\n\r\nThe ligaments of the neck are primary stabilizing structures that connect adjacent bones. They are especially vulnerable when trauma occurs. The normal neck is stable, moving and functioning properly while remaining in correct alignment, and protecting the blood vessels, nerves, and spinal cord. Injury to the ligaments; however, changes this dynamic, and leads to instability of the cervical spine. Add to that all of the stresses and loads placed upon the neck, and a cycle of imbalance is set in motion generating even more abnormal changes in the vertebral alignment.\r\n\r\nRemember that cervical instability involves excessive and abnormal motion between vertebrae. That abnormal motion causes extra stress on the ligaments and the nerve endings within them, and results in a cycle of pain and the variety of aforementioned symptoms.\r\n<h2>Ligaments Are a Major Source of Neck Pain and Instability</h2>\r\nLigaments are a major source of the pain and symptoms in cervical instability because of the laxity of ligaments after injury. Regenerative Orthopedics, like Prolotherapy, are effective treatments to strengthen these ligaments. The treatments are safe to relieve the pain and symptoms of cervical instability. (1)\r\n\r\nA study in the European Journal of Preventive Medicine says, \"We found statistically significant reductions in pain and functionality, indicating the safety and viability of Prolotherapy for cervical spine instability. (2)\r\n<h2>An Answer for Cervical Instability and Neck Pain Treatment</h2>\r\nCervical instability changes a person\'s quality of life. Sufferers enter a cycle of seeking physician after physician to get some relief. The patient, family and friends become frustrated seeking an answer. But there is an answer. Regenerative Orthopedics can stop the cycle because it effectively strengthens and stabilizes the ligaments at the core of the neck instability problem. The result? A resolution of the disabling symptoms. The cervical instability patient can get back to the activities they love, with decreased pain, and increased function.\r\n<ul>\r\n 	<li>Steilen D, Hauser R, Woldin B, Sawyer S. Chronic neck pain: making the connection between capsular ligament laxity and cervical instability. The open orthopaedics journal. 2014;8:326.</li>\r\n 	<li>Hauser R, Steilen D, Gordin K The Biology of Prolotherapy and Its Application in Clinical Cervical Spine Instability and Chronic Neck Pain: A Retrospective Study. European Journal of Preventive Medicine. Vol. 3, No. 4, 2015, pp. 85-102. doi: 10.11648/j.ejpm.20150304.112396</li>\r\n</ul>','Neck Pain Treatment','','inherit','closed','closed','','5747-revision-v1','','','2023-04-19 17:49:44','2023-04-19 17:49:44','',5747,'https://www.drfields.com/?p=5754',0,'revision','',0),(5755,9,'2023-04-19 17:53:46','2023-04-19 17:53:46','Back Pain. Prolotherapy','Back Pain. Prolotherapy','Back Pain. Prolotherapy','inherit','closed','closed','','back-pain-prolotherapy-2','','','2023-04-19 17:53:46','2023-04-19 17:53:46','',469,'https://www.drfields.com/wp-content/uploads/2019/06/Back-Pain.-Prolotherapy.jpeg',0,'attachment','image/jpeg',0),(5756,9,'2023-04-19 17:57:05','2023-04-19 17:57:05','<h4>Treat Your Chronic Pain With Prolotherapy</h4>\n<div id=\"youtubeleft\" class=\"youtube-click-div \">[video_lightbox_youtube video_id=\"hA1FVmxWixE\" width=\"640\" height=\"480\" anchor=\"https://www.drfields.com/wp-content/uploads/2019/06/Dr.-Barry-Leonard-PRP-Knee.jpg\" alt=\"Dr. Barry Leonard - PRP Knee\"]<strong>Dr. Barry Leonard - PRP Knee</strong></div>\n<div id=\"youtubeleft\" class=\"youtube-click-div \">[video_lightbox_youtube video_id=\"vQGBBEARjMk\" width=\"640\" height=\"480\" anchor=\"https://www.drfields.com/wp-content/uploads/2019/06/May-Knee.jpg\" alt=\"May - Knee\"]<strong>May - Knee</strong></div>\n<div class=\"clearfix\"></div>\nAre you suffering from a back injury, a work-related injury or a sports injury? Is your Chronic Pain changing your lifestyle and preventing you from doing the things you want to do? If it has, then a doctor might have told you that you need to have surgery, arthroscopy, cortisone injections or take dangerous NSAIDS to treat your chronic pain. In many cases, those may not be the best treatments. Depending on the nature of your injury, you may be able to <strong>treat your chronic pain with Prolotherapy</strong>.\n\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>\n<h4>What is Pain?</h4>\nPain can be defined as a feeling of distress, suffering, or agony, caused by stimulation of specialized nerve endings in the body, resulting from injury or disease. Pain receptors, found in the skin and other tissues are nerve fibres that react to stimuli. Pain impulses enter the spinal cord and are transmitted to your brain, where they are interpreted as pain. The purpose of pain in a person’s body is chiefly protective; pain acts as a warning that tissues are being damaged. This tissue damage can be actual or potential.\n<h4>Acute Pain vs Chronic Pain</h4>\nThere are two general categories of pain: acute pain and chronic pain. Acute pain is intense and can last from a few seconds to hours or days. This severe pain should wane as healing of the injury or disease occurs. Chronic pain however, can range from mild to severe and can last weeks, months or longer. Chronic pain is pain that continues or recurs over a prolonged period. Under certain conditions the pain receptors in the body become more sensitive over a period of time. This means that as long as a traumatic stimulus persists, you will continue to be aware that damage to the tissues may still be occurring.\n\n<a style=\"display: block; margin: 0 auto; max-width: 275px;\" href=\"https://www.carecredit.com/go/762HNB/bb3poscustacqbtnclk08132020/?dtc=Ds5X&amp;promocode=CLT/\"><img style=\"max-width: 100%;\" src=\"https://www.carecredit.com/sites/pc/image/carecredit_button_applynow_280x100_a_v1.jpg\" width=\"275\" /></a>\n<h4>Why Am I Still In Pain?</h4>\nYou might wonder why there is still pain in an injured area or why that area remains weak, even after healing for weeks, months or years. The answer is that both ligaments and tendons have very poor circulation. This lack of blood supply deprives these tissues of nutrients they need to heal properly.\n\n<a href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-treatment-overview/\">Prolotherapy</a> builds stronger or larger tendons or ligaments that can hold body structures in place more effectively. The weakened area heals, and the patient’s pain is reduced or eliminated. Prolotherapy is an excellent alternative to cortisone injections, which long-term studies show, can actually weaken tissue.\n\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>\n<h4>Who Uses Prolotherapy?</h4>\n<img class=\"wp-image-5755  alignright\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Back-Pain.-Prolotherapy-500x375.jpeg\" alt=\"Back Pain. Prolotherapy\" width=\"415\" height=\"310\" />\n\nMany patients come to us tired of ‘managing’ their chronic pain with NSAID or narcotic medications, various therapies, and exercises. In many cases, these methods do not deal with the cause of the pain. Most of the time, musculoskeletal pain is due to weakness in the ligaments, tendons and possibly cartilage. Athletes with sports injuries are especially interested in the use of Prolotherapy for treatment because it is an alternative to surgery, arthroscopy, cortisone shots, non-steroidal and anti-inflammatories, and chronic use of narcotic pain medications. These measures may not help, and often hinder or even prevent the healing process.\n\nDo you suffer from <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-knee-pain/\">chronic knee pain</a>? <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-shoulder-pain/\">Chronic shoulder pain</a>? <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-neck-pain/\">Chronic neck pain</a>? <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-elbow-pain/\">Chronic elbow pain</a>? Or is your chronic pain somewhere else in your body, such as your back, hips, or ankles? Wherever it is, Dr. Fields may be able to treat your chronic pain with Prolotherapy.\n<h4>Why Prolotherapy Works</h4>\nProlotherapy works because it stimulates an inflammatory reaction in the body. Solutions are injected into the affected ligaments, tendons, or joints, which leads to local inflammation in that specific area. The localized inflammation triggers the deposition of new collagen, the material in which ligaments and tendons are made. New collagen shrinks as it matures and tightens the ligament that was injected, making it stronger.\n\nThe potential for Prolotherapy to eliminate chronic pain is very high, especially in sports injuries that are a result of ligament and tendon weakness. Prolotherapy can regenerate damaged tissues and ultimately alleviate the problem causing the pain. Our goal at OrthoRegen<sup>®</sup> is for our patients to have an active, healthy, pain-free life. Prolotherapy is a very safe, affordable option that allows you to keep working and training during the recovery process. It is one treatment that encourages movement post-treatment. Movement actually aids the healing process after Prolotherapy.\n<h4>Are You A Candidate For Prolotherapy?</h4>\nWhether your  pain is from a back injury, a work-related injury, or a sports injury, you can treat your chronic pain with Prolotherapy. <a href=\"https://www.drfields.com/contact/\">Contact us for a consultation</a> to see if you are a candidate or get a second opinion for a recommended surgery. We see all levels of injury, simple to extensive. At OrthoRegen<sup>®</sup>, we want to help you achieve your goals of optimal health and sustained wellness. We will use the most effective and least invasive methods in your treatment. Call today, <a href=\"tel:+[phone_raw]\">[phone]</a>.\n\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>','Chronic Pain Overview','','inherit','closed','closed','','469-autosave-v1','','','2023-04-19 17:57:05','2023-04-19 17:57:05','',469,'https://www.drfields.com/?p=5756',0,'revision','',0),(5757,9,'2023-04-19 17:54:53','2023-04-19 17:54:53','<h4>Treat Your Chronic Pain With Prolotherapy</h4>\r\n<div id=\"youtubeleft\" class=\"youtube-click-div \">[video_lightbox_youtube video_id=\"hA1FVmxWixE\" width=\"640\" height=\"480\" anchor=\"https://www.drfields.com/wp-content/uploads/2019/06/Dr.-Barry-Leonard-PRP-Knee.jpg\" alt=\"Dr. Barry Leonard - PRP Knee\"]<strong>Dr. Barry Leonard - PRP Knee</strong></div>\r\n<div id=\"youtubeleft\" class=\"youtube-click-div \">[video_lightbox_youtube video_id=\"vQGBBEARjMk\" width=\"640\" height=\"480\" anchor=\"https://www.drfields.com/wp-content/uploads/2019/06/May-Knee.jpg\" alt=\"May - Knee\"]<strong>May - Knee</strong></div>\r\n<div class=\"clearfix\"></div>\r\nAre you suffering from a back injury, a work-related injury or a sports injury? Is your Chronic Pain changing your lifestyle and preventing you from doing the things you want to do? If it has, then a doctor might have told you that you need to have surgery, arthroscopy, cortisone injections or take dangerous NSAIDS to treat your chronic pain. In many cases, those may not be the best treatments. Depending on the nature of your injury, you may be able to <strong>treat your chronic pain with Prolotherapy</strong>.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>\r\n<h4>What is Pain?</h4>\r\nPain can be defined as a feeling of distress, suffering, or agony, caused by stimulation of specialized nerve endings in the body, resulting from injury or disease. Pain receptors, found in the skin and other tissues are nerve fibres that react to stimuli. Pain impulses enter the spinal cord and are transmitted to your brain, where they are interpreted as pain. The purpose of pain in a person’s body is chiefly protective; pain acts as a warning that tissues are being damaged. This tissue damage can be actual or potential.\r\n<h4>Acute Pain vs Chronic Pain</h4>\r\nThere are two general categories of pain: acute pain and chronic pain. Acute pain is intense and can last from a few seconds to hours or days. This severe pain should wane as healing of the injury or disease occurs. Chronic pain however, can range from mild to severe and can last weeks, months or longer. Chronic pain is pain that continues or recurs over a prolonged period. Under certain conditions the pain receptors in the body become more sensitive over a period of time. This means that as long as a traumatic stimulus persists, you will continue to be aware that damage to the tissues may still be occurring.\r\n\r\n<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>Why Am I Still In Pain?</h4>\r\nYou might wonder why there is still pain in an injured area or why that area remains weak, even after healing for weeks, months or years. The answer is that both ligaments and tendons have very poor circulation. This lack of blood supply deprives these tissues of nutrients they need to heal properly.\r\n\r\n<a href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-treatment-overview/\">Prolotherapy</a> builds stronger or larger tendons or ligaments that can hold body structures in place more effectively. The weakened area heals, and the patient’s pain is reduced or eliminated. Prolotherapy is an excellent alternative to cortisone injections, which long-term studies show, can actually weaken tissue.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>\r\n<h4>Who Uses Prolotherapy?</h4>\r\n<img class=\"wp-image-5755 \" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Back-Pain.-Prolotherapy-500x375.jpeg\" alt=\"Back Pain. Prolotherapy\" width=\"440\" height=\"330\" />\r\n\r\nMany patients come to us tired of ‘managing’ their chronic pain with NSAID or narcotic medications, various therapies, and exercises. In many cases, these methods do not deal with the cause of the pain. Most of the time, musculoskeletal pain is due to weakness in the ligaments, tendons and possibly cartilage. Athletes with sports injuries are especially interested in the use of Prolotherapy for treatment because it is an alternative to surgery, arthroscopy, cortisone shots, non-steroidal and anti-inflammatories, and chronic use of narcotic pain medications. These measures may not help, and often hinder or even prevent the healing process.\r\n\r\nDo you suffer from <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-knee-pain/\">chronic knee pain</a>? <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-shoulder-pain/\">Chronic shoulder pain</a>? <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-neck-pain/\">Chronic neck pain</a>? <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-elbow-pain/\">Chronic elbow pain</a>? Or is your chronic pain somewhere else in your body, such as your back, hips, or ankles? Wherever it is, Dr. Fields may be able to treat your chronic pain with Prolotherapy.\r\n<h4>Why Prolotherapy Works</h4>\r\nProlotherapy works because it stimulates an inflammatory reaction in the body. Solutions are injected into the affected ligaments, tendons, or joints, which leads to local inflammation in that specific area. The localized inflammation triggers the deposition of new collagen, the material in which ligaments and tendons are made. New collagen shrinks as it matures and tightens the ligament that was injected, making it stronger.\r\n\r\nThe potential for Prolotherapy to eliminate chronic pain is very high, especially in sports injuries that are a result of ligament and tendon weakness. Prolotherapy can regenerate damaged tissues and ultimately alleviate the problem causing the pain. Our goal at OrthoRegen<sup>®</sup> is for our patients to have an active, healthy, pain-free life. Prolotherapy is a very safe, affordable option that allows you to keep working and training during the recovery process. It is one treatment that encourages movement post-treatment. Movement actually aids the healing process after Prolotherapy.\r\n<h4>Are You A Candidate For Prolotherapy?</h4>\r\nWhether your chronic pain is from a back injury, a work-related injury, or a sports injury, you can treat your chronic pain with Prolotherapy. <a href=\"https://www.drfields.com/contact/\">Contact us for a consultation</a> to see if you are a candidate or get a second opinion for a recommended surgery. We see all levels of injury, simple to extensive. At OrthoRegen<sup>®</sup>, we want to help you achieve your goals of optimal health and sustained wellness. We will use the most effective and least invasive methods in your treatment. Call today, <a href=\"tel:+[phone_raw]\">[phone]</a>.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>','Chronic Pain Overview','','inherit','closed','closed','','469-revision-v1','','','2023-04-19 17:54:53','2023-04-19 17:54:53','',469,'https://www.drfields.com/?p=5757',0,'revision','',0),(5758,9,'2023-04-19 17:57:59','2023-04-19 17:57:59','<h4>Treat Your Chronic Pain With Prolotherapy</h4>\r\n<div id=\"youtubeleft\" class=\"youtube-click-div \">[video_lightbox_youtube video_id=\"hA1FVmxWixE\" width=\"640\" height=\"480\" anchor=\"https://www.drfields.com/wp-content/uploads/2019/06/Dr.-Barry-Leonard-PRP-Knee.jpg\" alt=\"Dr. Barry Leonard - PRP Knee\"]<strong>Dr. Barry Leonard - PRP Knee</strong></div>\r\n<div id=\"youtubeleft\" class=\"youtube-click-div \">[video_lightbox_youtube video_id=\"vQGBBEARjMk\" width=\"640\" height=\"480\" anchor=\"https://www.drfields.com/wp-content/uploads/2019/06/May-Knee.jpg\" alt=\"May - Knee\"]<strong>May - Knee</strong></div>\r\n<div class=\"clearfix\"></div>\r\nAre you suffering from a back injury, a work-related injury or a sports injury? Is your Chronic Pain changing your lifestyle and preventing you from doing the things you want to do? If it has, then a doctor might have told you that you need to have surgery, arthroscopy, cortisone injections or take dangerous NSAIDS to treat your chronic pain. In many cases, those may not be the best treatments. Depending on the nature of your injury, you may be able to <strong>treat your chronic pain with Prolotherapy</strong>.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>\r\n<h4>What is Pain?</h4>\r\nPain can be defined as a feeling of distress, suffering, or agony, caused by stimulation of specialized nerve endings in the body, resulting from injury or disease. Receptors for pain are found in the skin and other tissues are nerve fibres that react to stimuli. Pain impulses enter the spinal cord and are transmitted to your brain, where they are interpreted as pain. The purpose of pain in a person’s body is chiefly protective; pain acts as a warning that tissues are being damaged. This tissue damage can be actual or potential.\r\n<h4>Acute Pain vs Chronic Pain</h4>\r\nThere are two general categories of pain: acute pain and chronic pain. Acute pain is intense and can last from a few seconds to hours or days. This severe pain should wane as healing of the injury or disease occurs. Chronic pain however, can range from mild to severe and can last weeks, months or longer. Chronic pain is pain that continues or recurs over a prolonged period. Under certain conditions the pain receptors in the body become more sensitive over a period of time. This means that as long as a traumatic stimulus persists, you will continue to be aware that damage to the tissues may still be occurring.\r\n\r\n<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>Why Am I Still In Pain?</h4>\r\nYou might wonder why there is still pain in an injured area or why that area remains weak, even after healing for weeks, months or years. The answer is that both ligaments and tendons have very poor circulation. This lack of blood supply deprives these tissues of nutrients they need to heal properly.\r\n\r\n<a href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-treatment-overview/\">Prolotherapy</a> builds stronger or larger tendons or ligaments that can hold body structures in place more effectively. The weakened area heals, and the patient’s pain is reduced or eliminated. Prolotherapy is an excellent alternative to cortisone injections, which long-term studies show, can actually weaken tissue.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>\r\n<h4>Who Uses Prolotherapy?</h4>\r\n<img class=\"wp-image-5755  alignright\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Back-Pain.-Prolotherapy-500x375.jpeg\" alt=\"Back Pain. Prolotherapy\" width=\"415\" height=\"310\" />\r\n\r\nMany patients come to us tired of ‘managing’ their chronic pain with NSAID or narcotic medications, various therapies, and exercises. In many cases, these methods do not deal with the cause of the pain. Most of the time, musculoskeletal pain is due to weakness in the ligaments, tendons and possibly cartilage. Athletes with sports injuries are especially interested in the use of Prolotherapy for treatment because it is an alternative to surgery, arthroscopy, cortisone shots, non-steroidal and anti-inflammatories, and chronic use of narcotic pain medications. These measures may not help, and often hinder or even prevent the healing process.\r\n\r\nDo you suffer from <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-knee-pain/\">chronic knee pain</a>? <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-shoulder-pain/\">Chronic shoulder pain</a>? <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-neck-pain/\">Chronic neck pain</a>? <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-elbow-pain/\">Chronic elbow pain</a>? Or is your chronic pain somewhere else in your body, such as your back, hips, or ankles? Wherever it is, Dr. Fields may be able to treat your chronic pain with Prolotherapy.\r\n<h4>Why Prolotherapy Works</h4>\r\nProlotherapy works because it stimulates an inflammatory reaction in the body. Solutions are injected into the affected ligaments, tendons, or joints, which leads to local inflammation in that specific area. The localized inflammation triggers the deposition of new collagen, the material in which ligaments and tendons are made. New collagen shrinks as it matures and tightens the ligament that was injected, making it stronger.\r\n\r\nThe potential for Prolotherapy to eliminate chronic pain is very high, especially in sports injuries that are a result of ligament and tendon weakness. Prolotherapy can regenerate damaged tissues and ultimately alleviate the problem causing the pain. Our goal at OrthoRegen<sup>®</sup> is for our patients to have an active, healthy, pain-free life. Prolotherapy is a very safe, affordable option that allows you to keep working and training during the recovery process. It is one treatment that encourages movement post-treatment. Movement actually aids the healing process after Prolotherapy.\r\n<h4>Are You A Candidate For Prolotherapy?</h4>\r\nWhether your pain is from a back injury, a work-related injury, or a sports injury, you can treat your chronic pain with Prolotherapy. <a href=\"https://www.drfields.com/contact/\">Contact us for a consultation</a> to see if you are a candidate or get a second opinion for a recommended surgery. We see all levels of injury, simple to extensive. At OrthoRegen<sup>®</sup>, we want to help you achieve your goals of optimal health and sustained wellness. We will use the most effective and least invasive methods in your treatment. Call today, <a href=\"tel:+[phone_raw]\">[phone]</a>.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>','Chronic Pain Overview','','inherit','closed','closed','','469-revision-v1','','','2023-04-19 17:57:59','2023-04-19 17:57:59','',469,'https://www.drfields.com/?p=5758',0,'revision','',0),(5760,8,'2023-04-26 10:14:45','2023-04-26 10:14:45','<h2>What Are the Common Meniscus Tear Treatments?</h2>\r\n<img class=\"wp-image-5761 alignright\" src=\"https://www.drfields.com/wp-content/uploads/2023/04/meniscectomy.-Osteoarthritis-and-Cartilage-500x419.png\" alt=\"Meniscectomy. Osteoarthritis And Cartilage\" width=\"300\" height=\"251\" />\r\n\r\nWhen an injury to the meniscus occurs, patients commonly try non-surgical meniscus tear treatments like rest, ice, compression, elevation, pain medications, physical therapy, and cortisone injections. When those do not work, their doctor may recommend arthroscopic surgery.\r\n\r\nSurgery, though, has not been shown to be an effective means to treat meniscus injuries. Studies have found no significant difference between meniscectomy and sham surgery. And recent studies show that surgery does not reduce the mechanical symptoms of knee catching and locking, which patients often experience.\r\n\r\nAs you can see, the effectiveness of meniscectomies is questionable. So why do patients seek surgery to fix their meniscus?\r\n<h2>Patients Believe Meniscus Surgery Will Restore Knee Function. But Will It?</h2>\r\nWhen a patient is in pain, they want the pain to stop. And when an athlete has an injury, they want to get it fixed so they can return to the game. Therefore, they decide to receive surgery so they can return to the activities they love, believing that the surgery will restore knee function.\r\n\r\nSure, there are successful meniscus surgeries. But that\'s not who we see in our office.\r\nWe see patients who want to avoid surgery and those who have continued pain after surgery. But what about people we don\'t see? What are the outcomes of patients receiving surgical meniscectomy? And what does the research say about meniscus surgery?\r\n\r\nThe medical journal Cureus states, “Arthroscopic partial meniscectomy (APM) is currently the most performed orthopedic procedure around the globe. However, recent studies have conclusively <strong>shown that outcomes after an arthroscopic partial meniscectomy are no better than the outcomes after a sham/placebo surgery.\"</strong> (1)\r\n<h2>What About Athletes? Does Surgery Help?</h2>\r\nDo athletes who choose surgery to return to their sport more quickly achieve their goals? A team of doctors in the journal Knee Surgery, Sports Traumatology and Arthroscopy evaluated 421 elite athletes who received partial meniscectomy or a meniscus repair. They found that 84.7% returned to the sport after a partial meniscectomy (a piece of meniscus removed), and 78.3% returned to the sport after a meniscal repair (a small tear sewn with suture). (2)\r\n\r\nThe study also showed that although surgery allowed for a return to sports in these patients, it also increased the risk of developing knee arthritis. If you do the math, that means over 15-20% or about 1 in 5 elite athletes do not return to their sport. And those that do now have a higher arthritis risk.\r\n\r\nWhy does the risk of arthritis increase with surgery? The meniscus and the ligaments are stabilizing structures for the knee. When this soft tissue is cut and trimmed during the surgical process, the knee is destabilized. The knee instability sets the arthritic cycle in motion.\r\n<h2>Is Meniscectomy the Meniscus Tear Treatment for Patients Over 50?</h2>\r\nSurgeons have a more difficult time predicting who will benefit from meniscectomy in patients over 50. In the journal, Current Reviews in Musculoskeletal Medicine, reviewers wrote, \"Despite an abundance of literature exploring outcomes of arthroscopic partial meniscus for degenerative meniscus tears, there is little consensus among surgeons about the drivers of good outcomes following arthroscopic partial meniscus.\"(3)\r\n\r\nIn older patients or active patients with arthritis, more conservative therapies should be sought for meniscal tears.\r\n<h2>\"Can even experienced orthopaedic surgeons predict who will benefit from surgery when patients present with degenerative meniscal tears?\"</h2>\r\nThat\'s the exact title of an article in the British Journal of Sports Medicine. Researchers questioned whether orthopedic surgeons could predict the outcomes of treating meniscal tears with arthroscopic partial meniscectomy. The answer? The surgeons were only correct 50% of the time. How eye-opening! Only half the time, these experienced surgeons had it right when recommending that surgery be indicated. The results are no different than the flip of a coin!! (4)\r\n<h2>What\'s the Meniscus Tear Treatment for Patients Who Already Have Arthritis?</h2>\r\nPatients with meniscal tears and severe arthritis have a high risk of needing more surgery. The Indian Journal of Orthopaedics says, “Clinical practice is moving away from treating meniscal tears in patients with osteoarthritis unless there are mechanical symptoms (Knee function is significantly compromised). This study assessed the risk of needing further surgery for osteoarthritis in the five years following partial meniscectomy in different age groups and different grades of knee osteoarthritis”(5).\r\n\r\nUnfortunately, patients are often too optimistic that surgery will fix everything. “In general, <strong>patients undergoing arthroscopic meniscus surgery were too optimistic regarding their recovery time</strong> and postoperative participation in leisure activities. This highlights the need for shared decision making which should include giving the patient information on realistic expectations. . .\"(6)\r\n<h2>The Controversy Continues Regarding the Efficacy of Partial Meniscectomy</h2>\r\nIn a January 2023 paper published in the journal Osteoarthritis Cartilage, researchers examined comparison studies between arthroscopic partial meniscectomy versus non-surgical or sham treatment in patients with MRI-confirmed degenerative meniscus tears. What did they find? Overall knee function and health-related quality of life did not differ between the two groups. And across all outcomes, no relevant subgroup of patients benefitted more from the arthroscopic partial meniscectomy than the sham surgery. (7)\r\n<h2>What Is the Alternative to Meniscectomy?</h2>\r\nGiven these poor outcomes and up to 6 months of recovery time even in \"successful\" surgeries, what alternative does a patient with an injured meniscus have?\r\n\r\n<strong>Regenerative Orthopedics, like Prolotherapy, PRP, and Stem Cell Therapy, stabilize the soft tissue structures and stop the arthritic cycle.</strong> As we said earlier, the meniscus is a primary stabilizing structure, as are the ligaments. When destabilized from meniscectomy, the abnormal motion will occur, and friction will increase, causing the acceleration of cartilage breakdown.\r\n\r\nRegenerative Orthopedics will strengthen the ligaments, repair the meniscus, and stop the breakdown of cartilage.\r\n<h2>PRP for Meniscal Repair</h2>\r\nAt OrthoRegen, our regenerative specialists may recommend PRP and Prolotherapy to repair the damaged knee.\r\n\r\n• PRP is full of growth factors that boost the healing and repair of the damaged meniscus.\r\n• Dextrose Prolotherapy is a successful treatment for the repair of ligaments and tendons. Whenever an injury is significant enough to damage a meniscus, it is also very likely that ligaments have also been damaged. Prolotherapy effectively repairs the damaged ligaments or involved tendons.\r\n\r\nRegenerative Orthopedics are safe, conservative treatment alternatives for the injured meniscus. In the athlete and non-athlete alike, these treatments offer an effective non-surgical option for the repair of the injured meniscus.\r\n\r\nGiven the accumulation of evidence demonstrating the overwhelming lack of efficacy and benefit and the risk for serious adverse effects of this widely used procedure for meniscus tears, it is essential to consider potential safe and effective alternatives.\r\n\r\nRegenerative Orthopedic treatments boost the healing process, raise growth factors, and initiate repair. The treatments stimulate new cell growth and rebuild depleted tissue, including cartilage regeneration.\r\n\r\nRegenerative Orthopedic treatments can safely and effectively treat meniscus tears non-surgically, returning you quickly to the activities and sports you enjoy.\r\n<h3>References</h3>\r\n(1) Bhan K. Meniscal Tears: Current Understanding, Diagnosis, and Management. Cureus. 2020;12(6):e8590. Published 2020 Jun 13. doi:10.7759/cureus.8590.\r\n(2) D’Ambrosi R, Meena A, Raj A, Ursino N, Mangiavini L, Herbort M, Fink C. In elite athletes with meniscal injuries, always repair the lateral, think about the medial! A systematic review. Knee Surgery, Sports Traumatology, Arthroscopy. 2022 Nov 2:1-1.\r\n(3) Avila A, Vasavada K, Shankar DS, Petrera M, Jazrawi LM, Strauss EJ. Current Controversies in Arthroscopic Partial Meniscectomy. Current Reviews in Musculoskeletal Medicine. 2022 Jun 21:1-8.\r\n(4) Van De Graaf VA, Bloembergen CH, Willigenburg NW, Noorduyn JC, Saris DB, Harris IA, Poolman RW. Can even experienced orthopaedic surgeons predict who will benefit from surgery when patients present with degenerative meniscal tears? A survey of 194 orthopaedic surgeons who made 3880 predictions. British Journal of Sports Medicine. 2020 Mar 1;54(6):354-9.\r\n(5) Chitnis SS, Al-Azzani WA, Kakar R. Medium-Term Results of Arthroscopic Partial Meniscectomy from a Single High-Volume Center. Indian Journal of Orthopaedics. 2020 May;54(3):358-65.\r\n(6) Pihl K, Roos EM, Nissen N, JøRgensen U, Schjerning J, Thorlund JB. Over-optimistic patient expectations of recovery and leisure activities after arthroscopic meniscus surgery: A prospective cohort study of 478 patients. Acta Orthopaedica. 2016;87(6):615-621.\r\n(7) Wijn SR, Hannink G, Østerås H, Risberg MA, Roos EM, Hare KB, van de Graaf VA, Poolman RW, Ahn HW, Seon JK, Englund M. Arthroscopic partial meniscectomy versus non-surgical or sham treatment in patients with MRI-confirmed degenerative meniscus tears: a systematic review and meta-analysis with individual participant data from 605 randomised patients. Osteoarthritis and Cartilage. 2023 Jan 13.\r\n(8) Hackett GS, Hemwall GA, Montgomery GA. Ligament and Tendon Relaxation Treated by Prolotherapy. 5th ed. Oak Park, IL: Gustav A. Hemwall; 1993.\r\n(9) Hauser RA, Blakemore PJ, Wang J, Steilen D. Structural basis of joint instability as cause for chronic musculoskeletal pain and its successful treatment with regenerative injection therapy (prolotherapy). The Open Pain Journal 2014; 7: 9-22.','Meniscus Tear Treatments','','publish','closed','open','','meniscus-tear-treatments','','','2023-05-03 20:50:27','2023-05-03 20:50:27','',0,'https://www.drfields.com/?p=5760',0,'post','',0),(5761,8,'2023-04-29 03:20:49','2023-04-29 03:20:49','Meniscectomy. Osteoarthritis And Cartilage','Meniscectomy. Osteoarthritis And Cartilage','Meniscectomy. Osteoarthritis And Cartilage','inherit','closed','closed','','meniscectomy-osteoarthritis-and-cartilage','','','2023-04-29 03:20:49','2023-04-29 03:20:49','',5760,'https://www.drfields.com/wp-content/uploads/2023/04/meniscectomy.-Osteoarthritis-and-Cartilage.png',0,'attachment','image/png',0),(5762,8,'2023-04-29 03:21:33','2023-04-29 03:21:33','<h2>What Are the Common Treatments for a Meniscus Tear?</h2>\r\n[caption id=\"attachment_5761\" align=\"alignright\" width=\"300\"]<img class=\"wp-image-5761\" src=\"https://www.drfields.com/wp-content/uploads/2023/04/meniscectomy.-Osteoarthritis-and-Cartilage-500x419.png\" alt=\"Meniscectomy. Osteoarthritis And Cartilage\" width=\"300\" height=\"251\" /> Meniscectomy. Osteoarthritis And Cartilage[/caption]\r\n\r\nWhen an injury to the meniscus occurs, patients commonly try non-surgical therapies like rest, ice, compression, and elevation, pain medications, physical therapy, and cortisone injections. When those do not work, their doctor may recommend arthroscopic surgery.\r\n\r\nSurgery, though, has not been shown to be an effective means to treat meniscus injuries. In fact, studies have found no significant difference between meniscectomy and sham surgery. And recent studies show the surgery does not reduce the mechanical symptoms of knee catching and locking, which patients often experience.\r\n\r\nAs you can see, the effectiveness of meniscectomies is questionable. So why do patients seek surgery to fix their meniscus?\r\n<h2>Patients Believe Meniscus Surgery Will Restore Knee Function. But Will It?</h2>\r\nWhen a patient is in pain they want the pain to stop. And when an athlete has an injury, they want to get it fixed so they can return to the game. Therefore, they make the decision to receive surgery so they can return to the activities they love, believing that the surgery will restore knee function.\r\n\r\nSure, there are successful meniscus surgeries. But that\'s not who we see in our office.\r\nWe see patients who want to avoid surgery, and those who have continued pain after surgery. But what about people we don\'t see? What are the outcomes of patients receiving surgical meniscectomy? And what does the research say about meniscus surgery?\r\n\r\nThe medical journal Cureus states, “Arthroscopic partial meniscectomy (APM) is currently the most performed orthopedic procedure around the globe. However, recent studies have conclusively <strong>shown that outcomes after an arthroscopic partial meniscectomy are no better than the outcomes after a sham/placebo surgery.</strong> (1)\r\n<h2>What About Athletes? Does Surgery Help?</h2>\r\nDo athletes who choose surgery to get back to their sport more quickly achieve their goal? A team of doctors in the journal Knee Surgery, Sports Traumatology and Arthroscopy evaluated 421 elite athletes who received partial meniscectomy or a meniscus repair. They found that 84.7% returned to sport after partial meniscectomy (piece of meniscus removed) and 78.3% returned to sport after a meniscal repair (a small tear sewn with suture). (2)\r\n\r\nThe study also showed that although surgery allowed for a return to sports in these patients, it also increased the risk for the development of knee arthritis. If you do the math, that means over 15-20% or about 1 in 5 elite athletes do not return to their sport. And those that do, now have a higher arthritis risk.\r\nWhy does the risk of arthritis increase with surgery? The meniscus and the ligaments are stabilizing structures for the knee. When this soft tissue is cut and trimmed during the surgical process, the knee is destabilized. The knee instability sets the arthritic cycle in motion.\r\n<h2>Is Meniscectomy the Way to Go for Patients Over 50?</h2>\r\nSurgeons have a more difficult time predicting who will benefit from meniscectomy in patients over 50. In the journal, Current Reviews in Musculoskeletal Medicine, reviewers wrote, \"Despite an abundance of literature exploring outcomes of arthroscopic partial meniscus for degenerative meniscus tears, there is little consensus among surgeons about the drivers of good outcomes following arthroscopic partial meniscus.\"(3)\r\n\r\nIn older patients or in active patients with arthritis, more conservative therapies should be sought for meniscal tears.\r\n<h2>\"Can even experienced orthopaedic surgeons predict who will benefit from surgery when patients present with degenerative meniscal tears?\"</h2>\r\nThat\'s the exact title of an article in the British Journal of Sports Medicine. Researchers questioned whether orthopedic surgeons could predict the outcomes for treatment of meniscal tears with arthroscopic partial meniscectomy. The answer? The surgeons were only correct 50% of the time. How eye-opening! Only half the time, these experienced surgeons had it right when recommending that surgery was indicated. The results are no different than the flip of a coin!! (4)\r\n<h2>What About Patients Who Already Have Arthritis?</h2>\r\nPatients with meniscal tears and severe arthritis have a high risk of needing more surgery. The Indian Journal of Orthopaedics says, “Clinical practice is moving away from treating meniscal tears in patients with osteoarthritis unless there are mechanical symptoms (Knee function is significantly compromised). This study assessed the risk of needing further surgery for osteoarthritis in the five years following partial meniscectomy in different age groups and different grades of knee osteoarthritis”(5).\r\n\r\nUnfortunately, patients are often too optimistic that surgery will fix everything. “In general, <strong>patients undergoing arthroscopic meniscus surgery were too optimistic regarding their recovery time</strong> and postoperative participation in leisure activities. This highlights the need for shared decision making which should include giving the patient information on realistic expectations. . .\"(6)\r\n<h2>The Controversy Continues Regarding the Efficacy of Partial Meniscectomy</h2>\r\nIn a January 2023 paper published in the journal Osteoarthritis Cartilage, researchers examined comparison studies between arthroscopic partial meniscectomy versus non-surgical or sham treatment in patients with MRI-confirmed degenerative meniscus tears. What did they find? Overall knee function and health-related quality of life did not differ between the two groups. And across all outcomes, no relevant subgroup of patients benefitted more from the arthroscopic partial meniscectomy than the sham surgery. (7)\r\n<h2>What Is the Alternative to Menisectomy?</h2>\r\nGiven these poor outcomes and up to 6 months recovery time even in \"successful\" surgeries, what alternative does a patient with an injured meniscus have?\r\n\r\n<strong>Regenerative Orthopedics, like Prolotherapy, PRP, and Stem Cell Therapy stabilize the soft tissue structures and stop the arthritic cycle.</strong> As we said earlier, the meniscus is a primary stabilizing structure, as are the ligaments. When detabilized from meniscectomy, abnormal motion will occur, and friction will increase, causing the acceleration of cartilage breakdown.\r\n\r\nRegenerative Orthopedics will strengthen the ligaments, repair the meniscus, and stop the breakdown of cartilage.\r\n<h2>PRP for Meniscal Repair</h2>\r\nAt OrthoRegen, our regenerative specialists may recommend PRP along with Prolotherapy, to repair the damaged knee.\r\n\r\n• PRP is full of growth factors that boost the healing and repair of the damaged meniscus.\r\n• Dextrose Prolotherapy is a successful treatment for the repair of ligaments and tendons. Whenever an injury is significant enough to damage a meniscus, it is also very likely that ligaments have also been damaged. Prolotherapy effectively repairs the damaged ligaments or involved tendons.\r\n\r\nRegenerative Orthopedics are safe, conservative treatment alternatives for the injured meniscus. In the athlete and non-athlete alike, these treatments offer an effective non-surgical option for the repair of the injured meniscus.\r\n\r\nGiven the accumulation of evidence demonstrating not only the overwhelming lack of efficacy and benefit, but also the risk for serious adverse effects of this widely used procedure for meniscus tears, it is important to consider potential safe and effective alternatives.\r\n\r\nRegenerative Orthopedic treatments work by boosting the healing process, raising the levels of growth factors, and initiating repair. The treatments stimulate new cell growth and rebuild depleted tissue, including the regeneration of cartilage.\r\n\r\nRegenerative Orthopedic treatments can safely and effectively treat meniscus tears non-surgically, returning you quickly to the activities and sports you enjoy.\r\n<h3>References</h3>\r\n(1) Bhan K. Meniscal Tears: Current Understanding, Diagnosis, and Management. Cureus. 2020;12(6):e8590. Published 2020 Jun 13. doi:10.7759/cureus.8590.\r\n(2) D’Ambrosi R, Meena A, Raj A, Ursino N, Mangiavini L, Herbort M, Fink C. In elite athletes with meniscal injuries, always repair the lateral, think about the medial! A systematic review. Knee Surgery, Sports Traumatology, Arthroscopy. 2022 Nov 2:1-1.\r\n(3) Avila A, Vasavada K, Shankar DS, Petrera M, Jazrawi LM, Strauss EJ. Current Controversies in Arthroscopic Partial Meniscectomy. Current Reviews in Musculoskeletal Medicine. 2022 Jun 21:1-8.\r\n(4) Van De Graaf VA, Bloembergen CH, Willigenburg NW, Noorduyn JC, Saris DB, Harris IA, Poolman RW. Can even experienced orthopaedic surgeons predict who will benefit from surgery when patients present with degenerative meniscal tears? A survey of 194 orthopaedic surgeons who made 3880 predictions. British Journal of Sports Medicine. 2020 Mar 1;54(6):354-9.\r\n(5) Chitnis SS, Al-Azzani WA, Kakar R. Medium-Term Results of Arthroscopic Partial Meniscectomy from a Single High-Volume Center. Indian Journal of Orthopaedics. 2020 May;54(3):358-65.\r\n(6) Pihl K, Roos EM, Nissen N, JøRgensen U, Schjerning J, Thorlund JB. Over-optimistic patient expectations of recovery and leisure activities after arthroscopic meniscus surgery: A prospective cohort study of 478 patients. Acta Orthopaedica. 2016;87(6):615-621.\r\n(7) Wijn SR, Hannink G, Østerås H, Risberg MA, Roos EM, Hare KB, van de Graaf VA, Poolman RW, Ahn HW, Seon JK, Englund M. Arthroscopic partial meniscectomy versus non-surgical or sham treatment in patients with MRI-confirmed degenerative meniscus tears: a systematic review and meta-analysis with individual participant data from 605 randomised patients. Osteoarthritis and Cartilage. 2023 Jan 13.\r\n(8) Hackett GS, Hemwall GA, Montgomery GA. Ligament and Tendon Relaxation Treated by Prolotherapy. 5th ed. Oak Park, IL: Gustav A. Hemwall; 1993.\r\n(9) Hauser RA, Blakemore PJ, Wang J, Steilen D. Structural basis of joint instability as cause for chronic musculoskeletal pain and its successful treatment with regenerative injection therapy (prolotherapy). The Open Pain Journal 2014; 7: 9-22.','Meniscus Tear Treatment','','inherit','closed','closed','','5760-revision-v1','','','2023-04-29 03:21:33','2023-04-29 03:21:33','',5760,'https://www.drfields.com/?p=5762',0,'revision','',0),(5763,8,'2023-04-29 03:24:05','2023-04-29 03:24:05','<div class=\"clear\"></div>\r\n<div id=\"slider\">\r\n<div class=\"owl-carousel slider-carousel\">\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/12/Slider-2-v3-261222.jpg\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/Slider-v1-021120.jpg\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-santa-monica-pier-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">New Article:</span>\r\n<span class=\"header_text_second\">Keep Looking Forward Despite COVID-19</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dealing-with-covid-19/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-11.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/0_header-orthoregen-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Get Back In The Game!</span>\r\n<span class=\"header_text_second\">Avoid Joint and Spine Surgery </span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">Stem Cell/PRP/Prolotherapy</span>\r\n<a class=\"btn-more\" title=\"Get Help Now!\" href=\"Contact-Us\"> Get Help Now!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item slide-article\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-ocean-mountains-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_second\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/0_Kili-top-header-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\" style=\"text-align: left;\"><span class=\"header_text_first\">Congratulations\r\nPeter A. Fields, MD, DC</span>\r\n<span class=\"header_text_second\">The Athletic Doc<sup>®</sup>\r\nsuccessfully climbed</span>\r\n<span class=\"header_text_third white-text\">Mt. Kilimanjaro in\r\nTanzania, Africa.19,341 feet!!!</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/report-of-my-kilimanjaro-climb/\">Read More</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/Sider-01-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Peter A. Fields, MD, DC\r\nThe Athletic Doc<sup>®</sup></span>\r\n<span class=\"header_text_second\">Completed His 11th Ironman</span>\r\n<span class=\"header_text_third\">Sunday, November 24th in Cozumel Mexico</span>\r\n<a class=\"btn-more\" title=\"Read More\" href=\"#\">Images &amp; Story Coming Soon</a></div>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"jumbotron-fluid\">\r\n<div class=\"row\">\r\n<div class=\"col-md-4 box1\">\r\n\r\nWhat\'s\r\n<h3>New</h3>\r\n<ul>\r\n 	<li><a href=\"/articles/meniscus-tear-treatment/\">Meniscus Tear Treatment</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/neck-pain-treatment/\">Neck Pain Treatment</a></li>\r\n 	<li><a href=\"/uncategorized/knee-replacement-failure/\">Knee Replacement Failure</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/best-treatments-for-low-back-pain/\">Best Treatments For Low Back Pain</a></li>\r\n 	<li><a href=\"https://www.drfields.com/uncategorized/arthritis-knee-treatment/\">Arthritis Knee Treatment</a></li>\r\n 	<li><a href=\"https://www.drfields.com/uncategorized/back-pain-treatment/\">Back Pain Treatment</a></li>\r\n</ul>\r\n</div>\r\n<div id=\"testimonials\" class=\"col-md-4 box2\">\r\n\r\nPatient\r\n<h3>Testimonials</h3>\r\n<strong>Video:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I wished I had come earlier and listened to what my physical therapist had told me to do because Dr. Fields has been a real solution for me.\"\r\n\r\n<img class=\"testimonial-img\" title=\"Testimonial\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-larry.png\" alt=\"Testimonial\" />\r\n<h3>Larry</h3>\r\n<h4>Stem Cell Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I highly recommend it to anyone who needs to recover fast and get back out there.\"\r\n\r\n<img class=\"testimonial-img\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-christopher.png\" alt=\"\" />\r\n<h3>Chris, Pro Basketball Player</h3>\r\n<h4>PRP Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"Now I can go walking, I go to my ballet class and I’m a happy camper because of Dr. Fields.\"\r\n\r\n<img class=\"testimonial-img\" title=\"\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-mary.png\" alt=\"Testimonial\" />\r\n<h3>Mary</h3>\r\n<h4>Stem Cell Hip</h4>\r\n</div>\r\n</div>\r\n<strong>Written:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I need to say a big thank you to Dr Fields for getting me back on the tennis court. I am an avid tennis player who tried to ignore the terrible pain in my elbow.\"\r\n<h3 style=\"margin-left: 0;\">Mindy</h3>\r\n<h4 style=\"margin-left: 0;\">Elbow</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I chose Dr. Peter Fields because he is an athlete and would have more direct knowledge of my particular circumstances than anyone else.\"\r\n<h3 style=\"margin-left: 0;\">Robert</h3>\r\n<h4 style=\"margin-left: 0;\">Shoulder</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"After the final treatments ended I am still without all the pain and have more muscle strength in my legs.\"\r\n<h3 style=\"margin-left: 0;\">Lois</h3>\r\n<h4 style=\"margin-left: 0;\">Knee</h4>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"col-md-4 box3\">\r\n\r\nNews &amp;\r\n<h3>Events</h3>\r\n<ul>\r\n 	<li><a href=\"https://www.drfields.com/articles/health-news/dr-fields-to-lecture-in-mexico-city-on-july-9th/\">Peter A. Fields, MD, DC to lecture in Mexico City on July 9th</a></li>\r\n 	<li><a class=\"buttonlink\" style=\"width: 100%; font-size: 24px; text-align: center; padding: 25px 8%;\" href=\"https://www.drfields.com/contact/\"> Are you a Stem Cell Candidate?</a></li>\r\n</ul>\r\n</div>\r\n</div>\r\n</div>\r\n<div id=\"search-articles\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n<h2 class=\"text-center\">Search <b>Dr. Fields\'</b> Articles</h2>\r\n<form id=\"searchform\" action=\"/\" method=\"get\"><input class=\"search-field\" name=\"s\" type=\"text\" placeholder=\"What\'s Your Condition?\" />\r\n<input type=\"submit\" value=\"Search\" /></form></div>\r\n</div>\r\n</div>\r\n<div id=\"intro\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n<h1 class=\"text-center\">Welcome to OrthoRegen<sup>®</sup>!</h1>\r\n<p class=\"intro_text welcome\"><a href=\"http://orthoregen.com\"><span style=\"font-size: 26px;\">OrthoRegen<sup>®</sup></span></a> is dedicated to providing the best of <span class=\"nowrap\">Regenerative Orthopedics</span> by offering non-surgical alternatives for joint and spine repair</p>\r\n<a class=\"primaryButton\" title=\"Read More About U\" href=\"https://www.drfields.com/about/orthoregen-our-philosophy/\">Read More About Us</a>\r\n<a id=\"candidateButton\" title=\"Are you a good candidate?\" href=\"/contact/\">Are you a good candidate?</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"about\">\r\n<div class=\"col-md-5 drfields\"><img class=\"alignnone\" title=\"Regenerative Orthopedics Leader\" src=\"https://www.drfields.com/wp-content/uploads/2022/11/dr-fields-v1-021120.png\" alt=\"Regenerative Orthopedics Leader\" width=\"460\" height=\"737\" /></div>\r\n<div class=\"col-md-7 about_holder\">\r\n<h1>Peter A. Fields, <span class=\"nowrap\">MD, DC</span></h1>\r\n<p class=\"intro_text\">Medical Physician and Chiropractor\r\nThe Athletic Doc<sup>®</sup> - 11x Ironman Triathlete</p>\r\n\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"icon info\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-info.png\" alt=\"icon info\" /></div>\r\n<div class=\"about_text\">\r\n<h3>About</h3>\r\nPeter A. Fields, MD, DC is one of a handful of physicians in the nation with both medical and chiropractic degrees...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/dr-fields-bio/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"Man Icon\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-ironman.png\" alt=\"Man Icon\" /></div>\r\n<div class=\"about_text\">\r\n<h3>11x Ironman</h3>\r\nDr. Peter A. Fields is also known as The Athletic Doc<sup>®</sup> He not only treats athletes in his practice but is an athlete himself. For over...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n&nbsp;\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Call Us Today! 310-453-1234</a>','Home','','inherit','closed','closed','','2109-revision-v1','','','2023-04-29 03:24:05','2023-04-29 03:24:05','',2109,'https://www.drfields.com/?p=5763',0,'revision','',0),(5766,9,'2023-05-03 20:31:38','2023-05-03 20:31:38','[caption id=\"attachment_5737\" align=\"alignright\" width=\"300\"]<img class=\"wp-image-5737\" src=\"https://www.drfields.com/wp-content/uploads/2023/04/Knee-Replacement-Failures-500x419.png\" alt=\"Knee Replacement Failures\" width=\"300\" height=\"251\" /> <strong> Knee Replacement Failure Statistics</strong>[/caption]\r\n<h2>Understanding Knee Replacement Failure</h2>\r\nKnee replacement is a huge undertaking. The surgery requires hospitalization and prolonged downtime. But is this surgery just a one-time thing? Unfortunately, it may not be!\r\n\r\nAdditionally, there is also a risk of replacement failure necessitating revision surgery down the road. How high is that risk?\r\n<h3><strong>Why Do Knee Replacements Fail?</strong></h3>\r\nThe leading cause of knee replacement failure is infection. Instability, looseness, persistent stiffness, ongoing pain, and metal allergies are additional reasons for failure.\r\n<h4><strong>Reasons for Increased Knee Replacement Failure Include:</strong></h4>\r\n<em>Revision Surgery</em>\r\n\r\nWhen replacements fail, revision surgery is needed, and revision surgeries have even worse outcomes than the initial replacement. (1)\r\n\r\n<em>Higher Recipient Rates</em>\r\n\r\nOne reason failure rates are getting higher is that more people are getting knee replacements. People are receiving knee replacements at a younger age too. And knee replacements don\'t last forever. In time, all knee replacements fail.\r\n\r\n<em>Continued Pain after Knee Replacement</em>\r\n\r\nKnee replacement recipients report a substantial rate of continued pain after knee replacement. Twenty percent or one in five patients who undergo total knee replacement for osteoarthritis report an unfavorable pain outcome after surgery. (2)\r\n\r\nGerman physicians reported even higher rates of pain, “About one-third of all patients after total knee arthroplasty experience persistent or recurring pain and/or dissatisfaction.\"(3)\r\n\r\nAnd researchers from the United Kingdom reported that \"adverse knee pain occurs in 10-34% of all total knee replacements, and 20% of total knee replacements patients experience more pain post-operatively than pre-operatively.\"(4)\r\n<h3><strong>How Long Do Knee Replacements Last?</strong></h3>\r\nResults vary when data is reviewed to show how long knee replacements last. Some studies show 15 years, others 20 years, and still others 25 years. (2,5,6)\r\n<h3><strong>What Is Your Idea of a Successful Knee Replacement?</strong></h3>\r\nYou may be surprised that your idea of success and the surgeon\'s idea of surgical success may differ completely. The surgeon may be satisfied that the surgery itself went well. But you may not be happy with that alone. If you have pain, a loose knee, swelling, and less walking ability after surgery than before, you may not feel like the surgery was a success.\r\n\r\nIn the Journal of Arthroplasty, researchers described patient dissatisfaction with their knee replacement due to looseness. The patients reported more pain and unmet expectations. (7)\r\n\r\nPatients generally expect a better quality of life after surgery, including less pain and an increased ability to do the activities they want. When these expectations are not met, patients are dissatisfied.\r\n<h3><strong>Is There An Alternative?</strong></h3>\r\nRegenerative Orthopedics is an alternative therapy that can be sought before surgery. The treatment should also be sought if surgery has already been done, and the patient is dissatisfied, or if the pain continues.\r\n\r\nBefore getting to the point of surgery, these regenerative treatments can stop the cycle of degeneration, reduce pain, and improve function. Osteoarthritis is the main reason people end up facing a knee replacement. Arthritis occurs because of instability in the knee joint. The instability is the result of an old or new injury. Regenerative Orthopedics can stabilize the knee and stop the degenerative process in these cases.\r\n\r\nRegenerative treatments can also help once a replacement has been done. The connective tissues damaged by the surgery or the damage due to the new stress placed on them by the implant can be strengthened and repaired.\r\n\r\nWe are pleased to offer this alternative to knee replacement and a solution when pain and dissatisfaction continue after knee replacement. Give us a call at 310-453-1234.\r\n<h3><strong>References</strong></h3>\r\n(1) Agarwal, Sanjeev, et al. \"Why are revision knee replacements failing?.\" <em>The Knee</em> 26.3 (2019): 774-778.\r\n\r\n(2) Beswick AD, Wylde V, Gooberman-Hill R, et al. What proportion of patients report long-term pain after total hip or knee replacement for osteoarthritis? A systematic review of prospective studies in unselected patients. BMJ Open 2012; 2:e000435. doi: 10.1136/bmjopen-2011-000435\r\n\r\n(3) Mathis DT, Hirschmann MT. Trotz Knietotalprothese schmerzt das Knie – was nun? [Painful knee after total knee arthroplasty – what can be done?]. Ther Umsch. 2020;77(10):491-497. German.\r\n\r\n(4) Li CY, Ng Cheong Chung KJ, Ali OM, Chung ND, Li CH. Literature review of the causes of pain following total knee replacement surgery: prosthesis, inflammation and arthrofibrosis. EFORT Open Reviews. 2020 Sep;5(9):534-43.\r\n\r\n(5) P van der List, DL Sheng, LJ Kleeblad, H Chawla, AD Pearle. Outcomes of cementless unicompartmental and total knee arthroplasty: a systematic review. Knee, 24 (2017), pp. 497-507.\r\n\r\n(6) T Niinimaki, A Eskelinen, K Makela, P Ohtonen, A-P Puhto, V Remes. Unicompartmental knee arthroplasty survivorship is lower than TKA survivorship: a 27-year Finnish registry study. Clin Orthop Relat Res, 472 (2014), pp. 1496-1501.\r\n\r\n(7) Broberg JS, Naudie DD, Lanting BA, Howard JL, Vasarhelyi EM, Teeter MG. Patient and Implant Performance of Satisfied and Dissatisfied Total Knee Arthroplasty Patients. The Journal of Arthroplasty. 2022 Jun 1;37(6):S98-104.','Knee Replacement Failure','','inherit','closed','closed','','5736-revision-v1','','','2023-05-03 20:31:38','2023-05-03 20:31:38','',5736,'https://www.drfields.com/?p=5766',0,'revision','',0),(5767,9,'2023-05-03 20:49:24','2023-05-03 20:49:24','<h2>What Are the Common Meniscus Tear Treatments?</h2>\n<img class=\"wp-image-5761 alignright\" src=\"https://www.drfields.com/wp-content/uploads/2023/04/meniscectomy.-Osteoarthritis-and-Cartilage-500x419.png\" alt=\"Meniscectomy. Osteoarthritis And Cartilage\" width=\"300\" height=\"251\" />\n\nWhen an injury to the meniscus occurs, patients commonly try non-surgical meniscus tear treatments like rest, ice, compression, elevation, pain medications, physical therapy, and cortisone injections. When those do not work, their doctor may recommend arthroscopic surgery.\n\nSurgery, though, has not been shown to be an effective means to treat meniscus injuries. Studies have found no significant difference between meniscectomy and sham surgery. And recent studies show that surgery does not reduce the mechanical symptoms of knee catching and locking, which patients often experience.\n\nAs you can see, the effectiveness of meniscectomies is questionable. So why do patients seek surgery to fix their meniscus?\n<h2>Patients Believe Meniscus Surgery Will Restore Knee Function. But Will It?</h2>\nWhen a patient is in pain, they want the pain to stop. And when an athlete has an injury, they want to get it fixed so they can return to the game. Therefore, they decide to receive surgery so they can return to the activities they love, believing that the surgery will restore knee function.\n\nSure, there are successful meniscus surgeries. But that\'s not who we see in our office.\nWe see patients who want to avoid surgery and those who have continued pain after surgery. But what about people we don\'t see? What are the outcomes of patients receiving surgical meniscectomy? And what does the research say about meniscus surgery?\n\nThe medical journal Cureus states, “Arthroscopic partial meniscectomy (APM) is currently the most performed orthopedic procedure around the globe. However, recent studies have conclusively <strong>shown that outcomes after an arthroscopic partial meniscectomy are no better than the outcomes after a sham/placebo surgery.\"</strong> (1)\n<h2>What About Athletes? Does Surgery Help?</h2>\nDo athletes who choose surgery to return to their sport more quickly achieve their goals? A team of doctors in the journal Knee Surgery, Sports Traumatology and Arthroscopy evaluated 421 elite athletes who received partial meniscectomy or a meniscus repair. They found that 84.7% returned to the sport after a partial meniscectomy (a piece of meniscus removed), and 78.3% returned to the sport after a meniscal repair (a small tear sewn with suture). (2)\n\nThe study also showed that although surgery allowed for a return to sports in these patients, it also increased the risk of developing knee arthritis. If you do the math, that means over 15-20% or about 1 in 5 elite athletes do not return to their sport. And those that do now have a higher arthritis risk.\n\nWhy does the risk of arthritis increase with surgery? The meniscus and the ligaments are stabilizing structures for the knee. When this soft tissue is cut and trimmed during the surgical process, the knee is destabilized. The knee instability sets the arthritic cycle in motion.\n<h2>Is Meniscectomy the Meniscus Tear Treatment for Patients Over 50?</h2>\nSurgeons have a more difficult time predicting who will benefit from meniscectomy in patients over 50. In the journal, Current Reviews in Musculoskeletal Medicine, reviewers wrote, \"Despite an abundance of literature exploring outcomes of arthroscopic partial meniscus for degenerative meniscus tears, there is little consensus among surgeons about the drivers of good outcomes following arthroscopic partial meniscus.\"(3)\n\nIn older patients or active patients with arthritis, more conservative therapies should be sought for meniscal tears.\n<h2>\"Can even experienced orthopaedic surgeons predict who will benefit from surgery when patients present with degenerative meniscal tears?\"</h2>\nThat\'s the exact title of an article in the British Journal of Sports Medicine. Researchers questioned whether orthopedic surgeons could predict the outcomes of treating meniscal tears with arthroscopic partial meniscectomy. The answer? The surgeons were only correct 50% of the time. How eye-opening! Only half the time, these experienced surgeons had it right when recommending that surgery be indicated. The results are no different than the flip of a coin!! (4)\n<h2>What\'s the Meniscus Tear Treatment for Patients Who Already Have Arthritis?</h2>\nPatients with meniscal tears and severe arthritis have a high risk of needing more surgery. The Indian Journal of Orthopaedics says, “Clinical practice is moving away from treating meniscal tears in patients with osteoarthritis unless there are mechanical symptoms (Knee function is significantly compromised). This study assessed the risk of needing further surgery for osteoarthritis in the five years following partial meniscectomy in different age groups and different grades of knee osteoarthritis”(5).\n\nUnfortunately, patients are often too optimistic that surgery will fix everything. “In general, <strong>patients undergoing arthroscopic meniscus surgery were too optimistic regarding their recovery time</strong> and postoperative participation in leisure activities. This highlights the need for shared decision making which should include giving the patient information on realistic expectations. . .\"(6)\n<h2>The Controversy Continues Regarding the Efficacy of Partial Meniscectomy</h2>\nIn a January 2023 paper published in the journal Osteoarthritis Cartilage, researchers examined comparison studies between arthroscopic partial meniscectomy versus non-surgical or sham treatment in patients with MRI-confirmed degenerative meniscus tears. What did they find? Overall knee function and health-related quality of life did not differ between the two groups. And across all outcomes, no relevant subgroup of patients benefitted more from the arthroscopic partial meniscectomy than the sham surgery. (7)\n<h2>What Is the Alternative to Meniscectomy?</h2>\nGiven these poor outcomes and up to 6 months of recovery time even in \"successful\" surgeries, what alternative does a patient with an injured meniscus have?\n\n<strong>Regenerative Orthopedics, like Prolotherapy, PRP, and Stem Cell Therapy, stabilize the soft tissue structures and stop the arthritic cycle.</strong> As we said earlier, the meniscus is a primary stabilizing structure, as are the ligaments. When destabilized from meniscectomy, the abnormal motion will occur, and friction will increase, causing the acceleration of cartilage breakdown.\n\nRegenerative Orthopedics will strengthen the ligaments, repair the meniscus, and stop the breakdown of cartilage.\n<h2>PRP for Meniscal Repair</h2>\nAt OrthoRegen, our regenerative specialists may recommend PRP and Prolotherapy to repair the damaged knee.\n\n• PRP is full of growth factors that boost the healing and repair of the damaged meniscus.\n• Dextrose Prolotherapy is a successful treatment for the repair of ligaments and tendons. Whenever an injury is significant enough to damage a meniscus, it is also very likely that ligaments have also been damaged. Prolotherapy effectively repairs the damaged ligaments or involved tendons.\n\nRegenerative Orthopedics are safe, conservative treatment alternatives for the injured meniscus. In the athlete and non-athlete alike, these treatments offer an effective non-surgical option for the repair of the injured meniscus.\n\nGiven the accumulation of evidence demonstrating the overwhelming lack of efficacy and benefit and the risk for serious adverse effects of this widely used procedure for meniscus tears, it is essential to consider potential safe and effective alternatives.\n\nRegenerative Orthopedic treatments boost the healing process, raise growth factors, and initiate repair. The treatments stimulate new cell growth and rebuild depleted tissue, including cartilage regeneration.\n\nRegenerative Orthopedic treatments can safely and effectively treat meniscus tears non-surgically, returning you quickly to the activities and sports you enjoy.\n<h3>References</h3>\n(1) Bhan K. Meniscal Tears: Current Understanding, Diagnosis, and Management. Cureus. 2020;12(6):e8590. Published 2020 Jun 13. doi:10.7759/cureus.8590.\n(2) D’Ambrosi R, Meena A, Raj A, Ursino N, Mangiavini L, Herbort M, Fink C. In elite athletes with meniscal injuries, always repair the lateral, think about the medial! A systematic review. Knee Surgery, Sports Traumatology, Arthroscopy. 2022 Nov 2:1-1.\n(3) Avila A, Vasavada K, Shankar DS, Petrera M, Jazrawi LM, Strauss EJ. Current Controversies in Arthroscopic Partial Meniscectomy. Current Reviews in Musculoskeletal Medicine. 2022 Jun 21:1-8.\n(4) Van De Graaf VA, Bloembergen CH, Willigenburg NW, Noorduyn JC, Saris DB, Harris IA, Poolman RW. Can even experienced orthopaedic surgeons predict who will benefit from surgery when patients present with degenerative meniscal tears? A survey of 194 orthopaedic surgeons who made 3880 predictions. British Journal of Sports Medicine. 2020 Mar 1;54(6):354-9.\n(5) Chitnis SS, Al-Azzani WA, Kakar R. Medium-Term Results of Arthroscopic Partial Meniscectomy from a Single High-Volume Center. Indian Journal of Orthopaedics. 2020 May;54(3):358-65.\n(6) Pihl K, Roos EM, Nissen N, JøRgensen U, Schjerning J, Thorlund JB. Over-optimistic patient expectations of recovery and leisure activities after arthroscopic meniscus surgery: A prospective cohort study of 478 patients. Acta Orthopaedica. 2016;87(6):615-621.\n(7) Wijn SR, Hannink G, Østerås H, Risberg MA, Roos EM, Hare KB, van de Graaf VA, Poolman RW, Ahn HW, Seon JK, Englund M. Arthroscopic partial meniscectomy versus non-surgical or sham treatment in patients with MRI-confirmed degenerative meniscus tears: a systematic review and meta-analysis with individual participant data from 605 randomised patients. Osteoarthritis and Cartilage. 2023 Jan 13.\n(8) Hackett GS, Hemwall GA, Montgomery GA. Ligament and Tendon Relaxation Treated by Prolotherapy. 5th ed. Oak Park, IL: Gustav A. Hemwall; 1993.\n(9) Hauser RA, Blakemore PJ, Wang J, Steilen D. Structural basis of joint instability as cause for chronic musculoskeletal pain and its successful treatment with regenerative injection therapy (prolotherapy). The Open Pain Journal 2014; 7: 9-22.','Meniscus Tear Treatments','','inherit','closed','closed','','5760-autosave-v1','','','2023-05-03 20:49:24','2023-05-03 20:49:24','',5760,'https://www.drfields.com/?p=5767',0,'revision','',0),(5768,9,'2023-05-03 20:37:20','2023-05-03 20:37:20','<h2>What Are the Common Meniscus Tear Treatments?</h2>\r\n<img class=\"wp-image-5761\" src=\"https://www.drfields.com/wp-content/uploads/2023/04/meniscectomy.-Osteoarthritis-and-Cartilage-500x419.png\" alt=\"Meniscectomy. Osteoarthritis And Cartilage\" width=\"300\" height=\"251\" />\r\n\r\nWhen an injury to the meniscus occurs, patients commonly try non-surgical meniscus tear treatments like rest, ice, compression, elevation, pain medications, physical therapy, and cortisone injections. When those do not work, their doctor may recommend arthroscopic surgery.\r\n\r\nSurgery, though, has not been shown to be an effective means to treat meniscus injuries. Studies have found no significant difference between meniscectomy and sham surgery. And recent studies show that surgery does not reduce the mechanical symptoms of knee catching and locking, which patients often experience.\r\n\r\nAs you can see, the effectiveness of meniscectomies is questionable. So why do patients seek surgery to fix their meniscus?\r\n<h2>Patients Believe Meniscus Surgery Will Restore Knee Function. But Will It?</h2>\r\nWhen a patient is in pain they want the pain to stop. And when an athlete has an injury, they want to get it fixed so they can return to the game. Therefore, they make the decision to receive surgery so they can return to the activities they love, believing that the surgery will restore knee function.\r\n\r\nSure, there are successful meniscus surgeries. But that\'s not who we see in our office.\r\nWe see patients who want to avoid surgery, and those who have continued pain after surgery. But what about people we don\'t see? What are the outcomes of patients receiving surgical meniscectomy? And what does the research say about meniscus surgery?\r\n\r\nThe medical journal Cureus states, “Arthroscopic partial meniscectomy (APM) is currently the most performed orthopedic procedure around the globe. However, recent studies have conclusively <strong>shown that outcomes after an arthroscopic partial meniscectomy are no better than the outcomes after a sham/placebo surgery.</strong> (1)\r\n<h2>What About Athletes? Does Surgery Help?</h2>\r\nDo athletes who choose surgery to get back to their sport more quickly achieve their goal? A team of doctors in the journal Knee Surgery, Sports Traumatology and Arthroscopy evaluated 421 elite athletes who received partial meniscectomy or a meniscus repair. They found that 84.7% returned to sport after partial meniscectomy (piece of meniscus removed) and 78.3% returned to sport after a meniscal repair (a small tear sewn with suture). (2)\r\n\r\nThe study also showed that although surgery allowed for a return to sports in these patients, it also increased the risk for the development of knee arthritis. If you do the math, that means over 15-20% or about 1 in 5 elite athletes do not return to their sport. And those that do, now have a higher arthritis risk.\r\nWhy does the risk of arthritis increase with surgery? The meniscus and the ligaments are stabilizing structures for the knee. When this soft tissue is cut and trimmed during the surgical process, the knee is destabilized. The knee instability sets the arthritic cycle in motion.\r\n<h2>Is Meniscectomy the Way to Go for Patients Over 50?</h2>\r\nSurgeons have a more difficult time predicting who will benefit from meniscectomy in patients over 50. In the journal, Current Reviews in Musculoskeletal Medicine, reviewers wrote, \"Despite an abundance of literature exploring outcomes of arthroscopic partial meniscus for degenerative meniscus tears, there is little consensus among surgeons about the drivers of good outcomes following arthroscopic partial meniscus.\"(3)\r\n\r\nIn older patients or in active patients with arthritis, more conservative therapies should be sought for meniscal tears.\r\n<h2>\"Can even experienced orthopaedic surgeons predict who will benefit from surgery when patients present with degenerative meniscal tears?\"</h2>\r\nThat\'s the exact title of an article in the British Journal of Sports Medicine. Researchers questioned whether orthopedic surgeons could predict the outcomes for treatment of meniscal tears with arthroscopic partial meniscectomy. The answer? The surgeons were only correct 50% of the time. How eye-opening! Only half the time, these experienced surgeons had it right when recommending that surgery was indicated. The results are no different than the flip of a coin!! (4)\r\n<h2>What About Patients Who Already Have Arthritis?</h2>\r\nPatients with meniscal tears and severe arthritis have a high risk of needing more surgery. The Indian Journal of Orthopaedics says, “Clinical practice is moving away from treating meniscal tears in patients with osteoarthritis unless there are mechanical symptoms (Knee function is significantly compromised). This study assessed the risk of needing further surgery for osteoarthritis in the five years following partial meniscectomy in different age groups and different grades of knee osteoarthritis”(5).\r\n\r\nUnfortunately, patients are often too optimistic that surgery will fix everything. “In general, <strong>patients undergoing arthroscopic meniscus surgery were too optimistic regarding their recovery time</strong> and postoperative participation in leisure activities. This highlights the need for shared decision making which should include giving the patient information on realistic expectations. . .\"(6)\r\n<h2>The Controversy Continues Regarding the Efficacy of Partial Meniscectomy</h2>\r\nIn a January 2023 paper published in the journal Osteoarthritis Cartilage, researchers examined comparison studies between arthroscopic partial meniscectomy versus non-surgical or sham treatment in patients with MRI-confirmed degenerative meniscus tears. What did they find? Overall knee function and health-related quality of life did not differ between the two groups. And across all outcomes, no relevant subgroup of patients benefitted more from the arthroscopic partial meniscectomy than the sham surgery. (7)\r\n<h2>What Is the Alternative to Menisectomy?</h2>\r\nGiven these poor outcomes and up to 6 months recovery time even in \"successful\" surgeries, what alternative does a patient with an injured meniscus have?\r\n\r\n<strong>Regenerative Orthopedics, like Prolotherapy, PRP, and Stem Cell Therapy stabilize the soft tissue structures and stop the arthritic cycle.</strong> As we said earlier, the meniscus is a primary stabilizing structure, as are the ligaments. When detabilized from meniscectomy, abnormal motion will occur, and friction will increase, causing the acceleration of cartilage breakdown.\r\n\r\nRegenerative Orthopedics will strengthen the ligaments, repair the meniscus, and stop the breakdown of cartilage.\r\n<h2>PRP for Meniscal Repair</h2>\r\nAt OrthoRegen, our regenerative specialists may recommend PRP along with Prolotherapy, to repair the damaged knee.\r\n\r\n• PRP is full of growth factors that boost the healing and repair of the damaged meniscus.\r\n• Dextrose Prolotherapy is a successful treatment for the repair of ligaments and tendons. Whenever an injury is significant enough to damage a meniscus, it is also very likely that ligaments have also been damaged. Prolotherapy effectively repairs the damaged ligaments or involved tendons.\r\n\r\nRegenerative Orthopedics are safe, conservative treatment alternatives for the injured meniscus. In the athlete and non-athlete alike, these treatments offer an effective non-surgical option for the repair of the injured meniscus.\r\n\r\nGiven the accumulation of evidence demonstrating not only the overwhelming lack of efficacy and benefit, but also the risk for serious adverse effects of this widely used procedure for meniscus tears, it is important to consider potential safe and effective alternatives.\r\n\r\nRegenerative Orthopedic treatments work by boosting the healing process, raising the levels of growth factors, and initiating repair. The treatments stimulate new cell growth and rebuild depleted tissue, including the regeneration of cartilage.\r\n\r\nRegenerative Orthopedic treatments can safely and effectively treat meniscus tears non-surgically, returning you quickly to the activities and sports you enjoy.\r\n<h3>References</h3>\r\n(1) Bhan K. Meniscal Tears: Current Understanding, Diagnosis, and Management. Cureus. 2020;12(6):e8590. Published 2020 Jun 13. doi:10.7759/cureus.8590.\r\n(2) D’Ambrosi R, Meena A, Raj A, Ursino N, Mangiavini L, Herbort M, Fink C. In elite athletes with meniscal injuries, always repair the lateral, think about the medial! A systematic review. Knee Surgery, Sports Traumatology, Arthroscopy. 2022 Nov 2:1-1.\r\n(3) Avila A, Vasavada K, Shankar DS, Petrera M, Jazrawi LM, Strauss EJ. Current Controversies in Arthroscopic Partial Meniscectomy. Current Reviews in Musculoskeletal Medicine. 2022 Jun 21:1-8.\r\n(4) Van De Graaf VA, Bloembergen CH, Willigenburg NW, Noorduyn JC, Saris DB, Harris IA, Poolman RW. Can even experienced orthopaedic surgeons predict who will benefit from surgery when patients present with degenerative meniscal tears? A survey of 194 orthopaedic surgeons who made 3880 predictions. British Journal of Sports Medicine. 2020 Mar 1;54(6):354-9.\r\n(5) Chitnis SS, Al-Azzani WA, Kakar R. Medium-Term Results of Arthroscopic Partial Meniscectomy from a Single High-Volume Center. Indian Journal of Orthopaedics. 2020 May;54(3):358-65.\r\n(6) Pihl K, Roos EM, Nissen N, JøRgensen U, Schjerning J, Thorlund JB. Over-optimistic patient expectations of recovery and leisure activities after arthroscopic meniscus surgery: A prospective cohort study of 478 patients. Acta Orthopaedica. 2016;87(6):615-621.\r\n(7) Wijn SR, Hannink G, Østerås H, Risberg MA, Roos EM, Hare KB, van de Graaf VA, Poolman RW, Ahn HW, Seon JK, Englund M. Arthroscopic partial meniscectomy versus non-surgical or sham treatment in patients with MRI-confirmed degenerative meniscus tears: a systematic review and meta-analysis with individual participant data from 605 randomised patients. Osteoarthritis and Cartilage. 2023 Jan 13.\r\n(8) Hackett GS, Hemwall GA, Montgomery GA. Ligament and Tendon Relaxation Treated by Prolotherapy. 5th ed. Oak Park, IL: Gustav A. Hemwall; 1993.\r\n(9) Hauser RA, Blakemore PJ, Wang J, Steilen D. Structural basis of joint instability as cause for chronic musculoskeletal pain and its successful treatment with regenerative injection therapy (prolotherapy). The Open Pain Journal 2014; 7: 9-22.','Meniscus Tear Treatment','','inherit','closed','closed','','5760-revision-v1','','','2023-05-03 20:37:20','2023-05-03 20:37:20','',5760,'https://www.drfields.com/?p=5768',0,'revision','',0),(5769,9,'2023-05-03 20:44:16','2023-05-03 20:44:16','<h2>What Are the Common Meniscus Tear Treatments?</h2>\r\n<img class=\"wp-image-5761 alignright\" src=\"https://www.drfields.com/wp-content/uploads/2023/04/meniscectomy.-Osteoarthritis-and-Cartilage-500x419.png\" alt=\"Meniscectomy. Osteoarthritis And Cartilage\" width=\"300\" height=\"251\" />\r\n\r\nWhen an injury to the meniscus occurs, patients commonly try non-surgical meniscus tear treatments like rest, ice, compression, elevation, pain medications, physical therapy, and cortisone injections. When those do not work, their doctor may recommend arthroscopic surgery.\r\n\r\nSurgery, though, has not been shown to be an effective means to treat meniscus injuries. Studies have found no significant difference between meniscectomy and sham surgery. And recent studies show that surgery does not reduce the mechanical symptoms of knee catching and locking, which patients often experience.\r\n\r\nAs you can see, the effectiveness of meniscectomies is questionable. So why do patients seek surgery to fix their meniscus?\r\n<h2>Patients Believe Meniscus Surgery Will Restore Knee Function. But Will It?</h2>\r\nWhen a patient is in pain, they want the pain to stop. And when an athlete has an injury, they want to get it fixed so they can return to the game. Therefore, they decide to receive surgery so they can return to the activities they love, believing that the surgery will restore knee function.\r\n\r\nSure, there are successful meniscus surgeries. But that\'s not who we see in our office.\r\nWe see patients who want to avoid surgery and those who have continued pain after surgery. But what about people we don\'t see? What are the outcomes of patients receiving surgical meniscectomy? And what does the research say about meniscus surgery?\r\n\r\nThe medical journal Cureus states, “Arthroscopic partial meniscectomy (APM) is currently the most performed orthopedic procedure around the globe. However, recent studies have conclusively <strong>shown that outcomes after an arthroscopic partial meniscectomy are no better than the outcomes after a sham/placebo surgery.\"</strong> (1)\r\n<h2>What About Athletes? Does Surgery Help?</h2>\r\nDo athletes who choose surgery to return to their sport more quickly achieve their goals? A team of doctors in the journal Knee Surgery, Sports Traumatology and Arthroscopy evaluated 421 elite athletes who received partial meniscectomy or a meniscus repair. They found that 84.7% returned to the sport after a partial meniscectomy (a piece of meniscus removed), and 78.3% returned to the sport after a meniscal repair (a small tear sewn with suture). (2)\r\n\r\nThe study also showed that although surgery allowed for a return to sports in these patients, it also increased the risk of developing knee arthritis. If you do the math, that means over 15-20% or about 1 in 5 elite athletes do not return to their sport. And those that do now have a higher arthritis risk.\r\n\r\nWhy does the risk of arthritis increase with surgery? The meniscus and the ligaments are stabilizing structures for the knee. When this soft tissue is cut and trimmed during the surgical process, the knee is destabilized. The knee instability sets the arthritic cycle in motion.\r\n<h2>Is Meniscectomy the Way to Go for Patients Over 50?</h2>\r\nSurgeons have a more difficult time predicting who will benefit from meniscectomy in patients over 50. In the journal, Current Reviews in Musculoskeletal Medicine, reviewers wrote, \"Despite an abundance of literature exploring outcomes of arthroscopic partial meniscus for degenerative meniscus tears, there is little consensus among surgeons about the drivers of good outcomes following arthroscopic partial meniscus.\"(3)\r\n\r\nIn older patients or active patients with arthritis, more conservative therapies should be sought for meniscal tears.\r\n<h2>\"Can even experienced orthopaedic surgeons predict who will benefit from surgery when patients present with degenerative meniscal tears?\"</h2>\r\nThat\'s the exact title of an article in the British Journal of Sports Medicine. Researchers questioned whether orthopedic surgeons could predict the outcomes of treating meniscal tears with arthroscopic partial meniscectomy. The answer? The surgeons were only correct 50% of the time. How eye-opening! Only half the time, these experienced surgeons had it right when recommending that surgery be indicated. The results are no different than the flip of a coin!! (4)\r\n<h2>What About Patients Who Already Have Arthritis?</h2>\r\nPatients with meniscal tears and severe arthritis have a high risk of needing more surgery. The Indian Journal of Orthopaedics says, “Clinical practice is moving away from treating meniscal tears in patients with osteoarthritis unless there are mechanical symptoms (Knee function is significantly compromised). This study assessed the risk of needing further surgery for osteoarthritis in the five years following partial meniscectomy in different age groups and different grades of knee osteoarthritis”(5).\r\n\r\nUnfortunately, patients are often too optimistic that surgery will fix everything. “In general, <strong>patients undergoing arthroscopic meniscus surgery were too optimistic regarding their recovery time</strong> and postoperative participation in leisure activities. This highlights the need for shared decision making which should include giving the patient information on realistic expectations. . .\"(6)\r\n<h2>The Controversy Continues Regarding the Efficacy of Partial Meniscectomy</h2>\r\nIn a January 2023 paper published in the journal Osteoarthritis Cartilage, researchers examined comparison studies between arthroscopic partial meniscectomy versus non-surgical or sham treatment in patients with MRI-confirmed degenerative meniscus tears. What did they find? Overall knee function and health-related quality of life did not differ between the two groups. And across all outcomes, no relevant subgroup of patients benefitted more from the arthroscopic partial meniscectomy than the sham surgery. (7)\r\n<h2>What Is the Alternative to Meniscectomy?</h2>\r\nGiven these poor outcomes and up to 6 months of recovery time even in \"successful\" surgeries, what alternative does a patient with an injured meniscus have?\r\n\r\n<strong>Regenerative Orthopedics, like Prolotherapy, PRP, and Stem Cell Therapy, stabilize the soft tissue structures and stop the arthritic cycle.</strong> As we said earlier, the meniscus is a primary stabilizing structure, as are the ligaments. When destabilized from meniscectomy, the abnormal motion will occur, and friction will increase, causing the acceleration of cartilage breakdown.\r\n\r\nRegenerative Orthopedics will strengthen the ligaments, repair the meniscus, and stop the breakdown of cartilage.\r\n<h2>PRP for Meniscal Repair</h2>\r\nAt OrthoRegen, our regenerative specialists may recommend PRP and Prolotherapy to repair the damaged knee.\r\n\r\n• PRP is full of growth factors that boost the healing and repair of the damaged meniscus.\r\n• Dextrose Prolotherapy is a successful treatment for the repair of ligaments and tendons. Whenever an injury is significant enough to damage a meniscus, it is also very likely that ligaments have also been damaged. Prolotherapy effectively repairs the damaged ligaments or involved tendons.\r\n\r\nRegenerative Orthopedics are safe, conservative treatment alternatives for the injured meniscus. In the athlete and non-athlete alike, these treatments offer an effective non-surgical option for the repair of the injured meniscus.\r\n\r\nGiven the accumulation of evidence demonstrating the overwhelming lack of efficacy and benefit and the risk for serious adverse effects of this widely used procedure for meniscus tears, it is essential to consider potential safe and effective alternatives.\r\n\r\nRegenerative Orthopedic treatments boost the healing process, raise growth factors, and initiate repair. The treatments stimulate new cell growth and rebuild depleted tissue, including cartilage regeneration.\r\n\r\nRegenerative Orthopedic treatments can safely and effectively treat meniscus tears non-surgically, returning you quickly to the activities and sports you enjoy.\r\n<h3>References</h3>\r\n(1) Bhan K. Meniscal Tears: Current Understanding, Diagnosis, and Management. Cureus. 2020;12(6):e8590. Published 2020 Jun 13. doi:10.7759/cureus.8590.\r\n(2) D’Ambrosi R, Meena A, Raj A, Ursino N, Mangiavini L, Herbort M, Fink C. In elite athletes with meniscal injuries, always repair the lateral, think about the medial! A systematic review. Knee Surgery, Sports Traumatology, Arthroscopy. 2022 Nov 2:1-1.\r\n(3) Avila A, Vasavada K, Shankar DS, Petrera M, Jazrawi LM, Strauss EJ. Current Controversies in Arthroscopic Partial Meniscectomy. Current Reviews in Musculoskeletal Medicine. 2022 Jun 21:1-8.\r\n(4) Van De Graaf VA, Bloembergen CH, Willigenburg NW, Noorduyn JC, Saris DB, Harris IA, Poolman RW. Can even experienced orthopaedic surgeons predict who will benefit from surgery when patients present with degenerative meniscal tears? A survey of 194 orthopaedic surgeons who made 3880 predictions. British Journal of Sports Medicine. 2020 Mar 1;54(6):354-9.\r\n(5) Chitnis SS, Al-Azzani WA, Kakar R. Medium-Term Results of Arthroscopic Partial Meniscectomy from a Single High-Volume Center. Indian Journal of Orthopaedics. 2020 May;54(3):358-65.\r\n(6) Pihl K, Roos EM, Nissen N, JøRgensen U, Schjerning J, Thorlund JB. Over-optimistic patient expectations of recovery and leisure activities after arthroscopic meniscus surgery: A prospective cohort study of 478 patients. Acta Orthopaedica. 2016;87(6):615-621.\r\n(7) Wijn SR, Hannink G, Østerås H, Risberg MA, Roos EM, Hare KB, van de Graaf VA, Poolman RW, Ahn HW, Seon JK, Englund M. Arthroscopic partial meniscectomy versus non-surgical or sham treatment in patients with MRI-confirmed degenerative meniscus tears: a systematic review and meta-analysis with individual participant data from 605 randomised patients. Osteoarthritis and Cartilage. 2023 Jan 13.\r\n(8) Hackett GS, Hemwall GA, Montgomery GA. Ligament and Tendon Relaxation Treated by Prolotherapy. 5th ed. Oak Park, IL: Gustav A. Hemwall; 1993.\r\n(9) Hauser RA, Blakemore PJ, Wang J, Steilen D. Structural basis of joint instability as cause for chronic musculoskeletal pain and its successful treatment with regenerative injection therapy (prolotherapy). The Open Pain Journal 2014; 7: 9-22.','Meniscus Tear Treatment','','inherit','closed','closed','','5760-revision-v1','','','2023-05-03 20:44:16','2023-05-03 20:44:16','',5760,'https://www.drfields.com/?p=5769',0,'revision','',0),(5770,9,'2023-05-03 20:47:16','2023-05-03 20:47:16','<h2>What Are the Common Meniscus Tear Treatments?</h2>\r\n<img class=\"wp-image-5761 alignright\" src=\"https://www.drfields.com/wp-content/uploads/2023/04/meniscectomy.-Osteoarthritis-and-Cartilage-500x419.png\" alt=\"Meniscectomy. Osteoarthritis And Cartilage\" width=\"300\" height=\"251\" />\r\n\r\nWhen an injury to the meniscus occurs, patients commonly try non-surgical meniscus tear treatments like rest, ice, compression, elevation, pain medications, physical therapy, and cortisone injections. When those do not work, their doctor may recommend arthroscopic surgery.\r\n\r\nSurgery, though, has not been shown to be an effective means to treat meniscus injuries. Studies have found no significant difference between meniscectomy and sham surgery. And recent studies show that surgery does not reduce the mechanical symptoms of knee catching and locking, which patients often experience.\r\n\r\nAs you can see, the effectiveness of meniscectomies is questionable. So why do patients seek surgery to fix their meniscus?\r\n<h2>Patients Believe Meniscus Surgery Will Restore Knee Function. But Will It?</h2>\r\nWhen a patient is in pain, they want the pain to stop. And when an athlete has an injury, they want to get it fixed so they can return to the game. Therefore, they decide to receive surgery so they can return to the activities they love, believing that the surgery will restore knee function.\r\n\r\nSure, there are successful meniscus surgeries. But that\'s not who we see in our office.\r\nWe see patients who want to avoid surgery and those who have continued pain after surgery. But what about people we don\'t see? What are the outcomes of patients receiving surgical meniscectomy? And what does the research say about meniscus surgery?\r\n\r\nThe medical journal Cureus states, “Arthroscopic partial meniscectomy (APM) is currently the most performed orthopedic procedure around the globe. However, recent studies have conclusively <strong>shown that outcomes after an arthroscopic partial meniscectomy are no better than the outcomes after a sham/placebo surgery.\"</strong> (1)\r\n<h2>What About Athletes? Does Surgery Help?</h2>\r\nDo athletes who choose surgery to return to their sport more quickly achieve their goals? A team of doctors in the journal Knee Surgery, Sports Traumatology and Arthroscopy evaluated 421 elite athletes who received partial meniscectomy or a meniscus repair. They found that 84.7% returned to the sport after a partial meniscectomy (a piece of meniscus removed), and 78.3% returned to the sport after a meniscal repair (a small tear sewn with suture). (2)\r\n\r\nThe study also showed that although surgery allowed for a return to sports in these patients, it also increased the risk of developing knee arthritis. If you do the math, that means over 15-20% or about 1 in 5 elite athletes do not return to their sport. And those that do now have a higher arthritis risk.\r\n\r\nWhy does the risk of arthritis increase with surgery? The meniscus and the ligaments are stabilizing structures for the knee. When this soft tissue is cut and trimmed during the surgical process, the knee is destabilized. The knee instability sets the arthritic cycle in motion.\r\n<h2>Is Meniscectomy the Meniscus Tear Treatment for Patients Over 50?</h2>\r\nSurgeons have a more difficult time predicting who will benefit from meniscectomy in patients over 50. In the journal, Current Reviews in Musculoskeletal Medicine, reviewers wrote, \"Despite an abundance of literature exploring outcomes of arthroscopic partial meniscus for degenerative meniscus tears, there is little consensus among surgeons about the drivers of good outcomes following arthroscopic partial meniscus.\"(3)\r\n\r\nIn older patients or active patients with arthritis, more conservative therapies should be sought for meniscal tears.\r\n<h2>\"Can even experienced orthopaedic surgeons predict who will benefit from surgery when patients present with degenerative meniscal tears?\"</h2>\r\nThat\'s the exact title of an article in the British Journal of Sports Medicine. Researchers questioned whether orthopedic surgeons could predict the outcomes of treating meniscal tears with arthroscopic partial meniscectomy. The answer? The surgeons were only correct 50% of the time. How eye-opening! Only half the time, these experienced surgeons had it right when recommending that surgery be indicated. The results are no different than the flip of a coin!! (4)\r\n<h2>What About Patients Who Already Have Arthritis?</h2>\r\nPatients with meniscal tears and severe arthritis have a high risk of needing more surgery. The Indian Journal of Orthopaedics says, “Clinical practice is moving away from treating meniscal tears in patients with osteoarthritis unless there are mechanical symptoms (Knee function is significantly compromised). This study assessed the risk of needing further surgery for osteoarthritis in the five years following partial meniscectomy in different age groups and different grades of knee osteoarthritis”(5).\r\n\r\nUnfortunately, patients are often too optimistic that surgery will fix everything. “In general, <strong>patients undergoing arthroscopic meniscus surgery were too optimistic regarding their recovery time</strong> and postoperative participation in leisure activities. This highlights the need for shared decision making which should include giving the patient information on realistic expectations. . .\"(6)\r\n<h2>The Controversy Continues Regarding the Efficacy of Partial Meniscectomy</h2>\r\nIn a January 2023 paper published in the journal Osteoarthritis Cartilage, researchers examined comparison studies between arthroscopic partial meniscectomy versus non-surgical or sham treatment in patients with MRI-confirmed degenerative meniscus tears. What did they find? Overall knee function and health-related quality of life did not differ between the two groups. And across all outcomes, no relevant subgroup of patients benefitted more from the arthroscopic partial meniscectomy than the sham surgery. (7)\r\n<h2>What Is the Alternative to Meniscectomy?</h2>\r\nGiven these poor outcomes and up to 6 months of recovery time even in \"successful\" surgeries, what alternative does a patient with an injured meniscus have?\r\n\r\n<strong>Regenerative Orthopedics, like Prolotherapy, PRP, and Stem Cell Therapy, stabilize the soft tissue structures and stop the arthritic cycle.</strong> As we said earlier, the meniscus is a primary stabilizing structure, as are the ligaments. When destabilized from meniscectomy, the abnormal motion will occur, and friction will increase, causing the acceleration of cartilage breakdown.\r\n\r\nRegenerative Orthopedics will strengthen the ligaments, repair the meniscus, and stop the breakdown of cartilage.\r\n<h2>PRP for Meniscal Repair</h2>\r\nAt OrthoRegen, our regenerative specialists may recommend PRP and Prolotherapy to repair the damaged knee.\r\n\r\n• PRP is full of growth factors that boost the healing and repair of the damaged meniscus.\r\n• Dextrose Prolotherapy is a successful treatment for the repair of ligaments and tendons. Whenever an injury is significant enough to damage a meniscus, it is also very likely that ligaments have also been damaged. Prolotherapy effectively repairs the damaged ligaments or involved tendons.\r\n\r\nRegenerative Orthopedics are safe, conservative treatment alternatives for the injured meniscus. In the athlete and non-athlete alike, these treatments offer an effective non-surgical option for the repair of the injured meniscus.\r\n\r\nGiven the accumulation of evidence demonstrating the overwhelming lack of efficacy and benefit and the risk for serious adverse effects of this widely used procedure for meniscus tears, it is essential to consider potential safe and effective alternatives.\r\n\r\nRegenerative Orthopedic treatments boost the healing process, raise growth factors, and initiate repair. The treatments stimulate new cell growth and rebuild depleted tissue, including cartilage regeneration.\r\n\r\nRegenerative Orthopedic treatments can safely and effectively treat meniscus tears non-surgically, returning you quickly to the activities and sports you enjoy.\r\n<h3>References</h3>\r\n(1) Bhan K. Meniscal Tears: Current Understanding, Diagnosis, and Management. Cureus. 2020;12(6):e8590. Published 2020 Jun 13. doi:10.7759/cureus.8590.\r\n(2) D’Ambrosi R, Meena A, Raj A, Ursino N, Mangiavini L, Herbort M, Fink C. In elite athletes with meniscal injuries, always repair the lateral, think about the medial! A systematic review. Knee Surgery, Sports Traumatology, Arthroscopy. 2022 Nov 2:1-1.\r\n(3) Avila A, Vasavada K, Shankar DS, Petrera M, Jazrawi LM, Strauss EJ. Current Controversies in Arthroscopic Partial Meniscectomy. Current Reviews in Musculoskeletal Medicine. 2022 Jun 21:1-8.\r\n(4) Van De Graaf VA, Bloembergen CH, Willigenburg NW, Noorduyn JC, Saris DB, Harris IA, Poolman RW. Can even experienced orthopaedic surgeons predict who will benefit from surgery when patients present with degenerative meniscal tears? A survey of 194 orthopaedic surgeons who made 3880 predictions. British Journal of Sports Medicine. 2020 Mar 1;54(6):354-9.\r\n(5) Chitnis SS, Al-Azzani WA, Kakar R. Medium-Term Results of Arthroscopic Partial Meniscectomy from a Single High-Volume Center. Indian Journal of Orthopaedics. 2020 May;54(3):358-65.\r\n(6) Pihl K, Roos EM, Nissen N, JøRgensen U, Schjerning J, Thorlund JB. Over-optimistic patient expectations of recovery and leisure activities after arthroscopic meniscus surgery: A prospective cohort study of 478 patients. Acta Orthopaedica. 2016;87(6):615-621.\r\n(7) Wijn SR, Hannink G, Østerås H, Risberg MA, Roos EM, Hare KB, van de Graaf VA, Poolman RW, Ahn HW, Seon JK, Englund M. Arthroscopic partial meniscectomy versus non-surgical or sham treatment in patients with MRI-confirmed degenerative meniscus tears: a systematic review and meta-analysis with individual participant data from 605 randomised patients. Osteoarthritis and Cartilage. 2023 Jan 13.\r\n(8) Hackett GS, Hemwall GA, Montgomery GA. Ligament and Tendon Relaxation Treated by Prolotherapy. 5th ed. Oak Park, IL: Gustav A. Hemwall; 1993.\r\n(9) Hauser RA, Blakemore PJ, Wang J, Steilen D. Structural basis of joint instability as cause for chronic musculoskeletal pain and its successful treatment with regenerative injection therapy (prolotherapy). The Open Pain Journal 2014; 7: 9-22.','Meniscus Tear Treatment','','inherit','closed','closed','','5760-revision-v1','','','2023-05-03 20:47:16','2023-05-03 20:47:16','',5760,'https://www.drfields.com/?p=5770',0,'revision','',0),(5771,9,'2023-05-03 20:49:35','2023-05-03 20:49:35','<h2>What Are the Common Meniscus Tear Treatments?</h2>\r\n<img class=\"wp-image-5761 alignright\" src=\"https://www.drfields.com/wp-content/uploads/2023/04/meniscectomy.-Osteoarthritis-and-Cartilage-500x419.png\" alt=\"Meniscectomy. Osteoarthritis And Cartilage\" width=\"300\" height=\"251\" />\r\n\r\nWhen an injury to the meniscus occurs, patients commonly try non-surgical meniscus tear treatments like rest, ice, compression, elevation, pain medications, physical therapy, and cortisone injections. When those do not work, their doctor may recommend arthroscopic surgery.\r\n\r\nSurgery, though, has not been shown to be an effective means to treat meniscus injuries. Studies have found no significant difference between meniscectomy and sham surgery. And recent studies show that surgery does not reduce the mechanical symptoms of knee catching and locking, which patients often experience.\r\n\r\nAs you can see, the effectiveness of meniscectomies is questionable. So why do patients seek surgery to fix their meniscus?\r\n<h2>Patients Believe Meniscus Surgery Will Restore Knee Function. But Will It?</h2>\r\nWhen a patient is in pain, they want the pain to stop. And when an athlete has an injury, they want to get it fixed so they can return to the game. Therefore, they decide to receive surgery so they can return to the activities they love, believing that the surgery will restore knee function.\r\n\r\nSure, there are successful meniscus surgeries. But that\'s not who we see in our office.\r\nWe see patients who want to avoid surgery and those who have continued pain after surgery. But what about people we don\'t see? What are the outcomes of patients receiving surgical meniscectomy? And what does the research say about meniscus surgery?\r\n\r\nThe medical journal Cureus states, “Arthroscopic partial meniscectomy (APM) is currently the most performed orthopedic procedure around the globe. However, recent studies have conclusively <strong>shown that outcomes after an arthroscopic partial meniscectomy are no better than the outcomes after a sham/placebo surgery.\"</strong> (1)\r\n<h2>What About Athletes? Does Surgery Help?</h2>\r\nDo athletes who choose surgery to return to their sport more quickly achieve their goals? A team of doctors in the journal Knee Surgery, Sports Traumatology and Arthroscopy evaluated 421 elite athletes who received partial meniscectomy or a meniscus repair. They found that 84.7% returned to the sport after a partial meniscectomy (a piece of meniscus removed), and 78.3% returned to the sport after a meniscal repair (a small tear sewn with suture). (2)\r\n\r\nThe study also showed that although surgery allowed for a return to sports in these patients, it also increased the risk of developing knee arthritis. If you do the math, that means over 15-20% or about 1 in 5 elite athletes do not return to their sport. And those that do now have a higher arthritis risk.\r\n\r\nWhy does the risk of arthritis increase with surgery? The meniscus and the ligaments are stabilizing structures for the knee. When this soft tissue is cut and trimmed during the surgical process, the knee is destabilized. The knee instability sets the arthritic cycle in motion.\r\n<h2>Is Meniscectomy the Meniscus Tear Treatment for Patients Over 50?</h2>\r\nSurgeons have a more difficult time predicting who will benefit from meniscectomy in patients over 50. In the journal, Current Reviews in Musculoskeletal Medicine, reviewers wrote, \"Despite an abundance of literature exploring outcomes of arthroscopic partial meniscus for degenerative meniscus tears, there is little consensus among surgeons about the drivers of good outcomes following arthroscopic partial meniscus.\"(3)\r\n\r\nIn older patients or active patients with arthritis, more conservative therapies should be sought for meniscal tears.\r\n<h2>\"Can even experienced orthopaedic surgeons predict who will benefit from surgery when patients present with degenerative meniscal tears?\"</h2>\r\nThat\'s the exact title of an article in the British Journal of Sports Medicine. Researchers questioned whether orthopedic surgeons could predict the outcomes of treating meniscal tears with arthroscopic partial meniscectomy. The answer? The surgeons were only correct 50% of the time. How eye-opening! Only half the time, these experienced surgeons had it right when recommending that surgery be indicated. The results are no different than the flip of a coin!! (4)\r\n<h2>What\'s the Meniscus Tear Treatment for Patients Who Already Have Arthritis?</h2>\r\nPatients with meniscal tears and severe arthritis have a high risk of needing more surgery. The Indian Journal of Orthopaedics says, “Clinical practice is moving away from treating meniscal tears in patients with osteoarthritis unless there are mechanical symptoms (Knee function is significantly compromised). This study assessed the risk of needing further surgery for osteoarthritis in the five years following partial meniscectomy in different age groups and different grades of knee osteoarthritis”(5).\r\n\r\nUnfortunately, patients are often too optimistic that surgery will fix everything. “In general, <strong>patients undergoing arthroscopic meniscus surgery were too optimistic regarding their recovery time</strong> and postoperative participation in leisure activities. This highlights the need for shared decision making which should include giving the patient information on realistic expectations. . .\"(6)\r\n<h2>The Controversy Continues Regarding the Efficacy of Partial Meniscectomy</h2>\r\nIn a January 2023 paper published in the journal Osteoarthritis Cartilage, researchers examined comparison studies between arthroscopic partial meniscectomy versus non-surgical or sham treatment in patients with MRI-confirmed degenerative meniscus tears. What did they find? Overall knee function and health-related quality of life did not differ between the two groups. And across all outcomes, no relevant subgroup of patients benefitted more from the arthroscopic partial meniscectomy than the sham surgery. (7)\r\n<h2>What Is the Alternative to Meniscectomy?</h2>\r\nGiven these poor outcomes and up to 6 months of recovery time even in \"successful\" surgeries, what alternative does a patient with an injured meniscus have?\r\n\r\n<strong>Regenerative Orthopedics, like Prolotherapy, PRP, and Stem Cell Therapy, stabilize the soft tissue structures and stop the arthritic cycle.</strong> As we said earlier, the meniscus is a primary stabilizing structure, as are the ligaments. When destabilized from meniscectomy, the abnormal motion will occur, and friction will increase, causing the acceleration of cartilage breakdown.\r\n\r\nRegenerative Orthopedics will strengthen the ligaments, repair the meniscus, and stop the breakdown of cartilage.\r\n<h2>PRP for Meniscal Repair</h2>\r\nAt OrthoRegen, our regenerative specialists may recommend PRP and Prolotherapy to repair the damaged knee.\r\n\r\n• PRP is full of growth factors that boost the healing and repair of the damaged meniscus.\r\n• Dextrose Prolotherapy is a successful treatment for the repair of ligaments and tendons. Whenever an injury is significant enough to damage a meniscus, it is also very likely that ligaments have also been damaged. Prolotherapy effectively repairs the damaged ligaments or involved tendons.\r\n\r\nRegenerative Orthopedics are safe, conservative treatment alternatives for the injured meniscus. In the athlete and non-athlete alike, these treatments offer an effective non-surgical option for the repair of the injured meniscus.\r\n\r\nGiven the accumulation of evidence demonstrating the overwhelming lack of efficacy and benefit and the risk for serious adverse effects of this widely used procedure for meniscus tears, it is essential to consider potential safe and effective alternatives.\r\n\r\nRegenerative Orthopedic treatments boost the healing process, raise growth factors, and initiate repair. The treatments stimulate new cell growth and rebuild depleted tissue, including cartilage regeneration.\r\n\r\nRegenerative Orthopedic treatments can safely and effectively treat meniscus tears non-surgically, returning you quickly to the activities and sports you enjoy.\r\n<h3>References</h3>\r\n(1) Bhan K. Meniscal Tears: Current Understanding, Diagnosis, and Management. Cureus. 2020;12(6):e8590. Published 2020 Jun 13. doi:10.7759/cureus.8590.\r\n(2) D’Ambrosi R, Meena A, Raj A, Ursino N, Mangiavini L, Herbort M, Fink C. In elite athletes with meniscal injuries, always repair the lateral, think about the medial! A systematic review. Knee Surgery, Sports Traumatology, Arthroscopy. 2022 Nov 2:1-1.\r\n(3) Avila A, Vasavada K, Shankar DS, Petrera M, Jazrawi LM, Strauss EJ. Current Controversies in Arthroscopic Partial Meniscectomy. Current Reviews in Musculoskeletal Medicine. 2022 Jun 21:1-8.\r\n(4) Van De Graaf VA, Bloembergen CH, Willigenburg NW, Noorduyn JC, Saris DB, Harris IA, Poolman RW. Can even experienced orthopaedic surgeons predict who will benefit from surgery when patients present with degenerative meniscal tears? A survey of 194 orthopaedic surgeons who made 3880 predictions. British Journal of Sports Medicine. 2020 Mar 1;54(6):354-9.\r\n(5) Chitnis SS, Al-Azzani WA, Kakar R. Medium-Term Results of Arthroscopic Partial Meniscectomy from a Single High-Volume Center. Indian Journal of Orthopaedics. 2020 May;54(3):358-65.\r\n(6) Pihl K, Roos EM, Nissen N, JøRgensen U, Schjerning J, Thorlund JB. Over-optimistic patient expectations of recovery and leisure activities after arthroscopic meniscus surgery: A prospective cohort study of 478 patients. Acta Orthopaedica. 2016;87(6):615-621.\r\n(7) Wijn SR, Hannink G, Østerås H, Risberg MA, Roos EM, Hare KB, van de Graaf VA, Poolman RW, Ahn HW, Seon JK, Englund M. Arthroscopic partial meniscectomy versus non-surgical or sham treatment in patients with MRI-confirmed degenerative meniscus tears: a systematic review and meta-analysis with individual participant data from 605 randomised patients. Osteoarthritis and Cartilage. 2023 Jan 13.\r\n(8) Hackett GS, Hemwall GA, Montgomery GA. Ligament and Tendon Relaxation Treated by Prolotherapy. 5th ed. Oak Park, IL: Gustav A. Hemwall; 1993.\r\n(9) Hauser RA, Blakemore PJ, Wang J, Steilen D. Structural basis of joint instability as cause for chronic musculoskeletal pain and its successful treatment with regenerative injection therapy (prolotherapy). The Open Pain Journal 2014; 7: 9-22.','Meniscus Tear Treatments','','inherit','closed','closed','','5760-revision-v1','','','2023-05-03 20:49:35','2023-05-03 20:49:35','',5760,'https://www.drfields.com/?p=5771',0,'revision','',0),(5773,8,'2023-05-09 03:50:21','2023-05-09 03:50:21','<img class=\"alignright wp-image-5774\" src=\"https://www.drfields.com/wp-content/uploads/2023/05/JSES-Reviews-Reports-and-Techniques.-Musculoskeletal-500x419.png\" alt=\"Chronic Pain Management\" width=\"350\" height=\"293\" />\r\n<h2>Chronic Pain Management:</h2>\r\n<h2>Musculoskeletal Pain</h2>\r\nPain can be defined as a feeling of distress, suffering, or agony caused by the stimulation of specialized nerve endings in the body resulting from injury or disease. Musculoskeletal pain affects the muscles, ligaments, tendons, and bones. When a person suffers from musculoskeletal pain, their quality of life is reduced, and they seek treatment options for chronic pain management.\r\n\r\nAs a person ages, musculoskeletal diseases increase in frequency. Millions of Americans suffer from arthritis, a chronic musculoskeletal disease that often leads to joint replacements.\r\n<h2>What Is Chronic Pain?</h2>\r\nChronic pain is pain that continues or recurs over a prolonged period. Chronic pain, however, can range from mild to severe and last weeks, months, or longer.\r\n\r\nAnother type of pain is acute pain. Acute pain is intense and can last a few seconds to hours or days. This severe pain should wane as healing of the injury or disease occurs.\r\n<h2>What Causes Musculoskeletal Pain?</h2>\r\nPain often acts as a warning that tissues are being damaged. There are different reasons for musculoskeletal pain. Soft tissue, like muscles, tendons, and ligaments, can become damaged by wear and tear from various activities.\r\n\r\nTrauma from falls, accidents, sprains, dislocations, and fractures can also damage musculoskeletal tissue. Musculoskeletal pain can be caused by any trauma to the muscles, ligaments, tendons, bones, and other soft tissue of the joint.\r\n\r\nVery often, the pain in a joint is due to ligament and/or tendon injury. Ligaments and tendons are the main connective tissue structures that stabilize and move joints. Unfortunately, these soft tissue structures have a poor blood supply and often fail to heal completely once injured.\r\n\r\n<strong>That is why an old injury sets into motion a chronic cycle that can rear its head up years later.</strong> Ligament tears and injuries alter joint mechanics. They cause the joint to move abnormally. An injured area remains weak. Month after month, and year after year, that weakened joint, moving abnormally, causes degeneration of the joint.\r\n<h2>How Can Chronic Pain Be Managed?</h2>\r\nRegenerative Orthopedics, including Prolotherapy, PRP, and Stem Cell Therapy, effectively repair the damaged, weakened ligaments and tendons. These treatments build stronger tendons and ligaments that can stabilize the joint structures. With treatment, the weakened soft tissue is healed, and the patient’s pain is reduced or eliminated.\r\n<h2>Types of Regenerative Orthopedics:</h2>\r\n<ul>\r\n 	<li><strong>Prolotherapy </strong>involves injections given into and around the entire painful or injured area. Prolotherapy strengthens ligaments and tendons by inducing repair through stimulating growth factors and boosting the body\'s healing mechanism.</li>\r\n 	<li>PRP involves the injection of the person\'s platelets. These platelets release growth factors that stimulate recovery in blood-poor tissue, such as tendons. PRP is great at accelerating the regeneration of soft tissue injuries such as knee meniscus tears.</li>\r\n 	<li><strong>Stem Cell Therapy </strong>describes the use of a person\'s adult mesenchymal stem cells (MSCs) taken from the individual’s bone marrow or adipose (fat) tissue. Stem Cell Therapy is typically done in more advanced cases of joint degeneration or injury.</li>\r\n</ul>\r\n<h2>Regenerative Orthopedics for Chronic Musculoskeletal Pain</h2>\r\nRegenerative Orthopedics significantly relieves chronic musculoskeletal pain in the neck, back, knee, elbow, foot, hand, shoulder, and wrist. The use of Regenerative Orthopedics results in a decrease in pain and an increase in function.\r\n\r\nThese regenerative therapies are effective for arthritis, ligament injury, tendinopathy,  joint instability, labrum or meniscus injury, joint hypermobility syndrome, and many other musculoskeletal pain conditions.\r\n\r\nRegenerative Orthopedics are viable alternatives to pain medications, NSAIDs, cortisone (steroid) injections, and surgery.\r\n\r\nMusculoskeletal diseases are prevalent causes of pain and have devastating consequences for millions. Non-Surgical Regenerative Orthopedics are effective treatment options that do not just manage pain but effectively repair the underlying source of the pain...the ligament and tendon injuries.\r\n\r\nMany patients come to us tired of ‘managing’ their chronic pain with NSAIDs, narcotic medications, various therapies, and exercises that fail to provide relief. That\'s because they do not get to the root of the problem.\r\n\r\nThe <i>Journal of Prolotherapy</i> says, \"Clinicians make their recommendations to patients on the basis of their knowledge of human physiology in both health and disease. Since most chronic pain results from the degeneration and injury of musculoskeletal structures such as ligaments, tendons, other soft tissues and joints, and the nerves that support them, then regenerative injection therapy (Prolotherapy) makes physiological sense. Prolotherapy should be one of the preferred therapies when clinicians, including doctors, nurses, and other allied health care professionals, discuss treatment options with patients who suffer from musculoskeletal pain.\"2\r\n<h2>Don\'t Just Manage Your Pain, Repair It</h2>\r\nDo you suffer from musculoskeletal pain, such as <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-knee-pain/\">chronic knee pain</a>? <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-shoulder-pain/\">Chronic shoulder pain</a>? <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-neck-pain/\">Chronic neck pain</a>? <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-elbow-pain/\">Chronic elbow pain</a>? If you are afflicted with chronic musculoskeletal pain, Regenerative Orthopedics may be your answer. <a href=\"https://www.drfields.com/contact/\">Contact us for a consultation</a> to see if you are a candidate or to get a second opinion for a recommended surgery. At OrthoRegen®, we want to help you achieve your goals of optimal health and sustained wellness. We will use the most effective and least invasive methods in your treatment. Don\'t just manage your pain; repair it with Regenerative Orthopedics. Call today at 310-453-1234.\r\n<h2>References</h2>\r\n1 Haunschild, Eric D., et al. \"Biologics in shoulder and elbow pathology.\" <i>JSES Reviews, Reports, and Techniques</i> 1.1 (2021): 1-6.\r\n\r\n2 Hauser, RA, Maddela, H., et al. \"Journal of Prolotherapy International Medical Editorial Board Consensus Statement on the Use of Prolotherapy for Musculoskeletal Pain.\"<i>Journal of Prolotherapy.</i> 2011;3(4):744-764.','Chronic Pain Management','','publish','closed','open','','chronic-pain-management','','','2023-05-12 21:46:28','2023-05-12 21:46:28','',0,'https://www.drfields.com/?p=5773',0,'post','',0),(5774,8,'2023-05-09 03:49:47','2023-05-09 03:49:47','Jses Reviews, Reports, And Techniques. Musculoskeletal','','Chronic Pain Management','inherit','closed','closed','','jses-reviews-reports-and-techniques-musculoskeletal','','','2023-05-09 03:50:09','2023-05-09 03:50:09','',5773,'https://www.drfields.com/wp-content/uploads/2023/05/JSES-Reviews-Reports-and-Techniques.-Musculoskeletal.png',0,'attachment','image/png',0),(5775,8,'2023-05-09 03:50:21','2023-05-09 03:50:21','[caption id=\"attachment_5774\" align=\"alignright\" width=\"350\"]<img class=\"wp-image-5774\" src=\"https://www.drfields.com/wp-content/uploads/2023/05/JSES-Reviews-Reports-and-Techniques.-Musculoskeletal-500x419.png\" alt=\"Chronic Pain Management\" width=\"350\" height=\"293\" /> Chronic Pain Management[/caption]\r\n<h2>Musculoskeletal Pain</h2>\r\nPain can be defined as a feeling of distress, suffering, or agony, caused by stimulation of specialized nerve endings in the body, resulting from injury or disease. Musculoskeletal pain is pain that affects the muscles, ligaments, tendons, and bones. When a person suffers from musculoskeletal pain, their quality of life is reduced.\r\n\r\nAs a person ages, musculoskeletal diseases increase in frequency. Millions of Americans suffer from arthritis, a chronic musculoskeletal disease, that often leads to joint replacements.\r\n<h2>What Is Chronic Pain?</h2>\r\nChronic pain is pain that continues or recurs over a prolonged period. Chronic pain however, can range from mild to severe and can last weeks, months or longer.\r\n\r\nAnother type of pain is acute pain. Acute pain is intense and can last from a few seconds to hours or days. This severe pain should wane as healing of the injury or disease occurs.\r\n<h2>What Causes Musculoskeletal Pain?</h2>\r\nThere are different causes of musculoskeletal pain. Pain often acts as a warning that tissues are being damaged. Soft tissue, like muscle, tendons, and ligaments, can become damaged by wear and tear from a variety of activities.\r\n\r\nMusculoskeletal tissue can also be damaged by trauma, such as can occur through falls, accidents, sprains, dislocations, and fractures. Musculoskeletal pain can be caused by any type of trauma to the muscles, ligaments, tendons, bones, and other soft tissue of the joint.\r\n\r\nVery often the pain in a joint is due to ligament and/or tendon injury. Ligaments and tendons are the main connective tissue structures that stabilize and move joints. Unfortunately, these soft tissue structures have a poor blood supply, and they often fail to completely heal once injured.\r\n\r\n<strong>That is why an old injury sets into motion a chronic cycle that can rear its head up years later.</strong> Ligament tears and injuries alter joint mechanics. They cause the joint to move abnormally. An injured area remains weak. Month after month, and year after year, that weakened joint, moving abnormally, causes degeneration of the joint.\r\n<h2>How Can Chronic Pain Be Managed?</h2>\r\nRegenerative Orthopedics, including Prolotherapy, PRP, and Stem Cell Therapy, effectively repair the damaged, weakened ligaments and tendons. These treatments build stronger tendons and ligaments that can stabilize the joint structures. With treatment, the weakened soft tissue are healed, and the patient’s pain is reduced or eliminated.\r\n<h2>Types of Regenerative Orthopedics:</h2>\r\n<ul>\r\n 	<li><strong>Prolotherapy </strong>involves injections that are given into and around the entire painful or injured area. Prolotherapy strengthens ligaments and tendons by inducing repair through the stimulation of growth factors and boosting the body\'s own healing mechanism.</li>\r\n 	<li>PRP involves the injection of the person\'s own platelets. These platelets release growth factors that stimulate recovery in these blood poor tissue such as tendons. PRP is great at accelerating the regeneration in soft tissue injuries such as meniscus tears of the knee.</li>\r\n 	<li><strong>Stem Cell Therapy </strong>describes the use of a person\'s own adult mesenchymal stem cells (MSCs) taken from the individual’s bone marrow or adipose (fat) tissue. Stem Cell Therapy is typically done in more advanced cases of joint degeneration or injury, and at our clinic also involves PRP and Prolotherapy.</li>\r\n</ul>\r\n<h2>Regenerative Orthopedics for Chronic Musculoskeletal Pain</h2>\r\nRegenerative Orthopedics provide significant relief of chronic musculoskeletal pain in the neck, back, knee, elbow, foot, hand, shoulder, and wrist. The use of Regenerative Orthopedics results in a decrease in pain and an increase in function.\r\n\r\nThese regenerative therapies are effective for arthritis, ligament injury, tendinopathy,  joint instability, labrum or meniscus injury, joint hypermobility syndrome, and many other musculoskeletal pain conditions.\r\n\r\nRegenerative Orthopedics are viable alternatives to pain medications, NSAIDs, cortisone (steroid) injection, and surgery.\r\n\r\nMusculoskeletal diseases are extremely common causes of pain and result in devastating consequences to millions of people. Non-Surgical Regenerative Orthopedics are effective treatment options that do not just manage pain, but effectively repair the underlying source of the pain...the ligament and tendon injuries.\r\n\r\nMany patients come to us tired of ‘managing’ their chronic pain with NSAIDs, narcotic medications, various therapies, and exercises that fail to provide relief. That\'s because they do not get to the root of the problem.\r\n<h2>Don\'t Just Manage Your Pain, Repair It</h2>\r\nIf you suffer from <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-knee-pain/\">chronic knee pain</a>? <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-shoulder-pain/\">Chronic shoulder pain</a>? <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-neck-pain/\">Chronic neck pain</a>? <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-elbow-pain/\">Chronic elbow pain</a>? Or if you are afflicted with another chronic musculoskeletal pain, Regenerative Orthopedics may be your answer. <a href=\"https://www.drfields.com/contact/\">Contact us for a consultation</a> to see if you are a candidate or to get a second opinion for a recommended surgery. At OrthoRegen®, we want to help you achieve your goals of optimal health and sustained wellness. We will use the most effective and least invasive methods in your treatment. Don\'t just manage your pain, repair it with Regenerative Orthopedics. Call today at 310-453-1234.\r\n\r\nHaunschild, Eric D., et al. \"Biologics in shoulder and elbow pathology.\" <em>JSES Reviews, Reports, and Techniques</em> 1.1 (2021): 1-6.','Chronic Pain Management','','inherit','closed','closed','','5773-revision-v1','','','2023-05-09 03:50:21','2023-05-09 03:50:21','',5773,'https://www.drfields.com/?p=5775',0,'revision','',0),(5776,8,'2023-05-09 03:50:40','2023-05-09 03:50:40','<img class=\"alignright wp-image-5774\" src=\"https://www.drfields.com/wp-content/uploads/2023/05/JSES-Reviews-Reports-and-Techniques.-Musculoskeletal-500x419.png\" alt=\"Chronic Pain Management\" width=\"350\" height=\"293\" />\r\n<h2>Musculoskeletal Pain</h2>\r\nPain can be defined as a feeling of distress, suffering, or agony, caused by stimulation of specialized nerve endings in the body, resulting from injury or disease. Musculoskeletal pain is pain that affects the muscles, ligaments, tendons, and bones. When a person suffers from musculoskeletal pain, their quality of life is reduced.\r\n\r\nAs a person ages, musculoskeletal diseases increase in frequency. Millions of Americans suffer from arthritis, a chronic musculoskeletal disease, that often leads to joint replacements.\r\n<h2>What Is Chronic Pain?</h2>\r\nChronic pain is pain that continues or recurs over a prolonged period. Chronic pain however, can range from mild to severe and can last weeks, months or longer.\r\n\r\nAnother type of pain is acute pain. Acute pain is intense and can last from a few seconds to hours or days. This severe pain should wane as healing of the injury or disease occurs.\r\n<h2>What Causes Musculoskeletal Pain?</h2>\r\nThere are different causes of musculoskeletal pain. Pain often acts as a warning that tissues are being damaged. Soft tissue, like muscle, tendons, and ligaments, can become damaged by wear and tear from a variety of activities.\r\n\r\nMusculoskeletal tissue can also be damaged by trauma, such as can occur through falls, accidents, sprains, dislocations, and fractures. Musculoskeletal pain can be caused by any type of trauma to the muscles, ligaments, tendons, bones, and other soft tissue of the joint.\r\n\r\nVery often the pain in a joint is due to ligament and/or tendon injury. Ligaments and tendons are the main connective tissue structures that stabilize and move joints. Unfortunately, these soft tissue structures have a poor blood supply, and they often fail to completely heal once injured.\r\n\r\n<strong>That is why an old injury sets into motion a chronic cycle that can rear its head up years later.</strong> Ligament tears and injuries alter joint mechanics. They cause the joint to move abnormally. An injured area remains weak. Month after month, and year after year, that weakened joint, moving abnormally, causes degeneration of the joint.\r\n<h2>How Can Chronic Pain Be Managed?</h2>\r\nRegenerative Orthopedics, including Prolotherapy, PRP, and Stem Cell Therapy, effectively repair the damaged, weakened ligaments and tendons. These treatments build stronger tendons and ligaments that can stabilize the joint structures. With treatment, the weakened soft tissue are healed, and the patient’s pain is reduced or eliminated.\r\n<h2>Types of Regenerative Orthopedics:</h2>\r\n<ul>\r\n 	<li><strong>Prolotherapy </strong>involves injections that are given into and around the entire painful or injured area. Prolotherapy strengthens ligaments and tendons by inducing repair through the stimulation of growth factors and boosting the body\'s own healing mechanism.</li>\r\n 	<li>PRP involves the injection of the person\'s own platelets. These platelets release growth factors that stimulate recovery in these blood poor tissue such as tendons. PRP is great at accelerating the regeneration in soft tissue injuries such as meniscus tears of the knee.</li>\r\n 	<li><strong>Stem Cell Therapy </strong>describes the use of a person\'s own adult mesenchymal stem cells (MSCs) taken from the individual’s bone marrow or adipose (fat) tissue. Stem Cell Therapy is typically done in more advanced cases of joint degeneration or injury, and at our clinic also involves PRP and Prolotherapy.</li>\r\n</ul>\r\n<h2>Regenerative Orthopedics for Chronic Musculoskeletal Pain</h2>\r\nRegenerative Orthopedics provide significant relief of chronic musculoskeletal pain in the neck, back, knee, elbow, foot, hand, shoulder, and wrist. The use of Regenerative Orthopedics results in a decrease in pain and an increase in function.\r\n\r\nThese regenerative therapies are effective for arthritis, ligament injury, tendinopathy,  joint instability, labrum or meniscus injury, joint hypermobility syndrome, and many other musculoskeletal pain conditions.\r\n\r\nRegenerative Orthopedics are viable alternatives to pain medications, NSAIDs, cortisone (steroid) injection, and surgery.\r\n\r\nMusculoskeletal diseases are extremely common causes of pain and result in devastating consequences to millions of people. Non-Surgical Regenerative Orthopedics are effective treatment options that do not just manage pain, but effectively repair the underlying source of the pain...the ligament and tendon injuries.\r\n\r\nMany patients come to us tired of ‘managing’ their chronic pain with NSAIDs, narcotic medications, various therapies, and exercises that fail to provide relief. That\'s because they do not get to the root of the problem.\r\n<h2>Don\'t Just Manage Your Pain, Repair It</h2>\r\nIf you suffer from <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-knee-pain/\">chronic knee pain</a>? <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-shoulder-pain/\">Chronic shoulder pain</a>? <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-neck-pain/\">Chronic neck pain</a>? <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-elbow-pain/\">Chronic elbow pain</a>? Or if you are afflicted with another chronic musculoskeletal pain, Regenerative Orthopedics may be your answer. <a href=\"https://www.drfields.com/contact/\">Contact us for a consultation</a> to see if you are a candidate or to get a second opinion for a recommended surgery. At OrthoRegen®, we want to help you achieve your goals of optimal health and sustained wellness. We will use the most effective and least invasive methods in your treatment. Don\'t just manage your pain, repair it with Regenerative Orthopedics. Call today at 310-453-1234.\r\n\r\nHaunschild, Eric D., et al. \"Biologics in shoulder and elbow pathology.\" <em>JSES Reviews, Reports, and Techniques</em> 1.1 (2021): 1-6.','Chronic Pain Management','','inherit','closed','closed','','5773-revision-v1','','','2023-05-09 03:50:40','2023-05-09 03:50:40','',5773,'https://www.drfields.com/?p=5776',0,'revision','',0),(5777,8,'2023-05-09 03:52:08','2023-05-09 03:52:08','<div class=\"clear\"></div>\r\n<div id=\"slider\">\r\n<div class=\"owl-carousel slider-carousel\">\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/12/Slider-2-v3-261222.jpg\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/Slider-v1-021120.jpg\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-santa-monica-pier-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">New Article:</span>\r\n<span class=\"header_text_second\">Keep Looking Forward Despite COVID-19</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dealing-with-covid-19/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-11.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/0_header-orthoregen-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Get Back In The Game!</span>\r\n<span class=\"header_text_second\">Avoid Joint and Spine Surgery </span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">Stem Cell/PRP/Prolotherapy</span>\r\n<a class=\"btn-more\" title=\"Get Help Now!\" href=\"Contact-Us\"> Get Help Now!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item slide-article\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-ocean-mountains-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_second\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/0_Kili-top-header-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\" style=\"text-align: left;\"><span class=\"header_text_first\">Congratulations\r\nPeter A. Fields, MD, DC</span>\r\n<span class=\"header_text_second\">The Athletic Doc<sup>®</sup>\r\nsuccessfully climbed</span>\r\n<span class=\"header_text_third white-text\">Mt. Kilimanjaro in\r\nTanzania, Africa.19,341 feet!!!</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/report-of-my-kilimanjaro-climb/\">Read More</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/Sider-01-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Peter A. Fields, MD, DC\r\nThe Athletic Doc<sup>®</sup></span>\r\n<span class=\"header_text_second\">Completed His 11th Ironman</span>\r\n<span class=\"header_text_third\">Sunday, November 24th in Cozumel Mexico</span>\r\n<a class=\"btn-more\" title=\"Read More\" href=\"#\">Images &amp; Story Coming Soon</a></div>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"jumbotron-fluid\">\r\n<div class=\"row\">\r\n<div class=\"col-md-4 box1\">\r\n\r\nWhat\'s\r\n<h3>New</h3>\r\n<ul>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/chronic-pain-management/\">Chronic Pain Management</a></li>\r\n        <li><a href=\"/articles/meniscus-tear-treatment/\">Meniscus Tear Treatment</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/neck-pain-treatment/\">Neck Pain Treatment</a></li>\r\n 	<li><a href=\"/uncategorized/knee-replacement-failure/\">Knee Replacement Failure</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/best-treatments-for-low-back-pain/\">Best Treatments For Low Back Pain</a></li>\r\n 	<li><a href=\"https://www.drfields.com/uncategorized/arthritis-knee-treatment/\">Arthritis Knee Treatment</a></li>\r\n 	<li><a href=\"https://www.drfields.com/uncategorized/back-pain-treatment/\">Back Pain Treatment</a></li>\r\n</ul>\r\n</div>\r\n<div id=\"testimonials\" class=\"col-md-4 box2\">\r\n\r\nPatient\r\n<h3>Testimonials</h3>\r\n<strong>Video:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I wished I had come earlier and listened to what my physical therapist had told me to do because Dr. Fields has been a real solution for me.\"\r\n\r\n<img class=\"testimonial-img\" title=\"Testimonial\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-larry.png\" alt=\"Testimonial\" />\r\n<h3>Larry</h3>\r\n<h4>Stem Cell Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I highly recommend it to anyone who needs to recover fast and get back out there.\"\r\n\r\n<img class=\"testimonial-img\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-christopher.png\" alt=\"\" />\r\n<h3>Chris, Pro Basketball Player</h3>\r\n<h4>PRP Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"Now I can go walking, I go to my ballet class and I’m a happy camper because of Dr. Fields.\"\r\n\r\n<img class=\"testimonial-img\" title=\"\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-mary.png\" alt=\"Testimonial\" />\r\n<h3>Mary</h3>\r\n<h4>Stem Cell Hip</h4>\r\n</div>\r\n</div>\r\n<strong>Written:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I need to say a big thank you to Dr Fields for getting me back on the tennis court. I am an avid tennis player who tried to ignore the terrible pain in my elbow.\"\r\n<h3 style=\"margin-left: 0;\">Mindy</h3>\r\n<h4 style=\"margin-left: 0;\">Elbow</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I chose Dr. Peter Fields because he is an athlete and would have more direct knowledge of my particular circumstances than anyone else.\"\r\n<h3 style=\"margin-left: 0;\">Robert</h3>\r\n<h4 style=\"margin-left: 0;\">Shoulder</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"After the final treatments ended I am still without all the pain and have more muscle strength in my legs.\"\r\n<h3 style=\"margin-left: 0;\">Lois</h3>\r\n<h4 style=\"margin-left: 0;\">Knee</h4>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"col-md-4 box3\">\r\n\r\nNews &amp;\r\n<h3>Events</h3>\r\n<ul>\r\n 	<li><a href=\"https://www.drfields.com/articles/health-news/dr-fields-to-lecture-in-mexico-city-on-july-9th/\">Peter A. Fields, MD, DC to lecture in Mexico City on July 9th</a></li>\r\n 	<li><a class=\"buttonlink\" style=\"width: 100%; font-size: 24px; text-align: center; padding: 25px 8%;\" href=\"https://www.drfields.com/contact/\"> Are you a Stem Cell Candidate?</a></li>\r\n</ul>\r\n</div>\r\n</div>\r\n</div>\r\n<div id=\"search-articles\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n<h2 class=\"text-center\">Search <b>Dr. Fields\'</b> Articles</h2>\r\n<form id=\"searchform\" action=\"/\" method=\"get\"><input class=\"search-field\" name=\"s\" type=\"text\" placeholder=\"What\'s Your Condition?\" />\r\n<input type=\"submit\" value=\"Search\" /></form></div>\r\n</div>\r\n</div>\r\n<div id=\"intro\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n<h1 class=\"text-center\">Welcome to OrthoRegen<sup>®</sup>!</h1>\r\n<p class=\"intro_text welcome\"><a href=\"http://orthoregen.com\"><span style=\"font-size: 26px;\">OrthoRegen<sup>®</sup></span></a> is dedicated to providing the best of <span class=\"nowrap\">Regenerative Orthopedics</span> by offering non-surgical alternatives for joint and spine repair</p>\r\n<a class=\"primaryButton\" title=\"Read More About U\" href=\"https://www.drfields.com/about/orthoregen-our-philosophy/\">Read More About Us</a>\r\n<a id=\"candidateButton\" title=\"Are you a good candidate?\" href=\"/contact/\">Are you a good candidate?</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"about\">\r\n<div class=\"col-md-5 drfields\"><img class=\"alignnone\" title=\"Regenerative Orthopedics Leader\" src=\"https://www.drfields.com/wp-content/uploads/2022/11/dr-fields-v1-021120.png\" alt=\"Regenerative Orthopedics Leader\" width=\"460\" height=\"737\" /></div>\r\n<div class=\"col-md-7 about_holder\">\r\n<h1>Peter A. Fields, <span class=\"nowrap\">MD, DC</span></h1>\r\n<p class=\"intro_text\">Medical Physician and Chiropractor\r\nThe Athletic Doc<sup>®</sup> - 11x Ironman Triathlete</p>\r\n\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"icon info\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-info.png\" alt=\"icon info\" /></div>\r\n<div class=\"about_text\">\r\n<h3>About</h3>\r\nPeter A. Fields, MD, DC is one of a handful of physicians in the nation with both medical and chiropractic degrees...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/dr-fields-bio/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"Man Icon\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-ironman.png\" alt=\"Man Icon\" /></div>\r\n<div class=\"about_text\">\r\n<h3>11x Ironman</h3>\r\nDr. Peter A. Fields is also known as The Athletic Doc<sup>®</sup> He not only treats athletes in his practice but is an athlete himself. For over...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n&nbsp;\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Call Us Today! 310-453-1234</a>','Home','','inherit','closed','closed','','2109-revision-v1','','','2023-05-09 03:52:08','2023-05-09 03:52:08','',2109,'https://www.drfields.com/?p=5777',0,'revision','',0),(5779,9,'2023-05-12 21:45:32','2023-05-12 21:45:32','<img class=\"alignright wp-image-5774\" src=\"https://www.drfields.com/wp-content/uploads/2023/05/JSES-Reviews-Reports-and-Techniques.-Musculoskeletal-500x419.png\" alt=\"Chronic Pain Management\" width=\"350\" height=\"293\" />\n<h2>Chronic Pain Management:</h2>\n<h2>Musculoskeletal Pain</h2>\nPain can be defined as a feeling of distress, suffering, or agony caused by the stimulation of specialized nerve endings in the body resulting from injury or disease. Musculoskeletal pain affects the muscles, ligaments, tendons, and bones. When a person suffers from musculoskeletal pain, their quality of life is reduced, and they seek treatment options for chronic pain management.\n\nAs a person ages, musculoskeletal diseases increase in frequency. Millions of Americans suffer from arthritis, a chronic musculoskeletal disease that often leads to joint replacements.\n<h2>What Is Chronic Pain?</h2>\nChronic pain is pain that continues or recurs over a prolonged period. Chronic pain, however, can range from mild to severe and last weeks, months, or longer.\n\nAnother type of pain is acute pain. Acute pain is intense and can last a few seconds to hours or days. This severe pain should wane as healing of the injury or disease occurs.\n<h2>What Causes Musculoskeletal Pain?</h2>\nPain often acts as a warning that tissues are being damaged. There are different reasons for musculoskeletal pain. Soft tissue, like muscles, tendons, and ligaments, can become damaged by wear and tear from various activities.\n\nTrauma from falls, accidents, sprains, dislocations, and fractures can also damage musculoskeletal tissue. Musculoskeletal pain can be caused by any trauma to the muscles, ligaments, tendons, bones, and other soft tissue of the joint.\n\nVery often, the pain in a joint is due to ligament and/or tendon injury. Ligaments and tendons are the main connective tissue structures that stabilize and move joints. Unfortunately, these soft tissue structures have a poor blood supply and often fail to heal completely once injured.\n\n<strong>That is why an old injury sets into motion a chronic cycle that can rear its head up years later.</strong> Ligament tears and injuries alter joint mechanics. They cause the joint to move abnormally. An injured area remains weak. Month after month, and year after year, that weakened joint, moving abnormally, causes degeneration of the joint.\n<h2>How Can Chronic Pain Be Managed?</h2>\nRegenerative Orthopedics, including Prolotherapy, PRP, and Stem Cell Therapy, effectively repair the damaged, weakened ligaments and tendons. These treatments build stronger tendons and ligaments that can stabilize the joint structures. With treatment, the weakened soft tissue is healed, and the patient’s pain is reduced or eliminated.\n<h2>Types of Regenerative Orthopedics:</h2>\n<ul>\n 	<li><strong>Prolotherapy </strong>involves injections given into and around the entire painful or injured area. Prolotherapy strengthens ligaments and tendons by inducing repair through stimulating growth factors and boosting the body\'s healing mechanism.</li>\n 	<li>PRP involves the injection of the person\'s platelets. These platelets release growth factors that stimulate recovery in blood-poor tissue, such as tendons. PRP is great at accelerating the regeneration of soft tissue injuries such as knee meniscus tears.</li>\n 	<li><strong>Stem Cell Therapy </strong>describes the use of a person\'s adult mesenchymal stem cells (MSCs) taken from the individual’s bone marrow or adipose (fat) tissue. Stem Cell Therapy is typically done in more advanced cases of joint degeneration or injury.</li>\n</ul>\n<h2>Regenerative Orthopedics for Chronic Musculoskeletal Pain</h2>\nRegenerative Orthopedics provides significant relief of chronic musculoskeletal pain in the neck, back, knee, elbow, foot, hand, shoulder, and wrist. The use of Regenerative Orthopedics results in a decrease in pain and an increase in function.\n\nThese regenerative therapies are effective for arthritis, ligament injury, tendinopathy,  joint instability, labrum or meniscus injury, joint hypermobility syndrome, and many other musculoskeletal pain conditions.\n\nRegenerative Orthopedics are viable alternatives to pain medications, NSAIDs, cortisone (steroid) injection, and surgery.\n\nMusculoskeletal diseases are extremely common causes of pain and result in devastating consequences to millions of people. Non-Surgical Regenerative Orthopedics are effective treatment options that do not just manage pain but effectively repair the underlying source of the pain...the ligament and tendon injuries.\n\nMany patients come to us tired of ‘managing’ their chronic pain with NSAIDs, narcotic medications, various therapies, and exercises that fail to provide relief. That\'s because they do not get to the root of the problem.\n\nThe <i>Journal of Prolotherapy</i> says, \"Clinicians make their recommendations to patients on the basis of their knowledge of human physiology in both health and disease. Since most chronic pain results from the degeneration and injury of musculoskeletal structures such as ligaments, tendons, other soft tissues and joints, and the nerves that support them, then regenerative injection therapy (Prolotherapy) makes physiological sense. Prolotherapy should be one of the preferred therapies when clinicians, including doctors, nurses, and other allied health care professionals, discuss treatment options with patients who suffer from musculoskeletal pain.\"2\n<h2>Don\'t Just Manage Your Pain, Repair It</h2>\nDo you suffer from musculoskeletal pain, such as <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-knee-pain/\">chronic knee pain</a>? <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-shoulder-pain/\">Chronic shoulder pain</a>? <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-neck-pain/\">Chronic neck pain</a>? <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-elbow-pain/\">Chronic elbow pain</a>? If you are afflicted with chronic musculoskeletal pain, Regenerative Orthopedics may be your answer. <a href=\"https://www.drfields.com/contact/\">Contact us for a consultation</a> to see if you are a candidate or to get a second opinion for a recommended surgery. At OrthoRegen®, we want to help you achieve your goals of optimal health and sustained wellness. We will use the most effective and least invasive methods in your treatment. Don\'t just manage your pain; repair it with Regenerative Orthopedics. Call today at 310-453-1234.\n<h2>References</h2>\n1 Haunschild, Eric D., et al. \"Biologics in shoulder and elbow pathology.\" <i>JSES Reviews, Reports, and Techniques</i> 1.1 (2021): 1-6.\n\n2 Hauser, RA, Maddela, H., et al. \"Journal of Prolotherapy International Medical Editorial Board Consensus Statement on the Use of Prolotherapy for Musculoskeletal Pain.\"<i>Journal of Prolotherapy.</i> 2011;3(4):744-764.','Chronic Pain Management','','inherit','closed','closed','','5773-autosave-v1','','','2023-05-12 21:45:32','2023-05-12 21:45:32','',5773,'https://www.drfields.com/?p=5779',0,'revision','',0),(5780,9,'2023-05-12 21:40:42','2023-05-12 21:40:42','<img class=\"alignright wp-image-5774\" src=\"https://www.drfields.com/wp-content/uploads/2023/05/JSES-Reviews-Reports-and-Techniques.-Musculoskeletal-500x419.png\" alt=\"Chronic Pain Management\" width=\"350\" height=\"293\" />\r\n<h2>Musculoskeletal Pain</h2>\r\nPain can be defined as a feeling of distress, suffering, or agony caused by the stimulation of specialized nerve endings in the body resulting from injury or disease. Musculoskeletal pain affects the muscles, ligaments, tendons, and bones. When a person suffers from musculoskeletal pain, their quality of life is reduced, and they seek treatment options for chronic pain management.\r\n\r\nAs a person ages, musculoskeletal diseases increase in frequency. Millions of Americans suffer from arthritis, a chronic musculoskeletal disease that often leads to joint replacements.\r\n<h2>What Is Chronic Pain?</h2>\r\nChronic pain is pain that continues or recurs over a prolonged period. Chronic pain, however, can range from mild to severe and last weeks, months, or longer.\r\n\r\nAnother type of pain is acute pain. Acute pain is intense and can last a few seconds to hours or days. This severe pain should wane as healing of the injury or disease occurs.\r\n<h2>What Causes Musculoskeletal Pain?</h2>\r\nPain often acts as a warning that tissues are being damaged. There are different reasons for musculoskeletal pain. Soft tissue, like muscle, tendons, and ligaments, can become damaged by wear and tear from a variety of activities.\r\n\r\nMusculoskeletal tissue can also be damaged by trauma, such as falls, accidents, sprains, dislocations, and fractures. Musculoskeletal pain can be caused by any trauma to the muscles, ligaments, tendons, bones, and other soft tissue of the joint.\r\n\r\nVery often the pain in a joint is due to ligament and/or tendon injury. Ligaments and tendons are the main connective tissue structures that stabilize and move joints. Unfortunately, these soft tissue structures have a poor blood supply and often fail to  heal completely once injured.\r\n\r\n<strong>That is why an old injury sets into motion a chronic cycle that can rear its head up years later.</strong> Ligament tears and injuries alter joint mechanics. They cause the joint to move abnormally. An injured area remains weak. Month after month, and year after year, that weakened joint, moving abnormally, causes degeneration of the joint.\r\n<h2>How Can Chronic Pain Be Managed?</h2>\r\nRegenerative Orthopedics, including Prolotherapy, PRP, and Stem Cell Therapy, effectively repair the damaged, weakened ligaments and tendons. These treatments build stronger tendons and ligaments that can stabilize the joint structures. With treatment, the weakened soft tissue is healed, and the patient’s pain is reduced or eliminated.\r\n<h2>Types of Regenerative Orthopedics:</h2>\r\n<ul>\r\n 	<li><strong>Prolotherapy </strong>involves injections given into and around the entire painful or injured area. Prolotherapy strengthens ligaments and tendons by inducing repair through stimulating growth factors and boosting the body\'s healing mechanism.</li>\r\n 	<li>PRP involves the injection of the person\'s own platelets. These platelets release growth factors that stimulate recovery in these blood-poor tissue, such as tendons. PRP is great at accelerating the regeneration of soft tissue injuries such as knee meniscus tears.</li>\r\n 	<li><strong>Stem Cell Therapy </strong>describes the use of a person\'s adult mesenchymal stem cells (MSCs) taken from the individual’s bone marrow or adipose (fat) tissue. Stem Cell Therapy is typically done in more advanced cases of joint degeneration or injury.</li>\r\n</ul>\r\n<h2>Regenerative Orthopedics for Chronic Musculoskeletal Pain</h2>\r\nRegenerative Orthopedics provides significant relief of chronic musculoskeletal pain in the neck, back, knee, elbow, foot, hand, shoulder, and wrist. The use of Regenerative Orthopedics results in a decrease in pain and an increase in function.\r\n\r\nThese regenerative therapies are effective for arthritis, ligament injury, tendinopathy,  joint instability, labrum or meniscus injury, joint hypermobility syndrome, and many other musculoskeletal pain conditions.\r\n\r\nRegenerative Orthopedics are viable alternatives to pain medications, NSAIDs, cortisone (steroid) injection, and surgery.\r\n\r\nMusculoskeletal diseases are extremely common causes of pain and result in devastating consequences to millions of people. Non-Surgical Regenerative Orthopedics are effective treatment options that do not just manage pain but effectively repair the underlying source of the pain...the ligament and tendon injuries.\r\n\r\nMany patients come to us tired of ‘managing’ their chronic pain with NSAIDs, narcotic medications, various therapies, and exercises that fail to provide relief. That\'s because they do not get to the root of the problem.\r\n\r\nThe <i>Journal of Prolotherapy</i> says, \"Clinicians make their recommendations to patients on the basis of their knowledge of human physiology in both health and disease. Since most chronic pain results from the degeneration and injury of musculoskeletal structures such as ligaments, tendons, other soft tissues and joints, and the nerves that support them, then regenerative injection therapy (Prolotherapy) makes physiological sense. Prolotherapy should be one of the preferred therapies when clinicians, including doctors, nurses, and other allied health care professionals, discuss treatment options with patients who suffer from musculoskeletal pain.\"2\r\n<h2>Don\'t Just Manage Your Pain, Repair It</h2>\r\nDo you suffer from musculoskeletal pain, such as <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-knee-pain/\">chronic knee pain</a>? <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-shoulder-pain/\">Chronic shoulder pain</a>? <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-neck-pain/\">Chronic neck pain</a>? <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-elbow-pain/\">Chronic elbow pain</a>? If you are afflicted with chronic musculoskeletal pain, Regenerative Orthopedics may be your answer. <a href=\"https://www.drfields.com/contact/\">Contact us for a consultation</a> to see if you are a candidate or to get a second opinion for a recommended surgery. At OrthoRegen®, we want to help you achieve your goals of optimal health and sustained wellness. We will use the most effective and least invasive methods in your treatment. Don\'t just manage your pain; repair it with Regenerative Orthopedics. Call today at 310-453-1234.\r\n<h2>References</h2>\r\n1 Haunschild, Eric D., et al. \"Biologics in shoulder and elbow pathology.\" <i>JSES Reviews, Reports, and Techniques</i> 1.1 (2021): 1-6.\r\n\r\n2 Hauser, RA, Maddela, H., et al. \"Journal of Prolotherapy International Medical Editorial Board Consensus Statement on the Use of Prolotherapy for Musculoskeletal Pain.\"<i>Journal of Prolotherapy.</i> 2011;3(4):744-764.','Chronic Pain Management','','inherit','closed','closed','','5773-revision-v1','','','2023-05-12 21:40:42','2023-05-12 21:40:42','',5773,'https://www.drfields.com/?p=5780',0,'revision','',0),(5781,9,'2023-05-12 21:46:28','2023-05-12 21:46:28','<img class=\"alignright wp-image-5774\" src=\"https://www.drfields.com/wp-content/uploads/2023/05/JSES-Reviews-Reports-and-Techniques.-Musculoskeletal-500x419.png\" alt=\"Chronic Pain Management\" width=\"350\" height=\"293\" />\r\n<h2>Chronic Pain Management:</h2>\r\n<h2>Musculoskeletal Pain</h2>\r\nPain can be defined as a feeling of distress, suffering, or agony caused by the stimulation of specialized nerve endings in the body resulting from injury or disease. Musculoskeletal pain affects the muscles, ligaments, tendons, and bones. When a person suffers from musculoskeletal pain, their quality of life is reduced, and they seek treatment options for chronic pain management.\r\n\r\nAs a person ages, musculoskeletal diseases increase in frequency. Millions of Americans suffer from arthritis, a chronic musculoskeletal disease that often leads to joint replacements.\r\n<h2>What Is Chronic Pain?</h2>\r\nChronic pain is pain that continues or recurs over a prolonged period. Chronic pain, however, can range from mild to severe and last weeks, months, or longer.\r\n\r\nAnother type of pain is acute pain. Acute pain is intense and can last a few seconds to hours or days. This severe pain should wane as healing of the injury or disease occurs.\r\n<h2>What Causes Musculoskeletal Pain?</h2>\r\nPain often acts as a warning that tissues are being damaged. There are different reasons for musculoskeletal pain. Soft tissue, like muscles, tendons, and ligaments, can become damaged by wear and tear from various activities.\r\n\r\nTrauma from falls, accidents, sprains, dislocations, and fractures can also damage musculoskeletal tissue. Musculoskeletal pain can be caused by any trauma to the muscles, ligaments, tendons, bones, and other soft tissue of the joint.\r\n\r\nVery often, the pain in a joint is due to ligament and/or tendon injury. Ligaments and tendons are the main connective tissue structures that stabilize and move joints. Unfortunately, these soft tissue structures have a poor blood supply and often fail to heal completely once injured.\r\n\r\n<strong>That is why an old injury sets into motion a chronic cycle that can rear its head up years later.</strong> Ligament tears and injuries alter joint mechanics. They cause the joint to move abnormally. An injured area remains weak. Month after month, and year after year, that weakened joint, moving abnormally, causes degeneration of the joint.\r\n<h2>How Can Chronic Pain Be Managed?</h2>\r\nRegenerative Orthopedics, including Prolotherapy, PRP, and Stem Cell Therapy, effectively repair the damaged, weakened ligaments and tendons. These treatments build stronger tendons and ligaments that can stabilize the joint structures. With treatment, the weakened soft tissue is healed, and the patient’s pain is reduced or eliminated.\r\n<h2>Types of Regenerative Orthopedics:</h2>\r\n<ul>\r\n 	<li><strong>Prolotherapy </strong>involves injections given into and around the entire painful or injured area. Prolotherapy strengthens ligaments and tendons by inducing repair through stimulating growth factors and boosting the body\'s healing mechanism.</li>\r\n 	<li>PRP involves the injection of the person\'s platelets. These platelets release growth factors that stimulate recovery in blood-poor tissue, such as tendons. PRP is great at accelerating the regeneration of soft tissue injuries such as knee meniscus tears.</li>\r\n 	<li><strong>Stem Cell Therapy </strong>describes the use of a person\'s adult mesenchymal stem cells (MSCs) taken from the individual’s bone marrow or adipose (fat) tissue. Stem Cell Therapy is typically done in more advanced cases of joint degeneration or injury.</li>\r\n</ul>\r\n<h2>Regenerative Orthopedics for Chronic Musculoskeletal Pain</h2>\r\nRegenerative Orthopedics significantly relieves chronic musculoskeletal pain in the neck, back, knee, elbow, foot, hand, shoulder, and wrist. The use of Regenerative Orthopedics results in a decrease in pain and an increase in function.\r\n\r\nThese regenerative therapies are effective for arthritis, ligament injury, tendinopathy,  joint instability, labrum or meniscus injury, joint hypermobility syndrome, and many other musculoskeletal pain conditions.\r\n\r\nRegenerative Orthopedics are viable alternatives to pain medications, NSAIDs, cortisone (steroid) injections, and surgery.\r\n\r\nMusculoskeletal diseases are prevalent causes of pain and have devastating consequences for millions. Non-Surgical Regenerative Orthopedics are effective treatment options that do not just manage pain but effectively repair the underlying source of the pain...the ligament and tendon injuries.\r\n\r\nMany patients come to us tired of ‘managing’ their chronic pain with NSAIDs, narcotic medications, various therapies, and exercises that fail to provide relief. That\'s because they do not get to the root of the problem.\r\n\r\nThe <i>Journal of Prolotherapy</i> says, \"Clinicians make their recommendations to patients on the basis of their knowledge of human physiology in both health and disease. Since most chronic pain results from the degeneration and injury of musculoskeletal structures such as ligaments, tendons, other soft tissues and joints, and the nerves that support them, then regenerative injection therapy (Prolotherapy) makes physiological sense. Prolotherapy should be one of the preferred therapies when clinicians, including doctors, nurses, and other allied health care professionals, discuss treatment options with patients who suffer from musculoskeletal pain.\"2\r\n<h2>Don\'t Just Manage Your Pain, Repair It</h2>\r\nDo you suffer from musculoskeletal pain, such as <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-knee-pain/\">chronic knee pain</a>? <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-shoulder-pain/\">Chronic shoulder pain</a>? <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-neck-pain/\">Chronic neck pain</a>? <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-elbow-pain/\">Chronic elbow pain</a>? If you are afflicted with chronic musculoskeletal pain, Regenerative Orthopedics may be your answer. <a href=\"https://www.drfields.com/contact/\">Contact us for a consultation</a> to see if you are a candidate or to get a second opinion for a recommended surgery. At OrthoRegen®, we want to help you achieve your goals of optimal health and sustained wellness. We will use the most effective and least invasive methods in your treatment. Don\'t just manage your pain; repair it with Regenerative Orthopedics. Call today at 310-453-1234.\r\n<h2>References</h2>\r\n1 Haunschild, Eric D., et al. \"Biologics in shoulder and elbow pathology.\" <i>JSES Reviews, Reports, and Techniques</i> 1.1 (2021): 1-6.\r\n\r\n2 Hauser, RA, Maddela, H., et al. \"Journal of Prolotherapy International Medical Editorial Board Consensus Statement on the Use of Prolotherapy for Musculoskeletal Pain.\"<i>Journal of Prolotherapy.</i> 2011;3(4):744-764.','Chronic Pain Management','','inherit','closed','closed','','5773-revision-v1','','','2023-05-12 21:46:28','2023-05-12 21:46:28','',5773,'https://www.drfields.com/?p=5781',0,'revision','',0),(5783,8,'2023-05-19 09:00:44','2023-05-19 09:00:44','<img class=\"alignright wp-image-5784\" src=\"https://www.drfields.com/wp-content/uploads/2023/05/Arthritis.-Orthopedic-Reviews-500x419.png\" alt=\"Arthritis. Orthopedic Reviews\" width=\"300\" height=\"251\" />\r\n<h2>Regenerative Orthopedics: Alternative Treatments for Arthritis</h2>\r\nArthritis is one of the most common conditions plaguing people worldwide. The annoying arthritis symptoms, like joint pain and stiffness, are a result of the progressive loss of cartilage as the joint degenerates. These symptoms can put a real damper on people\'s lives, hindering the ability to move, slowing down progress, and making it difficult to accomplish desired activities. When common treatments fail, what are alternative treatments for arthritis?\r\n\r\nRegenerative Orthopedics are effective arthritis treatments. At OrthoRegen,® we have seen arthritis sufferers finally get the relief they seek by choosing Prolotherapy, Platelet Rich Plasma, and the Gold Standard in Stem Cell Therapy.\r\n<h2>Why Does Arthritis Even Start in the First Place?</h2>\r\nThere is a reason for the degeneration that is prevalent with arthritis. At some point, the structures of the joint become injured. This injury may have occurred as a traumatic event, such as a sports injury or fall.  Or, the injury transpired over time from wear and tear. Either way, the damage to the joint structures, like the ligaments and tendons, causes the joint to move abnormally. As the joint moves abnormally, friction and pressure are placed on the joint structures, which injures and wears them further.\r\n\r\nImagine a door with loose hinges. The door may now scrape on the floor, leaving grooves on it because the door moves abnormally. Whatever caused the loose hinge, either wear and tear or something/someone banged into it; the result is the same. The door is now unstable, leading to abnormal motion and new wear on the floor.\r\n\r\nThat same process happens to our joints when the stabilizing joint structures, the tendons, and ligaments, are injured. Ligaments become lax once they are injured, and the abnormal motion that takes place begins a cycle that ultimately results in degenerative changes and osteoarthritis.\r\n<h2>Can Joint Motion Be Restored?</h2>\r\nRegenerative Orthopedic therapies, such as Prolotherapy, PRP, and Stem Cells, can restore normal joint motion. The great thing about these treatments is that they are regenerative and restorative. Many other treatments, such as pain medications, only chase arthritic symptoms. They do not repair the underlying problem. These regenerative therapies do! Regenerative Orthopedics repairs the underlying ligament and tendon injury, restore the abnormal joint motion, and stop the degenerative cycle.\r\n<h2>What Does the Research Say about Regenerative Orthopedics as An Alternative Arthritis Treatment?</h2>\r\nStudies show that Regenerative Orthopedics are beneficial alternative arthritis treatments that can bring significant pain relief and healing in degenerated joints.\r\n<h3>Here\'s what some of the studies say:</h3>\r\nResearchers analyzed 1093 patients for the efficacy and safety of intra-articular injections of platelet-rich plasma (PRP) and mesenchymal stem cells (MSCs) in treating knee arthritis. They noted \"beneficial clinical outcomes by means of lowered pain perception and increased physical functionality; therefore, the quality of life in KOA (knee osteoarthritis) patients had been significantly improved.\"1\r\n<h4><em>PRP and Stem Cells as an Alternative Arthritis Treatment</em></h4>\r\nThis study, documented in the journal, <em>Cureus</em>, looked at 30 published medical articles and found that PRP and stem cell injections are effective at repairing tissue, providing pain relief, and restoring function in patients with mild to moderate knee arthritis. Stem Cell injections are more effective at repair in more severely degenerated knees. Both treatments are well tolerated without serious adverse effects observed. Additionally, this study concluded that regenerative medicine injections show superior results compared to hyaluronic acid injections. (1)\r\n<h4><em>Prolotherapy as an Alternative Arthritis Treatment</em></h4>\r\nProlotherapy is a successful treatment option for various musculoskeletal conditions. Physicians commonly choose intra-articular injections, such as cortisone injections, once over-the-counter medications, topicals, and other treatments fail. However, cortisone treatments increase cartilage loss and make the arthritic joint worse. (2)\r\n<h2>Is Prolotherapy an Effective Alternative?</h2>\r\nResearchers in the medical journal <em>Orthopedic Reviews</em> say, \"Numerous clinical trials show significant improvement of osteoarthritic knee pain without any significant side effects reported following the use of prolotherapy. The results consistently show significant improvement in radiographic outcomes, pain scores, and quality of life with prolotherapy treatment. <strong>Prolotherapy appears to be a safe and effective alternative</strong> to physical therapy, surgery, NSAIDs, steroids, and opiates when they fail to provide clinical relief.\"(3)\r\n\r\nA 2023 Indonesian study concluded, \"Prolotherapy effectively improves functional outcomes in all stages of knee osteoarthritis.\"(4)\r\n\r\nAll of the above studies reviewed the effects of Regenerative Orthopedic treatments on knees. <strong>What about other joints?</strong> Hauser et al. reviewed 32 research studies to determine the efficacy of dextrose prolotherapy in chronic musculoskeletal pain. In other words, this team reviewed the effects of regenerative treatment on multiple joint conditions.\r\n<h4>What were the results?</h4>\r\nThe Hauser et al. study demonstrated the effectiveness of Prolotherapy on multiple joints and various types of joint conditions and found, \"Overall, dextrose prolotherapy has been demonstrated to be efficacious and should be considered as a treatment for pain and dysfunction associated with chronic musculoskeletal conditions, particularly tendinopathies, and <strong>osteoarthritis</strong>.\"(5)\r\n<h2>Regenerative Orthopedics at OrthoRegen®</h2>\r\nAt OrthoRegen,® we have been a leader in regenerative treatments, helping arthritis sufferers get pain relief and restore joint function. We have many years of experience in providing regenerative treatments as alternative treatments for arthritis including Prolotherapy, Platelet Rich Plasma, and the Gold Standard in Stem Cell Therapy.  These treatments have helped thousands of patients restore their joint integrity. If arthritis is affecting your knees, back, shoulders, hips, or other joints, please give us a call and make an appointment soon, so you can get back to the activities you love.\r\n<ul>\r\n 	<li>Ip, Hoi Leng, et al. \"Regenerative medicine for knee osteoarthritis–the efficacy and safety of intra-articular platelet-rich plasma and mesenchymal Stem cells injections: a literature review.\" <em>Cureus</em>9 (2020).</li>\r\n 	<li>Zeng C, Lane NE, Hunter DJ, et al. Intra-articular corticosteroids and the risk of knee osteoarthritis progression: results from the Osteoarthritis Initiative. <em>Osteoarthr Cartil</em>. 2019;27(6):855-862.</li>\r\n 	<li>Zhao, Alex Tang, et al. \"A Comprehensive Update of Prolotherapy in the Management of Osteoarthritis of the Knee.\" <em>Orthopedic Reviews</em>4 (2022).</li>\r\n 	<li>Waluyo, Y., Artika, S. R. ., Wahyuni, I. N. ., Adnan, E. ., Budu, &amp; Bukhari, A. . (2023). Functional outcome in knee osteoarthritis after dextrose prolotherapy intervention: A severity-based pilot study. JKKI : Jurnal Kedokteran Dan Kesehatan Indonesia, 14(1), 47–54. <a href=\"https://doi.org/10.20885/JKKI.Vol14.Iss1.art8\">https://doi.org/10.20885/JKKI.Vol14.Iss1.art8</a></li>\r\n 	<li>Hauser, Ross A., et al. \"A systematic review of dextrose prolotherapy for chronic musculoskeletal pain.\" <em>Clinical medicine insights: arthritis and musculoskeletal disorders</em> 9 (2016): CMAMD-S39160.</li>\r\n</ul>','Alternative Treatments for Arthritis','','publish','closed','open','','alternative-treatments-for-arthritis','','','2023-05-26 21:41:25','2023-05-26 21:41:25','',0,'https://www.drfields.com/?p=5783',0,'post','',0),(5784,8,'2023-05-21 16:02:02','2023-05-21 16:02:02','Arthritis. Orthopedic Reviews','Arthritis. Orthopedic Reviews','Arthritis. Orthopedic Reviews','inherit','closed','closed','','arthritis-orthopedic-reviews','','','2023-05-21 16:02:02','2023-05-21 16:02:02','',5783,'https://www.drfields.com/wp-content/uploads/2023/05/Arthritis.-Orthopedic-Reviews.png',0,'attachment','image/png',0),(5785,8,'2023-05-21 16:03:33','2023-05-21 16:03:33','<img class=\"alignright wp-image-5784\" src=\"https://www.drfields.com/wp-content/uploads/2023/05/Arthritis.-Orthopedic-Reviews-500x419.png\" alt=\"Arthritis. Orthopedic Reviews\" width=\"300\" height=\"251\" />\r\n\r\nArthritis is one of the most common conditions plaguing people all over the world. The annoying arthritis symptoms, like joint pain and stiffness, are a result of progressive loss of cartilage as the joint degenerates. These symptoms can put a real damper on people\'s lives, hindering the ability to move, slowing down progress, and making it difficult to accomplish desired activities.\r\n\r\n<strong>Why Does Arthritis Even Start in the First Place?</strong>\r\n\r\nThere is a reason for the degeneration that is prevalent with arthritis. At some point, the structures of the joint become injured. This injury may have occurred as a traumatic event, such as a sports injury or fall; or, the injury transpired over time, from wear and tear. Either way, the injury to the joint structures, like the ligaments and tendons, causes the joint to move abnormally. As the joint moves abnormally, friction and pressure is placed on the joint structures, which injures and wears them further.\r\n\r\nImagine a door with loose hinges. The door may now scrape on the floor, leaving grooves on the floor, because it moves abnormally. Whatever caused the loose hinge, either wear and tear or something/someone banged into it, the result is the same. The door is now unstable, leading to the abnormal motion, and the new wear on the floor.\r\n\r\nThat same process happens to our joints when the stabilizing joint structures, the tendons and ligaments, are injured. Ligaments become lax once they are injured, and the abnormal motion that takes place begins a cycle that ultimately results in degenerative changes and osteoarthritis.\r\n\r\n<strong>Can Joint Motion Be Restored?</strong>\r\n\r\nRegenerative Orthopedic therapies, such as Prolotherapy, PRP, and Stem Cells, can restore normal joint motion. The great thing about these treatments is that they are regenerative and restorative. Many other treatments, such as pain medications, only chase arthritic symptoms. They do not repair the underlying problem. These regenerative therapies do! Regenerative Orthopedics repair the underlying ligament and tendon injury, restore the abnormal joint motion, and stop the degenerative cycle.\r\n\r\n<strong>What Does the Research Say about Regenerative Orthopedics as An Alternative Arthritis Treatment?</strong>\r\n\r\nStudies show that Regenerative Orthopedics are beneficial alternative arthritis treatments that can bring a significant amount of pain relief and healing in degenerated joints.\r\n\r\n<strong>Here\'s what some of the studies say:</strong>\r\n\r\nResearchers analyzed 1093 patients for the efficacy and safety of intra-articular injections of platelet-rich plasma (PRP) and mesenchymal stem cells (MSCs) in the treatments of knee arthritis. They noted \"beneficial clinical outcomes by means of lowered pain perception and increased physical functionality; therefore, the quality of life in KOA (knee osteoarthritis) patients had been significantly improved.\"1\r\n\r\n<em>PRP and Stem Cell as an Alternative Arthritis Treatment</em>\r\n\r\nThis study documented in the journal, <em>Cureus</em>, looked at 30 published medical articles and found that PRP and stem cell injections are both effective at repairing tissue, providing pain relief, and restoring function in patients with mild to moderate knee arthritis. Stem Cell injections are more effective at repair in more severely degenerated knees. Both treatments are well tolerated without serious adverse effects observed. Additionally, this study concluded that regenerative medicine injections show superior results when compared to hyaluronic acid injections. (1)\r\n\r\n<strong><em>Prolotherapy as an Alternative Arthritis Treatment</em></strong>\r\n\r\nProlotherapy has been shown to be a successful treatment option for a variety of musculoskeletal conditions. Physicians commonly choose intra-articular injections, such as cortisone injections, once over-the-counter medications, topicals, and other treatments fail. However, cortisone treatments increase cartilage loss and make the arthritic joint worse.(2)\r\n\r\n<strong><em>Is Prolotherapy an Effective Alternative?</em></strong>\r\n\r\nResearchers in the medical journal <em>Orthopedic Reviews</em> say, \"Numerous clinical trials show significant improvement of osteoarthritic pain of the knee without any significant side effects reported following the use of prolotherapy. The results consistently show significant improvement in radiographic outcomes, pain scores, and quality of life with prolotherapy treatment. <strong>Prolotherapy appears to be a safe and effective alternative</strong> to physical therapy, surgery, NSAIDs, steroids, and opiates when they fail to provide clinical relief.\"(3)\r\n\r\nA 2023 Indonesian study concluded, \"Prolotherapy effectively improves functional outcomes in all stages of knee osteoarthritis.\"(4)\r\n\r\nAll of the above studies reviewed the effects of Regenerative Orthopedic treatments on knees. <strong>What about other joints?</strong> Hauser et al reviewed 32 research studies to determine the efficacy of dextrose prolotherapy in chronic musculoskeletal pain. In other words, this team reviewed the effects of regenerative treatment on multiple joint conditions.\r\n\r\n<strong>What were the results?</strong>\r\n\r\nThe Hauser et al study demonstrated the effectiveness of Prolotherapy on multiple joints and various types of joint conditions and found, \"Overall, dextrose prolotherapy has been demonstrated to be efficacious and should be considered as a treatment for pain and dysfunction associated with chronic musculoskeletal conditions, particularly tendinopathies and <strong>osteoarthritis</strong>.\"(5)\r\n\r\n<strong>Regenerative Orthopedics at OrthoRegen®</strong>\r\n\r\nAt OrthoRegen,® we have been a leader in regenerative treatments, helping arthritis sufferers get pain relief and restoration of joint function. We have many years of experience in providing regenerative treatments including Prolotherapy, Platelet Rich Plasma, and the Gold Standard in Stem Cell Therapy.  These treatments have helped thousands of patients with the restoration of their joint integrity. If arthritis is affecting your knees, back, shoulders, hips, or other joints, please give us a call and make an appointment soon, so you can get back to the activities you love.\r\n<ul>\r\n 	<li>Ip, Hoi Leng, et al. \"Regenerative medicine for knee osteoarthritis–the efficacy and safety of intra-articular platelet-rich plasma and mesenchymal Stem cells injections: a literature review.\" <em>Cureus</em>9 (2020).</li>\r\n 	<li>Zeng C, Lane NE, Hunter DJ, et al. Intra-articular corticosteroids and the risk of knee osteoarthritis progression: results from the Osteoarthritis Initiative. <em>Osteoarthr Cartil</em>. 2019;27(6):855-862.</li>\r\n 	<li>Zhao, Alex Tang, et al. \"A Comprehensive Update of Prolotherapy in the Management of Osteoarthritis of the Knee.\" <em>Orthopedic Reviews</em>4 (2022).</li>\r\n 	<li>Waluyo, Y., Artika, S. R. ., Wahyuni, I. N. ., Adnan, E. ., Budu, &amp; Bukhari, A. . (2023). Functional outcome in knee osteoarthritis after dextrose prolotherapy intervention: A severity-based pilot study. JKKI : Jurnal Kedokteran Dan Kesehatan Indonesia, 14(1), 47–54. <a href=\"https://doi.org/10.20885/JKKI.Vol14.Iss1.art8\">https://doi.org/10.20885/JKKI.Vol14.Iss1.art8</a></li>\r\n 	<li>Hauser, Ross A., et al. \"A systematic review of dextrose prolotherapy for chronic musculoskeletal pain.\" <em>Clinical medicine insights: arthritis and musculoskeletal disorders</em> 9 (2016): CMAMD-S39160.</li>\r\n</ul>','','','inherit','closed','closed','','5783-revision-v1','','','2023-05-21 16:03:33','2023-05-21 16:03:33','',5783,'https://www.drfields.com/?p=5785',0,'revision','',0),(5786,8,'2023-05-21 16:03:52','2023-05-21 16:03:52','<img class=\"alignright wp-image-5784\" src=\"https://www.drfields.com/wp-content/uploads/2023/05/Arthritis.-Orthopedic-Reviews-500x419.png\" alt=\"Arthritis. Orthopedic Reviews\" width=\"300\" height=\"251\" />\r\n\r\nArthritis is one of the most common conditions plaguing people all over the world. The annoying arthritis symptoms, like joint pain and stiffness, are a result of progressive loss of cartilage as the joint degenerates. These symptoms can put a real damper on people\'s lives, hindering the ability to move, slowing down progress, and making it difficult to accomplish desired activities.\r\n\r\n<strong>Why Does Arthritis Even Start in the First Place?</strong>\r\n\r\nThere is a reason for the degeneration that is prevalent with arthritis. At some point, the structures of the joint become injured. This injury may have occurred as a traumatic event, such as a sports injury or fall; or, the injury transpired over time, from wear and tear. Either way, the injury to the joint structures, like the ligaments and tendons, causes the joint to move abnormally. As the joint moves abnormally, friction and pressure is placed on the joint structures, which injures and wears them further.\r\n\r\nImagine a door with loose hinges. The door may now scrape on the floor, leaving grooves on the floor, because it moves abnormally. Whatever caused the loose hinge, either wear and tear or something/someone banged into it, the result is the same. The door is now unstable, leading to the abnormal motion, and the new wear on the floor.\r\n\r\nThat same process happens to our joints when the stabilizing joint structures, the tendons and ligaments, are injured. Ligaments become lax once they are injured, and the abnormal motion that takes place begins a cycle that ultimately results in degenerative changes and osteoarthritis.\r\n\r\n<strong>Can Joint Motion Be Restored?</strong>\r\n\r\nRegenerative Orthopedic therapies, such as Prolotherapy, PRP, and Stem Cells, can restore normal joint motion. The great thing about these treatments is that they are regenerative and restorative. Many other treatments, such as pain medications, only chase arthritic symptoms. They do not repair the underlying problem. These regenerative therapies do! Regenerative Orthopedics repair the underlying ligament and tendon injury, restore the abnormal joint motion, and stop the degenerative cycle.\r\n\r\n<strong>What Does the Research Say about Regenerative Orthopedics as An Alternative Arthritis Treatment?</strong>\r\n\r\nStudies show that Regenerative Orthopedics are beneficial alternative arthritis treatments that can bring a significant amount of pain relief and healing in degenerated joints.\r\n\r\n<strong>Here\'s what some of the studies say:</strong>\r\n\r\nResearchers analyzed 1093 patients for the efficacy and safety of intra-articular injections of platelet-rich plasma (PRP) and mesenchymal stem cells (MSCs) in the treatments of knee arthritis. They noted \"beneficial clinical outcomes by means of lowered pain perception and increased physical functionality; therefore, the quality of life in KOA (knee osteoarthritis) patients had been significantly improved.\"1\r\n\r\n<em>PRP and Stem Cell as an Alternative Arthritis Treatment</em>\r\n\r\nThis study documented in the journal, <em>Cureus</em>, looked at 30 published medical articles and found that PRP and stem cell injections are both effective at repairing tissue, providing pain relief, and restoring function in patients with mild to moderate knee arthritis. Stem Cell injections are more effective at repair in more severely degenerated knees. Both treatments are well tolerated without serious adverse effects observed. Additionally, this study concluded that regenerative medicine injections show superior results when compared to hyaluronic acid injections. (1)\r\n\r\n<strong><em>Prolotherapy as an Alternative Arthritis Treatment</em></strong>\r\n\r\nProlotherapy has been shown to be a successful treatment option for a variety of musculoskeletal conditions. Physicians commonly choose intra-articular injections, such as cortisone injections, once over-the-counter medications, topicals, and other treatments fail. However, cortisone treatments increase cartilage loss and make the arthritic joint worse.(2)\r\n\r\n<strong><em>Is Prolotherapy an Effective Alternative?</em></strong>\r\n\r\nResearchers in the medical journal <em>Orthopedic Reviews</em> say, \"Numerous clinical trials show significant improvement of osteoarthritic pain of the knee without any significant side effects reported following the use of prolotherapy. The results consistently show significant improvement in radiographic outcomes, pain scores, and quality of life with prolotherapy treatment. <strong>Prolotherapy appears to be a safe and effective alternative</strong> to physical therapy, surgery, NSAIDs, steroids, and opiates when they fail to provide clinical relief.\"(3)\r\n\r\nA 2023 Indonesian study concluded, \"Prolotherapy effectively improves functional outcomes in all stages of knee osteoarthritis.\"(4)\r\n\r\nAll of the above studies reviewed the effects of Regenerative Orthopedic treatments on knees. <strong>What about other joints?</strong> Hauser et al reviewed 32 research studies to determine the efficacy of dextrose prolotherapy in chronic musculoskeletal pain. In other words, this team reviewed the effects of regenerative treatment on multiple joint conditions.\r\n\r\n<strong>What were the results?</strong>\r\n\r\nThe Hauser et al study demonstrated the effectiveness of Prolotherapy on multiple joints and various types of joint conditions and found, \"Overall, dextrose prolotherapy has been demonstrated to be efficacious and should be considered as a treatment for pain and dysfunction associated with chronic musculoskeletal conditions, particularly tendinopathies and <strong>osteoarthritis</strong>.\"(5)\r\n\r\n<strong>Regenerative Orthopedics at OrthoRegen®</strong>\r\n\r\nAt OrthoRegen,® we have been a leader in regenerative treatments, helping arthritis sufferers get pain relief and restoration of joint function. We have many years of experience in providing regenerative treatments including Prolotherapy, Platelet Rich Plasma, and the Gold Standard in Stem Cell Therapy.  These treatments have helped thousands of patients with the restoration of their joint integrity. If arthritis is affecting your knees, back, shoulders, hips, or other joints, please give us a call and make an appointment soon, so you can get back to the activities you love.\r\n<ul>\r\n 	<li>Ip, Hoi Leng, et al. \"Regenerative medicine for knee osteoarthritis–the efficacy and safety of intra-articular platelet-rich plasma and mesenchymal Stem cells injections: a literature review.\" <em>Cureus</em>9 (2020).</li>\r\n 	<li>Zeng C, Lane NE, Hunter DJ, et al. Intra-articular corticosteroids and the risk of knee osteoarthritis progression: results from the Osteoarthritis Initiative. <em>Osteoarthr Cartil</em>. 2019;27(6):855-862.</li>\r\n 	<li>Zhao, Alex Tang, et al. \"A Comprehensive Update of Prolotherapy in the Management of Osteoarthritis of the Knee.\" <em>Orthopedic Reviews</em>4 (2022).</li>\r\n 	<li>Waluyo, Y., Artika, S. R. ., Wahyuni, I. N. ., Adnan, E. ., Budu, &amp; Bukhari, A. . (2023). Functional outcome in knee osteoarthritis after dextrose prolotherapy intervention: A severity-based pilot study. JKKI : Jurnal Kedokteran Dan Kesehatan Indonesia, 14(1), 47–54. <a href=\"https://doi.org/10.20885/JKKI.Vol14.Iss1.art8\">https://doi.org/10.20885/JKKI.Vol14.Iss1.art8</a></li>\r\n 	<li>Hauser, Ross A., et al. \"A systematic review of dextrose prolotherapy for chronic musculoskeletal pain.\" <em>Clinical medicine insights: arthritis and musculoskeletal disorders</em> 9 (2016): CMAMD-S39160.</li>\r\n</ul>','Alternative Treatment for Arthritis','','inherit','closed','closed','','5783-revision-v1','','','2023-05-21 16:03:52','2023-05-21 16:03:52','',5783,'https://www.drfields.com/?p=5786',0,'revision','',0),(5787,8,'2023-05-21 16:05:18','2023-05-21 16:05:18','<div class=\"clear\"></div>\r\n<div id=\"slider\">\r\n<div class=\"owl-carousel slider-carousel\">\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/12/Slider-2-v3-261222.jpg\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/Slider-v1-021120.jpg\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-santa-monica-pier-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">New Article:</span>\r\n<span class=\"header_text_second\">Keep Looking Forward Despite COVID-19</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dealing-with-covid-19/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-11.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/0_header-orthoregen-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Get Back In The Game!</span>\r\n<span class=\"header_text_second\">Avoid Joint and Spine Surgery </span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">Stem Cell/PRP/Prolotherapy</span>\r\n<a class=\"btn-more\" title=\"Get Help Now!\" href=\"Contact-Us\"> Get Help Now!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item slide-article\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-ocean-mountains-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_second\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/0_Kili-top-header-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\" style=\"text-align: left;\"><span class=\"header_text_first\">Congratulations\r\nPeter A. Fields, MD, DC</span>\r\n<span class=\"header_text_second\">The Athletic Doc<sup>®</sup>\r\nsuccessfully climbed</span>\r\n<span class=\"header_text_third white-text\">Mt. Kilimanjaro in\r\nTanzania, Africa.19,341 feet!!!</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/report-of-my-kilimanjaro-climb/\">Read More</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/Sider-01-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Peter A. Fields, MD, DC\r\nThe Athletic Doc<sup>®</sup></span>\r\n<span class=\"header_text_second\">Completed His 11th Ironman</span>\r\n<span class=\"header_text_third\">Sunday, November 24th in Cozumel Mexico</span>\r\n<a class=\"btn-more\" title=\"Read More\" href=\"#\">Images &amp; Story Coming Soon</a></div>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"jumbotron-fluid\">\r\n<div class=\"row\">\r\n<div class=\"col-md-4 box1\">\r\n\r\nWhat\'s\r\n<h3>New</h3>\r\n<ul>\r\n 	<li><a href=\"/uncategorized/alternative-treatment-for-arthritis/\">Alternative Treatment for Arthritis</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/chronic-pain-management/\">Chronic Pain Management</a></li>\r\n 	<li><a href=\"/articles/meniscus-tear-treatment/\">Meniscus Tear Treatment</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/neck-pain-treatment/\">Neck Pain Treatment</a></li>\r\n 	<li><a href=\"/uncategorized/knee-replacement-failure/\">Knee Replacement Failure</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/best-treatments-for-low-back-pain/\">Best Treatments For Low Back Pain</a></li>\r\n 	<li><a href=\"https://www.drfields.com/uncategorized/arthritis-knee-treatment/\">Arthritis Knee Treatment</a></li></ul>\r\n</div>\r\n<div id=\"testimonials\" class=\"col-md-4 box2\">\r\n\r\nPatient\r\n<h3>Testimonials</h3>\r\n<strong>Video:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I wished I had come earlier and listened to what my physical therapist had told me to do because Dr. Fields has been a real solution for me.\"\r\n\r\n<img class=\"testimonial-img\" title=\"Testimonial\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-larry.png\" alt=\"Testimonial\" />\r\n<h3>Larry</h3>\r\n<h4>Stem Cell Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I highly recommend it to anyone who needs to recover fast and get back out there.\"\r\n\r\n<img class=\"testimonial-img\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-christopher.png\" alt=\"\" />\r\n<h3>Chris, Pro Basketball Player</h3>\r\n<h4>PRP Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"Now I can go walking, I go to my ballet class and I’m a happy camper because of Dr. Fields.\"\r\n\r\n<img class=\"testimonial-img\" title=\"\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-mary.png\" alt=\"Testimonial\" />\r\n<h3>Mary</h3>\r\n<h4>Stem Cell Hip</h4>\r\n</div>\r\n</div>\r\n<strong>Written:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I need to say a big thank you to Dr Fields for getting me back on the tennis court. I am an avid tennis player who tried to ignore the terrible pain in my elbow.\"\r\n<h3 style=\"margin-left: 0;\">Mindy</h3>\r\n<h4 style=\"margin-left: 0;\">Elbow</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I chose Dr. Peter Fields because he is an athlete and would have more direct knowledge of my particular circumstances than anyone else.\"\r\n<h3 style=\"margin-left: 0;\">Robert</h3>\r\n<h4 style=\"margin-left: 0;\">Shoulder</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"After the final treatments ended I am still without all the pain and have more muscle strength in my legs.\"\r\n<h3 style=\"margin-left: 0;\">Lois</h3>\r\n<h4 style=\"margin-left: 0;\">Knee</h4>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"col-md-4 box3\">\r\n\r\nNews &amp;\r\n<h3>Events</h3>\r\n<ul>\r\n 	<li><a href=\"https://www.drfields.com/articles/health-news/dr-fields-to-lecture-in-mexico-city-on-july-9th/\">Peter A. Fields, MD, DC to lecture in Mexico City on July 9th</a></li>\r\n 	<li><a class=\"buttonlink\" style=\"width: 100%; font-size: 24px; text-align: center; padding: 25px 8%;\" href=\"https://www.drfields.com/contact/\"> Are you a Stem Cell Candidate?</a></li>\r\n</ul>\r\n</div>\r\n</div>\r\n</div>\r\n<div id=\"search-articles\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n<h2 class=\"text-center\">Search <b>Dr. Fields\'</b> Articles</h2>\r\n<form id=\"searchform\" action=\"/\" method=\"get\"><input class=\"search-field\" name=\"s\" type=\"text\" placeholder=\"What\'s Your Condition?\" />\r\n<input type=\"submit\" value=\"Search\" /></form></div>\r\n</div>\r\n</div>\r\n<div id=\"intro\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n<h1 class=\"text-center\">Welcome to OrthoRegen<sup>®</sup>!</h1>\r\n<p class=\"intro_text welcome\"><a href=\"http://orthoregen.com\"><span style=\"font-size: 26px;\">OrthoRegen<sup>®</sup></span></a> is dedicated to providing the best of <span class=\"nowrap\">Regenerative Orthopedics</span> by offering non-surgical alternatives for joint and spine repair</p>\r\n<a class=\"primaryButton\" title=\"Read More About U\" href=\"https://www.drfields.com/about/orthoregen-our-philosophy/\">Read More About Us</a>\r\n<a id=\"candidateButton\" title=\"Are you a good candidate?\" href=\"/contact/\">Are you a good candidate?</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"about\">\r\n<div class=\"col-md-5 drfields\"><img class=\"alignnone\" title=\"Regenerative Orthopedics Leader\" src=\"https://www.drfields.com/wp-content/uploads/2022/11/dr-fields-v1-021120.png\" alt=\"Regenerative Orthopedics Leader\" width=\"460\" height=\"737\" /></div>\r\n<div class=\"col-md-7 about_holder\">\r\n<h1>Peter A. Fields, <span class=\"nowrap\">MD, DC</span></h1>\r\n<p class=\"intro_text\">Medical Physician and Chiropractor\r\nThe Athletic Doc<sup>®</sup> - 11x Ironman Triathlete</p>\r\n\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"icon info\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-info.png\" alt=\"icon info\" /></div>\r\n<div class=\"about_text\">\r\n<h3>About</h3>\r\nPeter A. Fields, MD, DC is one of a handful of physicians in the nation with both medical and chiropractic degrees...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/dr-fields-bio/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"Man Icon\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-ironman.png\" alt=\"Man Icon\" /></div>\r\n<div class=\"about_text\">\r\n<h3>11x Ironman</h3>\r\nDr. Peter A. Fields is also known as The Athletic Doc<sup>®</sup> He not only treats athletes in his practice but is an athlete himself. For over...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n&nbsp;\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Call Us Today! 310-453-1234</a>','Home','','inherit','closed','closed','','2109-revision-v1','','','2023-05-21 16:05:18','2023-05-21 16:05:18','',2109,'https://www.drfields.com/?p=5787',0,'revision','',0),(5788,8,'2023-05-23 03:49:11','2023-05-23 03:49:11','<img class=\"alignright wp-image-5784\" src=\"https://www.drfields.com/wp-content/uploads/2023/05/Arthritis.-Orthopedic-Reviews-500x419.png\" alt=\"Arthritis. Orthopedic Reviews\" width=\"300\" height=\"251\" />\n\nArthritis is one of the most common conditions plaguing people all over the world. The annoying arthritis symptoms, like joint pain and stiffness, are a result of progressive loss of cartilage as the joint degenerates. These symptoms can put a real damper on people\'s lives, hindering the ability to move, slowing down progress, and making it difficult to accomplish desired activities.\n<h2>Why Does Arthritis Even Start in the First Place?</h2>\nThere is a reason for the degeneration that is prevalent with arthritis. At some point, the structures of the joint become injured. This injury may have occurred as a traumatic event, such as a sports injury or fall; or, the injury transpired over time, from wear and tear. Either way, the injury to the joint structures, like the ligaments and tendons, causes the joint to move abnormally. As the joint moves abnormally, friction and pressure is placed on the joint structures, which injures and wears them further.\n\nImagine a door with loose hinges. The door may now scrape on the floor, leaving grooves on the floor, because it moves abnormally. Whatever caused the loose hinge, either wear and tear or something/someone banged into it, the result is the same. The door is now unstable, leading to the abnormal motion, and the new wear on the floor.\n\nThat same process happens to our joints when the stabilizing joint structures, the tendons and ligaments, are injured. Ligaments become lax once they are injured, and the abnormal motion that takes place begins a cycle that ultimately results in degenerative changes and osteoarthritis.\n<h2>Can Joint Motion Be Restored?</h2>\nRegenerative Orthopedic therapies, such as Prolotherapy, PRP, and Stem Cells, can restore normal joint motion. The great thing about these treatments is that they are regenerative and restorative. Many other treatments, such as pain medications, only chase arthritic symptoms. They do not repair the underlying problem. These regenerative therapies do! Regenerative Orthopedics repair the underlying ligament and tendon injury, restore the abnormal joint motion, and stop the degenerative cycle.\n<h2>What Does the Research Say about Regenerative Orthopedics as An Alternative Arthritis Treatment?</h2>\nStudies show that Regenerative Orthopedics are beneficial alternative arthritis treatments that can bring a significant amount of pain relief and healing in degenerated joints.\n<h2>Here\'s what some of the studies say:</h2>\nResearchers analyzed 1093 patients for the efficacy and safety of intra-articular injections of platelet-rich plasma (PRP) and mesenchymal stem cells (MSCs) in the treatments of knee arthritis. They noted \"beneficial clinical outcomes by means of lowered pain perception and increased physical functionality; therefore, the quality of life in KOA (knee osteoarthritis) patients had been significantly improved.\"1\n\n<em>PRP and Stem Cell as an Alternative Arthritis Treatment</em>\n\nThis study documented in the journal, <em>Cureus</em>, looked at 30 published medical articles and found that PRP and stem cell injections are both effective at repairing tissue, providing pain relief, and restoring function in patients with mild to moderate knee arthritis. Stem Cell injections are more effective at repair in more severely degenerated knees. Both treatments are well tolerated without serious adverse effects observed. Additionally, this study concluded that regenerative medicine injections show superior results when compared to hyaluronic acid injections. (1)\n\n<strong><em>Prolotherapy as an Alternative Arthritis Treatment</em></strong>\n\nProlotherapy has been shown to be a successful treatment option for a variety of musculoskeletal conditions. Physicians commonly choose intra-articular injections, such as cortisone injections, once over-the-counter medications, topicals, and other treatments fail. However, cortisone treatments increase cartilage loss and make the arthritic joint worse.(2)\n<h2>Is Prolotherapy an Effective Alternative?</h2>\nResearchers in the medical journal <em>Orthopedic Reviews</em> say, \"Numerous clinical trials show significant improvement of osteoarthritic pain of the knee without any significant side effects reported following the use of prolotherapy. The results consistently show significant improvement in radiographic outcomes, pain scores, and quality of life with prolotherapy treatment. <strong>Prolotherapy appears to be a safe and effective alternative</strong> to physical therapy, surgery, NSAIDs, steroids, and opiates when they fail to provide clinical relief.\"(3)\n\nA 2023 Indonesian study concluded, \"Prolotherapy effectively improves functional outcomes in all stages of knee osteoarthritis.\"(4)\n\nAll of the above studies reviewed the effects of Regenerative Orthopedic treatments on knees. <strong>What about other joints?</strong> Hauser et al reviewed 32 research studies to determine the efficacy of dextrose prolotherapy in chronic musculoskeletal pain. In other words, this team reviewed the effects of regenerative treatment on multiple joint conditions.\n<h2>What were the results?</h2>\nThe Hauser et al study demonstrated the effectiveness of Prolotherapy on multiple joints and various types of joint conditions and found, \"Overall, dextrose prolotherapy has been demonstrated to be efficacious and should be considered as a treatment for pain and dysfunction associated with chronic musculoskeletal conditions, particularly tendinopathies and <strong>osteoarthritis</strong>.\"(5)\n<h2>Regenerative Orthopedics at OrthoRegen®</h2>\nAt OrthoRegen,® we have been a leader in regenerative treatments, helping arthritis sufferers get pain relief and restoration of joint function. We have many years of experience in providing regenerative treatments including Prolotherapy, Platelet Rich Plasma, and the Gold Standard in Stem Cell Therapy.  These treatments have helped thousands of patients with the restoration of their joint integrity. If arthritis is affecting your knees, back, shoulders, hips, or other joints, please give us a call and make an appointment soon, so you can get back to the activities you love.\n<ul>\n 	<li>Ip, Hoi Leng, et al. \"Regenerative medicine for knee osteoarthritis–the efficacy and safety of intra-articular platelet-rich plasma and mesenchymal Stem cells injections: a literature review.\" <em>Cureus</em>9 (2020).</li>\n 	<li>Zeng C, Lane NE, Hunter DJ, et al. Intra-articular corticosteroids and the risk of knee osteoarthritis progression: results from the Osteoarthritis Initiative. <em>Osteoarthr Cartil</em>. 2019;27(6):855-862.</li>\n 	<li>Zhao, Alex Tang, et al. \"A Comprehensive Update of Prolotherapy in the Management of Osteoarthritis of the Knee.\" <em>Orthopedic Reviews</em>4 (2022).</li>\n 	<li>Waluyo, Y., Artika, S. R. ., Wahyuni, I. N. ., Adnan, E. ., Budu, &amp; Bukhari, A. . (2023). Functional outcome in knee osteoarthritis after dextrose prolotherapy intervention: A severity-based pilot study. JKKI : Jurnal Kedokteran Dan Kesehatan Indonesia, 14(1), 47–54. <a href=\"https://doi.org/10.20885/JKKI.Vol14.Iss1.art8\">https://doi.org/10.20885/JKKI.Vol14.Iss1.art8</a></li>\n 	<li>Hauser, Ross A., et al. \"A systematic review of dextrose prolotherapy for chronic musculoskeletal pain.\" <em>Clinical medicine insights: arthritis and musculoskeletal disorders</em> 9 (2016): CMAMD-S39160.</li>\n</ul>','Alternative Treatment for Arthritis','','inherit','closed','closed','','5783-autosave-v1','','','2023-05-23 03:49:11','2023-05-23 03:49:11','',5783,'https://www.drfields.com/?p=5788',0,'revision','',0),(5789,8,'2023-05-23 03:49:21','2023-05-23 03:49:21','<img class=\"alignright wp-image-5784\" src=\"https://www.drfields.com/wp-content/uploads/2023/05/Arthritis.-Orthopedic-Reviews-500x419.png\" alt=\"Arthritis. Orthopedic Reviews\" width=\"300\" height=\"251\" />\r\n\r\nArthritis is one of the most common conditions plaguing people all over the world. The annoying arthritis symptoms, like joint pain and stiffness, are a result of progressive loss of cartilage as the joint degenerates. These symptoms can put a real damper on people\'s lives, hindering the ability to move, slowing down progress, and making it difficult to accomplish desired activities.\r\n<h2>Why Does Arthritis Even Start in the First Place?</h2>\r\nThere is a reason for the degeneration that is prevalent with arthritis. At some point, the structures of the joint become injured. This injury may have occurred as a traumatic event, such as a sports injury or fall; or, the injury transpired over time, from wear and tear. Either way, the injury to the joint structures, like the ligaments and tendons, causes the joint to move abnormally. As the joint moves abnormally, friction and pressure is placed on the joint structures, which injures and wears them further.\r\n\r\nImagine a door with loose hinges. The door may now scrape on the floor, leaving grooves on the floor, because it moves abnormally. Whatever caused the loose hinge, either wear and tear or something/someone banged into it, the result is the same. The door is now unstable, leading to the abnormal motion, and the new wear on the floor.\r\n\r\nThat same process happens to our joints when the stabilizing joint structures, the tendons and ligaments, are injured. Ligaments become lax once they are injured, and the abnormal motion that takes place begins a cycle that ultimately results in degenerative changes and osteoarthritis.\r\n<h2>Can Joint Motion Be Restored?</h2>\r\nRegenerative Orthopedic therapies, such as Prolotherapy, PRP, and Stem Cells, can restore normal joint motion. The great thing about these treatments is that they are regenerative and restorative. Many other treatments, such as pain medications, only chase arthritic symptoms. They do not repair the underlying problem. These regenerative therapies do! Regenerative Orthopedics repair the underlying ligament and tendon injury, restore the abnormal joint motion, and stop the degenerative cycle.\r\n<h2>What Does the Research Say about Regenerative Orthopedics as An Alternative Arthritis Treatment?</h2>\r\nStudies show that Regenerative Orthopedics are beneficial alternative arthritis treatments that can bring a significant amount of pain relief and healing in degenerated joints.\r\n<h2>Here\'s what some of the studies say:</h2>\r\nResearchers analyzed 1093 patients for the efficacy and safety of intra-articular injections of platelet-rich plasma (PRP) and mesenchymal stem cells (MSCs) in the treatments of knee arthritis. They noted \"beneficial clinical outcomes by means of lowered pain perception and increased physical functionality; therefore, the quality of life in KOA (knee osteoarthritis) patients had been significantly improved.\"1\r\n\r\n<em>PRP and Stem Cell as an Alternative Arthritis Treatment</em>\r\n\r\nThis study documented in the journal, <em>Cureus</em>, looked at 30 published medical articles and found that PRP and stem cell injections are both effective at repairing tissue, providing pain relief, and restoring function in patients with mild to moderate knee arthritis. Stem Cell injections are more effective at repair in more severely degenerated knees. Both treatments are well tolerated without serious adverse effects observed. Additionally, this study concluded that regenerative medicine injections show superior results when compared to hyaluronic acid injections. (1)\r\n<h2>Prolotherapy as an Alternative Arthritis Treatment</h2>\r\nProlotherapy has been shown to be a successful treatment option for a variety of musculoskeletal conditions. Physicians commonly choose intra-articular injections, such as cortisone injections, once over-the-counter medications, topicals, and other treatments fail. However, cortisone treatments increase cartilage loss and make the arthritic joint worse.(2)\r\n<h2>Is Prolotherapy an Effective Alternative?</h2>\r\nResearchers in the medical journal <em>Orthopedic Reviews</em> say, \"Numerous clinical trials show significant improvement of osteoarthritic pain of the knee without any significant side effects reported following the use of prolotherapy. The results consistently show significant improvement in radiographic outcomes, pain scores, and quality of life with prolotherapy treatment. <strong>Prolotherapy appears to be a safe and effective alternative</strong> to physical therapy, surgery, NSAIDs, steroids, and opiates when they fail to provide clinical relief.\"(3)\r\n\r\nA 2023 Indonesian study concluded, \"Prolotherapy effectively improves functional outcomes in all stages of knee osteoarthritis.\"(4)\r\n\r\nAll of the above studies reviewed the effects of Regenerative Orthopedic treatments on knees. <strong>What about other joints?</strong> Hauser et al reviewed 32 research studies to determine the efficacy of dextrose prolotherapy in chronic musculoskeletal pain. In other words, this team reviewed the effects of regenerative treatment on multiple joint conditions.\r\n<h2>What were the results?</h2>\r\nThe Hauser et al study demonstrated the effectiveness of Prolotherapy on multiple joints and various types of joint conditions and found, \"Overall, dextrose prolotherapy has been demonstrated to be efficacious and should be considered as a treatment for pain and dysfunction associated with chronic musculoskeletal conditions, particularly tendinopathies and <strong>osteoarthritis</strong>.\"(5)\r\n<h2>Regenerative Orthopedics at OrthoRegen®</h2>\r\nAt OrthoRegen,® we have been a leader in regenerative treatments, helping arthritis sufferers get pain relief and restoration of joint function. We have many years of experience in providing regenerative treatments including Prolotherapy, Platelet Rich Plasma, and the Gold Standard in Stem Cell Therapy.  These treatments have helped thousands of patients with the restoration of their joint integrity. If arthritis is affecting your knees, back, shoulders, hips, or other joints, please give us a call and make an appointment soon, so you can get back to the activities you love.\r\n<ul>\r\n 	<li>Ip, Hoi Leng, et al. \"Regenerative medicine for knee osteoarthritis–the efficacy and safety of intra-articular platelet-rich plasma and mesenchymal Stem cells injections: a literature review.\" <em>Cureus</em>9 (2020).</li>\r\n 	<li>Zeng C, Lane NE, Hunter DJ, et al. Intra-articular corticosteroids and the risk of knee osteoarthritis progression: results from the Osteoarthritis Initiative. <em>Osteoarthr Cartil</em>. 2019;27(6):855-862.</li>\r\n 	<li>Zhao, Alex Tang, et al. \"A Comprehensive Update of Prolotherapy in the Management of Osteoarthritis of the Knee.\" <em>Orthopedic Reviews</em>4 (2022).</li>\r\n 	<li>Waluyo, Y., Artika, S. R. ., Wahyuni, I. N. ., Adnan, E. ., Budu, &amp; Bukhari, A. . (2023). Functional outcome in knee osteoarthritis after dextrose prolotherapy intervention: A severity-based pilot study. JKKI : Jurnal Kedokteran Dan Kesehatan Indonesia, 14(1), 47–54. <a href=\"https://doi.org/10.20885/JKKI.Vol14.Iss1.art8\">https://doi.org/10.20885/JKKI.Vol14.Iss1.art8</a></li>\r\n 	<li>Hauser, Ross A., et al. \"A systematic review of dextrose prolotherapy for chronic musculoskeletal pain.\" <em>Clinical medicine insights: arthritis and musculoskeletal disorders</em> 9 (2016): CMAMD-S39160.</li>\r\n</ul>','Alternative Treatment for Arthritis','','inherit','closed','closed','','5783-revision-v1','','','2023-05-23 03:49:21','2023-05-23 03:49:21','',5783,'https://www.drfields.com/?p=5789',0,'revision','',0),(5790,8,'2023-05-23 03:50:12','2023-05-23 03:50:12','<div class=\"clear\"></div>\r\n<div id=\"slider\">\r\n<div class=\"owl-carousel slider-carousel\">\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/12/Slider-2-v3-261222.jpg\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/Slider-v1-021120.jpg\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-santa-monica-pier-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">New Article:</span>\r\n<span class=\"header_text_second\">Keep Looking Forward Despite COVID-19</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dealing-with-covid-19/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-11.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/0_header-orthoregen-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Get Back In The Game!</span>\r\n<span class=\"header_text_second\">Avoid Joint and Spine Surgery </span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">Stem Cell/PRP/Prolotherapy</span>\r\n<a class=\"btn-more\" title=\"Get Help Now!\" href=\"Contact-Us\"> Get Help Now!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item slide-article\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-ocean-mountains-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_second\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/0_Kili-top-header-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\" style=\"text-align: left;\"><span class=\"header_text_first\">Congratulations\r\nPeter A. Fields, MD, DC</span>\r\n<span class=\"header_text_second\">The Athletic Doc<sup>®</sup>\r\nsuccessfully climbed</span>\r\n<span class=\"header_text_third white-text\">Mt. Kilimanjaro in\r\nTanzania, Africa.19,341 feet!!!</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/report-of-my-kilimanjaro-climb/\">Read More</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/Sider-01-v1-021120.jpeg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Peter A. Fields, MD, DC\r\nThe Athletic Doc<sup>®</sup></span>\r\n<span class=\"header_text_second\">Completed His 11th Ironman</span>\r\n<span class=\"header_text_third\">Sunday, November 24th in Cozumel Mexico</span>\r\n<a class=\"btn-more\" title=\"Read More\" href=\"#\">Images &amp; Story Coming Soon</a></div>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"jumbotron-fluid\">\r\n<div class=\"row\">\r\n<div class=\"col-md-4 box1\">\r\n\r\nWhat\'s\r\n<h3>New</h3>\r\n<ul>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/alternative-treatment-for-arthritis/\">Alternative Treatment for Arthritis</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/chronic-pain-management/\">Chronic Pain Management</a></li>\r\n 	<li><a href=\"/articles/meniscus-tear-treatment/\">Meniscus Tear Treatment</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/neck-pain-treatment/\">Neck Pain Treatment</a></li>\r\n 	<li><a href=\"/uncategorized/knee-replacement-failure/\">Knee Replacement Failure</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/best-treatments-for-low-back-pain/\">Best Treatments For Low Back Pain</a></li>\r\n 	<li><a href=\"https://www.drfields.com/uncategorized/arthritis-knee-treatment/\">Arthritis Knee Treatment</a></li>\r\n</ul>\r\n</div>\r\n<div id=\"testimonials\" class=\"col-md-4 box2\">\r\n\r\nPatient\r\n<h3>Testimonials</h3>\r\n<strong>Video:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I wished I had come earlier and listened to what my physical therapist had told me to do because Dr. Fields has been a real solution for me.\"\r\n\r\n<img class=\"testimonial-img\" title=\"Testimonial\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-larry.png\" alt=\"Testimonial\" />\r\n<h3>Larry</h3>\r\n<h4>Stem Cell Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I highly recommend it to anyone who needs to recover fast and get back out there.\"\r\n\r\n<img class=\"testimonial-img\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-christopher.png\" alt=\"\" />\r\n<h3>Chris, Pro Basketball Player</h3>\r\n<h4>PRP Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"Now I can go walking, I go to my ballet class and I’m a happy camper because of Dr. Fields.\"\r\n\r\n<img class=\"testimonial-img\" title=\"\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-mary.png\" alt=\"Testimonial\" />\r\n<h3>Mary</h3>\r\n<h4>Stem Cell Hip</h4>\r\n</div>\r\n</div>\r\n<strong>Written:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I need to say a big thank you to Dr Fields for getting me back on the tennis court. I am an avid tennis player who tried to ignore the terrible pain in my elbow.\"\r\n<h3 style=\"margin-left: 0;\">Mindy</h3>\r\n<h4 style=\"margin-left: 0;\">Elbow</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I chose Dr. Peter Fields because he is an athlete and would have more direct knowledge of my particular circumstances than anyone else.\"\r\n<h3 style=\"margin-left: 0;\">Robert</h3>\r\n<h4 style=\"margin-left: 0;\">Shoulder</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"After the final treatments ended I am still without all the pain and have more muscle strength in my legs.\"\r\n<h3 style=\"margin-left: 0;\">Lois</h3>\r\n<h4 style=\"margin-left: 0;\">Knee</h4>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"col-md-4 box3\">\r\n\r\nNews &amp;\r\n<h3>Events</h3>\r\n<ul>\r\n 	<li><a href=\"https://www.drfields.com/articles/health-news/dr-fields-to-lecture-in-mexico-city-on-july-9th/\">Peter A. Fields, MD, DC to lecture in Mexico City on July 9th</a></li>\r\n 	<li><a class=\"buttonlink\" style=\"width: 100%; font-size: 24px; text-align: center; padding: 25px 8%;\" href=\"https://www.drfields.com/contact/\"> Are you a Stem Cell Candidate?</a></li>\r\n</ul>\r\n</div>\r\n</div>\r\n</div>\r\n<div id=\"search-articles\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n<h2 class=\"text-center\">Search <b>Dr. Fields\'</b> Articles</h2>\r\n<form id=\"searchform\" action=\"/\" method=\"get\"><input class=\"search-field\" name=\"s\" type=\"text\" placeholder=\"What\'s Your Condition?\" />\r\n<input type=\"submit\" value=\"Search\" /></form></div>\r\n</div>\r\n</div>\r\n<div id=\"intro\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n<h1 class=\"text-center\">Welcome to OrthoRegen<sup>®</sup>!</h1>\r\n<p class=\"intro_text welcome\"><a href=\"http://orthoregen.com\"><span style=\"font-size: 26px;\">OrthoRegen<sup>®</sup></span></a> is dedicated to providing the best of <span class=\"nowrap\">Regenerative Orthopedics</span> by offering non-surgical alternatives for joint and spine repair</p>\r\n<a class=\"primaryButton\" title=\"Read More About U\" href=\"https://www.drfields.com/about/orthoregen-our-philosophy/\">Read More About Us</a>\r\n<a id=\"candidateButton\" title=\"Are you a good candidate?\" href=\"/contact/\">Are you a good candidate?</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"about\">\r\n<div class=\"col-md-5 drfields\"><img class=\"alignnone\" title=\"Regenerative Orthopedics Leader\" src=\"https://www.drfields.com/wp-content/uploads/2022/11/dr-fields-v1-021120.png\" alt=\"Regenerative Orthopedics Leader\" width=\"460\" height=\"737\" /></div>\r\n<div class=\"col-md-7 about_holder\">\r\n<h1>Peter A. Fields, <span class=\"nowrap\">MD, DC</span></h1>\r\n<p class=\"intro_text\">Medical Physician and Chiropractor\r\nThe Athletic Doc<sup>®</sup> - 11x Ironman Triathlete</p>\r\n\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"icon info\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-info.png\" alt=\"icon info\" /></div>\r\n<div class=\"about_text\">\r\n<h3>About</h3>\r\nPeter A. Fields, MD, DC is one of a handful of physicians in the nation with both medical and chiropractic degrees...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/dr-fields-bio/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"Man Icon\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-ironman.png\" alt=\"Man Icon\" /></div>\r\n<div class=\"about_text\">\r\n<h3>11x Ironman</h3>\r\nDr. Peter A. Fields is also known as The Athletic Doc<sup>®</sup> He not only treats athletes in his practice but is an athlete himself. For over...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n&nbsp;\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Call Us Today! 310-453-1234</a>','Home','','inherit','closed','closed','','2109-revision-v1','','','2023-05-23 03:50:12','2023-05-23 03:50:12','',2109,'https://www.drfields.com/?p=5790',0,'revision','',0),(5792,9,'2023-05-26 21:39:35','2023-05-26 21:39:35','<img class=\"alignright wp-image-5784\" src=\"https://www.drfields.com/wp-content/uploads/2023/05/Arthritis.-Orthopedic-Reviews-500x419.png\" alt=\"Arthritis. Orthopedic Reviews\" width=\"300\" height=\"251\" />\n<h2>Regenerative Orthopedics: Alternative Treatments for Arthritis</h2>\nArthritis is one of the most common conditions plaguing people worldwide. The annoying arthritis symptoms, like joint pain and stiffness, are a result of the progressive loss of cartilage as the joint degenerates. These symptoms can put a real damper on people\'s lives, hindering the ability to move, slowing down progress, and making it difficult to accomplish desired activities. When common treatments fail, what are alternative treatments for arthritis?\n\nRegenerative Orthopedics are effective arthritis treatments. At OrthoRegen, we have seen arthritis sufferers finally get the relief they seek by choosing Prolotherapy, Platelet Rich Plasma, and the Gold Standard in Stem Cell Therapy.\n<h2>Why Does Arthritis Even Start in the First Place?</h2>\nThere is a reason for the degeneration that is prevalent with arthritis. At some point, the structures of the joint become injured. This injury may have occurred as a traumatic event, such as a sports injury or fall.  Or, the injury transpired over time from wear and tear. Either way, the damage to the joint structures, like the ligaments and tendons, causes the joint to move abnormally. As the joint moves abnormally, friction and pressure are placed on the joint structures, which injures and wears them further.\n\nImagine a door with loose hinges. The door may now scrape on the floor, leaving grooves on it because the door moves abnormally. Whatever caused the loose hinge, either wear and tear or something/someone banged into it; the result is the same. The door is now unstable, leading to abnormal motion and new wear on the floor.\n\nThat same process happens to our joints when the stabilizing joint structures, the tendons, and ligaments, are injured. Ligaments become lax once they are injured, and the abnormal motion that takes place begins a cycle that ultimately results in degenerative changes and osteoarthritis.\n<h2>Can Joint Motion Be Restored?</h2>\nRegenerative Orthopedic therapies, such as Prolotherapy, PRP, and Stem Cells, can restore normal joint motion. The great thing about these treatments is that they are regenerative and restorative. Many other treatments, such as pain medications, only chase arthritic symptoms. They do not repair the underlying problem. These regenerative therapies do! Regenerative Orthopedics repairs the underlying ligament and tendon injury, restore the abnormal joint motion, and stop the degenerative cycle.\n<h2>What Does the Research Say about Regenerative Orthopedics as An Alternative Arthritis Treatment?</h2>\nStudies show that Regenerative Orthopedics are beneficial alternative arthritis treatments that can bring significant pain relief and healing in degenerated joints.\n<h3>Here\'s what some of the studies say:</h3>\nResearchers analyzed 1093 patients for the efficacy and safety of intra-articular injections of platelet-rich plasma (PRP) and mesenchymal stem cells (MSCs) in treating knee arthritis. They noted \"beneficial clinical outcomes by means of lowered pain perception and increased physical functionality; therefore, the quality of life in KOA (knee osteoarthritis) patients had been significantly improved.\"1\n<h4><em>PRP and Stem Cells as an Alternative Arthritis Treatment</em></h4>\nThis study, documented in the journal, <em>Cureus</em>, looked at 30 published medical articles and found that PRP and stem cell injections are effective at repairing tissue, providing pain relief, and restoring function in patients with mild to moderate knee arthritis. Stem Cell injections are more effective at repair in more severely degenerated knees. Both treatments are well tolerated without serious adverse effects observed. Additionally, this study concluded that regenerative medicine injections show superior results compared to hyaluronic acid injections. (1)\n<h4><em>Prolotherapy as an Alternative Arthritis Treatment</em></h4>\nProlotherapy is a successful treatment option for various musculoskeletal conditions. Physicians commonly choose intra-articular injections, such as cortisone injections, once over-the-counter medications, topicals, and other treatments fail. However, cortisone treatments increase cartilage loss and make the arthritic joint worse. (2)\n<h2>Is Prolotherapy an Effective Alternative?</h2>\nResearchers in the medical journal <em>Orthopedic Reviews</em> say, \"Numerous clinical trials show significant improvement of osteoarthritic knee pain without any significant side effects reported following the use of prolotherapy. The results consistently show significant improvement in radiographic outcomes, pain scores, and quality of life with prolotherapy treatment. <strong>Prolotherapy appears to be a safe and effective alternative</strong> to physical therapy, surgery, NSAIDs, steroids, and opiates when they fail to provide clinical relief.\"(3)\n\nA 2023 Indonesian study concluded, \"Prolotherapy effectively improves functional outcomes in all stages of knee osteoarthritis.\"(4)\n\nAll of the above studies reviewed the effects of Regenerative Orthopedic treatments on knees. <strong>What about other joints?</strong> Hauser et al. reviewed 32 research studies to determine the efficacy of dextrose prolotherapy in chronic musculoskeletal pain. In other words, this team reviewed the effects of regenerative treatment on multiple joint conditions.\n<h4>What were the results?</h4>\nThe Hauser et al. study demonstrated the effectiveness of Prolotherapy on multiple joints and various types of joint conditions and found, \"Overall, dextrose prolotherapy has been demonstrated to be efficacious and should be considered as a treatment for pain and dysfunction associated with chronic musculoskeletal conditions, particularly tendinopathies, and <strong>osteoarthritis</strong>.\"(5)\n<h2>Regenerative Orthopedics at OrthoRegen®</h2>\nAt OrthoRegen,® we have been a leader in regenerative treatments, helping arthritis sufferers get pain relief and restore joint function. We have many years of experience in providing regenerative treatments as alternative treatments for arthritis including Prolotherapy, Platelet Rich Plasma, and the Gold Standard in Stem Cell Therapy.  These treatments have helped thousands of patients restore their joint integrity. If arthritis is affecting your knees, back, shoulders, hips, or other joints, please give us a call and make an appointment soon, so you can get back to the activities you love.\n<ul>\n 	<li>Ip, Hoi Leng, et al. \"Regenerative medicine for knee osteoarthritis–the efficacy and safety of intra-articular platelet-rich plasma and mesenchymal Stem cells injections: a literature review.\" <em>Cureus</em>9 (2020).</li>\n 	<li>Zeng C, Lane NE, Hunter DJ, et al. Intra-articular corticosteroids and the risk of knee osteoarthritis progression: results from the Osteoarthritis Initiative. <em>Osteoarthr Cartil</em>. 2019;27(6):855-862.</li>\n 	<li>Zhao, Alex Tang, et al. \"A Comprehensive Update of Prolotherapy in the Management of Osteoarthritis of the Knee.\" <em>Orthopedic Reviews</em>4 (2022).</li>\n 	<li>Waluyo, Y., Artika, S. R. ., Wahyuni, I. N. ., Adnan, E. ., Budu, &amp; Bukhari, A. . (2023). Functional outcome in knee osteoarthritis after dextrose prolotherapy intervention: A severity-based pilot study. JKKI : Jurnal Kedokteran Dan Kesehatan Indonesia, 14(1), 47–54. <a href=\"https://doi.org/10.20885/JKKI.Vol14.Iss1.art8\">https://doi.org/10.20885/JKKI.Vol14.Iss1.art8</a></li>\n 	<li>Hauser, Ross A., et al. \"A systematic review of dextrose prolotherapy for chronic musculoskeletal pain.\" <em>Clinical medicine insights: arthritis and musculoskeletal disorders</em> 9 (2016): CMAMD-S39160.</li>\n</ul>','Alternative Treatments for Arthritis','','inherit','closed','closed','','5783-autosave-v1','','','2023-05-26 21:39:35','2023-05-26 21:39:35','',5783,'https://www.drfields.com/?p=5792',0,'revision','',0),(5793,9,'2023-05-26 21:39:48','2023-05-26 21:39:48','<img class=\"alignright wp-image-5784\" src=\"https://www.drfields.com/wp-content/uploads/2023/05/Arthritis.-Orthopedic-Reviews-500x419.png\" alt=\"Arthritis. Orthopedic Reviews\" width=\"300\" height=\"251\" />\r\n<h2>Regenerative Orthopedics: Alternative Treatments for Arthritis</h2>\r\nArthritis is one of the most common conditions plaguing people worldwide. The annoying arthritis symptoms, like joint pain and stiffness, are a result of the progressive loss of cartilage as the joint degenerates. These symptoms can put a real damper on people\'s lives, hindering the ability to move, slowing down progress, and making it difficult to accomplish desired activities. When common treatments fail, what are alternative treatments for arthritis?\r\n\r\nRegenerative Orthopedics are effective arthritis treatments. At OrthoRegen,® we have seen arthritis sufferers finally get the relief they seek by choosing Prolotherapy, Platelet Rich Plasma, and the Gold Standard in Stem Cell Therapy.\r\n<h2>Why Does Arthritis Even Start in the First Place?</h2>\r\nThere is a reason for the degeneration that is prevalent with arthritis. At some point, the structures of the joint become injured. This injury may have occurred as a traumatic event, such as a sports injury or fall.  Or, the injury transpired over time from wear and tear. Either way, the damage to the joint structures, like the ligaments and tendons, causes the joint to move abnormally. As the joint moves abnormally, friction and pressure are placed on the joint structures, which injures and wears them further.\r\n\r\nImagine a door with loose hinges. The door may now scrape on the floor, leaving grooves on it because the door moves abnormally. Whatever caused the loose hinge, either wear and tear or something/someone banged into it; the result is the same. The door is now unstable, leading to abnormal motion and new wear on the floor.\r\n\r\nThat same process happens to our joints when the stabilizing joint structures, the tendons, and ligaments, are injured. Ligaments become lax once they are injured, and the abnormal motion that takes place begins a cycle that ultimately results in degenerative changes and osteoarthritis.\r\n<h2>Can Joint Motion Be Restored?</h2>\r\nRegenerative Orthopedic therapies, such as Prolotherapy, PRP, and Stem Cells, can restore normal joint motion. The great thing about these treatments is that they are regenerative and restorative. Many other treatments, such as pain medications, only chase arthritic symptoms. They do not repair the underlying problem. These regenerative therapies do! Regenerative Orthopedics repairs the underlying ligament and tendon injury, restore the abnormal joint motion, and stop the degenerative cycle.\r\n<h2>What Does the Research Say about Regenerative Orthopedics as An Alternative Arthritis Treatment?</h2>\r\nStudies show that Regenerative Orthopedics are beneficial alternative arthritis treatments that can bring significant pain relief and healing in degenerated joints.\r\n<h3>Here\'s what some of the studies say:</h3>\r\nResearchers analyzed 1093 patients for the efficacy and safety of intra-articular injections of platelet-rich plasma (PRP) and mesenchymal stem cells (MSCs) in treating knee arthritis. They noted \"beneficial clinical outcomes by means of lowered pain perception and increased physical functionality; therefore, the quality of life in KOA (knee osteoarthritis) patients had been significantly improved.\"1\r\n<h4><em>PRP and Stem Cells as an Alternative Arthritis Treatment</em></h4>\r\nThis study, documented in the journal, <em>Cureus</em>, looked at 30 published medical articles and found that PRP and stem cell injections are effective at repairing tissue, providing pain relief, and restoring function in patients with mild to moderate knee arthritis. Stem Cell injections are more effective at repair in more severely degenerated knees. Both treatments are well tolerated without serious adverse effects observed. Additionally, this study concluded that regenerative medicine injections show superior results compared to hyaluronic acid injections. (1)\r\n<h4><em>Prolotherapy as an Alternative Arthritis Treatment</em></h4>\r\nProlotherapy is a successful treatment option for various musculoskeletal conditions. Physicians commonly choose intra-articular injections, such as cortisone injections, once over-the-counter medications, topicals, and other treatments fail. However, cortisone treatments increase cartilage loss and make the arthritic joint worse. (2)\r\n<h2>Is Prolotherapy an Effective Alternative?</h2>\r\nResearchers in the medical journal <em>Orthopedic Reviews</em> say, \"Numerous clinical trials show significant improvement of osteoarthritic knee pain without any significant side effects reported following the use of prolotherapy. The results consistently show significant improvement in radiographic outcomes, pain scores, and quality of life with prolotherapy treatment. <strong>Prolotherapy appears to be a safe and effective alternative</strong> to physical therapy, surgery, NSAIDs, steroids, and opiates when they fail to provide clinical relief.\"(3)\r\n\r\nA 2023 Indonesian study concluded, \"Prolotherapy effectively improves functional outcomes in all stages of knee osteoarthritis.\"(4)\r\n\r\nAll of the above studies reviewed the effects of Regenerative Orthopedic treatments on knees. <strong>What about other joints?</strong> Hauser et al. reviewed 32 research studies to determine the efficacy of dextrose prolotherapy in chronic musculoskeletal pain. In other words, this team reviewed the effects of regenerative treatment on multiple joint conditions.\r\n<h4>What were the results?</h4>\r\nThe Hauser et al. study demonstrated the effectiveness of Prolotherapy on multiple joints and various types of joint conditions and found, \"Overall, dextrose prolotherapy has been demonstrated to be efficacious and should be considered as a treatment for pain and dysfunction associated with chronic musculoskeletal conditions, particularly tendinopathies, and <strong>osteoarthritis</strong>.\"(5)\r\n<h2>Regenerative Orthopedics at OrthoRegen®</h2>\r\nAt OrthoRegen,® we have been a leader in regenerative treatments, helping arthritis sufferers get pain relief and restore joint function. We have many years of experience in providing regenerative treatments as alternative treatments for arthritis including Prolotherapy, Platelet Rich Plasma, and the Gold Standard in Stem Cell Therapy.  These treatments have helped thousands of patients restore their joint integrity. If arthritis is affecting your knees, back, shoulders, hips, or other joints, please give us a call and make an appointment soon, so you can get back to the activities you love.\r\n<ul>\r\n 	<li>Ip, Hoi Leng, et al. \"Regenerative medicine for knee osteoarthritis–the efficacy and safety of intra-articular platelet-rich plasma and mesenchymal Stem cells injections: a literature review.\" <em>Cureus</em>9 (2020).</li>\r\n 	<li>Zeng C, Lane NE, Hunter DJ, et al. Intra-articular corticosteroids and the risk of knee osteoarthritis progression: results from the Osteoarthritis Initiative. <em>Osteoarthr Cartil</em>. 2019;27(6):855-862.</li>\r\n 	<li>Zhao, Alex Tang, et al. \"A Comprehensive Update of Prolotherapy in the Management of Osteoarthritis of the Knee.\" <em>Orthopedic Reviews</em>4 (2022).</li>\r\n 	<li>Waluyo, Y., Artika, S. R. ., Wahyuni, I. N. ., Adnan, E. ., Budu, &amp; Bukhari, A. . (2023). Functional outcome in knee osteoarthritis after dextrose prolotherapy intervention: A severity-based pilot study. JKKI : Jurnal Kedokteran Dan Kesehatan Indonesia, 14(1), 47–54. <a href=\"https://doi.org/10.20885/JKKI.Vol14.Iss1.art8\">https://doi.org/10.20885/JKKI.Vol14.Iss1.art8</a></li>\r\n 	<li>Hauser, Ross A., et al. \"A systematic review of dextrose prolotherapy for chronic musculoskeletal pain.\" <em>Clinical medicine insights: arthritis and musculoskeletal disorders</em> 9 (2016): CMAMD-S39160.</li>\r\n</ul>','Alternative Treatments for Arthritis','','inherit','closed','closed','','5783-revision-v1','','','2023-05-26 21:39:48','2023-05-26 21:39:48','',5783,'https://www.drfields.com/?p=5793',0,'revision','',0),(5795,8,'2023-06-08 14:49:25','2023-06-08 14:49:25','<h2><img class=\"alignright wp-image-5796\" src=\"https://www.drfields.com/wp-content/uploads/2023/06/Tennis-Elbow-American-Journal-of-Phy-Med-Rehab-1-500x419.png\" alt=\"Tennis Elbow Treatment\" width=\"365\" height=\"305\" />Tennis Elbow Treatment</h2>\r\nYou don\'t have to be a tennis player to have tennis elbow. Tennis elbow is a condition caused by overuse. Sufferers might be painters, writers, guitar players, or anyone who does an activity requiring repetitive use of the arm and elbow. In this article, we\'ll delve into tennis elbow as well as tennis elbow treatment.\r\n\r\nTennis elbow pain may radiate from the outer elbow into the forearm and wrist. These symptoms may make daily activities difficult. Even simple tasks like turning a doorknob or picking up, holding, and gripping objects.\r\n\r\nOver-the-counter pain medications, NSAIDs, cortisone injections, bracing, taping, physical therapy, and massage, may work to bring some relief. But when these fail to achieve the desired relief, and your elbow continues to hurt, it is time to seek reparative, regenerative treatments like Regenerative Orthopedics.\r\n<h2>Lateral Epicondylitis</h2>\r\nThe medical terminology for tennis elbow is lateral epicondylitis. The \"itis\" at the end of this word suggests inflammation of the tendon where it attaches to the bony prominence of the elbow (the lateral epicondyle). However, in tennis elbow, there is not always evidence of inflammation.  And because of that, there is some controversy about the treatment for the condition. The <em>Journal of Shoulder and Elbow Surgery says this</em>:\r\n<ul>\r\n 	<li>“As orthopaedic surgeons, we are besieged by myths that guide our treatment of lateral epicondylitis, or “tennis elbow.” This extends from the term used to describe the condition to the nonoperative and operative treatments as well. The term epicondylitis suggests an inflammatory cause; however, in all but 1 publication examining pathologic specimens of patients operated on for this condition, <strong>no evidence of acute or chronic inflammation is found</strong>.\"(<a href=\"https://www.ncbi.nlm.nih.gov/pubmed/10543604\">1</a>)</li>\r\n</ul>\r\nThe Open Access Journal of Sports Medicine also notes the controversy:\r\n<ul>\r\n 	<li>“Although most cases are self-limiting over several years, controversy exists regarding the best treatment strategy for chronic lateral epicondylitis.”(2)</li>\r\n</ul>\r\n<h2>Tendinosis Rather Than Tendonitis</h2>\r\nWhen elbow pain is chronic, and has lasted for an extended amount of time, it is likely that the problem is tendinosis, a condition of tendon degeneration.\r\n\r\n<strong><em>What does all of that mean? What is tendinopathy, tendonitis, or tendinosis?</em></strong>\r\n\r\nTendinopathy is a broad term often used to describe any problem with a tendon.\r\n\r\nTendonitis refers to inflammation of the tendon, and is actually a less common cause of tendon pain than you might think.\r\n\r\nTendinosis is the breakdown (degeneration) of the collagen fibers in the tendon. It happens slowly and is often the result of tendon overuse.\r\n\r\nTendinosis is therefore the chronic non-inflammatory degeneration of a tendon. The condition may develop as a result of chronic tendonitis or due to repetitive strain-injuries to a tendon without adequate time to heal. Tendinosis is a more common cause of tendon pain. Since inflammation is not the issue, the problem does not respond well to anti-inflammatories.<strong> </strong>\r\n<h2>Tennis Elbow: An Overuse Injury</h2>\r\nOveruse injuries are activity-related injuries linked to repetitive stress placed on the tendon, ligament or other joint structure. Doing too much of the same activity strains the soft tissue structures of the elbow. Using poor or improper technique while training or poor form when painting can overload the muscles, tendons, and ligaments, and cause an overuse injury.\r\n<h2>Instability May Be Behind Tennis Elbow</h2>\r\nChronic elbow pain may be related to ligament, muscle, and tendon injury. In order to resolve the problem, all of these areas need to be addressed for alleviation of the pain.\r\n\r\nIt is possible that elbow pain is a result of injury of the elbow ligaments. When elbow ligaments are involved, they may be frayed, torn, or otherwise weakened. Why is it important to address the ligaments if tennis elbow is a tendon problem? Ligaments are dense bands of connective tissue that attach one bone to another. They hold the bones in place, and allow for a strong, stable base upon which the muscles contract and move the joint. When a tendon is injured, there is often ligament involvement as well, and these soft tissue structures need to be repaired to stop the problem.\r\n\r\nWhen the ligaments are injured or weakened, they can cause strain on the tendon and other joint structures. This allows for excessive elbow movement and instability. In this cycle of instability, the tendons will attempt to hold the muscle to the bone, increasing stress, and increasing the possibility of injury to the tendon.<strong> </strong>\r\n<h2>Is Bracing a Tennis Elbow Treatment that Helps?<strong> </strong></h2>\r\n<em><u>Bracing</u></em>\r\n\r\nThe journal <em>Prosthetics and Orthotics International</em> (3) examined the popular counterforce brace in people with problems of lateral elbow tendinopathy and found that physical therapy had better results.\r\n\r\nIn fact, researchers have concluded that braces, sleeves, tapes, and elbow bands may just be a waste of money, and that they probably only provide placebo affects.(4)\r\n<h2><em><u>What About Surgery as a Tennis Elbow Treatment?</u></em></h2>\r\n<strong>The <em>US National Institutes of Health Clinical Trial</em></strong><strong> website</strong><strong> says: “<em>Despite its promise, there have been no high-quality studies evaluating the efficacy of arthroscopic tennis elbow release, bringing the actual efficacy of this procedure into question.” </em>(5)</strong>\r\n\r\n<em>The British Journal of Sports Medicine </em>has an article entitled:<strong> “Time to put down the scalpel?”</strong> It says,“Our published review highlighted the importance of sham surgery in randomized controlled surgical trials including those in tendinopathy. Compared with using a non-surgical control group, sham surgery equalizes the placebo effect of surgery and gives more realistic insights into the effectiveness of the actual surgical procedure in question.\"(6)<strong> </strong>\r\n<h2>There’s Another Way and It Does Not Require Surgery!</h2>\r\n<h3><em>Regenerative Orthopedics: Tennis Elbow Treatment</em></h3>\r\nRegenerative Orthopedics is a non-surgical treatment that effectively repairs the tendons and ligaments involved in tennis elbow. Prolotherapy is one type of Regenerative Orthopedics and studies show its effectiveness in treating tennis elbow.\r\n\r\nProlotherapy is an injection technique that works to regenerate the degenerated tendon and ligaments. The injection of simple dextrose mimics the natural healing response and stimulates healing growth factors to repair the tissue.\r\n<h2>What Does the Research Say About Prolotherapy?</h2>\r\n<ul>\r\n 	<li>Researchers published a study in the <em>American Journal of Physical Medicine &amp; Rehabilitation </em>that evaluated Prolotherapy for tennis elbow. They concluded: <em>“Prolotherapy resulted in safe, significant improvement of elbow pain and function compared with baseline status and follow-up data and the wait-and-see control group” </em>(7).</li>\r\n</ul>\r\n<ul>\r\n 	<li>A study of 84 patients with tennis elbow who were treated with dextrose prolotherapy had statistically significant reductions in pain levels. (8)</li>\r\n</ul>\r\n<ul>\r\n 	<li>Archives of Physical Medicine and Rehabilitation concluded: “Hypertonic dextrose prolotherapy is superior to (placebo) at 12 weeks for decreasing pain intensity and functioning by margins that meet criteria for clinical relevance in the treatment of lateral elbow tendinosis.\" (9)<strong> </strong></li>\r\n</ul>\r\nProlotherapy is effective for tennis elbow! It works because it boosts the body’s healing abilities naturally. It works because it addresses the problem by repairing the injured soft tissue. And it works because it reduces or eliminates the symptoms.\r\n\r\nProlotherapy and other Regenerative Orthopedics, such as PRP and Stem Cell Therapy, all strengthen the involved ligaments and tendons. These therapies stabilize the elbow, strengthen the elbow, address the instability, and put an end to the pain and symptoms of tennis elbow. Recommendations may be made for PRP and/or Stem Cell in more advanced cases, but all treatments would include Prolotherapy.\r\n\r\nIf tennis elbow is a condition you are currently facing, please reach out and give us a call. We would be happy to help you become symptom free.\r\n<h2><strong>References</strong></h2>\r\n(1) Boyer MI. Lateral tennis elbow:” Is there any science out there?.”Journal of Shoulder and Elbow Surgery. 1999;8(5):481-91.\r\n\r\n(2) Lai WC, Erickson BJ, Mlynarek RA, Wang D. Chronic lateral epicondylitis: challenges and solutions. Open Access Journal of Sports Medicine. 2018;9:243.\r\n\r\n(3) Shahabi S, Bagheri Lankarani K, Heydari ST, Jalali M, Ghahramani S, Kamyab M, Tabrizi R, Hosseinabadi M. The effects of counterforce brace on pain in subjects with lateral elbow tendinopathy: A systematic review and meta-analysis of randomized controlled trials. Prosthetics and Orthotics International. 2020 Jul 8:0309364620930618.\r\n\r\n(4) Au IP, Fan PC, Lee WY, Leong MW, Tang OY, An WW, Cheung RT. Effects of Kinesio tape in individuals with lateral epicondylitis: a deceptive crossover trial. Physiotherapy Theory and Practice. 2017 Dec 2;33(12):914-9.\r\n\r\n(5) Kroslak M, Murrell GAC. Surgical Treatment of Lateral Epicondylitis: A Prospective, Randomized, Double-Blinded, Placebo-Controlled Clinical Trial. Am J Sports Med. 2018 Mar 1:363546517753385. doi: 10.1177/0363546517753385.\r\n\r\n(6) Millar, Neal L., George AC Murrell, and Paul Kirwan. \"Time to put down the scalpel? The role of surgery in tendinopathy.\" British Journal of Sports Medicine 54.8 (2020): 441-442.\r\n\r\n(7) Rabago D, Lee KS, Ryan M, Chourasia AO, Sesto ME, Zgierska A, Kijowski R, Grettie J, Wilson J, Miller D. Hypertonic Dextrose and Morrhuate Sodium Injections (Prolotherapy) for Lateral Epicondylosis (Tennis Elbow): Results of a Single-blind, Pilot-Level, Randomized Controlled Trial. Am J Phys Med Rehabil. 2013 Jan 3.\r\n\r\n(8) Shin J, Seo K-M, Kim D-K, Kim B-K, Kang SH. The effect of prolotherapy on lateral epicondylitis of elbow. J Korean Acad Rehabil Med. 2002;26:764–8.\r\n\r\n(9) Zhu M, Rabago D, Chung VC, Reeves KD, Wong SY, Sit RW. Effects of Hypertonic Dextrose Injection (Prolotherapy) in Lateral Elbow Tendinosis: A Systematic Review and Meta-analysis. Archives of Physical Medicine and Rehabilitation. 2022 Feb 28.','Tennis Elbow Treatment','','publish','closed','open','','tennis-elbow-treatment','','','2023-06-09 21:18:33','2023-06-09 21:18:33','',0,'https://www.drfields.com/?p=5795',0,'post','',0),(5796,8,'2023-06-08 14:48:43','2023-06-08 14:48:43','','Tennis Elbow Treatment','','inherit','closed','closed','','tennis-elbow-american-journal-of-phy-med-rehab-1','','','2023-06-08 14:49:09','2023-06-08 14:49:09','',5795,'https://www.drfields.com/wp-content/uploads/2023/06/Tennis-Elbow-American-Journal-of-Phy-Med-Rehab-1.png',0,'attachment','image/png',0),(5797,8,'2023-06-08 14:49:25','2023-06-08 14:49:25','<img class=\"alignright wp-image-5796\" src=\"https://www.drfields.com/wp-content/uploads/2023/06/Tennis-Elbow-American-Journal-of-Phy-Med-Rehab-1-500x419.png\" alt=\"Tennis Elbow Treatment\" width=\"300\" height=\"251\" />You don\'t have to be a tennis player to have tennis elbow. Tennis elbow is a condition caused by overuse. Sufferers might be painters, writers, guitar players, or anyone who does an activity requiring repetitive use of the arm and elbow.\r\n\r\nTennis elbow pain may radiate from the outer elbow into the forearm and wrist. These symptoms may make daily activities difficult. Even simple tasks like turning a doorknob or picking up, holding, and gripping objects.\r\n\r\nOver-the-counter pain medications, NSAIDs, cortisone injections, bracing, taping, physical therapy, and massage, may work to bring some relief. But when these fail to achieve the desired relief, and your elbow continues to hurt, it is time to seek reparative, regenerative treatments like Regenerative Orthopedics.\r\n<h2>Lateral Epicondylitis</h2>\r\nThe medical terminology for tennis elbow is lateral epicondylitis. The \"itis\" at the end of this word suggests inflammation of the tendon where it attaches to the bony prominence of the elbow (the lateral epicondyle). However, in tennis elbow, there is not always evidence of inflammation.  And because of that, there is some controversy about the treatment for the condition. The <em>Journal of Shoulder and Elbow Surgery says this</em>:\r\n<ul>\r\n 	<li>“As orthopaedic surgeons, we are besieged by myths that guide our treatment of lateral epicondylitis, or “tennis elbow.” This extends from the term used to describe the condition to the nonoperative and operative treatments as well. The term epicondylitis suggests an inflammatory cause; however, in all but 1 publication examining pathologic specimens of patients operated on for this condition, <strong>no evidence of acute or chronic inflammation is found</strong>.\"(<a href=\"https://www.ncbi.nlm.nih.gov/pubmed/10543604\">1</a>)</li>\r\n</ul>\r\nThe Open Access Journal of Sports Medicine also notes the controversy:\r\n<ul>\r\n 	<li>“Although most cases are self-limiting over several years, controversy exists regarding the best treatment strategy for chronic lateral epicondylitis.”(2)</li>\r\n</ul>\r\n<h2>Tendinosis Rather Than Tendonitis</h2>\r\nWhen elbow pain is chronic, and has lasted for an extended amount of time, it is likely that the problem is tendinosis, a condition of tendon degeneration.\r\n<h2>What does all of that mean? What is tendinopathy, tendonitis, or tendinosis?</h2>\r\nTendinopathy is a broad term often used to describe any problem with a tendon.\r\n\r\nTendonitis refers to inflammation of the tendon, and is actually a less common cause of tendon pain than you might think.\r\n\r\nTendinosis is the breakdown (degeneration) of the collagen fibers in the tendon. It happens slowly and is often the result of tendon overuse.\r\n\r\nTendinosis is therefore the chronic non-inflammatory degeneration of a tendon. Tendinosis may develop as a result of chronic tendonitis or due to repetitive strain-injuries to a tendon without adequate time to heal. Tendinosis is a more common cause of tendon pain. Since inflammation is not the issue, the problem does not respond well to anti-inflammatories.<strong> </strong>\r\n\r\nTennis Elbow: An Overuse Injury\r\n\r\nOveruse injuries are activity-related injuries linked to repetitive stress placed on the tendon, ligament or other joint structure. Doing too much of the same activity strains the soft tissue structures of the elbow. Using poor or improper technique while training or poor form when painting can overload the muscles, tendons, and ligaments, and cause an overuse injury.\r\n<h2>Instability May Be Behind Tennis Elbow</h2>\r\nChronic elbow pain may be related to ligament, muscle, and tendon injury. In order to resolve the problem, all of these areas need to be addressed for alleviation of the pain.\r\n\r\nIt is possible that elbow pain is a result of injury of the elbow ligaments. When elbow ligaments are involved, they may be frayed, torn, or otherwise weakened. Why is it important to address the ligaments if tennis elbow is a tendon problem? Ligaments are dense bands of connective tissue that attach one bone to another. They hold the bones in place, and allow for a strong, stable base upon which the muscles contract and move the joint. When a tendon is injured, there is often ligament involvement as well, and these soft tissue structures need to be repaired to stop the problem.\r\n\r\nWhen the ligaments are injured or weakened, they can cause strain on the tendon and other joint structures. This allows for excessive elbow movement and instability. In this cycle of instability, the tendons will attempt to hold the muscle to the bone, increasing stress, and increasing the possibility of injury to the tendon.<strong> </strong>\r\n<h2>Is Bracing a Tennis Elbow Treatment that Helps?<strong> </strong></h2>\r\n<em><u>Bracing</u></em>\r\n\r\nThe journal <em>Prosthetics and Orthotics International</em> (3) examined the popular counterforce brace in people with problems of lateral elbow tendinopathy and found that physical therapy had better results.\r\n\r\nIn fact, researchers have concluded that braces, sleeves, tapes, and elbow bands may just be a waste of money, and that they probably only provide placebo affects.(4)\r\n\r\n<em><u>What About Surgery as a Tennis Elbow Treatment?</u></em>\r\n\r\n<strong>The <em>US National Institutes of Health Clinical Trial</em></strong><strong> website</strong><strong> says: “<em>Despite its promise, there have been no high-quality studies evaluating the efficacy of arthroscopic tennis elbow release, bringing the actual efficacy of this procedure into question.” </em>(5)</strong>\r\n\r\n<em>The British Journal of Sports Medicine </em>has an article entitled: “Time to put down the scalpel?” It says,“Our published review highlighted the importance of sham surgery in randomized controlled surgical trials including those in tendinopathy. Compared with using a non-surgical control group, sham surgery equalizes the placebo effect of surgery and gives more realistic insights into the effectiveness of the actual surgical procedure in question.\"(6)<strong> </strong>\r\n\r\nThere’s Another Way and It Does Not Require Surgery!\r\n\r\nRegenerative Orthopedics: Tennis Elbow Treatment\r\n\r\nRegenerative Orthopedics is a non-surgical treatment that effectively repairs the tendons and ligaments involved in tennis elbow. Prolotherapy is one type of Regenerative Orthopedics and studies show its effectiveness in treating tennis elbow.\r\n\r\nProlotherapy is an injection technique that works to regenerate the degenerated tendon and ligaments. The injection of simple dextrose mimics the natural healing response and stimulates healing growth factors to repair the tissue.\r\n<h2>What Does the Research Say About Prolotherapy?</h2>\r\n<ul>\r\n 	<li>Researchers published a study in the <em>American Journal of Physical Medicine &amp; Rehabilitation </em>that evaluated Prolotherapy for tennis elbow. They concluded: <em>“Prolotherapy resulted in safe, significant improvement of elbow pain and function compared with baseline status and follow-up data and the wait-and-see control group” </em>(7).</li>\r\n</ul>\r\n<ul>\r\n 	<li>A study of 84 patients with tennis elbow who were treated with dextrose prolotherapy had statistically significant reductions in pain levels. (8)</li>\r\n</ul>\r\n<ul>\r\n 	<li>Archives of Physical Medicine and Rehabilitation concluded: “Hypertonic dextrose prolotherapy is superior to (placebo) at 12 weeks for decreasing pain intensity and functioning by margins that meet criteria for clinical relevance in the treatment of lateral elbow tendinosis.\" (9)<strong> </strong></li>\r\n</ul>\r\nProlotherapy is effective for tennis elbow! It works because it boosts the body’s healing abilities naturally. It works because it addresses the problem by repairing the injured soft tissue. And it works because it reduces or eliminates the symptoms.\r\n\r\nProlotherapy and other Regenerative Orthopedics, such as PRP and Stem Cell Therapy, all strengthen the involved ligaments and tendons. These therapies stabilize the elbow, strengthen the elbow, address the instability, and put an end to the pain and symptoms of tennis elbow. Recommendations may be made for PRP and/or Stem Cell in more advanced cases, but all treatments would include Prolotherapy.\r\n\r\nIf tennis elbow is a condition you are currently facing, please reach out and give us a call. We would be happy to help you become symptom free.\r\n\r\n<strong>References</strong>\r\n<ul>\r\n 	<li>Boyer MI. Lateral tennis elbow:” Is there any science out there?.”Journal of Shoulder and Elbow Surgery. 1999;8(5):481-91.</li>\r\n 	<li>Lai WC, Erickson BJ, Mlynarek RA, Wang D. Chronic lateral epicondylitis: challenges and solutions. Open access journal of sports medicine. 2018;9:243.</li>\r\n 	<li>Shahabi S, Bagheri Lankarani K, Heydari ST, Jalali M, Ghahramani S, Kamyab M, Tabrizi R, Hosseinabadi M. The effects of counterforce brace on pain in subjects with lateral elbow tendinopathy: A systematic review and meta-analysis of randomized controlled trials. Prosthetics and Orthotics International. 2020 Jul 8:0309364620930618.</li>\r\n 	<li>Au IP, Fan PC, Lee WY, Leong MW, Tang OY, An WW, Cheung RT. Effects of Kinesio tape in individuals with lateral epicondylitis: a deceptive crossover trial. Physiotherapy theory and practice. 2017 Dec 2;33(12):914-9.</li>\r\n 	<li>Kroslak M, Murrell GAC. Surgical Treatment of Lateral Epicondylitis: A Prospective, Randomized, Double-Blinded, Placebo-Controlled Clinical Trial. Am J Sports Med. 2018 Mar 1:363546517753385. doi: 10.1177/0363546517753385.</li>\r\n 	<li>Millar, Neal L., George AC Murrell, and Paul Kirwan. \"Time to put down the scalpel? The role of surgery in tendinopathy.\" British Journal of Sports Medicine 54.8 (2020): 441-442.</li>\r\n 	<li>Rabago D, Lee KS, Ryan M, Chourasia AO, Sesto ME, Zgierska A, Kijowski R, Grettie J, Wilson J, Miller D. Hypertonic Dextrose and Morrhuate Sodium Injections (Prolotherapy) for Lateral Epicondylosis (Tennis Elbow): Results of a Single-blind, Pilot-Level, Randomized Controlled Trial. Am J Phys Med Rehabil. 2013 Jan 3.</li>\r\n 	<li>Shin J, Seo K-M, Kim D-K, Kim B-K, Kang SH. The effect of prolotherapy on lateral epicondylitis of elbow. J Korean Acad Rehabil Med. 2002;26:764–8.</li>\r\n 	<li>Zhu M, Rabago D, Chung VC, Reeves KD, Wong SY, Sit RW. Effects of Hypertonic Dextrose Injection (Prolotherapy) in Lateral Elbow Tendinosis: A Systematic Review and Meta-analysis. Archives of Physical Medicine and Rehabilitation. 2022 Feb 28.</li>\r\n</ul>','Tennis Elbow Treatment','','inherit','closed','closed','','5795-revision-v1','','','2023-06-08 14:49:25','2023-06-08 14:49:25','',5795,'https://www.drfields.com/?p=5797',0,'revision','',0),