(5502,8,'2022-09-07 06:08:21','2022-09-07 06:08:21','<img class=\"wp-image-5501 size-wcsquare\" title=\"Patellar Tendinopathy\" src=\"https://www.drfields.com/wp-content/uploads/2022/09/Patellar-Tendinopathy.-PRP.-Amer-J-of-Sports-Med-300x300.png\" alt=\"Patellar Tendinopathy\" width=\"300\" height=\"300\" />\r\n\r\nHave you been diagnosed with patellar tendinopathy? If so, your condition relates to the tendon that passes from the large muscle at the front of the thigh and over the kneecap (patella) to connect to the shinbone.\r\n\r\nWhen someone has knee pain from a tendon problem or other causes, conservative self-management is usually the next step, or a doctor may recommend a brace, wrap, and/or anti-inflammatory medication. These treatments may keep down swelling down and possibly relieve some pain. However, any actual injury is not repaired with these conventional measures.\r\n\r\nAfter a few weeks of rest, once you are active again, you may still experience problems with pain and instability. Repair is needed. Fortunately, Regenerative Orthopedics is an available solution that can repair the tendons and any involved ligaments. Plus, it is non-surgical.\r\n<h2>Tendinitis vs Tendinosis</h2>\r\nBefore we go on, let’s talk about the difference between tendinitis and tendinosis:\r\n<ul>\r\n 	<li>With tendinitis, there is inflammation, pain, and swelling. The body is still trying to heal the knee</li>\r\n 	<li>When tendinosis is diagnosed, there is pain and weakness without the inflammation. At this point, the soft tissue is degenerated and the body has pretty much stopped trying to heal the tendon. And even though inflammation can be painful, inflammation is the body’s way of healing.</li>\r\n</ul>\r\n<h2>Patellar Tendinopathy Explained</h2>\r\nThe Journal of the American Academy of Orthopaedic Surgeons explains patellar tendinopathy like this: “The main problem in patellar tendinopathy is tendinosis, which is a degenerative disorder rather than an inflammatory disorder; therefore, the other popular term for this disease, tendinitis, is not appropriate.”\r\n\r\nRegenerative treatments are needed to repair and regenerate the degenerated soft tissue.\r\n<h2>Do Cortisone Injections Help?</h2>\r\nCortisone injections may help to calm down the inflammation and pain, but cortisone can make the tendon weaker. A recent study on the effect of dexamethasone (a type of cortisone injection) on the patellar tendon showed that dexamethasone had a “paradoxical” effect or changed the tendon stem cells into non-tendon tissue which weakened the tendon. Keep in mind then, that if cortisone is recommended, that while it may calm down inflammation, the injection could weaken rather than strengthen the tendon. (2)\r\n\r\nUnfortunately, with a tendon injury, the structure is already weakened. Plus, once it is weakened or damaged through injury or degenerative wear and tear, the knee becomes unstable. Stability needs to be regained, and Regenerative Orthopedics can stabilize and repair the soft tissue structures.\r\n<h2>Can Taping Help?</h2>\r\nIn the Annals of Translational Medicine (3), taping for the purpose of stabilizing the patella was discussed. “Patellar taping is commonly used in conjunction with manual and exercise therapies in the management of patellofemoral pain syndrome. Taping is predominately used to help decrease pain. Other studies show it can also help with patellar alignment and muscle activation. As patellar hypermobility has been shown as a predisposing factor for developing patellofemoral pain syndrome, taping can be indicated to promote patellar positioning and decrease pain. . . Overall, the effects of taping, are conflicting,…short-term it can be helpful with acute management of symptoms with functional activity.”\r\n\r\nThe goal of taping is to get the patella back into place, and to stabilize it temporarily. It is not reparative. Regenerative Orthopedics can stabilize the patellar, get it back in alignment, and resolve the pain. Regenerative Orthopedics is reparative.\r\n<h2>What About Surgery?</h2>\r\nSurgery may help the condition, but the downtime is very long. Researchers in the medical journal Orthopedics found that open surgery and arthroscopic techniques achieved similar satisfactory results but the average time to return to play was 5.6 months and 5 months, respectively (4). But keep in mind, there is also the possibility that surgery may not work.\r\n\r\nWhy not choose a non-surgical option that results in repair? Plus, effective Regenerative Orthopedics does not require the downtime of surgery. Movement is encouraged!\r\n<h2>Research about Regenerative Therapies?</h2>\r\nThe Journal of Experimental Orthopaedics examined the use of Prolotherapy in ten different studies for tendinopathies and found: “Among all ten studies, no serious adverse events were reported. Based on this limited set of studies, there seems to be some evidence that…Prolotherapy may be an effective treatment option to treat pain and to improve function in patients with Chronic Patellar Tendinopathy.” (5)\r\n\r\nPRP, another form of Regenerative Orthopedics, may also be warranted depending on the severity of the knee condition and for patellar tendinopathy. Do researchers recommend it? Doctors looking for a non-surgical options to treat patellar tendinopathy concluded in the American Journal of Sports Medicine: “Eccentric exercises may seem the strategy of choice in the short-term, but multiple PRP injections may offer more satisfactory results at long-term follow-up and can be therefore considered a suitable option for the treatment of patellar tendinopathy.”(6)\r\n\r\nRegenerative Orthopedics is a successful non-surgical solution for many knee pain conditions, including patellar tendinopathy. If you are suffering from knee pain, call us today. We are more than happy to help you resolve your pain and get you back to what you love quickly and with improved knee function.\r\n\r\n<strong>References</strong>\r\n\r\n1 Figueroa D, Figueroa F, Calvo R. Patellar Tendinopathy: Diagnosis and Treatment. J Am Acad Orthop Surg. 2016 Dec;24(12):e184-e192.\r\n\r\n2 Zhang J, Keenan C, Wang JH. The Effects of Dexamethasone on Human Patellar Tendon Stem Cells: Implications for Dexamethasone Treatment of Tendon Injury. Journal of orthopaedic research: official publication of the Orthopaedic Research Society. 2013 Jan;31(1):105.\r\n\r\n3 Mellinger S, Neurohr GA. Evidence-based treatment options for common knee injuries in runners. Annals of translational medicine. 2019 Oct;7(Suppl 7).\r\n\r\n4 Stuhlman CR, Stowers K, Stowers L, Smith J. Current Concepts and the Role of Surgery in the Treatment of Jumper’s Knee. Orthopedics. Nov 1 2016;39(6):e1028-e1035. doi: 10.3928/01477447-20160714-06.\r\n\r\n5 Morath O, Beck M, Taeymans J, Hirschmüller A. Sclerotherapy and prolotherapy for chronic patellar tendinopathies – a promising therapy with limited available evidence, a systematic review. J Exp Orthop. 2020 Nov 9;7(1):89. doi: 10.1186/s40634-020-00303-0. PMID: 33165667.\r\n\r\n6 Andriolo L, Altamura SA, Reale D, Candrian C, Zaffagnini S, Filardo G. Nonsurgical Treatments of Patellar Tendinopathy: Multiple Injections of Platelet-Rich Plasma Are a Suitable Option: A Systematic Review and Meta-analysis. The American journal of sports medicine. 2018 Mar 1:0363546518759674.','Patellar Tendinopathy','','inherit','closed','closed','','5500-revision-v1','','','2022-09-07 06:08:21','2022-09-07 06:08:21','',5500,'https://www.drfields.com/?p=5502',0,'revision','',0),(5503,8,'2022-09-07 06:09:31','2022-09-07 06:09:31','<img class=\"wp-image-5501 size-wcsquare alignright\" title=\"Patellar Tendinopathy\" src=\"https://www.drfields.com/wp-content/uploads/2022/09/Patellar-Tendinopathy.-PRP.-Amer-J-of-Sports-Med-300x300.png\" alt=\"Patellar Tendinopathy\" width=\"300\" height=\"300\" />\n\nHave you been diagnosed with patellar tendinopathy? If so, your condition relates to the tendon that passes from the large muscle at the front of the thigh and over the kneecap (patella) to connect to the shinbone.\n\nWhen someone has knee pain from a tendon problem or other causes, conservative self-management is usually the next step, or a doctor may recommend a brace, wrap, and/or anti-inflammatory medication. These treatments may keep down swelling down and possibly relieve some pain. However, any actual injury is not repaired with these conventional measures.\n\nAfter a few weeks of rest, once you are active again, you may still experience problems with pain and instability. Repair is needed. Fortunately, Regenerative Orthopedics is an available solution that can repair the tendons and any involved ligaments. Plus, it is non-surgical.\n<h2>Tendinitis vs Tendinosis</h2>\nBefore we go on, let’s talk about the difference between tendinitis and tendinosis:\n<ul>\n 	<li>With tendinitis, there is inflammation, pain, and swelling. The body is still trying to heal the knee</li>\n 	<li>When tendinosis is diagnosed, there is pain and weakness without the inflammation. At this point, the soft tissue is degenerated and the body has pretty much stopped trying to heal the tendon. And even though inflammation can be painful, inflammation is the body’s way of healing.</li>\n</ul>\n<h2>Patellar Tendinopathy Explained</h2>\nThe Journal of the American Academy of Orthopaedic Surgeons explains patellar tendinopathy like this: “The main problem in patellar tendinopathy is tendinosis, which is a degenerative disorder rather than an inflammatory disorder; therefore, the other popular term for this disease, tendinitis, is not appropriate.”\n\nRegenerative treatments are needed to repair and regenerate the degenerated soft tissue.\n<h2>Do Cortisone Injections Help?</h2>\nCortisone injections may help to calm down the inflammation and pain, but cortisone can make the tendon weaker. A recent study on the effect of dexamethasone (a type of cortisone injection) on the patellar tendon showed that dexamethasone had a “paradoxical” effect or changed the tendon stem cells into non-tendon tissue which weakened the tendon. Keep in mind then, that if cortisone is recommended, that while it may calm down inflammation, the injection could weaken rather than strengthen the tendon. (2)\n\nUnfortunately, with a tendon injury, the structure is already weakened. Plus, once it is weakened or damaged through injury or degenerative wear and tear, the knee becomes unstable. Stability needs to be regained, and Regenerative Orthopedics can stabilize and repair the soft tissue structures.\n<h2>Can Taping Help?</h2>\nIn the Annals of Translational Medicine (3), taping for the purpose of stabilizing the patella was discussed. “Patellar taping is commonly used in conjunction with manual and exercise therapies in the management of patellofemoral pain syndrome. Taping is predominately used to help decrease pain. Other studies show it can also help with patellar alignment and muscle activation. As patellar hypermobility has been shown as a predisposing factor for developing patellofemoral pain syndrome, taping can be indicated to promote patellar positioning and decrease pain. . . Overall, the effects of taping, are conflicting,…short-term it can be helpful with acute management of symptoms with functional activity.”\n\nThe goal of taping is to get the patella back into place, and to stabilize it temporarily. It is not reparative. Regenerative Orthopedics can stabilize the patellar, get it back in alignment, and resolve the pain. Regenerative Orthopedics is reparative.\n<h2>What About Surgery?</h2>\nSurgery may help the condition, but the downtime is very long. Researchers in the medical journal Orthopedics found that open surgery and arthroscopic techniques achieved similar satisfactory results but the average time to return to play was 5.6 months and 5 months, respectively (4). But keep in mind, there is also the possibility that surgery may not work.\n\nWhy not choose a non-surgical option that results in repair? Plus, effective Regenerative Orthopedics does not require the downtime of surgery. Movement is encouraged!\n<h2>Research about Regenerative Therapies?</h2>\nThe Journal of Experimental Orthopaedics examined the use of Prolotherapy in ten different studies for tendinopathies and found: “Among all ten studies, no serious adverse events were reported. Based on this limited set of studies, there seems to be some evidence that…Prolotherapy may be an effective treatment option to treat pain and to improve function in patients with Chronic Patellar Tendinopathy.” (5)\n\nPRP, another form of Regenerative Orthopedics, may also be warranted depending on the severity of the knee condition and for patellar tendinopathy. Do researchers recommend it? Doctors looking for a non-surgical options to treat patellar tendinopathy concluded in the American Journal of Sports Medicine: “Eccentric exercises may seem the strategy of choice in the short-term, but multiple PRP injections may offer more satisfactory results at long-term follow-up and can be therefore considered a suitable option for the treatment of patellar tendinopathy.”(6)\n\nRegenerative Orthopedics is a successful non-surgical solution for many knee pain conditions, including patellar tendinopathy. If you are suffering from knee pain, call us today. We are more than happy to help you resolve your pain and get you back to what you love quickly and with improved knee function.\n\n<strong>References</strong>\n\n1 Figueroa D, Figueroa F, Calvo R. Patellar Tendinopathy: Diagnosis and Treatment. J Am Acad Orthop Surg. 2016 Dec;24(12):e184-e192.\n\n2 Zhang J, Keenan C, Wang JH. The Effects of Dexamethasone on Human Patellar Tendon Stem Cells: Implications for Dexamethasone Treatment of Tendon Injury. Journal of orthopaedic research: official publication of the Orthopaedic Research Society. 2013 Jan;31(1):105.\n\n3 Mellinger S, Neurohr GA. Evidence-based treatment options for common knee injuries in runners. Annals of translational medicine. 2019 Oct;7(Suppl 7).\n\n4 Stuhlman CR, Stowers K, Stowers L, Smith J. Current Concepts and the Role of Surgery in the Treatment of Jumper’s Knee. Orthopedics. Nov 1 2016;39(6):e1028-e1035. doi: 10.3928/01477447-20160714-06.\n\n5 Morath O, Beck M, Taeymans J, Hirschmüller A. Sclerotherapy and prolotherapy for chronic patellar tendinopathies – a promising therapy with limited available evidence, a systematic review. J Exp Orthop. 2020 Nov 9;7(1):89. doi: 10.1186/s40634-020-00303-0. PMID: 33165667.\n\n6 Andriolo L, Altamura SA, Reale D, Candrian C, Zaffagnini S, Filardo G. Nonsurgical Treatments of Patellar Tendinopathy: Multiple Injections of Platelet-Rich Plasma Are a Suitable Option: A Systematic Review and Meta-analysis. The American journal of sports medicine. 2018 Mar 1:0363546518759674.','Patellar Tendinopathy','','inherit','closed','closed','','5500-autosave-v1','','','2022-09-07 06:09:31','2022-09-07 06:09:31','',5500,'https://www.drfields.com/?p=5503',0,'revision','',0),(5504,8,'2022-09-07 06:09:43','2022-09-07 06:09:43','<img class=\"wp-image-5501 size-wcsquare alignright\" title=\"Patellar Tendinopathy\" src=\"https://www.drfields.com/wp-content/uploads/2022/09/Patellar-Tendinopathy.-PRP.-Amer-J-of-Sports-Med-300x300.png\" alt=\"Patellar Tendinopathy\" width=\"300\" height=\"300\" />\r\n\r\nHave you been diagnosed with patellar tendinopathy? If so, your condition relates to the tendon that passes from the large muscle at the front of the thigh and over the kneecap (patella) to connect to the shinbone.\r\n\r\nWhen someone has knee pain from a tendon problem or other causes, conservative self-management is usually the next step, or a doctor may recommend a brace, wrap, and/or anti-inflammatory medication. These treatments may keep down swelling down and possibly relieve some pain. However, any actual injury is not repaired with these conventional measures.\r\n\r\nAfter a few weeks of rest, once you are active again, you may still experience problems with pain and instability. Repair is needed. Fortunately, Regenerative Orthopedics is an available solution that can repair the tendons and any involved ligaments. Plus, it is non-surgical.\r\n<h2>Tendinitis vs Tendinosis</h2>\r\nBefore we go on, let’s talk about the difference between tendinitis and tendinosis:\r\n<ul>\r\n 	<li>With tendinitis, there is inflammation, pain, and swelling. The body is still trying to heal the knee</li>\r\n 	<li>When tendinosis is diagnosed, there is pain and weakness without the inflammation. At this point, the soft tissue is degenerated and the body has pretty much stopped trying to heal the tendon. And even though inflammation can be painful, inflammation is the body’s way of healing.</li>\r\n</ul>\r\n<h2>Patellar Tendinopathy Explained</h2>\r\nThe Journal of the American Academy of Orthopaedic Surgeons explains patellar tendinopathy like this: “The main problem in patellar tendinopathy is tendinosis, which is a degenerative disorder rather than an inflammatory disorder; therefore, the other popular term for this disease, tendinitis, is not appropriate.”\r\n\r\nRegenerative treatments are needed to repair and regenerate the degenerated soft tissue.\r\n<h2>Do Cortisone Injections Help?</h2>\r\nCortisone injections may help to calm down the inflammation and pain, but cortisone can make the tendon weaker. A recent study on the effect of dexamethasone (a type of cortisone injection) on the patellar tendon showed that dexamethasone had a “paradoxical” effect or changed the tendon stem cells into non-tendon tissue which weakened the tendon. Keep in mind then, that if cortisone is recommended, that while it may calm down inflammation, the injection could weaken rather than strengthen the tendon. (2)\r\n\r\nUnfortunately, with a tendon injury, the structure is already weakened. Plus, once it is weakened or damaged through injury or degenerative wear and tear, the knee becomes unstable. Stability needs to be regained, and Regenerative Orthopedics can stabilize and repair the soft tissue structures.\r\n<h2>Can Taping Help?</h2>\r\nIn the Annals of Translational Medicine (3), taping for the purpose of stabilizing the patella was discussed. “Patellar taping is commonly used in conjunction with manual and exercise therapies in the management of patellofemoral pain syndrome. Taping is predominately used to help decrease pain. Other studies show it can also help with patellar alignment and muscle activation. As patellar hypermobility has been shown as a predisposing factor for developing patellofemoral pain syndrome, taping can be indicated to promote patellar positioning and decrease pain. . . Overall, the effects of taping, are conflicting,…short-term it can be helpful with acute management of symptoms with functional activity.”\r\n\r\nThe goal of taping is to get the patella back into place, and to stabilize it temporarily. It is not reparative. Regenerative Orthopedics can stabilize the patellar, get it back in alignment, and resolve the pain. Regenerative Orthopedics is reparative.\r\n<h2>What About Surgery?</h2>\r\nSurgery may help the condition, but the downtime is very long. Researchers in the medical journal Orthopedics found that open surgery and arthroscopic techniques achieved similar satisfactory results but the average time to return to play was 5.6 months and 5 months, respectively (4). But keep in mind, there is also the possibility that surgery may not work.\r\n\r\nWhy not choose a non-surgical option that results in repair? Plus, effective Regenerative Orthopedics does not require the downtime of surgery. Movement is encouraged!\r\n<h2>Research about Regenerative Therapies?</h2>\r\nThe Journal of Experimental Orthopaedics examined the use of Prolotherapy in ten different studies for tendinopathies and found: “Among all ten studies, no serious adverse events were reported. Based on this limited set of studies, there seems to be some evidence that…Prolotherapy may be an effective treatment option to treat pain and to improve function in patients with Chronic Patellar Tendinopathy.” (5)\r\n\r\nPRP, another form of Regenerative Orthopedics, may also be warranted depending on the severity of the knee condition and for patellar tendinopathy. Do researchers recommend it? Doctors looking for a non-surgical options to treat patellar tendinopathy concluded in the American Journal of Sports Medicine: “Eccentric exercises may seem the strategy of choice in the short-term, but multiple PRP injections may offer more satisfactory results at long-term follow-up and can be therefore considered a suitable option for the treatment of patellar tendinopathy.”(6)\r\n\r\nRegenerative Orthopedics is a successful non-surgical solution for many knee pain conditions, including patellar tendinopathy. If you are suffering from knee pain, call us today. We are more than happy to help you resolve your pain and get you back to what you love quickly and with improved knee function.\r\n\r\n<strong>References</strong>\r\n\r\n1 Figueroa D, Figueroa F, Calvo R. Patellar Tendinopathy: Diagnosis and Treatment. J Am Acad Orthop Surg. 2016 Dec;24(12):e184-e192.\r\n\r\n2 Zhang J, Keenan C, Wang JH. The Effects of Dexamethasone on Human Patellar Tendon Stem Cells: Implications for Dexamethasone Treatment of Tendon Injury. Journal of orthopaedic research: official publication of the Orthopaedic Research Society. 2013 Jan;31(1):105.\r\n\r\n3 Mellinger S, Neurohr GA. Evidence-based treatment options for common knee injuries in runners. Annals of translational medicine. 2019 Oct;7(Suppl 7).\r\n\r\n4 Stuhlman CR, Stowers K, Stowers L, Smith J. Current Concepts and the Role of Surgery in the Treatment of Jumper’s Knee. Orthopedics. Nov 1 2016;39(6):e1028-e1035. doi: 10.3928/01477447-20160714-06.\r\n\r\n5 Morath O, Beck M, Taeymans J, Hirschmüller A. Sclerotherapy and prolotherapy for chronic patellar tendinopathies – a promising therapy with limited available evidence, a systematic review. J Exp Orthop. 2020 Nov 9;7(1):89. doi: 10.1186/s40634-020-00303-0. PMID: 33165667.\r\n\r\n6 Andriolo L, Altamura SA, Reale D, Candrian C, Zaffagnini S, Filardo G. Nonsurgical Treatments of Patellar Tendinopathy: Multiple Injections of Platelet-Rich Plasma Are a Suitable Option: A Systematic Review and Meta-analysis. The American journal of sports medicine. 2018 Mar 1:0363546518759674.','Patellar Tendinopathy','','inherit','closed','closed','','5500-revision-v1','','','2022-09-07 06:09:43','2022-09-07 06:09:43','',5500,'https://www.drfields.com/?p=5504',0,'revision','',0),(5505,8,'2022-09-07 06:13:04','2022-09-07 06:13:04','<div class=\"clear\"></div>\r\n<div id=\"slider\">\r\n<div class=\"owl-carousel slider-carousel\">\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-4.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/07/Slider-2v05072022.png\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/05/header-orthoregen-santa-monica-pier.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">New Article:</span>\r\n<span class=\"header_text_second\">Keep Looking Forward Despite COVID-19</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dealing-with-covid-19/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-11.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-9.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Get Back In The Game!</span>\r\n<span class=\"header_text_second\">Avoid Joint and Spine Surgery </span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">Stem Cell/PRP/Prolotherapy</span>\r\n<a class=\"btn-more\" title=\"Get Help Now!\" href=\"Contact-Us\"> Get Help Now!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item slide-article\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/05/header-orthoregen-ocean-mountains.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_second\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/12/Kili-top-header-2.jpg\');\">\r\n<div class=\"carousel-caption\" style=\"text-align: left;\"><span class=\"header_text_first\">Congratulations\r\nPeter A. Fields, MD, DC</span>\r\n<span class=\"header_text_second\">The Athletic Doc<sup>®</sup>\r\nsuccessfully climbed</span>\r\n<span class=\"header_text_third white-text\">Mt. Kilimanjaro in\r\nTanzania, Africa.19,341 feet!!!</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/report-of-my-kilimanjaro-climb/\">Read More</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/12/Sider-01-V8.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Peter A. Fields, MD, DC\r\nThe Athletic Doc<sup>®</sup></span>\r\n<span class=\"header_text_second\">Completed His 11th Ironman</span>\r\n<span class=\"header_text_third\">Sunday, November 24th in Cozumel Mexico</span>\r\n<a class=\"btn-more\" title=\"Read More\" href=\"#\">Images &amp; Story Coming Soon</a></div>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"jumbotron-fluid\">\r\n<div class=\"row\">\r\n<div class=\"col-md-4 box1\">\r\n\r\nWhat\'s\r\n<h3>New</h3>\r\n<ul>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/patellar-tendinopathy/\">Patellar Tendinopathy</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/sprained-ankle/\">Sprained Ankle?</a></li>\r\n 	<li><a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-neck-pain/\">Stubborn, Persistent Neck Pain</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/non-surgical-partial-rotator-cuff-tear-repair/\">Non-surgical Partial Rotator Cuff Tear Repair</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/are-cortisone-shots-a-good-option/\">Are Cortisone Shots a Good Option?</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/try-regenerative-treatments-for-your-hip-pain-or-injury/\">Try Regenerative Treatments for Your Hip Pain or Injury</a></li>\r\n 	<li class=\"last\"><a title=\"Nagging Back Pain\" href=\"/articles/regenerative-orthopedics/nagging-back-pain/\">Nagging Back Pain</a></li>\r\n 	<li class=\"last\"><a title=\"Treating Knee Pain and Injuries with Regenerative Orthopedics\" href=\"/articles/regenerative-orthopedics/treating-knee-pain-and-injuries-with-regenerative-orthopedics/\">Treating Knee Pain and Injuries with Regenerative Orthopedics</a></li>\r\n 	<li class=\"last\"><a title=\"Keep Looking Forward Despite COVID-19\" href=\"/articles/health-news/dealing-with-covid-19/\">Keep Looking Forward Despite COVID-19</a></li>\r\n 	<li class=\"last\"><a title=\"COVID-19 Advice: Don’t Fear the Fear Itself!\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</a></li>\r\n 	<li class=\"last\"><a title=\"Rotator Cuff Tendonitis\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/rotator-cuff-tendonitis/\">Rotator Cuff Tendonitis</a></li>\r\n 	<li><a title=\"Allergic Reactions and Problems of Corrosion with Joint Replacements\" href=\"https://www.drfields.com/articles/allergic-reactions-and-problems-of-corrosion-with-joint-replacements/\">Allergic Reactions and Problems of Corrosion with Joint Replacements\r\n</a></li>\r\n 	<li><a title=\"Treat Sciatica Pain Non-Surgically\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/treat-sciatica-pain-non-surgically/\">Treat Sciatica Pain Non-Surgically</a></li>\r\n 	<li class=\"last\"><a title=\"Stem Cell Therapy at OrthoRegen&lt;sup&gt;®&lt;/sup&gt; – Why We are Different\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/stem-cell-therapy-at-orthoregen-why-we-are-different/\">Stem Cell Therapy at OrthoRegen<sup>®</sup> – Why We are Different</a></li>\r\n 	<li class=\"last\"><a title=\"Is Your Hip Bursitis Treatment Working?\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/is-your-hip-bursitis-treatment-working/\">Is Your Hip Bursitis Treatment Working?</a></li>\r\n</ul>\r\n</div>\r\n<div id=\"testimonials\" class=\"col-md-4 box2\">\r\n\r\nPatient\r\n<h3>Testimonials</h3>\r\n<strong>Video:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I wished I had come earlier and listened to what my physical therapist had told me to do because Dr. Fields has been a real solution for me.\"\r\n\r\n<img class=\"testimonial-img\" title=\"Testimonial\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-larry.png\" alt=\"Testimonial\" />\r\n<h3>Larry</h3>\r\n<h4>Stem Cell Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I highly recommend it to anyone who needs to recover fast and get back out there.\"\r\n\r\n<img class=\"testimonial-img\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-christopher.png\" alt=\"\" />\r\n<h3>Chris, Pro Basketball Player</h3>\r\n<h4>PRP Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"Now I can go walking, I go to my ballet class and I’m a happy camper because of Dr. Fields.\"\r\n\r\n<img class=\"testimonial-img\" title=\"\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-mary.png\" alt=\"Testimonial\" />\r\n<h3>Mary</h3>\r\n<h4>Stem Cell Hip</h4>\r\n</div>\r\n</div>\r\n<strong>Written:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I need to say a big thank you to Dr Fields for getting me back on the tennis court. I am an avid tennis player who tried to ignore the terrible pain in my elbow.\"\r\n<h3 style=\"margin-left: 0;\">Mindy</h3>\r\n<h4 style=\"margin-left: 0;\">Elbow</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I chose Dr. Peter Fields because he is an athlete and would have more direct knowledge of my particular circumstances than anyone else.\"\r\n<h3 style=\"margin-left: 0;\">Robert</h3>\r\n<h4 style=\"margin-left: 0;\">Shoulder</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"After the final treatments ended I am still without all the pain and have more muscle strength in my legs.\"\r\n<h3 style=\"margin-left: 0;\">Lois</h3>\r\n<h4 style=\"margin-left: 0;\">Knee</h4>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"col-md-4 box3\">\r\n\r\nNews &amp;\r\n<h3>Events</h3>\r\n<ul>\r\n 	<li><a href=\"https://www.drfields.com/articles/health-news/dr-fields-to-lecture-in-mexico-city-on-july-9th/\">Peter A. Fields, MD, DC to lecture in Mexico City on July 9th</a></li>\r\n 	<li><a class=\"buttonlink\" style=\"width: 100%; font-size: 24px; text-align: center; padding: 25px 8%;\" href=\"https://www.drfields.com/contact/\"> Are you a Stem Cell Candidate?</a></li>\r\n</ul>\r\n</div>\r\n</div>\r\n</div>\r\n<div id=\"search-articles\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n<h2 class=\"text-center\">Search <b>Dr. Fields\'</b> Articles</h2>\r\n<form id=\"searchform\" action=\"/\" method=\"get\"><input class=\"search-field\" name=\"s\" type=\"text\" placeholder=\"What\'s Your Condition?\" />\r\n<input type=\"submit\" value=\"Search\" /></form></div>\r\n</div>\r\n</div>\r\n<div id=\"intro\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n<h1 class=\"text-center\">Welcome to OrthoRegen<sup>®</sup>!</h1>\r\n<p class=\"intro_text welcome\"><a href=\"http://orthoregen.com\"><span style=\"font-size: 26px;\">OrthoRegen<sup>®</sup></span></a> is dedicated to providing the best of <span class=\"nowrap\">Regenerative Orthopedics</span> by offering non-surgical alternatives for joint and spine repair</p>\r\n<a class=\"primaryButton\" title=\"Read More About U\" href=\"https://www.drfields.com/about/orthoregen-our-philosophy/\">Read More About Us</a>\r\n<a id=\"candidateButton\" title=\"Are you a good candidate?\" href=\"/contact/\">Are you a good candidate?</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"about\">\r\n<div class=\"col-md-5 drfields\"><img class=\"alignnone\" title=\"Regenerative Orthopedics Leader\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/dr-fields.png\" alt=\"Regenerative Orthopedics Leader\" width=\"460\" height=\"737\" /></div>\r\n<div class=\"col-md-7 about_holder\">\r\n<h1>Peter A. Fields, <span class=\"nowrap\">MD, DC</span></h1>\r\n<p class=\"intro_text\">Medical Physician and Chiropractor\r\nThe Athletic Doc<sup>®</sup> - 11x Ironman Triathlete</p>\r\n\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"icon info\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-info.png\" alt=\"icon info\" /></div>\r\n<div class=\"about_text\">\r\n<h3>About</h3>\r\nPeter A. Fields, MD, DC is one of a handful of physicians in the nation with both medical and chiropractic degrees...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/dr-fields-bio/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"Man Icon\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-ironman.png\" alt=\"Man Icon\" /></div>\r\n<div class=\"about_text\">\r\n<h3>11x Ironman</h3>\r\nDr. Peter A. Fields is also known as The Athletic Doc<sup>®</sup> He not only treats athletes in his practice but is an athlete himself. For over...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n&nbsp;\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Call Us Today! 310-453-1234</a>','Home','','inherit','closed','closed','','2109-revision-v1','','','2022-09-07 06:13:04','2022-09-07 06:13:04','',2109,'https://www.drfields.com/?p=5505',0,'revision','',0),(5506,8,'2022-09-09 14:53:19','2022-09-09 14:53:19','Patellar Tendinopathy. Prp. Amer J Of Sports Med.2ndpng','Patellar Tendinopathy. Prp. Amer J Of Sports Med.2ndpng','Patellar Tendinopathy. Prp. Amer J Of Sports Med.2ndpng','inherit','closed','closed','','patellar-tendinopathy-prp-amer-j-of-sports-med-2ndpng','','','2022-09-09 14:53:19','2022-09-09 14:53:19','',5500,'https://www.drfields.com/wp-content/uploads/2022/09/Patellar-Tendinopathy.-PRP.-Amer-J-of-Sports-Med.2ndpng.png',0,'attachment','image/png',0),(5507,8,'2022-09-09 14:53:48','2022-09-09 14:53:48','[caption id=\"attachment_5506\" align=\"alignright\" width=\"500\"]<a href=\"https://www.drfields.com/wp-content/uploads/2022/09/Patellar-Tendinopathy.-PRP.-Amer-J-of-Sports-Med.2ndpng.png\"><img class=\"size-medium wp-image-5506\" src=\"https://www.drfields.com/wp-content/uploads/2022/09/Patellar-Tendinopathy.-PRP.-Amer-J-of-Sports-Med.2ndpng-500x419.png\" alt=\"Patellar Tendinopathy. Prp. Amer J Of Sports Med.2ndpng\" width=\"500\" height=\"419\" /></a> Patellar Tendinopathy. Prp. Amer J Of Sports Med.2ndpng[/caption]\r\n\r\nHave you been diagnosed with patellar tendinopathy? If so, your condition relates to the tendon that passes from the large muscle at the front of the thigh and over the kneecap (patella) to connect to the shinbone.\r\n\r\nWhen someone has knee pain from a tendon problem or other causes, conservative self-management is usually the next step, or a doctor may recommend a brace, wrap, and/or anti-inflammatory medication. These treatments may keep down swelling down and possibly relieve some pain. However, any actual injury is not repaired with these conventional measures.\r\n\r\nAfter a few weeks of rest, once you are active again, you may still experience problems with pain and instability. Repair is needed. Fortunately, Regenerative Orthopedics is an available solution that can repair the tendons and any involved ligaments. Plus, it is non-surgical.\r\n<h2>Tendinitis vs Tendinosis</h2>\r\nBefore we go on, let’s talk about the difference between tendinitis and tendinosis:\r\n<ul>\r\n 	<li>With tendinitis, there is inflammation, pain, and swelling. The body is still trying to heal the knee</li>\r\n 	<li>When tendinosis is diagnosed, there is pain and weakness without the inflammation. At this point, the soft tissue is degenerated and the body has pretty much stopped trying to heal the tendon. And even though inflammation can be painful, inflammation is the body’s way of healing.</li>\r\n</ul>\r\n<h2>Patellar Tendinopathy Explained</h2>\r\nThe Journal of the American Academy of Orthopaedic Surgeons explains patellar tendinopathy like this: “The main problem in patellar tendinopathy is tendinosis, which is a degenerative disorder rather than an inflammatory disorder; therefore, the other popular term for this disease, tendinitis, is not appropriate.”\r\n\r\nRegenerative treatments are needed to repair and regenerate the degenerated soft tissue.\r\n<h2>Do Cortisone Injections Help?</h2>\r\nCortisone injections may help to calm down the inflammation and pain, but cortisone can make the tendon weaker. A recent study on the effect of dexamethasone (a type of cortisone injection) on the patellar tendon showed that dexamethasone had a “paradoxical” effect or changed the tendon stem cells into non-tendon tissue which weakened the tendon. Keep in mind then, that if cortisone is recommended, that while it may calm down inflammation, the injection could weaken rather than strengthen the tendon. (2)\r\n\r\nUnfortunately, with a tendon injury, the structure is already weakened. Plus, once it is weakened or damaged through injury or degenerative wear and tear, the knee becomes unstable. Stability needs to be regained, and Regenerative Orthopedics can stabilize and repair the soft tissue structures.\r\n<h2>Can Taping Help?</h2>\r\nIn the Annals of Translational Medicine (3), taping for the purpose of stabilizing the patella was discussed. “Patellar taping is commonly used in conjunction with manual and exercise therapies in the management of patellofemoral pain syndrome. Taping is predominately used to help decrease pain. Other studies show it can also help with patellar alignment and muscle activation. As patellar hypermobility has been shown as a predisposing factor for developing patellofemoral pain syndrome, taping can be indicated to promote patellar positioning and decrease pain. . . Overall, the effects of taping, are conflicting,…short-term it can be helpful with acute management of symptoms with functional activity.”\r\n\r\nThe goal of taping is to get the patella back into place, and to stabilize it temporarily. It is not reparative. Regenerative Orthopedics can stabilize the patellar, get it back in alignment, and resolve the pain. Regenerative Orthopedics is reparative.\r\n<h2>What About Surgery?</h2>\r\nSurgery may help the condition, but the downtime is very long. Researchers in the medical journal Orthopedics found that open surgery and arthroscopic techniques achieved similar satisfactory results but the average time to return to play was 5.6 months and 5 months, respectively (4). But keep in mind, there is also the possibility that surgery may not work.\r\n\r\nWhy not choose a non-surgical option that results in repair? Plus, effective Regenerative Orthopedics does not require the downtime of surgery. Movement is encouraged!\r\n<h2>Research about Regenerative Therapies?</h2>\r\nThe Journal of Experimental Orthopaedics examined the use of Prolotherapy in ten different studies for tendinopathies and found: “Among all ten studies, no serious adverse events were reported. Based on this limited set of studies, there seems to be some evidence that…Prolotherapy may be an effective treatment option to treat pain and to improve function in patients with Chronic Patellar Tendinopathy.” (5)\r\n\r\nPRP, another form of Regenerative Orthopedics, may also be warranted depending on the severity of the knee condition and for patellar tendinopathy. Do researchers recommend it? Doctors looking for a non-surgical options to treat patellar tendinopathy concluded in the American Journal of Sports Medicine: “Eccentric exercises may seem the strategy of choice in the short-term, but multiple PRP injections may offer more satisfactory results at long-term follow-up and can be therefore considered a suitable option for the treatment of patellar tendinopathy.”(6)\r\n\r\nRegenerative Orthopedics is a successful non-surgical solution for many knee pain conditions, including patellar tendinopathy. If you are suffering from knee pain, call us today. We are more than happy to help you resolve your pain and get you back to what you love quickly and with improved knee function.\r\n\r\n<strong>References</strong>\r\n\r\n1 Figueroa D, Figueroa F, Calvo R. Patellar Tendinopathy: Diagnosis and Treatment. J Am Acad Orthop Surg. 2016 Dec;24(12):e184-e192.\r\n\r\n2 Zhang J, Keenan C, Wang JH. The Effects of Dexamethasone on Human Patellar Tendon Stem Cells: Implications for Dexamethasone Treatment of Tendon Injury. Journal of orthopaedic research: official publication of the Orthopaedic Research Society. 2013 Jan;31(1):105.\r\n\r\n3 Mellinger S, Neurohr GA. Evidence-based treatment options for common knee injuries in runners. Annals of translational medicine. 2019 Oct;7(Suppl 7).\r\n\r\n4 Stuhlman CR, Stowers K, Stowers L, Smith J. Current Concepts and the Role of Surgery in the Treatment of Jumper’s Knee. Orthopedics. Nov 1 2016;39(6):e1028-e1035. doi: 10.3928/01477447-20160714-06.\r\n\r\n5 Morath O, Beck M, Taeymans J, Hirschmüller A. Sclerotherapy and prolotherapy for chronic patellar tendinopathies – a promising therapy with limited available evidence, a systematic review. J Exp Orthop. 2020 Nov 9;7(1):89. doi: 10.1186/s40634-020-00303-0. PMID: 33165667.\r\n\r\n6 Andriolo L, Altamura SA, Reale D, Candrian C, Zaffagnini S, Filardo G. Nonsurgical Treatments of Patellar Tendinopathy: Multiple Injections of Platelet-Rich Plasma Are a Suitable Option: A Systematic Review and Meta-analysis. The American journal of sports medicine. 2018 Mar 1:0363546518759674.','Patellar Tendinopathy','','inherit','closed','closed','','5500-revision-v1','','','2022-09-09 14:53:48','2022-09-09 14:53:48','',5500,'https://www.drfields.com/?p=5507',0,'revision','',0),(5508,8,'2022-09-09 14:54:07','2022-09-09 14:54:07','[caption id=\"attachment_5506\" align=\"alignright\" width=\"500\"]<img class=\"wp-image-5506 size-medium\" src=\"https://www.drfields.com/wp-content/uploads/2022/09/Patellar-Tendinopathy.-PRP.-Amer-J-of-Sports-Med.2ndpng-500x419.png\" alt=\"Patellar Tendinopathy. Prp. Amer J Of Sports Med.2ndpng\" width=\"500\" height=\"419\" /> Patellar Tendinopathy. Prp. Amer J Of Sports Med.2ndpng[/caption]\r\n\r\nHave you been diagnosed with patellar tendinopathy? If so, your condition relates to the tendon that passes from the large muscle at the front of the thigh and over the kneecap (patella) to connect to the shinbone.\r\n\r\nWhen someone has knee pain from a tendon problem or other causes, conservative self-management is usually the next step, or a doctor may recommend a brace, wrap, and/or anti-inflammatory medication. These treatments may keep down swelling down and possibly relieve some pain. However, any actual injury is not repaired with these conventional measures.\r\n\r\nAfter a few weeks of rest, once you are active again, you may still experience problems with pain and instability. Repair is needed. Fortunately, Regenerative Orthopedics is an available solution that can repair the tendons and any involved ligaments. Plus, it is non-surgical.\r\n<h2>Tendinitis vs Tendinosis</h2>\r\nBefore we go on, let’s talk about the difference between tendinitis and tendinosis:\r\n<ul>\r\n 	<li>With tendinitis, there is inflammation, pain, and swelling. The body is still trying to heal the knee</li>\r\n 	<li>When tendinosis is diagnosed, there is pain and weakness without the inflammation. At this point, the soft tissue is degenerated and the body has pretty much stopped trying to heal the tendon. And even though inflammation can be painful, inflammation is the body’s way of healing.</li>\r\n</ul>\r\n<h2>Patellar Tendinopathy Explained</h2>\r\nThe Journal of the American Academy of Orthopaedic Surgeons explains patellar tendinopathy like this: “The main problem in patellar tendinopathy is tendinosis, which is a degenerative disorder rather than an inflammatory disorder; therefore, the other popular term for this disease, tendinitis, is not appropriate.”\r\n\r\nRegenerative treatments are needed to repair and regenerate the degenerated soft tissue.\r\n<h2>Do Cortisone Injections Help?</h2>\r\nCortisone injections may help to calm down the inflammation and pain, but cortisone can make the tendon weaker. A recent study on the effect of dexamethasone (a type of cortisone injection) on the patellar tendon showed that dexamethasone had a “paradoxical” effect or changed the tendon stem cells into non-tendon tissue which weakened the tendon. Keep in mind then, that if cortisone is recommended, that while it may calm down inflammation, the injection could weaken rather than strengthen the tendon. (2)\r\n\r\nUnfortunately, with a tendon injury, the structure is already weakened. Plus, once it is weakened or damaged through injury or degenerative wear and tear, the knee becomes unstable. Stability needs to be regained, and Regenerative Orthopedics can stabilize and repair the soft tissue structures.\r\n<h2>Can Taping Help?</h2>\r\nIn the Annals of Translational Medicine (3), taping for the purpose of stabilizing the patella was discussed. “Patellar taping is commonly used in conjunction with manual and exercise therapies in the management of patellofemoral pain syndrome. Taping is predominately used to help decrease pain. Other studies show it can also help with patellar alignment and muscle activation. As patellar hypermobility has been shown as a predisposing factor for developing patellofemoral pain syndrome, taping can be indicated to promote patellar positioning and decrease pain. . . Overall, the effects of taping, are conflicting,…short-term it can be helpful with acute management of symptoms with functional activity.”\r\n\r\nThe goal of taping is to get the patella back into place, and to stabilize it temporarily. It is not reparative. Regenerative Orthopedics can stabilize the patellar, get it back in alignment, and resolve the pain. Regenerative Orthopedics is reparative.\r\n<h2>What About Surgery?</h2>\r\nSurgery may help the condition, but the downtime is very long. Researchers in the medical journal Orthopedics found that open surgery and arthroscopic techniques achieved similar satisfactory results but the average time to return to play was 5.6 months and 5 months, respectively (4). But keep in mind, there is also the possibility that surgery may not work.\r\n\r\nWhy not choose a non-surgical option that results in repair? Plus, effective Regenerative Orthopedics does not require the downtime of surgery. Movement is encouraged!\r\n<h2>Research about Regenerative Therapies?</h2>\r\nThe Journal of Experimental Orthopaedics examined the use of Prolotherapy in ten different studies for tendinopathies and found: “Among all ten studies, no serious adverse events were reported. Based on this limited set of studies, there seems to be some evidence that…Prolotherapy may be an effective treatment option to treat pain and to improve function in patients with Chronic Patellar Tendinopathy.” (5)\r\n\r\nPRP, another form of Regenerative Orthopedics, may also be warranted depending on the severity of the knee condition and for patellar tendinopathy. Do researchers recommend it? Doctors looking for a non-surgical options to treat patellar tendinopathy concluded in the American Journal of Sports Medicine: “Eccentric exercises may seem the strategy of choice in the short-term, but multiple PRP injections may offer more satisfactory results at long-term follow-up and can be therefore considered a suitable option for the treatment of patellar tendinopathy.”(6)\r\n\r\nRegenerative Orthopedics is a successful non-surgical solution for many knee pain conditions, including patellar tendinopathy. If you are suffering from knee pain, call us today. We are more than happy to help you resolve your pain and get you back to what you love quickly and with improved knee function.\r\n\r\n<strong>References</strong>\r\n\r\n1 Figueroa D, Figueroa F, Calvo R. Patellar Tendinopathy: Diagnosis and Treatment. J Am Acad Orthop Surg. 2016 Dec;24(12):e184-e192.\r\n\r\n2 Zhang J, Keenan C, Wang JH. The Effects of Dexamethasone on Human Patellar Tendon Stem Cells: Implications for Dexamethasone Treatment of Tendon Injury. Journal of orthopaedic research: official publication of the Orthopaedic Research Society. 2013 Jan;31(1):105.\r\n\r\n3 Mellinger S, Neurohr GA. Evidence-based treatment options for common knee injuries in runners. Annals of translational medicine. 2019 Oct;7(Suppl 7).\r\n\r\n4 Stuhlman CR, Stowers K, Stowers L, Smith J. Current Concepts and the Role of Surgery in the Treatment of Jumper’s Knee. Orthopedics. Nov 1 2016;39(6):e1028-e1035. doi: 10.3928/01477447-20160714-06.\r\n\r\n5 Morath O, Beck M, Taeymans J, Hirschmüller A. Sclerotherapy and prolotherapy for chronic patellar tendinopathies – a promising therapy with limited available evidence, a systematic review. J Exp Orthop. 2020 Nov 9;7(1):89. doi: 10.1186/s40634-020-00303-0. PMID: 33165667.\r\n\r\n6 Andriolo L, Altamura SA, Reale D, Candrian C, Zaffagnini S, Filardo G. Nonsurgical Treatments of Patellar Tendinopathy: Multiple Injections of Platelet-Rich Plasma Are a Suitable Option: A Systematic Review and Meta-analysis. The American journal of sports medicine. 2018 Mar 1:0363546518759674.','Patellar Tendinopathy','','inherit','closed','closed','','5500-revision-v1','','','2022-09-09 14:54:07','2022-09-09 14:54:07','',5500,'https://www.drfields.com/?p=5508',0,'revision','',0),(5509,8,'2022-09-14 06:45:54','2022-09-14 06:45:54','[caption id=\"attachment_5506\" align=\"alignright\" width=\"500\"]<img class=\"wp-image-5506 size-medium\" src=\"https://www.drfields.com/wp-content/uploads/2022/09/Patellar-Tendinopathy.-PRP.-Amer-J-of-Sports-Med.2ndpng-500x419.png\" alt=\"Patellar Tendinopathy. Prp. Amer J Of Sports Med.2ndpng\" width=\"500\" height=\"419\" />  [/caption]\r\n\r\nHave you been diagnosed with patellar tendinopathy? If so, your condition relates to the tendon that passes from the large muscle at the front of the thigh and over the kneecap (patella) to connect to the shinbone.\r\n\r\nWhen someone has knee pain from a tendon problem or other causes, conservative self-management is usually the next step, or a doctor may recommend a brace, wrap, and/or anti-inflammatory medication. These treatments may keep down swelling down and possibly relieve some pain. However, any actual injury is not repaired with these conventional measures.\r\n\r\nAfter a few weeks of rest, once you are active again, you may still experience problems with pain and instability. Repair is needed. Fortunately, Regenerative Orthopedics is an available solution that can repair the tendons and any involved ligaments. Plus, it is non-surgical.\r\n<h2>Tendinitis vs Tendinosis</h2>\r\nBefore we go on, let’s talk about the difference between tendinitis and tendinosis:\r\n<ul>\r\n 	<li>With tendinitis, there is inflammation, pain, and swelling. The body is still trying to heal the knee</li>\r\n 	<li>When tendinosis is diagnosed, there is pain and weakness without the inflammation. At this point, the soft tissue is degenerated and the body has pretty much stopped trying to heal the tendon. And even though inflammation can be painful, inflammation is the body’s way of healing.</li>\r\n</ul>\r\n<h2>Patellar Tendinopathy Explained</h2>\r\nThe Journal of the American Academy of Orthopaedic Surgeons explains patellar tendinopathy like this: “The main problem in patellar tendinopathy is tendinosis, which is a degenerative disorder rather than an inflammatory disorder; therefore, the other popular term for this disease, tendinitis, is not appropriate.”\r\n\r\nRegenerative treatments are needed to repair and regenerate the degenerated soft tissue.\r\n<h2>Do Cortisone Injections Help?</h2>\r\nCortisone injections may help to calm down the inflammation and pain, but cortisone can make the tendon weaker. A recent study on the effect of dexamethasone (a type of cortisone injection) on the patellar tendon showed that dexamethasone had a “paradoxical” effect or changed the tendon stem cells into non-tendon tissue which weakened the tendon. Keep in mind then, that if cortisone is recommended, that while it may calm down inflammation, the injection could weaken rather than strengthen the tendon. (2)\r\n\r\nUnfortunately, with a tendon injury, the structure is already weakened. Plus, once it is weakened or damaged through injury or degenerative wear and tear, the knee becomes unstable. Stability needs to be regained, and Regenerative Orthopedics can stabilize and repair the soft tissue structures.\r\n<h2>Can Taping Help?</h2>\r\nIn the Annals of Translational Medicine (3), taping for the purpose of stabilizing the patella was discussed. “Patellar taping is commonly used in conjunction with manual and exercise therapies in the management of patellofemoral pain syndrome. Taping is predominately used to help decrease pain. Other studies show it can also help with patellar alignment and muscle activation. As patellar hypermobility has been shown as a predisposing factor for developing patellofemoral pain syndrome, taping can be indicated to promote patellar positioning and decrease pain. . . Overall, the effects of taping, are conflicting,…short-term it can be helpful with acute management of symptoms with functional activity.”\r\n\r\nThe goal of taping is to get the patella back into place, and to stabilize it temporarily. It is not reparative. Regenerative Orthopedics can stabilize the patellar, get it back in alignment, and resolve the pain. Regenerative Orthopedics is reparative.\r\n<h2>What About Surgery?</h2>\r\nSurgery may help the condition, but the downtime is very long. Researchers in the medical journal Orthopedics found that open surgery and arthroscopic techniques achieved similar satisfactory results but the average time to return to play was 5.6 months and 5 months, respectively (4). But keep in mind, there is also the possibility that surgery may not work.\r\n\r\nWhy not choose a non-surgical option that results in repair? Plus, effective Regenerative Orthopedics does not require the downtime of surgery. Movement is encouraged!\r\n<h2>Research about Regenerative Therapies?</h2>\r\nThe Journal of Experimental Orthopaedics examined the use of Prolotherapy in ten different studies for tendinopathies and found: “Among all ten studies, no serious adverse events were reported. Based on this limited set of studies, there seems to be some evidence that…Prolotherapy may be an effective treatment option to treat pain and to improve function in patients with Chronic Patellar Tendinopathy.” (5)\r\n\r\nPRP, another form of Regenerative Orthopedics, may also be warranted depending on the severity of the knee condition and for patellar tendinopathy. Do researchers recommend it? Doctors looking for a non-surgical options to treat patellar tendinopathy concluded in the American Journal of Sports Medicine: “Eccentric exercises may seem the strategy of choice in the short-term, but multiple PRP injections may offer more satisfactory results at long-term follow-up and can be therefore considered a suitable option for the treatment of patellar tendinopathy.”(6)\r\n\r\nRegenerative Orthopedics is a successful non-surgical solution for many knee pain conditions, including patellar tendinopathy. If you are suffering from knee pain, call us today. We are more than happy to help you resolve your pain and get you back to what you love quickly and with improved knee function.\r\n\r\n<strong>References</strong>\r\n\r\n1 Figueroa D, Figueroa F, Calvo R. Patellar Tendinopathy: Diagnosis and Treatment. J Am Acad Orthop Surg. 2016 Dec;24(12):e184-e192.\r\n\r\n2 Zhang J, Keenan C, Wang JH. The Effects of Dexamethasone on Human Patellar Tendon Stem Cells: Implications for Dexamethasone Treatment of Tendon Injury. Journal of orthopaedic research: official publication of the Orthopaedic Research Society. 2013 Jan;31(1):105.\r\n\r\n3 Mellinger S, Neurohr GA. Evidence-based treatment options for common knee injuries in runners. Annals of translational medicine. 2019 Oct;7(Suppl 7).\r\n\r\n4 Stuhlman CR, Stowers K, Stowers L, Smith J. Current Concepts and the Role of Surgery in the Treatment of Jumper’s Knee. Orthopedics. Nov 1 2016;39(6):e1028-e1035. doi: 10.3928/01477447-20160714-06.\r\n\r\n5 Morath O, Beck M, Taeymans J, Hirschmüller A. Sclerotherapy and prolotherapy for chronic patellar tendinopathies – a promising therapy with limited available evidence, a systematic review. J Exp Orthop. 2020 Nov 9;7(1):89. doi: 10.1186/s40634-020-00303-0. PMID: 33165667.\r\n\r\n6 Andriolo L, Altamura SA, Reale D, Candrian C, Zaffagnini S, Filardo G. Nonsurgical Treatments of Patellar Tendinopathy: Multiple Injections of Platelet-Rich Plasma Are a Suitable Option: A Systematic Review and Meta-analysis. The American journal of sports medicine. 2018 Mar 1:0363546518759674.','Patellar Tendinopathy','','inherit','closed','closed','','5500-revision-v1','','','2022-09-14 06:45:54','2022-09-14 06:45:54','',5500,'https://www.drfields.com/?p=5509',0,'revision','',0),(5510,8,'2022-09-14 06:46:12','2022-09-14 06:46:12','<img class=\"alignright wp-image-5506 size-wcsquare\" src=\"https://www.drfields.com/wp-content/uploads/2022/09/Patellar-Tendinopathy.-PRP.-Amer-J-of-Sports-Med.2ndpng-300x300.png\" alt=\"Patellar Tendinopathy. Prp. Amer J Of Sports Med.2ndpng\" width=\"300\" height=\"300\" />\r\n\r\nHave you been diagnosed with patellar tendinopathy? If so, your condition relates to the tendon that passes from the large muscle at the front of the thigh and over the kneecap (patella) to connect to the shinbone.\r\n\r\nWhen someone has knee pain from a tendon problem or other causes, conservative self-management is usually the next step, or a doctor may recommend a brace, wrap, and/or anti-inflammatory medication. These treatments may keep down swelling down and possibly relieve some pain. However, any actual injury is not repaired with these conventional measures.\r\n\r\nAfter a few weeks of rest, once you are active again, you may still experience problems with pain and instability. Repair is needed. Fortunately, Regenerative Orthopedics is an available solution that can repair the tendons and any involved ligaments. Plus, it is non-surgical.\r\n<h2>Tendinitis vs Tendinosis</h2>\r\nBefore we go on, let’s talk about the difference between tendinitis and tendinosis:\r\n<ul>\r\n 	<li>With tendinitis, there is inflammation, pain, and swelling. The body is still trying to heal the knee</li>\r\n 	<li>When tendinosis is diagnosed, there is pain and weakness without the inflammation. At this point, the soft tissue is degenerated and the body has pretty much stopped trying to heal the tendon. And even though inflammation can be painful, inflammation is the body’s way of healing.</li>\r\n</ul>\r\n<h2>Patellar Tendinopathy Explained</h2>\r\nThe Journal of the American Academy of Orthopaedic Surgeons explains patellar tendinopathy like this: “The main problem in patellar tendinopathy is tendinosis, which is a degenerative disorder rather than an inflammatory disorder; therefore, the other popular term for this disease, tendinitis, is not appropriate.”\r\n\r\nRegenerative treatments are needed to repair and regenerate the degenerated soft tissue.\r\n<h2>Do Cortisone Injections Help?</h2>\r\nCortisone injections may help to calm down the inflammation and pain, but cortisone can make the tendon weaker. A recent study on the effect of dexamethasone (a type of cortisone injection) on the patellar tendon showed that dexamethasone had a “paradoxical” effect or changed the tendon stem cells into non-tendon tissue which weakened the tendon. Keep in mind then, that if cortisone is recommended, that while it may calm down inflammation, the injection could weaken rather than strengthen the tendon. (2)\r\n\r\nUnfortunately, with a tendon injury, the structure is already weakened. Plus, once it is weakened or damaged through injury or degenerative wear and tear, the knee becomes unstable. Stability needs to be regained, and Regenerative Orthopedics can stabilize and repair the soft tissue structures.\r\n<h2>Can Taping Help?</h2>\r\nIn the Annals of Translational Medicine (3), taping for the purpose of stabilizing the patella was discussed. “Patellar taping is commonly used in conjunction with manual and exercise therapies in the management of patellofemoral pain syndrome. Taping is predominately used to help decrease pain. Other studies show it can also help with patellar alignment and muscle activation. As patellar hypermobility has been shown as a predisposing factor for developing patellofemoral pain syndrome, taping can be indicated to promote patellar positioning and decrease pain. . . Overall, the effects of taping, are conflicting,…short-term it can be helpful with acute management of symptoms with functional activity.”\r\n\r\nThe goal of taping is to get the patella back into place, and to stabilize it temporarily. It is not reparative. Regenerative Orthopedics can stabilize the patellar, get it back in alignment, and resolve the pain. Regenerative Orthopedics is reparative.\r\n<h2>What About Surgery?</h2>\r\nSurgery may help the condition, but the downtime is very long. Researchers in the medical journal Orthopedics found that open surgery and arthroscopic techniques achieved similar satisfactory results but the average time to return to play was 5.6 months and 5 months, respectively (4). But keep in mind, there is also the possibility that surgery may not work.\r\n\r\nWhy not choose a non-surgical option that results in repair? Plus, effective Regenerative Orthopedics does not require the downtime of surgery. Movement is encouraged!\r\n<h2>Research about Regenerative Therapies?</h2>\r\nThe Journal of Experimental Orthopaedics examined the use of Prolotherapy in ten different studies for tendinopathies and found: “Among all ten studies, no serious adverse events were reported. Based on this limited set of studies, there seems to be some evidence that…Prolotherapy may be an effective treatment option to treat pain and to improve function in patients with Chronic Patellar Tendinopathy.” (5)\r\n\r\nPRP, another form of Regenerative Orthopedics, may also be warranted depending on the severity of the knee condition and for patellar tendinopathy. Do researchers recommend it? Doctors looking for a non-surgical options to treat patellar tendinopathy concluded in the American Journal of Sports Medicine: “Eccentric exercises may seem the strategy of choice in the short-term, but multiple PRP injections may offer more satisfactory results at long-term follow-up and can be therefore considered a suitable option for the treatment of patellar tendinopathy.”(6)\r\n\r\nRegenerative Orthopedics is a successful non-surgical solution for many knee pain conditions, including patellar tendinopathy. If you are suffering from knee pain, call us today. We are more than happy to help you resolve your pain and get you back to what you love quickly and with improved knee function.\r\n\r\n<strong>References</strong>\r\n\r\n1 Figueroa D, Figueroa F, Calvo R. Patellar Tendinopathy: Diagnosis and Treatment. J Am Acad Orthop Surg. 2016 Dec;24(12):e184-e192.\r\n\r\n2 Zhang J, Keenan C, Wang JH. The Effects of Dexamethasone on Human Patellar Tendon Stem Cells: Implications for Dexamethasone Treatment of Tendon Injury. Journal of orthopaedic research: official publication of the Orthopaedic Research Society. 2013 Jan;31(1):105.\r\n\r\n3 Mellinger S, Neurohr GA. Evidence-based treatment options for common knee injuries in runners. Annals of translational medicine. 2019 Oct;7(Suppl 7).\r\n\r\n4 Stuhlman CR, Stowers K, Stowers L, Smith J. Current Concepts and the Role of Surgery in the Treatment of Jumper’s Knee. Orthopedics. Nov 1 2016;39(6):e1028-e1035. doi: 10.3928/01477447-20160714-06.\r\n\r\n5 Morath O, Beck M, Taeymans J, Hirschmüller A. Sclerotherapy and prolotherapy for chronic patellar tendinopathies – a promising therapy with limited available evidence, a systematic review. J Exp Orthop. 2020 Nov 9;7(1):89. doi: 10.1186/s40634-020-00303-0. PMID: 33165667.\r\n\r\n6 Andriolo L, Altamura SA, Reale D, Candrian C, Zaffagnini S, Filardo G. Nonsurgical Treatments of Patellar Tendinopathy: Multiple Injections of Platelet-Rich Plasma Are a Suitable Option: A Systematic Review and Meta-analysis. The American journal of sports medicine. 2018 Mar 1:0363546518759674.','Patellar Tendinopathy','','inherit','closed','closed','','5500-revision-v1','','','2022-09-14 06:46:12','2022-09-14 06:46:12','',5500,'https://www.drfields.com/?p=5510',0,'revision','',0),(5511,8,'2022-09-15 03:55:38','2022-09-15 03:55:38','<img class=\"alignright size-full wp-image-642\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/running.jpg\" alt=\"Running\" width=\"200\" height=\"265\" />\r\n<h4>What Are Prolotherapy Treatments?</h4>\r\nProlotherapy treatments are a natural non-surgical method of assisting the body to heal injured or weakened joints, ligaments and tendons. With Prolotherapy (also called Dextrose Prolotherapy), the weakened areas are injected with a solution that stimulates the growth of healthy, strong tissues. As the tendons and ligaments grow stronger and vibrant, the pain is alleviated and motion is restored.\r\n\r\nWhether a joint, ligament or tendon is causing you pain or limited movement, Prolotherapy might be the right choice for you. Prolotherapy can help with arthritis, <a href=\"https://www.drfields.com/conditions/sports-injuries/knee-injury-treatment/\">knee injuries</a>, tendinitis (tennis elbow), hip dysfunction, bulging discs, lumbar or cervical spine instability, bursitis, ACL Tears, <a href=\"#\">rotator cuff injuries</a> and more.\r\n<h4>How Prolotherapy Treatment Repairs Joints and Relieves Pain</h4>\r\nProlotherapy\'s modern model was founded in the 1950s by Drs. George Hackett and Gustav Hemwall. But the notion of irritating an injured area to stimulate the body to heal itself goes back to ancient Greece. Prolotherapy helps your body make new cells. And it strengthens lax or torn tendons and ligaments. Ligaments are the tough tissues which connect bones to bones and tendons are the same kind of tissue which connect muscles to bones.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n\r\nYou might wonder why you still have pain in an injured area or why that area remains weak, even after a healing period of weeks, months or years. The answer lies in the fact that both ligaments and tendons have very poor circulation and it is this lack of blood supply which deprives them of the nutrients they need to heal properly. These weakened areas may have <strong>little or no blood flow</strong>, but they have lots of nerves. That’s why you may feel a significant amount of pain.\r\n\r\nRelaxed and weak ligaments lead to increased cartilage degeneration and finally bone-on-bone friction, which may result in arthritis type pain. Additionally, nerves around the soft tissues become stretched and irritated, also producing pain.\r\n\r\n<img class=\"alignleft size-full wp-image-644\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/couple1.jpg\" alt=\"Couple1\" width=\"200\" height=\"298\" />\r\n<h4>What is Prolotherapy Treatment Like?</h4>\r\nThe Prolotherapy technique involves the injection of a proliferant that causes an inflammatory response which stimulates the healing process. A local anesthetic is used so there is <strong>minimal discomfort</strong> with the injections. This results in a stronger or larger tendon or ligament that can hold body structures in place more effectively. The weakened area heals, and the <strong>patient\'s pain is reduced or eliminated</strong>.\r\n\r\nProlotherapy is an excellent alternative to <a href=\"https://www.drfields.com/Articles/Prolo-News/Cortisone-Is-it-Really-Good-for-You\">cortisone injections</a>, which long-term studies have shown can actually weaken tissue.\r\n\r\nMost patients require about 4 to 6 Prolotherapy treatments to restore function and relieve pain, but many find improvement after only one session. The treatments are usually given at two to four week intervals.\r\n\r\nProlotherapy has been shown to be effective at eliminating the pain of such conditions as <a href=\"https://www.drfields.com/conditions/sports-injuries/sports-injuries-treatment-overview/\">sports injuries</a>, tendonitis, arthritis, sciatica, some headaches, degenerated joints, fibromyalgia, and more. And it is effective at treating many causes of chronic (and in some cases acute) back and <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-neck-pain/\">neck pain</a>, <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-shoulder-pain/\">shoulder</a>, <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-knee-pain/\">knee</a> and other joint pain, tendonitis, and bursitis.\r\n\r\nProlotherapy is a non-surgical treatment heartily endorsed by former U.S. Surgeon General C. Everett Koop, who himself was a prolotherapist. The late diet guru Robert Atkins, M.D., also used \"prolo\" at his New York clinic and called it a miraculous treatment.\r\n\r\n<a href=\"https://www.carecredit.com/go/762HNB/bb3poscustacqbtnclk08132020/?dtc=Ds5X&amp;promocode=CLT/\"><img style=\"max-width: 100%; margin: 0 auto;\" src=\"https://www.carecredit.com/sites/pc/image/carecredit_button_applynow_280x100_a_v1.jpg\" width=\"275\" /></a>\r\n<h4 class=\"text-center\">Video: What is Prolotherapy Treatment?</h4>\r\n<div style=\"display: table; margin: 0 auto;\">[video_lightbox_youtube video_id=\"scdadG1A2Vk\" width=\"640\" height=\"480\" anchor=\"https://www.drfields.com/wp-content/uploads/2019/06/Dextrose-Prolotherapy-Overview.jpg\" alt=\"Dextrose Prolotherapy Overview\"]</div>\r\n<a class=\"buttonlink\" href=\"/regenerative-techniques/prolotherapy-videos/\">View More Videos on Prolotherapy</a>\r\n<h4>Are You A Candidate for Prolotherapy Treatment?</h4>\r\nCall <a href=\"tel:+[phone_raw]\">[phone]</a> today for a phone consultation to see if Prolotherapy treatment can get you pain free and ‘back in the game’ or help you resume your normal lifestyle. You can also <a href=\"/contact/\">contact Dr. Fields\' office</a>  to set up an in-person consultation.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">  Schedule Your Appointment Today!</a>','Prolotherapy Treatment Overview','','inherit','closed','closed','','382-revision-v1','','','2022-09-15 03:55:38','2022-09-15 03:55:38','',382,'https://www.drfields.com/?p=5511',0,'revision','',0),(5513,8,'2022-09-25 06:00:50','2022-09-25 06:00:50','<a href=\"https://www.drfields.com/wp-content/uploads/2022/09/Tennis-Elbow.-PRP.-Amer-J-of-Phys-Med-Rehab.png\"><img class=\"wp-image-5514 alignright\" src=\"https://www.drfields.com/wp-content/uploads/2022/09/Tennis-Elbow.-PRP.-Amer-J-of-Phys-Med-Rehab-500x419.png\" alt=\"Tennis Elbow: It’s Not Strictly An Injury Afflicting Athletes\" width=\"300\" height=\"251\" /></a>\r\n<h2 align=\"JUSTIFY\">Tennis Elbow</h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Tennis elbow (</span><span lang=\"it-IT\">lateral epicondylitis)</span><span lang=\"en-US\"> is a painful condition</span> <span lang=\"en-US\">involving the tendon that attaches at the outside bony prominence of the elbow or</span><span lang=\"it-IT\"> lateral epicondyle.</span><span lang=\"en-US\"> Tennis elbow is a type of overuse injury that results from repetitive motion of the wrist and arm often from overuse due to particular jobs and activities.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">An Overuse Injury</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Because of the name, you might think that tennis elbow is strictly an injury that athletes develop. But that isn’t so. Tennis elbow can occur in people whose jobs require repeat motions, such as painters, secretaries, accountants, carpenters, and guitarists. This condition is often described as an overuse injury. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Overuse injuries are activity-related injuries linked to repetitive stress placed on the tendon, ligament or other joint structure. Doing too much of the same activity strains the tendons, ligaments, and other soft tissue structures of the elbow. Using poor or improper technique</span> <span lang=\"en-US\">while training or poor form when painting can overload the muscles, tendons, and ligaments, and cause an overuse injury.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Tennis Elbow Symptoms</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The pain involved in tennis elbow is usually noted where a tendon of the forearm attaches to the bony bump at the outside of the elbow. The pain may radiate from the outer elbow into the forearm and wrist. These symptoms may make daily activities difficult such as turning a doorknob or picking up, holding, and gripping objects.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Instability May Be Behind Tennis Elbow</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Chronic elbow pain may be related to ligament, muscle, and tendon injury. In order to resolve the problem, all of these areas need to be addressed for</span><span lang=\"it-IT\"> alleviat</span><span lang=\"en-US\">ion of the pain.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">When elbow ligaments are involved, they may be </span>fray<span lang=\"en-US\">ed, torn, or otherwise weakened. Why is it important to address the ligaments if tennis elbow is a tendon problem? Ligaments are dense bands of connective tissue that attach one bone to another. They hold the bones in place, and allow for a strong, stable base upon which the muscles contract and move the joint.</span>  <span lang=\"en-US\">When a tendon is injured, there is often ligament involvement as well.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">When the ligaments are injured or weakened, they can cause strain on the tendon and other joint structures. This allows for excessive elbow movement and instability. In this cycle of instability,</span> <span lang=\"en-US\">t</span><span lang=\"it-IT\">he tendons</span><span lang=\"en-US\"> will attempt to hold the muscle to the bone, increasing stress, and increasing the possibility of</span> <span lang=\"en-US\">injury to the tendon.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Conventional Treatments for Tennis Elbow</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Those with tennis elbow often try to manage the pain with over-the-counter medications and/or conservative therapy to stabilize the elbow such as with a brace. Resting the elbow is another way sufferers attempt to find relief in order to continue to work or participate in activities. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Recommended conventional treatments for tennis elbow often include NSAIDs, physical therapy, bracing, and taping. Unfortunately, these treatments may only provide temporary relief but they are not reparative in nature.</span></p>\r\n<p align=\"LEFT\"><span lang=\"en-US\">Symptoms may be suppressed with pain medications or calmed down with bracing. However, a sleeve, for example, will only give a false sense of security while only temporarily helping the sufferer to function. If the pain continues, and becomes chronic, the individual requires a treatments that will repair the involved tendon and ligaments.</span></p>\r\n\r\n<h2 align=\"LEFT\"><span lang=\"en-US\">What Does the Research Say Regarding Bracing and Surgery?</span></h2>\r\n<h4 align=\"JUSTIFY\"><em><strong><span lang=\"en-US\">Bracing</span></strong></em></h4>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">T</span><span lang=\"fr-FR\">he journal</span> <em><span lang=\"en-US\">Prosthetics and Orthotics International</span></em> (<span lang=\"en-US\">1) examined the popular counterforce brace in people with problems of lateral elbow tendinopathy and found that physical therapy had better results.</span></p>\r\n\r\n<h4 align=\"JUSTIFY\"><em><strong><span lang=\"en-US\">Surgery</span></strong></em></h4>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The </span><em><span lang=\"en-US\">US National Institutes of Health Clinical Trial</span></em><span lang=\"nl-NL\"> website</span><span lang=\"en-US\"> says: </span><em>“<span lang=\"en-US\">Despite its promise, there have been no high-quality studies evaluating the efficacy of arthroscopic tennis elbow release, bringing the actual efficacy of this procedure into question.” </span>(<span lang=\"en-US\">2</span>)</em></p>\r\n<p align=\"JUSTIFY\"><strong><span lang=\"en-US\">There’s Another Way and It Does Not Require Surgery!</span></strong></p>\r\n\r\n<h3 align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative Orthopedics, Including Prolotherapy Are Effective for Tennis Elbow</span></h3>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative Orthopedics is a non-surgical treatment that effectively repairs the tendons and ligaments involved in tennis elbow. Prolotherapy is one type of Regenerative Orthopedics and studies show its effectiveness in treating tennis elbow. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy is an injection technique that works to regenerate the degenerated tendon. The injection of simple dextrose mimics the natural healing response and </span>stimulate<span lang=\"en-US\">s healing growth factors to repair the</span><span lang=\"fr-FR\"> tissue.</span></p>\r\n\r\n<ul>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Researchers published a study in the </span><em><span lang=\"en-US\">American Journal of Physical Medicine &amp; Rehabilitation </span></em><span lang=\"en-US\">that </span>evaluat<span lang=\"en-US\">ed Prolotherapy for tennis elbow. They concluded: </span><em>“<span lang=\"en-US\">Prolotherapy resulted in safe, significant improvement of elbow pain and function compared with baseline status and follow-up data and the wait-and-see control group. This pilot study suggests the need for a definitive trial.”</span></em><span lang=\"en-US\">(3)</span></p>\r\n</li>\r\n</ul>\r\n<ul>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">A study of 84 patients with tennis elbow who were treated with dextrose prolotherapy had statistically significant reductions in pain levels. (4)</span></p>\r\n</li>\r\n</ul>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy is effective for tennis elbow! It works because it boosts the body’s healing abilities naturally. And, it works because it addresses the problem by repairing the injures soft tissue. Plus, it works because it reduces or eliminates the symptoms. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Fortunately, Prolotherapy and other Regenerative Orthopedics, such as PRP and Stem Cell Therapy, all strengthen the involved ligaments and tendons.</span> <span lang=\"en-US\">These therapies </span><span lang=\"pt-PT\">stabilize</span><span lang=\"en-US\"> the elbow, strengthen the elbow, address the instability, and put an end to the pain and symptoms of tennis elbow</span>.<span lang=\"en-US\"> Recommendations may be made for PRP and/or Stem Cell in more advanced cases, but all treatments would include Prolotherapy.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">If tennis elbow is a condition you are currently facing, please reach out and give us a call. We would be happy to help you become symptom free.</span></p>\r\n\r\n<h3 align=\"JUSTIFY\"><span lang=\"en-US\">References</span></h3>\r\n<ol>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Shahabi S, Bagheri Lankarani K, Heydari ST, Jalali M, Ghahramani S, Kamyab M, Tabrizi R, Hosseinabadi M. The effects of counterforce brace on pain in subjects with lateral elbow tendinopathy: A systematic review and meta-analysis of randomized controlled trials. Prosthetics and Orthotics International. 2020 Jul 8:0309364620930618.</span></p>\r\n</li>\r\n 	<li>\r\n<p align=\"JUSTIFY\">Kroslak M, Murrell GAC. <span lang=\"en-US\">Surgical Treatment of Lateral Epicondylitis: A Prospective, Randomized, Double-Blinded, Placebo-Controlled Clinical Trial. Am J Sports Med. 2018 Mar 1:363546517753385. doi: 10.1177/0363546517753385.</span></p>\r\n</li>\r\n 	<li>\r\n<p align=\"JUSTIFY\">Rabago D, Lee KS, Ryan M, Chourasia AO, Sesto ME, Zgierska A, Kijowski R, Grettie J, Wilson J, Miller D. <span lang=\"en-US\">Hypertonic Dextrose and Morrhuate Sodium Injections (Prolotherapy) for Lateral Epicondylosis (Tennis Elbow): Results of a Single-blind, Pilot-Level, Randomized Controlled Trial. Am J Phys Med Rehabil. 2013 Jan 3.</span></p>\r\n</li>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Shin J, Seo K-M, Kim D-K, Kim B-K, Kang SH. The effect of prolotherapy on lateral epicondylitis of elbow.</span> J Korean Acad Rehabil Med. 2002;26:764–8.</p>\r\n</li>\r\n</ol>','Tennis Elbow: It’s Not Strictly An Injury Afflicting Athletes','','publish','closed','open','','tennis-elbow-its-not-strictly-an-injury-afflicting-athletes','','','2022-10-05 21:16:17','2022-10-05 21:16:17','',0,'https://www.drfields.com/?p=5513',0,'post','',0),(5514,8,'2022-09-26 12:07:06','2022-09-26 12:07:06','Tennis Elbow. Prp. Amer J Of Phys Med & Rehab','Tennis Elbow. Prp. Amer J Of Phys Med & Rehab','Tennis Elbow. Prp. Amer J Of Phys Med & Rehab','inherit','closed','closed','','tennis-elbow-prp-amer-j-of-phys-med-rehab','','','2022-09-26 12:07:06','2022-09-26 12:07:06','',5513,'https://www.drfields.com/wp-content/uploads/2022/09/Tennis-Elbow.-PRP.-Amer-J-of-Phys-Med-Rehab.png',0,'attachment','image/png',0),(5515,8,'2022-09-26 12:09:50','2022-09-26 12:09:50','[caption id=\"attachment_5514\" align=\"alignright\" width=\"500\"]<a href=\"https://www.drfields.com/wp-content/uploads/2022/09/Tennis-Elbow.-PRP.-Amer-J-of-Phys-Med-Rehab.png\"><img class=\"size-medium wp-image-5514\" src=\"https://www.drfields.com/wp-content/uploads/2022/09/Tennis-Elbow.-PRP.-Amer-J-of-Phys-Med-Rehab-500x419.png\" alt=\"Tennis Elbow. Prp. Amer J Of Phys Med &amp; Rehab\" width=\"500\" height=\"419\" /></a> Tennis Elbow. Prp. Amer J Of Phys Med &amp; Rehab[/caption]\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Tennis elbow (</span><span lang=\"it-IT\">lateral epicondylitis)</span><span lang=\"en-US\"> is a painful condition</span> <span lang=\"en-US\">involving the tendon that attaches at the outside bony prominence of the elbow or</span><span lang=\"it-IT\"> lateral epicondyle.</span><span lang=\"en-US\"> Tennis elbow is a type of overuse injury that results from repetitive motion of the wrist and arm often from overuse due to particular jobs and activities.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Tennis Elbow Is Often Described As An Overuse Injury</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Because of the name, you might think that tennis elbow is strictly an injury that athletes develop. But that isn’t so. Tennis elbow can occur in people whose jobs require repeat motions, such as painters, secretaries, accountants, carpenters, and guitarists. This condition is often described as an overuse injury. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Overuse injuries are activity-related injuries linked to repetitive stress placed on the tendon, ligament or other joint structure. Doing too much of the same activity strains the tendons, ligaments, and other soft tissue structures of the elbow. Using poor or improper technique</span> <span lang=\"en-US\">while training or poor form when painting can overload the muscles, tendons, and ligaments, and cause an overuse injury.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Tennis Elbow Symptoms</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The pain involved in tennis elbow is usually noted where a tendon of the forearm attaches to the bony bump at the outside of the elbow. The pain may radiate from the outer elbow into the forearm and wrist. These symptoms may make daily activities difficult such as turning a doorknob or picking up, holding, and gripping objects.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Instability May Be Behind Tennis Elbow</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Chronic elbow pain may be related to ligament, muscle, and tendon injury. In order to resolve the problem, all of these areas need to be addressed for</span><span lang=\"it-IT\"> alleviat</span><span lang=\"en-US\">ion of the pain.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">When elbow ligaments are involved, they may be </span>fray<span lang=\"en-US\">ed, torn, or otherwise weakened. Why is it important to address the ligaments if tennis elbow is a tendon problem? Ligaments are dense bands of connective tissue that attach one bone to another. They hold the bones in place, and allow for a strong, stable base upon which the muscles contract and move the joint.</span>  <span lang=\"en-US\">When a tendon is injured, there is often ligament involvement as well.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">When the ligaments are injured or weakened, they can cause strain on the tendon and other joint structures. This allows for excessive elbow movement and instability. In this cycle of instability,</span> <span lang=\"en-US\">t</span><span lang=\"it-IT\">he tendons</span><span lang=\"en-US\"> will attempt to hold the muscle to the bone, increasing stress, and increasing the possibility of</span> <span lang=\"en-US\">injury to the tendon.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Conventional Treatments for Tennis Elbow</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Those with tennis elbow often try to manage the pain with over-the-counter medications and/or conservative therapy to stabilize the elbow such as with a brace. Resting the elbow is another way sufferers attempt to find relief in order to continue to work or participate in activities. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Recommended conventional treatments for tennis elbow often include NSAIDs, physical therapy, bracing, and taping. These treatments may provide temporary relief but they are not reparative in nature.</span></p>\r\n<p align=\"LEFT\"><span lang=\"en-US\">Symptoms may be suppressed with pain medications or calmed down with bracing. However, a sleeve, for example, will only give a false sense of security while only temporarily helping the sufferer to function. If the pain continues, and becomes chronic, the individual requires a treatments that will repair the involved tendon and ligaments.</span></p>\r\n\r\n<h2 align=\"LEFT\"><span lang=\"en-US\">What Does the Research Say Regarding Bracing and Surgery?</span></h2>\r\n<p align=\"JUSTIFY\"><strong><span lang=\"en-US\">Bracing</span></strong></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">T</span><span lang=\"fr-FR\">he journal</span> <span lang=\"en-US\">Prosthetics and Orthotics International</span> (<span lang=\"en-US\">1) examined the popular counterforce brace in people with problems of lateral elbow tendinopathy and found that physical therapy had better results.</span></p>\r\n<p align=\"JUSTIFY\"><strong><span lang=\"en-US\">Surgery</span></strong></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The </span><span lang=\"en-US\">US National Institutes of Health Clinical Trial</span><span lang=\"nl-NL\"> website</span><span lang=\"en-US\"> says: </span>“<span lang=\"en-US\">Despite its promise, there have been no high-quality studies evaluating the efficacy of arthroscopic tennis elbow release, bringing the actual efficacy of this procedure into question.” </span>(<span lang=\"en-US\">2</span>)</p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">There’s Another Way and It Does Not Require Surgery!</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative Orthopedics, Including Prolotherapy Are Effective for Tennis Elbow</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative Orthopedics is a non-surgical treatment that effectively repairs the tendons and ligaments involved in tennis elbow. Prolotherapy is one type of Regenerative Orthopedics and studies show its effectiveness in treating tennis elbow. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy is an injection technique that works to regenerate the degenerated tendon. The injection of simple dextrose mimics the natural healing response and </span>stimulate<span lang=\"en-US\">s healing growth factors to repair the</span><span lang=\"fr-FR\"> tissue.</span></p>\r\n\r\n<ul>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Researchers published a study in the </span><span lang=\"en-US\">American Journal of Physical Medicine &amp; Rehabilitation </span><span lang=\"en-US\">that </span>evaluat<span lang=\"en-US\">ed Prolotherapy for tennis elbow. They concluded: </span>“<span lang=\"en-US\">Prolotherapy resulted in safe, significant improvement of elbow pain and function compared with baseline status and follow-up data and the wait-and-see control group. This pilot study suggests the need for a definitive trial.”</span><span lang=\"en-US\">(3)</span></p>\r\n</li>\r\n</ul>\r\n<ul>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">A study of 84 patients with tennis elbow who were treated with dextrose prolotherapy had statistically significant reductions in pain levels. (4)</span></p>\r\n</li>\r\n</ul>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy is effective for tennis elbow! It works because it boosts the body’s healing abilities naturally. It works because it addresses the problem by repairing the injures soft tissue. And it works because it reduces or eliminates the symptoms. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy and other Regenerative Orthopedics, such as PRP and Stem Cell Therapy, all strengthen the involved ligaments and tendons.</span> <span lang=\"en-US\">These therapies </span><span lang=\"pt-PT\">stabilize</span><span lang=\"en-US\"> the elbow, strengthen the elbow, address the instability, and put an end to the pain and symptoms of tennis elbow</span>.<span lang=\"en-US\"> Recommendations may be made for PRP and/or Stem Cell in more advanced cases, but all treatments would include Prolotherapy.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">If tennis elbow is a condition you are currently facing, please reach out and give us a call. We would be happy to help you become symptom free.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">References</span></p>\r\n\r\n<ol>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Shahabi S, Bagheri Lankarani K, Heydari ST, Jalali M, Ghahramani S, Kamyab M, Tabrizi R, Hosseinabadi M. The effects of counterforce brace on pain in subjects with lateral elbow tendinopathy: A systematic review and meta-analysis of randomized controlled trials. Prosthetics and Orthotics International. 2020 Jul 8:0309364620930618.</span></p>\r\n</li>\r\n 	<li>\r\n<p align=\"JUSTIFY\">Kroslak M, Murrell GAC. <span lang=\"en-US\">Surgical Treatment of Lateral Epicondylitis: A Prospective, Randomized, Double-Blinded, Placebo-Controlled Clinical Trial. Am J Sports Med. 2018 Mar 1:363546517753385. doi: 10.1177/0363546517753385.</span></p>\r\n</li>\r\n 	<li>\r\n<p align=\"JUSTIFY\">Rabago D, Lee KS, Ryan M, Chourasia AO, Sesto ME, Zgierska A, Kijowski R, Grettie J, Wilson J, Miller D. <span lang=\"en-US\">Hypertonic Dextrose and Morrhuate Sodium Injections (Prolotherapy) for Lateral Epicondylosis (Tennis Elbow): Results of a Single-blind, Pilot-Level, Randomized Controlled Trial. Am J Phys Med Rehabil. 2013 Jan 3.</span></p>\r\n</li>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Shin J, Seo K-M, Kim D-K, Kim B-K, Kang SH. The effect of prolotherapy on lateral epicondylitis of elbow.</span> J Korean Acad Rehabil Med. 2002;26:764–8.</p>\r\n</li>\r\n</ol>','Tennis Elbow: It’s Not Strictly An Injury Afflicting Athletes','','inherit','closed','closed','','5513-revision-v1','','','2022-09-26 12:09:50','2022-09-26 12:09:50','',5513,'https://www.drfields.com/?p=5515',0,'revision','',0),(5516,8,'2022-09-26 12:14:52','2022-09-26 12:14:52','<a href=\"https://www.drfields.com/wp-content/uploads/2022/09/Tennis-Elbow.-PRP.-Amer-J-of-Phys-Med-Rehab.png\"><img class=\"wp-image-5514\" src=\"https://www.drfields.com/wp-content/uploads/2022/09/Tennis-Elbow.-PRP.-Amer-J-of-Phys-Med-Rehab-500x419.png\" alt=\"Tennis Elbow: It’s Not Strictly An Injury Afflicting Athletes\" width=\"300\" height=\"251\" /></a>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Tennis elbow (</span><span lang=\"it-IT\">lateral epicondylitis)</span><span lang=\"en-US\"> is a painful condition</span> <span lang=\"en-US\">involving the tendon that attaches at the outside bony prominence of the elbow or</span><span lang=\"it-IT\"> lateral epicondyle.</span><span lang=\"en-US\"> Tennis elbow is a type of overuse injury that results from repetitive motion of the wrist and arm often from overuse due to particular jobs and activities.</span></p>\n\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Tennis Elbow Is Often Described As An Overuse Injury</span></h2>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Because of the name, you might think that tennis elbow is strictly an injury that athletes develop. But that isn’t so. Tennis elbow can occur in people whose jobs require repeat motions, such as painters, secretaries, accountants, carpenters, and guitarists. This condition is often described as an overuse injury. </span></p>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Overuse injuries are activity-related injuries linked to repetitive stress placed on the tendon, ligament or other joint structure. Doing too much of the same activity strains the tendons, ligaments, and other soft tissue structures of the elbow. Using poor or improper technique</span> <span lang=\"en-US\">while training or poor form when painting can overload the muscles, tendons, and ligaments, and cause an overuse injury.</span></p>\n\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Tennis Elbow Symptoms</span></h2>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The pain involved in tennis elbow is usually noted where a tendon of the forearm attaches to the bony bump at the outside of the elbow. The pain may radiate from the outer elbow into the forearm and wrist. These symptoms may make daily activities difficult such as turning a doorknob or picking up, holding, and gripping objects.</span></p>\n\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Instability May Be Behind Tennis Elbow</span></h2>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Chronic elbow pain may be related to ligament, muscle, and tendon injury. In order to resolve the problem, all of these areas need to be addressed for</span><span lang=\"it-IT\"> alleviat</span><span lang=\"en-US\">ion of the pain.</span></p>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">When elbow ligaments are involved, they may be </span>fray<span lang=\"en-US\">ed, torn, or otherwise weakened. Why is it important to address the ligaments if tennis elbow is a tendon problem? Ligaments are dense bands of connective tissue that attach one bone to another. They hold the bones in place, and allow for a strong, stable base upon which the muscles contract and move the joint.</span>  <span lang=\"en-US\">When a tendon is injured, there is often ligament involvement as well.</span></p>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">When the ligaments are injured or weakened, they can cause strain on the tendon and other joint structures. This allows for excessive elbow movement and instability. In this cycle of instability,</span> <span lang=\"en-US\">t</span><span lang=\"it-IT\">he tendons</span><span lang=\"en-US\"> will attempt to hold the muscle to the bone, increasing stress, and increasing the possibility of</span> <span lang=\"en-US\">injury to the tendon.</span></p>\n\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Conventional Treatments for Tennis Elbow</span></h2>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Those with tennis elbow often try to manage the pain with over-the-counter medications and/or conservative therapy to stabilize the elbow such as with a brace. Resting the elbow is another way sufferers attempt to find relief in order to continue to work or participate in activities. </span></p>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Recommended conventional treatments for tennis elbow often include NSAIDs, physical therapy, bracing, and taping. These treatments may provide temporary relief but they are not reparative in nature.</span></p>\n<p align=\"LEFT\"><span lang=\"en-US\">Symptoms may be suppressed with pain medications or calmed down with bracing. However, a sleeve, for example, will only give a false sense of security while only temporarily helping the sufferer to function. If the pain continues, and becomes chronic, the individual requires a treatments that will repair the involved tendon and ligaments.</span></p>\n\n<h2 align=\"LEFT\"><span lang=\"en-US\">What Does the Research Say Regarding Bracing and Surgery?</span></h2>\n<p align=\"JUSTIFY\"><strong><span lang=\"en-US\">Bracing</span></strong></p>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">T</span><span lang=\"fr-FR\">he journal</span> <span lang=\"en-US\">Prosthetics and Orthotics International</span> (<span lang=\"en-US\">1) examined the popular counterforce brace in people with problems of lateral elbow tendinopathy and found that physical therapy had better results.</span></p>\n<p align=\"JUSTIFY\"><strong><span lang=\"en-US\">Surgery</span></strong></p>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The </span><span lang=\"en-US\">US National Institutes of Health Clinical Trial</span><span lang=\"nl-NL\"> website</span><span lang=\"en-US\"> says: </span>“<span lang=\"en-US\">Despite its promise, there have been no high-quality studies evaluating the efficacy of arthroscopic tennis elbow release, bringing the actual efficacy of this procedure into question.” </span>(<span lang=\"en-US\">2</span>)</p>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">There’s Another Way and It Does Not Require Surgery!</span></p>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative Orthopedics, Including Prolotherapy Are Effective for Tennis Elbow</span></p>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative Orthopedics is a non-surgical treatment that effectively repairs the tendons and ligaments involved in tennis elbow. Prolotherapy is one type of Regenerative Orthopedics and studies show its effectiveness in treating tennis elbow. </span></p>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy is an injection technique that works to regenerate the degenerated tendon. The injection of simple dextrose mimics the natural healing response and </span>stimulate<span lang=\"en-US\">s healing growth factors to repair the</span><span lang=\"fr-FR\"> tissue.</span></p>\n\n<ul>\n 	<li>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Researchers published a study in the </span><span lang=\"en-US\">American Journal of Physical Medicine &amp; Rehabilitation </span><span lang=\"en-US\">that </span>evaluat<span lang=\"en-US\">ed Prolotherapy for tennis elbow. They concluded: </span>“<span lang=\"en-US\">Prolotherapy resulted in safe, significant improvement of elbow pain and function compared with baseline status and follow-up data and the wait-and-see control group. This pilot study suggests the need for a definitive trial.”</span><span lang=\"en-US\">(3)</span></p>\n</li>\n</ul>\n<ul>\n 	<li>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">A study of 84 patients with tennis elbow who were treated with dextrose prolotherapy had statistically significant reductions in pain levels. (4)</span></p>\n</li>\n</ul>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy is effective for tennis elbow! It works because it boosts the body’s healing abilities naturally. It works because it addresses the problem by repairing the injures soft tissue. And it works because it reduces or eliminates the symptoms. </span></p>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy and other Regenerative Orthopedics, such as PRP and Stem Cell Therapy, all strengthen the involved ligaments and tendons.</span> <span lang=\"en-US\">These therapies </span><span lang=\"pt-PT\">stabilize</span><span lang=\"en-US\"> the elbow, strengthen the elbow, address the instability, and put an end to the pain and symptoms of tennis elbow</span>.<span lang=\"en-US\"> Recommendations may be made for PRP and/or Stem Cell in more advanced cases, but all treatments would include Prolotherapy.</span></p>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">If tennis elbow is a condition you are currently facing, please reach out and give us a call. We would be happy to help you become symptom free.</span></p>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">References</span></p>\n\n<ol>\n 	<li>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Shahabi S, Bagheri Lankarani K, Heydari ST, Jalali M, Ghahramani S, Kamyab M, Tabrizi R, Hosseinabadi M. The effects of counterforce brace on pain in subjects with lateral elbow tendinopathy: A systematic review and meta-analysis of randomized controlled trials. Prosthetics and Orthotics International. 2020 Jul 8:0309364620930618.</span></p>\n</li>\n 	<li>\n<p align=\"JUSTIFY\">Kroslak M, Murrell GAC. <span lang=\"en-US\">Surgical Treatment of Lateral Epicondylitis: A Prospective, Randomized, Double-Blinded, Placebo-Controlled Clinical Trial. Am J Sports Med. 2018 Mar 1:363546517753385. doi: 10.1177/0363546517753385.</span></p>\n</li>\n 	<li>\n<p align=\"JUSTIFY\">Rabago D, Lee KS, Ryan M, Chourasia AO, Sesto ME, Zgierska A, Kijowski R, Grettie J, Wilson J, Miller D. <span lang=\"en-US\">Hypertonic Dextrose and Morrhuate Sodium Injections (Prolotherapy) for Lateral Epicondylosis (Tennis Elbow): Results of a Single-blind, Pilot-Level, Randomized Controlled Trial. Am J Phys Med Rehabil. 2013 Jan 3.</span></p>\n</li>\n 	<li>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Shin J, Seo K-M, Kim D-K, Kim B-K, Kang SH. The effect of prolotherapy on lateral epicondylitis of elbow.</span> J Korean Acad Rehabil Med. 2002;26:764–8.</p>\n</li>\n</ol>','Tennis Elbow: It’s Not Strictly An Injury Afflicting Athletes','','inherit','closed','closed','','5513-autosave-v1','','','2022-09-26 12:14:52','2022-09-26 12:14:52','',5513,'https://www.drfields.com/?p=5516',0,'revision','',0),(5517,8,'2022-09-26 12:15:13','2022-09-26 12:15:13','<a href=\"https://www.drfields.com/wp-content/uploads/2022/09/Tennis-Elbow.-PRP.-Amer-J-of-Phys-Med-Rehab.png\"><img class=\"wp-image-5514\" src=\"https://www.drfields.com/wp-content/uploads/2022/09/Tennis-Elbow.-PRP.-Amer-J-of-Phys-Med-Rehab-500x419.png\" alt=\"Tennis Elbow: It’s Not Strictly An Injury Afflicting Athletes\" width=\"300\" height=\"251\" /></a>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Tennis elbow (</span><span lang=\"it-IT\">lateral epicondylitis)</span><span lang=\"en-US\"> is a painful condition</span> <span lang=\"en-US\">involving the tendon that attaches at the outside bony prominence of the elbow or</span><span lang=\"it-IT\"> lateral epicondyle.</span><span lang=\"en-US\"> Tennis elbow is a type of overuse injury that results from repetitive motion of the wrist and arm often from overuse due to particular jobs and activities.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Tennis Elbow Is Often Described As An Overuse Injury</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Because of the name, you might think that tennis elbow is strictly an injury that athletes develop. But that isn’t so. Tennis elbow can occur in people whose jobs require repeat motions, such as painters, secretaries, accountants, carpenters, and guitarists. This condition is often described as an overuse injury. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Overuse injuries are activity-related injuries linked to repetitive stress placed on the tendon, ligament or other joint structure. Doing too much of the same activity strains the tendons, ligaments, and other soft tissue structures of the elbow. Using poor or improper technique</span> <span lang=\"en-US\">while training or poor form when painting can overload the muscles, tendons, and ligaments, and cause an overuse injury.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Tennis Elbow Symptoms</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The pain involved in tennis elbow is usually noted where a tendon of the forearm attaches to the bony bump at the outside of the elbow. The pain may radiate from the outer elbow into the forearm and wrist. These symptoms may make daily activities difficult such as turning a doorknob or picking up, holding, and gripping objects.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Instability May Be Behind Tennis Elbow</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Chronic elbow pain may be related to ligament, muscle, and tendon injury. In order to resolve the problem, all of these areas need to be addressed for</span><span lang=\"it-IT\"> alleviat</span><span lang=\"en-US\">ion of the pain.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">When elbow ligaments are involved, they may be </span>fray<span lang=\"en-US\">ed, torn, or otherwise weakened. Why is it important to address the ligaments if tennis elbow is a tendon problem? Ligaments are dense bands of connective tissue that attach one bone to another. They hold the bones in place, and allow for a strong, stable base upon which the muscles contract and move the joint.</span>  <span lang=\"en-US\">When a tendon is injured, there is often ligament involvement as well.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">When the ligaments are injured or weakened, they can cause strain on the tendon and other joint structures. This allows for excessive elbow movement and instability. In this cycle of instability,</span> <span lang=\"en-US\">t</span><span lang=\"it-IT\">he tendons</span><span lang=\"en-US\"> will attempt to hold the muscle to the bone, increasing stress, and increasing the possibility of</span> <span lang=\"en-US\">injury to the tendon.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Conventional Treatments for Tennis Elbow</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Those with tennis elbow often try to manage the pain with over-the-counter medications and/or conservative therapy to stabilize the elbow such as with a brace. Resting the elbow is another way sufferers attempt to find relief in order to continue to work or participate in activities. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Recommended conventional treatments for tennis elbow often include NSAIDs, physical therapy, bracing, and taping. These treatments may provide temporary relief but they are not reparative in nature.</span></p>\r\n<p align=\"LEFT\"><span lang=\"en-US\">Symptoms may be suppressed with pain medications or calmed down with bracing. However, a sleeve, for example, will only give a false sense of security while only temporarily helping the sufferer to function. If the pain continues, and becomes chronic, the individual requires a treatments that will repair the involved tendon and ligaments.</span></p>\r\n\r\n<h2 align=\"LEFT\"><span lang=\"en-US\">What Does the Research Say Regarding Bracing and Surgery?</span></h2>\r\n<p align=\"JUSTIFY\"><strong><span lang=\"en-US\">Bracing</span></strong></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">T</span><span lang=\"fr-FR\">he journal</span> <span lang=\"en-US\">Prosthetics and Orthotics International</span> (<span lang=\"en-US\">1) examined the popular counterforce brace in people with problems of lateral elbow tendinopathy and found that physical therapy had better results.</span></p>\r\n<p align=\"JUSTIFY\"><strong><span lang=\"en-US\">Surgery</span></strong></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The </span><span lang=\"en-US\">US National Institutes of Health Clinical Trial</span><span lang=\"nl-NL\"> website</span><span lang=\"en-US\"> says: </span>“<span lang=\"en-US\">Despite its promise, there have been no high-quality studies evaluating the efficacy of arthroscopic tennis elbow release, bringing the actual efficacy of this procedure into question.” </span>(<span lang=\"en-US\">2</span>)</p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">There’s Another Way and It Does Not Require Surgery!</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative Orthopedics, Including Prolotherapy Are Effective for Tennis Elbow</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative Orthopedics is a non-surgical treatment that effectively repairs the tendons and ligaments involved in tennis elbow. Prolotherapy is one type of Regenerative Orthopedics and studies show its effectiveness in treating tennis elbow. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy is an injection technique that works to regenerate the degenerated tendon. The injection of simple dextrose mimics the natural healing response and </span>stimulate<span lang=\"en-US\">s healing growth factors to repair the</span><span lang=\"fr-FR\"> tissue.</span></p>\r\n\r\n<ul>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Researchers published a study in the </span><span lang=\"en-US\">American Journal of Physical Medicine &amp; Rehabilitation </span><span lang=\"en-US\">that </span>evaluat<span lang=\"en-US\">ed Prolotherapy for tennis elbow. They concluded: </span>“<span lang=\"en-US\">Prolotherapy resulted in safe, significant improvement of elbow pain and function compared with baseline status and follow-up data and the wait-and-see control group. This pilot study suggests the need for a definitive trial.”</span><span lang=\"en-US\">(3)</span></p>\r\n</li>\r\n</ul>\r\n<ul>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">A study of 84 patients with tennis elbow who were treated with dextrose prolotherapy had statistically significant reductions in pain levels. (4)</span></p>\r\n</li>\r\n</ul>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy is effective for tennis elbow! It works because it boosts the body’s healing abilities naturally. It works because it addresses the problem by repairing the injures soft tissue. And it works because it reduces or eliminates the symptoms. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy and other Regenerative Orthopedics, such as PRP and Stem Cell Therapy, all strengthen the involved ligaments and tendons.</span> <span lang=\"en-US\">These therapies </span><span lang=\"pt-PT\">stabilize</span><span lang=\"en-US\"> the elbow, strengthen the elbow, address the instability, and put an end to the pain and symptoms of tennis elbow</span>.<span lang=\"en-US\"> Recommendations may be made for PRP and/or Stem Cell in more advanced cases, but all treatments would include Prolotherapy.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">If tennis elbow is a condition you are currently facing, please reach out and give us a call. We would be happy to help you become symptom free.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">References</span></p>\r\n\r\n<ol>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Shahabi S, Bagheri Lankarani K, Heydari ST, Jalali M, Ghahramani S, Kamyab M, Tabrizi R, Hosseinabadi M. The effects of counterforce brace on pain in subjects with lateral elbow tendinopathy: A systematic review and meta-analysis of randomized controlled trials. Prosthetics and Orthotics International. 2020 Jul 8:0309364620930618.</span></p>\r\n</li>\r\n 	<li>\r\n<p align=\"JUSTIFY\">Kroslak M, Murrell GAC. <span lang=\"en-US\">Surgical Treatment of Lateral Epicondylitis: A Prospective, Randomized, Double-Blinded, Placebo-Controlled Clinical Trial. Am J Sports Med. 2018 Mar 1:363546517753385. doi: 10.1177/0363546517753385.</span></p>\r\n</li>\r\n 	<li>\r\n<p align=\"JUSTIFY\">Rabago D, Lee KS, Ryan M, Chourasia AO, Sesto ME, Zgierska A, Kijowski R, Grettie J, Wilson J, Miller D. <span lang=\"en-US\">Hypertonic Dextrose and Morrhuate Sodium Injections (Prolotherapy) for Lateral Epicondylosis (Tennis Elbow): Results of a Single-blind, Pilot-Level, Randomized Controlled Trial. Am J Phys Med Rehabil. 2013 Jan 3.</span></p>\r\n</li>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Shin J, Seo K-M, Kim D-K, Kim B-K, Kang SH. The effect of prolotherapy on lateral epicondylitis of elbow.</span> J Korean Acad Rehabil Med. 2002;26:764–8.</p>\r\n</li>\r\n</ol>','Tennis Elbow: It’s Not Strictly An Injury Afflicting Athletes','','inherit','closed','closed','','5513-revision-v1','','','2022-09-26 12:15:13','2022-09-26 12:15:13','',5513,'https://www.drfields.com/?p=5517',0,'revision','',0),(5518,8,'2022-09-26 12:15:41','2022-09-26 12:15:41','<a href=\"https://www.drfields.com/wp-content/uploads/2022/09/Tennis-Elbow.-PRP.-Amer-J-of-Phys-Med-Rehab.png\"><img class=\"wp-image-5514 alignright\" src=\"https://www.drfields.com/wp-content/uploads/2022/09/Tennis-Elbow.-PRP.-Amer-J-of-Phys-Med-Rehab-500x419.png\" alt=\"Tennis Elbow: It’s Not Strictly An Injury Afflicting Athletes\" width=\"300\" height=\"251\" /></a>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Tennis elbow (</span><span lang=\"it-IT\">lateral epicondylitis)</span><span lang=\"en-US\"> is a painful condition</span> <span lang=\"en-US\">involving the tendon that attaches at the outside bony prominence of the elbow or</span><span lang=\"it-IT\"> lateral epicondyle.</span><span lang=\"en-US\"> Tennis elbow is a type of overuse injury that results from repetitive motion of the wrist and arm often from overuse due to particular jobs and activities.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Tennis Elbow Is Often Described As An Overuse Injury</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Because of the name, you might think that tennis elbow is strictly an injury that athletes develop. But that isn’t so. Tennis elbow can occur in people whose jobs require repeat motions, such as painters, secretaries, accountants, carpenters, and guitarists. This condition is often described as an overuse injury. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Overuse injuries are activity-related injuries linked to repetitive stress placed on the tendon, ligament or other joint structure. Doing too much of the same activity strains the tendons, ligaments, and other soft tissue structures of the elbow. Using poor or improper technique</span> <span lang=\"en-US\">while training or poor form when painting can overload the muscles, tendons, and ligaments, and cause an overuse injury.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Tennis Elbow Symptoms</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The pain involved in tennis elbow is usually noted where a tendon of the forearm attaches to the bony bump at the outside of the elbow. The pain may radiate from the outer elbow into the forearm and wrist. These symptoms may make daily activities difficult such as turning a doorknob or picking up, holding, and gripping objects.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Instability May Be Behind Tennis Elbow</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Chronic elbow pain may be related to ligament, muscle, and tendon injury. In order to resolve the problem, all of these areas need to be addressed for</span><span lang=\"it-IT\"> alleviat</span><span lang=\"en-US\">ion of the pain.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">When elbow ligaments are involved, they may be </span>fray<span lang=\"en-US\">ed, torn, or otherwise weakened. Why is it important to address the ligaments if tennis elbow is a tendon problem? Ligaments are dense bands of connective tissue that attach one bone to another. They hold the bones in place, and allow for a strong, stable base upon which the muscles contract and move the joint.</span>  <span lang=\"en-US\">When a tendon is injured, there is often ligament involvement as well.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">When the ligaments are injured or weakened, they can cause strain on the tendon and other joint structures. This allows for excessive elbow movement and instability. In this cycle of instability,</span> <span lang=\"en-US\">t</span><span lang=\"it-IT\">he tendons</span><span lang=\"en-US\"> will attempt to hold the muscle to the bone, increasing stress, and increasing the possibility of</span> <span lang=\"en-US\">injury to the tendon.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Conventional Treatments for Tennis Elbow</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Those with tennis elbow often try to manage the pain with over-the-counter medications and/or conservative therapy to stabilize the elbow such as with a brace. Resting the elbow is another way sufferers attempt to find relief in order to continue to work or participate in activities. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Recommended conventional treatments for tennis elbow often include NSAIDs, physical therapy, bracing, and taping. These treatments may provide temporary relief but they are not reparative in nature.</span></p>\r\n<p align=\"LEFT\"><span lang=\"en-US\">Symptoms may be suppressed with pain medications or calmed down with bracing. However, a sleeve, for example, will only give a false sense of security while only temporarily helping the sufferer to function. If the pain continues, and becomes chronic, the individual requires a treatments that will repair the involved tendon and ligaments.</span></p>\r\n\r\n<h2 align=\"LEFT\"><span lang=\"en-US\">What Does the Research Say Regarding Bracing and Surgery?</span></h2>\r\n<p align=\"JUSTIFY\"><strong><span lang=\"en-US\">Bracing</span></strong></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">T</span><span lang=\"fr-FR\">he journal</span> <span lang=\"en-US\">Prosthetics and Orthotics International</span> (<span lang=\"en-US\">1) examined the popular counterforce brace in people with problems of lateral elbow tendinopathy and found that physical therapy had better results.</span></p>\r\n<p align=\"JUSTIFY\"><strong><span lang=\"en-US\">Surgery</span></strong></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The </span><span lang=\"en-US\">US National Institutes of Health Clinical Trial</span><span lang=\"nl-NL\"> website</span><span lang=\"en-US\"> says: </span>“<span lang=\"en-US\">Despite its promise, there have been no high-quality studies evaluating the efficacy of arthroscopic tennis elbow release, bringing the actual efficacy of this procedure into question.” </span>(<span lang=\"en-US\">2</span>)</p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">There’s Another Way and It Does Not Require Surgery!</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative Orthopedics, Including Prolotherapy Are Effective for Tennis Elbow</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative Orthopedics is a non-surgical treatment that effectively repairs the tendons and ligaments involved in tennis elbow. Prolotherapy is one type of Regenerative Orthopedics and studies show its effectiveness in treating tennis elbow. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy is an injection technique that works to regenerate the degenerated tendon. The injection of simple dextrose mimics the natural healing response and </span>stimulate<span lang=\"en-US\">s healing growth factors to repair the</span><span lang=\"fr-FR\"> tissue.</span></p>\r\n\r\n<ul>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Researchers published a study in the </span><span lang=\"en-US\">American Journal of Physical Medicine &amp; Rehabilitation </span><span lang=\"en-US\">that </span>evaluat<span lang=\"en-US\">ed Prolotherapy for tennis elbow. They concluded: </span>“<span lang=\"en-US\">Prolotherapy resulted in safe, significant improvement of elbow pain and function compared with baseline status and follow-up data and the wait-and-see control group. This pilot study suggests the need for a definitive trial.”</span><span lang=\"en-US\">(3)</span></p>\r\n</li>\r\n</ul>\r\n<ul>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">A study of 84 patients with tennis elbow who were treated with dextrose prolotherapy had statistically significant reductions in pain levels. (4)</span></p>\r\n</li>\r\n</ul>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy is effective for tennis elbow! It works because it boosts the body’s healing abilities naturally. It works because it addresses the problem by repairing the injures soft tissue. And it works because it reduces or eliminates the symptoms. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy and other Regenerative Orthopedics, such as PRP and Stem Cell Therapy, all strengthen the involved ligaments and tendons.</span> <span lang=\"en-US\">These therapies </span><span lang=\"pt-PT\">stabilize</span><span lang=\"en-US\"> the elbow, strengthen the elbow, address the instability, and put an end to the pain and symptoms of tennis elbow</span>.<span lang=\"en-US\"> Recommendations may be made for PRP and/or Stem Cell in more advanced cases, but all treatments would include Prolotherapy.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">If tennis elbow is a condition you are currently facing, please reach out and give us a call. We would be happy to help you become symptom free.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">References</span></p>\r\n\r\n<ol>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Shahabi S, Bagheri Lankarani K, Heydari ST, Jalali M, Ghahramani S, Kamyab M, Tabrizi R, Hosseinabadi M. The effects of counterforce brace on pain in subjects with lateral elbow tendinopathy: A systematic review and meta-analysis of randomized controlled trials. Prosthetics and Orthotics International. 2020 Jul 8:0309364620930618.</span></p>\r\n</li>\r\n 	<li>\r\n<p align=\"JUSTIFY\">Kroslak M, Murrell GAC. <span lang=\"en-US\">Surgical Treatment of Lateral Epicondylitis: A Prospective, Randomized, Double-Blinded, Placebo-Controlled Clinical Trial. Am J Sports Med. 2018 Mar 1:363546517753385. doi: 10.1177/0363546517753385.</span></p>\r\n</li>\r\n 	<li>\r\n<p align=\"JUSTIFY\">Rabago D, Lee KS, Ryan M, Chourasia AO, Sesto ME, Zgierska A, Kijowski R, Grettie J, Wilson J, Miller D. <span lang=\"en-US\">Hypertonic Dextrose and Morrhuate Sodium Injections (Prolotherapy) for Lateral Epicondylosis (Tennis Elbow): Results of a Single-blind, Pilot-Level, Randomized Controlled Trial. Am J Phys Med Rehabil. 2013 Jan 3.</span></p>\r\n</li>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Shin J, Seo K-M, Kim D-K, Kim B-K, Kang SH. The effect of prolotherapy on lateral epicondylitis of elbow.</span> J Korean Acad Rehabil Med. 2002;26:764–8.</p>\r\n</li>\r\n</ol>','Tennis Elbow: It’s Not Strictly An Injury Afflicting Athletes','','inherit','closed','closed','','5513-revision-v1','','','2022-09-26 12:15:41','2022-09-26 12:15:41','',5513,'https://www.drfields.com/?p=5518',0,'revision','',0),(5519,8,'2022-09-26 12:18:06','2022-09-26 12:18:06','<div class=\"clear\"></div>\r\n<div id=\"slider\">\r\n<div class=\"owl-carousel slider-carousel\">\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-4.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/07/Slider-2v05072022.png\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/05/header-orthoregen-santa-monica-pier.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">New Article:</span>\r\n<span class=\"header_text_second\">Keep Looking Forward Despite COVID-19</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dealing-with-covid-19/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-11.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-9.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Get Back In The Game!</span>\r\n<span class=\"header_text_second\">Avoid Joint and Spine Surgery </span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">Stem Cell/PRP/Prolotherapy</span>\r\n<a class=\"btn-more\" title=\"Get Help Now!\" href=\"Contact-Us\"> Get Help Now!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item slide-article\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/05/header-orthoregen-ocean-mountains.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_second\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/12/Kili-top-header-2.jpg\');\">\r\n<div class=\"carousel-caption\" style=\"text-align: left;\"><span class=\"header_text_first\">Congratulations\r\nPeter A. Fields, MD, DC</span>\r\n<span class=\"header_text_second\">The Athletic Doc<sup>®</sup>\r\nsuccessfully climbed</span>\r\n<span class=\"header_text_third white-text\">Mt. Kilimanjaro in\r\nTanzania, Africa.19,341 feet!!!</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/report-of-my-kilimanjaro-climb/\">Read More</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/12/Sider-01-V8.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Peter A. Fields, MD, DC\r\nThe Athletic Doc<sup>®</sup></span>\r\n<span class=\"header_text_second\">Completed His 11th Ironman</span>\r\n<span class=\"header_text_third\">Sunday, November 24th in Cozumel Mexico</span>\r\n<a class=\"btn-more\" title=\"Read More\" href=\"#\">Images &amp; Story Coming Soon</a></div>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"jumbotron-fluid\">\r\n<div class=\"row\">\r\n<div class=\"col-md-4 box1\">\r\n\r\nWhat\'s\r\n<h3>New</h3>\r\n<ul>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/tennis-elbow-its-not-strictly-an-injury-afflicting-athletes/\">Tennis Elbow: It’s Not Strictly An Injury Afflicting Athletes</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/patellar-tendinopathy/\">Patellar Tendinopathy</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/sprained-ankle/\">Sprained Ankle?</a></li>\r\n 	<li><a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-neck-pain/\">Stubborn, Persistent Neck Pain</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/non-surgical-partial-rotator-cuff-tear-repair/\">Non-surgical Partial Rotator Cuff Tear Repair</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/are-cortisone-shots-a-good-option/\">Are Cortisone Shots a Good Option?</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/try-regenerative-treatments-for-your-hip-pain-or-injury/\">Try Regenerative Treatments for Your Hip Pain or Injury</a></li>\r\n 	<li class=\"last\"><a title=\"Nagging Back Pain\" href=\"/articles/regenerative-orthopedics/nagging-back-pain/\">Nagging Back Pain</a></li>\r\n 	<li class=\"last\"><a title=\"Treating Knee Pain and Injuries with Regenerative Orthopedics\" href=\"/articles/regenerative-orthopedics/treating-knee-pain-and-injuries-with-regenerative-orthopedics/\">Treating Knee Pain and Injuries with Regenerative Orthopedics</a></li>\r\n 	<li class=\"last\"><a title=\"Keep Looking Forward Despite COVID-19\" href=\"/articles/health-news/dealing-with-covid-19/\">Keep Looking Forward Despite COVID-19</a></li>\r\n 	<li class=\"last\"><a title=\"COVID-19 Advice: Don’t Fear the Fear Itself!\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</a></li>\r\n 	<li class=\"last\"><a title=\"Rotator Cuff Tendonitis\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/rotator-cuff-tendonitis/\">Rotator Cuff Tendonitis</a></li>\r\n 	<li><a title=\"Allergic Reactions and Problems of Corrosion with Joint Replacements\" href=\"https://www.drfields.com/articles/allergic-reactions-and-problems-of-corrosion-with-joint-replacements/\">Allergic Reactions and Problems of Corrosion with Joint Replacements\r\n</a></li>\r\n 	<li><a title=\"Treat Sciatica Pain Non-Surgically\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/treat-sciatica-pain-non-surgically/\">Treat Sciatica Pain Non-Surgically</a></li>\r\n 	<li class=\"last\"><a title=\"Stem Cell Therapy at OrthoRegen&lt;sup&gt;®&lt;/sup&gt; – Why We are Different\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/stem-cell-therapy-at-orthoregen-why-we-are-different/\">Stem Cell Therapy at OrthoRegen<sup>®</sup> – Why We are Different</a></li>\r\n 	<li class=\"last\"><a title=\"Is Your Hip Bursitis Treatment Working?\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/is-your-hip-bursitis-treatment-working/\">Is Your Hip Bursitis Treatment Working?</a></li>\r\n</ul>\r\n</div>\r\n<div id=\"testimonials\" class=\"col-md-4 box2\">\r\n\r\nPatient\r\n<h3>Testimonials</h3>\r\n<strong>Video:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I wished I had come earlier and listened to what my physical therapist had told me to do because Dr. Fields has been a real solution for me.\"\r\n\r\n<img class=\"testimonial-img\" title=\"Testimonial\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-larry.png\" alt=\"Testimonial\" />\r\n<h3>Larry</h3>\r\n<h4>Stem Cell Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I highly recommend it to anyone who needs to recover fast and get back out there.\"\r\n\r\n<img class=\"testimonial-img\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-christopher.png\" alt=\"\" />\r\n<h3>Chris, Pro Basketball Player</h3>\r\n<h4>PRP Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"Now I can go walking, I go to my ballet class and I’m a happy camper because of Dr. Fields.\"\r\n\r\n<img class=\"testimonial-img\" title=\"\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-mary.png\" alt=\"Testimonial\" />\r\n<h3>Mary</h3>\r\n<h4>Stem Cell Hip</h4>\r\n</div>\r\n</div>\r\n<strong>Written:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I need to say a big thank you to Dr Fields for getting me back on the tennis court. I am an avid tennis player who tried to ignore the terrible pain in my elbow.\"\r\n<h3 style=\"margin-left: 0;\">Mindy</h3>\r\n<h4 style=\"margin-left: 0;\">Elbow</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I chose Dr. Peter Fields because he is an athlete and would have more direct knowledge of my particular circumstances than anyone else.\"\r\n<h3 style=\"margin-left: 0;\">Robert</h3>\r\n<h4 style=\"margin-left: 0;\">Shoulder</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"After the final treatments ended I am still without all the pain and have more muscle strength in my legs.\"\r\n<h3 style=\"margin-left: 0;\">Lois</h3>\r\n<h4 style=\"margin-left: 0;\">Knee</h4>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"col-md-4 box3\">\r\n\r\nNews &amp;\r\n<h3>Events</h3>\r\n<ul>\r\n 	<li><a href=\"https://www.drfields.com/articles/health-news/dr-fields-to-lecture-in-mexico-city-on-july-9th/\">Peter A. Fields, MD, DC to lecture in Mexico City on July 9th</a></li>\r\n 	<li><a class=\"buttonlink\" style=\"width: 100%; font-size: 24px; text-align: center; padding: 25px 8%;\" href=\"https://www.drfields.com/contact/\"> Are you a Stem Cell Candidate?</a></li>\r\n</ul>\r\n</div>\r\n</div>\r\n</div>\r\n<div id=\"search-articles\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n<h2 class=\"text-center\">Search <b>Dr. Fields\'</b> Articles</h2>\r\n<form id=\"searchform\" action=\"/\" method=\"get\"><input class=\"search-field\" name=\"s\" type=\"text\" placeholder=\"What\'s Your Condition?\" />\r\n<input type=\"submit\" value=\"Search\" /></form></div>\r\n</div>\r\n</div>\r\n<div id=\"intro\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n<h1 class=\"text-center\">Welcome to OrthoRegen<sup>®</sup>!</h1>\r\n<p class=\"intro_text welcome\"><a href=\"http://orthoregen.com\"><span style=\"font-size: 26px;\">OrthoRegen<sup>®</sup></span></a> is dedicated to providing the best of <span class=\"nowrap\">Regenerative Orthopedics</span> by offering non-surgical alternatives for joint and spine repair</p>\r\n<a class=\"primaryButton\" title=\"Read More About U\" href=\"https://www.drfields.com/about/orthoregen-our-philosophy/\">Read More About Us</a>\r\n<a id=\"candidateButton\" title=\"Are you a good candidate?\" href=\"/contact/\">Are you a good candidate?</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"about\">\r\n<div class=\"col-md-5 drfields\"><img class=\"alignnone\" title=\"Regenerative Orthopedics Leader\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/dr-fields.png\" alt=\"Regenerative Orthopedics Leader\" width=\"460\" height=\"737\" /></div>\r\n<div class=\"col-md-7 about_holder\">\r\n<h1>Peter A. Fields, <span class=\"nowrap\">MD, DC</span></h1>\r\n<p class=\"intro_text\">Medical Physician and Chiropractor\r\nThe Athletic Doc<sup>®</sup> - 11x Ironman Triathlete</p>\r\n\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"icon info\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-info.png\" alt=\"icon info\" /></div>\r\n<div class=\"about_text\">\r\n<h3>About</h3>\r\nPeter A. Fields, MD, DC is one of a handful of physicians in the nation with both medical and chiropractic degrees...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/dr-fields-bio/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"Man Icon\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-ironman.png\" alt=\"Man Icon\" /></div>\r\n<div class=\"about_text\">\r\n<h3>11x Ironman</h3>\r\nDr. Peter A. Fields is also known as The Athletic Doc<sup>®</sup> He not only treats athletes in his practice but is an athlete himself. For over...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n&nbsp;\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Call Us Today! 310-453-1234</a>','Home','','inherit','closed','closed','','2109-revision-v1','','','2022-09-26 12:18:06','2022-09-26 12:18:06','',2109,'https://www.drfields.com/?p=5519',0,'revision','',0),(5520,8,'2022-09-28 06:08:26','2022-09-28 06:08:26','<img class=\"alignleft size-full wp-image-288\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/mother-child-reading.jpg\" alt=\"Mother Child Reading\" width=\"200\" height=\"300\" /><u><strong>Fee’s and Payment/Insurance Policies</strong></u> <a href=\"https://www.drfields.com/about/fees-policies/\" rel=\"noopener noreferrer\">Click Here</a>\r\n\r\n<u><strong>Are medical records or MRI’s/X-rays necessary?</strong></u>\r\nAny pertinent medical records can be faxed [phone] to the office prior to your visit. The report (reading) of the MRI/X-ray can also be faxed or brought with you.\r\n\r\nActual MRI’s or x-rays are not absolutely necessary but may be brought with you.\r\n\r\n<u><strong>How long is each visit?</strong></u>\r\nThe first visit is approximately one hour. Each additional visit is about half an hour unless there is more than one area being treated. You can discuss this with the doctor on your first visit.\r\n\r\n<u><strong>Do I receive a Prolotherapy treatment on the initial visit?</strong></u>\r\nIf after history and examination it is determined that you are a prolotherapy candidate, then you will receive Prolotherapy on your first visit.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n<h6>Fees</h6>\r\nFor your first visit:\r\nA complete Regenerative Orthopedics history and physical is done at that time.\r\nThis takes approximately 30-40 minutes.\r\nThen the treatment options are explained (prices below).\r\n<a href=\"https://www.carecredit.com/go/762HNB/bb3poscustacqbtnclk08132020/?dtc=Ds5X&amp;promocode=CLT/\"><img class=\"alignright\" style=\"max-width: 100%;\" src=\"https://www.carecredit.com/sites/pc/image/carecredit_button_applynow_tile_v2.png\" width=\"275\" /></a>\r\nInitial Regenerative Orthopedic Consultation: <strong>$550</strong>\r\n<h6>Prolotherapy Charges</h6>\r\nSmall Joint (fingers, toes, TMJ): <strong>$500</strong>\r\nMedium Joint (knee, hip, shoulder): <strong>$600</strong>\r\nLarge Joint (Neck, Mid Back, or Low Back): <strong>$900</strong>\r\nPRP (in addition to the above joint charges): <strong>$550</strong>\r\nStem Cell Therapy: <strong>Please call for pricing</strong>\r\n\r\n<h6>PRP Charges</h6>\r\nPRP Small joint: <strong>$1100</strong>\r\nPRP Medium joint: <strong>$1300</strong>\r\nPRP Large joint: <strong>$1600</strong>\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n\r\n<strong>Payment Policy</strong>\r\n\r\nInvesting in your health should be very important to you. Since the future of health care is changing, you should be involved with this investment. When you make a financial investment, you measure it by how much it grows each year. Investing in your health pays off in many different ways: wellness, health stability, quality of life, energy, happiness and more.\r\n\r\nOnly you can decide what is fair and if it is worth the investment even if you pay out-of-pocket costs for your health care.\r\n\r\nWe will make every effort to instill the feeling that your time with us is worth it.\r\n\r\nAs a <strong>Fee for Service Office</strong> we request that the <u><strong>fee is paid in full at the time of service</strong></u>.\r\nWe accept credit cards, checks, or cash for payment of services.\r\nWe will provide you with a detailed invoice that you can submit to your insurance company for possible reimbursement. <u><strong>We cannot guarantee insurance reimbursement.</strong></u>\r\n\r\nWe <u>do not subscribe to any insurance networks.</u> Insurance billing can be up to 40 percent of a medical office\'s overhead. It involves a lot of time and effort. We would rather put that time and effort into caring for our patients instead of billing insurance companies. It also helps us keep our prices reasonable.\r\n\r\nRemember that health insurance is a contract between you and your insurance carrier.\r\n\r\nIf so inclined, you can contact your insurance carrier and ask them if they cover an MD office visit (codes: 99203 or 4; 99213 or 4.) They will not tell you how much they cover - only whether they cover it or not. Most insurance companies cover MD\'s office visits. This is what we bill for.\r\n\r\nAll bills are issued under Dr Fields\' medical license (MD). Unfortunately, there is still no guarantee that insurance companies will reimburse you for your treatments even after they have said yes to complete or partial coverage.\r\n\r\n<u><strong>We cannot bill Medicare or Medi-cal since we are not a provider.</strong></u>\r\nPlease do not ask us to attempt this as it is not possible.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>','Questions + Costs','','inherit','closed','closed','','2536-revision-v1','','','2022-09-28 06:08:26','2022-09-28 06:08:26','',2536,'https://www.drfields.com/?p=5520',0,'revision','',0),(5521,8,'2022-09-28 06:09:37','2022-09-28 06:09:37','<img class=\"alignleft size-full wp-image-288\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/mother-child-reading.jpg\" alt=\"Mother Child Reading\" width=\"200\" height=\"300\" /><u><strong>Fee’s and Payment/Insurance Policies</strong></u> <a href=\"https://www.drfields.com/about/fees-policies/\" rel=\"noopener noreferrer\">Click Here</a>\r\n\r\n<u><strong>Are medical records or MRI’s/X-rays necessary?</strong></u>\r\nAny pertinent medical records can be faxed [phone] to the office prior to your visit. The report (reading) of the MRI/X-ray can also be faxed or brought with you.\r\n\r\nActual MRI’s or x-rays are not absolutely necessary but may be brought with you.\r\n\r\n<u><strong>How long is each visit?</strong></u>\r\nThe first visit is approximately one hour. Each additional visit is about half an hour unless there is more than one area being treated. You can discuss this with the doctor on your first visit.\r\n\r\n<u><strong>Do I receive a Prolotherapy treatment on the initial visit?</strong></u>\r\nIf after history and examination it is determined that you are a prolotherapy candidate, then you will receive Prolotherapy on your first visit.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n<h6>Fees</h6>\r\nFor your first visit:\r\nA complete Regenerative Orthopedics history and physical is done at that time.\r\nThis takes approximately 30-40 minutes.\r\nThen the treatment options are explained (prices below).\r\n<a href=\"https://www.carecredit.com/go/762HNB/bb3poscustacqbtnclk08132020/?dtc=Ds5X&amp;promocode=CLT/\"><img class=\"alignright\" style=\"max-width: 100%;\" src=\"https://www.carecredit.com/sites/pc/image/carecredit_button_applynow_tile_v2.png\" width=\"275\" /></a>\r\nInitial Regenerative Orthopedic Consultation: <strong>$550</strong>\r\n<h6>Prolotherapy Charges</h6>\r\nSmall Joint (fingers, toes, TMJ): <strong>$500</strong>\r\nMedium Joint (knee, hip, shoulder): <strong>$600</strong>\r\nLarge Joint (Neck, Mid Back, or Low Back): <strong>$900</strong>\r\nStem Cell Therapy: <strong>Please call for pricing</strong>\r\n\r\n<h6>PRP Charges</h6>\r\nPRP Small joint: <strong>$1100</strong>\r\nPRP Medium joint: <strong>$1300</strong>\r\nPRP Large joint: <strong>$1600</strong>\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n\r\n<strong>Payment Policy</strong>\r\n\r\nInvesting in your health should be very important to you. Since the future of health care is changing, you should be involved with this investment. When you make a financial investment, you measure it by how much it grows each year. Investing in your health pays off in many different ways: wellness, health stability, quality of life, energy, happiness and more.\r\n\r\nOnly you can decide what is fair and if it is worth the investment even if you pay out-of-pocket costs for your health care.\r\n\r\nWe will make every effort to instill the feeling that your time with us is worth it.\r\n\r\nAs a <strong>Fee for Service Office</strong> we request that the <u><strong>fee is paid in full at the time of service</strong></u>.\r\nWe accept credit cards, checks, or cash for payment of services.\r\nWe will provide you with a detailed invoice that you can submit to your insurance company for possible reimbursement. <u><strong>We cannot guarantee insurance reimbursement.</strong></u>\r\n\r\nWe <u>do not subscribe to any insurance networks.</u> Insurance billing can be up to 40 percent of a medical office\'s overhead. It involves a lot of time and effort. We would rather put that time and effort into caring for our patients instead of billing insurance companies. It also helps us keep our prices reasonable.\r\n\r\nRemember that health insurance is a contract between you and your insurance carrier.\r\n\r\nIf so inclined, you can contact your insurance carrier and ask them if they cover an MD office visit (codes: 99203 or 4; 99213 or 4.) They will not tell you how much they cover - only whether they cover it or not. Most insurance companies cover MD\'s office visits. This is what we bill for.\r\n\r\nAll bills are issued under Dr Fields\' medical license (MD). Unfortunately, there is still no guarantee that insurance companies will reimburse you for your treatments even after they have said yes to complete or partial coverage.\r\n\r\n<u><strong>We cannot bill Medicare or Medi-cal since we are not a provider.</strong></u>\r\nPlease do not ask us to attempt this as it is not possible.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>','Questions + Costs','','inherit','closed','closed','','2536-revision-v1','','','2022-09-28 06:09:37','2022-09-28 06:09:37','',2536,'https://www.drfields.com/?p=5521',0,'revision','',0),(5522,8,'2022-10-01 06:00:06','2022-10-01 06:00:06','<h2>Stem Cells Are Gaining in Popularity</h2>\r\n[caption id=\"attachment_5533\" align=\"alignright\" width=\"455\"]<img class=\"wp-image-5533\" src=\"https://www.drfields.com/wp-content/uploads/2022/10/Arthritis.-Jnl-Clinical-OrthoTrauma-500x419.png\" alt=\"Arthritis. Jnl Clinical Ortho&amp;trauma\" width=\"455\" height=\"381\" /> <strong>                             Stem Cells Are Gaining in Popularity</strong>[/caption]\r\n\r\nThe limitations of traditional treatments for arthritis are causing many to seek alternatives for relieving their arthritis pain and symptoms. Even current surgical procedures for arthritis come up short since they cannot reverse the damage arthritis causes to articular cartilage. As a result, stem cell treatments and other regenerative therapies are gaining popularity because they result in the repair and regeneration of the joints.\r\n<h2>What Do You Mean Conventional Treatments Have Limitations?</h2>\r\nConventional treatments for arthritis only manage the problem. These treatments “chase the symptoms.” For example, NSAIDs and opioids may be given for the pain of arthritis. And sure, they are helpful to get relief from the pain, but these medications do not repair the joint. As time goes on, the pain and symptoms will continue because the joint is still not repaired, and surgery will likely be recommended. But surgery comes with complications and long recovery times! In an effort to avoid this scenario, people living with arthritis are seeking stem cell treatments as an alternative to surgery.\r\n<h2>Stem Cells Are Gaining Popularity Because They Regenerate Cartilage</h2>\r\nStem cell treatments have great potential due to their ability to regenerate damaged cartilage (1). Stem cell-based therapy is gaining popularity as an alternative to joint replacement, especially since it has reparative effects. However, due to the ethical concerns in using embryonic cells, the current trend is more focused on adult stem cells for cartilage regeneration.\r\n<h2>Types of Adult Stem Cells</h2>\r\nThere are various types of stem cells being utilized which include mesenchymal stem cells (MSCs), bone marrow-derived stem cells (BMSCs), and adipose-derived stem cells (ADSCs) for the regeneration of cartilage. Again, these types of adult stem cells may be chosen for cartilage regeneration.\r\n<h2>Mesenchymal Stem Cells (MSCs) from Bone Marrow</h2>\r\nMSCs derived from bone marrow (BMSCs) can repair tissues such as tendons, bony defects, and cartilage (2). Plus, when placed in the injured and degenerated areas, such as in knee and hip arthritis cases, these cells can assist in cartilage regeneration of the joint and alleviate the pain experienced by arthritis patients (3).\r\n\r\n<em>“The versatility of mesenchymal stem cells (MSCs) as a treatment modality has landed it another repair target: osteoarthritis, a crippling cartilage disease that frequently afflicts the aged population. Through many studies, this newly discovered method has been shown to significantly alleviate the pain experienced by osteoarthritic patients.”(3)</em>\r\n\r\nOnce aspirated (drawn out), mesenchymal stem cells (MSCs) are centrifuged to have a more concentrated number of stem cells to boost recovery and effectiveness (3). In addition, since these stem cells are taken directly from the person who will receive them (autologous), the chance of cross-contamination is reduced, which increases the efficacy of the therapy.\r\n\r\nStudies have shown that mesenchymal stem cells (MSCs) from bone marrow (BMSCs) can successfully regenerate injured cartilage, repair chondral defects, and improve arthritis symptoms in humans.\r\n\r\n<em>“The capability of the mesenchymal stem cells to repair and regenerate cartilage has been widely investigated. . .Several studies have demonstrated promising results in the clinical application for repair of chondral defects as an adjuvant (during surgery in some cases) or independent procedure. Intra-articular (mesenchymal stem cells (MSCs)  provide improvements in pain and function in knee osteoarthritis at short-term follow-up in many studies.”(4)</em>\r\n<h2>Adipose-Derived Stem Cells (ADSCs)</h2>\r\nAdipose-derived stem cells (ADSCs) are a promising source of stem cells because this fat tissue is abundant. Plus, it is relatively easy to harvest and has minimal side effects. Studies also back the use of ADSCs for cartilage regeneration in treating arthritis.\r\n\r\n<em>“Among the different kinds of MSCs available, adipose-derived mesenchymal stem cells (ADSCs) are emerging due to their abundancy and easiness to harvest.”(5)</em>\r\n\r\n<em>“Adipose stem cells are an attractive and abundant stem cell source with therapeutic applicability in diverse fields for the repair and regeneration of acute and chronically damaged tissues.” (5)</em>\r\n<h2>Platelet-Rich Plasma (PRP) Used Along with Stem Cells</h2>\r\nPRP, or platelet-rich plasma, taken from your blood, is a regenerative therapy that helps to boost cartilage regeneration due to its many growth factors. These growth factors promote the growth and differentiation of the stem cells and encourage their adherence to cartilage lesions.\r\n<h2>Stem Cells Are Gaining Popularity and Are Available at OrthoRegen®</h2>\r\nAt OrthoRegen®, we have been using stem cells to successfully treat arthritic joints for many years. The treatment is well-established at our clinic. This non-surgical injection procedure is an excellent alternative to conventional therapies and surgeries. In addition, the self-renewing, reparative, and regenerative abilities of stem cell treatments have rendered them an attractive option for the treatment of arthritis.\r\n\r\nAdditionally, at OrthoRegen®, we use the Gold Standard in Stem Cell Therapy. That means we use four different types of regenerative therapies. Many other clinics only use 1 or 2. We will use MSCs derived from bone marrow (BMSCs), adipose-derived stem cells (ADSCs) taken from fat, PRP, or platelet-rich plasma drawn from your blood, and then Dextrose Prolotherapy. All of these together give you the best chance at repair and regeneration to help you return to all the activities you enjoy.\r\n\r\nStem cell treatments are gaining popularity because they work! Call us at 310-453-1234 and find out if you are a candidate for this treatment.\r\n<h3>References</h3>\r\n<ol>\r\n 	<li>Shapiro SA, Kazmerchak SE, Heckman MG, Zubair AC, O’Connor MI. A Prospective, Single-Blind, Placebo-Controlled Trial of Bone Marrow Aspirate Concentrate for Knee Osteoarthritis. Am J Sports Med. 2017 Jan;45(1):82-90.</li>\r\n 	<li>Gianakos AL, Sun L, Patel JN, Adams DM, Liporace FA. Clinical application of concentrated bone marrow aspirate in orthopaedics: A systematic review. World journal of orthopedics. 2017 Jun 18;8(6):491.</li>\r\n 	<li>Afizah H, Hui JH. Mesenchymal stem cell therapy for osteoarthritis. Journal of clinical orthopaedics and trauma. 2016 Sep 30;7(3):177-82</li>\r\n 	<li>Debnath UK. Mesenchymal Stem Cell Therapy in Chondral Defects of Knee: Current Concept Review. Indian Journal of Orthopaedics. 2020 Jul 27:1-9.</li>\r\n 	<li>Lindroos B, Suuronen R, Miettinen S. The potential of adipose stem cells in regenerative medicine. Stem Cell Rev Rep. 2011 Jun;7(2):269-91. doi: 10.1007/s12015-010-9193-7. PMID: 20853072.</li>\r\n</ol>','Stem Cells Are Gaining in Popularity','','publish','closed','open','','stem-cells-are-gaining-in-popularity','','','2022-10-05 21:48:27','2022-10-05 21:48:27','',0,'https://www.drfields.com/?p=5522',0,'post','',0),(5523,8,'2022-10-01 04:11:39','2022-10-01 04:11:39','The limitations of traditional treatments for arthritis are causing many to seek alternatives for relief of their arthritis pain and symptoms. Even current surgical procedures for arthritis come up short since they are unable to reverse the damage arthritis causes on articular cartilage. Stem cell treatments, as well as other regenerative therapies, are gaining popularity because they result in repair and regeneration of the joints.\r\n<h2>What Do You Mean Conventional Treatments Have Limitations?</h2>\r\nConventional treatments for arthritis really only manage the problem. These treatments “chase the symptoms.” For example, NSAIDs and opioids may be given for the pain of arthritis. And sure, it’s helpful to get relief from the pain, but these medications do not repair the joint. As time goes on, the pain and symptoms will continue because the joint is still not repaired, and surgery will likely be recommended. But surgery comes with complications and long recovery times! In an effort to avoid this scenario, arthritis sufferers are seeking stem cell treatments as an alternative to surgery.\r\n<h2>Stem Cell Treatments Regenerate Cartilage</h2>\r\nStem cell treatments have great potential due to their ability to regenerate damaged cartilage (1). Stem cell based therapy is gaining popularity as an alternative to joint replacement, especially since it has reparative effects. Due to the ethical concerns in the utilization of embryonic cells the current trend is more focused on adult stem cells for cartilage regeneration.\r\n<h2>Types of Adult Stem Cells</h2>\r\nThere are various types of stem cells being utilized which include, mesenchymal stem cells (MSCs), bone marrow-derived stem cells (BMSCs), and adipose-derived stem cells (ADSCs) for the regeneration of cartilage. Again, these are all types of adult stem cells that may be chosen for cartilage regeneration.\r\n<h2>Mesenchymal Stem Cells (MSCs) from Bone Marrow</h2>\r\nMSCs derived from bone marrow (BMSCs) are able to repair tissues such as tendons, bony defects, and cartilage (2). Plus, when placed at the injured and/or degenerated areas, such as in cases of knee and hip arthritis, these cells are able to assist in cartilage regeneration of the joint and alleviate the pain experienced by arthritis patients (3).\r\n\r\n“The versatility of mesenchymal stem cells (MSCs) as a treatment modality has landed it another repair target: osteoarthritis, a crippling cartilage disease that frequently afflicts the aged population. Through many studies, this newly discovered method has been shown to significantly alleviate the pain experienced by osteoarthritic patients.”(3)\r\n\r\nOnce aspirated (drawn out), mesenchymal stem cells (MSCs) are centrifuged in order to have a more concentrated number of stem cells to boost recovery and effectiveness (3). Since these stem cells are taken directly from the person who will receive them (autologous), the chance of cross-contamination is reduced which increases the efficacy of the therapy.\r\n\r\nStudies have shown that mesenchymal stem cells (MSCs) from bone marrow (BMSCs) can successfully regenerate injured cartilage, repair chondral defects, and improve arthritis symptoms in humans.\r\n\r\n“The capability of the mesenchymal stem cells to repair and regenerate cartilage has been widely investigated. . .Several studies have demonstrated promising results in the clinical application for repair of chondral defects as an adjuvant (during surgery in some cases) or independent procedure. Intra-articular (mesenchymal stem cells (MSCs)  provide improvements in pain and function in knee osteoarthritis at short-term follow-up in many studies.”(4)\r\n<h2>Adipose-Derived Stem Cells (ADSCs)</h2>\r\nAdipose-derived stem cells (ADSCs) are a promising source of stem cells because there is an abundance of this fat tissue. Plus, it is relatively easy to harvest and has minimal side effects. Studies also back the use of ADSCs for cartilage regeneration in the treatment of arthritis.\r\n\r\n“Among the different kinds of MSCs available, adipose-derived mesenchymal stem cells (ADSCs) are emerging due to their abundancy and easiness to harvest.”(5)\r\n\r\n“Adipose stem cells are an attractive and abundant stem cell source with therapeutic applicability in diverse fields for the repair and regeneration of acute and chronically damaged tissues.” (5)\r\n<h2>Platelet Rich Plasma (PRP) Used Along with Stem Cells</h2>\r\nPRP or platelet-rich plasma, which is taken from your own blood, is a regenerative therapy that helps to boost cartilage regeneration due to its many growth factors. These growth factors promote the growth and differentiation of the stem cells as well as boost their adherence to the cartilage lesions.\r\n<h2>Stem Cell Treatments at OrthoRegen®</h2>\r\nAt OrthoRegen®, we have been successfully using stem cells to treat arthritic joints for many years. The treatment is well-established at our clinic. This non-surgical injection procedure is an excellent alternative to conventional treatments and surgeries. The self-renewing, reparative, and regenerative abilities of stem cell treatments have rendered them an attractive option for the treatment of arthritis.\r\n\r\nAdditionally, at OrthoRegen®, we use the Gold Standard in Stem Cell Therapy. That means we use 4 different types of regenerative therapies. Many other clinics only use 1 or 2. We will use MSCs derived from bone marrow (BMSCs), adipose-derived stem cells (ADSCs) taken from fat, PRP or platelet-rich plasma drawn from your own blood, and then Dextrose Prolotherapy. All of these together give you the best chance at repair and regeneration in order to help you return to all of the activities you want to be involved in.\r\n\r\nStem cell treatments are gaining popularity because they work! Call us at 310-453-1234 and find out if you are a candidate for this treatment.\r\n<h3>References</h3>\r\n<ol>\r\n 	<li>Shapiro SA, Kazmerchak SE, Heckman MG, Zubair AC, O’Connor MI. A Prospective, Single-Blind, Placebo-Controlled Trial of Bone Marrow Aspirate Concentrate for Knee Osteoarthritis. Am J Sports Med. 2017 Jan;45(1):82-90.</li>\r\n 	<li>Gianakos AL, Sun L, Patel JN, Adams DM, Liporace FA. Clinical application of concentrated bone marrow aspirate in orthopaedics: A systematic review. World journal of orthopedics. 2017 Jun 18;8(6):491.</li>\r\n 	<li>Afizah H, Hui JH. Mesenchymal stem cell therapy for osteoarthritis. Journal of clinical orthopaedics and trauma. 2016 Sep 30;7(3):177-82</li>\r\n 	<li>Debnath UK. Mesenchymal Stem Cell Therapy in Chondral Defects of Knee: Current Concept Review. Indian Journal of Orthopaedics. 2020 Jul 27:1-9.</li>\r\n 	<li>Lindroos B, Suuronen R, Miettinen S. The potential of adipose stem cells in regenerative medicine. Stem Cell Rev Rep. 2011 Jun;7(2):269-91. doi: 10.1007/s12015-010-9193-7. PMID: 20853072.</li>\r\n</ol>','Stem Cells Are Gaining in Popularity','','inherit','closed','closed','','5522-revision-v1','','','2022-10-01 04:11:39','2022-10-01 04:11:39','',5522,'https://www.drfields.com/?p=5523',0,'revision','',0),(5524,8,'2022-10-01 04:13:44','2022-10-01 04:13:44','<div class=\"clear\"></div>\r\n<div id=\"slider\">\r\n<div class=\"owl-carousel slider-carousel\">\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-4.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/07/Slider-2v05072022.png\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/05/header-orthoregen-santa-monica-pier.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">New Article:</span>\r\n<span class=\"header_text_second\">Keep Looking Forward Despite COVID-19</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dealing-with-covid-19/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-11.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-9.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Get Back In The Game!</span>\r\n<span class=\"header_text_second\">Avoid Joint and Spine Surgery </span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">Stem Cell/PRP/Prolotherapy</span>\r\n<a class=\"btn-more\" title=\"Get Help Now!\" href=\"Contact-Us\"> Get Help Now!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item slide-article\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/05/header-orthoregen-ocean-mountains.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_second\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/12/Kili-top-header-2.jpg\');\">\r\n<div class=\"carousel-caption\" style=\"text-align: left;\"><span class=\"header_text_first\">Congratulations\r\nPeter A. Fields, MD, DC</span>\r\n<span class=\"header_text_second\">The Athletic Doc<sup>®</sup>\r\nsuccessfully climbed</span>\r\n<span class=\"header_text_third white-text\">Mt. Kilimanjaro in\r\nTanzania, Africa.19,341 feet!!!</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/report-of-my-kilimanjaro-climb/\">Read More</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/12/Sider-01-V8.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Peter A. Fields, MD, DC\r\nThe Athletic Doc<sup>®</sup></span>\r\n<span class=\"header_text_second\">Completed His 11th Ironman</span>\r\n<span class=\"header_text_third\">Sunday, November 24th in Cozumel Mexico</span>\r\n<a class=\"btn-more\" title=\"Read More\" href=\"#\">Images &amp; Story Coming Soon</a></div>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"jumbotron-fluid\">\r\n<div class=\"row\">\r\n<div class=\"col-md-4 box1\">\r\n\r\nWhat\'s\r\n<h3>New</h3>\r\n<ul>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/stem-cells-are-gaining-in-popularity/\">Stem Cells Are Gaining in Popularity</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/tennis-elbow-its-not-strictly-an-injury-afflicting-athletes/\">Tennis Elbow: It’s Not Strictly An Injury Afflicting Athletes</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/patellar-tendinopathy/\">Patellar Tendinopathy</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/sprained-ankle/\">Sprained Ankle?</a></li>\r\n 	<li><a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-neck-pain/\">Stubborn, Persistent Neck Pain</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/non-surgical-partial-rotator-cuff-tear-repair/\">Non-surgical Partial Rotator Cuff Tear Repair</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/are-cortisone-shots-a-good-option/\">Are Cortisone Shots a Good Option?</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/try-regenerative-treatments-for-your-hip-pain-or-injury/\">Try Regenerative Treatments for Your Hip Pain or Injury</a></li>\r\n 	<li class=\"last\"><a title=\"Nagging Back Pain\" href=\"/articles/regenerative-orthopedics/nagging-back-pain/\">Nagging Back Pain</a></li>\r\n 	<li class=\"last\"><a title=\"Treating Knee Pain and Injuries with Regenerative Orthopedics\" href=\"/articles/regenerative-orthopedics/treating-knee-pain-and-injuries-with-regenerative-orthopedics/\">Treating Knee Pain and Injuries with Regenerative Orthopedics</a></li>\r\n 	<li class=\"last\"><a title=\"Keep Looking Forward Despite COVID-19\" href=\"/articles/health-news/dealing-with-covid-19/\">Keep Looking Forward Despite COVID-19</a></li>\r\n 	<li class=\"last\"><a title=\"COVID-19 Advice: Don’t Fear the Fear Itself!\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</a></li>\r\n 	<li class=\"last\"><a title=\"Rotator Cuff Tendonitis\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/rotator-cuff-tendonitis/\">Rotator Cuff Tendonitis</a></li>\r\n 	<li><a title=\"Allergic Reactions and Problems of Corrosion with Joint Replacements\" href=\"https://www.drfields.com/articles/allergic-reactions-and-problems-of-corrosion-with-joint-replacements/\">Allergic Reactions and Problems of Corrosion with Joint Replacements\r\n</a></li>\r\n 	<li><a title=\"Treat Sciatica Pain Non-Surgically\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/treat-sciatica-pain-non-surgically/\">Treat Sciatica Pain Non-Surgically</a></li>\r\n 	<li class=\"last\"><a title=\"Stem Cell Therapy at OrthoRegen&lt;sup&gt;®&lt;/sup&gt; – Why We are Different\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/stem-cell-therapy-at-orthoregen-why-we-are-different/\">Stem Cell Therapy at OrthoRegen<sup>®</sup> – Why We are Different</a></li>\r\n 	<li class=\"last\"><a title=\"Is Your Hip Bursitis Treatment Working?\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/is-your-hip-bursitis-treatment-working/\">Is Your Hip Bursitis Treatment Working?</a></li>\r\n</ul>\r\n</div>\r\n<div id=\"testimonials\" class=\"col-md-4 box2\">\r\n\r\nPatient\r\n<h3>Testimonials</h3>\r\n<strong>Video:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I wished I had come earlier and listened to what my physical therapist had told me to do because Dr. Fields has been a real solution for me.\"\r\n\r\n<img class=\"testimonial-img\" title=\"Testimonial\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-larry.png\" alt=\"Testimonial\" />\r\n<h3>Larry</h3>\r\n<h4>Stem Cell Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I highly recommend it to anyone who needs to recover fast and get back out there.\"\r\n\r\n<img class=\"testimonial-img\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-christopher.png\" alt=\"\" />\r\n<h3>Chris, Pro Basketball Player</h3>\r\n<h4>PRP Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"Now I can go walking, I go to my ballet class and I’m a happy camper because of Dr. Fields.\"\r\n\r\n<img class=\"testimonial-img\" title=\"\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-mary.png\" alt=\"Testimonial\" />\r\n<h3>Mary</h3>\r\n<h4>Stem Cell Hip</h4>\r\n</div>\r\n</div>\r\n<strong>Written:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I need to say a big thank you to Dr Fields for getting me back on the tennis court. I am an avid tennis player who tried to ignore the terrible pain in my elbow.\"\r\n<h3 style=\"margin-left: 0;\">Mindy</h3>\r\n<h4 style=\"margin-left: 0;\">Elbow</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I chose Dr. Peter Fields because he is an athlete and would have more direct knowledge of my particular circumstances than anyone else.\"\r\n<h3 style=\"margin-left: 0;\">Robert</h3>\r\n<h4 style=\"margin-left: 0;\">Shoulder</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"After the final treatments ended I am still without all the pain and have more muscle strength in my legs.\"\r\n<h3 style=\"margin-left: 0;\">Lois</h3>\r\n<h4 style=\"margin-left: 0;\">Knee</h4>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"col-md-4 box3\">\r\n\r\nNews &amp;\r\n<h3>Events</h3>\r\n<ul>\r\n 	<li><a href=\"https://www.drfields.com/articles/health-news/dr-fields-to-lecture-in-mexico-city-on-july-9th/\">Peter A. Fields, MD, DC to lecture in Mexico City on July 9th</a></li>\r\n 	<li><a class=\"buttonlink\" style=\"width: 100%; font-size: 24px; text-align: center; padding: 25px 8%;\" href=\"https://www.drfields.com/contact/\"> Are you a Stem Cell Candidate?</a></li>\r\n</ul>\r\n</div>\r\n</div>\r\n</div>\r\n<div id=\"search-articles\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n<h2 class=\"text-center\">Search <b>Dr. Fields\'</b> Articles</h2>\r\n<form id=\"searchform\" action=\"/\" method=\"get\"><input class=\"search-field\" name=\"s\" type=\"text\" placeholder=\"What\'s Your Condition?\" />\r\n<input type=\"submit\" value=\"Search\" /></form></div>\r\n</div>\r\n</div>\r\n<div id=\"intro\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n<h1 class=\"text-center\">Welcome to OrthoRegen<sup>®</sup>!</h1>\r\n<p class=\"intro_text welcome\"><a href=\"http://orthoregen.com\"><span style=\"font-size: 26px;\">OrthoRegen<sup>®</sup></span></a> is dedicated to providing the best of <span class=\"nowrap\">Regenerative Orthopedics</span> by offering non-surgical alternatives for joint and spine repair</p>\r\n<a class=\"primaryButton\" title=\"Read More About U\" href=\"https://www.drfields.com/about/orthoregen-our-philosophy/\">Read More About Us</a>\r\n<a id=\"candidateButton\" title=\"Are you a good candidate?\" href=\"/contact/\">Are you a good candidate?</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"about\">\r\n<div class=\"col-md-5 drfields\"><img class=\"alignnone\" title=\"Regenerative Orthopedics Leader\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/dr-fields.png\" alt=\"Regenerative Orthopedics Leader\" width=\"460\" height=\"737\" /></div>\r\n<div class=\"col-md-7 about_holder\">\r\n<h1>Peter A. Fields, <span class=\"nowrap\">MD, DC</span></h1>\r\n<p class=\"intro_text\">Medical Physician and Chiropractor\r\nThe Athletic Doc<sup>®</sup> - 11x Ironman Triathlete</p>\r\n\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"icon info\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-info.png\" alt=\"icon info\" /></div>\r\n<div class=\"about_text\">\r\n<h3>About</h3>\r\nPeter A. Fields, MD, DC is one of a handful of physicians in the nation with both medical and chiropractic degrees...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/dr-fields-bio/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"Man Icon\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-ironman.png\" alt=\"Man Icon\" /></div>\r\n<div class=\"about_text\">\r\n<h3>11x Ironman</h3>\r\nDr. Peter A. Fields is also known as The Athletic Doc<sup>®</sup> He not only treats athletes in his practice but is an athlete himself. For over...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n&nbsp;\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Call Us Today! 310-453-1234</a>','Home','','inherit','closed','closed','','2109-revision-v1','','','2022-10-01 04:13:44','2022-10-01 04:13:44','',2109,'https://www.drfields.com/?p=5524',0,'revision','',0),(5526,9,'2022-10-05 21:16:09','2022-10-05 21:16:09','<a href=\"https://www.drfields.com/wp-content/uploads/2022/09/Tennis-Elbow.-PRP.-Amer-J-of-Phys-Med-Rehab.png\"><img class=\"wp-image-5514 alignright\" src=\"https://www.drfields.com/wp-content/uploads/2022/09/Tennis-Elbow.-PRP.-Amer-J-of-Phys-Med-Rehab-500x419.png\" alt=\"Tennis Elbow: It’s Not Strictly An Injury Afflicting Athletes\" width=\"300\" height=\"251\" /></a>\n<h2 align=\"JUSTIFY\">Tennis Elbow</h2>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Tennis elbow (</span><span lang=\"it-IT\">lateral epicondylitis)</span><span lang=\"en-US\"> is a painful condition</span> <span lang=\"en-US\">involving the tendon that attaches at the outside bony prominence of the elbow or</span><span lang=\"it-IT\"> lateral epicondyle.</span><span lang=\"en-US\"> Tennis elbow is a type of overuse injury that results from repetitive motion of the wrist and arm often from overuse due to particular jobs and activities.</span></p>\n\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">An Overuse Injury</span></h2>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Because of the name, you might think that tennis elbow is strictly an injury that athletes develop. But that isn’t so. Tennis elbow can occur in people whose jobs require repeat motions, such as painters, secretaries, accountants, carpenters, and guitarists. This condition is often described as an overuse injury. </span></p>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Overuse injuries are activity-related injuries linked to repetitive stress placed on the tendon, ligament or other joint structure. Doing too much of the same activity strains the tendons, ligaments, and other soft tissue structures of the elbow. Using poor or improper technique</span> <span lang=\"en-US\">while training or poor form when painting can overload the muscles, tendons, and ligaments, and cause an overuse injury.</span></p>\n\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Tennis Elbow Symptoms</span></h2>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The pain involved in tennis elbow is usually noted where a tendon of the forearm attaches to the bony bump at the outside of the elbow. The pain may radiate from the outer elbow into the forearm and wrist. These symptoms may make daily activities difficult such as turning a doorknob or picking up, holding, and gripping objects.</span></p>\n\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Instability May Be Behind Tennis Elbow</span></h2>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Chronic elbow pain may be related to ligament, muscle, and tendon injury. In order to resolve the problem, all of these areas need to be addressed for</span><span lang=\"it-IT\"> alleviat</span><span lang=\"en-US\">ion of the pain.</span></p>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">When elbow ligaments are involved, they may be </span>fray<span lang=\"en-US\">ed, torn, or otherwise weakened. Why is it important to address the ligaments if tennis elbow is a tendon problem? Ligaments are dense bands of connective tissue that attach one bone to another. They hold the bones in place, and allow for a strong, stable base upon which the muscles contract and move the joint.</span>  <span lang=\"en-US\">When a tendon is injured, there is often ligament involvement as well.</span></p>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">When the ligaments are injured or weakened, they can cause strain on the tendon and other joint structures. This allows for excessive elbow movement and instability. In this cycle of instability,</span> <span lang=\"en-US\">t</span><span lang=\"it-IT\">he tendons</span><span lang=\"en-US\"> will attempt to hold the muscle to the bone, increasing stress, and increasing the possibility of</span> <span lang=\"en-US\">injury to the tendon.</span></p>\n\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Conventional Treatments for Tennis Elbow</span></h2>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Those with tennis elbow often try to manage the pain with over-the-counter medications and/or conservative therapy to stabilize the elbow such as with a brace. Resting the elbow is another way sufferers attempt to find relief in order to continue to work or participate in activities. </span></p>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Recommended conventional treatments for tennis elbow often include NSAIDs, physical therapy, bracing, and taping. Unfortunately, these treatments may provide temporary relief but they are not reparative in nature.</span></p>\n<p align=\"LEFT\"><span lang=\"en-US\">Symptoms may be suppressed with pain medications or calmed down with bracing. However, a sleeve, for example, will only give a false sense of security while only temporarily helping the sufferer to function. If the pain continues, and becomes chronic, the individual requires a treatments that will repair the involved tendon and ligaments.</span></p>\n\n<h2 align=\"LEFT\"><span lang=\"en-US\">What Does the Research Say Regarding Bracing and Surgery?</span></h2>\n<h4 align=\"JUSTIFY\"><em><strong><span lang=\"en-US\">Bracing</span></strong></em></h4>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">T</span><span lang=\"fr-FR\">he journal</span> <em><span lang=\"en-US\">Prosthetics and Orthotics International</span></em> (<span lang=\"en-US\">1) examined the popular counterforce brace in people with problems of lateral elbow tendinopathy and found that physical therapy had better results.</span></p>\n\n<h4 align=\"JUSTIFY\"><em><strong><span lang=\"en-US\">Surgery</span></strong></em></h4>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The </span><em><span lang=\"en-US\">US National Institutes of Health Clinical Trial</span></em><span lang=\"nl-NL\"> website</span><span lang=\"en-US\"> says: </span><em>“<span lang=\"en-US\">Despite its promise, there have been no high-quality studies evaluating the efficacy of arthroscopic tennis elbow release, bringing the actual efficacy of this procedure into question.” </span>(<span lang=\"en-US\">2</span>)</em></p>\n<p align=\"JUSTIFY\"><strong><span lang=\"en-US\">There’s Another Way and It Does Not Require Surgery!</span></strong></p>\n\n<h3 align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative Orthopedics, Including Prolotherapy Are Effective for Tennis Elbow</span></h3>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative Orthopedics is a non-surgical treatment that effectively repairs the tendons and ligaments involved in tennis elbow. Prolotherapy is one type of Regenerative Orthopedics and studies show its effectiveness in treating tennis elbow. </span></p>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy is an injection technique that works to regenerate the degenerated tendon. The injection of simple dextrose mimics the natural healing response and </span>stimulate<span lang=\"en-US\">s healing growth factors to repair the</span><span lang=\"fr-FR\"> tissue.</span></p>\n\n<ul>\n 	<li>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Researchers published a study in the </span><em><span lang=\"en-US\">American Journal of Physical Medicine &amp; Rehabilitation </span></em><span lang=\"en-US\">that </span>evaluat<span lang=\"en-US\">ed Prolotherapy for tennis elbow. They concluded: </span><em>“<span lang=\"en-US\">Prolotherapy resulted in safe, significant improvement of elbow pain and function compared with baseline status and follow-up data and the wait-and-see control group. This pilot study suggests the need for a definitive trial.”</span></em><span lang=\"en-US\">(3)</span></p>\n</li>\n</ul>\n<ul>\n 	<li>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">A study of 84 patients with tennis elbow who were treated with dextrose prolotherapy had statistically significant reductions in pain levels. (4)</span></p>\n</li>\n</ul>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy is effective for tennis elbow! It works because it boosts the body’s healing abilities naturally. And, it works because it addresses the problem by repairing the injures soft tissue. Plus, it works because it reduces or eliminates the symptoms. </span></p>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Fortunately, Prolotherapy and other Regenerative Orthopedics, such as PRP and Stem Cell Therapy, all strengthen the involved ligaments and tendons.</span> <span lang=\"en-US\">These therapies </span><span lang=\"pt-PT\">stabilize</span><span lang=\"en-US\"> the elbow, strengthen the elbow, address the instability, and put an end to the pain and symptoms of tennis elbow</span>.<span lang=\"en-US\"> Recommendations may be made for PRP and/or Stem Cell in more advanced cases, but all treatments would include Prolotherapy.</span></p>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">If tennis elbow is a condition you are currently facing, please reach out and give us a call. We would be happy to help you become symptom free.</span></p>\n\n<h3 align=\"JUSTIFY\"><span lang=\"en-US\">References</span></h3>\n<ol>\n 	<li>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Shahabi S, Bagheri Lankarani K, Heydari ST, Jalali M, Ghahramani S, Kamyab M, Tabrizi R, Hosseinabadi M. The effects of counterforce brace on pain in subjects with lateral elbow tendinopathy: A systematic review and meta-analysis of randomized controlled trials. Prosthetics and Orthotics International. 2020 Jul 8:0309364620930618.</span></p>\n</li>\n 	<li>\n<p align=\"JUSTIFY\">Kroslak M, Murrell GAC. <span lang=\"en-US\">Surgical Treatment of Lateral Epicondylitis: A Prospective, Randomized, Double-Blinded, Placebo-Controlled Clinical Trial. Am J Sports Med. 2018 Mar 1:363546517753385. doi: 10.1177/0363546517753385.</span></p>\n</li>\n 	<li>\n<p align=\"JUSTIFY\">Rabago D, Lee KS, Ryan M, Chourasia AO, Sesto ME, Zgierska A, Kijowski R, Grettie J, Wilson J, Miller D. <span lang=\"en-US\">Hypertonic Dextrose and Morrhuate Sodium Injections (Prolotherapy) for Lateral Epicondylosis (Tennis Elbow): Results of a Single-blind, Pilot-Level, Randomized Controlled Trial. Am J Phys Med Rehabil. 2013 Jan 3.</span></p>\n</li>\n 	<li>\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Shin J, Seo K-M, Kim D-K, Kim B-K, Kang SH. The effect of prolotherapy on lateral epicondylitis of elbow.</span> J Korean Acad Rehabil Med. 2002;26:764–8.</p>\n</li>\n</ol>','Tennis Elbow: It’s Not Strictly An Injury Afflicting Athletes','','inherit','closed','closed','','5513-autosave-v1','','','2022-10-05 21:16:09','2022-10-05 21:16:09','',5513,'https://www.drfields.com/?p=5526',0,'revision','',0),(5527,9,'2022-10-05 21:11:41','2022-10-05 21:11:41','<a href=\"https://www.drfields.com/wp-content/uploads/2022/09/Tennis-Elbow.-PRP.-Amer-J-of-Phys-Med-Rehab.png\"><img class=\"wp-image-5514 alignright\" src=\"https://www.drfields.com/wp-content/uploads/2022/09/Tennis-Elbow.-PRP.-Amer-J-of-Phys-Med-Rehab-500x419.png\" alt=\"Tennis Elbow: It’s Not Strictly An Injury Afflicting Athletes\" width=\"300\" height=\"251\" /></a>\r\n<h2 align=\"JUSTIFY\">Tennis Elbow</h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Tennis elbow (</span><span lang=\"it-IT\">lateral epicondylitis)</span><span lang=\"en-US\"> is a painful condition</span> <span lang=\"en-US\">involving the tendon that attaches at the outside bony prominence of the elbow or</span><span lang=\"it-IT\"> lateral epicondyle.</span><span lang=\"en-US\"> Tennis elbow is a type of overuse injury that results from repetitive motion of the wrist and arm often from overuse due to particular jobs and activities.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Tennis Elbow Is Often Described As An Overuse Injury</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Because of the name, you might think that tennis elbow is strictly an injury that athletes develop. But that isn’t so. Tennis elbow can occur in people whose jobs require repeat motions, such as painters, secretaries, accountants, carpenters, and guitarists. This condition is often described as an overuse injury. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Overuse injuries are activity-related injuries linked to repetitive stress placed on the tendon, ligament or other joint structure. Doing too much of the same activity strains the tendons, ligaments, and other soft tissue structures of the elbow. Using poor or improper technique</span> <span lang=\"en-US\">while training or poor form when painting can overload the muscles, tendons, and ligaments, and cause an overuse injury.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Tennis Elbow Symptoms</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The pain involved in tennis elbow is usually noted where a tendon of the forearm attaches to the bony bump at the outside of the elbow. The pain may radiate from the outer elbow into the forearm and wrist. These symptoms may make daily activities difficult such as turning a doorknob or picking up, holding, and gripping objects.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Instability May Be Behind Tennis Elbow</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Chronic elbow pain may be related to ligament, muscle, and tendon injury. In order to resolve the problem, all of these areas need to be addressed for</span><span lang=\"it-IT\"> alleviat</span><span lang=\"en-US\">ion of the pain.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">When elbow ligaments are involved, they may be </span>fray<span lang=\"en-US\">ed, torn, or otherwise weakened. Why is it important to address the ligaments if tennis elbow is a tendon problem? Ligaments are dense bands of connective tissue that attach one bone to another. They hold the bones in place, and allow for a strong, stable base upon which the muscles contract and move the joint.</span>  <span lang=\"en-US\">When a tendon is injured, there is often ligament involvement as well.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">When the ligaments are injured or weakened, they can cause strain on the tendon and other joint structures. This allows for excessive elbow movement and instability. In this cycle of instability,</span> <span lang=\"en-US\">t</span><span lang=\"it-IT\">he tendons</span><span lang=\"en-US\"> will attempt to hold the muscle to the bone, increasing stress, and increasing the possibility of</span> <span lang=\"en-US\">injury to the tendon.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Conventional Treatments for Tennis Elbow</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Those with tennis elbow often try to manage the pain with over-the-counter medications and/or conservative therapy to stabilize the elbow such as with a brace. Resting the elbow is another way sufferers attempt to find relief in order to continue to work or participate in activities. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Recommended conventional treatments for tennis elbow often include NSAIDs, physical therapy, bracing, and taping. These treatments may provide temporary relief but they are not reparative in nature.</span></p>\r\n<p align=\"LEFT\"><span lang=\"en-US\">Symptoms may be suppressed with pain medications or calmed down with bracing. However, a sleeve, for example, will only give a false sense of security while only temporarily helping the sufferer to function. If the pain continues, and becomes chronic, the individual requires a treatments that will repair the involved tendon and ligaments.</span></p>\r\n\r\n<h2 align=\"LEFT\"><span lang=\"en-US\">What Does the Research Say Regarding Bracing and Surgery?</span></h2>\r\n<h4 align=\"JUSTIFY\"><em><strong><span lang=\"en-US\">Bracing</span></strong></em></h4>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">T</span><span lang=\"fr-FR\">he journal</span> <em><span lang=\"en-US\">Prosthetics and Orthotics International</span></em> (<span lang=\"en-US\">1) examined the popular counterforce brace in people with problems of lateral elbow tendinopathy and found that physical therapy had better results.</span></p>\r\n\r\n<h4 align=\"JUSTIFY\"><em><strong><span lang=\"en-US\">Surgery</span></strong></em></h4>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The </span><em><span lang=\"en-US\">US National Institutes of Health Clinical Trial</span></em><span lang=\"nl-NL\"> website</span><span lang=\"en-US\"> says: </span><em>“<span lang=\"en-US\">Despite its promise, there have been no high-quality studies evaluating the efficacy of arthroscopic tennis elbow release, bringing the actual efficacy of this procedure into question.” </span>(<span lang=\"en-US\">2</span>)</em></p>\r\n<p align=\"JUSTIFY\"><strong><span lang=\"en-US\">There’s Another Way and It Does Not Require Surgery!</span></strong></p>\r\n\r\n<h3 align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative Orthopedics, Including Prolotherapy Are Effective for Tennis Elbow</span></h3>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative Orthopedics is a non-surgical treatment that effectively repairs the tendons and ligaments involved in tennis elbow. Prolotherapy is one type of Regenerative Orthopedics and studies show its effectiveness in treating tennis elbow. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy is an injection technique that works to regenerate the degenerated tendon. The injection of simple dextrose mimics the natural healing response and </span>stimulate<span lang=\"en-US\">s healing growth factors to repair the</span><span lang=\"fr-FR\"> tissue.</span></p>\r\n\r\n<ul>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Researchers published a study in the </span><em><span lang=\"en-US\">American Journal of Physical Medicine &amp; Rehabilitation </span></em><span lang=\"en-US\">that </span>evaluat<span lang=\"en-US\">ed Prolotherapy for tennis elbow. They concluded: </span><em>“<span lang=\"en-US\">Prolotherapy resulted in safe, significant improvement of elbow pain and function compared with baseline status and follow-up data and the wait-and-see control group. This pilot study suggests the need for a definitive trial.”</span></em><span lang=\"en-US\">(3)</span></p>\r\n</li>\r\n</ul>\r\n<ul>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">A study of 84 patients with tennis elbow who were treated with dextrose prolotherapy had statistically significant reductions in pain levels. (4)</span></p>\r\n</li>\r\n</ul>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy is effective for tennis elbow! It works because it boosts the body’s healing abilities naturally. It works because it addresses the problem by repairing the injures soft tissue. And it works because it reduces or eliminates the symptoms. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy and other Regenerative Orthopedics, such as PRP and Stem Cell Therapy, all strengthen the involved ligaments and tendons.</span> <span lang=\"en-US\">These therapies </span><span lang=\"pt-PT\">stabilize</span><span lang=\"en-US\"> the elbow, strengthen the elbow, address the instability, and put an end to the pain and symptoms of tennis elbow</span>.<span lang=\"en-US\"> Recommendations may be made for PRP and/or Stem Cell in more advanced cases, but all treatments would include Prolotherapy.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">If tennis elbow is a condition you are currently facing, please reach out and give us a call. We would be happy to help you become symptom free.</span></p>\r\n\r\n<h3 align=\"JUSTIFY\"><span lang=\"en-US\">References</span></h3>\r\n<ol>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Shahabi S, Bagheri Lankarani K, Heydari ST, Jalali M, Ghahramani S, Kamyab M, Tabrizi R, Hosseinabadi M. The effects of counterforce brace on pain in subjects with lateral elbow tendinopathy: A systematic review and meta-analysis of randomized controlled trials. Prosthetics and Orthotics International. 2020 Jul 8:0309364620930618.</span></p>\r\n</li>\r\n 	<li>\r\n<p align=\"JUSTIFY\">Kroslak M, Murrell GAC. <span lang=\"en-US\">Surgical Treatment of Lateral Epicondylitis: A Prospective, Randomized, Double-Blinded, Placebo-Controlled Clinical Trial. Am J Sports Med. 2018 Mar 1:363546517753385. doi: 10.1177/0363546517753385.</span></p>\r\n</li>\r\n 	<li>\r\n<p align=\"JUSTIFY\">Rabago D, Lee KS, Ryan M, Chourasia AO, Sesto ME, Zgierska A, Kijowski R, Grettie J, Wilson J, Miller D. <span lang=\"en-US\">Hypertonic Dextrose and Morrhuate Sodium Injections (Prolotherapy) for Lateral Epicondylosis (Tennis Elbow): Results of a Single-blind, Pilot-Level, Randomized Controlled Trial. Am J Phys Med Rehabil. 2013 Jan 3.</span></p>\r\n</li>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Shin J, Seo K-M, Kim D-K, Kim B-K, Kang SH. The effect of prolotherapy on lateral epicondylitis of elbow.</span> J Korean Acad Rehabil Med. 2002;26:764–8.</p>\r\n</li>\r\n</ol>','Tennis Elbow: It’s Not Strictly An Injury Afflicting Athletes','','inherit','closed','closed','','5513-revision-v1','','','2022-10-05 21:11:41','2022-10-05 21:11:41','',5513,'https://www.drfields.com/?p=5527',0,'revision','',0),(5528,9,'2022-10-05 21:13:06','2022-10-05 21:13:06','<a href=\"https://www.drfields.com/wp-content/uploads/2022/09/Tennis-Elbow.-PRP.-Amer-J-of-Phys-Med-Rehab.png\"><img class=\"wp-image-5514 alignright\" src=\"https://www.drfields.com/wp-content/uploads/2022/09/Tennis-Elbow.-PRP.-Amer-J-of-Phys-Med-Rehab-500x419.png\" alt=\"Tennis Elbow: It’s Not Strictly An Injury Afflicting Athletes\" width=\"300\" height=\"251\" /></a>\r\n<h2 align=\"JUSTIFY\">Tennis Elbow</h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Tennis elbow (</span><span lang=\"it-IT\">lateral epicondylitis)</span><span lang=\"en-US\"> is a painful condition</span> <span lang=\"en-US\">involving the tendon that attaches at the outside bony prominence of the elbow or</span><span lang=\"it-IT\"> lateral epicondyle.</span><span lang=\"en-US\"> Tennis elbow is a type of overuse injury that results from repetitive motion of the wrist and arm often from overuse due to particular jobs and activities.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">An Overuse Injury</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Because of the name, you might think that tennis elbow is strictly an injury that athletes develop. But that isn’t so. Tennis elbow can occur in people whose jobs require repeat motions, such as painters, secretaries, accountants, carpenters, and guitarists. This condition is often described as an overuse injury. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Overuse injuries are activity-related injuries linked to repetitive stress placed on the tendon, ligament or other joint structure. Doing too much of the same activity strains the tendons, ligaments, and other soft tissue structures of the elbow. Using poor or improper technique</span> <span lang=\"en-US\">while training or poor form when painting can overload the muscles, tendons, and ligaments, and cause an overuse injury.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Tennis Elbow Symptoms</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The pain involved in tennis elbow is usually noted where a tendon of the forearm attaches to the bony bump at the outside of the elbow. The pain may radiate from the outer elbow into the forearm and wrist. These symptoms may make daily activities difficult such as turning a doorknob or picking up, holding, and gripping objects.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Instability May Be Behind Tennis Elbow</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Chronic elbow pain may be related to ligament, muscle, and tendon injury. In order to resolve the problem, all of these areas need to be addressed for</span><span lang=\"it-IT\"> alleviat</span><span lang=\"en-US\">ion of the pain.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">When elbow ligaments are involved, they may be </span>fray<span lang=\"en-US\">ed, torn, or otherwise weakened. Why is it important to address the ligaments if tennis elbow is a tendon problem? Ligaments are dense bands of connective tissue that attach one bone to another. They hold the bones in place, and allow for a strong, stable base upon which the muscles contract and move the joint.</span>  <span lang=\"en-US\">When a tendon is injured, there is often ligament involvement as well.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">When the ligaments are injured or weakened, they can cause strain on the tendon and other joint structures. This allows for excessive elbow movement and instability. In this cycle of instability,</span> <span lang=\"en-US\">t</span><span lang=\"it-IT\">he tendons</span><span lang=\"en-US\"> will attempt to hold the muscle to the bone, increasing stress, and increasing the possibility of</span> <span lang=\"en-US\">injury to the tendon.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Conventional Treatments for Tennis Elbow</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Those with tennis elbow often try to manage the pain with over-the-counter medications and/or conservative therapy to stabilize the elbow such as with a brace. Resting the elbow is another way sufferers attempt to find relief in order to continue to work or participate in activities. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Recommended conventional treatments for tennis elbow often include NSAIDs, physical therapy, bracing, and taping. These treatments may provide temporary relief but they are not reparative in nature.</span></p>\r\n<p align=\"LEFT\"><span lang=\"en-US\">Symptoms may be suppressed with pain medications or calmed down with bracing. However, a sleeve, for example, will only give a false sense of security while only temporarily helping the sufferer to function. If the pain continues, and becomes chronic, the individual requires a treatments that will repair the involved tendon and ligaments.</span></p>\r\n\r\n<h2 align=\"LEFT\"><span lang=\"en-US\">What Does the Research Say Regarding Bracing and Surgery?</span></h2>\r\n<h4 align=\"JUSTIFY\"><em><strong><span lang=\"en-US\">Bracing</span></strong></em></h4>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">T</span><span lang=\"fr-FR\">he journal</span> <em><span lang=\"en-US\">Prosthetics and Orthotics International</span></em> (<span lang=\"en-US\">1) examined the popular counterforce brace in people with problems of lateral elbow tendinopathy and found that physical therapy had better results.</span></p>\r\n\r\n<h4 align=\"JUSTIFY\"><em><strong><span lang=\"en-US\">Surgery</span></strong></em></h4>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The </span><em><span lang=\"en-US\">US National Institutes of Health Clinical Trial</span></em><span lang=\"nl-NL\"> website</span><span lang=\"en-US\"> says: </span><em>“<span lang=\"en-US\">Despite its promise, there have been no high-quality studies evaluating the efficacy of arthroscopic tennis elbow release, bringing the actual efficacy of this procedure into question.” </span>(<span lang=\"en-US\">2</span>)</em></p>\r\n<p align=\"JUSTIFY\"><strong><span lang=\"en-US\">There’s Another Way and It Does Not Require Surgery!</span></strong></p>\r\n\r\n<h3 align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative Orthopedics, Including Prolotherapy Are Effective for Tennis Elbow</span></h3>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative Orthopedics is a non-surgical treatment that effectively repairs the tendons and ligaments involved in tennis elbow. Prolotherapy is one type of Regenerative Orthopedics and studies show its effectiveness in treating tennis elbow. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy is an injection technique that works to regenerate the degenerated tendon. The injection of simple dextrose mimics the natural healing response and </span>stimulate<span lang=\"en-US\">s healing growth factors to repair the</span><span lang=\"fr-FR\"> tissue.</span></p>\r\n\r\n<ul>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Researchers published a study in the </span><em><span lang=\"en-US\">American Journal of Physical Medicine &amp; Rehabilitation </span></em><span lang=\"en-US\">that </span>evaluat<span lang=\"en-US\">ed Prolotherapy for tennis elbow. They concluded: </span><em>“<span lang=\"en-US\">Prolotherapy resulted in safe, significant improvement of elbow pain and function compared with baseline status and follow-up data and the wait-and-see control group. This pilot study suggests the need for a definitive trial.”</span></em><span lang=\"en-US\">(3)</span></p>\r\n</li>\r\n</ul>\r\n<ul>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">A study of 84 patients with tennis elbow who were treated with dextrose prolotherapy had statistically significant reductions in pain levels. (4)</span></p>\r\n</li>\r\n</ul>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy is effective for tennis elbow! It works because it boosts the body’s healing abilities naturally. It works because it addresses the problem by repairing the injures soft tissue. And it works because it reduces or eliminates the symptoms. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy and other Regenerative Orthopedics, such as PRP and Stem Cell Therapy, all strengthen the involved ligaments and tendons.</span> <span lang=\"en-US\">These therapies </span><span lang=\"pt-PT\">stabilize</span><span lang=\"en-US\"> the elbow, strengthen the elbow, address the instability, and put an end to the pain and symptoms of tennis elbow</span>.<span lang=\"en-US\"> Recommendations may be made for PRP and/or Stem Cell in more advanced cases, but all treatments would include Prolotherapy.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">If tennis elbow is a condition you are currently facing, please reach out and give us a call. We would be happy to help you become symptom free.</span></p>\r\n\r\n<h3 align=\"JUSTIFY\"><span lang=\"en-US\">References</span></h3>\r\n<ol>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Shahabi S, Bagheri Lankarani K, Heydari ST, Jalali M, Ghahramani S, Kamyab M, Tabrizi R, Hosseinabadi M. The effects of counterforce brace on pain in subjects with lateral elbow tendinopathy: A systematic review and meta-analysis of randomized controlled trials. Prosthetics and Orthotics International. 2020 Jul 8:0309364620930618.</span></p>\r\n</li>\r\n 	<li>\r\n<p align=\"JUSTIFY\">Kroslak M, Murrell GAC. <span lang=\"en-US\">Surgical Treatment of Lateral Epicondylitis: A Prospective, Randomized, Double-Blinded, Placebo-Controlled Clinical Trial. Am J Sports Med. 2018 Mar 1:363546517753385. doi: 10.1177/0363546517753385.</span></p>\r\n</li>\r\n 	<li>\r\n<p align=\"JUSTIFY\">Rabago D, Lee KS, Ryan M, Chourasia AO, Sesto ME, Zgierska A, Kijowski R, Grettie J, Wilson J, Miller D. <span lang=\"en-US\">Hypertonic Dextrose and Morrhuate Sodium Injections (Prolotherapy) for Lateral Epicondylosis (Tennis Elbow): Results of a Single-blind, Pilot-Level, Randomized Controlled Trial. Am J Phys Med Rehabil. 2013 Jan 3.</span></p>\r\n</li>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Shin J, Seo K-M, Kim D-K, Kim B-K, Kang SH. The effect of prolotherapy on lateral epicondylitis of elbow.</span> J Korean Acad Rehabil Med. 2002;26:764–8.</p>\r\n</li>\r\n</ol>','Tennis Elbow: It’s Not Strictly An Injury Afflicting Athletes','','inherit','closed','closed','','5513-revision-v1','','','2022-10-05 21:13:06','2022-10-05 21:13:06','',5513,'https://www.drfields.com/?p=5528',0,'revision','',0),(5529,9,'2022-10-05 21:14:26','2022-10-05 21:14:26','<a href=\"https://www.drfields.com/wp-content/uploads/2022/09/Tennis-Elbow.-PRP.-Amer-J-of-Phys-Med-Rehab.png\"><img class=\"wp-image-5514 alignright\" src=\"https://www.drfields.com/wp-content/uploads/2022/09/Tennis-Elbow.-PRP.-Amer-J-of-Phys-Med-Rehab-500x419.png\" alt=\"Tennis Elbow: It’s Not Strictly An Injury Afflicting Athletes\" width=\"300\" height=\"251\" /></a>\r\n<h2 align=\"JUSTIFY\">Tennis Elbow</h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Tennis elbow (</span><span lang=\"it-IT\">lateral epicondylitis)</span><span lang=\"en-US\"> is a painful condition</span> <span lang=\"en-US\">involving the tendon that attaches at the outside bony prominence of the elbow or</span><span lang=\"it-IT\"> lateral epicondyle.</span><span lang=\"en-US\"> Tennis elbow is a type of overuse injury that results from repetitive motion of the wrist and arm often from overuse due to particular jobs and activities.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">An Overuse Injury</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Because of the name, you might think that tennis elbow is strictly an injury that athletes develop. But that isn’t so. Tennis elbow can occur in people whose jobs require repeat motions, such as painters, secretaries, accountants, carpenters, and guitarists. This condition is often described as an overuse injury. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Overuse injuries are activity-related injuries linked to repetitive stress placed on the tendon, ligament or other joint structure. Doing too much of the same activity strains the tendons, ligaments, and other soft tissue structures of the elbow. Using poor or improper technique</span> <span lang=\"en-US\">while training or poor form when painting can overload the muscles, tendons, and ligaments, and cause an overuse injury.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Tennis Elbow Symptoms</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The pain involved in tennis elbow is usually noted where a tendon of the forearm attaches to the bony bump at the outside of the elbow. The pain may radiate from the outer elbow into the forearm and wrist. These symptoms may make daily activities difficult such as turning a doorknob or picking up, holding, and gripping objects.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Instability May Be Behind Tennis Elbow</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Chronic elbow pain may be related to ligament, muscle, and tendon injury. In order to resolve the problem, all of these areas need to be addressed for</span><span lang=\"it-IT\"> alleviat</span><span lang=\"en-US\">ion of the pain.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">When elbow ligaments are involved, they may be </span>fray<span lang=\"en-US\">ed, torn, or otherwise weakened. Why is it important to address the ligaments if tennis elbow is a tendon problem? Ligaments are dense bands of connective tissue that attach one bone to another. They hold the bones in place, and allow for a strong, stable base upon which the muscles contract and move the joint.</span>  <span lang=\"en-US\">When a tendon is injured, there is often ligament involvement as well.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">When the ligaments are injured or weakened, they can cause strain on the tendon and other joint structures. This allows for excessive elbow movement and instability. In this cycle of instability,</span> <span lang=\"en-US\">t</span><span lang=\"it-IT\">he tendons</span><span lang=\"en-US\"> will attempt to hold the muscle to the bone, increasing stress, and increasing the possibility of</span> <span lang=\"en-US\">injury to the tendon.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Conventional Treatments for Tennis Elbow</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Those with tennis elbow often try to manage the pain with over-the-counter medications and/or conservative therapy to stabilize the elbow such as with a brace. Resting the elbow is another way sufferers attempt to find relief in order to continue to work or participate in activities. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Recommended conventional treatments for tennis elbow often include NSAIDs, physical therapy, bracing, and taping. These treatments may provide temporary relief but they are not reparative in nature.</span></p>\r\n<p align=\"LEFT\"><span lang=\"en-US\">Symptoms may be suppressed with pain medications or calmed down with bracing. However, a sleeve, for example, will only give a false sense of security while only temporarily helping the sufferer to function. If the pain continues, and becomes chronic, the individual requires a treatments that will repair the involved tendon and ligaments.</span></p>\r\n\r\n<h2 align=\"LEFT\"><span lang=\"en-US\">What Does the Research Say Regarding Bracing and Surgery?</span></h2>\r\n<h4 align=\"JUSTIFY\"><em><strong><span lang=\"en-US\">Bracing</span></strong></em></h4>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">T</span><span lang=\"fr-FR\">he journal</span> <em><span lang=\"en-US\">Prosthetics and Orthotics International</span></em> (<span lang=\"en-US\">1) examined the popular counterforce brace in people with problems of lateral elbow tendinopathy and found that physical therapy had better results.</span></p>\r\n\r\n<h4 align=\"JUSTIFY\"><em><strong><span lang=\"en-US\">Surgery</span></strong></em></h4>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The </span><em><span lang=\"en-US\">US National Institutes of Health Clinical Trial</span></em><span lang=\"nl-NL\"> website</span><span lang=\"en-US\"> says: </span><em>“<span lang=\"en-US\">Despite its promise, there have been no high-quality studies evaluating the efficacy of arthroscopic tennis elbow release, bringing the actual efficacy of this procedure into question.” </span>(<span lang=\"en-US\">2</span>)</em></p>\r\n<p align=\"JUSTIFY\"><strong><span lang=\"en-US\">There’s Another Way and It Does Not Require Surgery!</span></strong></p>\r\n\r\n<h3 align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative Orthopedics, Including Prolotherapy Are Effective for Tennis Elbow</span></h3>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative Orthopedics is a non-surgical treatment that effectively repairs the tendons and ligaments involved in tennis elbow. Prolotherapy is one type of Regenerative Orthopedics and studies show its effectiveness in treating tennis elbow. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy is an injection technique that works to regenerate the degenerated tendon. The injection of simple dextrose mimics the natural healing response and </span>stimulate<span lang=\"en-US\">s healing growth factors to repair the</span><span lang=\"fr-FR\"> tissue.</span></p>\r\n\r\n<ul>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Researchers published a study in the </span><em><span lang=\"en-US\">American Journal of Physical Medicine &amp; Rehabilitation </span></em><span lang=\"en-US\">that </span>evaluat<span lang=\"en-US\">ed Prolotherapy for tennis elbow. They concluded: </span><em>“<span lang=\"en-US\">Prolotherapy resulted in safe, significant improvement of elbow pain and function compared with baseline status and follow-up data and the wait-and-see control group. This pilot study suggests the need for a definitive trial.”</span></em><span lang=\"en-US\">(3)</span></p>\r\n</li>\r\n</ul>\r\n<ul>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">A study of 84 patients with tennis elbow who were treated with dextrose prolotherapy had statistically significant reductions in pain levels. (4)</span></p>\r\n</li>\r\n</ul>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy is effective for tennis elbow! It works because it boosts the body’s healing abilities naturally. And, it works because it addresses the problem by repairing the injures soft tissue. Plus, it works because it reduces or eliminates the symptoms. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy and other Regenerative Orthopedics, such as PRP and Stem Cell Therapy, all strengthen the involved ligaments and tendons.</span> <span lang=\"en-US\">These therapies </span><span lang=\"pt-PT\">stabilize</span><span lang=\"en-US\"> the elbow, strengthen the elbow, address the instability, and put an end to the pain and symptoms of tennis elbow</span>.<span lang=\"en-US\"> Recommendations may be made for PRP and/or Stem Cell in more advanced cases, but all treatments would include Prolotherapy.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">If tennis elbow is a condition you are currently facing, please reach out and give us a call. We would be happy to help you become symptom free.</span></p>\r\n\r\n<h3 align=\"JUSTIFY\"><span lang=\"en-US\">References</span></h3>\r\n<ol>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Shahabi S, Bagheri Lankarani K, Heydari ST, Jalali M, Ghahramani S, Kamyab M, Tabrizi R, Hosseinabadi M. The effects of counterforce brace on pain in subjects with lateral elbow tendinopathy: A systematic review and meta-analysis of randomized controlled trials. Prosthetics and Orthotics International. 2020 Jul 8:0309364620930618.</span></p>\r\n</li>\r\n 	<li>\r\n<p align=\"JUSTIFY\">Kroslak M, Murrell GAC. <span lang=\"en-US\">Surgical Treatment of Lateral Epicondylitis: A Prospective, Randomized, Double-Blinded, Placebo-Controlled Clinical Trial. Am J Sports Med. 2018 Mar 1:363546517753385. doi: 10.1177/0363546517753385.</span></p>\r\n</li>\r\n 	<li>\r\n<p align=\"JUSTIFY\">Rabago D, Lee KS, Ryan M, Chourasia AO, Sesto ME, Zgierska A, Kijowski R, Grettie J, Wilson J, Miller D. <span lang=\"en-US\">Hypertonic Dextrose and Morrhuate Sodium Injections (Prolotherapy) for Lateral Epicondylosis (Tennis Elbow): Results of a Single-blind, Pilot-Level, Randomized Controlled Trial. Am J Phys Med Rehabil. 2013 Jan 3.</span></p>\r\n</li>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Shin J, Seo K-M, Kim D-K, Kim B-K, Kang SH. The effect of prolotherapy on lateral epicondylitis of elbow.</span> J Korean Acad Rehabil Med. 2002;26:764–8.</p>\r\n</li>\r\n</ol>','Tennis Elbow: It’s Not Strictly An Injury Afflicting Athletes','','inherit','closed','closed','','5513-revision-v1','','','2022-10-05 21:14:26','2022-10-05 21:14:26','',5513,'https://www.drfields.com/?p=5529',0,'revision','',0),(5530,9,'2022-10-05 21:15:02','2022-10-05 21:15:02','<a href=\"https://www.drfields.com/wp-content/uploads/2022/09/Tennis-Elbow.-PRP.-Amer-J-of-Phys-Med-Rehab.png\"><img class=\"wp-image-5514 alignright\" src=\"https://www.drfields.com/wp-content/uploads/2022/09/Tennis-Elbow.-PRP.-Amer-J-of-Phys-Med-Rehab-500x419.png\" alt=\"Tennis Elbow: It’s Not Strictly An Injury Afflicting Athletes\" width=\"300\" height=\"251\" /></a>\r\n<h2 align=\"JUSTIFY\">Tennis Elbow</h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Tennis elbow (</span><span lang=\"it-IT\">lateral epicondylitis)</span><span lang=\"en-US\"> is a painful condition</span> <span lang=\"en-US\">involving the tendon that attaches at the outside bony prominence of the elbow or</span><span lang=\"it-IT\"> lateral epicondyle.</span><span lang=\"en-US\"> Tennis elbow is a type of overuse injury that results from repetitive motion of the wrist and arm often from overuse due to particular jobs and activities.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">An Overuse Injury</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Because of the name, you might think that tennis elbow is strictly an injury that athletes develop. But that isn’t so. Tennis elbow can occur in people whose jobs require repeat motions, such as painters, secretaries, accountants, carpenters, and guitarists. This condition is often described as an overuse injury. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Overuse injuries are activity-related injuries linked to repetitive stress placed on the tendon, ligament or other joint structure. Doing too much of the same activity strains the tendons, ligaments, and other soft tissue structures of the elbow. Using poor or improper technique</span> <span lang=\"en-US\">while training or poor form when painting can overload the muscles, tendons, and ligaments, and cause an overuse injury.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Tennis Elbow Symptoms</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The pain involved in tennis elbow is usually noted where a tendon of the forearm attaches to the bony bump at the outside of the elbow. The pain may radiate from the outer elbow into the forearm and wrist. These symptoms may make daily activities difficult such as turning a doorknob or picking up, holding, and gripping objects.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Instability May Be Behind Tennis Elbow</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Chronic elbow pain may be related to ligament, muscle, and tendon injury. In order to resolve the problem, all of these areas need to be addressed for</span><span lang=\"it-IT\"> alleviat</span><span lang=\"en-US\">ion of the pain.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">When elbow ligaments are involved, they may be </span>fray<span lang=\"en-US\">ed, torn, or otherwise weakened. Why is it important to address the ligaments if tennis elbow is a tendon problem? Ligaments are dense bands of connective tissue that attach one bone to another. They hold the bones in place, and allow for a strong, stable base upon which the muscles contract and move the joint.</span>  <span lang=\"en-US\">When a tendon is injured, there is often ligament involvement as well.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">When the ligaments are injured or weakened, they can cause strain on the tendon and other joint structures. This allows for excessive elbow movement and instability. In this cycle of instability,</span> <span lang=\"en-US\">t</span><span lang=\"it-IT\">he tendons</span><span lang=\"en-US\"> will attempt to hold the muscle to the bone, increasing stress, and increasing the possibility of</span> <span lang=\"en-US\">injury to the tendon.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Conventional Treatments for Tennis Elbow</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Those with tennis elbow often try to manage the pain with over-the-counter medications and/or conservative therapy to stabilize the elbow such as with a brace. Resting the elbow is another way sufferers attempt to find relief in order to continue to work or participate in activities. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Recommended conventional treatments for tennis elbow often include NSAIDs, physical therapy, bracing, and taping. These treatments may provide temporary relief but they are not reparative in nature.</span></p>\r\n<p align=\"LEFT\"><span lang=\"en-US\">Symptoms may be suppressed with pain medications or calmed down with bracing. However, a sleeve, for example, will only give a false sense of security while only temporarily helping the sufferer to function. If the pain continues, and becomes chronic, the individual requires a treatments that will repair the involved tendon and ligaments.</span></p>\r\n\r\n<h2 align=\"LEFT\"><span lang=\"en-US\">What Does the Research Say Regarding Bracing and Surgery?</span></h2>\r\n<h4 align=\"JUSTIFY\"><em><strong><span lang=\"en-US\">Bracing</span></strong></em></h4>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">T</span><span lang=\"fr-FR\">he journal</span> <em><span lang=\"en-US\">Prosthetics and Orthotics International</span></em> (<span lang=\"en-US\">1) examined the popular counterforce brace in people with problems of lateral elbow tendinopathy and found that physical therapy had better results.</span></p>\r\n\r\n<h4 align=\"JUSTIFY\"><em><strong><span lang=\"en-US\">Surgery</span></strong></em></h4>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The </span><em><span lang=\"en-US\">US National Institutes of Health Clinical Trial</span></em><span lang=\"nl-NL\"> website</span><span lang=\"en-US\"> says: </span><em>“<span lang=\"en-US\">Despite its promise, there have been no high-quality studies evaluating the efficacy of arthroscopic tennis elbow release, bringing the actual efficacy of this procedure into question.” </span>(<span lang=\"en-US\">2</span>)</em></p>\r\n<p align=\"JUSTIFY\"><strong><span lang=\"en-US\">There’s Another Way and It Does Not Require Surgery!</span></strong></p>\r\n\r\n<h3 align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative Orthopedics, Including Prolotherapy Are Effective for Tennis Elbow</span></h3>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative Orthopedics is a non-surgical treatment that effectively repairs the tendons and ligaments involved in tennis elbow. Prolotherapy is one type of Regenerative Orthopedics and studies show its effectiveness in treating tennis elbow. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy is an injection technique that works to regenerate the degenerated tendon. The injection of simple dextrose mimics the natural healing response and </span>stimulate<span lang=\"en-US\">s healing growth factors to repair the</span><span lang=\"fr-FR\"> tissue.</span></p>\r\n\r\n<ul>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Researchers published a study in the </span><em><span lang=\"en-US\">American Journal of Physical Medicine &amp; Rehabilitation </span></em><span lang=\"en-US\">that </span>evaluat<span lang=\"en-US\">ed Prolotherapy for tennis elbow. They concluded: </span><em>“<span lang=\"en-US\">Prolotherapy resulted in safe, significant improvement of elbow pain and function compared with baseline status and follow-up data and the wait-and-see control group. This pilot study suggests the need for a definitive trial.”</span></em><span lang=\"en-US\">(3)</span></p>\r\n</li>\r\n</ul>\r\n<ul>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">A study of 84 patients with tennis elbow who were treated with dextrose prolotherapy had statistically significant reductions in pain levels. (4)</span></p>\r\n</li>\r\n</ul>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy is effective for tennis elbow! It works because it boosts the body’s healing abilities naturally. And, it works because it addresses the problem by repairing the injures soft tissue. Plus, it works because it reduces or eliminates the symptoms. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Fortunately, Prolotherapy and other Regenerative Orthopedics, such as PRP and Stem Cell Therapy, all strengthen the involved ligaments and tendons.</span> <span lang=\"en-US\">These therapies </span><span lang=\"pt-PT\">stabilize</span><span lang=\"en-US\"> the elbow, strengthen the elbow, address the instability, and put an end to the pain and symptoms of tennis elbow</span>.<span lang=\"en-US\"> Recommendations may be made for PRP and/or Stem Cell in more advanced cases, but all treatments would include Prolotherapy.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">If tennis elbow is a condition you are currently facing, please reach out and give us a call. We would be happy to help you become symptom free.</span></p>\r\n\r\n<h3 align=\"JUSTIFY\"><span lang=\"en-US\">References</span></h3>\r\n<ol>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Shahabi S, Bagheri Lankarani K, Heydari ST, Jalali M, Ghahramani S, Kamyab M, Tabrizi R, Hosseinabadi M. The effects of counterforce brace on pain in subjects with lateral elbow tendinopathy: A systematic review and meta-analysis of randomized controlled trials. Prosthetics and Orthotics International. 2020 Jul 8:0309364620930618.</span></p>\r\n</li>\r\n 	<li>\r\n<p align=\"JUSTIFY\">Kroslak M, Murrell GAC. <span lang=\"en-US\">Surgical Treatment of Lateral Epicondylitis: A Prospective, Randomized, Double-Blinded, Placebo-Controlled Clinical Trial. Am J Sports Med. 2018 Mar 1:363546517753385. doi: 10.1177/0363546517753385.</span></p>\r\n</li>\r\n 	<li>\r\n<p align=\"JUSTIFY\">Rabago D, Lee KS, Ryan M, Chourasia AO, Sesto ME, Zgierska A, Kijowski R, Grettie J, Wilson J, Miller D. <span lang=\"en-US\">Hypertonic Dextrose and Morrhuate Sodium Injections (Prolotherapy) for Lateral Epicondylosis (Tennis Elbow): Results of a Single-blind, Pilot-Level, Randomized Controlled Trial. Am J Phys Med Rehabil. 2013 Jan 3.</span></p>\r\n</li>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Shin J, Seo K-M, Kim D-K, Kim B-K, Kang SH. The effect of prolotherapy on lateral epicondylitis of elbow.</span> J Korean Acad Rehabil Med. 2002;26:764–8.</p>\r\n</li>\r\n</ol>','Tennis Elbow: It’s Not Strictly An Injury Afflicting Athletes','','inherit','closed','closed','','5513-revision-v1','','','2022-10-05 21:15:02','2022-10-05 21:15:02','',5513,'https://www.drfields.com/?p=5530',0,'revision','',0),(5531,9,'2022-10-05 21:16:17','2022-10-05 21:16:17','<a href=\"https://www.drfields.com/wp-content/uploads/2022/09/Tennis-Elbow.-PRP.-Amer-J-of-Phys-Med-Rehab.png\"><img class=\"wp-image-5514 alignright\" src=\"https://www.drfields.com/wp-content/uploads/2022/09/Tennis-Elbow.-PRP.-Amer-J-of-Phys-Med-Rehab-500x419.png\" alt=\"Tennis Elbow: It’s Not Strictly An Injury Afflicting Athletes\" width=\"300\" height=\"251\" /></a>\r\n<h2 align=\"JUSTIFY\">Tennis Elbow</h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Tennis elbow (</span><span lang=\"it-IT\">lateral epicondylitis)</span><span lang=\"en-US\"> is a painful condition</span> <span lang=\"en-US\">involving the tendon that attaches at the outside bony prominence of the elbow or</span><span lang=\"it-IT\"> lateral epicondyle.</span><span lang=\"en-US\"> Tennis elbow is a type of overuse injury that results from repetitive motion of the wrist and arm often from overuse due to particular jobs and activities.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">An Overuse Injury</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Because of the name, you might think that tennis elbow is strictly an injury that athletes develop. But that isn’t so. Tennis elbow can occur in people whose jobs require repeat motions, such as painters, secretaries, accountants, carpenters, and guitarists. This condition is often described as an overuse injury. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Overuse injuries are activity-related injuries linked to repetitive stress placed on the tendon, ligament or other joint structure. Doing too much of the same activity strains the tendons, ligaments, and other soft tissue structures of the elbow. Using poor or improper technique</span> <span lang=\"en-US\">while training or poor form when painting can overload the muscles, tendons, and ligaments, and cause an overuse injury.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Tennis Elbow Symptoms</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The pain involved in tennis elbow is usually noted where a tendon of the forearm attaches to the bony bump at the outside of the elbow. The pain may radiate from the outer elbow into the forearm and wrist. These symptoms may make daily activities difficult such as turning a doorknob or picking up, holding, and gripping objects.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Instability May Be Behind Tennis Elbow</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Chronic elbow pain may be related to ligament, muscle, and tendon injury. In order to resolve the problem, all of these areas need to be addressed for</span><span lang=\"it-IT\"> alleviat</span><span lang=\"en-US\">ion of the pain.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">When elbow ligaments are involved, they may be </span>fray<span lang=\"en-US\">ed, torn, or otherwise weakened. Why is it important to address the ligaments if tennis elbow is a tendon problem? Ligaments are dense bands of connective tissue that attach one bone to another. They hold the bones in place, and allow for a strong, stable base upon which the muscles contract and move the joint.</span>  <span lang=\"en-US\">When a tendon is injured, there is often ligament involvement as well.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">When the ligaments are injured or weakened, they can cause strain on the tendon and other joint structures. This allows for excessive elbow movement and instability. In this cycle of instability,</span> <span lang=\"en-US\">t</span><span lang=\"it-IT\">he tendons</span><span lang=\"en-US\"> will attempt to hold the muscle to the bone, increasing stress, and increasing the possibility of</span> <span lang=\"en-US\">injury to the tendon.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Conventional Treatments for Tennis Elbow</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Those with tennis elbow often try to manage the pain with over-the-counter medications and/or conservative therapy to stabilize the elbow such as with a brace. Resting the elbow is another way sufferers attempt to find relief in order to continue to work or participate in activities. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Recommended conventional treatments for tennis elbow often include NSAIDs, physical therapy, bracing, and taping. Unfortunately, these treatments may only provide temporary relief but they are not reparative in nature.</span></p>\r\n<p align=\"LEFT\"><span lang=\"en-US\">Symptoms may be suppressed with pain medications or calmed down with bracing. However, a sleeve, for example, will only give a false sense of security while only temporarily helping the sufferer to function. If the pain continues, and becomes chronic, the individual requires a treatments that will repair the involved tendon and ligaments.</span></p>\r\n\r\n<h2 align=\"LEFT\"><span lang=\"en-US\">What Does the Research Say Regarding Bracing and Surgery?</span></h2>\r\n<h4 align=\"JUSTIFY\"><em><strong><span lang=\"en-US\">Bracing</span></strong></em></h4>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">T</span><span lang=\"fr-FR\">he journal</span> <em><span lang=\"en-US\">Prosthetics and Orthotics International</span></em> (<span lang=\"en-US\">1) examined the popular counterforce brace in people with problems of lateral elbow tendinopathy and found that physical therapy had better results.</span></p>\r\n\r\n<h4 align=\"JUSTIFY\"><em><strong><span lang=\"en-US\">Surgery</span></strong></em></h4>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The </span><em><span lang=\"en-US\">US National Institutes of Health Clinical Trial</span></em><span lang=\"nl-NL\"> website</span><span lang=\"en-US\"> says: </span><em>“<span lang=\"en-US\">Despite its promise, there have been no high-quality studies evaluating the efficacy of arthroscopic tennis elbow release, bringing the actual efficacy of this procedure into question.” </span>(<span lang=\"en-US\">2</span>)</em></p>\r\n<p align=\"JUSTIFY\"><strong><span lang=\"en-US\">There’s Another Way and It Does Not Require Surgery!</span></strong></p>\r\n\r\n<h3 align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative Orthopedics, Including Prolotherapy Are Effective for Tennis Elbow</span></h3>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative Orthopedics is a non-surgical treatment that effectively repairs the tendons and ligaments involved in tennis elbow. Prolotherapy is one type of Regenerative Orthopedics and studies show its effectiveness in treating tennis elbow. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy is an injection technique that works to regenerate the degenerated tendon. The injection of simple dextrose mimics the natural healing response and </span>stimulate<span lang=\"en-US\">s healing growth factors to repair the</span><span lang=\"fr-FR\"> tissue.</span></p>\r\n\r\n<ul>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Researchers published a study in the </span><em><span lang=\"en-US\">American Journal of Physical Medicine &amp; Rehabilitation </span></em><span lang=\"en-US\">that </span>evaluat<span lang=\"en-US\">ed Prolotherapy for tennis elbow. They concluded: </span><em>“<span lang=\"en-US\">Prolotherapy resulted in safe, significant improvement of elbow pain and function compared with baseline status and follow-up data and the wait-and-see control group. This pilot study suggests the need for a definitive trial.”</span></em><span lang=\"en-US\">(3)</span></p>\r\n</li>\r\n</ul>\r\n<ul>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">A study of 84 patients with tennis elbow who were treated with dextrose prolotherapy had statistically significant reductions in pain levels. (4)</span></p>\r\n</li>\r\n</ul>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Prolotherapy is effective for tennis elbow! It works because it boosts the body’s healing abilities naturally. And, it works because it addresses the problem by repairing the injures soft tissue. Plus, it works because it reduces or eliminates the symptoms. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Fortunately, Prolotherapy and other Regenerative Orthopedics, such as PRP and Stem Cell Therapy, all strengthen the involved ligaments and tendons.</span> <span lang=\"en-US\">These therapies </span><span lang=\"pt-PT\">stabilize</span><span lang=\"en-US\"> the elbow, strengthen the elbow, address the instability, and put an end to the pain and symptoms of tennis elbow</span>.<span lang=\"en-US\"> Recommendations may be made for PRP and/or Stem Cell in more advanced cases, but all treatments would include Prolotherapy.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">If tennis elbow is a condition you are currently facing, please reach out and give us a call. We would be happy to help you become symptom free.</span></p>\r\n\r\n<h3 align=\"JUSTIFY\"><span lang=\"en-US\">References</span></h3>\r\n<ol>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Shahabi S, Bagheri Lankarani K, Heydari ST, Jalali M, Ghahramani S, Kamyab M, Tabrizi R, Hosseinabadi M. The effects of counterforce brace on pain in subjects with lateral elbow tendinopathy: A systematic review and meta-analysis of randomized controlled trials. Prosthetics and Orthotics International. 2020 Jul 8:0309364620930618.</span></p>\r\n</li>\r\n 	<li>\r\n<p align=\"JUSTIFY\">Kroslak M, Murrell GAC. <span lang=\"en-US\">Surgical Treatment of Lateral Epicondylitis: A Prospective, Randomized, Double-Blinded, Placebo-Controlled Clinical Trial. Am J Sports Med. 2018 Mar 1:363546517753385. doi: 10.1177/0363546517753385.</span></p>\r\n</li>\r\n 	<li>\r\n<p align=\"JUSTIFY\">Rabago D, Lee KS, Ryan M, Chourasia AO, Sesto ME, Zgierska A, Kijowski R, Grettie J, Wilson J, Miller D. <span lang=\"en-US\">Hypertonic Dextrose and Morrhuate Sodium Injections (Prolotherapy) for Lateral Epicondylosis (Tennis Elbow): Results of a Single-blind, Pilot-Level, Randomized Controlled Trial. Am J Phys Med Rehabil. 2013 Jan 3.</span></p>\r\n</li>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Shin J, Seo K-M, Kim D-K, Kim B-K, Kang SH. The effect of prolotherapy on lateral epicondylitis of elbow.</span> J Korean Acad Rehabil Med. 2002;26:764–8.</p>\r\n</li>\r\n</ol>','Tennis Elbow: It’s Not Strictly An Injury Afflicting Athletes','','inherit','closed','closed','','5513-revision-v1','','','2022-10-05 21:16:17','2022-10-05 21:16:17','',5513,'https://www.drfields.com/?p=5531',0,'revision','',0),(5532,9,'2022-10-05 21:47:48','2022-10-05 21:47:48','<h2>Stem Cells Are Gaining in Popularity</h2>\n[caption id=\"attachment_5533\" align=\"alignright\" width=\"455\"]<img class=\"wp-image-5533\" src=\"https://www.drfields.com/wp-content/uploads/2022/10/Arthritis.-Jnl-Clinical-OrthoTrauma-500x419.png\" alt=\"Arthritis. Jnl Clinical Ortho&amp;trauma\" width=\"455\" height=\"381\" /> <strong>                             Stem Cells Are Gaining in Popularity</strong>[/caption]\n\nThe limitations of traditional treatments for arthritis are causing many to seek alternatives for relieving their arthritis pain and symptoms. Even current surgical procedures for arthritis come up short since they cannot reverse the damage arthritis causes to articular cartilage. As a result, stem cell treatments and other regenerative therapies are gaining popularity because they result in the repair and regeneration of the joints.\n<h2>What Do You Mean Conventional Treatments Have Limitations?</h2>\nConventional treatments for arthritis only manage the problem. These treatments “chase the symptoms.” For example, NSAIDs and opioids may be given for the pain of arthritis. And sure, they are helpful to get relief from the pain, but these medications do not repair the joint. As time goes on, the pain and symptoms will continue because the joint is still not repaired, and surgery will likely be recommended. But surgery comes with complications and long recovery times! In an effort to avoid this scenario, people living with arthritis are seeking stem cell treatments as an alternative to surgery.\n<h2>Stem Cells Are Gaining Popularity Because They Regenerate Cartilage</h2>\nStem cell treatments have great potential due to their ability to regenerate damaged cartilage (1). Stem cell-based therapy is gaining popularity as an alternative to joint replacement, especially since it has reparative effects. However, due to the ethical concerns in using embryonic cells, the current trend is more focused on adult stem cells for cartilage regeneration.\n<h2>Types of Adult Stem Cells</h2>\nThere are various types of stem cells being utilized which include mesenchymal stem cells (MSCs), bone marrow-derived stem cells (BMSCs), and adipose-derived stem cells (ADSCs) for the regeneration of cartilage. Again, these types of adult stem cells may be chosen for cartilage regeneration.\n<h2>Mesenchymal Stem Cells (MSCs) from Bone Marrow</h2>\nMSCs derived from bone marrow (BMSCs) can repair tissues such as tendons, bony defects, and cartilage (2). Plus, when placed in the injured and degenerated areas, such as in knee and hip arthritis cases, these cells can assist in cartilage regeneration of the joint and alleviate the pain experienced by arthritis patients (3).\n\n<em>“The versatility of mesenchymal stem cells (MSCs) as a treatment modality has landed it another repair target: osteoarthritis, a crippling cartilage disease that frequently afflicts the aged population. Through many studies, this newly discovered method has been shown to significantly alleviate the pain experienced by osteoarthritic patients.”(3)</em>\n\nOnce aspirated (drawn out), mesenchymal stem cells (MSCs) are centrifuged to have a more concentrated number of stem cells to boost recovery and effectiveness (3). In addition, since these stem cells are taken directly from the person who will receive them (autologous), the chance of cross-contamination is reduced, which increases the efficacy of the therapy.\n\nStudies have shown that mesenchymal stem cells (MSCs) from bone marrow (BMSCs) can successfully regenerate injured cartilage, repair chondral defects, and improve arthritis symptoms in humans.\n\n<em>“The capability of the mesenchymal stem cells to repair and regenerate cartilage has been widely investigated. . .Several studies have demonstrated promising results in the clinical application for repair of chondral defects as an adjuvant (during surgery in some cases) or independent procedure. Intra-articular (mesenchymal stem cells (MSCs)  provide improvements in pain and function in knee osteoarthritis at short-term follow-up in many studies.”(4)</em>\n<h2>Adipose-Derived Stem Cells (ADSCs)</h2>\nAdipose-derived stem cells (ADSCs) are a promising source of stem cells because this fat tissue is abundant. Plus, it is relatively easy to harvest and has minimal side effects. Studies also back the use of ADSCs for cartilage regeneration in the treatment of arthritis.\n\n<em>“Among the different kinds of MSCs available, adipose-derived mesenchymal stem cells (ADSCs) are emerging due to their abundancy and easiness to harvest.”(5)</em>\n\n<em>“Adipose stem cells are an attractive and abundant stem cell source with therapeutic applicability in diverse fields for the repair and regeneration of acute and chronically damaged tissues.” (5)</em>\n<h2>Platelet-Rich Plasma (PRP) Used Along with Stem Cells</h2>\nPRP, or platelet-rich plasma, taken from your blood, is a regenerative therapy that helps to boost cartilage regeneration due to its many growth factors. These growth factors promote the growth and differentiation of the stem cells and encourage their adherence to cartilage lesions.\n<h2>Stem Cells Are Gaining Popularity and Are Available at OrthoRegen®</h2>\nAt OrthoRegen®, we have been using stem cells to successfully treat arthritic joints for many years. The treatment is well-established at our clinic. This non-surgical injection procedure is an excellent alternative to conventional treatments and surgeries. In addition, the self-renewing, reparative, and regenerative abilities of stem cell treatments have rendered them an attractive option for the treatment of arthritis.\n\nAdditionally, at OrthoRegen®, we use the Gold Standard in Stem Cell Therapy. That means we use four different types of regenerative therapies. Many other clinics only use 1 or 2. We will use MSCs derived from bone marrow (BMSCs), adipose-derived stem cells (ADSCs) taken from fat, PRP, or platelet-rich plasma drawn from your blood, and then Dextrose Prolotherapy. All of these together give you the best chance at repair and regeneration to help you return to all the activities you enjoy.\n\nStem cell treatments are gaining popularity because they work! Call us at 310-453-1234 and find out if you are a candidate for this treatment.\n<h3>References</h3>\n<ol>\n 	<li>Shapiro SA, Kazmerchak SE, Heckman MG, Zubair AC, O’Connor MI. A Prospective, Single-Blind, Placebo-Controlled Trial of Bone Marrow Aspirate Concentrate for Knee Osteoarthritis. Am J Sports Med. 2017 Jan;45(1):82-90.</li>\n 	<li>Gianakos AL, Sun L, Patel JN, Adams DM, Liporace FA. Clinical application of concentrated bone marrow aspirate in orthopaedics: A systematic review. World journal of orthopedics. 2017 Jun 18;8(6):491.</li>\n 	<li>Afizah H, Hui JH. Mesenchymal stem cell therapy for osteoarthritis. Journal of clinical orthopaedics and trauma. 2016 Sep 30;7(3):177-82</li>\n 	<li>Debnath UK. Mesenchymal Stem Cell Therapy in Chondral Defects of Knee: Current Concept Review. Indian Journal of Orthopaedics. 2020 Jul 27:1-9.</li>\n 	<li>Lindroos B, Suuronen R, Miettinen S. The potential of adipose stem cells in regenerative medicine. Stem Cell Rev Rep. 2011 Jun;7(2):269-91. doi: 10.1007/s12015-010-9193-7. PMID: 20853072.</li>\n</ol>','Stem Cells Are Gaining in Popularity','','inherit','closed','closed','','5522-autosave-v1','','','2022-10-05 21:47:48','2022-10-05 21:47:48','',5522,'https://www.drfields.com/?p=5532',0,'revision','',0),(5533,9,'2022-10-05 21:20:38','2022-10-05 21:20:38','Arthritis. Jnl Clinical Ortho&trauma','Arthritis. Jnl Clinical Ortho&trauma','Stem Cells Gaining Popularity','inherit','closed','closed','','arthritis-jnl-clinical-orthotrauma','','','2022-10-05 21:21:07','2022-10-05 21:21:07','',5522,'https://www.drfields.com/wp-content/uploads/2022/10/Arthritis.-Jnl-Clinical-OrthoTrauma.png',0,'attachment','image/png',0),(5534,9,'2022-10-05 21:25:43','2022-10-05 21:25:43','<h2>Stem Cell Treatments Are Gaining in Popularity</h2>\r\n[caption id=\"attachment_5533\" align=\"alignright\" width=\"455\"]<img class=\" wp-image-5533\" src=\"https://www.drfields.com/wp-content/uploads/2022/10/Arthritis.-Jnl-Clinical-OrthoTrauma-500x419.png\" alt=\"Arthritis. Jnl Clinical Ortho&amp;trauma\" width=\"455\" height=\"381\" /> <strong>                                    Stem Cells Gaining Popularity</strong>[/caption]\r\n\r\nThe limitations of traditional treatments for arthritis are causing many to seek alternatives for relief of their arthritis pain and symptoms. Even current surgical procedures for arthritis come up short since they are unable to reverse the damage arthritis causes on articular cartilage. Stem cell treatments, as well as other regenerative therapies, are gaining popularity because they result in repair and regeneration of the joints.\r\n<h2>What Do You Mean Conventional Treatments Have Limitations?</h2>\r\nConventional treatments for arthritis really only manage the problem. These treatments “chase the symptoms.” For example, NSAIDs and opioids may be given for the pain of arthritis. And sure, it’s helpful to get relief from the pain, but these medications do not repair the joint. As time goes on, the pain and symptoms will continue because the joint is still not repaired, and surgery will likely be recommended. But surgery comes with complications and long recovery times! In an effort to avoid this scenario, arthritis sufferers are seeking stem cell treatments as an alternative to surgery.\r\n<h2>Stem Cell Treatments Regenerate Cartilage</h2>\r\nStem cell treatments have great potential due to their ability to regenerate damaged cartilage (1). Stem cell based therapy is gaining popularity as an alternative to joint replacement, especially since it has reparative effects. Due to the ethical concerns in the utilization of embryonic cells the current trend is more focused on adult stem cells for cartilage regeneration.\r\n<h2>Types of Adult Stem Cells</h2>\r\nThere are various types of stem cells being utilized which include, mesenchymal stem cells (MSCs), bone marrow-derived stem cells (BMSCs), and adipose-derived stem cells (ADSCs) for the regeneration of cartilage. Again, these are all types of adult stem cells that may be chosen for cartilage regeneration.\r\n<h2>Mesenchymal Stem Cells (MSCs) from Bone Marrow</h2>\r\nMSCs derived from bone marrow (BMSCs) are able to repair tissues such as tendons, bony defects, and cartilage (2). Plus, when placed at the injured and/or degenerated areas, such as in cases of knee and hip arthritis, these cells are able to assist in cartilage regeneration of the joint and alleviate the pain experienced by arthritis patients (3).\r\n\r\n“The versatility of mesenchymal stem cells (MSCs) as a treatment modality has landed it another repair target: osteoarthritis, a crippling cartilage disease that frequently afflicts the aged population. Through many studies, this newly discovered method has been shown to significantly alleviate the pain experienced by osteoarthritic patients.”(3)\r\n\r\nOnce aspirated (drawn out), mesenchymal stem cells (MSCs) are centrifuged in order to have a more concentrated number of stem cells to boost recovery and effectiveness (3). Since these stem cells are taken directly from the person who will receive them (autologous), the chance of cross-contamination is reduced which increases the efficacy of the therapy.\r\n\r\nStudies have shown that mesenchymal stem cells (MSCs) from bone marrow (BMSCs) can successfully regenerate injured cartilage, repair chondral defects, and improve arthritis symptoms in humans.\r\n\r\n“The capability of the mesenchymal stem cells to repair and regenerate cartilage has been widely investigated. . .Several studies have demonstrated promising results in the clinical application for repair of chondral defects as an adjuvant (during surgery in some cases) or independent procedure. Intra-articular (mesenchymal stem cells (MSCs)  provide improvements in pain and function in knee osteoarthritis at short-term follow-up in many studies.”(4)\r\n<h2>Adipose-Derived Stem Cells (ADSCs)</h2>\r\nAdipose-derived stem cells (ADSCs) are a promising source of stem cells because there is an abundance of this fat tissue. Plus, it is relatively easy to harvest and has minimal side effects. Studies also back the use of ADSCs for cartilage regeneration in the treatment of arthritis.\r\n\r\n“Among the different kinds of MSCs available, adipose-derived mesenchymal stem cells (ADSCs) are emerging due to their abundancy and easiness to harvest.”(5)\r\n\r\n“Adipose stem cells are an attractive and abundant stem cell source with therapeutic applicability in diverse fields for the repair and regeneration of acute and chronically damaged tissues.” (5)\r\n<h2>Platelet Rich Plasma (PRP) Used Along with Stem Cells</h2>\r\nPRP or platelet-rich plasma, which is taken from your own blood, is a regenerative therapy that helps to boost cartilage regeneration due to its many growth factors. These growth factors promote the growth and differentiation of the stem cells as well as boost their adherence to the cartilage lesions.\r\n<h2>Stem Cell Treatments at OrthoRegen®</h2>\r\nAt OrthoRegen®, we have been successfully using stem cells to treat arthritic joints for many years. The treatment is well-established at our clinic. This non-surgical injection procedure is an excellent alternative to conventional treatments and surgeries. The self-renewing, reparative, and regenerative abilities of stem cell treatments have rendered them an attractive option for the treatment of arthritis.\r\n\r\nAdditionally, at OrthoRegen®, we use the Gold Standard in Stem Cell Therapy. That means we use 4 different types of regenerative therapies. Many other clinics only use 1 or 2. We will use MSCs derived from bone marrow (BMSCs), adipose-derived stem cells (ADSCs) taken from fat, PRP or platelet-rich plasma drawn from your own blood, and then Dextrose Prolotherapy. All of these together give you the best chance at repair and regeneration in order to help you return to all of the activities you want to be involved in.\r\n\r\nStem cell treatments are gaining popularity because they work! Call us at 310-453-1234 and find out if you are a candidate for this treatment.\r\n<h3>References</h3>\r\n<ol>\r\n 	<li>Shapiro SA, Kazmerchak SE, Heckman MG, Zubair AC, O’Connor MI. A Prospective, Single-Blind, Placebo-Controlled Trial of Bone Marrow Aspirate Concentrate for Knee Osteoarthritis. Am J Sports Med. 2017 Jan;45(1):82-90.</li>\r\n 	<li>Gianakos AL, Sun L, Patel JN, Adams DM, Liporace FA. Clinical application of concentrated bone marrow aspirate in orthopaedics: A systematic review. World journal of orthopedics. 2017 Jun 18;8(6):491.</li>\r\n 	<li>Afizah H, Hui JH. Mesenchymal stem cell therapy for osteoarthritis. Journal of clinical orthopaedics and trauma. 2016 Sep 30;7(3):177-82</li>\r\n 	<li>Debnath UK. Mesenchymal Stem Cell Therapy in Chondral Defects of Knee: Current Concept Review. Indian Journal of Orthopaedics. 2020 Jul 27:1-9.</li>\r\n 	<li>Lindroos B, Suuronen R, Miettinen S. The potential of adipose stem cells in regenerative medicine. Stem Cell Rev Rep. 2011 Jun;7(2):269-91. doi: 10.1007/s12015-010-9193-7. PMID: 20853072.</li>\r\n</ol>','Stem Cells Are Gaining in Popularity','','inherit','closed','closed','','5522-revision-v1','','','2022-10-05 21:25:43','2022-10-05 21:25:43','',5522,'https://www.drfields.com/?p=5534',0,'revision','',0),(5535,9,'2022-10-05 21:27:22','2022-10-05 21:27:22','<h2>Stem Cell Treatments Are Gaining in Popularity</h2>\r\n[caption id=\"attachment_5533\" align=\"alignright\" width=\"455\"]<img class=\" wp-image-5533\" src=\"https://www.drfields.com/wp-content/uploads/2022/10/Arthritis.-Jnl-Clinical-OrthoTrauma-500x419.png\" alt=\"Arthritis. Jnl Clinical Ortho&amp;trauma\" width=\"455\" height=\"381\" /> <strong>                             Stem Cells Are Gaining in Popularity</strong>[/caption]\r\n\r\nThe limitations of traditional treatments for arthritis are causing many to seek alternatives for relief of their arthritis pain and symptoms. Even current surgical procedures for arthritis come up short since they are unable to reverse the damage arthritis causes on articular cartilage. Stem cell treatments, as well as other regenerative therapies, are gaining popularity because they result in repair and regeneration of the joints.\r\n<h2>What Do You Mean Conventional Treatments Have Limitations?</h2>\r\nConventional treatments for arthritis really only manage the problem. These treatments “chase the symptoms.” For example, NSAIDs and opioids may be given for the pain of arthritis. And sure, it’s helpful to get relief from the pain, but these medications do not repair the joint. As time goes on, the pain and symptoms will continue because the joint is still not repaired, and surgery will likely be recommended. But surgery comes with complications and long recovery times! In an effort to avoid this scenario, arthritis sufferers are seeking stem cell treatments as an alternative to surgery.\r\n<h2>Stem Cell Treatments Regenerate Cartilage</h2>\r\nStem cell treatments have great potential due to their ability to regenerate damaged cartilage (1). Stem cell based therapy is gaining popularity as an alternative to joint replacement, especially since it has reparative effects. Due to the ethical concerns in the utilization of embryonic cells the current trend is more focused on adult stem cells for cartilage regeneration.\r\n<h2>Types of Adult Stem Cells</h2>\r\nThere are various types of stem cells being utilized which include, mesenchymal stem cells (MSCs), bone marrow-derived stem cells (BMSCs), and adipose-derived stem cells (ADSCs) for the regeneration of cartilage. Again, these are all types of adult stem cells that may be chosen for cartilage regeneration.\r\n<h2>Mesenchymal Stem Cells (MSCs) from Bone Marrow</h2>\r\nMSCs derived from bone marrow (BMSCs) are able to repair tissues such as tendons, bony defects, and cartilage (2). Plus, when placed at the injured and/or degenerated areas, such as in cases of knee and hip arthritis, these cells are able to assist in cartilage regeneration of the joint and alleviate the pain experienced by arthritis patients (3).\r\n\r\n“The versatility of mesenchymal stem cells (MSCs) as a treatment modality has landed it another repair target: osteoarthritis, a crippling cartilage disease that frequently afflicts the aged population. Through many studies, this newly discovered method has been shown to significantly alleviate the pain experienced by osteoarthritic patients.”(3)\r\n\r\nOnce aspirated (drawn out), mesenchymal stem cells (MSCs) are centrifuged in order to have a more concentrated number of stem cells to boost recovery and effectiveness (3). Since these stem cells are taken directly from the person who will receive them (autologous), the chance of cross-contamination is reduced which increases the efficacy of the therapy.\r\n\r\nStudies have shown that mesenchymal stem cells (MSCs) from bone marrow (BMSCs) can successfully regenerate injured cartilage, repair chondral defects, and improve arthritis symptoms in humans.\r\n\r\n“The capability of the mesenchymal stem cells to repair and regenerate cartilage has been widely investigated. . .Several studies have demonstrated promising results in the clinical application for repair of chondral defects as an adjuvant (during surgery in some cases) or independent procedure. Intra-articular (mesenchymal stem cells (MSCs)  provide improvements in pain and function in knee osteoarthritis at short-term follow-up in many studies.”(4)\r\n<h2>Adipose-Derived Stem Cells (ADSCs)</h2>\r\nAdipose-derived stem cells (ADSCs) are a promising source of stem cells because there is an abundance of this fat tissue. Plus, it is relatively easy to harvest and has minimal side effects. Studies also back the use of ADSCs for cartilage regeneration in the treatment of arthritis.\r\n\r\n“Among the different kinds of MSCs available, adipose-derived mesenchymal stem cells (ADSCs) are emerging due to their abundancy and easiness to harvest.”(5)\r\n\r\n“Adipose stem cells are an attractive and abundant stem cell source with therapeutic applicability in diverse fields for the repair and regeneration of acute and chronically damaged tissues.” (5)\r\n<h2>Platelet Rich Plasma (PRP) Used Along with Stem Cells</h2>\r\nPRP or platelet-rich plasma, which is taken from your own blood, is a regenerative therapy that helps to boost cartilage regeneration due to its many growth factors. These growth factors promote the growth and differentiation of the stem cells as well as boost their adherence to the cartilage lesions.\r\n<h2>Stem Cell Treatments at OrthoRegen®</h2>\r\nAt OrthoRegen®, we have been successfully using stem cells to treat arthritic joints for many years. The treatment is well-established at our clinic. This non-surgical injection procedure is an excellent alternative to conventional treatments and surgeries. The self-renewing, reparative, and regenerative abilities of stem cell treatments have rendered them an attractive option for the treatment of arthritis.\r\n\r\nAdditionally, at OrthoRegen®, we use the Gold Standard in Stem Cell Therapy. That means we use 4 different types of regenerative therapies. Many other clinics only use 1 or 2. We will use MSCs derived from bone marrow (BMSCs), adipose-derived stem cells (ADSCs) taken from fat, PRP or platelet-rich plasma drawn from your own blood, and then Dextrose Prolotherapy. All of these together give you the best chance at repair and regeneration in order to help you return to all of the activities you want to be involved in.\r\n\r\nStem cell treatments are gaining popularity because they work! Call us at 310-453-1234 and find out if you are a candidate for this treatment.\r\n<h3>References</h3>\r\n<ol>\r\n 	<li>Shapiro SA, Kazmerchak SE, Heckman MG, Zubair AC, O’Connor MI. A Prospective, Single-Blind, Placebo-Controlled Trial of Bone Marrow Aspirate Concentrate for Knee Osteoarthritis. Am J Sports Med. 2017 Jan;45(1):82-90.</li>\r\n 	<li>Gianakos AL, Sun L, Patel JN, Adams DM, Liporace FA. Clinical application of concentrated bone marrow aspirate in orthopaedics: A systematic review. World journal of orthopedics. 2017 Jun 18;8(6):491.</li>\r\n 	<li>Afizah H, Hui JH. Mesenchymal stem cell therapy for osteoarthritis. Journal of clinical orthopaedics and trauma. 2016 Sep 30;7(3):177-82</li>\r\n 	<li>Debnath UK. Mesenchymal Stem Cell Therapy in Chondral Defects of Knee: Current Concept Review. Indian Journal of Orthopaedics. 2020 Jul 27:1-9.</li>\r\n 	<li>Lindroos B, Suuronen R, Miettinen S. The potential of adipose stem cells in regenerative medicine. Stem Cell Rev Rep. 2011 Jun;7(2):269-91. doi: 10.1007/s12015-010-9193-7. PMID: 20853072.</li>\r\n</ol>','Stem Cells Are Gaining in Popularity','','inherit','closed','closed','','5522-revision-v1','','','2022-10-05 21:27:22','2022-10-05 21:27:22','',5522,'https://www.drfields.com/?p=5535',0,'revision','',0),(5536,9,'2022-10-05 21:28:51','2022-10-05 21:28:51','<h2>Stem Cell Are Gaining in Popularity</h2>\r\n[caption id=\"attachment_5533\" align=\"alignright\" width=\"455\"]<img class=\"wp-image-5533\" src=\"https://www.drfields.com/wp-content/uploads/2022/10/Arthritis.-Jnl-Clinical-OrthoTrauma-500x419.png\" alt=\"Arthritis. Jnl Clinical Ortho&amp;trauma\" width=\"455\" height=\"381\" /> <strong>                             Stem Cells Are Gaining in Popularity</strong>[/caption]\r\n\r\nThe limitations of traditional treatments for arthritis are causing many to seek alternatives for relief of their arthritis pain and symptoms. Even current surgical procedures for arthritis come up short since they are unable to reverse the damage arthritis causes on articular cartilage. Stem cell treatments, as well as other regenerative therapies, are gaining popularity because they result in repair and regeneration of the joints.\r\n<h2>What Do You Mean Conventional Treatments Have Limitations?</h2>\r\nConventional treatments for arthritis really only manage the problem. These treatments “chase the symptoms.” For example, NSAIDs and opioids may be given for the pain of arthritis. And sure, it’s helpful to get relief from the pain, but these medications do not repair the joint. As time goes on, the pain and symptoms will continue because the joint is still not repaired, and surgery will likely be recommended. But surgery comes with complications and long recovery times! In an effort to avoid this scenario, arthritis sufferers are seeking stem cell treatments as an alternative to surgery.\r\n<h2>Stem Cells Are Gaining Popularity Because They Regenerate Cartilage</h2>\r\nStem cell treatments have great potential due to their ability to regenerate damaged cartilage (1). Stem cell based therapy is gaining popularity as an alternative to joint replacement, especially since it has reparative effects. Due to the ethical concerns in the utilization of embryonic cells the current trend is more focused on adult stem cells for cartilage regeneration.\r\n<h2>Types of Adult Stem Cells</h2>\r\nThere are various types of stem cells being utilized which include, mesenchymal stem cells (MSCs), bone marrow-derived stem cells (BMSCs), and adipose-derived stem cells (ADSCs) for the regeneration of cartilage. Again, these are all types of adult stem cells that may be chosen for cartilage regeneration.\r\n<h2>Mesenchymal Stem Cells (MSCs) from Bone Marrow</h2>\r\nMSCs derived from bone marrow (BMSCs) are able to repair tissues such as tendons, bony defects, and cartilage (2). Plus, when placed at the injured and/or degenerated areas, such as in cases of knee and hip arthritis, these cells are able to assist in cartilage regeneration of the joint and alleviate the pain experienced by arthritis patients (3).\r\n\r\n“The versatility of mesenchymal stem cells (MSCs) as a treatment modality has landed it another repair target: osteoarthritis, a crippling cartilage disease that frequently afflicts the aged population. Through many studies, this newly discovered method has been shown to significantly alleviate the pain experienced by osteoarthritic patients.”(3)\r\n\r\nOnce aspirated (drawn out), mesenchymal stem cells (MSCs) are centrifuged in order to have a more concentrated number of stem cells to boost recovery and effectiveness (3). Since these stem cells are taken directly from the person who will receive them (autologous), the chance of cross-contamination is reduced which increases the efficacy of the therapy.\r\n\r\nStudies have shown that mesenchymal stem cells (MSCs) from bone marrow (BMSCs) can successfully regenerate injured cartilage, repair chondral defects, and improve arthritis symptoms in humans.\r\n\r\n“The capability of the mesenchymal stem cells to repair and regenerate cartilage has been widely investigated. . .Several studies have demonstrated promising results in the clinical application for repair of chondral defects as an adjuvant (during surgery in some cases) or independent procedure. Intra-articular (mesenchymal stem cells (MSCs)  provide improvements in pain and function in knee osteoarthritis at short-term follow-up in many studies.”(4)\r\n<h2>Adipose-Derived Stem Cells (ADSCs)</h2>\r\nAdipose-derived stem cells (ADSCs) are a promising source of stem cells because there is an abundance of this fat tissue. Plus, it is relatively easy to harvest and has minimal side effects. Studies also back the use of ADSCs for cartilage regeneration in the treatment of arthritis.\r\n\r\n“Among the different kinds of MSCs available, adipose-derived mesenchymal stem cells (ADSCs) are emerging due to their abundancy and easiness to harvest.”(5)\r\n\r\n“Adipose stem cells are an attractive and abundant stem cell source with therapeutic applicability in diverse fields for the repair and regeneration of acute and chronically damaged tissues.” (5)\r\n<h2>Platelet Rich Plasma (PRP) Used Along with Stem Cells</h2>\r\nPRP or platelet-rich plasma, which is taken from your own blood, is a regenerative therapy that helps to boost cartilage regeneration due to its many growth factors. These growth factors promote the growth and differentiation of the stem cells as well as boost their adherence to the cartilage lesions.\r\n<h2>Stem Cell Treatments at OrthoRegen®</h2>\r\nAt OrthoRegen®, we have been successfully using stem cells to treat arthritic joints for many years. The treatment is well-established at our clinic. This non-surgical injection procedure is an excellent alternative to conventional treatments and surgeries. The self-renewing, reparative, and regenerative abilities of stem cell treatments have rendered them an attractive option for the treatment of arthritis.\r\n\r\nAdditionally, at OrthoRegen®, we use the Gold Standard in Stem Cell Therapy. That means we use 4 different types of regenerative therapies. Many other clinics only use 1 or 2. We will use MSCs derived from bone marrow (BMSCs), adipose-derived stem cells (ADSCs) taken from fat, PRP or platelet-rich plasma drawn from your own blood, and then Dextrose Prolotherapy. All of these together give you the best chance at repair and regeneration in order to help you return to all of the activities you want to be involved in.\r\n\r\nStem cell treatments are gaining popularity because they work! Call us at 310-453-1234 and find out if you are a candidate for this treatment.\r\n<h3>References</h3>\r\n<ol>\r\n 	<li>Shapiro SA, Kazmerchak SE, Heckman MG, Zubair AC, O’Connor MI. A Prospective, Single-Blind, Placebo-Controlled Trial of Bone Marrow Aspirate Concentrate for Knee Osteoarthritis. Am J Sports Med. 2017 Jan;45(1):82-90.</li>\r\n 	<li>Gianakos AL, Sun L, Patel JN, Adams DM, Liporace FA. Clinical application of concentrated bone marrow aspirate in orthopaedics: A systematic review. World journal of orthopedics. 2017 Jun 18;8(6):491.</li>\r\n 	<li>Afizah H, Hui JH. Mesenchymal stem cell therapy for osteoarthritis. Journal of clinical orthopaedics and trauma. 2016 Sep 30;7(3):177-82</li>\r\n 	<li>Debnath UK. Mesenchymal Stem Cell Therapy in Chondral Defects of Knee: Current Concept Review. Indian Journal of Orthopaedics. 2020 Jul 27:1-9.</li>\r\n 	<li>Lindroos B, Suuronen R, Miettinen S. The potential of adipose stem cells in regenerative medicine. Stem Cell Rev Rep. 2011 Jun;7(2):269-91. doi: 10.1007/s12015-010-9193-7. PMID: 20853072.</li>\r\n</ol>','Stem Cells Are Gaining in Popularity','','inherit','closed','closed','','5522-revision-v1','','','2022-10-05 21:28:51','2022-10-05 21:28:51','',5522,'https://www.drfields.com/?p=5536',0,'revision','',0),(5537,9,'2022-10-05 21:30:05','2022-10-05 21:30:05','<h2>Stem Cell Are Gaining in Popularity</h2>\r\n[caption id=\"attachment_5533\" align=\"alignright\" width=\"455\"]<img class=\"wp-image-5533\" src=\"https://www.drfields.com/wp-content/uploads/2022/10/Arthritis.-Jnl-Clinical-OrthoTrauma-500x419.png\" alt=\"Arthritis. Jnl Clinical Ortho&amp;trauma\" width=\"455\" height=\"381\" /> <strong>                             Stem Cells Are Gaining in Popularity</strong>[/caption]\r\n\r\nThe limitations of traditional treatments for arthritis are causing many to seek alternatives for relief of their arthritis pain and symptoms. Even current surgical procedures for arthritis come up short since they are unable to reverse the damage arthritis causes on articular cartilage. Stem cell treatments, as well as other regenerative therapies, are gaining popularity because they result in repair and regeneration of the joints.\r\n<h2>What Do You Mean Conventional Treatments Have Limitations?</h2>\r\nConventional treatments for arthritis really only manage the problem. These treatments “chase the symptoms.” For example, NSAIDs and opioids may be given for the pain of arthritis. And sure, it’s helpful to get relief from the pain, but these medications do not repair the joint. As time goes on, the pain and symptoms will continue because the joint is still not repaired, and surgery will likely be recommended. But surgery comes with complications and long recovery times! In an effort to avoid this scenario, arthritis sufferers are seeking stem cell treatments as an alternative to surgery.\r\n<h2>Stem Cells Are Gaining Popularity Because They Regenerate Cartilage</h2>\r\nStem cell treatments have great potential due to their ability to regenerate damaged cartilage (1). Stem cell based therapy is gaining popularity as an alternative to joint replacement, especially since it has reparative effects. Due to the ethical concerns in the utilization of embryonic cells the current trend is more focused on adult stem cells for cartilage regeneration.\r\n<h2>Types of Adult Stem Cells</h2>\r\nThere are various types of stem cells being utilized which include, mesenchymal stem cells (MSCs), bone marrow-derived stem cells (BMSCs), and adipose-derived stem cells (ADSCs) for the regeneration of cartilage. Again, these are all types of adult stem cells that may be chosen for cartilage regeneration.\r\n<h2>Mesenchymal Stem Cells (MSCs) from Bone Marrow</h2>\r\nMSCs derived from bone marrow (BMSCs) are able to repair tissues such as tendons, bony defects, and cartilage (2). Plus, when placed at the injured and/or degenerated areas, such as in cases of knee and hip arthritis, these cells are able to assist in cartilage regeneration of the joint and alleviate the pain experienced by arthritis patients (3).\r\n\r\n“The versatility of mesenchymal stem cells (MSCs) as a treatment modality has landed it another repair target: osteoarthritis, a crippling cartilage disease that frequently afflicts the aged population. Through many studies, this newly discovered method has been shown to significantly alleviate the pain experienced by osteoarthritic patients.”(3)\r\n\r\nOnce aspirated (drawn out), mesenchymal stem cells (MSCs) are centrifuged in order to have a more concentrated number of stem cells to boost recovery and effectiveness (3). Since these stem cells are taken directly from the person who will receive them (autologous), the chance of cross-contamination is reduced which increases the efficacy of the therapy.\r\n\r\nStudies have shown that mesenchymal stem cells (MSCs) from bone marrow (BMSCs) can successfully regenerate injured cartilage, repair chondral defects, and improve arthritis symptoms in humans.\r\n\r\n“The capability of the mesenchymal stem cells to repair and regenerate cartilage has been widely investigated. . .Several studies have demonstrated promising results in the clinical application for repair of chondral defects as an adjuvant (during surgery in some cases) or independent procedure. Intra-articular (mesenchymal stem cells (MSCs)  provide improvements in pain and function in knee osteoarthritis at short-term follow-up in many studies.”(4)\r\n<h2>Adipose-Derived Stem Cells (ADSCs)</h2>\r\nAdipose-derived stem cells (ADSCs) are a promising source of stem cells because there is an abundance of this fat tissue. Plus, it is relatively easy to harvest and has minimal side effects. Studies also back the use of ADSCs for cartilage regeneration in the treatment of arthritis.\r\n\r\n“Among the different kinds of MSCs available, adipose-derived mesenchymal stem cells (ADSCs) are emerging due to their abundancy and easiness to harvest.”(5)\r\n\r\n“Adipose stem cells are an attractive and abundant stem cell source with therapeutic applicability in diverse fields for the repair and regeneration of acute and chronically damaged tissues.” (5)\r\n<h2>Platelet Rich Plasma (PRP) Used Along with Stem Cells</h2>\r\nPRP or platelet-rich plasma, which is taken from your own blood, is a regenerative therapy that helps to boost cartilage regeneration due to its many growth factors. These growth factors promote the growth and differentiation of the stem cells as well as boost their adherence to the cartilage lesions.\r\n<h2>Stem Cells Are Gaining Popularity and Are Available at OrthoRegen®</h2>\r\nAt OrthoRegen®, we have been successfully using stem cells to treat arthritic joints for many years. The treatment is well-established at our clinic. This non-surgical injection procedure is an excellent alternative to conventional treatments and surgeries. The self-renewing, reparative, and regenerative abilities of stem cell treatments have rendered them an attractive option for the treatment of arthritis.\r\n\r\nAdditionally, at OrthoRegen®, we use the Gold Standard in Stem Cell Therapy. That means we use 4 different types of regenerative therapies. Many other clinics only use 1 or 2. We will use MSCs derived from bone marrow (BMSCs), adipose-derived stem cells (ADSCs) taken from fat, PRP or platelet-rich plasma drawn from your own blood, and then Dextrose Prolotherapy. All of these together give you the best chance at repair and regeneration in order to help you return to all of the activities you want to be involved in.\r\n\r\nStem cell treatments are gaining popularity because they work! Call us at 310-453-1234 and find out if you are a candidate for this treatment.\r\n<h3>References</h3>\r\n<ol>\r\n 	<li>Shapiro SA, Kazmerchak SE, Heckman MG, Zubair AC, O’Connor MI. A Prospective, Single-Blind, Placebo-Controlled Trial of Bone Marrow Aspirate Concentrate for Knee Osteoarthritis. Am J Sports Med. 2017 Jan;45(1):82-90.</li>\r\n 	<li>Gianakos AL, Sun L, Patel JN, Adams DM, Liporace FA. Clinical application of concentrated bone marrow aspirate in orthopaedics: A systematic review. World journal of orthopedics. 2017 Jun 18;8(6):491.</li>\r\n 	<li>Afizah H, Hui JH. Mesenchymal stem cell therapy for osteoarthritis. Journal of clinical orthopaedics and trauma. 2016 Sep 30;7(3):177-82</li>\r\n 	<li>Debnath UK. Mesenchymal Stem Cell Therapy in Chondral Defects of Knee: Current Concept Review. Indian Journal of Orthopaedics. 2020 Jul 27:1-9.</li>\r\n 	<li>Lindroos B, Suuronen R, Miettinen S. The potential of adipose stem cells in regenerative medicine. Stem Cell Rev Rep. 2011 Jun;7(2):269-91. doi: 10.1007/s12015-010-9193-7. PMID: 20853072.</li>\r\n</ol>','Stem Cells Are Gaining in Popularity','','inherit','closed','closed','','5522-revision-v1','','','2022-10-05 21:30:05','2022-10-05 21:30:05','',5522,'https://www.drfields.com/?p=5537',0,'revision','',0),(5538,9,'2022-10-05 21:48:27','2022-10-05 21:48:27','<h2>Stem Cells Are Gaining in Popularity</h2>\r\n[caption id=\"attachment_5533\" align=\"alignright\" width=\"455\"]<img class=\"wp-image-5533\" src=\"https://www.drfields.com/wp-content/uploads/2022/10/Arthritis.-Jnl-Clinical-OrthoTrauma-500x419.png\" alt=\"Arthritis. Jnl Clinical Ortho&amp;trauma\" width=\"455\" height=\"381\" /> <strong>                             Stem Cells Are Gaining in Popularity</strong>[/caption]\r\n\r\nThe limitations of traditional treatments for arthritis are causing many to seek alternatives for relieving their arthritis pain and symptoms. Even current surgical procedures for arthritis come up short since they cannot reverse the damage arthritis causes to articular cartilage. As a result, stem cell treatments and other regenerative therapies are gaining popularity because they result in the repair and regeneration of the joints.\r\n<h2>What Do You Mean Conventional Treatments Have Limitations?</h2>\r\nConventional treatments for arthritis only manage the problem. These treatments “chase the symptoms.” For example, NSAIDs and opioids may be given for the pain of arthritis. And sure, they are helpful to get relief from the pain, but these medications do not repair the joint. As time goes on, the pain and symptoms will continue because the joint is still not repaired, and surgery will likely be recommended. But surgery comes with complications and long recovery times! In an effort to avoid this scenario, people living with arthritis are seeking stem cell treatments as an alternative to surgery.\r\n<h2>Stem Cells Are Gaining Popularity Because They Regenerate Cartilage</h2>\r\nStem cell treatments have great potential due to their ability to regenerate damaged cartilage (1). Stem cell-based therapy is gaining popularity as an alternative to joint replacement, especially since it has reparative effects. However, due to the ethical concerns in using embryonic cells, the current trend is more focused on adult stem cells for cartilage regeneration.\r\n<h2>Types of Adult Stem Cells</h2>\r\nThere are various types of stem cells being utilized which include mesenchymal stem cells (MSCs), bone marrow-derived stem cells (BMSCs), and adipose-derived stem cells (ADSCs) for the regeneration of cartilage. Again, these types of adult stem cells may be chosen for cartilage regeneration.\r\n<h2>Mesenchymal Stem Cells (MSCs) from Bone Marrow</h2>\r\nMSCs derived from bone marrow (BMSCs) can repair tissues such as tendons, bony defects, and cartilage (2). Plus, when placed in the injured and degenerated areas, such as in knee and hip arthritis cases, these cells can assist in cartilage regeneration of the joint and alleviate the pain experienced by arthritis patients (3).\r\n\r\n<em>“The versatility of mesenchymal stem cells (MSCs) as a treatment modality has landed it another repair target: osteoarthritis, a crippling cartilage disease that frequently afflicts the aged population. Through many studies, this newly discovered method has been shown to significantly alleviate the pain experienced by osteoarthritic patients.”(3)</em>\r\n\r\nOnce aspirated (drawn out), mesenchymal stem cells (MSCs) are centrifuged to have a more concentrated number of stem cells to boost recovery and effectiveness (3). In addition, since these stem cells are taken directly from the person who will receive them (autologous), the chance of cross-contamination is reduced, which increases the efficacy of the therapy.\r\n\r\nStudies have shown that mesenchymal stem cells (MSCs) from bone marrow (BMSCs) can successfully regenerate injured cartilage, repair chondral defects, and improve arthritis symptoms in humans.\r\n\r\n<em>“The capability of the mesenchymal stem cells to repair and regenerate cartilage has been widely investigated. . .Several studies have demonstrated promising results in the clinical application for repair of chondral defects as an adjuvant (during surgery in some cases) or independent procedure. Intra-articular (mesenchymal stem cells (MSCs)  provide improvements in pain and function in knee osteoarthritis at short-term follow-up in many studies.”(4)</em>\r\n<h2>Adipose-Derived Stem Cells (ADSCs)</h2>\r\nAdipose-derived stem cells (ADSCs) are a promising source of stem cells because this fat tissue is abundant. Plus, it is relatively easy to harvest and has minimal side effects. Studies also back the use of ADSCs for cartilage regeneration in treating arthritis.\r\n\r\n<em>“Among the different kinds of MSCs available, adipose-derived mesenchymal stem cells (ADSCs) are emerging due to their abundancy and easiness to harvest.”(5)</em>\r\n\r\n<em>“Adipose stem cells are an attractive and abundant stem cell source with therapeutic applicability in diverse fields for the repair and regeneration of acute and chronically damaged tissues.” (5)</em>\r\n<h2>Platelet-Rich Plasma (PRP) Used Along with Stem Cells</h2>\r\nPRP, or platelet-rich plasma, taken from your blood, is a regenerative therapy that helps to boost cartilage regeneration due to its many growth factors. These growth factors promote the growth and differentiation of the stem cells and encourage their adherence to cartilage lesions.\r\n<h2>Stem Cells Are Gaining Popularity and Are Available at OrthoRegen®</h2>\r\nAt OrthoRegen®, we have been using stem cells to successfully treat arthritic joints for many years. The treatment is well-established at our clinic. This non-surgical injection procedure is an excellent alternative to conventional therapies and surgeries. In addition, the self-renewing, reparative, and regenerative abilities of stem cell treatments have rendered them an attractive option for the treatment of arthritis.\r\n\r\nAdditionally, at OrthoRegen®, we use the Gold Standard in Stem Cell Therapy. That means we use four different types of regenerative therapies. Many other clinics only use 1 or 2. We will use MSCs derived from bone marrow (BMSCs), adipose-derived stem cells (ADSCs) taken from fat, PRP, or platelet-rich plasma drawn from your blood, and then Dextrose Prolotherapy. All of these together give you the best chance at repair and regeneration to help you return to all the activities you enjoy.\r\n\r\nStem cell treatments are gaining popularity because they work! Call us at 310-453-1234 and find out if you are a candidate for this treatment.\r\n<h3>References</h3>\r\n<ol>\r\n 	<li>Shapiro SA, Kazmerchak SE, Heckman MG, Zubair AC, O’Connor MI. A Prospective, Single-Blind, Placebo-Controlled Trial of Bone Marrow Aspirate Concentrate for Knee Osteoarthritis. Am J Sports Med. 2017 Jan;45(1):82-90.</li>\r\n 	<li>Gianakos AL, Sun L, Patel JN, Adams DM, Liporace FA. Clinical application of concentrated bone marrow aspirate in orthopaedics: A systematic review. World journal of orthopedics. 2017 Jun 18;8(6):491.</li>\r\n 	<li>Afizah H, Hui JH. Mesenchymal stem cell therapy for osteoarthritis. Journal of clinical orthopaedics and trauma. 2016 Sep 30;7(3):177-82</li>\r\n 	<li>Debnath UK. Mesenchymal Stem Cell Therapy in Chondral Defects of Knee: Current Concept Review. Indian Journal of Orthopaedics. 2020 Jul 27:1-9.</li>\r\n 	<li>Lindroos B, Suuronen R, Miettinen S. The potential of adipose stem cells in regenerative medicine. Stem Cell Rev Rep. 2011 Jun;7(2):269-91. doi: 10.1007/s12015-010-9193-7. PMID: 20853072.</li>\r\n</ol>','Stem Cells Are Gaining in Popularity','','inherit','closed','closed','','5522-revision-v1','','','2022-10-05 21:48:27','2022-10-05 21:48:27','',5522,'https://www.drfields.com/?p=5538',0,'revision','',0),(5540,8,'2022-10-07 06:00:25','2022-10-07 06:00:25','<h2>Non-Surgical Knee Treatments</h2>\r\n<img class=\"alignright wp-image-5642 size-wcsquare\" title=\"Avoid Knee Surgery in Middle Age\" src=\"https://www.drfields.com/wp-content/uploads/2022/10/Copy-of-Arthritis.-rthroscopic-Surgery-for-Degenerative-Knee-Arthritis-and-Meniscal-Tears-1-300x300.jpg\" alt=\"Avoid Knee Surgery in Middle Age\" width=\"300\" height=\"300\" />\r\n\r\nTrying to avoid knee surgery in middle age? At OrthoRegen®, we see a lot of patients who enjoy being active and who want to remain that way. They certainly do not want knee pain to get in the way of that! They also prefer to go the non-surgical route to avoid a long surgical recovery and the risks that come with surgery.\r\n\r\nMiddle-aged patients are at that age when they begin to notice degenerative changes in their knees. And they often deal with those changes, like knee instability or pain, by using knee braces, taking over-the-counter medications, and applying ice or heat packs to get some relief.\r\n<h2>Trying to Avoid Knee Surgery But Over-the-Counter Remedies Don’t Work?</h2>\r\nThey try to live with the discomfort as long as possible, but when those remedies no longer work, they seek a medical opinion. Oftentimes, surgery is recommended. But is surgery a good option?\r\n<h3><em>Studies show that arthroscopic surgery results in little to no improvement. Here’s what a few say:</em></h3>\r\nA 2022 study from Melbourne, Australia, reports, “High-certainty evidence indicates arthroscopic surgery leads to little or no difference in pain or function at three months after surgery, moderate-certainty evidence indicates it is probably little or no improvement in knee-specific quality of life three months after surgery, and low-certainty evidence indicates arthroscopic surgery may lead to little or no difference in participant-reported success at up to five years, compared with placebo surgery.” (1)\r\n\r\nAnother medical report from the Annals of the Rheumatic Diseases says, “Several recent meta-analyses based on randomized controlled trials have failed to show a treatment benefit of Arthroscopic partial meniscectomy over conservative treatment or placebo surgery for these patients.” (2)\r\n<h2>Arthritis Sufferers Can Avoid Knee Surgery too!</h2>\r\nDoes arthroscopic surgery help in cases of arthritis? Another medical journal said this, “In this controlled trial involving patients with osteoarthritis of the knee, the outcomes after arthroscopic lavage or arthroscopic debridement were no better than those after a placebo procedure.”(3)\r\n\r\nAnd then, researchers in the medical journal Arthroscopic Surgery for Degenerative Knee Arthritis and Meniscal Tears say, “We make a strong recommendation against the use of arthroscopy in nearly all patients with degenerative knee disease, based on linked systematic reviews; further research is unlikely to alter this recommendation.” (4)\r\n\r\nWow! This surgery is not recommended. Yet unfortunately, arthroscopic knee surgery is on the rise to treat middle-aged and older patients with persistent knee pain. The majority of studies show no added benefit for this surgery when compared to the control treatment of placebo and less benefit when compared to exercise. These results are important to know for the individual considering a surgical procedure that comes with risk.\r\n<h2>Regenerative Orthopedics Helps To Avoid Knee Surgery in Middle Age</h2>\r\nAt OrthoRegen®, we utilize regenerative treatments to repair injured and degenerated knees. These treatments include stem cells, PRP, and Prolotherapy. Certain knee conditions will respond well to simple dextrose Prolotherapy. Other conditions respond great with PRP. And then other conditions, usually those with more degeneration, will require stem cell treatment. All treatments are done in conjunction with dextrose Prolotherapy to comprehensively treat the entire knee joint.\r\n\r\nThese non-surgical regenerative treatments stimulate natural healing repair in the knee and rebuild the injured tissue. (5)\r\n\r\nInjuries such as meniscus tears may respond with Prolotherapy alone or may also require PRP if the injury requires more repair due to advanced meniscus damage. Our clinicians will recommend the best regenerative therapy for your particular case in order to strengthen, stabilize and repair your knee.\r\n\r\nRegenerative Orthopedics, such as Platelet Rich Plasma Therapy, Stem Cells, and Prolotherapy, work great to stimulate tendon, ligament, and cartilage repair. These treatments are non-surgical, in-office procedures that are so much less invasive than surgery and, therefore, require minimal downtown. These treatments are a much safer and more conservative treatment with many advantages over arthroscopic surgery.\r\n\r\n<strong>References</strong>\r\n\r\n(1) O’Connor D, Johnston RV, Brignardello-Petersen R, Poolman RW, Cyril S, Vandvik PO, Buchbinder R. Arthroscopic surgery for degenerative knee disease (osteoarthritis including degenerative meniscal tears). Cochrane Database of Systematic Reviews. 2022(3).\r\n\r\n(2) Sihvonen R, Paavola M, Malmivaara A, Itälä A, Joukainen A, Nurmi H, Kalske J, Ikonen A, Järvelä T, Järvinen TA, Kanto K. Arthroscopic partial meniscectomy versus placebo surgery for a degenerative meniscus tear: a 2-year follow-up of the randomised controlled trial. Annals of the Rheumatic Diseases. 2017 May 18:annrheumdis-2017.\r\n\r\n(3) Moseley JB, O’malley K, Petersen NJ, Menke TJ, Brody BA, Kuykendall DH, Hollingsworth JC, Ashton CM, Wray NP. A controlled trial of arthroscopic surgery for osteoarthritis of the knee. New England Journal of Medicine. 2002 Jul 11;347(2):81-8.\r\n\r\n(4) Siemieniuk RA, Harris IA, Agoritsas T, Poolman RW, Brignardello-Petersen R, Van de Velde S, Buchbinder R, Englund M, Lytvyn L, Quinlan C, Helsingen L. Arthroscopic surgery for degenerative knee arthritis and meniscal tears: a clinical practice guideline. BMJ. 2017 May 10;357:j1982.\r\n\r\n(5) 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','Avoid Knee Surgery in Middle Age','','publish','closed','open','','avoid-knee-surgery-in-middle-age','','','2022-12-20 11:03:47','2022-12-20 11:03:47','',0,'https://www.drfields.com/?p=5540',0,'post','',0),(5541,8,'2022-10-20 03:45:36','2022-10-20 03:45:36','Copy Of Arthritis. Rthroscopic Surgery For Degenerative Knee Arthritis And Meniscal Tears','Copy Of Arthritis. Rthroscopic Surgery For Degenerative Knee Arthritis And Meniscal Tears','Copy Of Arthritis. Rthroscopic Surgery For Degenerative Knee Arthritis And Meniscal Tears','inherit','closed','closed','','copy-of-arthritis-rthroscopic-surgery-for-degenerative-knee-arthritis-and-meniscal-tears','','','2022-10-20 03:45:36','2022-10-20 03:45:36','',5540,'https://www.drfields.com/wp-content/uploads/2022/10/Copy-of-Arthritis.-rthroscopic-Surgery-for-Degenerative-Knee-Arthritis-and-Meniscal-Tears.jpg',0,'attachment','image/jpeg',0),(5542,8,'2022-10-20 03:46:46','2022-10-20 03:46:46','<a href=\"https://www.drfields.com/wp-content/uploads/2022/10/Copy-of-Arthritis.-rthroscopic-Surgery-for-Degenerative-Knee-Arthritis-and-Meniscal-Tears.jpg\"><img class=\"wp-image-5541 alignright\" title=\"Avoiding Knee Surgery in Middle Age\" src=\"https://www.drfields.com/wp-content/uploads/2022/10/Copy-of-Arthritis.-rthroscopic-Surgery-for-Degenerative-Knee-Arthritis-and-Meniscal-Tears-500x419.jpg\" alt=\"Avoiding Knee Surgery in Middle Age\" width=\"300\" height=\"251\" /></a>\r\n\r\nAt OrthoRegen®, we see a lot of patients who enjoy being active and who want to remain that way. They certainly do not want knee pain to get in the way of that! They also prefer to go the non-surgical route to avoid a long surgical recovery and the risks that come with surgery.\r\n\r\nMiddle-aged patients are at that age when they begin to notice degenerative changes in their knees. And they often deal with those changes, like knee instability or pain, by using knee braces, taking over-the-counter medications, and applying ice or heat packs, to get some relief.\r\n<h2>Trying to Avoid Knee Surgery But Over-the-Counter Remedies Don’t Work?</h2>\r\nThey try to live with the discomfort as long as possible, but when those remedies no longer work, they seek a medical opinion. Oftentimes, surgery is recommended. But is surgery a good option?\r\n\r\nStudies show that arthroscopic surgery results in little to no improvement. Here’s what a few say:\r\n\r\nA 2022 study from Melbourne, Australia reports, “High-certainty evidence indicates arthroscopic surgery leads to little or no difference in pain or function at three months after surgery, moderate-certainty evidence indicates it is probably little or no improvement in knee-specific quality of life three months after surgery, and low-certainty evidence indicates arthroscopic surgery may lead to little or no difference in participant-reported success at up to five years, compared with placebo surgery.” (1)\r\n\r\nAnother medical report from the Annals of the Rheumatic Diseases says, “Several recent meta-analyses based on randomized controlled trials have failed to show a treatment benefit of Arthroscopic partial meniscectomy over conservative treatment or placebo surgery for these patients.” (2)\r\n<h2>What About in Cases of Arthritis?</h2>\r\nDoes arthroscopic surgery help in cases of arthritis? Another medical journal said this, “In this controlled trial involving patients with osteoarthritis of the knee, the outcomes after arthroscopic lavage or arthroscopic debridement were no better than those after a placebo procedure.”(3)\r\n\r\nAnd then researchers in the medical journal Arthroscopic Surgery for Degenerative Knee Arthritis and Meniscal Tears says, “We make a strong recommendation against the use of arthroscopy in nearly all patients with degenerative knee disease, based on linked systematic reviews; further research is unlikely to alter this recommendation.” (4)\r\n\r\nWow! This surgery is not being recommended. Yet unfortunately, arthroscopic knee surgery is on the rise to treat middle-aged and older patients with persistent knee pain. The majority of studies show no added benefit for this surgery when compared to the control treatment of placebo and less benefit when compared to exercise. These results are important to know for the individual considering a surgical procedure that comes with risk.\r\n<h2>Regenerative Orthopedics Helps To Avoid Knee Surgery in Middle Age</h2>\r\nAt OrthoRegen®, we utilize regenerative treatments to repair injured and degenerated knees. These treatments include stem cells, PRP, and Prolotherapy. Certain knee conditions will respond well to simple dextrose Prolotherapy. Other conditions, respond great with PRP. And then other conditions, usually those with more degeneration, will require stem cell treatment. All of the treatments are done in conjunction with dextrose Prolotherapy in order to comprehensively treat the entire knee joint.\r\n\r\nThese non-surgical regenerative treatments stimulate natural healing repair in the knee and rebuild the injured tissue. (5)\r\n\r\nInjuries such as meniscus tears may respond with Prolotherapy alone, or may also require PRP if the injury requires more repair due to advanced meniscus damage. Our clinicians will recommend the best regenerative therapy for your particular case in order to strengthen, stabilize and repair your knee.\r\n\r\nRegenerative Orthopedics, such as Platelet Rich Plasma Therapy, Stem Cells, and Prolotherapy work great to stimulate tendon, ligament, and cartilage repair. These treatments are non-surgical, in-office procedures that are so much less invasive than surgery and therefore, require minimal downtown. These treatments are a much safer and more conservative treatment with many advantages over arthroscopic surgery.\r\n\r\n<strong>References</strong>\r\n\r\n(1) O’Connor D, Johnston RV, Brignardello-Petersen R, Poolman RW, Cyril S, Vandvik PO, Buchbinder R. Arthroscopic surgery for degenerative knee disease (osteoarthritis including degenerative meniscal tears). Cochrane Database of Systematic Reviews. 2022(3).\r\n\r\n(2) Sihvonen R, Paavola M, Malmivaara A, Itälä A, Joukainen A, Nurmi H, Kalske J, Ikonen A, Järvelä T, Järvinen TA, Kanto K. Arthroscopic partial meniscectomy versus placebo surgery for a degenerative meniscus tear: a 2-year follow-up of the randomised controlled trial. Annals of the Rheumatic Diseases. 2017 May 18:annrheumdis-2017.\r\n\r\n(3) Moseley JB, O’malley K, Petersen NJ, Menke TJ, Brody BA, Kuykendall DH, Hollingsworth JC, Ashton CM, Wray NP. A controlled trial of arthroscopic surgery for osteoarthritis of the knee. New England Journal of Medicine. 2002 Jul 11;347(2):81-8.\r\n\r\n(4) Siemieniuk RA, Harris IA, Agoritsas T, Poolman RW, Brignardello-Petersen R, Van de Velde S, Buchbinder R, Englund M, Lytvyn L, Quinlan C, Helsingen L. Arthroscopic surgery for degenerative knee arthritis and meniscal tears: a clinical practice guideline. BMJ. 2017 May 10;357:j1982.\r\n\r\n(5) 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','Avoiding Knee Surgery in Middle Age','','inherit','closed','closed','','5540-revision-v1','','','2022-10-20 03:46:46','2022-10-20 03:46:46','',5540,'https://www.drfields.com/?p=5542',0,'revision','',0),(5545,9,'2022-10-26 21:22:10','2022-10-26 21:22:10','<h2>Non-Surgical Knee Treatments</h2>\nTrying to avoid knee surgery in middle age? At OrthoRegen®, we see a lot of patients who enjoy being active and who want to remain that way. They certainly do not want knee pain to get in the way of that! They also prefer to go the non-surgical route to avoid a long surgical recovery and the risks that come with surgery.\n\nMiddle-aged patients are at that age when they begin to notice degenerative changes in their knees. And they often deal with those changes, like knee instability or pain, by using knee braces, taking over-the-counter medications, and applying ice or heat packs to get some relief.\n<h2>Trying to Avoid Knee Surgery But Over-the-Counter Remedies Don’t Work?</h2>\nThey try to live with the discomfort as long as possible, but when those remedies no longer work, they seek a medical opinion. Oftentimes, surgery is recommended. But is surgery a good option?\n<h3><em>Studies show that arthroscopic surgery results in little to no improvement. Here’s what a few say:</em></h3>\nA 2022 study from Melbourne, Australia, reports, “High-certainty evidence indicates arthroscopic surgery leads to little or no difference in pain or function at three months after surgery, moderate-certainty evidence indicates it is probably little or no improvement in knee-specific quality of life three months after surgery, and low-certainty evidence indicates arthroscopic surgery may lead to little or no difference in participant-reported success at up to five years, compared with placebo surgery.” (1)\n\nAnother medical report from the Annals of the Rheumatic Diseases says, “Several recent meta-analyses based on randomized controlled trials have failed to show a treatment benefit of Arthroscopic partial meniscectomy over conservative treatment or placebo surgery for these patients.” (2)\n<h2>Arthritis Sufferers Can Avoid Knee Surgery too!</h2>\nDoes arthroscopic surgery help in cases of arthritis? Another medical journal said this, “In this controlled trial involving patients with osteoarthritis of the knee, the outcomes after arthroscopic lavage or arthroscopic debridement were no better than those after a placebo procedure.”(3)\n\nAnd then, researchers in the medical journal Arthroscopic Surgery for Degenerative Knee Arthritis and Meniscal Tears say, “We make a strong recommendation against the use of arthroscopy in nearly all patients with degenerative knee disease, based on linked systematic reviews; further research is unlikely to alter this recommendation.” (4)\n\nWow! This surgery is not recommended. Yet unfortunately, arthroscopic knee surgery is on the rise to treat middle-aged and older patients with persistent knee pain. The majority of studies show no added benefit for this surgery when compared to the control treatment of placebo and less benefit when compared to exercise. These results are important to know for the individual considering a surgical procedure that comes with risk.\n<h2>Regenerative Orthopedics Helps To Avoid Knee Surgery in Middle Age</h2>\nAt OrthoRegen®, we utilize regenerative treatments to repair injured and degenerated knees. These treatments include stem cells, PRP, and Prolotherapy. Certain knee conditions will respond well to simple dextrose Prolotherapy. Other conditions respond great with PRP. And then other conditions, usually those with more degeneration, will require stem cell treatment. All treatments are done in conjunction with dextrose Prolotherapy to comprehensively treat the entire knee joint.\n\nThese non-surgical regenerative treatments stimulate natural healing repair in the knee and rebuild the injured tissue. (5)\n\nInjuries such as meniscus tears may respond with Prolotherapy alone or may also require PRP if the injury requires more repair due to advanced meniscus damage. Our clinicians will recommend the best regenerative therapy for your particular case in order to strengthen, stabilize and repair your knee.\n\nRegenerative Orthopedics, such as Platelet Rich Plasma Therapy, Stem Cells, and Prolotherapy, work great to stimulate tendon, ligament, and cartilage repair. These treatments are non-surgical, in-office procedures that are so much less invasive than surgery and, therefore, require minimal downtown. These treatments are a much safer and more conservative treatment with many advantages over arthroscopic surgery.\n\n<strong>References</strong>\n\n(1) O’Connor D, Johnston RV, Brignardello-Petersen R, Poolman RW, Cyril S, Vandvik PO, Buchbinder R. Arthroscopic surgery for degenerative knee disease (osteoarthritis including degenerative meniscal tears). Cochrane Database of Systematic Reviews. 2022(3).\n\n(2) Sihvonen R, Paavola M, Malmivaara A, Itälä A, Joukainen A, Nurmi H, Kalske J, Ikonen A, Järvelä T, Järvinen TA, Kanto K. Arthroscopic partial meniscectomy versus placebo surgery for a degenerative meniscus tear: a 2-year follow-up of the randomised controlled trial. Annals of the Rheumatic Diseases. 2017 May 18:annrheumdis-2017.\n\n(3) Moseley JB, O’malley K, Petersen NJ, Menke TJ, Brody BA, Kuykendall DH, Hollingsworth JC, Ashton CM, Wray NP. A controlled trial of arthroscopic surgery for osteoarthritis of the knee. New England Journal of Medicine. 2002 Jul 11;347(2):81-8.\n\n(4) Siemieniuk RA, Harris IA, Agoritsas T, Poolman RW, Brignardello-Petersen R, Van de Velde S, Buchbinder R, Englund M, Lytvyn L, Quinlan C, Helsingen L. Arthroscopic surgery for degenerative knee arthritis and meniscal tears: a clinical practice guideline. BMJ. 2017 May 10;357:j1982.\n\n(5) 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','Avoid Knee Surgery in Middle Age','','inherit','closed','closed','','5540-autosave-v1','','','2022-10-26 21:22:10','2022-10-26 21:22:10','',5540,'https://www.drfields.com/?p=5545',0,'revision','',0),(5546,9,'2022-10-26 21:13:34','2022-10-26 21:13:34','<a href=\"https://www.drfields.com/wp-content/uploads/2022/10/Copy-of-Arthritis.-rthroscopic-Surgery-for-Degenerative-Knee-Arthritis-and-Meniscal-Tears.jpg\"><img class=\"wp-image-5541 alignright\" title=\"Avoiding Knee Surgery in Middle Age\" src=\"https://www.drfields.com/wp-content/uploads/2022/10/Copy-of-Arthritis.-rthroscopic-Surgery-for-Degenerative-Knee-Arthritis-and-Meniscal-Tears-500x419.jpg\" alt=\"Avoiding Knee Surgery in Middle Age\" width=\"300\" height=\"251\" /></a>\r\n<h2>Avoiding Knee Surgery in Middle Age</h2>\r\nAt OrthoRegen®, we see a lot of patients who enjoy being active and who want to remain that way. They certainly do not want knee pain to get in the way of that! They also prefer to go the non-surgical route to avoid a long surgical recovery and the risks that come with surgery.\r\n\r\nMiddle-aged patients are at that age when they begin to notice degenerative changes in their knees. And they often deal with those changes, like knee instability or pain, by using knee braces, taking over-the-counter medications, and applying ice or heat packs to get some relief.\r\n<h2>Trying to Avoid Knee Surgery But Over-the-Counter Remedies Don’t Work?</h2>\r\nThey try to live with the discomfort as long as possible, but when those remedies no longer work, they seek a medical opinion. Oftentimes, surgery is recommended. But is surgery a good option?\r\n\r\nStudies show that arthroscopic surgery results in little to no improvement. Here’s what a few say:\r\n\r\nA 2022 study from Melbourne, Australia, reports, “High-certainty evidence indicates arthroscopic surgery leads to little or no difference in pain or function at three months after surgery, moderate-certainty evidence indicates it is probably little or no improvement in knee-specific quality of life three months after surgery, and low-certainty evidence indicates arthroscopic surgery may lead to little or no difference in participant-reported success at up to five years, compared with placebo surgery.” (1)\r\n\r\nAnother medical report from the Annals of the Rheumatic Diseases says, “Several recent meta-analyses based on randomized controlled trials have failed to show a treatment benefit of Arthroscopic partial meniscectomy over conservative treatment or placebo surgery for these patients.” (2)\r\n<h2>What About in Cases of Arthritis?</h2>\r\nDoes arthroscopic surgery help in cases of arthritis? Another medical journal said this, “In this controlled trial involving patients with osteoarthritis of the knee, the outcomes after arthroscopic lavage or arthroscopic debridement were no better than those after a placebo procedure.”(3)\r\n\r\nAnd then, researchers in the medical journal Arthroscopic Surgery for Degenerative Knee Arthritis and Meniscal Tears say, “We make a strong recommendation against the use of arthroscopy in nearly all patients with degenerative knee disease, based on linked systematic reviews; further research is unlikely to alter this recommendation.” (4)\r\n\r\nWow! This surgery is not recommended. Yet unfortunately, arthroscopic knee surgery is on the rise to treat middle-aged and older patients with persistent knee pain. The majority of studies show no added benefit for this surgery when compared to the control treatment of placebo and less benefit when compared to exercise. These results are important to know for the individual considering a surgical procedure that comes with risk.\r\n<h2>Regenerative Orthopedics Helps To Avoid Knee Surgery in Middle Age</h2>\r\nAt OrthoRegen®, we utilize regenerative treatments to repair injured and degenerated knees. These treatments include stem cells, PRP, and Prolotherapy. Certain knee conditions will respond well to simple dextrose Prolotherapy. Other conditions respond great with PRP. And then other conditions, usually those with more degeneration, will require stem cell treatment. All treatments are done in conjunction with dextrose Prolotherapy to comprehensively treat the entire knee joint.\r\n\r\nThese non-surgical regenerative treatments stimulate natural healing repair in the knee and rebuild the injured tissue. (5)\r\n\r\nInjuries such as meniscus tears may respond with Prolotherapy alone or may also require PRP if the injury requires more repair due to advanced meniscus damage. Our clinicians will recommend the best regenerative therapy for your particular case in order to strengthen, stabilize and repair your knee.\r\n\r\nRegenerative Orthopedics, such as Platelet Rich Plasma Therapy, Stem Cells, and Prolotherapy, work great to stimulate tendon, ligament, and cartilage repair. These treatments are non-surgical, in-office procedures that are so much less invasive than surgery and, therefore, require minimal downtown. These treatments are a much safer and more conservative treatment with many advantages over arthroscopic surgery.\r\n\r\n<strong>References</strong>\r\n\r\n(1) O’Connor D, Johnston RV, Brignardello-Petersen R, Poolman RW, Cyril S, Vandvik PO, Buchbinder R. Arthroscopic surgery for degenerative knee disease (osteoarthritis including degenerative meniscal tears). Cochrane Database of Systematic Reviews. 2022(3).\r\n\r\n(2) Sihvonen R, Paavola M, Malmivaara A, Itälä A, Joukainen A, Nurmi H, Kalske J, Ikonen A, Järvelä T, Järvinen TA, Kanto K. Arthroscopic partial meniscectomy versus placebo surgery for a degenerative meniscus tear: a 2-year follow-up of the randomised controlled trial. Annals of the Rheumatic Diseases. 2017 May 18:annrheumdis-2017.\r\n\r\n(3) Moseley JB, O’malley K, Petersen NJ, Menke TJ, Brody BA, Kuykendall DH, Hollingsworth JC, Ashton CM, Wray NP. A controlled trial of arthroscopic surgery for osteoarthritis of the knee. New England Journal of Medicine. 2002 Jul 11;347(2):81-8.\r\n\r\n(4) Siemieniuk RA, Harris IA, Agoritsas T, Poolman RW, Brignardello-Petersen R, Van de Velde S, Buchbinder R, Englund M, Lytvyn L, Quinlan C, Helsingen L. Arthroscopic surgery for degenerative knee arthritis and meniscal tears: a clinical practice guideline. BMJ. 2017 May 10;357:j1982.\r\n\r\n(5) 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','Avoiding Knee Surgery in Middle Age','','inherit','closed','closed','','5540-revision-v1','','','2022-10-26 21:13:34','2022-10-26 21:13:34','',5540,'https://www.drfields.com/?p=5546',0,'revision','',0),(5547,9,'2022-10-26 21:16:09','2022-10-26 21:16:09','<a href=\"https://www.drfields.com/wp-content/uploads/2022/10/Copy-of-Arthritis.-rthroscopic-Surgery-for-Degenerative-Knee-Arthritis-and-Meniscal-Tears.jpg\"><img class=\"wp-image-5541 alignright\" title=\"Avoiding Knee Surgery in Middle Age\" src=\"https://www.drfields.com/wp-content/uploads/2022/10/Copy-of-Arthritis.-rthroscopic-Surgery-for-Degenerative-Knee-Arthritis-and-Meniscal-Tears-500x419.jpg\" alt=\"Avoiding Knee Surgery in Middle Age\" width=\"300\" height=\"251\" /></a>\r\n<h2>Avoiding Knee Surgery in Middle Age</h2>\r\nDo you want to avoid knee surgery in middle age? At OrthoRegen®, we see a lot of patients who enjoy being active and who want to remain that way. They certainly do not want knee pain to get in the way of that! They also prefer to go the non-surgical route to avoid a long surgical recovery and the risks that come with surgery.\r\n\r\nMiddle-aged patients are at that age when they begin to notice degenerative changes in their knees. And they often deal with those changes, like knee instability or pain, by using knee braces, taking over-the-counter medications, and applying ice or heat packs to get some relief.\r\n<h2>Trying to Avoid Knee Surgery But Over-the-Counter Remedies Don’t Work?</h2>\r\nThey try to live with the discomfort as long as possible, but when those remedies no longer work, they seek a medical opinion. Oftentimes, surgery is recommended. But is surgery a good option?\r\n\r\nStudies show that arthroscopic surgery results in little to no improvement. Here’s what a few say:\r\n\r\nA 2022 study from Melbourne, Australia, reports, “High-certainty evidence indicates arthroscopic surgery leads to little or no difference in pain or function at three months after surgery, moderate-certainty evidence indicates it is probably little or no improvement in knee-specific quality of life three months after surgery, and low-certainty evidence indicates arthroscopic surgery may lead to little or no difference in participant-reported success at up to five years, compared with placebo surgery.” (1)\r\n\r\nAnother medical report from the Annals of the Rheumatic Diseases says, “Several recent meta-analyses based on randomized controlled trials have failed to show a treatment benefit of Arthroscopic partial meniscectomy over conservative treatment or placebo surgery for these patients.” (2)\r\n<h2>Arthritis Sufferers Can Avoid Knee Surgery too!</h2>\r\nDoes arthroscopic surgery help in cases of arthritis? Another medical journal said this, “In this controlled trial involving patients with osteoarthritis of the knee, the outcomes after arthroscopic lavage or arthroscopic debridement were no better than those after a placebo procedure.”(3)\r\n\r\nAnd then, researchers in the medical journal Arthroscopic Surgery for Degenerative Knee Arthritis and Meniscal Tears say, “We make a strong recommendation against the use of arthroscopy in nearly all patients with degenerative knee disease, based on linked systematic reviews; further research is unlikely to alter this recommendation.” (4)\r\n\r\nWow! This surgery is not recommended. Yet unfortunately, arthroscopic knee surgery is on the rise to treat middle-aged and older patients with persistent knee pain. The majority of studies show no added benefit for this surgery when compared to the control treatment of placebo and less benefit when compared to exercise. These results are important to know for the individual considering a surgical procedure that comes with risk.\r\n<h2>Regenerative Orthopedics Helps To Avoid Knee Surgery in Middle Age</h2>\r\nAt OrthoRegen®, we utilize regenerative treatments to repair injured and degenerated knees. These treatments include stem cells, PRP, and Prolotherapy. Certain knee conditions will respond well to simple dextrose Prolotherapy. Other conditions respond great with PRP. And then other conditions, usually those with more degeneration, will require stem cell treatment. All treatments are done in conjunction with dextrose Prolotherapy to comprehensively treat the entire knee joint.\r\n\r\nThese non-surgical regenerative treatments stimulate natural healing repair in the knee and rebuild the injured tissue. (5)\r\n\r\nInjuries such as meniscus tears may respond with Prolotherapy alone or may also require PRP if the injury requires more repair due to advanced meniscus damage. Our clinicians will recommend the best regenerative therapy for your particular case in order to strengthen, stabilize and repair your knee.\r\n\r\nRegenerative Orthopedics, such as Platelet Rich Plasma Therapy, Stem Cells, and Prolotherapy, work great to stimulate tendon, ligament, and cartilage repair. These treatments are non-surgical, in-office procedures that are so much less invasive than surgery and, therefore, require minimal downtown. These treatments are a much safer and more conservative treatment with many advantages over arthroscopic surgery.\r\n\r\n<strong>References</strong>\r\n\r\n(1) O’Connor D, Johnston RV, Brignardello-Petersen R, Poolman RW, Cyril S, Vandvik PO, Buchbinder R. Arthroscopic surgery for degenerative knee disease (osteoarthritis including degenerative meniscal tears). Cochrane Database of Systematic Reviews. 2022(3).\r\n\r\n(2) Sihvonen R, Paavola M, Malmivaara A, Itälä A, Joukainen A, Nurmi H, Kalske J, Ikonen A, Järvelä T, Järvinen TA, Kanto K. Arthroscopic partial meniscectomy versus placebo surgery for a degenerative meniscus tear: a 2-year follow-up of the randomised controlled trial. Annals of the Rheumatic Diseases. 2017 May 18:annrheumdis-2017.\r\n\r\n(3) Moseley JB, O’malley K, Petersen NJ, Menke TJ, Brody BA, Kuykendall DH, Hollingsworth JC, Ashton CM, Wray NP. A controlled trial of arthroscopic surgery for osteoarthritis of the knee. New England Journal of Medicine. 2002 Jul 11;347(2):81-8.\r\n\r\n(4) Siemieniuk RA, Harris IA, Agoritsas T, Poolman RW, Brignardello-Petersen R, Van de Velde S, Buchbinder R, Englund M, Lytvyn L, Quinlan C, Helsingen L. Arthroscopic surgery for degenerative knee arthritis and meniscal tears: a clinical practice guideline. BMJ. 2017 May 10;357:j1982.\r\n\r\n(5) 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','Avoiding Knee Surgery in Middle Age','','inherit','closed','closed','','5540-revision-v1','','','2022-10-26 21:16:09','2022-10-26 21:16:09','',5540,'https://www.drfields.com/?p=5547',0,'revision','',0),(5548,9,'2022-10-26 21:17:29','2022-10-26 21:17:29','<h2>Non-Surgical Knee Treatments</h2>\r\nDo you want to avoid knee surgery in middle age? At OrthoRegen®, we see a lot of patients who enjoy being active and who want to remain that way. They certainly do not want knee pain to get in the way of that! They also prefer to go the non-surgical route to avoid a long surgical recovery and the risks that come with surgery.\r\n\r\nMiddle-aged patients are at that age when they begin to notice degenerative changes in their knees. And they often deal with those changes, like knee instability or pain, by using knee braces, taking over-the-counter medications, and applying ice or heat packs to get some relief.\r\n<h2>Trying to Avoid Knee Surgery But Over-the-Counter Remedies Don’t Work?</h2>\r\nThey try to live with the discomfort as long as possible, but when those remedies no longer work, they seek a medical opinion. Oftentimes, surgery is recommended. But is surgery a good option?\r\n\r\nStudies show that arthroscopic surgery results in little to no improvement. Here’s what a few say:\r\n\r\nA 2022 study from Melbourne, Australia, reports, “High-certainty evidence indicates arthroscopic surgery leads to little or no difference in pain or function at three months after surgery, moderate-certainty evidence indicates it is probably little or no improvement in knee-specific quality of life three months after surgery, and low-certainty evidence indicates arthroscopic surgery may lead to little or no difference in participant-reported success at up to five years, compared with placebo surgery.” (1)\r\n\r\nAnother medical report from the Annals of the Rheumatic Diseases says, “Several recent meta-analyses based on randomized controlled trials have failed to show a treatment benefit of Arthroscopic partial meniscectomy over conservative treatment or placebo surgery for these patients.” (2)\r\n<h2>Arthritis Sufferers Can Avoid Knee Surgery too!</h2>\r\nDoes arthroscopic surgery help in cases of arthritis? Another medical journal said this, “In this controlled trial involving patients with osteoarthritis of the knee, the outcomes after arthroscopic lavage or arthroscopic debridement were no better than those after a placebo procedure.”(3)\r\n\r\nAnd then, researchers in the medical journal Arthroscopic Surgery for Degenerative Knee Arthritis and Meniscal Tears say, “We make a strong recommendation against the use of arthroscopy in nearly all patients with degenerative knee disease, based on linked systematic reviews; further research is unlikely to alter this recommendation.” (4)\r\n\r\nWow! This surgery is not recommended. Yet unfortunately, arthroscopic knee surgery is on the rise to treat middle-aged and older patients with persistent knee pain. The majority of studies show no added benefit for this surgery when compared to the control treatment of placebo and less benefit when compared to exercise. These results are important to know for the individual considering a surgical procedure that comes with risk.\r\n<h2>Regenerative Orthopedics Helps To Avoid Knee Surgery in Middle Age</h2>\r\nAt OrthoRegen®, we utilize regenerative treatments to repair injured and degenerated knees. These treatments include stem cells, PRP, and Prolotherapy. Certain knee conditions will respond well to simple dextrose Prolotherapy. Other conditions respond great with PRP. And then other conditions, usually those with more degeneration, will require stem cell treatment. All treatments are done in conjunction with dextrose Prolotherapy to comprehensively treat the entire knee joint.\r\n\r\nThese non-surgical regenerative treatments stimulate natural healing repair in the knee and rebuild the injured tissue. (5)\r\n\r\nInjuries such as meniscus tears may respond with Prolotherapy alone or may also require PRP if the injury requires more repair due to advanced meniscus damage. Our clinicians will recommend the best regenerative therapy for your particular case in order to strengthen, stabilize and repair your knee.\r\n\r\nRegenerative Orthopedics, such as Platelet Rich Plasma Therapy, Stem Cells, and Prolotherapy, work great to stimulate tendon, ligament, and cartilage repair. These treatments are non-surgical, in-office procedures that are so much less invasive than surgery and, therefore, require minimal downtown. These treatments are a much safer and more conservative treatment with many advantages over arthroscopic surgery.\r\n\r\n<strong>References</strong>\r\n\r\n(1) O’Connor D, Johnston RV, Brignardello-Petersen R, Poolman RW, Cyril S, Vandvik PO, Buchbinder R. Arthroscopic surgery for degenerative knee disease (osteoarthritis including degenerative meniscal tears). Cochrane Database of Systematic Reviews. 2022(3).\r\n\r\n(2) Sihvonen R, Paavola M, Malmivaara A, Itälä A, Joukainen A, Nurmi H, Kalske J, Ikonen A, Järvelä T, Järvinen TA, Kanto K. Arthroscopic partial meniscectomy versus placebo surgery for a degenerative meniscus tear: a 2-year follow-up of the randomised controlled trial. Annals of the Rheumatic Diseases. 2017 May 18:annrheumdis-2017.\r\n\r\n(3) Moseley JB, O’malley K, Petersen NJ, Menke TJ, Brody BA, Kuykendall DH, Hollingsworth JC, Ashton CM, Wray NP. A controlled trial of arthroscopic surgery for osteoarthritis of the knee. New England Journal of Medicine. 2002 Jul 11;347(2):81-8.\r\n\r\n(4) Siemieniuk RA, Harris IA, Agoritsas T, Poolman RW, Brignardello-Petersen R, Van de Velde S, Buchbinder R, Englund M, Lytvyn L, Quinlan C, Helsingen L. Arthroscopic surgery for degenerative knee arthritis and meniscal tears: a clinical practice guideline. BMJ. 2017 May 10;357:j1982.\r\n\r\n(5) 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','Avoiding Knee Surgery in Middle Age','','inherit','closed','closed','','5540-revision-v1','','','2022-10-26 21:17:29','2022-10-26 21:17:29','',5540,'https://www.drfields.com/?p=5548',0,'revision','',0),(5549,9,'2022-10-26 21:18:11','2022-10-26 21:18:11','<h2>Non-Surgical Knee Treatments</h2>\r\nAvoid knee surgery in middle age? At OrthoRegen®, we see a lot of patients who enjoy being active and who want to remain that way. They certainly do not want knee pain to get in the way of that! They also prefer to go the non-surgical route to avoid a long surgical recovery and the risks that come with surgery.\r\n\r\nMiddle-aged patients are at that age when they begin to notice degenerative changes in their knees. And they often deal with those changes, like knee instability or pain, by using knee braces, taking over-the-counter medications, and applying ice or heat packs to get some relief.\r\n<h2>Trying to Avoid Knee Surgery But Over-the-Counter Remedies Don’t Work?</h2>\r\nThey try to live with the discomfort as long as possible, but when those remedies no longer work, they seek a medical opinion. Oftentimes, surgery is recommended. But is surgery a good option?\r\n\r\nStudies show that arthroscopic surgery results in little to no improvement. Here’s what a few say:\r\n\r\nA 2022 study from Melbourne, Australia, reports, “High-certainty evidence indicates arthroscopic surgery leads to little or no difference in pain or function at three months after surgery, moderate-certainty evidence indicates it is probably little or no improvement in knee-specific quality of life three months after surgery, and low-certainty evidence indicates arthroscopic surgery may lead to little or no difference in participant-reported success at up to five years, compared with placebo surgery.” (1)\r\n\r\nAnother medical report from the Annals of the Rheumatic Diseases says, “Several recent meta-analyses based on randomized controlled trials have failed to show a treatment benefit of Arthroscopic partial meniscectomy over conservative treatment or placebo surgery for these patients.” (2)\r\n<h2>Arthritis Sufferers Can Avoid Knee Surgery too!</h2>\r\nDoes arthroscopic surgery help in cases of arthritis? Another medical journal said this, “In this controlled trial involving patients with osteoarthritis of the knee, the outcomes after arthroscopic lavage or arthroscopic debridement were no better than those after a placebo procedure.”(3)\r\n\r\nAnd then, researchers in the medical journal Arthroscopic Surgery for Degenerative Knee Arthritis and Meniscal Tears say, “We make a strong recommendation against the use of arthroscopy in nearly all patients with degenerative knee disease, based on linked systematic reviews; further research is unlikely to alter this recommendation.” (4)\r\n\r\nWow! This surgery is not recommended. Yet unfortunately, arthroscopic knee surgery is on the rise to treat middle-aged and older patients with persistent knee pain. The majority of studies show no added benefit for this surgery when compared to the control treatment of placebo and less benefit when compared to exercise. These results are important to know for the individual considering a surgical procedure that comes with risk.\r\n<h2>Regenerative Orthopedics Helps To Avoid Knee Surgery in Middle Age</h2>\r\nAt OrthoRegen®, we utilize regenerative treatments to repair injured and degenerated knees. These treatments include stem cells, PRP, and Prolotherapy. Certain knee conditions will respond well to simple dextrose Prolotherapy. Other conditions respond great with PRP. And then other conditions, usually those with more degeneration, will require stem cell treatment. All treatments are done in conjunction with dextrose Prolotherapy to comprehensively treat the entire knee joint.\r\n\r\nThese non-surgical regenerative treatments stimulate natural healing repair in the knee and rebuild the injured tissue. (5)\r\n\r\nInjuries such as meniscus tears may respond with Prolotherapy alone or may also require PRP if the injury requires more repair due to advanced meniscus damage. Our clinicians will recommend the best regenerative therapy for your particular case in order to strengthen, stabilize and repair your knee.\r\n\r\nRegenerative Orthopedics, such as Platelet Rich Plasma Therapy, Stem Cells, and Prolotherapy, work great to stimulate tendon, ligament, and cartilage repair. These treatments are non-surgical, in-office procedures that are so much less invasive than surgery and, therefore, require minimal downtown. These treatments are a much safer and more conservative treatment with many advantages over arthroscopic surgery.\r\n\r\n<strong>References</strong>\r\n\r\n(1) O’Connor D, Johnston RV, Brignardello-Petersen R, Poolman RW, Cyril S, Vandvik PO, Buchbinder R. Arthroscopic surgery for degenerative knee disease (osteoarthritis including degenerative meniscal tears). Cochrane Database of Systematic Reviews. 2022(3).\r\n\r\n(2) Sihvonen R, Paavola M, Malmivaara A, Itälä A, Joukainen A, Nurmi H, Kalske J, Ikonen A, Järvelä T, Järvinen TA, Kanto K. Arthroscopic partial meniscectomy versus placebo surgery for a degenerative meniscus tear: a 2-year follow-up of the randomised controlled trial. Annals of the Rheumatic Diseases. 2017 May 18:annrheumdis-2017.\r\n\r\n(3) Moseley JB, O’malley K, Petersen NJ, Menke TJ, Brody BA, Kuykendall DH, Hollingsworth JC, Ashton CM, Wray NP. A controlled trial of arthroscopic surgery for osteoarthritis of the knee. New England Journal of Medicine. 2002 Jul 11;347(2):81-8.\r\n\r\n(4) Siemieniuk RA, Harris IA, Agoritsas T, Poolman RW, Brignardello-Petersen R, Van de Velde S, Buchbinder R, Englund M, Lytvyn L, Quinlan C, Helsingen L. Arthroscopic surgery for degenerative knee arthritis and meniscal tears: a clinical practice guideline. BMJ. 2017 May 10;357:j1982.\r\n\r\n(5) 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','Avoiding Knee Surgery in Middle Age','','inherit','closed','closed','','5540-revision-v1','','','2022-10-26 21:18:11','2022-10-26 21:18:11','',5540,'https://www.drfields.com/?p=5549',0,'revision','',0),(5550,9,'2022-10-26 21:18:25','2022-10-26 21:18:25','<h2>Non-Surgical Knee Treatments</h2>\r\nAvoiding knee surgery in middle age? At OrthoRegen®, we see a lot of patients who enjoy being active and who want to remain that way. They certainly do not want knee pain to get in the way of that! They also prefer to go the non-surgical route to avoid a long surgical recovery and the risks that come with surgery.\r\n\r\nMiddle-aged patients are at that age when they begin to notice degenerative changes in their knees. And they often deal with those changes, like knee instability or pain, by using knee braces, taking over-the-counter medications, and applying ice or heat packs to get some relief.\r\n<h2>Trying to Avoid Knee Surgery But Over-the-Counter Remedies Don’t Work?</h2>\r\nThey try to live with the discomfort as long as possible, but when those remedies no longer work, they seek a medical opinion. Oftentimes, surgery is recommended. But is surgery a good option?\r\n\r\nStudies show that arthroscopic surgery results in little to no improvement. Here’s what a few say:\r\n\r\nA 2022 study from Melbourne, Australia, reports, “High-certainty evidence indicates arthroscopic surgery leads to little or no difference in pain or function at three months after surgery, moderate-certainty evidence indicates it is probably little or no improvement in knee-specific quality of life three months after surgery, and low-certainty evidence indicates arthroscopic surgery may lead to little or no difference in participant-reported success at up to five years, compared with placebo surgery.” (1)\r\n\r\nAnother medical report from the Annals of the Rheumatic Diseases says, “Several recent meta-analyses based on randomized controlled trials have failed to show a treatment benefit of Arthroscopic partial meniscectomy over conservative treatment or placebo surgery for these patients.” (2)\r\n<h2>Arthritis Sufferers Can Avoid Knee Surgery too!</h2>\r\nDoes arthroscopic surgery help in cases of arthritis? Another medical journal said this, “In this controlled trial involving patients with osteoarthritis of the knee, the outcomes after arthroscopic lavage or arthroscopic debridement were no better than those after a placebo procedure.”(3)\r\n\r\nAnd then, researchers in the medical journal Arthroscopic Surgery for Degenerative Knee Arthritis and Meniscal Tears say, “We make a strong recommendation against the use of arthroscopy in nearly all patients with degenerative knee disease, based on linked systematic reviews; further research is unlikely to alter this recommendation.” (4)\r\n\r\nWow! This surgery is not recommended. Yet unfortunately, arthroscopic knee surgery is on the rise to treat middle-aged and older patients with persistent knee pain. The majority of studies show no added benefit for this surgery when compared to the control treatment of placebo and less benefit when compared to exercise. These results are important to know for the individual considering a surgical procedure that comes with risk.\r\n<h2>Regenerative Orthopedics Helps To Avoid Knee Surgery in Middle Age</h2>\r\nAt OrthoRegen®, we utilize regenerative treatments to repair injured and degenerated knees. These treatments include stem cells, PRP, and Prolotherapy. Certain knee conditions will respond well to simple dextrose Prolotherapy. Other conditions respond great with PRP. And then other conditions, usually those with more degeneration, will require stem cell treatment. All treatments are done in conjunction with dextrose Prolotherapy to comprehensively treat the entire knee joint.\r\n\r\nThese non-surgical regenerative treatments stimulate natural healing repair in the knee and rebuild the injured tissue. (5)\r\n\r\nInjuries such as meniscus tears may respond with Prolotherapy alone or may also require PRP if the injury requires more repair due to advanced meniscus damage. Our clinicians will recommend the best regenerative therapy for your particular case in order to strengthen, stabilize and repair your knee.\r\n\r\nRegenerative Orthopedics, such as Platelet Rich Plasma Therapy, Stem Cells, and Prolotherapy, work great to stimulate tendon, ligament, and cartilage repair. These treatments are non-surgical, in-office procedures that are so much less invasive than surgery and, therefore, require minimal downtown. These treatments are a much safer and more conservative treatment with many advantages over arthroscopic surgery.\r\n\r\n<strong>References</strong>\r\n\r\n(1) O’Connor D, Johnston RV, Brignardello-Petersen R, Poolman RW, Cyril S, Vandvik PO, Buchbinder R. Arthroscopic surgery for degenerative knee disease (osteoarthritis including degenerative meniscal tears). Cochrane Database of Systematic Reviews. 2022(3).\r\n\r\n(2) Sihvonen R, Paavola M, Malmivaara A, Itälä A, Joukainen A, Nurmi H, Kalske J, Ikonen A, Järvelä T, Järvinen TA, Kanto K. Arthroscopic partial meniscectomy versus placebo surgery for a degenerative meniscus tear: a 2-year follow-up of the randomised controlled trial. Annals of the Rheumatic Diseases. 2017 May 18:annrheumdis-2017.\r\n\r\n(3) Moseley JB, O’malley K, Petersen NJ, Menke TJ, Brody BA, Kuykendall DH, Hollingsworth JC, Ashton CM, Wray NP. A controlled trial of arthroscopic surgery for osteoarthritis of the knee. New England Journal of Medicine. 2002 Jul 11;347(2):81-8.\r\n\r\n(4) Siemieniuk RA, Harris IA, Agoritsas T, Poolman RW, Brignardello-Petersen R, Van de Velde S, Buchbinder R, Englund M, Lytvyn L, Quinlan C, Helsingen L. Arthroscopic surgery for degenerative knee arthritis and meniscal tears: a clinical practice guideline. BMJ. 2017 May 10;357:j1982.\r\n\r\n(5) 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','Avoiding Knee Surgery in Middle Age','','inherit','closed','closed','','5540-revision-v1','','','2022-10-26 21:18:25','2022-10-26 21:18:25','',5540,'https://www.drfields.com/?p=5550',0,'revision','',0),(5551,9,'2022-10-26 21:19:39','2022-10-26 21:19:39','<h2>Non-Surgical Knee Treatments</h2>\r\nTrying to avoid knee surgery in middle age? At OrthoRegen®, we see a lot of patients who enjoy being active and who want to remain that way. They certainly do not want knee pain to get in the way of that! They also prefer to go the non-surgical route to avoid a long surgical recovery and the risks that come with surgery.\r\n\r\nMiddle-aged patients are at that age when they begin to notice degenerative changes in their knees. And they often deal with those changes, like knee instability or pain, by using knee braces, taking over-the-counter medications, and applying ice or heat packs to get some relief.\r\n<h2>Trying to Avoid Knee Surgery But Over-the-Counter Remedies Don’t Work?</h2>\r\nThey try to live with the discomfort as long as possible, but when those remedies no longer work, they seek a medical opinion. Oftentimes, surgery is recommended. But is surgery a good option?\r\n\r\nStudies show that arthroscopic surgery results in little to no improvement. Here’s what a few say:\r\n\r\nA 2022 study from Melbourne, Australia, reports, “High-certainty evidence indicates arthroscopic surgery leads to little or no difference in pain or function at three months after surgery, moderate-certainty evidence indicates it is probably little or no improvement in knee-specific quality of life three months after surgery, and low-certainty evidence indicates arthroscopic surgery may lead to little or no difference in participant-reported success at up to five years, compared with placebo surgery.” (1)\r\n\r\nAnother medical report from the Annals of the Rheumatic Diseases says, “Several recent meta-analyses based on randomized controlled trials have failed to show a treatment benefit of Arthroscopic partial meniscectomy over conservative treatment or placebo surgery for these patients.” (2)\r\n<h2>Arthritis Sufferers Can Avoid Knee Surgery too!</h2>\r\nDoes arthroscopic surgery help in cases of arthritis? Another medical journal said this, “In this controlled trial involving patients with osteoarthritis of the knee, the outcomes after arthroscopic lavage or arthroscopic debridement were no better than those after a placebo procedure.”(3)\r\n\r\nAnd then, researchers in the medical journal Arthroscopic Surgery for Degenerative Knee Arthritis and Meniscal Tears say, “We make a strong recommendation against the use of arthroscopy in nearly all patients with degenerative knee disease, based on linked systematic reviews; further research is unlikely to alter this recommendation.” (4)\r\n\r\nWow! This surgery is not recommended. Yet unfortunately, arthroscopic knee surgery is on the rise to treat middle-aged and older patients with persistent knee pain. The majority of studies show no added benefit for this surgery when compared to the control treatment of placebo and less benefit when compared to exercise. These results are important to know for the individual considering a surgical procedure that comes with risk.\r\n<h2>Regenerative Orthopedics Helps To Avoid Knee Surgery in Middle Age</h2>\r\nAt OrthoRegen®, we utilize regenerative treatments to repair injured and degenerated knees. These treatments include stem cells, PRP, and Prolotherapy. Certain knee conditions will respond well to simple dextrose Prolotherapy. Other conditions respond great with PRP. And then other conditions, usually those with more degeneration, will require stem cell treatment. All treatments are done in conjunction with dextrose Prolotherapy to comprehensively treat the entire knee joint.\r\n\r\nThese non-surgical regenerative treatments stimulate natural healing repair in the knee and rebuild the injured tissue. (5)\r\n\r\nInjuries such as meniscus tears may respond with Prolotherapy alone or may also require PRP if the injury requires more repair due to advanced meniscus damage. Our clinicians will recommend the best regenerative therapy for your particular case in order to strengthen, stabilize and repair your knee.\r\n\r\nRegenerative Orthopedics, such as Platelet Rich Plasma Therapy, Stem Cells, and Prolotherapy, work great to stimulate tendon, ligament, and cartilage repair. These treatments are non-surgical, in-office procedures that are so much less invasive than surgery and, therefore, require minimal downtown. These treatments are a much safer and more conservative treatment with many advantages over arthroscopic surgery.\r\n\r\n<strong>References</strong>\r\n\r\n(1) O’Connor D, Johnston RV, Brignardello-Petersen R, Poolman RW, Cyril S, Vandvik PO, Buchbinder R. Arthroscopic surgery for degenerative knee disease (osteoarthritis including degenerative meniscal tears). Cochrane Database of Systematic Reviews. 2022(3).\r\n\r\n(2) Sihvonen R, Paavola M, Malmivaara A, Itälä A, Joukainen A, Nurmi H, Kalske J, Ikonen A, Järvelä T, Järvinen TA, Kanto K. Arthroscopic partial meniscectomy versus placebo surgery for a degenerative meniscus tear: a 2-year follow-up of the randomised controlled trial. Annals of the Rheumatic Diseases. 2017 May 18:annrheumdis-2017.\r\n\r\n(3) Moseley JB, O’malley K, Petersen NJ, Menke TJ, Brody BA, Kuykendall DH, Hollingsworth JC, Ashton CM, Wray NP. A controlled trial of arthroscopic surgery for osteoarthritis of the knee. New England Journal of Medicine. 2002 Jul 11;347(2):81-8.\r\n\r\n(4) Siemieniuk RA, Harris IA, Agoritsas T, Poolman RW, Brignardello-Petersen R, Van de Velde S, Buchbinder R, Englund M, Lytvyn L, Quinlan C, Helsingen L. Arthroscopic surgery for degenerative knee arthritis and meniscal tears: a clinical practice guideline. BMJ. 2017 May 10;357:j1982.\r\n\r\n(5) 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','Avoid Knee Surgery in Middle Age','','inherit','closed','closed','','5540-revision-v1','','','2022-10-26 21:19:39','2022-10-26 21:19:39','',5540,'https://www.drfields.com/?p=5551',0,'revision','',0),(5552,9,'2022-10-26 21:22:16','2022-10-26 21:22:16','<h2>Non-Surgical Knee Treatments</h2>\r\nTrying to avoid knee surgery in middle age? At OrthoRegen®, we see a lot of patients who enjoy being active and who want to remain that way. They certainly do not want knee pain to get in the way of that! They also prefer to go the non-surgical route to avoid a long surgical recovery and the risks that come with surgery.\r\n\r\nMiddle-aged patients are at that age when they begin to notice degenerative changes in their knees. And they often deal with those changes, like knee instability or pain, by using knee braces, taking over-the-counter medications, and applying ice or heat packs to get some relief.\r\n<h2>Trying to Avoid Knee Surgery But Over-the-Counter Remedies Don’t Work?</h2>\r\nThey try to live with the discomfort as long as possible, but when those remedies no longer work, they seek a medical opinion. Oftentimes, surgery is recommended. But is surgery a good option?\r\n<h3><em>Studies show that arthroscopic surgery results in little to no improvement. Here’s what a few say:</em></h3>\r\nA 2022 study from Melbourne, Australia, reports, “High-certainty evidence indicates arthroscopic surgery leads to little or no difference in pain or function at three months after surgery, moderate-certainty evidence indicates it is probably little or no improvement in knee-specific quality of life three months after surgery, and low-certainty evidence indicates arthroscopic surgery may lead to little or no difference in participant-reported success at up to five years, compared with placebo surgery.” (1)\r\n\r\nAnother medical report from the Annals of the Rheumatic Diseases says, “Several recent meta-analyses based on randomized controlled trials have failed to show a treatment benefit of Arthroscopic partial meniscectomy over conservative treatment or placebo surgery for these patients.” (2)\r\n<h2>Arthritis Sufferers Can Avoid Knee Surgery too!</h2>\r\nDoes arthroscopic surgery help in cases of arthritis? Another medical journal said this, “In this controlled trial involving patients with osteoarthritis of the knee, the outcomes after arthroscopic lavage or arthroscopic debridement were no better than those after a placebo procedure.”(3)\r\n\r\nAnd then, researchers in the medical journal Arthroscopic Surgery for Degenerative Knee Arthritis and Meniscal Tears say, “We make a strong recommendation against the use of arthroscopy in nearly all patients with degenerative knee disease, based on linked systematic reviews; further research is unlikely to alter this recommendation.” (4)\r\n\r\nWow! This surgery is not recommended. Yet unfortunately, arthroscopic knee surgery is on the rise to treat middle-aged and older patients with persistent knee pain. The majority of studies show no added benefit for this surgery when compared to the control treatment of placebo and less benefit when compared to exercise. These results are important to know for the individual considering a surgical procedure that comes with risk.\r\n<h2>Regenerative Orthopedics Helps To Avoid Knee Surgery in Middle Age</h2>\r\nAt OrthoRegen®, we utilize regenerative treatments to repair injured and degenerated knees. These treatments include stem cells, PRP, and Prolotherapy. Certain knee conditions will respond well to simple dextrose Prolotherapy. Other conditions respond great with PRP. And then other conditions, usually those with more degeneration, will require stem cell treatment. All treatments are done in conjunction with dextrose Prolotherapy to comprehensively treat the entire knee joint.\r\n\r\nThese non-surgical regenerative treatments stimulate natural healing repair in the knee and rebuild the injured tissue. (5)\r\n\r\nInjuries such as meniscus tears may respond with Prolotherapy alone or may also require PRP if the injury requires more repair due to advanced meniscus damage. Our clinicians will recommend the best regenerative therapy for your particular case in order to strengthen, stabilize and repair your knee.\r\n\r\nRegenerative Orthopedics, such as Platelet Rich Plasma Therapy, Stem Cells, and Prolotherapy, work great to stimulate tendon, ligament, and cartilage repair. These treatments are non-surgical, in-office procedures that are so much less invasive than surgery and, therefore, require minimal downtown. These treatments are a much safer and more conservative treatment with many advantages over arthroscopic surgery.\r\n\r\n<strong>References</strong>\r\n\r\n(1) O’Connor D, Johnston RV, Brignardello-Petersen R, Poolman RW, Cyril S, Vandvik PO, Buchbinder R. Arthroscopic surgery for degenerative knee disease (osteoarthritis including degenerative meniscal tears). Cochrane Database of Systematic Reviews. 2022(3).\r\n\r\n(2) Sihvonen R, Paavola M, Malmivaara A, Itälä A, Joukainen A, Nurmi H, Kalske J, Ikonen A, Järvelä T, Järvinen TA, Kanto K. Arthroscopic partial meniscectomy versus placebo surgery for a degenerative meniscus tear: a 2-year follow-up of the randomised controlled trial. Annals of the Rheumatic Diseases. 2017 May 18:annrheumdis-2017.\r\n\r\n(3) Moseley JB, O’malley K, Petersen NJ, Menke TJ, Brody BA, Kuykendall DH, Hollingsworth JC, Ashton CM, Wray NP. A controlled trial of arthroscopic surgery for osteoarthritis of the knee. New England Journal of Medicine. 2002 Jul 11;347(2):81-8.\r\n\r\n(4) Siemieniuk RA, Harris IA, Agoritsas T, Poolman RW, Brignardello-Petersen R, Van de Velde S, Buchbinder R, Englund M, Lytvyn L, Quinlan C, Helsingen L. Arthroscopic surgery for degenerative knee arthritis and meniscal tears: a clinical practice guideline. BMJ. 2017 May 10;357:j1982.\r\n\r\n(5) 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','Avoid Knee Surgery in Middle Age','','inherit','closed','closed','','5540-revision-v1','','','2022-10-26 21:22:16','2022-10-26 21:22:16','',5540,'https://www.drfields.com/?p=5552',0,'revision','',0),(5553,8,'2022-10-28 03:50:40','2022-10-28 03:50:40','<div class=\"clear\"></div>\r\n<div id=\"slider\">\r\n<div class=\"owl-carousel slider-carousel\">\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-4.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/07/Slider-2v05072022.png\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/05/header-orthoregen-santa-monica-pier.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">New Article:</span>\r\n<span class=\"header_text_second\">Keep Looking Forward Despite COVID-19</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dealing-with-covid-19/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-11.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-9.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Get Back In The Game!</span>\r\n<span class=\"header_text_second\">Avoid Joint and Spine Surgery </span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">Stem Cell/PRP/Prolotherapy</span>\r\n<a class=\"btn-more\" title=\"Get Help Now!\" href=\"Contact-Us\"> Get Help Now!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item slide-article\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/05/header-orthoregen-ocean-mountains.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_second\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/12/Kili-top-header-2.jpg\');\">\r\n<div class=\"carousel-caption\" style=\"text-align: left;\"><span class=\"header_text_first\">Congratulations\r\nPeter A. Fields, MD, DC</span>\r\n<span class=\"header_text_second\">The Athletic Doc<sup>®</sup>\r\nsuccessfully climbed</span>\r\n<span class=\"header_text_third white-text\">Mt. Kilimanjaro in\r\nTanzania, Africa.19,341 feet!!!</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/report-of-my-kilimanjaro-climb/\">Read More</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/12/Sider-01-V8.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Peter A. Fields, MD, DC\r\nThe Athletic Doc<sup>®</sup></span>\r\n<span class=\"header_text_second\">Completed His 11th Ironman</span>\r\n<span class=\"header_text_third\">Sunday, November 24th in Cozumel Mexico</span>\r\n<a class=\"btn-more\" title=\"Read More\" href=\"#\">Images &amp; Story Coming Soon</a></div>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"jumbotron-fluid\">\r\n<div class=\"row\">\r\n<div class=\"col-md-4 box1\">\r\n\r\nWhat\'s\r\n<h3>New</h3>\r\n<ul>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/avoid-knee-surgery-in-middle-age/\" target=\"_blank\" rel=\"noopener\">Avoid Knee Surgery in Middle Age</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/stem-cells-are-gaining-in-popularity/\">Stem Cells Are Gaining in Popularity</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/tennis-elbow-its-not-strictly-an-injury-afflicting-athletes/\">Tennis Elbow: It’s Not Strictly An Injury Afflicting Athletes</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/patellar-tendinopathy/\">Patellar Tendinopathy</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/sprained-ankle/\">Sprained Ankle?</a></li>\r\n 	<li><a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-neck-pain/\">Stubborn, Persistent Neck Pain</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/non-surgical-partial-rotator-cuff-tear-repair/\">Non-surgical Partial Rotator Cuff Tear Repair</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/are-cortisone-shots-a-good-option/\">Are Cortisone Shots a Good Option?</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/try-regenerative-treatments-for-your-hip-pain-or-injury/\">Try Regenerative Treatments for Your Hip Pain or Injury</a></li>\r\n 	<li class=\"last\"><a title=\"Nagging Back Pain\" href=\"/articles/regenerative-orthopedics/nagging-back-pain/\">Nagging Back Pain</a></li>\r\n 	<li class=\"last\"><a title=\"Treating Knee Pain and Injuries with Regenerative Orthopedics\" href=\"/articles/regenerative-orthopedics/treating-knee-pain-and-injuries-with-regenerative-orthopedics/\">Treating Knee Pain and Injuries with Regenerative Orthopedics</a></li>\r\n 	<li class=\"last\"><a title=\"Keep Looking Forward Despite COVID-19\" href=\"/articles/health-news/dealing-with-covid-19/\">Keep Looking Forward Despite COVID-19</a></li>\r\n 	<li class=\"last\"><a title=\"COVID-19 Advice: Don’t Fear the Fear Itself!\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</a></li>\r\n 	<li class=\"last\"><a title=\"Rotator Cuff Tendonitis\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/rotator-cuff-tendonitis/\">Rotator Cuff Tendonitis</a></li>\r\n 	<li><a title=\"Allergic Reactions and Problems of Corrosion with Joint Replacements\" href=\"https://www.drfields.com/articles/allergic-reactions-and-problems-of-corrosion-with-joint-replacements/\">Allergic Reactions and Problems of Corrosion with Joint Replacements\r\n</a></li>\r\n 	<li><a title=\"Treat Sciatica Pain Non-Surgically\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/treat-sciatica-pain-non-surgically/\">Treat Sciatica Pain Non-Surgically</a></li>\r\n 	<li class=\"last\"><a title=\"Stem Cell Therapy at OrthoRegen&lt;sup&gt;®&lt;/sup&gt; – Why We are Different\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/stem-cell-therapy-at-orthoregen-why-we-are-different/\">Stem Cell Therapy at OrthoRegen<sup>®</sup> – Why We are Different</a></li>\r\n 	<li class=\"last\"><a title=\"Is Your Hip Bursitis Treatment Working?\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/is-your-hip-bursitis-treatment-working/\">Is Your Hip Bursitis Treatment Working?</a></li>\r\n</ul>\r\n</div>\r\n<div id=\"testimonials\" class=\"col-md-4 box2\">\r\n\r\nPatient\r\n<h3>Testimonials</h3>\r\n<strong>Video:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I wished I had come earlier and listened to what my physical therapist had told me to do because Dr. Fields has been a real solution for me.\"\r\n\r\n<img class=\"testimonial-img\" title=\"Testimonial\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-larry.png\" alt=\"Testimonial\" />\r\n<h3>Larry</h3>\r\n<h4>Stem Cell Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I highly recommend it to anyone who needs to recover fast and get back out there.\"\r\n\r\n<img class=\"testimonial-img\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-christopher.png\" alt=\"\" />\r\n<h3>Chris, Pro Basketball Player</h3>\r\n<h4>PRP Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"Now I can go walking, I go to my ballet class and I’m a happy camper because of Dr. Fields.\"\r\n\r\n<img class=\"testimonial-img\" title=\"\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-mary.png\" alt=\"Testimonial\" />\r\n<h3>Mary</h3>\r\n<h4>Stem Cell Hip</h4>\r\n</div>\r\n</div>\r\n<strong>Written:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I need to say a big thank you to Dr Fields for getting me back on the tennis court. I am an avid tennis player who tried to ignore the terrible pain in my elbow.\"\r\n<h3 style=\"margin-left: 0;\">Mindy</h3>\r\n<h4 style=\"margin-left: 0;\">Elbow</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I chose Dr. Peter Fields because he is an athlete and would have more direct knowledge of my particular circumstances than anyone else.\"\r\n<h3 style=\"margin-left: 0;\">Robert</h3>\r\n<h4 style=\"margin-left: 0;\">Shoulder</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"After the final treatments ended I am still without all the pain and have more muscle strength in my legs.\"\r\n<h3 style=\"margin-left: 0;\">Lois</h3>\r\n<h4 style=\"margin-left: 0;\">Knee</h4>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"col-md-4 box3\">\r\n\r\nNews &amp;\r\n<h3>Events</h3>\r\n<ul>\r\n 	<li><a href=\"https://www.drfields.com/articles/health-news/dr-fields-to-lecture-in-mexico-city-on-july-9th/\">Peter A. Fields, MD, DC to lecture in Mexico City on July 9th</a></li>\r\n 	<li><a class=\"buttonlink\" style=\"width: 100%; font-size: 24px; text-align: center; padding: 25px 8%;\" href=\"https://www.drfields.com/contact/\"> Are you a Stem Cell Candidate?</a></li>\r\n</ul>\r\n</div>\r\n</div>\r\n</div>\r\n<div id=\"search-articles\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n<h2 class=\"text-center\">Search <b>Dr. Fields\'</b> Articles</h2>\r\n<form id=\"searchform\" action=\"/\" method=\"get\"><input class=\"search-field\" name=\"s\" type=\"text\" placeholder=\"What\'s Your Condition?\" />\r\n<input type=\"submit\" value=\"Search\" /></form></div>\r\n</div>\r\n</div>\r\n<div id=\"intro\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n<h1 class=\"text-center\">Welcome to OrthoRegen<sup>®</sup>!</h1>\r\n<p class=\"intro_text welcome\"><a href=\"http://orthoregen.com\"><span style=\"font-size: 26px;\">OrthoRegen<sup>®</sup></span></a> is dedicated to providing the best of <span class=\"nowrap\">Regenerative Orthopedics</span> by offering non-surgical alternatives for joint and spine repair</p>\r\n<a class=\"primaryButton\" title=\"Read More About U\" href=\"https://www.drfields.com/about/orthoregen-our-philosophy/\">Read More About Us</a>\r\n<a id=\"candidateButton\" title=\"Are you a good candidate?\" href=\"/contact/\">Are you a good candidate?</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"about\">\r\n<div class=\"col-md-5 drfields\"><img class=\"alignnone\" title=\"Regenerative Orthopedics Leader\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/dr-fields.png\" alt=\"Regenerative Orthopedics Leader\" width=\"460\" height=\"737\" /></div>\r\n<div class=\"col-md-7 about_holder\">\r\n<h1>Peter A. Fields, <span class=\"nowrap\">MD, DC</span></h1>\r\n<p class=\"intro_text\">Medical Physician and Chiropractor\r\nThe Athletic Doc<sup>®</sup> - 11x Ironman Triathlete</p>\r\n\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"icon info\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-info.png\" alt=\"icon info\" /></div>\r\n<div class=\"about_text\">\r\n<h3>About</h3>\r\nPeter A. Fields, MD, DC is one of a handful of physicians in the nation with both medical and chiropractic degrees...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/dr-fields-bio/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"Man Icon\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-ironman.png\" alt=\"Man Icon\" /></div>\r\n<div class=\"about_text\">\r\n<h3>11x Ironman</h3>\r\nDr. Peter A. Fields is also known as The Athletic Doc<sup>®</sup> He not only treats athletes in his practice but is an athlete himself. For over...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n&nbsp;\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Call Us Today! 310-453-1234</a>','Home','','inherit','closed','closed','','2109-revision-v1','','','2022-10-28 03:50:40','2022-10-28 03:50:40','',2109,'https://www.drfields.com/?p=5553',0,'revision','',0),(5554,8,'2022-10-28 04:18:56','2022-10-28 04:18:56','<div class=\"clear\"></div>\r\n<div id=\"slider\">\r\n<div class=\"owl-carousel slider-carousel\">\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-4.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/07/Slider-2v05072022.png\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/05/header-orthoregen-santa-monica-pier.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">New Article:</span>\r\n<span class=\"header_text_second\">Keep Looking Forward Despite COVID-19</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dealing-with-covid-19/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-11.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-9.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Get Back In The Game!</span>\r\n<span class=\"header_text_second\">Avoid Joint and Spine Surgery </span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">Stem Cell/PRP/Prolotherapy</span>\r\n<a class=\"btn-more\" title=\"Get Help Now!\" href=\"Contact-Us\"> Get Help Now!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item slide-article\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/05/header-orthoregen-ocean-mountains.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_second\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/12/Kili-top-header-2.jpg\');\">\r\n<div class=\"carousel-caption\" style=\"text-align: left;\"><span class=\"header_text_first\">Congratulations\r\nPeter A. Fields, MD, DC</span>\r\n<span class=\"header_text_second\">The Athletic Doc<sup>®</sup>\r\nsuccessfully climbed</span>\r\n<span class=\"header_text_third white-text\">Mt. Kilimanjaro in\r\nTanzania, Africa.19,341 feet!!!</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/report-of-my-kilimanjaro-climb/\">Read More</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/12/Sider-01-V8.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Peter A. Fields, MD, DC\r\nThe Athletic Doc<sup>®</sup></span>\r\n<span class=\"header_text_second\">Completed His 11th Ironman</span>\r\n<span class=\"header_text_third\">Sunday, November 24th in Cozumel Mexico</span>\r\n<a class=\"btn-more\" title=\"Read More\" href=\"#\">Images &amp; Story Coming Soon</a></div>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"jumbotron-fluid\">\r\n<div class=\"row\">\r\n<div class=\"col-md-4 box1\">\r\n\r\nWhat\'s\r\n<h3>New</h3>\r\n<ul>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/avoid-knee-surgery-in-middle-age/\" target=\"_blank\" rel=\"noopener\">Avoid Knee Surgery in Middle Age</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/stem-cells-are-gaining-in-popularity/\">Stem Cells Are Gaining in Popularity</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/tennis-elbow-its-not-strictly-an-injury-afflicting-athletes/\">Tennis Elbow: It’s Not Strictly An Injury Afflicting Athletes</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/patellar-tendinopathy/\">Patellar Tendinopathy</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/sprained-ankle/\">Sprained Ankle?</a></li>\r\n 	<li><a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-neck-pain/\">Stubborn, Persistent Neck Pain</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/non-surgical-partial-rotator-cuff-tear-repair/\">Non-surgical Partial Rotator Cuff Tear Repair</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/are-cortisone-shots-a-good-option/\">Are Cortisone Shots a Good Option?</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/try-regenerative-treatments-for-your-hip-pain-or-injury/\">Try Regenerative Treatments for Your Hip Pain or Injury</a></li>\r\n 	<li class=\"last\"><a title=\"Nagging Back Pain\" href=\"/articles/regenerative-orthopedics/nagging-back-pain/\">Nagging Back Pain</a></li>\r\n 	<li><a title=\"Treat Sciatica Pain Non-Surgically\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/treat-sciatica-pain-non-surgically/\">Treat Sciatica Pain Non-Surgically</a></li>\r\n 	<li class=\"last\"><a title=\"Stem Cell Therapy at OrthoRegen&lt;sup&gt;®&lt;/sup&gt; – Why We are Different\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/stem-cell-therapy-at-orthoregen-why-we-are-different/\">Stem Cell Therapy at OrthoRegen<sup>®</sup> – Why We are Different</a></li>\r\n</ul>\r\n</div>\r\n<div id=\"testimonials\" class=\"col-md-4 box2\">\r\n\r\nPatient\r\n<h3>Testimonials</h3>\r\n<strong>Video:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I wished I had come earlier and listened to what my physical therapist had told me to do because Dr. Fields has been a real solution for me.\"\r\n\r\n<img class=\"testimonial-img\" title=\"Testimonial\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-larry.png\" alt=\"Testimonial\" />\r\n<h3>Larry</h3>\r\n<h4>Stem Cell Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I highly recommend it to anyone who needs to recover fast and get back out there.\"\r\n\r\n<img class=\"testimonial-img\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-christopher.png\" alt=\"\" />\r\n<h3>Chris, Pro Basketball Player</h3>\r\n<h4>PRP Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"Now I can go walking, I go to my ballet class and I’m a happy camper because of Dr. Fields.\"\r\n\r\n<img class=\"testimonial-img\" title=\"\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-mary.png\" alt=\"Testimonial\" />\r\n<h3>Mary</h3>\r\n<h4>Stem Cell Hip</h4>\r\n</div>\r\n</div>\r\n<strong>Written:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I need to say a big thank you to Dr Fields for getting me back on the tennis court. I am an avid tennis player who tried to ignore the terrible pain in my elbow.\"\r\n<h3 style=\"margin-left: 0;\">Mindy</h3>\r\n<h4 style=\"margin-left: 0;\">Elbow</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I chose Dr. Peter Fields because he is an athlete and would have more direct knowledge of my particular circumstances than anyone else.\"\r\n<h3 style=\"margin-left: 0;\">Robert</h3>\r\n<h4 style=\"margin-left: 0;\">Shoulder</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"After the final treatments ended I am still without all the pain and have more muscle strength in my legs.\"\r\n<h3 style=\"margin-left: 0;\">Lois</h3>\r\n<h4 style=\"margin-left: 0;\">Knee</h4>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"col-md-4 box3\">\r\n\r\nNews &amp;\r\n<h3>Events</h3>\r\n<ul>\r\n 	<li><a href=\"https://www.drfields.com/articles/health-news/dr-fields-to-lecture-in-mexico-city-on-july-9th/\">Peter A. Fields, MD, DC to lecture in Mexico City on July 9th</a></li>\r\n 	<li><a class=\"buttonlink\" style=\"width: 100%; font-size: 24px; text-align: center; padding: 25px 8%;\" href=\"https://www.drfields.com/contact/\"> Are you a Stem Cell Candidate?</a></li>\r\n</ul>\r\n</div>\r\n</div>\r\n</div>\r\n<div id=\"search-articles\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n<h2 class=\"text-center\">Search <b>Dr. Fields\'</b> Articles</h2>\r\n<form id=\"searchform\" action=\"/\" method=\"get\"><input class=\"search-field\" name=\"s\" type=\"text\" placeholder=\"What\'s Your Condition?\" />\r\n<input type=\"submit\" value=\"Search\" /></form></div>\r\n</div>\r\n</div>\r\n<div id=\"intro\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n<h1 class=\"text-center\">Welcome to OrthoRegen<sup>®</sup>!</h1>\r\n<p class=\"intro_text welcome\"><a href=\"http://orthoregen.com\"><span style=\"font-size: 26px;\">OrthoRegen<sup>®</sup></span></a> is dedicated to providing the best of <span class=\"nowrap\">Regenerative Orthopedics</span> by offering non-surgical alternatives for joint and spine repair</p>\r\n<a class=\"primaryButton\" title=\"Read More About U\" href=\"https://www.drfields.com/about/orthoregen-our-philosophy/\">Read More About Us</a>\r\n<a id=\"candidateButton\" title=\"Are you a good candidate?\" href=\"/contact/\">Are you a good candidate?</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"about\">\r\n<div class=\"col-md-5 drfields\"><img class=\"alignnone\" title=\"Regenerative Orthopedics Leader\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/dr-fields.png\" alt=\"Regenerative Orthopedics Leader\" width=\"460\" height=\"737\" /></div>\r\n<div class=\"col-md-7 about_holder\">\r\n<h1>Peter A. Fields, <span class=\"nowrap\">MD, DC</span></h1>\r\n<p class=\"intro_text\">Medical Physician and Chiropractor\r\nThe Athletic Doc<sup>®</sup> - 11x Ironman Triathlete</p>\r\n\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"icon info\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-info.png\" alt=\"icon info\" /></div>\r\n<div class=\"about_text\">\r\n<h3>About</h3>\r\nPeter A. Fields, MD, DC is one of a handful of physicians in the nation with both medical and chiropractic degrees...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/dr-fields-bio/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"Man Icon\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-ironman.png\" alt=\"Man Icon\" /></div>\r\n<div class=\"about_text\">\r\n<h3>11x Ironman</h3>\r\nDr. Peter A. Fields is also known as The Athletic Doc<sup>®</sup> He not only treats athletes in his practice but is an athlete himself. For over...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n&nbsp;\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Call Us Today! 310-453-1234</a>','Home','','inherit','closed','closed','','2109-revision-v1','','','2022-10-28 04:18:56','2022-10-28 04:18:56','',2109,'https://www.drfields.com/?p=5554',0,'revision','',0),(5555,8,'2022-10-28 04:19:46','2022-10-28 04:19:46','<div class=\"clear\"></div>\r\n<div id=\"slider\">\r\n<div class=\"owl-carousel slider-carousel\">\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-4.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/07/Slider-2v05072022.png\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/05/header-orthoregen-santa-monica-pier.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">New Article:</span>\r\n<span class=\"header_text_second\">Keep Looking Forward Despite COVID-19</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dealing-with-covid-19/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-11.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-9.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Get Back In The Game!</span>\r\n<span class=\"header_text_second\">Avoid Joint and Spine Surgery </span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">Stem Cell/PRP/Prolotherapy</span>\r\n<a class=\"btn-more\" title=\"Get Help Now!\" href=\"Contact-Us\"> Get Help Now!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item slide-article\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/05/header-orthoregen-ocean-mountains.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_second\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/12/Kili-top-header-2.jpg\');\">\r\n<div class=\"carousel-caption\" style=\"text-align: left;\"><span class=\"header_text_first\">Congratulations\r\nPeter A. Fields, MD, DC</span>\r\n<span class=\"header_text_second\">The Athletic Doc<sup>®</sup>\r\nsuccessfully climbed</span>\r\n<span class=\"header_text_third white-text\">Mt. Kilimanjaro in\r\nTanzania, Africa.19,341 feet!!!</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/report-of-my-kilimanjaro-climb/\">Read More</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/12/Sider-01-V8.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Peter A. Fields, MD, DC\r\nThe Athletic Doc<sup>®</sup></span>\r\n<span class=\"header_text_second\">Completed His 11th Ironman</span>\r\n<span class=\"header_text_third\">Sunday, November 24th in Cozumel Mexico</span>\r\n<a class=\"btn-more\" title=\"Read More\" href=\"#\">Images &amp; Story Coming Soon</a></div>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"jumbotron-fluid\">\r\n<div class=\"row\">\r\n<div class=\"col-md-4 box1\">\r\n\r\nWhat\'s\r\n<h3>New</h3>\r\n<ul>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/avoid-knee-surgery-in-middle-age/\" target=\"_blank\" rel=\"noopener\">Avoid Knee Surgery in Middle Age</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/stem-cells-are-gaining-in-popularity/\">Stem Cells Are Gaining in Popularity</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/tennis-elbow-its-not-strictly-an-injury-afflicting-athletes/\">Tennis Elbow: It’s Not Strictly An Injury Afflicting Athletes</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/patellar-tendinopathy/\">Patellar Tendinopathy</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/sprained-ankle/\">Sprained Ankle?</a></li>\r\n 	<li><a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-neck-pain/\">Stubborn, Persistent Neck Pain</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/non-surgical-partial-rotator-cuff-tear-repair/\">Non-surgical Partial Rotator Cuff Tear Repair</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/are-cortisone-shots-a-good-option/\">Are Cortisone Shots a Good Option?</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/try-regenerative-treatments-for-your-hip-pain-or-injury/\">Try Regenerative Treatments for Your Hip Pain or Injury</a></li>\r\n 	<li class=\"last\"><a title=\"Nagging Back Pain\" href=\"/articles/regenerative-orthopedics/nagging-back-pain/\">Nagging Back Pain</a></li>\r\n 	\r\n 	<li><a title=\"Treat Sciatica Pain Non-Surgically\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/treat-sciatica-pain-non-surgically/\">Treat Sciatica Pain Non-Surgically</a></li>\r\n 	<li class=\"last\"><a title=\"Stem Cell Therapy at OrthoRegen&lt;sup&gt;®&lt;/sup&gt; – Why We are Different\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/stem-cell-therapy-at-orthoregen-why-we-are-different/\">Stem Cell Therapy at OrthoRegen<sup>®</sup> – Why We are Different</a></li>\r\n 	<li class=\"last\"><a title=\"Is Your Hip Bursitis Treatment Working?\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/is-your-hip-bursitis-treatment-working/\">Is Your Hip Bursitis Treatment Working?</a></li>\r\n</ul>\r\n</div>\r\n<div id=\"testimonials\" class=\"col-md-4 box2\">\r\n\r\nPatient\r\n<h3>Testimonials</h3>\r\n<strong>Video:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I wished I had come earlier and listened to what my physical therapist had told me to do because Dr. Fields has been a real solution for me.\"\r\n\r\n<img class=\"testimonial-img\" title=\"Testimonial\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-larry.png\" alt=\"Testimonial\" />\r\n<h3>Larry</h3>\r\n<h4>Stem Cell Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I highly recommend it to anyone who needs to recover fast and get back out there.\"\r\n\r\n<img class=\"testimonial-img\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-christopher.png\" alt=\"\" />\r\n<h3>Chris, Pro Basketball Player</h3>\r\n<h4>PRP Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"Now I can go walking, I go to my ballet class and I’m a happy camper because of Dr. Fields.\"\r\n\r\n<img class=\"testimonial-img\" title=\"\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-mary.png\" alt=\"Testimonial\" />\r\n<h3>Mary</h3>\r\n<h4>Stem Cell Hip</h4>\r\n</div>\r\n</div>\r\n<strong>Written:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I need to say a big thank you to Dr Fields for getting me back on the tennis court. I am an avid tennis player who tried to ignore the terrible pain in my elbow.\"\r\n<h3 style=\"margin-left: 0;\">Mindy</h3>\r\n<h4 style=\"margin-left: 0;\">Elbow</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I chose Dr. Peter Fields because he is an athlete and would have more direct knowledge of my particular circumstances than anyone else.\"\r\n<h3 style=\"margin-left: 0;\">Robert</h3>\r\n<h4 style=\"margin-left: 0;\">Shoulder</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"After the final treatments ended I am still without all the pain and have more muscle strength in my legs.\"\r\n<h3 style=\"margin-left: 0;\">Lois</h3>\r\n<h4 style=\"margin-left: 0;\">Knee</h4>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"col-md-4 box3\">\r\n\r\nNews &amp;\r\n<h3>Events</h3>\r\n<ul>\r\n 	<li><a href=\"https://www.drfields.com/articles/health-news/dr-fields-to-lecture-in-mexico-city-on-july-9th/\">Peter A. Fields, MD, DC to lecture in Mexico City on July 9th</a></li>\r\n 	<li><a class=\"buttonlink\" style=\"width: 100%; font-size: 24px; text-align: center; padding: 25px 8%;\" href=\"https://www.drfields.com/contact/\"> Are you a Stem Cell Candidate?</a></li>\r\n</ul>\r\n</div>\r\n</div>\r\n</div>\r\n<div id=\"search-articles\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n<h2 class=\"text-center\">Search <b>Dr. Fields\'</b> Articles</h2>\r\n<form id=\"searchform\" action=\"/\" method=\"get\"><input class=\"search-field\" name=\"s\" type=\"text\" placeholder=\"What\'s Your Condition?\" />\r\n<input type=\"submit\" value=\"Search\" /></form></div>\r\n</div>\r\n</div>\r\n<div id=\"intro\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n<h1 class=\"text-center\">Welcome to OrthoRegen<sup>®</sup>!</h1>\r\n<p class=\"intro_text welcome\"><a href=\"http://orthoregen.com\"><span style=\"font-size: 26px;\">OrthoRegen<sup>®</sup></span></a> is dedicated to providing the best of <span class=\"nowrap\">Regenerative Orthopedics</span> by offering non-surgical alternatives for joint and spine repair</p>\r\n<a class=\"primaryButton\" title=\"Read More About U\" href=\"https://www.drfields.com/about/orthoregen-our-philosophy/\">Read More About Us</a>\r\n<a id=\"candidateButton\" title=\"Are you a good candidate?\" href=\"/contact/\">Are you a good candidate?</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"about\">\r\n<div class=\"col-md-5 drfields\"><img class=\"alignnone\" title=\"Regenerative Orthopedics Leader\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/dr-fields.png\" alt=\"Regenerative Orthopedics Leader\" width=\"460\" height=\"737\" /></div>\r\n<div class=\"col-md-7 about_holder\">\r\n<h1>Peter A. Fields, <span class=\"nowrap\">MD, DC</span></h1>\r\n<p class=\"intro_text\">Medical Physician and Chiropractor\r\nThe Athletic Doc<sup>®</sup> - 11x Ironman Triathlete</p>\r\n\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"icon info\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-info.png\" alt=\"icon info\" /></div>\r\n<div class=\"about_text\">\r\n<h3>About</h3>\r\nPeter A. Fields, MD, DC is one of a handful of physicians in the nation with both medical and chiropractic degrees...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/dr-fields-bio/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"Man Icon\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-ironman.png\" alt=\"Man Icon\" /></div>\r\n<div class=\"about_text\">\r\n<h3>11x Ironman</h3>\r\nDr. Peter A. Fields is also known as The Athletic Doc<sup>®</sup> He not only treats athletes in his practice but is an athlete himself. For over...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n&nbsp;\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Call Us Today! 310-453-1234</a>','Home','','inherit','closed','closed','','2109-revision-v1','','','2022-10-28 04:19:46','2022-10-28 04:19:46','',2109,'https://www.drfields.com/?p=5555',0,'revision','',0),(5556,8,'2022-10-28 04:20:08','2022-10-28 04:20:08','<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/2019/06/header-orthoregen-4.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/07/Slider-2v05072022.png\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/05/header-orthoregen-santa-monica-pier.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">New Article:</span>\r\n<span class=\"header_text_second\">Keep Looking Forward Despite COVID-19</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dealing-with-covid-19/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-11.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-9.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Get Back In The Game!</span>\r\n<span class=\"header_text_second\">Avoid Joint and Spine Surgery </span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">Stem Cell/PRP/Prolotherapy</span>\r\n<a class=\"btn-more\" title=\"Get Help Now!\" href=\"Contact-Us\"> Get Help Now!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item slide-article\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/05/header-orthoregen-ocean-mountains.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_second\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/12/Kili-top-header-2.jpg\');\">\r\n<div class=\"carousel-caption\" style=\"text-align: left;\"><span class=\"header_text_first\">Congratulations\r\nPeter A. Fields, MD, DC</span>\r\n<span class=\"header_text_second\">The Athletic Doc<sup>®</sup>\r\nsuccessfully climbed</span>\r\n<span class=\"header_text_third white-text\">Mt. Kilimanjaro in\r\nTanzania, Africa.19,341 feet!!!</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/report-of-my-kilimanjaro-climb/\">Read More</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/12/Sider-01-V8.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Peter A. Fields, MD, DC\r\nThe Athletic Doc<sup>®</sup></span>\r\n<span class=\"header_text_second\">Completed His 11th Ironman</span>\r\n<span class=\"header_text_third\">Sunday, November 24th in Cozumel Mexico</span>\r\n<a class=\"btn-more\" title=\"Read More\" href=\"#\">Images &amp; Story Coming Soon</a></div>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"jumbotron-fluid\">\r\n<div class=\"row\">\r\n<div class=\"col-md-4 box1\">\r\n\r\nWhat\'s\r\n<h3>New</h3>\r\n<ul>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/avoid-knee-surgery-in-middle-age/\" target=\"_blank\" rel=\"noopener\">Avoid Knee Surgery in Middle Age</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/stem-cells-are-gaining-in-popularity/\">Stem Cells Are Gaining in Popularity</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/tennis-elbow-its-not-strictly-an-injury-afflicting-athletes/\">Tennis Elbow: It’s Not Strictly An Injury Afflicting Athletes</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/patellar-tendinopathy/\">Patellar Tendinopathy</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/sprained-ankle/\">Sprained Ankle?</a></li>\r\n 	<li><a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-neck-pain/\">Stubborn, Persistent Neck Pain</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/non-surgical-partial-rotator-cuff-tear-repair/\">Non-surgical Partial Rotator Cuff Tear Repair</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/are-cortisone-shots-a-good-option/\">Are Cortisone Shots a Good Option?</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/try-regenerative-treatments-for-your-hip-pain-or-injury/\">Try Regenerative Treatments for Your Hip Pain or Injury</a></li>\r\n 	<li class=\"last\"><a title=\"Nagging Back Pain\" href=\"/articles/regenerative-orthopedics/nagging-back-pain/\">Nagging Back Pain</a></li>\r\n 	<li><a title=\"Treat Sciatica Pain Non-Surgically\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/treat-sciatica-pain-non-surgically/\">Treat Sciatica Pain Non-Surgically</a></li>\r\n 	<li class=\"last\"><a title=\"Stem Cell Therapy at OrthoRegen&lt;sup&gt;®&lt;/sup&gt; – Why We are Different\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/stem-cell-therapy-at-orthoregen-why-we-are-different/\">Stem Cell Therapy at OrthoRegen<sup>®</sup> – Why We are Different</a></li>\r\n</ul>\r\n</div>\r\n<div id=\"testimonials\" class=\"col-md-4 box2\">\r\n\r\nPatient\r\n<h3>Testimonials</h3>\r\n<strong>Video:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I wished I had come earlier and listened to what my physical therapist had told me to do because Dr. Fields has been a real solution for me.\"\r\n\r\n<img class=\"testimonial-img\" title=\"Testimonial\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-larry.png\" alt=\"Testimonial\" />\r\n<h3>Larry</h3>\r\n<h4>Stem Cell Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I highly recommend it to anyone who needs to recover fast and get back out there.\"\r\n\r\n<img class=\"testimonial-img\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-christopher.png\" alt=\"\" />\r\n<h3>Chris, Pro Basketball Player</h3>\r\n<h4>PRP Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"Now I can go walking, I go to my ballet class and I’m a happy camper because of Dr. Fields.\"\r\n\r\n<img class=\"testimonial-img\" title=\"\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-mary.png\" alt=\"Testimonial\" />\r\n<h3>Mary</h3>\r\n<h4>Stem Cell Hip</h4>\r\n</div>\r\n</div>\r\n<strong>Written:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I need to say a big thank you to Dr Fields for getting me back on the tennis court. I am an avid tennis player who tried to ignore the terrible pain in my elbow.\"\r\n<h3 style=\"margin-left: 0;\">Mindy</h3>\r\n<h4 style=\"margin-left: 0;\">Elbow</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I chose Dr. Peter Fields because he is an athlete and would have more direct knowledge of my particular circumstances than anyone else.\"\r\n<h3 style=\"margin-left: 0;\">Robert</h3>\r\n<h4 style=\"margin-left: 0;\">Shoulder</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"After the final treatments ended I am still without all the pain and have more muscle strength in my legs.\"\r\n<h3 style=\"margin-left: 0;\">Lois</h3>\r\n<h4 style=\"margin-left: 0;\">Knee</h4>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"col-md-4 box3\">\r\n\r\nNews &amp;\r\n<h3>Events</h3>\r\n<ul>\r\n 	<li><a href=\"https://www.drfields.com/articles/health-news/dr-fields-to-lecture-in-mexico-city-on-july-9th/\">Peter A. Fields, MD, DC to lecture in Mexico City on July 9th</a></li>\r\n 	<li><a class=\"buttonlink\" style=\"width: 100%; font-size: 24px; text-align: center; padding: 25px 8%;\" href=\"https://www.drfields.com/contact/\"> Are you a Stem Cell Candidate?</a></li>\r\n</ul>\r\n</div>\r\n</div>\r\n</div>\r\n<div id=\"search-articles\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n<h2 class=\"text-center\">Search <b>Dr. Fields\'</b> Articles</h2>\r\n<form id=\"searchform\" action=\"/\" method=\"get\"><input class=\"search-field\" name=\"s\" type=\"text\" placeholder=\"What\'s Your Condition?\" />\r\n<input type=\"submit\" value=\"Search\" /></form></div>\r\n</div>\r\n</div>\r\n<div id=\"intro\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n<h1 class=\"text-center\">Welcome to OrthoRegen<sup>®</sup>!</h1>\r\n<p class=\"intro_text welcome\"><a href=\"http://orthoregen.com\"><span style=\"font-size: 26px;\">OrthoRegen<sup>®</sup></span></a> is dedicated to providing the best of <span class=\"nowrap\">Regenerative Orthopedics</span> by offering non-surgical alternatives for joint and spine repair</p>\r\n<a class=\"primaryButton\" title=\"Read More About U\" href=\"https://www.drfields.com/about/orthoregen-our-philosophy/\">Read More About Us</a>\r\n<a id=\"candidateButton\" title=\"Are you a good candidate?\" href=\"/contact/\">Are you a good candidate?</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"about\">\r\n<div class=\"col-md-5 drfields\"><img class=\"alignnone\" title=\"Regenerative Orthopedics Leader\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/dr-fields.png\" alt=\"Regenerative Orthopedics Leader\" width=\"460\" height=\"737\" /></div>\r\n<div class=\"col-md-7 about_holder\">\r\n<h1>Peter A. Fields, <span class=\"nowrap\">MD, DC</span></h1>\r\n<p class=\"intro_text\">Medical Physician and Chiropractor\r\nThe Athletic Doc<sup>®</sup> - 11x Ironman Triathlete</p>\r\n\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"icon info\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-info.png\" alt=\"icon info\" /></div>\r\n<div class=\"about_text\">\r\n<h3>About</h3>\r\nPeter A. Fields, MD, DC is one of a handful of physicians in the nation with both medical and chiropractic degrees...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/dr-fields-bio/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"Man Icon\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-ironman.png\" alt=\"Man Icon\" /></div>\r\n<div class=\"about_text\">\r\n<h3>11x Ironman</h3>\r\nDr. Peter A. Fields is also known as The Athletic Doc<sup>®</sup> He not only treats athletes in his practice but is an athlete himself. For over...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n&nbsp;\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Call Us Today! 310-453-1234</a>','Home','','inherit','closed','closed','','2109-revision-v1','','','2022-10-28 04:20:08','2022-10-28 04:20:08','',2109,'https://www.drfields.com/?p=5556',0,'revision','',0),(5559,8,'2023-09-20 02:29:49','2023-09-20 02:29:49','<div class=\"clear\"></div>\n<div id=\"slider\">\n<div class=\"owl-carousel slider-carousel\">\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-v1-021120.jpeg\');\">\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\n</div>\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>\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/Slider-v1-021120.jpg\');\"></div>\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\');\">\n<div class=\"carousel-caption\"><span class=\"header_text_first\">New Article:</span>\n<span class=\"header_text_second\">Keep Looking Forward Despite COVID-19</span>\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dealing-with-covid-19/\">Read Article</a></div>\n</div>\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-11.jpg\');\">\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\n</div>\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\');\">\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Get Back In The Game!</span>\n<span class=\"header_text_second\">Avoid Joint and Spine Surgery </span>\n<span class=\"header_text_third\" style=\"color: #ffffff;\">Stem Cell/PRP/Prolotherapy</span>\n<a class=\"btn-more\" title=\"Get Help Now!\" href=\"Contact-Us\"> Get Help Now!</a></div>\n</div>\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\');\">\n<div class=\"carousel-caption\"><span class=\"header_text_second\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</span>\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">Read Article</a></div>\n</div>\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\');\">\n<div class=\"carousel-caption\" style=\"text-align: left;\"><span class=\"header_text_first\">Congratulations\nPeter A. Fields, MD, DC</span>\n<span class=\"header_text_second\">The Athletic Doc<sup>®</sup>\nsuccessfully climbed</span>\n<span class=\"header_text_third white-text\">Mt. Kilimanjaro in\nTanzania, Africa.19,341 feet!!!</span>\n<a class=\"btn-more\" title=\"Read Article\" href=\"/report-of-my-kilimanjaro-climb/\">Read More</a></div>\n</div>\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/11/Sider-01-v1-021120.jpeg\');\">\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Peter A. Fields, MD, DC\nThe Athletic Doc<sup>®</sup></span>\n<span class=\"header_text_second\">Completed His 11th Ironman</span>\n<span class=\"header_text_third\">Sunday, November 24th in Cozumel Mexico</span>\n<a class=\"btn-more\" title=\"Read More\" href=\"#\">Images &amp; Story Coming Soon</a></div>\n</div>\n</div>\n</div>\n<div class=\"clear\"></div>\n<div class=\"jumbotron-fluid\">\n<div class=\"row\">\n<div class=\"col-md-4 box1\">\n\nWhat\'s\n<h3>New</h3>\n<ul>\n 	<li><a title=\"Osteoarthritis Knee Treatment\" href=\"/articles/osteoarthritis-knee-treatment/\">Osteoarthritis Knee Treatment</a></li>\n 	<li><a title=\"Hip Replacement Alternatives\" href=\"/articles/hip-replacement-alternatives/\">Hip Replacement Alternatives</a></li>\n 	<li><a href=\"/articles/regenerative-orthopedics/acl-tear-repair/\">ACL TEAR Repair</a></li>\n 	<li><a href=\"/articles/regenerative-orthopedics/foot-pain-treatment/\">Foot Pain Treatment</a></li>\n 	<li><a href=\"/articles/regenerative-orthopedics/arthritis-neck-treatment/\">Arthritis Neck Treatment</a></li>\n 	<li><a href=\"/articles/regenerative-orthopedics/back-pain-specialist/\">Back Pain Specialist</a></li>\n 	<li><a href=\"/articles/non-surgical-carpal-tunnel-treatment/\">Tennis Elbow Treatment</a></li>\n</ul>\n</div>\n<div id=\"testimonials\" class=\"col-md-4 box2\">\n\nPatient\n<h3>Testimonials</h3>\n<strong>Video:</strong>\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\n<div class=\"testimonial-item\">\n\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.\"\n\n<img class=\"testimonial-img\" title=\"Testimonial\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-larry.png\" alt=\"Testimonial\" />\n<h3>Larry</h3>\n<h4>Stem Cell Knee</h4>\n</div>\n<div class=\"testimonial-item\">\n\n\"I highly recommend it to anyone who needs to recover fast and get back out there.\"\n\n<img class=\"testimonial-img\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-christopher.png\" alt=\"\" />\n<h3>Chris, Pro Basketball Player</h3>\n<h4>PRP Knee</h4>\n</div>\n<div class=\"testimonial-item\">\n\n\"Now I can go walking, I go to my ballet class and I’m a happy camper because of Dr. Fields.\"\n\n<img class=\"testimonial-img\" title=\"\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-mary.png\" alt=\"Testimonial\" />\n<h3>Mary</h3>\n<h4>Stem Cell Hip</h4>\n</div>\n</div>\n<strong>Written:</strong>\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\n<div class=\"testimonial-item\">\n\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.\"\n<h3 style=\"margin-left: 0;\">Mindy</h3>\n<h4 style=\"margin-left: 0;\">Elbow</h4>\n</div>\n<div class=\"testimonial-item\">\n\n\"I chose Dr. Peter Fields because he is an athlete and would have more direct knowledge of my particular circumstances than anyone else.\"\n<h3 style=\"margin-left: 0;\">Robert</h3>\n<h4 style=\"margin-left: 0;\">Shoulder</h4>\n</div>\n<div class=\"testimonial-item\">\n\n\"After the final treatments ended I am still without all the pain and have more muscle strength in my legs.\"\n<h3 style=\"margin-left: 0;\">Lois</h3>\n<h4 style=\"margin-left: 0;\">Knee</h4>\n</div>\n</div>\n</div>\n<div class=\"col-md-4 box3\">\n\nNews &amp;\n<h3>Events</h3>\n<ul>\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>\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>\n</ul>\n</div>\n</div>\n</div>\n<div id=\"search-articles\">\n<div class=\"container\">\n<div class=\"col-md-12\">\n\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\n<h2 class=\"text-center\">Search <b>Dr. Fields\'</b> Articles</h2>\n<form id=\"searchform\" action=\"/\" method=\"get\"><input class=\"search-field\" name=\"s\" type=\"text\" placeholder=\"What\'s Your Condition?\" />\n<input type=\"submit\" value=\"Search\" /></form></div>\n</div>\n</div>\n<div id=\"intro\">\n<div class=\"container\">\n<div class=\"col-md-12\">\n<h1 class=\"text-center\">Welcome to OrthoRegen<sup>®</sup>!</h1>\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>\n<a class=\"primaryButton\" title=\"Read More About U\" href=\"https://www.drfields.com/about/orthoregen-our-philosophy/\">Read More About Us</a>\n<a id=\"candidateButton\" title=\"Are you a good candidate?\" href=\"/contact/\">Are you a good candidate?</a>\n\n</div>\n</div>\n</div>\n<div class=\"clear\"></div>\n<div class=\"about\">\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>\n<div class=\"col-md-7 about_holder\">\n<h1>Peter A. Fields, <span class=\"nowrap\">MD, DC</span></h1>\n<p class=\"intro_text\">Medical Physician and Chiropractor\nThe Athletic Doc<sup>®</sup> - 11x Ironman Triathlete</p>\n\n</div>\n<div class=\"col-md-3\">\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>\n<div class=\"about_text\">\n<h3>About</h3>\nPeter A. Fields, MD, DC is one of a handful of physicians in the nation with both medical and chiropractic degrees...\n\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/dr-fields-bio/\">Read More</a>\n\n</div>\n</div>\n<div class=\"col-md-3\">\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>\n<div class=\"about_text\">\n<h3>11x Ironman</h3>\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...\n\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">Read More</a>\n\n</div>\n</div>\n</div>\n<div class=\"clear\"></div>\n&nbsp;\n\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Call Us Today! 310-453-1234</a>','Home','','inherit','closed','closed','','2109-autosave-v1','','','2023-09-20 02:29:49','2023-09-20 02:29:49','',2109,'https://www.drfields.com/?p=5559',0,'revision','',0),(5560,8,'2022-10-31 04:35:51','2022-10-31 04:35:51','<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/2019/06/header-orthoregen-4.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/07/Slider-2v05072022.png\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/05/header-orthoregen-santa-monica-pier.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">New Article:</span>\r\n<span class=\"header_text_second\">Keep Looking Forward Despite COVID-19</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dealing-with-covid-19/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-11.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-9.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Get Back In The Game!</span>\r\n<span class=\"header_text_second\">Avoid Joint and Spine Surgery </span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">Stem Cell/PRP/Prolotherapy</span>\r\n<a class=\"btn-more\" title=\"Get Help Now!\" href=\"Contact-Us\"> Get Help Now!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item slide-article\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/05/header-orthoregen-ocean-mountains.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_second\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/12/Kili-top-header-2.jpg\');\">\r\n<div class=\"carousel-caption\" style=\"text-align: left;\"><span class=\"header_text_first\">Congratulations\r\nPeter A. Fields, MD, DC</span>\r\n<span class=\"header_text_second\">The Athletic Doc<sup>®</sup>\r\nsuccessfully climbed</span>\r\n<span class=\"header_text_third white-text\">Mt. Kilimanjaro in\r\nTanzania, Africa.19,341 feet!!!</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/report-of-my-kilimanjaro-climb/\">Read More</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/12/Sider-01-V8.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Peter A. Fields, MD, DC\r\nThe Athletic Doc<sup>®</sup></span>\r\n<span class=\"header_text_second\">Completed His 11th Ironman</span>\r\n<span class=\"header_text_third\">Sunday, November 24th in Cozumel Mexico</span>\r\n<a class=\"btn-more\" title=\"Read More\" href=\"#\">Images &amp; Story Coming Soon</a></div>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"jumbotron-fluid\">\r\n<div class=\"row\">\r\n<div class=\"col-md-4 box1\">\r\n\r\nWhat\'s\r\n<h3>New</h3>\r\n<ul>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/avoid-knee-surgery-in-middle-age/\" target=\"_blank\" rel=\"noopener\">Avoid Knee Surgery in Middle Age</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/stem-cells-are-gaining-in-popularity/\">Stem Cells Are Gaining in Popularity</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/tennis-elbow-its-not-strictly-an-injury-afflicting-athletes/\">Tennis Elbow: It’s Not Strictly An Injury Afflicting Athletes</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/patellar-tendinopathy/\">Patellar Tendinopathy</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/sprained-ankle/\">Sprained Ankle?</a></li>\r\n 	<li><a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-neck-pain/\">Stubborn, Persistent Neck Pain</a></li>\r\n</ul>\r\n</div>\r\n<div id=\"testimonials\" class=\"col-md-4 box2\">\r\n\r\nPatient\r\n<h3>Testimonials</h3>\r\n<strong>Video:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I wished I had come earlier and listened to what my physical therapist had told me to do because Dr. Fields has been a real solution for me.\"\r\n\r\n<img class=\"testimonial-img\" title=\"Testimonial\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-larry.png\" alt=\"Testimonial\" />\r\n<h3>Larry</h3>\r\n<h4>Stem Cell Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I highly recommend it to anyone who needs to recover fast and get back out there.\"\r\n\r\n<img class=\"testimonial-img\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-christopher.png\" alt=\"\" />\r\n<h3>Chris, Pro Basketball Player</h3>\r\n<h4>PRP Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"Now I can go walking, I go to my ballet class and I’m a happy camper because of Dr. Fields.\"\r\n\r\n<img class=\"testimonial-img\" title=\"\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-mary.png\" alt=\"Testimonial\" />\r\n<h3>Mary</h3>\r\n<h4>Stem Cell Hip</h4>\r\n</div>\r\n</div>\r\n<strong>Written:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I need to say a big thank you to Dr Fields for getting me back on the tennis court. I am an avid tennis player who tried to ignore the terrible pain in my elbow.\"\r\n<h3 style=\"margin-left: 0;\">Mindy</h3>\r\n<h4 style=\"margin-left: 0;\">Elbow</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I chose Dr. Peter Fields because he is an athlete and would have more direct knowledge of my particular circumstances than anyone else.\"\r\n<h3 style=\"margin-left: 0;\">Robert</h3>\r\n<h4 style=\"margin-left: 0;\">Shoulder</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"After the final treatments ended I am still without all the pain and have more muscle strength in my legs.\"\r\n<h3 style=\"margin-left: 0;\">Lois</h3>\r\n<h4 style=\"margin-left: 0;\">Knee</h4>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"col-md-4 box3\">\r\n\r\nNews &amp;\r\n<h3>Events</h3>\r\n<ul>\r\n 	<li><a href=\"https://www.drfields.com/articles/health-news/dr-fields-to-lecture-in-mexico-city-on-july-9th/\">Peter A. Fields, MD, DC to lecture in Mexico City on July 9th</a></li>\r\n 	<li><a class=\"buttonlink\" style=\"width: 100%; font-size: 24px; text-align: center; padding: 25px 8%;\" href=\"https://www.drfields.com/contact/\"> Are you a Stem Cell Candidate?</a></li>\r\n</ul>\r\n</div>\r\n</div>\r\n</div>\r\n<div id=\"search-articles\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n<h2 class=\"text-center\">Search <b>Dr. Fields\'</b> Articles</h2>\r\n<form id=\"searchform\" action=\"/\" method=\"get\"><input class=\"search-field\" name=\"s\" type=\"text\" placeholder=\"What\'s Your Condition?\" />\r\n<input type=\"submit\" value=\"Search\" /></form></div>\r\n</div>\r\n</div>\r\n<div id=\"intro\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n<h1 class=\"text-center\">Welcome to OrthoRegen<sup>®</sup>!</h1>\r\n<p class=\"intro_text welcome\"><a href=\"http://orthoregen.com\"><span style=\"font-size: 26px;\">OrthoRegen<sup>®</sup></span></a> is dedicated to providing the best of <span class=\"nowrap\">Regenerative Orthopedics</span> by offering non-surgical alternatives for joint and spine repair</p>\r\n<a class=\"primaryButton\" title=\"Read More About U\" href=\"https://www.drfields.com/about/orthoregen-our-philosophy/\">Read More About Us</a>\r\n<a id=\"candidateButton\" title=\"Are you a good candidate?\" href=\"/contact/\">Are you a good candidate?</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"about\">\r\n<div class=\"col-md-5 drfields\"><img class=\"alignnone\" title=\"Regenerative Orthopedics Leader\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/dr-fields.png\" alt=\"Regenerative Orthopedics Leader\" width=\"460\" height=\"737\" /></div>\r\n<div class=\"col-md-7 about_holder\">\r\n<h1>Peter A. Fields, <span class=\"nowrap\">MD, DC</span></h1>\r\n<p class=\"intro_text\">Medical Physician and Chiropractor\r\nThe Athletic Doc<sup>®</sup> - 11x Ironman Triathlete</p>\r\n\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"icon info\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-info.png\" alt=\"icon info\" /></div>\r\n<div class=\"about_text\">\r\n<h3>About</h3>\r\nPeter A. Fields, MD, DC is one of a handful of physicians in the nation with both medical and chiropractic degrees...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/dr-fields-bio/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"Man Icon\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-ironman.png\" alt=\"Man Icon\" /></div>\r\n<div class=\"about_text\">\r\n<h3>11x Ironman</h3>\r\nDr. Peter A. Fields is also known as The Athletic Doc<sup>®</sup> He not only treats athletes in his practice but is an athlete himself. For over...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n&nbsp;\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Call Us Today! 310-453-1234</a>','Home','','inherit','closed','closed','','2109-revision-v1','','','2022-10-31 04:35:51','2022-10-31 04:35:51','',2109,'https://www.drfields.com/?p=5560',0,'revision','',0),(5561,8,'2022-11-01 17:02:23','2022-11-01 17:02:23','','iwp_log_6361511f18487','','publish','closed','closed','','iwp_log_6361511f18487','','','2022-11-01 17:02:23','2022-11-01 17:02:23','',0,'https://www.drfields.com/iwp_log/iwp_log_6361511f18487/',0,'iwp_log','',0),(5562,8,'2022-11-01 17:02:40','2022-11-01 17:02:40','','iwp_log_636151303f62b','','publish','closed','closed','','iwp_log_636151303f62b','','','2022-11-01 17:02:40','2022-11-01 17:02:40','',0,'https://www.drfields.com/iwp_log/iwp_log_636151303f62b/',0,'iwp_log','',0),(5563,8,'2022-11-01 17:03:12','2022-11-01 17:03:12','','iwp_log_63615150697fb','','publish','closed','closed','','iwp_log_63615150697fb','','','2022-11-01 17:03:12','2022-11-01 17:03:12','',0,'https://www.drfields.com/iwp_log/iwp_log_63615150697fb/',0,'iwp_log','',0),(5564,8,'2022-11-01 17:04:49','2022-11-01 17:04:49','','iwp_log_636151b125fe7','','publish','closed','closed','','iwp_log_636151b125fe7','','','2022-11-01 17:04:49','2022-11-01 17:04:49','',0,'https://www.drfields.com/iwp_log/iwp_log_636151b125fe7/',0,'iwp_log','',0),(5573,8,'2022-11-02 09:33:55','2022-11-02 09:33:55','0 Header Orthoregen V1 021120','0 Header Orthoregen V1 021120','0 Header Orthoregen V1 021120','inherit','closed','closed','','0_header-orthoregen-v1-021120','','','2022-11-02 09:33:55','2022-11-02 09:33:55','',0,'https://www.drfields.com/wp-content/uploads/2022/11/0_header-orthoregen-v1-021120.jpeg',0,'attachment','image/jpeg',0),(5574,8,'2022-11-02 09:33:59','2022-11-02 09:33:59','0 Kili Top Header V1 021120','0 Kili Top Header V1 021120','0 Kili Top Header V1 021120','inherit','closed','closed','','0_kili-top-header-v1-021120','','','2022-11-02 09:34:00','2022-11-02 09:34:00','',0,'https://www.drfields.com/wp-content/uploads/2022/11/0_Kili-top-header-v1-021120.jpeg',0,'attachment','image/jpeg',0),(5575,8,'2022-11-02 09:34:05','2022-11-02 09:34:05','Dr Fields V1 021120','Dr Fields V1 021120','Dr Fields V1 021120','inherit','closed','closed','','dr-fields-v1-021120','','','2022-11-02 09:34:05','2022-11-02 09:34:05','',0,'https://www.drfields.com/wp-content/uploads/2022/11/dr-fields-v1-021120.png',0,'attachment','image/png',0),(5576,8,'2022-11-02 09:34:09','2022-11-02 09:34:09','Header Orthoregen Ocean Mountains V1 021120','Header Orthoregen Ocean Mountains V1 021120','Header Orthoregen Ocean Mountains V1 021120','inherit','closed','closed','','header-orthoregen-ocean-mountains-v1-021120','','','2022-11-02 09:34:09','2022-11-02 09:34:09','',0,'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-ocean-mountains-v1-021120.jpeg',0,'attachment','image/jpeg',0),(5577,8,'2022-11-02 09:34:13','2022-11-02 09:34:13','Header Orthoregen Santa Monica Pier V1 021120','Header Orthoregen Santa Monica Pier V1 021120','Header Orthoregen Santa Monica Pier V1 021120','inherit','closed','closed','','header-orthoregen-santa-monica-pier-v1-021120','','','2022-11-02 09:34:13','2022-11-02 09:34:13','',0,'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-santa-monica-pier-v1-021120.jpeg',0,'attachment','image/jpeg',0),(5578,8,'2022-11-02 09:34:17','2022-11-02 09:34:17','Header Orthoregen V1 021120','Header Orthoregen V1 021120','Header Orthoregen V1 021120','inherit','closed','closed','','header-orthoregen-v1-021120','','','2022-11-02 09:34:17','2022-11-02 09:34:17','',0,'https://www.drfields.com/wp-content/uploads/2022/11/header-orthoregen-v1-021120.jpeg',0,'attachment','image/jpeg',0),(5579,8,'2022-11-02 09:34:21','2022-11-02 09:34:21','Sider 01 V1 021120','Sider 01 V1 021120','Sider 01 V1 021120','inherit','closed','closed','','sider-01-v1-021120','','','2022-11-02 09:34:21','2022-11-02 09:34:21','',0,'https://www.drfields.com/wp-content/uploads/2022/11/Sider-01-v1-021120.jpeg',0,'attachment','image/jpeg',0),(5580,8,'2022-11-02 09:34:25','2022-11-02 09:34:25','Slider V1 021120','Slider V1 021120','Slider V1 021120','inherit','closed','closed','','slider-v1-021120','','','2022-11-02 09:34:25','2022-11-02 09:34:25','',0,'https://www.drfields.com/wp-content/uploads/2022/11/Slider-v1-021120.jpg',0,'attachment','image/jpeg',0),(5581,8,'2022-11-02 09:36:51','2022-11-02 09:36:51','<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-4-min-v021122.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/Slider-2v05072022-min-v2.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-v021122.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">New Article:</span>\r\n<span class=\"header_text_second\">Keep Looking Forward Despite COVID-19</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dealing-with-covid-19/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-11.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/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-V8-v021122.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Peter A. Fields, MD, DC\r\nThe Athletic Doc<sup>®</sup></span>\r\n<span class=\"header_text_second\">Completed His 11th Ironman</span>\r\n<span class=\"header_text_third\">Sunday, November 24th in Cozumel Mexico</span>\r\n<a class=\"btn-more\" title=\"Read More\" href=\"#\">Images &amp; Story Coming Soon</a></div>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"jumbotron-fluid\">\r\n<div class=\"row\">\r\n<div class=\"col-md-4 box1\">\r\n\r\nWhat\'s\r\n<h3>New</h3>\r\n<ul>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/avoid-knee-surgery-in-middle-age/\" target=\"_blank\" rel=\"noopener\">Avoid Knee Surgery in Middle Age</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/stem-cells-are-gaining-in-popularity/\">Stem Cells Are Gaining in Popularity</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/tennis-elbow-its-not-strictly-an-injury-afflicting-athletes/\">Tennis Elbow: It’s Not Strictly An Injury Afflicting Athletes</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/patellar-tendinopathy/\">Patellar Tendinopathy</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/sprained-ankle/\">Sprained Ankle?</a></li>\r\n 	<li><a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-neck-pain/\">Stubborn, Persistent Neck Pain</a></li>\r\n</ul>\r\n</div>\r\n<div id=\"testimonials\" class=\"col-md-4 box2\">\r\n\r\nPatient\r\n<h3>Testimonials</h3>\r\n<strong>Video:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I wished I had come earlier and listened to what my physical therapist had told me to do because Dr. Fields has been a real solution for me.\"\r\n\r\n<img class=\"testimonial-img\" title=\"Testimonial\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-larry.png\" alt=\"Testimonial\" />\r\n<h3>Larry</h3>\r\n<h4>Stem Cell Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I highly recommend it to anyone who needs to recover fast and get back out there.\"\r\n\r\n<img class=\"testimonial-img\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-christopher.png\" alt=\"\" />\r\n<h3>Chris, Pro Basketball Player</h3>\r\n<h4>PRP Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"Now I can go walking, I go to my ballet class and I’m a happy camper because of Dr. Fields.\"\r\n\r\n<img class=\"testimonial-img\" title=\"\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-mary.png\" alt=\"Testimonial\" />\r\n<h3>Mary</h3>\r\n<h4>Stem Cell Hip</h4>\r\n</div>\r\n</div>\r\n<strong>Written:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I need to say a big thank you to Dr Fields for getting me back on the tennis court. I am an avid tennis player who tried to ignore the terrible pain in my elbow.\"\r\n<h3 style=\"margin-left: 0;\">Mindy</h3>\r\n<h4 style=\"margin-left: 0;\">Elbow</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I chose Dr. Peter Fields because he is an athlete and would have more direct knowledge of my particular circumstances than anyone else.\"\r\n<h3 style=\"margin-left: 0;\">Robert</h3>\r\n<h4 style=\"margin-left: 0;\">Shoulder</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"After the final treatments ended I am still without all the pain and have more muscle strength in my legs.\"\r\n<h3 style=\"margin-left: 0;\">Lois</h3>\r\n<h4 style=\"margin-left: 0;\">Knee</h4>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"col-md-4 box3\">\r\n\r\nNews &amp;\r\n<h3>Events</h3>\r\n<ul>\r\n 	<li><a href=\"https://www.drfields.com/articles/health-news/dr-fields-to-lecture-in-mexico-city-on-july-9th/\">Peter A. Fields, MD, DC to lecture in Mexico City on July 9th</a></li>\r\n 	<li><a class=\"buttonlink\" style=\"width: 100%; font-size: 24px; text-align: center; padding: 25px 8%;\" href=\"https://www.drfields.com/contact/\"> Are you a Stem Cell Candidate?</a></li>\r\n</ul>\r\n</div>\r\n</div>\r\n</div>\r\n<div id=\"search-articles\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n<h2 class=\"text-center\">Search <b>Dr. Fields\'</b> Articles</h2>\r\n<form id=\"searchform\" action=\"/\" method=\"get\"><input class=\"search-field\" name=\"s\" type=\"text\" placeholder=\"What\'s Your Condition?\" />\r\n<input type=\"submit\" value=\"Search\" /></form></div>\r\n</div>\r\n</div>\r\n<div id=\"intro\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n<h1 class=\"text-center\">Welcome to OrthoRegen<sup>®</sup>!</h1>\r\n<p class=\"intro_text welcome\"><a href=\"http://orthoregen.com\"><span style=\"font-size: 26px;\">OrthoRegen<sup>®</sup></span></a> is dedicated to providing the best of <span class=\"nowrap\">Regenerative Orthopedics</span> by offering non-surgical alternatives for joint and spine repair</p>\r\n<a class=\"primaryButton\" title=\"Read More About U\" href=\"https://www.drfields.com/about/orthoregen-our-philosophy/\">Read More About Us</a>\r\n<a id=\"candidateButton\" title=\"Are you a good candidate?\" href=\"/contact/\">Are you a good candidate?</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"about\">\r\n<div class=\"col-md-5 drfields\"><img class=\"alignnone\" title=\"Regenerative Orthopedics Leader\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/dr-fields.png\" alt=\"Regenerative Orthopedics Leader\" width=\"460\" height=\"737\" /></div>\r\n<div class=\"col-md-7 about_holder\">\r\n<h1>Peter A. Fields, <span class=\"nowrap\">MD, DC</span></h1>\r\n<p class=\"intro_text\">Medical Physician and Chiropractor\r\nThe Athletic Doc<sup>®</sup> - 11x Ironman Triathlete</p>\r\n\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"icon info\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-info.png\" alt=\"icon info\" /></div>\r\n<div class=\"about_text\">\r\n<h3>About</h3>\r\nPeter A. Fields, MD, DC is one of a handful of physicians in the nation with both medical and chiropractic degrees...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/dr-fields-bio/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"Man Icon\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-ironman.png\" alt=\"Man Icon\" /></div>\r\n<div class=\"about_text\">\r\n<h3>11x Ironman</h3>\r\nDr. Peter A. Fields is also known as The Athletic Doc<sup>®</sup> He not only treats athletes in his practice but is an athlete himself. For over...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n&nbsp;\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Call Us Today! 310-453-1234</a>','Home','','inherit','closed','closed','','2109-revision-v1','','','2022-11-02 09:36:51','2022-11-02 09:36:51','',2109,'https://www.drfields.com/?p=5581',0,'revision','',0),(5582,8,'2022-11-02 09:42:29','2022-11-02 09:42:29','<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/2022/11/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/articles/regenerative-orthopedics/avoid-knee-surgery-in-middle-age/\" target=\"_blank\" rel=\"noopener\">Avoid Knee Surgery in Middle Age</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/stem-cells-are-gaining-in-popularity/\">Stem Cells Are Gaining in Popularity</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/tennis-elbow-its-not-strictly-an-injury-afflicting-athletes/\">Tennis Elbow: It’s Not Strictly An Injury Afflicting Athletes</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/patellar-tendinopathy/\">Patellar Tendinopathy</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/sprained-ankle/\">Sprained Ankle?</a></li>\r\n 	<li><a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-neck-pain/\">Stubborn, Persistent Neck Pain</a></li>\r\n</ul>\r\n</div>\r\n<div id=\"testimonials\" class=\"col-md-4 box2\">\r\n\r\nPatient\r\n<h3>Testimonials</h3>\r\n<strong>Video:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I wished I had come earlier and listened to what my physical therapist had told me to do because Dr. Fields has been a real solution for me.\"\r\n\r\n<img class=\"testimonial-img\" title=\"Testimonial\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-larry.png\" alt=\"Testimonial\" />\r\n<h3>Larry</h3>\r\n<h4>Stem Cell Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I highly recommend it to anyone who needs to recover fast and get back out there.\"\r\n\r\n<img class=\"testimonial-img\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-christopher.png\" alt=\"\" />\r\n<h3>Chris, Pro Basketball Player</h3>\r\n<h4>PRP Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"Now I can go walking, I go to my ballet class and I’m a happy camper because of Dr. Fields.\"\r\n\r\n<img class=\"testimonial-img\" title=\"\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-mary.png\" alt=\"Testimonial\" />\r\n<h3>Mary</h3>\r\n<h4>Stem Cell Hip</h4>\r\n</div>\r\n</div>\r\n<strong>Written:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I need to say a big thank you to Dr Fields for getting me back on the tennis court. I am an avid tennis player who tried to ignore the terrible pain in my elbow.\"\r\n<h3 style=\"margin-left: 0;\">Mindy</h3>\r\n<h4 style=\"margin-left: 0;\">Elbow</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I chose Dr. Peter Fields because he is an athlete and would have more direct knowledge of my particular circumstances than anyone else.\"\r\n<h3 style=\"margin-left: 0;\">Robert</h3>\r\n<h4 style=\"margin-left: 0;\">Shoulder</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"After the final treatments ended I am still without all the pain and have more muscle strength in my legs.\"\r\n<h3 style=\"margin-left: 0;\">Lois</h3>\r\n<h4 style=\"margin-left: 0;\">Knee</h4>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"col-md-4 box3\">\r\n\r\nNews &amp;\r\n<h3>Events</h3>\r\n<ul>\r\n 	<li><a href=\"https://www.drfields.com/articles/health-news/dr-fields-to-lecture-in-mexico-city-on-july-9th/\">Peter A. Fields, MD, DC to lecture in Mexico City on July 9th</a></li>\r\n 	<li><a class=\"buttonlink\" style=\"width: 100%; font-size: 24px; text-align: center; padding: 25px 8%;\" href=\"https://www.drfields.com/contact/\"> Are you a Stem Cell Candidate?</a></li>\r\n</ul>\r\n</div>\r\n</div>\r\n</div>\r\n<div id=\"search-articles\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n<h2 class=\"text-center\">Search <b>Dr. Fields\'</b> Articles</h2>\r\n<form id=\"searchform\" action=\"/\" method=\"get\"><input class=\"search-field\" name=\"s\" type=\"text\" placeholder=\"What\'s Your Condition?\" />\r\n<input type=\"submit\" value=\"Search\" /></form></div>\r\n</div>\r\n</div>\r\n<div id=\"intro\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n<h1 class=\"text-center\">Welcome to OrthoRegen<sup>®</sup>!</h1>\r\n<p class=\"intro_text welcome\"><a href=\"http://orthoregen.com\"><span style=\"font-size: 26px;\">OrthoRegen<sup>®</sup></span></a> is dedicated to providing the best of <span class=\"nowrap\">Regenerative Orthopedics</span> by offering non-surgical alternatives for joint and spine repair</p>\r\n<a class=\"primaryButton\" title=\"Read More About U\" href=\"https://www.drfields.com/about/orthoregen-our-philosophy/\">Read More About Us</a>\r\n<a id=\"candidateButton\" title=\"Are you a good candidate?\" href=\"/contact/\">Are you a good candidate?</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"about\">\r\n<div class=\"col-md-5 drfields\"><img class=\"alignnone\" title=\"Regenerative Orthopedics Leader\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/dr-fields.png\" alt=\"Regenerative Orthopedics Leader\" width=\"460\" height=\"737\" /></div>\r\n<div class=\"col-md-7 about_holder\">\r\n<h1>Peter A. Fields, <span class=\"nowrap\">MD, DC</span></h1>\r\n<p class=\"intro_text\">Medical Physician and Chiropractor\r\nThe Athletic Doc<sup>®</sup> - 11x Ironman Triathlete</p>\r\n\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"icon info\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-info.png\" alt=\"icon info\" /></div>\r\n<div class=\"about_text\">\r\n<h3>About</h3>\r\nPeter A. Fields, MD, DC is one of a handful of physicians in the nation with both medical and chiropractic degrees...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/dr-fields-bio/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"Man Icon\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-ironman.png\" alt=\"Man Icon\" /></div>\r\n<div class=\"about_text\">\r\n<h3>11x Ironman</h3>\r\nDr. Peter A. Fields is also known as The Athletic Doc<sup>®</sup> He not only treats athletes in his practice but is an athlete himself. For over...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n&nbsp;\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Call Us Today! 310-453-1234</a>','Home','','inherit','closed','closed','','2109-revision-v1','','','2022-11-02 09:42:29','2022-11-02 09:42:29','',2109,'https://www.drfields.com/?p=5582',0,'revision','',0),(5583,8,'2022-11-02 09:47:55','2022-11-02 09:47:55','<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/2022/11/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/articles/regenerative-orthopedics/avoid-knee-surgery-in-middle-age/\" target=\"_blank\" rel=\"noopener\">Avoid Knee Surgery in Middle Age</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/stem-cells-are-gaining-in-popularity/\">Stem Cells Are Gaining in Popularity</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/tennis-elbow-its-not-strictly-an-injury-afflicting-athletes/\">Tennis Elbow: It’s Not Strictly An Injury Afflicting Athletes</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/patellar-tendinopathy/\">Patellar Tendinopathy</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/sprained-ankle/\">Sprained Ankle?</a></li>\r\n 	<li><a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-neck-pain/\">Stubborn, Persistent Neck Pain</a></li>\r\n</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','','','2022-11-02 09:47:55','2022-11-02 09:47:55','',2109,'https://www.drfields.com/?p=5583',0,'revision','',0),(5584,9,'2022-11-02 23:07:13','2022-11-02 23:07:13','<h4>Stem Cell Treatment for Joints and Spine - Alternative To Joint Replacement</h4>\r\n<div id=\"youtubeleft\" class=\"youtube-click-div \">[video_lightbox_youtube video_id=\"YoXRC87KNuM\" width=\"640\" height=\"480\" anchor=\"https://www.drfields.com/wp-content/uploads/2019/06/stemcell.jpg\" alt=\"Stem Cell Knee\"]\r\n<strong>Knee Treatment</strong></div>\r\n<div id=\"youtubeleft\" class=\"youtube-click-div \">[video_lightbox_youtube video_id=\"IajO8GpFeng\" width=\"640\" height=\"480\" anchor=\"https://www.drfields.com/wp-content/uploads/2019/06/stemcell1.jpg\" alt=\"Stem Cell Hip\"]\r\n<strong>Stem Cell Hip</strong></div>\r\n<i>Regenerating a person\'s joints and spine is not something of the future: <strong>it is happening today!</strong> Last year in the US, there were 3.5 million total joint replacements and another 35 million joint surgeries. Surgery can always be done but never un-done, which is why people in increasing numbers are seeking non-surgical alternatives to joint and spine surgery. Cutting out a part of a joint or injecting it with steroids is not the answer. Stem Cell Treatment for Joints is the answer. </i>\r\n\r\nWatch the testimonials on this page, or see many more on our <a href=\"https://www.drfields.com/Testimonials/Cellular-Regeneration-Testimonials/\">Testimonials Page</a>.\r\n<div class=\"clear\"></div>\r\n<h4>Who Needs Stem Cell Treatment?</h4>\r\nStem Cell Treatment for Joints and Spine is a great alternative for people who have been told they need joint replacement surgery. At OrthoRegen<sup>®</sup>, we utilize the Gold Standard in Stem Cell Treatments, which is an effective non-surgical alternative, and one that very well may help you<span style=\"text-decoration: underline;\"> <em>Avoid Joint Replacement Surgery</em></span>.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>\r\n\r\n<strong>If you have been told</strong> that you have any of these conditions...\r\n<ul>\r\n 	<li>Bone-on-bone</li>\r\n 	<li>Severe arthritis</li>\r\n 	<li>A degenerated joint</li>\r\n 	<li>Your cartilage has been worn away,</li>\r\n 	<li>The only option left is to have your joint replaced...</li>\r\n</ul>\r\n...you now have another option.\r\n\r\nThat\'s because your Stem Cells have the potential to regenerate into any type of body tissue. Their use in regenerative medicine is growing in popularity in the medical world as an <em>alternative to invasive orthopedic surgeries including total joint replacement</em>. The remarkable thing about Stem Cells is the fact that when you inject them into a specific area of the body, they know what kinds of cells your body needs – for example, meniscus cells or cartilage cells.\r\n<h4>What is our Stem Cell Procedure for Joints and Spine?</h4>\r\nOur Stem Cell technique we use for joints and spine is <strong><em>The Gold Standard</em></strong> for stem cell regeneration. We use all four kinds of regenerative Orthopedics for this procedure to help you avoid invasive surgery. Many other clinics only use one or two of these procedures, but not all four.\r\n<ul>\r\n 	<li>We use bone marrow stem cells as well as adipose (fat) stem cells.</li>\r\n 	<li>Both solutions are then centrifuged and concentrated to get a solution with the highest amount of stem cells. We inject both of these sources of stem cells into the joint.</li>\r\n 	<li>We then use <a href=\"https://www.drfields.com/regenerative-techniques/prp-treatment/\">PRP Prolotherapy</a> to accelerate their healing.</li>\r\n 	<li>In addition, we use <a title=\"Prolotherapy\" href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-treatment-overview/\">Dextrose Prolotherapy</a> on the outside of the joint to help stabilize the ligaments and tendons that hold the joint in place.</li>\r\n</ul>\r\nUsing two sources of stem cells (bone and fat) as well as PRP Prolotherapy and Dextrose Prolotherapy is <strong><em>The Gold Standard</em></strong> for stem cell regeneration.\r\n\r\nAgain, this procedure is usually used for cases where you have been told to have their joint replaced, have bone-on-bone, advanced arthritis, severe meniscus or labral tear or other aggressive injuries. This is only recommended after a very thorough history and physical exam. It is important to have an x-ray to confirm what is known from the above exams. Not everyone is a candidate for this procedure, but many are.\r\n\r\nWhy is it so important that you know about this alternative to joint replacement surgery? Because <strong><em>once surgery is done, it cannot be un-done!</em></strong>\r\n<a href=\"https://www.carecredit.com/go/762HNB/bb3poscustacqbtnclk08132020/?dtc=Ds5X&amp;promocode=CLT/\"><img style=\"max-width: 100%; margin: 0 auto;\" src=\"https://www.carecredit.com/sites/pc/image/carecredit_button_applynow_280x100_a_v1.jpg\" width=\"275\" /></a>\r\n<h4>Why Stem Cell Therapy Works: Types of Stem Cells</h4>\r\n<strong>Bone Marrow Stem Cells</strong>\r\nStem cells are contained within bone marrow. This has been shown in studies for many years now. Harvesting them from one’s own body eliminates the possibility of cross reaction or rejection since it is your own body supplying the stem cells.  This autologous (meaning \"obtained from oneself\") bone marrow aspirate contains not only mesenchymal stem cells (cells that are able to develop into the tissues such as bone and cartilage) but also progenitor cells, which are a different type of stem-like cell.\r\n\r\nBone marrow also contains other cells that produce growth factors and cytokines (cells that affect the behavior of other cells). These cytokines aid in fibroblastic proliferation. Fibroblasts are cells that synthesize the structural framework.  Stem cells have the ability to form tissues like bone, cartilage, labrum, meniscus, ligaments and more.  All this allows for repair and remodeling of cartilage, bone and other soft tissue structures such as meniscus, labrums, ligaments and tendons.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>\r\n\r\n<strong>Adipose Stem Cells </strong>\r\nOn the other hand adipose tissue is also a rich source of adult stem cells. These cells, harvested from one’s own fat, have an extensive proliferative capacity and can differentiate into multiple cell lines. Stem cells derived from adipose tissue can differentiate ligaments, bone, cartilage, muscle or ligaments. This type of stem cell is now being used in musculoskeletal medicine to regenerate not only the above tissues but to provide a scaffolding to hold the stem cells in place and allow them to grow. Adipose-derived stem cells are similar to, but not identical to bone marrow cells.\r\n\r\n<img class=\"alignleft wp-image-732 size-full\" title=\"stem cell treatment los angeles\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Stem-Cell1.jpg\" alt=\"Stem Cell1\" width=\"215\" height=\"167\" />Not all injuries require stem cells to heal. The success rate with traditional Prolotherapy (both Dextrose and PRP) is in the 90%+ range for all patients. However, for those cases of advanced arthritis, severe meniscus tears or labral tears, bone-on-bone, aggressive injuries or where one has been told to have their joint replaced, some may need to use Stem Cell Prolotherapy to regenerate the defective joint. I use this in combination with <a href=\"https://www.drfields.com/regenerative-techniques/prp-treatment/\">PRP Prolotherapy</a> (to accelerate the stem cell healing) and with <a href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-treatment-overview/\">Dextrose Prolotherapy</a> (to strengthen and stabilize the surrounding support structures).\r\n\r\nAs more and more research comes out, what is known by a few physicians is being proven. A recent research study was conducted and titled, “Transplanted bone marrow and fat mesenchymal stem cells with platelet-rich fibrin glue scaffold stimulates full-thickness cartilage defects to heal.”\r\n<h4>Research On Stem Cell Treatment for Joints</h4>\r\nSeveral human studies using bone marrow and fat stem cells for articular cartilage lesions have been done. Articular cartilage is a type of cartilage that covers joint surfaces and is most susceptible to injury compared to other types of cartilage. Researchers at Cairo University School of Medicine and the University of Pittsburgh School of Medicine reported on the use of bone marrow mesenchymal stem cells and a platelet-rich fibrin scaffold to heal full-thickness cartilage defects in five patients. The researchers studied the treatment results from the bone marrow mesenchymal stem cells with success.\r\n\r\n<img class=\"alignright wp-image-735 size-full\" title=\"stem cell treatment los angeles\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Stem-Cell2.jpg\" alt=\"Stem Cell2\" width=\"200\" height=\"267\" />Articular Cartilage has limited repair capacity and marrow-stimulation procedures such as micro fracture, osteochondral grafts and autologous cartilage implantations have had limited success in articular cartilage defects. The researchers from this study chose mesenchymal stem cells from bone marrow because these have the ability to differentiate into cartilage cells. In the case of these five patients the bone marrow was harvested from the iliac crest (hip bone).\r\n\r\nPlatelets were used as a scaffold because platelets contain various growth factors that stimulate cartilage regeneration. The researchers expected that the biological effect of multiple growth factors on tissue regeneration is greater than that of a single growth factor.\r\n<h3><strong>Stem Cell Treatment Results</strong></h3>\r\nThe patients showed significant functional improvement. Two of the patients underwent arthroscopy after the transplantation and showed near normal articular cartilage. Three postoperative MRIs revealed complete healing and congruent cartilage tissue, whereas two patient MRIs showed incomplete (it was partial and not 100% complete) congruity in the cartilage tissue.\r\n\r\nThe researchers concluded that the transplantation of autologous culture-expanded bone marrow-mesenchymal stem cells in platelet rich-fibrin glue shows great promise in the treatment of full-thickness articular cartilage defects, particularly large-sized defects (&gt;4 cm).  The positive 1 year clinical outcomes support further randomized controlled clinical trials of this treatment modality with larger numbers of patients and longer follow-up periods.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>\r\n<h4>How Can Stem Cell Therapy Help Your Joints or Spine</h4>\r\nIf you\'ve been told that you need to have joint replacement surgery -- whether that\'s knee replacement surgery, hip replacement surgery, shoulder replacement surgery (or any other joint), or if you\'ve been told that you need to have spine surgery due to arthritis, bone-on-bone, or other conditions, you owe it to yourself to examine all other alternatives to surgery before going under the knife.\r\n\r\nJoint Replacement Surgery and Spine Surgery are very invasive procedures, and each comes with its own long list of reasons to avoid it at all costs: hospital stays, potential (dangerous) complications, long recovery times, and the need to have the procedure redone at some point. Make an appointment with Dr. Peter Fields for an evaluation to see if you are a good candidate for my Gold Standard Stem Cell Treatment for Joints and Spine. Click the blue button on this page, or call <a href=\"tel:+[phone_raw]\">[phone]</a>, to make an appointment now.','Stem Cell Treatment','','inherit','closed','closed','','431-revision-v1','','','2022-11-02 23:07:13','2022-11-02 23:07:13','',431,'https://www.drfields.com/?p=5584',0,'revision','',0),(5585,9,'2022-11-02 23:08:34','2022-11-02 23:08:34','<h4>Stem Cell Treatment Los Angeles for Joints and Spine - Alternative To Joint Replacement</h4>\r\n<div id=\"youtubeleft\" class=\"youtube-click-div \">[video_lightbox_youtube video_id=\"YoXRC87KNuM\" width=\"640\" height=\"480\" anchor=\"https://www.drfields.com/wp-content/uploads/2019/06/stemcell.jpg\" alt=\"Stem Cell Knee\"]\r\n<strong>Knee Treatment</strong></div>\r\n<div id=\"youtubeleft\" class=\"youtube-click-div \">[video_lightbox_youtube video_id=\"IajO8GpFeng\" width=\"640\" height=\"480\" anchor=\"https://www.drfields.com/wp-content/uploads/2019/06/stemcell1.jpg\" alt=\"Stem Cell Hip\"]\r\n<strong>Stem Cell Hip</strong></div>\r\n<i>Regenerating a person\'s joints and spine is not something of the future: <strong>it is happening today!</strong> Last year in the US, there were 3.5 million total joint replacements and another 35 million joint surgeries. Surgery can always be done but never un-done, which is why people in increasing numbers are seeking non-surgical alternatives to joint and spine surgery. Cutting out a part of a joint or injecting it with steroids is not the answer. Stem Cell Treatment for Joints is the answer. </i>\r\n\r\nWatch the testimonials on this page, or see many more on our <a href=\"https://www.drfields.com/Testimonials/Cellular-Regeneration-Testimonials/\">Testimonials Page</a>.\r\n<div class=\"clear\"></div>\r\n<h4>Who Needs Stem Cell Treatment in Los Angeles?</h4>\r\nStem Cell Treatment for the Joints and Spine is a great alternative for people who have been told they need joint replacement surgery. At OrthoRegen<sup>®</sup>, we utilize the Gold Standard in Stem Cell Treatments, which is an effective non-surgical alternative, and one that very well may help you<span style=\"text-decoration: underline;\"> <em>Avoid Joint Replacement Surgery</em></span>.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>\r\n\r\n<strong>If you have been told</strong> that you have any of these conditions...\r\n<ul>\r\n 	<li>Bone-on-bone</li>\r\n 	<li>Severe arthritis</li>\r\n 	<li>A degenerated joint</li>\r\n 	<li>Your cartilage has been worn away,</li>\r\n 	<li>The only option left is to have your joint replaced...</li>\r\n</ul>\r\n...you now have another option.\r\n\r\nThat\'s because your Stem Cells have the potential to regenerate into any type of body tissue. Their use in regenerative medicine is growing in popularity in the medical world as an <em>alternative to invasive orthopedic surgeries including total joint replacement</em>. The remarkable thing about Stem Cells is the fact that when you inject them into a specific area of the body, they know what kinds of cells your body needs – for example, meniscus cells or cartilage cells.\r\n<h4>What is our Stem Cell Procedure for Joints and Spine?</h4>\r\nOur Stem Cell technique we use for joints and spine is <strong><em>The Gold Standard</em></strong> for stem cell regeneration. We use all four kinds of regenerative Orthopedics for this procedure to help you avoid invasive surgery. Many other clinics only use one or two of these procedures, but not all four.\r\n<ul>\r\n 	<li>We use bone marrow stem cells as well as adipose (fat) stem cells.</li>\r\n 	<li>Both solutions are then centrifuged and concentrated to get a solution with the highest amount of stem cells. We inject both of these sources of stem cells into the joint.</li>\r\n 	<li>We then use <a href=\"https://www.drfields.com/regenerative-techniques/prp-treatment/\">PRP Prolotherapy</a> to accelerate their healing.</li>\r\n 	<li>In addition, we use <a title=\"Prolotherapy\" href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-treatment-overview/\">Dextrose Prolotherapy</a> on the outside of the joint to help stabilize the ligaments and tendons that hold the joint in place.</li>\r\n</ul>\r\nUsing two sources of stem cells (bone and fat) as well as PRP Prolotherapy and Dextrose Prolotherapy is <strong><em>The Gold Standard</em></strong> for stem cell regeneration.\r\n\r\nAgain, this procedure is usually used for cases where you have been told to have their joint replaced, have bone-on-bone, advanced arthritis, severe meniscus or labral tear or other aggressive injuries. This is only recommended after a very thorough history and physical exam. It is important to have an x-ray to confirm what is known from the above exams. Not everyone is a candidate for this procedure, but many are.\r\n\r\nWhy is it so important that you know about this alternative to joint replacement surgery? Because <strong><em>once surgery is done, it cannot be un-done!</em></strong>\r\n<a href=\"https://www.carecredit.com/go/762HNB/bb3poscustacqbtnclk08132020/?dtc=Ds5X&amp;promocode=CLT/\"><img style=\"max-width: 100%; margin: 0 auto;\" src=\"https://www.carecredit.com/sites/pc/image/carecredit_button_applynow_280x100_a_v1.jpg\" width=\"275\" /></a>\r\n<h4>Why Stem Cell Therapy Works: Types of Stem Cells</h4>\r\n<strong>Bone Marrow Stem Cells</strong>\r\nStem cells are contained within bone marrow. This has been shown in studies for many years now. Harvesting them from one’s own body eliminates the possibility of cross reaction or rejection since it is your own body supplying the stem cells.  This autologous (meaning \"obtained from oneself\") bone marrow aspirate contains not only mesenchymal stem cells (cells that are able to develop into the tissues such as bone and cartilage) but also progenitor cells, which are a different type of stem-like cell.\r\n\r\nBone marrow also contains other cells that produce growth factors and cytokines (cells that affect the behavior of other cells). These cytokines aid in fibroblastic proliferation. Fibroblasts are cells that synthesize the structural framework.  Stem cells have the ability to form tissues like bone, cartilage, labrum, meniscus, ligaments and more.  All this allows for repair and remodeling of cartilage, bone and other soft tissue structures such as meniscus, labrums, ligaments and tendons.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>\r\n\r\n<strong>Adipose Stem Cells </strong>\r\nOn the other hand adipose tissue is also a rich source of adult stem cells. These cells, harvested from one’s own fat, have an extensive proliferative capacity and can differentiate into multiple cell lines. Stem cells derived from adipose tissue can differentiate ligaments, bone, cartilage, muscle or ligaments. This type of stem cell is now being used in musculoskeletal medicine to regenerate not only the above tissues but to provide a scaffolding to hold the stem cells in place and allow them to grow. Adipose-derived stem cells are similar to, but not identical to bone marrow cells.\r\n\r\n<img class=\"alignleft wp-image-732 size-full\" title=\"stem cell treatment los angeles\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Stem-Cell1.jpg\" alt=\"Stem Cell1\" width=\"215\" height=\"167\" />Not all injuries require stem cells to heal. The success rate with traditional Prolotherapy (both Dextrose and PRP) is in the 90%+ range for all patients. However, for those cases of advanced arthritis, severe meniscus tears or labral tears, bone-on-bone, aggressive injuries or where one has been told to have their joint replaced, some may need to use Stem Cell Prolotherapy to regenerate the defective joint. I use this in combination with <a href=\"https://www.drfields.com/regenerative-techniques/prp-treatment/\">PRP Prolotherapy</a> (to accelerate the stem cell healing) and with <a href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-treatment-overview/\">Dextrose Prolotherapy</a> (to strengthen and stabilize the surrounding support structures).\r\n\r\nAs more and more research comes out, what is known by a few physicians is being proven. A recent research study was conducted and titled, “Transplanted bone marrow and fat mesenchymal stem cells with platelet-rich fibrin glue scaffold stimulates full-thickness cartilage defects to heal.”\r\n<h4>Research On Stem Cell Treatment for Joints</h4>\r\nSeveral human studies using bone marrow and fat stem cells for articular cartilage lesions have been done. Articular cartilage is a type of cartilage that covers joint surfaces and is most susceptible to injury compared to other types of cartilage. Researchers at Cairo University School of Medicine and the University of Pittsburgh School of Medicine reported on the use of bone marrow mesenchymal stem cells and a platelet-rich fibrin scaffold to heal full-thickness cartilage defects in five patients. The researchers studied the treatment results from the bone marrow mesenchymal stem cells with success.\r\n\r\n<img class=\"alignright wp-image-735 size-full\" title=\"stem cell treatment los angeles\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Stem-Cell2.jpg\" alt=\"Stem Cell2\" width=\"200\" height=\"267\" />Articular Cartilage has limited repair capacity and marrow-stimulation procedures such as micro fracture, osteochondral grafts and autologous cartilage implantations have had limited success in articular cartilage defects. The researchers from this study chose mesenchymal stem cells from bone marrow because these have the ability to differentiate into cartilage cells. In the case of these five patients the bone marrow was harvested from the iliac crest (hip bone).\r\n\r\nPlatelets were used as a scaffold because platelets contain various growth factors that stimulate cartilage regeneration. The researchers expected that the biological effect of multiple growth factors on tissue regeneration is greater than that of a single growth factor.\r\n<h3><strong>Stem Cell Treatment Results</strong></h3>\r\nThe patients showed significant functional improvement. Two of the patients underwent arthroscopy after the transplantation and showed near normal articular cartilage. Three postoperative MRIs revealed complete healing and congruent cartilage tissue, whereas two patient MRIs showed incomplete (it was partial and not 100% complete) congruity in the cartilage tissue.\r\n\r\nThe researchers concluded that the transplantation of autologous culture-expanded bone marrow-mesenchymal stem cells in platelet rich-fibrin glue shows great promise in the treatment of full-thickness articular cartilage defects, particularly large-sized defects (&gt;4 cm).  The positive 1 year clinical outcomes support further randomized controlled clinical trials of this treatment modality with larger numbers of patients and longer follow-up periods.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>\r\n<h4>How Can Stem Cell Therapy Help Your Joints or Spine</h4>\r\nIf you\'ve been told that you need to have joint replacement surgery -- whether that\'s knee replacement surgery, hip replacement surgery, shoulder replacement surgery (or any other joint), or if you\'ve been told that you need to have spine surgery due to arthritis, bone-on-bone, or other conditions, you owe it to yourself to examine all other alternatives to surgery before going under the knife.\r\n\r\nJoint Replacement Surgery and Spine Surgery are very invasive procedures, and each comes with its own long list of reasons to avoid it at all costs: hospital stays, potential (dangerous) complications, long recovery times, and the need to have the procedure redone at some point. Make an appointment with Dr. Peter Fields for an evaluation to see if you are a good candidate for my Gold Standard Stem Cell Treatment for Joints and Spine. Click the blue button on this page, or call <a href=\"tel:+[phone_raw]\">[phone]</a>, to make an appointment now.','Stem Cell Treatment Los Angeles','','inherit','closed','closed','','431-revision-v1','','','2022-11-02 23:08:34','2022-11-02 23:08:34','',431,'https://www.drfields.com/?p=5585',0,'revision','',0),(5586,9,'2022-11-02 23:15:00','2022-11-02 23:15:00','Stem Cell Therapy Los Angeles','Stem Cells.1','Stem Cells.1','inherit','closed','closed','','stem-cells-1','','','2022-11-02 23:15:36','2022-11-02 23:15:36','',431,'https://www.drfields.com/wp-content/uploads/2019/06/stem-cells.1.png',0,'attachment','image/png',0),(5587,9,'2022-11-02 23:22:05','2022-11-02 23:22:05','Stem Cells.','Stem Cells.','Stem Cells.','inherit','closed','closed','','stem-cells-2','','','2022-11-02 23:22:05','2022-11-02 23:22:05','',431,'https://www.drfields.com/wp-content/uploads/2019/06/stem-cells.-1.png',0,'attachment','image/png',0),(5588,9,'2022-11-02 23:24:04','2022-11-02 23:24:04','<h4>Stem Cell Treatment Los Angeles for Joints and Spine - Alternative To Joint Replacement</h4>\r\nOrthoRegen<strong><sup>®</sup></strong> is a medical clinic specializing in Stem Cell Treatment in the Los Angeles area. If you are looking to avoid surgery in your joints or spine, then we are what you are looking for since we offer effective non-surgical alternatives for joint and spine repair.\r\n<div id=\"youtubeleft\" class=\"youtube-click-div \">[video_lightbox_youtube video_id=\"YoXRC87KNuM\" width=\"640\" height=\"480\" anchor=\"https://www.drfields.com/wp-content/uploads/2019/06/stemcell.jpg\" alt=\"Stem Cell Knee\"]\r\n<strong>Knee Treatment</strong></div>\r\n<div id=\"youtubeleft\" class=\"youtube-click-div \">[video_lightbox_youtube video_id=\"IajO8GpFeng\" width=\"640\" height=\"480\" anchor=\"https://www.drfields.com/wp-content/uploads/2019/06/stemcell1.jpg\" alt=\"Stem Cell Hip\"]\r\n<strong>Stem Cell Hip</strong></div>\r\n<i>Regenerating a person\'s joints and spine is not something of the future: <strong>it is happening today!</strong> Last year in the US, there were 3.5 million total joint replacements and another 35 million joint surgeries. Surgery can always be done but never un-done, which is why people in increasing numbers are seeking non-surgical alternatives to joint and spine surgery. Cutting out a part of a joint or injecting it with steroids is not the answer. Stem Cell Treatment for Joints is the answer. </i>\r\n\r\nWatch the testimonials on this page, or see many more on our <a href=\"https://www.drfields.com/Testimonials/Cellular-Regeneration-Testimonials/\">Testimonials Page</a>.\r\n<h4>Who Needs Stem Cell Treatment in Los Angeles?</h4>\r\n<img class=\"size-medium wp-image-5586\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/stem-cells.1-400x500.png\" alt=\"Stem Cells.1\" width=\"400\" height=\"500\" />\r\n\r\nOur Stem Cell technique for joints and spine is <strong><em>The Gold Standard</em></strong> for stem cell regeneration. We use all four kinds of regenerative Orthopedics for this procedure to help you avoid invasive surgery. Many other clinics only use one or two of these procedures, but not all four.\r\n<ul>\r\n 	<li>We use bone marrow stem cells as well as adipose (fat) stem cells.</li>\r\n 	<li>Both solutions are then centrifuged and concentrated to produce a solution with the highest amount of stem cells. We inject both of these sources of stem cells into the joint.</li>\r\n 	<li>We then use <a href=\"https://www.drfields.com/regenerative-techniques/prp-treatment/\">PRP Prolotherapy</a> to accelerate their healing.</li>\r\n 	<li>In addition, we use <a title=\"Prolotherapy\" href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-treatment-overview/\">Dextrose Prolotherapy</a> on the outside of the joint to help stabilize the ligaments and tendons that hold the joint in place.</li>\r\n</ul>\r\nUsing two sources of stem cells (bone and fat) as well as PRP Prolotherapy and Dextrose Prolotherapy is <strong><em>The Gold Standard</em></strong> for stem cell regeneration.\r\n\r\nAgain, this procedure is usually used for cases where you have been told to have your joint replaced, have bone-on-bone, advanced arthritis, severe meniscus or labral tear, or other aggressive injuries. This is only recommended after a very thorough history and physical exam. It is important to have an x-ray to confirm what is known from the above exams. Not everyone is a candidate for this procedure, but many are.\r\n\r\nWhy is it so important that you know about this alternative to joint replacement surgery? Because <strong><em>once the surgery is done, it cannot be undone!</em></strong>\r\n\r\n<a href=\"https://www.carecredit.com/go/762HNB/bb3poscustacqbtnclk08132020/?dtc=Ds5X&amp;promocode=CLT/\"><img style=\"max-width: 100%; margin: 0 auto;\" src=\"https://www.carecredit.com/sites/pc/image/carecredit_button_applynow_280x100_a_v1.jpg\" width=\"275\" /></a>\r\n<h4>Why Stem Cell Therapy Works: Types of Stem Cells</h4>\r\n<strong>Bone Marrow Stem Cells</strong>\r\nStem cells are contained within the bone marrow. This has been shown in studies for many years now. Harvesting them from one’s own body eliminates the possibility of cross-reaction or rejection since it is your own body supplying the stem cells.  This autologous (meaning \"obtained from oneself\") bone marrow aspirate contains not only mesenchymal stem cells (cells that are able to develop into the tissues such as bone and cartilage) but also progenitor cells, which are a different type of stem-like cell.\r\n\r\nBone marrow also contains other cells that produce growth factors and cytokines (cells that affect the behavior of other cells). These cytokines aid in fibroblastic proliferation. Fibroblasts are cells that synthesize the structural framework.  Stem cells have the ability to form tissues like bone, cartilage, labrum, meniscus, ligaments, and more.  All this allows for the repair and remodeling of cartilage, bone, and other soft tissue structures such as meniscus, labrums, ligaments, and tendons.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>\r\n\r\n<strong>Adipose Stem Cells </strong>\r\nOn the other hand, adipose tissue is also a rich source of adult stem cells. These cells, harvested from one’s own fat, have an extensive proliferative capacity and can differentiate into multiple cell lines. Stem cells derived from adipose tissue can differentiate ligaments, bone, cartilage, muscle, or ligaments. This type of stem cell is now being used in musculoskeletal medicine to regenerate the above tissues and to provide a scaffolding to hold the stem cells in place and allow them to grow. Adipose-derived stem cells are similar but not identical to bone marrow cells.\r\n\r\n<img class=\"wp-image-5587 size-medium alignleft\" title=\"stem cell treatment los angeles\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/stem-cells.-1-500x500.png\" alt=\"Stem Cells.\" width=\"500\" height=\"500\" />\r\n\r\nNot all injuries require stem cells to heal. The success rate with traditional Prolotherapy (both Dextrose and PRP) is in the 90%+ range for all patients. However, for those cases of advanced arthritis, severe meniscus tears or labral tears, bone-on-bone, aggressive injuries, or where one has been told to have their joint replaced, some may need to use Stem Cell Prolotherapy to regenerate the defective joint. I use this in combination with <a href=\"https://www.drfields.com/regenerative-techniques/prp-treatment/\">PRP Prolotherapy</a> (to accelerate stem cell healing) and with <a href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-treatment-overview/\">Dextrose Prolotherapy</a> (to strengthen and stabilize the surrounding support structures).\r\n\r\nAs more and more research comes out, what is known by a few physicians is being proven. A recent research study was conducted and titled, “Transplanted bone marrow and fat mesenchymal stem cells with platelet-rich fibrin glue scaffold stimulate full-thickness cartilage defects to heal.”\r\n<h4>Research On Stem Cell Treatment for Joints</h4>\r\nSeveral human studies have been done using bone marrow and fat stem cells for articular cartilage lesions. Articular cartilage is a type of cartilage that covers joint surfaces and is most susceptible to injury compared to other types of cartilage. Researchers at Cairo University School of Medicine and the University of Pittsburgh School of Medicine reported on the use of bone marrow mesenchymal stem cells and a platelet-rich fibrin scaffold to heal full-thickness cartilage defects in five patients. The researchers successfully studied the treatment results from the bone marrow mesenchymal stem cells.\r\n\r\n<img class=\"alignright wp-image-735 size-full\" title=\"stem cell treatment los angeles\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Stem-Cell2.jpg\" alt=\"Stem Cell2\" width=\"200\" height=\"267\" />Articular Cartilage has limited repair capacity, and marrow-stimulation procedures such as microfracture, osteochondral grafts, and autologous cartilage implantations have had limited success in articular cartilage defects. The researchers from this study chose mesenchymal stem cells from bone marrow because these have the ability to differentiate into cartilage cells. In the case of these five patients, the bone marrow was harvested from the iliac crest (hip bone).\r\n\r\nPlatelets were used as a scaffold because platelets contain various growth factors that stimulate cartilage regeneration. The researchers expected that the biological effect of multiple growth factors on tissue regeneration is greater than that of a single growth factor.\r\n<h3><strong>Stem Cell Treatment Results</strong></h3>\r\nThe patients showed significant functional improvement. Two of the patients underwent arthroscopy after the transplantation and showed near-normal articular cartilage. Three postoperative MRIs revealed complete healing and congruent cartilage tissue, whereas two patient MRIs showed incomplete (it was partial and not 100% complete) congruity in the cartilage tissue.\r\n\r\nThe researchers concluded that the transplantation of autologous culture-expanded bone marrow-mesenchymal stem cells in platelet rich-fibrin glue shows great promise in the treatment of full-thickness articular cartilage defects, particularly large-sized defects (&gt;4 cm).  The positive 1-year clinical outcomes support further randomized controlled clinical trials of this treatment modality with larger numbers of patients and longer follow-up periods.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>\r\n<h4>How Can Stem Cell Therapy Help Your Joints or Spine</h4>\r\nIf you\'ve been told that you need to have joint replacement surgery -- whether that\'s knee replacement surgery, hip replacement surgery, shoulder replacement surgery (or any other joint), or if you\'ve been told that you need to have spine surgery due to arthritis, bone-on-bone, or other conditions, you owe it to yourself to examine all other alternatives to surgery before going under the knife.\r\n\r\nJoint Replacement Surgery and Spine Surgery are very invasive procedures, and each comes with its own long list of reasons to avoid it at all costs: hospital stays, potential (dangerous) complications, long recovery times, and the need to have the procedure redone at some point. Make an appointment with Dr. Peter Fields for an evaluation to see if you are a good candidate for my Gold Standard Stem Cell Treatment for Joints and Spine. Click the blue button on this page, or call <a href=\"tel:+[phone_raw]\">[phone]</a> to make an appointment now.','Stem Cell Treatment Los Angeles','','inherit','closed','closed','','431-revision-v1','','','2022-11-02 23:24:04','2022-11-02 23:24:04','',431,'https://www.drfields.com/?p=5588',0,'revision','',0),(5589,8,'2022-11-05 04:39:02','2022-11-05 04:39:02','<img class=\"size-full wp-image-5591\" src=\"https://www.drfields.com/wp-content/uploads/2022/11/Townsend-Letter-Cover-reprint.jpg\" alt=\"Townsend Letter Cover Reprint\" width=\"955\" height=\"1232\" />\r\n\r\n[caption id=\"attachment_5592\" align=\"alignnone\" width=\"955\"]<img class=\"size-full wp-image-5592\" src=\"https://www.drfields.com/wp-content/uploads/2022/11/Townsend-Letter-page-1.jpg\" alt=\"Townsend Letter Page 1\" width=\"955\" height=\"1277\" /> Page 1[/caption]\r\n\r\n[caption id=\"attachment_5590\" align=\"alignnone\" width=\"955\"]<img class=\"size-full wp-image-5590\" src=\"https://www.drfields.com/wp-content/uploads/2022/11/Townsend-Letter-page-2.jpg\" alt=\"Townsend Letter Page 2\" width=\"955\" height=\"1252\" /> Page 2[/caption]','Townsend Letter: Avoiding Surgery With Stem Cell/PRP/Prolotherapy','','publish','closed','open','','townsend-letter-avoiding-surgery-with-stem-cell-prp-prolotherapy','','','2022-12-02 06:07:05','2022-12-02 06:07:05','',0,'https://www.drfields.com/?p=5589',0,'post','',0),(5590,8,'2022-11-05 04:36:23','2022-11-05 04:36:23','Townsend Letter Page 2','Townsend Letter Page 2','Townsend Letter Page 2','inherit','closed','closed','','townsend-letter-page-2','','','2022-11-05 04:36:23','2022-11-05 04:36:23','',5589,'https://www.drfields.com/wp-content/uploads/2022/11/Townsend-Letter-page-2.jpg',0,'attachment','image/jpeg',0),(5591,8,'2022-11-05 04:37:09','2022-11-05 04:37:09','Townsend Letter Cover Reprint','Townsend Letter Cover Reprint','Townsend Letter Cover Reprint','inherit','closed','closed','','townsend-letter-cover-reprint','','','2022-11-05 04:37:09','2022-11-05 04:37:09','',5589,'https://www.drfields.com/wp-content/uploads/2022/11/Townsend-Letter-Cover-reprint.jpg',0,'attachment','image/jpeg',0),(5592,8,'2022-11-05 04:37:26','2022-11-05 04:37:26','Townsend Letter Page 1','Townsend Letter Page 1','Townsend Letter Page 1','inherit','closed','closed','','townsend-letter-page-1','','','2022-11-05 04:37:26','2022-11-05 04:37:26','',5589,'https://www.drfields.com/wp-content/uploads/2022/11/Townsend-Letter-page-1.jpg',0,'attachment','image/jpeg',0),(5593,8,'2022-11-05 04:39:02','2022-11-05 04:39:02','<img src=\"https://www.drfields.com/wp-content/uploads/2022/11/Townsend-Letter-Cover-reprint.jpg\" alt=\"Townsend Letter Cover Reprint\" width=\"955\" height=\"1232\" class=\"size-full wp-image-5591\" />\r\n\r\n[caption id=\"attachment_5592\" align=\"alignnone\" width=\"955\"]<img src=\"https://www.drfields.com/wp-content/uploads/2022/11/Townsend-Letter-page-1.jpg\" alt=\"Townsend Letter Page 1\" width=\"955\" height=\"1277\" class=\"size-full wp-image-5592\" /> Page 1[/caption]\r\n\r\n[caption id=\"attachment_5590\" align=\"alignnone\" width=\"955\"]<img src=\"https://www.drfields.com/wp-content/uploads/2022/11/Townsend-Letter-page-2.jpg\" alt=\"Townsend Letter Page 2\" width=\"955\" height=\"1252\" class=\"size-full wp-image-5590\" /> Page 2[/caption]','Townsend Letter: Essential Fatty Acids and Inflammation','','inherit','closed','closed','','5589-revision-v1','','','2022-11-05 04:39:02','2022-11-05 04:39:02','',5589,'https://www.drfields.com/?p=5593',0,'revision','',0),(5594,8,'2022-11-05 04:42:00','2022-11-05 04:42:00','Townsend Letter Cover Reprint','Townsend Letter','Townsend Letter Cover Reprint','inherit','closed','closed','','townsend-letter-cover-reprint-2','','','2022-11-05 04:42:09','2022-11-05 04:42:09','',5589,'https://www.drfields.com/wp-content/uploads/2022/11/Townsend-Letter-Cover-reprint-1.jpg',0,'attachment','image/jpeg',0),(5596,8,'2022-11-08 03:43:47','2022-11-08 03:43:47','<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/2022/11/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/articles/magazine-column/townsend-letter-essential-fatty-acids-and-inflammation/\"  rel=\"noopener\">Townsend Letter: Essential Fatty Acids And Inflammation</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/avoid-knee-surgery-in-middle-age/\" rel=\"noopener\">Avoid Knee Surgery in Middle Age</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/stem-cells-are-gaining-in-popularity/\">Stem Cells Are Gaining in Popularity</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/tennis-elbow-its-not-strictly-an-injury-afflicting-athletes/\">Tennis Elbow: It’s Not Strictly An Injury Afflicting Athletes</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/patellar-tendinopathy/\">Patellar Tendinopathy</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/sprained-ankle/\">Sprained Ankle?</a></li>\r\n 	<li><a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-neck-pain/\">Stubborn, Persistent Neck Pain</a></li>\r\n</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','','','2022-11-08 03:43:47','2022-11-08 03:43:47','',2109,'https://www.drfields.com/?p=5596',0,'revision','',0),(5598,8,'2022-11-08 06:00:18','2022-11-08 06:00:18','<img class=\"wp-image-5599 alignright\" title=\"Non-Surgical Shoulder Repair in Los Angeles, CA\" src=\"https://www.drfields.com/wp-content/uploads/2022/11/shoulder-pain.-Hauser.png\" alt=\"Non-Surgical Shoulder Repair in Los Angeles, CA\" width=\"300\" height=\"251\" />\r\n<h2>Regenerative Orthopedics:</h2>\r\n<h2><em>Non-Surgical Shoulder Repair in Los Angeles</em></h2>\r\nAt OrthoRegen®, we offer non-surgical shoulder repair in the Los Angeles area. We have seen many patients suffering from shoulder pain, and some have even been told they need surgery. Your diagnosis may be arthritis, or it may be a rotator cuff tear. Either way, if you have been told you need surgery, regenerative therapies may be able to help you avoid the surgery.\r\n\r\nIt is not unusual for our patients to tell us about the long list of treatment options they have tried. Some brought temporary relief. But these patients are in our office because they continued to have pain and are seeking a treatment that will actually bring pain relief and repair the problem.\r\n\r\nOur goal is to help shoulder pain patients accomplish their pain relief and restoration of function goals! Once we do a physical examination and take a medical history, we can assess which regenerative treatment will most effectively repair your shoulder from the degeneration or damage sustained from an injury.\r\n<h2>Shoulder Pain</h2>\r\nThe shoulder is a pretty amazing joint! The shoulder\'s muscles and other soft tissue 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 of the shoulder also makes it extremely unstable and far more prone to injury than other joints.\r\n<h2>Looking for Non-Surgical Shoulder Repair in Los Angeles for a Rotator Cuff Injury?</h2>\r\nShoulder pain from an injury often involves the rotator cuff! There are four muscles inside the shoulder that allow us to rotate our arms. These four muscles form a cuff of tendons around the top of the arm. With a rotator cuff tear, one or more of the tendons of those four rotator cuff muscles of the shoulder are involved.\r\n\r\nThe rotator cuff helps with all that shoulder movement we discussed earlier. When there is a tear, the tendons are weakened and will degenerate, increasing their susceptibility to even more tears. Rotator cuff tears will create a cycle of instability in the shoulder and set it up for more damage if not treated.\r\n<h2>Fixing the Joint Instability with Non-Surgical Rotator Cuff Repair in Los Angeles</h2>\r\nCommon treatments for shoulder instability from tears often involve rotator cuff strengthening exercises to help stabilize the shoulder and assist with movement. Unfortunately, even though these treatments may help to strengthens the shoulder muscles, they often do not resolve the underlying problem of shoulder instability.\r\n\r\n<strong>To fix shoulder joint instability, the shoulder tendons, ligaments, and shoulder capsular structures must all be strengthened. And that’s where Regenerative Orthopedics comes in!</strong>\r\n<h2>Regenerative Orthopedics Effectively Repair Partial Rotator Cuff Tears</h2>\r\nRegenerative Orthopedics, like Prolotherapy, PRP, and Stem Cells, are excellent options for rotator cuff injuries because the treatments involve the repair and regeneration of soft tissue. Plus, these non-surgical therapies offer repair with a short recovery time.\r\n\r\nAs a first-line alternative to costly and invasive surgery, Regenerative Orthopedics addresses the root cause of the problem by repairing the tear and the instability. And that leads to a better recovery.\r\n\r\nThe regenerative treatment of choice will depend on the severity of the injury or degeneration.\r\n<h2>Are Prolotherapy, Stem Cells, and PRP Effective for Rotator Cuff Tears?</h2>\r\nIn the journal Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders, Dextrose Prolotherapy was able to reduce pain and disability of traumatic and non-traumatic rotator cuff conditions.1\r\n\r\nThe Orthopedic Research and Reviews journal reports, “Stem cell treatment for rotator cuff tears is a promising development because they have been shown to result in an anti-inflammatory response, improved tendon regeneration, optimized collagen fiber arrangement, higher load-to-failure, and higher tensile strength. . . In a non-randomized controlled trial comparing the effects of an exercise regime to PRP combined with bone marrow aspirate (BMAC-PRP complex) on partial rotator cuff tears, the experimental group demonstrated a significantly greater improvement in (pain, function and disability) scores compared to controls at three months. Tear size decreased after BMAC-PRP injection although this did not significantly differ from controls.”2\r\n<h2>Looking for Non-Surgical Shoulder Repair in Los Angeles for Arthritis?</h2>\r\nWas a shoulder replacement surgery recommended due to degeneration from arthritis? We commonly see people who are looking at non-surgical alternatives to shoulder replacement. Sometimes they have already had surgery, but they are not satisfied with the results. Or, possibly, the patient is exploring their options.\r\n\r\nAgain, they’ve often tried a bunch of treatments, but the symptom relief was only temporary. And the orthopedic surgeon wants to pursue a shoulder replacement. Is surgery the only option? The patient doesn’t want to continue to only “manage symptoms” but rather would like to fix the issue once and for all. Regenerative Orthopedics can do that!\r\n<h2>Shoulder Arthritis</h2>\r\nArthritis of the shoulder means there is a gradual wearing of the articular cartilage. The arthritis is commonly also accompanied by degenerative rotator cuff tears.\r\n\r\nThe degeneration occurs because the shoulder is unstable and allows abnormal movement. The shoulder is a ball and socket joint. When the shoulder is unstable, the ball and shoulder socket rub against each other in an abnormal way because the rotator cuff tendons, muscles, labrum, and shoulder ligaments are damaged and are not able to stabilize as they should. At some point, there was injury to the soft tissue structures, making the joint weaker and unstable. That allowed for the abnormal motion that began the cycle leading to the degeneration of the shoulder joint and the eventual shoulder arthritis.\r\n\r\nShoulder replacement is not without risk. It may come with complications. Surgical patients also face surgical recovery and the time for rehabilitation. There may be a lot of downtime and limitation in exercise, physical activity, work, and sports involvement. But shoulder replacement surgery is not the only way!\r\n<h2>Regenerative Orthopedics for Non-Surgical Shoulder Repair in Los Angeles for Arthritis</h2>\r\nPatients with chronic shoulder pain from arthritis report significant improvements in many clinically relevant parameters and overall quality of life after receiving Regenerative Orthopedics such as Dextrose Prolotherapy.\r\n\r\nPreviously, we mentioned the results in the journal Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders showed that Dextrose Prolotherapy could reduce pain and disability in both traumatic and non-traumatic rotator cuff conditions (including degenerative arthritis).\r\n\r\nThe research revealed that the ligament and tendon attachment treatment resulted in superior long-term pain improvement and patient satisfaction compared with blinded saline injection.\r\n\r\nAnother study published in the journal Archives of Physical Medicine and Rehabilitation demonstrated that dextrose Prolotherapy improved pain levels, disability, strength, and shoulder active range of motion in patients with chronic rotator cuff disease. Again, chronic disease will include a degenerative condition.3\r\n\r\nThe Regenerative Orthopedics Alternative for Non-Surgical Rotator Cuff Repair in Los Angeles, CA\r\n\r\nRegenerative Orthopedics is the non-surgical alternative that can offer repair without the risks and prolonged recovery time of surgery.\r\n\r\nPRP or Stem Cells may be recommended depending on the injury or degeneration involved. PRP and Stem Cells accelerate healing by using your own blood platelets and/or stem cells. These are always used in conjunction with Dextrose Prolotherapy to provide the most comprehensive treatment and repair.\r\n\r\nPlease contact us at OrthoRegen®, and tell us more about your case to determine if you are a good candidate for Comprehensive Regenerative Orthopedics.\r\n\r\n<strong>References</strong>\r\n\r\n1Hauser RA, Lackner JB, Steilen-Matias D, Harris DK. A systematic review of dextrose prolotherapy for chronic musculoskeletal pain. Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders. 2016 Jan;9:CMAMD-S39160.\r\n\r\n2Thangarajah T, Lo IK. Optimal Management of Partial Thickness Rotator Cuff Tears: Clinical Considerations and Practical Management. Orthopedic Research and Reviews. 2022;14:59.\r\n\r\n3Bertrand H, Reeves KD, Bennett CJ, Bicknell S, Cheng AL. Dextrose prolotherapy versus control injections in painful rotator cuff tendinopathy. Archives of physical medicine and rehabilitation. 2016 Jan 31;97(1):17-25.','Non-Surgical Shoulder Repair in Los Angeles, CA','','publish','closed','open','','non-surgical-shoulder-repair-in-los-angeles-ca','','','2022-11-09 19:23:02','2022-11-09 19:23:02','',0,'https://www.drfields.com/?p=5598',0,'post','',0),(5599,8,'2022-11-09 04:49:07','2022-11-09 04:49:07','Shoulder Pain. Hauser','Shoulder Pain. Hauser','Shoulder Pain. Hauser','inherit','closed','closed','','shoulder-pain-hauser','','','2022-11-09 04:49:07','2022-11-09 04:49:07','',5598,'https://www.drfields.com/wp-content/uploads/2022/11/shoulder-pain.-Hauser.png',0,'attachment','image/png',0),