(3928,9,'2020-07-12 00:09:03','2020-07-12 00:09:03','<img class=\"alignleft wp-image-1685 size-medium\" title=\"prp los angeles\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Stem-Cell-Doctor-Peter-Fields-MD-DC-315x500.jpg\" alt=\"Stem Cell Doctor Peter Fields Md Dc\" width=\"315\" height=\"500\" />\r\n<h4>PRP Doctor</h4>\r\nPeter A. Fields, MD DC, is a PRP Doctor in the Los Angeles area and the founder of OrthoRegen<sup>®</sup>. PRP stands for Platelet Rich Plasma and Dr. Fields is a leading expert in using PRP to resolve painful joint conditions and sports injuries to help people avoid joint replacement. People come from all over the US and even the world because Dr. Fields helps them to avoid unnecessary surgeries.\r\n<h4>What is a PRP Doctor?</h4>\r\nA PRP doctor provides regenerative orthopedics, which means that non-surgical alternative therapies that regenerate the joint and spine are offered. PRP doctors like Dr. Fields use Platelet Rich Plasma Injections (and other regenerative treatments) that help accelerate the normal healing process. And Dr.Fields is passionate about helping his clients eliminate pain for optimal long-term results, with the use of PRP Regenerative Treatments.\r\n<h4>What Does PRP Los Angeles Stand For?</h4>\r\nPRP stands for Platelet Rich Plasma.  And OrthoRegen<sup>®</sup> is located near Los Angeles. The Plasma portion in the name Platelet Rich Plasma refers to the fluid portion of blood which contains cellular components such as platelets, white blood cells, and red cells. Plus, the Harvest method that Dr. Fields uses concentrates the platelets 7-10 times of what is generally found in the blood. Other systems concentrate them, but to a lesser extent.\r\n<h4>What is PRP Treatment?</h4>\r\nPRP treatment, as used in Regenerative Orthopedics, is a non-surgical healing treatment for healing soft tissue performed by a PRP Doctor. And Dr. Fields makes precise injections of your own concentrated blood (PRP) into the affected areas to promote healing of musculoskeletal problems. Not only that, but blood platelets also contain potent growth factors necessary to get your tissue repair active and boost regeneration at the injury site.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n<h4>Is PRP Treatment Safe?</h4>\r\nPRP treatment is an extremely safe procedure. Plus, the risks are far less than those associated with surgery for your chronic joint pain or acute joint injuries. Also, the risks are often less than taking Ibuprofen (Motrin) for a lifetime to temporarily alleviate chronic pain. As with any procedure, there are risks and side effects which will vary depending on the area being treated. But Dr. Fields will discuss these possibilities thoroughly with patients during the pre-treatment consultation.\r\n\r\n<strong>What Does a PRP Doctor Treat?</strong>\r\n\r\nWeakened torn or damaged ligaments, tendons, muscle tears, menisci or labrums are the most common soft tissue structures that Dr. Fields treats. And PRP has been effective in treating arthritis too. However, when arthritis is more severe, Dr. Fields and his team have fount that Stem Cell Therapy provides better results.\r\n\r\nDr. Fields has had great success in treating chronic pain and sports injuries and just some of them include:\r\n<ul>\r\n 	<li style=\"list-style-type: none;\">\r\n<ul>\r\n 	<li><strong>Knee Injuries:</strong> ACL, MCL LCL, Meniscus, Arthritis, Kneecap Instability</li>\r\n</ul>\r\n</li>\r\n</ul>\r\n<ul>\r\n 	<li style=\"list-style-type: none;\">\r\n<ul>\r\n 	<li><strong>Elbow Injuries:</strong> Tennis Elbow, Medial Epicondylitis, Tendonitis</li>\r\n</ul>\r\n</li>\r\n</ul>\r\n<ul>\r\n 	<li style=\"list-style-type: none;\">\r\n<ul>\r\n 	<li><strong>Shoulder Injuries:</strong> Rotator Cuff Tears, Labrum Tears, Tendonitis</li>\r\n</ul>\r\n</li>\r\n</ul>\r\n<ul>\r\n 	<li style=\"list-style-type: none;\">\r\n<ul>\r\n 	<li><strong>Back Injuries:</strong> Arthritis, Facet Joints, Sacro-Iliac dysfunction</li>\r\n</ul>\r\n</li>\r\n</ul>\r\n<ul>\r\n 	<li style=\"list-style-type: none;\">\r\n<ul>\r\n 	<li><strong>Hip Injuries:</strong> Tendonitis, Bursitis, Labrum</li>\r\n</ul>\r\n</li>\r\n</ul>\r\n<ul>\r\n 	<li style=\"list-style-type: none;\">\r\n<ul>\r\n 	<li><strong>Foot/Ankle Injuries:</strong> Ankle Sprains, Arthritis, Achilles Dysfunction, Tendonitis</li>\r\n</ul>\r\n</li>\r\n</ul>\r\n<ul>\r\n 	<li style=\"list-style-type: none;\">\r\n<ul>\r\n 	<li><strong>Hand/Wrist/ Injuries:</strong> Finger/Joint Tendonitis, Ligament Tears, Arthritis, Carpal Tunnel</li>\r\n</ul>\r\n</li>\r\n</ul>\r\n<h4>Are You A Candidate for PRP Treatment?</h4>\r\nDo you have a sports injury or a painful joint? Don\'t put up with it any longer. Call <a href=\"tel:+[phone_raw]\">[phone]</a> today for a free phone consultation with our Regenerative Orthopedic and PRP Los Angeles Doctor to see if PRP can get you pain-free and ‘back in the game’. And we would be more than happy to help you get back to the activities you love and to resume your normal lifestyle. <a href=\"https://www.drfields.com/contact/\" rel=\"noopener noreferrer\">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>','PRP Doctor in the Los Angeles Area','','inherit','closed','closed','','266-revision-v1','','','2020-07-12 00:09:03','2020-07-12 00:09:03','',266,'https://www.drfields.com/uncategorized/266-revision-v1/',0,'revision','',0),(3929,0,'2020-07-16 16:30:38','2020-07-16 16:30:38','','iwp_log_5f1080ae665cf','','publish','closed','closed','','iwp_log_5f1080ae665cf','','','2020-07-16 16:30:38','2020-07-16 16:30:38','',0,'https://www.drfields.com/uncategorized/iwp_log_5f1080ae665cf/',0,'iwp_log','',0),(3932,8,'2020-07-23 21:33:28','2020-07-23 21:33:28','<div class=\"youtube-click-div video_left\">\r\n[video_lightbox_youtube video_id=\"-SyCX5PtrL4\" width=\"640\" height=\"480\" anchor=\"/wp-content/uploads/2019/09/Peter-Neck.jpg\" alt=\"Peter Neck\"]\r\n<strong>Peter - Neck</strong>\r\n</div>\r\n\r\n<h4>Prolotherapy Neck Treatment for Pain and Headaches</h4>\r\nOur Prolotherapy neck treatment can help people like you with head and neck pain that can completely keep an athlete from participating in sports. If you are a cyclist, the riding position can be too painful to maintain for long distances. In cases of contact sport trauma, a hit to the head or neck can loosen the ligaments in the neck which hold the vertebrae together. This can lead to neck instability and chronic headaches.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">  Schedule Your Appointment Today!</a>\r\n\r\nMost patients try to self-treat with NSAID medications (Ibuprofen, Naproxen). Those drugs eventually become ineffective and often a patient seeks even stronger prescription medications, nerve blocks or an MRI is taken and surgery is recommended. There is an alternative to cervical fusion for chronic neck pain and headaches by using comprehensive <a title=\"Prolotherapy\" href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-treatment-overview/\">Prolotherapy</a> neck treatment at OrthoRegen<sup>®</sup>.\r\n\r\n<h4>Prolotherapy Neck Treatment by Peter A Fields, MD DC</h4>\r\nDr. Fields, <a href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">The Athletic Doc<sup>®</sup></a>, has treated athletes at all levels of sport, Olympic hopefuls to weekend warriors, Ironman competitors to student athletes. They all have confidence in a physician who is also an athlete. Dr. Fields has competed in Ironman Triathlons, marathons, long-distance cycling events and swimming. You can get back to your training and competitions without surgery, without medications, and without extended time away from your sport.\r\n\r\nIn our experience, a comprehensive Prolotherapy next treatment and Natural Medicine program is the preferred way to treat neck pain and headaches for optimal long term results.\r\n\r\n<strong>Some of the most common neck and head injuries we treat with comprehensive Prolotherapy neck treatment are:</strong>\r\n<ul>\r\n 	<li>Atypical facial pain</li>\r\n 	<li>Barre-Lieou Syndrome</li>\r\n 	<li>Cervical instability</li>\r\n 	<li>Jaw pain</li>\r\n 	<li>Migraine headaches</li>\r\n 	<li>Muscle contraction headache</li>\r\n 	<li>Neck arthritis</li>\r\n 	<li>Neck pain</li>\r\n 	<li>Post cervical fusion pain</li>\r\n 	<li>Post-surgical neck pain</li>\r\n 	<li>TMJ syndrome</li>\r\n 	<li>Whiplash</li>\r\n</ul>\r\n<h4>Are You A Candidate for Prolotherapy?</h4>\r\nDr. Fields and our staff at OrthoRegen<sup>®</sup> offer traditional Dextrose Prolotherapy neck treatment, as well as <a href=\"https://www.drfields.com/regenerative-techniques/prp-treatment/\">PRP Prolotherapy</a> and <a href=\"https://www.drfields.com/regenerative-techniques/stem-cell-treatment/\">Stem Cell Prolotherapy</a>. To see if you are a candidate for one of our Prolotherapy treatments, or for a second opinion for a recommended surgery, contact us for a consultation, OrthoRegen<sup>®</sup>, <a href=\"tel:+[phone_raw]\">[phone]</a>.\r\n\r\nStill not convinced? Check out the testimonials on this page and on our <a href=\"https://www.drfields.com/Testimonials/Neck-Testimonials/\">Neck testimonials</a> and <a href=\"https://www.drfields.com/Testimonials/Headache-Testimonials/\">Head Testimonials</a> pages.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">  Schedule Your Appointment Today!</a>\r\n','Neck Injury Treatment','','inherit','closed','closed','','536-revision-v1','','','2020-07-23 21:33:28','2020-07-23 21:33:28','',536,'https://www.drfields.com/uncategorized/536-revision-v1/',0,'revision','',0),(3933,8,'2020-07-23 21:34:43','2020-07-23 21:34:43','<div class=\"youtube-click-div video_left\">\r\n[video_lightbox_youtube video_id=\"-SyCX5PtrL4\" width=\"640\" height=\"480\" anchor=\"https://www.drfields.com/wp-content/uploads/2019/09/Peter-Neck.jpg\" alt=\"Peter Neck\"]\r\n<strong>Peter - Neck</strong>\r\n</div>\r\n\r\n<h4>Prolotherapy Neck Treatment for Pain and Headaches</h4>\r\nOur Prolotherapy neck treatment can help people like you with head and neck pain that can completely keep an athlete from participating in sports. If you are a cyclist, the riding position can be too painful to maintain for long distances. In cases of contact sport trauma, a hit to the head or neck can loosen the ligaments in the neck which hold the vertebrae together. This can lead to neck instability and chronic headaches.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">  Schedule Your Appointment Today!</a>\r\n\r\nMost patients try to self-treat with NSAID medications (Ibuprofen, Naproxen). Those drugs eventually become ineffective and often a patient seeks even stronger prescription medications, nerve blocks or an MRI is taken and surgery is recommended. There is an alternative to cervical fusion for chronic neck pain and headaches by using comprehensive <a title=\"Prolotherapy\" href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-treatment-overview/\">Prolotherapy</a> neck treatment at OrthoRegen<sup>®</sup>.\r\n\r\n<h4>Prolotherapy Neck Treatment by Peter A Fields, MD DC</h4>\r\nDr. Fields, <a href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">The Athletic Doc<sup>®</sup></a>, has treated athletes at all levels of sport, Olympic hopefuls to weekend warriors, Ironman competitors to student athletes. They all have confidence in a physician who is also an athlete. Dr. Fields has competed in Ironman Triathlons, marathons, long-distance cycling events and swimming. You can get back to your training and competitions without surgery, without medications, and without extended time away from your sport.\r\n\r\nIn our experience, a comprehensive Prolotherapy next treatment and Natural Medicine program is the preferred way to treat neck pain and headaches for optimal long term results.\r\n\r\n<strong>Some of the most common neck and head injuries we treat with comprehensive Prolotherapy neck treatment are:</strong>\r\n<ul>\r\n 	<li>Atypical facial pain</li>\r\n 	<li>Barre-Lieou Syndrome</li>\r\n 	<li>Cervical instability</li>\r\n 	<li>Jaw pain</li>\r\n 	<li>Migraine headaches</li>\r\n 	<li>Muscle contraction headache</li>\r\n 	<li>Neck arthritis</li>\r\n 	<li>Neck pain</li>\r\n 	<li>Post cervical fusion pain</li>\r\n 	<li>Post-surgical neck pain</li>\r\n 	<li>TMJ syndrome</li>\r\n 	<li>Whiplash</li>\r\n</ul>\r\n<h4>Are You A Candidate for Prolotherapy?</h4>\r\nDr. Fields and our staff at OrthoRegen<sup>®</sup> offer traditional Dextrose Prolotherapy neck treatment, as well as <a href=\"https://www.drfields.com/regenerative-techniques/prp-treatment/\">PRP Prolotherapy</a> and <a href=\"https://www.drfields.com/regenerative-techniques/stem-cell-treatment/\">Stem Cell Prolotherapy</a>. To see if you are a candidate for one of our Prolotherapy treatments, or for a second opinion for a recommended surgery, contact us for a consultation, OrthoRegen<sup>®</sup>, <a href=\"tel:+[phone_raw]\">[phone]</a>.\r\n\r\nStill not convinced? Check out the testimonials on this page and on our <a href=\"https://www.drfields.com/Testimonials/Neck-Testimonials/\">Neck testimonials</a> and <a href=\"https://www.drfields.com/Testimonials/Headache-Testimonials/\">Head Testimonials</a> pages.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">  Schedule Your Appointment Today!</a>\r\n','Neck Injury Treatment','','inherit','closed','closed','','536-revision-v1','','','2020-07-23 21:34:43','2020-07-23 21:34:43','',536,'https://www.drfields.com/uncategorized/536-revision-v1/',0,'revision','',0),(3934,8,'2020-07-23 21:35:35','2020-07-23 21:35:35','<div class=\"youtube-click-div video_left\">\r\n[video_lightbox_youtube video_id=\"EKGWkEAaqTM\" width=\"640\" height=\"480\" anchor=\"https://www.drfields.com/wp-content/uploads/2019/09/dr-doug.jpg\" alt=\"Dr.doug – Headaches & Shoulder\"]\r\n<strong>Dr.Doug - Headaches &amp; Shoulder</strong>\r\n</div>\r\n\r\n<h4>Prolotherapy Shoulder Treatment</h4>\r\nAt OrthoRegen<sup>®</sup>, shoulder injuries are one of the most common areas we treat with comprehensive <a title=\"Prolotherapy\" href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-treatment-overview/\">Prolotherapy</a>. Shoulder injuries are common in nearly every sport from swimming to football to martial arts. In our experience, comprehensive prolotherapy shoulder treatment can correct the root cause of your shoulder injury without surgery, pain medications, or extended time from your sport. We have treated all types of painful shoulder injuries. Whether you are an Olympic hopeful or a weekend warrior, we can help you!\r\n\r\nOur experience has shown that a comprehensive treatment program is a preferred way to treat shoulder pain for optimal long term results. Dr. Fields, <a href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\r\n\">The Athletic Doc<sup>®</sup></a>, as a Triathlete, marathoner, long-distance cyclist and swimmer, understands your desire to return to full participation in your training and competition.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">  Schedule Your Appointment Today!</a>\r\n\r\n<strong>Some of the most common shoulder injuries and shoulder pain we treat with comprehensive Prolotherapy shoulder treatments at OrthoRegen<sup>®</sup> are:</strong>\r\n<ul>\r\n 	<li>Acromioclavicular joint arthrosis</li>\r\n 	<li>Arthritis</li>\r\n 	<li>Bursitis</li>\r\n 	<li>Dislocation</li>\r\n 	<li>Frozen shoulder</li>\r\n 	<li>Glenoid labrum tear</li>\r\n 	<li>Impingement syndrome</li>\r\n 	<li>Labral tear</li>\r\n 	<li>Multi-directional instability</li>\r\n 	<li>Rotator cuff tear</li>\r\n 	<li>Shoulder dislocation</li>\r\n 	<li>Shoulder instability</li>\r\n 	<li>Shoulder pain</li>\r\n 	<li>Shoulder separation</li>\r\n 	<li>SLAP lesion</li>\r\n 	<li>Subluxation</li>\r\n 	<li>Swimmers shoulder</li>\r\n 	<li>Tendonitis</li>\r\n 	<li>Tendonosis</li>\r\n 	<li>Torn labrum</li>\r\n</ul>\r\n\r\n<h4>Are You A Candidate for Prolotherapy?</h4>\r\nDr. Fields and our staff at OrthoRegen<sup>®</sup> offer traditional Dextrose Prolotherapy shoulder treatment, as well as <a href=\"https://www.drfields.com/regenerative-techniques/prp-treatment/\">PRP Prolotherapy</a> and <a href=\"https://www.drfields.com/regenerative-techniques/stem-cell-treatment/\">Stem Cell Prolotherapy</a>. To see if you are a candidate for one of our Prolotherapy treatments, or for a second opinion for a recommended surgery, contact us for a consultation, OrthoRegen<sup>®</sup>, <a href=\"tel:+[phone_raw]\">[phone]</a>.\r\n\r\nStill not convinced? Check out the testimonials on this page and on our <a href=\"https://www.drfields.com/Testimonials/Shoulder-Testimonials/\">Shoulder Prolotherapy Testimonials page</a>.\r\n\r\n','Shoulder Injury Treatment','','inherit','closed','closed','','545-revision-v1','','','2020-07-23 21:35:35','2020-07-23 21:35:35','',545,'https://www.drfields.com/uncategorized/545-revision-v1/',0,'revision','',0),(3935,9,'2020-07-26 01:20:06','2020-07-26 01:20:06','A few years ago we reported on an FDA warning about neurological problems after epidural corticosteroid injections. But what is the newest information? A lot of people are in pain, and because of that, many procedures are done to manage that pain. And the number of those pain management procedures are increasing over the years.\n<h3>Epidural Corticosteroids</h3>\nA variety of painful conditions benefit from techniques that reduce pain. And corticosteroid injections or cortisone injections are a common treatment recommended by many physicians. At OrthoRegen, we treat joint pain with Regenerative Orthopedics, which also are injections, but the injections do not contain <a href=\"https://www.drfields.com/articles/regenerative-orthopedics/cortisone-is-it-really-good-for-you/\">cortisone</a>.\n\nCorticosteroid injections are given in different locations. They may be injected into joints, or they may be used as nerve blocks. Injectable corticosteroids are used quite often to reduce swelling or inflammation. And corticosteroids injected into the epidural space of the spine have been performed for many decades.1 But in our previous article, we discussed the FDA warning that injections of corticosteroids into the epidural space of the spine can result in rare but serious adverse events, including loss of vision, stroke, paralysis, and death.\n<h3>Stellate Ganglion Nerve Block (SGNB)</h3>\nCorticosteroids are also injected into the neck along with some type of anesthetic for a procedure called a stellate ganglion nerve block (SGNB). These procedures have been around for quite a while too. Are they safe? We took a look at the results from a systematic review in the journal, <em>Regional Anesthesia &amp; Pain Medicine</em>. What\'s a systematic review? These types of reviews gather a bunch of different studies and take a look at the overall results of all of those studies.\n\nThe research team in this particular systematic review looked at eighteen years of results and 4812 studies. The researchers identified 260 cases of adverse events with SGNB, including medication side effects, a patient who developed quadriplegia, five who required a tracheostomy, and one death.\n\nWhat was the most common side effect? Hoarseness was reported in 27.6% of the cases. This particular type of nerve block is considered relatively safe, with severe complications occurring in 1.7 out of 1000 blocks. Interestingly, complications also occurred in a delayed manner, leading the researchers to conclude, \"The importance of constant vigilance along with accessibility to resuscitation equipment for all SGNB procedures cannot be overstated.\"2\n\nSerious adverse events include death, paralysis, seizure, stroke, and others that can occur after corticosteroid injections in both epidural and SGNB procedures. Because of this, we recommend seeking more conservative therapies to treat pain first. Regenerative Orthopedics is one way to treat joint pain without the need for surgery. These non-surgical techniques are effective at treating many painful joint conditions.\n\nWhat are some examples of corticosteroids? Injectable corticosteroids include methylprednisolone, hydrocortisone, triamcinolone, betamethasone, and dexamethasone.\n\nThere are times that corticosteroids are needed. But there are ways to avoid them and their side effects when they really are not necessary. Regenerative Orthopedics is a great way to avoid cortisone injections to treat and repair painful joint conditions.\n\n<a href=\"http://www.docguide.com/fda-warns-serious-neurologic-problems-after-epidural-corticosteroid-injections\" target=\"_blank\" rel=\"noopener noreferrer\">1 http://www.docguide.com/fda-warns-serious-neurologic-problems-after-epidural-corticosteroid-injections</a>\n\n2 Goel, Vasudha, et al. \"Complications associated with stellate ganglion nerve block: a systematic review.\" <i>Regional Anesthesia &amp; Pain Medicine</i> 44.6 (2019): 669-678.','Problems After Corticosteroid Injections','','inherit','closed','closed','','1429-autosave-v1','','','2020-07-26 01:20:06','2020-07-26 01:20:06','',1429,'https://www.drfields.com/uncategorized/1429-autosave-v1/',0,'revision','',0),(3936,9,'2020-07-26 00:17:23','2020-07-26 00:17:23','A few years ago we reported on an FDA warning about neurological problems after epidural corticosteroid injection. But what is the newest information? Let\'s take a look at a recent systematic review. These types of reviews gather a bunch of different studies and take a look at the overall results of all of those studies.\r\n\r\nA lot of people are in pain, and because of that, many procedures are done to manage that pain. And the number of those pain management procedures are increasing over the years. ROCKVILLE, MD-The US Food and Drug Administration (FDA) is warning that injection of corticosteroids into the epidural space of the spine may result in rare but serious adverse events, including loss of vision, stroke, paralysis, and death.\r\n\r\nThe FDA is requiring the addition of a warning to the drug labels of injectable corticosteroids to describe these risks.\r\n\r\nInjectable corticosteroids are commonly used to reduce swelling or inflammation. Injecting corticosteroids into the epidural space of the spine has been a widespread practice for many decades; however, the effectiveness and safety of the drugs for this use have not been established, and the FDA has not approved corticosteroids for such use.\r\n\r\nThe FDA reviewed a sampling of cases from the FDA Adverse Event Reporting System (FAERS) database, as well as cases in the medical literature of serious neurologic adverse events associated with epidural corticosteroid injections. Serious adverse events included death, spinal cord infarction, paraplegia, quadriplegia, cortical blindness, stroke, seizures, nerve injury, and brain edema. Many cases were temporally associated with the corticosteroid injections, with adverse events occurring within minutes to 48 hours after the corticosteroid injections. In some cases, diagnoses of neurologic adverse events were confirmed through magnetic resonance imaging or computed tomography scan. Many patients did not recover from these reported adverse events.\r\n\r\n<strong>Additional Information for Healthcare Professionals</strong>\r\n<ul>\r\n 	<li style=\"list-style-type: none;\">\r\n<ul>\r\n 	<li>Rare but serious neurologic adverse events have been reported with epidural corticosteroid injections, including spinal cord infarction, paraplegia, quadriplegia, cortical blindness, stroke, and death.</li>\r\n 	<li>These serious neurologic events have been reported with and without the use of fluoroscopy.</li>\r\n 	<li>Discuss with patients the benefits and risks of epidural corticosteroid injections and other possible treatments.</li>\r\n 	<li>Counsel patients to seek emergency medical attention immediately if they experience symptoms after receiving an epidural corticosteroid injection, such as loss of vision or vision changes; tingling in their arms or legs; sudden weakness or numbness in their face, arm, or leg on one or both sides of the body; dizziness; severe headache; or seizures.</li>\r\n 	<li>Report adverse effects following epidural corticosteroid injections to the FDA MedWatch program: <a title=\"https://www.accessdata.fda.gov/scripts/medwatch/\" href=\"https://www.accessdata.fda.gov/scripts/medwatch/\" target=\"_blank\" rel=\"noopener noreferrer\">https://www.accessdata.fda.gov/scripts/medwatch/</a></li>\r\n</ul>\r\n</li>\r\n</ul>\r\nTo raise awareness of the risks of epidural corticosteroid injections in the medical community, the FDA’s Safe Use Initiative convened a panel of experts, including pain management experts to help define the techniques for such injections which would reduce preventable harm. The expert panel’s recommendations will be released when they are finalized.\r\n\r\nAs part of the FDA’s ongoing effort to investigate this issue, they plan to convene an Advisory Committee meeting of external experts in late 2014 to discuss the benefits and risks of epidural corticosteroid injections and to determine if further FDA actions are needed.\r\n\r\nInjectable corticosteroids include methylprednisolone, hydrocortisone, triamcinolone, betamethasone, and dexamethasone. This safety issue is unrelated to the contamination of compounded corticosteroid injection products reported in 2012.\r\n\r\nSOURCE: US Food and Drug Administration\r\n\r\n-- April 23, 2014 --\r\n\r\n<a href=\"http://www.docguide.com/fda-warns-serious-neurologic-problems-after-epidural-corticosteroid-injections\" target=\"_blank\" rel=\"noopener noreferrer\">http://www.docguide.com/fda-warns-serious-neurologic-problems-after-epidural-corticosteroid-injections</a>','Problems After Epidural Corticosteroid Injections','','inherit','closed','closed','','1429-revision-v1','','','2020-07-26 00:17:23','2020-07-26 00:17:23','',1429,'https://www.drfields.com/uncategorized/1429-revision-v1/',0,'revision','',0),(3937,9,'2020-07-26 01:06:57','2020-07-26 01:06:57','A few years ago we reported on an FDA warning about neurological problems after epidural corticosteroid injection. But what is the newest information? A lot of people are in pain, and because of that, many procedures are done to manage that pain. And the number of those pain management procedures are increasing over the years.\r\n\r\nA variety of painful conditions benefit from techniques that reduce pain. And corticosteroid injections or cortisone injections are a common treatment recommended by many physicians. At OrthoRegen, we treat joint pain with Regenerative Orthopedics, which also are injections, but they do not contain cortisone. Corticosteroid injections are given in different locations. They may be injected into joints, or they may be used as nerve blocks. Injectable corticosteroids are used quite often to reduce swelling or inflammation. And corticosteroids injected into the epidural space of the spine have been performed for many decades.1 But in our previous article, we discussed the FDA warning that injections of corticosteroids into the epidural space of the spine can result in rare but serious adverse events, including loss of vision, stroke, paralysis, and death.\r\n\r\nCorticosteroids are also injected into the neck along with some type of anesthetic for a procedure called a stellate ganglion nerve block (SGNB). These procedures have been around for quite a while too. Are they safe? We took a look at the results from a systematic review in the journal, <em>Regional Anesthesia &amp; Pain Medicine</em>. What\'s a systematic review? These types of reviews gather a bunch of different studies and take a look at the overall results of all of those studies.\r\n\r\nThe research team in this particular systematic review looked at eighteen years of results and 4812 studies. The researchers identified 260 cases of adverse events with SGNB, including medication side effects, a patient who developed quadriplegia, five who required a tracheostomy, and one death. What was the most common side effect? Hoarseness was reported in 27.6% of the cases. This particular type of nerve block is considered relatively safe, with severe complications occurring in 1.7 out of 1000 blocks. Interestingly, complications also occurred in a delayed manner, leading the researchers to conclude, \"The importance of constant vigilance along with accessibility to resuscitation equipment for all SGNB procedures cannot be overstated.\"2\r\n\r\nSerious adverse events including death, paralysis, seizure, stroke, and others can occur after corticosteroid injections. Because of this, we recommend seeking more conservative therapies to treat pain first. Regenerative Orthopedics are one way to treat joint pain without the need for surgery. These non-surgical techniques are effective at treating many painful joint conditions.\r\n\r\nWhat are some examples of corticosteroids? Injectable corticosteroids include methylprednisolone, hydrocortisone, triamcinolone, betamethasone, and dexamethasone.\r\n\r\nThere are times that corticosteroids are needed. But there are ways to avoid them and their side effects when they really are not necessary. Regenerative Orthopedics is one great way to avoid cortisone injections to treat and repair painful joint conditions.\r\n\r\n<a href=\"http://www.docguide.com/fda-warns-serious-neurologic-problems-after-epidural-corticosteroid-injections\" target=\"_blank\" rel=\"noopener noreferrer\">1 http://www.docguide.com/fda-warns-serious-neurologic-problems-after-epidural-corticosteroid-injections</a>\r\n\r\n2 Goel, Vasudha, et al. \"Complications associated with stellate ganglion nerve block: a systematic review.\" <i>Regional Anesthesia &amp; Pain Medicine</i> 44.6 (2019): 669-678.','Problems After Corticosteroid Injections','','inherit','closed','closed','','1429-revision-v1','','','2020-07-26 01:06:57','2020-07-26 01:06:57','',1429,'https://www.drfields.com/uncategorized/1429-revision-v1/',0,'revision','',0),(3938,9,'2020-07-26 01:09:23','2020-07-26 01:09:23','A few years ago we reported on an FDA warning about neurological problems after epidural corticosteroid injections. But what is the newest information? A lot of people are in pain, and because of that, many procedures are done to manage that pain. And the number of those pain management procedures are increasing over the years.\r\n\r\nA variety of painful conditions benefit from techniques that reduce pain. And corticosteroid injections or cortisone injections are a common treatment recommended by many physicians. At OrthoRegen, we treat joint pain with Regenerative Orthopedics, which also are injections, but they do not contain <a href=\"https://www.drfields.com/articles/regenerative-orthopedics/cortisone-is-it-really-good-for-you/\">cortisone</a>. Corticosteroid injections are given in different locations. They may be injected into joints, or they may be used as nerve blocks. Injectable corticosteroids are used quite often to reduce swelling or inflammation. And corticosteroids injected into the epidural space of the spine have been performed for many decades.1 But in our previous article, we discussed the FDA warning that injections of corticosteroids into the epidural space of the spine can result in rare but serious adverse events, including loss of vision, stroke, paralysis, and death.\r\n\r\nCorticosteroids are also injected into the neck along with some type of anesthetic for a procedure called a stellate ganglion nerve block (SGNB). These procedures have been around for quite a while too. Are they safe? We took a look at the results from a systematic review in the journal, <em>Regional Anesthesia &amp; Pain Medicine</em>. What\'s a systematic review? These types of reviews gather a bunch of different studies and take a look at the overall results of all of those studies.\r\n\r\nThe research team in this particular systematic review looked at eighteen years of results and 4812 studies. The researchers identified 260 cases of adverse events with SGNB, including medication side effects, a patient who developed quadriplegia, five who required a tracheostomy, and one death. What was the most common side effect? Hoarseness was reported in 27.6% of the cases. This particular type of nerve block is considered relatively safe, with severe complications occurring in 1.7 out of 1000 blocks. Interestingly, complications also occurred in a delayed manner, leading the researchers to conclude, \"The importance of constant vigilance along with accessibility to resuscitation equipment for all SGNB procedures cannot be overstated.\"2\r\n\r\nSerious adverse events including death, paralysis, seizure, stroke, and others can occur after corticosteroid injections. Because of this, we recommend seeking more conservative therapies to treat pain first. Regenerative Orthopedics is one way to treat joint pain without the need for surgery. These non-surgical techniques are effective at treating many painful joint conditions.\r\n\r\nWhat are some examples of corticosteroids? Injectable corticosteroids include methylprednisolone, hydrocortisone, triamcinolone, betamethasone, and dexamethasone.\r\n\r\nThere are times that corticosteroids are needed. But there are ways to avoid them and their side effects when they really are not necessary. Regenerative Orthopedics is a great way to avoid cortisone injections to treat and repair painful joint conditions.\r\n\r\n<a href=\"http://www.docguide.com/fda-warns-serious-neurologic-problems-after-epidural-corticosteroid-injections\" target=\"_blank\" rel=\"noopener noreferrer\">1 http://www.docguide.com/fda-warns-serious-neurologic-problems-after-epidural-corticosteroid-injections</a>\r\n\r\n2 Goel, Vasudha, et al. \"Complications associated with stellate ganglion nerve block: a systematic review.\" <i>Regional Anesthesia &amp; Pain Medicine</i> 44.6 (2019): 669-678.','Problems After Corticosteroid Injections','','inherit','closed','closed','','1429-revision-v1','','','2020-07-26 01:09:23','2020-07-26 01:09:23','',1429,'https://www.drfields.com/uncategorized/1429-revision-v1/',0,'revision','',0),(3939,9,'2020-07-26 01:18:25','2020-07-26 01:18:25','A few years ago we reported on an FDA warning about neurological problems after epidural corticosteroid injections. But what is the newest information? A lot of people are in pain, and because of that, many procedures are done to manage that pain. And the number of those pain management procedures are increasing over the years.\r\n<h3>Epidural Corticosteroids</h3>\r\nA variety of painful conditions benefit from techniques that reduce pain. And corticosteroid injections or cortisone injections are a common treatment recommended by many physicians. At OrthoRegen, we treat joint pain with Regenerative Orthopedics, which also are injections, but they do not contain <a href=\"https://www.drfields.com/articles/regenerative-orthopedics/cortisone-is-it-really-good-for-you/\">cortisone</a>. Corticosteroid injections are given in different locations. They may be injected into joints, or they may be used as nerve blocks. Injectable corticosteroids are used quite often to reduce swelling or inflammation. And corticosteroids injected into the epidural space of the spine have been performed for many decades.1 But in our previous article, we discussed the FDA warning that injections of corticosteroids into the epidural space of the spine can result in rare but serious adverse events, including loss of vision, stroke, paralysis, and death.\r\n<h3>Stellate Ganglion Nerve Block (SGNB)</h3>\r\nCorticosteroids are also injected into the neck along with some type of anesthetic for a procedure called a stellate ganglion nerve block (SGNB). These procedures have been around for quite a while too. Are they safe? We took a look at the results from a systematic review in the journal, <em>Regional Anesthesia &amp; Pain Medicine</em>. What\'s a systematic review? These types of reviews gather a bunch of different studies and take a look at the overall results of all of those studies.\r\n\r\nThe research team in this particular systematic review looked at eighteen years of results and 4812 studies. The researchers identified 260 cases of adverse events with SGNB, including medication side effects, a patient who developed quadriplegia, five who required a tracheostomy, and one death.\r\n\r\nWhat was the most common side effect? Hoarseness was reported in 27.6% of the cases. This particular type of nerve block is considered relatively safe, with severe complications occurring in 1.7 out of 1000 blocks. Interestingly, complications also occurred in a delayed manner, leading the researchers to conclude, \"The importance of constant vigilance along with accessibility to resuscitation equipment for all SGNB procedures cannot be overstated.\"2\r\n\r\nSerious adverse events include death, paralysis, seizure, stroke, and others that can occur after corticosteroid injections in both epidural and SGNB procedures. Because of this, we recommend seeking more conservative therapies to treat pain first. Regenerative Orthopedics is one way to treat joint pain without the need for surgery. These non-surgical techniques are effective at treating many painful joint conditions.\r\n\r\nWhat are some examples of corticosteroids? Injectable corticosteroids include methylprednisolone, hydrocortisone, triamcinolone, betamethasone, and dexamethasone.\r\n\r\nThere are times that corticosteroids are needed. But there are ways to avoid them and their side effects when they really are not necessary. Regenerative Orthopedics is a great way to avoid cortisone injections to treat and repair painful joint conditions.\r\n\r\n<a href=\"http://www.docguide.com/fda-warns-serious-neurologic-problems-after-epidural-corticosteroid-injections\" target=\"_blank\" rel=\"noopener noreferrer\">1 http://www.docguide.com/fda-warns-serious-neurologic-problems-after-epidural-corticosteroid-injections</a>\r\n\r\n2 Goel, Vasudha, et al. \"Complications associated with stellate ganglion nerve block: a systematic review.\" <i>Regional Anesthesia &amp; Pain Medicine</i> 44.6 (2019): 669-678.','Problems After Corticosteroid Injections','','inherit','closed','closed','','1429-revision-v1','','','2020-07-26 01:18:25','2020-07-26 01:18:25','',1429,'https://www.drfields.com/uncategorized/1429-revision-v1/',0,'revision','',0),(3940,9,'2020-07-26 01:19:03','2020-07-26 01:19:03','A few years ago we reported on an FDA warning about neurological problems after epidural corticosteroid injections. But what is the newest information? A lot of people are in pain, and because of that, many procedures are done to manage that pain. And the number of those pain management procedures are increasing over the years.\r\n<h3>Epidural Corticosteroids</h3>\r\nA variety of painful conditions benefit from techniques that reduce pain. And corticosteroid injections or cortisone injections are a common treatment recommended by many physicians. At OrthoRegen, we treat joint pain with Regenerative Orthopedics, which also are injections, but they do not contain <a href=\"https://www.drfields.com/articles/regenerative-orthopedics/cortisone-is-it-really-good-for-you/\">cortisone</a>.\r\n\r\nCorticosteroid injections are given in different locations. They may be injected into joints, or they may be used as nerve blocks. Injectable corticosteroids are used quite often to reduce swelling or inflammation. And corticosteroids injected into the epidural space of the spine have been performed for many decades.1 But in our previous article, we discussed the FDA warning that injections of corticosteroids into the epidural space of the spine can result in rare but serious adverse events, including loss of vision, stroke, paralysis, and death.\r\n<h3>Stellate Ganglion Nerve Block (SGNB)</h3>\r\nCorticosteroids are also injected into the neck along with some type of anesthetic for a procedure called a stellate ganglion nerve block (SGNB). These procedures have been around for quite a while too. Are they safe? We took a look at the results from a systematic review in the journal, <em>Regional Anesthesia &amp; Pain Medicine</em>. What\'s a systematic review? These types of reviews gather a bunch of different studies and take a look at the overall results of all of those studies.\r\n\r\nThe research team in this particular systematic review looked at eighteen years of results and 4812 studies. The researchers identified 260 cases of adverse events with SGNB, including medication side effects, a patient who developed quadriplegia, five who required a tracheostomy, and one death.\r\n\r\nWhat was the most common side effect? Hoarseness was reported in 27.6% of the cases. This particular type of nerve block is considered relatively safe, with severe complications occurring in 1.7 out of 1000 blocks. Interestingly, complications also occurred in a delayed manner, leading the researchers to conclude, \"The importance of constant vigilance along with accessibility to resuscitation equipment for all SGNB procedures cannot be overstated.\"2\r\n\r\nSerious adverse events include death, paralysis, seizure, stroke, and others that can occur after corticosteroid injections in both epidural and SGNB procedures. Because of this, we recommend seeking more conservative therapies to treat pain first. Regenerative Orthopedics is one way to treat joint pain without the need for surgery. These non-surgical techniques are effective at treating many painful joint conditions.\r\n\r\nWhat are some examples of corticosteroids? Injectable corticosteroids include methylprednisolone, hydrocortisone, triamcinolone, betamethasone, and dexamethasone.\r\n\r\nThere are times that corticosteroids are needed. But there are ways to avoid them and their side effects when they really are not necessary. Regenerative Orthopedics is a great way to avoid cortisone injections to treat and repair painful joint conditions.\r\n\r\n<a href=\"http://www.docguide.com/fda-warns-serious-neurologic-problems-after-epidural-corticosteroid-injections\" target=\"_blank\" rel=\"noopener noreferrer\">1 http://www.docguide.com/fda-warns-serious-neurologic-problems-after-epidural-corticosteroid-injections</a>\r\n\r\n2 Goel, Vasudha, et al. \"Complications associated with stellate ganglion nerve block: a systematic review.\" <i>Regional Anesthesia &amp; Pain Medicine</i> 44.6 (2019): 669-678.','Problems After Corticosteroid Injections','','inherit','closed','closed','','1429-revision-v1','','','2020-07-26 01:19:03','2020-07-26 01:19:03','',1429,'https://www.drfields.com/uncategorized/1429-revision-v1/',0,'revision','',0),(3941,9,'2020-07-26 02:02:32','2020-07-26 02:02:32','<h3><strong>STEM CELL THERAPY/PRP/PROLOTHERAPY ARE REGENERATIVE MEDICINE TECHNIQUES AND ALTERNATIVE TREATMENTS TO AVOID JOINT</strong> <strong>AND BACK SURGERY. THE FUTURE IS NOW! </strong>BY PETER A. FIELDS, MD, DC</h3>\n<em>Presented at the American Academy of Anti-aging medicine; VI World Congress; Anti-aging and Regenerative Medicine</em>\n\nThe revitalization and regeneration of the joints and of the spinal column are not in the future; it is happening today! Last year in the United States, there were almost 2 million total joint replacement surgeries and another 25 to 30 million partial joint surgeries. That\'s a lot of surgery! And that\'s why each year people are seeking non-surgical alternatives to joint and spinal column surgery. Several sources state that 40% of those surgeries could have been avoided. If avoiding surgery is an option, it sure seems like that option should be considered. Keep in mind, cutting a part of the joint or injecting it with steroids is not the only answer. Let’s remember that <em>surgery can always take place, but can never be undone</em>.\n<h3>What If I\'ve Been Told Surgery Is My Only Option?</h3>\nHave you been told that you have severe arthritis? You are bone on bone in your joint? Your joint has degenerated and your cartilage which has worn away? And ultimately, the only thing left to do is to replace the joint? Well, the good news here is that you do have another option!\n<h3>Regenerative Medicine Treatments</h3>\n<p style=\"height: 172px;\">Regenerative Medicine like <a href=\"https://www.drfields.com/regenerative-techniques/stem-cell-treatment/\">Stem Cell Therapy</a>/PRP/and Prolotherapy are treatment techniques that are available today. These techniques effectively treat even bone on bone arthritis. And without surgery. Stem cells, for example, have the potential to regenerate any type of the body’s tissue. And its use in regenerative medicine is growing more and more in the medical community as an alternative to invasive surgery, including cases where a replacement was recommended. What is remarkable about stem cells is the fact that when they are injected into a specific area of the body, they know the types of cells that the body needs – for example, the meniscus cells or cartilage cells.</p>\n\n<h3>Regenerative Medicine Is An Exciting Field</h3>\n<p style=\"height: 172px;\">This is a very exciting time in the field of REGENERATIVE MEDICINE. Results show several patients who have shown a significant functional improvement. Patients who were submitted to arthroscopy after the transplant showed joint cartilage which was close to normal. MAGNETIC RESONANCE IMAGES (MRI\'s) have revealed complete healing with a congruent cartilage tissue, while other magnetic resonances of the patients showed congruence in the cartilaginous tissue.</p>\n\n<h3>What Do Studies Show?</h3>\n<img class=\"alignright\" title=\"Prolo Spanish\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/drfields-Prolo-Spanish-7.jpg\" alt=\"Prolo Spanish\" width=\"356\" height=\"303\" />Several reviews by investigators have concluded that the autologous transplant of the mesenchyme cell culture of the bone marrow, of adipose tissue, and of plasma rich in platelets is a great promise in the treatment of joint cartilage defects, particularly defects of great size (&gt; 4 cm). The clinical results have been positive even at over one year after having been carried out. The procedure in several patients and the procedure’s success have been measured in longer periods of time.\n\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n<img class=\" wp-image-2337\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Stem-Cell-Doctor-Peter-Fields-MD-DC-1-315x500.jpg\" alt=\"Stem Cell Doctor Peter Fields Md Dc\" width=\"180\" height=\"285\" />\n\n<em>In his medical practice, Peter A. Fields, MD, DC uses the Gold Standard in Stem Cell Therapy utilizing four types of non-surgical Regenerative Orthopedics to revitalize and support joint regeneration: stem cells from bone marrow, stem cells from adipose tissue,  Platelet Rich Plasma, and Prolotherapy. All of these regenerative techniques cause the tissue to regenerate. When the new cartilage, ligament, tendon, or meniscus tissue is regenerated, the joint becomes more vibrant and strong and it can work well once again. The objective is the same: stimulate and repair damaged tissues.</em>\n\n<strong>Peter A. Fields, MD, DC is one of the few doctors in the United States who is both a Doctor of Medicine and a Chiropractor. He is widely recognized as a leader in REGENERATIVE ORTHOPEDICS having been on numerous programs and quoted in magazines and on-line publications.</strong>\n\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>','Regenerative Medicine Lecture in Mexico City','','inherit','closed','closed','','1419-autosave-v1','','','2020-07-26 02:02:32','2020-07-26 02:02:32','',1419,'https://www.drfields.com/uncategorized/1419-autosave-v1/',0,'revision','',0),(3942,9,'2020-07-26 01:46:45','2020-07-26 01:46:45','<strong>STEM CELL THERAPY/PRP/PROLOTHERAPY ARE REGENERATIVE MEDICINE TECHNIQUES AND ALTERNATIVE TREATMENTS TO AVOID JOINT</strong> <strong>AND BACK SURGERY. THE FUTURE IS NOW! </strong>BY PETER A. FIELDS, MD, DC\r\n\r\n<em>Presented at the American Academy of Anti-aging medicine; VI World Congress; Anti-aging and Regenerative Medicine</em>\r\n\r\nThe revitalization and regeneration of the joints and of the spinal column are not in the future; it is happening today! Last year in the United States, there were almost 2 million total joint replacement surgeries and another 25 to 30 million partial joint surgeries. That\'s a lot of surgery! And that\'s why each year people are seeking non-surgical alternatives to joint and spinal column surgery. Several sources state that 40% of those surgeries could have been avoided. If avoiding surgery is an option, it sure seems like that option should be considered. Keep in mind, cutting a part of the joint or injecting it with steroids is not the only answer. Let’s remember that <em>surgery can always take place, but can never be undone</em>.\r\n<h3>What If I\'ve Been Told Surgery Is My Only Option?</h3>\r\nHave you been told that you have severe arthritis? You are bone on bone in your joint? Your joint has degenerated and your cartilage which has worn away? And ultimately, the only thing left to do is to replace the joint? Well, the good news here is that you do have another option!\r\n<h3>Regenerative Medicine</h3>\r\n<p style=\"height: 172px;\">Regenerative Medicine like <a href=\"https://www.drfields.com/regenerative-techniques/stem-cell-treatment/\">Stem Cell Therapy</a>/PRP/and Prolotherapy are treatment techniques that are available today. These techniques effectively treat even bone on bone arthritis. And without surgery. Stem cells, for example, have the potential to regenerate any type of the body’s tissue. And its use in regenerative medicine is growing more and more in the medical community as an alternative to invasive surgery, including cases where a replacement was recommended. What is remarkable about stem cells is the fact that when they are injected into a specific area of the body, they know the types of cells that the body needs – for example, the meniscus cells or cartilage cells.</p>\r\n<p style=\"height: 172px;\">This is a very exciting moment in the field of REGENERATIVE MEDICINE.The results show several patients who have shown a significant functional improvement. The patients that were submitted to arthroscopy after the transplant showed joint cartilage which was close to normal. MAGNETIC RESONANCE IMAGES (MRI\'s) have revealed complete healing with a congruent cartilage tissue, while other magnetic resonances of the patients showed congruence in the cartilaginous tissue.</p>\r\n&nbsp;\r\n\r\n&nbsp;\r\n\r\n<img class=\"alignright\" title=\"Prolo Spanish\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/drfields-Prolo-Spanish-7.jpg\" alt=\"Prolo Spanish\" />Several reviews by investigators have concluded that the autologous transplant of the mesenchyme cell culture of the bone marrow, of adipose tissue and of plasma rich in platelets are a great promise in the treatment of joint cartilage defects, particularly defects of great size (&gt; 4 cm). The clinical results have been positive at over 1 year after having been carried out. The procedure in several patients and the procedure’s success have been measured in longer periods of time.\r\n\r\n<img class=\"alignleft\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/drfields-bio-img-1.jpg\" alt=\"\" width=\"160\" height=\"216\" />\r\n\r\n<em>In his medical practice, Dr. Peter Fields uses the four types of non-surgical procedures to revitalize and support joint regeneration: the stem cells from the bone marrow, the cells from the adipose tissue, the PRP and the prolotherapy with dextrose. All of these are considered different forms that cause the tissue to proliferate or regenerate. When the new tissue whether it is cartilage, bone, ligament, tendon, meniscus or other is regenerated, the joint becomes more vibrant and strong and it can once again work well. The objective is the same: stimulate to repair damaged tissues.</em>\r\n\r\n<strong>Peter A. Fields, MD, DC is one of the few doctors in the United States who is both a Doctor of Medicine and a Chiropractor. He is widely recognized as a leader in REGENERATIVE ORTHOPEDICS having been on numerous programs and quoted in magazines and on-line publications.</strong>\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>','Regenerative Medicine Lecture in Mexico City','','inherit','closed','closed','','1419-revision-v1','','','2020-07-26 01:46:45','2020-07-26 01:46:45','',1419,'https://www.drfields.com/uncategorized/1419-revision-v1/',0,'revision','',0),(3943,9,'2020-07-26 02:02:46','2020-07-26 02:02:46','<h3><strong>STEM CELL THERAPY/PRP/PROLOTHERAPY ARE REGENERATIVE MEDICINE TECHNIQUES AND ALTERNATIVE TREATMENTS TO AVOID JOINT</strong> <strong>AND BACK SURGERY. THE FUTURE IS NOW! </strong>BY PETER A. FIELDS, MD, DC</h3>\r\n<em>Presented at the American Academy of Anti-aging medicine; VI World Congress; Anti-aging and Regenerative Medicine</em>\r\n\r\nThe revitalization and regeneration of the joints and of the spinal column are not in the future; it is happening today! Last year in the United States, there were almost 2 million total joint replacement surgeries and another 25 to 30 million partial joint surgeries. That\'s a lot of surgery! And that\'s why each year people are seeking non-surgical alternatives to joint and spinal column surgery. Several sources state that 40% of those surgeries could have been avoided. If avoiding surgery is an option, it sure seems like that option should be considered. Keep in mind, cutting a part of the joint or injecting it with steroids is not the only answer. Let’s remember that <em>surgery can always take place, but can never be undone</em>.\r\n<h3>What If I\'ve Been Told Surgery Is My Only Option?</h3>\r\nHave you been told that you have severe arthritis? You are bone on bone in your joint? Your joint has degenerated and your cartilage which has worn away? And ultimately, the only thing left to do is to replace the joint? Well, the good news here is that you do have another option!\r\n<h3>Regenerative Medicine Treatments</h3>\r\n<p style=\"height: 172px;\">Regenerative Medicine like <a href=\"https://www.drfields.com/regenerative-techniques/stem-cell-treatment/\">Stem Cell Therapy</a>/PRP/and Prolotherapy are treatment techniques that are available today. These techniques effectively treat even bone on bone arthritis. And without surgery. Stem cells, for example, have the potential to regenerate any type of the body’s tissue. And its use in regenerative medicine is growing more and more in the medical community as an alternative to invasive surgery, including cases where a replacement was recommended. What is remarkable about stem cells is the fact that when they are injected into a specific area of the body, they know the types of cells that the body needs – for example, the meniscus cells or cartilage cells.</p>\r\n\r\n<h3>Regenerative Medicine Is An Exciting Field</h3>\r\n<p style=\"height: 172px;\">This is a very exciting time in the field of REGENERATIVE MEDICINE. Results show several patients who have shown a significant functional improvement. Patients who were submitted to arthroscopy after the transplant showed joint cartilage which was close to normal. MAGNETIC RESONANCE IMAGES (MRI\'s) have revealed complete healing with a congruent cartilage tissue, while other magnetic resonances of the patients showed congruence in the cartilaginous tissue.</p>\r\n\r\n<h3>What Do Studies Show?</h3>\r\n<img class=\"alignright\" title=\"Prolo Spanish\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/drfields-Prolo-Spanish-7.jpg\" alt=\"Prolo Spanish\" width=\"356\" height=\"303\" />Several reviews by investigators have concluded that the autologous transplant of the mesenchyme cell culture of the bone marrow, of adipose tissue, and of plasma rich in platelets is a great promise in the treatment of joint cartilage defects, particularly defects of great size (&gt; 4 cm). The clinical results have been positive even at over one year after having been carried out. The procedure in several patients and the procedure’s success have been measured in longer periods of time.\r\n\r\n&nbsp;\r\n\r\n&nbsp;\r\n\r\n&nbsp;\r\n\r\n<img class=\" wp-image-2337\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Stem-Cell-Doctor-Peter-Fields-MD-DC-1-315x500.jpg\" alt=\"Stem Cell Doctor Peter Fields Md Dc\" width=\"180\" height=\"285\" />\r\n\r\n<em>In his medical practice, Peter A. Fields, MD, DC uses the Gold Standard in Stem Cell Therapy utilizing four types of non-surgical Regenerative Orthopedics to revitalize and support joint regeneration: stem cells from bone marrow, stem cells from adipose tissue,  Platelet Rich Plasma, and Prolotherapy. All of these regenerative techniques cause the tissue to regenerate. When the new cartilage, ligament, tendon, or meniscus tissue is regenerated, the joint becomes more vibrant and strong and it can work well once again. The objective is the same: stimulate and repair damaged tissues.</em>\r\n\r\n<strong>Peter A. Fields, MD, DC is one of the few doctors in the United States who is both a Doctor of Medicine and a Chiropractor. He is widely recognized as a leader in REGENERATIVE ORTHOPEDICS having been on numerous programs and quoted in magazines and on-line publications.</strong>\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>','Regenerative Medicine Lecture in Mexico City','','inherit','closed','closed','','1419-revision-v1','','','2020-07-26 02:02:46','2020-07-26 02:02:46','',1419,'https://www.drfields.com/uncategorized/1419-revision-v1/',0,'revision','',0),(3944,9,'2021-07-23 22:45:50','2021-07-23 22:45:50','Stem Cell Therapy has become a popular treatment and one that can provide very satisfactory results. And Stem Cell Therapy for arthritis, including the repair of degenerated arthritic joints, offers many promising possibilities.1 Stem cells have been shown in research to speed up and enhance bone and cartilage repair in arthritic joints.2,3 Since surgery comes with many disadvantages, <a href=\"https://www.drfields.com/regenerative-techniques/stem-cell-treatment/\">Stem Cell Therapy</a> to repair defects of articular cartilage provides an exciting alternative.\n\nAnother fascinating research finding involves evidence of the reduction in the usual progressive destruction of articular cartilage in arthritic disease by mesenchymal/bone marrow stem cells. Bone marrow stem cells appear to suppress inflammation and release growth factors that combat arthritis and the degenerative process, enabling healing mechanisms to repair articular cartilage and relieve the chronic pain of arthritis.\n\n[caption id=\"attachment_4805\" align=\"alignright\" width=\"500\"]<img class=\"size-medium wp-image-4805\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Knee-Stems-500x375.jpeg\" alt=\"Stem Cells\" width=\"500\" height=\"375\" /> <strong>                  Stem Cell Therapy Effective for Osteoarthritis3</strong>[/caption]\n<h4>One-Shot Magic Cure?</h4>\nHave you looked into Stem Cell Therapy for arthritis relief? It’s important to do your homework when it comes to Stem Cell Therapy because not all treatments are alike. You may have seen treatments advertised that may involve just one injection of stem cells. One injection is most likely insufficient to provide an adequate repair of the joint and the pain relief you seek.\n\nJoint injuries, like those that eventually lead to arthritis, generally involve the entire joint. If one ligament is injured, there’s a huge likelihood that other ligaments or soft tissue are also injured. And these other areas need to be treated too. One injection simply cannot treat the entire joint.\n<h4>Underlying Joint Instability Leads to Arthritis</h4>\nWhen the supportive joint structures, such as ligaments and other soft tissue are healthy and strong, they prevent abnormal joint motion. But when they become injured, the joint will move in an abnormal pattern, injuring other joint structures, and eventually leading to joint destruction and arthritis.\n\nThe degeneration and breakdown of cartilage that is evident in arthritis is something that transpires over time. It doesn\'t just appear immediately. The beginning is often an initial injury that begins a process of instability in the joint with movement in the joint that is abnormal. This joint instability then becomes the source of further joint injury. And it causes pain too.\n\nJoint instability also involves loose, weakened, and unsupportive ligaments. In essence, the whole joint becomes affected. To achieve repair of the entire joint, the supportive structures surrounding the joint need to be treated, as well as the degenerated structures inside the joint. Intra-articular injections during Stem Cell Therapy for arthritis, combined with the growth factors in treatments like PRP and Prolotherapy can improve cartilage quality in arthritis, repair the injured soft tissue, and resolve joint pain.\n\n<img class=\" wp-image-3742\" src=\"https://www.drfields.com/wp-content/uploads/2020/06/Kelsey.-knee.stems-copy-500x500.png\" alt=\"Kelsey. Knee.stems Copy\" width=\"420\" height=\"420\" />\n<h4>The Gold Standard in Stem Cell Therapy</h4>\nA comprehensive treatment is necessary to strengthen, repair, and stabilize ligaments and structures of the joint to prevent destructive forces from continuing the breakdown of cartilage common in arthritis.\n\n<strong>A single injection is simply not comprehensive</strong> enough to reverse the damage affecting the entire joint. In our practice, we address these unnatural hypermobile forces with a multi-injection technique called <strong>Comprehensive Regenerative Orthopedics</strong>. It\'s a very effective Stem Cell Therapy for arthritis repair and pain relief.\n\n&nbsp;\n\nOur Stem Cell Therapy for arthritis treatment involves the use of four different regenerative therapies. Two sources of stem cells (bone and fat), as well as PRP Prolotherapy and Dextrose Prolotherapy. The supportive joint structures, the inside, and the outer structures of the joint are all treated. This is considered <strong>The Gold Standard</strong> for Stem Cell Regeneration.\n\nAt OrthoRegen, our Stem Cell Therapy for arthritis is different than at other clinics. <a href=\"https://www.drfields.com/articles/regenerative-orthopedics/stem-cell-therapy-at-orthoregen-why-we-are-different/\">What makes us different?</a> Many other clinics only use one or two of the above procedures, but not all four. All solutions are centrifuged and concentrated to obtain a solution with the most concentration of stem cells. In our experience, we have discovered that this technique is the best for regeneration. We inject both of these sources of stem cells and then combine the use of PRP Prolotherapy to accelerate their healing.\n\nIn addition, we apply Dextrose Prolotherapy <strong>to the outside supportive structures of the joint</strong> to help stabilize the ligaments and tendons that hold the joint in place. We utilize this style of treatment because it addresses the whole joint and not just the effect. That is why it is considered the <em>Gold Standard</em>.\n<h4>What About Amniotic “Stem Cells”?</h4>\nAmniotic Stem Cells are being advertised all over the place and people are fascinated with this very popular trend of using amniotic fluid for joint repair. But it needs to be clarified that Amniotic “Stem Cell” Therapy has NO actual stem cells, but rather growth factors found in the extracellular matrix of the amniotic tissue.\n\nCompanies purchase the afterbirth materials, process it to remove disease, and then freeze-dry it. Understandably, the process preserves the fluid, but it also kills the live cells. What’s left are healing growth factors. <strong>NO live stem cells are present.</strong> <em>Therefore, if claimed as such, it is simply not the truth.</em>\n\nIn their pre-donated state, amniotic fluid does have an abundance of stem cells, but they do not survive the processing. Many people leave stem cell seminars convinced that their own stem cells are no good and that donated amniotic “stem cells” will help them with their chronic joint pain from arthritis. It’s important to understand that cryopreserved, dehydrated amniotic products do not contain stem cells. It’s also important to understand that bone marrow, even in elderly individuals with arthritis, <strong>does have sufficient stem cells</strong>, and the cells are <strong>alive</strong>! Additionally, your own blood in the form of Platelet Rich Plasma (PRP) contains live growth factors. Yes, purchased, micronized amniotic fluid does contain growth factor material, but it is processed. Why not just use your own (autologous) live stem cells and PRP growth factors for your arthritis pain?\n<h4>The Bottom Line in Arthritis Treatment</h4>\nArthritis is a chronic, progressive disease of the articular joints, which to date, has had no cure or effective long-term treatment. However, Regenerative Injection Therapies like Stem Cell Therapy, Platelet Rich Plasma, and Prolotherapy have already been proven to work well to effectively activate cells for regeneration and repair in degenerated arthritic joints. Regenerative Orthopedics is an effective option for treating arthritis with the potential for enhancing the quality of life of individuals with the disease.\n\n<a href=\"https://www.drfields.com/articles/prolo-news/\"><strong>Click here for more articles by Dr. Fields</strong></a>\n\nReferences\n\n<em>1. Chahal, J., Gómez-Aristizábal, A., Shestopaloff, K., Bhatt, S., Chaboureau, A., Fazio, A., Chisholm, J., Weston, A., Chiovitti, J., Keating, A., Kapoor, M., Ogilvie-Harris, D.J., Syed, K.A., Gandhi, R., Mahomed, N.N., Marshall, K.W., Sussman, M.S., Naraghi, A.M. and Viswanathan, S. (2019), Bone Marrow Mesenchymal Stromal Cell Treatment in Patients with Osteoarthritis Results in Overall Improvement in Pain and Symptoms and Reduces Synovial Inflammation. STEM CELLS Translational Medicine, 8: 746-757. <a href=\"https://doi.org/10.1002/sctm.18-0183\">https://doi.org/10.1002/sctm.18-0183</a></em>\n\n<em>2. Wakitani S, Goto T, Pineda SJ, Young RG, Mansour JM, Caplan AI, Goldberg VM. Mesenchymal cell-based repair of large, full-thickness defects of articular cartilage J. Bone Joint Surg. Am. 1994;76:579-92.</em>\n\n<em>3. Burke J, Hunter M, Kolhe R, </em>Isales<em> C, Hamrick M, Fulzele S. Therapeutic potential of mesenchymal stem </em>cell-based<em> therapy for osteoarthritis. Clinical and translational medicine. 2016 Aug 10;5(1):27.</em>','Stem Cell Therapy for Arthritis','','inherit','closed','closed','','1416-autosave-v1','','','2021-07-23 22:45:50','2021-07-23 22:45:50','',1416,'https://www.drfields.com/uncategorized/1416-autosave-v1/',0,'revision','',0),(3945,9,'2020-07-26 02:14:49','2020-07-26 02:14:49','Stem Cell Therapy has become a popular treatment and one that can provide very satisfactory results. Stem Cell Therapy for arthritis, including the reparation of degenerated arthritic joints, offers many promising possibilities. Stem cells have been shown in research to speed up and enhance bone and cartilage repair in arthritic joints.<sup>1,2</sup> Since surgery comes with many disadvantages, <a href=\"https://www.drfields.com/regenerative-techniques/stem-cell-treatment/\">Stem Cell Therapy</a> to repair defects of articular cartilage provides an exciting alternative.\r\n\r\nAnother fascinating research finding involves evidence of the reduction in the usual progressive destruction of articular cartilage in arthritic disease by mesenchymal/bone marrow stem cells. Bone marrow stem cells appear to suppress inflammation and release growth factors that combat arthritis and the degenerative process, enabling healing mechanisms to repair articular cartilage and relieve the chronic pain of arthritis.\r\n<h4>One-Shot Magic Cure?</h4>\r\nHave you looked into Stem Cell Therapy for arthritis relief? It’s important to do your homework when it comes to Stem Cell Therapy because not all treatments are alike. You may have seen treatments advertised that may involve just one injection of stem cells. One injection is most likely insufficient to provide an adequate repair of the joint and the pain relief you seek. Joint injuries, like those that eventually lead to arthritis, generally involve the entire joint. If one ligament is injured, there’s a huge likelihood that other ligaments or soft tissue are also injured. And these other areas need to be treated too. One injection simply cannot treat the entire joint.\r\n<h4>Underlying Joint Instability Leads to Arthritis</h4>\r\nWhen the supportive joint structures, such as ligaments and other soft tissue are healthy and strong, they prevent abnormal joint motion. If they become injured, the joint will move in an abnormal pattern, injuring other joint structures, and eventually leading to joint destruction and arthritis. The degeneration and breakdown of cartilage that is present in arthritis transpires over time, after the injury which precipitated the joint to become unstable and move abnormally in the first place. Joint instability is the source of joint injury and pain, and this instability begins with loose, weakened, and unsupportive ligaments. To accomplish repair of the entire joint, the supportive structures surrounding the joint need to be treated, as well as the degenerated structures inside the joint. Intra-articular injections of stem cells combined with the growth factors in treatments like PRP and Prolotherapy, can improve cartilage quality in arthritis, repair the injured soft tissue, and resolve joint pain.\r\n<h4>The Gold Standard in Stem Cell Therapy</h4>\r\nA comprehensive treatment is necessary to strengthen, repair and stabilize ligaments and structures of the joint to prevent destructive forces from continuing the breakdown of cartilage common in arthritis. <strong>A single injection is simply not comprehensive</strong> enough to reverse the damage affecting the entire joint. In our practice, we address these unnatural hypermobile forces with a multi-injection technique called <strong>Comprehensive Regenerative Orthopedics</strong>.\r\n\r\nThe treatment involves the use of two sources of stem cells (bone and fat), as well as PRP Prolotherapy and Dextrose Prolotherapy. The supportive joint structures, the inside and outside of the joint are all treated. This is considered\r\n\r\n<strong>The Gold Standard</strong> for Stem Cell Regeneration. Many other clinics only use one or two of the above procedures, but not all four. All solutions are centrifuged and concentrated to get a solution with the most concentration of stem cells. In our experience, we have discovered that these stem cells act as great proliferant solutions for regeneration. We inject both of these sources of stem cells and then combine the use of PRP Prolotherapy to accelerate their healing. In addition, we apply Dextrose Prolotherapy <strong>to the outside supportive structures of the joint</strong> to help stabilize the ligaments and tendons that hold the joint in place. We utilize this style of treatment because it addresses the whole joint and not just the effect. That is why it is considered the Gold Standard.\r\n<h4>What About Amniotic “Stem Cells”?</h4>\r\nAmniotic Stem Cells are being advertised all over the place and people are fascinated with this very popular trend of using amniotic fluid for joint repair. But it needs to be clarified that Amniotic “Stem Cell” Therapy has NO actual stem cells, but rather growth factors found in the extracellular matrix of the amniotic tissue. Companies purchase the afterbirth materials, process it to remove disease, and then freeze-dry it. Understandably, the process preserves the fluid, but it also kills the live cells. What’s left are healing growth factors. NO live stem cells are present. Therefore, if claimed as such, it is simply not the truth. In their pre-donated state, amniotic fluid does have an abundance of stem cells, but they do not survive the processing. Many people leave stem cell seminars convinced that their own stem cells are no good and that donated amniotic “stem cells” will help them with their chronic joint pain from arthritis. It’s important to understand that cryopreserved, dehydrated amniotic products do not contain stem cells. It’s also important to understand that bone marrow, even in elderly individuals with arthritis, does have sufficient stem cells, and the cells are alive! Additionally, your own blood in the form of Platelet Rich Plasma (PRP) contains live growth factors. Yes, purchased, micronized amniotic fluid does contain growth factor material, but it is processed. Why not just use your own (autologous) live stem cells and PRP growth factors for your arthritis pain?\r\n<h4>The Bottom Line in Arthritis Treatment</h4>\r\nArthritis is a chronic, progressive disease of the articular joints, which to date, has had no cure or effective long-term treatment. However, Regenerative Injection Therapies like Stem Cell Therapy, Platelet Rich Plasma and Prolotherapy have already been proven to work well to effectively activate cells for regeneration and repair in degenerated arthritic joints. Regenerative Orthopedics is an effective option for treating arthritis with the potential for enhancing the quality of life of individuals with the disease.\r\n\r\n<a href=\"https://www.drfields.com/articles/prolo-news/\"><strong>Click here for more articles by Dr. Fields</strong></a>\r\n\r\n<em>1. Wakitani S, Goto T, Pineda SJ, Young RG, Mansour JM, Caplan AI, Goldberg VM. Mesenchymal cell-based repair of large, full-thickness defects of articular cartilage J. Bone Joint Surg. Am. 1994;76:579-92.</em>\r\n<em>2. Burke J, Hunter M, Kolhe R, </em>Isales<em> C, Hamrick M, Fulzele S. Therapeutic potential of mesenchymal stem </em>cell based<em> therapy for osteoarthritis. Clinical and translational medicine. 2016 Aug 10;5(1):27.</em>','Stem Cell Therapy Options for Arthritis','','inherit','closed','closed','','1416-revision-v1','','','2020-07-26 02:14:49','2020-07-26 02:14:49','',1416,'https://www.drfields.com/uncategorized/1416-revision-v1/',0,'revision','',0),(3946,9,'2020-07-26 02:46:28','2020-07-26 02:46:28','Stem Cell Therapy has become a popular treatment and one that can provide very satisfactory results. And Stem Cell Therapy for arthritis, including the repair of degenerated arthritic joints, offers many promising possibilities. Stem cells have been shown in research to speed up and enhance bone and cartilage repair in arthritic joints.<sup>1,2</sup> Since surgery comes with many disadvantages, <a href=\"https://www.drfields.com/regenerative-techniques/stem-cell-treatment/\">Stem Cell Therapy</a> to repair defects of articular cartilage provides an exciting alternative.\r\n\r\nAnother fascinating research finding involves evidence of the reduction in the usual progressive destruction of articular cartilage in arthritic disease by mesenchymal/bone marrow stem cells. Bone marrow stem cells appear to suppress inflammation and release growth factors that combat arthritis and the degenerative process, enabling healing mechanisms to repair articular cartilage and relieve the chronic pain of arthritis.\r\n<h4>One-Shot Magic Cure?</h4>\r\nHave you looked into Stem Cell Therapy for arthritis relief? It’s important to do your homework when it comes to Stem Cell Therapy because not all treatments are alike. You may have seen treatments advertised that may involve just one injection of stem cells. One injection is most likely insufficient to provide an adequate repair of the joint and the pain relief you seek.\r\n\r\nJoint injuries, like those that eventually lead to arthritis, generally involve the entire joint. If one ligament is injured, there’s a huge likelihood that other ligaments or soft tissue are also injured. And these other areas need to be treated too. One injection simply cannot treat the entire joint.\r\n<h4>Underlying Joint Instability Leads to Arthritis</h4>\r\nWhen the supportive joint structures, such as ligaments and other soft tissue are healthy and strong, they prevent abnormal joint motion. But when they become injured, the joint will move in an abnormal pattern, injuring other joint structures, and eventually leading to joint destruction and arthritis.\r\n\r\nThe degeneration and breakdown of cartilage that is evident in arthritis is something that transpires over time. It doesn\'t just appear immediately. The beginning is often an initial injury that begins a process of instability in the joint with movement in the joint that is abnormal. This joint instability then becomes the source of further joint injury. And it causes pain too.\r\n\r\nJoint instability also involves loose, weakened, and unsupportive ligaments. In essence, the whole joint becomes affected. To achieve repair of the entire joint, the supportive structures surrounding the joint need to be treated, as well as the degenerated structures inside the joint. Intra-articular injections during Stem Cell Therapy for arthritis, combined with the growth factors in treatments like PRP and Prolotherapy can improve cartilage quality in arthritis, repair the injured soft tissue, and resolve joint pain.\r\n\r\n<img class=\" wp-image-3742\" src=\"https://www.drfields.com/wp-content/uploads/2020/06/Kelsey.-knee.stems-copy-500x500.png\" alt=\"Kelsey. Knee.stems Copy\" width=\"420\" height=\"420\" />\r\n<h4>The Gold Standard in Stem Cell Therapy</h4>\r\nA comprehensive treatment is necessary to strengthen, repair, and stabilize ligaments and structures of the joint to prevent destructive forces from continuing the breakdown of cartilage common in arthritis.\r\n\r\n<strong>A single injection is simply not comprehensive</strong> enough to reverse the damage affecting the entire joint. In our practice, we address these unnatural hypermobile forces with a multi-injection technique called <strong>Comprehensive Regenerative Orthopedics</strong>. It\'s a very effective Stem Cell Therapy for arthritis repair and pain relief.\r\n\r\n&nbsp;\r\n\r\nOur Stem Cell Therapy for arthritis treatment involves the use of four different regenerative therapies. Two sources of stem cells (bone and fat), as well as PRP Prolotherapy and Dextrose Prolotherapy. The supportive joint structures, the inside, and the outer structures of the joint are all treated. This is considered <strong>The Gold Standard</strong> for Stem Cell Regeneration.\r\n\r\nAt OrthoRegen, our Stem Cell Therapy for arthritis is different than at other clinics. <a href=\"https://www.drfields.com/articles/regenerative-orthopedics/stem-cell-therapy-at-orthoregen-why-we-are-different/\">What makes us different?</a> Many other clinics only use one or two of the above procedures, but not all four. All solutions are centrifuged and concentrated to obtain a solution with the most concentration of stem cells. In our experience, we have discovered that this technique is the best for regeneration. We inject both of these sources of stem cells and then combine the use of PRP Prolotherapy to accelerate their healing.\r\n\r\nIn addition, we apply Dextrose Prolotherapy <strong>to the outside supportive structures of the joint</strong> to help stabilize the ligaments and tendons that hold the joint in place. We utilize this style of treatment because it addresses the whole joint and not just the effect. That is why it is considered the <em>Gold Standard</em>.\r\n<h4>What About Amniotic “Stem Cells”?</h4>\r\nAmniotic Stem Cells are being advertised all over the place and people are fascinated with this very popular trend of using amniotic fluid for joint repair. But it needs to be clarified that Amniotic “Stem Cell” Therapy has NO actual stem cells, but rather growth factors found in the extracellular matrix of the amniotic tissue.\r\n\r\nCompanies purchase the afterbirth materials, process it to remove disease, and then freeze-dry it. Understandably, the process preserves the fluid, but it also kills the live cells. What’s left are healing growth factors. <strong>NO live stem cells are present.</strong> <em>Therefore, if claimed as such, it is simply not the truth.</em>\r\n\r\nIn their pre-donated state, amniotic fluid does have an abundance of stem cells, but they do not survive the processing. Many people leave stem cell seminars convinced that their own stem cells are no good and that donated amniotic “stem cells” will help them with their chronic joint pain from arthritis. It’s important to understand that cryopreserved, dehydrated amniotic products do not contain stem cells. It’s also important to understand that bone marrow, even in elderly individuals with arthritis, <strong>does have sufficient stem cells</strong>, and the cells are <strong>alive</strong>! Additionally, your own blood in the form of Platelet Rich Plasma (PRP) contains live growth factors. Yes, purchased, micronized amniotic fluid does contain growth factor material, but it is processed. Why not just use your own (autologous) live stem cells and PRP growth factors for your arthritis pain?\r\n<h4>The Bottom Line in Arthritis Treatment</h4>\r\nArthritis is a chronic, progressive disease of the articular joints, which to date, has had no cure or effective long-term treatment. However, Regenerative Injection Therapies like Stem Cell Therapy, Platelet Rich Plasma, and Prolotherapy have already been proven to work well to effectively activate cells for regeneration and repair in degenerated arthritic joints. Regenerative Orthopedics is an effective option for treating arthritis with the potential for enhancing the quality of life of individuals with the disease.\r\n\r\n<a href=\"https://www.drfields.com/articles/prolo-news/\"><strong>Click here for more articles by Dr. Fields</strong></a>\r\n\r\n<em>1. Wakitani S, Goto T, Pineda SJ, Young RG, Mansour JM, Caplan AI, Goldberg VM. Mesenchymal cell-based repair of large, full-thickness defects of articular cartilage J. Bone Joint Surg. Am. 1994;76:579-92.</em>\r\n<em>2. Burke J, Hunter M, Kolhe R, </em>Isales<em> C, Hamrick M, Fulzele S. Therapeutic potential of mesenchymal stem </em>cell-based<em> therapy for osteoarthritis. Clinical and translational medicine. 2016 Aug 10;5(1):27.</em>','Stem Cell Therapy for Arthritis','','inherit','closed','closed','','1416-revision-v1','','','2020-07-26 02:46:28','2020-07-26 02:46:28','',1416,'https://www.drfields.com/uncategorized/1416-revision-v1/',0,'revision','',0),(3947,8,'2020-07-28 21:46:27','2020-07-28 21:46:27','<h2 class=\"text-center\">Contact Dr. Fields</h2>\nTo find out if you are a candidate for Stem Cell, PRP or Prolotherapy, call Dr. Fields office at <a href=\"tel:310-439-8999\">310-453-8999</a> , or fill out the Consultation form here.\n<div class=\"contact-frm\">[gravityform id=\"1\" title=\"false\" description=\"false\"]</div>','Contact','','inherit','closed','closed','','29-autosave-v1','','','2020-07-28 21:46:27','2020-07-28 21:46:27','',29,'https://www.drfields.com/uncategorized/29-autosave-v1/',0,'revision','',0),(3948,8,'2020-07-28 21:46:42','2020-07-28 21:46:42','<h2 class=\"text-center\">Contact Dr. Fields</h2>\r\nTo find out if you are a candidate for Stem Cell, PRP or Prolotherapy, call Dr. Fields office at <a href=\"tel:310-453-1234\">310-453-1234</a> , or fill out the Consultation form here.\r\n<div class=\"contact-frm\">[gravityform id=\"1\" title=\"false\" description=\"false\"]</div>','Contact','','inherit','closed','closed','','29-revision-v1','','','2020-07-28 21:46:42','2020-07-28 21:46:42','',29,'https://www.drfields.com/uncategorized/29-revision-v1/',0,'revision','',0),(3949,8,'2020-07-28 21:47:48','2020-07-28 21:47:48','<h2 class=\"text-center\">Contact Dr. Fields</h2>\r\n<span class=\"text-center\"><strong>To find out if you are a candidate for Stem Cell, PRP or Prolotherapy, call Dr. Fields office at <a href=\"tel:310-453-1234\">310-453-1234</a> , or fill out the Consultation form here.</strong></span>\r\n<div class=\"contact-frm\">[gravityform id=\"1\" title=\"false\" description=\"false\"]</div>','Contact','','inherit','closed','closed','','29-revision-v1','','','2020-07-28 21:47:48','2020-07-28 21:47:48','',29,'https://www.drfields.com/uncategorized/29-revision-v1/',0,'revision','',0),(3950,8,'2020-07-28 21:48:00','2020-07-28 21:48:00','<h2 class=\"text-center\">Contact Dr. Fields</h2>\r\n<span class=\"text-center\"><strong>To find out if you are a candidate for Stem Cell, PRP or Prolotherapy, call Dr. Fields office at <a href=\"tel:310-453-1234\">310-453-1234</a>, or fill out the Consultation form here.</strong></span>\r\n<div class=\"contact-frm\">[gravityform id=\"1\" title=\"false\" description=\"false\"]</div>','Contact','','inherit','closed','closed','','29-revision-v1','','','2020-07-28 21:48:00','2020-07-28 21:48:00','',29,'https://www.drfields.com/uncategorized/29-revision-v1/',0,'revision','',0),(3951,8,'2020-07-28 21:49:43','2020-07-28 21:49:43','<h2 class=\"text-center\">Contact Dr. Fields</h2>\r\n<p style=\"text-align: center;\"><span class=\"text-center\"><strong>To find out if you are a candidate for Stem Cell, PRP or Prolotherapy, call Dr. Fields office at <a href=\"tel:310-453-1234\">310-453-1234</a>, or fill out the Consultation form here.</strong></span></p>\r\n\r\n<div class=\"contact-frm\">[gravityform id=\"1\" title=\"false\" description=\"false\"]</div>','Contact','','inherit','closed','closed','','29-revision-v1','','','2020-07-28 21:49:43','2020-07-28 21:49:43','',29,'https://www.drfields.com/uncategorized/29-revision-v1/',0,'revision','',0),(3952,8,'2020-07-28 21:50:06','2020-07-28 21:50:06','<h2 class=\"text-center\">Contact Dr. Fields</h2>\r\n<p style=\"text-align: center;\"><strong>To find out if you are a candidate for Stem Cell, PRP or Prolotherapy, call Dr. Fields office at <a href=\"tel:310-453-1234\">310-453-1234</a>, or fill out the Consultation form here.</strong></p>\r\n\r\n<div class=\"contact-frm\">[gravityform id=\"1\" title=\"false\" description=\"false\"]</div>','Contact','','inherit','closed','closed','','29-revision-v1','','','2020-07-28 21:50:06','2020-07-28 21:50:06','',29,'https://www.drfields.com/uncategorized/29-revision-v1/',0,'revision','',0),(3953,8,'2020-07-28 22:03:37','2020-07-28 22:03:37','<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/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/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/2019/06/Kili-top-header.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\">Mt. Kilimanjaro in\r\nTanzania, Africa.19,341 feet!!!</span></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 id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/03/2020-REHAB-SYMPOSIUM-Slider-11.MAR_-1.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Peter A. Fields MD, DC</span>\r\n<span class=\"header_text_second\">Guest speaker at the American Chiropractic Association Rehab Council meeting</span>\r\n<span class=\"header_text_third\">March 13-15 in Phoenix, AZ</span>\r\n<a class=\"btn-more\" title=\"Learn More\" href=\"https://www.acarehabcouncil.org/peter-fields\" target=\"_blank\" rel=\"noopener noreferrer\">Learn More</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 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<sup>®</sup> – 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 	<li class=\"last\"><a style=\"color: #0a2745; font-weight: bold;\" title=\"Magazine Article on Stem Cell\" href=\"https://www.drfields.com/articles/magazine-column/june-2019-townsend-article/\">Magazine Article on Stem Cell</a></li>\r\n 	<li class=\"last\"><a title=\"How Arthritis Affects the Older Athlete\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/how-arthritis-affects-the-older-athlete/\">How Arthritis Affects the Older Athlete</a></li>\r\n 	<li class=\"last\"><a title=\"Knee Tendonitis Treatment\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/knee-tendonitis-treatment/\">Knee Tendonitis Treatment</a></li>\r\n</ul>\r\n</div>\r\n<div id=\"testimonials\" class=\"col-md-4 box2\">\r\n\r\nPatient\r\n<h3>Testimonials</h3>\r\n<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 classs 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</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 style=\"font-family: inherit; font-size: inherit; font-weight: inherit;\" title=\"2020 REHAB SYMPOSIUM - Regenerative Orthopedics with Dr. Peter Fields\" href=\"https://www.acarehabcouncil.org/chiropractic-rehab-symposium#!event-register/2020/3/13/2020-annual-symposium\" target=\"_blank\" rel=\"noopener noreferrer\">2020 REHAB SYMPOSIUM - Regenerative Orthopedics with Dr. Peter Fields</a></li>\r\n 	<li><a style=\"font-family: inherit; font-size: inherit; font-weight: inherit;\" title=\"Dr. Fields Lectured in Mexico City\" href=\"https://www.drfields.com/Articles/Health-News/Mexico-City-Lecture-2018\">Dr. Fields Lectured in Mexico City </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=\"Our-Office/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 src=\"https://www.drfields.com/wp-content/uploads/2019/06/dr-fields.png\" /></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','','','2020-07-28 22:03:37','2020-07-28 22:03:37','',2109,'https://www.drfields.com/uncategorized/2109-revision-v1/',0,'revision','',0),(3955,9,'2020-08-01 01:37:09','2020-08-01 01:37:09','Are you experiencing pain in the shoulder that makes you cringe whenever you move it? And the pain is impacting everything you do, making both work and play almost impossible? You may have even been diagnosed with a problem of the Rotator Cuff, or some type of tendinopathy, which may include tendons that are worn, injured, stretched, or even torn. You may have been diagnosed with Rotator Cuff Tendonitis, and we\'ll talk about how you can get rid of the pain without the need for surgery.\n<h3><em>A Bit of Shoulder A</em><em>natomy</em></h3>\nFour muscles inside of the shoulder allow us to rotate our arm. These four muscles form a cuff of tendons around the top of the arm or the humeral head. If the rotator cuff is torn, it means there is a tear of one or more of the tendons of those four rotator cuff muscles of the shoulder. A rotator cuff “injury” might include any type of irritation or overuse of either the tendons or the muscles. Rotator cuff tendonitis is one of those injuries.\n<h2>More on The Anatomy of the Shoulder and the Rotator Cuff</h2>\nThe shoulder is made up of two joints, the glenohumeral joint and the acromioclavicular joint. The first one, the glenohumeral joint,  is a ball and socket joint formed by the top of the humerus and the socket of the scapula. The four muscles and tendons of the <strong>rotator cuff </strong>surround the glenohumeral joint and hold the head of the humerus into the scapula. What does the rotator cuff do? The rotator cuff functions to stabilize the shoulder and allow the arms to move through a full range of motion. The rotator cuff works together with the deltoid muscle to provide motion and strength to the shoulder for activities that require motion above the waist and shoulders.<strong> </strong>\n\n<strong><em>Tendinopathy, Tendonitis, and Tendinosis</em></strong>\n\nYes, these words look pretty similar, but they mean different things. <strong>Tendinopathy</strong> is a problem of the tendon that results in pain, swelling, and impaired function. Both tendonitis and tendinosis are a type of tendinopathy. <strong>Tendonitis</strong> is an inflammation or irritation of a tendon. And when tendonitis is left untreated, it can become <strong>tendinosis</strong>, which is a degeneration of the tendon.\n\n[caption id=\"attachment_3956\" align=\"alignleft\" width=\"500\"]<a href=\"https://youtu.be/rCf1JO5aNNA\"><img class=\"size-medium wp-image-3956\" src=\"https://www.drfields.com/wp-content/uploads/2020/03/Tony-Shoulder-500x377.png\" alt=\"Tony Shoulder\" width=\"500\" height=\"377\" /></a> Tony\'s Shoulder Tears were Repaired with PRP Prolotherapy. <a href=\"https://youtu.be/rCf1JO5aNNA\">Click to watch.</a>[/caption]\n<h2>Rotator Cuff Tendonitis</h2>\nIn the rest of this article, we will concentrate on rotator cuff tendonitis. Tendonitis is more common in adults over 40 years of age. Because as we age, the tendons become less elastic, tolerate less stress, and are more susceptible to injury.\n\nRotator cuff tendonitis occurs when the small muscles of the rotator cuff, the supraspinatus, infraspinatus, teres minor, and subscapularis, become strained causing weakness of these structures and subsequent tendonitis.\n\nWhile the deltoid muscle is the big and strong muscle of the shoulder, as seen on many well-built athletes, the small and relatively weak rotator cuff muscles perform key functions. The supraspinatus helps seat the humeral head (ball) into the glenoid cavity (socket) when the arm is raised from the side (abducted). The infraspinatus and teres minor rotate the forearm away from the body or in the hand-waving position (external rotation), and the subscapularis rotates the forearm towards the body (internal rotation).\n\nAll of those structures maintain quite an intricate balance between motion and joint stability. But it becomes altered with injury, creating a new state of imbalance and joint instability through a weakness in structures like the ligaments, tendons, and muscles of the rotator cuff. And what\'s the result? You guessed it...pain and impaired function. Rotator cuff tendonitis is often caused by or associated with repetitive overhead activities, as the rotator cuff is most vulnerable in this position.\n\nThe tendons of the rotator cuff pass underneath a bony area on their way to attaching to the top part of the arm bone. Rotator cuff tendonitis arises when inflammation or bony spurs narrow the space available for the rotator cuff tendons. And sandwiched between the two bones, wear and tear of the rotator cuff can take place, exacerbating this inflammation and pain.\n<h2>Development of Rotator Cuff Tendonitis</h2>\nRotator cuff tendonitis refers to irritation of these tendons and inflammation of the lining of these tendons. As mentioned previously, rotator cuff tendonitis most often occurs as a result of activities in which the arm is moved over the head repeatedly. Examples include sports activities such as tennis, pitching, swimming, or lifting weights over the head.\n\nAnd it\'s not just sporting activities that can cause it.  Other causes of rotator cuff tendonitis include occupational overuse, such as working with the arm overhead for many hours or days; impingement syndrome; an existing weakness of the rotator cuff muscles, ligaments, or tendons; use of improper technique during an occupational activity. Other things that can lead to this condition include poor posture; sleeping on the same arm each night; cervical spine nerve pinching; an improper training schedule, such as too much too soon; a direct trauma, such as a fall directly onto the shoulder or onto an outstretched arm; poor muscle control or coordination; poor posture over the years; or a loose or unstable shoulder joint following a previous dislocation. If the rotator cuff continues to be injured or inflamed it will eventually tear, resulting in a more serious problem.\n<h2>Symptoms of Rotator Cuff Tendonitis</h2>\nThe classic symptoms of rotator cuff tendonitis include a “toothache-like” pain that radiates down the outer arm to several inches below the top of the shoulder. Pain may also occur at the top and front of the shoulder. Initially, the pain may be mild and only occur with certain arm movements. Over time, pain is noticeable at rest and during the night. Sleep is interrupted due to a nagging upper arm pain. Activities requiring the raising of the arm overhead or those that require reaching behind the body usually aggravate the symptoms. The shoulder may feel stiff with lifting or movement.\n<h2>Rotator Cuff Tendonitis Treatments</h2>\nThe initial treatment traditionally used for rotator cuff tendonitis frequently includes limiting above shoulder level activity, application of ice to the shoulder, anti-inflammatory medications for pain, and physical therapy to maintain flexibility.\n\nThe use of anti-inflammatories and steroids is common in the treatment of rotator cuff tendonitis, but it may actually hinder the healing of tendons and ligaments, and unfortunately, do not address the root of the problem. Physical therapy is often an important part of recovery from these types of shoulder injuries, but if progress is not being made, and symptoms continue, it may be time to seek out regenerative treatments. Why? Physical therapy is a great treatment option but it is unable to address underlying degenerative issues such as fraying and tearing of the tendon.\n<h2>Regenerative Orthopedics for Rotator Cuff Tendonitis</h2>\nRegenerative Orthopedics is recommended to <strong>regenerate</strong> and repair the soft tissues of the shoulder. Plus, it also strengthens the ligaments and the tendons of the rotator cuff and deltoid. The combination of repair and the gradual re-strengthening of the rotator cuff muscles promises an excellent chance for a full recovery and full performance. Regenerative Orthopedics is also an excellent post-operative treatment to improve tissue strength and overall recovery in the event that surgery is truly necessary. This may be a possibility when a rotator cuff tear has become large enough to produce profound weakness in the shoulder.\n\nThe increase in blood flow and regenerative cells encouraged by this treatment is similar to the body’s natural healing response. The body also responds by depositing collagen at the site of injury, strengthening the rotator cuff tendons that once were weak, and resulting in the healing of the injured rotator cuff soft tissues.\n<h2>Think Regenerative Orthopedics may be for you? Contact us!</h2>\nPlease <a href=\"https://www.drfields.com/contact/\">contact us</a> at OrthoRegen<sup>®</sup>, and tell us more about your case to determine if you are a good candidate for Comprehensive Regenerative Orthopedics.\n\nOrthoRegen<sup>®</sup> is a full-time Regenerative Orthopedics office, with extensive experience in Stem Cell Therapy, PRP, and Prolotherapy. When it comes to Stem Cell Therapy, we use only the Gold Standard, which is so effective at repairing degenerated joints.\n\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Relieve Pain from Rotator Cuff Tendonitis','','inherit','closed','closed','','3584-autosave-v1','','','2020-08-01 01:37:09','2020-08-01 01:37:09','',3584,'https://www.drfields.com/uncategorized/3584-autosave-v1/',0,'revision','',0),(3956,9,'2020-08-01 00:53:40','2020-08-01 00:53:40','Tony Shoulder','Tony Shoulder','Tony Shoulder','inherit','open','closed','','tony-shoulder','','','2020-08-01 00:53:40','2020-08-01 00:53:40','',3584,'https://www.drfields.com/wp-content/uploads/2020/03/Tony-Shoulder.png',0,'attachment','image/png',0),(3957,9,'2020-08-01 01:41:08','2020-08-01 01:41:08','Are you experiencing pain in the shoulder that makes you cringe whenever you move it? And the pain is impacting everything you do, making both work and play almost impossible? You may have even been diagnosed with a problem of the Rotator Cuff, or some type of tendinopathy, which may include tendons that are worn, injured, stretched, or even torn. You may have been diagnosed with Rotator Cuff Tendonitis, and we\'ll talk about how you can get rid of the pain without the need for surgery.\r\n<h3><em>A Bit of Shoulder A</em><em>natomy</em></h3>\r\nFour muscles inside of the shoulder allow us to rotate our arm. These four muscles form a cuff of tendons around the top of the arm or the humeral head. If the rotator cuff is torn, it means there is a tear of one or more of the tendons of those four rotator cuff muscles of the shoulder. A rotator cuff “injury” might include any type of irritation or overuse of either the tendons or the muscles. Rotator cuff tendonitis is one of those injuries.\r\n<h2>More on The Anatomy of the Shoulder and the Rotator Cuff</h2>\r\nThe shoulder is made up of two joints, the glenohumeral joint and the acromioclavicular joint. The first one, the glenohumeral joint,  is a ball and socket joint formed by the top of the humerus and the socket of the scapula. The four muscles and tendons of the <strong>rotator cuff </strong>surround the glenohumeral joint and hold the head of the humerus into the scapula. What does the rotator cuff do? The rotator cuff functions to stabilize the shoulder and allow the arms to move through a full range of motion. The rotator cuff works together with the deltoid muscle to provide motion and strength to the shoulder for activities that require motion above the waist and shoulders.<strong> </strong>\r\n\r\n<strong><em>Tendinopathy, Tendonitis, and Tendinosis</em></strong>\r\n\r\nYes, these words look pretty similar, but they mean different things. <strong>Tendinopathy</strong> is a problem of the tendon that results in pain, swelling, and impaired function. Both tendonitis and tendinosis are a type of tendinopathy. <strong>Tendonitis</strong> is an inflammation or irritation of a tendon. And when tendonitis is left untreated, it can become <strong>tendinosis</strong>, which is a degeneration of the tendon.\r\n\r\n[caption id=\"attachment_3956\" align=\"alignleft\" width=\"500\"]<a href=\"https://youtu.be/rCf1JO5aNNA\"><img class=\"size-medium wp-image-3956\" src=\"https://www.drfields.com/wp-content/uploads/2020/03/Tony-Shoulder-500x377.png\" alt=\"Tony Shoulder\" width=\"500\" height=\"377\" /></a> Tony\'s Shoulder Tears were Repaired with PRP Prolotherapy. <a href=\"https://youtu.be/rCf1JO5aNNA\">Click to watch.</a>[/caption]\r\n<h2>Rotator Cuff Tendonitis</h2>\r\nIn the rest of this article, we will concentrate on rotator cuff tendonitis. Tendonitis is more common in adults over 40 years of age. Because as we age, the tendons become less elastic, tolerate less stress, and are more susceptible to injury.\r\n\r\nRotator cuff tendonitis occurs when the small muscles of the rotator cuff, the supraspinatus, infraspinatus, teres minor, and subscapularis, become strained causing weakness of these structures and subsequent tendonitis.\r\n\r\nWhile the deltoid muscle is the big and strong muscle of the shoulder, as seen on many well-built athletes, the small and relatively weak rotator cuff muscles perform key functions. The supraspinatus helps seat the humeral head (ball) into the glenoid cavity (socket) when the arm is raised from the side (abducted). The infraspinatus and teres minor rotate the forearm away from the body or in the hand-waving position (external rotation), and the subscapularis rotates the forearm towards the body (internal rotation).\r\n\r\nAll of those structures maintain quite an intricate balance between motion and joint stability. But it becomes altered with injury, creating a new state of imbalance and joint instability through a weakness in structures like the ligaments, tendons, and muscles of the rotator cuff. And what\'s the result? You guessed it...pain and impaired function. Rotator cuff tendonitis is often caused by or associated with repetitive overhead activities, as the rotator cuff is most vulnerable in this position.\r\n\r\nThe tendons of the rotator cuff pass underneath a bony area on their way to attaching to the top part of the arm bone. Rotator cuff tendonitis arises when inflammation or bony spurs narrow the space available for the rotator cuff tendons. And sandwiched between the two bones, wear and tear of the rotator cuff can take place, exacerbating this inflammation and pain.\r\n<h2>Development of Rotator Cuff Tendonitis</h2>\r\nRotator cuff tendonitis refers to irritation of these tendons and inflammation of the lining of these tendons. As mentioned previously, rotator cuff tendonitis most often occurs as a result of activities in which the arm is moved over the head repeatedly. Examples include sports activities such as tennis, pitching, swimming, or lifting weights over the head.\r\n\r\nAnd it\'s not just sporting activities that can cause it.  Other causes of rotator cuff tendonitis include occupational overuse, such as working with the arm overhead for many hours or days; impingement syndrome; an existing weakness of the rotator cuff muscles, ligaments, or tendons; use of improper technique during an occupational activity. Other things that can lead to this condition include poor posture; sleeping on the same arm each night; cervical spine nerve pinching; an improper training schedule, such as too much too soon; a direct trauma, such as a fall directly onto the shoulder or onto an outstretched arm; poor muscle control or coordination; poor posture over the years; or a loose or unstable shoulder joint following a previous dislocation. If the rotator cuff continues to be injured or inflamed it will eventually tear, resulting in a more serious problem.\r\n<h2>Symptoms of Rotator Cuff Tendonitis</h2>\r\nThe classic symptoms of rotator cuff tendonitis include a “toothache-like” pain that radiates down the outer arm to several inches below the top of the shoulder. Pain may also occur at the top and front of the shoulder. Initially, the pain may be mild and only occur with certain arm movements. Over time, pain is noticeable at rest and during the night. Sleep is interrupted due to a nagging upper arm pain. Activities requiring the raising of the arm overhead or those that require reaching behind the body usually aggravate the symptoms. The shoulder may feel stiff with lifting or movement.\r\n<h2>Rotator Cuff Tendonitis Treatments</h2>\r\nThe initial treatment traditionally used for rotator cuff tendonitis frequently includes limiting above shoulder level activity, application of ice to the shoulder, anti-inflammatory medications for pain, and physical therapy to maintain flexibility.\r\n\r\nThe use of anti-inflammatories and steroids is common in the treatment of rotator cuff tendonitis, but it may actually hinder the healing of tendons and ligaments, and unfortunately, do not address the root of the problem. Physical therapy is often an important part of recovery from these types of shoulder injuries, but if progress is not being made, and symptoms continue, it may be time to seek out regenerative treatments. Why? Physical therapy is a great treatment option but it is unable to address underlying degenerative issues such as fraying and tearing of the tendon.\r\n<h2>Regenerative Orthopedics for Rotator Cuff Tendonitis</h2>\r\nRegenerative Orthopedics is recommended to <strong>regenerate</strong> and repair the soft tissues of the shoulder. Plus, it also strengthens the ligaments and the tendons of the rotator cuff and deltoid. The combination of repair and the gradual re-strengthening of the rotator cuff muscles promises an excellent chance for a full recovery and full performance. Regenerative Orthopedics is also an excellent post-operative treatment to improve tissue strength and overall recovery in the event that surgery is truly necessary. This may be a possibility when a rotator cuff tear has become large enough to produce profound weakness in the shoulder.\r\n\r\nThe increase in blood flow and regenerative cells encouraged by this treatment is similar to the body’s natural healing response. The body also responds by depositing collagen at the site of injury, strengthening the rotator cuff tendons that once were weak, and resulting in the healing of the injured rotator cuff soft tissues.\r\n<h2>Think Regenerative Orthopedics may be for you? Contact us!</h2>\r\nPlease <a href=\"https://www.drfields.com/contact/\">contact us</a> at OrthoRegen<sup>®</sup>, and tell us more about your case to determine if you are a good candidate for Comprehensive Regenerative Orthopedics.\r\n\r\nOrthoRegen<sup>®</sup> is a full-time Regenerative Orthopedics office, with extensive experience in Stem Cell Therapy, PRP, and Prolotherapy. When it comes to Stem Cell Therapy, we use only the Gold Standard, which is so effective at repairing degenerated joints.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Relieve Pain from Rotator Cuff Tendonitis','','inherit','closed','closed','','3584-revision-v1','','','2020-08-01 01:41:08','2020-08-01 01:41:08','',3584,'https://www.drfields.com/uncategorized/3584-revision-v1/',0,'revision','',0),(3958,9,'2020-08-01 02:16:04','2020-08-01 02:16:04','When we are confronted with a joint replacement recommendation by our doctor it is so important to get informed and know what to expect. Many of us are concerned about the pain, the recovery time, and the cost. But have you ever thought about having allergic reactions to joint replacements?\n\nAllergy to the implant materials is an actual issue. And it\'s a new concern for individuals with joint pain who face joint replacement. It’s also another good reason to investigate other options when confronted with a surgical referral. In several previous articles, we have discussed how Regenerative Orthopedics is an effective alternative to surgery and one that really should be strongly considered.\n<h3>Are Joint Replacements Bad?</h3>\nOf course, there are times when surgery is necessary. However, every time a surgeon cuts, shaves, and/or removes parts of a joint, there is always an increased possibility for the development of arthritis, degeneration, and further pain in that joint. That’s because the removal of tissue causes the joints to become more unstable. The soft tissue structures are what provide much of the stability in the joint. So when they are cut or removed, the joint stability it altered.  Besides, why go through the pain and expense of surgery when you don’t need to? Now, allergic reactions to joint replacements are another reason to look for an alternative to surgery. And scientists are documenting the risk of allergy from implants.<a href=\"#_edn1\" name=\"_ednref1\">[i]</a>\n<h3>What Are Scientists Saying About Allergic Reactions to Joint Replacements and Metal Implants?</h3>\n“Metal allergy is in fact a well-documented factor in the failure of implants, and the need for allergy testing in sensitive patients is well recognized by both implant manufacturers and by surgeons alike.” And in this study, “All of the samples studied contained a consistent yet low percentage of components to which allergies have been contributed.”<a href=\"#_edn2\" name=\"_ednref2\">[ii]</a> But even small amounts are sufficient to cause an allergic reaction.\n<h3>What are the Symptoms of Allergic Reactions to Joint Replacements and Metal Implants?</h3>\n“Patients suffering from metal hypersensitivity may have numerous local symptoms associated with an overactive immune system, such as localized pain, swelling, cutaneous allergic reactions, joint and muscle pain, implant failure, apparent recurrent infections around the operation site, and possible systemic reactions such as fibromyalgia, chronic fatigue and cognitive impairment.”<sup>ii </sup>As you can see, some of these hypersensitivity reactions result in chronic auto-immune type illnesses. That is a far cry from what the individual thought they were signing up for when they choose the route of the surgical implant…freedom from pain and suffering.\n\nTitanium used to be thought of as one of the safer metals, and in fact was used as the implant of choice for patients suffering from allergies to nickel, chrome, and cobalt. However, the titanium implants also contain these previously noted metals that are causing allergic responses.<sup>ii</sup>\n\nMetals usually found in common medical-grade alloys include cobalt, nickel, chrome, stainless steel, and titanium. Many also contain various detectable impurities like aluminum, iron, vanadium, and more.<sup>ii</sup>\n\nIt is of utmost importance that if you have an allergy to these metals, that you are thoroughly informed about the potential reaction that might result from the choice of implant materials.<a href=\"#_edn3\" name=\"_ednref3\">[iii]</a>\n<h2>Corrosion of Implant Materials</h2>\n<strong>Allergic reactions to joint replacements are not the only problem that can occur with implant materials. There is also an issue of corrosion of the implants with wear and tear</strong>.\n\nNo matter what materials are used in joint replacements, wear of the implant is a predictable problem.  In fact, wear is the major reason orthopedic implants malfunction. That malfunction actually hastens the problem of corrosion. When implant materials are chosen, they are chosen because of their higher resistance to wear, like metal alloy and ceramics.\n\nIn hip implants, titanium and its alloys are often used for fabricating the femoral component. And the ball is prepared by either cobalt-chromium alloy or other hard ceramics. The debris that is released with the wear that damages the implant can begin a biological process that activates a brutal inflammatory reaction. The corrosion that transpires from the friction that results from this wear is actually a huge worry because it discharges non-compatible metallic ions that are dispersed into the body. <a href=\"#_edn4\" name=\"_ednref4\">[iv]</a>\n\nResearch articles demonstrate plenty of evidence about the issue of corrosion of implants and how the debris results in disease. One article discusses how cobalt alloy debris has been implicated in the early failure of some designs of current total joint implants, and also how the debris from cobalt implants causes an extreme inflammatory reaction and even bone loss.<a href=\"#_edn5\" name=\"_ednref5\">[v]</a>\n\nHere is an excerpt from another article: “Immune reactions to orthopedic implant debris are the primary cause of total joint replacement (TJR) failure over the long term (15–20 years). It has been well established that implant debris causes local inflammation, limiting the long-term performance of the over one million total joint replacements (TJR) implanted each year in the US. Implant debris induces a subtle inflammatory cascade resulting in a slow progression of bone loss… that over time leads to implant failure.”<a href=\"#_edn6\" name=\"_ednref6\">[vi]</a>\n\nThe researchers say in these studies that the debris from implants is definitely a problem and that it causes disease. Obviously, this is not a good scenario.\n<h3>So, Where Does the Debris from Wear and Tear of the Implant Go?</h3>\nThe scientists find the debris in the lymph nodes, liver, and spleen according to the research looking at the dissemination of wear particles. “Metallic wear particles in the liver or spleen were more prevalent in patients who had had a failed hip arthroplasty (seven of eight) than in patients who had had a primary hip (two of eleven) or knee replacement (two of ten).\n\nMetallic wear particles were detected in the lymph nodes in 68 percent (nineteen) of the twenty-eight patients with an implant from whom lymph nodes were available for study.\n\nIn this study, the systemic distribution of metallic and polyethylene wear particles was a common finding. Both in patients with a previously failed implant and in those with a primary total joint prosthesis. The prevalence of particles in the liver or spleen was greater after reconstructions with mechanical failure.”<a href=\"#_edn7\" name=\"_ednref7\">[vii]</a>\n<h3>Regenerative Orthopedics: An Alternative to Joint Replacement</h3>\nMany people contact our office because they are experiencing joint pain and are looking for an <a href=\"https://www.drfields.com/articles/regenerative-orthopedics/stem-cell-treatment-an-alternative-to-joint-replacement/\">alternative to a surgical joint replacement.</a> We offer very effective non-surgical options with Regenerative Orthopedics, including <a href=\"https://www.drfields.com/regenerative-techniques/stem-cell-treatment/\">Stem Cell Therapy</a>.\n\nAt OrthoRegen<sup>®</sup>, we only use the Gold Standard in Stem Cell Therapy, and the procedure only has to be done once. Plus, this non-surgical therapy not only provides a non-surgical option but also helps you to avoid an allergic response from the implants used in joint replacement or the pathology that can occur from the debris caused by corrosion.\n\nWe strongly recommend looking into non-surgical Regenerative Orthopedics with Peter A. Fields, MD, DC, and OrthoRegen<sup>®</sup> for the repair of painful joints before opting for a joint replacement. Call us today at 310-453-1234.\n\nRemember, once surgery has been done, it cannot be undone.\n\n<a href=\"#_ednref1\" name=\"_edn1\">[i]</a> Laitinen, Minna, et al. \"High blood metal ion levels in 19 of 22 patients with metal-on-metal hinge knee replacements: A cause for concern.\" <em>Acta Orthopaedica</em> 88.3 (2017): 269-274.\n\n<a href=\"#_ednref2\" name=\"_edn2\">[ii]</a> Harloff, Thomas, et al. \"Titanium allergy or not?.\" <em>Health</em> 2.04 (2010): 306.\n\n<a href=\"#_ednref3\" name=\"_edn3\">[iii]</a> Guenther D, Thomas P, Kendoff D, Omar M, Gehrke T, Haasper C. Allergic reactions in arthroplasty: myth or serious problem? Int Orthop. 2016 Feb;40(2):239-44. doi: 10.1007/s00264-015-3001-6. Epub 2015 Nov 2.\n\n<a href=\"#_ednref4\" name=\"_edn4\">[iv]</a> Gao, Chengde, et al. \"Highly biodegradable and bioactive Fe-Pd-bredigite biocomposites prepared by selective laser melting.\" <em>Journal of advanced research</em> 20 (2019): 91-104.\n\n<a href=\"#_ednref5\" name=\"_edn5\">[v]</a> Samelko, Lauryn, et al. \"Cobalt alloy implant debris induces inflammation and bone loss primarily through danger signaling, not TLR4 activation: implications for DAMP-ening implant related inflammation.\" <em>PLoS One</em> 11.7 (2016).\n\n<a href=\"#_ednref6\" name=\"_edn6\">[vi]</a> Samelko, Lauryn, et al. \"TLR4 (not TLR2) dominate cognate TLR activity associated with CoCrMo implant particles.\" <em>Journal of Orthopaedic Research</em> 35.5 (2017): 1007-1017.\n\n<a href=\"#_ednref7\" name=\"_edn7\">[vii]</a> Urban, Robert M., et al. \"Dissemination of wear particles to the liver, spleen, and abdominal lymph nodes of patients with hip or knee replacement.\" <em>JBJS</em> 82.4 (2000): 457.\n\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Allergic Reactions to Joint Replacements','','inherit','closed','closed','','3547-autosave-v1','','','2020-08-01 02:16:04','2020-08-01 02:16:04','',3547,'https://www.drfields.com/uncategorized/3547-autosave-v1/',0,'revision','',0),(3959,9,'2020-08-01 02:00:25','2020-08-01 02:00:25','When we are confronted with a joint replacement recommendation by our doctor it is so important to get informed and know what to expect. Many of us are concerned about the pain, the recovery time, and the cost. But have you ever thought about having an allergy to the joint replacement?\r\n\r\nAllergy to the implant materials is an actual issue. And it\'s a new concern for individuals with joint pain who face joint replacement. It’s also another good reason to investigate other options when confronted with a surgical referral. In several previous articles, we have discussed how Regenerative Orthopedics is as an effective alternative to surgery, and one that really should be strongly considered.\r\n<h3>Is Joint Replacement Bad?</h3>\r\nOf course, there are times when surgery is necessary. However, every time a surgeon cuts, shaves and/or removes parts of a joint, there is always an increased possibility for the development of arthritis, degeneration and further pain in that joint. That’s because the removal of tissue causes the joints to become more unstable. The soft tissue structures are what provide much of the stability in the joint. So when they are cut or removed, the joint stability it altered.  Besides, why go through the pain and expense of surgery when you don’t need to? Now, allergic reactions to joint replacements are another reason to look for an alternative to surgery. And scientists are documenting the risk of allergy from implants.<a href=\"#_edn1\" name=\"_ednref1\">[i]</a>\r\n<h3>What Are Scientists Saying About Allergies from Joint Replacements and Metal Implants?</h3>\r\n“Metal allergy is in fact a well-documented factor in the failure of implants, and the need for allergy testing in sensitive patients is well recognized by both implant manufacturers and by surgeons alike.” And in this study, “All of the samples studied contained a consistent yet low percentage of components to which allergies have been contributed.”<a href=\"#_edn2\" name=\"_ednref2\">[ii]</a> But even small amounts are sufficient to cause an allergic reaction.\r\n<h3>What are the symptoms of metal allergy?</h3>\r\n“Patients suffering from metal hypersensitivity may have numerous local symptoms associated with an overactive immune system, such as localized pain, swelling, cutaneous allergic reactions, joint and muscle pain, implant failure, apparent recurrent infections around the operation site, and possible systemic reactions such as fibromyalgia, chronic fatigue and cognitive impairment.”<sup>ii </sup>As you can see, some of these hypersensitivity reactions result in chronic auto-immune type illnesses. That is a far cry from what the individual thought they were signing up for when they choose the route of the surgical implant…freedom from pain and suffering.\r\n\r\nTitanium used to be thought of as one of the safer metals, and in fact was used as the implant of choice for patients suffering from allergies to nickel, chrome, and cobalt. However, the titanium implants also contain these previously noted metals that are causing allergic responses.<sup>ii</sup>\r\n\r\nMetals usually found in common medical-grade alloys include cobalt, nickel, chrome, stainless steel, and titanium. Many also contain various detectable impurities like aluminum, iron, vanadium, and more.<sup>ii</sup>\r\n\r\nIt is of utmost importance that if you have an allergy to these metals, that you are thoroughly informed about the potential reaction that might result from the choice of implant materials.<a href=\"#_edn3\" name=\"_ednref3\">[iii]</a>\r\n<h2>Corrosion of Implant Materials</h2>\r\n<strong>Allergies from joint replacements are not the only problem that can occur with implant materials. There is also an issue of corrosion of the implants with wear and tear</strong>.\r\n\r\nNo matter what materials are used in joint replacements, wear of the implant is a predictable problem.  In fact, wear is the major reason orthopedic implants malfunction. That malfunction actually hastens the problem of corrosion. When implant materials are chosen, they are chosen because of their higher resistance to wear, like metal alloy and ceramics.\r\n\r\nIn hip implants, titanium and its alloys are often used for fabricating the femoral component. And the ball is prepared by either cobalt-chromium alloy or other hard ceramics. The debris that is released with the wear that damages the implant can begin a biological process that activates a brutal inflammatory reaction. The corrosion that transpires from the friction that results from this wear is actually a huge worry because it discharges non-compatible metallic ions that are dispersed into the body. <a href=\"#_edn4\" name=\"_ednref4\">[iv]</a>\r\n\r\nResearch articles demonstrate plenty of evidence about the issue of corrosion of implants and how the debris results in disease. One article discusses how cobalt alloy debris has been implicated in the early failure of some designs of current total joint implants, and also how the debris from cobalt implants causes an extreme inflammatory reaction and even bone loss.<a href=\"#_edn5\" name=\"_ednref5\">[v]</a>\r\n\r\nHere is an excerpt from another article: “Immune reactions to orthopedic implant debris are the primary cause of total joint replacement (TJR) failure over the long term (15–20 years). It has been well established that implant debris causes local inflammation, limiting the long-term performance of the over one million total joint replacements (TJR) implanted each year in the US. Implant debris induces a subtle inflammatory cascade resulting in a slow progression of bone loss… that over time leads to implant failure.”<a href=\"#_edn6\" name=\"_ednref6\">[vi]</a>\r\n\r\nThe researchers are saying that the debris from implants is definitely a problem and that it causes disease. Obviously, this is not a good scenario.\r\n<h3>So, Where Does the Debris from Wear and Tear of the Implant Go?</h3>\r\nIn research looking at the dissemination of wear particles, the scientists find the debris in the lymph nodes, liver, and spleen. “Metallic wear particles in the liver or spleen were more prevalent in patients who had had a failed hip arthroplasty (seven of eight) than in patients who had had a primary hip (two of eleven) or knee replacement (two of ten).\r\n\r\nMetallic wear particles were detected in the lymph nodes in 68 percent (nineteen) of the twenty-eight patients with an implant from whom lymph nodes were available for study. In this study, systemic distribution of metallic and polyethylene wear particles was a common finding, both in patients with a previously failed implant and in those with a primary total joint prosthesis. The prevalence of particles in the liver or spleen was greater after reconstructions with mechanical failure.”<a href=\"#_edn7\" name=\"_ednref7\">[vii]</a>\r\n\r\nMany people contact our office because they are experiencing joint pain and are looking for an alternative to a surgical joint replacement. We offer very effective non-surgical options with Regenerative Orthopedics, including Stem Cell Therapy. At OrthoRegen<sup>®</sup>, we only use the Gold Standard in Stem Cell Therapy, and the procedure only has to be done once. Plus, this non-surgical therapy not only provides a non-surgical option but also helps you to avoid an allergic response from the implants used in joint replacement or the pathology that can occur from the debris caused by corrosion.\r\n\r\nWe strongly recommend looking into non-surgical Regenerative Orthopedics with Peter A. Fields, MD, DC, and OrthoRegen<sup>®</sup> for the repair of painful joints before opting for a joint replacement.\r\n\r\nRemember, once surgery has been done, it cannot be undone.\r\n\r\n<a href=\"#_ednref1\" name=\"_edn1\">[i]</a> Laitinen, Minna, et al. \"High blood metal ion levels in 19 of 22 patients with metal-on-metal hinge knee replacements: A cause for concern.\" <em>Acta Orthopaedica</em> 88.3 (2017): 269-274.\r\n\r\n<a href=\"#_ednref2\" name=\"_edn2\">[ii]</a> Harloff, Thomas, et al. \"Titanium allergy or not?.\" <em>Health</em> 2.04 (2010): 306.\r\n\r\n<a href=\"#_ednref3\" name=\"_edn3\">[iii]</a> Guenther D, Thomas P, Kendoff D, Omar M, Gehrke T, Haasper C. Allergic reactions in arthroplasty: myth or serious problem? Int Orthop. 2016 Feb;40(2):239-44. doi: 10.1007/s00264-015-3001-6. Epub 2015 Nov 2.\r\n\r\n<a href=\"#_ednref4\" name=\"_edn4\">[iv]</a> Gao, Chengde, et al. \"Highly biodegradable and bioactive Fe-Pd-bredigite biocomposites prepared by selective laser melting.\" <em>Journal of advanced research</em> 20 (2019): 91-104.\r\n\r\n<a href=\"#_ednref5\" name=\"_edn5\">[v]</a> Samelko, Lauryn, et al. \"Cobalt alloy implant debris induces inflammation and bone loss primarily through danger signaling, not TLR4 activation: implications for DAMP-ening implant related inflammation.\" <em>PLoS One</em> 11.7 (2016).\r\n\r\n<a href=\"#_ednref6\" name=\"_edn6\">[vi]</a> Samelko, Lauryn, et al. \"TLR4 (not TLR2) dominate cognate TLR activity associated with CoCrMo implant particles.\" <em>Journal of Orthopaedic Research</em> 35.5 (2017): 1007-1017.\r\n\r\n<a href=\"#_ednref7\" name=\"_edn7\">[vii]</a> Urban, Robert M., et al. \"Dissemination of wear particles to the liver, spleen, and abdominal lymph nodes of patients with hip or knee replacement.\" <em>JBJS</em> 82.4 (2000): 457.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Allergic Reactions to Joint Replacements','','inherit','closed','closed','','3547-revision-v1','','','2020-08-01 02:00:25','2020-08-01 02:00:25','',3547,'https://www.drfields.com/uncategorized/3547-revision-v1/',0,'revision','',0),(3960,9,'2020-08-01 02:01:20','2020-08-01 02:01:20','When we are confronted with a joint replacement recommendation by our doctor it is so important to get informed and know what to expect. Many of us are concerned about the pain, the recovery time, and the cost. But have you ever thought about having allergic reactions to joint replacements?\r\n\r\nAllergy to the implant materials is an actual issue. And it\'s a new concern for individuals with joint pain who face joint replacement. It’s also another good reason to investigate other options when confronted with a surgical referral. In several previous articles, we have discussed how Regenerative Orthopedics is as an effective alternative to surgery, and one that really should be strongly considered.\r\n<h3>Is Joint Replacement Bad?</h3>\r\nOf course, there are times when surgery is necessary. However, every time a surgeon cuts, shaves and/or removes parts of a joint, there is always an increased possibility for the development of arthritis, degeneration and further pain in that joint. That’s because the removal of tissue causes the joints to become more unstable. The soft tissue structures are what provide much of the stability in the joint. So when they are cut or removed, the joint stability it altered.  Besides, why go through the pain and expense of surgery when you don’t need to? Now, allergic reactions to joint replacements are another reason to look for an alternative to surgery. And scientists are documenting the risk of allergy from implants.<a href=\"#_edn1\" name=\"_ednref1\">[i]</a>\r\n<h3>What Are Scientists Saying About Allergies from Joint Replacements and Metal Implants?</h3>\r\n“Metal allergy is in fact a well-documented factor in the failure of implants, and the need for allergy testing in sensitive patients is well recognized by both implant manufacturers and by surgeons alike.” And in this study, “All of the samples studied contained a consistent yet low percentage of components to which allergies have been contributed.”<a href=\"#_edn2\" name=\"_ednref2\">[ii]</a> But even small amounts are sufficient to cause an allergic reaction.\r\n<h3>What are the symptoms of metal allergy?</h3>\r\n“Patients suffering from metal hypersensitivity may have numerous local symptoms associated with an overactive immune system, such as localized pain, swelling, cutaneous allergic reactions, joint and muscle pain, implant failure, apparent recurrent infections around the operation site, and possible systemic reactions such as fibromyalgia, chronic fatigue and cognitive impairment.”<sup>ii </sup>As you can see, some of these hypersensitivity reactions result in chronic auto-immune type illnesses. That is a far cry from what the individual thought they were signing up for when they choose the route of the surgical implant…freedom from pain and suffering.\r\n\r\nTitanium used to be thought of as one of the safer metals, and in fact was used as the implant of choice for patients suffering from allergies to nickel, chrome, and cobalt. However, the titanium implants also contain these previously noted metals that are causing allergic responses.<sup>ii</sup>\r\n\r\nMetals usually found in common medical-grade alloys include cobalt, nickel, chrome, stainless steel, and titanium. Many also contain various detectable impurities like aluminum, iron, vanadium, and more.<sup>ii</sup>\r\n\r\nIt is of utmost importance that if you have an allergy to these metals, that you are thoroughly informed about the potential reaction that might result from the choice of implant materials.<a href=\"#_edn3\" name=\"_ednref3\">[iii]</a>\r\n<h2>Corrosion of Implant Materials</h2>\r\n<strong>Allergies from joint replacements are not the only problem that can occur with implant materials. There is also an issue of corrosion of the implants with wear and tear</strong>.\r\n\r\nNo matter what materials are used in joint replacements, wear of the implant is a predictable problem.  In fact, wear is the major reason orthopedic implants malfunction. That malfunction actually hastens the problem of corrosion. When implant materials are chosen, they are chosen because of their higher resistance to wear, like metal alloy and ceramics.\r\n\r\nIn hip implants, titanium and its alloys are often used for fabricating the femoral component. And the ball is prepared by either cobalt-chromium alloy or other hard ceramics. The debris that is released with the wear that damages the implant can begin a biological process that activates a brutal inflammatory reaction. The corrosion that transpires from the friction that results from this wear is actually a huge worry because it discharges non-compatible metallic ions that are dispersed into the body. <a href=\"#_edn4\" name=\"_ednref4\">[iv]</a>\r\n\r\nResearch articles demonstrate plenty of evidence about the issue of corrosion of implants and how the debris results in disease. One article discusses how cobalt alloy debris has been implicated in the early failure of some designs of current total joint implants, and also how the debris from cobalt implants causes an extreme inflammatory reaction and even bone loss.<a href=\"#_edn5\" name=\"_ednref5\">[v]</a>\r\n\r\nHere is an excerpt from another article: “Immune reactions to orthopedic implant debris are the primary cause of total joint replacement (TJR) failure over the long term (15–20 years). It has been well established that implant debris causes local inflammation, limiting the long-term performance of the over one million total joint replacements (TJR) implanted each year in the US. Implant debris induces a subtle inflammatory cascade resulting in a slow progression of bone loss… that over time leads to implant failure.”<a href=\"#_edn6\" name=\"_ednref6\">[vi]</a>\r\n\r\nThe researchers are saying that the debris from implants is definitely a problem and that it causes disease. Obviously, this is not a good scenario.\r\n<h3>So, Where Does the Debris from Wear and Tear of the Implant Go?</h3>\r\nIn research looking at the dissemination of wear particles, the scientists find the debris in the lymph nodes, liver, and spleen. “Metallic wear particles in the liver or spleen were more prevalent in patients who had had a failed hip arthroplasty (seven of eight) than in patients who had had a primary hip (two of eleven) or knee replacement (two of ten).\r\n\r\nMetallic wear particles were detected in the lymph nodes in 68 percent (nineteen) of the twenty-eight patients with an implant from whom lymph nodes were available for study. In this study, systemic distribution of metallic and polyethylene wear particles was a common finding, both in patients with a previously failed implant and in those with a primary total joint prosthesis. The prevalence of particles in the liver or spleen was greater after reconstructions with mechanical failure.”<a href=\"#_edn7\" name=\"_ednref7\">[vii]</a>\r\n\r\nMany people contact our office because they are experiencing joint pain and are looking for an alternative to a surgical joint replacement. We offer very effective non-surgical options with Regenerative Orthopedics, including Stem Cell Therapy. At OrthoRegen<sup>®</sup>, we only use the Gold Standard in Stem Cell Therapy, and the procedure only has to be done once. Plus, this non-surgical therapy not only provides a non-surgical option but also helps you to avoid an allergic response from the implants used in joint replacement or the pathology that can occur from the debris caused by corrosion.\r\n\r\nWe strongly recommend looking into non-surgical Regenerative Orthopedics with Peter A. Fields, MD, DC, and OrthoRegen<sup>®</sup> for the repair of painful joints before opting for a joint replacement.\r\n\r\nRemember, once surgery has been done, it cannot be undone.\r\n\r\n<a href=\"#_ednref1\" name=\"_edn1\">[i]</a> Laitinen, Minna, et al. \"High blood metal ion levels in 19 of 22 patients with metal-on-metal hinge knee replacements: A cause for concern.\" <em>Acta Orthopaedica</em> 88.3 (2017): 269-274.\r\n\r\n<a href=\"#_ednref2\" name=\"_edn2\">[ii]</a> Harloff, Thomas, et al. \"Titanium allergy or not?.\" <em>Health</em> 2.04 (2010): 306.\r\n\r\n<a href=\"#_ednref3\" name=\"_edn3\">[iii]</a> Guenther D, Thomas P, Kendoff D, Omar M, Gehrke T, Haasper C. Allergic reactions in arthroplasty: myth or serious problem? Int Orthop. 2016 Feb;40(2):239-44. doi: 10.1007/s00264-015-3001-6. Epub 2015 Nov 2.\r\n\r\n<a href=\"#_ednref4\" name=\"_edn4\">[iv]</a> Gao, Chengde, et al. \"Highly biodegradable and bioactive Fe-Pd-bredigite biocomposites prepared by selective laser melting.\" <em>Journal of advanced research</em> 20 (2019): 91-104.\r\n\r\n<a href=\"#_ednref5\" name=\"_edn5\">[v]</a> Samelko, Lauryn, et al. \"Cobalt alloy implant debris induces inflammation and bone loss primarily through danger signaling, not TLR4 activation: implications for DAMP-ening implant related inflammation.\" <em>PLoS One</em> 11.7 (2016).\r\n\r\n<a href=\"#_ednref6\" name=\"_edn6\">[vi]</a> Samelko, Lauryn, et al. \"TLR4 (not TLR2) dominate cognate TLR activity associated with CoCrMo implant particles.\" <em>Journal of Orthopaedic Research</em> 35.5 (2017): 1007-1017.\r\n\r\n<a href=\"#_ednref7\" name=\"_edn7\">[vii]</a> Urban, Robert M., et al. \"Dissemination of wear particles to the liver, spleen, and abdominal lymph nodes of patients with hip or knee replacement.\" <em>JBJS</em> 82.4 (2000): 457.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Allergic Reactions to Joint Replacements','','inherit','closed','closed','','3547-revision-v1','','','2020-08-01 02:01:20','2020-08-01 02:01:20','',3547,'https://www.drfields.com/uncategorized/3547-revision-v1/',0,'revision','',0),(3961,9,'2020-08-01 02:01:59','2020-08-01 02:01:59','When we are confronted with a joint replacement recommendation by our doctor it is so important to get informed and know what to expect. Many of us are concerned about the pain, the recovery time, and the cost. But have you ever thought about having allergic reactions to joint replacements?\r\n\r\nAllergy to the implant materials is an actual issue. And it\'s a new concern for individuals with joint pain who face joint replacement. It’s also another good reason to investigate other options when confronted with a surgical referral. In several previous articles, we have discussed how Regenerative Orthopedics is an effective alternative to surgery and one that really should be strongly considered.\r\n<h3>Is Joint Replacement Bad?</h3>\r\nOf course, there are times when surgery is necessary. However, every time a surgeon cuts, shaves and/or removes parts of a joint, there is always an increased possibility for the development of arthritis, degeneration and further pain in that joint. That’s because the removal of tissue causes the joints to become more unstable. The soft tissue structures are what provide much of the stability in the joint. So when they are cut or removed, the joint stability it altered.  Besides, why go through the pain and expense of surgery when you don’t need to? Now, allergic reactions to joint replacements are another reason to look for an alternative to surgery. And scientists are documenting the risk of allergy from implants.<a href=\"#_edn1\" name=\"_ednref1\">[i]</a>\r\n<h3>What Are Scientists Saying About Allergies from Joint Replacements and Metal Implants?</h3>\r\n“Metal allergy is in fact a well-documented factor in the failure of implants, and the need for allergy testing in sensitive patients is well recognized by both implant manufacturers and by surgeons alike.” And in this study, “All of the samples studied contained a consistent yet low percentage of components to which allergies have been contributed.”<a href=\"#_edn2\" name=\"_ednref2\">[ii]</a> But even small amounts are sufficient to cause an allergic reaction.\r\n<h3>What are the symptoms of metal allergy?</h3>\r\n“Patients suffering from metal hypersensitivity may have numerous local symptoms associated with an overactive immune system, such as localized pain, swelling, cutaneous allergic reactions, joint and muscle pain, implant failure, apparent recurrent infections around the operation site, and possible systemic reactions such as fibromyalgia, chronic fatigue and cognitive impairment.”<sup>ii </sup>As you can see, some of these hypersensitivity reactions result in chronic auto-immune type illnesses. That is a far cry from what the individual thought they were signing up for when they choose the route of the surgical implant…freedom from pain and suffering.\r\n\r\nTitanium used to be thought of as one of the safer metals, and in fact was used as the implant of choice for patients suffering from allergies to nickel, chrome, and cobalt. However, the titanium implants also contain these previously noted metals that are causing allergic responses.<sup>ii</sup>\r\n\r\nMetals usually found in common medical-grade alloys include cobalt, nickel, chrome, stainless steel, and titanium. Many also contain various detectable impurities like aluminum, iron, vanadium, and more.<sup>ii</sup>\r\n\r\nIt is of utmost importance that if you have an allergy to these metals, that you are thoroughly informed about the potential reaction that might result from the choice of implant materials.<a href=\"#_edn3\" name=\"_ednref3\">[iii]</a>\r\n<h2>Corrosion of Implant Materials</h2>\r\n<strong>Allergies from joint replacements are not the only problem that can occur with implant materials. There is also an issue of corrosion of the implants with wear and tear</strong>.\r\n\r\nNo matter what materials are used in joint replacements, wear of the implant is a predictable problem.  In fact, wear is the major reason orthopedic implants malfunction. That malfunction actually hastens the problem of corrosion. When implant materials are chosen, they are chosen because of their higher resistance to wear, like metal alloy and ceramics.\r\n\r\nIn hip implants, titanium and its alloys are often used for fabricating the femoral component. And the ball is prepared by either cobalt-chromium alloy or other hard ceramics. The debris that is released with the wear that damages the implant can begin a biological process that activates a brutal inflammatory reaction. The corrosion that transpires from the friction that results from this wear is actually a huge worry because it discharges non-compatible metallic ions that are dispersed into the body. <a href=\"#_edn4\" name=\"_ednref4\">[iv]</a>\r\n\r\nResearch articles demonstrate plenty of evidence about the issue of corrosion of implants and how the debris results in disease. One article discusses how cobalt alloy debris has been implicated in the early failure of some designs of current total joint implants, and also how the debris from cobalt implants causes an extreme inflammatory reaction and even bone loss.<a href=\"#_edn5\" name=\"_ednref5\">[v]</a>\r\n\r\nHere is an excerpt from another article: “Immune reactions to orthopedic implant debris are the primary cause of total joint replacement (TJR) failure over the long term (15–20 years). It has been well established that implant debris causes local inflammation, limiting the long-term performance of the over one million total joint replacements (TJR) implanted each year in the US. Implant debris induces a subtle inflammatory cascade resulting in a slow progression of bone loss… that over time leads to implant failure.”<a href=\"#_edn6\" name=\"_ednref6\">[vi]</a>\r\n\r\nThe researchers are saying that the debris from implants is definitely a problem and that it causes disease. Obviously, this is not a good scenario.\r\n<h3>So, Where Does the Debris from Wear and Tear of the Implant Go?</h3>\r\nIn research looking at the dissemination of wear particles, the scientists find the debris in the lymph nodes, liver, and spleen. “Metallic wear particles in the liver or spleen were more prevalent in patients who had had a failed hip arthroplasty (seven of eight) than in patients who had had a primary hip (two of eleven) or knee replacement (two of ten).\r\n\r\nMetallic wear particles were detected in the lymph nodes in 68 percent (nineteen) of the twenty-eight patients with an implant from whom lymph nodes were available for study. In this study, systemic distribution of metallic and polyethylene wear particles was a common finding, both in patients with a previously failed implant and in those with a primary total joint prosthesis. The prevalence of particles in the liver or spleen was greater after reconstructions with mechanical failure.”<a href=\"#_edn7\" name=\"_ednref7\">[vii]</a>\r\n\r\nMany people contact our office because they are experiencing joint pain and are looking for an alternative to a surgical joint replacement. We offer very effective non-surgical options with Regenerative Orthopedics, including Stem Cell Therapy. At OrthoRegen<sup>®</sup>, we only use the Gold Standard in Stem Cell Therapy, and the procedure only has to be done once. Plus, this non-surgical therapy not only provides a non-surgical option but also helps you to avoid an allergic response from the implants used in joint replacement or the pathology that can occur from the debris caused by corrosion.\r\n\r\nWe strongly recommend looking into non-surgical Regenerative Orthopedics with Peter A. Fields, MD, DC, and OrthoRegen<sup>®</sup> for the repair of painful joints before opting for a joint replacement.\r\n\r\nRemember, once surgery has been done, it cannot be undone.\r\n\r\n<a href=\"#_ednref1\" name=\"_edn1\">[i]</a> Laitinen, Minna, et al. \"High blood metal ion levels in 19 of 22 patients with metal-on-metal hinge knee replacements: A cause for concern.\" <em>Acta Orthopaedica</em> 88.3 (2017): 269-274.\r\n\r\n<a href=\"#_ednref2\" name=\"_edn2\">[ii]</a> Harloff, Thomas, et al. \"Titanium allergy or not?.\" <em>Health</em> 2.04 (2010): 306.\r\n\r\n<a href=\"#_ednref3\" name=\"_edn3\">[iii]</a> Guenther D, Thomas P, Kendoff D, Omar M, Gehrke T, Haasper C. Allergic reactions in arthroplasty: myth or serious problem? Int Orthop. 2016 Feb;40(2):239-44. doi: 10.1007/s00264-015-3001-6. Epub 2015 Nov 2.\r\n\r\n<a href=\"#_ednref4\" name=\"_edn4\">[iv]</a> Gao, Chengde, et al. \"Highly biodegradable and bioactive Fe-Pd-bredigite biocomposites prepared by selective laser melting.\" <em>Journal of advanced research</em> 20 (2019): 91-104.\r\n\r\n<a href=\"#_ednref5\" name=\"_edn5\">[v]</a> Samelko, Lauryn, et al. \"Cobalt alloy implant debris induces inflammation and bone loss primarily through danger signaling, not TLR4 activation: implications for DAMP-ening implant related inflammation.\" <em>PLoS One</em> 11.7 (2016).\r\n\r\n<a href=\"#_ednref6\" name=\"_edn6\">[vi]</a> Samelko, Lauryn, et al. \"TLR4 (not TLR2) dominate cognate TLR activity associated with CoCrMo implant particles.\" <em>Journal of Orthopaedic Research</em> 35.5 (2017): 1007-1017.\r\n\r\n<a href=\"#_ednref7\" name=\"_edn7\">[vii]</a> Urban, Robert M., et al. \"Dissemination of wear particles to the liver, spleen, and abdominal lymph nodes of patients with hip or knee replacement.\" <em>JBJS</em> 82.4 (2000): 457.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Allergic Reactions to Joint Replacements','','inherit','closed','closed','','3547-revision-v1','','','2020-08-01 02:01:59','2020-08-01 02:01:59','',3547,'https://www.drfields.com/uncategorized/3547-revision-v1/',0,'revision','',0),(3962,9,'2020-08-01 02:10:37','2020-08-01 02:10:37','When we are confronted with a joint replacement recommendation by our doctor it is so important to get informed and know what to expect. Many of us are concerned about the pain, the recovery time, and the cost. But have you ever thought about having allergic reactions to joint replacements?\r\n\r\nAllergy to the implant materials is an actual issue. And it\'s a new concern for individuals with joint pain who face joint replacement. It’s also another good reason to investigate other options when confronted with a surgical referral. In several previous articles, we have discussed how Regenerative Orthopedics is an effective alternative to surgery and one that really should be strongly considered.\r\n<h3>Are Joint Replacements Bad?</h3>\r\nOf course, there are times when surgery is necessary. However, every time a surgeon cuts, shaves, and/or removes parts of a joint, there is always an increased possibility for the development of arthritis, degeneration, and further pain in that joint. That’s because the removal of tissue causes the joints to become more unstable. The soft tissue structures are what provide much of the stability in the joint. So when they are cut or removed, the joint stability it altered.  Besides, why go through the pain and expense of surgery when you don’t need to? Now, allergic reactions to joint replacements are another reason to look for an alternative to surgery. And scientists are documenting the risk of allergy from implants.<a href=\"#_edn1\" name=\"_ednref1\">[i]</a>\r\n<h3>What Are Scientists Saying About Allergic Reactions to Joint Replacements and Metal Implants?</h3>\r\n“Metal allergy is in fact a well-documented factor in the failure of implants, and the need for allergy testing in sensitive patients is well recognized by both implant manufacturers and by surgeons alike.” And in this study, “All of the samples studied contained a consistent yet low percentage of components to which allergies have been contributed.”<a href=\"#_edn2\" name=\"_ednref2\">[ii]</a> But even small amounts are sufficient to cause an allergic reaction.\r\n<h3>What are the Symptoms of Allergic Reactions to Joint Replacements and Metal Implants?</h3>\r\n“Patients suffering from metal hypersensitivity may have numerous local symptoms associated with an overactive immune system, such as localized pain, swelling, cutaneous allergic reactions, joint and muscle pain, implant failure, apparent recurrent infections around the operation site, and possible systemic reactions such as fibromyalgia, chronic fatigue and cognitive impairment.”<sup>ii </sup>As you can see, some of these hypersensitivity reactions result in chronic auto-immune type illnesses. That is a far cry from what the individual thought they were signing up for when they choose the route of the surgical implant…freedom from pain and suffering.\r\n\r\nTitanium used to be thought of as one of the safer metals, and in fact was used as the implant of choice for patients suffering from allergies to nickel, chrome, and cobalt. However, the titanium implants also contain these previously noted metals that are causing allergic responses.<sup>ii</sup>\r\n\r\nMetals usually found in common medical-grade alloys include cobalt, nickel, chrome, stainless steel, and titanium. Many also contain various detectable impurities like aluminum, iron, vanadium, and more.<sup>ii</sup>\r\n\r\nIt is of utmost importance that if you have an allergy to these metals, that you are thoroughly informed about the potential reaction that might result from the choice of implant materials.<a href=\"#_edn3\" name=\"_ednref3\">[iii]</a>\r\n<h2>Corrosion of Implant Materials</h2>\r\n<strong>Allergic reactions to joint replacements are not the only problem that can occur with implant materials. There is also an issue of corrosion of the implants with wear and tear</strong>.\r\n\r\nNo matter what materials are used in joint replacements, wear of the implant is a predictable problem.  In fact, wear is the major reason orthopedic implants malfunction. That malfunction actually hastens the problem of corrosion. When implant materials are chosen, they are chosen because of their higher resistance to wear, like metal alloy and ceramics.\r\n\r\nIn hip implants, titanium and its alloys are often used for fabricating the femoral component. And the ball is prepared by either cobalt-chromium alloy or other hard ceramics. The debris that is released with the wear that damages the implant can begin a biological process that activates a brutal inflammatory reaction. The corrosion that transpires from the friction that results from this wear is actually a huge worry because it discharges non-compatible metallic ions that are dispersed into the body. <a href=\"#_edn4\" name=\"_ednref4\">[iv]</a>\r\n\r\nResearch articles demonstrate plenty of evidence about the issue of corrosion of implants and how the debris results in disease. One article discusses how cobalt alloy debris has been implicated in the early failure of some designs of current total joint implants, and also how the debris from cobalt implants causes an extreme inflammatory reaction and even bone loss.<a href=\"#_edn5\" name=\"_ednref5\">[v]</a>\r\n\r\nHere is an excerpt from another article: “Immune reactions to orthopedic implant debris are the primary cause of total joint replacement (TJR) failure over the long term (15–20 years). It has been well established that implant debris causes local inflammation, limiting the long-term performance of the over one million total joint replacements (TJR) implanted each year in the US. Implant debris induces a subtle inflammatory cascade resulting in a slow progression of bone loss… that over time leads to implant failure.”<a href=\"#_edn6\" name=\"_ednref6\">[vi]</a>\r\n\r\nThe researchers are saying that the debris from implants is definitely a problem and that it causes disease. Obviously, this is not a good scenario.\r\n<h3>So, Where Does the Debris from Wear and Tear of the Implant Go?</h3>\r\nIn research looking at the dissemination of wear particles, the scientists find the debris in the lymph nodes, liver, and spleen. “Metallic wear particles in the liver or spleen were more prevalent in patients who had had a failed hip arthroplasty (seven of eight) than in patients who had had a primary hip (two of eleven) or knee replacement (two of ten).\r\n\r\nMetallic wear particles were detected in the lymph nodes in 68 percent (nineteen) of the twenty-eight patients with an implant from whom lymph nodes were available for study. In this study, systemic distribution of metallic and polyethylene wear particles was a common finding, both in patients with a previously failed implant and in those with a primary total joint prosthesis. The prevalence of particles in the liver or spleen was greater after reconstructions with mechanical failure.”<a href=\"#_edn7\" name=\"_ednref7\">[vii]</a>\r\n\r\nMany people contact our office because they are experiencing joint pain and are looking for an <a href=\"https://www.drfields.com/articles/regenerative-orthopedics/stem-cell-treatment-an-alternative-to-joint-replacement/\">alternative to a surgical joint replacement.</a> We offer very effective non-surgical options with Regenerative Orthopedics, including <a href=\"https://www.drfields.com/regenerative-techniques/stem-cell-treatment/\">Stem Cell Therapy</a>. At OrthoRegen<sup>®</sup>, we only use the Gold Standard in Stem Cell Therapy, and the procedure only has to be done once. Plus, this non-surgical therapy not only provides a non-surgical option but also helps you to avoid an allergic response from the implants used in joint replacement or the pathology that can occur from the debris caused by corrosion.\r\n\r\nWe strongly recommend looking into non-surgical Regenerative Orthopedics with Peter A. Fields, MD, DC, and OrthoRegen<sup>®</sup> for the repair of painful joints before opting for a joint replacement. Call us today at 310-453-1234.\r\n\r\nRemember, once surgery has been done, it cannot be undone.\r\n\r\n<a href=\"#_ednref1\" name=\"_edn1\">[i]</a> Laitinen, Minna, et al. \"High blood metal ion levels in 19 of 22 patients with metal-on-metal hinge knee replacements: A cause for concern.\" <em>Acta Orthopaedica</em> 88.3 (2017): 269-274.\r\n\r\n<a href=\"#_ednref2\" name=\"_edn2\">[ii]</a> Harloff, Thomas, et al. \"Titanium allergy or not?.\" <em>Health</em> 2.04 (2010): 306.\r\n\r\n<a href=\"#_ednref3\" name=\"_edn3\">[iii]</a> Guenther D, Thomas P, Kendoff D, Omar M, Gehrke T, Haasper C. Allergic reactions in arthroplasty: myth or serious problem? Int Orthop. 2016 Feb;40(2):239-44. doi: 10.1007/s00264-015-3001-6. Epub 2015 Nov 2.\r\n\r\n<a href=\"#_ednref4\" name=\"_edn4\">[iv]</a> Gao, Chengde, et al. \"Highly biodegradable and bioactive Fe-Pd-bredigite biocomposites prepared by selective laser melting.\" <em>Journal of advanced research</em> 20 (2019): 91-104.\r\n\r\n<a href=\"#_ednref5\" name=\"_edn5\">[v]</a> Samelko, Lauryn, et al. \"Cobalt alloy implant debris induces inflammation and bone loss primarily through danger signaling, not TLR4 activation: implications for DAMP-ening implant related inflammation.\" <em>PLoS One</em> 11.7 (2016).\r\n\r\n<a href=\"#_ednref6\" name=\"_edn6\">[vi]</a> Samelko, Lauryn, et al. \"TLR4 (not TLR2) dominate cognate TLR activity associated with CoCrMo implant particles.\" <em>Journal of Orthopaedic Research</em> 35.5 (2017): 1007-1017.\r\n\r\n<a href=\"#_ednref7\" name=\"_edn7\">[vii]</a> Urban, Robert M., et al. \"Dissemination of wear particles to the liver, spleen, and abdominal lymph nodes of patients with hip or knee replacement.\" <em>JBJS</em> 82.4 (2000): 457.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Allergic Reactions to Joint Replacements','','inherit','closed','closed','','3547-revision-v1','','','2020-08-01 02:10:37','2020-08-01 02:10:37','',3547,'https://www.drfields.com/uncategorized/3547-revision-v1/',0,'revision','',0),(3963,9,'2020-08-01 02:16:05','2020-08-01 02:16:05','When we are confronted with a joint replacement recommendation by our doctor it is so important to get informed and know what to expect. Many of us are concerned about the pain, the recovery time, and the cost. But have you ever thought about having allergic reactions to joint replacements?\r\n\r\nAllergy to the implant materials is an actual issue. And it\'s a new concern for individuals with joint pain who face joint replacement. It’s also another good reason to investigate other options when confronted with a surgical referral. In several previous articles, we have discussed how Regenerative Orthopedics is an effective alternative to surgery and one that really should be strongly considered.\r\n<h3>Are Joint Replacements Bad?</h3>\r\nOf course, there are times when surgery is necessary. However, every time a surgeon cuts, shaves, and/or removes parts of a joint, there is always an increased possibility for the development of arthritis, degeneration, and further pain in that joint. That’s because the removal of tissue causes the joints to become more unstable. The soft tissue structures are what provide much of the stability in the joint. So when they are cut or removed, the joint stability it altered.  Besides, why go through the pain and expense of surgery when you don’t need to? Now, allergic reactions to joint replacements are another reason to look for an alternative to surgery. And scientists are documenting the risk of allergy from implants.<a href=\"#_edn1\" name=\"_ednref1\">[i]</a>\r\n<h3>What Are Scientists Saying About Allergic Reactions to Joint Replacements and Metal Implants?</h3>\r\n“Metal allergy is in fact a well-documented factor in the failure of implants, and the need for allergy testing in sensitive patients is well recognized by both implant manufacturers and by surgeons alike.” And in this study, “All of the samples studied contained a consistent yet low percentage of components to which allergies have been contributed.”<a href=\"#_edn2\" name=\"_ednref2\">[ii]</a> But even small amounts are sufficient to cause an allergic reaction.\r\n<h3>What are the Symptoms of Allergic Reactions to Joint Replacements and Metal Implants?</h3>\r\n“Patients suffering from metal hypersensitivity may have numerous local symptoms associated with an overactive immune system, such as localized pain, swelling, cutaneous allergic reactions, joint and muscle pain, implant failure, apparent recurrent infections around the operation site, and possible systemic reactions such as fibromyalgia, chronic fatigue and cognitive impairment.”<sup>ii </sup>As you can see, some of these hypersensitivity reactions result in chronic auto-immune type illnesses. That is a far cry from what the individual thought they were signing up for when they choose the route of the surgical implant…freedom from pain and suffering.\r\n\r\nTitanium used to be thought of as one of the safer metals, and in fact was used as the implant of choice for patients suffering from allergies to nickel, chrome, and cobalt. However, the titanium implants also contain these previously noted metals that are causing allergic responses.<sup>ii</sup>\r\n\r\nMetals usually found in common medical-grade alloys include cobalt, nickel, chrome, stainless steel, and titanium. Many also contain various detectable impurities like aluminum, iron, vanadium, and more.<sup>ii</sup>\r\n\r\nIt is of utmost importance that if you have an allergy to these metals, that you are thoroughly informed about the potential reaction that might result from the choice of implant materials.<a href=\"#_edn3\" name=\"_ednref3\">[iii]</a>\r\n<h2>Corrosion of Implant Materials</h2>\r\n<strong>Allergic reactions to joint replacements are not the only problem that can occur with implant materials. There is also an issue of corrosion of the implants with wear and tear</strong>.\r\n\r\nNo matter what materials are used in joint replacements, wear of the implant is a predictable problem.  In fact, wear is the major reason orthopedic implants malfunction. That malfunction actually hastens the problem of corrosion. When implant materials are chosen, they are chosen because of their higher resistance to wear, like metal alloy and ceramics.\r\n\r\nIn hip implants, titanium and its alloys are often used for fabricating the femoral component. And the ball is prepared by either cobalt-chromium alloy or other hard ceramics. The debris that is released with the wear that damages the implant can begin a biological process that activates a brutal inflammatory reaction. The corrosion that transpires from the friction that results from this wear is actually a huge worry because it discharges non-compatible metallic ions that are dispersed into the body. <a href=\"#_edn4\" name=\"_ednref4\">[iv]</a>\r\n\r\nResearch articles demonstrate plenty of evidence about the issue of corrosion of implants and how the debris results in disease. One article discusses how cobalt alloy debris has been implicated in the early failure of some designs of current total joint implants, and also how the debris from cobalt implants causes an extreme inflammatory reaction and even bone loss.<a href=\"#_edn5\" name=\"_ednref5\">[v]</a>\r\n\r\nHere is an excerpt from another article: “Immune reactions to orthopedic implant debris are the primary cause of total joint replacement (TJR) failure over the long term (15–20 years). It has been well established that implant debris causes local inflammation, limiting the long-term performance of the over one million total joint replacements (TJR) implanted each year in the US. Implant debris induces a subtle inflammatory cascade resulting in a slow progression of bone loss… that over time leads to implant failure.”<a href=\"#_edn6\" name=\"_ednref6\">[vi]</a>\r\n\r\nThe researchers say in these studies that the debris from implants is definitely a problem and that it causes disease. Obviously, this is not a good scenario.\r\n<h3>So, Where Does the Debris from Wear and Tear of the Implant Go?</h3>\r\nThe scientists find the debris in the lymph nodes, liver, and spleen according to the research looking at the dissemination of wear particles. “Metallic wear particles in the liver or spleen were more prevalent in patients who had had a failed hip arthroplasty (seven of eight) than in patients who had had a primary hip (two of eleven) or knee replacement (two of ten).\r\n\r\nMetallic wear particles were detected in the lymph nodes in 68 percent (nineteen) of the twenty-eight patients with an implant from whom lymph nodes were available for study.\r\n\r\nIn this study, the systemic distribution of metallic and polyethylene wear particles was a common finding. Both in patients with a previously failed implant and in those with a primary total joint prosthesis. The prevalence of particles in the liver or spleen was greater after reconstructions with mechanical failure.”<a href=\"#_edn7\" name=\"_ednref7\">[vii]</a>\r\n<h3>Regenerative Orthopedics: An Alternative to Joint Replacement</h3>\r\nMany people contact our office because they are experiencing joint pain and are looking for an <a href=\"https://www.drfields.com/articles/regenerative-orthopedics/stem-cell-treatment-an-alternative-to-joint-replacement/\">alternative to a surgical joint replacement.</a> We offer very effective non-surgical options with Regenerative Orthopedics, including <a href=\"https://www.drfields.com/regenerative-techniques/stem-cell-treatment/\">Stem Cell Therapy</a>.\r\n\r\nAt OrthoRegen<sup>®</sup>, we only use the Gold Standard in Stem Cell Therapy, and the procedure only has to be done once. Plus, this non-surgical therapy not only provides a non-surgical option but also helps you to avoid an allergic response from the implants used in joint replacement or the pathology that can occur from the debris caused by corrosion.\r\n\r\nWe strongly recommend looking into non-surgical Regenerative Orthopedics with Peter A. Fields, MD, DC, and OrthoRegen<sup>®</sup> for the repair of painful joints before opting for a joint replacement. Call us today at 310-453-1234.\r\n\r\nRemember, once surgery has been done, it cannot be undone.\r\n\r\n<a href=\"#_ednref1\" name=\"_edn1\">[i]</a> Laitinen, Minna, et al. \"High blood metal ion levels in 19 of 22 patients with metal-on-metal hinge knee replacements: A cause for concern.\" <em>Acta Orthopaedica</em> 88.3 (2017): 269-274.\r\n\r\n<a href=\"#_ednref2\" name=\"_edn2\">[ii]</a> Harloff, Thomas, et al. \"Titanium allergy or not?.\" <em>Health</em> 2.04 (2010): 306.\r\n\r\n<a href=\"#_ednref3\" name=\"_edn3\">[iii]</a> Guenther D, Thomas P, Kendoff D, Omar M, Gehrke T, Haasper C. Allergic reactions in arthroplasty: myth or serious problem? Int Orthop. 2016 Feb;40(2):239-44. doi: 10.1007/s00264-015-3001-6. Epub 2015 Nov 2.\r\n\r\n<a href=\"#_ednref4\" name=\"_edn4\">[iv]</a> Gao, Chengde, et al. \"Highly biodegradable and bioactive Fe-Pd-bredigite biocomposites prepared by selective laser melting.\" <em>Journal of advanced research</em> 20 (2019): 91-104.\r\n\r\n<a href=\"#_ednref5\" name=\"_edn5\">[v]</a> Samelko, Lauryn, et al. \"Cobalt alloy implant debris induces inflammation and bone loss primarily through danger signaling, not TLR4 activation: implications for DAMP-ening implant related inflammation.\" <em>PLoS One</em> 11.7 (2016).\r\n\r\n<a href=\"#_ednref6\" name=\"_edn6\">[vi]</a> Samelko, Lauryn, et al. \"TLR4 (not TLR2) dominate cognate TLR activity associated with CoCrMo implant particles.\" <em>Journal of Orthopaedic Research</em> 35.5 (2017): 1007-1017.\r\n\r\n<a href=\"#_ednref7\" name=\"_edn7\">[vii]</a> Urban, Robert M., et al. \"Dissemination of wear particles to the liver, spleen, and abdominal lymph nodes of patients with hip or knee replacement.\" <em>JBJS</em> 82.4 (2000): 457.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Allergic Reactions to Joint Replacements','','inherit','closed','closed','','3547-revision-v1','','','2020-08-01 02:16:05','2020-08-01 02:16:05','',3547,'https://www.drfields.com/uncategorized/3547-revision-v1/',0,'revision','',0),(3964,0,'2020-08-07 16:29:35','2020-08-07 16:29:35','','iwp_log_5f2d816f77b39','','publish','closed','closed','','iwp_log_5f2d816f77b39','','','2020-08-07 16:29:35','2020-08-07 16:29:35','',0,'https://www.drfields.com/uncategorized/iwp_log_5f2d816f77b39/',0,'iwp_log','',0),(3965,9,'2021-08-06 21:44:47','2021-08-06 21:44:47','Are you experiencing sciatica pain going down your leg? And did the pain begin years ago with aggravating pain in the gluts or the back of the thigh? Or are you noticing new symptoms of tingling down to the calf and toes? Sciatica pain and symptoms often occur with sitting, standing, and walking; and may be relieved with lying down. Does that sound like you?\n<h3>Seeing A Chiropractor for Sciatica Pain</h3>\nChiropractors should be the first physician to see about sciatica pain because this is an area they treat all of the time. But if the pain continues after giving chiropractic a chance (several or more treatments are usually needed), and then also trying other various treatment modalities, like acupuncture, massage, and physical therapy, the next step would be Regenerative Orthopedics as a solution for this persistent pain.\n\nDid you receive an MRI with a report revealing some type of encroachment on a nerve root in the lower back area, which is pinching the nerve, and possibly some displacement and/or degeneration in the vertebrae of the lower back? These are common on MRI reports when experiencing sciatica pain. The displacement mentioned in the report may include forward or backward movement of the vertebrae. And this movement pinches the nerve root due to <em>instability in the lumbar spine caused by ligament laxity</em>.\n<h2>Sciatica Pain May Be the Result of Lax Ligaments</h2>\nLigaments are a type of connective tissue that connects bone to bone. And ligaments help to stabilize the spine and other joints. Injured ligaments are often lax. When they become lax or loose, they have difficulty healing because they have a pretty poor blood supply.\n\nRegenerative Orthopedics stimulates the body to boost the blood supply and fibroblasts in the injured areas, resulting in repair of the injured ligaments. The fibroblasts are the cells through which collagen is made and by which tendons and ligaments repair.\n\nRegenerative Orthopedics helps strengthen and tighten the ligaments. This results in stabilization of the joints of the lumbar spine which then stops the pinching of the nerve.\n<h2>Cortisone vs Dextrose Caudal Epidural</h2>\nA lumbar epidural is an injection into the epidural space of the lumbar spine. When patients experience referred pain, either cortisone (steroid) or dextrose injections can be used. Steroids are strong anti-inflammatories. But they need to be limited to no more than 3-4 injections each year in order to prevent the thinning of the bone and connective tissue damage.\n\n[caption id=\"attachment_4822\" align=\"alignright\" width=\"500\"]<img class=\"size-medium wp-image-4822\" src=\"https://www.drfields.com/wp-content/uploads/2020/02/Cortisone-500x375.jpeg\" alt=\"Cortisone\" width=\"500\" height=\"375\" />   A Problem with Cortisone Is That It Is Just a Bandaid Over Degeneration[/caption]\n\nAt OrthoRegen<sup>®</sup>, we endeavor to build up the soft tissue and joint structures. Because of that, we do not use substances like cortisone, because it causes degeneration and inhibits healing. Instead, we use a dextrose solution to reduce the swelling of the nerve without the anti-inflammatory effect and the steroid side effects.\n\nRegenerative Orthopedics eliminate or reduce pain, numbness, and tingling, enabling the former sciatica pain sufferer to be able to sit, stand, and walk without any pain or annoying symptoms. The treatment effectively resolves the symptoms and results in pain-free living.\n\nHere at OrthoRegen<sup>®</sup>, we practice a comprehensive approach to Regenerative Orthopedics. And it\'s a great alternative to surgery and joint replacement. The treatment helps regenerate connective soft tissues and accelerates recovery.\n\nLumbar instability results in an array of symptoms. And they include sacroiliac pain, lower back pain, sciatic pain, and referred leg pain. All of these symptoms can be treated effectively with Regenerative Orthopedics.  So, if you are suffering from any of the symptoms listed above and would like to learn more, you can give us a call at (310)453-1234. We’d love to help you eliminate your sciatica symptoms.\n\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Treat Sciatica Pain Non-Surgically','','inherit','closed','closed','','3540-autosave-v1','','','2021-08-06 21:44:47','2021-08-06 21:44:47','',3540,'https://www.drfields.com/uncategorized/3540-autosave-v1/',0,'revision','',0),(3966,9,'2020-08-08 22:23:35','2020-08-08 22:23:35','Are you experiencing sciatica pain going down your leg? The pain may have begun years ago with aggravating pain in the gluts or the back of the thigh. Are you noticing new symptoms of tingling down to the calf and toes? Sciatica pain and symptoms may occur with sitting, standing, and walking; and may be relieved with lying down.\r\n<h3>Seeing A Chiropractor for Sciatica Pain</h3>\r\nChiropractors should be the first physician to see about sciatica pain because this is an area they treat all of the time. But if the pain continues after giving chiropractic a chance (several or more treatments are usually needed), and then also trying other various treatment modalities, like acupuncture, massage, and physical therapy, the next step would be Regenerative Orthopedics as a solution for this persistent pain.\r\n\r\nDid you receive an MRI with a report revealing some type of encroachment on a nerve root in the lower back area, which is pinching the nerve, and possibly some displacement and/or degeneration in the vertebrae of the lower back? These are not uncommon on MRI reports when experiencing sciatica pain. The displacement mentioned on the report may include forward or backward movement of the vertebrae which pinches the nerve root due to <em>instability in the lumbar spine caused by ligament laxity</em>.\r\n<h2>Sciatica Pain May Be the Result of Lax Ligaments</h2>\r\nLigaments are a type of connective tissue that connect bone to bone and help stabilize the spine and other joints. Injured ligaments are often lax. When they become lax or loose, they have difficulty healing because they have a pretty poor blood supply.\r\n\r\nRegenerative Orthopedics stimulates the body to boost the blood supply and fibroblasts at the injured areas, resulting in repair of the injured ligaments. The fibroblasts are the cells through which collagen is made and by which tendons and ligaments repair.\r\n\r\nRegenerative Orthopedics helps strengthen and tighten the ligaments thereby stabilizing the joints of the lumbar spine which then stops the pinching of the nerve.\r\n<h2>Cortisone vs Dextrose Caudal Epidural</h2>\r\nA lumbar epidural is an injection into the epidural space of the lumbar spine. When patients are having referred pain, cortisone (steroid) or dextrose injections can be used. Steroids are strong anti-inflammatories. They need to be limited to no more than 3-4 injections each year in order to prevent the thinning of the bone and connective tissue damage.\r\n\r\nAt OrthoRegen<sup>®</sup>, we endeavor to build up the soft tissue and joint structures. Because of that, we do not use substances like cortisone, because it causes degeneration and inhibits healing. Instead, we use a dextrose solution to reduce the swelling of the nerve without the anti-inflammatory effect and the steroid side effects.\r\n\r\nRegenerative Orthopedics eliminate or reduce pain, numbness, and tingling, enabling the former sciatica pain sufferer to be able to sit, stand, and walk without any pain or annoying symptoms. The treatment is very effective at achieving symptom resolution and pain-free living.\r\n\r\nHere at OrthoRegen<sup>®</sup>, we practice a comprehensive approach to Regenerative Orthopedics. And it\'s a great alternative to surgery and joint replacement because it helps regenerate connective soft tissues and accelerates recovery. Lumbar instability can cause an array of symptoms including sacroiliac pain, lower back pain, sciatic pain, and referred leg pain.\r\n\r\nAll of these symptoms can be treated effectively with Regenerative Orthopedics.  If you are suffering from any of the symptoms listed above and would like to learn more, you can give us a call at (310)453-1234. We’d love to help you eliminate your sciatica symptoms.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Treat Sciatica Pain Non-Surgically','','inherit','closed','closed','','3540-revision-v1','','','2020-08-08 22:23:35','2020-08-08 22:23:35','',3540,'https://www.drfields.com/uncategorized/3540-revision-v1/',0,'revision','',0),(3967,9,'2020-08-08 22:34:12','2020-08-08 22:34:12','Are you experiencing sciatica pain going down your leg? Did the pain begin years ago with aggravating pain in the gluts or the back of the thigh? Are you noticing new symptoms of tingling down to the calf and toes? Sciatica pain and symptoms often occur with sitting, standing, and walking; and may be relieved with lying down. Does that sound like you?\r\n<h3>Seeing A Chiropractor for Sciatica Pain</h3>\r\nChiropractors should be the first physician to see about sciatica pain because this is an area they treat all of the time. But if the pain continues after giving chiropractic a chance (several or more treatments are usually needed), and then also trying other various treatment modalities, like acupuncture, massage, and physical therapy, the next step would be Regenerative Orthopedics as a solution for this persistent pain.\r\n\r\nDid you receive an MRI with a report revealing some type of encroachment on a nerve root in the lower back area, which is pinching the nerve, and possibly some displacement and/or degeneration in the vertebrae of the lower back? These are not uncommon on MRI reports when experiencing sciatica pain. The displacement mentioned in the report may include forward or backward movement of the vertebrae. This movement pinches the nerve root due to <em>instability in the lumbar spine caused by ligament laxity</em>.\r\n<h2>Sciatica Pain May Be the Result of Lax Ligaments</h2>\r\nLigaments are a type of connective tissue that connects bone to bone. They help to stabilize the spine and other joints. Injured ligaments are often lax. When they become lax or loose, they have difficulty healing because they have a pretty poor blood supply.\r\n\r\nRegenerative Orthopedics stimulates the body to boost the blood supply and fibroblasts in the injured areas, resulting in repair of the injured ligaments. The fibroblasts are the cells through which collagen is made and by which tendons and ligaments repair.\r\n\r\nRegenerative Orthopedics helps strengthen and tighten the ligaments. This results in stabilization of the joints of the lumbar spine which then stops the pinching of the nerve.\r\n<h2>Cortisone vs Dextrose Caudal Epidural</h2>\r\nA lumbar epidural is an injection into the epidural space of the lumbar spine. When patients experience referred pain, either cortisone (steroid) or dextrose injections can be used. Steroids are strong anti-inflammatories. But they need to be limited to no more than 3-4 injections each year in order to prevent the thinning of the bone and connective tissue damage.\r\n\r\nAt OrthoRegen<sup>®</sup>, we endeavor to build up the soft tissue and joint structures. Because of that, we do not use substances like cortisone, because it causes degeneration and inhibits healing. Instead, we use a dextrose solution to reduce the swelling of the nerve without the anti-inflammatory effect and the steroid side effects.\r\n\r\nRegenerative Orthopedics eliminate or reduce pain, numbness, and tingling, enabling the former sciatica pain sufferer to be able to sit, stand, and walk without any pain or annoying symptoms. The treatment effectively resolves the symptoms and results in pain-free living.\r\n\r\nHere at OrthoRegen<sup>®</sup>, we practice a comprehensive approach to Regenerative Orthopedics. And it\'s a great alternative to surgery and joint replacement. The treatment helps regenerate connective soft tissues and accelerates recovery.\r\n\r\nLumbar instability results in an array of symptoms. And they include sacroiliac pain, lower back pain, sciatic pain, and referred leg pain. All of these symptoms can be treated effectively with Regenerative Orthopedics.  So, if you are suffering from any of the symptoms listed above and would like to learn more, you can give us a call at (310)453-1234. We’d love to help you eliminate your sciatica symptoms.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Treat Sciatica Pain Non-Surgically','','inherit','closed','closed','','3540-revision-v1','','','2020-08-08 22:34:12','2020-08-08 22:34:12','',3540,'https://www.drfields.com/uncategorized/3540-revision-v1/',0,'revision','',0),(3968,9,'2020-08-08 22:39:07','2020-08-08 22:39:07','Are you experiencing sciatica pain going down your leg? And did the pain begin years ago with aggravating pain in the gluts or the back of the thigh? Or are you noticing new symptoms of tingling down to the calf and toes? Sciatica pain and symptoms often occur with sitting, standing, and walking; and may be relieved with lying down. Does that sound like you?\r\n<h3>Seeing A Chiropractor for Sciatica Pain</h3>\r\nChiropractors should be the first physician to see about sciatica pain because this is an area they treat all of the time. But if the pain continues after giving chiropractic a chance (several or more treatments are usually needed), and then also trying other various treatment modalities, like acupuncture, massage, and physical therapy, the next step would be Regenerative Orthopedics as a solution for this persistent pain.\r\n\r\nDid you receive an MRI with a report revealing some type of encroachment on a nerve root in the lower back area, which is pinching the nerve, and possibly some displacement and/or degeneration in the vertebrae of the lower back? These are common on MRI reports when experiencing sciatica pain. The displacement mentioned in the report may include forward or backward movement of the vertebrae. And this movement pinches the nerve root due to <em>instability in the lumbar spine caused by ligament laxity</em>.\r\n<h2>Sciatica Pain May Be the Result of Lax Ligaments</h2>\r\nLigaments are a type of connective tissue that connects bone to bone. And ligaments help to stabilize the spine and other joints. Injured ligaments are often lax. When they become lax or loose, they have difficulty healing because they have a pretty poor blood supply.\r\n\r\nRegenerative Orthopedics stimulates the body to boost the blood supply and fibroblasts in the injured areas, resulting in repair of the injured ligaments. The fibroblasts are the cells through which collagen is made and by which tendons and ligaments repair.\r\n\r\nRegenerative Orthopedics helps strengthen and tighten the ligaments. This results in stabilization of the joints of the lumbar spine which then stops the pinching of the nerve.\r\n<h2>Cortisone vs Dextrose Caudal Epidural</h2>\r\nA lumbar epidural is an injection into the epidural space of the lumbar spine. When patients experience referred pain, either cortisone (steroid) or dextrose injections can be used. Steroids are strong anti-inflammatories. But they need to be limited to no more than 3-4 injections each year in order to prevent the thinning of the bone and connective tissue damage.\r\n\r\nAt OrthoRegen<sup>®</sup>, we endeavor to build up the soft tissue and joint structures. Because of that, we do not use substances like cortisone, because it causes degeneration and inhibits healing. Instead, we use a dextrose solution to reduce the swelling of the nerve without the anti-inflammatory effect and the steroid side effects.\r\n\r\nRegenerative Orthopedics eliminate or reduce pain, numbness, and tingling, enabling the former sciatica pain sufferer to be able to sit, stand, and walk without any pain or annoying symptoms. The treatment effectively resolves the symptoms and results in pain-free living.\r\n\r\nHere at OrthoRegen<sup>®</sup>, we practice a comprehensive approach to Regenerative Orthopedics. And it\'s a great alternative to surgery and joint replacement. The treatment helps regenerate connective soft tissues and accelerates recovery.\r\n\r\nLumbar instability results in an array of symptoms. And they include sacroiliac pain, lower back pain, sciatic pain, and referred leg pain. All of these symptoms can be treated effectively with Regenerative Orthopedics.  So, if you are suffering from any of the symptoms listed above and would like to learn more, you can give us a call at (310)453-1234. We’d love to help you eliminate your sciatica symptoms.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Treat Sciatica Pain Non-Surgically','','inherit','closed','closed','','3540-revision-v1','','','2020-08-08 22:39:07','2020-08-08 22:39:07','',3540,'https://www.drfields.com/uncategorized/3540-revision-v1/',0,'revision','',0),(3969,9,'2020-08-08 22:53:31','2020-08-08 22:53:31','[caption id=\"attachment_3742\" align=\"alignleft\" width=\"392\"]<img class=\" wp-image-3742\" src=\"https://www.drfields.com/wp-content/uploads/2020/06/Kelsey.-knee.stems-copy-500x500.png\" alt=\"Kelsey. Knee.stems Copy\" width=\"392\" height=\"392\" /> <a href=\"https://youtu.be/jhN7D30YcYI\">Click to Watch Video about Stem Cell Therapy</a>[/caption]\r\n<p style=\"text-align: left;\">At OrthoRegen<sup>®</sup>, the Stem Cell Therapy we use for injuries to the joints and spine is The Gold Standard for stem cell regeneration. What makes it the Gold Standard? We don’t use just one type of regenerative therapy but use four different kinds of Regenerative Orthopedics. And that helps you to avoid invasive surgery.</p>\r\n<p style=\"text-align: left;\">Many other clinics only use one or two of these procedures. But, not all four. We use bone marrow stem cells as well as adipose (fat) stem cells. We also use <a href=\"/regenerative-techniques/prp-treatment/\">PRP Prolotherapy</a> to accelerate healing. In addition, we use <a href=\"/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. This last step is critical for the success of the procedure. And without it, failure rates are high.</p>\r\nUsing two sources of stem cells (bone and fat) as well as PRP Prolotherapy and Dextrose Prolotherapy is what is referred to as <em>The Gold Standard for stem cell regeneration</em>. And when is the Gold Standard recommended? We choose to use this procedure in cases where people have been told they either need their joint replaced, have bone-on-bone, advanced arthritis, cartilage loss, or a combination of these.\r\n\r\nIn this article, we would like to discuss Stem Cell Therapy for the regeneration of a degenerated joint. The goal of this treatment, as with all forms of Regenerative Orthopedics, is to stimulate injured tissues to repair.\r\n<h2><strong>What Is the Basis Behind Stem Cell Therapy?</strong></h2>\r\nIn conditions such as arthritis, the problem is typically progressive and degenerative, with a limited ability of the joint to heal itself. And with arthritis, the joint is in a <em>state where it is breaking down</em>. What we want to do with Stem Cell Therapy is to get the joint in a state of <em>building up. </em>When we use this treatment, we stimulate the body to repair the area to get it stronger. Stem Cell Therapy probably works by a lot of different mechanisms but here are some proposed mechanisms:\r\n<ul>\r\n 	<li>Reduces the instability in the joint that leads to arthritis in the first place</li>\r\n 	<li>Stimulates the growth of the cells (extracellular matrix) that make the tissues that are causing the ongoing pain and/or instability</li>\r\n 	<li>Stimulates the cells already present to make extracellular matrix</li>\r\n 	<li>The cells that help to build cartilage are called chondrocytes. Stem Cell Therapy involves the injections of the precursor cells (stem cells) that will differentiate into adult chondrocytes</li>\r\n</ul>\r\nWhile the exact mechanisms by which Stem Cell Therapy works can be debated, the bottom line for the patient is,<strong> <em>“Do I get rid of my pain and get back to the activities I desire?”</em> In the majority of cases, the answer is, “<em>Yes!</em>”</strong>\r\n<h2><strong>Conditions That Can Be Treated with Stem Cell Therapy</strong></h2>\r\nAny condition helped by one type of Regenerative Orthopedics (Stem Cell Therapy, PRP, Prolotherapy) can, at least theoretically, be helped by another type of Regenerative Orthopedics. While Stem Cell Therapy is typically not used for ligament and tendon injuries, it surely can be used for those conditions.\r\n\r\nMost clinics, including OrthoRegen<sup>®</sup>, use Stem Cell Therapy for cases of significant joint injury or severe degenerative arthritis in joints or even the spine. Those who are involved in treating people with articular cartilage degeneration or joint injury know that the vast majority of them improve when these patients are treated with Stem Cell Therapy.\r\n<h2><strong>Adult Stem Cell Injections, NOT Embryonic Stem Cell Injections</strong></h2>\r\nThe Stem Cell Therapy done at OrthoRegen<sup>®</sup> has nothing to do with embryonic stem cell therapy. Most research and studies have shown that cord blood does <strong>NOT</strong> have many if any, stem cells.\r\n\r\nWe only use the patient’s own adult stem cells. We take the bone marrow from the patient’s own tibia or iliac crest bones and use fat from the abdominal or buttock areas so that the stem cells are the freshest. Additionally, there is no cross-contamination this way! We then inject these cells into the defective joint.\r\n<h2>Why Do We Use PRP with Stem Cells from Bone Marrow and Fat?</h2>\r\nAt OrthoRegen<sup>®</sup>, we only use the <strong>Gold Standard in Stem Cell Therapy</strong>, which includes bone marrow stem cells, fat stem cells, PRP, and Dextrose Prolotherapy. Stem cells are great, but they need to be directed as to what to do. Some of the directors are the growth factors that are in the platelets.\r\n\r\nPlatelets aid the stem cells in their various jobs including differentiation and then aid in the differentiated cells making the extracellular matrix to repair the injured tissue. One could think of the stem cells as construction workers and the platelets (and their growth factors) as their supervisors, telling them what to do. Platelet Rich Plasma contains a myriad of substances that stimulate healing, like platelet-derived growth factor, which attracts immune system cells to the injured area to enhance ligament and tendon healing. And fibroblast growth factor which promotes the growth of the cells involved in collagen and cartilage formation.\r\n\r\nWe have found that Comprehensive Regenerative Orthopedics using the combination of all of these regenerative treatments works amazingly at accomplishing the results of repair and return to function in the patients we have treated, allowing them to return to the activities they enjoy in life.\r\n<ol>\r\n 	<li>Akens MK, Hurtig MB. Influence of species and anatomical location on chondrocyte expression. <em>BMC Musculoskeletal Disorders</em>. 2005; 6:23.</li>\r\n 	<li>Guilak F, Estes BT, Dickman BO. 2010 Nicolas Andry Award: Multipotent adult stem cells from adipose tissue for musculoskeletal tissue engineering. <em>Clinical</em><em> Orthopedics and Related Research. 2010;468:2530-2540.</em></li>\r\n</ol>\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Stem Cell Therapy at OrthoRegen: Why We\'re Different','','inherit','closed','closed','','3526-revision-v1','','','2020-08-08 22:53:31','2020-08-08 22:53:31','',3526,'https://www.drfields.com/uncategorized/3526-revision-v1/',0,'revision','',0),(3970,9,'2020-08-08 23:08:20','2020-08-08 23:08:20','[caption id=\"attachment_3742\" align=\"alignleft\" width=\"392\"]<img class=\" wp-image-3742\" src=\"https://www.drfields.com/wp-content/uploads/2020/06/Kelsey.-knee.stems-copy-500x500.png\" alt=\"Kelsey. Knee.stems Copy\" width=\"392\" height=\"392\" /> <a href=\"https://youtu.be/jhN7D30YcYI\">Click to Watch Video about Stem Cell Therapy</a>[/caption]\r\n<p style=\"text-align: left;\">At OrthoRegen<sup>®</sup>, the Stem Cell Therapy we use for injuries to the joints and spine is The Gold Standard for stem cell regeneration. What makes it the Gold Standard? We don’t use just one type of regenerative therapy but use four different kinds of Regenerative Orthopedics. And that helps you to avoid invasive surgery.</p>\r\n<p style=\"text-align: left;\">Many other clinics only use one or two of these procedures. But, not all four. We use bone marrow stem cells as well as adipose (fat) stem cells. We also use <a href=\"/regenerative-techniques/prp-treatment/\">PRP Prolotherapy</a> to accelerate healing. In addition, we use <a href=\"/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. This last step is critical for the success of the procedure. And without it, failure rates are high.</p>\r\nUsing two sources of stem cells (bone and fat) as well as PRP Prolotherapy and Dextrose Prolotherapy is what is referred to as <em>The Gold Standard for stem cell regeneration</em>. And when is the Gold Standard recommended? We choose to use this procedure in various different circumstances. Examples include cases where people have been told they either need their joint replaced, have bone-on-bone, advanced arthritis, cartilage loss, or a combination of these.\r\n\r\nIn this article, we would like to discuss Stem Cell Therapy for the regeneration of a degenerated joint. The goal of this treatment, as with all forms of Regenerative Orthopedics, is to stimulate injured tissues to repair.\r\n<h2><strong>What Is the Basis Behind Stem Cell Therapy?</strong></h2>\r\nIn conditions such as arthritis, the problem is typically progressive and degenerative, with a limited ability of the joint to heal itself. And with arthritis, the joint is in a <em>state where it is breaking down</em>. What we want to do with Stem Cell Therapy is to get the joint in a state of <em>building up. </em>When we use this treatment, we stimulate the body to repair the area to get it stronger. Stem Cell Therapy probably works by a lot of different mechanisms but here are some proposed mechanisms:\r\n<ul>\r\n 	<li>Reduces the instability in the joint that leads to arthritis in the first place</li>\r\n 	<li>Stimulates the growth of the cells (extracellular matrix) that make the tissues that are causing the ongoing pain and/or instability</li>\r\n 	<li>Stimulates the cells already present to make extracellular matrix</li>\r\n 	<li>The cells that help to build cartilage are called chondrocytes. Stem Cell Therapy involves the injections of the precursor cells (stem cells) that will differentiate into adult chondrocytes</li>\r\n</ul>\r\nWhile the exact mechanisms by which Stem Cell Therapy works can be debated, the bottom line for the patient is,<strong> <em>“Do I get rid of my pain and get back to the activities I desire?”</em> In the majority of cases, the answer is, “<em>Yes!</em>”</strong>\r\n<h2><strong>Conditions That Can Be Treated with Stem Cell Therapy</strong></h2>\r\nAny condition helped by one type of Regenerative Orthopedics (Stem Cell Therapy, PRP, Prolotherapy) can, at least theoretically, be helped by another type of Regenerative Orthopedics. While Stem Cell Therapy is typically not used for ligament and tendon injuries, it surely can be used for those conditions.\r\n\r\nMost clinics, including OrthoRegen<sup>®</sup>, use Stem Cell Therapy for cases of significant joint injury or severe degenerative arthritis in joints or even the spine. Those who are involved in treating people with articular cartilage degeneration or joint injury know that the vast majority of them improve when these patients are treated with Stem Cell Therapy.\r\n<h2><strong>Adult Stem Cell Injections, NOT Embryonic Stem Cell Injections</strong></h2>\r\nThe Stem Cell Therapy done at OrthoRegen<sup>®</sup> has nothing to do with embryonic stem cell therapy. Most research and studies have shown that cord blood does <strong>NOT</strong> have many if any, stem cells.\r\n\r\nWe only use the patient’s own adult stem cells. We take the bone marrow from the patient’s own tibia or iliac crest bones. And then use fat from the abdominal or buttock areas so that the stem cells are the freshest. Additionally, there is no cross-contamination this way! We then inject these cells into the defective joint.\r\n<h2>Why Do We Use PRP with Stem Cells from Bone Marrow and Fat?</h2>\r\nAt OrthoRegen<sup>®</sup>, we only use the <strong>Gold Standard in Stem Cell Therapy. The Gold Standard</strong> includes bone marrow stem cells, fat stem cells, PRP, and Dextrose Prolotherapy. Stem cells are great, but they need to be directed as to what to do. Some of the directors are the growth factors that are in the platelets.\r\n\r\nPlatelets aid the stem cells in their various jobs including differentiation and then aid in the differentiated cells making the extracellular matrix to repair the injured tissue. One could think of the stem cells as construction workers and the platelets (and their growth factors) as their supervisors, telling them what to do. Platelet Rich Plasma contains a myriad of substances that stimulate healing, like platelet-derived growth factor, which attracts immune system cells to the injured area to enhance ligament and tendon healing. And fibroblast growth factor which promotes the growth of the cells involved in collagen and cartilage formation.\r\n\r\nWe have found that Comprehensive Regenerative Orthopedics using the combination of all of these regenerative treatments works amazingly at accomplishing the results of repair and return to function in the patients we have treated, allowing them to return to the activities they enjoy in life.\r\n<ol>\r\n 	<li>Akens MK, Hurtig MB. Influence of species and anatomical location on chondrocyte expression. <em>BMC Musculoskeletal Disorders</em>. 2005; 6:23.</li>\r\n 	<li>Guilak F, Estes BT, Dickman BO. 2010 Nicolas Andry Award: Multipotent adult stem cells from adipose tissue for musculoskeletal tissue engineering. <em>Clinical</em><em> Orthopedics and Related Research. 2010;468:2530-2540.</em></li>\r\n</ol>\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Stem Cell Therapy at OrthoRegen: Why We\'re Different','','inherit','closed','closed','','3526-revision-v1','','','2020-08-08 23:08:20','2020-08-08 23:08:20','',3526,'https://www.drfields.com/uncategorized/3526-revision-v1/',0,'revision','',0),(3971,9,'2020-08-09 00:19:32','2020-08-09 00:19:32','Is your hip pain from bursitis? Have you been treating your hip pain with bursitis treatments like steroids and non-steroidal anti-inflammatories? There are times these treatments help to give some relief, but many people continue to experience a substantial amount of discomfort even after trying them. Plus, continued use of steroids injected into a degenerated joint can unfortunately increase the rate of degeneration.\n\nWhy not treat the pain with treatments that regenerate rather than degenerate the joint structures? In this article, we will discuss hip bursitis,  various treatment options, and other reasons for hip pain that cause bursitis like symptoms.\n<h2>Is Your Hip Pain Really Bursitis?</h2>\n<strong><em>We see quite a few patients</em></strong> who come to our office for treatment of bursitis who do not actually have bursitis. Bursitis is so painful that even touching the skin over the painful area is difficult to tolerate. If the area can be palpated with a lot of pressure by the doctor, the patient may not have bursitis. What could the problem be then?\n<h3><em>Hip Bursitis or Badly Degenerated Tendons?</em></h3>\n<strong><em>Hip Bursitis, or trochanteric bursitis, is actually rare!</em></strong> Multiple studies have shown that patients presenting with bursitis type symptoms actually have tendinopathy (tendon degeneration) of their gluteal tendons. These tendons attach near the bursa and often fool providers into thinking the patients have bursitis. <em><strong>Badly degenerated tendons are what they really have. And they need regeneration! </strong></em>\n\nOn top of that, as we mentioned, steroid injections are often used as the treatment for true bursitis. So when steroids are injected into the degenerated tendons, they actually can cause them to degenerate faster! Tendinopathy of the gluteus minimus or gluteus medius is often at the root of greater trochanteric pain syndrome.\n\nRegenerative Orthopedics including Stem Cell Therapy, PRP, and Prolotherapy is a safe and effective treatment option for bursitis, tendinopathy, and other underlying soft tissue injuries of the hip.\n<h2>More About Bursitis</h2>\nTrue bursitis is an inflammation of the bursae, which are small, fluid-filled sacs that lubricate and cushion pressure points between the bones, tendons, and muscles of joints. And the bursae help the joints to move with ease. So when the bursae become inflamed due to bursitis, movement or pressure can be painful. Bursitis often affects areas around the joints in the elbows or hips.\n<h3>Hip Bursitis</h3>\nHip bursitis involves a bursal sac that is inflamed between the hip bone and glutei muscle attachments. The bursal sac inflames because of injury to the soft tissue structures. The bursal sacs decrease the friction of the soft tissue structure and the underlying bone. This allows the tendon or muscle to glide across the bone more easily. Bursitis pain usually goes away within a week or so with proper treatment, but recurrent flare-ups are common as well as frustrating.<strong> </strong>\n<h2>Bursitis Causes</h2>\nCommon causes of bursitis are overuse, stress, or direct trauma to a joint, such as repeated bumping or prolonged pressure. Bursitis may result from an infection, arthritis, or gout. Bursitis may also be due to the repetitive motion related to certain activities. Tendonitis, which involves the irritation or inflammation of tendons, or tendinopathy (degenerated tendon) are again oftentimes misdiagnosed as bursitis.\n<h2>What Are the Symptoms of Hip Bursitis?</h2>\nSymptoms of hip bursitis include a dull ache or stiffness in the affected hip. Bursitis pain often worsens with movement or pressure. And the area may be swollen and feel warm to the touch. Intermittent redness of the skin in the area of the inflamed bursae may be another symptom.\n\nVisible swelling or skin redness is usually absent from bursitis of the hip because the bursae are located beneath some of the body’s bulkiest muscles. Pain is primarily centered over the greater trochanter, a portion of the femur that juts out just below where the bone joins the hip.\n<h2>Current Treatment Options for Bursitis</h2>\nSince bursitis is an inflammation of the fluid-filled sac, or bursa that lies between a tendon and skin, or between a tendon and bone, bursitis treatment often involves the use of non-steroidal anti-inflammatory drugs (NSAIDS) such as ibuprofen and steroids such as cortisone.\n\nIf the problem is not true bursitis, the steroid injections to decrease the inflammation will usually not work to eliminate the pain, since inflammation is not the real problem. The steroid will, however, inhibit fibroblastic proliferation or the process by which soft tissue structures such as ligaments, tendons, and muscles grow and repair, and result in a weakening of the joint.\n<h3>NSAIDs Can Cause More Problems</h3>\nNSAIDs are associated with a higher risk of cardiovascular- and gastrointestinal-related adverse events. The FDA issued a medication guide for NSAIDs <strong>recommending physicians prescribe the lowest dose for the shortest time possible</strong>.”<a href=\"#_edn1\" name=\"_ednref1\">[i]</a>\n\nAs physicians become educated on the side effects of these medications, they hopefully decrease their use of them. “As years of experience increased, practitioners were more likely to prescribe lower doses of corticosteroid in musculoskeletal injections.”<a href=\"#_edn2\" name=\"_ednref2\">[ii]</a>\n\nNewer therapies are sought to replace NSAIDs due to their significant side-effect profile. Regenerative Orthopedics is both a safe and effective treatment option for bursitis pain from various causes.\n<h2>Hip Bursitis Diagnosis Accuracy</h2>\nFor the person diagnosed with bursitis, first, consider whether the diagnosis is correct or not. There have been several studies on hip bursitis symptoms, demonstrating, as we noted earlier, that the pain is coming from tendinopathy rather than from bursitis.\n\n“Some studies have questioned the real involvement of the trochanteric bursa in greater trochanteric pain syndrome, and tendinopathy of the gluteus medius and/or minimus has been proposed as an important cause of this syndrome.”<a href=\"#_edn3\" name=\"_ednref3\">[iii]</a> One study of 75 patients with pain and point tenderness over the greater trochanter, revealed that only 8 had fluid pooling in the trochanteric bursae per sonography.<a href=\"#_edn4\" name=\"_ednref4\">[iv]</a>\n\nAnother study showed that only a minority of patients had bursitis, because in 700 out of 877 patients the pain <strong>was not from bursitis</strong>, but rather, it related to “some combination of pathology <strong>involving the gluteus medius and gluteus minimus tendons as well as the iliotibial band</strong>.”<a href=\"#_edn5\" name=\"_ednref5\">[v]</a>\n\nAnd one more found that only 5 of 124 patients with trochanteric pain had bursitis, plus most of those with bursitis also had associated tendinopathy.<sup>iv</sup>\n<h2>Bursitis Treatment with Regenerative Orthopedics</h2>\nRegenerative Orthopedics stimulate the body to repair painful areas. And that includes those with both true bursitis and tendinopathies. An experienced Regenerative Orthopedics doctor will be able to ascertain what structure is causing the pain.\n\nIn the hip, the soft tissue structures that attach to the greater trochanter are often involved, including the glutei muscles. Regenerative Orthopedic treatments to these soft tissue structures stimulate them to repair. Once they are fully repaired, the ‘bursitis’ pain resolves.\n\nPlatelet Rich Plasma (PRP) is one of the Regenerative Orthopedic treatment options that may be recommended for bursitis pain.\n<h3>A Study on PRP for Hip Bursitis</h3>\nA study presented at the 2014 meeting of the American Academy of Surgeons showed PRP to be very effective in the treatment of severe bursitis of the hip. The study compared one injection of PRP to one injection of cortisone. The cortisone demonstrated only short-term effectiveness. PRP provided both short and long-term pain relief from a condition that is difficult to treat successfully.”<a href=\"#_edn6\" name=\"_ednref6\">[vi]</a>\n\nRegenerative Orthopedic options like Stem Cell Therapy, Platelet Rich Plasma, and Prolotherapy all accomplish repair of the affected soft tissue, and your clinician will recommend which treatment will most effectively repair and regenerate your hip, bringing relief from bursitis pain.\n\n<a href=\"#_ednref1\" name=\"_edn1\">[i]</a> Sofat N. Kuttapitiya A. <a href=\"http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4089899/\" target=\"_blank\" rel=\"noopener noreferrer\">Future directions for the management of pain in osteoarthritis.</a><a href=\"http://www.futuremedicine.com/doi/pdf/10.2217/ijr.14.10\" target=\"_blank\" rel=\"noopener noreferrer\"><em>Int J Rheumatol. </em>Apr 2014; 9(2): 197–276. </a>\n\n<a href=\"#_ednref2\" name=\"_edn2\">[ii]</a> Lazaro D, Alon L, Ramessar N, Cabas-Vargas J, Shwin K, Stefanov D.  Intra-articular, bursa, and tendon sheath injections: A survey of practice patterns among members of the American College of Rheumatology. <em>Journal of Rheumatology.</em>2014; 20(2): 91-93. doi: 10.1097/RHU.0000000000000080\n\n<a href=\"#_ednref3\" name=\"_edn3\">[iii]</a> Quiroz C, Ruta S, Rosa J, Navarta DA, Garcia-Monaco R, Soriano ER. <a href=\"http://www.reumatologia.org.ar.preview.hybrid-sites.com/docs/2013-Ultrasound-Evaluation-Of-The-Greater-Trochanter-Pain-Syndrome-Bursitis-Or-Tendinopathy.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Ultrasound evaluation of the Greater Trochanter Pain Syndrome: Bursitis or tendinopathy?</a>\n\n<a href=\"#_ednref4\" name=\"_edn4\">[iv]</a> Connell DA, Bass C, Sykes CJ, Young D, Edwards E. Sonographic evaluation of gluteus medius and minimus tendinopathy. <a href=\"http://link.springer.com/journal/330\" target=\"_blank\" rel=\"noopener noreferrer\"><em>European Radiology</em></a>. 2003; 13(6): 1339-1347.6.\n\n<a href=\"#_ednref5\" name=\"_edn5\">[v]</a> <a href=\"https://www.ncbi.nlm.nih.gov/pubmed/?term=Long%20SS%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=24147479\" target=\"_blank\" rel=\"noopener noreferrer\">Long SS</a><sup>1</sup>, <a href=\"https://www.ncbi.nlm.nih.gov/pubmed/?term=Surrey%20DE%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=24147479\" target=\"_blank\" rel=\"noopener noreferrer\">Surrey DE</a>, <a href=\"https://www.ncbi.nlm.nih.gov/pubmed/?term=Nazarian%20LN%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=24147479\" target=\"_blank\" rel=\"noopener noreferrer\">Nazarian LN</a>.Sonography of greater trochanteric pain syndrome and the rarity of primary bursitis.<a href=\"https://www.ncbi.nlm.nih.gov/pubmed/24147479\" target=\"_blank\" rel=\"noopener noreferrer\">AJR Am J Roentgenol.</a> 2013 Nov;201(5):1083-6. doi: 10.2214/AJR.12.10038.\n\n<a href=\"#_ednref6\" name=\"_edn6\">[vi]</a> Goel K,Riley LP. Platelet Rich Plasma (PRP)treatment more effective than cortisone for severe hip bursitis. <a href=\"http://www.aaosannualmeetingpresskit.org/2014/news_briefs/downloads/PRP-HipBursitis.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">http://www.aaosannualmeetingpresskit.org/2014/news_briefs/downloads/PRP-HipBursitis.pdf</a>.\n\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Is Your Hip Pain from Bursitis?','','inherit','closed','closed','','3511-autosave-v1','','','2020-08-09 00:19:32','2020-08-09 00:19:32','',3511,'https://www.drfields.com/uncategorized/3511-autosave-v1/',0,'revision','',0),(3972,9,'2020-08-08 23:31:15','2020-08-08 23:31:15','Is your hip pain from bursitis? Have you been treating your hip pain with bursitis treatments like steroids and non-steroidal anti-inflammatories? There are times these treatments help to give some relief, but many people continue to experience a substantial amount of discomfort even after trying them. Plus, continued use of steroids injected into a degenerated joint can unfortunately increase the rate of degeneration.\r\n\r\nWhy not treat the pain with treatments that regenerate rather than degenerate the joint structures? In this article, we will discuss hip bursitis,  various treatment options, and other reasons for hip pain that cause bursitis like symptoms.\r\n<h2>Is Your Hip Pain Really Bursitis?</h2>\r\n<strong><em>We see quite a few patients</em></strong> who come to our office for treatment of bursitis who do not actually have bursitis. Bursitis is so painful that even touching the skin over the painful area is difficult to tolerate. If the area can be palpated with a lot of pressure by the doctor, the patient may not have bursitis. What could the problem be then?\r\n<h3><em>Hip Bursitis or Badly Degenerated Tendons?</em></h3>\r\n<strong><em>Hip Bursitis, or trochanteric bursitis, is actually rare!</em></strong> Multiple studies have shown that patients presenting with bursitis type symptoms actually have tendinopathy (tendon degeneration) of their gluteal tendons. These tendons attach near the bursa and often fool providers into thinking the patients have bursitis. <em><strong>Badly degenerated tendons are what they really have. And they need regeneration! </strong></em>\r\n\r\nOn top of that, as we mentioned, steroid injections are often used as the treatment for true bursitis, so when steroids are injected into the degenerated tendons, they actually can cause them to degenerate faster! Tendinopathy of the gluteus minimus or gluteus medius is often at the root of greater trochanteric pain syndrome.\r\n\r\nRegenerative Orthopedics including Stem Cell Therapy, PRP, and Prolotherapy is safe and effective treatment option for bursitis, tendinopathy, and other underlying soft tissue injuries of the hip.\r\n<h2>More About Bursitis</h2>\r\nTrue bursitis is an inflammation of the bursae, which are small, fluid-filled sacs that lubricate and cushion pressure points between the bones, tendons, and muscles of joints. Bursae help the joints to move with ease. When the bursae become inflamed due to bursitis, movement or pressure can be painful. Bursitis often affects areas around the joints in the elbows or hips.\r\n\r\nHip bursitis entails a bursal sac inflamed between the hip bone and glutei muscle attachments. The bursal sac becomes inflamed because of injury to the soft tissue structures. The bursal sacs are there to decrease the friction of the soft tissue structure and the underlying bone. They let the tendon or muscle glide across the bone more easily. Bursitis pain usually goes away within a week or so with proper treatment, but recurrent flare-ups are common as well as frustrating.<strong> </strong>\r\n<h2>Bursitis Causes</h2>\r\nCommon causes of bursitis include overuse, stress, or direct trauma to a joint, such as repeated bumping or prolonged pressure. Bursitis may result from an infection, arthritis, or gout. Bursitis may also be due to the repetitive motion related to certain activities. Tendonitis, which involves the irritation or inflammation of tendons, or tendinopathy (degenerated tendon) are again oftentimes misdiagnosed as bursitis.\r\n<h2>What Are the Symptoms of Hip Bursitis?</h2>\r\nSymptoms of hip bursitis include a dull ache or stiffness in the affected hip. The pain often worsens with movement or pressure, and the area may be swollen and feel warm to the touch. Intermittent redness of the skin in the area of the inflamed bursae may be another symptom.\r\n\r\nVisible swelling or skin redness is usually absent from bursitis of the hip because the bursae are located beneath some of the body’s bulkiest muscles. Pain is primarily centered over the greater trochanter, a portion of the femur that juts out just below where the bone joins the hip.\r\n<h2>Current Treatment Options for Bursitis</h2>\r\nSince bursitis is an inflammation of the fluid-filled sac, or bursa that lies between a tendon and skin, or between a tendon and bone, bursitis treatment often involves the use of non-steroidal anti-inflammatory drugs (NSAIDS) such as ibuprofen and steroids such as cortisone.\r\n\r\nIf the problem is not true bursitis, the steroid injections by the orthopedist to decrease the inflammation of bursitis will commonly not work to eliminate the pain, since inflammation is not the real problem. The steroid will, however, inhibit fibroblastic proliferation or the process by which soft tissue structures such as ligaments, tendons, and muscles grow and repair, and result in a weakening of the joint.\r\n\r\nNSAIDs are associated with a higher risk of cardiovascular- and gastrointestinal-related adverse events. The FDA issued a medication guide for NSAIDs <strong>recommending physicians prescribe the lowest dose for the shortest time possible</strong>.”<a href=\"#_edn1\" name=\"_ednref1\">[i]</a>\r\n\r\nAs physicians become educated on the side effects of these medications, they hopefully decrease their use of them. “As years of experience increased, practitioners were more likely to prescribe lower doses of corticosteroid in musculoskeletal injections.”<a href=\"#_edn2\" name=\"_ednref2\">[ii]</a>\r\n\r\nDue to their significant side-effect profile, newer therapies are sought to replace them. Regenerative Orthopedics is both safe and effective to treat bursitis pain from various causes.\r\n<h2>Hip Bursitis Diagnosis Accuracy</h2>\r\nFor the person diagnosed with bursitis, first, consider whether the diagnosis is correct or not. There have been several studies on hip bursitis symptoms, demonstrating, as we noted earlier, that the pain is coming from tendinopathy rather than from bursitis.\r\n\r\n“Some studies have questioned the real involvement of the trochanteric bursa in greater trochanteric pain syndrome, and tendinopathy of the gluteus medius and/or minimus has been proposed as an important cause of this syndrome.”<a href=\"#_edn3\" name=\"_ednref3\">[iii]</a> One study of 75 patients with pain and point tenderness over the greater trochanter, revealed that only 8 had fluid pooling in the trochanteric bursae per sonography.<a href=\"#_edn4\" name=\"_ednref4\">[iv]</a>\r\n\r\nAnother study showed that only a minority of patients had bursitis, because in 700 out of 877 patients the pain <strong>was not from bursitis</strong>, but rather, it related to “some combination of pathology <strong>involving the gluteus medius and gluteus minimus tendons as well as the iliotibial band</strong>.”<a href=\"#_edn5\" name=\"_ednref5\">[v]</a>\r\n\r\nAnd one more found that only 5 of 124 patients with trochanteric pain had bursitis, plus most of those with bursitis also had associated tendinopathy.<sup>iv</sup>\r\n<h2>Bursitis Treatment with Regenerative Orthopedics</h2>\r\nRegenerative Orthopedics stimulate the body to repair painful areas. And that includes those with both true bursitis and tendinopathies. An experienced Regenerative Orthopedics doctor will be able to ascertain what structure is causing the pain.\r\n\r\nIn the hip, the soft tissue structures that attach to the greater trochanter are often involved, including the glutei muscles. Regenerative Orthopedic treatments to these soft tissue structures stimulate them to repair. Once they are fully repaired, the ‘bursitis’ pain resolves.\r\n\r\nPlatelet Rich Plasma (PRP) is one of the Regenerative Orthopedic treatment options that may be recommended for bursitis pain.\r\n\r\nA study presented at the 2014 meeting of the American Academy of Surgeons showed PRP to be very effective in the treatment of severe bursitis of the hip. The study compared one injection of PRP to one injection of cortisone. The cortisone only demonstrated short-term effectiveness. PRP provided both short and long-term pain relief from a condition that is difficult to treat successfully.”<a href=\"#_edn6\" name=\"_ednref6\">[vi]</a>\r\n\r\nRegenerative Orthopedic options like Stem Cell Therapy, Platelet Rich Plasma, and Prolotherapy all accomplish repair of the affected soft tissue, and your clinician will recommend which treatment will most effectively repair and regenerate your hip, bringing relief from bursitis pain.\r\n\r\n<a href=\"#_ednref1\" name=\"_edn1\">[i]</a> Sofat N. Kuttapitiya A. <a href=\"http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4089899/\" target=\"_blank\" rel=\"noopener noreferrer\">Future directions for the management of pain in osteoarthritis.</a><a href=\"http://www.futuremedicine.com/doi/pdf/10.2217/ijr.14.10\" target=\"_blank\" rel=\"noopener noreferrer\"><em>Int J Rheumatol. </em>Apr 2014; 9(2): 197–276. </a>\r\n\r\n<a href=\"#_ednref2\" name=\"_edn2\">[ii]</a> Lazaro D, Alon L, Ramessar N, Cabas-Vargas J, Shwin K, Stefanov D.  Intra-articular, bursa, and tendon sheath injections: A survey of practice patterns among members of the American College of Rheumatology. <em>Journal of Rheumatology.</em>2014; 20(2): 91-93. doi: 10.1097/RHU.0000000000000080\r\n\r\n<a href=\"#_ednref3\" name=\"_edn3\">[iii]</a> Quiroz C, Ruta S, Rosa J, Navarta DA, Garcia-Monaco R, Soriano ER. <a href=\"http://www.reumatologia.org.ar.preview.hybrid-sites.com/docs/2013-Ultrasound-Evaluation-Of-The-Greater-Trochanter-Pain-Syndrome-Bursitis-Or-Tendinopathy.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Ultrasound evaluation of the Greater Trochanter Pain Syndrome: Bursitis or tendinopathy?</a>\r\n\r\n<a href=\"#_ednref4\" name=\"_edn4\">[iv]</a> Connell DA, Bass C, Sykes CJ, Young D, Edwards E. Sonographic evaluation of gluteus medius and minimus tendinopathy. <a href=\"http://link.springer.com/journal/330\" target=\"_blank\" rel=\"noopener noreferrer\"><em>European Radiology</em></a>. 2003; 13(6): 1339-1347.6.\r\n\r\n<a href=\"#_ednref5\" name=\"_edn5\">[v]</a> <a href=\"https://www.ncbi.nlm.nih.gov/pubmed/?term=Long%20SS%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=24147479\" target=\"_blank\" rel=\"noopener noreferrer\">Long SS</a><sup>1</sup>, <a href=\"https://www.ncbi.nlm.nih.gov/pubmed/?term=Surrey%20DE%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=24147479\" target=\"_blank\" rel=\"noopener noreferrer\">Surrey DE</a>, <a href=\"https://www.ncbi.nlm.nih.gov/pubmed/?term=Nazarian%20LN%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=24147479\" target=\"_blank\" rel=\"noopener noreferrer\">Nazarian LN</a>.Sonography of greater trochanteric pain syndrome and the rarity of primary bursitis.<a href=\"https://www.ncbi.nlm.nih.gov/pubmed/24147479\" target=\"_blank\" rel=\"noopener noreferrer\">AJR Am J Roentgenol.</a> 2013 Nov;201(5):1083-6. doi: 10.2214/AJR.12.10038.\r\n\r\n<a href=\"#_ednref6\" name=\"_edn6\">[vi]</a> Goel K,Riley LP. Platelet Rich Plasma (PRP)treatment more effective than cortisone for severe hip bursitis. <a href=\"http://www.aaosannualmeetingpresskit.org/2014/news_briefs/downloads/PRP-HipBursitis.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">http://www.aaosannualmeetingpresskit.org/2014/news_briefs/downloads/PRP-HipBursitis.pdf</a>.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Is Your Hip Pain from Bursitis?','','inherit','closed','closed','','3511-revision-v1','','','2020-08-08 23:31:15','2020-08-08 23:31:15','',3511,'https://www.drfields.com/uncategorized/3511-revision-v1/',0,'revision','',0),(3973,9,'2020-08-08 23:33:47','2020-08-08 23:33:47','Is your hip pain from bursitis? Have you been treating your hip pain with bursitis treatments like steroids and non-steroidal anti-inflammatories? There are times these treatments help to give some relief, but many people continue to experience a substantial amount of discomfort even after trying them. Plus, continued use of steroids injected into a degenerated joint can unfortunately increase the rate of degeneration.\r\n\r\nWhy not treat the pain with treatments that regenerate rather than degenerate the joint structures? In this article, we will discuss hip bursitis,  various treatment options, and other reasons for hip pain that cause bursitis like symptoms.\r\n<h2>Is Your Hip Pain Really Bursitis?</h2>\r\n<strong><em>We see quite a few patients</em></strong> who come to our office for treatment of bursitis who do not actually have bursitis. Bursitis is so painful that even touching the skin over the painful area is difficult to tolerate. If the area can be palpated with a lot of pressure by the doctor, the patient may not have bursitis. What could the problem be then?\r\n<h3><em>Hip Bursitis or Badly Degenerated Tendons?</em></h3>\r\n<strong><em>Hip Bursitis, or trochanteric bursitis, is actually rare!</em></strong> Multiple studies have shown that patients presenting with bursitis type symptoms actually have tendinopathy (tendon degeneration) of their gluteal tendons. These tendons attach near the bursa and often fool providers into thinking the patients have bursitis. <em><strong>Badly degenerated tendons are what they really have. And they need regeneration! </strong></em>\r\n\r\nOn top of that, as we mentioned, steroid injections are often used as the treatment for true bursitis, so when steroids are injected into the degenerated tendons, they actually can cause them to degenerate faster! Tendinopathy of the gluteus minimus or gluteus medius is often at the root of greater trochanteric pain syndrome.\r\n\r\nRegenerative Orthopedics including Stem Cell Therapy, PRP, and Prolotherapy is safe and effective treatment option for bursitis, tendinopathy, and other underlying soft tissue injuries of the hip.\r\n<h2>More About Bursitis</h2>\r\nTrue bursitis is an inflammation of the bursae, which are small, fluid-filled sacs that lubricate and cushion pressure points between the bones, tendons, and muscles of joints. Bursae help the joints to move with ease. When the bursae become inflamed due to bursitis, movement or pressure can be painful. Bursitis often affects areas around the joints in the elbows or hips.\r\n\r\nHip bursitis involves a bursal sac inflamed between the hip bone and glutei muscle attachments. The bursal sac becomes inflamed because of injury to the soft tissue structures. The bursal sacs decrease the friction of the soft tissue structure and the underlying bone. And they let the tendon or muscle glide across the bone more easily. Bursitis pain usually goes away within a week or so with proper treatment, but recurrent flare-ups are common as well as frustrating.<strong> </strong>\r\n<h2>Bursitis Causes</h2>\r\nCommon causes of bursitis are overuse, stress, or direct trauma to a joint, such as repeated bumping or prolonged pressure. Bursitis may result from an infection, arthritis, or gout. Bursitis may also be due to the repetitive motion related to certain activities. Tendonitis, which involves the irritation or inflammation of tendons, or tendinopathy (degenerated tendon) are again oftentimes misdiagnosed as bursitis.\r\n<h2>What Are the Symptoms of Hip Bursitis?</h2>\r\nSymptoms of hip bursitis include a dull ache or stiffness in the affected hip. The pain often worsens with movement or pressure, and the area may be swollen and feel warm to the touch. Intermittent redness of the skin in the area of the inflamed bursae may be another symptom.\r\n\r\nVisible swelling or skin redness is usually absent from bursitis of the hip because the bursae are located beneath some of the body’s bulkiest muscles. Pain is primarily centered over the greater trochanter, a portion of the femur that juts out just below where the bone joins the hip.\r\n<h2>Current Treatment Options for Bursitis</h2>\r\nSince bursitis is an inflammation of the fluid-filled sac, or bursa that lies between a tendon and skin, or between a tendon and bone, bursitis treatment often involves the use of non-steroidal anti-inflammatory drugs (NSAIDS) such as ibuprofen and steroids such as cortisone.\r\n\r\nIf the problem is not true bursitis, the steroid injections by the orthopedist to decrease the inflammation of bursitis will commonly not work to eliminate the pain, since inflammation is not the real problem. The steroid will, however, inhibit fibroblastic proliferation or the process by which soft tissue structures such as ligaments, tendons, and muscles grow and repair, and result in a weakening of the joint.\r\n\r\nNSAIDs are associated with a higher risk of cardiovascular- and gastrointestinal-related adverse events. The FDA issued a medication guide for NSAIDs <strong>recommending physicians prescribe the lowest dose for the shortest time possible</strong>.”<a href=\"#_edn1\" name=\"_ednref1\">[i]</a>\r\n\r\nAs physicians become educated on the side effects of these medications, they hopefully decrease their use of them. “As years of experience increased, practitioners were more likely to prescribe lower doses of corticosteroid in musculoskeletal injections.”<a href=\"#_edn2\" name=\"_ednref2\">[ii]</a>\r\n\r\nDue to their significant side-effect profile, newer therapies are sought to replace them. Regenerative Orthopedics is both safe and effective to treat bursitis pain from various causes.\r\n<h2>Hip Bursitis Diagnosis Accuracy</h2>\r\nFor the person diagnosed with bursitis, first, consider whether the diagnosis is correct or not. There have been several studies on hip bursitis symptoms, demonstrating, as we noted earlier, that the pain is coming from tendinopathy rather than from bursitis.\r\n\r\n“Some studies have questioned the real involvement of the trochanteric bursa in greater trochanteric pain syndrome, and tendinopathy of the gluteus medius and/or minimus has been proposed as an important cause of this syndrome.”<a href=\"#_edn3\" name=\"_ednref3\">[iii]</a> One study of 75 patients with pain and point tenderness over the greater trochanter, revealed that only 8 had fluid pooling in the trochanteric bursae per sonography.<a href=\"#_edn4\" name=\"_ednref4\">[iv]</a>\r\n\r\nAnother study showed that only a minority of patients had bursitis, because in 700 out of 877 patients the pain <strong>was not from bursitis</strong>, but rather, it related to “some combination of pathology <strong>involving the gluteus medius and gluteus minimus tendons as well as the iliotibial band</strong>.”<a href=\"#_edn5\" name=\"_ednref5\">[v]</a>\r\n\r\nAnd one more found that only 5 of 124 patients with trochanteric pain had bursitis, plus most of those with bursitis also had associated tendinopathy.<sup>iv</sup>\r\n<h2>Bursitis Treatment with Regenerative Orthopedics</h2>\r\nRegenerative Orthopedics stimulate the body to repair painful areas. And that includes those with both true bursitis and tendinopathies. An experienced Regenerative Orthopedics doctor will be able to ascertain what structure is causing the pain.\r\n\r\nIn the hip, the soft tissue structures that attach to the greater trochanter are often involved, including the glutei muscles. Regenerative Orthopedic treatments to these soft tissue structures stimulate them to repair. Once they are fully repaired, the ‘bursitis’ pain resolves.\r\n\r\nPlatelet Rich Plasma (PRP) is one of the Regenerative Orthopedic treatment options that may be recommended for bursitis pain.\r\n\r\nA study presented at the 2014 meeting of the American Academy of Surgeons showed PRP to be very effective in the treatment of severe bursitis of the hip. The study compared one injection of PRP to one injection of cortisone. The cortisone only demonstrated short-term effectiveness. PRP provided both short and long-term pain relief from a condition that is difficult to treat successfully.”<a href=\"#_edn6\" name=\"_ednref6\">[vi]</a>\r\n\r\nRegenerative Orthopedic options like Stem Cell Therapy, Platelet Rich Plasma, and Prolotherapy all accomplish repair of the affected soft tissue, and your clinician will recommend which treatment will most effectively repair and regenerate your hip, bringing relief from bursitis pain.\r\n\r\n<a href=\"#_ednref1\" name=\"_edn1\">[i]</a> Sofat N. Kuttapitiya A. <a href=\"http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4089899/\" target=\"_blank\" rel=\"noopener noreferrer\">Future directions for the management of pain in osteoarthritis.</a><a href=\"http://www.futuremedicine.com/doi/pdf/10.2217/ijr.14.10\" target=\"_blank\" rel=\"noopener noreferrer\"><em>Int J Rheumatol. </em>Apr 2014; 9(2): 197–276. </a>\r\n\r\n<a href=\"#_ednref2\" name=\"_edn2\">[ii]</a> Lazaro D, Alon L, Ramessar N, Cabas-Vargas J, Shwin K, Stefanov D.  Intra-articular, bursa, and tendon sheath injections: A survey of practice patterns among members of the American College of Rheumatology. <em>Journal of Rheumatology.</em>2014; 20(2): 91-93. doi: 10.1097/RHU.0000000000000080\r\n\r\n<a href=\"#_ednref3\" name=\"_edn3\">[iii]</a> Quiroz C, Ruta S, Rosa J, Navarta DA, Garcia-Monaco R, Soriano ER. <a href=\"http://www.reumatologia.org.ar.preview.hybrid-sites.com/docs/2013-Ultrasound-Evaluation-Of-The-Greater-Trochanter-Pain-Syndrome-Bursitis-Or-Tendinopathy.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Ultrasound evaluation of the Greater Trochanter Pain Syndrome: Bursitis or tendinopathy?</a>\r\n\r\n<a href=\"#_ednref4\" name=\"_edn4\">[iv]</a> Connell DA, Bass C, Sykes CJ, Young D, Edwards E. Sonographic evaluation of gluteus medius and minimus tendinopathy. <a href=\"http://link.springer.com/journal/330\" target=\"_blank\" rel=\"noopener noreferrer\"><em>European Radiology</em></a>. 2003; 13(6): 1339-1347.6.\r\n\r\n<a href=\"#_ednref5\" name=\"_edn5\">[v]</a> <a href=\"https://www.ncbi.nlm.nih.gov/pubmed/?term=Long%20SS%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=24147479\" target=\"_blank\" rel=\"noopener noreferrer\">Long SS</a><sup>1</sup>, <a href=\"https://www.ncbi.nlm.nih.gov/pubmed/?term=Surrey%20DE%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=24147479\" target=\"_blank\" rel=\"noopener noreferrer\">Surrey DE</a>, <a href=\"https://www.ncbi.nlm.nih.gov/pubmed/?term=Nazarian%20LN%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=24147479\" target=\"_blank\" rel=\"noopener noreferrer\">Nazarian LN</a>.Sonography of greater trochanteric pain syndrome and the rarity of primary bursitis.<a href=\"https://www.ncbi.nlm.nih.gov/pubmed/24147479\" target=\"_blank\" rel=\"noopener noreferrer\">AJR Am J Roentgenol.</a> 2013 Nov;201(5):1083-6. doi: 10.2214/AJR.12.10038.\r\n\r\n<a href=\"#_ednref6\" name=\"_edn6\">[vi]</a> Goel K,Riley LP. Platelet Rich Plasma (PRP)treatment more effective than cortisone for severe hip bursitis. <a href=\"http://www.aaosannualmeetingpresskit.org/2014/news_briefs/downloads/PRP-HipBursitis.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">http://www.aaosannualmeetingpresskit.org/2014/news_briefs/downloads/PRP-HipBursitis.pdf</a>.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Is Your Hip Pain from Bursitis?','','inherit','closed','closed','','3511-revision-v1','','','2020-08-08 23:33:47','2020-08-08 23:33:47','',3511,'https://www.drfields.com/uncategorized/3511-revision-v1/',0,'revision','',0),(3974,9,'2020-08-09 00:10:52','2020-08-09 00:10:52','Is your hip pain from bursitis? Have you been treating your hip pain with bursitis treatments like steroids and non-steroidal anti-inflammatories? There are times these treatments help to give some relief, but many people continue to experience a substantial amount of discomfort even after trying them. Plus, continued use of steroids injected into a degenerated joint can unfortunately increase the rate of degeneration.\r\n\r\nWhy not treat the pain with treatments that regenerate rather than degenerate the joint structures? In this article, we will discuss hip bursitis,  various treatment options, and other reasons for hip pain that cause bursitis like symptoms.\r\n<h2>Is Your Hip Pain Really Bursitis?</h2>\r\n<strong><em>We see quite a few patients</em></strong> who come to our office for treatment of bursitis who do not actually have bursitis. Bursitis is so painful that even touching the skin over the painful area is difficult to tolerate. If the area can be palpated with a lot of pressure by the doctor, the patient may not have bursitis. What could the problem be then?\r\n<h3><em>Hip Bursitis or Badly Degenerated Tendons?</em></h3>\r\n<strong><em>Hip Bursitis, or trochanteric bursitis, is actually rare!</em></strong> Multiple studies have shown that patients presenting with bursitis type symptoms actually have tendinopathy (tendon degeneration) of their gluteal tendons. These tendons attach near the bursa and often fool providers into thinking the patients have bursitis. <em><strong>Badly degenerated tendons are what they really have. And they need regeneration! </strong></em>\r\n\r\nOn top of that, as we mentioned, steroid injections are often used as the treatment for true bursitis. So when steroids are injected into the degenerated tendons, they actually can cause them to degenerate faster! Tendinopathy of the gluteus minimus or gluteus medius is often at the root of greater trochanteric pain syndrome.\r\n\r\nRegenerative Orthopedics including Stem Cell Therapy, PRP, and Prolotherapy is a safe and effective treatment option for bursitis, tendinopathy, and other underlying soft tissue injuries of the hip.\r\n<h2>More About Bursitis</h2>\r\nTrue bursitis is an inflammation of the bursae, which are small, fluid-filled sacs that lubricate and cushion pressure points between the bones, tendons, and muscles of joints. And the bursae help the joints to move with ease. So when the bursae become inflamed due to bursitis, movement or pressure can be painful. Bursitis often affects areas around the joints in the elbows or hips.\r\n<h3>Hip Bursitis</h3>\r\nHip bursitis involves a bursal sac inflamed between the hip bone and glutei muscle attachments. The bursal sac inflames because of injury to the soft tissue structures. A function of the bursal sacs is to decrease the friction of the soft tissue structure and the underlying bone. This allows the tendon or muscle to glide across the bone more easily. Bursitis pain usually goes away within a week or so with proper treatment, but recurrent flare-ups are common as well as frustrating.<strong> </strong>\r\n<h2>Bursitis Causes</h2>\r\nCommon causes of bursitis are overuse, stress, or direct trauma to a joint, such as repeated bumping or prolonged pressure. Bursitis may result from an infection, arthritis, or gout. Bursitis may also be due to the repetitive motion related to certain activities. Tendonitis, which involves the irritation or inflammation of tendons, or tendinopathy (degenerated tendon) are again oftentimes misdiagnosed as bursitis.\r\n<h2>What Are the Symptoms of Hip Bursitis?</h2>\r\nSymptoms of hip bursitis include a dull ache or stiffness in the affected hip. The pain often worsens with movement or pressure, and the area may be swollen and feel warm to the touch. Intermittent redness of the skin in the area of the inflamed bursae may be another symptom.\r\n\r\nVisible swelling or skin redness is usually absent from bursitis of the hip because the bursae are located beneath some of the body’s bulkiest muscles. Pain is primarily centered over the greater trochanter, a portion of the femur that juts out just below where the bone joins the hip.\r\n<h2>Current Treatment Options for Bursitis</h2>\r\nSince bursitis is an inflammation of the fluid-filled sac, or bursa that lies between a tendon and skin, or between a tendon and bone, bursitis treatment often involves the use of non-steroidal anti-inflammatory drugs (NSAIDS) such as ibuprofen and steroids such as cortisone.\r\n\r\nIf the problem is not true bursitis, the steroid injections by the orthopedist to decrease the inflammation of bursitis will commonly not work to eliminate the pain, since inflammation is not the real problem. The steroid will, however, inhibit fibroblastic proliferation or the process by which soft tissue structures such as ligaments, tendons, and muscles grow and repair, and result in a weakening of the joint.\r\n\r\nNSAIDs are associated with a higher risk of cardiovascular- and gastrointestinal-related adverse events. The FDA issued a medication guide for NSAIDs <strong>recommending physicians prescribe the lowest dose for the shortest time possible</strong>.”<a href=\"#_edn1\" name=\"_ednref1\">[i]</a>\r\n\r\nAs physicians become educated on the side effects of these medications, they hopefully decrease their use of them. “As years of experience increased, practitioners were more likely to prescribe lower doses of corticosteroid in musculoskeletal injections.”<a href=\"#_edn2\" name=\"_ednref2\">[ii]</a>\r\n\r\nDue to their significant side-effect profile, newer therapies are sought to replace them. Regenerative Orthopedics is both safe and effective to treat bursitis pain from various causes.\r\n<h2>Hip Bursitis Diagnosis Accuracy</h2>\r\nFor the person diagnosed with bursitis, first, consider whether the diagnosis is correct or not. There have been several studies on hip bursitis symptoms, demonstrating, as we noted earlier, that the pain is coming from tendinopathy rather than from bursitis.\r\n\r\n“Some studies have questioned the real involvement of the trochanteric bursa in greater trochanteric pain syndrome, and tendinopathy of the gluteus medius and/or minimus has been proposed as an important cause of this syndrome.”<a href=\"#_edn3\" name=\"_ednref3\">[iii]</a> One study of 75 patients with pain and point tenderness over the greater trochanter, revealed that only 8 had fluid pooling in the trochanteric bursae per sonography.<a href=\"#_edn4\" name=\"_ednref4\">[iv]</a>\r\n\r\nAnother study showed that only a minority of patients had bursitis, because in 700 out of 877 patients the pain <strong>was not from bursitis</strong>, but rather, it related to “some combination of pathology <strong>involving the gluteus medius and gluteus minimus tendons as well as the iliotibial band</strong>.”<a href=\"#_edn5\" name=\"_ednref5\">[v]</a>\r\n\r\nAnd one more found that only 5 of 124 patients with trochanteric pain had bursitis, plus most of those with bursitis also had associated tendinopathy.<sup>iv</sup>\r\n<h2>Bursitis Treatment with Regenerative Orthopedics</h2>\r\nRegenerative Orthopedics stimulate the body to repair painful areas. And that includes those with both true bursitis and tendinopathies. An experienced Regenerative Orthopedics doctor will be able to ascertain what structure is causing the pain.\r\n\r\nIn the hip, the soft tissue structures that attach to the greater trochanter are often involved, including the glutei muscles. Regenerative Orthopedic treatments to these soft tissue structures stimulate them to repair. Once they are fully repaired, the ‘bursitis’ pain resolves.\r\n\r\nPlatelet Rich Plasma (PRP) is one of the Regenerative Orthopedic treatment options that may be recommended for bursitis pain.\r\n\r\nA study presented at the 2014 meeting of the American Academy of Surgeons showed PRP to be very effective in the treatment of severe bursitis of the hip. The study compared one injection of PRP to one injection of cortisone. The cortisone only demonstrated short-term effectiveness. PRP provided both short and long-term pain relief from a condition that is difficult to treat successfully.”<a href=\"#_edn6\" name=\"_ednref6\">[vi]</a>\r\n\r\nRegenerative Orthopedic options like Stem Cell Therapy, Platelet Rich Plasma, and Prolotherapy all accomplish repair of the affected soft tissue, and your clinician will recommend which treatment will most effectively repair and regenerate your hip, bringing relief from bursitis pain.\r\n\r\n<a href=\"#_ednref1\" name=\"_edn1\">[i]</a> Sofat N. Kuttapitiya A. <a href=\"http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4089899/\" target=\"_blank\" rel=\"noopener noreferrer\">Future directions for the management of pain in osteoarthritis.</a><a href=\"http://www.futuremedicine.com/doi/pdf/10.2217/ijr.14.10\" target=\"_blank\" rel=\"noopener noreferrer\"><em>Int J Rheumatol. </em>Apr 2014; 9(2): 197–276. </a>\r\n\r\n<a href=\"#_ednref2\" name=\"_edn2\">[ii]</a> Lazaro D, Alon L, Ramessar N, Cabas-Vargas J, Shwin K, Stefanov D.  Intra-articular, bursa, and tendon sheath injections: A survey of practice patterns among members of the American College of Rheumatology. <em>Journal of Rheumatology.</em>2014; 20(2): 91-93. doi: 10.1097/RHU.0000000000000080\r\n\r\n<a href=\"#_ednref3\" name=\"_edn3\">[iii]</a> Quiroz C, Ruta S, Rosa J, Navarta DA, Garcia-Monaco R, Soriano ER. <a href=\"http://www.reumatologia.org.ar.preview.hybrid-sites.com/docs/2013-Ultrasound-Evaluation-Of-The-Greater-Trochanter-Pain-Syndrome-Bursitis-Or-Tendinopathy.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Ultrasound evaluation of the Greater Trochanter Pain Syndrome: Bursitis or tendinopathy?</a>\r\n\r\n<a href=\"#_ednref4\" name=\"_edn4\">[iv]</a> Connell DA, Bass C, Sykes CJ, Young D, Edwards E. Sonographic evaluation of gluteus medius and minimus tendinopathy. <a href=\"http://link.springer.com/journal/330\" target=\"_blank\" rel=\"noopener noreferrer\"><em>European Radiology</em></a>. 2003; 13(6): 1339-1347.6.\r\n\r\n<a href=\"#_ednref5\" name=\"_edn5\">[v]</a> <a href=\"https://www.ncbi.nlm.nih.gov/pubmed/?term=Long%20SS%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=24147479\" target=\"_blank\" rel=\"noopener noreferrer\">Long SS</a><sup>1</sup>, <a href=\"https://www.ncbi.nlm.nih.gov/pubmed/?term=Surrey%20DE%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=24147479\" target=\"_blank\" rel=\"noopener noreferrer\">Surrey DE</a>, <a href=\"https://www.ncbi.nlm.nih.gov/pubmed/?term=Nazarian%20LN%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=24147479\" target=\"_blank\" rel=\"noopener noreferrer\">Nazarian LN</a>.Sonography of greater trochanteric pain syndrome and the rarity of primary bursitis.<a href=\"https://www.ncbi.nlm.nih.gov/pubmed/24147479\" target=\"_blank\" rel=\"noopener noreferrer\">AJR Am J Roentgenol.</a> 2013 Nov;201(5):1083-6. doi: 10.2214/AJR.12.10038.\r\n\r\n<a href=\"#_ednref6\" name=\"_edn6\">[vi]</a> Goel K,Riley LP. Platelet Rich Plasma (PRP)treatment more effective than cortisone for severe hip bursitis. <a href=\"http://www.aaosannualmeetingpresskit.org/2014/news_briefs/downloads/PRP-HipBursitis.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">http://www.aaosannualmeetingpresskit.org/2014/news_briefs/downloads/PRP-HipBursitis.pdf</a>.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Is Your Hip Pain from Bursitis?','','inherit','closed','closed','','3511-revision-v1','','','2020-08-09 00:10:52','2020-08-09 00:10:52','',3511,'https://www.drfields.com/uncategorized/3511-revision-v1/',0,'revision','',0),(3975,9,'2020-08-09 00:16:54','2020-08-09 00:16:54','Is your hip pain from bursitis? Have you been treating your hip pain with bursitis treatments like steroids and non-steroidal anti-inflammatories? There are times these treatments help to give some relief, but many people continue to experience a substantial amount of discomfort even after trying them. Plus, continued use of steroids injected into a degenerated joint can unfortunately increase the rate of degeneration.\r\n\r\nWhy not treat the pain with treatments that regenerate rather than degenerate the joint structures? In this article, we will discuss hip bursitis,  various treatment options, and other reasons for hip pain that cause bursitis like symptoms.\r\n<h2>Is Your Hip Pain Really Bursitis?</h2>\r\n<strong><em>We see quite a few patients</em></strong> who come to our office for treatment of bursitis who do not actually have bursitis. Bursitis is so painful that even touching the skin over the painful area is difficult to tolerate. If the area can be palpated with a lot of pressure by the doctor, the patient may not have bursitis. What could the problem be then?\r\n<h3><em>Hip Bursitis or Badly Degenerated Tendons?</em></h3>\r\n<strong><em>Hip Bursitis, or trochanteric bursitis, is actually rare!</em></strong> Multiple studies have shown that patients presenting with bursitis type symptoms actually have tendinopathy (tendon degeneration) of their gluteal tendons. These tendons attach near the bursa and often fool providers into thinking the patients have bursitis. <em><strong>Badly degenerated tendons are what they really have. And they need regeneration! </strong></em>\r\n\r\nOn top of that, as we mentioned, steroid injections are often used as the treatment for true bursitis. So when steroids are injected into the degenerated tendons, they actually can cause them to degenerate faster! Tendinopathy of the gluteus minimus or gluteus medius is often at the root of greater trochanteric pain syndrome.\r\n\r\nRegenerative Orthopedics including Stem Cell Therapy, PRP, and Prolotherapy is a safe and effective treatment option for bursitis, tendinopathy, and other underlying soft tissue injuries of the hip.\r\n<h2>More About Bursitis</h2>\r\nTrue bursitis is an inflammation of the bursae, which are small, fluid-filled sacs that lubricate and cushion pressure points between the bones, tendons, and muscles of joints. And the bursae help the joints to move with ease. So when the bursae become inflamed due to bursitis, movement or pressure can be painful. Bursitis often affects areas around the joints in the elbows or hips.\r\n<h3>Hip Bursitis</h3>\r\nHip bursitis involves a bursal sac that is inflamed between the hip bone and glutei muscle attachments. The bursal sac inflames because of injury to the soft tissue structures. The bursal sacs decrease the friction of the soft tissue structure and the underlying bone. This allows the tendon or muscle to glide across the bone more easily. Bursitis pain usually goes away within a week or so with proper treatment, but recurrent flare-ups are common as well as frustrating.<strong> </strong>\r\n<h2>Bursitis Causes</h2>\r\nCommon causes of bursitis are overuse, stress, or direct trauma to a joint, such as repeated bumping or prolonged pressure. Bursitis may result from an infection, arthritis, or gout. Bursitis may also be due to the repetitive motion related to certain activities. Tendonitis, which involves the irritation or inflammation of tendons, or tendinopathy (degenerated tendon) are again oftentimes misdiagnosed as bursitis.\r\n<h2>What Are the Symptoms of Hip Bursitis?</h2>\r\nSymptoms of hip bursitis include a dull ache or stiffness in the affected hip. Bursitis pain often worsens with movement or pressure. And the area may be swollen and feel warm to the touch. Intermittent redness of the skin in the area of the inflamed bursae may be another symptom.\r\n\r\nVisible swelling or skin redness is usually absent from bursitis of the hip because the bursae are located beneath some of the body’s bulkiest muscles. Pain is primarily centered over the greater trochanter, a portion of the femur that juts out just below where the bone joins the hip.\r\n<h2>Current Treatment Options for Bursitis</h2>\r\nSince bursitis is an inflammation of the fluid-filled sac, or bursa that lies between a tendon and skin, or between a tendon and bone, bursitis treatment often involves the use of non-steroidal anti-inflammatory drugs (NSAIDS) such as ibuprofen and steroids such as cortisone.\r\n\r\nIf the problem is not true bursitis, the steroid injections to decrease the inflammation will usually not work to eliminate the pain, since inflammation is not the real problem. The steroid will, however, inhibit fibroblastic proliferation or the process by which soft tissue structures such as ligaments, tendons, and muscles grow and repair, and result in a weakening of the joint.\r\n<h3>NSAIDs Can Cause More Problems</h3>\r\nNSAIDs are associated with a higher risk of cardiovascular- and gastrointestinal-related adverse events. The FDA issued a medication guide for NSAIDs <strong>recommending physicians prescribe the lowest dose for the shortest time possible</strong>.”<a href=\"#_edn1\" name=\"_ednref1\">[i]</a>\r\n\r\nAs physicians become educated on the side effects of these medications, they hopefully decrease their use of them. “As years of experience increased, practitioners were more likely to prescribe lower doses of corticosteroid in musculoskeletal injections.”<a href=\"#_edn2\" name=\"_ednref2\">[ii]</a>\r\n\r\nNewer therapies are sought to replace NSAIDs due to their significant side-effect profile. Regenerative Orthopedics is both a safe and effective treatment option for bursitis pain from various causes.\r\n<h2>Hip Bursitis Diagnosis Accuracy</h2>\r\nFor the person diagnosed with bursitis, first, consider whether the diagnosis is correct or not. There have been several studies on hip bursitis symptoms, demonstrating, as we noted earlier, that the pain is coming from tendinopathy rather than from bursitis.\r\n\r\n“Some studies have questioned the real involvement of the trochanteric bursa in greater trochanteric pain syndrome, and tendinopathy of the gluteus medius and/or minimus has been proposed as an important cause of this syndrome.”<a href=\"#_edn3\" name=\"_ednref3\">[iii]</a> One study of 75 patients with pain and point tenderness over the greater trochanter, revealed that only 8 had fluid pooling in the trochanteric bursae per sonography.<a href=\"#_edn4\" name=\"_ednref4\">[iv]</a>\r\n\r\nAnother study showed that only a minority of patients had bursitis, because in 700 out of 877 patients the pain <strong>was not from bursitis</strong>, but rather, it related to “some combination of pathology <strong>involving the gluteus medius and gluteus minimus tendons as well as the iliotibial band</strong>.”<a href=\"#_edn5\" name=\"_ednref5\">[v]</a>\r\n\r\nAnd one more found that only 5 of 124 patients with trochanteric pain had bursitis, plus most of those with bursitis also had associated tendinopathy.<sup>iv</sup>\r\n<h2>Bursitis Treatment with Regenerative Orthopedics</h2>\r\nRegenerative Orthopedics stimulate the body to repair painful areas. And that includes those with both true bursitis and tendinopathies. An experienced Regenerative Orthopedics doctor will be able to ascertain what structure is causing the pain.\r\n\r\nIn the hip, the soft tissue structures that attach to the greater trochanter are often involved, including the glutei muscles. Regenerative Orthopedic treatments to these soft tissue structures stimulate them to repair. Once they are fully repaired, the ‘bursitis’ pain resolves.\r\n\r\nPlatelet Rich Plasma (PRP) is one of the Regenerative Orthopedic treatment options that may be recommended for bursitis pain.\r\n\r\nA study presented at the 2014 meeting of the American Academy of Surgeons showed PRP to be very effective in the treatment of severe bursitis of the hip. The study compared one injection of PRP to one injection of cortisone. The cortisone only demonstrated short-term effectiveness. PRP provided both short and long-term pain relief from a condition that is difficult to treat successfully.”<a href=\"#_edn6\" name=\"_ednref6\">[vi]</a>\r\n\r\nRegenerative Orthopedic options like Stem Cell Therapy, Platelet Rich Plasma, and Prolotherapy all accomplish repair of the affected soft tissue, and your clinician will recommend which treatment will most effectively repair and regenerate your hip, bringing relief from bursitis pain.\r\n\r\n<a href=\"#_ednref1\" name=\"_edn1\">[i]</a> Sofat N. Kuttapitiya A. <a href=\"http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4089899/\" target=\"_blank\" rel=\"noopener noreferrer\">Future directions for the management of pain in osteoarthritis.</a><a href=\"http://www.futuremedicine.com/doi/pdf/10.2217/ijr.14.10\" target=\"_blank\" rel=\"noopener noreferrer\"><em>Int J Rheumatol. </em>Apr 2014; 9(2): 197–276. </a>\r\n\r\n<a href=\"#_ednref2\" name=\"_edn2\">[ii]</a> Lazaro D, Alon L, Ramessar N, Cabas-Vargas J, Shwin K, Stefanov D.  Intra-articular, bursa, and tendon sheath injections: A survey of practice patterns among members of the American College of Rheumatology. <em>Journal of Rheumatology.</em>2014; 20(2): 91-93. doi: 10.1097/RHU.0000000000000080\r\n\r\n<a href=\"#_ednref3\" name=\"_edn3\">[iii]</a> Quiroz C, Ruta S, Rosa J, Navarta DA, Garcia-Monaco R, Soriano ER. <a href=\"http://www.reumatologia.org.ar.preview.hybrid-sites.com/docs/2013-Ultrasound-Evaluation-Of-The-Greater-Trochanter-Pain-Syndrome-Bursitis-Or-Tendinopathy.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Ultrasound evaluation of the Greater Trochanter Pain Syndrome: Bursitis or tendinopathy?</a>\r\n\r\n<a href=\"#_ednref4\" name=\"_edn4\">[iv]</a> Connell DA, Bass C, Sykes CJ, Young D, Edwards E. Sonographic evaluation of gluteus medius and minimus tendinopathy. <a href=\"http://link.springer.com/journal/330\" target=\"_blank\" rel=\"noopener noreferrer\"><em>European Radiology</em></a>. 2003; 13(6): 1339-1347.6.\r\n\r\n<a href=\"#_ednref5\" name=\"_edn5\">[v]</a> <a href=\"https://www.ncbi.nlm.nih.gov/pubmed/?term=Long%20SS%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=24147479\" target=\"_blank\" rel=\"noopener noreferrer\">Long SS</a><sup>1</sup>, <a href=\"https://www.ncbi.nlm.nih.gov/pubmed/?term=Surrey%20DE%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=24147479\" target=\"_blank\" rel=\"noopener noreferrer\">Surrey DE</a>, <a href=\"https://www.ncbi.nlm.nih.gov/pubmed/?term=Nazarian%20LN%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=24147479\" target=\"_blank\" rel=\"noopener noreferrer\">Nazarian LN</a>.Sonography of greater trochanteric pain syndrome and the rarity of primary bursitis.<a href=\"https://www.ncbi.nlm.nih.gov/pubmed/24147479\" target=\"_blank\" rel=\"noopener noreferrer\">AJR Am J Roentgenol.</a> 2013 Nov;201(5):1083-6. doi: 10.2214/AJR.12.10038.\r\n\r\n<a href=\"#_ednref6\" name=\"_edn6\">[vi]</a> Goel K,Riley LP. Platelet Rich Plasma (PRP)treatment more effective than cortisone for severe hip bursitis. <a href=\"http://www.aaosannualmeetingpresskit.org/2014/news_briefs/downloads/PRP-HipBursitis.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">http://www.aaosannualmeetingpresskit.org/2014/news_briefs/downloads/PRP-HipBursitis.pdf</a>.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Is Your Hip Pain from Bursitis?','','inherit','closed','closed','','3511-revision-v1','','','2020-08-09 00:16:54','2020-08-09 00:16:54','',3511,'https://www.drfields.com/uncategorized/3511-revision-v1/',0,'revision','',0),(3976,9,'2020-08-09 00:18:29','2020-08-09 00:18:29','Is your hip pain from bursitis? Have you been treating your hip pain with bursitis treatments like steroids and non-steroidal anti-inflammatories? There are times these treatments help to give some relief, but many people continue to experience a substantial amount of discomfort even after trying them. Plus, continued use of steroids injected into a degenerated joint can unfortunately increase the rate of degeneration.\r\n\r\nWhy not treat the pain with treatments that regenerate rather than degenerate the joint structures? In this article, we will discuss hip bursitis,  various treatment options, and other reasons for hip pain that cause bursitis like symptoms.\r\n<h2>Is Your Hip Pain Really Bursitis?</h2>\r\n<strong><em>We see quite a few patients</em></strong> who come to our office for treatment of bursitis who do not actually have bursitis. Bursitis is so painful that even touching the skin over the painful area is difficult to tolerate. If the area can be palpated with a lot of pressure by the doctor, the patient may not have bursitis. What could the problem be then?\r\n<h3><em>Hip Bursitis or Badly Degenerated Tendons?</em></h3>\r\n<strong><em>Hip Bursitis, or trochanteric bursitis, is actually rare!</em></strong> Multiple studies have shown that patients presenting with bursitis type symptoms actually have tendinopathy (tendon degeneration) of their gluteal tendons. These tendons attach near the bursa and often fool providers into thinking the patients have bursitis. <em><strong>Badly degenerated tendons are what they really have. And they need regeneration! </strong></em>\r\n\r\nOn top of that, as we mentioned, steroid injections are often used as the treatment for true bursitis. So when steroids are injected into the degenerated tendons, they actually can cause them to degenerate faster! Tendinopathy of the gluteus minimus or gluteus medius is often at the root of greater trochanteric pain syndrome.\r\n\r\nRegenerative Orthopedics including Stem Cell Therapy, PRP, and Prolotherapy is a safe and effective treatment option for bursitis, tendinopathy, and other underlying soft tissue injuries of the hip.\r\n<h2>More About Bursitis</h2>\r\nTrue bursitis is an inflammation of the bursae, which are small, fluid-filled sacs that lubricate and cushion pressure points between the bones, tendons, and muscles of joints. And the bursae help the joints to move with ease. So when the bursae become inflamed due to bursitis, movement or pressure can be painful. Bursitis often affects areas around the joints in the elbows or hips.\r\n<h3>Hip Bursitis</h3>\r\nHip bursitis involves a bursal sac that is inflamed between the hip bone and glutei muscle attachments. The bursal sac inflames because of injury to the soft tissue structures. The bursal sacs decrease the friction of the soft tissue structure and the underlying bone. This allows the tendon or muscle to glide across the bone more easily. Bursitis pain usually goes away within a week or so with proper treatment, but recurrent flare-ups are common as well as frustrating.<strong> </strong>\r\n<h2>Bursitis Causes</h2>\r\nCommon causes of bursitis are overuse, stress, or direct trauma to a joint, such as repeated bumping or prolonged pressure. Bursitis may result from an infection, arthritis, or gout. Bursitis may also be due to the repetitive motion related to certain activities. Tendonitis, which involves the irritation or inflammation of tendons, or tendinopathy (degenerated tendon) are again oftentimes misdiagnosed as bursitis.\r\n<h2>What Are the Symptoms of Hip Bursitis?</h2>\r\nSymptoms of hip bursitis include a dull ache or stiffness in the affected hip. Bursitis pain often worsens with movement or pressure. And the area may be swollen and feel warm to the touch. Intermittent redness of the skin in the area of the inflamed bursae may be another symptom.\r\n\r\nVisible swelling or skin redness is usually absent from bursitis of the hip because the bursae are located beneath some of the body’s bulkiest muscles. Pain is primarily centered over the greater trochanter, a portion of the femur that juts out just below where the bone joins the hip.\r\n<h2>Current Treatment Options for Bursitis</h2>\r\nSince bursitis is an inflammation of the fluid-filled sac, or bursa that lies between a tendon and skin, or between a tendon and bone, bursitis treatment often involves the use of non-steroidal anti-inflammatory drugs (NSAIDS) such as ibuprofen and steroids such as cortisone.\r\n\r\nIf the problem is not true bursitis, the steroid injections to decrease the inflammation will usually not work to eliminate the pain, since inflammation is not the real problem. The steroid will, however, inhibit fibroblastic proliferation or the process by which soft tissue structures such as ligaments, tendons, and muscles grow and repair, and result in a weakening of the joint.\r\n<h3>NSAIDs Can Cause More Problems</h3>\r\nNSAIDs are associated with a higher risk of cardiovascular- and gastrointestinal-related adverse events. The FDA issued a medication guide for NSAIDs <strong>recommending physicians prescribe the lowest dose for the shortest time possible</strong>.”<a href=\"#_edn1\" name=\"_ednref1\">[i]</a>\r\n\r\nAs physicians become educated on the side effects of these medications, they hopefully decrease their use of them. “As years of experience increased, practitioners were more likely to prescribe lower doses of corticosteroid in musculoskeletal injections.”<a href=\"#_edn2\" name=\"_ednref2\">[ii]</a>\r\n\r\nNewer therapies are sought to replace NSAIDs due to their significant side-effect profile. Regenerative Orthopedics is both a safe and effective treatment option for bursitis pain from various causes.\r\n<h2>Hip Bursitis Diagnosis Accuracy</h2>\r\nFor the person diagnosed with bursitis, first, consider whether the diagnosis is correct or not. There have been several studies on hip bursitis symptoms, demonstrating, as we noted earlier, that the pain is coming from tendinopathy rather than from bursitis.\r\n\r\n“Some studies have questioned the real involvement of the trochanteric bursa in greater trochanteric pain syndrome, and tendinopathy of the gluteus medius and/or minimus has been proposed as an important cause of this syndrome.”<a href=\"#_edn3\" name=\"_ednref3\">[iii]</a> One study of 75 patients with pain and point tenderness over the greater trochanter, revealed that only 8 had fluid pooling in the trochanteric bursae per sonography.<a href=\"#_edn4\" name=\"_ednref4\">[iv]</a>\r\n\r\nAnother study showed that only a minority of patients had bursitis, because in 700 out of 877 patients the pain <strong>was not from bursitis</strong>, but rather, it related to “some combination of pathology <strong>involving the gluteus medius and gluteus minimus tendons as well as the iliotibial band</strong>.”<a href=\"#_edn5\" name=\"_ednref5\">[v]</a>\r\n\r\nAnd one more found that only 5 of 124 patients with trochanteric pain had bursitis, plus most of those with bursitis also had associated tendinopathy.<sup>iv</sup>\r\n<h2>Bursitis Treatment with Regenerative Orthopedics</h2>\r\nRegenerative Orthopedics stimulate the body to repair painful areas. And that includes those with both true bursitis and tendinopathies. An experienced Regenerative Orthopedics doctor will be able to ascertain what structure is causing the pain.\r\n\r\nIn the hip, the soft tissue structures that attach to the greater trochanter are often involved, including the glutei muscles. Regenerative Orthopedic treatments to these soft tissue structures stimulate them to repair. Once they are fully repaired, the ‘bursitis’ pain resolves.\r\n\r\nPlatelet Rich Plasma (PRP) is one of the Regenerative Orthopedic treatment options that may be recommended for bursitis pain.\r\n<h3>A Study on PRP for Hip Bursitis</h3>\r\nA study presented at the 2014 meeting of the American Academy of Surgeons showed PRP to be very effective in the treatment of severe bursitis of the hip. The study compared one injection of PRP to one injection of cortisone. The cortisone only demonstrated short-term effectiveness. PRP provided both short and long-term pain relief from a condition that is difficult to treat successfully.”<a href=\"#_edn6\" name=\"_ednref6\">[vi]</a>\r\n\r\nRegenerative Orthopedic options like Stem Cell Therapy, Platelet Rich Plasma, and Prolotherapy all accomplish repair of the affected soft tissue, and your clinician will recommend which treatment will most effectively repair and regenerate your hip, bringing relief from bursitis pain.\r\n\r\n<a href=\"#_ednref1\" name=\"_edn1\">[i]</a> Sofat N. Kuttapitiya A. <a href=\"http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4089899/\" target=\"_blank\" rel=\"noopener noreferrer\">Future directions for the management of pain in osteoarthritis.</a><a href=\"http://www.futuremedicine.com/doi/pdf/10.2217/ijr.14.10\" target=\"_blank\" rel=\"noopener noreferrer\"><em>Int J Rheumatol. </em>Apr 2014; 9(2): 197–276. </a>\r\n\r\n<a href=\"#_ednref2\" name=\"_edn2\">[ii]</a> Lazaro D, Alon L, Ramessar N, Cabas-Vargas J, Shwin K, Stefanov D.  Intra-articular, bursa, and tendon sheath injections: A survey of practice patterns among members of the American College of Rheumatology. <em>Journal of Rheumatology.</em>2014; 20(2): 91-93. doi: 10.1097/RHU.0000000000000080\r\n\r\n<a href=\"#_ednref3\" name=\"_edn3\">[iii]</a> Quiroz C, Ruta S, Rosa J, Navarta DA, Garcia-Monaco R, Soriano ER. <a href=\"http://www.reumatologia.org.ar.preview.hybrid-sites.com/docs/2013-Ultrasound-Evaluation-Of-The-Greater-Trochanter-Pain-Syndrome-Bursitis-Or-Tendinopathy.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Ultrasound evaluation of the Greater Trochanter Pain Syndrome: Bursitis or tendinopathy?</a>\r\n\r\n<a href=\"#_ednref4\" name=\"_edn4\">[iv]</a> Connell DA, Bass C, Sykes CJ, Young D, Edwards E. Sonographic evaluation of gluteus medius and minimus tendinopathy. <a href=\"http://link.springer.com/journal/330\" target=\"_blank\" rel=\"noopener noreferrer\"><em>European Radiology</em></a>. 2003; 13(6): 1339-1347.6.\r\n\r\n<a href=\"#_ednref5\" name=\"_edn5\">[v]</a> <a href=\"https://www.ncbi.nlm.nih.gov/pubmed/?term=Long%20SS%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=24147479\" target=\"_blank\" rel=\"noopener noreferrer\">Long SS</a><sup>1</sup>, <a href=\"https://www.ncbi.nlm.nih.gov/pubmed/?term=Surrey%20DE%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=24147479\" target=\"_blank\" rel=\"noopener noreferrer\">Surrey DE</a>, <a href=\"https://www.ncbi.nlm.nih.gov/pubmed/?term=Nazarian%20LN%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=24147479\" target=\"_blank\" rel=\"noopener noreferrer\">Nazarian LN</a>.Sonography of greater trochanteric pain syndrome and the rarity of primary bursitis.<a href=\"https://www.ncbi.nlm.nih.gov/pubmed/24147479\" target=\"_blank\" rel=\"noopener noreferrer\">AJR Am J Roentgenol.</a> 2013 Nov;201(5):1083-6. doi: 10.2214/AJR.12.10038.\r\n\r\n<a href=\"#_ednref6\" name=\"_edn6\">[vi]</a> Goel K,Riley LP. Platelet Rich Plasma (PRP)treatment more effective than cortisone for severe hip bursitis. <a href=\"http://www.aaosannualmeetingpresskit.org/2014/news_briefs/downloads/PRP-HipBursitis.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">http://www.aaosannualmeetingpresskit.org/2014/news_briefs/downloads/PRP-HipBursitis.pdf</a>.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Is Your Hip Pain from Bursitis?','','inherit','closed','closed','','3511-revision-v1','','','2020-08-09 00:18:29','2020-08-09 00:18:29','',3511,'https://www.drfields.com/uncategorized/3511-revision-v1/',0,'revision','',0),(3977,9,'2020-08-09 00:19:39','2020-08-09 00:19:39','Is your hip pain from bursitis? Have you been treating your hip pain with bursitis treatments like steroids and non-steroidal anti-inflammatories? There are times these treatments help to give some relief, but many people continue to experience a substantial amount of discomfort even after trying them. Plus, continued use of steroids injected into a degenerated joint can unfortunately increase the rate of degeneration.\r\n\r\nWhy not treat the pain with treatments that regenerate rather than degenerate the joint structures? In this article, we will discuss hip bursitis,  various treatment options, and other reasons for hip pain that cause bursitis like symptoms.\r\n<h2>Is Your Hip Pain Really Bursitis?</h2>\r\n<strong><em>We see quite a few patients</em></strong> who come to our office for treatment of bursitis who do not actually have bursitis. Bursitis is so painful that even touching the skin over the painful area is difficult to tolerate. If the area can be palpated with a lot of pressure by the doctor, the patient may not have bursitis. What could the problem be then?\r\n<h3><em>Hip Bursitis or Badly Degenerated Tendons?</em></h3>\r\n<strong><em>Hip Bursitis, or trochanteric bursitis, is actually rare!</em></strong> Multiple studies have shown that patients presenting with bursitis type symptoms actually have tendinopathy (tendon degeneration) of their gluteal tendons. These tendons attach near the bursa and often fool providers into thinking the patients have bursitis. <em><strong>Badly degenerated tendons are what they really have. And they need regeneration! </strong></em>\r\n\r\nOn top of that, as we mentioned, steroid injections are often used as the treatment for true bursitis. So when steroids are injected into the degenerated tendons, they actually can cause them to degenerate faster! Tendinopathy of the gluteus minimus or gluteus medius is often at the root of greater trochanteric pain syndrome.\r\n\r\nRegenerative Orthopedics including Stem Cell Therapy, PRP, and Prolotherapy is a safe and effective treatment option for bursitis, tendinopathy, and other underlying soft tissue injuries of the hip.\r\n<h2>More About Bursitis</h2>\r\nTrue bursitis is an inflammation of the bursae, which are small, fluid-filled sacs that lubricate and cushion pressure points between the bones, tendons, and muscles of joints. And the bursae help the joints to move with ease. So when the bursae become inflamed due to bursitis, movement or pressure can be painful. Bursitis often affects areas around the joints in the elbows or hips.\r\n<h3>Hip Bursitis</h3>\r\nHip bursitis involves a bursal sac that is inflamed between the hip bone and glutei muscle attachments. The bursal sac inflames because of injury to the soft tissue structures. The bursal sacs decrease the friction of the soft tissue structure and the underlying bone. This allows the tendon or muscle to glide across the bone more easily. Bursitis pain usually goes away within a week or so with proper treatment, but recurrent flare-ups are common as well as frustrating.<strong> </strong>\r\n<h2>Bursitis Causes</h2>\r\nCommon causes of bursitis are overuse, stress, or direct trauma to a joint, such as repeated bumping or prolonged pressure. Bursitis may result from an infection, arthritis, or gout. Bursitis may also be due to the repetitive motion related to certain activities. Tendonitis, which involves the irritation or inflammation of tendons, or tendinopathy (degenerated tendon) are again oftentimes misdiagnosed as bursitis.\r\n<h2>What Are the Symptoms of Hip Bursitis?</h2>\r\nSymptoms of hip bursitis include a dull ache or stiffness in the affected hip. Bursitis pain often worsens with movement or pressure. And the area may be swollen and feel warm to the touch. Intermittent redness of the skin in the area of the inflamed bursae may be another symptom.\r\n\r\nVisible swelling or skin redness is usually absent from bursitis of the hip because the bursae are located beneath some of the body’s bulkiest muscles. Pain is primarily centered over the greater trochanter, a portion of the femur that juts out just below where the bone joins the hip.\r\n<h2>Current Treatment Options for Bursitis</h2>\r\nSince bursitis is an inflammation of the fluid-filled sac, or bursa that lies between a tendon and skin, or between a tendon and bone, bursitis treatment often involves the use of non-steroidal anti-inflammatory drugs (NSAIDS) such as ibuprofen and steroids such as cortisone.\r\n\r\nIf the problem is not true bursitis, the steroid injections to decrease the inflammation will usually not work to eliminate the pain, since inflammation is not the real problem. The steroid will, however, inhibit fibroblastic proliferation or the process by which soft tissue structures such as ligaments, tendons, and muscles grow and repair, and result in a weakening of the joint.\r\n<h3>NSAIDs Can Cause More Problems</h3>\r\nNSAIDs are associated with a higher risk of cardiovascular- and gastrointestinal-related adverse events. The FDA issued a medication guide for NSAIDs <strong>recommending physicians prescribe the lowest dose for the shortest time possible</strong>.”<a href=\"#_edn1\" name=\"_ednref1\">[i]</a>\r\n\r\nAs physicians become educated on the side effects of these medications, they hopefully decrease their use of them. “As years of experience increased, practitioners were more likely to prescribe lower doses of corticosteroid in musculoskeletal injections.”<a href=\"#_edn2\" name=\"_ednref2\">[ii]</a>\r\n\r\nNewer therapies are sought to replace NSAIDs due to their significant side-effect profile. Regenerative Orthopedics is both a safe and effective treatment option for bursitis pain from various causes.\r\n<h2>Hip Bursitis Diagnosis Accuracy</h2>\r\nFor the person diagnosed with bursitis, first, consider whether the diagnosis is correct or not. There have been several studies on hip bursitis symptoms, demonstrating, as we noted earlier, that the pain is coming from tendinopathy rather than from bursitis.\r\n\r\n“Some studies have questioned the real involvement of the trochanteric bursa in greater trochanteric pain syndrome, and tendinopathy of the gluteus medius and/or minimus has been proposed as an important cause of this syndrome.”<a href=\"#_edn3\" name=\"_ednref3\">[iii]</a> One study of 75 patients with pain and point tenderness over the greater trochanter, revealed that only 8 had fluid pooling in the trochanteric bursae per sonography.<a href=\"#_edn4\" name=\"_ednref4\">[iv]</a>\r\n\r\nAnother study showed that only a minority of patients had bursitis, because in 700 out of 877 patients the pain <strong>was not from bursitis</strong>, but rather, it related to “some combination of pathology <strong>involving the gluteus medius and gluteus minimus tendons as well as the iliotibial band</strong>.”<a href=\"#_edn5\" name=\"_ednref5\">[v]</a>\r\n\r\nAnd one more found that only 5 of 124 patients with trochanteric pain had bursitis, plus most of those with bursitis also had associated tendinopathy.<sup>iv</sup>\r\n<h2>Bursitis Treatment with Regenerative Orthopedics</h2>\r\nRegenerative Orthopedics stimulate the body to repair painful areas. And that includes those with both true bursitis and tendinopathies. An experienced Regenerative Orthopedics doctor will be able to ascertain what structure is causing the pain.\r\n\r\nIn the hip, the soft tissue structures that attach to the greater trochanter are often involved, including the glutei muscles. Regenerative Orthopedic treatments to these soft tissue structures stimulate them to repair. Once they are fully repaired, the ‘bursitis’ pain resolves.\r\n\r\nPlatelet Rich Plasma (PRP) is one of the Regenerative Orthopedic treatment options that may be recommended for bursitis pain.\r\n<h3>A Study on PRP for Hip Bursitis</h3>\r\nA study presented at the 2014 meeting of the American Academy of Surgeons showed PRP to be very effective in the treatment of severe bursitis of the hip. The study compared one injection of PRP to one injection of cortisone. The cortisone demonstrated only short-term effectiveness. PRP provided both short and long-term pain relief from a condition that is difficult to treat successfully.”<a href=\"#_edn6\" name=\"_ednref6\">[vi]</a>\r\n\r\nRegenerative Orthopedic options like Stem Cell Therapy, Platelet Rich Plasma, and Prolotherapy all accomplish repair of the affected soft tissue. And your clinician will recommend which treatment will most effectively repair and regenerate your hip, bringing relief from bursitis pain.\r\n\r\n<a href=\"#_ednref1\" name=\"_edn1\">[i]</a> Sofat N. Kuttapitiya A. <a href=\"http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4089899/\" target=\"_blank\" rel=\"noopener noreferrer\">Future directions for the management of pain in osteoarthritis.</a><a href=\"http://www.futuremedicine.com/doi/pdf/10.2217/ijr.14.10\" target=\"_blank\" rel=\"noopener noreferrer\"><em>Int J Rheumatol. </em>Apr 2014; 9(2): 197–276. </a>\r\n\r\n<a href=\"#_ednref2\" name=\"_edn2\">[ii]</a> Lazaro D, Alon L, Ramessar N, Cabas-Vargas J, Shwin K, Stefanov D.  Intra-articular, bursa, and tendon sheath injections: A survey of practice patterns among members of the American College of Rheumatology. <em>Journal of Rheumatology.</em>2014; 20(2): 91-93. doi: 10.1097/RHU.0000000000000080\r\n\r\n<a href=\"#_ednref3\" name=\"_edn3\">[iii]</a> Quiroz C, Ruta S, Rosa J, Navarta DA, Garcia-Monaco R, Soriano ER. <a href=\"http://www.reumatologia.org.ar.preview.hybrid-sites.com/docs/2013-Ultrasound-Evaluation-Of-The-Greater-Trochanter-Pain-Syndrome-Bursitis-Or-Tendinopathy.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Ultrasound evaluation of the Greater Trochanter Pain Syndrome: Bursitis or tendinopathy?</a>\r\n\r\n<a href=\"#_ednref4\" name=\"_edn4\">[iv]</a> Connell DA, Bass C, Sykes CJ, Young D, Edwards E. Sonographic evaluation of gluteus medius and minimus tendinopathy. <a href=\"http://link.springer.com/journal/330\" target=\"_blank\" rel=\"noopener noreferrer\"><em>European Radiology</em></a>. 2003; 13(6): 1339-1347.6.\r\n\r\n<a href=\"#_ednref5\" name=\"_edn5\">[v]</a> <a href=\"https://www.ncbi.nlm.nih.gov/pubmed/?term=Long%20SS%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=24147479\" target=\"_blank\" rel=\"noopener noreferrer\">Long SS</a><sup>1</sup>, <a href=\"https://www.ncbi.nlm.nih.gov/pubmed/?term=Surrey%20DE%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=24147479\" target=\"_blank\" rel=\"noopener noreferrer\">Surrey DE</a>, <a href=\"https://www.ncbi.nlm.nih.gov/pubmed/?term=Nazarian%20LN%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=24147479\" target=\"_blank\" rel=\"noopener noreferrer\">Nazarian LN</a>.Sonography of greater trochanteric pain syndrome and the rarity of primary bursitis.<a href=\"https://www.ncbi.nlm.nih.gov/pubmed/24147479\" target=\"_blank\" rel=\"noopener noreferrer\">AJR Am J Roentgenol.</a> 2013 Nov;201(5):1083-6. doi: 10.2214/AJR.12.10038.\r\n\r\n<a href=\"#_ednref6\" name=\"_edn6\">[vi]</a> Goel K,Riley LP. Platelet Rich Plasma (PRP)treatment more effective than cortisone for severe hip bursitis. <a href=\"http://www.aaosannualmeetingpresskit.org/2014/news_briefs/downloads/PRP-HipBursitis.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">http://www.aaosannualmeetingpresskit.org/2014/news_briefs/downloads/PRP-HipBursitis.pdf</a>.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Is Your Hip Pain from Bursitis?','','inherit','closed','closed','','3511-revision-v1','','','2020-08-09 00:19:39','2020-08-09 00:19:39','',3511,'https://www.drfields.com/uncategorized/3511-revision-v1/',0,'revision','',0),(3979,9,'2020-08-13 18:56:29','2020-08-13 18:56:29','Older athletes can get back to doing what they love without the need for surgery.','Don\'t Let Arthritis Stop You','Arthritis.do What You Love','inherit','open','closed','','arthritis-do-what-you-love','','','2020-08-13 19:01:54','2020-08-13 19:01:54','',3484,'https://www.drfields.com/wp-content/uploads/2019/12/arthritis.do-what-you-love.png',0,'attachment','image/png',0),(3980,9,'2020-08-13 19:32:00','2020-08-13 19:32:00','[caption id=\"attachment_3979\" align=\"alignleft\" width=\"309\"]<img class=\" wp-image-3979\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/arthritis.do-what-you-love-500x500.png\" alt=\"Keep Doing What You Love\" width=\"309\" height=\"309\" /> <em>Older Athletes Can Keep Doing What They Love</em>[/caption]\n\n<strong>     Athletes want to maintain their level of exercise and activity over the years. Understandably so! </strong>Exercise is one of the most effective ways to improve and maintain health. Keeping active physically is correlated with lower risks of cardiovascular disease, lower blood pressure, weight reduction, as well as the provision of an increased sense of well-being.  It’s no wonder that more and more people are becoming active in exercise programs and desire to maintain a level of physical activity throughout life. But is exercise associated with a higher risk of arthritis?\n\nAthletes—and especially long-time athletes—may wonder if increased joint stress leads to premature “wearing out” of the joints and the development of arthritis.\n\n&nbsp;\n\n<em>Studies seem to show that joint injury is the main factor that increases the arthritic risk in athletes. And exercise itself has more of a protective role.</em>\n\nFor example, having well-developed muscles decreases the loading on the cartilage and thus has a protective effect. <strong>Animal research also shows that exercise, such as running, is not harmful to normal joints even under high loads and over long distances</strong>. However, the same type of exercise done on an injured joint will lead to arthritic change.\n\nActivities, like bicycling and pool exercises, that maintain flexibility, strengthen the muscle and boost coordination, <strong>actually protect the cartilaginous surfaces</strong>, because they help to maintain joint function.\n<h2>Sports Injuries in the Older Athlete</h2>\nSports injuries and traumas accumulate over a person\'s life and these can damage the ligaments and cartilage. It is not uncommon for athletes to injure joints. And it is this injury or the non-healing of it that causes the degenerative process to start in the joints.\n\nThe repetitive low-grade impact from athletic events can be enough to damage the soft tissues and start the arthritic process. Some studies do note an increased incidence of arthritis in particular sports due to their vigorous nature and their propensity to lead to trauma. For example, wrestlers, boxers, baseball pitchers, cyclists, gymnasts, ballet dancers, soccer players, weight lifters, and football players have all been reported to have degenerative joint disease due to sports-related stress. This degeneration occurs due to soft tissue injuries (non-healed injuries) that were not fully addressed.\n<h2>The Older Athlete Desires to Stay Fit</h2>\nThe hope for the older athlete is to be as fit as when in the prime of their athletic careers. Often, however, this is not the case because of the degeneration that has occurred due to non-healed sports injuries. Sports injuries that lead to symptomatic arthritis later on in life are generally those that occur to the ligaments. That\'s because the ligament injury causes the joint to become unstable.\n\nTypically, bone spurs develop in the ligaments/fascia (as in plantar fasciitis). And these are generally a sign that the ligaments were no longer able to stabilize the joint. The body responds by bringing in reinforcement in the form of additional bone formation. <strong>This additional bone formation is called arthritis.</strong>\n\nAthletes want to play sports for a lifetime. Unfortunately for many, the degenerative changes that occur due to non-healed old athletic injuries, combined with a decreased ability to heal, and the natural degeneration that occurs with aging, make sporting injuries commonplace in the older athlete. A lifetime of microtraumas in ligaments and tendons over the years, along with weakening muscles and poor flexibility, can lead to a reoccurrence of these injuries.\n<h2><em>The Natural Progression of Arthritis Starts with Ligament Injury</em></h2>\nWhat causes the mechanical and molecular events in arthritis to occur? Although cartilage lacks nerve fibers, could cartilage wear and tear be the origin of arthritis? An article published in <em>Gerontology</em> conducts a literary review to prove that arthritis starts with ligament damage. After reviewing numerous research articles, the authors conclude that subchondral bone changes (the bone just beneath cartilage) precede any cartilage change associated with arthritis. These bone changes are due to a loss of tension on the bone at the ligament/bone insertion.<sup>1</sup>\n\n<em><strong>“The earliest change appears to be at the ligament-bone insertion site</strong></em><strong>.</strong>  We propose that it is a change in the ligament that leads to an alteration in the tension on the bone at the bone-insertion site which precipitates bone remodeling (injury to subchondral bone). The health and integrity of the overlying articular cartilage depend on the mechanical properties of its bony bed.  Ligament injury precedes the subchondral bone changes and these changes occur before articular cartilage degeneration.”<sup>1</sup>\n\nTaking into account the progression of arthritis, it becomes clear that ligament integrity or lack of integrity is what needs to be treated to prevent further joint destruction. In other words, ligament laxity causes bone changes that in turn cause cartilage change and damage. Ligament laxity is due to ligament damage.\n<h2><strong><em>Consider this! </em></strong></h2>\nWhen researchers attempt to stimulate arthritis or degeneration in a joint, they do so by damaging the ligaments around the joint. Wow! What happens then? Once the ligaments are damaged, the instability that is created increases the pressure in the joint where the ligaments were injured. The increased pressure then causes an acceleration of the degenerative process. Eventually, the body will stabilize the segment by overgrowing bone. This overgrowth of bone is typically read on x-rays as <a href=\"http://www.getprolo.com/prolotherapy-can-prevent-the-development-of-traumatic-arthritis/\">bone spurs</a>, spondylosis, or fused joints.\n<h2><strong>Treatments to Keep the Older Athlete Active</strong></h2>\n<em>Gerontology</em> points out the need for therapeutic strategies to be redirected at the healing of the ligament damage- the initial cause of arthritis. Fortunately, Regenerative Orthopedics does just this and can repair the degenerated joint.\n\nStandard arthritis treatments generally involve only symptom management rather than repair of the joint and include NSAIDs, cortisone shots, and even surgery to provide pain relief.\n\n<strong><em><u>The most common surgery is arthroscopy which in numerous medical studies was found to be no more effective than placebo in regard to arthritis. </u></em></strong>\n\nJoint replacements are being recommended more and more, demonstrated by the fact that hundreds of thousands are performed every year. All of these treatments are anti-healing and can cause further degeneration of arthritic joints. <strong>And once the surgery is done it cannot be undone!</strong>\n\nRegenerative Orthopedics directed at the painful sites where ligaments and tendons connect to bone, as well as at trigger points and adjacent joint spaces, produce a healing response. Along with growth factor stimulation, this induces healing and strengthening of the damaged or diseased structure. The result is the repair of the damaged ligaments and soft tissue which allows the aging athlete to continue with their desired activity and sport. Regenerative Orthopedics can reverse joint damage and alleviate arthritis pain. A number of case studies have shown the success of regenerative techniques in patients with diagnosed arthritis.<sup>2,3</sup>\n<h2>Exercise is Beneficial for Older Athlete</h2>\nIn a study of almost 17,000 people examined from 1970-1995, high levels of physical activity <strong>were not</strong> associated with symptomatic arthritis in older men and women runners over age 50. Six other reviews on the effectiveness of exercise, both of high and low intensity, on the management of arthritis in the elderly found clinical outcomes of arthritis to be improved.<sup>4 </sup>\n\nAccording to scientific studies, exercise and recreational activities appear to <strong>not</strong> cause wear-and-tear on the joints.  This can be seen in medical research over many years which supports the findings that exercise is beneficial rather than harmful. The author of a systematic review of multiple medical databases said, “The first consideration with respect to exercise is whether “wear and tear” resulting from repetitive use of articular cartilage is the primary driver for degenerative change. If this were the case, the exercise would lead to progressive arthritis. According to the evidence presented here, this does not seem to be the case.”<sup>5</sup>\n<h2>Regenerative Orthopedics for Arthritis in Older Athletes</h2>\nIn our opinion, Regenerative Orthopedics is the treatment of choice for treating joint pain in older athletes, due to ligament and other soft tissue injury. It is amazing how many athletes end up avoiding surgery once they are treated with Regenerative Orthopedics, because the treatment eliminates the pain, stabilizes the joint, and returns function.\n\nRegenerative Orthopedics can make a significant impact in the rehabilitation of the injured older athlete. Despite age, typically only four or five sessions are needed for the athletes to achieve complete healing and be back to their physical best. Injections involving the knees, shoulders, hips, ankles, elbows and more can easily be performed with, often, dramatic results and improvement.\n<ol>\n 	<li>Bailey AJ, Mansell JP. Do subchondral bone changes exacerbate or precede articular cartilage destruction in osteoarthritis of the elderly? Gerontology 1997; 43:296-304.</li>\n</ol>\n<ol start=\"2\">\n 	<li>Hauser R, Woldin B. Treating Osteoarthritic Joints Using Dextrose Prolotherapy and Direct Bone Marrow Aspirate Injection Therapy. <em>Open Arthritis J</em>. 2014; 7:1-9.</li>\n</ol>\n<ol start=\"3\">\n 	<li>Cusi M, Saunders J, Hungerford B, Wisbey-Roth T, Lucas P, Wilson S. The use of prolotherapy in the sacroiliac joint. <em>Br J Sports Med</em>. Feb 2010;44(2):100-104.</li>\n</ol>\n<ol start=\"4\">\n 	<li>Hootman J. Osteoarthritis in elderly persons: Risks of exercise and exercise as therapy. <em>Clinical Journal of Sport Medicine</em>. 2010; 20(3):223.</li>\n 	<li>Bosomworth NJ. Exercise and knee osteoarthritis: benefit or hazard? Can Fam Physician 2009; 55:871-878.</li>\n</ol>\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','How Arthritis Affects Older Athletes','','inherit','closed','closed','','3484-autosave-v1','','','2020-08-13 19:32:00','2020-08-13 19:32:00','',3484,'https://www.drfields.com/uncategorized/3484-autosave-v1/',0,'revision','',0),(3981,9,'2020-08-13 19:18:35','2020-08-13 19:18:35','[caption id=\"attachment_3979\" align=\"alignleft\" width=\"309\"]<img class=\" wp-image-3979\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/arthritis.do-what-you-love-500x500.png\" alt=\"Keep Doing What You Love\" width=\"309\" height=\"309\" /> <em>Older Athletes Can Keep Doing What They Love</em>[/caption]\r\n\r\n<strong>     Athletes want to maintain their level of exercise and activity over the years. Understandably so! </strong>Exercise is one of the most effective ways to improve and maintain health. Keeping active physically is correlated with lower risks of cardiovascular disease, lower blood pressure, weight reduction, as well as the provision of an increased sense of well-being.  It’s no wonder that more and more people are becoming active in exercise programs and desire to maintain a level of physical activity throughout life. But is exercise associated with a higher risk of arthritis?\r\n\r\nAthletes—and especially long-time athletes—may wonder if increased joint stress leads to premature “wearing out” of the joints and the development of arthritis.\r\n\r\n&nbsp;\r\n\r\n<em>Studies seem to show that joint injury is the main factor that increases the arthritic risk in athletes. And exercise itself has more of a protective role.</em>\r\n\r\nFor example, having well-developed muscles decreases the loading on the cartilage and thus has a protective effect. <strong>Animal research also shows that exercise, such as running, is not harmful to normal joints even under high loads and over long distances</strong>. However, the same type of exercise done on an injured joint will lead to arthritic change.\r\n\r\nActivities, like bicycling and pool exercises, that maintain flexibility, strengthen the muscle and boost coordination, <strong>actually protect the cartilaginous surfaces</strong>, because they help to maintain joint function.\r\n<h2>Sports Injuries in the Older Athlete</h2>\r\nSports injuries and traumas accumulate over a person\'s life and these can damage the ligaments and cartilage. It is not uncommon for athletes to injure joints. And it is this injury or the non-healing of it that causes the degenerative process to start in the joints.\r\n\r\nThe repetitive low-grade impact from athletic events can be enough to damage the soft tissues and start the arthritic process. Some studies do note an increased incidence of arthritis in particular sports due to their vigorous nature and their propensity to lead to trauma. For example, wrestlers, boxers, baseball pitchers, cyclists, gymnasts, ballet dancers, soccer players, weight lifters, and football players have all been reported to have degenerative joint disease due to sports-related stress. This degeneration occurs due to soft tissue injuries (non-healed injuries) that were not fully addressed.\r\n<h2>The Older Athlete Desires to Stay Fit</h2>\r\nThe hope for the older athlete is to be as fit as when in the prime of their athletic careers. Often, however, this is not the case because of the degeneration that has occurred due to non-healed sports injuries. Sports injuries that lead to symptomatic arthritis later on are generally those that occur to the ligaments, because the ligament injury causes the joint to become unstable. Typically, bone spurs develop in the ligaments/fascia (as in plantar fasciitis) and these are generally a sign that the ligaments were no longer able to stabilize the joint, and therefore the body brings in reinforcement in the form of additional bone formation. This additional bone formation is called arthritis.\r\n\r\nSporting activities should be performed for a lifetime. Unfortunately for many, the degenerative changes that occur due to non-healed old athletic injuries, combined with a decreased ability to heal, and the natural degeneration that occurs with aging, make sporting injuries commonplace in the older athlete. A lifetime of microtraumas in ligaments and tendons over the years, along with weakening muscles and poor flexibility, can lead to a reoccurrence of these injuries.\r\n<h2><em>The Natural Progression of Arthritis Starts with Ligament Injury</em></h2>\r\nWhat causes the mechanical and molecular events in arthritis to occur? Although cartilage lacks nerve fibers, could cartilage wear and tear be the origin of arthritis? An article published in <em>Gerontology</em> conducts a literary review to prove that arthritis starts with ligament damage. Reviewing numerous research articles, the authors conclude that subchondral bone changes (the bone just beneath cartilage) precede any cartilage change associated with arthritis. These bone changes are due to a loss of tension on bone at the ligament/bone insertion.<sup>1</sup>\r\n\r\n<em><strong>“The earliest change appears to be at the ligament-bone insertion site</strong></em><strong>.</strong>  We propose that it is a change in the ligament that leads to an alteration in the tension on the bone at the bone-insertion site which precipitates bone remodeling (injury to subchondral bone). The health and integrity of the overlying articular cartilage depends on the mechanical properties of its bony bed.  Ligament injury precedes the subchondral bone changes and these changes occur before articular cartilage degeneration.”<sup>1</sup>\r\n\r\nTaking into account the progression of arthritis, it becomes clear that the ligament integrity or lack of integrity is what needs to be treated to prevent further joint destruction. In other words, ligament laxity causes bone changes that in turn cause cartilage change and damage. Ligament laxity is due to ligament damage.\r\n<h2><strong><em>Consider this! </em></strong></h2>\r\nWhen researchers attempt to stimulate arthritis or degeneration in a joint, they do so by damaging the ligaments around the joint. The instability that is created increases the pressure in the joint where the ligaments were injured. The increased pressure then causes an acceleration of the degenerative process. Eventually the body will stabilize the segment by overgrowing bone. This overgrowth of bone is typically read on x-rays as <a href=\"http://www.getprolo.com/prolotherapy-can-prevent-the-development-of-traumatic-arthritis/\">bone spurs</a>, spondylosis, or fused joints.\r\n<h2><strong>Treatments to Keep the Older Athlete Active</strong></h2>\r\n<em>Gerontology</em> points out the need for therapeutic strategies to be redirected at the healing of the ligament damage- the initial cause of arthritis. Fortunately, Regenerative Orthopedics does just this, and can repair the degenerated joint.\r\n\r\nStandard arthritis treatments generally involve only symptom management rather than repair of the joint, and include NSAIDS, cortisone shots, and even surgery to provide pain relief.\r\n\r\n<strong><em><u>The most common surgery is arthroscopy which in numerous medical studies was found to be no more effective than placebo in regard to arthritis. </u></em></strong>\r\n\r\nJoint replacements are being recommended more and more, demonstrated by the fact that hundreds of thousands are performed every year. All of these treatments are anti-healing and can cause further degeneration of arthritic joints. <strong>And once surgery is done it cannot be un-done!</strong>\r\n\r\nRegenerative Orthopedics directed at the painful sites where ligaments and tendons connect to bone, as well as at trigger points and adjacent joint spaces, produce a healing response, along with growth factor stimulation, which induce healing and strengthening of the damaged or diseased structure. This repairs the damaged ligaments and soft tissue, and allows the aging athlete to continue with their desired activity and sport. Regenerative Orthopedics can reverse joint damage and alleviate arthritis pain. A number of case studies have shown the success of regenerative techniques in patients with diagnosed arthritis.<sup>2,3</sup>\r\n<h2>Exercise is Beneficial for Older Athlete</h2>\r\nIn a study of almost 17,000 people examined from 1970-1995, high levels of physical activity <strong>were not</strong> associated with symptomatic arthritis in older men and women runners over age 50. Six other reviews on the effectiveness of exercise, both of high and low intensity, on the management of arthritis in the elderly found clinical outcomes of arthritis to be improved.<sup>4 </sup>\r\n\r\nExercise and recreational activities appear not to cause wear-and-tear on the joints according to the scientific studies. This can be seen in medical research over many years which support the findings that exercise is beneficial rather than harmful. The author of a systematic review of multiple medical data bases said this, “The first consideration with respect to exercise is whether “wear and tear” resulting from repetitive use of articular cartilage is the primary driver for degenerative change. If this were the case, exercise would lead to progressive arthritis. According to the evidence presented here, this does not seem to be the case.”<sup>5</sup>\r\n<h2>Regenerative Orthopedics for Arthritis in Older Athletes</h2>\r\nIn our opinion, Regenerative Orthopedics is the treatment of choice for treating joint pain in older athletes, due to ligament and other soft tissue injury. It is amazing how many athletes end up avoiding surgery once they are treated with Regenerative Orthopedics, because the treatment eliminates the pain, stabilizes the joint, and returns function.\r\n\r\nRegenerative Orthopedics can make a significant impact in the rehabilitation of the injured older athlete. Despite age, typically only four or five sessions are needed for the athletes to achieve complete healing and be back to their physical best. Injections involving the knees, shoulders, hips, ankles, elbows and more can easily be performed with, often, dramatic results and improvement.\r\n<ol>\r\n 	<li>Bailey AJ, Mansell JP. Do subchondral bone changes exacerbate or precede articular cartilage destruction in osteoarthritis of the elderly? Gerontology 1997; 43:296-304.</li>\r\n</ol>\r\n<ol start=\"2\">\r\n 	<li>Hauser R, Woldin B. Treating Osteoarthritic Joints Using Dextrose Prolotherapy and Direct Bone Marrow Aspirate Injection Therapy. <em>Open Arthritis J</em>. 2014; 7:1-9.</li>\r\n</ol>\r\n<ol start=\"3\">\r\n 	<li>Cusi M, Saunders J, Hungerford B, Wisbey-Roth T, Lucas P, Wilson S. The use of prolotherapy in the sacroiliac joint. <em>Br J Sports Med</em>. Feb 2010;44(2):100-104.</li>\r\n</ol>\r\n<ol start=\"4\">\r\n 	<li>Hootman J. Osteoarthritis in elderly persons: Risks of exercise and exercise as therapy. <em>Clinical Journal of Sport Medicine</em>. 2010; 20(3):223.</li>\r\n 	<li>Bosomworth NJ. Exercise and knee osteoarthritis: benefit or hazard? Can Fam Physician 2009; 55:871-878.</li>\r\n</ol>\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','How Arthritis Affects Older Athletes','','inherit','closed','closed','','3484-revision-v1','','','2020-08-13 19:18:35','2020-08-13 19:18:35','',3484,'https://www.drfields.com/uncategorized/3484-revision-v1/',0,'revision','',0),(3982,9,'2020-08-13 19:32:46','2020-08-13 19:32:46','[caption id=\"attachment_3979\" align=\"alignleft\" width=\"309\"]<img class=\" wp-image-3979\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/arthritis.do-what-you-love-500x500.png\" alt=\"Keep Doing What You Love\" width=\"309\" height=\"309\" /> <em>Older Athletes Can Keep Doing What They Love</em>[/caption]\r\n\r\n<strong>     Athletes want to maintain their level of exercise and activity over the years. Understandably so! </strong>Exercise is one of the most effective ways to improve and maintain health. Keeping active physically is correlated with lower risks of cardiovascular disease, lower blood pressure, weight reduction, as well as the provision of an increased sense of well-being.  It’s no wonder that more and more people are becoming active in exercise programs and desire to maintain a level of physical activity throughout life. But is exercise associated with a higher risk of arthritis?\r\n\r\nAthletes—and especially long-time athletes—may wonder if increased joint stress leads to premature “wearing out” of the joints and the development of arthritis.\r\n\r\n&nbsp;\r\n\r\n<em>Studies seem to show that joint injury is the main factor that increases the arthritic risk in athletes. And exercise itself has more of a protective role.</em>\r\n\r\nFor example, having well-developed muscles decreases the loading on the cartilage and thus has a protective effect. <strong>Animal research also shows that exercise, such as running, is not harmful to normal joints even under high loads and over long distances</strong>. However, the same type of exercise done on an injured joint will lead to arthritic change.\r\n\r\nActivities, like bicycling and pool exercises, that maintain flexibility, strengthen the muscle and boost coordination, <strong>actually protect the cartilaginous surfaces</strong>, because they help to maintain joint function.\r\n<h2>Sports Injuries in the Older Athlete</h2>\r\nSports injuries and traumas accumulate over a person\'s life and these can damage the ligaments and cartilage. It is not uncommon for athletes to injure joints. And it is this injury or the non-healing of it that causes the degenerative process to start in the joints.\r\n\r\nThe repetitive low-grade impact from athletic events can be enough to damage the soft tissues and start the arthritic process. Some studies do note an increased incidence of arthritis in particular sports due to their vigorous nature and their propensity to lead to trauma. For example, wrestlers, boxers, baseball pitchers, cyclists, gymnasts, ballet dancers, soccer players, weight lifters, and football players have all been reported to have degenerative joint disease due to sports-related stress. This degeneration occurs due to soft tissue injuries (non-healed injuries) that were not fully addressed.\r\n<h2>The Older Athlete Desires to Stay Fit</h2>\r\nThe hope for the older athlete is to be as fit as when in the prime of their athletic careers. Often, however, this is not the case because of the degeneration that has occurred due to non-healed sports injuries. Sports injuries that lead to symptomatic arthritis later on in life are generally those that occur to the ligaments. That\'s because the ligament injury causes the joint to become unstable.\r\n\r\nTypically, bone spurs develop in the ligaments/fascia (as in plantar fasciitis). And these are generally a sign that the ligaments were no longer able to stabilize the joint. The body responds by bringing in reinforcement in the form of additional bone formation. <strong>This additional bone formation is called arthritis.</strong>\r\n\r\nAthletes want to play sports for a lifetime. Unfortunately for many, the degenerative changes that occur due to non-healed old athletic injuries, combined with a decreased ability to heal, and the natural degeneration that occurs with aging, make sporting injuries commonplace in the older athlete. A lifetime of microtraumas in ligaments and tendons over the years, along with weakening muscles and poor flexibility, can lead to a reoccurrence of these injuries.\r\n<h2><em>The Natural Progression of Arthritis Starts with Ligament Injury</em></h2>\r\nWhat causes the mechanical and molecular events in arthritis to occur? Although cartilage lacks nerve fibers, could cartilage wear and tear be the origin of arthritis? An article published in <em>Gerontology</em> conducts a literary review to prove that arthritis starts with ligament damage. After reviewing numerous research articles, the authors conclude that subchondral bone changes (the bone just beneath cartilage) precede any cartilage change associated with arthritis. These bone changes are due to a loss of tension on the bone at the ligament/bone insertion.<sup>1</sup>\r\n\r\n<em><strong>“The earliest change appears to be at the ligament-bone insertion site</strong></em><strong>.</strong>  We propose that it is a change in the ligament that leads to an alteration in the tension on the bone at the bone-insertion site which precipitates bone remodeling (injury to subchondral bone). The health and integrity of the overlying articular cartilage depend on the mechanical properties of its bony bed.  Ligament injury precedes the subchondral bone changes and these changes occur before articular cartilage degeneration.”<sup>1</sup>\r\n\r\nTaking into account the progression of arthritis, it becomes clear that ligament integrity or lack of integrity is what needs to be treated to prevent further joint destruction. In other words, ligament laxity causes bone changes that in turn cause cartilage change and damage. Ligament laxity is due to ligament damage.\r\n<h2><strong><em>Consider this! </em></strong></h2>\r\nWhen researchers attempt to stimulate arthritis or degeneration in a joint, they do so by damaging the ligaments around the joint. Wow! What happens then? Once the ligaments are damaged, the instability that is created increases the pressure in the joint where the ligaments were injured. The increased pressure then causes an acceleration of the degenerative process. Eventually, the body will stabilize the segment by overgrowing bone. This overgrowth of bone is typically read on x-rays as <a href=\"http://www.getprolo.com/prolotherapy-can-prevent-the-development-of-traumatic-arthritis/\">bone spurs</a>, spondylosis, or fused joints.\r\n<h2><strong>Treatments to Keep the Older Athlete Active</strong></h2>\r\n<em>Gerontology</em> points out the need for therapeutic strategies to be redirected at the healing of the ligament damage- the initial cause of arthritis. Fortunately, Regenerative Orthopedics does just this and can repair the degenerated joint.\r\n\r\nStandard arthritis treatments generally involve only symptom management rather than repair of the joint and include NSAIDs, cortisone shots, and even surgery to provide pain relief.\r\n\r\n<strong><em><u>The most common surgery is arthroscopy which in numerous medical studies was found to be no more effective than placebo in regard to arthritis. </u></em></strong>\r\n\r\nJoint replacements are being recommended more and more, demonstrated by the fact that hundreds of thousands are performed every year. All of these treatments are anti-healing and can cause further degeneration of arthritic joints. <strong>And once the surgery is done it cannot be undone!</strong>\r\n\r\nRegenerative Orthopedics directed at the painful sites where ligaments and tendons connect to bone, as well as at trigger points and adjacent joint spaces, produce a healing response. Along with growth factor stimulation, this induces healing and strengthening of the damaged or diseased structure. The result is the repair of the damaged ligaments and soft tissue which allows the aging athlete to continue with their desired activity and sport. Regenerative Orthopedics can reverse joint damage and alleviate arthritis pain. A number of case studies have shown the success of regenerative techniques in patients with diagnosed arthritis.<sup>2,3</sup>\r\n<h2>Exercise is Beneficial for Older Athlete</h2>\r\nIn a study of almost 17,000 people examined from 1970-1995, high levels of physical activity <strong>were not</strong> associated with symptomatic arthritis in older men and women runners over age 50. Six other reviews on the effectiveness of exercise, both of high and low intensity, on the management of arthritis in the elderly found clinical outcomes of arthritis to be improved.<sup>4 </sup>\r\n\r\nAccording to scientific studies, exercise and recreational activities appear to <strong>not</strong> cause wear-and-tear on the joints.  This can be seen in medical research over many years which supports the findings that exercise is beneficial rather than harmful. The author of a systematic review of multiple medical databases said, “The first consideration with respect to exercise is whether “wear and tear” resulting from repetitive use of articular cartilage is the primary driver for degenerative change. If this were the case, the exercise would lead to progressive arthritis. According to the evidence presented here, this does not seem to be the case.”<sup>5</sup>\r\n<h2>Regenerative Orthopedics for Arthritis in Older Athletes</h2>\r\nIn our opinion, Regenerative Orthopedics is the treatment of choice for treating joint pain in older athletes, due to ligament and other soft tissue injuries. And it is amazing how many athletes end up avoiding surgery once they are treated with Regenerative Orthopedics, because the treatment eliminates the pain, stabilizes the joint, and returns function.\r\n\r\nRegenerative Orthopedics can make a significant impact on the rehabilitation of the injured older athlete. Despite age, typically only four or five sessions are needed for the athletes to achieve complete healing and be back to their physical best. Injections involving the knees, shoulders, hips, ankles, elbows, and other joints can easily be performed with, often, dramatic results and improvement.\r\n<ol>\r\n 	<li>Bailey AJ, Mansell JP. Do subchondral bone changes exacerbate or precede articular cartilage destruction in osteoarthritis of the elderly? Gerontology 1997; 43:296-304.</li>\r\n</ol>\r\n<ol start=\"2\">\r\n 	<li>Hauser R, Woldin B. Treating Osteoarthritic Joints Using Dextrose Prolotherapy and Direct Bone Marrow Aspirate Injection Therapy. <em>Open Arthritis J</em>. 2014; 7:1-9.</li>\r\n</ol>\r\n<ol start=\"3\">\r\n 	<li>Cusi M, Saunders J, Hungerford B, Wisbey-Roth T, Lucas P, Wilson S. The use of prolotherapy in the sacroiliac joint. <em>Br J Sports Med</em>. Feb 2010;44(2):100-104.</li>\r\n</ol>\r\n<ol start=\"4\">\r\n 	<li>Hootman J. Osteoarthritis in elderly persons: Risks of exercise and exercise as therapy. <em>Clinical Journal of Sport Medicine</em>. 2010; 20(3):223.</li>\r\n 	<li>Bosomworth NJ. Exercise and knee osteoarthritis: benefit or hazard? Can Fam Physician 2009; 55:871-878.</li>\r\n</ol>\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','How Arthritis Affects Older Athletes','','inherit','closed','closed','','3484-revision-v1','','','2020-08-13 19:32:46','2020-08-13 19:32:46','',3484,'https://www.drfields.com/uncategorized/3484-revision-v1/',0,'revision','',0),(3983,9,'2020-08-13 19:41:32','2020-08-13 19:41:32','Tendonitis is the most common injury to the knee. In general, knee tendonitis refers to an inflammation, irritation or tear of a knee tendon, the thick fibrous cords that attach muscles to bone. One of the most frequent types of tendonitis of the knee is pes anserinus tendonitis, which involves the pes anserinus tendons that lie on the inside and just below the knee joint and which prevent the lower leg from twisting outward while running.\n\nMiddle-aged adult runners are most susceptible to the development of pes anserinus tendonitis, the most common form. Two other types of knee tendonitis are popliteus tendonitis and semi-membranous tendonitis.\n\nPatellar tendonitis is inflammation of the patellar tendon, which attaches the kneecap to the tibia or shinbone. The patellar tendon helps your muscles extend your knee.\n<h2>How Does Knee Tendonitis Develop?</h2>\n<h2><img class=\"alignright size-medium wp-image-3411\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/May-Athlete-Knee-v101219-500x500.jpg\" alt=\"Knee Tendonitis Treatment\" width=\"500\" height=\"500\" /></h2>\nTendonitis is caused by overuse, injury or aging. The pain is usually the result of a small tear in or inflammation of the tendon. Tendonitis can also be associated with inflammatory diseases that occur throughout the body, such as rheumatoid arthritis. Popliteus tendonitis is caused by excessive inward rolling of the feet, called pronation, as well as running downhill, which tends to put excessive stress on this tendon and can cause it to tear or become inflamed. Pes anserine tendonitis, on the other hand, is characterized by inflammation of the medial knee, and often coexists with other knee disorders. Semi-membranous tendonitis is characterized by swelling over the posteromedial aspect of the knee and tenderness with resisted flexion or outward-turned strain.\n\nPatellar tendonitis is an acute condition, such as knee pain following a run. If the tendon is stressed repeatedly, tiny tears can occur in the tendon. If this process persists, the tendon degenerates causing another more chronic tendon condition known as tendinosis.\n<h2>Symptoms of Knee Tendonitis</h2>\nKnee tendonitis commonly produces pain, tenderness and stiffness near a joint and is aggravated by movement. The inflamed tendons in the knee are usually painful when moved or touched, and the tendon sheaths may be visibly swollen from the accumulation of fluid and inflammation. Moving the joints near the tendon even slightly may also cause severe pain. The pain may be worse when ascending or descending stairs, when getting up from a seated position, and at night.\n<h2>What Is the Typical Treatment for Tendonitis?</h2>\nThe typical treatment regime for tendonitis, such as knee tendonitis, rotator cuff tendonitis or patellar tendonitis, includes rest, ice, non-steroidal anti-inflammatory drugs (NSAIDs), and cortisone injections. Unfortunately, this approach is not able to strengthen the weakened tendon and, thus, does not alleviate the persistent pain that people with this condition experience.\n\nWhile ice, anti-inflammatory drugs and cortisone injections may produce short-term pain benefit, they actually inhibit the healing process, because they boost the degeneration of soft tissue and therefore accelerate cartilage degeneration. If the individual with knee tendonitis receives cortisone injections into the tendon, or if they take anti-inflammatories for a very long time, the tendonitis will become tendinosis. This means the tendon becomes degenerated.\n\nOther modern medical treatment options include cryotherapy and massage. But again, although they may provide pain relief, they do not address the root of the problem – weakened and/or injured tendons and ligaments. When the patient tries these treatment modalities and the pain persists, patients who experience tendonitis may be referred to a surgeon. Unfortunately, surgery has consequences and side effects and may make the problem worse.\n<h2>Using Regenerative Orthopedics to Treat Tendonitis</h2>\n<img class=\"alignright size-medium wp-image-3410\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/Josh-knee-v101219-500x500.png\" alt=\"Knee Tendonitis Treatment\" width=\"500\" height=\"500\" />In treating tendonitis, we recommend stimulating tendon repair and strengthening any weakened or lax ligaments with therapy that includes movement, exercise, and regenerative treatment. This approach will encourage the damaged tissues to heal as quickly as possible.\n\nKeep in mind, when someone with tendonitis continues to work out while using pain medications or after receiving cortisone injections, they may block the pain, but the tendon will continue to degenerate. You may not feel it at the time, since the pain is being blocked, but more damage is being done to the tendon. It is better to stop the particular athletics that caused the tendonitis.\n\nYes, movement and exercise are important, but it is necessary to proceed with an exercise that does not put a lot of tension on the tendon. Cycling and swimming are examples of this type of exercise, as long as they do not cause excessive pain. These types of exercise are recommended because movement encourages healing of the tendon.\n\nRegenerative Orthopedics is used in cases of knee tendonitis, when the tendon does not continue to improve every week or if a tendonitis injury requires extra-quick healing, such as is the case with many athletes. When degeneration of the tendon has transpired, or tendinosis is present, the condition benefits tremendously from these treatments.\n\nWhen the tendon cannot heal on its own, an underlying ligament problem and joint instability may be occurring, allowing for too much movement of the knee joint. This movement irritates the tendon because the tendon is unable to contract against a stable knee. Regenerative Orthopedics strengthens both the weakened tendons and ligaments.\n\nComprehensive treatment to the knee involves multiple injections of <a href=\"https://www.drfields.com/regenerative-techniques/prp-treatment/\">PRP</a> or a dextrose-based solution or both directed at the affected tendons, ligaments, and other affected structures of the knee. This triggers the immune system to initiate repair of the injured tendons and ligaments. Blood supply dramatically increases in the injured area.\n\nThe body is alerted that healing needs to take place and reparative cells are sent to the treated area of the knee in need of healing. The body also lays down new collagen in the treated areas, thereby strengthening the weakened structures. Once the tendons and ligaments are strengthened, the joint stabilizes and the tendonitis or tendinosis conditions resolve.\n<h2>Think Regenerative Orthopedics May Be for You? Call us!</h2>\nTo schedule an appointment, call us on the same line <a href=\"https://www.drfields.com/contact/\">310-453-1234</a> and tell us more about your case. OrthoRegen<sup>®</sup> is a full-time Regenerative Orthopedics medical office with extensive experience in regenerative therapies such as the Gold Standard in Stem Cell therapy, Platelet Rich Plasma, and Prolotherapy regenerative injection solutions. Peter A. Fields, MD, DC is both an MD and a chiropractor.\n\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Knee Tendonitis Treatment','','inherit','closed','closed','','3409-autosave-v1','','','2020-08-13 19:41:32','2020-08-13 19:41:32','',3409,'https://www.drfields.com/uncategorized/3409-autosave-v1/',0,'revision','',0),(3984,9,'2020-08-13 19:42:13','2020-08-13 19:42:13','Tendonitis is the most common injury to the knee. In general, knee tendonitis refers to inflammation, irritation, or tear of a knee tendon, the thick fibrous cords that attach muscles to bone. One of the most frequent types of tendonitis of the knee is pes anserinus tendonitis, which involves the pes anserinus tendons that lie on the inside and just below the knee joint and which prevent the lower leg from twisting outward while running.\r\n\r\nMiddle-aged adult runners are most susceptible to the development of pes anserinus tendonitis, the most common form. Two other types of knee tendonitis are popliteus tendonitis and semi-membranous tendonitis.\r\n\r\nPatellar tendonitis is inflammation of the patellar tendon, which attaches the kneecap to the tibia or shinbone. The patellar tendon helps your muscles extend your knee.\r\n<h2>How Does Knee Tendonitis Develop?</h2>\r\n<h2><img class=\"alignright size-medium wp-image-3411\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/May-Athlete-Knee-v101219-500x500.jpg\" alt=\"Knee Tendonitis Treatment\" width=\"500\" height=\"500\" /></h2>\r\nTendonitis is caused by overuse, injury, or aging. The pain is usually the result of a small tear in or inflammation of the tendon. Tendonitis can also be associated with inflammatory diseases that occur throughout the body, such as rheumatoid arthritis. Popliteus tendonitis is caused by excessive inward rolling of the feet, called pronation, as well as running downhill, which tends to put excessive stress on this tendon and can cause it to tear or become inflamed. Pes anserine tendonitis, on the other hand, is characterized by inflammation of the medial knee and often coexists with other knee disorders. Semi-membranous tendonitis is characterized by swelling over the posteromedial aspect of the knee and tenderness with resisted flexion or outward-turned strain.\r\n\r\nPatellar tendonitis is an acute condition, such as knee pain following a run. If the tendon is stressed repeatedly, tiny tears can occur in the tendon. If this process persists, the tendon degenerates causing another more chronic tendon condition known as tendinosis.\r\n<h2>Symptoms of Knee Tendonitis</h2>\r\nKnee tendonitis commonly produces pain, tenderness, and stiffness near a joint and is aggravated by movement. The inflamed tendons in the knee are usually painful when moved or touched, and the tendon sheaths may be visibly swollen from the accumulation of fluid and inflammation. Moving the joints near the tendon even slightly may also cause severe pain. The pain may be worse when ascending or descending stairs, when getting up from a seated position, and at night.\r\n<h2>What Is the Typical Treatment for Tendonitis?</h2>\r\nThe typical treatment regime for tendonitis, such as knee tendonitis, rotator cuff tendonitis, or patellar tendonitis, includes rest, ice, non-steroidal anti-inflammatory drugs (NSAIDs), and cortisone injections. Unfortunately, this approach is not able to strengthen the weakened tendon and, thus, does not alleviate the persistent pain that people with this condition experience.\r\n\r\nWhile ice, anti-inflammatory drugs, and cortisone injections may produce short-term pain benefit, they actually inhibit the healing process, because they boost the degeneration of soft tissue and therefore accelerate cartilage degeneration. If the individual with knee tendonitis receives cortisone injections into the tendon, or if they take anti-inflammatories for a very long time, the tendonitis will become tendinosis. This means the tendon becomes degenerated.\r\n\r\nOther modern medical treatment options include cryotherapy and massage. But again, although they may provide pain relief, they do not address the root of the problem – weakened and/or injured tendons and ligaments. When the patient tries these treatment modalities and the pain persists, patients who experience tendonitis may be referred to a surgeon. Unfortunately, surgery has consequences and side effects and may make the problem worse.\r\n<h2>Using Regenerative Orthopedics to Treat Tendonitis</h2>\r\n<img class=\"alignright size-medium wp-image-3410\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/Josh-knee-v101219-500x500.png\" alt=\"Knee Tendonitis Treatment\" width=\"500\" height=\"500\" />In treating tendonitis, we recommend stimulating tendon repair and strengthening any weakened or lax ligaments with therapy that includes movement, exercise, and regenerative treatment. This approach will encourage the damaged tissues to heal as quickly as possible.\r\n\r\nKeep in mind, when someone with tendonitis continues to work out while using pain medications or after receiving cortisone injections, they may block the pain, but the tendon will continue to degenerate. You may not feel it at the time, since the pain is being blocked, but more damage is being done to the tendon. It is better to stop the particular athletics that caused the tendonitis.\r\n\r\nYes, movement and exercise are important, but it is necessary to proceed with an exercise that does not put a lot of tension on the tendon. Cycling and swimming are examples of this type of exercise, as long as they do not cause excessive pain. These types of exercise are recommended because movement encourages healing of the tendon.\r\n\r\nRegenerative Orthopedics is used in cases of knee tendonitis, when the tendon does not continue to improve every week or if a tendonitis injury requires extra-quick healing, such as is the case with many athletes. When degeneration of the tendon has transpired, or tendinosis is present, the condition benefits tremendously from these treatments.\r\n\r\nWhen the tendon cannot heal on its own, an underlying ligament problem and joint instability may be occurring, allowing for too much movement of the knee joint. This movement irritates the tendon because the tendon is unable to contract against a stable knee. Regenerative Orthopedics strengthens both the weakened tendons and ligaments.\r\n\r\nComprehensive treatment to the knee involves multiple injections of <a href=\"https://www.drfields.com/regenerative-techniques/prp-treatment/\">PRP</a> or a dextrose-based solution or both directed at the affected tendons, ligaments, and other affected structures of the knee. This triggers the immune system to initiate repair of the injured tendons and ligaments. Blood supply dramatically increases in the injured area.\r\n\r\nThe body is alerted that healing needs to take place and reparative cells are sent to the treated area of the knee in need of healing. The body also lays down new collagen in the treated areas, thereby strengthening the weakened structures. Once the tendons and ligaments are strengthened, the joint stabilizes and the tendonitis or tendinosis conditions resolve.\r\n<h2>Think Regenerative Orthopedics May Be for You? Call us!</h2>\r\nTo schedule an appointment, call us on the same line <a href=\"https://www.drfields.com/contact/\">310-453-1234</a> and tell us more about your case. OrthoRegen<sup>®</sup> is a full-time Regenerative Orthopedics medical office with extensive experience in regenerative therapies such as the Gold Standard in Stem Cell therapy, Platelet Rich Plasma, and Prolotherapy regenerative injection solutions. Peter A. Fields, MD, DC is both an MD and a chiropractor.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Knee Tendonitis Treatment','','inherit','closed','closed','','3409-revision-v1','','','2020-08-13 19:42:13','2020-08-13 19:42:13','',3409,'https://www.drfields.com/uncategorized/3409-revision-v1/',0,'revision','',0),(3985,9,'2020-08-13 20:05:41','2020-08-13 20:05:41','<em>Although many treatments may offer temporary pain relief for arthritis, it is important to find a treatment that does more than chase the symptoms and one that actually repairs the injured soft tissue in order to restore normal motion to the knee joint. In this article in The Townsend Letter, Peter A. Fields, MD, DC discusses Regenerative Orthopedic treatment options, such as Stem Cell Therapy, Platelet Rich Plasma, and Prolotherapy which are effective therapies for repair and restoration of motion. These treatments stimulate healing of ligaments, tendons, and restore the normal functioning of the joint, thus preventing the arthritic progression.</em>\n\n[caption id=\"attachment_3462\" align=\"aligncenter\" width=\"955\"]<img class=\"wp-image-3462 size-full\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/Page-01.jpg\" alt=\"Page 01\" width=\"955\" height=\"1249\" /> Page 01[/caption]\n\n[caption id=\"attachment_3465\" align=\"aligncenter\" width=\"955\"]<img class=\"size-full wp-image-3465\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/Page-02.jpg\" alt=\"Page 02\" width=\"955\" height=\"1249\" /> Page 02[/caption]\n\n[caption id=\"attachment_3466\" align=\"aligncenter\" width=\"955\"]<img class=\"size-full wp-image-3466\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/page-3.jpg\" alt=\"Page 3\" width=\"955\" height=\"1249\" /> Page 03[/caption]\n\n[caption id=\"attachment_3467\" align=\"aligncenter\" width=\"955\"]<a href=\"https://www.drfields.com/articles/regenerative-orthopedics/\" target=\"_blank\" rel=\"noopener noreferrer\"><img class=\"wp-image-3467 size-full\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/page-04.jpg\" alt=\"Page 04\" width=\"955\" height=\"1249\" /></a> Page 04[/caption]\n\nPeter A. Fields, MD, DC enjoys writing articles in The Townsend Letter and right here on the OrthoRegen <a href=\"https://www.drfields.com/articles/regenerative-orthopedics/\">website</a> to keep you informed on Regenerative Orthopedics and current health issues. Click <a href=\"https://www.drfields.com/articles/regenerative-orthopedics/how-arthritis-affects-older-athletes/\">here</a> to read more articles about Regenerative Orthopedics for arthritis.\n\nIf you would like us to write about any particular topic, please <a href=\"https://www.drfields.com/contact/\">contact us</a> and let us know of any topic you would want to include.\n\nAre you a good candidate for Regenerative Orthopedics? Feel free to call us at 310-453-1234.\n\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Townsend Letter: Arthritis','','inherit','closed','closed','','3416-autosave-v1','','','2020-08-13 20:05:41','2020-08-13 20:05:41','',3416,'https://www.drfields.com/uncategorized/3416-autosave-v1/',0,'revision','',0),(3986,9,'2020-08-13 19:52:45','2020-08-13 19:52:45','[caption id=\"attachment_3462\" align=\"aligncenter\" width=\"955\"]<img class=\"wp-image-3462 size-full\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/Page-01.jpg\" alt=\"Page 01\" width=\"955\" height=\"1249\" /> Page 01[/caption]\r\n\r\n[caption id=\"attachment_3465\" align=\"aligncenter\" width=\"955\"]<img class=\"size-full wp-image-3465\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/Page-02.jpg\" alt=\"Page 02\" width=\"955\" height=\"1249\" /> Page 02[/caption]\r\n\r\n[caption id=\"attachment_3466\" align=\"aligncenter\" width=\"955\"]<img class=\"size-full wp-image-3466\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/page-3.jpg\" alt=\"Page 3\" width=\"955\" height=\"1249\" /> Page 03[/caption]\r\n\r\n[caption id=\"attachment_3467\" align=\"aligncenter\" width=\"955\"]<a href=\"https://www.drfields.com/articles/regenerative-orthopedics/\" target=\"_blank\" rel=\"noopener noreferrer\"><img class=\"wp-image-3467 size-full\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/page-04.jpg\" alt=\"Page 04\" width=\"955\" height=\"1249\" /></a> Page 04[/caption]\r\n\r\nPeter A. Fields, MD, DC enjoys writing articles in The Townsend Letter and right here on the OrthoRegen website to keep you informed on Regenerative Orthopedics and current health issues. Please <a href=\"https://www.drfields.com/contact/\">contact us</a> and let us know of any topic you would want to include. Feel free to call us at 310-453-1234.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Arthritis: Townsend Letter','','inherit','closed','closed','','3416-revision-v1','','','2020-08-13 19:52:45','2020-08-13 19:52:45','',3416,'https://www.drfields.com/uncategorized/3416-revision-v1/',0,'revision','',0),(3987,9,'2020-08-13 19:57:10','2020-08-13 19:57:10','Although many treatments may offer temporary pain relief for arthritis, it is important to find a treatment that does more than chase the symptoms and one that actually repairs the injured soft tissue in order to restore normal motion to the knee joint. In this article in The Townsend Letter, Peter A. Fields, MD, DC discusses Regenerative Orthopedic treatment options, such as Stem Cell Therapy, Platelet Rich Plasma, and Prolotherapy which are effective therapies for repair and restoration of motion. These treatments stimulate healing of ligaments, tendons, and restore the normal functioning of the joint, thus preventing the arthritic progression.\r\n\r\n[caption id=\"attachment_3462\" align=\"aligncenter\" width=\"955\"]<img class=\"wp-image-3462 size-full\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/Page-01.jpg\" alt=\"Page 01\" width=\"955\" height=\"1249\" /> Page 01[/caption]\r\n\r\n[caption id=\"attachment_3465\" align=\"aligncenter\" width=\"955\"]<img class=\"size-full wp-image-3465\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/Page-02.jpg\" alt=\"Page 02\" width=\"955\" height=\"1249\" /> Page 02[/caption]\r\n\r\n[caption id=\"attachment_3466\" align=\"aligncenter\" width=\"955\"]<img class=\"size-full wp-image-3466\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/page-3.jpg\" alt=\"Page 3\" width=\"955\" height=\"1249\" /> Page 03[/caption]\r\n\r\n[caption id=\"attachment_3467\" align=\"aligncenter\" width=\"955\"]<a href=\"https://www.drfields.com/articles/regenerative-orthopedics/\" target=\"_blank\" rel=\"noopener noreferrer\"><img class=\"wp-image-3467 size-full\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/page-04.jpg\" alt=\"Page 04\" width=\"955\" height=\"1249\" /></a> Page 04[/caption]\r\n\r\nPeter A. Fields, MD, DC enjoys writing articles in The Townsend Letter and right here on the OrthoRegen website to keep you informed on Regenerative Orthopedics and current health issues. Please <a href=\"https://www.drfields.com/contact/\">contact us</a> and let us know of any topic you would want to include. Feel free to call us at 310-453-1234.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Arthritis: Townsend Letter','','inherit','closed','closed','','3416-revision-v1','','','2020-08-13 19:57:10','2020-08-13 19:57:10','',3416,'https://www.drfields.com/uncategorized/3416-revision-v1/',0,'revision','',0),(3988,9,'2020-08-13 19:58:13','2020-08-13 19:58:13','<em>Although many treatments may offer temporary pain relief for arthritis, it is important to find a treatment that does more than chase the symptoms and one that actually repairs the injured soft tissue in order to restore normal motion to the knee joint. In this article in The Townsend Letter, Peter A. Fields, MD, DC discusses Regenerative Orthopedic treatment options, such as Stem Cell Therapy, Platelet Rich Plasma, and Prolotherapy which are effective therapies for repair and restoration of motion. These treatments stimulate healing of ligaments, tendons, and restore the normal functioning of the joint, thus preventing the arthritic progression.</em>\r\n\r\n[caption id=\"attachment_3462\" align=\"aligncenter\" width=\"955\"]<img class=\"wp-image-3462 size-full\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/Page-01.jpg\" alt=\"Page 01\" width=\"955\" height=\"1249\" /> Page 01[/caption]\r\n\r\n[caption id=\"attachment_3465\" align=\"aligncenter\" width=\"955\"]<img class=\"size-full wp-image-3465\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/Page-02.jpg\" alt=\"Page 02\" width=\"955\" height=\"1249\" /> Page 02[/caption]\r\n\r\n[caption id=\"attachment_3466\" align=\"aligncenter\" width=\"955\"]<img class=\"size-full wp-image-3466\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/page-3.jpg\" alt=\"Page 3\" width=\"955\" height=\"1249\" /> Page 03[/caption]\r\n\r\n[caption id=\"attachment_3467\" align=\"aligncenter\" width=\"955\"]<a href=\"https://www.drfields.com/articles/regenerative-orthopedics/\" target=\"_blank\" rel=\"noopener noreferrer\"><img class=\"wp-image-3467 size-full\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/page-04.jpg\" alt=\"Page 04\" width=\"955\" height=\"1249\" /></a> Page 04[/caption]\r\n\r\nPeter A. Fields, MD, DC enjoys writing articles in The Townsend Letter and right here on the OrthoRegen website to keep you informed on Regenerative Orthopedics and current health issues. Please <a href=\"https://www.drfields.com/contact/\">contact us</a> and let us know of any topic you would want to include. Feel free to call us at 310-453-1234.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Townsend Letter: Arthritis','','inherit','closed','closed','','3416-revision-v1','','','2020-08-13 19:58:13','2020-08-13 19:58:13','',3416,'https://www.drfields.com/uncategorized/3416-revision-v1/',0,'revision','',0),(3989,9,'2020-08-13 20:00:37','2020-08-13 20:00:37','<em>Although many treatments may offer temporary pain relief for arthritis, it is important to find a treatment that does more than chase the symptoms and one that actually repairs the injured soft tissue in order to restore normal motion to the knee joint. In this article in The Townsend Letter, Peter A. Fields, MD, DC discusses Regenerative Orthopedic treatment options, such as Stem Cell Therapy, Platelet Rich Plasma, and Prolotherapy which are effective therapies for repair and restoration of motion. These treatments stimulate healing of ligaments, tendons, and restore the normal functioning of the joint, thus preventing the arthritic progression.</em>\r\n\r\n[caption id=\"attachment_3462\" align=\"aligncenter\" width=\"955\"]<img class=\"wp-image-3462 size-full\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/Page-01.jpg\" alt=\"Page 01\" width=\"955\" height=\"1249\" /> Page 01[/caption]\r\n\r\n[caption id=\"attachment_3465\" align=\"aligncenter\" width=\"955\"]<img class=\"size-full wp-image-3465\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/Page-02.jpg\" alt=\"Page 02\" width=\"955\" height=\"1249\" /> Page 02[/caption]\r\n\r\n[caption id=\"attachment_3466\" align=\"aligncenter\" width=\"955\"]<img class=\"size-full wp-image-3466\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/page-3.jpg\" alt=\"Page 3\" width=\"955\" height=\"1249\" /> Page 03[/caption]\r\n\r\n[caption id=\"attachment_3467\" align=\"aligncenter\" width=\"955\"]<a href=\"https://www.drfields.com/articles/regenerative-orthopedics/\" target=\"_blank\" rel=\"noopener noreferrer\"><img class=\"wp-image-3467 size-full\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/page-04.jpg\" alt=\"Page 04\" width=\"955\" height=\"1249\" /></a> Page 04[/caption]\r\n\r\nPeter A. Fields, MD, DC enjoys writing articles in The Townsend Letter and right here on the OrthoRegen <a href=\"https://www.drfields.com/articles/regenerative-orthopedics/\">website</a> to keep you informed on Regenerative Orthopedics and current health issues. Please <a href=\"https://www.drfields.com/contact/\">contact us</a> and let us know of any topic you would want to include. Feel free to call us at 310-453-1234.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Townsend Letter: Arthritis','','inherit','closed','closed','','3416-revision-v1','','','2020-08-13 20:00:37','2020-08-13 20:00:37','',3416,'https://www.drfields.com/uncategorized/3416-revision-v1/',0,'revision','',0),(3990,9,'2020-08-13 20:06:26','2020-08-13 20:06:26','<em>Although many treatments may offer temporary pain relief for arthritis, it is important to find a treatment that does more than chase the symptoms and one that actually repairs the injured soft tissue in order to restore normal motion to the knee joint. In this article in The Townsend Letter, Peter A. Fields, MD, DC discusses Regenerative Orthopedic treatment options, such as Stem Cell Therapy, Platelet Rich Plasma, and Prolotherapy which are effective therapies for repair and restoration of motion. These treatments stimulate healing of ligaments, tendons, and restore the normal functioning of the joint, thus preventing the arthritic progression.</em>\r\n\r\n[caption id=\"attachment_3462\" align=\"aligncenter\" width=\"955\"]<img class=\"wp-image-3462 size-full\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/Page-01.jpg\" alt=\"Page 01\" width=\"955\" height=\"1249\" /> Page 01[/caption]\r\n\r\n[caption id=\"attachment_3465\" align=\"aligncenter\" width=\"955\"]<img class=\"size-full wp-image-3465\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/Page-02.jpg\" alt=\"Page 02\" width=\"955\" height=\"1249\" /> Page 02[/caption]\r\n\r\n[caption id=\"attachment_3466\" align=\"aligncenter\" width=\"955\"]<img class=\"size-full wp-image-3466\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/page-3.jpg\" alt=\"Page 3\" width=\"955\" height=\"1249\" /> Page 03[/caption]\r\n\r\n[caption id=\"attachment_3467\" align=\"aligncenter\" width=\"955\"]<a href=\"https://www.drfields.com/articles/regenerative-orthopedics/\" target=\"_blank\" rel=\"noopener noreferrer\"><img class=\"wp-image-3467 size-full\" src=\"https://www.drfields.com/wp-content/uploads/2019/12/page-04.jpg\" alt=\"Page 04\" width=\"955\" height=\"1249\" /></a> Page 04[/caption]\r\n\r\nPeter A. Fields, MD, DC enjoys writing articles in The Townsend Letter and right here on the OrthoRegen <a href=\"https://www.drfields.com/articles/regenerative-orthopedics/\">website</a> to keep you informed on Regenerative Orthopedics and current health issues. Click <a href=\"https://www.drfields.com/articles/regenerative-orthopedics/how-arthritis-affects-older-athletes/\">here</a> to read more articles about Regenerative Orthopedics for arthritis.\r\n\r\nIf you would like us to write about any particular topic, please <a href=\"https://www.drfields.com/contact/\">contact us</a> and let us know of any topic you would want to include.\r\n\r\nAre you a good candidate for Regenerative Orthopedics? Feel free to call us at 310-453-1234.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>\r\n\r\n<em>Peter A. Fields, MD, DC, <a href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\" target=\"_blank\" rel=\"noopener noreferrer\">The Athletic Doc<sup>®</sup></a>, is a world-renowned expert in the field of Regenerative Orthopedics (non-surgical joint and spine repair). <strong>He is one of a handful of physicians in the nation that is both a Medical Physician and a Chiropractor.</strong> This combination of degrees gives Dr. Fields a broad area of knowledge and expertise that benefits his patients.</em>\r\n<h4><em>Director of OrthoRegen<sup>®</sup></em></h4>\r\n<em>Peter A. Fields, MD, DC is the Director of <a href=\"https://orthoregen.com/\" target=\"_blank\" rel=\"noopener noreferrer\">OrthoRegen<sup>®</sup></a> in Santa Monica, CA. which is one of the largest practices in the world dedicated solely to Regenerative Orthopedics. Athletes and non-athletes alike come from around the US and the world to receive treatment, because Dr. Fields helps them to avoid unnecessary joint surgeries. He is a leading expert in using <a href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-treatment-overview/\" rel=\"noopener noreferrer\">Cellular Regeneration</a> (aka Cellular Prolotherapy) treatments to help people avoid joint replacement.</em>','Townsend Letter: Arthritis','','inherit','closed','closed','','3416-revision-v1','','','2020-08-13 20:06:26','2020-08-13 20:06:26','',3416,'https://www.drfields.com/uncategorized/3416-revision-v1/',0,'revision','',0),(3991,9,'2020-08-13 21:13:40','2020-08-13 21:13:40','<img class=\"alignright size-medium wp-image-3397\" src=\"https://www.drfields.com/wp-content/uploads/2019/11/Wilbur-back-500x500.png\" alt=\"Degenerative Disc Disease: Proper Diagnosis and Treatment\" width=\"500\" height=\"500\" />Degenerative disc disease is a common disorder of the spine that can result in persistent low back, thoracic, and neck pain. While it is widely diagnosed, degenerative disc disease is also widely misunderstood by the medical community and lay public alike.\r\n\r\n<em><strong> Perhaps the greatest misconception is the idea that the degenerated discs themselves are the primary cause of pain</strong></em> and therefore require a treatment geared towards replacement or repair of the discs, and missing an important underlying source of instability and pain.\r\n<h2>Spinal Discs</h2>\r\nSpinal discs work as a type of shock absorber between the vertebrae, or bones, of your <a href=\"https://www.webmd.com/back-pain/discs-of-the-spine\">spine</a>. They help your back to stay flexible and allow you to bend and twist. With age, spinal discs can show signs of wear and tear. They begin to break down and may not work as efficiently. Nearly everyone\'s spinal discs will break down with age, but not everyone will feel pain.\r\n\r\nA person with a degenerated, bulging, or herniated disc noted on an MRI, must realize that this may be a coincidental finding and unrelated to the actual pain he or she is experiencing. How can that be? In Degenerative Disc Disease,  the disc is losing water and flattening. It is normal for this to occur with age. Interestingly, it is also normal for a disc to bulge while bending. So what is causing the pain then? It is very likely that the pain is being caused by injured ligaments, which are full of nerve tissue, and will send pain signals when tweaked.\r\n<h2>What Causes Degenerative Disc Disease in the First Place?</h2>\r\nThe disc begins to degenerate as soon as the ligaments of the spine weaken. This happens after some sort of injury to the ligaments, including wear and tear. The weak and loose ligaments allow for an unstable spine and one where the vertebrae are able to move too much, resulting in more injury and pain.\r\n\r\nIn an effort to stabilize the vertebrae, the body tenses the muscles, in an attempt to correct the problem. A person will experience this as muscle spasms. The excessive movement puts extra stress on all of the structures of the spine, including the discs. The discs will respond to the added stress by flattening.\r\n\r\nA downward cycle of degeneration is created because the ligaments will now have to work even harder, since the discs can’t do their job correctly, which then weakens the ligaments further, and then adds to the response of the discs to flatten. The sufferer will of course experience pain as a result of the degeneration. The added stress and pressure may cause the disc to herniate. When a disc herniates, it means the soft, gelatinous solution inside is no longer held in place by the tough outer ring of tissue and the disc is now in a weakened state.\r\n<h2>Regenerative Orthopedics Treats the Instability and Resolves the Pain</h2>\r\n<img class=\"alignright  wp-image-3398\" src=\"https://www.drfields.com/wp-content/uploads/2019/11/Gayle-Low-back-cycle-1-500x500.png\" alt=\"Degenerative Disc Disease: Proper Diagnosis and Treatment\" width=\"450\" height=\"450\" />Regenerative Orthopedics is an effective treatment to stop the cycle of \"Degenerative Disc Disease.\" Since the underlying problem that starts the discs to degenerate is the instability of the spine due to ligament weakness or injury, it would make sense then to strengthen and repair the ligaments. What treatment does that? Right…Regenerative Orthopedics!\r\n\r\nIn the 1950s, a doctor named George S. Hackett studied the pathology of chronic low back pain and disc degeneration. He published research linking these conditions to the instability of the vertebral column. He was one of the first doctors to ever point to ligament laxity or weakness as a reason that discs become degenerated.\r\n<h3>More About The Discs</h3>\r\nThe soft, compressible spinal discs lie between two vertebrae and provide cushion and shock absorption. The facet joint is where the top vertebrae contact the vertebrae below. This joint is surrounded by a capsule made up of ligaments. Together these segments are known as facet joints. Every time one bends forward, backward, or twists, pressure is put on these facets. They are under a lot of strain all day long!\r\n\r\nThe vertebrae themselves are held together through a mesh of ligaments that hold the spine in alignment and take the pressure off the facet joints. Dr. Hackett recognized that if the ligaments are loose or damaged, they allow excessive movement of the vertebrae and put extra gravitational pressure on the discs. We’ve noted earlier that when this happens, discs can protrude or herniate. Addressing the underlying ligament laxity is key to treating disc degeneration as well as preventing further damage and degeneration.\r\n\r\nBy applying Regenerative Orthopedics, such as Stem Cell Therapy, PRP, Prolotherapy, to the weakened ligaments, the ligaments become strengthened, thereby halting the progressive degeneration of the intervertebral discs. A patient with persistent back pain can be treated with these regenerative injections into the weakened vertebrae of the low back, mid-back, and neck.  Regenerative Orthopedics is very effective at alleviating pain from degenerative disc disease.\r\n<h2>Spinal Fusion Misses the Mark In The Treatment of Degenerative Disc Disease</h2>\r\nUnfortunately, the focus of degenerative disc treatment today is often centered on treating the discs, and this treatment is oftentimes surgery. Surgeries can include a discectomy, which removes part of the disc, or may mean removal of the entire disc and replacing it with a cadaver or artificial disc. In some cases, spinal fusion is recommended. During spinal fusion, the damaged discs are removed and replaced, and the affected levels of the vertebrae are then permanently fused together.\r\n\r\nWhile these methods increase joint space by inserting replacement discs, they do not address the problem of vertebral instability due to weakened ligaments, and therefore do nothing to actually take pressure off of those discs or preventing the facet joints from further breakdown.\r\n\r\nIt is important to understand that the facets are more commonly the cause of pain. These are where the vertebra on the top connects to the vertebra on the bottom. The vertebrae are surrounded by a thick capsule of ligaments that becomes weakened, torn, or damaged over time, resulting in a lot of pain. Spinal fusion actually encourages increased degeneration at the sites above and below the fusion, frequently resulting in more pain.\r\n<h2>Overreliance on Imaging Procedures</h2>\r\nAnother factor hindering our understanding of vertebral instability and ligament weakness is the dependence on imaging to diagnose and treat musculoskeletal injuries. Of course, MRI imaging is very helpful in the medical fields. However, many rely on imaging instead of using physical examination and good history taking for diagnosing. And as we said earlier, MRI’s can misdiagnose disc herniations.\r\n\r\nIt is important to rule out ligament injury and instability and treat it accordingly especially since a large majority of disc degeneration is due to vertebral instability and ligament weakness. With proper treatment, through therapies like Regenerative Orthopedics, physicians are able to accurately treat the source of their patients’ pain.\r\n\r\nRather than undergoing unnecessary surgeries that do not address the root cause of the symptoms, choose instead to seek out a less invasive treatment capable of strengthening weakened ligaments and tendons and thereby eliminating pressure on the vertebral discs.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Degenerative Disc Disease Treatment & Diagnosis','','inherit','closed','closed','','3306-revision-v1','','','2020-08-13 21:13:40','2020-08-13 21:13:40','',3306,'https://www.drfields.com/uncategorized/3306-revision-v1/',0,'revision','',0),(3992,9,'2020-08-13 21:14:56','2020-08-13 21:14:56','<img class=\"alignright size-medium wp-image-3397\" src=\"https://www.drfields.com/wp-content/uploads/2019/11/Wilbur-back-500x500.png\" alt=\"Degenerative Disc Disease: Proper Diagnosis and Treatment\" width=\"500\" height=\"500\" />Degenerative disc disease is a common disorder of the spine that can result in persistent low back, thoracic, and neck pain. While it is widely diagnosed, degenerative disc disease is also widely misunderstood by the medical community and lay public alike.\r\n\r\n<em><strong> Perhaps the greatest misconception is the idea that the degenerated discs themselves are the primary cause of pain</strong></em> and therefore require a treatment geared towards replacement or repair of the discs, and missing an important underlying source of instability and pain.\r\n<h2>Spinal Discs</h2>\r\nSpinal discs work as a type of shock absorber between the vertebrae, or bones, of your <a href=\"https://www.webmd.com/back-pain/discs-of-the-spine\">spine</a>. They help your back to stay flexible and allow you to bend and twist. With age, spinal discs can show signs of wear and tear. They begin to break down and may not work as efficiently. Nearly everyone\'s spinal discs will break down with age, but not everyone will feel pain.\r\n\r\nA person with a degenerated, bulging, or herniated disc noted on an MRI, must realize that this may be a coincidental finding and unrelated to the actual pain he or she is experiencing. How can that be? In Degenerative Disc Disease,  the disc is losing water and flattening. It is normal for this to occur with age. Interestingly, it is also normal for a disc to bulge while bending. So what is causing the pain then? It is very likely that the pain is being caused by injured ligaments, which are full of nerve tissue, and will send pain signals when tweaked.\r\n<h2>What Causes Degenerative Disc Disease in the First Place?</h2>\r\nThe disc begins to degenerate as soon as the ligaments of the spine weaken. This happens after some sort of injury to the ligaments, including wear and tear. The weak and loose ligaments allow for an unstable spine and one where the vertebrae are able to move too much, resulting in more injury and pain.\r\n\r\nIn an effort to stabilize the vertebrae, the body tenses the muscles, in an attempt to correct the problem. A person will experience this as muscle spasms. The excessive movement puts extra stress on all of the structures of the spine, including the discs. The discs will respond to the added stress by flattening.\r\n\r\nA downward cycle of degeneration is created because the ligaments will now have to work even harder, since the discs can’t do their job correctly, which then weakens the ligaments further, and then adds to the response of the discs to flatten. The sufferer will of course experience pain as a result of the degeneration. The added stress and pressure may cause the disc to herniate. When a disc herniates, it means the soft, gelatinous solution inside is no longer held in place by the tough outer ring of tissue and the disc is now in a weakened state.\r\n<h2>Regenerative Orthopedics Treats the Instability and Resolves the Pain</h2>\r\n<img class=\"alignright wp-image-3398\" src=\"https://www.drfields.com/wp-content/uploads/2019/11/Gayle-Low-back-cycle-1-500x500.png\" alt=\"Degenerative Disc Disease: Proper Diagnosis and Treatment\" width=\"450\" height=\"450\" />Regenerative Orthopedics is an effective treatment to stop the cycle of \"Degenerative Disc Disease.\" Since the underlying problem that starts the discs to degenerate is the instability of the spine due to ligament weakness or injury, it would make sense then to strengthen and repair the ligaments. What treatment does that? Right…Regenerative Orthopedics!\r\n\r\nIn the 1950s, a doctor named George S. Hackett studied the pathology of chronic low back pain and disc degeneration. He published research linking these conditions to the instability of the vertebral column. He was one of the first doctors to ever point to ligament laxity or weakness as a reason that discs become degenerated.\r\n<h3>More About The Discs</h3>\r\nThe soft, compressible spinal discs lie between two vertebrae and provide cushion and shock absorption. The facet joint is where the top vertebrae contact the vertebrae below. This joint is surrounded by a capsule made up of ligaments. Together these segments are known as facet joints. Every time one bends forward, backward, or twists, pressure is put on these facets. They are under a lot of strain all day long!\r\n\r\nThe vertebrae themselves are held together through a mesh of ligaments that hold the spine in alignment and take the pressure off the facet joints. Dr. Hackett recognized that if the ligaments are loose or damaged, they allow excessive movement of the vertebrae and put extra gravitational pressure on the discs. We’ve noted earlier that when this happens, discs can protrude or herniate. Addressing the underlying ligament laxity is key to treating disc degeneration as well as preventing further damage and degeneration.\r\n\r\nBy applying Regenerative Orthopedics, such as Stem Cell Therapy, PRP, Prolotherapy, to the weakened ligaments, the ligaments become strengthened, thereby halting the progressive degeneration of the intervertebral discs. A patient with persistent back pain can be treated with these regenerative injections into the weakened vertebrae of the low back, mid-back, and neck.  Regenerative Orthopedics is very effective at alleviating pain from degenerative disc disease.\r\n<h2>Spinal Fusion Misses the Mark In The Treatment of Degenerative Disc Disease</h2>\r\nUnfortunately, the focus of degenerative disc treatment today is often centered on treating the discs, and this treatment is oftentimes surgery. Surgeries can include a discectomy, which removes part of the disc, or may mean removal of the entire disc and replacing it with a cadaver or artificial disc. In some cases, spinal fusion is recommended. During spinal fusion, the damaged discs are removed and replaced, and the affected levels of the vertebrae are then permanently fused together.\r\n\r\nWhile these methods increase joint space by inserting replacement discs, they do not address the problem of vertebral instability due to weakened ligaments, and therefore do nothing to actually take pressure off of those discs or preventing the facet joints from further breakdown.\r\n\r\nIt is important to understand that the facets are more commonly the cause of pain. These are where the vertebra on the top connects to the vertebra on the bottom. The vertebrae are surrounded by a thick capsule of ligaments that becomes weakened, torn, or damaged over time, resulting in a lot of pain. Spinal fusion actually encourages increased degeneration at the sites above and below the fusion, frequently resulting in more pain.\r\n<h2>Overreliance on Imaging Procedures</h2>\r\nAnother factor hindering our understanding of vertebral instability and ligament weakness is the dependence on imaging to diagnose and treat musculoskeletal injuries. Of course, MRI imaging is very helpful in the medical fields. However, many rely on imaging instead of using physical examination and good history taking for diagnosing. And as we said earlier, MRI’s can misdiagnose disc herniations.\r\n\r\nIt is important to rule out ligament injury and instability and treat it accordingly especially since a large majority of disc degeneration is due to vertebral instability and ligament weakness. With proper treatment, through therapies like Regenerative Orthopedics, physicians are able to accurately treat the source of their patients’ pain.\r\n\r\nRather than undergoing unnecessary surgeries that do not address the root cause of the symptoms, choose instead to seek out a less invasive treatment capable of strengthening weakened ligaments and tendons and thereby eliminating pressure on the vertebral discs.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Degenerative Disc Disease Treatment','','inherit','closed','closed','','3306-revision-v1','','','2020-08-13 21:14:56','2020-08-13 21:14:56','',3306,'https://www.drfields.com/uncategorized/3306-revision-v1/',0,'revision','',0),(3993,9,'2021-03-05 19:26:24','2021-03-05 19:26:24','<h3>Cervical Instability and Neck Pain and Symptoms That Change Your Life</h3>\nWhen neck injuries occur, like after car accidents, sports injuries, or even wear and tear, the sufferer often lives with neck pain and other disabling symptoms. In this article, we are not referring to a catastrophic neck injury, but one that very often may be considered \"minor.\" Yet the sufferer still lives with symptoms that alter their ability to live normally. The cause may very well be cervical instability, a disorder of the neck or cervical spine that can result in a myriad of symptoms.\n<h3>The Uniqueness of the Cervical Spine</h3>\nThe neck is unique because it consists of vertebrae that are smaller and more mobile than all of the movable vertebrae of the spine. The high degree of mobility in the neck or cervical spine is necessary in order to move the head through all the different ranges of motion we put it through. Blood is also transported through the neck on the way to the brain by means of the vertebral artery. The artery goes up through an opening called the transverse foramina in the vertebrae of the neck.\n\nWhy are these features important when discussing neck pain, symptoms, and instability? Well first of all, although the mobility of the neck is great and necessary in order to get things done and function like we like to, this same feature makes the neck vulnerable to injury.\n<h3>Ligaments are Affected by Neck Injuries Too. And When Injured, Cause Cervical Instability and Pain!</h3>\nSecondly, when an injury to the neck occurs, ligaments are affected. The ligaments are structures that are primarily responsible for joining bones. And they are especially vulnerable when trauma occurs. When the neck is stable, it moves and functions normally. And that\'s because it is remaining in proper alignment. Plus, proper alignment and function protects the blood vessels, nerves, and spinal cord. But an injury to the ligaments changes this whole dynamic because it causes the cervical spine to become unstable.\n\nAn unstable cervical spine cannot provide adequate support to function properly. But why does the instability make a difference? The instability alters the alignment of the neck which creates a cycle of imbalance between the different neck structures. It also causes too much movement of the neighboring vertebrae. And that stresses the ligaments that support the vertebrae. It also puts undue pressure on the nerve endings within those structures. The result is neck pain! A host of other possible symptoms are set into motion as a result of the various blood vessels and nerves running through the neck vertebrae.\n<h2><strong>Whiplash Injuries Are Examples of Cervical Instability </strong></h2>\n<img class=\"alignright size-medium wp-image-3311\" src=\"https://www.drfields.com/wp-content/uploads/2019/11/Cervivcal-Instability-v271119-1-500x500.png\" alt=\"An Answer for Life Altering Neck Pain and Instability\" width=\"500\" height=\"500\" />People who have experienced whiplash, often have symptoms that seem to last and last. <em>These symptoms are frequently a result of the instability of the vertebrae of the neck, or cervical instability.</em>\n\nWhiplash injuries are a common cause of cervical instability. The head is literally “whipped” in these injuries. The sudden acceleration and deceleration during rear-end collisions is an example of whiplash. During whiplash, a severe flexion is generated followed by an extension of the neck, in a whip-type motion forward and backward.\n\nThe backward hyperextension is often associated with more injury to the muscles and ligaments because it lacks the limiting effect of the chin meets the chest in the forward “whip.” Excessive motion in hyperextension severely strains the involved muscles and ligaments. This motion also compresses the adjoining vertebrae.\n\nLet\'s consider a person who is looking in the rearview mirror at the time of the collision. The rotated neck position puts the ligaments in even greater vulnerability for injury. Why? Well, these particular ligaments are those that help in side to side head movements and they are more susceptible when in this position.\n\nAs the ligaments become weaker, they are unable to provide a stable neck structure.  And that leads to even more injury and an ongoing provocation of the nerve endings. The ongoing provocation alters a part of the nervous system called the sympathetic nervous system (SNS). And then the SNS becomes increasingly activated. The result of an overactive SNS is a myriad of symptoms, including a syndrome of symptoms referred to as Barré-Liéou Syndrome. We\'ll talk about some of the symptoms of cervical instability below.\n<h3><strong>What Are the Symptoms of Cervical Instability?</strong></h3>\nSymptoms of neck instability or cervical instability include neck pain, muscle spasms, cracking sounds, and numbness in the arms and legs. Also, remember how we discussed the unique anatomical relationship of the vertebral arteries through the transverse foramina?\n\nInstability of the neck can cause a change in the flow of the arterial blood through the vertebrae when they are moving excessively. The vertebral artery provides circulation to half of the brain. Therefore, the extra mobile vertebrae can pinch off this artery, fostering an insufficiency of blood supply as it travels up to the brain. The condition is called vertebrobasilar insufficiency (VBI). Symptoms of VBI include neck pain, headaches/migraines, dizziness, drop attacks, dizziness, difficulty swallowing and/or speaking, and disturbances in hearing and vision.\n<h3><strong>Repair the Neck, And Relieve the Pain of Cervical Instability with Regenerative Orthopedics</strong></h3>\n[caption id=\"attachment_3310\" align=\"alignright\" width=\"500\"]<img class=\"wp-image-3310 size-medium\" src=\"https://www.drfields.com/wp-content/uploads/2019/11/Cervivcal-Instability-v271119-500x500.png\" alt=\"An Answer for Life Altering Neck Pain and Instability\" width=\"500\" height=\"500\" /> <em><strong>       Repair the spine &amp; Relieve Cervical Instability Symptoms</strong></em>[/caption]\n\nAll of these symptoms can perplex many clinicians. Meanwhile, the sufferer lives with debilitating symptoms. Oftentimes, they go from doctor to doctor, seeking some type of relief from the many and varied symptoms they experience.\n\nChiropractors do a great job at not only assessing these problems but treating them.  But when Chiropractors are not able to solve the problem or find a complete solution, one must look elsewhere.\n\nTalk with your chiropractor about Regenerative Orthopedics and what it can do to save your neck from surgery. Many chiropractors know Peter A. Fields, MD, DC, and have heard him lecture, as Dr. Fields is both an MD and a chiropractor.\n\nRegenerative Orthopedics is actually a great solution to the puzzle of neck pain and cervical instability. Stem Cell Therapy, PRP, and Prolotherapy are types of regenerative therapies that repair the injured ligaments at the core of the problem. Regenerative Orthopedics involves regenerative injection therapies that tighten, repair, and regenerate the ligaments involved in neck instability. The treatments eliminate the unstable movement, associated neck pain, and multiple symptoms.\n\nRegenerative Orthopedics is a safe non-surgical option that brings stability back to the neck and its structures, which results in increased functional ability. Those who suffer from all of these symptoms as a result of the instability of the neck or cervical spine can finally get relief from this life-altering condition.\n\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Cervical Instability and Neck Pain That Changes Your Life','','inherit','closed','closed','','3301-autosave-v1','','','2021-03-05 19:26:24','2021-03-05 19:26:24','',3301,'https://www.drfields.com/uncategorized/3301-autosave-v1/',0,'revision','',0),(3994,9,'2020-08-16 02:10:27','2020-08-16 02:10:27','When neck injuries occur, like after car accidents, sports injuries, or even wear and tear, the sufferer often lives with neck pain and other disabling symptoms. In this article, we are not referring to a catastrophic neck injury, but one that very often may be considered \"minor.\" Yet the sufferer still lives with symptoms that alter their ability to live normally. The reason may very well be instability in the neck and related to the uniqueness of the neck itself.\r\n\r\nThe neck is unique because it consists of vertebrae that are smaller and more mobile than all of the movable vertebrae of the spine. Another name for the neck is the cervical spine. The high degree of mobility in the neck or cervical spine is necessary in order to move the head through all the different ranges of motion we put it through. Blood is also transported through the neck on the way to the brain by means of the vertebral artery. The artery goes up through an opening called the transverse foramina in the vertebrae of the neck.\r\n\r\nWhy are these features important when discussing neck pain, symptoms, and instability? Well first of all, although the mobility of the neck is great and necessary in order to get things done and function like we like to, this same feature makes us vulnerable to injury.\r\n<h3>Ligaments are Affected by Neck Injuries Too. And they Cause Neck Pain!</h3>\r\nSecondly, when an injury to the neck occurs, ligaments are affected. The ligaments are structures that are primarily responsible for joining bones, and they are especially vulnerable when trauma occurs. When the neck is stable, it moves and functions normally, while remaining in proper alignment. All of this protects the blood vessels, nerves, and spinal cord. But an injury to the ligaments changes this whole dynamic because it causes the cervical spine to become unstable.\r\n\r\nWhen the neck is called upon to function, this new instability of the cervical spine can\'t provide adequate support. Neck alignment is changed and a cycle of imbalance is created between the different neck structures. This causes too much movement of the neighboring vertebrae which stresses the ligaments that support them. It also puts undue pressure on the nerve endings within those structures. The result is neck pain! A host of other possible symptoms are set into motion as a result of the various blood vessels and nerves running through the neck vertebrae.\r\n<h2><strong>Whiplash Injuries Are Examples of Instability of the Neck</strong></h2>\r\n<img class=\"alignright size-medium wp-image-3311\" src=\"https://www.drfields.com/wp-content/uploads/2019/11/Cervivcal-Instability-v271119-1-500x500.png\" alt=\"An Answer for Life Altering Neck Pain and Instability\" width=\"500\" height=\"500\" />People who have experienced whiplash, often have symptoms that seem to last and last. <em>These symptoms are frequently a result of the instability of the vertebrae of the neck, or in other words, cervical instability.</em>\r\n\r\nWhiplash injuries are a common cause of cervical instability. The head is literally “whipped” in these injuries. The sudden acceleration and deceleration during rear-end collisions is an example of whiplash. During whiplash, a severe flexion is generated followed by an extension of the neck, in a whip-type motion forward and backward.\r\n\r\nThe backward hyperextension is often associated with more injury to the muscles and ligaments because it lacks the limiting effect of the chin meets the chest in the forward “whip.” Excessive motion in hyperextension severely strains the involved muscles and ligaments. This motion also compresses the adjoining vertebrae.\r\n\r\nLet\'s consider a person who is looking in the rearview mirror at the time of the collision. The rotated neck position puts the ligaments in even greater vulnerability for injury. Why? Well, these particular ligaments are those that help in side to side head movements and they are more susceptible when in this position.\r\n\r\nAs the ligaments become weaker, they are unable to provide a stable neck structure, which leads to even more injury and an ongoing provocation of the nerve endings. The ongoing provocation alters a part of the nervous system called the sympathetic nervous system which becomes increasingly activated. This can result in a myriad of symptoms, including a syndrome of symptoms referred to as Barré-Liéou Syndrome.\r\n<h2><strong>Symptoms from Instability of the Neck</strong></h2>\r\nSymptoms of neck instability or cervical instability include neck pain, muscle spasms, cracking sounds, and numbness in the arms and legs. Also, remember how we discussed the unique anatomical relationship of the vertebral arteries through the transverse foramina?\r\n\r\nInstability of the neck can cause a change in the flow of the arterial blood through the vertebrae when they are moving excessively. This artery provides circulation to half of the brain, so the extra mobile vertebrae can pinch it off, fostering an insufficiency of blood supply as it travels up to the brain. The condition is called vertebrobasilar insufficiency (VBI). Symptoms of VBI include neck pain, headaches/migraines, dizziness, drop attacks, dizziness, difficulty swallowing and/or speaking, and disturbances in hearing and vision.\r\n<h2><strong>How Can You Treat Neck Pain and Instability?</strong></h2>\r\n<img class=\"alignright size-medium wp-image-3310\" src=\"https://www.drfields.com/wp-content/uploads/2019/11/Cervivcal-Instability-v271119-500x500.png\" alt=\"An Answer for Life Altering Neck Pain and Instability\" width=\"500\" height=\"500\" />All of these symptoms can perplex many clinicians. Meanwhile, the sufferer lives with debilitating symptoms, oftentimes going from doctor to doctor, seeking some type of relief from the many and varied symptoms they experience.\r\n\r\nChiropractors do a great job at not only assessing these problems but treating them.  But when Chiropractors are not able to solve the problem or find a complete solution, one must look elsewhere.\r\n\r\nTalk with your chiropractor about Regenerative Orthopedics and what it can do to save your neck from surgery. Many chiropractors know Peter A. Fields, MD, DC, and have heard him lecture, as Dr. Fields is both an MD and a chiropractor.\r\n\r\nRegenerative Orthopedics is actually a great solution to the puzzle of neck pain and cervical instability. Regenerative therapies like Stem Cell Therapy, PRP, and Prolotherapy repair the injured ligaments that are at the core of the problem. Regenerative Orthopedics involves regenerative injection therapies that tighten, repair, and regenerate the ligaments involved in neck instability. The treatments eliminate the unstable movement, associated neck pain, and multiple symptoms.\r\n\r\nRegenerative Orthopedics is a safe non-surgical option that brings stability back to the neck and its structures, which results in increased functional ability. Those who suffer from all of these symptoms as a result of the instability of the neck or cervical spine can finally get relief from this life-altering condition.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Neck Pain That Changes Your Life','','inherit','closed','closed','','3301-revision-v1','','','2020-08-16 02:10:27','2020-08-16 02:10:27','',3301,'https://www.drfields.com/uncategorized/3301-revision-v1/',0,'revision','',0),(3995,9,'2020-10-05 22:42:13','2020-10-05 22:42:13','<em>My dad’s life could be an example for all of us during COVID-19 to encourage us to keep moving forwards and to not look back no matter how bad things are.</em>\n<h2><strong>Keep Looking Forward Despite COVID-19: My Dad\'s Story</strong></h2>\n<strong>By Peter A. Fields, MD, DC</strong>\n\nMy dad passed away just shy of his 85th birthday in 2004. Although he never even knew about COVID-19, I learned a lot from him to help survive this current horrible situation.\n\nHe was a man that believed actions speak louder than words. And it was his actions in his life that have helped me through tough times in my own life, and his example applies especially today. To me, he was not only my dad but my best friend and my mentor. He taught me so much.\n\nMy dad was raised in a middle-class Jewish family in Berlin, Germany, which was then a very modern and beautiful city. Life for him was pretty good, even though his parents were divorced, which was not the norm back then. He was raised by his mother and grandmother and he had a happy childhood.\n<h4>In 1934, his life would change forever.</h4>\nAt first, new laws were put in place that prohibited Jews from attending public school. Then, in 1935, Jews had their citizenship taken away. Life as he knew it was changing and things were not good.\n\nAfter that, he applied for a program where he could be sent to the United States to live with a family, since things were getting worse for Jewish people, and especially young men, in Germany. My dad was so excited when he was accepted into the program. He had a farewell party and said goodbye to his friends and relatives as he prepared for what was ahead.\n\nA few days before he was to leave, the monies for this program were delayed through the banks and they were going to have to wait a while. Eventually, when the program started up again, his 16th birthday had already passed and he was now too old for the program. For a 16-year-old, this was devastating. But he realized he could not do anything about it and knew he had to just keep looking forwards.\n<h4>Then on November 11th, 1938 Kristallnacht or the Night of the Broken Glass occurred.</h4>\nMy dad\'s mother had been forewarned that something was about to happen, so a bunch of boys (including my father) left town for the night. Upon returning to Berlin, they saw the devastation and ruins that had been wrought upon the Jewish businesses.\n\nHe knew he had to get out. The noose was getting tighter. He did not know what was about to take place in the future, but he knew that Germany would eventually go to war with Russia. He also knew that as a 19-year-old Jewish boy, he would be the first to go.\n\nThere was only one place in the world he could go without his citizenship papers (they were taken away back in 1935), and that was Shanghai, China. All other countries had closed their doors, including the United States. But 8,000 miles was very far away, and although China was not really what he wanted, he had no other choice. He had to keep looking forwards to a better future.\n\nMy dad\'s mother said she would follow. So, at 19 years of age, off he went to a very strange and foreign land. From the modern country that had given the world Mozart, Beethoven, Einstein, and others, he now found himself in a city that lacked central heat (in the winter it was below freezing), had no central plumbing, and required one to relieve themselves in a bucket. He was happy that he at least still received letters from his mother.\n\nHe did what he could to survive, he kept moving forward, and looked to the future for better days.\n\nIn 1941, on December 7th, the United States entered the war. At that point, the Japanese took control of the city and made all the Jewish people live in a ghetto-like situation. There was no time for self-pity, he kept moving forward, just like he had all the other times.\n\nThe fateful day for him came in 1942 when he received what was to be the last letter from his mother. It started off with the very tragic line:\n<h4><em>“By the time you receive this, I will no longer exist.\"</em></h4>\nThese words struck like a lead pipe over his head.\n\nMy dad\'s mother had seen things collapse in Germany and she knew her days were numbered. She had been in hiding and figured she would be caught sooner or later. Unfortunately, she was right.\n\nHe could have just given up at that point. Not only was his mom murdered, but he also had lost generations of his family, which left him without 90% of his family and most likely most of his friends. Plus, he was living in squalor in a foreign city 8,000 miles away from his own country. Devastated would be too light of a word to describe how he felt.\n\nBut he knew that you cannot look back. He understood what was needed was to keep looking forward and always hope for brighter days in the future.\n\n<img class=\"size-medium wp-image-3679\" src=\"https://www.drfields.com/wp-content/uploads/2020/05/Look-Forward-2-500x500.png\" alt=\"Look Forward\" width=\"500\" height=\"500\" />\n<h4>And so, he went on. He persevered for the rest of the war in Shanghai.</h4>\nTwo years after the war ended, in 1947, he finally received papers to enter the United States, which had always been a dream of his since his youth. Penniless, extremely thin, and without any family left, he had no idea of where he was supposed to go, or what he was supposed to do. But he just kept moving forward, taking one day at a time, and looking for the best the world could offer.\n\nThe rest is history. He met my mom, started a successful business, raised myself, my brother, and my sister, and had a wonderful life.\n\nMy dad’s life could be an example for all of us during COVID-19 and might encourage us to keep moving forwards and to not look back no matter how bad things are. Always hope for a wonderful future, strive to do the best you can, take care of yourself, look out for others, and always keep a cheerful smile on your face.\n\nThat was my father. Always looking forwards with a smile and gratitude, no matter how bad things got. If you met him you would never guess the hardships that he went thru.\n\nIn no way am I comparing our situation now to what my dad went thru, but hopefully this story and his words and actions will help you during these very difficult times.\n\nSo please be safe, be cautious, but keep looking forwards no matter how bad things get.\n\nThere is a bright future out there for all of us.\n\n~Peter A. Fields, MD, DC, <a href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">The Athletic Doc<sup>®</sup></a>\n\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','My Dad\'s Story: Keep Looking Forward Despite COVID-19','','inherit','closed','closed','','3677-autosave-v1','','','2020-10-05 22:42:13','2020-10-05 22:42:13','',3677,'https://www.drfields.com/uncategorized/3677-autosave-v1/',0,'revision','',0),(3996,9,'2020-08-16 02:18:19','2020-08-16 02:18:19','<strong>By Peter A. Fields, MD, DC</strong>\r\n\r\nMy dad passed away just shy of his 85th birthday in 2004. Although he never even knew about COVID-19, I learned a lot from him to help survive this current horrible situation.\r\n\r\nHe was a man that believed actions speak louder than words. And it was his actions in his life that have helped me through tough times in my own life, and his example applies especially today. To me, he was not only my dad but my best friend and my mentor. He taught me so much.\r\n\r\nHe was raised in a middle-class Jewish family in Berlin, Germany, which was then a very modern and beautiful city. Life for him was pretty good, even though his parents were divorced, which was not the norm back then. He was raised by his mother and grandmother and he had a happy childhood.\r\n\r\nIn 1934, his life would change forever. At first, new laws were put in place that prohibited Jews from attending public school. Then, in 1935, Jews had their citizenship taken away. Life as he knew it was changing and things were not good.\r\n\r\nAfter that, he applied for a program where he could be sent to the United States to live with a family, since things were getting worse for Jewish people, and especially young men, in Germany. He was so excited when he was accepted into the program. He had a farewell party and said goodbye to his friends and relatives as he prepared for what was ahead. A few days before he was to leave, the monies for this program were delayed through the banks and they were going to have to wait a while. Eventually, when the program started up again, his 16th birthday had already passed and he was now too old for the program. For a 16-year-old, this was devastating. But he realized he could not do anything about it and knew he had to just keep looking forwards.\r\n\r\nThen on November 11th, 1938 Kristallnacht or the Night of the Broken Glass occurred. His mother had been forewarned that something was about to happen, so a bunch of boys (including my father) left town for the night. Upon returning to Berlin, they saw the devastation and ruins that had been wrought upon the Jewish businesses.\r\n\r\nMy father knew he had to get out. The noose was getting tighter. He did not know what was about to take place in the future, but he knew that Germany would eventually go to war with Russia. He also knew that as a 19-year-old Jewish boy, he would be the first to go.\r\n\r\nThere was only one place in the world he could go without his citizenship papers (they were taken away back in 1935), and that was Shanghai, China. All other countries had closed their doors, including the United States. But 8,000 miles was very far away, and although China was not really what he wanted, he had no other choice. He had to keep looking forwards to a better future.\r\n\r\nHis mother said she would follow. So, at 19 years of age, off he went to a very strange and foreign land. From the modern country that had given the world Mozart, Beethoven, Einstein, and others, he now found himself in a city that lacked central heat (in the winter it was below freezing), had no central plumbing, and required one to relieve themselves in a bucket. He was happy that he at least still received letters from his mother.\r\n\r\nHe did what he could to survive, kept moving forward, and looked to the future for better days.\r\n\r\nIn 1941, on December 7th, the United States entered the war. At that point, the Japanese took control of the city and made all the Jewish people live in a ghetto-like situation. There was no time for self-pity, he kept moving forward, just like he had all the other times.\r\n\r\nThe fateful day for him came in 1942 when he received what was to be the last letter from his mother. It started off with the very tragic line:\r\n\r\n“By the time you receive this, I will no longer exist.\"\r\n\r\nThese words struck like a lead pipe over his head.\r\n\r\nHis mother had seen things collapse in Germany and she knew her days were numbered. She had been in hiding and figured she would be caught sooner or later. Unfortunately, she was right.\r\n\r\nMy dad could have just given up at that point. Not only was his mom murdered, but he also had lost generations of his family, which left him without 90% of his family and most likely most of his friends. Plus, he was living in squalor in a foreign city 8,000 miles away from his own country. Devastated would be too light of a word to describe how he felt.\r\n\r\nBut he knew that you cannot look back. He understood what was needed was to keep looking forward and always hope for brighter days in the future.\r\n\r\n<img class=\"size-medium wp-image-3679\" src=\"https://www.drfields.com/wp-content/uploads/2020/05/Look-Forward-2-500x500.png\" alt=\"Look Forward\" width=\"500\" height=\"500\" />\r\n\r\nAnd so, he went on. He persevered for the rest of the war in Shanghai.\r\n\r\nTwo years after the war ended, in 1947, he finally received papers to enter the United States, which had always been a dream of his since his youth. Penniless, extremely thin, and without any family left, he had no idea of where he was supposed to go, or what he was supposed to do. But he just kept moving forward, taking one day at a time, and looking for the best the world could offer.\r\n\r\nThe rest is history. He met my mom, started a successful business, raised myself, my brother, and my sister, and had a wonderful life.\r\n\r\nMy dad’s life could be an example for all of us during COVID-19 and might encourage us to keep moving forwards and to not look back no matter how bad things are. Always hope for a wonderful future, strive to do the best you can, take care of yourself, look out for others, and always keep a cheerful smile on your face.\r\n\r\nThat was my father. Always looking forwards with a smile and gratitude, no matter how bad things got. If you met him you would never guess the hardships that he went thru.\r\n\r\nIn no way am I comparing our situation now to what my dad went thru, but hopefully this story and his words and actions will help you during these very difficult times.\r\n\r\nSo please be safe, be cautious, but keep looking forwards no matter how bad things get.\r\n\r\nThere is a bright future out there for all of us.\r\n\r\n~Peter A. Fields, MD, DC, <a href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">The Athletic Doc<sup>®</sup></a>\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Keep Looking Forward Despite COVID-19: My Dad\'s Story','','inherit','closed','closed','','3677-revision-v1','','','2020-08-16 02:18:19','2020-08-16 02:18:19','',3677,'https://www.drfields.com/uncategorized/3677-revision-v1/',0,'revision','',0),(3997,9,'2020-08-16 02:18:56','2020-08-16 02:18:56','<strong>By Peter A. Fields, MD, DC</strong>\r\n\r\nMy dad passed away just shy of his 85th birthday in 2004. Although he never even knew about COVID-19, I learned a lot from him to help survive this current horrible situation.\r\n\r\nHe was a man that believed actions speak louder than words. And it was his actions in his life that have helped me through tough times in my own life, and his example applies especially today. To me, he was not only my dad but my best friend and my mentor. He taught me so much.\r\n\r\nHe was raised in a middle-class Jewish family in Berlin, Germany, which was then a very modern and beautiful city. Life for him was pretty good, even though his parents were divorced, which was not the norm back then. He was raised by his mother and grandmother and he had a happy childhood.\r\n\r\nIn 1934, his life would change forever. At first, new laws were put in place that prohibited Jews from attending public school. Then, in 1935, Jews had their citizenship taken away. Life as he knew it was changing and things were not good.\r\n\r\nAfter that, he applied for a program where he could be sent to the United States to live with a family, since things were getting worse for Jewish people, and especially young men, in Germany. He was so excited when he was accepted into the program. He had a farewell party and said goodbye to his friends and relatives as he prepared for what was ahead. A few days before he was to leave, the monies for this program were delayed through the banks and they were going to have to wait a while. Eventually, when the program started up again, his 16th birthday had already passed and he was now too old for the program. For a 16-year-old, this was devastating. But he realized he could not do anything about it and knew he had to just keep looking forwards.\r\n\r\nThen on November 11th, 1938 Kristallnacht or the Night of the Broken Glass occurred. His mother had been forewarned that something was about to happen, so a bunch of boys (including my father) left town for the night. Upon returning to Berlin, they saw the devastation and ruins that had been wrought upon the Jewish businesses.\r\n\r\nMy father knew he had to get out. The noose was getting tighter. He did not know what was about to take place in the future, but he knew that Germany would eventually go to war with Russia. He also knew that as a 19-year-old Jewish boy, he would be the first to go.\r\n\r\nThere was only one place in the world he could go without his citizenship papers (they were taken away back in 1935), and that was Shanghai, China. All other countries had closed their doors, including the United States. But 8,000 miles was very far away, and although China was not really what he wanted, he had no other choice. He had to keep looking forwards to a better future.\r\n\r\nHis mother said she would follow. So, at 19 years of age, off he went to a very strange and foreign land. From the modern country that had given the world Mozart, Beethoven, Einstein, and others, he now found himself in a city that lacked central heat (in the winter it was below freezing), had no central plumbing, and required one to relieve themselves in a bucket. He was happy that he at least still received letters from his mother.\r\n\r\nHe did what he could to survive, kept moving forward, and looked to the future for better days.\r\n\r\nIn 1941, on December 7th, the United States entered the war. At that point, the Japanese took control of the city and made all the Jewish people live in a ghetto-like situation. There was no time for self-pity, he kept moving forward, just like he had all the other times.\r\n\r\nThe fateful day for him came in 1942 when he received what was to be the last letter from his mother. It started off with the very tragic line:\r\n\r\n“By the time you receive this, I will no longer exist.\"\r\n\r\nThese words struck like a lead pipe over his head.\r\n\r\nHis mother had seen things collapse in Germany and she knew her days were numbered. She had been in hiding and figured she would be caught sooner or later. Unfortunately, she was right.\r\n\r\nMy dad could have just given up at that point. Not only was his mom murdered, but he also had lost generations of his family, which left him without 90% of his family and most likely most of his friends. Plus, he was living in squalor in a foreign city 8,000 miles away from his own country. Devastated would be too light of a word to describe how he felt.\r\n\r\nBut he knew that you cannot look back. He understood what was needed was to keep looking forward and always hope for brighter days in the future.\r\n\r\n<img class=\"size-medium wp-image-3679\" src=\"https://www.drfields.com/wp-content/uploads/2020/05/Look-Forward-2-500x500.png\" alt=\"Look Forward\" width=\"500\" height=\"500\" />\r\n\r\nAnd so, he went on. He persevered for the rest of the war in Shanghai.\r\n\r\nTwo years after the war ended, in 1947, he finally received papers to enter the United States, which had always been a dream of his since his youth. Penniless, extremely thin, and without any family left, he had no idea of where he was supposed to go, or what he was supposed to do. But he just kept moving forward, taking one day at a time, and looking for the best the world could offer.\r\n\r\nThe rest is history. He met my mom, started a successful business, raised myself, my brother, and my sister, and had a wonderful life.\r\n\r\nMy dad’s life could be an example for all of us during COVID-19 and might encourage us to keep moving forwards and to not look back no matter how bad things are. Always hope for a wonderful future, strive to do the best you can, take care of yourself, look out for others, and always keep a cheerful smile on your face.\r\n\r\nThat was my father. Always looking forwards with a smile and gratitude, no matter how bad things got. If you met him you would never guess the hardships that he went thru.\r\n\r\nIn no way am I comparing our situation now to what my dad went thru, but hopefully this story and his words and actions will help you during these very difficult times.\r\n\r\nSo please be safe, be cautious, but keep looking forwards no matter how bad things get.\r\n\r\nThere is a bright future out there for all of us.\r\n\r\n~Peter A. Fields, MD, DC, <a href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">The Athletic Doc<sup>®</sup></a>\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Keep Looking Forward Despite COVID-19: My Dad Story','','inherit','closed','closed','','3677-revision-v1','','','2020-08-16 02:18:56','2020-08-16 02:18:56','',3677,'https://www.drfields.com/uncategorized/3677-revision-v1/',0,'revision','',0),(3998,9,'2020-08-16 02:27:47','2020-08-16 02:27:47','<em>My dad’s life could be an example for all of us during COVID-19 to encourage us to keep moving forwards and to not look back no matter how bad things are.</em>\r\n<h2><strong>Keep Looking Forward Despite COVID-19: My Dad\'s Story</strong></h2>\r\n<strong>By Peter A. Fields, MD, DC</strong>\r\n\r\nMy dad passed away just shy of his 85th birthday in 2004. Although he never even knew about COVID-19, I learned a lot from him to help survive this current horrible situation.\r\n\r\nHe was a man that believed actions speak louder than words. And it was his actions in his life that have helped me through tough times in my own life, and his example applies especially today. To me, he was not only my dad but my best friend and my mentor. He taught me so much.\r\n\r\nMy dad was raised in a middle-class Jewish family in Berlin, Germany, which was then a very modern and beautiful city. Life for him was pretty good, even though his parents were divorced, which was not the norm back then. He was raised by his mother and grandmother and he had a happy childhood.\r\n\r\nIn 1934, his life would change forever. At first, new laws were put in place that prohibited Jews from attending public school. Then, in 1935, Jews had their citizenship taken away. Life as he knew it was changing and things were not good.\r\n\r\nAfter that, he applied for a program where he could be sent to the United States to live with a family, since things were getting worse for Jewish people, and especially young men, in Germany. My dad was so excited when he was accepted into the program. He had a farewell party and said goodbye to his friends and relatives as he prepared for what was ahead.\r\n\r\nA few days before he was to leave, the monies for this program were delayed through the banks and they were going to have to wait a while. Eventually, when the program started up again, his 16th birthday had already passed and he was now too old for the program. For a 16-year-old, this was devastating. But he realized he could not do anything about it and knew he had to just keep looking forwards.\r\n\r\nThen on November 11th, 1938 Kristallnacht or the Night of the Broken Glass occurred. My dad\'s mother had been forewarned that something was about to happen, so a bunch of boys (including my father) left town for the night. Upon returning to Berlin, they saw the devastation and ruins that had been wrought upon the Jewish businesses.\r\n\r\nMy dad knew he had to get out. The noose was getting tighter. He did not know what was about to take place in the future, but he knew that Germany would eventually go to war with Russia. He also knew that as a 19-year-old Jewish boy, he would be the first to go.\r\n\r\nThere was only one place in the world he could go without his citizenship papers (they were taken away back in 1935), and that was Shanghai, China. All other countries had closed their doors, including the United States. But 8,000 miles was very far away, and although China was not really what he wanted, he had no other choice. He had to keep looking forwards to a better future.\r\n\r\nMy dad\'s mother said she would follow. So, at 19 years of age, off he went to a very strange and foreign land. From the modern country that had given the world Mozart, Beethoven, Einstein, and others, he now found himself in a city that lacked central heat (in the winter it was below freezing), had no central plumbing, and required one to relieve themselves in a bucket. He was happy that he at least still received letters from his mother.\r\n\r\nHe did what he could to survive, he kept moving forward, and looked to the future for better days.\r\n\r\nIn 1941, on December 7th, the United States entered the war. At that point, the Japanese took control of the city and made all the Jewish people live in a ghetto-like situation. There was no time for self-pity, he kept moving forward, just like he had all the other times.\r\n\r\nThe fateful day for him came in 1942 when he received what was to be the last letter from his mother. It started off with the very tragic line:\r\n\r\n“By the time you receive this, I will no longer exist.\"\r\n\r\nThese words struck like a lead pipe over his head.\r\n\r\nMy dad\'s mother had seen things collapse in Germany and she knew her days were numbered. She had been in hiding and figured she would be caught sooner or later. Unfortunately, she was right.\r\n\r\nMy dad could have just given up at that point. Not only was his mom murdered, but he also had lost generations of his family, which left him without 90% of his family and most likely most of his friends. Plus, he was living in squalor in a foreign city 8,000 miles away from his own country. Devastated would be too light of a word to describe how he felt.\r\n\r\nBut he knew that you cannot look back. He understood what was needed was to keep looking forward and always hope for brighter days in the future.\r\n\r\n<img class=\"size-medium wp-image-3679\" src=\"https://www.drfields.com/wp-content/uploads/2020/05/Look-Forward-2-500x500.png\" alt=\"Look Forward\" width=\"500\" height=\"500\" />\r\n\r\nAnd so, he went on. He persevered for the rest of the war in Shanghai.\r\n\r\nTwo years after the war ended, in 1947, he finally received papers to enter the United States, which had always been a dream of his since his youth. Penniless, extremely thin, and without any family left, he had no idea of where he was supposed to go, or what he was supposed to do. But he just kept moving forward, taking one day at a time, and looking for the best the world could offer.\r\n\r\nThe rest is history. He met my mom, started a successful business, raised myself, my brother, and my sister, and had a wonderful life.\r\n\r\nMy dad’s life could be an example for all of us during COVID-19 and might encourage us to keep moving forwards and to not look back no matter how bad things are. Always hope for a wonderful future, strive to do the best you can, take care of yourself, look out for others, and always keep a cheerful smile on your face.\r\n\r\nThat was my father. Always looking forwards with a smile and gratitude, no matter how bad things got. If you met him you would never guess the hardships that he went thru.\r\n\r\nIn no way am I comparing our situation now to what my dad went thru, but hopefully this story and his words and actions will help you during these very difficult times.\r\n\r\nSo please be safe, be cautious, but keep looking forwards no matter how bad things get.\r\n\r\nThere is a bright future out there for all of us.\r\n\r\n~Peter A. Fields, MD, DC, <a href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">The Athletic Doc<sup>®</sup></a>\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Keep Looking Forward Despite COVID-19: My Dad\'s Story','','inherit','closed','closed','','3677-revision-v1','','','2020-08-16 02:27:47','2020-08-16 02:27:47','',3677,'https://www.drfields.com/uncategorized/3677-revision-v1/',0,'revision','',0),(3999,9,'2020-08-16 02:31:29','2020-08-16 02:31:29','<em>My dad’s life could be an example for all of us during COVID-19 to encourage us to keep moving forwards and to not look back no matter how bad things are.</em>\r\n<h2><strong>Keep Looking Forward Despite COVID-19: My Dad\'s Story</strong></h2>\r\n<strong>By Peter A. Fields, MD, DC</strong>\r\n\r\nMy dad passed away just shy of his 85th birthday in 2004. Although he never even knew about COVID-19, I learned a lot from him to help survive this current horrible situation.\r\n\r\nHe was a man that believed actions speak louder than words. And it was his actions in his life that have helped me through tough times in my own life, and his example applies especially today. To me, he was not only my dad but my best friend and my mentor. He taught me so much.\r\n\r\nMy dad was raised in a middle-class Jewish family in Berlin, Germany, which was then a very modern and beautiful city. Life for him was pretty good, even though his parents were divorced, which was not the norm back then. He was raised by his mother and grandmother and he had a happy childhood.\r\n\r\nIn 1934, his life would change forever. At first, new laws were put in place that prohibited Jews from attending public school. Then, in 1935, Jews had their citizenship taken away. Life as he knew it was changing and things were not good.\r\n\r\nAfter that, he applied for a program where he could be sent to the United States to live with a family, since things were getting worse for Jewish people, and especially young men, in Germany. My dad was so excited when he was accepted into the program. He had a farewell party and said goodbye to his friends and relatives as he prepared for what was ahead.\r\n\r\nA few days before he was to leave, the monies for this program were delayed through the banks and they were going to have to wait a while. Eventually, when the program started up again, his 16th birthday had already passed and he was now too old for the program. For a 16-year-old, this was devastating. But he realized he could not do anything about it and knew he had to just keep looking forwards.\r\n\r\nThen on November 11th, 1938 Kristallnacht or the Night of the Broken Glass occurred. My dad\'s mother had been forewarned that something was about to happen, so a bunch of boys (including my father) left town for the night. Upon returning to Berlin, they saw the devastation and ruins that had been wrought upon the Jewish businesses.\r\n\r\nMy dad knew he had to get out. The noose was getting tighter. He did not know what was about to take place in the future, but he knew that Germany would eventually go to war with Russia. He also knew that as a 19-year-old Jewish boy, he would be the first to go.\r\n\r\nThere was only one place in the world he could go without his citizenship papers (they were taken away back in 1935), and that was Shanghai, China. All other countries had closed their doors, including the United States. But 8,000 miles was very far away, and although China was not really what he wanted, he had no other choice. He had to keep looking forwards to a better future.\r\n\r\nMy dad\'s mother said she would follow. So, at 19 years of age, off he went to a very strange and foreign land. From the modern country that had given the world Mozart, Beethoven, Einstein, and others, he now found himself in a city that lacked central heat (in the winter it was below freezing), had no central plumbing, and required one to relieve themselves in a bucket. He was happy that he at least still received letters from his mother.\r\n\r\nHe did what he could to survive, he kept moving forward, and looked to the future for better days.\r\n\r\nIn 1941, on December 7th, the United States entered the war. At that point, the Japanese took control of the city and made all the Jewish people live in a ghetto-like situation. There was no time for self-pity, he kept moving forward, just like he had all the other times.\r\n\r\nThe fateful day for him came in 1942 when he received what was to be the last letter from his mother. It started off with the very tragic line:\r\n\r\n“By the time you receive this, I will no longer exist.\"\r\n\r\nThese words struck like a lead pipe over his head.\r\n\r\nMy dad\'s mother had seen things collapse in Germany and she knew her days were numbered. She had been in hiding and figured she would be caught sooner or later. Unfortunately, she was right.\r\n\r\nMy dad could have just given up at that point. Not only was his mom murdered, but he also had lost generations of his family, which left him without 90% of his family and most likely most of his friends. Plus, he was living in squalor in a foreign city 8,000 miles away from his own country. Devastated would be too light of a word to describe how he felt.\r\n\r\nBut he knew that you cannot look back. He understood what was needed was to keep looking forward and always hope for brighter days in the future.\r\n\r\n<img class=\"size-medium wp-image-3679\" src=\"https://www.drfields.com/wp-content/uploads/2020/05/Look-Forward-2-500x500.png\" alt=\"Look Forward\" width=\"500\" height=\"500\" />\r\n\r\nAnd so, he went on. He persevered for the rest of the war in Shanghai.\r\n\r\nTwo years after the war ended, in 1947, he finally received papers to enter the United States, which had always been a dream of his since his youth. Penniless, extremely thin, and without any family left, he had no idea of where he was supposed to go, or what he was supposed to do. But he just kept moving forward, taking one day at a time, and looking for the best the world could offer.\r\n\r\nThe rest is history. He met my mom, started a successful business, raised myself, my brother, and my sister, and had a wonderful life.\r\n\r\nMy dad’s life could be an example for all of us during COVID-19 and might encourage us to keep moving forwards and to not look back no matter how bad things are. Always hope for a wonderful future, strive to do the best you can, take care of yourself, look out for others, and always keep a cheerful smile on your face.\r\n\r\nThat was my father. Always looking forwards with a smile and gratitude, no matter how bad things got. If you met him you would never guess the hardships that he went thru.\r\n\r\nIn no way am I comparing our situation now to what my dad went thru, but hopefully this story and his words and actions will help you during these very difficult times.\r\n\r\nSo please be safe, be cautious, but keep looking forwards no matter how bad things get.\r\n\r\nThere is a bright future out there for all of us.\r\n\r\n~Peter A. Fields, MD, DC, <a href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">The Athletic Doc<sup>®</sup></a>\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','My Dad\'s Story: Keep Looking Forward Despite COVID-19','','inherit','closed','closed','','3677-revision-v1','','','2020-08-16 02:31:29','2020-08-16 02:31:29','',3677,'https://www.drfields.com/uncategorized/3677-revision-v1/',0,'revision','',0),(4000,9,'2020-08-16 02:32:25','2020-08-16 02:32:25','<em>My dad’s life could be an example for all of us during COVID-19 to encourage us to keep moving forwards and to not look back no matter how bad things are.</em>\r\n<h2><strong>Keep Looking Forward Despite COVID-19: My Dad\'s Story</strong></h2>\r\n<strong>By Peter A. Fields, MD, DC</strong>\r\n\r\nMy dad passed away just shy of his 85th birthday in 2004. Although he never even knew about COVID-19, I learned a lot from him to help survive this current horrible situation.\r\n\r\nHe was a man that believed actions speak louder than words. And it was his actions in his life that have helped me through tough times in my own life, and his example applies especially today. To me, he was not only my dad but my best friend and my mentor. He taught me so much.\r\n\r\nMy dad was raised in a middle-class Jewish family in Berlin, Germany, which was then a very modern and beautiful city. Life for him was pretty good, even though his parents were divorced, which was not the norm back then. He was raised by his mother and grandmother and he had a happy childhood.\r\n\r\nIn 1934, his life would change forever. At first, new laws were put in place that prohibited Jews from attending public school. Then, in 1935, Jews had their citizenship taken away. Life as he knew it was changing and things were not good.\r\n\r\nAfter that, he applied for a program where he could be sent to the United States to live with a family, since things were getting worse for Jewish people, and especially young men, in Germany. My dad was so excited when he was accepted into the program. He had a farewell party and said goodbye to his friends and relatives as he prepared for what was ahead.\r\n\r\nA few days before he was to leave, the monies for this program were delayed through the banks and they were going to have to wait a while. Eventually, when the program started up again, his 16th birthday had already passed and he was now too old for the program. For a 16-year-old, this was devastating. But he realized he could not do anything about it and knew he had to just keep looking forwards.\r\n\r\nThen on November 11th, 1938 Kristallnacht or the Night of the Broken Glass occurred. My dad\'s mother had been forewarned that something was about to happen, so a bunch of boys (including my father) left town for the night. Upon returning to Berlin, they saw the devastation and ruins that had been wrought upon the Jewish businesses.\r\n\r\nHe knew he had to get out. The noose was getting tighter. He did not know what was about to take place in the future, but he knew that Germany would eventually go to war with Russia. He also knew that as a 19-year-old Jewish boy, he would be the first to go.\r\n\r\nThere was only one place in the world he could go without his citizenship papers (they were taken away back in 1935), and that was Shanghai, China. All other countries had closed their doors, including the United States. But 8,000 miles was very far away, and although China was not really what he wanted, he had no other choice. He had to keep looking forwards to a better future.\r\n\r\nMy dad\'s mother said she would follow. So, at 19 years of age, off he went to a very strange and foreign land. From the modern country that had given the world Mozart, Beethoven, Einstein, and others, he now found himself in a city that lacked central heat (in the winter it was below freezing), had no central plumbing, and required one to relieve themselves in a bucket. He was happy that he at least still received letters from his mother.\r\n\r\nHe did what he could to survive, he kept moving forward, and looked to the future for better days.\r\n\r\nIn 1941, on December 7th, the United States entered the war. At that point, the Japanese took control of the city and made all the Jewish people live in a ghetto-like situation. There was no time for self-pity, he kept moving forward, just like he had all the other times.\r\n\r\nThe fateful day for him came in 1942 when he received what was to be the last letter from his mother. It started off with the very tragic line:\r\n\r\n“By the time you receive this, I will no longer exist.\"\r\n\r\nThese words struck like a lead pipe over his head.\r\n\r\nMy dad\'s mother had seen things collapse in Germany and she knew her days were numbered. She had been in hiding and figured she would be caught sooner or later. Unfortunately, she was right.\r\n\r\nHe could have just given up at that point. Not only was his mom murdered, but he also had lost generations of his family, which left him without 90% of his family and most likely most of his friends. Plus, he was living in squalor in a foreign city 8,000 miles away from his own country. Devastated would be too light of a word to describe how he felt.\r\n\r\nBut he knew that you cannot look back. He understood what was needed was to keep looking forward and always hope for brighter days in the future.\r\n\r\n<img class=\"size-medium wp-image-3679\" src=\"https://www.drfields.com/wp-content/uploads/2020/05/Look-Forward-2-500x500.png\" alt=\"Look Forward\" width=\"500\" height=\"500\" />\r\n\r\nAnd so, he went on. He persevered for the rest of the war in Shanghai.\r\n\r\nTwo years after the war ended, in 1947, he finally received papers to enter the United States, which had always been a dream of his since his youth. Penniless, extremely thin, and without any family left, he had no idea of where he was supposed to go, or what he was supposed to do. But he just kept moving forward, taking one day at a time, and looking for the best the world could offer.\r\n\r\nThe rest is history. He met my mom, started a successful business, raised myself, my brother, and my sister, and had a wonderful life.\r\n\r\nMy dad’s life could be an example for all of us during COVID-19 and might encourage us to keep moving forwards and to not look back no matter how bad things are. Always hope for a wonderful future, strive to do the best you can, take care of yourself, look out for others, and always keep a cheerful smile on your face.\r\n\r\nThat was my father. Always looking forwards with a smile and gratitude, no matter how bad things got. If you met him you would never guess the hardships that he went thru.\r\n\r\nIn no way am I comparing our situation now to what my dad went thru, but hopefully this story and his words and actions will help you during these very difficult times.\r\n\r\nSo please be safe, be cautious, but keep looking forwards no matter how bad things get.\r\n\r\nThere is a bright future out there for all of us.\r\n\r\n~Peter A. Fields, MD, DC, <a href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">The Athletic Doc<sup>®</sup></a>\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','My Dad\'s Story: Keep Looking Forward Despite COVID-19','','inherit','closed','closed','','3677-revision-v1','','','2020-08-16 02:32:25','2020-08-16 02:32:25','',3677,'https://www.drfields.com/uncategorized/3677-revision-v1/',0,'revision','',0),(4002,9,'2020-08-24 22:03:00','2020-08-24 22:03:00','<b>Do you experience elbow pain?</b> You are not alone, especially if you perform repetitive tasks involving your arms and hands like doing carpentry, secretarial work, or computer work. You may even be a  pianist, guitarist, tennis player, or do any other skill or activity that requires repeated activities day after day.\n\n<iframe class=\"alignright\" src=\"https://www.youtube.com/embed/RJCzx6yt0zY\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"></iframe>\n\nIt\'s not surprising, really, that doing the same thing day in and day out could cause a structure to break down. Think about how you feel after spending a day working in the yard, or joining a new workout at the gym. Or even doing some other activity you’re not accustomed to.\n\nWe pretty much expect to have some amount of muscle soreness with exercise. That is normal. During exercise, muscle cells are temporarily “injured,” as part of a normal process to multiply muscle cells.\n\nUnfortunately though, the same isn’t true with ligaments and tendons. They also break down from repetitive use, but they don’t have a very good capacity to heal well on their own. Muscles repair pretty well on their own, because they have an adequate blood supply, but ligaments and tendons do not.\n<h2>Elbow Pain May be the Result of Ligament or Tendon Injuries</h2>\nMovement and exercise are necessary for health of all of the joint structures and to keep the body strong and healthy. But repetitive motion, day in and day out, can result in wear and tear.\n\nHow do you know when soreness is a problem? When soreness occurs after activity, keep in mind that normal soreness after exercise should not last more than a few hours. When soreness lasts longer, you are probably exercising too much or need to take more breaks. Muscle injuries generally heal with rest. When pain persists even after rest, the cause is oftentimes a ligament injury.\n<h3><em>Elbow Ligaments</em></h3>\nThe ligaments of the elbow provide stability to the elbow. They attach bone to bone, and different ligaments support various functions of the elbow, stabilizing the elbow as it goes through movements.\n\nFor instance, the radial collateral ligament of the elbow prevents the elbow from hyperextending. Other ligaments keep the arm bones from rotating too much.  When these ligaments are weakened or damaged, they become unable to protect the elbow from excessive and unnatural movement. And that places stress on all of the structures of the elbow.\n<h3><em>The Role of Tendons</em></h3>\nPain from repetitive motion may also result in a tendon injury. While ligaments attach bone to bone, stabilizing them, the tendons connect muscle to bone, and along with the muscles, enable the bones to move. Those with tendon injuries usually feel pain during activity. But ligament injuries may also be painful even while at rest.\n<h3>Structures Causing Elbow Pain Need Treatment for Proper Repair</h3>\nA very high percentage of persistent elbow pain involves a ligament injury. But many physicians only diagnose the problem as a tendon injury. Tennis Elbow, for example, is a commonly diagnosed tendon injury that often involves a ligament injury too.  It is important to treat all of the involved structures in order to fix the problem and get rid of the pain.\n\nA ligament injury can lead to a tendon injury, or injury to another structure of the elbow joint. So it is very important to treat the underlying source of injury and pain. Otherwise, the repaired tendon is likely to become reinjured because the joint will remain unstable due to the underlying ligament injury.\n<h2>Elbow Pain Treatments</h2>\nCortisone or steroid injections are a common treatment option for tendon injuries. But as we have discussed in previous articles, cortisone will actually weaken the tendons and the ligaments.\n\nElbow injuries, whether due to ligament injuries, tendon injuries, or both, are better repaired using Regenerative Orthopedic treatment options. They strengthen and regenerate the structures rather than weakening and degenerating them.  Yes, cortisone may provide some temporary pain control. But in the long-run, it will have a damaging effect on the joint and will actually boost the arthritic process.<strong> </strong>\n\nRegenerative Orthopedics for unresolved elbow pain decrease pain and stiffness, and restore quality of life.  The pain alleviating aspects of Regenerative Orthopedics are well documented.\n\nStudies demonstrate its effectiveness at significantly improving pain levels while also increasing grip strength and improving function, because it actually heals the tendons and ligaments.\n<ul>\n 	<li>In the <em>Clinical Journal of Sports Medicine</em>, doctors found that patients who received Prolotherapy, a Regenerative Orthopedic option, showed significant improvement in pain levels compared with patients given saline injection. Plus, their extension strength and grip strength were markedly improved.[i]</li>\n 	<li>Published research of patients with elbow pain due to Tennis Elbow treated with Prolotherapy shows a decrease in pain from a level of 6.79 to a level of 2.95, which is statistically significance.[ii]</li>\n 	<li>In another study, research demonstrates a significant reduction in elbow pain from Tennis Elbow in patients who received Prolotherapy, along with evidence of tendon healing observed via ultrasound imaging.[iii]</li>\n</ul>\nRegenerative Orthopedics works by stimulating the normal healing process of the body by the injection of natural healing solutions into the pain generating trigger points of the elbow. The result is strengthened ligaments and tendons, a stabilized elbow, and an end to elbow pain.\n\n[i] Scarpone M, Rabago DP, Zgierska A, Arbogast G, Snell E. The efficacy of prolotherapy for lateral epicondylosis: a pilot study. Clin J Sport Med. 2008;18(3):248–54.\n\n[ii] Shin J, Seo K-M, Kim D-K, Kim B-K, Kang SH. The effect of prolotherapy on lateral epicondylitis of elbow. J Korean Acad Rehabil Med. 2002;26:764–8.\n\n[iii] Park JH, Song IS, Lee JB, et al. Ultrasonographic findings of healing of torn tendon in the patients with lateral epicondylitis after prolotherapy. J Korean Soc Med Ultrasound. 2003;22(3):177–83.\n\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Persistent Elbow Pain','','inherit','closed','closed','','3297-autosave-v1','','','2020-08-24 22:03:00','2020-08-24 22:03:00','',3297,'https://www.drfields.com/uncategorized/3297-autosave-v1/',0,'revision','',0),(4003,9,'2020-08-24 22:03:44','2020-08-24 22:03:44','<b>Do you experience elbow pain?</b> You are not alone, especially if you perform repetitive tasks involving your arms and hands like doing carpentry, secretarial work, or computer work. You may even be a  pianist, guitarist, tennis player, or do any other skill or activity that requires repeated activities day after day.\r\n\r\n<iframe class=\"alignright\" src=\"https://www.youtube.com/embed/RJCzx6yt0zY\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"></iframe>\r\n\r\nIt\'s not surprising, really, that doing the same thing day in and day out could cause a structure to break down. Think about how you feel after spending a day working in the yard, or joining a new workout at the gym. Or even doing some other activity you’re not accustomed to.\r\n\r\nWe pretty much expect to have some amount of muscle soreness with exercise. That is normal. During exercise, muscle cells are temporarily “injured,” as part of a normal process to multiply muscle cells.\r\n\r\nUnfortunately though, the same isn’t true with ligaments and tendons. They also break down from repetitive use, but they don’t have a very good capacity to heal well on their own. Muscles repair pretty well on their own, because they have an adequate blood supply, but ligaments and tendons do not.\r\n<h2>Elbow Pain May be the Result of Ligament or Tendon Injuries</h2>\r\nMovement and exercise are necessary for health of all of the joint structures and to keep the body strong and healthy. But repetitive motion, day in and day out, can result in wear and tear.\r\n\r\nHow do you know when soreness is a problem? When soreness occurs after activity, keep in mind that normal soreness after exercise should not last more than a few hours. When soreness lasts longer, you are probably exercising too much or need to take more breaks. Muscle injuries generally heal with rest. When pain persists even after rest, the cause is oftentimes a ligament injury.\r\n<h3><em>Elbow Ligaments</em></h3>\r\nThe ligaments of the elbow provide stability to the elbow. They attach bone to bone, and different ligaments support various functions of the elbow, stabilizing the elbow as it goes through movements.\r\n\r\nFor instance, the radial collateral ligament of the elbow prevents the elbow from hyperextending. Other ligaments keep the arm bones from rotating too much.  When these ligaments are weakened or damaged, they become unable to protect the elbow from excessive and unnatural movement. And that places stress on all of the structures of the elbow.\r\n<h3><em>The Role of Tendons</em></h3>\r\nPain from repetitive motion may also result in a tendon injury. While ligaments attach bone to bone, stabilizing them, the tendons connect muscle to bone, and along with the muscles, enable the bones to move. Those with tendon injuries usually feel pain during activity. But ligament injuries may also be painful even while at rest.\r\n<h3>Structures Causing Elbow Pain Need Treatment for Proper Repair</h3>\r\nA very high percentage of persistent elbow pain involves a ligament injury. But many physicians only diagnose the problem as a tendon injury. Tennis Elbow, for example, is a commonly diagnosed tendon injury that often involves a ligament injury too.  It is important to treat all of the involved structures in order to fix the problem and get rid of the pain.\r\n\r\nA ligament injury can lead to a tendon injury, or injury to another structure of the elbow joint. So it is very important to treat the underlying source of injury and pain. Otherwise, the repaired tendon is likely to become reinjured because the joint will remain unstable due to the underlying ligament injury.\r\n<h2>Elbow Pain Treatments</h2>\r\nCortisone or steroid injections are a common treatment option for tendon injuries. But as we have discussed in previous articles, cortisone will actually weaken the tendons and the ligaments.\r\n\r\nElbow injuries, whether due to ligament injuries, tendon injuries, or both, are better repaired using Regenerative Orthopedic treatment options. They strengthen and regenerate the structures rather than weakening and degenerating them.  Yes, cortisone may provide some temporary pain control. But in the long-run, it will have a damaging effect on the joint and will actually boost the arthritic process.<strong> </strong>\r\n\r\nRegenerative Orthopedics for unresolved elbow pain decrease pain and stiffness, and restore quality of life.  The pain alleviating aspects of Regenerative Orthopedics are well documented.\r\n<h3>What Does Research Show?</h3>\r\nStudies demonstrate its effectiveness at significantly improving pain levels while also increasing grip strength and improving function, because it actually heals the tendons and ligaments.\r\n<ul>\r\n 	<li>In the <em>Clinical Journal of Sports Medicine</em>, doctors found that patients who received Prolotherapy, a Regenerative Orthopedic option, showed significant improvement in pain levels compared with patients given saline injection. Plus, their extension strength and grip strength were markedly improved.[i]</li>\r\n 	<li>Published research of patients with elbow pain due to Tennis Elbow treated with Prolotherapy shows a decrease in pain from a level of 6.79 to a level of 2.95, which is statistically significance.[ii]</li>\r\n 	<li>In another study, research demonstrates a significant reduction in elbow pain from Tennis Elbow in patients who received Prolotherapy, along with evidence of tendon healing observed via ultrasound imaging.[iii]</li>\r\n</ul>\r\nRegenerative Orthopedics works by stimulating the normal healing process of the body by the injection of natural healing solutions into the pain generating trigger points of the elbow. The result is strengthened ligaments and tendons, a stabilized elbow, and an end to elbow pain.\r\n\r\n[i] Scarpone M, Rabago DP, Zgierska A, Arbogast G, Snell E. The efficacy of prolotherapy for lateral epicondylosis: a pilot study. Clin J Sport Med. 2008;18(3):248–54.\r\n\r\n[ii] Shin J, Seo K-M, Kim D-K, Kim B-K, Kang SH. The effect of prolotherapy on lateral epicondylitis of elbow. J Korean Acad Rehabil Med. 2002;26:764–8.\r\n\r\n[iii] Park JH, Song IS, Lee JB, et al. Ultrasonographic findings of healing of torn tendon in the patients with lateral epicondylitis after prolotherapy. J Korean Soc Med Ultrasound. 2003;22(3):177–83.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Persistent Elbow Pain','','inherit','closed','closed','','3297-revision-v1','','','2020-08-24 22:03:44','2020-08-24 22:03:44','',3297,'https://www.drfields.com/uncategorized/3297-revision-v1/',0,'revision','',0),(4004,9,'2020-08-25 00:14:50','2020-08-25 00:14:50','[caption id=\"attachment_4007\" align=\"alignleft\" width=\"439\"]<img class=\" wp-image-4007\" src=\"https://www.drfields.com/wp-content/uploads/2020/08/Foot-pain-copy-1-500x500.jpg\" alt=\"The Shoes We Wear\" width=\"439\" height=\"439\" /> Do you wear pointy, closed-toed shoes?[/caption]\n\nPersistent foot and toe pain affects an incredibly large part of our population. And it\'s no wonder. We spend hours on our feet every day, working, playing, and engaging in everyday activities. Some of us pound our feet running marathons, while others try to reach that goal of 10,000 steps a day. Each of those steps generates a force on the foot.\n\nAdd to that, activities like jumping and running, and the force we place on our feet increases that much more. During an average day, the feet support a combined force equivalent to several hundred tons. It is not surprising, then, that the majority of us experience foot pain at some point in our lives.\n<h2>Factors That Cultivate Problems of Foot Pain</h2>\nWe can compound our problems of foot pain by our choices of footwear. Improper foot mechanics with walking, running and intense training can cause problems with our feet too. Various physical conditions such as high arches, fallen arches, degenerative arthritis, bony abnormalities, flat-footedness, inflammatory joint diseases and excess weight also predispose us to foot pain.\n\n&nbsp;\n<h2>More about the Foot</h2>\nThe foot, if we include the toes and ankle, contains 26 bones. That\'s a lot of bones. Plus, all of those bones make up 33 joints supported by more than 100 muscles, tendons and ligaments. Any of these structures can become weakened or injured. And that means a whole lot of different structures can get injured. Those injuries destabilize the foot, because they cause insufficient ligament and tendon support for proper motion in the joints. The result is foot pain due to the joints of the foot becoming weak, lax, and unstable.\n<h2>What Happens When the Foot Joints Become Unstable?</h2>\nInstability in any joint typically begins with an injury to the ligaments and tendons that support the joint. Because the joint is no longer held in place by healthy ligaments and tendons, abnormal joint motion develops. This abnormality in the movement of the joint results in a greater amount of pressure being exerted on the different parts of the joint.\n\nAll of the structures of the joint can become damaged. Even the cartilage. When cartilage degenerates, the joint will crunch and grind. As time passes, the body reacts to this instability by contracting the muscles in the area. You will experience that as muscle spasms.\n\nEventually, these tense muscles fatigue and lose their strength. Then the ligaments and tendons will try even harder to stabilize the joints. But they will become damaged further. That is the cycle of abnormal joint motion. And it results in degeneration of the joint. The body responds to the failure of these various soft tissue structures by increasing bone mass in an attempt to stabilize the joint. In other words, arthritis will develop. And arthritis is a frequent diagnosis related to foot pain.\n<h2>Some Common Foot and Toe Conditions</h2>\nInstability of the joints of the foot can also result in a number of toe and forefoot conditions. These include Morton’s Neuroma, bunions (hallux valgus), and a stiff, degenerated, big toe called hallus rigidis.  The origin of these conditions can be traced back to an original ligament injury or weakness.\n<h3><em>Morton’s Neuroma</em></h3>\nMorton’s Neuroma refers to a fibrous tissue formation around nerve tissue in the spaces between the toes. It results in symptoms like sharp pains, burning sensations, and paresthesias (abnormal sensations).\n\nThis condition is not traditionally thought of as being an instability problem. However, injury to ligaments of the foot can cause excessive motion between the bones of the toes, causing irritation of the bursa or a nerve, and can result in a significant enlargement of the nerve. This enlargement can cause further trauma and worsening of the symptoms. And they can be quite severe.\n\nMorton’s Neuroma most often affects women who frequently wear pointed, high-heeled and close-toed shoes, the mechanics of which transfer body weight to the toes, placing undo force on the toes and their ligaments.\n<h3><em>Bunions</em></h3>\nBunions are another widespread, persistent foot complaint, also commonly seen in women. This growth in boney tissue occurs mainly on the medial side of the foot, producing the characteristic bump or bunion. Joint instability here causes the bones of the toes to move in an abnormal fashion. This shift leads to the formation of the boney projection on the medial side of the toe in an attempt to stabilize joint motion.\n<h3><em>Stiff Big Toe or Hallux Rigidus</em></h3>\nHallux rigidus is a disorder of the joint at the base of the big toe, which causes pain and stiffness in the toe. Over time, the toe becomes increasingly more difficult to bend.\n\nHallux refers to the big toe. And rigidus means the toe is rigid. The condition is caused by degenerating cartilage in the metatarsophalangeal (MTP) joint of the big toe. Eventually, it will lead to the formation of bone spurs around the joint—a last ditch effort of the body to stabilize the joint.\n\nThe underlying condition of both bunions and hallux rigidus is instability that causes arthritis of the MTP joint.\n\nAbnormal joint shifts are what precipitate the pathological bone growth associated with bunions, reducing movement in both flexion and extension, and leading to hallux rigidus and to a potentially frozen joint.\n<h2>Treatment for Foot and Toe Pain</h2>\nStandard treatment for foot pain is generally conservative, beginning with choosing properly fitting shoes. NSAIDs are often prescribed, along with physical therapy. When foot and toe pain continue, surgery is frequently considered. In fact, surgery on the first metatarsophalangeal joint is one of the most common surgery performed.\n\n[caption id=\"attachment_4008\" align=\"alignright\" width=\"358\"]<img class=\" wp-image-4008\" src=\"https://www.drfields.com/wp-content/uploads/2020/08/Penny.-foot-500x500.jpg\" alt=\"Penny. Foot\" width=\"358\" height=\"358\" /> Regenerative Orthopedics instead of Surgery for foot and toe pain![/caption]\n<h3>Regenerative Orthopedics for Foot and Toe Pain</h3>\nDespite the commonality of these treatments, a large percentage of people continue to suffer with foot and toe pain. An effective alternative treatment for reduction and elimination of this pain is Regenerative Orthopedics, because it addresses the underlying cause of the problem, the joint instability caused by ligament and tendon injury.\n\nBy strengthening ligaments and tendons, Regenerative Orthopedics can stop the pathologic cascade causing these persistent foot conditions, stabilizing the joint and bringing pain relief.\n\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Persistent Foot Pain and Toe Pain','','inherit','closed','closed','','3199-autosave-v1','','','2020-08-25 00:14:50','2020-08-25 00:14:50','',3199,'https://www.drfields.com/uncategorized/3199-autosave-v1/',0,'revision','',0),(4005,9,'2020-08-24 23:36:41','2020-08-24 23:36:41','Foot Pain Copy','Foot Pain Copy','Foot Pain Copy','inherit','open','closed','','foot-pain-copy','','','2020-08-24 23:39:28','2020-08-24 23:39:28','',0,'https://www.drfields.com/wp-content/uploads/2020/08/Foot-pain-copy.png',0,'attachment','image/png',0),(4006,9,'2020-08-24 23:39:43','2020-08-24 23:39:43','Foot Pain Copy','Foot Pain Copy','Foot Pain Copy','inherit','open','closed','','foot-pain-copy-2','','','2020-08-24 23:40:13','2020-08-24 23:40:13','',0,'https://www.drfields.com/wp-content/uploads/2020/08/Foot-pain-copy.jpg',0,'attachment','image/jpeg',0),(4007,9,'2020-08-24 23:41:05','2020-08-24 23:41:05','The shoes we wear can make our foot and toe pain worse.','Foot Pain from Our Shoes','Do you wear pointy, closed-toed shoes?','inherit','open','closed','','foot-pain-copy-3','','','2020-08-24 23:58:23','2020-08-24 23:58:23','',3199,'https://www.drfields.com/wp-content/uploads/2020/08/Foot-pain-copy-1.jpg',0,'attachment','image/jpeg',0),(4008,9,'2020-08-24 23:41:25','2020-08-24 23:41:25','Penny. Foot','Penny. Foot','Penny. Foot','inherit','open','closed','','penny-foot','','','2020-08-25 00:12:47','2020-08-25 00:12:47','',3199,'https://www.drfields.com/wp-content/uploads/2020/08/Penny.-foot.jpg',0,'attachment','image/jpeg',0),(4009,9,'2020-08-24 23:53:57','2020-08-24 23:53:57','Persistent foot and toe pain affects an incredibly large part of our population. We spend hours on our feet every day, working, playing, and engaging in everyday activities. Some may be pounding their feet running marathons, while others try to reach that goal of 10,000 steps a day. Each of those steps generates a force on the foot. Add to that, activities like jumping and running, and the force placed on the foot increases that much more. During an average day, the feet support a combined force equivalent to several hundred tons. It is not surprising, then, that the majority of us experience foot pain at some point in our lives.\r\n<h2>Factors That Cultivate Problems of Foot Pain</h2>\r\nWe can compound our problems of foot pain by our choices of footwear. Improper foot mechanics with walking, running and intense training can cause problems with our feet too. Various physical conditions such as high arches, fallen arches, degenerative arthritis, bony abnormalities, flat-footedness, inflammatory joint diseases and excess weight also predispose us to foot pain.\r\n<h2>More about the Foot</h2>\r\nThe foot, if we include the toes and ankle, contains 26 bones. All of those bones make up 33 joints supported by more than 100 muscles, tendons and ligaments. Any of these structures can become weakened or injured, which will then destabilize the foot, due to insufficient ligament and tendon support for proper motion in those joints. The result is foot pain due to the joints of the foot becoming weak, lax, and unstable.\r\n<h2>What Happens When the Foot Joints Become Unstable</h2>\r\nInstability in any joint typically begins with an injury to the ligaments and tendons which support the joint. Because the joint is no longer held in place by healthy ligaments and tendons, abnormal joint motion develops. This abnormality in the movement of the joint results in a greater amount of pressure being exerted on the different parts of the joint. All of the structures of the joint can become damaged, including the cartilage. When cartilage degenerates, there will be a crunching and grinding in the joint. With time, the body reacts to this instability by contracting the muscles in the area. You’ll experience that as muscle spasms. Eventually these tense muscles will fatigue and lose their strength. Then the ligaments and tendons will try even harder to stabilize the joints, but they will become damaged further. That is the cycle of abnormal joint motion will degenerate the joint. The body responds to the failure of these various soft tissue structures by increasing bone mass in an attempt to stabilize the joint. One result is arthritis, a frequent diagnosis related to foot pain.\r\n<h2>Some Common Foot  and Toe Conditions</h2>\r\nInstability of the joints of the foot can also result in a number of forefoot conditions. These include Morton’s Neuroma, bunions (hallux valgus), and a stiff, degenerated, big toe called hallus rigidis.  The origin of these conditions can be traced back to an original ligament injury or weakness.\r\n<h3><em>Morton’s Neuroma</em></h3>\r\nMorton’s Neuroma refers to a fibrous tissue formation around nerve tissue in the spaces between the toes and results in symptoms that include sharp pains, burning sensations, and paresthesias (abnormal sensations). This condition is not traditionally thought of as being an instability problem. However, injury to ligaments of the foot can cause excessive motion between the bones of the toes, causing irritation of the bursa or a nerve, and can result in a significant enlargement of the nerve. This enlargement can cause further trauma and worsening of the symptoms, which can be quite severe. Morton’s Neuroma most often affects women who frequently wear pointed, high-heeled and close-toed shoes, the mechanics of which transfer body weight to the toes, placing undo force on the toes and their ligaments.\r\n<h3><em>Bunions</em></h3>\r\nBunions are another widespread, persistent foot complaint, also commonly seen in women. This growth in boney tissue occurs mainly on the medial side of the foot, producing the characteristic bump or bunion. Joint instability here causes the bones of the toes to move in an abnormal fashion with this shift leading to the formation of this boney projection on the medial side of the toe in an attempt to stabilize joint motion.\r\n<h3><em>Stiff Big Toe or Hallux Rigidus</em></h3>\r\nHallux rigidus is a disorder of the joint at the base of the big toe, which causes pain and stiffness in the toe. Over time, the toe becomes increasingly more difficult to bend. Hallux refers to the big toe, and rigidus means the toe is rigid. The condition is caused by degenerating cartilage in the metatarsophalangeal (MTP) joint of the big toe, which will eventually lead to the formation of bone spurs that form around the joint—a last ditch effort of the body to recover joint stability and stabilize the joint. The underlying condition of both bunions and hallux rigidus is instability that causes arthritis of the MTP joint.\r\n\r\nAbnormal joint shifts are what precipitate the pathological bone growth associated with bunions, reducing movement in both flexion and extension, and leading to hallux rigidus and to a potentially frozen joint.\r\n<h2>Treatment for Foot Pain</h2>\r\nStandard treatment for foot pain is generally conservative, beginning with choosing properly fitting shoes. NSAIDs are often prescribed along with physical therapy. When foot and toe pain continue, surgery is frequently considered. In fact, surgery on the first metatarsophalangeal joint is amongst the most common surgery performed.\r\n\r\nDespite the commonality of these treatments, a large percentage of people continue to suffer with foot and toe pain. An effective alternative treatment for reduction and elimination of this pain is Regenerative Orthopedics, because it addresses the underlying cause of the problem, the joint instability caused by ligament and tendon injury. By strengthening ligaments and tendons, Regenerative Orthopedics can stop the pathologic cascade causing these persistent foot conditions, stabilizing the joint and bringing pain relief.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Persistent Foot Pain and Toe Pain','','inherit','closed','closed','','3199-revision-v1','','','2020-08-24 23:53:57','2020-08-24 23:53:57','',3199,'https://www.drfields.com/uncategorized/3199-revision-v1/',0,'revision','',0),(4010,9,'2020-08-24 23:57:06','2020-08-24 23:57:06','Foot Pain Copy','Foot Pain Copy','Foot Pain Copy','inherit','open','closed','','foot-pain-copy-4','','','2020-08-24 23:57:06','2020-08-24 23:57:06','',0,'https://www.drfields.com/wp-content/uploads/2020/08/Foot-pain-copy-2.jpg',0,'attachment','image/jpeg',0),(4011,9,'2020-08-24 23:59:48','2020-08-24 23:59:48','[caption id=\"attachment_4007\" align=\"alignleft\" width=\"392\"]<img class=\" wp-image-4007\" src=\"https://www.drfields.com/wp-content/uploads/2020/08/Foot-pain-copy-1-500x500.jpg\" alt=\"The Shoes We Wear\" width=\"392\" height=\"392\" /> Do you wear pointy, closed-toed shoes?[/caption]\r\n\r\nPersistent foot and toe pain affects an incredibly large part of our population. And it\'s no wonder. We spend hours on our feet every day, working, playing, and engaging in everyday activities. Some of us pound our feet running marathons, while others try to reach that goal of 10,000 steps a day. Each of those steps generates a force on the foot. Add to that, activities like jumping and running, and the force placed on the foot increases that much more. During an average day, the feet support a combined force equivalent to several hundred tons. It is not surprising, then, that the majority of us experience foot pain at some point in our lives.\r\n<h2>Factors That Cultivate Problems of Foot Pain</h2>\r\nWe can compound our problems of foot pain by our choices of footwear. Improper foot mechanics with walking, running and intense training can cause problems with our feet too. Various physical conditions such as high arches, fallen arches, degenerative arthritis, bony abnormalities, flat-footedness, inflammatory joint diseases and excess weight also predispose us to foot pain.\r\n\r\n&nbsp;\r\n<h2>More about the Foot</h2>\r\nThe foot, if we include the toes and ankle, contains 26 bones. All of those bones make up 33 joints supported by more than 100 muscles, tendons and ligaments. Any of these structures can become weakened or injured, which will then destabilize the foot, due to insufficient ligament and tendon support for proper motion in those joints. The result is foot pain due to the joints of the foot becoming weak, lax, and unstable.\r\n<h2>What Happens When the Foot Joints Become Unstable</h2>\r\nInstability in any joint typically begins with an injury to the ligaments and tendons which support the joint. Because the joint is no longer held in place by healthy ligaments and tendons, abnormal joint motion develops. This abnormality in the movement of the joint results in a greater amount of pressure being exerted on the different parts of the joint. All of the structures of the joint can become damaged, including the cartilage. When cartilage degenerates, there will be a crunching and grinding in the joint. With time, the body reacts to this instability by contracting the muscles in the area. You’ll experience that as muscle spasms. Eventually these tense muscles will fatigue and lose their strength. Then the ligaments and tendons will try even harder to stabilize the joints, but they will become damaged further. That is the cycle of abnormal joint motion will degenerate the joint. The body responds to the failure of these various soft tissue structures by increasing bone mass in an attempt to stabilize the joint. One result is arthritis, a frequent diagnosis related to foot pain.\r\n<h2>Some Common Foot  and Toe Conditions</h2>\r\nInstability of the joints of the foot can also result in a number of forefoot conditions. These include Morton’s Neuroma, bunions (hallux valgus), and a stiff, degenerated, big toe called hallus rigidis.  The origin of these conditions can be traced back to an original ligament injury or weakness.\r\n<h3><em>Morton’s Neuroma</em></h3>\r\nMorton’s Neuroma refers to a fibrous tissue formation around nerve tissue in the spaces between the toes and results in symptoms that include sharp pains, burning sensations, and paresthesias (abnormal sensations). This condition is not traditionally thought of as being an instability problem. However, injury to ligaments of the foot can cause excessive motion between the bones of the toes, causing irritation of the bursa or a nerve, and can result in a significant enlargement of the nerve. This enlargement can cause further trauma and worsening of the symptoms, which can be quite severe. Morton’s Neuroma most often affects women who frequently wear pointed, high-heeled and close-toed shoes, the mechanics of which transfer body weight to the toes, placing undo force on the toes and their ligaments.\r\n<h3><em>Bunions</em></h3>\r\nBunions are another widespread, persistent foot complaint, also commonly seen in women. This growth in boney tissue occurs mainly on the medial side of the foot, producing the characteristic bump or bunion. Joint instability here causes the bones of the toes to move in an abnormal fashion with this shift leading to the formation of this boney projection on the medial side of the toe in an attempt to stabilize joint motion.\r\n<h3><em>Stiff Big Toe or Hallux Rigidus</em></h3>\r\nHallux rigidus is a disorder of the joint at the base of the big toe, which causes pain and stiffness in the toe. Over time, the toe becomes increasingly more difficult to bend. Hallux refers to the big toe, and rigidus means the toe is rigid. The condition is caused by degenerating cartilage in the metatarsophalangeal (MTP) joint of the big toe, which will eventually lead to the formation of bone spurs that form around the joint—a last ditch effort of the body to recover joint stability and stabilize the joint. The underlying condition of both bunions and hallux rigidus is instability that causes arthritis of the MTP joint.\r\n\r\nAbnormal joint shifts are what precipitate the pathological bone growth associated with bunions, reducing movement in both flexion and extension, and leading to hallux rigidus and to a potentially frozen joint.\r\n<h2>Treatment for Foot Pain</h2>\r\nStandard treatment for foot pain is generally conservative, beginning with choosing properly fitting shoes. NSAIDs are often prescribed along with physical therapy. When foot and toe pain continue, surgery is frequently considered. In fact, surgery on the first metatarsophalangeal joint is amongst the most common surgery performed.\r\n\r\nDespite the commonality of these treatments, a large percentage of people continue to suffer with foot and toe pain. An effective alternative treatment for reduction and elimination of this pain is Regenerative Orthopedics, because it addresses the underlying cause of the problem, the joint instability caused by ligament and tendon injury. By strengthening ligaments and tendons, Regenerative Orthopedics can stop the pathologic cascade causing these persistent foot conditions, stabilizing the joint and bringing pain relief.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Persistent Foot Pain and Toe Pain','','inherit','closed','closed','','3199-revision-v1','','','2020-08-24 23:59:48','2020-08-24 23:59:48','',3199,'https://www.drfields.com/uncategorized/3199-revision-v1/',0,'revision','',0),(4012,9,'2020-08-25 00:16:35','2020-08-25 00:16:35','[caption id=\"attachment_4007\" align=\"alignleft\" width=\"439\"]<img class=\" wp-image-4007\" src=\"https://www.drfields.com/wp-content/uploads/2020/08/Foot-pain-copy-1-500x500.jpg\" alt=\"The Shoes We Wear\" width=\"439\" height=\"439\" /> Do you wear pointy, closed-toed shoes?[/caption]\r\n\r\nPersistent foot and toe pain affects an incredibly large part of our population. And it\'s no wonder. We spend hours on our feet every day, working, playing, and engaging in everyday activities. Some of us pound our feet running marathons, while others try to reach that goal of 10,000 steps a day. Each of those steps generates a force on the foot.\r\n\r\nAdd to that, activities like jumping and running, and the force we place on our feet increases that much more. During an average day, the feet support a combined force equivalent to several hundred tons. It is not surprising, then, that the majority of us experience foot pain at some point in our lives.\r\n<h2>Factors That Cultivate Problems of Foot Pain</h2>\r\nWe can compound our problems of foot pain by our choices of footwear. Improper foot mechanics with walking, running and intense training can cause problems with our feet too. Various physical conditions such as high arches, fallen arches, degenerative arthritis, bony abnormalities, flat-footedness, inflammatory joint diseases and excess weight also predispose us to foot pain.\r\n\r\n&nbsp;\r\n<h2>More about the Foot</h2>\r\nThe foot, if we include the toes and ankle, contains 26 bones. That\'s a lot of bones. Plus, all of those bones make up 33 joints supported by more than 100 muscles, tendons and ligaments. Any of these structures can become weakened or injured. And that means a whole lot of different structures can get injured. Those injuries destabilize the foot, because they cause insufficient ligament and tendon support for proper motion in the joints. The result is foot pain due to the joints of the foot becoming weak, lax, and unstable.\r\n<h2>What Happens When the Foot Joints Become Unstable?</h2>\r\nInstability in any joint typically begins with an injury to the ligaments and tendons that support the joint. Because the joint is no longer held in place by healthy ligaments and tendons, abnormal joint motion develops. This abnormality in the movement of the joint results in a greater amount of pressure being exerted on the different parts of the joint.\r\n\r\nAll of the structures of the joint can become damaged. Even the cartilage. When cartilage degenerates, the joint will crunch and grind. As time passes, the body reacts to this instability by contracting the muscles in the area. You will experience that as muscle spasms.\r\n\r\nEventually, these tense muscles fatigue and lose their strength. Then the ligaments and tendons will try even harder to stabilize the joints. But they will become damaged further. That is the cycle of abnormal joint motion. And it results in degeneration of the joint. The body responds to the failure of these various soft tissue structures by increasing bone mass in an attempt to stabilize the joint. In other words, arthritis will develop. And arthritis is a frequent diagnosis related to foot pain.\r\n<h2>Some Common Foot and Toe Conditions</h2>\r\nInstability of the joints of the foot can also result in a number of toe and forefoot conditions. These include Morton’s Neuroma, bunions (hallux valgus), and a stiff, degenerated, big toe called hallus rigidis.  The origin of these conditions can be traced back to an original ligament injury or weakness.\r\n<h3><em>Morton’s Neuroma</em></h3>\r\nMorton’s Neuroma refers to a fibrous tissue formation around nerve tissue in the spaces between the toes. It results in symptoms like sharp pains, burning sensations, and paresthesias (abnormal sensations).\r\n\r\nThis condition is not traditionally thought of as being an instability problem. However, injury to ligaments of the foot can cause excessive motion between the bones of the toes, causing irritation of the bursa or a nerve, and can result in a significant enlargement of the nerve. This enlargement can cause further trauma and worsening of the symptoms. And they can be quite severe.\r\n\r\nMorton’s Neuroma most often affects women who frequently wear pointed, high-heeled and close-toed shoes, the mechanics of which transfer body weight to the toes, placing undo force on the toes and their ligaments.\r\n<h3><em>Bunions</em></h3>\r\nBunions are another widespread, persistent foot complaint, also commonly seen in women. This growth in boney tissue occurs mainly on the medial side of the foot, producing the characteristic bump or bunion. Joint instability here causes the bones of the toes to move in an abnormal fashion. This shift leads to the formation of the boney projection on the medial side of the toe in an attempt to stabilize joint motion.\r\n<h3><em>Stiff Big Toe or Hallux Rigidus</em></h3>\r\nHallux rigidus is a disorder of the joint at the base of the big toe, which causes pain and stiffness in the toe. Over time, the toe becomes increasingly more difficult to bend.\r\n\r\nHallux refers to the big toe. And rigidus means the toe is rigid. The condition is caused by degenerating cartilage in the metatarsophalangeal (MTP) joint of the big toe. Eventually, it will lead to the formation of bone spurs around the joint—a last ditch effort of the body to stabilize the joint.\r\n\r\nThe underlying condition of both bunions and hallux rigidus is instability that causes arthritis of the MTP joint.\r\n\r\nAbnormal joint shifts are what precipitate the pathological bone growth associated with bunions, reducing movement in both flexion and extension, and leading to hallux rigidus and to a potentially frozen joint.\r\n<h2>Treatment for Foot and Toe Pain</h2>\r\nStandard treatment for foot pain is generally conservative, beginning with choosing properly fitting shoes. NSAIDs are often prescribed, along with physical therapy. When foot and toe pain continue, surgery is frequently considered. In fact, surgery on the first metatarsophalangeal joint is one of the most common surgery performed.\r\n\r\n[caption id=\"attachment_4008\" align=\"alignright\" width=\"358\"]<img class=\" wp-image-4008\" src=\"https://www.drfields.com/wp-content/uploads/2020/08/Penny.-foot-500x500.jpg\" alt=\"Penny. Foot\" width=\"358\" height=\"358\" /> Regenerative Orthopedics instead of Surgery for foot and toe pain![/caption]\r\n<h3>Regenerative Orthopedics for Foot and Toe Pain</h3>\r\nDespite the commonality of these treatments, a large percentage of people continue to suffer with foot and toe pain. An effective alternative treatment for reduction and elimination of this pain is Regenerative Orthopedics, because it addresses the underlying cause of the problem, the joint instability caused by ligament and tendon injury.\r\n\r\nBy strengthening ligaments and tendons, Regenerative Orthopedics can stop the pathologic cascade causing these persistent foot conditions, stabilizing the joint and bringing pain relief.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Persistent Foot Pain and Toe Pain','','inherit','closed','closed','','3199-revision-v1','','','2020-08-25 00:16:35','2020-08-25 00:16:35','',3199,'https://www.drfields.com/uncategorized/3199-revision-v1/',0,'revision','',0),(4013,9,'2020-08-25 03:01:46','2020-08-25 03:01:46','<h2>Why Regenerative Orthopedics Is the Ideal Sports Medicine</h2>\nWe see athletes of all ages in our clinic all of the time. It doesn’t matter if you are 15 or 95. Because if you love sports or enjoy an active lifestyle, you don’t want to have to stop because of an injury. And Regenerative Orthopedics is the ideal sports medicine to get you back in the game!\n\nSports injuries from ligament tears, meniscus injuries, tendon injuries, wear and tear, and other soft tissue injuries are common reasons people seek care. In fact, over 90% of athletic injuries involve stretched, torn or weakened soft tissue of some sort. Sports injuries, whether of the ankle, knee, shoulder, hip, or back occur when the repetitive strain of the athletic activity is too much for a particular ligament, tendon, or muscle to perform.\n\n[caption id=\"attachment_3792\" align=\"alignleft\" width=\"395\"]<img class=\" wp-image-3792\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/joint-injury.do-what-you-love-Copy-2-1-500x500.png\" alt=\"Joint Injury.do What You Love Copy 2 (1)\" width=\"395\" height=\"395\" /> <strong>Keep Doing What You Love</strong>[/caption]\n<h2>How Do Injuries Occur to the Meniscus, Tendons, and Other Soft Tissue?</h2>\nInjury to these soft tissue structures can transpire from a sudden traumatic injury or as a result of accumulative damage over the years. Many are considered an acute exacerbation of a chronic injury. Whether you run 3, 6, 10 miles or even a marathon, ride your bike, participate in martial arts, lift weights, play golf or tennis, the repetitive impact from athletic events can be enough to damage the various soft tissue structures.\n\nOver time the joint degenerates as these non-healed soft tissue injuries destabilize the joint. And Regenerative Orthopedics is an ideal sports medicine because it is extremely effective at healing and repairing these soft tissue injuries.\n<h2>Why Use Regenerative Orthopedics as the Ideal Sports Medicine?</h2>\nDoesn’t the body just heal on its own? Unfortunately, not all of these structures heal well on their own. Soft tissue structures like the cartilage, discs, labrum, ligaments, menisci and tendons are whiter in nature. That means they have a poor blood supply.\n\nBlood is what nourishes the joint. And therefore, the blood poor structures have a compromised healing ability after injury. These structures aren’t like muscles. You’ve probably noticed when you pull a muscle, or sustain a muscle injury, that in time, it will get better. Why is that? The muscles are red. That means they have a good blood supply and repair more easily. Regenerative Orthopedics helps the body to get more blood to these blood poor structures so they can heal more efficiently.\n<h2>The Role of the Ligaments</h2>\nIn order for the joint to function like it should, all of the joint structures, including the white tissue structures, the muscles and the bony structures need to be well. They all work together to stabilize the joint and keep it working optimally. But the ligaments are the primary stabilizing structures.\n\nLigaments are key at maintaining joint health. Unfortunately, ligament injuries are one of the most common causes of pain from sport-related injuries. And they are white tissue structures. Plus, injured ligaments generate pain. They are a sensory organ with free nerve endings. The weakness that occurs after ligament injury to the knee, for example, may give rise to Runner’s knee, meniscal tears, chondromalacia patella, bone spurs and eventually to arthritis.\n\nWhen the ligament is injured, the harmony between the soft tissue, muscles and bony structures is disrupted. This interferes with mobility and joint stability. What results is an unstable joint, one that moves abnormally, and functions poorly. That results in more and more damage. When the ligaments are left untreated, the body will try to stabilize the joint by causing ongoing muscle spasms, and joint swelling. And eventually, bone spurs will form and arthritis will develop. A cycle of persistent pain is the result.\n<h3>Injury and the Path to Arthritis</h3>\nInvolvement in athletics provides us with physical, emotional and mental well-being. However, when we’re faced with injury, we often set into motion the cycle of instability in the joint as mentioned above. This cycle also leads to the eventual development of arthritis. The path to arthritis can occur within a few years with severe injuries, or take decades to develop when the injury is less severe.\n\n<span lang=\"en\">Although progressive cartilage loss with its inhibition of joint motion plays a central role in arthritis, injury to other soft tissue structures actually initiates the change in equilibrium that leads to this breakdown of cartilage and the path to arthritis. </span>Athletes of all ages desire to be as fit as when in the prime of their athletic careers. But the pain and symptoms from non-healed sports injuries interferes with that dream!\n\nRegenerative Orthopedics is the ideal sports medicine because in gets the athlete back on the path of healing and to reaching their goals and dreams.\n<h2>Treatment for Sports Injuries</h2>\nStandard treatments for sports injuries usually only involve the management of symptoms. Some of these treatments include pain medications, cortisone/steroid injections, physical therapy, massage and other therapies to provide pain relief. These treatments may work to relieve pain temporarily or momentarily reduce the pain and inflammation.\n\nBut when the athlete turns off the pain signal with medication use, while the joint is still injured, and continues to play and remain active on an injured joint, further damage ensues. It is important to realize that these treatment modalities do not repair soft tissue injuries, such as tendon, ligament, and meniscus tears, nor do they regenerate cartilage.\n<h3>Regenerative Orthopedics Is the Ideal Sports Medicine to Stimulate the Body to Repair</h3>\nThe key to keeping joints strong is to stimulate the area to heal. Regenerative Orthopedics does just that. And it offers hope to those suffering from sports injuries. They are the ideal treatment for sports injuries because they get you back to doing what you love.\n\nPlus, these therapies are non-surgical. <em><strong>The treatments regenerate and repair the damaged ligaments and soft tissues. And they allow the athlete to continue with their desired activity</strong></em>. Non-surgical regenerative therapies, including Stem Cell Therapy, PRP, and Prolotherapy, stimulate the natural regenerative processes in and around the joint. And they facilitate the restoration of the degenerated soft tissue to a healthy state. The result is improved joint support and function, and reduced pain and symptoms.\n\nRegenerative Orthopedics involves the injection of natural solutions. And sometimes, depending on the nature of injury or degeneration, will also include injections of an autologous preparation, from a person’s own plasma (blood), fat or bone marrow, injected directly into the damaged joint to accelerate the healing process.\n<h2>Sports injuries do not need to put an end to the enjoyment of sports activities. There is an effective option for repair!</h2>\nRegenerative Orthopedics <span lang=\"en\">is a great non-surgical treatment ideal for</span> offering not only pain relief from sports injuries, but healing and reparation at the source of the injury. This regeneration and repair enables the athlete of all ages to speedily return to the sport or activity they love with minimal lifestyle interruption.\n\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Regenerative Orthopedics: The Ideal Sports Medicine','','inherit','closed','closed','','3134-autosave-v1','','','2020-08-25 03:01:46','2020-08-25 03:01:46','',3134,'https://www.drfields.com/uncategorized/3134-autosave-v1/',0,'revision','',0),(4014,9,'2020-08-25 00:34:37','2020-08-25 00:34:37','<h2>Why Regenerative Orthopedics Is the Ideal Sports Medicine</h2>\r\nWe see athletes of all ages in our clinic all of the time. It doesn’t matter if you are 15 or 95, because if you love sports or enjoy an active lifestyle, you don’t want to have to stop because of an injury. And Regenerative Orthopedics is the ideal sports medicine to get you back in the game!\r\n\r\nSports injuries from ligament tears, meniscus injuries, tendon injuries, wear and tear, and other soft tissue injuries are common reasons people seek care. In fact, over 90% of athletic injuries involve stretched, torn or weakened soft tissue of some sort. Sports injuries, whether of the ankle, knee, shoulder, hip, or back occur when the repetitive strain of the athletic activity is too much for a particular ligament, tendon, or muscle to perform.\r\n<h2>How Do Injuries Occur to the Meniscus, Tendons, and Other Soft Tissue?</h2>\r\nInjury to these soft tissue structures can transpire from a sudden traumatic injury or as a result of accumulative damage over the years. Many are considered an acute exacerbation of a chronic injury. Whether you run 3, 6, 10 miles or even a marathon, ride your bike, participate in martial arts, lift weights, play golf or tennis, the repetitive impact from athletic events can be enough to damage the various soft tissue structures.\r\n\r\nOver time the joint degenerates as these non-healed soft tissue injuries destabilize the joint. And Regenerative Orthopedics is an ideal sports medicine because it is extremely effective at healing and repairing these soft tissue injuries.\r\n<h2>What Do We Mean by Non-Healed Soft Tissue?</h2>\r\nDoesn’t the body just heal on its own? Unfortunately, not all of these structures heal well on their own. Soft tissue structures like the cartilage, discs, labrum, ligaments, menisci and tendons are whiter in nature, which means they have a poor blood supply.\r\n\r\nBlood is what nourishes the joint, and therefore, the blood poor structures have a compromised healing ability after injury. These structures aren’t like muscles. You’ve probably noticed when you pull a muscle, or sustain a muscle injury, that in time, it will get better. Why is that? The muscles are red, which means they have a good blood supply and repair more easily. Regenerative Orthopedics helps the body to get more blood to these blood poor structures so they can heal more efficiently.\r\n<h2>The Role of the Ligaments</h2>\r\nIn order for the joint to function like it should, all of the joint structures, including the white tissue structures, the muscles and the bony structures need to be well. They all work together to stabilize the joint and keep it working optimally. But the ligaments are the primary stabilizing structures.\r\n\r\nLigaments are key at maintaining joint health. Unfortunately, ligament injuries are one of the most common causes of pain from sport-related injuries. And they are white tissue structures. Plus, injured ligaments generate pain, because they are a sensory organ, with free nerve endings. The weakness that occurs after ligament injury to the knee, for example, may give rise to Runner’s knee, meniscal tears, chondromalacia patella, bone spurs and eventually to arthritis.\r\n\r\nWhen the ligament is injured, the harmony between the soft tissue, muscles and bony structures is disrupted, interfering with mobility and joint stability. What results is an unstable joint, one that moves abnormally, functions poorly, and becomes more and more damaged. When the ligaments are left untreated, the body will try to stabilize the joint by causing ongoing muscle spasms, joint swelling, and eventually bone spur formation and degenerative arthritis. A cycle of persistent pain is the result.\r\n<h3>Injury and the Path to Arthritis</h3>\r\nInvolvement in athletics provides us with physical, emotional and mental well-being. However, when we’re faced with injury, we often set into motion the cycle of instability in the joint as mentioned above. This cycle also leads to the eventual development of arthritis, which can occur within a few years with severe injuries, or take decades to develop when the injury is less severe.\r\n\r\n<span lang=\"en\">Although progressive cartilage loss with its inhibition of joint motion plays a central role in arthritis, injury to other soft tissue structures actually initiates the change in equilibrium that leads to this breakdown of cartilage and the path to arthritis. </span>Athletes of all ages desire to be as fit as when in the prime of their athletic careers. But the pain and symptoms from non-healed sports injuries interferes with that dream!\r\n\r\nRegenerative Orthopedics is the ideal sports medicine because in gets the athlete back on the path of healing and to reaching their goals and dreams.\r\n<h2>Treatment for Sports Injuries</h2>\r\nStandard treatments for sports injuries usually only involve the management of symptoms, which may include pain medications, cortisone/steroid injections, physical therapy, massage and other therapies to provide pain relief. These treatments may work to relieve pain temporarily or momentarily reduce the pain and inflammation.\r\n\r\nBut when the athlete turns off the pain signal with medication use, while the joint is still injured, and continues to play and remain active on an injured joint, further damage ensues. It is important to realize that these treatment modalities do not repair soft tissue injuries, such as tendon, ligament, and meniscus tears, nor do they regenerate cartilage.\r\n<h3>Regenerative Orthopedics Is the Ideal Sports Medicine to Stimulate the Body to Repair</h3>\r\nThe key to keeping joints strong is to stimulate the area to heal. Regenerative Orthopedics does just that, offering hope to those suffering from sports injuries. They are the ideal treatment for sports injuries because they get you back to doing what you love.\r\n\r\nPlus, these therapies are non-surgical. <em><strong>The treatments regenerate and repair the damaged ligaments and soft tissue, allowing the athlete to continue with their desired activity</strong></em>. Non-surgical regenerative therapies, including Stem Cell Therapy, PRP, and Prolotherapy, stimulate the natural regenerative processes in and around the joint. And they facilitate the restoration of the degenerated soft tissue to a healthy state, improving joint support and function, and reducing pain and symptoms.\r\n\r\nRegenerative Orthopedics involves the injection of natural solutions. And sometimes, depending on the nature of injury or degeneration, will also include injections of an autologous preparation, from a person’s own plasma (blood), fat or bone marrow, injected directly into the damaged joint to accelerate the healing process.\r\n<h2>Sports injuries do not need to put an end to the enjoyment of sports activities. There is an effective option for repair!</h2>\r\nRegenerative Orthopedics <span lang=\"en\">is a great non-surgical treatment ideal for</span> offering not only pain relief from sports injuries, but healing and reparation at the source of the injury. This regeneration and repair enables the athlete of all ages to speedily return to the sport or activity they love with minimal lifestyle interruption.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Why Regenerative Orthopedics Is the Ideal Sports Medicine','','inherit','closed','closed','','3134-revision-v1','','','2020-08-25 00:34:37','2020-08-25 00:34:37','',3134,'https://www.drfields.com/uncategorized/3134-revision-v1/',0,'revision','',0),(4015,9,'2020-08-25 00:35:15','2020-08-25 00:35:15','<h2>Why Regenerative Orthopedics Is the Ideal Sports Medicine</h2>\r\nWe see athletes of all ages in our clinic all of the time. It doesn’t matter if you are 15 or 95, because if you love sports or enjoy an active lifestyle, you don’t want to have to stop because of an injury. And Regenerative Orthopedics is the ideal sports medicine to get you back in the game!\r\n\r\nSports injuries from ligament tears, meniscus injuries, tendon injuries, wear and tear, and other soft tissue injuries are common reasons people seek care. In fact, over 90% of athletic injuries involve stretched, torn or weakened soft tissue of some sort. Sports injuries, whether of the ankle, knee, shoulder, hip, or back occur when the repetitive strain of the athletic activity is too much for a particular ligament, tendon, or muscle to perform.\r\n<h2>How Do Injuries Occur to the Meniscus, Tendons, and Other Soft Tissue?</h2>\r\nInjury to these soft tissue structures can transpire from a sudden traumatic injury or as a result of accumulative damage over the years. Many are considered an acute exacerbation of a chronic injury. Whether you run 3, 6, 10 miles or even a marathon, ride your bike, participate in martial arts, lift weights, play golf or tennis, the repetitive impact from athletic events can be enough to damage the various soft tissue structures.\r\n\r\nOver time the joint degenerates as these non-healed soft tissue injuries destabilize the joint. And Regenerative Orthopedics is an ideal sports medicine because it is extremely effective at healing and repairing these soft tissue injuries.\r\n<h2>What Do We Mean by Non-Healed Soft Tissue?</h2>\r\nDoesn’t the body just heal on its own? Unfortunately, not all of these structures heal well on their own. Soft tissue structures like the cartilage, discs, labrum, ligaments, menisci and tendons are whiter in nature, which means they have a poor blood supply.\r\n\r\nBlood is what nourishes the joint, and therefore, the blood poor structures have a compromised healing ability after injury. These structures aren’t like muscles. You’ve probably noticed when you pull a muscle, or sustain a muscle injury, that in time, it will get better. Why is that? The muscles are red, which means they have a good blood supply and repair more easily. Regenerative Orthopedics helps the body to get more blood to these blood poor structures so they can heal more efficiently.\r\n<h2>The Role of the Ligaments</h2>\r\nIn order for the joint to function like it should, all of the joint structures, including the white tissue structures, the muscles and the bony structures need to be well. They all work together to stabilize the joint and keep it working optimally. But the ligaments are the primary stabilizing structures.\r\n\r\nLigaments are key at maintaining joint health. Unfortunately, ligament injuries are one of the most common causes of pain from sport-related injuries. And they are white tissue structures. Plus, injured ligaments generate pain, because they are a sensory organ, with free nerve endings. The weakness that occurs after ligament injury to the knee, for example, may give rise to Runner’s knee, meniscal tears, chondromalacia patella, bone spurs and eventually to arthritis.\r\n\r\nWhen the ligament is injured, the harmony between the soft tissue, muscles and bony structures is disrupted, interfering with mobility and joint stability. What results is an unstable joint, one that moves abnormally, functions poorly, and becomes more and more damaged. When the ligaments are left untreated, the body will try to stabilize the joint by causing ongoing muscle spasms, joint swelling, and eventually bone spur formation and degenerative arthritis. A cycle of persistent pain is the result.\r\n<h3>Injury and the Path to Arthritis</h3>\r\nInvolvement in athletics provides us with physical, emotional and mental well-being. However, when we’re faced with injury, we often set into motion the cycle of instability in the joint as mentioned above. This cycle also leads to the eventual development of arthritis, which can occur within a few years with severe injuries, or take decades to develop when the injury is less severe.\r\n\r\n<span lang=\"en\">Although progressive cartilage loss with its inhibition of joint motion plays a central role in arthritis, injury to other soft tissue structures actually initiates the change in equilibrium that leads to this breakdown of cartilage and the path to arthritis. </span>Athletes of all ages desire to be as fit as when in the prime of their athletic careers. But the pain and symptoms from non-healed sports injuries interferes with that dream!\r\n\r\nRegenerative Orthopedics is the ideal sports medicine because in gets the athlete back on the path of healing and to reaching their goals and dreams.\r\n<h2>Treatment for Sports Injuries</h2>\r\nStandard treatments for sports injuries usually only involve the management of symptoms, which may include pain medications, cortisone/steroid injections, physical therapy, massage and other therapies to provide pain relief. These treatments may work to relieve pain temporarily or momentarily reduce the pain and inflammation.\r\n\r\nBut when the athlete turns off the pain signal with medication use, while the joint is still injured, and continues to play and remain active on an injured joint, further damage ensues. It is important to realize that these treatment modalities do not repair soft tissue injuries, such as tendon, ligament, and meniscus tears, nor do they regenerate cartilage.\r\n<h3>Regenerative Orthopedics Is the Ideal Sports Medicine to Stimulate the Body to Repair</h3>\r\nThe key to keeping joints strong is to stimulate the area to heal. Regenerative Orthopedics does just that, offering hope to those suffering from sports injuries. They are the ideal treatment for sports injuries because they get you back to doing what you love.\r\n\r\nPlus, these therapies are non-surgical. <em><strong>The treatments regenerate and repair the damaged ligaments and soft tissue, allowing the athlete to continue with their desired activity</strong></em>. Non-surgical regenerative therapies, including Stem Cell Therapy, PRP, and Prolotherapy, stimulate the natural regenerative processes in and around the joint. And they facilitate the restoration of the degenerated soft tissue to a healthy state, improving joint support and function, and reducing pain and symptoms.\r\n\r\nRegenerative Orthopedics involves the injection of natural solutions. And sometimes, depending on the nature of injury or degeneration, will also include injections of an autologous preparation, from a person’s own plasma (blood), fat or bone marrow, injected directly into the damaged joint to accelerate the healing process.\r\n<h2>Sports injuries do not need to put an end to the enjoyment of sports activities. There is an effective option for repair!</h2>\r\nRegenerative Orthopedics <span lang=\"en\">is a great non-surgical treatment ideal for</span> offering not only pain relief from sports injuries, but healing and reparation at the source of the injury. This regeneration and repair enables the athlete of all ages to speedily return to the sport or activity they love with minimal lifestyle interruption.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Regenerative Orthopedics: The Ideal Sports Medicine','','inherit','closed','closed','','3134-revision-v1','','','2020-08-25 00:35:15','2020-08-25 00:35:15','',3134,'https://www.drfields.com/uncategorized/3134-revision-v1/',0,'revision','',0),(4016,9,'2020-08-25 00:38:38','2020-08-25 00:38:38','<h2>Why Regenerative Orthopedics Is the Ideal Sports Medicine</h2>\r\nWe see athletes of all ages in our clinic all of the time. It doesn’t matter if you are 15 or 95, because if you love sports or enjoy an active lifestyle, you don’t want to have to stop because of an injury. And Regenerative Orthopedics is the ideal sports medicine to get you back in the game!\r\n\r\nSports injuries from ligament tears, meniscus injuries, tendon injuries, wear and tear, and other soft tissue injuries are common reasons people seek care. In fact, over 90% of athletic injuries involve stretched, torn or weakened soft tissue of some sort. Sports injuries, whether of the ankle, knee, shoulder, hip, or back occur when the repetitive strain of the athletic activity is too much for a particular ligament, tendon, or muscle to perform.\r\n\r\n[caption id=\"attachment_3792\" align=\"alignleft\" width=\"395\"]<img class=\" wp-image-3792\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/joint-injury.do-what-you-love-Copy-2-1-500x500.png\" alt=\"Joint Injury.do What You Love Copy 2 (1)\" width=\"395\" height=\"395\" /> <strong>Keep Doing What You Love</strong>[/caption]\r\n<h2>How Do Injuries Occur to the Meniscus, Tendons, and Other Soft Tissue?</h2>\r\nInjury to these soft tissue structures can transpire from a sudden traumatic injury or as a result of accumulative damage over the years. Many are considered an acute exacerbation of a chronic injury. Whether you run 3, 6, 10 miles or even a marathon, ride your bike, participate in martial arts, lift weights, play golf or tennis, the repetitive impact from athletic events can be enough to damage the various soft tissue structures.\r\n\r\nOver time the joint degenerates as these non-healed soft tissue injuries destabilize the joint. And Regenerative Orthopedics is an ideal sports medicine because it is extremely effective at healing and repairing these soft tissue injuries.\r\n<h2>What Do We Mean by Non-Healed Soft Tissue?</h2>\r\nDoesn’t the body just heal on its own? Unfortunately, not all of these structures heal well on their own. Soft tissue structures like the cartilage, discs, labrum, ligaments, menisci and tendons are whiter in nature, which means they have a poor blood supply.\r\n\r\nBlood is what nourishes the joint, and therefore, the blood poor structures have a compromised healing ability after injury. These structures aren’t like muscles. You’ve probably noticed when you pull a muscle, or sustain a muscle injury, that in time, it will get better. Why is that? The muscles are red, which means they have a good blood supply and repair more easily. Regenerative Orthopedics helps the body to get more blood to these blood poor structures so they can heal more efficiently.\r\n<h2>The Role of the Ligaments</h2>\r\nIn order for the joint to function like it should, all of the joint structures, including the white tissue structures, the muscles and the bony structures need to be well. They all work together to stabilize the joint and keep it working optimally. But the ligaments are the primary stabilizing structures.\r\n\r\nLigaments are key at maintaining joint health. Unfortunately, ligament injuries are one of the most common causes of pain from sport-related injuries. And they are white tissue structures. Plus, injured ligaments generate pain, because they are a sensory organ, with free nerve endings. The weakness that occurs after ligament injury to the knee, for example, may give rise to Runner’s knee, meniscal tears, chondromalacia patella, bone spurs and eventually to arthritis.\r\n\r\nWhen the ligament is injured, the harmony between the soft tissue, muscles and bony structures is disrupted, interfering with mobility and joint stability. What results is an unstable joint, one that moves abnormally, functions poorly, and becomes more and more damaged. When the ligaments are left untreated, the body will try to stabilize the joint by causing ongoing muscle spasms, joint swelling, and eventually bone spur formation and degenerative arthritis. A cycle of persistent pain is the result.\r\n<h3>Injury and the Path to Arthritis</h3>\r\nInvolvement in athletics provides us with physical, emotional and mental well-being. However, when we’re faced with injury, we often set into motion the cycle of instability in the joint as mentioned above. This cycle also leads to the eventual development of arthritis, which can occur within a few years with severe injuries, or take decades to develop when the injury is less severe.\r\n\r\n<span lang=\"en\">Although progressive cartilage loss with its inhibition of joint motion plays a central role in arthritis, injury to other soft tissue structures actually initiates the change in equilibrium that leads to this breakdown of cartilage and the path to arthritis. </span>Athletes of all ages desire to be as fit as when in the prime of their athletic careers. But the pain and symptoms from non-healed sports injuries interferes with that dream!\r\n\r\nRegenerative Orthopedics is the ideal sports medicine because in gets the athlete back on the path of healing and to reaching their goals and dreams.\r\n<h2>Treatment for Sports Injuries</h2>\r\nStandard treatments for sports injuries usually only involve the management of symptoms, which may include pain medications, cortisone/steroid injections, physical therapy, massage and other therapies to provide pain relief. These treatments may work to relieve pain temporarily or momentarily reduce the pain and inflammation.\r\n\r\nBut when the athlete turns off the pain signal with medication use, while the joint is still injured, and continues to play and remain active on an injured joint, further damage ensues. It is important to realize that these treatment modalities do not repair soft tissue injuries, such as tendon, ligament, and meniscus tears, nor do they regenerate cartilage.\r\n<h3>Regenerative Orthopedics Is the Ideal Sports Medicine to Stimulate the Body to Repair</h3>\r\nThe key to keeping joints strong is to stimulate the area to heal. Regenerative Orthopedics does just that, offering hope to those suffering from sports injuries. They are the ideal treatment for sports injuries because they get you back to doing what you love.\r\n\r\nPlus, these therapies are non-surgical. <em><strong>The treatments regenerate and repair the damaged ligaments and soft tissue, allowing the athlete to continue with their desired activity</strong></em>. Non-surgical regenerative therapies, including Stem Cell Therapy, PRP, and Prolotherapy, stimulate the natural regenerative processes in and around the joint. And they facilitate the restoration of the degenerated soft tissue to a healthy state, improving joint support and function, and reducing pain and symptoms.\r\n\r\nRegenerative Orthopedics involves the injection of natural solutions. And sometimes, depending on the nature of injury or degeneration, will also include injections of an autologous preparation, from a person’s own plasma (blood), fat or bone marrow, injected directly into the damaged joint to accelerate the healing process.\r\n<h2>Sports injuries do not need to put an end to the enjoyment of sports activities. There is an effective option for repair!</h2>\r\nRegenerative Orthopedics <span lang=\"en\">is a great non-surgical treatment ideal for</span> offering not only pain relief from sports injuries, but healing and reparation at the source of the injury. This regeneration and repair enables the athlete of all ages to speedily return to the sport or activity they love with minimal lifestyle interruption.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Regenerative Orthopedics: The Ideal Sports Medicine','','inherit','closed','closed','','3134-revision-v1','','','2020-08-25 00:38:38','2020-08-25 00:38:38','',3134,'https://www.drfields.com/uncategorized/3134-revision-v1/',0,'revision','',0),(4017,9,'2020-08-25 02:51:50','2020-08-25 02:51:50','<h2>Why Regenerative Orthopedics Is the Ideal Sports Medicine</h2>\r\nWe see athletes of all ages in our clinic all of the time. It doesn’t matter if you are 15 or 95, because if you love sports or enjoy an active lifestyle, you don’t want to have to stop because of an injury. And Regenerative Orthopedics is the ideal sports medicine to get you back in the game!\r\n\r\nSports injuries from ligament tears, meniscus injuries, tendon injuries, wear and tear, and other soft tissue injuries are common reasons people seek care. In fact, over 90% of athletic injuries involve stretched, torn or weakened soft tissue of some sort. Sports injuries, whether of the ankle, knee, shoulder, hip, or back occur when the repetitive strain of the athletic activity is too much for a particular ligament, tendon, or muscle to perform.\r\n\r\n[caption id=\"attachment_3792\" align=\"alignleft\" width=\"395\"]<img class=\" wp-image-3792\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/joint-injury.do-what-you-love-Copy-2-1-500x500.png\" alt=\"Joint Injury.do What You Love Copy 2 (1)\" width=\"395\" height=\"395\" /> <strong>Keep Doing What You Love</strong>[/caption]\r\n<h2>How Do Injuries Occur to the Meniscus, Tendons, and Other Soft Tissue?</h2>\r\nInjury to these soft tissue structures can transpire from a sudden traumatic injury or as a result of accumulative damage over the years. Many are considered an acute exacerbation of a chronic injury. Whether you run 3, 6, 10 miles or even a marathon, ride your bike, participate in martial arts, lift weights, play golf or tennis, the repetitive impact from athletic events can be enough to damage the various soft tissue structures.\r\n\r\nOver time the joint degenerates as these non-healed soft tissue injuries destabilize the joint. And Regenerative Orthopedics is an ideal sports medicine because it is extremely effective at healing and repairing these soft tissue injuries.\r\n<h2>Why Use Regenerative Orthopedics as the Ideal Sports Medicine?</h2>\r\nDoesn’t the body just heal on its own? Unfortunately, not all of these structures heal well on their own. Soft tissue structures like the cartilage, discs, labrum, ligaments, menisci and tendons are whiter in nature, which means they have a poor blood supply.\r\n\r\nBlood is what nourishes the joint, and therefore, the blood poor structures have a compromised healing ability after injury. These structures aren’t like muscles. You’ve probably noticed when you pull a muscle, or sustain a muscle injury, that in time, it will get better. Why is that? The muscles are red, which means they have a good blood supply and repair more easily. Regenerative Orthopedics helps the body to get more blood to these blood poor structures so they can heal more efficiently.\r\n<h2>The Role of the Ligaments</h2>\r\nIn order for the joint to function like it should, all of the joint structures, including the white tissue structures, the muscles and the bony structures need to be well. They all work together to stabilize the joint and keep it working optimally. But the ligaments are the primary stabilizing structures.\r\n\r\nLigaments are key at maintaining joint health. Unfortunately, ligament injuries are one of the most common causes of pain from sport-related injuries. And they are white tissue structures. Plus, injured ligaments generate pain, because they are a sensory organ, with free nerve endings. The weakness that occurs after ligament injury to the knee, for example, may give rise to Runner’s knee, meniscal tears, chondromalacia patella, bone spurs and eventually to arthritis.\r\n\r\nWhen the ligament is injured, the harmony between the soft tissue, muscles and bony structures is disrupted, interfering with mobility and joint stability. What results is an unstable joint, one that moves abnormally, functions poorly, and becomes more and more damaged. When the ligaments are left untreated, the body will try to stabilize the joint by causing ongoing muscle spasms, joint swelling, and eventually bone spur formation and degenerative arthritis. A cycle of persistent pain is the result.\r\n<h3>Injury and the Path to Arthritis</h3>\r\nInvolvement in athletics provides us with physical, emotional and mental well-being. However, when we’re faced with injury, we often set into motion the cycle of instability in the joint as mentioned above. This cycle also leads to the eventual development of arthritis, which can occur within a few years with severe injuries, or take decades to develop when the injury is less severe.\r\n\r\n<span lang=\"en\">Although progressive cartilage loss with its inhibition of joint motion plays a central role in arthritis, injury to other soft tissue structures actually initiates the change in equilibrium that leads to this breakdown of cartilage and the path to arthritis. </span>Athletes of all ages desire to be as fit as when in the prime of their athletic careers. But the pain and symptoms from non-healed sports injuries interferes with that dream!\r\n\r\nRegenerative Orthopedics is the ideal sports medicine because in gets the athlete back on the path of healing and to reaching their goals and dreams.\r\n<h2>Treatment for Sports Injuries</h2>\r\nStandard treatments for sports injuries usually only involve the management of symptoms, which may include pain medications, cortisone/steroid injections, physical therapy, massage and other therapies to provide pain relief. These treatments may work to relieve pain temporarily or momentarily reduce the pain and inflammation.\r\n\r\nBut when the athlete turns off the pain signal with medication use, while the joint is still injured, and continues to play and remain active on an injured joint, further damage ensues. It is important to realize that these treatment modalities do not repair soft tissue injuries, such as tendon, ligament, and meniscus tears, nor do they regenerate cartilage.\r\n<h3>Regenerative Orthopedics Is the Ideal Sports Medicine to Stimulate the Body to Repair</h3>\r\nThe key to keeping joints strong is to stimulate the area to heal. Regenerative Orthopedics does just that, offering hope to those suffering from sports injuries. They are the ideal treatment for sports injuries because they get you back to doing what you love.\r\n\r\nPlus, these therapies are non-surgical. <em><strong>The treatments regenerate and repair the damaged ligaments and soft tissue, allowing the athlete to continue with their desired activity</strong></em>. Non-surgical regenerative therapies, including Stem Cell Therapy, PRP, and Prolotherapy, stimulate the natural regenerative processes in and around the joint. And they facilitate the restoration of the degenerated soft tissue to a healthy state, improving joint support and function, and reducing pain and symptoms.\r\n\r\nRegenerative Orthopedics involves the injection of natural solutions. And sometimes, depending on the nature of injury or degeneration, will also include injections of an autologous preparation, from a person’s own plasma (blood), fat or bone marrow, injected directly into the damaged joint to accelerate the healing process.\r\n<h2>Sports injuries do not need to put an end to the enjoyment of sports activities. There is an effective option for repair!</h2>\r\nRegenerative Orthopedics <span lang=\"en\">is a great non-surgical treatment ideal for</span> offering not only pain relief from sports injuries, but healing and reparation at the source of the injury. This regeneration and repair enables the athlete of all ages to speedily return to the sport or activity they love with minimal lifestyle interruption.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Regenerative Orthopedics: The Ideal Sports Medicine','','inherit','closed','closed','','3134-revision-v1','','','2020-08-25 02:51:50','2020-08-25 02:51:50','',3134,'https://www.drfields.com/uncategorized/3134-revision-v1/',0,'revision','',0),(4018,9,'2020-08-25 02:56:24','2020-08-25 02:56:24','<h2>Why Regenerative Orthopedics Is the Ideal Sports Medicine</h2>\r\nWe see athletes of all ages in our clinic all of the time. It doesn’t matter if you are 15 or 95. Because if you love sports or enjoy an active lifestyle, you don’t want to have to stop because of an injury. And Regenerative Orthopedics is the ideal sports medicine to get you back in the game!\r\n\r\nSports injuries from ligament tears, meniscus injuries, tendon injuries, wear and tear, and other soft tissue injuries are common reasons people seek care. In fact, over 90% of athletic injuries involve stretched, torn or weakened soft tissue of some sort. Sports injuries, whether of the ankle, knee, shoulder, hip, or back occur when the repetitive strain of the athletic activity is too much for a particular ligament, tendon, or muscle to perform.\r\n\r\n[caption id=\"attachment_3792\" align=\"alignleft\" width=\"395\"]<img class=\" wp-image-3792\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/joint-injury.do-what-you-love-Copy-2-1-500x500.png\" alt=\"Joint Injury.do What You Love Copy 2 (1)\" width=\"395\" height=\"395\" /> <strong>Keep Doing What You Love</strong>[/caption]\r\n<h2>How Do Injuries Occur to the Meniscus, Tendons, and Other Soft Tissue?</h2>\r\nInjury to these soft tissue structures can transpire from a sudden traumatic injury or as a result of accumulative damage over the years. Many are considered an acute exacerbation of a chronic injury. Whether you run 3, 6, 10 miles or even a marathon, ride your bike, participate in martial arts, lift weights, play golf or tennis, the repetitive impact from athletic events can be enough to damage the various soft tissue structures.\r\n\r\nOver time the joint degenerates as these non-healed soft tissue injuries destabilize the joint. And Regenerative Orthopedics is an ideal sports medicine because it is extremely effective at healing and repairing these soft tissue injuries.\r\n<h2>Why Use Regenerative Orthopedics as the Ideal Sports Medicine?</h2>\r\nDoesn’t the body just heal on its own? Unfortunately, not all of these structures heal well on their own. Soft tissue structures like the cartilage, discs, labrum, ligaments, menisci and tendons are whiter in nature. That means they have a poor blood supply.\r\n\r\nBlood is what nourishes the joint. And therefore, the blood poor structures have a compromised healing ability after injury. These structures aren’t like muscles. You’ve probably noticed when you pull a muscle, or sustain a muscle injury, that in time, it will get better. Why is that? The muscles are red. That means they have a good blood supply and repair more easily. Regenerative Orthopedics helps the body to get more blood to these blood poor structures so they can heal more efficiently.\r\n<h2>The Role of the Ligaments</h2>\r\nIn order for the joint to function like it should, all of the joint structures, including the white tissue structures, the muscles and the bony structures need to be well. They all work together to stabilize the joint and keep it working optimally. But the ligaments are the primary stabilizing structures.\r\n\r\nLigaments are key at maintaining joint health. Unfortunately, ligament injuries are one of the most common causes of pain from sport-related injuries. And they are white tissue structures. Plus, injured ligaments generate pain. They are a sensory organ with free nerve endings. The weakness that occurs after ligament injury to the knee, for example, may give rise to Runner’s knee, meniscal tears, chondromalacia patella, bone spurs and eventually to arthritis.\r\n\r\nWhen the ligament is injured, the harmony between the soft tissue, muscles and bony structures is disrupted. This interferes with mobility and joint stability. What results is an unstable joint, one that moves abnormally, and functions poorly. That results in more and more damage. When the ligaments are left untreated, the body will try to stabilize the joint by causing ongoing muscle spasms, and joint swelling. And eventually, bone spurs will form and arthritis will develop. A cycle of persistent pain is the result.\r\n<h3>Injury and the Path to Arthritis</h3>\r\nInvolvement in athletics provides us with physical, emotional and mental well-being. However, when we’re faced with injury, we often set into motion the cycle of instability in the joint as mentioned above. This cycle also leads to the eventual development of arthritis, which can occur within a few years with severe injuries, or take decades to develop when the injury is less severe.\r\n\r\n<span lang=\"en\">Although progressive cartilage loss with its inhibition of joint motion plays a central role in arthritis, injury to other soft tissue structures actually initiates the change in equilibrium that leads to this breakdown of cartilage and the path to arthritis. </span>Athletes of all ages desire to be as fit as when in the prime of their athletic careers. But the pain and symptoms from non-healed sports injuries interferes with that dream!\r\n\r\nRegenerative Orthopedics is the ideal sports medicine because in gets the athlete back on the path of healing and to reaching their goals and dreams.\r\n<h2>Treatment for Sports Injuries</h2>\r\nStandard treatments for sports injuries usually only involve the management of symptoms, which may include pain medications, cortisone/steroid injections, physical therapy, massage and other therapies to provide pain relief. These treatments may work to relieve pain temporarily or momentarily reduce the pain and inflammation.\r\n\r\nBut when the athlete turns off the pain signal with medication use, while the joint is still injured, and continues to play and remain active on an injured joint, further damage ensues. It is important to realize that these treatment modalities do not repair soft tissue injuries, such as tendon, ligament, and meniscus tears, nor do they regenerate cartilage.\r\n<h3>Regenerative Orthopedics Is the Ideal Sports Medicine to Stimulate the Body to Repair</h3>\r\nThe key to keeping joints strong is to stimulate the area to heal. Regenerative Orthopedics does just that, offering hope to those suffering from sports injuries. They are the ideal treatment for sports injuries because they get you back to doing what you love.\r\n\r\nPlus, these therapies are non-surgical. <em><strong>The treatments regenerate and repair the damaged ligaments and soft tissue, allowing the athlete to continue with their desired activity</strong></em>. Non-surgical regenerative therapies, including Stem Cell Therapy, PRP, and Prolotherapy, stimulate the natural regenerative processes in and around the joint. And they facilitate the restoration of the degenerated soft tissue to a healthy state, improving joint support and function, and reducing pain and symptoms.\r\n\r\nRegenerative Orthopedics involves the injection of natural solutions. And sometimes, depending on the nature of injury or degeneration, will also include injections of an autologous preparation, from a person’s own plasma (blood), fat or bone marrow, injected directly into the damaged joint to accelerate the healing process.\r\n<h2>Sports injuries do not need to put an end to the enjoyment of sports activities. There is an effective option for repair!</h2>\r\nRegenerative Orthopedics <span lang=\"en\">is a great non-surgical treatment ideal for</span> offering not only pain relief from sports injuries, but healing and reparation at the source of the injury. This regeneration and repair enables the athlete of all ages to speedily return to the sport or activity they love with minimal lifestyle interruption.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Regenerative Orthopedics: The Ideal Sports Medicine','','inherit','closed','closed','','3134-revision-v1','','','2020-08-25 02:56:24','2020-08-25 02:56:24','',3134,'https://www.drfields.com/uncategorized/3134-revision-v1/',0,'revision','',0),