(4063,9,'2020-09-01 18:04:53','2020-09-01 18:04:53','<h3><strong>Stroke As a Major Cause of Disability</strong></h3>\r\nAccording to a report from the World Health Organization [<a class=\"ref-link\" href=\"https://www.intechopen.com/books/new-insight-into-cerebrovascular-diseases-an-updated-comprehensive-review/rehabilitation-strategies-and-key-related-mechanisms-involved-in-stroke-recovery#B1\" data-ref-style=\"bibr\">1</a>], approximately 15 million people experience a stroke each year globally. And stroke is the third leading cause of death after heart disease and cancer, and a major cause of disability. With the aging of the American population and as obesity increases, more strokes are occurring: strokes occur in more than 795,000 U.S. citizens per year and result in 140,000 deaths with 77% of them first-time.<a href=\"https://franklinpierce.edu/about/Showcase2020/Projects/TherapyStrokeRehab-Ostrander.pdf\">[2] </a>In this article, we will look at how surgery can cause strokes.\r\n<h3><em>What Does the American Heart Association Say About Stroke?</em></h3>\r\nThe American Heart Association and the American Stroke Association have issued new guidelines aimed at reducing the incidence of stroke. Identifying lifestyle as having had the biggest impact on preventing stroke, the new guidelines urge not smoking, maintaining a healthy weight, exercising and eating a diet rich in fruits and vegetables, and maintaining healthy levels of cholesterol and blood pressure.\r\n\r\n<strong>Does Anyone Even Think About the Whether Surgery Can Cause Strokes?</strong>\r\n\r\n<span style=\"font-weight: 400;\">People often choose surgery without understanding the risks or potential long-term results of the surgery. When considering surgery, people may think about the recovery time, the cost incurred, and the loss of work hours. And they may even wonder if they really want an artificial joint or if they are up to dealing with the pain involved in the surgery. <strong><em>But does anyone think there may be a risk of stroke surrounding surgery?</em></strong> </span>\r\n\r\n<span style=\"font-weight: 400;\">Strokes are a risk factor that is discussed when people face heart surgery, because of the possibility of blood clots during the bypass and all of the manipulation of blood vessels. But what about during other surgeries that are lower risk surgeries? Evidence shows that strokes occur in those without heart conditions too. And they can happen to people who are not considered high risk and to those who had no symptoms before surgery. </span>\r\n\r\n<b>What Does the Research About Surgery and Strokes?</b>\r\n\r\n<span style=\"font-weight: 400;\">Let\'s take a look at the findings from several research studies that investigate the peri-operative stroke risk. Why? Because we want people to be educated. And they want to fully explore their options before choosing an elective surgery. </span><span style=\"font-weight: 400;\">Peri-operative stroke refers to a stroke that occurs during surgery or within 30 days after surgery.</span><span style=\"font-weight: 400;\"> </span>\r\n\r\n<span style=\"font-weight: 400;\">An article in the journal, “Lancet” <a href=\"https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(19)31795-7/fulltext\">[3]</a> investigated the occurrence of strokes in people who did not have stroke symptoms before the surgery. They also looked into the rate of cognitive decline after surgery. The study included 12 academic centers and 1114 people over a three year period. </span>\r\n\r\n<span style=\"font-weight: 400;\">What were the results? The researchers found that 78 people, or 7%, had a stroke.</span><span style=\"font-weight: 400;\"> What about cognitive decline? A third of those who did not have a stroke was shown to have cognitive decline. So, what does all that mean? <strong>There is a risk of stroke and problems with deteriorating brain function in 1 out of 14 people who have elective surgery, even if they were not high risk, to begin with. </strong></span>\r\n\r\n<em><strong>So, the research does say that surgery can cause stroke</strong></em>s.\r\n<h4>What Type of Surgery is High Risk?</h4>\r\n<span style=\"font-weight: 400;\">Stroke really is a possible complication in surgeries that don’t involve the heart or neurological system. The risk increases in people over 65. Plus, the risk of death is higher for those who have a peri-operative stroke. In the journal, “Anesthesiology,”<a href=\"https://anesthesiology.pubs.asahq.org/article.aspx?articleid=1933494\">[4]</a> the researchers investigated specific things that increased the risk of stroke from surgery in the non-cardiac and non-neurological cases. They looked at all different types of surgeries, including hip replacements, biopsies, hernia repair, arthroscopies, and knee repairs. </span>\r\n\r\n<span style=\"font-weight: 400;\">This study found three types of surgeries with the highest risk, which included hip replacement, removal of part of the intestine, and removal of part of the lung.  Other specifics that increase risk included older age, kidney disease, COPD, tobacco use, and elevated blood pressure. For those who do experience a peri-operative stroke, the chance of dying within 30 days of the surgery is increased by 8 times. In this particular study, 229 of 173,028 people had a stroke during non-cardiac and non-neurologic surgery.</span>\r\n\r\n<b>What about Surgery and Anesthesia, and the Relationship to Stroke Risk?</b>\r\n\r\n<span style=\"font-weight: 400;\">Another study in the journal “Anesthesia”<a href=\"https://anesthesiology.pubs.asahq.org/article.aspx?articleid=1946026\">[5]</a> took a look at stroke risk from surgery and anesthesia. They studied 1,455 stroke occurrences over a 25 year period, excluding those with cardiac, vascular, neurologic, and other high-risk conditions. What did they find? They were actually surprised to find out that surgery and anesthesia themselves were a significant risk of stroke, especially considering they left out the high-risk folks with cardiac, vascular, or neurologic problems. </span>\r\n\r\n<span style=\"font-weight: 400;\">One more journal actually said the reason for stroke after surgery is “clear and highly predictable: </span><b>surgery.</b><span style=\"font-weight: 400;\">”</span><span style=\"font-weight: 400;\"> <a href=\"https://pubmed.ncbi.nlm.nih.gov/24978064/\">[6]</a>Surgery is necessary sometimes. But when there are alternatives to surgery, these options should be sought out. Keep in mind that surgery is often recommended on the basis of an MRI finding. However, these findings may not even be the cause of the pain. </span>\r\n\r\n<span style=\"font-weight: 400;\">We encourage you to find a practitioner who will evaluate you well, and do a complete history and examination in order to make a proper diagnosis. Frequently, structural injuries, such as ligament and tendon injuries, are the underlying source of pain. Surgery often cuts through and removes some of these structures. That actually accelerates the arthritic process, and puts you in line for more surgery.</span>\r\n<h3>Regenerative Orthopedics As An Alternative to Surgery</h3>\r\n<span style=\"font-weight: 400;\">Fortunately, there is an alternative to surgery that is highly successful! Regenerative Orthopedics can be sought as a first-line, conservative treatment that can be tried before surgery. It is effective at relieving pain and allowing patients to return quickly to the sports, work, and activities they love. Since surgery can cause strokes, and anesthesia adds to the risk, it is great to know there is an alternative to surgery.</span>\r\n\r\n<span style=\"font-weight: 400;\">Regenerative Orthopedics is also an excellent choice for repair of joint injuries and painful musculoskeletal joint conditions while avoiding the risk of stroke and other risks of elective surgery. If you have already had surgery, but continue to experience joint pain, Regenerative Orthopedics, like Stem Cell Therapy, PRP, and Prolotherapy is still an option for pain relief and return to function. When joint injuries are limiting your life, Regenerative Orthopedics can get you the results you want quickly, more safely, and at a dramatically lower cost than surgery.</span>\r\n\r\n<hr />\r\n\r\n1World Health Organization. The Atlas of Heart Disease and Stroke [Internet]. Available from: http://www.who.int/cardiovascular_diseases/resources/atlas/en/[Accessed: 21 Jun 2020]\r\n\r\n2Abbott, Taylor, and Mary Elizabeth Ostrander. \"What therapies are most beneficial for stroke rehabilitation?.\"\r\n\r\n<span style=\"font-weight: 400;\">3Perioperative covert stroke in patients undergoing non-cardiac surgery.</span><i><span style=\"font-weight: 400;\"> Lancet,</span></i><span style=\"font-weight: 400;\"> 2019. Doi.org/10.1016/SO140-6736(19)31795-7.</span>\r\n\r\n<span style=\"font-weight: 400;\">4Mashour GA, Shanks AM, Kheterpal S.Perioperative stroke, and associated mortality after noncardiac, non-neurologic surgery.</span> <i><span style=\"font-weight: 400;\">Anesthesiology.</span></i><span style=\"font-weight: 400;\"> 2011; </span>114<span style=\"font-weight: 400;\">: 1289-1296.</span>\r\n\r\n<span style=\"font-weight: 400;\">5G</span><span style=\"font-weight: 400;\">ilbert Y. Wong, M.D.</span><span style=\"font-weight: 400;\">; </span><span style=\"font-weight: 400;\">David O. Warner, M.D.</span><span style=\"font-weight: 400;\">; </span><span style=\"font-weight: 400;\">Darrell R. Schroeder, M.S.</span><span style=\"font-weight: 400;\">; </span><span style=\"font-weight: 400;\">Kenneth P. Offord, M.S.</span><span style=\"font-weight: 400;\">; </span><span style=\"font-weight: 400;\">Mark A. Warner, M.D.</span><span style=\"font-weight: 400;\">; </span><span style=\"font-weight: 400;\">et al. </span><span style=\"font-weight: 400;\">Risk of surgery and anesthesia for ischemic stroke. </span><i><span style=\"font-weight: 400;\">Anesthesiology</span></i><span style=\"font-weight: 400;\">. 2000; 92: 425.</span>\r\n\r\n<span style=\"font-weight: 400;\">6Mashour, George A. MD, Ph.D.</span><span style=\"font-weight: 400;\">*</span><span style=\"font-weight: 400;\">; Moore, Laurel E. MD; Lele, Abhijit V. MD; Robicsek, Steven A. MD; Gelb, Adrian W. MBChB</span><span style=\"font-weight: 400;\">. </span><span style=\"font-weight: 400;\">Perioperative care of patients at high risk for stroke during or after non-cardiac, non-neurologic surgery: A consensus statement from the Society for Neuroscience in Anesthesiology and Critical Care. </span><span style=\"font-weight: 400;\"> </span><i><span style=\"font-weight: 400;\">Journal of Neurosurgical Anesthesiology.</span></i> <span style=\"font-weight: 400;\"> 2014; 26(4): 273–285</span><span style=\"font-weight: 400;\">.</span>','Can Surgery Cause Strokes?','','inherit','closed','closed','','2697-revision-v1','','','2020-09-01 18:04:53','2020-09-01 18:04:53','',2697,'https://www.drfields.com/uncategorized/2697-revision-v1/',0,'revision','',0),(4065,9,'2020-09-02 17:43:42','2020-09-02 17:43:42','Hip Pain. Jan','Hip Pain. Jan','Hip Pain. Jan','inherit','open','closed','','hip-pain-jan','','','2020-09-02 17:43:42','2020-09-02 17:43:42','',2665,'https://www.drfields.com/wp-content/uploads/2019/08/Hip-Pain.-Jan.png',0,'attachment','image/png',0),(4066,9,'2020-09-02 18:15:56','2020-09-02 18:15:56','<h4>Regenerative Orthopedics for Chronic, Persistent Hip Pain</h4>\n<span style=\"font-weight: 400;\">The main reason patients with hip pain come to OrthoRegen<sup>®</sup> is to avoid hip replacement surgery. And the pain is usually due to damage caused by hip arthritis. The majority of these folks have received years of different types of treatments such as multiple cortisone injections, prescriptions for NSAIDs (which actually degenerate articular cartilage further), and other therapies that have failed to sufficiently relieve their pain. They have tried the different treatments offered by their doctor and orthopedic surgeons, only to find that they haven’t worked.</span>\n\n<span style=\"font-weight: 400;\">The degenerative arthritis in their hip hasn’t stopped, and their hips just aren’t functioning like they want or need them to. And now, their “ortho doc” is recommending hip replacement. But they don’t want that and are looking for a way to avoid the surgery! That\'s why they choose Regenerative Orthopedics. The treatment gives them a non-surgical option and an alternative to hip replacement surgery.</span>\n\n<b>Hip Pain and Arthritis</b>\n\n<b></b><span style=\"font-weight: 400;\">The hip is a ball and socket joint that connects the leg to the pelvis. </span><span style=\"font-weight: 400;\">It has very large ligaments that work to stabilize the hip and prevent injuries. Also, the hip joint has a ring of cartilage that seals the ball and socket called the labrum. And the labrum helps to provide movement between the leg and pelvis. </span>\n\n<span style=\"font-weight: 400;\">Overuse injuries or traumatic injuries to these various soft tissue structures damage them (ligaments, tendons, and/or hip labrum) and put into motion the arthritis cycle. As this cycle progresses, arthritis pain becomes a source of persistent and often unrelenting pain and disability, which puts a damper on </span><span style=\"font-weight: 400;\">everyday activities. And the symptoms can make even the simplest of tasks difficult to accomplish. That is why so many people turn to Regenerative Orthopedics for Chronic Hip Pain treatment.</span>\n\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>\n<h4><b>What Causes Hip Pain?</b></h4>\n<span style=\"font-weight: 400;\">Arthritis is the most common cause of chronic hip pain. Symptoms may include pain while driving or pain with sitting for longer periods of time. And other symptoms include limited motion in the hip, with stiffness, pain, and soreness. Have you started to waddle? Waddling is definitely something we observe in those with hip arthritis.</span>\n<h4><em><span style=\"font-weight: 400;\">Arthritis, and the loss of cartilage that accompanies it, did not just happen overnight! </span></em></h4>\n<span style=\"font-weight: 400;\">At some point the hip joint becomes destabilized by injury. Most of our patients can recall some type of trauma to the hip. Or even a previous hip procedure. And traumas will injure the ligaments, tendons, and labrum, which set the hip joint up to be unstable. The ongoing instability causes abnormal motion in the hip joint which wears out and promotes degeneration of the hip structures. </span>\n\n<span style=\"font-weight: 400;\">And when the abnormal motion is not repaired and stabilized, the arthritis cycle is encouraged. </span><span style=\"font-weight: 400;\">Abnormal motion leads to wear of the joint structures, which causes more abnormality in the hip motion. And that destroys the hip joint further.  </span>\n<h4><strong>How does surgery cause arthritis to worsen? </strong></h4>\n<span style=\"font-weight: 400;\">In surgeries, like hip arthroscopy, the surgeon reshapes, shaves, and/or removes structures in the hip. The cutting, shaving, and scraping of the hip joint structures worsens the instability. Surgery itself stretches out the ligaments and tendons of the hip.  Just by inserting the large arthroscope into the hip stretches and weakens the ligaments and tendons. In the end, this all adds to the abnormal motion and instability of the joint. </span>\n\n<span style=\"font-weight: 400;\">Labral tears, femoroacetabular impingement, and hip dysplasia are a few other structural hip disorders that can cause chronic joint pain and promote ongoing joint instability. And later, the development of arthritis. Surgeons may recommend surgery for all of these conditions.</span>\n\n<span style=\"font-weight: 400;\">Consider non-surgical Regenerative Orthopedics prior to opting for surgery. </span>\n<h4><b>Regenerative Orthopedics Treats Chronic Hip Pain</b></h4>\n<span style=\"font-weight: 400;\">Have other treatments failed to give you the relief from pain you seek, or the return to function you once enjoyed? Regenerative Orthopedics are very successful at changing many patients lives for the better by decreasing pain and stiffness levels, boosting exercise ability, and lowering or eliminating the need for pain medication. </span>\n\n<span style=\"font-weight: 400;\">As with other joints, musculoskeletal pain is usually due to weakness in the ligaments, tendons and other soft tissue, like the labrum. Regenerative Orthopedics can strengthen the weak and injured soft tissue, repair the injury, and </span><b>regenerate damaged tissue, </b><span style=\"font-weight: 400;\">which ultimately alleviates and resolves the pain.</span>\n\n<span style=\"font-weight: 400;\">The regenerative solutions are injected into the affected hip ligaments, tendons, labrum, and associated joint structures. This stimulates the body’s natural healing cascade to initiate repair to the area. New collagen is deposited. And since this is the material in which ligaments and tendons are made, the result is tightened and stronger soft tissue structures.</span>\n<h4><strong>Our goal at OrthoRegen<sup>®</sup> is for our patients to have an active, healthy, pain-free life. </strong></h4>\n<span style=\"font-weight: 400;\">Regenerative Orthopedic solutions are very safe, affordable options that allow you to keep working, training, and living a normal life without the need for an extended recovery process. And in cases of severe degeneration, the Gold Standard in Stem Cell Therapy may be recommended for optimal repair and return to function.  </span>\n\n<span style=\"font-weight: 400;\">When you receive Regenerative Orthopedic treatments for chronic hip pain, movement will be encouraged, rather than immobilization, because movement is important, and even essential to the healing process.</span>\n<h4><b>Are You A Candidate for Regenerative Orthopedics for Chronic Hip Pain?</b></h4>\n<span style=\"font-weight: 400;\">Would you like a </span><b>second opinion before you have irreversible hip surgery for your unrelenting, chronic hip pain</b><span style=\"font-weight: 400;\">?  Schedule a consultation and find out if you are a good candidate for our Regenerative Orthopedic treatments. </span><a href=\"https://www.drfields.com/contact/\"><span style=\"font-weight: 400;\">Contact us today</span></a><span style=\"font-weight: 400;\"> for a consultation, or call OrthoRegen<sup>®</sup> at </span><span style=\"font-weight: 400;\">[phone]</span><span style=\"font-weight: 400;\">.</span>\n\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>','Hip Pain Solutions','','inherit','closed','closed','','2665-autosave-v1','','','2020-09-02 18:15:56','2020-09-02 18:15:56','',2665,'https://www.drfields.com/uncategorized/2665-autosave-v1/',0,'revision','',0),(4067,9,'2020-09-02 17:44:48','2020-09-02 17:44:48','Hip','Hip','Hip','inherit','open','closed','','hip','','','2020-09-02 17:44:48','2020-09-02 17:44:48','',2665,'https://www.drfields.com/wp-content/uploads/2019/08/hip.jpg',0,'attachment','image/jpeg',0),(4068,9,'2020-09-02 18:03:19','2020-09-02 18:03:19','[caption id=\"attachment_4067\" align=\"alignright\" width=\"522\"]<img class=\"wp-image-4067 \" src=\"https://www.drfields.com/wp-content/uploads/2019/08/hip-500x500.jpg\" alt=\"Hip Pain\" width=\"522\" height=\"522\" /> <strong>                                Don\'t Let Hip Pain Stop You</strong>[/caption]\r\n<h4>Regenerative Orthopedics for Chronic, Persistent Hip Pain</h4>\r\n<span style=\"font-weight: 400;\">The main reason patients with hip pain come to OrthoRegen<sup>®</sup> is to avoid hip replacement surgery. And the pain is usually due to damage caused by hip arthritis. The majority of these folks have received years of different types of treatments such as multiple cortisone injections, prescriptions for NSAIDs (which actually degenerate articular cartilage further), and other therapies that have failed to sufficiently relieve their pain. They have tried the different treatments offered by their doctor and orthopedic surgeons, only to find that they haven’t worked.</span>\r\n\r\n<span style=\"font-weight: 400;\">The degenerative arthritis in their hip hasn’t stopped, and their hips just aren’t functioning like they want or need them to. And now, their “ortho doc” is recommending hip replacement. But they don’t want that and are looking for a way to avoid the surgery! Regenerative Orthopedics gives them a non-surgical option and an alternative to hip replacement surgery.</span>\r\n\r\n<b>Hip Pain and Arthritis</b>\r\n\r\n<b></b><span style=\"font-weight: 400;\">The hip is a ball and socket joint that connects the leg to the pelvis. </span><span style=\"font-weight: 400;\">It has very large ligaments that work to stabilize the hip and prevent injuries. The hip joint has a ring of cartilage that seals the ball and socket called the labrum. And the labrum helps to provide movement between the leg and pelvis. </span>\r\n\r\n<span style=\"font-weight: 400;\">Overuse injuries or traumatic injuries to these various soft tissue structures damage them (ligaments, tendons, and/or hip labrum) and put into motion the arthritis cycle. As this cycle progresses, arthritis pain becomes a source of persistent and often unrelenting pain and disability, which puts a damper on </span><span style=\"font-weight: 400;\">everyday activities. And the symptoms can make even the simplest of tasks difficult to accomplish. That is why so many people turn to Regenerative Orthopedics for Chronic Hip Pain treatment.</span>\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>\r\n\r\n<b>What Causes Hip Pain?</b>\r\n\r\n<span style=\"font-weight: 400;\">Arthritis is the most common cause of chronic hip pain. Symptoms may include pain while driving or pain with sitting for longer periods of time. And other symptoms include limited motion in the hip, with stiffness, pain, and soreness. Have you started to waddle? Waddling is definitely something we observe in those with hip arthritis.</span>\r\n<h4><em><span style=\"font-weight: 400;\">Arthritis, and the loss of cartilage that accompanies it, did not just happen overnight! </span></em></h4>\r\n<span style=\"font-weight: 400;\">At some point the hip joint was destabilized by injury. Most of our patients can recall some type of trauma to the hip. Or even a previous hip procedure. Traumas will injure the ligaments, tendons, and labrum, which set the hip joint up to be unstable. The ongoing instability causes abnormal motion in the hip joint which wears out and promotes degeneration of the hip structures. And this instability in the hip joint encourages the arthritis cycle when it is not repaired and stabilized. </span><span style=\"font-weight: 400;\">Abnormal motion leads to wear of the joint structures, which causes more abnormality in the hip motion. And that destroys the hip joint further.  </span>\r\n<h4><strong>How does surgery cause arthritis to worsen? </strong></h4>\r\n<span style=\"font-weight: 400;\">In surgeries, like hip arthroscopy, the surgeon reshapes, shaves, and/or removes structures in the hip. The cutting, shaving, and scraping of the hip joint structures worsens the instability. Surgery itself stretches out the ligaments and tendons of the hip.  Just by inserting the large arthroscope into the hip stretches and weakens the ligaments and tendons. In the end, this all adds to the abnormal motion and instability of the joint. </span>\r\n\r\n<span style=\"font-weight: 400;\">Labral tears, femoroacetabular impingement, and hip dysplasia are a few other structural hip disorders that can cause chronic joint pain and promote ongoing joint instability. And later, the development of arthritis. Surgeons may recommend surgery for all of these conditions. But conservative, non-surgical options, including Regenerative Orthopedics, should be considered prior to opting for surgery. </span>\r\n\r\n<b>How Regenerative Orthopedics Is Used To Treat Chronic Hip Pain</b>\r\n\r\n<span style=\"font-weight: 400;\">Have other treatments failed to give you the relief from pain you seek, or the return to function you once enjoyed? Regenerative Orthopedics are very successful at changing many patients lives for the better by decreasing pain and stiffness levels, boosting exercise ability, and lowering or eliminating the need for pain medication. </span>\r\n\r\n<span style=\"font-weight: 400;\">As with other joints, musculoskeletal pain is usually due to weakness in the ligaments, tendons and other soft tissue, like the labrum. Regenerative Orthopedics can strengthen the weak and injured soft tissue, repair the injury, and </span><b>regenerate damaged tissue, </b><span style=\"font-weight: 400;\">which ultimately alleviates and resolves the pain.</span>\r\n\r\n<span style=\"font-weight: 400;\">The regenerative solutions are injected into the affected hip ligaments, tendons, labrum, and associated joint structures. This stimulates the body’s natural healing cascade to initiate repair to the area. New collagen is deposited. And since this is the material in which ligaments and tendons are made, the result is tightened and stronger soft tissue structures.</span>\r\n\r\n<span style=\"font-weight: 400;\">Our goal at OrthoRegen<sup>®</sup> is for our patients to have an active, healthy, pain-free life. Regenerative Orthopedic solutions are very safe, affordable options that allow you to keep working, training, and living a normal life without the need for an extended recovery process. In cases of severe degeneration, the Gold Standard in Stem Cell Therapy may be recommended for optimal repair and return to function.  </span>\r\n\r\n<span style=\"font-weight: 400;\">When you receive Regenerative Orthopedic treatments for chronic hip pain, movement will be encouraged, rather than immobilization, because movement is important, and even essential to the healing process.</span>\r\n\r\n<b>Are You A Candidate for Regenerative Orthopedics for Chronic Hip Pain?</b>\r\n\r\n<span style=\"font-weight: 400;\">Would you like a </span><b>second opinion before you have irreversible hip surgery for your unrelenting, chronic hip pain</b><span style=\"font-weight: 400;\">?  Schedule a consultation and find out if you are a good candidate for our Regenerative Orthopedic treatments. </span><a href=\"https://www.drfields.com/contact/\"><span style=\"font-weight: 400;\">Contact us today</span></a><span style=\"font-weight: 400;\"> for a consultation, or call OrthoRegen<sup>®</sup> at </span><span style=\"font-weight: 400;\">[phone]</span><span style=\"font-weight: 400;\">.</span>\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>','Hip Pain Solutions','','inherit','closed','closed','','2665-revision-v1','','','2020-09-02 18:03:19','2020-09-02 18:03:19','',2665,'https://www.drfields.com/uncategorized/2665-revision-v1/',0,'revision','',0),(4069,9,'2020-09-02 18:05:12','2020-09-02 18:05:12','[caption id=\"attachment_4067\" align=\"alignright\" width=\"522\"]That<img class=\"wp-image-4067 \" src=\"https://www.drfields.com/wp-content/uploads/2019/08/hip-500x500.jpg\" alt=\"Hip Pain\" width=\"522\" height=\"522\" /> <strong>                                Don\'t Let Hip Pain Stop You</strong>[/caption]\r\n<h4>Regenerative Orthopedics for Chronic, Persistent Hip Pain</h4>\r\n<span style=\"font-weight: 400;\">The main reason patients with hip pain come to OrthoRegen<sup>®</sup> is to avoid hip replacement surgery. And the pain is usually due to damage caused by hip arthritis. The majority of these folks have received years of different types of treatments such as multiple cortisone injections, prescriptions for NSAIDs (which actually degenerate articular cartilage further), and other therapies that have failed to sufficiently relieve their pain. They have tried the different treatments offered by their doctor and orthopedic surgeons, only to find that they haven’t worked.</span>\r\n\r\n<span style=\"font-weight: 400;\">The degenerative arthritis in their hip hasn’t stopped, and their hips just aren’t functioning like they want or need them to. And now, their “ortho doc” is recommending hip replacement. But they don’t want that and are looking for a way to avoid the surgery! That\'s why they choose Regenerative Orthopedics. The treatment gives them a non-surgical option and an alternative to hip replacement surgery.</span>\r\n\r\n<b>Hip Pain and Arthritis</b>\r\n\r\n<b></b><span style=\"font-weight: 400;\">The hip is a ball and socket joint that connects the leg to the pelvis. </span><span style=\"font-weight: 400;\">It has very large ligaments that work to stabilize the hip and prevent injuries. Also, the hip joint has a ring of cartilage that seals the ball and socket called the labrum. And the labrum helps to provide movement between the leg and pelvis. </span>\r\n\r\n<span style=\"font-weight: 400;\">Overuse injuries or traumatic injuries to these various soft tissue structures damage them (ligaments, tendons, and/or hip labrum) and put into motion the arthritis cycle. As this cycle progresses, arthritis pain becomes a source of persistent and often unrelenting pain and disability, which puts a damper on </span><span style=\"font-weight: 400;\">everyday activities. And the symptoms can make even the simplest of tasks difficult to accomplish. That is why so many people turn to Regenerative Orthopedics for Chronic Hip Pain treatment.</span>\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>\r\n\r\n<b>What Causes Hip Pain?</b>\r\n\r\n<span style=\"font-weight: 400;\">Arthritis is the most common cause of chronic hip pain. Symptoms may include pain while driving or pain with sitting for longer periods of time. And other symptoms include limited motion in the hip, with stiffness, pain, and soreness. Have you started to waddle? Waddling is definitely something we observe in those with hip arthritis.</span>\r\n<h4><em><span style=\"font-weight: 400;\">Arthritis, and the loss of cartilage that accompanies it, did not just happen overnight! </span></em></h4>\r\n<span style=\"font-weight: 400;\">At some point the hip joint was destabilized by injury. Most of our patients can recall some type of trauma to the hip. Or even a previous hip procedure. Traumas will injure the ligaments, tendons, and labrum, which set the hip joint up to be unstable. The ongoing instability causes abnormal motion in the hip joint which wears out and promotes degeneration of the hip structures. And this instability in the hip joint encourages the arthritis cycle when it is not repaired and stabilized. </span><span style=\"font-weight: 400;\">Abnormal motion leads to wear of the joint structures, which causes more abnormality in the hip motion. And that destroys the hip joint further.  </span>\r\n<h4><strong>How does surgery cause arthritis to worsen? </strong></h4>\r\n<span style=\"font-weight: 400;\">In surgeries, like hip arthroscopy, the surgeon reshapes, shaves, and/or removes structures in the hip. The cutting, shaving, and scraping of the hip joint structures worsens the instability. Surgery itself stretches out the ligaments and tendons of the hip.  Just by inserting the large arthroscope into the hip stretches and weakens the ligaments and tendons. In the end, this all adds to the abnormal motion and instability of the joint. </span>\r\n\r\n<span style=\"font-weight: 400;\">Labral tears, femoroacetabular impingement, and hip dysplasia are a few other structural hip disorders that can cause chronic joint pain and promote ongoing joint instability. And later, the development of arthritis. Surgeons may recommend surgery for all of these conditions. But conservative, non-surgical options, including Regenerative Orthopedics, should be considered prior to opting for surgery. </span>\r\n\r\n<b>How Regenerative Orthopedics Is Used To Treat Chronic Hip Pain</b>\r\n\r\n<span style=\"font-weight: 400;\">Have other treatments failed to give you the relief from pain you seek, or the return to function you once enjoyed? Regenerative Orthopedics are very successful at changing many patients lives for the better by decreasing pain and stiffness levels, boosting exercise ability, and lowering or eliminating the need for pain medication. </span>\r\n\r\n<span style=\"font-weight: 400;\">As with other joints, musculoskeletal pain is usually due to weakness in the ligaments, tendons and other soft tissue, like the labrum. Regenerative Orthopedics can strengthen the weak and injured soft tissue, repair the injury, and </span><b>regenerate damaged tissue, </b><span style=\"font-weight: 400;\">which ultimately alleviates and resolves the pain.</span>\r\n\r\n<span style=\"font-weight: 400;\">The regenerative solutions are injected into the affected hip ligaments, tendons, labrum, and associated joint structures. This stimulates the body’s natural healing cascade to initiate repair to the area. New collagen is deposited. And since this is the material in which ligaments and tendons are made, the result is tightened and stronger soft tissue structures.</span>\r\n\r\n<span style=\"font-weight: 400;\">Our goal at OrthoRegen<sup>®</sup> is for our patients to have an active, healthy, pain-free life. Regenerative Orthopedic solutions are very safe, affordable options that allow you to keep working, training, and living a normal life without the need for an extended recovery process. In cases of severe degeneration, the Gold Standard in Stem Cell Therapy may be recommended for optimal repair and return to function.  </span>\r\n\r\n<span style=\"font-weight: 400;\">When you receive Regenerative Orthopedic treatments for chronic hip pain, movement will be encouraged, rather than immobilization, because movement is important, and even essential to the healing process.</span>\r\n\r\n<b>Are You A Candidate for Regenerative Orthopedics for Chronic Hip Pain?</b>\r\n\r\n<span style=\"font-weight: 400;\">Would you like a </span><b>second opinion before you have irreversible hip surgery for your unrelenting, chronic hip pain</b><span style=\"font-weight: 400;\">?  Schedule a consultation and find out if you are a good candidate for our Regenerative Orthopedic treatments. </span><a href=\"https://www.drfields.com/contact/\"><span style=\"font-weight: 400;\">Contact us today</span></a><span style=\"font-weight: 400;\"> for a consultation, or call OrthoRegen<sup>®</sup> at </span><span style=\"font-weight: 400;\">[phone]</span><span style=\"font-weight: 400;\">.</span>\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>','Hip Pain Solutions','','inherit','closed','closed','','2665-revision-v1','','','2020-09-02 18:05:12','2020-09-02 18:05:12','',2665,'https://www.drfields.com/uncategorized/2665-revision-v1/',0,'revision','',0),(4070,9,'2020-09-02 18:05:59','2020-09-02 18:05:59','[caption id=\"attachment_4067\" align=\"alignright\" width=\"522\"]<img class=\"wp-image-4067 \" src=\"https://www.drfields.com/wp-content/uploads/2019/08/hip-500x500.jpg\" alt=\"Hip Pain\" width=\"522\" height=\"522\" /> <strong>                                Don\'t Let Hip Pain Stop You</strong>[/caption]\r\n<h4>Regenerative Orthopedics for Chronic, Persistent Hip Pain</h4>\r\n<span style=\"font-weight: 400;\">The main reason patients with hip pain come to OrthoRegen<sup>®</sup> is to avoid hip replacement surgery. And the pain is usually due to damage caused by hip arthritis. The majority of these folks have received years of different types of treatments such as multiple cortisone injections, prescriptions for NSAIDs (which actually degenerate articular cartilage further), and other therapies that have failed to sufficiently relieve their pain. They have tried the different treatments offered by their doctor and orthopedic surgeons, only to find that they haven’t worked.</span>\r\n\r\n<span style=\"font-weight: 400;\">The degenerative arthritis in their hip hasn’t stopped, and their hips just aren’t functioning like they want or need them to. And now, their “ortho doc” is recommending hip replacement. But they don’t want that and are looking for a way to avoid the surgery! That\'s why they choose Regenerative Orthopedics. The treatment gives them a non-surgical option and an alternative to hip replacement surgery.</span>\r\n\r\n<b>Hip Pain and Arthritis</b>\r\n\r\n<b></b><span style=\"font-weight: 400;\">The hip is a ball and socket joint that connects the leg to the pelvis. </span><span style=\"font-weight: 400;\">It has very large ligaments that work to stabilize the hip and prevent injuries. Also, the hip joint has a ring of cartilage that seals the ball and socket called the labrum. And the labrum helps to provide movement between the leg and pelvis. </span>\r\n\r\n<span style=\"font-weight: 400;\">Overuse injuries or traumatic injuries to these various soft tissue structures damage them (ligaments, tendons, and/or hip labrum) and put into motion the arthritis cycle. As this cycle progresses, arthritis pain becomes a source of persistent and often unrelenting pain and disability, which puts a damper on </span><span style=\"font-weight: 400;\">everyday activities. And the symptoms can make even the simplest of tasks difficult to accomplish. That is why so many people turn to Regenerative Orthopedics for Chronic Hip Pain treatment.</span>\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>\r\n\r\n<b>What Causes Hip Pain?</b>\r\n\r\n<span style=\"font-weight: 400;\">Arthritis is the most common cause of chronic hip pain. Symptoms may include pain while driving or pain with sitting for longer periods of time. And other symptoms include limited motion in the hip, with stiffness, pain, and soreness. Have you started to waddle? Waddling is definitely something we observe in those with hip arthritis.</span>\r\n<h4><em><span style=\"font-weight: 400;\">Arthritis, and the loss of cartilage that accompanies it, did not just happen overnight! </span></em></h4>\r\n<span style=\"font-weight: 400;\">At some point the hip joint was destabilized by injury. Most of our patients can recall some type of trauma to the hip. Or even a previous hip procedure. And traumas will injure the ligaments, tendons, and labrum, which set the hip joint up to be unstable. The ongoing instability causes abnormal motion in the hip joint which wears out and promotes degeneration of the hip structures. And this instability in the hip joint encourages the arthritis cycle when it is not repaired and stabilized. </span><span style=\"font-weight: 400;\">Abnormal motion leads to wear of the joint structures, which causes more abnormality in the hip motion. And that destroys the hip joint further.  </span>\r\n<h4><strong>How does surgery cause arthritis to worsen? </strong></h4>\r\n<span style=\"font-weight: 400;\">In surgeries, like hip arthroscopy, the surgeon reshapes, shaves, and/or removes structures in the hip. The cutting, shaving, and scraping of the hip joint structures worsens the instability. Surgery itself stretches out the ligaments and tendons of the hip.  Just by inserting the large arthroscope into the hip stretches and weakens the ligaments and tendons. In the end, this all adds to the abnormal motion and instability of the joint. </span>\r\n\r\n<span style=\"font-weight: 400;\">Labral tears, femoroacetabular impingement, and hip dysplasia are a few other structural hip disorders that can cause chronic joint pain and promote ongoing joint instability. And later, the development of arthritis. Surgeons may recommend surgery for all of these conditions. But conservative, non-surgical options, including Regenerative Orthopedics, should be considered prior to opting for surgery. </span>\r\n\r\n<b>How Regenerative Orthopedics Is Used To Treat Chronic Hip Pain</b>\r\n\r\n<span style=\"font-weight: 400;\">Have other treatments failed to give you the relief from pain you seek, or the return to function you once enjoyed? Regenerative Orthopedics are very successful at changing many patients lives for the better by decreasing pain and stiffness levels, boosting exercise ability, and lowering or eliminating the need for pain medication. </span>\r\n\r\n<span style=\"font-weight: 400;\">As with other joints, musculoskeletal pain is usually due to weakness in the ligaments, tendons and other soft tissue, like the labrum. Regenerative Orthopedics can strengthen the weak and injured soft tissue, repair the injury, and </span><b>regenerate damaged tissue, </b><span style=\"font-weight: 400;\">which ultimately alleviates and resolves the pain.</span>\r\n\r\n<span style=\"font-weight: 400;\">The regenerative solutions are injected into the affected hip ligaments, tendons, labrum, and associated joint structures. This stimulates the body’s natural healing cascade to initiate repair to the area. New collagen is deposited. And since this is the material in which ligaments and tendons are made, the result is tightened and stronger soft tissue structures.</span>\r\n\r\n<span style=\"font-weight: 400;\">Our goal at OrthoRegen<sup>®</sup> is for our patients to have an active, healthy, pain-free life. Regenerative Orthopedic solutions are very safe, affordable options that allow you to keep working, training, and living a normal life without the need for an extended recovery process. In cases of severe degeneration, the Gold Standard in Stem Cell Therapy may be recommended for optimal repair and return to function.  </span>\r\n\r\n<span style=\"font-weight: 400;\">When you receive Regenerative Orthopedic treatments for chronic hip pain, movement will be encouraged, rather than immobilization, because movement is important, and even essential to the healing process.</span>\r\n\r\n<b>Are You A Candidate for Regenerative Orthopedics for Chronic Hip Pain?</b>\r\n\r\n<span style=\"font-weight: 400;\">Would you like a </span><b>second opinion before you have irreversible hip surgery for your unrelenting, chronic hip pain</b><span style=\"font-weight: 400;\">?  Schedule a consultation and find out if you are a good candidate for our Regenerative Orthopedic treatments. </span><a href=\"https://www.drfields.com/contact/\"><span style=\"font-weight: 400;\">Contact us today</span></a><span style=\"font-weight: 400;\"> for a consultation, or call OrthoRegen<sup>®</sup> at </span><span style=\"font-weight: 400;\">[phone]</span><span style=\"font-weight: 400;\">.</span>\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>','Hip Pain Solutions','','inherit','closed','closed','','2665-revision-v1','','','2020-09-02 18:05:59','2020-09-02 18:05:59','',2665,'https://www.drfields.com/uncategorized/2665-revision-v1/',0,'revision','',0),(4071,9,'2020-09-02 18:08:54','2020-09-02 18:08:54','<h4>Regenerative Orthopedics for Chronic, Persistent Hip Pain</h4>\r\n<span style=\"font-weight: 400;\">The main reason patients with hip pain come to OrthoRegen<sup>®</sup> is to avoid hip replacement surgery. And the pain is usually due to damage caused by hip arthritis. The majority of these folks have received years of different types of treatments such as multiple cortisone injections, prescriptions for NSAIDs (which actually degenerate articular cartilage further), and other therapies that have failed to sufficiently relieve their pain. They have tried the different treatments offered by their doctor and orthopedic surgeons, only to find that they haven’t worked.</span>\r\n\r\n<span style=\"font-weight: 400;\">The degenerative arthritis in their hip hasn’t stopped, and their hips just aren’t functioning like they want or need them to. And now, their “ortho doc” is recommending hip replacement. But they don’t want that and are looking for a way to avoid the surgery! That\'s why they choose Regenerative Orthopedics. The treatment gives them a non-surgical option and an alternative to hip replacement surgery.</span>\r\n\r\n<b>Hip Pain and Arthritis</b>\r\n\r\n<b></b><span style=\"font-weight: 400;\">The hip is a ball and socket joint that connects the leg to the pelvis. </span><span style=\"font-weight: 400;\">It has very large ligaments that work to stabilize the hip and prevent injuries. Also, the hip joint has a ring of cartilage that seals the ball and socket called the labrum. And the labrum helps to provide movement between the leg and pelvis. </span>\r\n\r\n<span style=\"font-weight: 400;\">Overuse injuries or traumatic injuries to these various soft tissue structures damage them (ligaments, tendons, and/or hip labrum) and put into motion the arthritis cycle. As this cycle progresses, arthritis pain becomes a source of persistent and often unrelenting pain and disability, which puts a damper on </span><span style=\"font-weight: 400;\">everyday activities. And the symptoms can make even the simplest of tasks difficult to accomplish. That is why so many people turn to Regenerative Orthopedics for Chronic Hip Pain treatment.</span>\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>\r\n\r\n<b>What Causes Hip Pain?</b>\r\n\r\n<span style=\"font-weight: 400;\">Arthritis is the most common cause of chronic hip pain. Symptoms may include pain while driving or pain with sitting for longer periods of time. And other symptoms include limited motion in the hip, with stiffness, pain, and soreness. Have you started to waddle? Waddling is definitely something we observe in those with hip arthritis.</span>\r\n<h4><em><span style=\"font-weight: 400;\">Arthritis, and the loss of cartilage that accompanies it, did not just happen overnight! </span></em></h4>\r\n<span style=\"font-weight: 400;\">At some point the hip joint becomes destabilized by injury. Most of our patients can recall some type of trauma to the hip. Or even a previous hip procedure. And traumas will injure the ligaments, tendons, and labrum, which set the hip joint up to be unstable. The ongoing instability causes abnormal motion in the hip joint which wears out and promotes degeneration of the hip structures. And this instability in the hip joint encourages the arthritis cycle when it is not repaired and stabilized. </span><span style=\"font-weight: 400;\">Abnormal motion leads to wear of the joint structures, which causes more abnormality in the hip motion. And that destroys the hip joint further.  </span>\r\n<h4><strong>How does surgery cause arthritis to worsen? </strong></h4>\r\n<span style=\"font-weight: 400;\">In surgeries, like hip arthroscopy, the surgeon reshapes, shaves, and/or removes structures in the hip. The cutting, shaving, and scraping of the hip joint structures worsens the instability. Surgery itself stretches out the ligaments and tendons of the hip.  Just by inserting the large arthroscope into the hip stretches and weakens the ligaments and tendons. In the end, this all adds to the abnormal motion and instability of the joint. </span>\r\n\r\n<span style=\"font-weight: 400;\">Labral tears, femoroacetabular impingement, and hip dysplasia are a few other structural hip disorders that can cause chronic joint pain and promote ongoing joint instability. And later, the development of arthritis. Surgeons may recommend surgery for all of these conditions. But conservative, non-surgical options, including Regenerative Orthopedics, should be considered prior to opting for surgery. </span>\r\n\r\n<b>How Regenerative Orthopedics Is Used To Treat Chronic Hip Pain</b>\r\n\r\n<span style=\"font-weight: 400;\">Have other treatments failed to give you the relief from pain you seek, or the return to function you once enjoyed? Regenerative Orthopedics are very successful at changing many patients lives for the better by decreasing pain and stiffness levels, boosting exercise ability, and lowering or eliminating the need for pain medication. </span>\r\n\r\n<span style=\"font-weight: 400;\">As with other joints, musculoskeletal pain is usually due to weakness in the ligaments, tendons and other soft tissue, like the labrum. Regenerative Orthopedics can strengthen the weak and injured soft tissue, repair the injury, and </span><b>regenerate damaged tissue, </b><span style=\"font-weight: 400;\">which ultimately alleviates and resolves the pain.</span>\r\n\r\n<span style=\"font-weight: 400;\">The regenerative solutions are injected into the affected hip ligaments, tendons, labrum, and associated joint structures. This stimulates the body’s natural healing cascade to initiate repair to the area. New collagen is deposited. And since this is the material in which ligaments and tendons are made, the result is tightened and stronger soft tissue structures.</span>\r\n\r\n<span style=\"font-weight: 400;\">Our goal at OrthoRegen<sup>®</sup> is for our patients to have an active, healthy, pain-free life. Regenerative Orthopedic solutions are very safe, affordable options that allow you to keep working, training, and living a normal life without the need for an extended recovery process. And in cases of severe degeneration, the Gold Standard in Stem Cell Therapy may be recommended for optimal repair and return to function.  </span>\r\n\r\n<span style=\"font-weight: 400;\">When you receive Regenerative Orthopedic treatments for chronic hip pain, movement will be encouraged, rather than immobilization, because movement is important, and even essential to the healing process.</span>\r\n\r\n<b>Are You A Candidate for Regenerative Orthopedics for Chronic Hip Pain?</b>\r\n\r\n<span style=\"font-weight: 400;\">Would you like a </span><b>second opinion before you have irreversible hip surgery for your unrelenting, chronic hip pain</b><span style=\"font-weight: 400;\">?  Schedule a consultation and find out if you are a good candidate for our Regenerative Orthopedic treatments. </span><a href=\"https://www.drfields.com/contact/\"><span style=\"font-weight: 400;\">Contact us today</span></a><span style=\"font-weight: 400;\"> for a consultation, or call OrthoRegen<sup>®</sup> at </span><span style=\"font-weight: 400;\">[phone]</span><span style=\"font-weight: 400;\">.</span>\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>','Hip Pain Solutions','','inherit','closed','closed','','2665-revision-v1','','','2020-09-02 18:08:54','2020-09-02 18:08:54','',2665,'https://www.drfields.com/uncategorized/2665-revision-v1/',0,'revision','',0),(4072,9,'2020-09-02 18:13:10','2020-09-02 18:13:10','<h4>Regenerative Orthopedics for Chronic, Persistent Hip Pain</h4>\r\n<span style=\"font-weight: 400;\">The main reason patients with hip pain come to OrthoRegen<sup>®</sup> is to avoid hip replacement surgery. And the pain is usually due to damage caused by hip arthritis. The majority of these folks have received years of different types of treatments such as multiple cortisone injections, prescriptions for NSAIDs (which actually degenerate articular cartilage further), and other therapies that have failed to sufficiently relieve their pain. They have tried the different treatments offered by their doctor and orthopedic surgeons, only to find that they haven’t worked.</span>\r\n\r\n<span style=\"font-weight: 400;\">The degenerative arthritis in their hip hasn’t stopped, and their hips just aren’t functioning like they want or need them to. And now, their “ortho doc” is recommending hip replacement. But they don’t want that and are looking for a way to avoid the surgery! That\'s why they choose Regenerative Orthopedics. The treatment gives them a non-surgical option and an alternative to hip replacement surgery.</span>\r\n\r\n<b>Hip Pain and Arthritis</b>\r\n\r\n<b></b><span style=\"font-weight: 400;\">The hip is a ball and socket joint that connects the leg to the pelvis. </span><span style=\"font-weight: 400;\">It has very large ligaments that work to stabilize the hip and prevent injuries. Also, the hip joint has a ring of cartilage that seals the ball and socket called the labrum. And the labrum helps to provide movement between the leg and pelvis. </span>\r\n\r\n<span style=\"font-weight: 400;\">Overuse injuries or traumatic injuries to these various soft tissue structures damage them (ligaments, tendons, and/or hip labrum) and put into motion the arthritis cycle. As this cycle progresses, arthritis pain becomes a source of persistent and often unrelenting pain and disability, which puts a damper on </span><span style=\"font-weight: 400;\">everyday activities. And the symptoms can make even the simplest of tasks difficult to accomplish. That is why so many people turn to Regenerative Orthopedics for Chronic Hip Pain treatment.</span>\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>\r\n\r\n<b>What Causes Hip Pain?</b>\r\n\r\n<span style=\"font-weight: 400;\">Arthritis is the most common cause of chronic hip pain. Symptoms may include pain while driving or pain with sitting for longer periods of time. And other symptoms include limited motion in the hip, with stiffness, pain, and soreness. Have you started to waddle? Waddling is definitely something we observe in those with hip arthritis.</span>\r\n<h4><em><span style=\"font-weight: 400;\">Arthritis, and the loss of cartilage that accompanies it, did not just happen overnight! </span></em></h4>\r\n<span style=\"font-weight: 400;\">At some point the hip joint becomes destabilized by injury. Most of our patients can recall some type of trauma to the hip. Or even a previous hip procedure. And traumas will injure the ligaments, tendons, and labrum, which set the hip joint up to be unstable. The ongoing instability causes abnormal motion in the hip joint which wears out and promotes degeneration of the hip structures. </span>\r\n\r\n<span style=\"font-weight: 400;\">And when the abnormal motion is not repaired and stabilized, the arthritis cycle is encouraged. </span><span style=\"font-weight: 400;\">Abnormal motion leads to wear of the joint structures, which causes more abnormality in the hip motion. And that destroys the hip joint further.  </span>\r\n<h4><strong>How does surgery cause arthritis to worsen? </strong></h4>\r\n<span style=\"font-weight: 400;\">In surgeries, like hip arthroscopy, the surgeon reshapes, shaves, and/or removes structures in the hip. The cutting, shaving, and scraping of the hip joint structures worsens the instability. Surgery itself stretches out the ligaments and tendons of the hip.  Just by inserting the large arthroscope into the hip stretches and weakens the ligaments and tendons. In the end, this all adds to the abnormal motion and instability of the joint. </span>\r\n\r\n<span style=\"font-weight: 400;\">Labral tears, femoroacetabular impingement, and hip dysplasia are a few other structural hip disorders that can cause chronic joint pain and promote ongoing joint instability. And later, the development of arthritis. Surgeons may recommend surgery for all of these conditions.</span>\r\n\r\n<span style=\"font-weight: 400;\">Consider non-surgical Regenerative Orthopedics prior to opting for surgery. </span>\r\n\r\n<b>How Regenerative Orthopedics Is Used To Treat Chronic Hip Pain</b>\r\n\r\n<span style=\"font-weight: 400;\">Have other treatments failed to give you the relief from pain you seek, or the return to function you once enjoyed? Regenerative Orthopedics are very successful at changing many patients lives for the better by decreasing pain and stiffness levels, boosting exercise ability, and lowering or eliminating the need for pain medication. </span>\r\n\r\n<span style=\"font-weight: 400;\">As with other joints, musculoskeletal pain is usually due to weakness in the ligaments, tendons and other soft tissue, like the labrum. Regenerative Orthopedics can strengthen the weak and injured soft tissue, repair the injury, and </span><b>regenerate damaged tissue, </b><span style=\"font-weight: 400;\">which ultimately alleviates and resolves the pain.</span>\r\n\r\n<span style=\"font-weight: 400;\">The regenerative solutions are injected into the affected hip ligaments, tendons, labrum, and associated joint structures. This stimulates the body’s natural healing cascade to initiate repair to the area. New collagen is deposited. And since this is the material in which ligaments and tendons are made, the result is tightened and stronger soft tissue structures.</span>\r\n\r\n<span style=\"font-weight: 400;\">Our goal at OrthoRegen<sup>®</sup> is for our patients to have an active, healthy, pain-free life. Regenerative Orthopedic solutions are very safe, affordable options that allow you to keep working, training, and living a normal life without the need for an extended recovery process. And in cases of severe degeneration, the Gold Standard in Stem Cell Therapy may be recommended for optimal repair and return to function.  </span>\r\n\r\n<span style=\"font-weight: 400;\">When you receive Regenerative Orthopedic treatments for chronic hip pain, movement will be encouraged, rather than immobilization, because movement is important, and even essential to the healing process.</span>\r\n\r\n<b>Are You A Candidate for Regenerative Orthopedics for Chronic Hip Pain?</b>\r\n\r\n<span style=\"font-weight: 400;\">Would you like a </span><b>second opinion before you have irreversible hip surgery for your unrelenting, chronic hip pain</b><span style=\"font-weight: 400;\">?  Schedule a consultation and find out if you are a good candidate for our Regenerative Orthopedic treatments. </span><a href=\"https://www.drfields.com/contact/\"><span style=\"font-weight: 400;\">Contact us today</span></a><span style=\"font-weight: 400;\"> for a consultation, or call OrthoRegen<sup>®</sup> at </span><span style=\"font-weight: 400;\">[phone]</span><span style=\"font-weight: 400;\">.</span>\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>','Hip Pain Solutions','','inherit','closed','closed','','2665-revision-v1','','','2020-09-02 18:13:10','2020-09-02 18:13:10','',2665,'https://www.drfields.com/uncategorized/2665-revision-v1/',0,'revision','',0),(4073,9,'2020-09-02 18:13:49','2020-09-02 18:13:49','<h4>Regenerative Orthopedics for Chronic, Persistent Hip Pain</h4>\r\n<span style=\"font-weight: 400;\">The main reason patients with hip pain come to OrthoRegen<sup>®</sup> is to avoid hip replacement surgery. And the pain is usually due to damage caused by hip arthritis. The majority of these folks have received years of different types of treatments such as multiple cortisone injections, prescriptions for NSAIDs (which actually degenerate articular cartilage further), and other therapies that have failed to sufficiently relieve their pain. They have tried the different treatments offered by their doctor and orthopedic surgeons, only to find that they haven’t worked.</span>\r\n\r\n<span style=\"font-weight: 400;\">The degenerative arthritis in their hip hasn’t stopped, and their hips just aren’t functioning like they want or need them to. And now, their “ortho doc” is recommending hip replacement. But they don’t want that and are looking for a way to avoid the surgery! That\'s why they choose Regenerative Orthopedics. The treatment gives them a non-surgical option and an alternative to hip replacement surgery.</span>\r\n\r\n<b>Hip Pain and Arthritis</b>\r\n\r\n<b></b><span style=\"font-weight: 400;\">The hip is a ball and socket joint that connects the leg to the pelvis. </span><span style=\"font-weight: 400;\">It has very large ligaments that work to stabilize the hip and prevent injuries. Also, the hip joint has a ring of cartilage that seals the ball and socket called the labrum. And the labrum helps to provide movement between the leg and pelvis. </span>\r\n\r\n<span style=\"font-weight: 400;\">Overuse injuries or traumatic injuries to these various soft tissue structures damage them (ligaments, tendons, and/or hip labrum) and put into motion the arthritis cycle. As this cycle progresses, arthritis pain becomes a source of persistent and often unrelenting pain and disability, which puts a damper on </span><span style=\"font-weight: 400;\">everyday activities. And the symptoms can make even the simplest of tasks difficult to accomplish. That is why so many people turn to Regenerative Orthopedics for Chronic Hip Pain treatment.</span>\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>\r\n\r\n<b>What Causes Hip Pain?</b>\r\n\r\n<span style=\"font-weight: 400;\">Arthritis is the most common cause of chronic hip pain. Symptoms may include pain while driving or pain with sitting for longer periods of time. And other symptoms include limited motion in the hip, with stiffness, pain, and soreness. Have you started to waddle? Waddling is definitely something we observe in those with hip arthritis.</span>\r\n<h4><em><span style=\"font-weight: 400;\">Arthritis, and the loss of cartilage that accompanies it, did not just happen overnight! </span></em></h4>\r\n<span style=\"font-weight: 400;\">At some point the hip joint becomes destabilized by injury. Most of our patients can recall some type of trauma to the hip. Or even a previous hip procedure. And traumas will injure the ligaments, tendons, and labrum, which set the hip joint up to be unstable. The ongoing instability causes abnormal motion in the hip joint which wears out and promotes degeneration of the hip structures. </span>\r\n\r\n<span style=\"font-weight: 400;\">And when the abnormal motion is not repaired and stabilized, the arthritis cycle is encouraged. </span><span style=\"font-weight: 400;\">Abnormal motion leads to wear of the joint structures, which causes more abnormality in the hip motion. And that destroys the hip joint further.  </span>\r\n<h4><strong>How does surgery cause arthritis to worsen? </strong></h4>\r\n<span style=\"font-weight: 400;\">In surgeries, like hip arthroscopy, the surgeon reshapes, shaves, and/or removes structures in the hip. The cutting, shaving, and scraping of the hip joint structures worsens the instability. Surgery itself stretches out the ligaments and tendons of the hip.  Just by inserting the large arthroscope into the hip stretches and weakens the ligaments and tendons. In the end, this all adds to the abnormal motion and instability of the joint. </span>\r\n\r\n<span style=\"font-weight: 400;\">Labral tears, femoroacetabular impingement, and hip dysplasia are a few other structural hip disorders that can cause chronic joint pain and promote ongoing joint instability. And later, the development of arthritis. Surgeons may recommend surgery for all of these conditions.</span>\r\n\r\n<span style=\"font-weight: 400;\">Consider non-surgical Regenerative Orthopedics prior to opting for surgery. </span>\r\n\r\n<b>Regenerative Orthopedics Treats Chronic Hip Pain</b>\r\n\r\n<span style=\"font-weight: 400;\">Have other treatments failed to give you the relief from pain you seek, or the return to function you once enjoyed? Regenerative Orthopedics are very successful at changing many patients lives for the better by decreasing pain and stiffness levels, boosting exercise ability, and lowering or eliminating the need for pain medication. </span>\r\n\r\n<span style=\"font-weight: 400;\">As with other joints, musculoskeletal pain is usually due to weakness in the ligaments, tendons and other soft tissue, like the labrum. Regenerative Orthopedics can strengthen the weak and injured soft tissue, repair the injury, and </span><b>regenerate damaged tissue, </b><span style=\"font-weight: 400;\">which ultimately alleviates and resolves the pain.</span>\r\n\r\n<span style=\"font-weight: 400;\">The regenerative solutions are injected into the affected hip ligaments, tendons, labrum, and associated joint structures. This stimulates the body’s natural healing cascade to initiate repair to the area. New collagen is deposited. And since this is the material in which ligaments and tendons are made, the result is tightened and stronger soft tissue structures.</span>\r\n\r\n<span style=\"font-weight: 400;\">Our goal at OrthoRegen<sup>®</sup> is for our patients to have an active, healthy, pain-free life. Regenerative Orthopedic solutions are very safe, affordable options that allow you to keep working, training, and living a normal life without the need for an extended recovery process. And in cases of severe degeneration, the Gold Standard in Stem Cell Therapy may be recommended for optimal repair and return to function.  </span>\r\n\r\n<span style=\"font-weight: 400;\">When you receive Regenerative Orthopedic treatments for chronic hip pain, movement will be encouraged, rather than immobilization, because movement is important, and even essential to the healing process.</span>\r\n\r\n<b>Are You A Candidate for Regenerative Orthopedics for Chronic Hip Pain?</b>\r\n\r\n<span style=\"font-weight: 400;\">Would you like a </span><b>second opinion before you have irreversible hip surgery for your unrelenting, chronic hip pain</b><span style=\"font-weight: 400;\">?  Schedule a consultation and find out if you are a good candidate for our Regenerative Orthopedic treatments. </span><a href=\"https://www.drfields.com/contact/\"><span style=\"font-weight: 400;\">Contact us today</span></a><span style=\"font-weight: 400;\"> for a consultation, or call OrthoRegen<sup>®</sup> at </span><span style=\"font-weight: 400;\">[phone]</span><span style=\"font-weight: 400;\">.</span>\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>','Hip Pain Solutions','','inherit','closed','closed','','2665-revision-v1','','','2020-09-02 18:13:49','2020-09-02 18:13:49','',2665,'https://www.drfields.com/uncategorized/2665-revision-v1/',0,'revision','',0),(4074,9,'2020-09-02 18:16:08','2020-09-02 18:16:08','<h4>Regenerative Orthopedics for Chronic, Persistent Hip Pain</h4>\r\n<span style=\"font-weight: 400;\">The main reason patients with hip pain come to OrthoRegen<sup>®</sup> is to avoid hip replacement surgery. And the pain is usually due to damage caused by hip arthritis. The majority of these folks have received years of different types of treatments such as multiple cortisone injections, prescriptions for NSAIDs (which actually degenerate articular cartilage further), and other therapies that have failed to sufficiently relieve their pain. They have tried the different treatments offered by their doctor and orthopedic surgeons, only to find that they haven’t worked.</span>\r\n\r\n<span style=\"font-weight: 400;\">The degenerative arthritis in their hip hasn’t stopped, and their hips just aren’t functioning like they want or need them to. And now, their “ortho doc” is recommending hip replacement. But they don’t want that and are looking for a way to avoid the surgery! That\'s why they choose Regenerative Orthopedics. The treatment gives them a non-surgical option and an alternative to hip replacement surgery.</span>\r\n<h4><b>Hip Pain and Arthritis</b></h4>\r\n<b></b><span style=\"font-weight: 400;\">The hip is a ball and socket joint that connects the leg to the pelvis. </span><span style=\"font-weight: 400;\">It has very large ligaments that work to stabilize the hip and prevent injuries. Also, the hip joint has a ring of cartilage that seals the ball and socket called the labrum. And the labrum helps to provide movement between the leg and pelvis. </span>\r\n\r\n<span style=\"font-weight: 400;\">Overuse injuries or traumatic injuries to these various soft tissue structures damage them (ligaments, tendons, and/or hip labrum) and put into motion the arthritis cycle. As this cycle progresses, arthritis pain becomes a source of persistent and often unrelenting pain and disability, which puts a damper on </span><span style=\"font-weight: 400;\">everyday activities. And the symptoms can make even the simplest of tasks difficult to accomplish. That is why so many people turn to Regenerative Orthopedics for Chronic Hip Pain treatment.</span>\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>\r\n<h4><b>What Causes Hip Pain?</b></h4>\r\n<span style=\"font-weight: 400;\">Arthritis is the most common cause of chronic hip pain. Symptoms may include pain while driving or pain with sitting for longer periods of time. And other symptoms include limited motion in the hip, with stiffness, pain, and soreness. Have you started to waddle? Waddling is definitely something we observe in those with hip arthritis.</span>\r\n<h4><em><span style=\"font-weight: 400;\">Arthritis, and the loss of cartilage that accompanies it, did not just happen overnight! </span></em></h4>\r\n<span style=\"font-weight: 400;\">At some point the hip joint becomes destabilized by injury. Most of our patients can recall some type of trauma to the hip. Or even a previous hip procedure. And traumas will injure the ligaments, tendons, and labrum, which set the hip joint up to be unstable. The ongoing instability causes abnormal motion in the hip joint which wears out and promotes degeneration of the hip structures. </span>\r\n\r\n<span style=\"font-weight: 400;\">And when the abnormal motion is not repaired and stabilized, the arthritis cycle is encouraged. </span><span style=\"font-weight: 400;\">Abnormal motion leads to wear of the joint structures, which causes more abnormality in the hip motion. And that destroys the hip joint further.  </span>\r\n<h4><strong>How does surgery cause arthritis to worsen? </strong></h4>\r\n<span style=\"font-weight: 400;\">In surgeries, like hip arthroscopy, the surgeon reshapes, shaves, and/or removes structures in the hip. The cutting, shaving, and scraping of the hip joint structures worsens the instability. Surgery itself stretches out the ligaments and tendons of the hip.  Just by inserting the large arthroscope into the hip stretches and weakens the ligaments and tendons. In the end, this all adds to the abnormal motion and instability of the joint. </span>\r\n\r\n<span style=\"font-weight: 400;\">Labral tears, femoroacetabular impingement, and hip dysplasia are a few other structural hip disorders that can cause chronic joint pain and promote ongoing joint instability. And later, the development of arthritis. Surgeons may recommend surgery for all of these conditions.</span>\r\n\r\n<span style=\"font-weight: 400;\">Consider non-surgical Regenerative Orthopedics prior to opting for surgery. </span>\r\n<h4><b>Regenerative Orthopedics Treats Chronic Hip Pain</b></h4>\r\n<span style=\"font-weight: 400;\">Have other treatments failed to give you the relief from pain you seek, or the return to function you once enjoyed? Regenerative Orthopedics are very successful at changing many patients lives for the better by decreasing pain and stiffness levels, boosting exercise ability, and lowering or eliminating the need for pain medication. </span>\r\n\r\n<span style=\"font-weight: 400;\">As with other joints, musculoskeletal pain is usually due to weakness in the ligaments, tendons and other soft tissue, like the labrum. Regenerative Orthopedics can strengthen the weak and injured soft tissue, repair the injury, and </span><b>regenerate damaged tissue, </b><span style=\"font-weight: 400;\">which ultimately alleviates and resolves the pain.</span>\r\n\r\n<span style=\"font-weight: 400;\">The regenerative solutions are injected into the affected hip ligaments, tendons, labrum, and associated joint structures. This stimulates the body’s natural healing cascade to initiate repair to the area. New collagen is deposited. And since this is the material in which ligaments and tendons are made, the result is tightened and stronger soft tissue structures.</span>\r\n<h4><strong>Our goal at OrthoRegen<sup>®</sup> is for our patients to have an active, healthy, pain-free life. </strong></h4>\r\n<span style=\"font-weight: 400;\">Regenerative Orthopedic solutions are very safe, affordable options that allow you to keep working, training, and living a normal life without the need for an extended recovery process. And in cases of severe degeneration, the Gold Standard in Stem Cell Therapy may be recommended for optimal repair and return to function.  </span>\r\n\r\n<span style=\"font-weight: 400;\">When you receive Regenerative Orthopedic treatments for chronic hip pain, movement will be encouraged, rather than immobilization, because movement is important, and even essential to the healing process.</span>\r\n<h4><b>Are You A Candidate for Regenerative Orthopedics for Chronic Hip Pain?</b></h4>\r\n<span style=\"font-weight: 400;\">Would you like a </span><b>second opinion before you have irreversible hip surgery for your unrelenting, chronic hip pain</b><span style=\"font-weight: 400;\">?  Schedule a consultation and find out if you are a good candidate for our Regenerative Orthopedic treatments. </span><a href=\"https://www.drfields.com/contact/\"><span style=\"font-weight: 400;\">Contact us today</span></a><span style=\"font-weight: 400;\"> for a consultation, or call OrthoRegen<sup>®</sup> at </span><span style=\"font-weight: 400;\">[phone]</span><span style=\"font-weight: 400;\">.</span>\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>','Hip Pain Solutions','','inherit','closed','closed','','2665-revision-v1','','','2020-09-02 18:16:08','2020-09-02 18:16:08','',2665,'https://www.drfields.com/uncategorized/2665-revision-v1/',0,'revision','',0),(4075,9,'2020-09-02 18:19:59','2020-09-02 18:19:59','Knee Injury','Knee Injury','Knee Injury','inherit','open','closed','','knee-injury','','','2020-09-02 18:19:59','2020-09-02 18:19:59','',2650,'https://www.drfields.com/wp-content/uploads/2019/08/knee-injury.png',0,'attachment','image/png',0),(4076,9,'2020-09-02 18:35:56','2020-09-02 18:35:56','[caption id=\"attachment_4075\" align=\"alignleft\" width=\"539\"]<img class=\"wp-image-4075 \" src=\"https://www.drfields.com/wp-content/uploads/2019/08/knee-injury-500x500.png\" alt=\"Knee Injury Treatment\" width=\"539\" height=\"539\" /> <strong>Chondromalacia Patella Can Be Treated with Prolotherapy</strong>[/caption]\n\n<span style=\"font-weight: 400;\">In Chondromalacia Patella, the kneecap tracks abnormally making everyday activities difficult, interfering with sports, and causing knee pain. The condition is common in runners and athletes, especially in activities that involve a lot of running. And it can affect young, healthy individuals, as well as older adults. Chondromalacia patella is one of the causes of patellofemoral pain syndrome. </span>\n<h4><b>What Causes Chondromalacia Patella?</b></h4>\n<span style=\"font-weight: 400;\">Chondro means cartilage, malacia means breakdown, and patella means knee cap. So, when someone suffers from this condition, they will have cartilage breakdown and fraying underneath the knee cap. </span>\n\n<span style=\"font-weight: 400;\">Excessive, abnormal movement or hypermobility of the knee is considered a contributing factor in the development of chondromalacia patella</span><span style=\"font-weight: 400;\">.</span>\n\n<span style=\"font-weight: 400;\">Normally, the patella slides easily along the smooth surface of the patellar groove with bending and straightening of the knee. But with chondromalacia patella, the cartilage becomes rough and wears away.</span>\n\n&nbsp;\n<h4>Symptoms of Chondromalacia Patella</h4>\n<span style=\"font-weight: 400;\">The symptoms of chondromalacia patella include pain around the kneecap and clicking, cracking or popping sounds. And these tend to exacerbate with activity and worsen over time.</span>\n\n<span style=\"font-weight: 400;\">The kneecap ends up scraping the bones underneath the knee when the person moves the knee. The patella, or kneecap, is the largest “sesamoid” bone in the body, and it plays a crucial role in the bending and straightening of the knee. When there is a problem with the patella, the knee joint becomes unstable and movement becomes difficult and/or painful.</span>\n<h4>Chondromalacia Patella and Patellar Pain Syndrome</h4>\n<span style=\"font-weight: 400;\">Chondromalacia Patella is a type of patellar pain syndrome. And these syndromes often involve problems and injury of other soft tissue structures.</span> <span style=\"font-weight: 400;\">Patellar pain syndromes are often due to ligament injuries, meniscal tears, bony aberrations, muscle imbalances, or a combination of these conditions. </span>\n\n<span style=\"font-weight: 400;\">Patellar pain syndromes can be caused by trauma. But they are primarily due to anatomic or bio-mechanical conditions that are prone to “failure\" either in a bone or soft-tissue component. That means there may be injured ligaments or injured tendons, which are actually part of the underlying problem and adding to the tracking issue. If these other soft tissue injuries are not treated, the knee will remain unstable, creating a negative cycle and resulting in significant impairment.</span> <span style=\"font-weight: 400;\"> </span>\n<h4><b>What Are the Usual Treatments?</b></h4>\n<span style=\"font-weight: 400;\">Taping, strengthening exercises, and stretching are typical treatments for Chondromalacia Patella. These treatments may work for a short period of time. But generally do not cure the condition. Regenerative Orthopedics, on the other hand, can improve patellar tracking and relieve the symptoms of Chondromalacia Patella.</span>\n\n<span style=\"font-weight: 400;\">Physical therapy, to strengthen the quadriceps may be an important treatment component in Chondromalacia Patella. However, if the quadriceps tendon or other soft tissue, like ligaments are injured, then they need to be treated, because physical therapy success will otherwise be limited. </span>\n\n<span style=\"font-weight: 400;\">Let’s explain further.  If the soft tissue component is not treated, the joint will remain unstable, the abnormal movement will continue, the negative cycle is promoted, and the impairment and altered tracking of the patella</span><span style=\"font-weight: 400;\"> will persist.</span><span style=\"font-weight: 400;\"> Physical therapy, patellar taping, orthotics, ice applications, and soft braces do not address the underlying issues of joint instability caused by the ligament injury, tendon injury, or meniscal tears.  </span>\n<h4><em>And Surgery?</em></h4>\n<span style=\"font-weight: 400;\">Surgery is becoming more and more common for various knee conditions, and in some cases may be indicated. But unless a person is dealing with a fracture or a complete ligament rupture, a more conservative option should be considered.</span>\n<h4>Regenerative Orthopedics Works Even After You\'ve Tried Many Other Treatments for Chondromalacia Patella</h4>\n<span style=\"font-weight: 400;\">It is very possible that you have already tried various treatments, and even employed them over and over. But they continue to fall short in bringing you the relief and return to function and sport that you desire. Regenerative Orthopedics, on the other hand, can promote non-surgical repair of the ligament, tendon, and meniscus. And have been utilized with positive outcomes for patellar pain syndromes like Chondromalacia Patella.</span>\n\n<span style=\"font-weight: 400;\">Regenerative Orthopedics is a therapeutic option that can promote the repair of injured or degenerated soft tissue. The treatment boosts the physiologic healing processes of the joint, thereby ameliorating joint instability and potentially all of the related conditions above. Stem Cell Therapy, PRP, and Prolotherapy are regenerative techniques well suited for soft tissue injury of the knee joint. And they have been used to effectively treat a wide variety of knee pain conditions, including Chondromalacia Patella.</span>\n\n<span style=\"font-weight: 400;\"> Soft tissue injuries of the knee often have an unsatisfactory outcome due to incomplete healing and repair. Regenerative Orthopedics is a treatment technique that has been explored for conditions that require soft tissue healing, with the goal of restoring normal ligament and tendon function.</span> <span style=\"font-weight: 400;\"> </span><span style=\"font-weight: 400;\">Regenerative Orthopedics is a conservative treatment that reduces Chondromalacia Patella symptoms, improves function, and restores normal tracking of the patella, returning you quickly to the sport and activities you enjoy.</span><span style=\"font-weight: 400;\"> </span>\n\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Chondromalacia Patella Treated Successfully','','inherit','closed','closed','','2650-autosave-v1','','','2020-09-02 18:35:56','2020-09-02 18:35:56','',2650,'https://www.drfields.com/uncategorized/2650-autosave-v1/',0,'revision','',0),(4077,9,'2020-09-02 18:39:33','2020-09-02 18:39:33','[caption id=\"attachment_4075\" align=\"alignleft\" width=\"539\"]<img class=\"wp-image-4075 \" src=\"https://www.drfields.com/wp-content/uploads/2019/08/knee-injury-500x500.png\" alt=\"Knee Injury Treatment\" width=\"539\" height=\"539\" /> <strong>Chondromalacia Patella Can Be Treated with Prolotherapy</strong>[/caption]\r\n\r\n<span style=\"font-weight: 400;\">In Chondromalacia Patella, the kneecap tracks abnormally making everyday activities difficult, interfering with sports, and causing knee pain. The condition is common in runners and athletes, especially in activities that involve a lot of running. And it can affect young, healthy individuals, as well as older adults. Chondromalacia patella is one of the causes of patellofemoral pain syndrome. </span>\r\n<h4><b>What Causes Chondromalacia Patella?</b></h4>\r\n<span style=\"font-weight: 400;\">Chondro means cartilage, malacia means breakdown, and patella means knee cap. So, when someone suffers from this condition, they will have cartilage breakdown and fraying underneath the knee cap. </span>\r\n\r\n<span style=\"font-weight: 400;\">Excessive, abnormal movement or hypermobility of the knee is considered a contributing factor in the development of chondromalacia patella</span><span style=\"font-weight: 400;\">.</span>\r\n\r\n<span style=\"font-weight: 400;\">Normally, the patella slides easily along the smooth surface of the patellar groove with bending and straightening of the knee. But with chondromalacia patella, the cartilage becomes rough and wears away.</span>\r\n\r\n&nbsp;\r\n<h4>Symptoms of Chondromalacia Patella</h4>\r\n<span style=\"font-weight: 400;\">The symptoms of chondromalacia patella include pain around the kneecap and clicking, cracking or popping sounds. And these tend to exacerbate with activity and worsen over time.</span>\r\n\r\n<span style=\"font-weight: 400;\">The kneecap ends up scraping the bones underneath the knee when the person moves the knee. The patella, or kneecap, is the largest “sesamoid” bone in the body, and it plays a crucial role in the bending and straightening of the knee. When there is a problem with the patella, the knee joint becomes unstable and movement becomes difficult and/or painful.</span>\r\n<h4>Chondromalacia Patella and Patellar Pain Syndrome</h4>\r\n<span style=\"font-weight: 400;\">Chondromalacia Patella is a type of patellar pain syndrome. And these syndromes often involve problems and injury of other soft tissue structures.</span> <span style=\"font-weight: 400;\">Patellar pain syndromes are often due to ligament injuries, meniscal tears, bony aberrations, muscle imbalances, or a combination of these conditions. </span>\r\n\r\n<span style=\"font-weight: 400;\">Patellar pain syndromes can be caused by trauma. But they are primarily due to anatomic or bio-mechanical conditions that are prone to “failure\" either in a bone or soft-tissue component. That means there may be injured ligaments or injured tendons, which are actually part of the underlying problem and adding to the tracking issue. If these other soft tissue injuries are not treated, the knee will remain unstable, creating a negative cycle and resulting in significant impairment.</span> <span style=\"font-weight: 400;\"> </span>\r\n<h4><b>What Are the Usual Treatments?</b></h4>\r\n<span style=\"font-weight: 400;\">Taping, strengthening exercises, and stretching are typical treatments for Chondromalacia Patella. These treatments may work for a short period of time. But generally do not cure the condition. Regenerative Orthopedics, on the other hand, can improve patellar tracking and relieve the symptoms of Chondromalacia Patella.</span>\r\n\r\n<span style=\"font-weight: 400;\">Physical therapy, to strengthen the quadriceps may be an important treatment component in Chondromalacia Patella. However, if the quadriceps tendon or other soft tissue, like ligaments are injured, then they need to be treated, because physical therapy success will otherwise be limited. </span>\r\n\r\n<span style=\"font-weight: 400;\">Let’s explain further.  If the soft tissue component is not treated, the joint will remain unstable, the abnormal movement will continue, the negative cycle is promoted, and the impairment and altered tracking of the patella</span><span style=\"font-weight: 400;\"> will persist.</span><span style=\"font-weight: 400;\"> Physical therapy, patellar taping, orthotics, ice applications, and soft braces do not address the underlying issues of joint instability caused by the ligament injury, tendon injury, or meniscal tears.  </span>\r\n<h4><em>And Surgery?</em></h4>\r\n<span style=\"font-weight: 400;\">Surgery is becoming more and more common for various knee conditions, and in some cases may be indicated. But unless a person is dealing with a fracture or a complete ligament rupture, a more conservative option should be considered.</span>\r\n<h4>Regenerative Orthopedics Works Even After You\'ve Tried Many Other Treatments for Chondromalacia Patella</h4>\r\n<span style=\"font-weight: 400;\">It is very possible that you have already tried various treatments, and even employed them over and over. But they continue to fall short in bringing you the relief and return to function and sport that you desire. Regenerative Orthopedics, on the other hand, can promote non-surgical repair of the ligament, tendon, and meniscus. And have been utilized with positive outcomes for patellar pain syndromes like Chondromalacia Patella.</span>\r\n\r\n<span style=\"font-weight: 400;\">Regenerative Orthopedics is a therapeutic option that can promote the repair of injured or degenerated soft tissue. The treatment boosts the physiologic healing processes of the joint, thereby ameliorating joint instability and potentially all of the related conditions above. Stem Cell Therapy, PRP, and Prolotherapy are regenerative techniques well suited for soft tissue injury of the knee joint. And they have been used to effectively treat a wide variety of knee pain conditions, including Chondromalacia Patella.</span>\r\n\r\n<span style=\"font-weight: 400;\"> Soft tissue injuries of the knee often have an unsatisfactory outcome due to incomplete healing and repair. Regenerative Orthopedics is a treatment technique that has been explored for conditions that require soft tissue healing, with the goal of restoring normal ligament and tendon function.</span> <span style=\"font-weight: 400;\"> </span><span style=\"font-weight: 400;\">Regenerative Orthopedics is a conservative treatment that reduces Chondromalacia Patella symptoms, improves function, and restores normal tracking of the patella, returning you quickly to the sport and activities you enjoy.</span><span style=\"font-weight: 400;\"> </span>\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Chondromalacia Patella Treated Successfully','','inherit','closed','closed','','2650-revision-v1','','','2020-09-02 18:39:33','2020-09-02 18:39:33','',2650,'https://www.drfields.com/uncategorized/2650-revision-v1/',0,'revision','',0),(4078,9,'2020-09-02 18:43:22','2020-09-02 18:43:22','Amniotic','There are no Stem Cells in Amniotic \"Stem Cell\" Therapy','There are no Stem Cells in Amniotic \"Stem Cell\" Therapy','inherit','open','closed','','amniotic','','','2020-09-02 18:44:21','2020-09-02 18:44:21','',2611,'https://www.drfields.com/wp-content/uploads/2019/08/Amniotic.jpg',0,'attachment','image/jpeg',0),(4079,9,'2021-08-22 23:54:55','2021-08-22 23:54:55','[caption id=\"attachment_4078\" align=\"alignright\" width=\"400\"]<img class=\"size-medium wp-image-4078\" src=\"https://www.drfields.com/wp-content/uploads/2019/08/Amniotic-400x500.jpg\" alt=\"Amniotic Stem Cells\" width=\"400\" height=\"500\" /> <em>     There are no Stem Cells in Amniotic \"Stem Cell\" Therapy</em>[/caption]\n\nSeminars about amniotic “stem cell” therapy are popping up everywhere. But it is important to know what advertisers are really talking about. At OrthoRegen<sup>®</sup>, we do not use amniotic “stem cell” therapy in our stem cell treatments.\n\nWe want you to be educated about amniotic therapy. Especially since there is a lot of misinformation surrounding amniotic “stem cell” therapy and umbilical cord blood “stem cell” therapy. <strong>We want to inform you on what these treatments are and also what they are not.</strong>\n<h4>Why Do We Put the Words \"Stem Cells\" in Quotations?</h4>\nThere is a reason we keep putting “stem cells” in quotations when we talking about amniotic “stem cells.” <em>That’s because there are <strong>NO</strong> actual stem cells in amniotic “stem cell” therapy.</em> That’s right! Both amniotic “stem cell” therapy and umbilical cord blood “stem cell” therapy have NO stem cells in the product.\n\nIn a very recent study of five commercial umbilical cord allograft products claiming to contain viable, undescribed \"stem cells,\" a group of researchers concluded, \"stem cells were not found within any of the commercial UC allograft products analyzed, and clinicians should remain wary of marketing claims stating otherwise.\"1 And patients seeking these products should be wary as well!\n\nThink about this scenario for a moment. There isn’t someone waiting for the mother to give birth, and someone who is collecting the afterbirth, and someone else delivering it to your doctor’s office, to then be injected into your degenerated or injured hip or knee by the clinician you have chosen, right?! No, that isn’t the way it happens.\n<h4>Amniotic Product Processing</h4>\nSure, the mother does donate the placental tissue. But the afterbirth materials are purchased by companies, and the companies process the materials in an effort to make sure they are disease-free. They are also freeze-dried. And all of these preservation processes kill all of the live cells. That leaves <strong>NO live stem cells in the product</strong>.\n\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 and natural hyaluronic acid remnants found in the extracellular matrix of the amniotic tissue. If companies advertise in this way about the actual product you will receive, it is simply not true. Keep in mind that in their pre-donated state, the amniotic fluid does have an abundance of stem cells, but they do not survive the processing.\n<h4><strong>They Say My Stem Cells Are Too Old, Weak, or Too Few</strong></h4>\nSome seminars try to convince folks that their own stem cells are no good, and that the donated cells are better for treating joint pain. That’s not true! This is another important point to understand… <strong><em>your own bone marrow, even if you are older, contains sufficient stem cells.</em></strong> Yours stem cells are just fine. And they are live stem cells.\n<h4><strong><em>How Can the Processed, “Dead” Cells They Promote Be Better?</em></strong></h4>\nThe push to say that your own cells are too weak, or too few and that their amniotic product is better does not make any sense, when their product doesn’t contain any! Remember, cryopreserved, dehydrated amniotic products do not contain stem cells. Yes, amniotic fluid does contain growth factors. And these growth factors very well may work at helping joint pain. But there is a better way!\n<h4>Use Your Own Live Stem Cells</h4>\nGuess what?  You have growth factors in your own blood! Your own blood in the form of Platelet Rich Plasma (PRP) contains live growth factors too. And when we use PRP, if recommended in your particular case, we won’t be preserving it or freeze-drying it. It will be used right away. Again, the purchased, micronized amniotic product 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 joint pain and injuries?\n\nUsing your own stem cells and blood is also safer as far as the transfer of disease or contaminants. True, the amniotic product is processed and freeze-dried, but problems of contamination have occurred. The CDC has reported instances of contamination of both amniotic products and cord blood with fecal matter and bacteria.2\n\nTo recap: the original amniotic fluid from the fetus does contain an abundance of stem cells in its pre-donated state. However, the procedure used in amniotic material processing alters the original relevant characteristics of the product thereby decreasing its ability and usefulness at regeneration and repair of injured or degenerated tissue. Once again, the amniotic “stem cell” therapy does <strong>not</strong> contain actual stem cells, but rather growth factors that may possibly activate your own stem cells.\n<h4><strong>They Say I Just Need One Injection</strong></h4>\nOne injection simply is not enough to heal your whole joint. Even if just one injection is advertised, it is not sufficient for complete healing. The most likely scenario is that your joint injury or pain progressed over time, and involves more than one joint structure. In order to provide adequate repair of the joint and the pain relief you seek, a more comprehensive treatment would be necessary.\n\nIn most joint injuries, when one ligament is injured, additional ligaments and other soft tissue are generally injured as well. Unhealed joint injuries often lead to arthritis. And in this case the entire joint is involved. One injection simply cannot treat all of those joint structures. A comprehensive treatment is necessary to strengthen, repair and stabilize all of the involved structures. This also helps to prevent the continued 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. At OrthoRegen<sup>®</sup>, we address the entire joint with a multi-injection technique called <strong>Comprehensive Regenerative Orthopedics, in order to effectively treat the joint and return you to the pain-free life you desire</strong>.\n<h4><strong>Why Don’t We Use Amniotic “Stem Cell” Therapy?</strong></h4>\nAt OrthoRegen<sup>®</sup>, we use the Gold Standard in Stem Cell Therapy, which combines four different regenerative treatments that are extremely effective. <strong>And they utilize your own stem cells and growth factors.</strong>\n\nWe use adipose (fat) stem cells, which contain both live growth factors and live stem cells. Plus, we use bone marrow stem cells, which contain live growth factors and live stem cells. We also use Platelet Rich Plasma, which contains live growth factors. And then we use Dextrose Prolotherapy to strengthen any injured ligaments or tendons so the whole joint is treated and repaired. In comparison to amniotic “stem cell” therapy that only has processed growth factor material and no stem cells, it makes sense to choose the Gold Standard in Stem Cell Therapy that has been shown to be very effective.\n\nAnother great thing about Regenerative Orthopedics and the Gold Standard in Stem Cell Therapy is that it is non-surgical and requires basically no downtime. No extended time off of work is needed, and you can remain active.\n<h4>Research Shows the Effectiveness of Regenerative Orthopedics</h4>\nVarious trials and studies have shown the effectiveness of Dextrose Prolo­therapy alone in treating arthritis, as well as ligament and tendon injuries.3,4,5 When indicated, in advanced cases of degeneration, we recommend the Gold Standard of Stem Cell Therapy. In many cases of degeneration and injury, Prolotherapy alone is sufficient to bring the pain relief and repair needed, and the Gold Standard in Stem Cell Therapy is not required.\n\nIn cases that are more advanced, many other clinics use only one or two of these procedures. But we have discovered that this Gold Standard combination acts as an amazing regenerative solution to reverse the damage of arthritis on the joint. We comprehensively treat the entire joint with multiple injections of the Platelet Rich Plasma portion of the blood, adipose stem cells, and bone marrow stem cells. These regenerative treatments, along with Dextrose Prolotherapy in and around the involved joint offer benefits in terms of pain relief, regenerative properties, and cartilage repair for people with arthritis and all types of joint pain and injuries.\n\nIn our experience, we have discovered that this combination approach of live stem cells, growth factors, and regenerative therapies offers the best therapeutic regenerative approach for more advanced degenerative cases and particular injuries. The treatment addresses the whole joint and effectively heals the joint injuries, resolves pain, and restores function to return you quickly to the active life you desire.\n<h4>References</h4>\n1Berger DR, Centeno CJ, Kisiday JD, McIlwraith CW, Steinmetz NJ. Colony Forming Potential and Protein Composition of Commercial Umbilical Cord Allograft Products in Comparison With Autologous Orthobiologics. Am J Sports Med. 2021 Aug 16:3635465211031275. doi: 10.1177/03635465211031275. Epub ahead of print. PMID: 34398643.\n\n<em>2Notes from the Field:</em> Infections after Receipt of Bacterially Contaminated Umbilical Cord Blood–Derived Stem Cell Products for Other than Hematopoietic or Immunologic Reconstitution — United States, 2018. <em>Weekly</em> / December 21, 2018 /67(50);1397–1399.\n\n3Reeves KD, Hassanein K. Randomized prospective double-blind placebo-controlled study of dextrose prolotherapy\n\nor knee osteoarthritis with or without ACL laxity.  <em>Alt Ther Health Med</em>. 2000; 6(2):68–80.\n\n4Dagenais S, Yelland MJ, Del Mar C, Schoene ML. Prolotherapy injections for chronic low-back pain. <em>Cochrane Database Syst Rev</em>. Apr 18, 2007; (2): CD004059.\n\n5Rabago D, Zgierska A, Fortney L, et al. Hypertonic dextrose injections (prolotherapy) for knee osteoarthritis: results of a single-arm uncontrolled study with 1-year follow-up. <em>J Altern Complement Med</em>. 2012;18(4): 408–14.\n\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Amniotic “Stem Cell” Therapy','','inherit','closed','closed','','2611-autosave-v1','','','2021-08-22 23:54:55','2021-08-22 23:54:55','',2611,'https://www.drfields.com/uncategorized/2611-autosave-v1/',0,'revision','',0),(4080,9,'2020-09-02 19:09:11','2020-09-02 19:09:11','[caption id=\"attachment_4078\" align=\"alignright\" width=\"400\"]<img class=\"size-medium wp-image-4078\" src=\"https://www.drfields.com/wp-content/uploads/2019/08/Amniotic-400x500.jpg\" alt=\"Amniotic Stem Cells\" width=\"400\" height=\"500\" /> <em>     There are no Stem Cells in Amniotic \"Stem Cell\" Therapy</em>[/caption]\r\n\r\nSeminars about amniotic “stem cell” therapy are popping up everywhere. But it is important to know what advertisers are really talking about. At OrthoRegen<sup>®</sup>, we do not use amniotic “stem cell” therapy in our stem cell treatments.\r\n\r\nWe want you to be educated about amniotic therapy. Especially since there is a lot of misinformation surrounding amniotic “stem cell” therapy and umbilical cord blood “stem cell” therapy. <strong>We want to inform you on what these treatments are and also what they are not.</strong>\r\n<h4>Why Do We Put the Words \"Stem Cells\" in Quotations?</h4>\r\nThere is a reason we keep putting “stem cells” in quotations when we talking about amniotic “stem cells.” <em>That’s because there are <strong>NO</strong> actual stem cells in amniotic “stem cell” therapy.</em> That’s right! Both amniotic “stem cell” therapy and umbilical cord blood “stem cell” therapy have NO stem cells in the product.\r\n\r\nThink about this scenario for a moment. There isn’t someone waiting for the mother to give birth, and someone who is collecting the afterbirth, and someone else delivering it to your doctor’s office, to then be injected into your degenerated or injured hip or knee by the clinician you have chosen, right?! No, that isn’t the way it happens.\r\n<h4>Amniotic Product Processing</h4>\r\nSure, the mother does donate the placental tissue. But the afterbirth materials are purchased by companies, and the companies process the materials in an effort to make sure they are disease-free. They are also freeze-dried. And all of these preservation processes kill all of the live cells. That leaves <strong>NO live stem cells in the product</strong>.\r\n\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 and natural hyaluronic acid remnants found in the extracellular matrix of the amniotic tissue. If companies advertise in this way about the actual product you will receive, it is simply not true. Keep in mind that in their pre-donated state, the amniotic fluid does have an abundance of stem cells, but they do not survive the processing.\r\n<h4><strong>They Say My Stem Cells Are Too Old, Weak, or Too Few</strong></h4>\r\nSome seminars try to convince folks that their own stem cells are no good, and that the donated cells are better for treating joint pain. That’s not true! This is another important point to understand… <strong><em>your own bone marrow, even if you are older, contains sufficient stem cells.</em></strong> Yours stem cells are just fine. And they are live stem cells.\r\n<h4><strong><em>How Can the Processed, “Dead” Cells They Promote Be Better?</em></strong></h4>\r\nThe push to say that your own cells are too weak, or too few and that their amniotic product is better does not make any sense, when their product doesn’t contain any! Remember, cryopreserved, dehydrated amniotic products do not contain stem cells. Yes, amniotic fluid does contain growth factors. And these growth factors very well may work at helping joint pain. But there is a better way!\r\n<h4>Use Your Own Live Stem Cells</h4>\r\nGuess what?  You have growth factors in your own blood! Your own blood in the form of Platelet Rich Plasma (PRP) contains live growth factors too. And when we use PRP, if recommended in your particular case, we won’t be preserving it or freeze drying it. It will be used right away. Again, the purchased, micronized amniotic product 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 joint pain and injuries?\r\n\r\nUsing your own stem cells and blood is also safer as far as the transfer of disease or contaminants. True, the amniotic product is processed and freeze-dried, but problems of contamination have occurred. The CDC has reported instances of contamination of both amniotic product and cord blood with fecal matter and bacteria.<a href=\"#_edn1\" name=\"_ednref1\">[i]</a>\r\n\r\nTo recap: original amniotic fluid from the fetus does contain an abundance of stem cells in its pre-donated state. However, the procedure used in amniotic material processing alters the original relevant characteristics of the product thereby decreasing its ability and usefulness at regeneration and repair of injured or degenerated tissue. Once again, the amniotic “stem cell” therapy does <strong>not</strong> contain actual stem cells, but rather growth factors that may possibly activate your own stem cells.\r\n<h4><strong>They Say I Just Need One Injection</strong></h4>\r\nOne injection simply is not enough to heal your whole joint. Even if just one injection is advertised, it is not sufficient for complete healing. The most likely scenario is that your joint injury or pain progressed over time, and involves more than one joint structure. In order to provide adequate repair of the joint and the pain relief you seek, a more comprehensive treatment would be necessary.\r\n\r\nIn most joint injuries, when one ligament is injured, additional ligaments and other soft tissue are generally injured as well. Unhealed joint injuries often lead to arthritis. And in this case the entire joint is involved. One injection simply cannot treat all of those joint structures. A comprehensive treatment is necessary to strengthen, repair and stabilize all of the involved structures. This also helps to prevent the continued 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. At OrthoRegen<sup>®</sup>, we address the entire joint with a multi-injection technique called <strong>Comprehensive Regenerative Orthopedics, in order to effectively treat the joint and return you to the pain-free life you desire</strong>.\r\n<h4><strong>Why Don’t We Use Amniotic “Stem Cell” Therapy?</strong></h4>\r\nAt OrthoRegen<sup>®</sup>, we use the Gold Standard in Stem Cell Therapy, which combines four different regenerative treatments that are extremely effective. <strong>And they utilize your own stem cells and growth factors.</strong>\r\n\r\nWe use adipose (fat) stem cells, which contain both live growth factors and live stem cells. Plus, we use bone marrow stem cells, which contain live growth factors and live stem cells. We also use Platelet Rich Plasma, which contains live growth factors. And then we use Dextrose Prolotherapy to strengthen any injured ligaments or tendons so the whole joint is treated and repaired. In comparison to amniotic “stem cell” therapy that only has processed growth factor material and no stem cells, it makes sense to choose the Gold Standard in Stem Cell Therapy that has been shown to be very effective.\r\n\r\nAnother great thing about Regenerative Orthopedics and the Gold Standard in Stem Cell Therapy is that it is non-surgical and requires basically no downtime. No extended time off of work is needed, and you can remain active.\r\n<h4>Research Shows the Effectiveness of Regenerative Orthopedics</h4>\r\nVarious trials and studies have shown the effectiveness of Dextrose Prolo­therapy alone in treating arthritis, as well as ligament and tendon injuries.<a href=\"#_edn2\" name=\"_ednref2\">[ii]</a><sup>,<a href=\"#_edn3\" name=\"_ednref3\">[iii]</a>,<a href=\"#_edn4\" name=\"_ednref4\">[iv]</a></sup> When indicated, in advanced cases of degeneration, we recommend the Gold Standard of Stem Cell Therapy. In many cases of degeneration and injury, Prolotherapy alone is sufficient to bring the pain relief and repair needed, and the Gold Standard in Stem Cell Therapy is not required.\r\n\r\nIn cases that are more advanced, many other clinics use only one or two of these procedures. But we have discovered that this Gold Standard combination acts as an amazing regenerative solution to reverse the damage of arthritis on the joint. We comprehensively treat the entire joint with multiple injections of the Platelet Rich Plasma portion of the blood, adipose stem cells, and bone marrow stem cells. These regenerative treatments, along with Dextrose Prolotherapy in and around the involved joint offer benefits in terms of pain relief, regenerative properties, and cartilage repair for people with arthritis and all types of joint pain and injuries.\r\n\r\nIn our experience, we have discovered that this combination approach of live stem cells, growth factors, and regenerative therapies offers the best therapeutic regenerative approach for more advanced degenerative cases and particular injuries. The treatment addresses the whole joint and effectively heals the joint injuries, resolves pain, and restores function to return you quickly to the active life you desire.\r\n<h4>References</h4>\r\n<a href=\"#_ednref1\" name=\"_edn1\">[i]</a> <em>Notes from the Field:</em> Infections after Receipt of Bacterially Contaminated Umbilical Cord Blood–Derived Stem Cell Products for Other than Hematopoietic or Immunologic Reconstitution — United States, 2018. <em>Weekly</em> / December 21, 2018 /67(50);1397–1399.\r\n\r\n<a href=\"#_ednref2\" name=\"_edn2\">[ii]</a> Reeves KD, Hassanein K. Randomized prospective double-blind placebo-controlled study of dextrose prolotherapy\r\n\r\nor knee osteoarthritis with or without ACL laxity.  <em>Alt Ther Health Med</em>. 2000; 6(2):68–80.\r\n\r\n<a href=\"#_ednref3\" name=\"_edn3\">[iii]</a> Dagenais S, Yelland MJ, Del Mar C, Schoene ML. Prolotherapy injections for chronic low-back pain. <em>Cochrane Database Syst Rev</em>. Apr 18, 2007; (2): CD004059.\r\n\r\n<a href=\"#_ednref4\" name=\"_edn4\">[iv]</a> Rabago D, Zgierska A, Fortney L, et al. Hypertonic dextrose injections (prolotherapy) for knee osteoarthritis: results of a single-arm uncontrolled study with 1-year follow-up. <em>J Altern Complement Med</em>. 2012;18(4): 408–14.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Amniotic “Stem Cell” Therapy','','inherit','closed','closed','','2611-revision-v1','','','2020-09-02 19:09:11','2020-09-02 19:09:11','',2611,'https://www.drfields.com/uncategorized/2611-revision-v1/',0,'revision','',0),(4081,9,'2020-09-02 19:18:02','2020-09-02 19:18:02','<strong>By Peter A. Fields, MD, DC</strong>\n\nAs the world is going through an unprecedented pandemic, we should all do what our parents taught us as children. That is, hold your head up high, be proud of yourself, and use good logical thinking before making any decisions. Don\'t fear!\n\nYes, this virus is a terrible menace, and sometimes even deadly.\n\n<strong>But remember that 80% of the people affected by it will either have mild symptoms or no symptoms at all.</strong>\n\nYes, that still leaves 20%; and, of course, the elderly, infirmed, immune-compromised, and people with other comorbid illnesses should be more diligent. But those same people also need to be concerned about contracting any illness.\n\nKeep in mind, as reported recently, that those younger than 60 years old who died in Italy, had at least one other comorbid illness. Not every one of them, but certainly most. This tells us that younger people will not get a serious disease unless they have a comorbid illness.\n\nIt\'s also important to consider that the CDC reported that 60,000 people died in the United States from the last flu outbreak. And according to the World Health Organization, over 850,000 people died last year from the effects of the flu. Yes, that\'s over three-quarters of a million people.\n\nWe have had wars, the Holocaust, HIV, and many other disastrous and fateful things happen to mankind. But one should not be afraid of dying. Eventually, we will all die. No one is here forever! Anything can happen any day. Automobile accidents happen 60,000 times a year in the United States. Then there are illnesses, cancer, and numerous other maladies that can affect us on a daily basis.\n<h4><strong>The point is that we cannot live our lives in fear.</strong></h4>\nLiving life in fear is not a good thing.\n\nLike Franklin Delano Roosevelt said to the people of the United States after the great depression, “The only thing we have to fear is fear itself.\"\n\n[caption id=\"attachment_3664\" align=\"alignright\" width=\"461\"]<img class=\"wp-image-3664 \" src=\"https://www.drfields.com/wp-content/uploads/2020/04/image0-400x500.jpeg\" alt=\"COVID Advice\" width=\"461\" height=\"576\" /> <em>                                      Don\'t Fear the Fear Itsel</em>f[/caption]\n\nFear is not good for the mind, body or soul. As the saying goes, \"You should live every day like it\'s your last one.\"\n\nEnjoy life. Be proud of your accomplishments. Look back on the mistakes you made in life and learn from them. But always look forwards.\n\nMy dad always taught me, \"You can learn from the past and look to the future, but you can only live for today.\"\n\n<strong><em>This does not mean to ignore the precautions that one must take in containing this virus.\nBut it does mean that you should not become consumed with the fear itself.</em></strong>\n\nWe must ask ourselves, \"If I was to die today, would I be happy with what I have done with it? Sure, you could have done more, but you\'ve done a lot! Take a moment to look back on all your accomplishments and at what you\'ve done and where you\'ve been.\n<p dir=\"ltr\">So again, I remind people that yes, you should wash your hands. You also need to wear your seatbelts, and look both ways when crossing the street, plus other logical and recommended safety precautions.</p>\nBut don\'t fear the fear itself!\n\n<strong>You are alive and here on this planet and today is a good day to live your life.</strong>\n\n<strong><em>Remember to be intelligently cautious and careful.</em></strong>\n\n~Peter A. Fields, MD, DC, <a href=\"/about/the-athletic-doc/about-the-athletic-doc/\" target=\"_blank\" rel=\"noopener noreferrer\">The Athletic Doc<sup>®</sup></a>\n\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','“Don’t Fear the Fear Itself!”','','inherit','closed','closed','','3638-autosave-v1','','','2020-09-02 19:18:02','2020-09-02 19:18:02','',3638,'https://www.drfields.com/uncategorized/3638-autosave-v1/',0,'revision','',0),(4082,9,'2020-09-02 19:14:50','2020-09-02 19:14:50','<strong>By Peter A. Fields, MD, DC</strong>\r\n\r\nAs the world is going through an unprecedented pandemic, we should all do what our parents taught us as children. That is, hold your head up high, be proud of yourself, and use good logical thinking before making any decisions.\r\n\r\nYes, this virus is a terrible menace, and sometimes even deadly.\r\n<strong>But remember that 80% of the people affected by it will either have mild symptoms or no symptoms at all.</strong>\r\nYes, that still leaves 20%; and, of course, the elderly, infirmed, immune-compromised, and people with other comorbid illnesses should be more diligent. But those same people also need to be concerned about contracting any illness.\r\n\r\nKeep in mind, as reported recently, that those younger than 60 years old who died in Italy, had at least one other comorbid illness. Not every one of them, but certainly most. This tells us that younger people will not get a serious disease unless they have a comorbid illness.\r\n\r\nIt\'s also important to consider that the CDC reported that 60,000 people died in the United States from the last flu outbreak. And according to the World Health Organization, over 850,000 people died last year from the effects of the flu. Yes, that\'s over three-quarters of a million people.\r\nWe have had wars, the Holocaust, HIV, and many other disastrous and fateful things happen to mankind. But one should not be afraid of dying. Eventually, we will all die. No one is here forever! Anything can happen any day. Automobile accidents happen 60,000 times a year in the United States. Then there are illnesses, cancer, and numerous other maladies that can affect us on a daily basis.\r\n\r\n<strong>The point is that we cannot live our lives in fear.</strong>\r\n\r\nLiving life in fear is not a good thing.\r\n\r\nLike Franklin Delano Roosevelt said to the people of the United States after the great depression, “The only thing we have to fear is fear itself.\"\r\n\r\n[caption id=\"attachment_3664\" align=\"alignright\" width=\"461\"]<img class=\"wp-image-3664 \" src=\"https://www.drfields.com/wp-content/uploads/2020/04/image0-400x500.jpeg\" alt=\"COVID Advice\" width=\"461\" height=\"576\" /> <em>                                      Don\'t Fear the Fear Itsel</em>f[/caption]\r\n\r\nFear is not good for the mind, body or soul. As the saying goes, \"You should live every day like it\'s your last one.\"\r\n\r\nEnjoy life. Be proud of your accomplishments. Look back on the mistakes you made in life and learn from them. But always look forwards.\r\n\r\nMy dad always taught me, \"You can learn from the past and look to the future, but you can only live for today.\"\r\n\r\n<strong><em>This does not mean to ignore the precautions that one must take in containing this virus.\r\nBut it does mean that you should not become consumed with the fear itself.</em></strong>\r\n\r\nWe must ask ourselves, \"If I was to die today, would I be happy with what I have done with it? Sure, you could have done more, but you\'ve done a lot! Take a moment to look back on all your accomplishments and at what you\'ve done and where you\'ve been.\r\n<p dir=\"ltr\">So again, I remind people that yes, you should wash your hands. You also need to wear your seatbelts, and look both ways when crossing the street, plus other logical and recommended safety precautions.</p>\r\nBut don\'t fear the fear itself!\r\n\r\n<strong>You are alive and here on this planet and today is a good day to live your life.</strong>\r\n\r\n<strong><em>Remember to be intelligently cautious and careful.</em></strong>\r\n\r\n~Peter A. Fields, MD, DC, <a href=\"/about/the-athletic-doc/about-the-athletic-doc/\" target=\"_blank\" rel=\"noopener noreferrer\">The Athletic Doc<sup>®</sup></a>\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','COVID-19 Advice: “Don’t Fear the Fear Itself!”','','inherit','closed','closed','','3638-revision-v1','','','2020-09-02 19:14:50','2020-09-02 19:14:50','',3638,'https://www.drfields.com/uncategorized/3638-revision-v1/',0,'revision','',0),(4083,9,'2020-09-02 19:18:18','2020-09-02 19:18:18','<strong>By Peter A. Fields, MD, DC</strong>\r\n\r\nAs the world is going through an unprecedented pandemic, we should all do what our parents taught us as children. That is, hold your head up high, be proud of yourself, and use good logical thinking before making any decisions. Don\'t fear!\r\n\r\nYes, this virus is a terrible menace, and sometimes even deadly.\r\n\r\n<strong>But remember that 80% of the people affected by it will either have mild symptoms or no symptoms at all.</strong>\r\n\r\nYes, that still leaves 20%; and, of course, the elderly, infirmed, immune-compromised, and people with other comorbid illnesses should be more diligent. But those same people also need to be concerned about contracting any illness.\r\n\r\nKeep in mind, as reported recently, that those younger than 60 years old who died in Italy, had at least one other comorbid illness. Not every one of them, but certainly most. This tells us that younger people will not get a serious disease unless they have a comorbid illness.\r\n\r\nIt\'s also important to consider that the CDC reported that 60,000 people died in the United States from the last flu outbreak. And according to the World Health Organization, over 850,000 people died last year from the effects of the flu. Yes, that\'s over three-quarters of a million people.\r\n\r\nWe have had wars, the Holocaust, HIV, and many other disastrous and fateful things happen to mankind. But one should not be afraid of dying. Eventually, we will all die. No one is here forever! Anything can happen any day. Automobile accidents happen 60,000 times a year in the United States. Then there are illnesses, cancer, and numerous other maladies that can affect us on a daily basis.\r\n<h4><strong>The point is that we cannot live our lives in fear.</strong></h4>\r\nLiving life in fear is not a good thing.\r\n\r\nLike Franklin Delano Roosevelt said to the people of the United States after the great depression, “The only thing we have to fear is fear itself.\"\r\n\r\n[caption id=\"attachment_3664\" align=\"alignright\" width=\"461\"]<img class=\"wp-image-3664 \" src=\"https://www.drfields.com/wp-content/uploads/2020/04/image0-400x500.jpeg\" alt=\"COVID Advice\" width=\"461\" height=\"576\" /> <em>                                      Don\'t Fear the Fear Itsel</em>f[/caption]\r\n\r\nFear is not good for the mind, body or soul. As the saying goes, \"You should live every day like it\'s your last one.\"\r\n\r\nEnjoy life. Be proud of your accomplishments. Look back on the mistakes you made in life and learn from them. But always look forwards.\r\n\r\nMy dad always taught me, \"You can learn from the past and look to the future, but you can only live for today.\"\r\n\r\n<strong><em>This does not mean to ignore the precautions that one must take in containing this virus.\r\nBut it does mean that you should not become consumed with the fear itself.</em></strong>\r\n\r\nWe must ask ourselves, \"If I was to die today, would I be happy with what I have done with it? Sure, you could have done more, but you\'ve done a lot! Take a moment to look back on all your accomplishments and at what you\'ve done and where you\'ve been.\r\n<p dir=\"ltr\">So again, I remind people that yes, you should wash your hands. You also need to wear your seatbelts, and look both ways when crossing the street, plus other logical and recommended safety precautions.</p>\r\nBut don\'t fear the fear itself!\r\n\r\n<strong>You are alive and here on this planet and today is a good day to live your life.</strong>\r\n\r\n<strong><em>Remember to be intelligently cautious and careful.</em></strong>\r\n\r\n~Peter A. Fields, MD, DC, <a href=\"/about/the-athletic-doc/about-the-athletic-doc/\" target=\"_blank\" rel=\"noopener noreferrer\">The Athletic Doc<sup>®</sup></a>\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','“Don’t Fear the Fear Itself!”','','inherit','closed','closed','','3638-revision-v1','','','2020-09-02 19:18:18','2020-09-02 19:18:18','',3638,'https://www.drfields.com/uncategorized/3638-revision-v1/',0,'revision','',0),(4084,9,'2020-09-02 19:35:22','2020-09-02 19:35:22','<h3><strong>Painful Joints? Regenerative Orthopedics Works Even When Other Treatments Fail</strong></h3>\n[caption id=\"attachment_4086\" align=\"alignright\" width=\"500\"]<img class=\"wp-image-4086 size-medium\" src=\"https://www.drfields.com/wp-content/uploads/2019/08/Sue.-knee.stem_-500x500.png\" alt=\"Stem Cell Therapy for Knee Pain\" width=\"500\" height=\"500\" /> Stem Cell Therapy Resolves Painful Joints Even When Other Treatments Fail[/caption]\n\nRegenerative Orthopedics, including Stem Cell Therapy, Platelet Rich Plasma (PRP), and Dextrose Prolotherapy are non-surgical treatments for numerous conditions causing painful joints. The treatments are often superior to many other treatments at effectively repairing joint injuries. And they eliminate joint pain, getting you back to the activities and the lifestyle you love.\n<h4>Is joint pain standing in the way of your enjoyment of sports?</h4>\nAre painful joints making it difficult to do normal, everyday things? At OrthoRegen<sup>®</sup>, we commonly see patients who have tried a number of different treatments in an effort to find relief from their painful knee, hip, shoulder, back, and multiple joint pain. They have tried over-the-counter medications, prescription medications, cortisone injections, massage, and other treatments, but are still in pain. You may hurgery may have been recommended or even performed already. Yet they are still in pain.\n\nDoes this sound like you? Do you continue to suffer with a painful joint condition even though it seems like you have tried everything, but still experience annoying pain? Unfortunately, this scenario is repeated over and over. We hear it all of the time! But there is an answer!\n<h4>Regenerative Orthopedics: An Effective Joint Repair Solution</h4>\nRegenerative Orthopedics is effective at repairing many painful joint conditions even after other treatments have failed. How can this be? The reason is because many of the other treatments never treat the root cause of the problem. Think about it. Can Advil really fix a joint problem? Or does it just cover up the pain? Is the problem an Advil deficiency? When you think about it like that, it is obvious that these treatments aren’t the answer, but more of a band-aid approach.\n\nRegenerative Orthopedics has a greater chance at effectively repairing the joint injury and relieving the pain because it is directed at the root cause of the joint pain problem.  The underlying source of the majority of painful joint conditions is joint instability due to ligament and/or tendon injury and weakness. Fortunately, Regenerative Orthopedic treatments, like Stem Cell Therapy, PRP, and Prolotherapy, work great at treating ligament and tendon injuries and weakness, and because of that, they are able to successfully repair joint instability.\n<h4><strong>How Do Regenerative Orthopedic Treatments Work?</strong></h4>\nIt’s pretty simple. Regenerative Orthopedics involve the injection of different types of natural solutions which are injected into the painful joint areas.  The process stimulates the body’s natural healing cascade, which triggers wound healing properties. This results in tightened and stronger ligaments and tendons, which make the entire joint structure more stable.\n\nAnd remember, the underlying source of most painful joint conditions is an unstable joint. Therefore, stabilization of the joint with Regenerative Orthopedics repairs the problem at its source and results in pain elimination. Regenerative Orthopedics is beneficial in repairing many different types of sports injuries and various types of persistent joint pain.\n<h4><strong>Regenerative Orthopedics Treats Most Painful Joint Conditions</strong></h4>\nAt OrthoRegen<sup>®</sup>, we have seen Regenerative Orthopedics effectively repair most joint injuries and painful joint conditions including neck, back, knee, hip, shoulder and other musculoskeletal pains that are due to ligament and tendon weakness, injury, and joint instability.\n\nIn joint injuries such as meniscal tears or labral tears, we have found that the addition of Platelet Rich Plasma, along with Dextrose Prolotherapy is an effective Regenerative Orthopedic technique.\n<h4>Regenerative Orthopedics and Arthritis</h4>\nEven arthritis can be treated with Regenerative Orthopedics, because arthritis also has at its core, a problem of joint instability. Regenerative Orthopedics strengthens the entire joint, because the whole joint is treated comprehensively. Persistent joint pain in arthritis is almost always due to underlying injured soft tissue, like the ligaments and tendons, and joint instability.\n\nLeft untreated, the weak ligaments cause the joint to move in an abnormal motion. Over time, this abnormal joint motion will injure other joint structures, setting the joint up for degeneration and the arthritic process. Regenerative Orthopedics stimulates the repair of the injured joint structures, stops the abnormal joint motion, and halts the degenerative process.\n\nWhen degeneration of the joint is more severe, we may recommend the Gold Standard in Stem Cell Therapy. This treatment includes two forms of stem cells (bone and fat), PRP, and Dextrose Prolotherapy. We have found that this combination is quite amazing at regenerating the joint when cartilage has been lost. Plus, it stimulates the other soft tissue structures to repair and strengthen, which fixes the root problem of joint instability. And the result is in the elimination of pain and the return to function in degenerative joint conditions.\n\nRegenerative Orthopedics is an effective treatment option for painful joint conditions, even after many other treatments have failed to resolve your pain. If your pain has persisted to put a damper on your life after having tried numerous other treatments, we urge you to consider non-surgical Regenerative Orthopedics to resolve your joint pain.\n\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Painful Joints?','','inherit','closed','closed','','2592-autosave-v1','','','2020-09-02 19:35:22','2020-09-02 19:35:22','',2592,'https://www.drfields.com/uncategorized/2592-autosave-v1/',0,'revision','',0),(4085,9,'2020-09-02 19:20:12','2020-09-02 19:20:12','<strong>Painful Joints? Regenerative Orthopedics Works Even When Other Treatments Fail  </strong>\r\n\r\nRegenerative Orthopedics, including Stem Cell Therapy, Platelet Rich Plasma (PRP), and Dextrose Prolotherapy are non-surgical treatments for numerous painful joint conditions. The treatments are often superior to many other treatments at effectively repairing joint injuries, eliminating joint pain, and getting you back to the activities and the lifestyle you love.  Is joint pain standing in the way of your enjoyment of sports? Are painful joints making it difficult to do normal, everyday things? At OrthoRegen<sup>®</sup>, we commonly see patients who have tried a number of different treatments in an effort to find relief from their painful knee, hip, shoulder, back, and multiple joint pain. They have tried over-the-counter medications, prescription medications, cortisone injections, massage, and other treatments, but are still in pain. Surgery may have been recommended or even performed already. Yet they are still in pain. Does this sound like you? Do you continue to suffer with a painful joint condition even though it seems like you have tried everything, but still experience annoying pain? Unfortunately, this scenario is repeated over and over. We hear it all of the time! But there is an answer! Regenerative Orthopedics is effective at repairing many painful joint conditions even after other treatments have failed. How can this be? The reason is because many of the other treatments never treat the root cause of the problem. Think about it. Can Advil really fix a joint problem or does it just cover up the pain? Is the problem an Advil deficiency? When you think about it like that, it is obvious that these treatments aren’t the answer, but more of a band-aid approach.\r\n\r\nRegenerative Orthopedics has a greater chance at effectively repairing the joint injury and relieving the pain because it is directed at the root cause of the joint pain problem.  The underlying source of the majority of painful joint conditions is joint instability due to ligament and/or tendon injury and weakness. Fortunately, Regenerative Orthopedic treatments, like Stem Cell Therapy, PRP, and Prolotherapy, work great at treating ligament and tendon injuries and weakness, and because of that, they are able to successfully repair joint instability.\r\n\r\n<strong>How Do Regenerative Orthopedic Treatments Work?</strong>\r\n\r\nIt’s pretty simple. Regenerative Orthopedics involves the injection of different types of natural solutions which are injected into the painful joint areas.  The process stimulates the body’s natural healing cascade, which triggers wound healing properties. This results in tightened and stronger ligaments and tendons, which make the entire joint structure more stable. Remember, the underlying source of most painful joint conditions is an unstable joint. Therefore, stabilization of the joint with Regenerative Orthopedics repairs the problem at its source and results in pain elimination. Regenerative Orthopedics is beneficial in repairing many different types of sports injuries and various types of persistent joint pain.\r\n\r\n<strong>Does Regenerative Orthopedics Only Treat Specific Joints and Conditions? </strong>\r\n\r\nAt OrthoRegen<sup>®</sup>, we have seen Regenerative Orthopedics effectively repair most joint injuries and painful joint conditions including neck, back, knee, hip, shoulder and other musculoskeletal pains that are due to ligament and tendon weakness, injury, and joint instability.\r\n\r\nIn joint injuries such as meniscal tears or labral tears, we have found that the addition of Platelet Rich Plasma, along with Dextrose Prolotherapy is an effective Regenerative Orthopedic technique.\r\n\r\nEven arthritis can be treated with Regenerative Orthopedics, because it also has at its core, a problem of joint instability. Regenerative Orthopedics strengthens the entire joint, because the whole joint is treated comprehensively. Persistent joint pain in arthritis is almost always due to underlying injured soft tissue, like the ligaments and tendons, and joint instability. Left untreated, the weak ligaments cause the joint to move in an abnormal motion. Over time, this abnormal joint motion will injure other joint structures, setting the joint up for degeneration and the arthritic process. Regenerative Orthopedics stimulates the repair of the injured joint structures, stops the abnormal joint motions, and halts the degenerative process.  When degeneration of the joint is more severe, we may recommend the Gold Standard in Stem Cell Therapy, which includes two forms of stem cells (bone and fat), PRP, and Dextrose Prolotherapy. This treatment combination is quite amazing at regenerating the joint when cartilage has been lost, plus it stimulates the other soft tissue structures to repair and strengthen, which fixes the root problem of joint instability, and results in the elimination of pain and the return to function in degenerative joint conditions.\r\n\r\nRegenerative Orthopedics is an effective treatment option for painful joint conditions, even after many other treatments have failed to resolve your pain. If your pain has persisted to put a damper on your life after having tried numerous other treatments, we urge you to consider non-surgical Regenerative Orthopedics to resolve your joint pain.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Painful Joints?','','inherit','closed','closed','','2592-revision-v1','','','2020-09-02 19:20:12','2020-09-02 19:20:12','',2592,'https://www.drfields.com/uncategorized/2592-revision-v1/',0,'revision','',0),(4086,9,'2020-09-02 19:20:52','2020-09-02 19:20:52','Stem Cell Therapy Works Even When Other Treatments Fail','Stem Cell Therapy Works Even When Other Treatments Fail','Stem Cell Therapy Works Even When Other Treatments Fail','inherit','open','closed','','sue-knee-stem','','','2020-09-02 19:22:01','2020-09-02 19:22:01','',2592,'https://www.drfields.com/wp-content/uploads/2019/08/Sue.-knee.stem_.png',0,'attachment','image/png',0),(4087,9,'2020-09-02 19:24:30','2020-09-02 19:24:30','<h3><strong>Painful Joints? Regenerative Orthopedics Works Even When Other Treatments Fail</strong></h3>\r\n[caption id=\"attachment_4086\" align=\"alignright\" width=\"500\"]<img class=\"size-medium wp-image-4086\" src=\"https://www.drfields.com/wp-content/uploads/2019/08/Sue.-knee.stem_-500x500.png\" alt=\"Stem Cell Therapy for Knee Pain\" width=\"500\" height=\"500\" />           <em> Stem Cell Therapy Works Even When Other Treatments Fail</em>[/caption]\r\n\r\nRegenerative Orthopedics, including Stem Cell Therapy, Platelet Rich Plasma (PRP), and Dextrose Prolotherapy are non-surgical treatments for numerous painful joint conditions. The treatments are often superior to many other treatments at effectively repairing joint injuries. And they eliminate joint pain, getting you back to the activities and the lifestyle you love.\r\n<h4>Is joint pain standing in the way of your enjoyment of sports?</h4>\r\nAre painful joints making it difficult to do normal, everyday things? At OrthoRegen<sup>®</sup>, we commonly see patients who have tried a number of different treatments in an effort to find relief from their painful knee, hip, shoulder, back, and multiple joint pain. They have tried over-the-counter medications, prescription medications, cortisone injections, massage, and other treatments, but are still in pain. Surgery may have been recommended or even performed already. Yet they are still in pain.\r\n\r\nDoes this sound like you? Do you continue to suffer with a painful joint condition even though it seems like you have tried everything, but still experience annoying pain? Unfortunately, this scenario is repeated over and over. We hear it all of the time! But there is an answer!\r\n\r\nRegenerative Orthopedics is effective at repairing many painful joint conditions even after other treatments have failed. How can this be? The reason is because many of the other treatments never treat the root cause of the problem. Think about it. Can Advil really fix a joint problem or does it just cover up the pain? Is the problem an Advil deficiency? When you think about it like that, it is obvious that these treatments aren’t the answer, but more of a band-aid approach.\r\n\r\nRegenerative Orthopedics has a greater chance at effectively repairing the joint injury and relieving the pain because it is directed at the root cause of the joint pain problem.  The underlying source of the majority of painful joint conditions is joint instability due to ligament and/or tendon injury and weakness. Fortunately, Regenerative Orthopedic treatments, like Stem Cell Therapy, PRP, and Prolotherapy, work great at treating ligament and tendon injuries and weakness, and because of that, they are able to successfully repair joint instability.\r\n\r\n<strong>How Do Regenerative Orthopedic Treatments Work?</strong>\r\n\r\nIt’s pretty simple. Regenerative Orthopedics involves the injection of different types of natural solutions which are injected into the painful joint areas.  The process stimulates the body’s natural healing cascade, which triggers wound healing properties. This results in tightened and stronger ligaments and tendons, which make the entire joint structure more stable. Remember, the underlying source of most painful joint conditions is an unstable joint. Therefore, stabilization of the joint with Regenerative Orthopedics repairs the problem at its source and results in pain elimination. Regenerative Orthopedics is beneficial in repairing many different types of sports injuries and various types of persistent joint pain.\r\n\r\n<strong>Does Regenerative Orthopedics Only Treat Specific Joints and Conditions? </strong>\r\n\r\nAt OrthoRegen<sup>®</sup>, we have seen Regenerative Orthopedics effectively repair most joint injuries and painful joint conditions including neck, back, knee, hip, shoulder and other musculoskeletal pains that are due to ligament and tendon weakness, injury, and joint instability.\r\n\r\nIn joint injuries such as meniscal tears or labral tears, we have found that the addition of Platelet Rich Plasma, along with Dextrose Prolotherapy is an effective Regenerative Orthopedic technique.\r\n\r\nEven arthritis can be treated with Regenerative Orthopedics, because it also has at its core, a problem of joint instability. Regenerative Orthopedics strengthens the entire joint, because the whole joint is treated comprehensively. Persistent joint pain in arthritis is almost always due to underlying injured soft tissue, like the ligaments and tendons, and joint instability. Left untreated, the weak ligaments cause the joint to move in an abnormal motion. Over time, this abnormal joint motion will injure other joint structures, setting the joint up for degeneration and the arthritic process. Regenerative Orthopedics stimulates the repair of the injured joint structures, stops the abnormal joint motions, and halts the degenerative process.  When degeneration of the joint is more severe, we may recommend the Gold Standard in Stem Cell Therapy, which includes two forms of stem cells (bone and fat), PRP, and Dextrose Prolotherapy. This treatment combination is quite amazing at regenerating the joint when cartilage has been lost, plus it stimulates the other soft tissue structures to repair and strengthen, which fixes the root problem of joint instability, and results in the elimination of pain and the return to function in degenerative joint conditions.\r\n\r\nRegenerative Orthopedics is an effective treatment option for painful joint conditions, even after many other treatments have failed to resolve your pain. If your pain has persisted to put a damper on your life after having tried numerous other treatments, we urge you to consider non-surgical Regenerative Orthopedics to resolve your joint pain.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Painful Joints?','','inherit','closed','closed','','2592-revision-v1','','','2020-09-02 19:24:30','2020-09-02 19:24:30','',2592,'https://www.drfields.com/uncategorized/2592-revision-v1/',0,'revision','',0),(4088,9,'2020-09-02 19:36:20','2020-09-02 19:36:20','<h3><strong>Painful Joints? Regenerative Orthopedics Works Even When Other Treatments Fail</strong></h3>\r\n[caption id=\"attachment_4086\" align=\"alignright\" width=\"500\"]<img class=\"wp-image-4086 size-medium\" src=\"https://www.drfields.com/wp-content/uploads/2019/08/Sue.-knee.stem_-500x500.png\" alt=\"Stem Cell Therapy for Knee Pain\" width=\"500\" height=\"500\" /> Stem Cell Therapy Resolves Painful Joints Even When Other Treatments Fail[/caption]\r\n\r\nRegenerative Orthopedics, including Stem Cell Therapy, Platelet Rich Plasma (PRP), and Dextrose Prolotherapy are non-surgical treatments for numerous conditions causing painful joints. The treatments are often superior to many other treatments at effectively repairing joint injuries. And they eliminate joint pain, getting you back to the activities and the lifestyle you love.\r\n<h4>Is joint pain standing in the way of your enjoyment of sports?</h4>\r\nAre painful joints making it difficult to do normal, everyday things? At OrthoRegen<sup>®</sup>, we commonly see patients who have tried a number of different treatments in an effort to find relief from their painful knee, hip, shoulder, back, and multiple joint pain. They have tried over-the-counter medications, prescription medications, cortisone injections, massage, and other treatments, but are still in pain. You may have even tried surgery. Yet they are still in pain.\r\n\r\nDoes this sound like you? Do you continue to suffer with a painful joint condition even though it seems like you have tried everything, but still experience annoying pain? Unfortunately, this scenario repeats over and over. We hear it all of the time! But there is an answer!\r\n<h4>Regenerative Orthopedics: An Effective Joint Repair Solution</h4>\r\nRegenerative Orthopedics is effective at repairing many painful joint conditions even after other treatments have failed. How can this be? The reason is because many of the other treatments never treat the root cause of the problem. Think about it. Can Advil really fix a joint problem? Or does it just cover up the pain? Is the problem an Advil deficiency? When you think about it like that, it is obvious that these treatments aren’t the answer, but more of a band-aid approach.\r\n\r\nRegenerative Orthopedics has a greater chance at effectively repairing the joint injury and relieving the pain because it is directed at the root cause of the joint pain problem.  The underlying source of the majority of painful joint conditions is joint instability due to ligament and/or tendon injury and weakness. Fortunately, Regenerative Orthopedic treatments, like Stem Cell Therapy, PRP, and Prolotherapy, work great at treating ligament and tendon injuries and weakness, and because of that, they are able to successfully repair joint instability.\r\n<h4><strong>How Do Regenerative Orthopedic Treatments Work?</strong></h4>\r\nIt’s pretty simple. Regenerative Orthopedics involve the injection of different types of natural solutions which are injected into the painful joint areas.  The process stimulates the body’s natural healing cascade, which triggers wound healing properties. This results in tightened and stronger ligaments and tendons, which make the entire joint structure more stable.\r\n\r\nAnd remember, the underlying source of most painful joint conditions is an unstable joint. Therefore, stabilization of the joint with Regenerative Orthopedics repairs the problem at its source and results in pain elimination. Regenerative Orthopedics is beneficial in repairing many different types of sports injuries and various types of persistent joint pain.\r\n<h4><strong>Regenerative Orthopedics Treats Most Painful Joint Conditions</strong></h4>\r\nAt OrthoRegen<sup>®</sup>, we have seen Regenerative Orthopedics effectively repair most joint injuries and painful joint conditions including neck, back, knee, hip, shoulder and other musculoskeletal pains that are due to ligament and tendon weakness, injury, and joint instability.\r\n\r\nIn joint injuries such as meniscal tears or labral tears, we have found that the addition of Platelet Rich Plasma, along with Dextrose Prolotherapy is an effective Regenerative Orthopedic technique.\r\n<h4>Regenerative Orthopedics and Arthritis</h4>\r\nEven arthritis can be treated with Regenerative Orthopedics, because arthritis also has at its core, a problem of joint instability. Regenerative Orthopedics strengthens the entire joint, because the whole joint is treated comprehensively. Persistent joint pain in arthritis is almost always due to underlying injured soft tissue, like the ligaments and tendons, and joint instability.\r\n\r\nLeft untreated, the weak ligaments cause the joint to move in an abnormal motion. Over time, this abnormal joint motion will injure other joint structures, setting the joint up for degeneration and the arthritic process. Regenerative Orthopedics stimulates the repair of the injured joint structures, stops the abnormal joint motion, and halts the degenerative process.\r\n\r\nWhen degeneration of the joint is more severe, we may recommend the Gold Standard in Stem Cell Therapy. This treatment includes two forms of stem cells (bone and fat), PRP, and Dextrose Prolotherapy. We have found that this combination is quite amazing at regenerating the joint when cartilage has been lost. Plus, it stimulates the other soft tissue structures to repair and strengthen, which fixes the root problem of joint instability. And the result is in the elimination of pain and the return to function in degenerative joint conditions.\r\n\r\nRegenerative Orthopedics is an effective treatment option for painful joint conditions, even after many other treatments have failed to resolve your pain. If your pain has persisted to put a damper on your life after having tried numerous other treatments, we urge you to consider non-surgical Regenerative Orthopedics to resolve your joint pain.\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Painful Joints?','','inherit','closed','closed','','2592-revision-v1','','','2020-09-02 19:36:20','2020-09-02 19:36:20','',2592,'https://www.drfields.com/uncategorized/2592-revision-v1/',0,'revision','',0),(4089,9,'2020-09-07 19:49:20','2020-09-07 19:49:20','Sciatical','Sciatical','Sciatical','inherit','open','closed','','sciatical','','','2020-09-07 19:49:20','2020-09-07 19:49:20','',2555,'https://www.drfields.com/wp-content/uploads/2019/08/sciatical.png',0,'attachment','image/png',0),(4090,9,'2020-09-07 20:09:33','2020-09-07 20:09:33','[caption id=\"attachment_4089\" align=\"alignleft\" width=\"400\"]<img class=\"wp-image-4089 size-medium\" src=\"https://www.drfields.com/wp-content/uploads/2019/08/sciatical-400x500.png\" alt=\"Sciatica Symptoms\" width=\"400\" height=\"500\" /> <strong><em> Do Sciatica symptoms keeping you down?   Regenerative Orthopedics gets you back up!</em></strong>[/caption]\r\n<h2><strong>Relief from Sciatica Symptoms         </strong></h2>\r\nSciatica is a complaint that is tossed around quite frequently in the context of burning low back pain that shoots down a person’s buttocks, legs, and/or feet. And you’ve probably heard it or have said it yourself! If you’ve had sciatica symptoms, there\'s a good chance a friend has recommended their favorite treatment or therapist to help you find some relief.\r\n\r\nBut did you know that sciatica is not actually a disease? Sure, it’s a real thing, but sciatica is a symptom, and not the disease or condition itself. The condition is called<strong> lumbar radiculopathy. </strong>Oftentimes, the terms sciatica and lumbar radiculopathy are used interchangeably. Lumbar refers to the lower back area and radiculopathy is a disease of the root of a nerve.\r\n\r\nFor those of you who have experienced the pain of lumbar radiculopathy or an actual pinched nerve, <strong>the pain is very excruciating</strong>. The sufferer commonly experiences burning pain shooting down the leg. And the pain is so bad it will stop you in your tracks.\r\n<h3>How Did You Get to this Point of Extreme Pain?</h3>\r\nThe common denominator for most back pain problems is spinal instability. Injury to the ligaments of the back occurred at some point. And typically from bending over and twisting with the knees in a locked position, which then stretched the ligaments, and made them vulnerable to injury. The result is weak and lax ligaments. And when ligaments of the lumbar spine are weak, the vertebrae can slip out of place and pinch the nerve.\r\n<h3><strong>What Are the Common Treatments for Sciatica Symptoms or Lumbar Radiculopathy?</strong></h3>\r\nChiropractors treat sciatica symptoms with much success and should be the first practitioners to see for this condition. You can also try treatments like massage and stretching for relief. But these therapies will only work on the surrounding muscles, and any relief will very likely be temporary.<span class=\"Apple-converted-space\"> </span>\r\n<h4><em>Regenerative Orthopedics Are One Treatment Option</em></h4>\r\nIf ligaments are weakened, the muscles will be going into spasm. That\'s because muscles spasm in an effort to stabilize the area that is currently unstable due to the ligament injury. Muscle-strengthening may be of benefit too. But remember that the underlying injury of the ligaments needs to be addressed. Regenerative Orthopedic treatments, such as Prolotherapy or PRP, are great options for addressing ligament injuries. And they are effective at both repairing and strengthening these types of soft tissue injuries.\r\n<h4><em>Non-Steroidal Anti-inflammatory Drugs (NSAIDs) and Cortisone Are Not Reparative Treatments</em></h4>\r\nNon-steroidal anti-inflammatory drugs (NSAIDs) are frequently used, but they are not reparative. So when you reach for an aspirin, Advil, or some other over-the-counter NSAID pain reliever, know that this is not a fix. Your physician may recommend prescription NSAID’s. But again, NSAID’s do not repair the injury. They may give you some relief, but they will not fix the underlying problem or heal the injury.\r\n\r\nIf sciatica symptoms do not resolve on their own and the pain continues, a cortisone injection may be recommended by your physician. Epidural cortisone injections may reduce the size of stressed nerve roots, but they do have side effects. Studies have shown that cortisone causes tissue like the ligaments to grow weaker. So, if weak tissue is the source of the problem, to begin with, then why use something that may make the problem worse? Instead, the spinal instability that is allowing the vertebral segments to move excessively needs to be addressed, so the pain can stop!\r\n<h4><strong><em>What About Painkillers and Anti-Depressants for Sciatica Symptoms?</em></strong></h4>\r\nHave you tried painkillers and found no lasting relief? Until the source of the problem is addressed, you may find yourself exhausted and frustrated at the failure of various therapies to provide long-lasting relief. Not to mention treatments that are ineffective at relieving lumbar radiculopathy and the sciatica symptoms.\r\n\r\nAre antidepressants and anticonvulsants being recommended? Although you may be depressed because of unending pain, good chance depression is not the source of your back pain. And what about the use of anticonvulsants to treat sciatica? In a 2018 article in the Journal of the American Medical Association (JAMA), the writers note that the commonly used anticonvulsant medication for sciatica called “pregabalin does not improve symptoms of sciatica but frequently has adverse effects.”<a href=\"#_edn1\" name=\"_ednref1\">[i]</a>\r\n\r\nHave you exhausted conservative care options? And have you progressed to stronger medications like painkillers, antidepressants, and anticonvulsants, and are possibly facing the recommendations of surgery? Then it is time to look into a solution that actually repairs the injury. Regenerative Orthopedics can provide an effective option that results in relief and repair while utilizing a non-surgical solution for those with persistent sciatica symptoms and lumbar radiculopathy.\r\n<h4><em><strong>What if Surgery Has Been Recommended for Your Sciatica Symptoms?</strong></em></h4>\r\nIf you are facing surgery for relief from your symptoms, minimally invasive spine surgery may be the surgery you are considering. Surgery may give you relief. However, studies have shown that although there may be a rapid decrease in pain and disability after a few months, years down the road patients still experience mild to moderate pain post-surgery.<a href=\"#_edn2\" name=\"_ednref2\">[ii]</a>\r\n<h3><strong>Regenerative Orthopedics to Strengthen Spinal Instability and Relieve Sciatica Symptoms</strong></h3>\r\nWhy choose surgery and treatments with side effects? Or those which also lack benefit when there is another option? Choose the path that actually repairs the injury and solves the problem. Regenerative Orthopedics is non-surgical, plus it is effective.\r\n\r\nAt OrthoRegen<sup>®</sup>, we treat all of the involved areas of the low back, including the injured ligaments and their attachments to stimulate the body’s own natural healing process. The treatment boosts the blood supply to the injured areas. And that brings reparative cells to the ligaments so they can heal. Remember that when the ligaments are weak, they allow for too much movement of the vertebrae. And with this extra movement a nerve can get pinched.\r\n\r\nRegenerative Orthopedic treatments to these areas strengthen and tighten the ligaments. That leads to stabilization of the lumbar spine, which stops the excessive movement, and repairs the underlying problem. The result is pain relief. Regenerative Orthopedics is effective at bringing pain relief and return to function for those suffering from sciatica symptoms and lumbar radiculopathy.\r\n\r\n<a href=\"#_ednref1\" name=\"_edn1\">[i]</a> Morgan DJ, Dhruva SS, Coon ER, Wright SM, Korenstein D. 2018 Update on Medical Overuse. JAMA Internal Medicine. 2018 Dec 3.  [<a href=\"https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2717505\">JAMA</a>]\r\n\r\n<a href=\"#_ednref2\" name=\"_edn2\">[ii]</a> Machado GC, Witzleb AJ, Fritsch C, Maher CG, Ferreira PH, Ferreira ML. Patients with sciatica still experience pain and disability 5 years after surgery: A systematic review with meta-analysis of cohort studies. Eur J Pain. 2016 May 12.[<a href=\"https://scholar.google.com/scholar?cluster=1973126208637694796&amp;hl=en&amp;as_sdt=0,31\">Google Scholar</a>]\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Relief from Sciatica Symptoms','','inherit','closed','closed','','2555-revision-v1','','','2020-09-07 20:09:33','2020-09-07 20:09:33','',2555,'https://www.drfields.com/uncategorized/2555-revision-v1/',0,'revision','',0),(4091,9,'2020-09-07 20:12:31','2020-09-07 20:12:31','<b>Is Surgery a Good Option for Meniscus Tears?</b>\r\n\r\n<span style=\"font-weight: 400;\">Meniscal tears are quite common. So much so, that they are one of the most common injuries to the knee. Meniscal injuries are routinely treated with surgery, and many with meniscus injuries end up receiving some form of meniscectomy. Nearly 700,000 arthroscopic partial meniscectomies are performed annually in the US, at an estimated annual cost of $4 billion.</span><span style=\"font-weight: 400;\">  Is surgery of this type an effective way to treat meniscal injuries? Believe it or not, research show that it is not! Several studies question the effectiveness of this procedure. One study found that almost half of patients who received non-operative treatment with </span><span style=\"font-weight: 400;\">nonsteroidal anti-inflammatory drugs </span><span style=\"font-weight: 400;\">improved well enough to avoid surgery.</span> <span style=\"font-weight: 400;\">Three other studies compared arthroscopic meniscectomies with sham surgeries. A sham surgery is a faked surgical intervention that omits the step necessary for the surgery to be therapeutic. What were the results?  They found no significant difference between meniscectomy and sham surgery, and they did not find meniscectomies to be effective.</span><span style=\"font-weight: 400;\">, </span><span style=\"font-weight: 400;\"> The most recent study, showed the surgery did not reduce the mechanical symptoms of knee catching and locking</span><span style=\"font-weight: 400;\">.</span><span style=\"font-weight: 400;\"> As you can see, the effectiveness of meniscectomies is questionable. </span><span style=\"font-weight: 400;\"> </span>\r\n\r\n<b>If Meniscus Surgeries Are Ineffective, Then Why Are They Done?</b>\r\n\r\n<span style=\"font-weight: 400;\">Patients usually believe the surgery will help their knee to function better and lessen the pain they are experiencing. When the knee locks and catches randomly, people want that to stop, especially since knee locking can be painful. If the person with these symptoms is an athlete, they want to get back to their sport quickly, and they think surgery is going to make that happen. People generally think that surgery can get them back to work or play sooner than going through physical therapy or other treatment options. But evidence and research does not back this way of thinking. In fact, many patients are worse off after the surgery.</span>\r\n\r\n<b>If You Want to Keep Your Knee Intact, Then Keep Your Meniscus!</b>\r\n\r\n<span style=\"font-weight: 400;\">When part of the knee, like the meniscus, is removed, the knee is unable to function normally. Removing the meniscus makes the knee unstable. The instability leads to the development of more knee problems. The joint instability that arises after removal of the meniscus negatively affects the interplay between the other structures of the knee, because extra stress is placed on them. When more stress is placed on the cartilage, degeneration is accelerated, boosting the arthritic process. More stress is also placed on the various ligaments and tendons supporting the knee, eventually damaging them and leading to the breakdown of the knee joint and irreversible joint damage. It has been proven in studies that new onset instability is demonstrated after partial meniscectomy,</span><span style=\"font-weight: 400;\">,</span><span style=\"font-weight: 400;\"> with significant rates of cartilage loss transpiring after both partial and complete meniscectomy, and that these procedures lead to degenerative arthritis and ligament injury in the knee. </span><span style=\"font-weight: 400;\">, </span><span style=\"font-weight: 400;\">,</span><span style=\"font-weight: 400;\"> And this information is not new! Adverse effects associated with meniscectomy have been documented in the literature going as far back as </span><span style=\"font-weight: 400;\">1923.</span><span style=\"font-weight: 400;\">, </span><span style=\"font-weight: 400;\">, </span><i><span style=\"font-weight: 400;\">,</span></i>\r\n\r\n<b>Regenerative Orthopedics Effectively Repairs Meniscus Tears Non-Surgically</b>\r\n\r\n<span style=\"font-weight: 400;\">Given the accumulation of evidence </span><span style=\"font-weight: 400;\">t</span><span style=\"font-weight: 400;\">hat demonstrates not only the overwhelming lack of efficacy and benefit, but also the risk of serious adverse effects of this widely used procedure for meniscus tears, it is important to consider potential safe and effective alternatives. Regenerative Orthopedics is a non-surgical solution, used to effectively treat knee injuries such as meniscus tears, as well as other soft tissue injuries like ligaments and tendons.</span><span style=\"font-weight: 400;\">, </span> <span style=\"font-weight: 400;\">Regenerative Orthopedic treatments work by initiating the inflammatory stage of the healing process, raising the levels of growth factors, and initiating repair. The treatments stimulate new cell growth and rebuild depleted tissue, including the regeneration of cartilage.</span>\r\n\r\n<span style=\"font-weight: 400;\">In certain cases, Platelet Rich Plasma may be utilized. This involves injection of your own blood components to facilitate the healing of tissue that has degenerated. Platelets are the storehouses of growth factors, and platelet rich plasma is abundant in growth factors, capable of stimulating healing of the injured tissue.</span>\r\n\r\n<span style=\"font-weight: 400;\">Regenerative Orthopedic treatments can safely and effectively treat meniscus tears without the need for surgery, returning you quickly to the activities and sports you enjoy.</span>\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Meniscus Tears: Is Surgery a Good Option?','','inherit','closed','closed','','2503-revision-v1','','','2020-09-07 20:12:31','2020-09-07 20:12:31','',2503,'https://www.drfields.com/uncategorized/2503-revision-v1/',0,'revision','',0),(4092,9,'2020-09-07 20:12:52','2020-09-07 20:12:52','Meniscus Tears: Repair them Non-Surgically with Regenerative Orthopedics','Meniscus Tears: Repair them Non-Surgically with Regenerative Orthopedics','Meniscus Tears: Repair them Non-Surgically with Regenerative Orthopedics','inherit','open','closed','','mcl-tears-2','','','2020-09-07 20:16:09','2020-09-07 20:16:09','',2503,'https://www.drfields.com/wp-content/uploads/2019/07/MCL-tears.jpg',0,'attachment','image/jpeg',0),(4093,9,'2020-09-07 20:17:18','2020-09-07 20:17:18','Meniscus Injuries','Meniscus Injuries','Meniscus Injuries','inherit','open','closed','','meniscus-injuries','','','2020-09-07 20:17:18','2020-09-07 20:17:18','',2503,'https://www.drfields.com/wp-content/uploads/2019/07/meniscus-injuries.png',0,'attachment','image/png',0),(4094,9,'2020-09-07 20:25:17','2020-09-07 20:25:17','[caption id=\"attachment_4093\" align=\"alignright\" width=\"500\"]<img class=\"size-medium wp-image-4093\" src=\"https://www.drfields.com/wp-content/uploads/2019/07/meniscus-injuries-500x500.png\" alt=\"Meniscus Injuries\" width=\"500\" height=\"500\" /> <em>      Meniscus Injuries? Repair them Non-Surgically with Regenerative Orthopedics</em>[/caption]\n<h3><b>Is Surgery a Good Option for Meniscus Tears?</b></h3>\n<span style=\"font-weight: 400;\">Meniscal tears are quite common. So much so, that they are one of the most common injuries to the knee. Meniscal injuries are routinely treated with surgery, and many with meniscus injuries end up receiving some form of meniscectomy. Nearly 700,000 arthroscopic partial meniscectomies are performed annually in the US, at an estimated annual cost of $4 billion.</span><span style=\"font-weight: 400;\"> </span>\n\n<span style=\"font-weight: 400;\"> Is surgery of this type an effective way to treat meniscal injuries? Believe it or not, research show that it is not! Several studies question the effectiveness of this procedure. One study found that almost half of patients who received non-operative treatment with </span><span style=\"font-weight: 400;\">nonsteroidal anti-inflammatory drugs </span><span style=\"font-weight: 400;\">improved well enough to avoid surgery.</span> <span style=\"font-weight: 400;\">Three other studies compared arthroscopic meniscectomies with sham surgeries. A sham surgery is a faked surgical intervention that omits the step necessary for the surgery to be therapeutic. </span>\n<h4><strong><em>What W</em></strong><strong><i>ere the Results of the Research?  </i></strong></h4>\n<span style=\"font-weight: 400;\">They found no significant difference between meniscectomy and sham surgery, and they did not find meniscectomies to be effective. And t</span><span style=\"font-weight: 400;\">he most recent study, showed the surgery did not reduce the mechanical symptoms of knee catching and locking</span><span style=\"font-weight: 400;\">.</span><span style=\"font-weight: 400;\"> As you can see, the effectiveness of meniscectomies is questionable. </span><span style=\"font-weight: 400;\"> </span>\n<h3><b>If Meniscus Surgeries Are Ineffective, Then Why Are They Done?</b></h3>\n<span style=\"font-weight: 400;\">Patients usually believe the surgery will help their knee to function better and lessen the pain they are experiencing. When the knee locks and catches randomly, people want that to stop, especially since knee locking can be painful. If the person with these symptoms is an athlete, they want to get back to their sport quickly, and they think surgery is going to make that happen.</span>\n\n<span style=\"font-weight: 400;\"> People generally think that surgery can get them back to work or play sooner than going through physical therapy or other treatment options. But evidence and research does not back this way of thinking. In fact, many patients are worse off after the surgery.</span>\n<h3><b>If You Want to Keep Your Knee Intact, Then Keep Your Meniscus!</b></h3>\n<span style=\"font-weight: 400;\">When part of the knee, like the meniscus, is removed, the knee is unable to function normally. And removing the meniscus makes the knee unstable. The instability leads to the development of more knee problems. The joint instability that arises after removal of the meniscus negatively affects the interplay between the other structures of the knee. That\'s because extra stress is placed on them. </span>\n\n<span style=\"font-weight: 400;\">When more stress is placed on the cartilage, degeneration is accelerated, boosting the arthritic process. And more stress is also placed on the various ligaments and tendons supporting the knee, eventually damaging them. And this leads to the breakdown of the knee joint and irreversible joint damage. </span>\n\n<span style=\"font-weight: 400;\">It has been proven in studies that new onset instability is demonstrated after partial meniscectomy,</span><span style=\"font-weight: 400;\"> with significant rates of cartilage loss transpiring after both partial and complete meniscectomy. And also that these procedures lead to degenerative arthritis and ligament injury in the knee. </span><span style=\"font-weight: 400;\">And this information is not new! Adverse effects associated with meniscectomy have been documented in the literature going as far back as </span><span style=\"font-weight: 400;\">1923.</span>\n<h3><b>Regenerative Orthopedics Effectively Repairs Meniscus Tears Non-Surgically</b></h3>\n<span style=\"font-weight: 400;\">Given the accumulation of evidence </span><span style=\"font-weight: 400;\">t</span><span style=\"font-weight: 400;\">hat demonstrates not only the overwhelming lack of efficacy and benefit, but also the risk of serious adverse effects of this widely used procedure for meniscus tears, it is important to consider potential safe and effective alternatives. </span>\n\n<span style=\"font-weight: 400;\">Regenerative Orthopedics is a non-surgical solution, used to effectively treat knee injuries such as meniscus tears, as well as other soft tissue injuries like ligaments and tendons.</span><span style=\"font-weight: 400;\">, </span> <span style=\"font-weight: 400;\">Regenerative Orthopedic treatments work by initiating the inflammatory stage of the healing process, raising the levels of growth factors, and initiating repair. The treatments stimulate new cell growth and rebuild depleted tissue, including the regeneration of cartilage.</span>\n\n<span style=\"font-weight: 400;\">In certain cases, Platelet Rich Plasma may be utilized. This involves injection of your own blood components to facilitate the healing of tissue that has degenerated. Platelets are the storehouses of growth factors, and platelet rich plasma is abundant in growth factors, capable of stimulating healing of the injured tissue.</span>\n\n<span style=\"font-weight: 400;\">Regenerative Orthopedic treatments can safely and effectively treat meniscus tears without the need for surgery, returning you quickly to the activities and sports you enjoy.</span>\n\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Meniscus Tears: Is Surgery a Good Option?','','inherit','closed','closed','','2503-autosave-v1','','','2020-09-07 20:25:17','2020-09-07 20:25:17','',2503,'https://www.drfields.com/uncategorized/2503-autosave-v1/',0,'revision','',0),(4095,9,'2020-09-07 20:24:15','2020-09-07 20:24:15','<h3><b>Is Surgery a Good Option for Meniscus Tears?</b></h3>\r\n<span style=\"font-weight: 400;\">Meniscal tears are quite common. So much so, that they are one of the most common injuries to the knee. Meniscal injuries are routinely treated with surgery, and many with meniscus injuries end up receiving some form of meniscectomy. Nearly 700,000 arthroscopic partial meniscectomies are performed annually in the US, at an estimated annual cost of $4 billion.</span><span style=\"font-weight: 400;\"> </span>\r\n\r\n<span style=\"font-weight: 400;\"> Is surgery of this type an effective way to treat meniscal injuries? Believe it or not, research show that it is not! Several studies question the effectiveness of this procedure. One study found that almost half of patients who received non-operative treatment with </span><span style=\"font-weight: 400;\">nonsteroidal anti-inflammatory drugs </span><span style=\"font-weight: 400;\">improved well enough to avoid surgery.</span> <span style=\"font-weight: 400;\">Three other studies compared arthroscopic meniscectomies with sham surgeries. A sham surgery is a faked surgical intervention that omits the step necessary for the surgery to be therapeutic. </span>\r\n<h4><strong><em>What W</em></strong><strong><i>ere the Results of the Research?  </i></strong></h4>\r\n<span style=\"font-weight: 400;\">They found no significant difference between meniscectomy and sham surgery, and they did not find meniscectomies to be effective. And t</span><span style=\"font-weight: 400;\">he most recent study, showed the surgery did not reduce the mechanical symptoms of knee catching and locking</span><span style=\"font-weight: 400;\">.</span><span style=\"font-weight: 400;\"> As you can see, the effectiveness of meniscectomies is questionable. </span><span style=\"font-weight: 400;\"> </span>\r\n<h3><b>If Meniscus Surgeries Are Ineffective, Then Why Are They Done?</b></h3>\r\n<span style=\"font-weight: 400;\">Patients usually believe the surgery will help their knee to function better and lessen the pain they are experiencing. When the knee locks and catches randomly, people want that to stop, especially since knee locking can be painful. If the person with these symptoms is an athlete, they want to get back to their sport quickly, and they think surgery is going to make that happen.</span>\r\n\r\n<span style=\"font-weight: 400;\"> People generally think that surgery can get them back to work or play sooner than going through physical therapy or other treatment options. But evidence and research does not back this way of thinking. In fact, many patients are worse off after the surgery.</span>\r\n<h3><b>If You Want to Keep Your Knee Intact, Then Keep Your Meniscus!</b></h3>\r\n<span style=\"font-weight: 400;\">When part of the knee, like the meniscus, is removed, the knee is unable to function normally. And removing the meniscus makes the knee unstable. The instability leads to the development of more knee problems. The joint instability that arises after removal of the meniscus negatively affects the interplay between the other structures of the knee. That\'s because extra stress is placed on them. </span>\r\n\r\n<span style=\"font-weight: 400;\">When more stress is placed on the cartilage, degeneration is accelerated, boosting the arthritic process. And more stress is also placed on the various ligaments and tendons supporting the knee, eventually damaging them. And this leads to the breakdown of the knee joint and irreversible joint damage. </span>\r\n\r\n<span style=\"font-weight: 400;\">It has been proven in studies that new onset instability is demonstrated after partial meniscectomy,</span><span style=\"font-weight: 400;\"> with significant rates of cartilage loss transpiring after both partial and complete meniscectomy. And also that these procedures lead to degenerative arthritis and ligament injury in the knee. </span><span style=\"font-weight: 400;\">And this information is not new! Adverse effects associated with meniscectomy have been documented in the literature going as far back as </span><span style=\"font-weight: 400;\">1923.</span>\r\n<h3><b>Regenerative Orthopedics Effectively Repairs Meniscus Tears Non-Surgically</b></h3>\r\n<span style=\"font-weight: 400;\">Given the accumulation of evidence </span><span style=\"font-weight: 400;\">t</span><span style=\"font-weight: 400;\">hat demonstrates not only the overwhelming lack of efficacy and benefit, but also the risk of serious adverse effects of this widely used procedure for meniscus tears, it is important to consider potential safe and effective alternatives. </span>\r\n\r\n<span style=\"font-weight: 400;\">Regenerative Orthopedics is a non-surgical solution, used to effectively treat knee injuries such as meniscus tears, as well as other soft tissue injuries like ligaments and tendons.</span><span style=\"font-weight: 400;\">, </span> <span style=\"font-weight: 400;\">Regenerative Orthopedic treatments work by initiating the inflammatory stage of the healing process, raising the levels of growth factors, and initiating repair. The treatments stimulate new cell growth and rebuild depleted tissue, including the regeneration of cartilage.</span>\r\n\r\n<span style=\"font-weight: 400;\">In certain cases, Platelet Rich Plasma may be utilized. This involves injection of your own blood components to facilitate the healing of tissue that has degenerated. Platelets are the storehouses of growth factors, and platelet rich plasma is abundant in growth factors, capable of stimulating healing of the injured tissue.</span>\r\n\r\n<span style=\"font-weight: 400;\">Regenerative Orthopedic treatments can safely and effectively treat meniscus tears without the need for surgery, returning you quickly to the activities and sports you enjoy.</span>\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Meniscus Tears: Is Surgery a Good Option?','','inherit','closed','closed','','2503-revision-v1','','','2020-09-07 20:24:15','2020-09-07 20:24:15','',2503,'https://www.drfields.com/uncategorized/2503-revision-v1/',0,'revision','',0),(4096,9,'2020-09-07 20:25:49','2020-09-07 20:25:49','[caption id=\"attachment_4093\" align=\"alignright\" width=\"543\"]<img class=\" wp-image-4093\" src=\"https://www.drfields.com/wp-content/uploads/2019/07/meniscus-injuries-500x500.png\" alt=\"Meniscus Injuries\" width=\"543\" height=\"543\" /> <em>    Meniscus Injuries? Repair them Non-Surgically with Regenerative Orthopedics</em>[/caption]\r\n<h3><b>Is Surgery a Good Option for Meniscus Tears?</b></h3>\r\n<span style=\"font-weight: 400;\">Meniscal tears are quite common. So much so, that they are one of the most common injuries to the knee. Meniscal injuries are routinely treated with surgery, and many with meniscus injuries end up receiving some form of meniscectomy. Nearly 700,000 arthroscopic partial meniscectomies are performed annually in the US, at an estimated annual cost of $4 billion.</span><span style=\"font-weight: 400;\"> </span>\r\n\r\n<span style=\"font-weight: 400;\"> Is surgery of this type an effective way to treat meniscal injuries? Believe it or not, research show that it is not! Several studies question the effectiveness of this procedure. One study found that almost half of patients who received non-operative treatment with </span><span style=\"font-weight: 400;\">nonsteroidal anti-inflammatory drugs </span><span style=\"font-weight: 400;\">improved well enough to avoid surgery.</span> <span style=\"font-weight: 400;\">Three other studies compared arthroscopic meniscectomies with sham surgeries. A sham surgery is a faked surgical intervention that omits the step necessary for the surgery to be therapeutic. </span>\r\n<h4><strong><em>What W</em></strong><strong><i>ere the Results of the Research?  </i></strong></h4>\r\n<span style=\"font-weight: 400;\">They found no significant difference between meniscectomy and sham surgery, and they did not find meniscectomies to be effective. And t</span><span style=\"font-weight: 400;\">he most recent study, showed the surgery did not reduce the mechanical symptoms of knee catching and locking</span><span style=\"font-weight: 400;\">.</span>\r\n\r\n<span style=\"font-weight: 400;\">As you can see, the effectiveness of meniscectomies is questionable. </span><span style=\"font-weight: 400;\"> </span>\r\n<h3><b>If Meniscus Surgeries Are Ineffective, Then Why Are They Done?</b></h3>\r\n<span style=\"font-weight: 400;\">Patients usually believe the surgery will help their knee to function better and lessen the pain they are experiencing. When the knee locks and catches randomly, people want that to stop, especially since knee locking can be painful. If the person with these symptoms is an athlete, they want to get back to their sport quickly, and they think surgery is going to make that happen.</span>\r\n\r\n<span style=\"font-weight: 400;\"> People generally think that surgery can get them back to work or play sooner than going through physical therapy or other treatment options. But evidence and research does not back this way of thinking. In fact, many patients are worse off after the surgery.</span>\r\n<h3><b>If You Want to Keep Your Knee Intact, Then Keep Your Meniscus!</b></h3>\r\n<span style=\"font-weight: 400;\">When part of the knee, like the meniscus, is removed, the knee is unable to function normally. And removing the meniscus makes the knee unstable. The instability leads to the development of more knee problems. The joint instability that arises after removal of the meniscus negatively affects the interplay between the other structures of the knee. That\'s because extra stress is placed on them. </span>\r\n\r\n<span style=\"font-weight: 400;\">When more stress is placed on the cartilage, degeneration is accelerated, boosting the arthritic process. And more stress is also placed on the various ligaments and tendons supporting the knee, eventually damaging them. And this leads to the breakdown of the knee joint and irreversible joint damage. </span>\r\n\r\n<span style=\"font-weight: 400;\">It has been proven in studies that new onset instability is demonstrated after partial meniscectomy,</span><span style=\"font-weight: 400;\"> with significant rates of cartilage loss transpiring after both partial and complete meniscectomy. And also that these procedures lead to degenerative arthritis and ligament injury in the knee. </span><span style=\"font-weight: 400;\">And this information is not new! Adverse effects associated with meniscectomy have been documented in the literature going as far back as </span><span style=\"font-weight: 400;\">1923.</span>\r\n<h3><b>Regenerative Orthopedics Effectively Repairs Meniscus Tears Non-Surgically</b></h3>\r\n<span style=\"font-weight: 400;\">Given the accumulation of evidence </span><span style=\"font-weight: 400;\">t</span><span style=\"font-weight: 400;\">hat demonstrates not only the overwhelming lack of efficacy and benefit, but also the risk of serious adverse effects of this widely used procedure for meniscus tears, it is important to consider potential safe and effective alternatives. </span>\r\n\r\n<span style=\"font-weight: 400;\">Regenerative Orthopedics is a non-surgical solution, used to effectively treat knee injuries such as meniscus tears, as well as other soft tissue injuries like ligaments and tendons.</span><span style=\"font-weight: 400;\">, </span> <span style=\"font-weight: 400;\">Regenerative Orthopedic treatments work by initiating the inflammatory stage of the healing process, raising the levels of growth factors, and initiating repair. The treatments stimulate new cell growth and rebuild depleted tissue, including the regeneration of cartilage.</span>\r\n\r\n<span style=\"font-weight: 400;\">In certain cases, Platelet Rich Plasma may be utilized. This involves injection of your own blood components to facilitate the healing of tissue that has degenerated. Platelets are the storehouses of growth factors, and platelet rich plasma is abundant in growth factors, capable of stimulating healing of the injured tissue.</span>\r\n\r\n<span style=\"font-weight: 400;\">Regenerative Orthopedic treatments can safely and effectively treat meniscus tears without the need for surgery, returning you quickly to the activities and sports you enjoy.</span>\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Meniscus Tears: Is Surgery a Good Option?','','inherit','closed','closed','','2503-revision-v1','','','2020-09-07 20:25:49','2020-09-07 20:25:49','',2503,'https://www.drfields.com/uncategorized/2503-revision-v1/',0,'revision','',0),(4097,9,'2021-07-12 03:09:15','2021-07-12 03:09:15','[caption id=\"attachment_4099\" align=\"alignright\" width=\"500\"]<img class=\"size-medium wp-image-4099\" src=\"https://www.drfields.com/wp-content/uploads/2019/07/headaches-1-500x500.jpg\" alt=\"Headaches\" width=\"500\" height=\"500\" /> <strong><em>                        Are Headaches Coming From Your Neck?</em></strong>[/caption]\n<h3><b>Suffering from Headaches? </b><em><b>The Problem May Come From Your Neck.</b></em></h3>\n<span style=\"font-weight: 400;\">Headaches are a recurrent malady suffered by millions of Americans, causing pain and discomfort in the head, forehead, scalp, or neck. At times they are a mild nuisance. But headaches can become severe, even disabling, with the pain leading to difficulty at work, concentration, and performance of daily activities. </span>\n<h3><b>What is the Source of Headaches?</b></h3>\n<h4><b><i>Hormones</i></b></h4>\n<span style=\"font-weight: 400;\">Headaches have different sources, and the causative factors require some investigation. Hormones might be the culprit. Women may experience headaches during the menstrual cycle due to shifts in hormone levels. And when this is the case, there may be a need to balance the hormones, because the woman could have too much estrogen and not enough progesterone.</span>\n<h4><em><strong>Diet </strong></em></h4>\n<span style=\"font-weight: 400;\">Headache pain can often be </span><span style=\"font-weight: 400;\">corrected with diet. Food allergies or sensitivities can trigger headaches. And eating too many carbohydrates or not enough protein, for example, can alter blood chemistry. And that can prompt a headache or foster problems with the hormonal system, which can again lead to headaches.</span>\n<h4><strong><i>TMJ Syndrome</i></strong></h4>\n<span style=\"font-weight: 400;\">Temporomandibular</span><span style=\"font-weight: 400;\"> joint (TMJ) problems may contribute to headaches</span><span style=\"font-weight: 400;\">. Sufferers with TMJ have clicking at this joint, experience facial pain, and may notice a stiff mouth upon awakening after a night’s sleep. And all of this can then lead to a headache. TMJ syndrome, which often includes headaches, requires stabilization of the TMJ joint and ligament. Also, bite problems may be present, necessitating bite equilibration.</span>\n<h3><b>The Neck as the Source of Headaches</b></h3>\n<span style=\"font-weight: 400;\">It is not uncommon for the source of headaches to originate in the neck. Do you have neck pain before or during a headache? If you have neck pain followed by tension or migraine headache, then the source of the headache may very well be coming from your neck. </span>\n\n<span style=\"font-weight: 400;\">The most common neck problem producing headaches is an injury to the ligaments in the neck. How do you know if you have a ligament injury in your neck? You will hear grinding, crunching, and popping sounds when you turn your neck. And there is also a high probability that you crack your neck often. Injured ligaments generate instability in the neck, which induces muscle spasms in the neck as the muscles attempt to stabilize it. And the result is referral pain in the form of a tension headache in the forehead, back of the neck, or occiput. </span>\n<h3><em>Platelet Rich Plasma for Headaches</em></h3>\nDextrose Prolotherapy is often effective to treat headaches and achieve the desired results. In more severe cases, Platelet Rich Plasma, one of the types of Regenerative Orthopedics, may be recommendedhas also been shown in studies to be effective for chronic migraines.1\n<h4><strong><i>Cervicocranial Syndrome or </i><a href=\"http://jnnp.bmj.com/content/75/2/319.full\"><i>Barré-Liéou</i></a><i> Syndrome</i></strong></h4>\n<span style=\"font-weight: 400;\">Cervicocranial Syndrome, previously known as </span><a href=\"http://jnnp.bmj.com/content/75/2/319.full\"><span style=\"font-weight: 400;\">Barré-Liéou</span></a><span style=\"font-weight: 400;\"> Syndrome is a condition that causes a bunch of s</span><span style=\"font-weight: 400;\">ymptoms. The symptoms may include headache, dizziness, facial pain, ear pain, vertigo, tinnitus, loss of voice,</span> <span style=\"font-weight: 400;\">hoarseness, neck pain, and severe fatigue. </span>\n\n<span style=\"font-weight: 400;\">Instability of the neck or cervical spine is usually the source of these symptoms.</span><span style=\"font-weight: 400;\"> Neck instability involves increased motion between adjacent vertebrae which causes excessive stress on the supporting ligament structures. And the nerve endings within those structures elicit pain and a variety of symptoms.</span> <span style=\"font-weight: 400;\">In other words</span><span style=\"font-weight: 400;\">, </span><span style=\"font-weight: 400;\">neck instability causes extra movement in the neck bones. And this extra motion can cause the bones to push on the nerves and cause irritation of the nervous system, leading to headaches and a bunch of other symptoms. </span>\n<h4><strong><i>Occipital Neuralgia</i></strong></h4>\n<span style=\"font-weight: 400;\">Occipital neuralgia is another headache-causing condition related to neck instability. Those with this condition often experience sharp, stabbing pain in the lower part of the neck, the back of the head, and behind their eyes. The pain is typically one-sided. </span>\n\n<span style=\"font-weight: 400;\">The occipital nerve, which runs at the back of the head, can cause severe pain when injured. Many folks get nerve blocks for this pain. But these are not always effective at resolving the pain. Any instability of C1, C2, the first two neck vertebrae, can pinch or irritate the occipital nerve. And the extra motion along the spine can kink, press, and tighten on the nerves at the base of the skull. Neck instability symptoms include tenderness, clicking, grinding, and popping in the back of the head. </span>\n<h4><strong><i>Whiplash</i></strong></h4>\n<span style=\"font-weight: 400;\">Headaches can occur after whiplash injuries. During a whiplash injury, the head flexes and extends, in a forward and backward whip that injures the neck ligaments. </span><span style=\"font-weight: 400;\">Whiplash injuries are a common source of neck instability.</span>\n\n<span style=\"font-weight: 400;\">The lack of stable neck vertebrae can lead to further injury of the soft tissue and joint structures, as well as the possibility of nerve injury and irritation of the nervous system. And that can result in headaches and other symptoms. Whiplash often results in long-term pain, which is due to a ligament injury and malalignment of the neck vertebrae.</span>\n<h3><b>Regenerative Orthopedics Repairs Neck Instability</b></h3>\n<span style=\"font-weight: 400;\">Regenerative Orthopedics involves the injection of natural substances into the damaged ligaments. The treatment results in tightening, repair, and regeneration of the ligaments involved in TMJ and neck instability. The area becomes stabilized, thus eliminating the instability, muscle spasms, and associated neck and jaw pain, and other related symptoms. </span>\n\n<span style=\"font-weight: 400;\">For those who are tired of the disability and pain of severe headaches, and other conditions related to neck instability, Regenerative Orthopedics is a safe, non-surgical option that stops headache pain, decreases symptoms, and increases functionality in otherwise life-altering conditions.</span>\n\n&nbsp;\n\n<iframe src=\"https://www.youtube.com/embed/EKGWkEAaqTM\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"></iframe>\n\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Headache Sufferer? It Could Be Your Neck.','','inherit','closed','closed','','2501-autosave-v1','','','2021-07-12 03:09:15','2021-07-12 03:09:15','',2501,'https://www.drfields.com/uncategorized/2501-autosave-v1/',0,'revision','',0),(4098,9,'2020-09-07 20:29:22','2020-09-07 20:29:22','<b>Suffering from Headaches? The Problem May Come From Your Neck.</b>\r\n\r\n<span style=\"font-weight: 400;\">Headaches are a recurrent malady suffered by millions of Americans, causing pain and discomfort in the head, forehead, scalp, or neck. At times they are a mild nuisance, but headaches can become severe, even disabling, with the pain leading to difficulty at work, concentration and performance of daily activities. </span>\r\n\r\n<b>What is the Source of Headaches?</b>\r\n\r\n<b><i>Hormones</i></b>\r\n\r\n<span style=\"font-weight: 400;\">Headaches have different sources, and the causative factors require some investigation. Hormones might be the culprit. Women may experience headaches during the menstrual cycle due to shifts in hormone levels. When this is the case there may be a need to balance the hormones, because the woman could have too much estrogen and not enough progesterone.</span>\r\n\r\n<i><span style=\"font-weight: 400;\">Diet </span></i>\r\n\r\n<span style=\"font-weight: 400;\">Headache pain can often be </span><span style=\"font-weight: 400;\">corrected with diet. Food allergies or sensitivities can trigger headaches. Eating too many carbohydrates and not enough protein, for example, can alter blood chemistry, which can prompt a headache or foster problems with the hormonal system, which can again lead to headaches.</span>\r\n\r\n<i><span style=\"font-weight: 400;\">TMJ Syndrome</span></i>\r\n\r\n<span style=\"font-weight: 400;\">Temporomandibular</span><span style=\"font-weight: 400;\"> joint (TMJ) problems may contribute to headaches</span><span style=\"font-weight: 400;\">. Sufferers with TMJ have clicking at this joint, experience facial pain, and may notice a stiff mouth upon awakening after a night’s sleep, all of which can then lead to a headache. TMJ syndrome, which often includes headaches, requires stabilization of the TMJ joint and ligament. Bite problems may also be present, necessitating bite equilibration.</span>\r\n\r\n<b>The Neck as the Source of Headaches</b>\r\n\r\n<span style=\"font-weight: 400;\">It is not uncommon for the source of headaches to originate in the neck. Do you have neck pain before or during a headache? If you have neck pain followed by a tension or migraine headache, then the source of the headache may very well be coming from your neck. The most common neck problem producing headaches is injury to the ligaments in the neck. How do you know if you have ligament injury in your neck? You will hear grinding, crunching, and popping sounds when you turn your neck. There is also a high probability that you crack your neck often. Injured ligaments generate instability in the neck, which induces muscle spasms in the neck as the muscles attempt to stabilize it. The result is referral pain in the form of a tension headache in the forehead, back of the neck, or occiput. </span>\r\n\r\n<i><span style=\"font-weight: 400;\">Cervicocranial Syndrome or </span></i><a href=\"http://jnnp.bmj.com/content/75/2/319.full\"><i><span style=\"font-weight: 400;\">Barré-Liéou</span></i></a><i><span style=\"font-weight: 400;\"> Syndrome</span></i>\r\n\r\n<span style=\"font-weight: 400;\">Cervicocranial Syndrome, previously known as </span><a href=\"http://jnnp.bmj.com/content/75/2/319.full\"><span style=\"font-weight: 400;\">Barré-Liéou</span></a><span style=\"font-weight: 400;\"> Syndrome is a condition that causes a bunch of s</span><span style=\"font-weight: 400;\">ymptoms. The symptoms may include headache, dizziness, facial pain, ear pain, vertigo, tinnitus, loss of voice,</span> <span style=\"font-weight: 400;\">hoarseness, neck pain and severe fatigue. Instability of the neck or cervical spine is usually the source of these symptoms.</span><span style=\"font-weight: 400;\"> Neck instability involves increased motion between adjacent vertebrae which causes excessive stress on the supporting ligament structures and the nerve endings within those structures eliciting pain and a variety of symptoms.</span> <span style=\"font-weight: 400;\">In other words</span><span style=\"font-weight: 400;\">, </span><span style=\"font-weight: 400;\">neck instability causes extra movement in the neck bones, and this extra motion can cause the bones to push on the nerves and cause irritation of the nervous system, leading to headaches and a bunch of other symptoms. </span>\r\n\r\n<i><span style=\"font-weight: 400;\">Occipital Neuralgia</span></i>\r\n\r\n<span style=\"font-weight: 400;\">Occipital neuralgia is another headache causing condition related to neck instability. Those with this condition often experience sharp, stabbing pain in the lower part of the neck, the back of the head, and behind their eyes. The pain is typically one-sided. The occipital nerve, which runs at the back of the head, can cause severe pain when injured. Many folks get nerve blocks for this pain, but these are not always effective at resolving the pain. Any instability of C1, C2, the first two neck vertebrae, can pinch or irritate the occipital nerve, and the extra motion along the spine can kink, press and tighten on the nerves at the base of the skull. Neck instability symptoms include tenderness, clicking, grinding and popping in the back of the head. </span>\r\n\r\n<i><span style=\"font-weight: 400;\">Whiplash</span></i>\r\n\r\n<span style=\"font-weight: 400;\">Headaches can occur after whiplash injuries. During a whiplash injury the head flexes and extends, in a forward and backward whip that injures the neck ligaments. </span><span style=\"font-weight: 400;\">Whiplash injuries are a common source of neck instability.</span> <span style=\"font-weight: 400;\">The lack of stable neck vertebrae can lead to further injury of the soft tissue and joint structures, as well as the possibility of nerve injury and the irritation of the nervous system, which can result in headaches and other symptoms. Whiplash often results in long-term pain, which is due to ligament injury and malalignment of the neck vertebrae.</span>\r\n\r\n<b>Regenerative Orthopedics Repairs Neck Instability</b>\r\n\r\n<span style=\"font-weight: 400;\">Regenerative Orthopedics involve the injection of natural substances into the damaged ligaments, which then results in tightening, repair and regeneration of the ligaments involved in TMJ and  neck instability. The treatments stabilize the area, thus eliminating the instability, muscle spasms and associated neck and jaw pain and other related symptoms. For those who are tired of the disability and pain of severe headaches, and other conditions related to neck instability, Regenerative Orthopedics is a safe, non-surgical option that stops headache pain, decreases symptoms, and increases functionality in otherwise life-altering conditions.</span>\r\n\r\n<iframe src=\"https://www.youtube.com/embed/EKGWkEAaqTM\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"></iframe>\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Headaches Sufferer? It Could Be Your Neck.','','inherit','closed','closed','','2501-revision-v1','','','2020-09-07 20:29:22','2020-09-07 20:29:22','',2501,'https://www.drfields.com/uncategorized/2501-revision-v1/',0,'revision','',0),(4099,9,'2020-09-07 20:29:39','2020-09-07 20:29:39','Headaches','Headaches','Headaches Coming From Your Neck?','inherit','open','closed','','headaches-2','','','2020-09-07 20:30:02','2020-09-07 20:30:02','',2501,'https://www.drfields.com/wp-content/uploads/2019/07/headaches-1.jpg',0,'attachment','image/jpeg',0),(4100,9,'2020-09-07 20:39:59','2020-09-07 20:39:59','[caption id=\"attachment_4099\" align=\"alignright\" width=\"500\"]<img class=\"size-medium wp-image-4099\" src=\"https://www.drfields.com/wp-content/uploads/2019/07/headaches-1-500x500.jpg\" alt=\"Headaches\" width=\"500\" height=\"500\" /> <strong><em>                        Are Headaches Coming From Your Neck?</em></strong>[/caption]\r\n<h3><b>Suffering from Headaches? </b><em><b>The Problem May Come From Your Neck.</b></em></h3>\r\n<span style=\"font-weight: 400;\">Headaches are a recurrent malady suffered by millions of Americans, causing pain and discomfort in the head, forehead, scalp, or neck. At times they are a mild nuisance. But headaches can become severe, even disabling, with the pain leading to difficulty at work, concentration and performance of daily activities. </span>\r\n<h3><b>What is the Source of Headaches?</b></h3>\r\n<h4><b><i>Hormones</i></b></h4>\r\n<span style=\"font-weight: 400;\">Headaches have different sources, and the causative factors require some investigation. Hormones might be the culprit. Women may experience headaches during the menstrual cycle due to shifts in hormone levels. And when this is the case, there may be a need to balance the hormones, because the woman could have too much estrogen and not enough progesterone.</span>\r\n<h4><em><strong>Diet </strong></em></h4>\r\n<span style=\"font-weight: 400;\">Headache pain can often be </span><span style=\"font-weight: 400;\">corrected with diet. Food allergies or sensitivities can trigger headaches. And eating too many carbohydrates or not enough protein, for example, can alter blood chemistry. And that can prompt a headache or foster problems with the hormonal system, which can again lead to headaches.</span>\r\n<h4><strong><i>TMJ Syndrome</i></strong></h4>\r\n<span style=\"font-weight: 400;\">Temporomandibular</span><span style=\"font-weight: 400;\"> joint (TMJ) problems may contribute to headaches</span><span style=\"font-weight: 400;\">. Sufferers with TMJ have clicking at this joint, experience facial pain, and may notice a stiff mouth upon awakening after a night’s sleep. And all of this can then lead to a headache. TMJ syndrome, which often includes headaches, requires stabilization of the TMJ joint and ligament. Also, bite problems may be present, necessitating bite equilibration.</span>\r\n<h3><b>The Neck as the Source of Headaches</b></h3>\r\n<span style=\"font-weight: 400;\">It is not uncommon for the source of headaches to originate in the neck. Do you have neck pain before or during a headache? If you have neck pain followed by a tension or migraine headache, then the source of the headache may very well be coming from your neck. </span>\r\n\r\n<span style=\"font-weight: 400;\">The most common neck problem producing headaches is injury to the ligaments in the neck. How do you know if you have ligament injury in your neck? You will hear grinding, crunching, and popping sounds when you turn your neck. And there is also a high probability that you crack your neck often. Injured ligaments generate instability in the neck, which induces muscle spasms in the neck as the muscles attempt to stabilize it. And the result is referral pain in the form of a tension headache in the forehead, back of the neck, or occiput. </span>\r\n<h4><strong><i>Cervicocranial Syndrome or </i><a href=\"http://jnnp.bmj.com/content/75/2/319.full\"><i>Barré-Liéou</i></a><i> Syndrome</i></strong></h4>\r\n<span style=\"font-weight: 400;\">Cervicocranial Syndrome, previously known as </span><a href=\"http://jnnp.bmj.com/content/75/2/319.full\"><span style=\"font-weight: 400;\">Barré-Liéou</span></a><span style=\"font-weight: 400;\"> Syndrome is a condition that causes a bunch of s</span><span style=\"font-weight: 400;\">ymptoms. The symptoms may include headache, dizziness, facial pain, ear pain, vertigo, tinnitus, loss of voice,</span> <span style=\"font-weight: 400;\">hoarseness, neck pain and severe fatigue. </span>\r\n\r\n<span style=\"font-weight: 400;\">Instability of the neck or cervical spine is usually the source of these symptoms.</span><span style=\"font-weight: 400;\"> Neck instability involves increased motion between adjacent vertebrae which causes excessive stress on the supporting ligament structures. And the nerve endings within those structures elicit pain and a variety of symptoms.</span> <span style=\"font-weight: 400;\">In other words</span><span style=\"font-weight: 400;\">, </span><span style=\"font-weight: 400;\">neck instability causes extra movement in the neck bones. And this extra motion can cause the bones to push on the nerves and cause irritation of the nervous system, leading to headaches and a bunch of other symptoms. </span>\r\n<h4><strong><i>Occipital Neuralgia</i></strong></h4>\r\n<span style=\"font-weight: 400;\">Occipital neuralgia is another headache causing condition related to neck instability. Those with this condition often experience sharp, stabbing pain in the lower part of the neck, the back of the head, and behind their eyes. The pain is typically one-sided. </span>\r\n\r\n<span style=\"font-weight: 400;\">The occipital nerve, which runs at the back of the head, can cause severe pain when injured. Many folks get nerve blocks for this pain. But these are not always effective at resolving the pain. Any instability of C1, C2, the first two neck vertebrae, can pinch or irritate the occipital nerve. And the extra motion along the spine can kink, press and tighten on the nerves at the base of the skull. Neck instability symptoms include tenderness, clicking, grinding and popping in the back of the head. </span>\r\n<h4><strong><i>Whiplash</i></strong></h4>\r\n<span style=\"font-weight: 400;\">Headaches can occur after whiplash injuries. During a whiplash injury the head flexes and extends, in a forward and backward whip that injures the neck ligaments. </span><span style=\"font-weight: 400;\">Whiplash injuries are a common source of neck instability.</span>\r\n\r\n<span style=\"font-weight: 400;\">The lack of stable neck vertebrae can lead to further injury of the soft tissue and joint structures, as well as the possibility of nerve injury and the irritation of the nervous system. And that can result in headaches and other symptoms. Whiplash often results in long-term pain, which is due to ligament injury and malalignment of the neck vertebrae.</span>\r\n<h3><b>Regenerative Orthopedics Repairs Neck Instability</b></h3>\r\n<span style=\"font-weight: 400;\">Regenerative Orthopedics involve the injection of natural substances into the damaged ligaments. The treatment results in tightening, repair, and regeneration of the ligaments involved in TMJ and  neck instability. The area becomes stabilized, thus eliminating the instability, muscle spasms and associated neck and jaw pain and other related symptoms. </span>\r\n\r\n<span style=\"font-weight: 400;\">For those who are tired of the disability and pain of severe headaches, and other conditions related to neck instability, Regenerative Orthopedics is a safe, non-surgical option that stops headache pain, decreases symptoms, and increases functionality in otherwise life-altering conditions.</span>\r\n\r\n<iframe src=\"https://www.youtube.com/embed/EKGWkEAaqTM\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"></iframe>\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Headaches Sufferer? It Could Be Your Neck.','','inherit','closed','closed','','2501-revision-v1','','','2020-09-07 20:39:59','2020-09-07 20:39:59','',2501,'https://www.drfields.com/uncategorized/2501-revision-v1/',0,'revision','',0),(4101,9,'2020-09-07 20:58:26','2020-09-07 20:58:26','<div class=\"t pg-1m0 pg-1x0 pg-1h3 pg-1y2 pg-1ff1 pg-1fs1 pg-1fc0 pg-1sc0 pg-1ls0 pg-1ws0\">\n\nRegenerative, non-surgical treatments for painful hip labral tears have grown in recent years and with good reason. People want an alternative to the invasiveness of surgery and options that do not require anesthesia or a hospital stay. They also want therapies known to have successful long-term results.\n\nRegenerative Orthopedics can regrow cartilage and restore degenerated tissue so that decreased mobility and unrelenting hip pain from a hip labral tear can become a thing of the pas<span class=\"pg-1fc2 pg-1sc0\">t</span><span class=\"pg-1fc2 pg-1sc0\">. </span>Being diagnosed with a labral tear of the hip no longer has to mean surgery, prolonged downtime, and giving up leisure activities.\n\n[caption id=\"attachment_2198\" align=\"alignleft\" width=\"400\"]<img class=\"wp-image-2198 size-medium\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/labral-tear-400x500.png\" alt=\"Labral Tear\" width=\"400\" height=\"500\" /> <em>            <strong>Non-Surgical Repair of Hip Labral Tears</strong></em>[/caption]\n\n</div>\n<h3>The Hip and Labrum</h3>\n<div class=\"t pg-1m0 pg-1x0 pg-1h3 pg-1ya pg-1ff1 pg-1fs1 pg-1fc0 pg-1sc0 pg-1ls0 pg-1ws0\">The hip joint is a ball-and-socket joint with very large ligaments that usually keep the hip pretty stable, helping to prevent injuries. And the hip labrum is a ring of cartilage that seals the ball and socket, and aids in providing movement between the leg and pelvis.</div>\n<div></div>\n<div class=\"t pg-1m0 pg-1x0 pg-1h3 pg-1ya pg-1ff1 pg-1fs1 pg-1fc0 pg-1sc0 pg-1ls0 pg-1ws0\">But we move our hips a lot and put them through high rates of wear. So more and more, hip injuries, including tears to the labrum, are becoming a source of pain and disability. Additionally, the excessive force required in different sports activities can push the hip and its labrum beyond their normal range, resulting in injur<span class=\"pg-1fc2 pg-1sc0\">y</span><span class=\"pg-1ff3 pg-1fs2 pg-1fc1\">.</span></div>\n<div></div>\n<div class=\"t pg-1m0 pg-1x0 pg-1h3 pg-1y11 pg-1ff1 pg-1fs1 pg-1fc0 pg-1sc0 pg-1ls0 pg-1ws0\"> The hip labrum also serves as a cushion and shock absorber to protect the hip and thigh bones. Damage or degeneration to the labrum will result in pain and instability of the hip joint. And labral tears can be caused by a sudden, specific injury or with repetitive motions that cause wear and tear type injuries.</div>\n<div></div>\n<h3>Hip Labral Tear Symptoms</h3>\n<div class=\"t pg-1m0 pg-1x0 pg-1h3 pg-1y11 pg-1ff1 pg-1fs1 pg-1fc0 pg-1sc0 pg-1ls0 pg-1ws0\">Symptoms include varying degrees of pain, including pain deep in the groin, as well as clicking, popping, and a locking sensation in the hip joint.</div>\n<div></div>\n<div class=\"t pg-1m0 pg-1x0 pg-1h3 pg-1y11 pg-1ff1 pg-1fs1 pg-1fc0 pg-1sc0 pg-1ls0 pg-1ws0\">A labral tear in the hip destabilizes the hip joint and is associated with early onset arthritis. Overgrowth of bone will occur in an attempt to stabilize the area.</div>\n<div></div>\n<div class=\"t pg-1m0 pg-1x0 pg-1h3 pg-1y11 pg-1ff1 pg-1fs1 pg-1fc0 pg-1sc0 pg-1ls0 pg-1ws0\">Let’s explain this arthritis connection further! The disrupted balance in motion that transpires after the original injury causes an uneven weight distribution inside the joint. And that prompts the joint surfaces to rub roughly and then generate a breaking down of articular cartilage. That limits joint function and promotes bone loss and the eventual bony overgrowth of arthritis.</div>\n<h3>Treatment Options for Hip Labral Tears</h3>\nThe labrum has a poor blood supply. And this makes a tear or injury difficult to treat with conservative approaches since they are unable to repair the injured ligaments, torn labrum, or the resultant instability and imbalance caused by the injury. Standard therapeutic approaches such as pain medications, steroid injections, and arthroscopy, employed to address labral injuries, are often ineffective. That\'s because they are not reparative and do not heal the underlying cause of the problem, the injured ligaments, labrum, and hip instability.\n\nPhysical therapy can help strengthen the surrounding muscles. But it cannot repair the labrum or prevent further degeneration from the abnormal motion the injury has caused in the hip joint.\n<div>\n<h3>Pain Relief, Restoration of Hip Function and Stability with Regenerative Orthopedics</h3>\nRegenerative Orthopedics aims to address the soft tissue weakness that transpired during the original hip labral tear injury. The treatment also restores the normal function of the labrum, correcting the imbalance, and stimulating repair where the degeneration has occurred.\n\n</div>\n<div class=\"t pg-1m0 pg-1x0 pg-1h3 pg-1y28 pg-1ff1 pg-1fs1 pg-1fc0 pg-1sc0 pg-1ls0 pg-1ws0\">Non-Surgical Regenerative Orthopedics, including Stem Cell Therapy, PRP, and Prolotherapy are alternative modalities that can repair the injury and abnormal joint motion by stimulating the natural regenerative processes in and around the hip joint. The torn labrum and the involved injured ligaments are restored to a healthy state, which improves joint support and function, and reduces pain and symptoms.</div>\n<div></div>\n<div class=\"t pg-1m0 pg-1x0 pg-1h3 pg-1y28 pg-1ff1 pg-1fs1 pg-1fc0 pg-1sc0 pg-1ls0 pg-1ws0\">Degenerative conditions, such as hip labral tear injuries need regeneration. Regenerative Orthopedics repairs the labrum and supports the formation of cartilage in the hip environment. This regenerative therapy has been found effective for the treatment of labral injuries. And the non-surgical treatment involves the injection of natural substances into the degenerated hip to stimulate healing.</div>\n<h3>Cellular Therapies Such as PRP and Stem Cells</h3>\n<div class=\"t pg-1m0 pg-1x0 pg-1h3 pg-1y28 pg-1ff1 pg-1fs1 pg-1fc0 pg-1sc0 pg-1ls0 pg-1ws0\">Sometimes in the treatment of labral tears, cellular therapies such as PRP and Stem Cells are also needed. Especially in very active people and athletes, or in conditions with more severe degeneration. These therapies involve the injection of an autologous preparation (from a person’s own blood, fat or bone marrow). The solution is then injected directly into the damaged joint, to accelerate the healing process in more severe cases of labral injury. The surrounding soft tissue would also be treated comprehensively.</div>\n<div></div>\n<div>\n<div class=\"t pg-2m0 pg-2x0 pg-2h2 pg-2yc pg-2ff1 pg-2fs0 pg-2fc0 pg-2sc0 pg-2ls0 pg-2ws0\">Regenerative Orthopedics is a highly successful non-surgical option for hip labral tears. We recommend this choice before considering surgery since surgical removal of the labrum will make the joint more unstable. And surgery will limit labrum flexibility by stapling part of it down, making it even more susceptible to tears and future degeneration.</div>\n<div></div>\n<div class=\"t pg-2m0 pg-2x0 pg-2h2 pg-2yc pg-2ff1 pg-2fs0 pg-2fc0 pg-2sc0 pg-2ls0 pg-2ws0\">Most painful hip conditions begin with damage to the surrounding ligaments. And they progress into degenerative conditions like labral degeneration. Since the hip labrum along with the surrounding ligaments, provide most of the stability of the hip, all of these areas need to be treated. We have treated hip labrum tears successfully for many years at OrthoRegen<sup>®</sup>, and offer an effective and much-needed alternative to hip surgery in cases of hip labral tears.</div>\n</div>\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Hip Labral Tears? Get Non-Surgical Repair','','inherit','closed','closed','','2362-autosave-v1','','','2020-09-07 20:58:26','2020-09-07 20:58:26','',2362,'https://www.drfields.com/uncategorized/2362-autosave-v1/',0,'revision','',0),(4102,9,'2020-09-07 20:45:48','2020-09-07 20:45:48','<div class=\"t pg-1m0 pg-1x0 pg-1h3 pg-1y2 pg-1ff1 pg-1fs1 pg-1fc0 pg-1sc0 pg-1ls0 pg-1ws0\">\r\n\r\nRegenerative, non-surgical treatments for painful hip labral tears have grown in recent years and with good reason. People want an alternative to the invasiveness of surgery and options that do not require anesthesia or a hospital stay. They also want therapies known to have successful long-term results.\r\n\r\nRegenerative Orthopedics can regrow cartilage and restore degenerated tissue so that decreased mobility and unrelenting hip pain from a hip labral tear can become a thing of the pas<span class=\"pg-1fc2 pg-1sc0\">t</span><span class=\"pg-1fc2 pg-1sc0\">. </span>Being diagnosed with a labral tear of the hip no longer has to mean surgery, prolonged downtime, and giving up leisure activities.\r\n\r\n[caption id=\"attachment_2198\" align=\"alignleft\" width=\"400\"]<img class=\"wp-image-2198 size-medium\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/labral-tear-400x500.png\" alt=\"Labral Tear\" width=\"400\" height=\"500\" /> Non-Surgical Hip Labral Tear Repair[/caption]\r\n\r\n</div>\r\n<h3>The Hip and Labrum</h3>\r\n<div class=\"t pg-1m0 pg-1x0 pg-1h3 pg-1ya pg-1ff1 pg-1fs1 pg-1fc0 pg-1sc0 pg-1ls0 pg-1ws0\">The hip joint is a ball-and-socket joint with very large ligaments that usually keep the hip pretty stable, helping to prevent injuries. And the hip labrum is a ring of cartilage that seals the ball and socket, and aids in providing movement between the leg and pelvis. But we move our hips a lot and put them through high rates of wear, so more and more, hip injuries, including tears to the labrum, are becoming a source of pain and disability. Additionally, the excessive force required in different sports activities can push the hip and its labrum beyond their normal range, resulting in injur<span class=\"pg-1fc2 pg-1sc0\">y</span><span class=\"pg-1ff3 pg-1fs2 pg-1fc1\">.</span></div>\r\n<div></div>\r\n<div></div>\r\n<div class=\"t pg-1m0 pg-1x0 pg-1h3 pg-1y11 pg-1ff1 pg-1fs1 pg-1fc0 pg-1sc0 pg-1ls0 pg-1ws0\">          The hip labrum also serves as a cushion and shock absorber to protect the hip and thigh bones. Damage or degeneration to the labrum will result in pain and instability of the hip joint. Labral tears can be caused by a sudden, specific injury or with repetitive motions that cause wear and tear type injuries. Symptoms include varying degrees of pain, including pain deep in the groin, as well as clicking, popping, and a locking sensation in the hip joint. A labral tear in the hip destabilizes the hip joint and is associated with early onset arthritis. Overgrowth of bone will occur in an attempt to stabilize the area. Let’s explain this arthritis connection further! The disrupted balance in motion that transpires after the original injury causes an uneven weight distribution inside the joint, prompting the joint surfaces to rub roughly and then generating a breaking down of articular cartilage, which limits joint function and promotes bone loss and the eventual bony overgrowth of arthritis.</div>\r\n<div></div>\r\n<h2>Pain Relief, Restoration of Hip Function and Stability with Regenerative Orthopedics</h2>\r\n<div class=\"t pg-1m0 pg-1x0 pg-1h3 pg-1y1d pg-1ff1 pg-1fs1 pg-1fc0 pg-1sc0 pg-1ls0 pg-1ws0\">          Regenerative Orthopedics aims to address the soft tissue weakness that transpired during the original injury. The treatment also restores the normal function of the labrum, correcting the imbalance, and stimulating repair where the degeneration has occurred. The labrum has a poor blood supply, which makes a tear or injury difficult to treat with conservative approaches since they are unable to repair the injured ligaments, torn labrum, or the resultant instability and imbalance caused by the injury. Standard therapeutic approaches such as pain medications, steroid injections, and arthroscopy, employed to address labral injuries, are often ineffective because they are not reparative and do not heal the underlying cause of the problem, the injured ligaments, labrum, and hip instability. Physical therapy can help strengthen the surrounding muscles, but cannot repair the labrum or prevent further degeneration from the abnormal motion the injury has caused in the hip joint.</div>\r\n<div></div>\r\n<div></div>\r\n<div class=\"t pg-1m0 pg-1x0 pg-1h3 pg-1y28 pg-1ff1 pg-1fs1 pg-1fc0 pg-1sc0 pg-1ls0 pg-1ws0\">          Non-Surgical Regenerative Orthopedics, including Stem Cell Therapy, PRP, and Prolotherapy are alternative modalities that can repair the injury and abnormal joint motion by stimulating the natural regenerative processes in and around the hip joint. The torn labrum and the involved injured ligaments are restored to a healthy state, which improves joint support and function, and reduces pain and symptoms. Degenerative conditions, such as hip labral injuries need regeneration. Regenerative Orthopedics repairs the labrum and supports the formation of cartilage in the hip environment. This regenerative therapy has been found effective for the treatment of labral injuries and involves the injection of natural substances into the degenerated hip to stimulate healing. Sometimes in the treatment of labral tears, cellular therapies such as PRP and Stem Cells are also needed, especially in very active people and athletes. These therapies involve the injection of an autologous preparation (from a person’s own blood, fat or bone marrow), which is then injected directly into the damaged joint, to accelerate the healing process in more severe cases of labral injury. The surrounding soft tissue would also be treated comprehensively.</div>\r\n<div></div>\r\n<div>\r\n<div class=\"t pg-2m0 pg-2x0 pg-2h2 pg-2yc pg-2ff1 pg-2fs0 pg-2fc0 pg-2sc0 pg-2ls0 pg-2ws0\">          Regenerative Orthopedics is a highly successful non-surgical option for hip labral tears. We recommend this choice before considering surgery since surgical removal of the labrum will make the joint more unstable and will limit labrum flexibility by stapling part of it down, making it even more susceptible to tears and future degeneration. Most painful hip conditions begin with damage to the surrounding ligaments and progress into degenerative conditions like labral degeneration. Since the hip labrum along with the surrounding ligaments, provide most of the stability of the hip, all of these areas need to be treated. We have treated hip labrum tears successfully for many years at OrthoRegen<sup>®</sup>, and offer an effective and much-needed alternative to hip surgery in cases of hip labral tears.</div>\r\n</div>\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Hip Labral Tears? Get Non-Surgical Repair','','inherit','closed','closed','','2362-revision-v1','','','2020-09-07 20:45:48','2020-09-07 20:45:48','',2362,'https://www.drfields.com/uncategorized/2362-revision-v1/',0,'revision','',0),(4103,9,'2020-09-07 20:57:15','2020-09-07 20:57:15','<div class=\"t pg-1m0 pg-1x0 pg-1h3 pg-1y2 pg-1ff1 pg-1fs1 pg-1fc0 pg-1sc0 pg-1ls0 pg-1ws0\">\r\n\r\nRegenerative, non-surgical treatments for painful hip labral tears have grown in recent years and with good reason. People want an alternative to the invasiveness of surgery and options that do not require anesthesia or a hospital stay. They also want therapies known to have successful long-term results.\r\n\r\nRegenerative Orthopedics can regrow cartilage and restore degenerated tissue so that decreased mobility and unrelenting hip pain from a hip labral tear can become a thing of the pas<span class=\"pg-1fc2 pg-1sc0\">t</span><span class=\"pg-1fc2 pg-1sc0\">. </span>Being diagnosed with a labral tear of the hip no longer has to mean surgery, prolonged downtime, and giving up leisure activities.\r\n\r\n[caption id=\"attachment_2198\" align=\"alignleft\" width=\"400\"]<img class=\"wp-image-2198 size-medium\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/labral-tear-400x500.png\" alt=\"Labral Tear\" width=\"400\" height=\"500\" /> <em>            <strong>Non-Surgical Repair of Hip Labral Tears</strong></em>[/caption]\r\n\r\n</div>\r\n<h3>The Hip and Labrum</h3>\r\n<div class=\"t pg-1m0 pg-1x0 pg-1h3 pg-1ya pg-1ff1 pg-1fs1 pg-1fc0 pg-1sc0 pg-1ls0 pg-1ws0\">The hip joint is a ball-and-socket joint with very large ligaments that usually keep the hip pretty stable, helping to prevent injuries. And the hip labrum is a ring of cartilage that seals the ball and socket, and aids in providing movement between the leg and pelvis.</div>\r\n<div></div>\r\n<div class=\"t pg-1m0 pg-1x0 pg-1h3 pg-1ya pg-1ff1 pg-1fs1 pg-1fc0 pg-1sc0 pg-1ls0 pg-1ws0\">But we move our hips a lot and put them through high rates of wear. So more and more, hip injuries, including tears to the labrum, are becoming a source of pain and disability. Additionally, the excessive force required in different sports activities can push the hip and its labrum beyond their normal range, resulting in injur<span class=\"pg-1fc2 pg-1sc0\">y</span><span class=\"pg-1ff3 pg-1fs2 pg-1fc1\">.</span></div>\r\n<div></div>\r\n<div class=\"t pg-1m0 pg-1x0 pg-1h3 pg-1y11 pg-1ff1 pg-1fs1 pg-1fc0 pg-1sc0 pg-1ls0 pg-1ws0\"> The hip labrum also serves as a cushion and shock absorber to protect the hip and thigh bones. Damage or degeneration to the labrum will result in pain and instability of the hip joint. And labral tears can be caused by a sudden, specific injury or with repetitive motions that cause wear and tear type injuries.</div>\r\n<div></div>\r\n<h3>Labral Tear Symptoms</h3>\r\n<div class=\"t pg-1m0 pg-1x0 pg-1h3 pg-1y11 pg-1ff1 pg-1fs1 pg-1fc0 pg-1sc0 pg-1ls0 pg-1ws0\">Symptoms include varying degrees of pain, including pain deep in the groin, as well as clicking, popping, and a locking sensation in the hip joint.</div>\r\n<div></div>\r\n<div class=\"t pg-1m0 pg-1x0 pg-1h3 pg-1y11 pg-1ff1 pg-1fs1 pg-1fc0 pg-1sc0 pg-1ls0 pg-1ws0\">A labral tear in the hip destabilizes the hip joint and is associated with early onset arthritis. Overgrowth of bone will occur in an attempt to stabilize the area.</div>\r\n<div></div>\r\n<div class=\"t pg-1m0 pg-1x0 pg-1h3 pg-1y11 pg-1ff1 pg-1fs1 pg-1fc0 pg-1sc0 pg-1ls0 pg-1ws0\">Let’s explain this arthritis connection further! The disrupted balance in motion that transpires after the original injury causes an uneven weight distribution inside the joint. And that prompts the joint surfaces to rub roughly and then generate a breaking down of articular cartilage. That limits joint function and promotes bone loss and the eventual bony overgrowth of arthritis.</div>\r\n<h3>Treatment Options for Hip Labral Tears</h3>\r\nThe labrum has a poor blood supply. And this makes a tear or injury difficult to treat with conservative approaches since they are unable to repair the injured ligaments, torn labrum, or the resultant instability and imbalance caused by the injury. Standard therapeutic approaches such as pain medications, steroid injections, and arthroscopy, employed to address labral injuries, are often ineffective. That\'s because they are not reparative and do not heal the underlying cause of the problem, the injured ligaments, labrum, and hip instability.\r\n\r\nPhysical therapy can help strengthen the surrounding muscles. But it cannot repair the labrum or prevent further degeneration from the abnormal motion the injury has caused in the hip joint.\r\n<div>\r\n<h3>Pain Relief, Restoration of Hip Function and Stability with Regenerative Orthopedics</h3>\r\nRegenerative Orthopedics aims to address the soft tissue weakness that transpired during the original hip labral tear injury. The treatment also restores the normal function of the labrum, correcting the imbalance, and stimulating repair where the degeneration has occurred.\r\n\r\n</div>\r\n<div class=\"t pg-1m0 pg-1x0 pg-1h3 pg-1y28 pg-1ff1 pg-1fs1 pg-1fc0 pg-1sc0 pg-1ls0 pg-1ws0\">Non-Surgical Regenerative Orthopedics, including Stem Cell Therapy, PRP, and Prolotherapy are alternative modalities that can repair the injury and abnormal joint motion by stimulating the natural regenerative processes in and around the hip joint. The torn labrum and the involved injured ligaments are restored to a healthy state, which improves joint support and function, and reduces pain and symptoms.</div>\r\n<div></div>\r\n<div class=\"t pg-1m0 pg-1x0 pg-1h3 pg-1y28 pg-1ff1 pg-1fs1 pg-1fc0 pg-1sc0 pg-1ls0 pg-1ws0\">Degenerative conditions, such as hip labral tear injuries need regeneration. Regenerative Orthopedics repairs the labrum and supports the formation of cartilage in the hip environment. This regenerative therapy has been found effective for the treatment of labral injuries. And the non-surgical treatment involves the injection of natural substances into the degenerated hip to stimulate healing.</div>\r\n<h3>Cellular Therapies Such as PRP and Stem Cells</h3>\r\n<div class=\"t pg-1m0 pg-1x0 pg-1h3 pg-1y28 pg-1ff1 pg-1fs1 pg-1fc0 pg-1sc0 pg-1ls0 pg-1ws0\">Sometimes in the treatment of labral tears, cellular therapies such as PRP and Stem Cells are also needed. Especially in very active people and athletes, or in conditions with more severe degeneration. These therapies involve the injection of an autologous preparation (from a person’s own blood, fat or bone marrow). The solution is then injected directly into the damaged joint, to accelerate the healing process in more severe cases of labral injury. The surrounding soft tissue would also be treated comprehensively.</div>\r\n<div></div>\r\n<div>\r\n<div class=\"t pg-2m0 pg-2x0 pg-2h2 pg-2yc pg-2ff1 pg-2fs0 pg-2fc0 pg-2sc0 pg-2ls0 pg-2ws0\">Regenerative Orthopedics is a highly successful non-surgical option for hip labral tears. We recommend this choice before considering surgery since surgical removal of the labrum will make the joint more unstable. And surgery will limit labrum flexibility by stapling part of it down, making it even more susceptible to tears and future degeneration.</div>\r\n<div></div>\r\n<div class=\"t pg-2m0 pg-2x0 pg-2h2 pg-2yc pg-2ff1 pg-2fs0 pg-2fc0 pg-2sc0 pg-2ls0 pg-2ws0\">Most painful hip conditions begin with damage to the surrounding ligaments. And they progress into degenerative conditions like labral degeneration. Since the hip labrum along with the surrounding ligaments, provide most of the stability of the hip, all of these areas need to be treated. We have treated hip labrum tears successfully for many years at OrthoRegen<sup>®</sup>, and offer an effective and much-needed alternative to hip surgery in cases of hip labral tears.</div>\r\n</div>\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Hip Labral Tears? Get Non-Surgical Repair','','inherit','closed','closed','','2362-revision-v1','','','2020-09-07 20:57:15','2020-09-07 20:57:15','',2362,'https://www.drfields.com/uncategorized/2362-revision-v1/',0,'revision','',0),(4104,9,'2020-09-07 20:59:21','2020-09-07 20:59:21','<div class=\"t pg-1m0 pg-1x0 pg-1h3 pg-1y2 pg-1ff1 pg-1fs1 pg-1fc0 pg-1sc0 pg-1ls0 pg-1ws0\">\r\n\r\nRegenerative, non-surgical treatments for painful hip labral tears have grown in recent years and with good reason. People want an alternative to the invasiveness of surgery and options that do not require anesthesia or a hospital stay. They also want therapies known to have successful long-term results.\r\n\r\nRegenerative Orthopedics can regrow cartilage and restore degenerated tissue so that decreased mobility and unrelenting hip pain from a hip labral tear can become a thing of the pas<span class=\"pg-1fc2 pg-1sc0\">t</span><span class=\"pg-1fc2 pg-1sc0\">. </span>Being diagnosed with a labral tear of the hip no longer has to mean surgery, prolonged downtime, and giving up leisure activities.\r\n\r\n[caption id=\"attachment_2198\" align=\"alignleft\" width=\"400\"]<img class=\"wp-image-2198 size-medium\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/labral-tear-400x500.png\" alt=\"Labral Tear\" width=\"400\" height=\"500\" /> <em>            <strong>Non-Surgical Repair of Hip Labral Tears</strong></em>[/caption]\r\n\r\n</div>\r\n<h3>The Hip and Labrum</h3>\r\n<div class=\"t pg-1m0 pg-1x0 pg-1h3 pg-1ya pg-1ff1 pg-1fs1 pg-1fc0 pg-1sc0 pg-1ls0 pg-1ws0\">The hip joint is a ball-and-socket joint with very large ligaments that usually keep the hip pretty stable, helping to prevent injuries. And the hip labrum is a ring of cartilage that seals the ball and socket, and aids in providing movement between the leg and pelvis.</div>\r\n<div></div>\r\n<div class=\"t pg-1m0 pg-1x0 pg-1h3 pg-1ya pg-1ff1 pg-1fs1 pg-1fc0 pg-1sc0 pg-1ls0 pg-1ws0\">But we move our hips a lot and put them through high rates of wear. So more and more, hip injuries, including tears to the labrum, are becoming a source of pain and disability. Additionally, the excessive force required in different sports activities can push the hip and its labrum beyond their normal range, resulting in injur<span class=\"pg-1fc2 pg-1sc0\">y</span><span class=\"pg-1ff3 pg-1fs2 pg-1fc1\">.</span></div>\r\n<div></div>\r\n<div class=\"t pg-1m0 pg-1x0 pg-1h3 pg-1y11 pg-1ff1 pg-1fs1 pg-1fc0 pg-1sc0 pg-1ls0 pg-1ws0\"> The hip labrum also serves as a cushion and shock absorber to protect the hip and thigh bones. Damage or degeneration to the labrum will result in pain and instability of the hip joint. And labral tears can be caused by a sudden, specific injury or with repetitive motions that cause wear and tear type injuries.</div>\r\n<div></div>\r\n<h3>Hip Labral Tear Symptoms</h3>\r\n<div class=\"t pg-1m0 pg-1x0 pg-1h3 pg-1y11 pg-1ff1 pg-1fs1 pg-1fc0 pg-1sc0 pg-1ls0 pg-1ws0\">Symptoms include varying degrees of pain, including pain deep in the groin, as well as clicking, popping, and a locking sensation in the hip joint.</div>\r\n<div></div>\r\n<div class=\"t pg-1m0 pg-1x0 pg-1h3 pg-1y11 pg-1ff1 pg-1fs1 pg-1fc0 pg-1sc0 pg-1ls0 pg-1ws0\">A labral tear in the hip destabilizes the hip joint and is associated with early onset arthritis. Overgrowth of bone will occur in an attempt to stabilize the area.</div>\r\n<div></div>\r\n<div class=\"t pg-1m0 pg-1x0 pg-1h3 pg-1y11 pg-1ff1 pg-1fs1 pg-1fc0 pg-1sc0 pg-1ls0 pg-1ws0\">Let’s explain this arthritis connection further! The disrupted balance in motion that transpires after the original injury causes an uneven weight distribution inside the joint. And that prompts the joint surfaces to rub roughly and then generate a breaking down of articular cartilage. That limits joint function and promotes bone loss and the eventual bony overgrowth of arthritis.</div>\r\n<h3>Treatment Options for Hip Labral Tears</h3>\r\nThe labrum has a poor blood supply. And this makes a tear or injury difficult to treat with conservative approaches since they are unable to repair the injured ligaments, torn labrum, or the resultant instability and imbalance caused by the injury. Standard therapeutic approaches such as pain medications, steroid injections, and arthroscopy, employed to address labral injuries, are often ineffective. That\'s because they are not reparative and do not heal the underlying cause of the problem, the injured ligaments, labrum, and hip instability.\r\n\r\nPhysical therapy can help strengthen the surrounding muscles. But it cannot repair the labrum or prevent further degeneration from the abnormal motion the injury has caused in the hip joint.\r\n<div>\r\n<h3>Pain Relief, Restoration of Hip Function and Stability with Regenerative Orthopedics</h3>\r\nRegenerative Orthopedics aims to address the soft tissue weakness that transpired during the original hip labral tear injury. The treatment also restores the normal function of the labrum, correcting the imbalance, and stimulating repair where the degeneration has occurred.\r\n\r\n</div>\r\n<div class=\"t pg-1m0 pg-1x0 pg-1h3 pg-1y28 pg-1ff1 pg-1fs1 pg-1fc0 pg-1sc0 pg-1ls0 pg-1ws0\">Non-Surgical Regenerative Orthopedics, including Stem Cell Therapy, PRP, and Prolotherapy are alternative modalities that can repair the injury and abnormal joint motion by stimulating the natural regenerative processes in and around the hip joint. The torn labrum and the involved injured ligaments are restored to a healthy state, which improves joint support and function, and reduces pain and symptoms.</div>\r\n<div></div>\r\n<div class=\"t pg-1m0 pg-1x0 pg-1h3 pg-1y28 pg-1ff1 pg-1fs1 pg-1fc0 pg-1sc0 pg-1ls0 pg-1ws0\">Degenerative conditions, such as hip labral tear injuries need regeneration. Regenerative Orthopedics repairs the labrum and supports the formation of cartilage in the hip environment. This regenerative therapy has been found effective for the treatment of labral injuries. And the non-surgical treatment involves the injection of natural substances into the degenerated hip to stimulate healing.</div>\r\n<h3>Cellular Therapies Such as PRP and Stem Cells</h3>\r\n<div class=\"t pg-1m0 pg-1x0 pg-1h3 pg-1y28 pg-1ff1 pg-1fs1 pg-1fc0 pg-1sc0 pg-1ls0 pg-1ws0\">Sometimes in the treatment of labral tears, cellular therapies such as <a href=\"https://www.drfields.com/regenerative-techniques/prp-treatment/\">PRP</a> and <a href=\"https://www.drfields.com/regenerative-techniques/stem-cell-treatment/\">Stem Cells</a> are also needed. Especially in very active people and athletes, or in conditions with more severe degeneration. These therapies involve the injection of an autologous preparation (from a person’s own blood, fat or bone marrow). The solution is then injected directly into the damaged joint, to accelerate the healing process in more severe cases of labral injury. The surrounding soft tissue would also be treated comprehensively.</div>\r\n<div></div>\r\n<div>\r\n<div class=\"t pg-2m0 pg-2x0 pg-2h2 pg-2yc pg-2ff1 pg-2fs0 pg-2fc0 pg-2sc0 pg-2ls0 pg-2ws0\">Regenerative Orthopedics is a highly successful non-surgical option for hip labral tears. We recommend this choice before considering surgery since surgical removal of the labrum will make the joint more unstable. And surgery will limit labrum flexibility by stapling part of it down, making it even more susceptible to tears and future degeneration.</div>\r\n<div></div>\r\n<div class=\"t pg-2m0 pg-2x0 pg-2h2 pg-2yc pg-2ff1 pg-2fs0 pg-2fc0 pg-2sc0 pg-2ls0 pg-2ws0\">Most painful hip conditions begin with damage to the surrounding ligaments. And they progress into degenerative conditions like labral degeneration. Since the hip labrum along with the surrounding ligaments, provide most of the stability of the hip, all of these areas need to be treated. We have treated hip labrum tears successfully for many years at OrthoRegen<sup>®</sup>, and offer an effective and much-needed alternative to hip surgery in cases of hip labral tears.</div>\r\n</div>\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Hip Labral Tears? Get Non-Surgical Repair','','inherit','closed','closed','','2362-revision-v1','','','2020-09-07 20:59:21','2020-09-07 20:59:21','',2362,'https://www.drfields.com/uncategorized/2362-revision-v1/',0,'revision','',0),(4105,9,'2020-09-07 21:00:50','2020-09-07 21:00:50','Meniscectomy','Meniscectomy','Meniscectomy Didn\'t Fix Your Problem?','inherit','open','closed','','meniscectomy','','','2020-09-07 21:01:35','2020-09-07 21:01:35','',2353,'https://www.drfields.com/wp-content/uploads/2019/06/meniscectomy.png',0,'attachment','image/png',0),(4106,9,'2020-09-07 21:16:53','2020-09-07 21:16:53','[caption id=\"attachment_4105\" align=\"alignright\" width=\"500\"]<img class=\"size-medium wp-image-4105\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/meniscectomy-500x500.png\" alt=\"Meniscectomy\" width=\"500\" height=\"500\" /> <em><strong>                    Meniscectomy Didn\'t Fix Your Problem?</strong></em>[/caption]\n\nMenisci are C-shaped material in the knee which act as shock absorbers between the femur (upper leg) and tibia (lower leg). Each joint has two menisci to balance the body weight evenly and keep the knee stable.\n\nMenisci are often damaged in people who are active in sports (running, biking, tennis, hiking, golf, soccer, football) and most other activities that involve the knees. And they can also develop degenerative tears over time as we age.\n\nSymptoms of torn menisci include pain and swelling in the knee which may be accompanied with a sensation of the knee “giving away”. There may also be difficulties straightening the leg which may be associated with a catching or locking sensation.\n<h4>The Old Treatment for Meniscus Tears</h4>\nTraditionally, torn menisci were repaired surgically. And that involved cutting the torn parts out. However, several studies have proven that this operation is not a good option for damaged menisci.\n\nMany people have had them even though their problem was not significant. Just using an MRI to ‘convince’ people to have surgery is not good medicine. History and physical exam are much more important.\n\nIn 2013, a study showed that meniscus surgery in patients without arthritis was no better than a fake surgical procedure. Another study published in the New England Journal of Medicine in 2012 revealed that on average patients who had meniscus surgery did not do any better than those who skipped the operation and just had physical therapy.\n\nAnd a study done in 2002 by Baylor College of Medicine revealed that debridement (cutting away the damaged parts) of knees with arthritis and degenerative menisci tears was no better than placebo. The latest study in this area revealed that operations for meniscus locking were no better than placebo. Researchers evaluated 146 patients who had mechanical symptoms like occasional locking or knee catching which were thought to be caused by the menisci. And half of these patients had meniscus surgery while the other half had sham surgery. <strong><em>It was then found that the operation provided no benefit in relieving the catching or locking!</em></strong>\n<h4>PRP: A New Treatment for Meniscus Tears</h4>\nThe new treatment for meniscus tears does not involve cutting and removing. It entails boosting the body’s natural ability to repair the injured menisci so that they heal themselves. This treatment is a part of Regenerative Orthopedics and is known as platelet rich plasma (PRP) therapy.\n\n[caption id=\"attachment_2313\" align=\"alignright\" width=\"351\"]<img class=\"wp-image-2313\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/knee-pain-man.jpg\" alt=\"Meniscus Surgery and Pain\" width=\"351\" height=\"524\" /> Has Meniscus Surgery left you with continued knee pain?[/caption]\n\nPRP involves injecting platelets from the patient’s own blood into their injured knees. It should be accompanied by Dextrose Prolotherapy to the outside of the joint where important ligaments and tendons are.\n\nThe platelets then release their healing growth factors like platelet derived growth factor, vascular endothelial growth factor and more. These growth factors stimulate the growth of new tissue including the meniscus.\n\nPRP is cost effective when compared to menisci surgery since it is done in the doctor’s office and it does not require the patient to be admitted into a hospital. It also shields the patient from other risks associated with surgery (infection, medications, severe bleeding) and general anesthesia.\n\nPRP is also time effective since the patient can slowly resume their activities of normal living after the treatment. This is in comparison to the surgical operation which requires immobilization for several weeks.\n<h3><strong>Peter A. Fields, MD, DC is an expert in PRP Regenerative Therapy as well as Prolotherapy.</strong></h3>\nHe is also an <strong>expert in the field of Stem Cell Regenerative Therapy</strong> for those that have been told that they have worn out cartilage, bone on bone or have their knee, hip or shoulder replaced.\n\nThis procedure could save one from having their joint permanently removed and replaced, which sometimes can be disastrous.\n\nPlease give his office a call if you have any more questions about avoiding surgery on your joint and spine.\n\n<a class=\"buttonlink\" href=\"https://www.drfields.com\"> Schedule Your Appointment Today!</a>','Meniscus Surgery: A Failed Surgery','','inherit','closed','closed','','2353-autosave-v1','','','2020-09-07 21:16:53','2020-09-07 21:16:53','',2353,'https://www.drfields.com/uncategorized/2353-autosave-v1/',0,'revision','',0),(4107,9,'2020-09-07 21:04:47','2020-09-07 21:04:47','[caption id=\"attachment_4105\" align=\"alignright\" width=\"500\"]<img class=\"size-medium wp-image-4105\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/meniscectomy-500x500.png\" alt=\"Meniscectomy\" width=\"500\" height=\"500\" /> <em><strong>                    Meniscectomy Didn\'t Fix Your Problem?</strong></em>[/caption]\r\n\r\nMeniscus are C-shaped material in the knee which act as shock absorbers between the femur (upper leg) and tibia (lower leg). Each joint has two menisci to balance the body weight evenly and keep the knee stable. Menisci are often damaged in people who are active in sports (running, biking, tennis, hiking, golf, soccer, football) and most other activities that involve the knees. They can also develop degenerative tears over time as we age. Symptoms of torn meniscininclude pain and swelling in the knee which may be accompanied with a sensation of the knee “giving away”. There may also be difficulties straightening the leg which may be associated with a catching or locking sensation.\r\n<h4>The Old Treatment for Meniscus Tears</h4>\r\nTraditionally, torn menisci were repaired surgically in an operation where most are not repaired but actually which involved cutting the torn parts out. However, several studies have proven that this operation is not a good option for damaged menisci. Many people have them without significant dysfunction. Just using an MRI to ‘convince’ people to have surgery is not good medicine. History and physical exam are much more important. In 2013, a study showed that menisci surgery in patients without arthritis was no better than a fake surgical procedure. Another study published in the New England Journal of Medicine in 2012 revealed that on average patients who had meniscus surgery did not do any better than those who skipped the operation and just had physical therapy. And as early as study done in 2002 by Baylor College of Medicine revealed that debridement (cutting away the damaged parts) of knees with arthritis and degenerative menisci tears was no better than placebo. The latest study in this area revealed that operations for meniscus locking were no better than placebo. Researchers evaluated 146 patients who had mechanical symptoms like occasional locking or knee catching which were thought to be caused by the menisci. Half of these patients had meniscus surgery while the other half had sham surgery. It was then found that the operation provided no benefit in relieving the catching or locking!\r\n<h4>The New Treatment for Meniscus Tears</h4>\r\nThe new treatment for meniscus tears does not involve cutting and removing. It entails boosting the body’s natural ability to repair the injured menisci so that they heal themselves. This treatment is a part of Regenerative Orthopedics and is known as platelet rich plasma (PRP) therapy and it involves inj\r\n\r\n<img class=\"alignright  wp-image-2313\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/knee-pain-man.jpg\" alt=\"Knee Pain Man\" width=\"351\" height=\"524\" />ecting platelets from the patient’s own blood into their injured knees. In should be accompanied by dextrose Prolotherapy to the outside of the joint where important ligaments and tendons are. The platelets then release their healing growth factors like platelet derived growth factor, vascular endothelial growth factor and more. These growth factors stimulate the growth of new tissue including the meniscus. PRP is cost effective when compared to menisci surgery since it is done in the doctor’s office and it does not require the patient to be admitted into a hospital. It also shields the patient from other risks associated with surgery (infection, medications, severe bleeding) and general anesthesia. PRP is also time effective since the patient can slowly resume their activities of normal living after the treatment. This is in comparison to the surgical operation which requires immobilization for several weeks.\r\n\r\n<strong>Peter A. Fields, MD, DC is an expert in PRP Regenerative Therapy as well as Prolotherapy.</strong>\r\n\r\nHe is also an <strong>expert in the field of Stem Cell Regenerative Therapy</strong> for those that have been told that they have worn out cartilage, bone on bone or have their knee, hip or shoulder replaced.\r\n\r\nThis procedure could save one from having their joint permanently removed and replaced, which sometimes can be disastrous.\r\n\r\nPlease give his office a call if you have any more questions about avoiding surgery on your joint and spine.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com\"> Schedule Your Appointment Today!</a>','Meniscus Surgery: A Failed Surgery','','inherit','closed','closed','','2353-revision-v1','','','2020-09-07 21:04:47','2020-09-07 21:04:47','',2353,'https://www.drfields.com/uncategorized/2353-revision-v1/',0,'revision','',0),(4108,9,'2020-09-07 21:17:39','2020-09-07 21:17:39','[caption id=\"attachment_4105\" align=\"alignright\" width=\"500\"]<img class=\"size-medium wp-image-4105\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/meniscectomy-500x500.png\" alt=\"Meniscectomy\" width=\"500\" height=\"500\" /> <em><strong>                    Meniscectomy Didn\'t Fix Your Problem?</strong></em>[/caption]\r\n\r\nMenisci are C-shaped material in the knee which act as shock absorbers between the femur (upper leg) and tibia (lower leg). Each joint has two menisci to balance the body weight evenly and keep the knee stable.\r\n\r\nMenisci are often damaged in people who are active in sports (running, biking, tennis, hiking, golf, soccer, football) and most other activities that involve the knees. And they can also develop degenerative tears over time as we age.\r\n\r\nSymptoms of torn menisci include pain and swelling in the knee which may be accompanied with a sensation of the knee “giving away”. There may also be difficulties straightening the leg which may be associated with a catching or locking sensation.\r\n<h4>The Old Treatment for Meniscus Tears</h4>\r\nTraditionally, torn menisci were repaired surgically. And that involved cutting the torn parts out. However, several studies have proven that this operation is not a good option for damaged menisci.\r\n\r\nMany people have had them even though their problem was not significant. Just using an MRI to ‘convince’ people to have surgery is not good medicine. History and physical exam are much more important.\r\n\r\nIn 2013, a study showed that meniscus surgery in patients without arthritis was no better than a fake surgical procedure. Another study published in the New England Journal of Medicine in 2012 revealed that on average patients who had meniscus surgery did not do any better than those who skipped the operation and just had physical therapy.\r\n\r\nAnd a study done in 2002 by Baylor College of Medicine revealed that debridement (cutting away the damaged parts) of knees with arthritis and degenerative menisci tears was no better than placebo. The latest study in this area revealed that operations for meniscus locking were no better than placebo. Researchers evaluated 146 patients who had mechanical symptoms like occasional locking or knee catching which were thought to be caused by the menisci. And half of these patients had meniscus surgery while the other half had sham surgery. <strong><em>It was then found that the operation provided no benefit in relieving the catching or locking!</em></strong>\r\n<h4>PRP: A New Treatment for Meniscus Tears</h4>\r\nThe new treatment for meniscus tears does not involve cutting and removing. It entails boosting the body’s natural ability to repair the injured menisci so that they heal themselves. This treatment is a part of Regenerative Orthopedics and is known as platelet rich plasma (PRP) therapy.\r\n\r\n[caption id=\"attachment_2313\" align=\"alignright\" width=\"351\"]<img class=\"wp-image-2313\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/knee-pain-man.jpg\" alt=\"Meniscus Surgery and Pain\" width=\"351\" height=\"524\" /> Has Meniscus Surgery left you with continued knee pain?[/caption]\r\n\r\nPRP involves injecting platelets from the patient’s own blood into their injured knees. It should be accompanied by Dextrose Prolotherapy to the outside of the joint where important ligaments and tendons are.\r\n\r\nThe platelets then release their healing growth factors like platelet derived growth factor, vascular endothelial growth factor and more. These growth factors stimulate the growth of new tissue including the meniscus.\r\n\r\nPRP is cost effective when compared to menisci surgery since it is done in the doctor’s office and it does not require the patient to be admitted into a hospital. It also shields the patient from other risks associated with surgery (infection, medications, severe bleeding) and general anesthesia.\r\n\r\nPRP is also time effective since the patient can slowly resume their activities of normal living after the treatment. This is in comparison to the surgical operation which requires immobilization for several weeks.\r\n<h3><strong>Peter A. Fields, MD, DC is an expert in PRP Regenerative Therapy as well as Prolotherapy.</strong></h3>\r\nHe is also an <strong>expert in the field of Stem Cell Regenerative Therapy</strong> for those that have been told that they have worn out cartilage, bone on bone or have their knee, hip or shoulder replaced.\r\n\r\nThis procedure could save one from having their joint permanently removed and replaced, which sometimes can be disastrous.\r\n\r\nPlease give the OrthoRegen office a call 310-453-1234 at if you have any more questions about avoiding surgery on your joint and spine.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com\"> Schedule Your Appointment Today!</a>','Meniscus Surgery: A Failed Surgery','','inherit','closed','closed','','2353-revision-v1','','','2020-09-07 21:17:39','2020-09-07 21:17:39','',2353,'https://www.drfields.com/uncategorized/2353-revision-v1/',0,'revision','',0),(4110,9,'2020-09-11 01:44:50','2020-09-11 01:44:50','[caption id=\"attachment_4112\" align=\"alignright\" width=\"526\"]<img class=\" wp-image-4112\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/stem-cells.-500x500.png\" alt=\"Stem Cell Therapy\" width=\"526\" height=\"526\" data-wp-editing=\"1\" /> <strong>     Stem Cell Treatments are Effective to Avoid Joint Replacement</strong>[/caption]\n<h3>Joint Replacement Is On the Rise</h3>\nJoint replacements are on the rise. They have increased so much that, in the last ten years, knee replacements have more than doubled and hip replacements more than tripled. <sup>i</sup> As life expectancy increases, this number will continue to go up.\n\nArthritis is the most common cause of chronic knee and hip pain, and this condition eventually leads to joint replacement.\n<h4>Traditional Therapies for Joint Pain</h4>\nThe goal of traditional therapies is to decrease pain and improve function. Treatments, such as weight loss, exercise, physiotherapy, bracing, and orthotics, may help temporarily. But they are unfortunately unable to actually repair the joint instability or the source of pain.\n\nThe increased mechanical stress caused by injury to the ligaments, meniscus, labrum, and other joint structures, changes the way the joint functions. And that makes the joint unstable and even more susceptible to further soft tissue injury.\n<h4>What Is the Result of Joint Instability Left Unrepaired?</h4>\nWhen left unrepaired, the long-lasting effect of continual joint instability is arthritis. Again, many conventional treatments do not last in providing pain relief because they fail to repair the instability. And they are also unable to prevent the eventual joint replacement. The road to arthritis, and the ensuing joint replacement, can only be remedied when the problem of joint instability is addressed.\n\nNSAIDs (non-steroidal anti-inflammatory drugs) and corticosteroid injections are conservative, non-surgical therapies generally recommended initially for pain alleviation. And although steroid injections and NSAIDs have been shown to be effective in decreasing inflammation and pain short-term, they do not reverse the disease.\n\nBut they do inhibit the properties of healing. And that\'s important to realize! For this reason, their use is cautioned in those who have joint injuries and arthritis. Interestingly, NSAIDs and corticosteroids have no beneficial effect on articular cartilage in arthritis. But instead, they accelerate the very disease for which they are most often used and prescribed. And they are a catalyst towards joint replacement.\n<h4>Did Researchers Just Find Out That Corticosteroids, Like Cortisone, Are Bad for Soft Tissue Healing?</h4>\nIt is interesting to point out that not long after doctors started injecting cortisone and other steroids into joints way back in the 1950s, reports of terrible joint diseases were already surfacing. And even back then, their intra-articular use was discouraged. Corticosteroid injections accelerate cartilage degeneration and joint destruction. Today, despite the dangers, cortisone use is widespread and has become the standard of care.\n\nWhat about the popular use of hyaluronic acid injections for joint pain? Unfortunately, those who do find some pain relief from hyaluronic acid, generally only experience short-term results. The use of hyaluronic acid injections, like Synvisc, are frequently designed to delay the inevitable joint replacement. Even the seemingly harmless RICE (rest, ice, compression and elevation) protocol has been rescinded by its author due to its detrimental effect on healing.\n<h4>Does Arthroscopic Surgery Prevent Joint Replacement?</h4>\nAn attempt to eliminate pain or a painful area by the arthroscopic shaving, cutting, or removal of tissue will only delay the pain for a few years until the remaining tissue becomes degenerated. And arthroscopy is a direct assault to the joint tissue. Arthroscopy, like the aforementioned treatments, may give some temporary relief of symptoms. But in the long-term, they will destabilize the joint and boost degeneration.\n\nIn the long-run, these surgeries can lead to even more surgeries and the eventual joint replacement. Athletes, who have surgical repair of injuries, like an ACL tear for example, have a low rate of return to sport, and a high rate of new injury. Surgery makes joint instability worse, not better.\n\nMany surgeries such as labral repair and ACL reconstruction can provide remarkable short-term pain relief. However, the replacement material will not function long-term like the original. And ACL grafts and labral repairs with titanium tacks just do not have the same pliability as the original tissue. They cannot restore the joint back to normal. Eventually, they will cause problems.\n\nThe athlete or any joint pain patient must realize that with each procedure and each shaving or cutting of tissue, NSAID prescription, or corticosteroid injection, the risk of developing long-term arthritis and the eventual joint replacement is greatly increased. The key to keeping the joint strong is to stimulate the area to heal.\n<h4>Regenerative Orthopedics Using Stem Cell Treatment Repairs the Joint</h4>\nRegenerative Orthopedics stimulates healing and repairs the joint, rather than interfering with the normal healing process of the body. At OrthoRegen<sup>®</sup>, we use the Gold Standard in Regenerative Orthopedics. And we use Stem Cells from bone marrow and from fat. Both are excellent sources of Stem Cells.\n\nPRP is then used to stimulate the growth of these Stem Cells and to repair the ligaments inside of the joint. The remaining Stem Cells that are left over are used along with Prolotherapy to treat the outside of the joint. That\'s where there are many tendons and ligaments that control the joint and keep it stabilized. All of this is known as the Gold Standard in Stem Cell treatment, and is the only procedure we use at OrthoRegen<sup>®</sup>.\n<h4>Types of Regenerative Orthopedics</h4>\nStem Cell treatments, PRP and Prolotherapy, are all types of Regenerative Orthopedics. And they are all effective at stimulating the normal reparative mechanisms of the body, laying down new collagen, strengthening the tendons and ligaments, repairing the meniscus of the knee, hip and shoulder labrum, and boosting the cartilage growth.\n\nThese treatments work to reduce the chance of long-term arthritis and the eventual joint replacement. Stem Cells, along with PRP and Prolotherapy, offer hope to those suffering from various types of joint pain and trying to avoid joint replacement.\n\nWhile surgery is necessary in a small percentage of patients, non-surgical regenerative therapies should be first-line, conservative treatments tried prior to surgery. The Gold Standard of Regenerative Orthopedics is effective even after surgery, when continued pain is experienced or for arthritis that was accelerated due to the surgery.\n\nKeep in mind that once surgery is done it cannot be undone!\n\n<hr />\n\n[i] Kim, S. Changes in surgical loads and economic burden of hip and knee replacements in the US: 1997–2004. Arthritis &amp; Rheumatism,2008: 59: 481–488. doi:10.1002/art.23525','Joint Replacement: What\'s the Alternative?','','inherit','closed','closed','','2345-autosave-v1','','','2020-09-11 01:44:50','2020-09-11 01:44:50','',2345,'https://www.drfields.com/uncategorized/2345-autosave-v1/',0,'revision','',0),(4111,9,'2020-09-11 01:22:03','2020-09-11 01:22:03','<h3>Stem Cell Treatment: An Alternative to Joint Replacement</h3>\r\nJoint replacements are on the rise. They have increased so much that, in the last ten years, knee replacements have more than doubled and hip replacements more than tripled. <sup>i</sup> As life expectancy increases, this number will continue to go up. Arthritis is the most common cause of chronic knee and hip pain, and this condition eventually leads to joint replacement. Stem Cell Treatment is a great non-surgical alternative to joint replacement.\r\n<h4>Traditional Therapies for Joint Pain</h4>\r\nThe goal of traditional therapies is to decrease pain and improve function. Treatments, such as weight loss, exercise, physiotherapy, bracing, and orthotics, may help temporarily, but are unfortunately unable to actually repair the joint instability or source of the pain. The increased mechanical stress caused by injury to the ligaments, meniscus, labrum, etc. changes the way the joint functions and makes the joint unstable and even more susceptible to further soft tissue injury.\r\n\r\nWhat is the result? When left unrepaired, the long-lasting effect of continual joint instability is arthritis. Again, many conventional treatments do not last in providing pain relief because they fail to repair the instability. They are also unable to prevent the eventual joint replacement. The road to arthritis, and the ensuing joint replacement, can only be remedied when the problem of joint instability is addressed.\r\n\r\nNSAIDs (non-steroidal anti-inflammatory drugs) and corticosteroid injections are conservative, non-surgical therapies generally recommended initially for pain alleviation. Although steroid injections and NSAIDs have been shown to be effective in decreasing inflammation and pain short-term, they do not reverse the disease, but rather inhibit the properties of healing. For this reason, their use is cautioned in those who have joint injuries and arthritis. Interestingly, NSAIDs and corticosteroids have no beneficial effect on articular cartilage in arthritis, but rather accelerate the very disease for which they are most often used and prescribed, and are a catalyst towards joint replacement.\r\n\r\nIt is interesting to point out that not long after doctors started injecting cortisone and other steroids into joints way back in the 1950s, reports of terrible joint diseases were already surfacing, and even back then, their intra-articular use was discouraged. Corticosteroid injections accelerate cartilage degeneration and joint destruction. Today, despite the dangers, cortisone use is widespread and has become the standard of care.\r\n\r\nWhat about the popular use of hyaluronic acid injections for joint pain? Unfortunately, those who do find some pain relief from hyaluronic acid, generally only experience short-term results, which are frequently designed to delay the inevitable joint replacement. Even the seemingly harmless RICE (rest, ice, compression and elevation) protocol has been rescinded by its author due to its detrimental effect on healing.\r\n<h4>Does Arthroscopic Surgery Prevent Joint Replacement?</h4>\r\nAn attempt to eliminate pain or a painful area by the arthroscopic shaving, cutting, or removal of tissue will only delay the pain for a few years until the remaining tissue becomes degenerated. Arthroscopy is a direct assault to the joint tissue. Arthroscopy, like the aforementioned treatments, may give some temporary relief of symptoms, but in the long-term, will destabilize the joint and boost degeneration. In the long-run, these surgeries can lead to even more surgeries and the eventual joint replacement. Athletes, who have surgical repair of injuries, like an ACL tear for example, have a low rate of return to sport, and a high rate of new injury. Surgery makes joint instability worse, not better.\r\n\r\nMany surgeries such as labral repair and ACL reconstruction can provide remarkable short-term pain relief. However, the replacement material will not function long-term like the original. ACL grafts and labral repairs with titanium tacks just do not have the same pliability as the original tissue and cannot restore the joint back to normal. Eventually, they will cause problems. The athlete or any joint pain patient must realize that with each procedure and each shaving or cutting of tissue, NSAID prescription, or corticosteroid injection, the risk of developing long-term arthritis and the eventual joint replacement is greatly increased. The key to keeping the joint strong is to stimulate the area to heal.\r\n<h4>Regenerative Orthopedics Using Stem Cell Treatment Repairs the Joint</h4>\r\nRegenerative Orthopedics stimulates healing and repairs the joint, rather than interfering with the normal healing process of the body. At OrthoRegen<sup>®</sup>, we use the Gold Standard in Regenerative Orthopedics. We use Stem Cells from bone marrow and from fat. Both are excellent sources of Stem Cells. PRP is then used to stimulate the growth of these Stem Cells and to repair the ligaments inside of the joint. The remaining Stem Cells that are left over are used along with Prolotherapy to treat the outside of the joint, where there are many tendons and ligaments that control the joint and keep it stabilized. All of this is known as the Gold Standard in Stem Cell treatment, and is the only procedure we use at OrthoRegen<sup>®</sup>.\r\n\r\nStem Cell treatments, PRP and Prolotherapy, are types of Regenerative Orthopedics. They are all effective at stimulating the normal reparative mechanisms of the body, laying down new collagen, strengthening the tendons and ligaments, repairing the meniscus of the knee, hip and shoulder labrum, and boosting the cartilage growth. They work to reduce the chance of long-term arthritis and joint replacement. Stem Cells, along with PRP and Prolotherapy, offer hope to those suffering from various types of joint pain and trying to avoid joint replacement.\r\n\r\nWhile surgery is necessary in a small percentage of patients, non-surgical regenerative therapies should be first-line, conservative treatments tried prior to surgery. The Gold Standard of Regenerative Orthopedics is effective even after surgery, when continued pain is experienced or for arthritis that was accelerated due to the surgery.\r\n\r\nOnce surgery is done it cannot be undone!\r\n\r\n<hr />\r\n\r\n[i] Kim, S. Changes in surgical loads and economic burden of hip and knee replacements in the US: 1997–2004. Arthritis &amp; Rheumatism,2008: 59: 481–488. doi:10.1002/art.23525','Stem Cell Treatment','','inherit','closed','closed','','2345-revision-v1','','','2020-09-11 01:22:03','2020-09-11 01:22:03','',2345,'https://www.drfields.com/uncategorized/2345-revision-v1/',0,'revision','',0),(4112,9,'2020-09-11 01:22:39','2020-09-11 01:22:39','Stem Cells, along with PRP and Prolotherapy, offer hope to those suffering from various types of joint pain and trying to avoid joint replacement.','Stem Cells Treatments','Stem Cell Treatments are Effective to Avoid Joint Replacement','inherit','open','closed','','stem-cells','','','2020-09-11 01:23:44','2020-09-11 01:23:44','',2345,'https://www.drfields.com/wp-content/uploads/2019/06/stem-cells..png',0,'attachment','image/png',0),(4113,9,'2020-09-11 01:45:11','2020-09-11 01:45:11','[caption id=\"attachment_4112\" align=\"alignright\" width=\"526\"]<img class=\"wp-image-4112\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/stem-cells.-500x500.png\" alt=\"Joint Replacement Alternative\" width=\"526\" height=\"526\" /> <strong>              Avoid Joint Replacement With Stem Cell Therapy </strong>[/caption]\r\n<h3>Joint Replacement Is On the Rise</h3>\r\nJoint replacements are on the rise. They have increased so much that, in the last ten years, knee replacements have more than doubled and hip replacements more than tripled. <sup>i</sup> As life expectancy increases, this number will continue to go up.\r\n\r\nArthritis is the most common cause of chronic knee and hip pain, and this condition eventually leads to joint replacement.\r\n<h4>Traditional Therapies for Joint Pain</h4>\r\nThe goal of traditional therapies is to decrease pain and improve function. Treatments, such as weight loss, exercise, physiotherapy, bracing, and orthotics, may help temporarily. But they are unfortunately unable to actually repair the joint instability or the source of pain.\r\n\r\nThe increased mechanical stress caused by injury to the ligaments, meniscus, labrum, and other joint structures, changes the way the joint functions. And that makes the joint unstable and even more susceptible to further soft tissue injury.\r\n<h4>What Is the Result of Joint Instability Left Unrepaired?</h4>\r\nWhen left unrepaired, the long-lasting effect of continual joint instability is arthritis. Again, many conventional treatments do not last in providing pain relief because they fail to repair the instability. And they are also unable to prevent the eventual joint replacement. The road to arthritis, and the ensuing joint replacement, can only be remedied when the problem of joint instability is addressed.\r\n\r\nNSAIDs (non-steroidal anti-inflammatory drugs) and corticosteroid injections are conservative, non-surgical therapies generally recommended initially for pain alleviation. And although steroid injections and NSAIDs have been shown to be effective in decreasing inflammation and pain short-term, they do not reverse the disease.\r\n\r\nBut they do inhibit the properties of healing. And that\'s important to realize! For this reason, their use is cautioned in those who have joint injuries and arthritis. Interestingly, NSAIDs and corticosteroids have no beneficial effect on articular cartilage in arthritis. But instead, they accelerate the very disease for which they are most often used and prescribed. And they are a catalyst towards joint replacement.\r\n<h4>Did Researchers Just Find Out That Corticosteroids, Like Cortisone, Are Bad for Soft Tissue Healing?</h4>\r\nIt is interesting to point out that not long after doctors started injecting cortisone and other steroids into joints way back in the 1950s, reports of terrible joint diseases were already surfacing. And even back then, their intra-articular use was discouraged. Corticosteroid injections accelerate cartilage degeneration and joint destruction. Today, despite the dangers, cortisone use is widespread and has become the standard of care.\r\n\r\nWhat about the popular use of hyaluronic acid injections for joint pain? Unfortunately, those who do find some pain relief from hyaluronic acid, generally only experience short-term results. The use of hyaluronic acid injections, like Synvisc, are frequently designed to delay the inevitable joint replacement. Even the seemingly harmless RICE (rest, ice, compression and elevation) protocol has been rescinded by its author due to its detrimental effect on healing.\r\n<h4>Does Arthroscopic Surgery Prevent Joint Replacement?</h4>\r\nAn attempt to eliminate pain or a painful area by the arthroscopic shaving, cutting, or removal of tissue will only delay the pain for a few years until the remaining tissue becomes degenerated. And arthroscopy is a direct assault to the joint tissue. Arthroscopy, like the aforementioned treatments, may give some temporary relief of symptoms. But in the long-term, they will destabilize the joint and boost degeneration.\r\n\r\nIn the long-run, these surgeries can lead to even more surgeries and the eventual joint replacement. Athletes, who have surgical repair of injuries, like an ACL tear for example, have a low rate of return to sport, and a high rate of new injury. Surgery makes joint instability worse, not better.\r\n\r\nMany surgeries such as labral repair and ACL reconstruction can provide remarkable short-term pain relief. However, the replacement material will not function long-term like the original. And ACL grafts and labral repairs with titanium tacks just do not have the same pliability as the original tissue. They cannot restore the joint back to normal. Eventually, they will cause problems.\r\n\r\nThe athlete or any joint pain patient must realize that with each procedure and each shaving or cutting of tissue, NSAID prescription, or corticosteroid injection, the risk of developing long-term arthritis and the eventual joint replacement is greatly increased. The key to keeping the joint strong is to stimulate the area to heal.\r\n<h4>Regenerative Orthopedics Using Stem Cell Treatment Repairs the Joint</h4>\r\nRegenerative Orthopedics stimulates healing and repairs the joint, rather than interfering with the normal healing process of the body. At OrthoRegen<sup>®</sup>, we use the Gold Standard in Regenerative Orthopedics. And we use Stem Cells from bone marrow and from fat. Both are excellent sources of Stem Cells.\r\n\r\nPRP is then used to stimulate the growth of these Stem Cells and to repair the ligaments inside of the joint. The remaining Stem Cells that are left over are used along with Prolotherapy to treat the outside of the joint. That\'s where there are many tendons and ligaments that control the joint and keep it stabilized. All of this is known as the Gold Standard in Stem Cell treatment, and is the only procedure we use at OrthoRegen<sup>®</sup>.\r\n<h4>Types of Regenerative Orthopedics</h4>\r\nStem Cell treatments, PRP and Prolotherapy, are all types of Regenerative Orthopedics. And they are all effective at stimulating the normal reparative mechanisms of the body, laying down new collagen, strengthening the tendons and ligaments, repairing the meniscus of the knee, hip and shoulder labrum, and boosting the cartilage growth.\r\n\r\nThese treatments work to reduce the chance of long-term arthritis and the eventual joint replacement. Stem Cells, along with PRP and Prolotherapy, offer hope to those suffering from various types of joint pain and trying to avoid joint replacement.\r\n\r\nWhile surgery is necessary in a small percentage of patients, non-surgical regenerative therapies should be first-line, conservative treatments tried prior to surgery. The Gold Standard of Regenerative Orthopedics is effective even after surgery, when continued pain is experienced or for arthritis that was accelerated due to the surgery.\r\n\r\nKeep in mind that once surgery is done it cannot be undone!\r\n\r\n<hr />\r\n\r\n[i] Kim, S. Changes in surgical loads and economic burden of hip and knee replacements in the US: 1997–2004. Arthritis &amp; Rheumatism,2008: 59: 481–488. doi:10.1002/art.23525','Joint Replacement: What\'s the Alternative?','','inherit','closed','closed','','2345-revision-v1','','','2020-09-11 01:45:11','2020-09-11 01:45:11','',2345,'https://www.drfields.com/uncategorized/2345-revision-v1/',0,'revision','',0),(4114,9,'2020-09-11 01:51:55','2020-09-11 01:51:55','Knee pain, like all other types of joint pain, can appear suddenly or become an ongoing, chronic condition. The most common cause of chronic knee pain and disability is arthritis, which frequently results in knee replacement. Knee pain can also be caused by conditions like bursitis, tendonitis, sports injuries, degenerative joint disease, chondromalacia patellae and meniscal injury, all of which very often lead to the eventual surgical recommendation or intervention.\r\n\r\n<a class=\"buttonlink\" href=\"/Testimonials/Cellular-Regeneration-Testimonials/\">Click to See Stem Cell Testimonial Videos</a>\r\n<h6>Knee Pain Treatments</h6>\r\nBefore surgery, other more conservative therapies are usually attempted to bring relief from the knee pain. NSAIDs (non-steroidal anti-inflammatory drugs like Ibuprofen or Naprosyn) and steroid (cortisone) injections might be included in those initial recommendations. Are these treatments a good choice? Although steroid injections and NSAIDs have been shown in studies to be effective in decreasing inflammation and providing pain relief in the short-term, they unfortunately have also been shown to change the properties of ligaments and other soft tissue, which ends up slowing down the healing process. Because these medications inhibit soft tissue healing, their use is cautioned in those who have ligament and soft tissue injuries. Therefore, their use in ligament injuries should be used for the shortest period of time, if used at all. Instead, Regenerative Orthopedic techniques, such as Stem Cell Therapy, PRP and Prolotherapy, which have been shown to strengthen and resolve ligament injuries, repair meniscal injuries, and rebuild cartilage in the knee, should be sought.\r\n<h6>The RICE Protocol</h6>\r\nSo what about the RICE (rest, ice, compression and elevation) protocol? Everyone knows about the RICE protocol, and most people are quick to put it into action. However, an interesting point is that the RICE protocol has been rescinded by its author due to its detrimental effect on healing. Why? Because it hinders blood supply to the injury, and blood brings the healing factors to an injury. Remember…The river does not flow when it is frozen; and that ‘river’ is your blood.\r\n<h6>What about Hyaluronic Acid Injections?</h6>\r\nHyaluronic acid injections, such as Synvisc or Hyalgen, are some of the most popular conservative treatments for knee pain. Hyaluronic acid is a substance naturally found in the body that provides cushion and lubrication to the joints. It can be used as an oral supplement and as an injection that is given directly into the knee joint for the relief of knee pain. Are there drawbacks to the use of hyaluronic acid?\r\n\r\nIf relief is experienced with hyaluronic acid injections, it is generally only for a short period of time. Studies have shown this treatment to actually lack clinical effectiveness. In fact, a systematic review of 89 studies that included over twelve thousand patients comparing hyaluronic acid injections to a sham treatment or to no intervention at all, found that hyaluronic acid supplementation to the knee produced minimal to non-existent results when it came to pain relief and function in knee arthritis patients. That means thousands of patients in these studies received no relief at all, and if they did find relief, it was not much. Unfortunately, those that do find some pain relief with the use of hyaluronic acid, only experience results for a short period of time, and the treatment frequently becomes only a delay for the inevitable knee replacement, because all it does is lubricate a dysfunctional joint, and does not fix anything.\r\n<h6>Other Non-Surgical Treatments</h6>\r\nEven though the goal of many non-surgical treatments such as weight loss, exercise, physiotherapy, bracing, and orthotics, is to decrease pain and improve function, they are unable to repair the source of the pain, the ligament or soft tissue injury. Why is it so important to repair the ligaments and other soft tissue? Because the long-term consequence of ligament and soft tissue injuries that are left unhealed is arthritis. Is it any wonder why the treatments mentioned above including hyaluronic acid do not last, and why they are unable to prevent the eventual knee replacement! You see, these treatments are unable to get to the root cause of the problem. The road to arthritis can only be remedied when the problem of ligament injury is addressed. None of the above treatments address this problem. Regenerative Orthopedics does.\r\n<h6>Are Cortisone Injections Really All That Bad?</h6>\r\nSteroids are used to provide anti-inflammatory relief in affected areas of the body. They lessen swelling, redness, itching and allergic reactions, and, in addition to their use for pain, are often used as part of the treatment for a number of different diseases, such as severe allergies or skin problems, asthma, or arthritis. In many of these cases, steroids are lifesaving! The discovery that steroids could be injected into joints was received with enthusiasm, and led to widespread use. However, shortly after doctors started injecting cortisone and other steroids into knee joints in the 1950s, reports of terrible arthropathies, or joint diseases, began to surface. There was an obvious indication that all was not well with this treatment choice. Way back then, the researchers discouraged the use of steroids being injected into the joint, due to their side effects and cell death in the bone.\r\n\r\nSteroid injections accelerate cartilage degeneration and joint destruction. Cortisone has a deleterious effect on soft tissue healing by inhibiting blood flow to the injured area, new blood vessel formation, protein synthesis, fibroblast proliferation and ultimately collagen formation. Cortisone weakens collagen and therefore soft tissue such as ligaments and tendons, which contributes to the development of conditions such as arthritis, which as we know, leads to the eventual joint replacement. Today, despite the dangers, cortisone use is widespread and has become the standard of care.\r\n<h6>Surgical Repair</h6>\r\nElimination of knee pain by arthroscopic shaving, cutting, or removal of tissue just delays the pain for a few years until the remaining tissue becomes degenerated. The athlete or any knee pain patient must realize that with each procedure and each shaving or cutting of tissue, NSAID prescription, or steroid injection, the risk of developing long-term arthritis and the eventual knee replacement is greatly increased. The key to keeping the knee strong is to stimulate the area to heal. Remember, once surgery is done, it cannot be undone!\r\n<h6>Regenerative Orthopedics</h6>\r\nRegenerative Orthopedic therapies such as Stem Cell Therapy, PRP and Prolotherapy stimulate, rather than interfere with, the normal healing process. The treatments stimulate the normal inflammatory-reparative mechanisms of the body, boosting cartilage growth, strengthening the tendons and ligaments, and repairing the meniscus in a knee or the labrum in the hip or shoulder. These regenerative treatments offer hope to those suffering from various types of knee pain and provide an effective, non-surgical option for those trying to avoid knee replacement.\r\nAs we say at OrthoRegen<sup>®</sup>:\r\nRegenerate First; Surgery Last!','Avoid Knee Replacement with Regenerative Orthopedics','','inherit','closed','closed','','2082-revision-v1','','','2020-09-11 01:51:55','2020-09-11 01:51:55','',2082,'https://www.drfields.com/uncategorized/2082-revision-v1/',0,'revision','',0),(4115,9,'2020-09-11 01:53:32','2020-09-11 01:53:32','Avoid Replacement With Regenerative Orthopedics','Avoid Replacement With Regenerative Orthopedics','Avoid Replacement With Regenerative Orthopedics','inherit','open','closed','','knee-avoid-replacement2','','','2020-09-11 01:54:09','2020-09-11 01:54:09','',2082,'https://www.drfields.com/wp-content/uploads/2019/06/knee.-avoid-replacement2.png',0,'attachment','image/png',0),(4116,9,'2020-09-11 02:22:25','2020-09-11 02:22:25','[caption id=\"attachment_4115\" align=\"alignright\" width=\"400\"]<img class=\"size-medium wp-image-4115\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/knee.-avoid-replacement2-400x500.png\" alt=\"Avoid Knee Replacement\" width=\"400\" height=\"500\" /> <em>    Avoid Knee Replacement With Regenerative Orthopedics</em>[/caption]\n\nKnee pain, like all other types of joint pain, can appear suddenly or become an ongoing, chronic condition. And the most common cause of chronic knee pain and disability is arthritis, which frequently results in knee replacement. In this article, we will discuss ways to avoid knee replacement.\n\n<a class=\"buttonlink\" href=\"/Testimonials/Cellular-Regeneration-Testimonials/\">Click to See Stem Cell Testimonial Videos</a>\n<h3>Knee Pain and Its Common Treatments</h3>\nKnee pain can be caused by conditions like bursitis, tendonitis, sports injuries, degenerative joint disease, chondromalacia patellae and meniscal injury. All of these very often lead to the eventual surgical recommendation or intervention.\n\nBefore surgery, other more conservative therapies are usually attempted to bring relief from the knee pain. NSAIDs (non-steroidal anti-inflammatory drugs like Ibuprofen or Naprosyn) and steroid (cortisone) injections might be included in those initial recommendations.\n<h3>Are Steroids and NSAIDs Good Choices to Avoid Knee Replacement?</h3>\nSteroid injections and NSAIDs have been shown in studies to be effective in decreasing inflammation and providing pain relief in the short-term. Unfortunately, they have also been shown to change the properties of ligaments and other soft tissue. And those changes end up slowing down the healing process.\n\nBecause these medications inhibit soft tissue healing, their use is cautioned in those who have ligament and soft tissue injuries. Therefore, they should only be utilized for the shortest period of time, if used at all. Since they inhibit healing, they speed up the chance for joint replacement. So, they really are not a great choice if you are looking to avoid knee replacement.\n\nInstead, Regenerative Orthopedic techniques, such as Stem Cell Therapy, PRP and Prolotherapy should be sought, because they have been shown to strengthen and resolve ligament injuries, repair meniscal injuries, and rebuild cartilage in the knee.\n<h3>The RICE Protocol Is Pretty Common. Is it a Good Way to Avoid Knee Replacement?</h3>\nSo what about the RICE (rest, ice, compression and elevation) protocol? Everyone knows about the RICE protocol. And most people are quick to put it into action. It has to be a good choice. Right? Not really!\n\nAn interesting point is that the RICE protocol has been rescinded by its author due to its detrimental effect on healing. What? Yup! The RICE protocol actually hinders blood supply to the injury. And blood brings the healing factors to an injury. Remember…The river does not flow when it is frozen; and that ‘river’ is your blood.\n<h3>What about Hyaluronic Acid Injections? It\'s Natural, Isn\'t It? So That Means It Must Be Good!</h3>\nHyaluronic acid injections, such as Synvisc or Hyalgen, are some of the most popular conservative treatments for knee pain. Yes, hyaluronic acid is a substance naturally found in the body that provides cushion and lubrication to the joints. And it can be used as an oral supplement and as an injection that is given directly into the knee joint for the relief of knee pain.\n<h4><em>But are there drawbacks to the use of hyaluronic acid?</em></h4>\nOne drawback of hyaluronic acid is that if relief is actually experienced with hyaluronic acid injections, it is generally only for a short period of time. Also, studies have shown this treatment actually lacks clinical effectiveness. In fact, a systematic review of 89 studies that included over twelve thousand patients comparing hyaluronic acid injections to a sham treatment or to no intervention at all, found that hyaluronic acid supplementation to the knee produced minimal to non-existent results when it came to pain relief and function in knee arthritis patients.\n\nThat means thousands of patients in these studies received no relief at all. And if they did find relief, it was not much. Unfortunately, those that do find some pain relief with the use of hyaluronic acid, only experience results for a short period of time. And the treatment frequently becomes only a delay for the inevitable knee replacement, because all it does is lubricate a dysfunctional joint, and does not fix anything. In the end, it may delay the joint replacement, but does not help to avoid knee replacement.\n<h3>Are Cortisone Injections Really All That Bad for the Knee Joint?</h3>\nSteroids are used to provide anti-inflammatory relief in affected areas of the body. They lessen swelling, redness, itching and allergic reactions. And, in addition to their use for pain, they are also often used as part of the treatment for a number of different diseases, such as severe allergies or skin problems, asthma, or arthritis. In many of these cases, steroids are lifesaving!\n\nThe discovery that steroids could be injected into joints was received with enthusiasm, and led to widespread use. However, shortly after doctors started injecting cortisone and other steroids into knee joints in the 1950s, reports of terrible arthropathies, or joint diseases, began to surface. There was an obvious indication that all was not well with this treatment choice. Way back then, the researchers discouraged the use of steroids being injected into the joint, due to their side effects and cell death in the bone.\n\nSteroid injections accelerate cartilage degeneration and joint destruction. Cortisone has a deleterious effect on soft tissue healing by inhibiting blood flow to the injured area, new blood vessel formation, protein synthesis, fibroblast proliferation and ultimately collagen formation.\n\nCortisone weakens collagen and therefore soft tissue such as ligaments and tendons, which contributes to the development of conditions such as arthritis. And, as we know, this leads to the eventual joint replacement. Today, despite the dangers, cortisone use is widespread and has become the standard of care.\n<h3>Surgical Repair</h3>\nElimination of knee pain by arthroscopic shaving, cutting, or removal of tissue just delays the pain for a few years until the remaining tissue becomes degenerated. The athlete or any knee pain patient must realize that with each procedure and each shaving or cutting of tissue, NSAID prescription, or steroid injection, the risk of developing long-term arthritis and the eventual knee replacement is greatly increased. The key to keeping the knee strong is to stimulate the area to heal. Remember, once surgery is done, it cannot be undone!\n<h3>Other Non-Surgical Treatments</h3>\nEven though the goal of many non-surgical treatments such as weight loss, exercise, physiotherapy, bracing, and orthotics, is to decrease pain and improve function, they are unable to repair the source of the pain, the ligament or soft tissue injury. Why is it so important to repair the ligaments and other soft tissue? Because the long-term consequence of ligament and soft tissue injuries that are left unhealed is arthritis.\n\nIs it any wonder the treatments mentioned above, including hyaluronic acid, do not last. And why they are unable to prevent the eventual knee replacement! You see, these treatments are unable to get to the root cause of the problem. The road to arthritis can only be remedied when the problem of ligament injury is addressed. None of the above treatments address this problem. But Regenerative Orthopedics does.\n<h3>Regenerative Orthopedics Is An Effective Treatment to Avoid Knee Replacement</h3>\nRegenerative Orthopedic therapies such as Stem Cell Therapy, PRP and Prolotherapy stimulate, rather than interfere with, the normal healing process. The treatments stimulate the normal inflammatory-reparative mechanisms of the body, boosting cartilage growth, strengthening the tendons and ligaments, and repairing the meniscus in a knee or the labrum in the hip or shoulder.\n\nThese regenerative treatments offer hope to those suffering from various types of knee pain and provide an effective, non-surgical option for those trying to avoid knee replacement.\nAs we say at OrthoRegen<sup>®</sup>:\nRegenerate First; Surgery Last!','Avoid Knee Replacement with Regenerative Orthopedics','','inherit','closed','closed','','2082-autosave-v1','','','2020-09-11 02:22:25','2020-09-11 02:22:25','',2082,'https://www.drfields.com/uncategorized/2082-autosave-v1/',0,'revision','',0),(4117,9,'2020-09-11 02:23:27','2020-09-11 02:23:27','[caption id=\"attachment_4115\" align=\"alignright\" width=\"400\"]<img class=\"size-medium wp-image-4115\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/knee.-avoid-replacement2-400x500.png\" alt=\"Avoid Knee Replacement\" width=\"400\" height=\"500\" /> <em>    Avoid Knee Replacement With Regenerative Orthopedics</em>[/caption]\r\n\r\nKnee pain, like all other types of joint pain, can appear suddenly or become an ongoing, chronic condition. And the most common cause of chronic knee pain and disability is arthritis, which frequently results in knee replacement. In this article, we will discuss ways to avoid knee replacement.\r\n\r\n<a class=\"buttonlink\" href=\"/Testimonials/Cellular-Regeneration-Testimonials/\">Click to See Stem Cell Testimonial Videos</a>\r\n<h3>Knee Pain and Its Common Treatments</h3>\r\nKnee pain can be caused by conditions like bursitis, tendonitis, sports injuries, degenerative joint disease, chondromalacia patellae and meniscal injury. All of these very often lead to the eventual surgical recommendation or intervention.\r\n\r\nBefore surgery, other more conservative therapies are usually attempted to bring relief from the knee pain. NSAIDs (non-steroidal anti-inflammatory drugs like Ibuprofen or Naprosyn) and steroid (cortisone) injections might be included in those initial recommendations.\r\n<h3>Are Steroids and NSAIDs Good Choices to Avoid Knee Replacement?</h3>\r\nSteroid injections and NSAIDs have been shown in studies to be effective in decreasing inflammation and providing pain relief in the short-term. Unfortunately, they have also been shown to change the properties of ligaments and other soft tissue. And those changes end up slowing down the healing process.\r\n\r\nBecause these medications inhibit soft tissue healing, their use is cautioned in those who have ligament and soft tissue injuries. Therefore, they should only be utilized for the shortest period of time, if used at all. Since they inhibit healing, they speed up the chance for joint replacement. So, they really are not a great choice if you are looking to avoid knee replacement.\r\n\r\nInstead, Regenerative Orthopedic techniques, such as Stem Cell Therapy, PRP and Prolotherapy should be sought, because they have been shown to strengthen and resolve ligament injuries, repair meniscal injuries, and rebuild cartilage in the knee.\r\n<h3>The RICE Protocol Is Pretty Common. Is it a Good Way to Avoid Knee Replacement?</h3>\r\nSo what about the RICE (rest, ice, compression and elevation) protocol? Everyone knows about the RICE protocol. And most people are quick to put it into action. It has to be a good choice. Right? Not really!\r\n\r\nAn interesting point is that the RICE protocol has been rescinded by its author due to its detrimental effect on healing. What? Yup! The RICE protocol actually hinders blood supply to the injury. And blood brings the healing factors to an injury. Remember…The river does not flow when it is frozen; and that ‘river’ is your blood.\r\n<h3>What about Hyaluronic Acid Injections? It\'s Natural, Isn\'t It? So That Means It Must Be Good!</h3>\r\nHyaluronic acid injections, such as Synvisc or Hyalgen, are some of the most popular conservative treatments for knee pain. Yes, hyaluronic acid is a substance naturally found in the body that provides cushion and lubrication to the joints. And it can be used as an oral supplement and as an injection that is given directly into the knee joint for the relief of knee pain.\r\n<h4><em>But are there drawbacks to the use of hyaluronic acid?</em></h4>\r\nOne drawback of hyaluronic acid is that if relief is actually experienced with hyaluronic acid injections, it is generally only for a short period of time. Also, studies have shown this treatment actually lacks clinical effectiveness. In fact, a systematic review of 89 studies that included over twelve thousand patients comparing hyaluronic acid injections to a sham treatment or to no intervention at all, found that hyaluronic acid supplementation to the knee produced minimal to non-existent results when it came to pain relief and function in knee arthritis patients.\r\n\r\nThat means thousands of patients in these studies received no relief at all. And if they did find relief, it was not much. Unfortunately, those that do find some pain relief with the use of hyaluronic acid, only experience results for a short period of time. And the treatment frequently becomes only a delay for the inevitable knee replacement, because all it does is lubricate a dysfunctional joint, and does not fix anything. In the end, it may delay the joint replacement, but does not help to avoid knee replacement.\r\n<h3>Are Cortisone Injections Really All That Bad for the Knee Joint?</h3>\r\nSteroids are used to provide anti-inflammatory relief in affected areas of the body. They lessen swelling, redness, itching and allergic reactions. And, in addition to their use for pain, they are also often used as part of the treatment for a number of different diseases, such as severe allergies or skin problems, asthma, or arthritis. In many of these cases, steroids are lifesaving!\r\n\r\nThe discovery that steroids could be injected into joints was received with enthusiasm, and led to widespread use. However, shortly after doctors started injecting cortisone and other steroids into knee joints in the 1950s, reports of terrible arthropathies, or joint diseases, began to surface. There was an obvious indication that all was not well with this treatment choice. Way back then, the researchers discouraged the use of steroids being injected into the joint, due to their side effects and cell death in the bone.\r\n\r\nSteroid injections accelerate cartilage degeneration and joint destruction. Cortisone has a deleterious effect on soft tissue healing by inhibiting blood flow to the injured area, new blood vessel formation, protein synthesis, fibroblast proliferation and ultimately collagen formation.\r\n\r\nCortisone weakens collagen and therefore soft tissue such as ligaments and tendons, which contributes to the development of conditions such as arthritis. And, as we know, this leads to the eventual knee replacement. Today, despite the dangers, cortisone use is widespread and has become the standard of care.\r\n<h3>Surgical Repair</h3>\r\nElimination of knee pain by arthroscopic shaving, cutting, or removal of tissue just delays the pain for a few years until the remaining tissue becomes degenerated. The athlete or any knee pain patient must realize that with each procedure and each shaving or cutting of tissue, NSAID prescription, or steroid injection, the risk of developing long-term arthritis and the eventual knee replacement is greatly increased. The key to keeping the knee strong is to stimulate the area to heal. Remember, once surgery is done, it cannot be undone!\r\n<h3>Other Non-Surgical Treatments</h3>\r\nEven though the goal of many non-surgical treatments such as weight loss, exercise, physiotherapy, bracing, and orthotics, is to decrease pain and improve knee function, they are unable to repair the source of the pain, the ligament or soft tissue injury. Why is it so important to repair the ligaments and other soft tissue? Because the long-term consequence of ligament and soft tissue injuries that are left unhealed is arthritis.\r\n\r\nIs it any wonder the treatments mentioned above, including hyaluronic acid, do not last. And why they are unable to prevent the eventual knee replacement! You see, these treatments are unable to get to the root cause of the problem. The road to arthritis can only be remedied when the problem of ligament injury is addressed. None of the above treatments address this problem. But Regenerative Orthopedics does.\r\n<h3>Regenerative Orthopedics Is An Effective Treatment to Avoid Knee Replacement</h3>\r\nRegenerative Orthopedic therapies such as Stem Cell Therapy, PRP and Prolotherapy stimulate, rather than interfere with, the normal healing process. The treatments stimulate the normal inflammatory-reparative mechanisms of the body, boosting cartilage growth, strengthening the tendons and ligaments, and repairing the meniscus in a knee or the labrum in the hip or shoulder.\r\n\r\nThese regenerative treatments offer hope to those suffering from various types of knee pain and provide an effective, non-surgical option for those trying to avoid knee replacement.\r\n\r\nAs we say at OrthoRegen<sup>®</sup>:\r\nRegenerate First; Surgery Last!','Avoid Knee Replacement with Regenerative Orthopedics','','inherit','closed','closed','','2082-revision-v1','','','2020-09-11 02:23:27','2020-09-11 02:23:27','',2082,'https://www.drfields.com/uncategorized/2082-revision-v1/',0,'revision','',0),(4118,9,'2020-09-12 19:57:35','2020-09-12 19:57:35','<h3><strong>Take A Look at This Medical Journal Article About Groin Pain Resolved with Regenerative Therapy</strong></h3>\n<em>If you have groin pain after a sports injury or even after lifting or some other activity that ended in groin injury, you can find relief with regenerative therapies. If elite athletes can get relief, so can you. </em>\n\n<em>After monthly regenerative injections of dextrose and lidocaine, these athletes returned to full activity. <a href=\"https://prolotherapy.com/Topol_Regenerative%20Injection%20of%20Elite%20Athletes%20with%20Career-Altering%20Chronic%20Groin%20Pain%20Who%20Fail%20Conservative%20Treatment_2008.pdf\">Click here for the full article</a>, or check out the abstract below.</em>\n<div class=\"page\" title=\"Page 1\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<h3><strong>Regenerative Injection of Elite Athletes with Career-Altering Chronic Groin Pain Who Fail Conservative Treatment</strong></h3>\n</div>\n</div>\n</div>\n<div class=\"page\" title=\"Page 1\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n\nABSTRACT\n\nTopol GA, Reeves KD: Regenerative injection of elite athletes with career-altering chronic groin pain who fail conservative treatment: a consecutive case series. <a href=\"https://prolotherapy.com/Topol_Regenerative%20Injection%20of%20Elite%20Athletes%20with%20Career-Altering%20Chronic%20Groin%20Pain%20Who%20Fail%20Conservative%20Treatment_2008.pdf\">Am J Phys Med Rehabil 2008;87;890–902.</a>\n<h4>Objective: To obtain multisport and long-term outcome data from the use of     regenerative injection therapy on career-threatened athletes.</h4>\nDesign: Consecutive enrollment of elite performance-limited athletes with chronic groin/abdominal pain who failed a conservative treatment trial. The treatment consisted of monthly injections of 12.5% dextrose in 0.5% lidocaine in abdominal and adductor attachments on the pubis. Injection of the nociceptive source was confirmed by repetition of resistive testing 5 mins after injection.\n\nResults: Seventy-five athletes were enrolled. Seventy-two athletes (39 rugby, 29 soccer, and 4 other) completed the minimum two-treatment protocol. Their data revealed a mean groin pain history of 11 (3–60) mos. Average number of treatments received was 3 (1–6).\n\nIndividual paired t tests for Visual Analog Scale (VAS) of pain with sport (VAS Pain) and Nirschl pain phase scale measured at 0 and an average of 26 (6–73) mos indicated VAS Pain improvement of 82% (P 􏰀 10􏰁10) and Nirschl pain phase scale improvement of 78% (P 􏰀 10􏰁10).\n\nSix athletes did not improve following regenerative injection therapy treatmentnd the remaining 66 returned to unrestricted sport. Return to unrestricted sport occurred in an average of 3 (1–5) mos.\n\nConclusions: Athletes returned to full elite-level performance in a timely and sustainable manner after regenerative injection therapy using dextrose.\n\n</div>\n</div>\n</div>\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>\n<div class=\"fullwidth color_bar row-full \">\n<div class=\"container\">\n<div class=\"row-fluid\">\n<div class=\"large_thumb\"><a href=\"/Articles/Prolotherapy-Research/Groin-Pelvis\">Read more about Regenerative Orthopedics for Groin/Pelvis</a></div>\n</div>\n</div>\n</div>','Groin Pain Resolved with Regenerative Therapy','','inherit','closed','closed','','2028-autosave-v1','','','2020-09-12 19:57:35','2020-09-12 19:57:35','',2028,'https://www.drfields.com/uncategorized/2028-autosave-v1/',0,'revision','',0),(4119,9,'2020-09-12 19:51:07','2020-09-12 19:51:07','<h3><strong>Take a look at this medical journal article about groin pain resolved with Regenerative Therapy</strong></h3>\r\nIf you have groin pain after a sports injury or even after lifting or some other activity that ended in groin injury, you can find relief with regenerative therapies. If elite athletes can get relief, so can you. After monthly regenerative injections of dextrose and lidocaine, these athletes returned to full activity. <a href=\"https://prolotherapy.com/Topol_Regenerative%20Injection%20of%20Elite%20Athletes%20with%20Career-Altering%20Chronic%20Groin%20Pain%20Who%20Fail%20Conservative%20Treatment_2008.pdf\">Click here for the full article</a>, or check out the abstract below.\r\n<div class=\"page\" title=\"Page 1\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\n<strong>Regenerative Injection of Elite Athletes with Career-Altering Chronic Groin Pain Who Fail Conservative Treatment</strong>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"page\" title=\"Page 1\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\nABSTRACT\r\n\r\nTopol GA, Reeves KD: Regenerative injection of elite athletes with career-altering chronic groin pain who fail conservative treatment: a consecutive case series. Am J Phys Med Rehabil 2008;87;890–902.\r\n\r\nObjective: To obtain multisport and long-term outcome data from the use of regenerative injection therapy on career-threatened athletes.\r\n\r\nDesign: Consecutive enrollment of elite performance-limited athletes with chronic groin/abdominal pain who failed a conservative treatment trial. The treatment consisted of monthly injections of 12.5% dextrose in 0.5% lidocaine in abdominal and adductor attachments on the pubis. Injection of the nociceptive source was confirmed by repetition of resistive testing 5 mins after injection.\r\n\r\nResults: Seventy-five athletes were enrolled. Seventy-two athletes (39 rugby, 29 soccer, and 4 other) completed the minimum two-treatment protocol. Their data revealed a mean groin pain history of 11 (3–60) mos. Average number of treatments received was 3 (1–6). Individual paired t tests for Visual Analog Scale (VAS) of pain with sport (VAS Pain) and Nirschl pain phase scale measured at 0 and an average of 26 (6–73) mos indicated VAS Pain improvement of 82% (P 􏰀 10􏰁10) and Nirschl pain phase scale improvement of 78% (P 􏰀 10􏰁10). Six athletes did not improve following regenerative injection therapy treatment, and the remaining 66 returned to unrestricted sport. Return to unrestricted sport occurred in an average of 3 (1–5) mos.\r\n\r\nConclusions: Athletes returned to full elite-level performance in a timely and sustainable manner after regenerative injection therapy using dextrose.\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>\r\n<div class=\"fullwidth color_bar row-full \">\r\n<div class=\"container\">\r\n<div class=\"row-fluid\">\r\n<div class=\"large_thumb\"><a href=\"/Articles/Prolotherapy-Research/Groin-Pelvis\"><img title=\"Groin/Pelvis\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/hip-pain-medium.png\" alt=\"Groin/Pelvis\" /></a><a href=\"/Articles/Prolotherapy-Research/Groin-Pelvis\">Groin/Pelvis</a></div>\r\n</div>\r\n</div>\r\n</div>','Groin Pain Resolved with Regenerative Therapy','','inherit','closed','closed','','2028-revision-v1','','','2020-09-12 19:51:07','2020-09-12 19:51:07','',2028,'https://www.drfields.com/uncategorized/2028-revision-v1/',0,'revision','',0),(4120,9,'2020-09-12 19:51:27','2020-09-12 19:51:27','Resolve Groin Pain with Regenerative Therapies','Resolve Groin Pain','Resolve Groin Pain with Regenerative Therapies','inherit','open','closed','','hip-pain-medium-2','','','2020-09-12 19:52:09','2020-09-12 19:52:09','',2028,'https://www.drfields.com/wp-content/uploads/2019/06/hip-pain-medium-1.png',0,'attachment','image/png',0),(4121,9,'2020-09-12 19:58:21','2020-09-12 19:58:21','<h3><strong>Take A Look at This Medical Journal Article About Groin Pain Resolved with Regenerative Therapy</strong></h3>\r\n<em>If you have groin pain after a sports injury or even after lifting or some other activity that ended in groin injury, you can find relief with regenerative therapies. If elite athletes can get relief, so can you. </em>\r\n\r\n<em>After monthly regenerative injections of dextrose and lidocaine, these athletes returned to full activity. <a href=\"https://prolotherapy.com/Topol_Regenerative%20Injection%20of%20Elite%20Athletes%20with%20Career-Altering%20Chronic%20Groin%20Pain%20Who%20Fail%20Conservative%20Treatment_2008.pdf\">Click here for the full article</a>, or check out the abstract below.</em>\r\n<div class=\"page\" title=\"Page 1\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n<h3><strong>Regenerative Injection of Elite Athletes with Career-Altering Chronic Groin Pain Who Fail Conservative Treatment</strong></h3>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"page\" title=\"Page 1\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\nABSTRACT\r\n\r\nTopol GA, Reeves KD: Regenerative injection of elite athletes with career-altering chronic groin pain who fail conservative treatment: a consecutive case series. <a href=\"https://prolotherapy.com/Topol_Regenerative%20Injection%20of%20Elite%20Athletes%20with%20Career-Altering%20Chronic%20Groin%20Pain%20Who%20Fail%20Conservative%20Treatment_2008.pdf\">Am J Phys Med Rehabil 2008;87;890–902.</a>\r\n<h4>Objective: To obtain multisport and long-term outcome data from the use of     regenerative injection therapy on career-threatened athletes.</h4>\r\nDesign: Consecutive enrollment of elite performance-limited athletes with chronic groin/abdominal pain who failed a conservative treatment trial. The treatment consisted of monthly injections of 12.5% dextrose in 0.5% lidocaine in abdominal and adductor attachments on the pubis. Injection of the nociceptive source was confirmed by repetition of resistive testing 5 mins after injection.\r\n\r\nResults: Seventy-five athletes were enrolled. Seventy-two athletes (39 rugby, 29 soccer, and 4 other) completed the minimum two-treatment protocol. Their data revealed a mean groin pain history of 11 (3–60) mos. Average number of treatments received was 3 (1–6).\r\n\r\nIndividual paired t tests for Visual Analog Scale (VAS) of pain with sport (VAS Pain) and Nirschl pain phase scale measured at 0 and an average of 26 (6–73) mos indicated VAS Pain improvement of 82% (P 􏰀 10􏰁10) and Nirschl pain phase scale improvement of 78% (P 􏰀 10􏰁10).\r\n\r\nSix athletes did not improve following regenerative injection therapy treatment, and the remaining 66 returned to unrestricted sport. Return to unrestricted sport occurred in an average of 3 (1–5) mos.\r\n\r\nConclusions: Athletes returned to full elite-level performance in a timely and sustainable manner after regenerative injection therapy using dextrose.\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>\r\n<div class=\"fullwidth color_bar row-full \">\r\n<div class=\"container\">\r\n<div class=\"row-fluid\">\r\n<div class=\"large_thumb\"><a href=\"/Articles/Prolotherapy-Research/Groin-Pelvis\">Read more about Regenerative Orthopedics for Groin/Pelvis</a></div>\r\n</div>\r\n</div>\r\n</div>','Groin Pain Resolved with Regenerative Therapy','','inherit','closed','closed','','2028-revision-v1','','','2020-09-12 19:58:21','2020-09-12 19:58:21','',2028,'https://www.drfields.com/uncategorized/2028-revision-v1/',0,'revision','',0),(4122,9,'2020-09-12 20:39:27','2020-09-12 20:39:27','<header id=\"heading\" class=\"heading\">\n<div id=\"full-view-heading\" class=\"full-view\">\n\n[caption id=\"attachment_4124\" align=\"alignright\" width=\"530\"]<img class=\" wp-image-4124\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/elbow-pain-medium-1.png\" alt=\"Tennis Elbow\" width=\"530\" height=\"530\" /> <strong>                  Prolotherapy Is a Lasting Treatment for Tennis Elbo</strong>w[/caption]\n<h3>Read this <em>Orthopedic Review and Research</em> Medical Journal Article about Tennis Elbow Treatment with Prolotherapy versus Cortisone Injections.</h3>\n<em>The article shows that patients improved with both Prolotherapy and Cortisone in the short-term. However, as we have discussed in <a href=\"https://www.drfields.com/articles/regenerative-orthopedics/cortisone-is-it-really-good-for-you/\">previous articles</a>, cortisone injections did not last in the long term. Here you will see that patients who received Prolotherapy, continued to improve at the 3 month follow-up. And those who received cortisone did not.</em>\n\n<header id=\"heading\" class=\"heading\">\n<div id=\"full-view-heading\" class=\"full-view\">\n<h3 class=\"heading-title\">Is Dextrose Prolotherapy Superior To Corticosteroid Injection In Patients With Chronic Lateral Epicondylitis?: A Randomized Clinical Trial</h3>\n<div class=\"inline-authors\">\n<div class=\"authors\">\n<div class=\"authors-list\"><span class=\"authors-list-item \"><a class=\"full-name\" href=\"https://pubmed.ncbi.nlm.nih.gov/?term=Bayat+M&amp;cauthor_id=31819675\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Masume Bayat\">Masume Bayat</a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\"> </span><a class=\"affiliation-link\" href=\"https://pubmed.ncbi.nlm.nih.gov/31819675/#affiliation-1\">1</a></sup><span class=\"comma\">, </span></span><span class=\"authors-list-item \"><a class=\"full-name\" href=\"https://pubmed.ncbi.nlm.nih.gov/?term=Raeissadat+SA&amp;cauthor_id=31819675\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Seyed Ahmad Raeissadat\">Seyed Ahmad Raeissadat</a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\"> </span><a class=\"affiliation-link\" href=\"https://pubmed.ncbi.nlm.nih.gov/31819675/#affiliation-2\">2</a></sup><span class=\"comma\">, </span></span><span class=\"authors-list-item \"><a class=\"full-name\" href=\"https://pubmed.ncbi.nlm.nih.gov/?term=Mortazavian+Babaki+M&amp;cauthor_id=31819675\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Maryam Mortazavian Babaki\">Maryam Mortazavian Babaki</a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\"> </span><a class=\"affiliation-link\" href=\"https://pubmed.ncbi.nlm.nih.gov/31819675/#affiliation-3\">3</a></sup><span class=\"comma\">, </span></span><span class=\"authors-list-item \"><a class=\"full-name\" href=\"https://pubmed.ncbi.nlm.nih.gov/?term=Rahimi-Dehgolan+S&amp;cauthor_id=31819675\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Shahram Rahimi-Dehgolan\">Shahram Rahimi-Dehgolan</a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\"> </span><a class=\"affiliation-link\" href=\"https://pubmed.ncbi.nlm.nih.gov/31819675/#affiliation-4\">4</a></sup></span></div>\n</div>\n</div>\n<div class=\"short-article-details\">Affiliations <button id=\"toggle-authors\" class=\"more-details\" data-alt-text=\"Collapse\" aria-controls=\"expanded-authors\" aria-expanded=\"false\" data-pinger-ignore=\"\">expand</button></div>\n<ul id=\"full-view-identifiers\" class=\"identifiers\"></ul>\n</div>\n</header>\n<div id=\"abstract\" class=\"abstract\">\n<h2 class=\"title\"><a href=\"https://pubmed.ncbi.nlm.nih.gov/31819675/\">Abstract</a></h2>\n<div id=\"enc-abstract\" class=\"abstract-content selected\">\n\n<strong class=\"sub-title\">Purpose: </strong>To compare the efficacy of dextrose prolotherapy versus steroid injection in the treatment of patients with chronic lateral epicondylitis.\n\n<strong class=\"sub-title\">Methods: </strong>Thirty subjects with chronic lateral epicondylitis were randomly assigned into two groups of hypertonic dextrose or methylprednisolone injection. Participants were assessed through Quick DASH and VAS scores, once before injection, and then after 1- and 3-months follow-up. Two patients were excluded due to not completing the follow-up timepoints.\n\n<strong class=\"sub-title\">Results: </strong>In both groups VAS scores revealed significant improvement during the first month follow-up [mean difference (MD) = 1.9±3.3, versus 1.5±1.9 for the prolotherapy and steroid groups, respectively]. This declining trajectory continued at the third month visit in the prolotherapy group and MD reached 4.4±2.9, while it did not change remarkably in the steroid group (MD=1.9±3.4).\n\nIn fact, comparing VAS scores between the 1st- and 3rd-month time points did not reveal a significant improvement in the steroid group (<i>p</i>=0.6). Also, the Quick DASH index showed a similar pattern and improved remarkably in both groups during the first visit.\n<h4><strong>However, only the efficacy in the prolotherapy group persisted after 3-month follow-up (MD = 9.5±21.6, <i>p</i>=0.044)</strong>.</h4>\nOne month after injections no preference was observed between the two interventions (<i>p</i>=0.74 for VAS and 0.14 for Quick DASH score). However, the 3rd-month follow-up revealed a meaningful superiority (<i>p</i>=0.03 for VAS and <i>p</i>=0.01 for Quick DASH score) favoring the prolotherapy method.\n\n<strong class=\"sub-title\">Conclusion: </strong>Both methods were proven to be effective in the short-term treatment of chronic lateral epicondylitis, but dextrose prolotherapy seems to be slightly more efficacious than steroid injection over a longer period.<b>Clinical trial registration:</b> Iranian Registry of Clinical Trials Database: IRCT20170311033000N3.\n\n</div>\n</div>\n</div>\n</header>\n<div class=\"fullwidth color_bar row-full \">\n<div class=\"container\">\n<div class=\"row-fluid\">\n<div class=\"large_thumb\">Read other articles about cortisone or corticosteroid injections:</div>\n<div>\n<h3><a title=\"Cortisone – Is it Really Good for You\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/cortisone-is-it-really-good-for-you/\">Cortisone – Is it Really Good for You</a></h3>\n<h3><a title=\"Cortisone Injections Are As Safe As You Think\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/cortisone-injections-are-as-safe-as-you-think/\">Cortisone Injections: Are They As Safe As You Think</a></h3>\n</div>\n<h3 class=\"large_thumb\">Reference:</h3>\n<div class=\"large_thumb\">Bayat M, Raeissadat SA, Mortazavian Babaki M, Rahimi-Dehgolan S. Is Dextrose Prolotherapy Superior To Corticosteroid Injection In Patients With Chronic Lateral Epicondylitis?: A Randomized Clinical Trial. Orthop Res Rev. 2019;11:167-175. Published 2019 Nov 5. doi:10.2147/ORR.S218698</div>\n</div>\n</div>\n</div>','Tennis Elbow or Lateral Epicondylitis','','inherit','closed','closed','','2024-autosave-v1','','','2020-09-12 20:39:27','2020-09-12 20:39:27','',2024,'https://www.drfields.com/uncategorized/2024-autosave-v1/',0,'revision','',0),(4123,9,'2020-09-12 20:29:32','2020-09-12 20:29:32','<header id=\"heading\" class=\"heading\">\r\n<div id=\"full-view-heading\" class=\"full-view\">\r\n<h3>Read this <em>Orthopedic Review and Research</em> Medical Journal Article about Tennis Elbow Treatment with Prolotherapy versus Cortisone Injections.</h3>\r\n<em>The article shows that patients improved with both Prolotherapy and Cortisone in the short-term. However, as we have discussed in previous articles, cortisone injections did not last in the long term. Here you will see that patients who received Prolotherapy, continued to improve at the 3 month follow-up. And those who received cortisone did not.</em>\r\n\r\n<header id=\"heading\" class=\"heading\">\r\n<div id=\"full-view-heading\" class=\"full-view\">\r\n<h1 class=\"heading-title\">Is Dextrose Prolotherapy Superior To Corticosteroid Injection In Patients With Chronic Lateral Epicondylitis?: A Randomized Clinical Trial</h1>\r\n<div class=\"inline-authors\">\r\n<div class=\"authors\">\r\n<div class=\"authors-list\"><span class=\"authors-list-item \"><a class=\"full-name\" href=\"https://pubmed.ncbi.nlm.nih.gov/?term=Bayat+M&amp;cauthor_id=31819675\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Masume Bayat\">Masume Bayat</a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\"> </span><a class=\"affiliation-link\" href=\"https://pubmed.ncbi.nlm.nih.gov/31819675/#affiliation-1\">1</a></sup><span class=\"comma\">, </span></span><span class=\"authors-list-item \"><a class=\"full-name\" href=\"https://pubmed.ncbi.nlm.nih.gov/?term=Raeissadat+SA&amp;cauthor_id=31819675\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Seyed Ahmad Raeissadat\">Seyed Ahmad Raeissadat</a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\"> </span><a class=\"affiliation-link\" href=\"https://pubmed.ncbi.nlm.nih.gov/31819675/#affiliation-2\">2</a></sup><span class=\"comma\">, </span></span><span class=\"authors-list-item \"><a class=\"full-name\" href=\"https://pubmed.ncbi.nlm.nih.gov/?term=Mortazavian+Babaki+M&amp;cauthor_id=31819675\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Maryam Mortazavian Babaki\">Maryam Mortazavian Babaki</a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\"> </span><a class=\"affiliation-link\" href=\"https://pubmed.ncbi.nlm.nih.gov/31819675/#affiliation-3\">3</a></sup><span class=\"comma\">, </span></span><span class=\"authors-list-item \"><a class=\"full-name\" href=\"https://pubmed.ncbi.nlm.nih.gov/?term=Rahimi-Dehgolan+S&amp;cauthor_id=31819675\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Shahram Rahimi-Dehgolan\">Shahram Rahimi-Dehgolan</a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\"> </span><a class=\"affiliation-link\" href=\"https://pubmed.ncbi.nlm.nih.gov/31819675/#affiliation-4\">4</a></sup></span></div>\r\n</div>\r\n</div>\r\n<div class=\"short-article-details\">Affiliations <button id=\"toggle-authors\" class=\"more-details\" data-alt-text=\"Collapse\" aria-controls=\"expanded-authors\" aria-expanded=\"false\" data-pinger-ignore=\"\">expand</button></div>\r\n<ul id=\"full-view-identifiers\" class=\"identifiers\"></ul>\r\n</div>\r\n</header>\r\n<div id=\"abstract\" class=\"abstract\">\r\n<h2 class=\"title\">Abstract</h2>\r\n<div id=\"enc-abstract\" class=\"abstract-content selected\">\r\n\r\n<strong class=\"sub-title\">Purpose: </strong>To compare the efficacy of dextrose prolotherapy versus steroid injection in the treatment of patients with chronic lateral epicondylitis.\r\n\r\n<strong class=\"sub-title\">Methods: </strong>Thirty subjects with chronic lateral epicondylitis were randomly assigned into two groups of hypertonic dextrose or methylprednisolone injection. Participants were assessed through Quick DASH and VAS scores, once before injection, and then after 1- and 3-months follow-up. Two patients were excluded due to not completing the follow-up timepoints.\r\n\r\n<strong class=\"sub-title\">Results: </strong>In both groups VAS scores revealed significant improvement during the first month follow-up [mean difference (MD) = 1.9±3.3, versus 1.5±1.9 for the prolotherapy and steroid groups, respectively]. This declining trajectory continued at the third month visit in the prolotherapy group and MD reached 4.4±2.9, while it did not change remarkably in the steroid group (MD=1.9±3.4). In fact, comparing VAS scores between the 1st- and 3rd-month time points did not reveal a significant improvement in the steroid group (<i>p</i>=0.6). Also, the Quick DASH index showed a similar pattern and improved remarkably in both groups during the first visit. However, only the efficacy in the prolotherapy group persisted after 3-month follow-up (MD = 9.5±21.6, <i>p</i>=0.044). One month after injections no preference between the two interventions was observed (<i>p</i>=0.74 for VAS and 0.14 for Quick DASH score). However, the 3rd-month follow-up revealed a meaningful superiority (<i>p</i>=0.03 for VAS and <i>p</i>=0.01 for Quick DASH score) favoring the prolotherapy method.\r\n\r\n<strong class=\"sub-title\">Conclusion: </strong>Both methods were proven to be effective in the short-term treatment of chronic lateral epicondylitis, but dextrose prolotherapy seems to be slightly more efficacious than steroid injection over a longer period.<b>Clinical trial registration:</b> Iranian Registry of Clinical Trials Database: IRCT20170311033000N3.\r\n\r\n</div>\r\n</div>\r\n</div>\r\n</header>\r\n<div class=\"fullwidth color_bar row-full \">\r\n<div class=\"container\">\r\n<div class=\"row-fluid\">\r\n<div class=\"large_thumb\"></div>\r\n<div class=\"large_thumb\"><a href=\"/Articles/Prolotherapy-Research/Elbow\"><img title=\"Elbow Pain\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/elbow-pain-medium.png\" alt=\"Elbow Pain\" /></a><a href=\"/Articles/Prolotherapy-Research/Elbow\">Elbow</a></div>\r\n<div class=\"large_thumb\"></div>\r\n<div class=\"large_thumb\">Bayat M, Raeissadat SA, Mortazavian Babaki M, Rahimi-Dehgolan S. Is Dextrose Prolotherapy Superior To Corticosteroid Injection In Patients With Chronic Lateral Epicondylitis?: A Randomized Clinical Trial. <i>Orthop Res Rev</i>. 2019;11:167-175. Published 2019 Nov 5. doi:10.2147/ORR.S218698</div>\r\n</div>\r\n</div>\r\n</div>','Tennis Elbow or Lateral Epicondylitis','','inherit','closed','closed','','2024-revision-v1','','','2020-09-12 20:29:32','2020-09-12 20:29:32','',2024,'https://www.drfields.com/uncategorized/2024-revision-v1/',0,'revision','',0),(4124,9,'2020-09-12 20:31:31','2020-09-12 20:31:31','Prolotherapy Is a Lasting Treatment for Tennis Elbow','Prolotherapy Is a Lasting Treatment for Tennis Elbow','Prolotherapy Is a Lasting Treatment for Tennis Elbow','inherit','open','closed','','elbow-pain-medium-2','','','2020-09-12 20:32:33','2020-09-12 20:32:33','',2024,'https://www.drfields.com/wp-content/uploads/2019/06/elbow-pain-medium-1.png',0,'attachment','image/png',0),(4125,9,'2020-09-12 20:38:24','2020-09-12 20:38:24','<header id=\"heading\" class=\"heading\">\r\n<div id=\"full-view-heading\" class=\"full-view\">\r\n\r\n[caption id=\"attachment_4124\" align=\"alignright\" width=\"530\"]<img class=\" wp-image-4124\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/elbow-pain-medium-1.png\" alt=\"Tennis Elbow\" width=\"530\" height=\"530\" /> <strong>                  Prolotherapy Is a Lasting Treatment for Tennis Elbo</strong>w[/caption]\r\n<h3>Read this <em>Orthopedic Review and Research</em> Medical Journal Article about Tennis Elbow Treatment with Prolotherapy versus Cortisone Injections.</h3>\r\n<em>The article shows that patients improved with both Prolotherapy and Cortisone in the short-term. However, as we have discussed in <a href=\"https://www.drfields.com/articles/regenerative-orthopedics/cortisone-is-it-really-good-for-you/\">previous articles</a>, cortisone injections did not last in the long term. Here you will see that patients who received Prolotherapy, continued to improve at the 3 month follow-up. And those who received cortisone did not.</em>\r\n\r\n<header id=\"heading\" class=\"heading\">\r\n<div id=\"full-view-heading\" class=\"full-view\">\r\n<h3 class=\"heading-title\">Is Dextrose Prolotherapy Superior To Corticosteroid Injection In Patients With Chronic Lateral Epicondylitis?: A Randomized Clinical Trial</h3>\r\n<div class=\"inline-authors\">\r\n<div class=\"authors\">\r\n<div class=\"authors-list\"><span class=\"authors-list-item \"><a class=\"full-name\" href=\"https://pubmed.ncbi.nlm.nih.gov/?term=Bayat+M&amp;cauthor_id=31819675\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Masume Bayat\">Masume Bayat</a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\"> </span><a class=\"affiliation-link\" href=\"https://pubmed.ncbi.nlm.nih.gov/31819675/#affiliation-1\">1</a></sup><span class=\"comma\">, </span></span><span class=\"authors-list-item \"><a class=\"full-name\" href=\"https://pubmed.ncbi.nlm.nih.gov/?term=Raeissadat+SA&amp;cauthor_id=31819675\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Seyed Ahmad Raeissadat\">Seyed Ahmad Raeissadat</a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\"> </span><a class=\"affiliation-link\" href=\"https://pubmed.ncbi.nlm.nih.gov/31819675/#affiliation-2\">2</a></sup><span class=\"comma\">, </span></span><span class=\"authors-list-item \"><a class=\"full-name\" href=\"https://pubmed.ncbi.nlm.nih.gov/?term=Mortazavian+Babaki+M&amp;cauthor_id=31819675\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Maryam Mortazavian Babaki\">Maryam Mortazavian Babaki</a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\"> </span><a class=\"affiliation-link\" href=\"https://pubmed.ncbi.nlm.nih.gov/31819675/#affiliation-3\">3</a></sup><span class=\"comma\">, </span></span><span class=\"authors-list-item \"><a class=\"full-name\" href=\"https://pubmed.ncbi.nlm.nih.gov/?term=Rahimi-Dehgolan+S&amp;cauthor_id=31819675\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Shahram Rahimi-Dehgolan\">Shahram Rahimi-Dehgolan</a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\"> </span><a class=\"affiliation-link\" href=\"https://pubmed.ncbi.nlm.nih.gov/31819675/#affiliation-4\">4</a></sup></span></div>\r\n</div>\r\n</div>\r\n<div class=\"short-article-details\">Affiliations <button id=\"toggle-authors\" class=\"more-details\" data-alt-text=\"Collapse\" aria-controls=\"expanded-authors\" aria-expanded=\"false\" data-pinger-ignore=\"\">expand</button></div>\r\n<ul id=\"full-view-identifiers\" class=\"identifiers\"></ul>\r\n</div>\r\n</header>\r\n<div id=\"abstract\" class=\"abstract\">\r\n<h2 class=\"title\"><a href=\"https://pubmed.ncbi.nlm.nih.gov/31819675/\">Abstract</a></h2>\r\n<div id=\"enc-abstract\" class=\"abstract-content selected\">\r\n\r\n<strong class=\"sub-title\">Purpose: </strong>To compare the efficacy of dextrose prolotherapy versus steroid injection in the treatment of patients with chronic lateral epicondylitis.\r\n\r\n<strong class=\"sub-title\">Methods: </strong>Thirty subjects with chronic lateral epicondylitis were randomly assigned into two groups of hypertonic dextrose or methylprednisolone injection. Participants were assessed through Quick DASH and VAS scores, once before injection, and then after 1- and 3-months follow-up. Two patients were excluded due to not completing the follow-up timepoints.\r\n\r\n<strong class=\"sub-title\">Results: </strong>In both groups VAS scores revealed significant improvement during the first month follow-up [mean difference (MD) = 1.9±3.3, versus 1.5±1.9 for the prolotherapy and steroid groups, respectively]. This declining trajectory continued at the third month visit in the prolotherapy group and MD reached 4.4±2.9, while it did not change remarkably in the steroid group (MD=1.9±3.4).\r\n\r\nIn fact, comparing VAS scores between the 1st- and 3rd-month time points did not reveal a significant improvement in the steroid group (<i>p</i>=0.6). Also, the Quick DASH index showed a similar pattern and improved remarkably in both groups during the first visit.\r\n<h4><strong>However, only the efficacy in the prolotherapy group persisted after 3-month follow-up (MD = 9.5±21.6, <i>p</i>=0.044)</strong>.</h4>\r\nOne month after injections no preference between the two interventions was observed (<i>p</i>=0.74 for VAS and 0.14 for Quick DASH score). However, the 3rd-month follow-up revealed a meaningful superiority (<i>p</i>=0.03 for VAS and <i>p</i>=0.01 for Quick DASH score) favoring the prolotherapy method.\r\n\r\n<strong class=\"sub-title\">Conclusion: </strong>Both methods were proven to be effective in the short-term treatment of chronic lateral epicondylitis, but dextrose prolotherapy seems to be slightly more efficacious than steroid injection over a longer period.<b>Clinical trial registration:</b> Iranian Registry of Clinical Trials Database: IRCT20170311033000N3.\r\n\r\n</div>\r\n</div>\r\n</div>\r\n</header>\r\n<div class=\"fullwidth color_bar row-full \">\r\n<div class=\"container\">\r\n<div class=\"row-fluid\">\r\n<div class=\"large_thumb\">Read other articles about cortisone or corticosteroid injections:</div>\r\n<div>\r\n<h3><a title=\"Cortisone – Is it Really Good for You\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/cortisone-is-it-really-good-for-you/\">Cortisone – Is it Really Good for You</a></h3>\r\n<h3><a title=\"Cortisone Injections Are As Safe As You Think\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/cortisone-injections-are-as-safe-as-you-think/\">Cortisone Injections Are They As Safe As You Think</a></h3>\r\n</div>\r\n<h3 class=\"large_thumb\">Reference:</h3>\r\n<div class=\"large_thumb\">Bayat M, Raeissadat SA, Mortazavian Babaki M, Rahimi-Dehgolan S. Is Dextrose Prolotherapy Superior To Corticosteroid Injection In Patients With Chronic Lateral Epicondylitis?: A Randomized Clinical Trial. Orthop Res Rev. 2019;11:167-175. Published 2019 Nov 5. doi:10.2147/ORR.S218698</div>\r\n</div>\r\n</div>\r\n</div>','Tennis Elbow or Lateral Epicondylitis','','inherit','closed','closed','','2024-revision-v1','','','2020-09-12 20:38:24','2020-09-12 20:38:24','',2024,'https://www.drfields.com/uncategorized/2024-revision-v1/',0,'revision','',0),(4126,9,'2020-09-12 20:40:29','2020-09-12 20:40:29','<header id=\"heading\" class=\"heading\">\r\n<div id=\"full-view-heading\" class=\"full-view\">\r\n\r\n[caption id=\"attachment_4124\" align=\"alignright\" width=\"530\"]<img class=\" wp-image-4124\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/elbow-pain-medium-1.png\" alt=\"Tennis Elbow\" width=\"530\" height=\"530\" /> <strong>                  Prolotherapy Is a Lasting Treatment for Tennis Elbo</strong>w[/caption]\r\n<h3>Read this <em>Orthopedic Review and Research</em> Medical Journal Article about Tennis Elbow Treatment with Prolotherapy versus Cortisone Injections.</h3>\r\n<em>The article shows that patients improved with both Prolotherapy and Cortisone in the short-term. However, as we have discussed in <a href=\"https://www.drfields.com/articles/regenerative-orthopedics/cortisone-is-it-really-good-for-you/\">previous articles</a>, cortisone injections did not last in the long term. Here you will see that patients who received Prolotherapy, continued to improve at the 3 month follow-up. And those who received cortisone did not.</em>\r\n\r\n<header id=\"heading\" class=\"heading\">\r\n<div id=\"full-view-heading\" class=\"full-view\">\r\n<h3 class=\"heading-title\">Is Dextrose Prolotherapy Superior To Corticosteroid Injection In Patients With Chronic Lateral Epicondylitis?: A Randomized Clinical Trial</h3>\r\n<div class=\"inline-authors\">\r\n<div class=\"authors\">\r\n<div class=\"authors-list\"><span class=\"authors-list-item \"><a class=\"full-name\" href=\"https://pubmed.ncbi.nlm.nih.gov/?term=Bayat+M&amp;cauthor_id=31819675\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Masume Bayat\">Masume Bayat</a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\"> </span><a class=\"affiliation-link\" href=\"https://pubmed.ncbi.nlm.nih.gov/31819675/#affiliation-1\">1</a></sup><span class=\"comma\">, </span></span><span class=\"authors-list-item \"><a class=\"full-name\" href=\"https://pubmed.ncbi.nlm.nih.gov/?term=Raeissadat+SA&amp;cauthor_id=31819675\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Seyed Ahmad Raeissadat\">Seyed Ahmad Raeissadat</a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\"> </span><a class=\"affiliation-link\" href=\"https://pubmed.ncbi.nlm.nih.gov/31819675/#affiliation-2\">2</a></sup><span class=\"comma\">, </span></span><span class=\"authors-list-item \"><a class=\"full-name\" href=\"https://pubmed.ncbi.nlm.nih.gov/?term=Mortazavian+Babaki+M&amp;cauthor_id=31819675\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Maryam Mortazavian Babaki\">Maryam Mortazavian Babaki</a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\"> </span><a class=\"affiliation-link\" href=\"https://pubmed.ncbi.nlm.nih.gov/31819675/#affiliation-3\">3</a></sup><span class=\"comma\">, </span></span><span class=\"authors-list-item \"><a class=\"full-name\" href=\"https://pubmed.ncbi.nlm.nih.gov/?term=Rahimi-Dehgolan+S&amp;cauthor_id=31819675\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Shahram Rahimi-Dehgolan\">Shahram Rahimi-Dehgolan</a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\"> </span><a class=\"affiliation-link\" href=\"https://pubmed.ncbi.nlm.nih.gov/31819675/#affiliation-4\">4</a></sup></span></div>\r\n</div>\r\n</div>\r\n<div class=\"short-article-details\">Affiliations <button id=\"toggle-authors\" class=\"more-details\" data-alt-text=\"Collapse\" aria-controls=\"expanded-authors\" aria-expanded=\"false\" data-pinger-ignore=\"\">expand</button></div>\r\n<ul id=\"full-view-identifiers\" class=\"identifiers\"></ul>\r\n</div>\r\n</header>\r\n<div id=\"abstract\" class=\"abstract\">\r\n<h2 class=\"title\"><a href=\"https://pubmed.ncbi.nlm.nih.gov/31819675/\">Abstract</a></h2>\r\n<div id=\"enc-abstract\" class=\"abstract-content selected\">\r\n\r\n<strong class=\"sub-title\">Purpose: </strong>To compare the efficacy of dextrose prolotherapy versus steroid injection in the treatment of patients with chronic lateral epicondylitis.\r\n\r\n<strong class=\"sub-title\">Methods: </strong>Thirty subjects with chronic lateral epicondylitis were randomly assigned into two groups of hypertonic dextrose or methylprednisolone injection. Participants were assessed through Quick DASH and VAS scores, once before injection, and then after 1- and 3-months follow-up. And two patients were excluded due to not completing the follow-up timepoints.\r\n\r\n<strong class=\"sub-title\">Results: </strong>In both groups VAS scores revealed significant improvement during the first month follow-up [mean difference (MD) = 1.9±3.3, versus 1.5±1.9 for the prolotherapy and steroid groups, respectively]. This declining trajectory continued at the third month visit in the prolotherapy group and MD reached 4.4±2.9, while it did not change remarkably in the steroid group (MD=1.9±3.4).\r\n\r\nIn fact, comparing VAS scores between the 1st- and 3rd-month time points did not reveal a significant improvement in the steroid group (<i>p</i>=0.6). Also, the Quick DASH index showed a similar pattern and improved remarkably in both groups during the first visit.\r\n<h4><strong>However, only the efficacy in the prolotherapy group persisted after 3-month follow-up (MD = 9.5±21.6, <i>p</i>=0.044)</strong>.</h4>\r\nOne month after injections no preference was observed between the two interventions (<i>p</i>=0.74 for VAS and 0.14 for Quick DASH score). However, the 3rd-month follow-up revealed a meaningful superiority (<i>p</i>=0.03 for VAS and <i>p</i>=0.01 for Quick DASH score) favoring the prolotherapy method.\r\n\r\n<strong class=\"sub-title\">Conclusion: </strong>Both methods were proven to be effective in the short-term treatment of chronic lateral epicondylitis, but dextrose prolotherapy seems to be slightly more efficacious than steroid injection over a longer period.<b>Clinical trial registration:</b> Iranian Registry of Clinical Trials Database: IRCT20170311033000N3.\r\n\r\n</div>\r\n</div>\r\n</div>\r\n</header>\r\n<div class=\"fullwidth color_bar row-full \">\r\n<div class=\"container\">\r\n<div class=\"row-fluid\">\r\n<div class=\"large_thumb\">Read other articles about cortisone or corticosteroid injections:</div>\r\n<div>\r\n<h3><a title=\"Cortisone – Is it Really Good for You\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/cortisone-is-it-really-good-for-you/\">Cortisone – Is it Really Good for You</a></h3>\r\n<h3><a title=\"Cortisone Injections Are As Safe As You Think\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/cortisone-injections-are-as-safe-as-you-think/\">Cortisone Injections: Are They As Safe As You Think</a></h3>\r\n</div>\r\n<h3 class=\"large_thumb\">Reference:</h3>\r\n<div class=\"large_thumb\">Bayat M, Raeissadat SA, Mortazavian Babaki M, Rahimi-Dehgolan S. Is Dextrose Prolotherapy Superior To Corticosteroid Injection In Patients With Chronic Lateral Epicondylitis?: A Randomized Clinical Trial. Orthop Res Rev. 2019;11:167-175. Published 2019 Nov 5. doi:10.2147/ORR.S218698</div>\r\n</div>\r\n</div>\r\n</div>','Tennis Elbow or Lateral Epicondylitis','','inherit','closed','closed','','2024-revision-v1','','','2020-09-12 20:40:29','2020-09-12 20:40:29','',2024,'https://www.drfields.com/uncategorized/2024-revision-v1/',0,'revision','',0),(4127,9,'2020-09-12 20:40:48','2020-09-12 20:40:48','We have made reference to cortisone injections in several previous articles regarding treatment options for joint pain, because cortisone (steroid injection) is generally recommended by conventional medicine. Cortisone treatment may only result in temporary relief. And it is frequently used to delay the eventual joint replacement.\r\n\r\nBut did you know this commonly used treatment option may not be as safe as you think? Recently released evidence in the medical journal “Radiology,” describes the negative risks of using cortisone injections. <a href=\"#_edn1\" name=\"_ednref1\">[i]</a>Although prior studies have been conducted showing cortisone to have a negative impact on joints, this most recent article helps to bring awareness to the adverse effects cortisone injections have on the joint.\r\n\r\n[caption id=\"attachment_4020\" align=\"alignright\" width=\"400\"]<img class=\"wp-image-4020 size-medium\" src=\"https://www.drfields.com/wp-content/uploads/2020/08/cortisone-400x500.png\" alt=\"Cortisone\" width=\"400\" height=\"500\" /> <strong>     Cortisone Injections Can Be Toxic to Cartilage</strong>[/caption]\r\n<h2>What Happens When Cortisone Is Injected Into the Joint?</h2>\r\n<em><strong>Cortisone appears to be toxic to cartilage.</strong></em> When cortisone is injected into the joint, it actually boosts the progression of the destruction of cartilage. That means it accelerates arthritis.\r\n\r\nOftentimes, cortisone is injected into joints for relief of arthritis pain and the symptoms associated with it. But doesn\'t it seem contrary then, to use a “treatment” that makes arthritis worse, in an effort to treat it? Cortisone destroys cartilage, boosts cell death in the joint, and increases bone loss.\r\n<h2>Behind the Use of Cortisone Injections</h2>\r\nArthritis is a very common disease of the joint that limits activity and quality of life. It often results in disability. In an effort to treat arthritis, physicians initially approach pain and symptom control in a non-surgical fashion, generally attempting to delay the eventual joint replacement.\r\n\r\nAdditionally, older or sicker patients may not be able to tolerate surgery, and in those cases, more conservative treatments are needed and recommended. Cortisone injections may provide some patients with days of relief. Others may get months of pain and symptom control with cortisone injections into the joint. For this reason it is a commonly performed treatment, because it does reduce the inflammation and swelling of arthritis.\r\n\r\nPhysicians have known there were risks involved in the use of cortisone injections into joints! <em><strong>Even though the study mentioned in this article is a new study, there have been many previous studies demonstrating the risks and the damage cortisone does to the joint structures.</strong></em> That is why, when your physician discusses cortisone injection with you, it is recommended that the injections not be given more than once every three months. Hopefully, the reason behind the limits is explained as well. It is important for the patient to be educated on the risks of treatment with cortisone injections.\r\n<h2>Cortisone Injections May Do More Harm than Good</h2>\r\nThe researchers in this most recent study looked at the effect of cortisone injected into knees and hips. And they found that cortisone boosted the progression of arthritis and <strong>accelerated the need for joint replacement surgery.</strong>\r\n\r\nThe researchers looked at 459 patients who received one to three cortisone injections into the hip or knee in 2018. Almost a tenth developed complications such as cartilage loss, stress fractures, bone loss, and joint destruction in the two to fifteen months following the injections. The authors note that this percentage may be an understatement because half of the participants did not receive follow-up imaging tests to assess the health of their joints.\r\n\r\n<strong>In summary, the studies are showing that cortisone injections accelerate arthritis and can be detrimental in the long-run</strong>. But even with this knowledge, cortisone injections continue to be recommended frequently for joint pain. Millions of Americans suffer from arthritis and its symptoms of pain, swelling, cartilage loss, and bone destruction. Sufferers want relief, and the injections often give relief. And they are also covered by insurance.\r\n<h3>Alternatives to Cortisone Injections</h3>\r\nGiven that cortisone injections are being given more and more to treat pain in patients with joint arthritis, what is the alternative? Especially when you consider that many arthritis sufferers are at the point where they need relief to just live day to day.\r\n\r\nThat’s where Regenerative Orthopedics comes in!  Treatments like Stem Cell Therapy, PRP, and Prolotherapy work to<strong> actually repair the arthritic joint.</strong> These treatments provide pain relief. But they don’t provide relief at the expense of the joint. <em><strong>They actually heal the joint, strengthen the structures of the joints, and even boost growth of cartilage</strong></em>. Regenerative Orthopedics regenerates the joint rather than causing degeneration like what occurs with cortisone injections.\r\n\r\nThere is also minimal downtime needed to receive these regenerative treatments. That means you can continue to exercise, and move the joint, which is essential for a healthy joint. Exercise helps ease pain, improve mobility, and strengthen muscles around the joints.\r\n\r\nRegenerative Orthopedics is the treatment of choice to achieve the pain relief you desire, while returning function to your painful arthritic joint, and helping you to once again enjoy the activities you desire to do.\r\n\r\n<a href=\"#_ednref1\" name=\"_edn1\"><strong>[i]</strong></a> Kompel AJ, Roemer FW, Murakami AM, Dias LE, Crema MD, Guermazi A.  Intra-articular Corticosteroid Injections in the Hip and Knee: Perhaps Not as Safe as We Thought? Radiology. Oct 15 2019. <a href=\"https://doi.org/10.1148/radiol.2019190341\" target=\"_blank\" rel=\"noopener noreferrer\">https://doi.org/10.1148/radiol.2019190341</a>\r\n\r\n<a class=\"buttonlink\" href=\"/articles/regenerative-orthopedics/\"> Click here for more articles</a>','Cortisone Injections: Are They As Safe As You Think','','inherit','closed','closed','','2915-revision-v1','','','2020-09-12 20:40:48','2020-09-12 20:40:48','',2915,'https://www.drfields.com/uncategorized/2915-revision-v1/',0,'revision','',0),(4128,9,'2020-09-12 20:45:18','2020-09-12 20:45:18','<header id=\"heading\" class=\"heading\">\r\n<div id=\"full-view-heading\" class=\"full-view\">\r\n\r\n[caption id=\"attachment_4124\" align=\"alignright\" width=\"530\"]<img class=\" wp-image-4124\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/elbow-pain-medium-1.png\" alt=\"Tennis Elbow\" width=\"530\" height=\"530\" /> <strong>                  Prolotherapy Is a Lasting Treatment for Tennis Elbo</strong>w[/caption]\r\n<h3>Read this <em>Orthopedic Review and Research</em> Medical Journal Article about Tennis Elbow Treatment with Prolotherapy versus Cortisone Injections.</h3>\r\n<em>The article shows that patients improved with both Prolotherapy and Cortisone in the short-term. However, as we have discussed in <a href=\"https://www.drfields.com/articles/regenerative-orthopedics/cortisone-is-it-really-good-for-you/\">previous articles</a>, cortisone injections did not last in the long term. Here you will see that patients who received Prolotherapy, continued to improve at the 3 month follow-up. And those who received cortisone did not.</em>\r\n\r\n<header id=\"heading\" class=\"heading\">\r\n<div id=\"full-view-heading\" class=\"full-view\">\r\n<h3 class=\"heading-title\">Is Dextrose Prolotherapy Superior To Corticosteroid Injection In Patients With Chronic Lateral Epicondylitis?: A Randomized Clinical Trial</h3>\r\n<div class=\"inline-authors\">\r\n<div class=\"authors\">\r\n<div class=\"authors-list\"><span class=\"authors-list-item \"><a class=\"full-name\" href=\"https://pubmed.ncbi.nlm.nih.gov/?term=Bayat+M&amp;cauthor_id=31819675\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Masume Bayat\">Masume Bayat</a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\"> </span><a class=\"affiliation-link\" href=\"https://pubmed.ncbi.nlm.nih.gov/31819675/#affiliation-1\">1</a></sup><span class=\"comma\">, </span></span><span class=\"authors-list-item \"><a class=\"full-name\" href=\"https://pubmed.ncbi.nlm.nih.gov/?term=Raeissadat+SA&amp;cauthor_id=31819675\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Seyed Ahmad Raeissadat\">Seyed Ahmad Raeissadat</a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\"> </span><a class=\"affiliation-link\" href=\"https://pubmed.ncbi.nlm.nih.gov/31819675/#affiliation-2\">2</a></sup><span class=\"comma\">, </span></span><span class=\"authors-list-item \"><a class=\"full-name\" href=\"https://pubmed.ncbi.nlm.nih.gov/?term=Mortazavian+Babaki+M&amp;cauthor_id=31819675\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Maryam Mortazavian Babaki\">Maryam Mortazavian Babaki</a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\"> </span><a class=\"affiliation-link\" href=\"https://pubmed.ncbi.nlm.nih.gov/31819675/#affiliation-3\">3</a></sup><span class=\"comma\">, </span></span><span class=\"authors-list-item \"><a class=\"full-name\" href=\"https://pubmed.ncbi.nlm.nih.gov/?term=Rahimi-Dehgolan+S&amp;cauthor_id=31819675\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Shahram Rahimi-Dehgolan\">Shahram Rahimi-Dehgolan</a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\"> </span><a class=\"affiliation-link\" href=\"https://pubmed.ncbi.nlm.nih.gov/31819675/#affiliation-4\">4</a></sup></span></div>\r\n</div>\r\n</div>\r\n<div class=\"short-article-details\">Affiliations <button id=\"toggle-authors\" class=\"more-details\" data-alt-text=\"Collapse\" aria-controls=\"expanded-authors\" aria-expanded=\"false\" data-pinger-ignore=\"\">expand</button></div>\r\n<ul id=\"full-view-identifiers\" class=\"identifiers\"></ul>\r\n</div>\r\n</header>\r\n<div id=\"abstract\" class=\"abstract\">\r\n<h2 class=\"title\"><a href=\"https://pubmed.ncbi.nlm.nih.gov/31819675/\">Abstract</a></h2>\r\n<div id=\"enc-abstract\" class=\"abstract-content selected\">\r\n\r\n<strong class=\"sub-title\">Purpose: </strong>To compare the efficacy of dextrose prolotherapy versus steroid injection in the treatment of patients with chronic lateral epicondylitis.\r\n\r\n<strong class=\"sub-title\">Methods: </strong>Thirty subjects with chronic lateral epicondylitis were randomly assigned into two groups of hypertonic dextrose or methylprednisolone injection. Participants were assessed through Quick DASH and VAS scores, once before injection, and then after 1- and 3-months follow-up. And two patients were excluded due to not completing the follow-up timepoints.\r\n\r\n<strong class=\"sub-title\">Results: </strong>In both groups VAS scores revealed significant improvement during the first month follow-up [mean difference (MD) = 1.9±3.3, versus 1.5±1.9 for the prolotherapy and steroid groups, respectively]. This declining trajectory continued at the third month visit in the prolotherapy group and MD reached 4.4±2.9, while it did not change remarkably in the steroid group (MD=1.9±3.4).\r\n\r\nIn fact, comparing VAS scores between the 1st- and 3rd-month time points did not reveal a significant improvement in the steroid group (<i>p</i>=0.6). Also, the Quick DASH index showed a similar pattern and improved remarkably in both groups during the first visit.\r\n<h4><strong>However, only the efficacy in the prolotherapy group persisted after 3-month follow-up (MD = 9.5±21.6, <i>p</i>=0.044)</strong>.</h4>\r\nOne month after injections no preference was observed between the two interventions (<i>p</i>=0.74 for VAS and 0.14 for Quick DASH score). However, the 3rd-month follow-up revealed a meaningful superiority (<i>p</i>=0.03 for VAS and <i>p</i>=0.01 for Quick DASH score) favoring the prolotherapy method.\r\n\r\n<strong class=\"sub-title\">Conclusion: </strong>Both methods were proven to be effective in the short-term treatment of chronic lateral epicondylitis, but dextrose prolotherapy seems to be slightly more efficacious than steroid injection over a longer period.\r\n\r\n</div>\r\n</div>\r\n</div>\r\n</header>\r\n<div class=\"fullwidth color_bar row-full \">\r\n<div class=\"container\">\r\n<div class=\"row-fluid\">\r\n<h3 class=\"large_thumb\">Read other articles about cortisone or corticosteroid injections:</h3>\r\n<div>\r\n<h3><a title=\"Cortisone – Is it Really Good for You\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/cortisone-is-it-really-good-for-you/\">Cortisone – Is it Really Good for You</a></h3>\r\n<h3><a title=\"Cortisone Injections Are As Safe As You Think\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/cortisone-injections-are-as-safe-as-you-think/\">Cortisone Injections: Are They As Safe As You Think</a></h3>\r\n</div>\r\n<h3 class=\"large_thumb\">Reference:</h3>\r\n<div class=\"large_thumb\">Bayat M, Raeissadat SA, Mortazavian Babaki M, Rahimi-Dehgolan S. Is Dextrose Prolotherapy Superior To Corticosteroid Injection In Patients With Chronic Lateral Epicondylitis?: A Randomized Clinical Trial. Orthop Res Rev. 2019;11:167-175. Published 2019 Nov 5. doi:10.2147/ORR.S218698</div>\r\n</div>\r\n</div>\r\n</div>','Tennis Elbow or Lateral Epicondylitis','','inherit','closed','closed','','2024-revision-v1','','','2020-09-12 20:45:18','2020-09-12 20:45:18','',2024,'https://www.drfields.com/uncategorized/2024-revision-v1/',0,'revision','',0),(4129,9,'2020-09-12 20:48:01','2020-09-12 20:48:01','<header id=\"heading\" class=\"heading\">\r\n<div id=\"full-view-heading\" class=\"full-view\">\r\n\r\n[caption id=\"attachment_4124\" align=\"alignright\" width=\"530\"]<img class=\" wp-image-4124\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/elbow-pain-medium-1.png\" alt=\"Tennis Elbow\" width=\"530\" height=\"530\" /> <strong>                  Prolotherapy Is a Lasting Treatment for Tennis Elbo</strong>w[/caption]\r\n<h3>Read this <em>Orthopedic Review and Research</em> Medical Journal Article about Tennis Elbow Treatment with Prolotherapy versus Cortisone Injections.</h3>\r\n<em>The article shows that patients improved with both Prolotherapy and Cortisone in the short-term. However, as we have discussed in <a href=\"https://www.drfields.com/articles/regenerative-orthopedics/cortisone-is-it-really-good-for-you/\">previous articles</a>, cortisone injections did not last in the long term. Here you will see that patients who received Prolotherapy, continued to improve at the 3 month follow-up. And those who received cortisone did not.</em>\r\n\r\n<header id=\"heading\" class=\"heading\">\r\n<div id=\"full-view-heading\" class=\"full-view\">\r\n<h3 class=\"heading-title\">Is Dextrose Prolotherapy Superior To Corticosteroid Injection In Patients With Chronic Lateral Epicondylitis?: A Randomized Clinical Trial</h3>\r\n<div class=\"inline-authors\">\r\n<div class=\"authors\">\r\n<div class=\"authors-list\"><span class=\"authors-list-item \"><a class=\"full-name\" href=\"https://pubmed.ncbi.nlm.nih.gov/?term=Bayat+M&amp;cauthor_id=31819675\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Masume Bayat\">Masume Bayat</a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\"> </span><a class=\"affiliation-link\" href=\"https://pubmed.ncbi.nlm.nih.gov/31819675/#affiliation-1\">1</a></sup><span class=\"comma\">, </span></span><span class=\"authors-list-item \"><a class=\"full-name\" href=\"https://pubmed.ncbi.nlm.nih.gov/?term=Raeissadat+SA&amp;cauthor_id=31819675\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Seyed Ahmad Raeissadat\">Seyed Ahmad Raeissadat</a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\"> </span><a class=\"affiliation-link\" href=\"https://pubmed.ncbi.nlm.nih.gov/31819675/#affiliation-2\">2</a></sup><span class=\"comma\">, </span></span><span class=\"authors-list-item \"><a class=\"full-name\" href=\"https://pubmed.ncbi.nlm.nih.gov/?term=Mortazavian+Babaki+M&amp;cauthor_id=31819675\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Maryam Mortazavian Babaki\">Maryam Mortazavian Babaki</a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\"> </span><a class=\"affiliation-link\" href=\"https://pubmed.ncbi.nlm.nih.gov/31819675/#affiliation-3\">3</a></sup><span class=\"comma\">, </span></span><span class=\"authors-list-item \"><a class=\"full-name\" href=\"https://pubmed.ncbi.nlm.nih.gov/?term=Rahimi-Dehgolan+S&amp;cauthor_id=31819675\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Shahram Rahimi-Dehgolan\">Shahram Rahimi-Dehgolan</a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\"> </span><a class=\"affiliation-link\" href=\"https://pubmed.ncbi.nlm.nih.gov/31819675/#affiliation-4\">4</a></sup></span></div>\r\n</div>\r\n</div>\r\n<div class=\"short-article-details\">Affiliations <button id=\"toggle-authors\" class=\"more-details\" data-alt-text=\"Collapse\" aria-controls=\"expanded-authors\" aria-expanded=\"false\" data-pinger-ignore=\"\">expand</button></div>\r\n<ul id=\"full-view-identifiers\" class=\"identifiers\"></ul>\r\n</div>\r\n</header>\r\n<div id=\"abstract\" class=\"abstract\">\r\n<h2 class=\"title\"><a href=\"https://pubmed.ncbi.nlm.nih.gov/31819675/\">Abstract</a></h2>\r\n<div id=\"enc-abstract\" class=\"abstract-content selected\">\r\n\r\n<strong class=\"sub-title\">Purpose: </strong>To compare the efficacy of dextrose prolotherapy versus steroid injection in the treatment of patients with chronic lateral epicondylitis.\r\n\r\n<strong class=\"sub-title\">Methods: </strong>Thirty subjects with chronic lateral epicondylitis were randomly assigned into two groups of hypertonic dextrose or methylprednisolone injection. Participants were assessed through Quick DASH and VAS scores, once before injection, and then after 1- and 3-months follow-up. And two patients were excluded due to not completing the follow-up timepoints.\r\n\r\n<strong class=\"sub-title\">Results: </strong>In both groups VAS scores revealed significant improvement during the first month follow-up [mean difference (MD) = 1.9±3.3, versus 1.5±1.9 for the prolotherapy and steroid groups, respectively]. This declining trajectory continued at the third month visit in the prolotherapy group and MD reached 4.4±2.9, while it did not change remarkably in the steroid group (MD=1.9±3.4).\r\n\r\nIn fact, comparing VAS scores between the 1st- and 3rd-month time points did not reveal a significant improvement in the steroid group (<i>p</i>=0.6). Also, the Quick DASH index showed a similar pattern and improved remarkably in both groups during the first visit.\r\n<h4><strong>However, only the efficacy in the prolotherapy group persisted after 3-month follow-up (MD = 9.5±21.6, <i>p</i>=0.044)</strong>.</h4>\r\nOne month after injections no preference was observed between the two interventions (<i>p</i>=0.74 for VAS and 0.14 for Quick DASH score). However, the 3rd-month follow-up revealed a meaningful superiority (<i>p</i>=0.03 for VAS and <i>p</i>=0.01 for Quick DASH score) favoring the prolotherapy method.\r\n\r\n<strong class=\"sub-title\">Conclusion: </strong>Both methods were proven to be effective in the short-term treatment of chronic lateral epicondylitis, but dextrose prolotherapy seems to be slightly more efficacious than steroid injection over a longer period.\r\n\r\n</div>\r\n</div>\r\n</div>\r\n</header>\r\n<div class=\"fullwidth color_bar row-full \">\r\n<div class=\"container\">\r\n<div class=\"row-fluid\">\r\n<h3 class=\"large_thumb\">Read other articles about cortisone or corticosteroid injections:</h3>\r\n<div>\r\n<h3><a title=\"Cortisone – Is it Really Good for You\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/cortisone-is-it-really-good-for-you/\">Cortisone – Is it Really Good for You</a></h3>\r\n<h3><a title=\"Cortisone Injections Are As Safe As You Think\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/cortisone-injections-are-as-safe-as-you-think/\">Cortisone Injections: Are They As Safe As You Think</a></h3>\r\n</div>\r\n<h3 class=\"large_thumb\">Reference:</h3>\r\n<div class=\"large_thumb\">Bayat M, Raeissadat SA, Mortazavian Babaki M, Rahimi-Dehgolan S. Is Dextrose Prolotherapy Superior To Corticosteroid Injection In Patients With Chronic Lateral Epicondylitis?: A Randomized Clinical Trial. Orthop Res Rev. 2019;11:167-175. Published 2019 Nov 5. doi:10.2147/ORR.S218698</div>\r\n</div>\r\n</div>\r\n</div>','Prolotherapy or Cortisone','','inherit','closed','closed','','2024-revision-v1','','','2020-09-12 20:48:01','2020-09-12 20:48:01','',2024,'https://www.drfields.com/uncategorized/2024-revision-v1/',0,'revision','',0),(4130,9,'2020-09-12 20:48:27','2020-09-12 20:48:27','<header id=\"heading\" class=\"heading\">\r\n<div id=\"full-view-heading\" class=\"full-view\">\r\n\r\n[caption id=\"attachment_4124\" align=\"alignright\" width=\"530\"]<img class=\" wp-image-4124\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/elbow-pain-medium-1.png\" alt=\"Tennis Elbow\" width=\"530\" height=\"530\" /> <strong>                  Prolotherapy Is a Lasting Treatment for Tennis Elbo</strong>w[/caption]\r\n<h3>Read this <em>Orthopedic Review and Research</em> Medical Journal Article about Tennis Elbow Treatment with Prolotherapy versus Cortisone Injections.</h3>\r\n<em>The article shows that patients improved with both Prolotherapy and Cortisone in the short-term. However, as we have discussed in <a href=\"https://www.drfields.com/articles/regenerative-orthopedics/cortisone-is-it-really-good-for-you/\">previous articles</a>, cortisone injections did not last in the long term. Here you will see that patients who received Prolotherapy, continued to improve at the 3 month follow-up. And those who received cortisone did not.</em>\r\n\r\n<header id=\"heading\" class=\"heading\">\r\n<div id=\"full-view-heading\" class=\"full-view\">\r\n<h3 class=\"heading-title\">Is Dextrose Prolotherapy Superior To Corticosteroid Injection In Patients With Chronic Lateral Epicondylitis?: A Randomized Clinical Trial</h3>\r\n<div class=\"inline-authors\">\r\n<div class=\"authors\">\r\n<div class=\"authors-list\"><span class=\"authors-list-item \"><a class=\"full-name\" href=\"https://pubmed.ncbi.nlm.nih.gov/?term=Bayat+M&amp;cauthor_id=31819675\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Masume Bayat\">Masume Bayat</a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\"> </span><a class=\"affiliation-link\" href=\"https://pubmed.ncbi.nlm.nih.gov/31819675/#affiliation-1\">1</a></sup><span class=\"comma\">, </span></span><span class=\"authors-list-item \"><a class=\"full-name\" href=\"https://pubmed.ncbi.nlm.nih.gov/?term=Raeissadat+SA&amp;cauthor_id=31819675\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Seyed Ahmad Raeissadat\">Seyed Ahmad Raeissadat</a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\"> </span><a class=\"affiliation-link\" href=\"https://pubmed.ncbi.nlm.nih.gov/31819675/#affiliation-2\">2</a></sup><span class=\"comma\">, </span></span><span class=\"authors-list-item \"><a class=\"full-name\" href=\"https://pubmed.ncbi.nlm.nih.gov/?term=Mortazavian+Babaki+M&amp;cauthor_id=31819675\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Maryam Mortazavian Babaki\">Maryam Mortazavian Babaki</a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\"> </span><a class=\"affiliation-link\" href=\"https://pubmed.ncbi.nlm.nih.gov/31819675/#affiliation-3\">3</a></sup><span class=\"comma\">, </span></span><span class=\"authors-list-item \"><a class=\"full-name\" href=\"https://pubmed.ncbi.nlm.nih.gov/?term=Rahimi-Dehgolan+S&amp;cauthor_id=31819675\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Shahram Rahimi-Dehgolan\">Shahram Rahimi-Dehgolan</a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\"> </span><a class=\"affiliation-link\" href=\"https://pubmed.ncbi.nlm.nih.gov/31819675/#affiliation-4\">4</a></sup></span></div>\r\n</div>\r\n</div>\r\n<div class=\"short-article-details\">Affiliations <button id=\"toggle-authors\" class=\"more-details\" data-alt-text=\"Collapse\" aria-controls=\"expanded-authors\" aria-expanded=\"false\" data-pinger-ignore=\"\">expand</button></div>\r\n<ul id=\"full-view-identifiers\" class=\"identifiers\"></ul>\r\n</div>\r\n</header>\r\n<div id=\"abstract\" class=\"abstract\">\r\n<h2 class=\"title\"><a href=\"https://pubmed.ncbi.nlm.nih.gov/31819675/\">Abstract</a></h2>\r\n<div id=\"enc-abstract\" class=\"abstract-content selected\">\r\n\r\n<strong class=\"sub-title\">Purpose: </strong>To compare the efficacy of dextrose prolotherapy versus steroid injection in the treatment of patients with chronic lateral epicondylitis.\r\n\r\n<strong class=\"sub-title\">Methods: </strong>Thirty subjects with chronic lateral epicondylitis were randomly assigned into two groups of hypertonic dextrose or methylprednisolone injection. Participants were assessed through Quick DASH and VAS scores, once before injection, and then after 1- and 3-months follow-up. And two patients were excluded due to not completing the follow-up timepoints.\r\n\r\n<strong class=\"sub-title\">Results: </strong>In both groups VAS scores revealed significant improvement during the first month follow-up [mean difference (MD) = 1.9±3.3, versus 1.5±1.9 for the prolotherapy and steroid groups, respectively]. This declining trajectory continued at the third month visit in the prolotherapy group and MD reached 4.4±2.9, while it did not change remarkably in the steroid group (MD=1.9±3.4).\r\n\r\nIn fact, comparing VAS scores between the 1st- and 3rd-month time points did not reveal a significant improvement in the steroid group (<i>p</i>=0.6). Also, the Quick DASH index showed a similar pattern and improved remarkably in both groups during the first visit.\r\n<h4><strong>However, only the efficacy in the prolotherapy group persisted after 3-month follow-up (MD = 9.5±21.6, <i>p</i>=0.044)</strong>.</h4>\r\nOne month after injections no preference was observed between the two interventions (<i>p</i>=0.74 for VAS and 0.14 for Quick DASH score). However, the 3rd-month follow-up revealed a meaningful superiority (<i>p</i>=0.03 for VAS and <i>p</i>=0.01 for Quick DASH score) favoring the prolotherapy method.\r\n\r\n<strong class=\"sub-title\">Conclusion: </strong>Both methods were proven to be effective in the short-term treatment of chronic lateral epicondylitis, but dextrose prolotherapy seems to be slightly more efficacious than steroid injection over a longer period.\r\n\r\n</div>\r\n</div>\r\n</div>\r\n</header>\r\n<div class=\"fullwidth color_bar row-full \">\r\n<div class=\"container\">\r\n<div class=\"row-fluid\">\r\n<h3 class=\"large_thumb\">Read other articles about cortisone or corticosteroid injections:</h3>\r\n<div>\r\n<h3><a title=\"Cortisone – Is it Really Good for You\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/cortisone-is-it-really-good-for-you/\">Cortisone – Is it Really Good for You</a></h3>\r\n<h3><a title=\"Cortisone Injections Are As Safe As You Think\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/cortisone-injections-are-as-safe-as-you-think/\">Cortisone Injections: Are They As Safe As You Think</a></h3>\r\n</div>\r\n<h3 class=\"large_thumb\">Reference:</h3>\r\n<div class=\"large_thumb\">Bayat M, Raeissadat SA, Mortazavian Babaki M, Rahimi-Dehgolan S. Is Dextrose Prolotherapy Superior To Corticosteroid Injection In Patients With Chronic Lateral Epicondylitis?: A Randomized Clinical Trial. Orthop Res Rev. 2019;11:167-175. Published 2019 Nov 5. doi:10.2147/ORR.S218698</div>\r\n</div>\r\n</div>\r\n</div>','Prolotherapy or Cortisone?','','inherit','closed','closed','','2024-revision-v1','','','2020-09-12 20:48:27','2020-09-12 20:48:27','',2024,'https://www.drfields.com/uncategorized/2024-revision-v1/',0,'revision','',0),(4131,9,'2020-09-12 21:22:28','2020-09-12 21:22:28','[caption id=\"attachment_4134\" align=\"alignright\" width=\"547\"]<img class=\" wp-image-4134\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/knee-pain-medium-1.png\" alt=\"Osgood-Schlatter\" width=\"547\" height=\"547\" /> <strong>                 Is Prolotherapy Effective for Osgood-Schlatter Disease?</strong>[/caption]\n<h3>In this research article in the medical journal <em>\"Pediatrics\",</em> the authors look at whether Prolotherapy can achieve faster results than the usual care for Osgood-Schlatter Disease in the adolescent.</h3>\n<em>Osgood-Schlatter Disease is a childhood repetitive use injury that causes a painful lump below the kneecap. It commonly affects children experiencing growth spurts and those who play sports in which they regularly run and jump are most at risk. </em>\n\nWe are including the abstract here. <a href=\"http://Read the full article by clicking here.\">But you can read the full article by clicking here.</a>\n<div class=\"page\" title=\"Page 1\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<h3>Hyperosmolar Dextrose Injection for Recalcitrant Osgood-Schlatter Disease</h3>\nGastón Andrés Topol, Leandro Ariel Podesta, Kenneth Dean Reeves, Marcelo Francisco Raya, Bradley Dean Fullerton and Hung-wen Yeh\n\n</div>\n</div>\n</div>\n<div class=\"page\" title=\"Page 2\">\n<div class=\"section\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<h4>WHAT’S KNOWN ON THIS SUBJECT:</h4>\nOsgood-Schlatter disease symptoms may wax and wane until maturity and affect sport confidence and participation periodically. Chronic sequelae may include anterior knee pain, kneeling discomfort, or sports limitation. Symptom reduction parallels resolution of patellar tendinopathy by MRI/ultrasound, although ossicles may persist radiographically.\n<h4><strong>WHAT THIS STUDY ADDS:</strong></h4>\nSmall-needle injection of the patellar tendon enthesis/tibial apophysis with 12.5% dextrose was safe and well tolerated in adolescents with recalcitrant Osgood- Schlatter disease. Dextrose injection resulted in more rapid and frequent achievement of unaltered sport and asymptomatic sport than did usual care.\n<h2>Abstract</h2>\nOBJECTIVE: To examine the potential of dextrose injection versus lido- caine injection versus supervised usual care to reduce sport alteration and sport-related symptoms in adolescent athletes with Osgood- Schlatter disease.\n\nPATIENTS AND METHODS: Girls aged 9 to 15 and boys aged 10 to 17 were randomly assigned to either therapist-supervised usual care or double-blind injection of 1% lidocaine solution with or without 12.5% dextrose. Injections were administered monthly for 3 months. All sub- jects were then offered dextrose injections monthly as needed. Unal- tered sport (Nirschl Pain Phase Scale 􏰀 4) and asymptomatic sport (Nirschl Pain Phase Scale 􏰁 0) were the threshold goals.\n\nRESULTS: Sixty-five knees in 54 athletes were treated. Compared with usual care at 3 months, unaltered sport was more common in both dextrose-treated (21 of 21 vs 13 of 22; P 􏰁 .001) and lidocaine-treated (20 of 22 vs 13 of 22; P 􏰁 .034) knees, and asymptomatic sport was more frequent in dextrose-treated knees than either lidocaine-treated (14 of 21 vs 5 of 22; P 􏰁 .006) or usual-care–treated (14 of 21 vs 3 of 22; P 􏰀 .001) knees. At 1 year, asymptomatic sport was more common in dextrose-treated knees than knees treated with only lidocaine (32 of 38 vs6of13;P􏰁.024)oronlyusualcare(32of38vs2of14;P􏰀.0001).\n\nCONCLUSIONS: Our results suggest superior symptom-reduction effi- cacy of injection therapy over usual care in the treatment of Osgood- Schlatter disease in adolescents. A significant component of the effect seems to be associated with the dextrose component of a dextrose/ lidocaine solution. Dextrose injection over the apophysis and patellar tendon origin was safe and well tolerated and resulted in more rapid and frequent achievement of unaltered sport and asymptomatic sport than usual care. Pediatrics 2011;128:e000\n\n</div>\n</div>\n</div>\n</div>\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>\n<div class=\"fullwidth color_bar row-full \">\n<div class=\"container\">\n<div class=\"row-fluid\">\n<div class=\"large_thumb\">\n<p id=\"page-title\" class=\"highwire-cite-title\"><a href=\"https://pediatrics.aappublications.org/content/128/5/e1121\">Hyperosmolar Dextrose Injection for Recalcitrant Osgood-Schlatter Disease</a>. <span class=\"highwire-citation-authors\"><span class=\"highwire-citation-author first\" data-delta=\"0\">Gastón Andrés Topol</span>, <span class=\"highwire-citation-author has-tooltip hasTooltip author-popup-hover\" data-delta=\"1\" data-hasqtip=\"2\" aria-describedby=\"qtip-2\">Leandro Ariel Podesta</span>, <span class=\"highwire-citation-author has-tooltip hasTooltip\" data-delta=\"2\" data-hasqtip=\"1\" aria-describedby=\"qtip-1\">Kenneth Dean Reeves</span>, <span class=\"highwire-citation-author has-tooltip hasTooltip\" data-delta=\"3\" data-hasqtip=\"0\" aria-describedby=\"qtip-0\">Marcelo Francisco Raya</span>, <span class=\"highwire-citation-author\" data-delta=\"4\">Bradley Dean Fullerton</span> and <span class=\"highwire-citation-author\" data-delta=\"5\">Hung-wen Yeh. </span></span><em><span class=\"highwire-cite-metadata-journal highwire-cite-metadata\">Pediatrics. </span></em><span class=\"highwire-cite-metadata-date highwire-cite-metadata\">November 2011, </span><span class=\"highwire-cite-metadata-volume highwire-cite-metadata\">128 </span><span class=\"highwire-cite-metadata-issue highwire-cite-metadata\">(5) </span><span class=\"highwire-cite-metadata-pages highwire-cite-metadata\">e1121-e1128; </span><span class=\"highwire-cite-metadata-doi highwire-cite-metadata\">DOI: https://doi.org/10.1542/peds.2010-1931</span></p>\n\n</div>\n<div class=\"large_thumb\"><a href=\"/Articles/Prolotherapy-Research/Knee\">Knee</a></div>\n<div class=\"large_thumb\"></div>\n<div class=\"large_thumb\"></div>\n</div>\n</div>\n</div>','Osgood-Schlatter Disease','','inherit','closed','closed','','2020-autosave-v1','','','2020-09-12 21:22:28','2020-09-12 21:22:28','',2020,'https://www.drfields.com/uncategorized/2020-autosave-v1/',0,'revision','',0),(4132,9,'2020-09-12 20:52:15','2020-09-12 20:52:15','<h6>TOPICS</h6>\r\nACL Laxity\r\nBaker\'s Cyst\r\nJumper\'s Knee (See Patellar Tendinosis)\r\nMedial Meniscus Tear\r\nOsteoarthritis Of Knee\r\n\r\n<strong>ACL LAXITY DEX: Reeves et al 2003 </strong>\r\nDextrose tightens loose ACL ligament by simple Reeves KD Hassanein K Long term effects of dextrose prolotherapy for anterior cruciate ligament laxity: A prospective and consecutive patient study. Alt Ther Hlth Med May-Jun 2003, 9(3): p58-62.\r\nTo read the entire study click here --&gt; View ACL Laxity Study\r\n\r\nMethod: 16 knees with machine measured ACL laxity (KT-1000 arthrometer) were injected bimonthly with 10-25% dextrose solution for 1 year and then an average of 4 times yearly thereafter until 3 year follow-up.\r\n\r\nSummary: Using simple dextrose injection into 16 knees with a loose ACL ligament, 10/16 knees were no longer loose by machine measurement at time of follow-up, and symptoms were improved. Symptom of osteoarthritits improved even in those who still tested loose. At the 3 year follow-up pain with walking had improved by 43% , subjective swelling improved 63%, flexion range of motion improved by 10.5 degrees, and KT1000 ADD (machine measure of ACL ligament looseness) improved by 71%.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>\r\n<div class=\"fullwidth color_bar row-full \">\r\n<div class=\"container\">\r\n<div class=\"row-fluid\">\r\n<div class=\"large_thumb\"></div>\r\n<div class=\"large_thumb\"><a href=\"/Articles/Prolotherapy-Research/Knee\"><img title=\"Knee Pain\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/knee-pain-medium.png\" alt=\"Knee Pain\" /></a><a href=\"/Articles/Prolotherapy-Research/Knee\">Knee</a></div>\r\n<div class=\"large_thumb\"></div>\r\n<div class=\"large_thumb\"></div>\r\n</div>\r\n</div>\r\n</div>','Knee','','inherit','closed','closed','','2020-revision-v1','','','2020-09-12 20:52:15','2020-09-12 20:52:15','',2020,'https://www.drfields.com/uncategorized/2020-revision-v1/',0,'revision','',0),(4133,9,'2020-09-12 21:14:11','2020-09-12 21:14:11','<h3>In this research article in the medical journal <em>\"Pediatrics\",</em> the authors look at whether Prolotherapy can achieve faster results than the usual care for Osgood-Schlatter Disease in the adolescent.</h3>\r\n<em>Osgood-Schlatter Disease is a childhood repetitive use injury that causes a painful lump below the kneecap. It commonly affects children experiencing growth spurts and those who play sports in which they regularly run and jump are most at risk. </em>\r\n\r\nWe are including the abstract here. <a href=\"http://Read the full article by clicking here.\">But you can read the full article by clicking here.</a>\r\n<div class=\"page\" title=\"Page 1\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n<h3>Hyperosmolar Dextrose Injection for Recalcitrant Osgood-Schlatter Disease</h3>\r\nGastón Andrés Topol, Leandro Ariel Podesta, Kenneth Dean Reeves, Marcelo Francisco Raya, Bradley Dean Fullerton and Hung-wen Yeh\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"page\" title=\"Page 2\">\r\n<div class=\"section\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\nWHAT’S KNOWN ON THIS SUBJECT: Osgood-Schlatter disease symptoms may wax and wane until maturity and affect sport confidence and participation periodically. Chronic sequelae may include anterior knee pain, kneeling discomfort, or sports limitation. Symptom reduction parallels resolution of patellar tendinopathy by MRI/ultrasound, although ossicles may persist radiographically.\r\n\r\nWHAT THIS STUDY ADDS: Small-needle injection of the patellar tendon enthesis/tibial apophysis with 12.5% dextrose was safe and well tolerated in adolescents with recalcitrant Osgood- Schlatter disease. Dextrose injection resulted in more rapid and frequent achievement of unaltered sport and asymptomatic sport than did usual care.\r\n\r\nabstract\r\n\r\nOBJECTIVE: To examine the potential of dextrose injection versus lido- caine injection versus supervised usual care to reduce sport alteration and sport-related symptoms in adolescent athletes with Osgood- Schlatter disease.\r\n\r\nPATIENTS AND METHODS: Girls aged 9 to 15 and boys aged 10 to 17 were randomly assigned to either therapist-supervised usual care or double-blind injection of 1% lidocaine solution with or without 12.5% dextrose. Injections were administered monthly for 3 months. All sub- jects were then offered dextrose injections monthly as needed. Unal- tered sport (Nirschl Pain Phase Scale 􏰀 4) and asymptomatic sport (Nirschl Pain Phase Scale 􏰁 0) were the threshold goals.\r\n\r\nRESULTS: Sixty-five knees in 54 athletes were treated. Compared with usual care at 3 months, unaltered sport was more common in both dextrose-treated (21 of 21 vs 13 of 22; P 􏰁 .001) and lidocaine-treated (20 of 22 vs 13 of 22; P 􏰁 .034) knees, and asymptomatic sport was more frequent in dextrose-treated knees than either lidocaine-treated (14 of 21 vs 5 of 22; P 􏰁 .006) or usual-care–treated (14 of 21 vs 3 of 22; P 􏰀 .001) knees. At 1 year, asymptomatic sport was more common in dextrose-treated knees than knees treated with only lidocaine (32 of 38 vs6of13;P􏰁.024)oronlyusualcare(32of38vs2of14;P􏰀.0001).\r\n\r\nCONCLUSIONS: Our results suggest superior symptom-reduction effi- cacy of injection therapy over usual care in the treatment of Osgood- Schlatter disease in adolescents. A significant component of the effect seems to be associated with the dextrose component of a dextrose/ lidocaine solution. Dextrose injection over the apophysis and patellar tendon origin was safe and well tolerated and resulted in more rapid and frequent achievement of unaltered sport and asymptomatic sport than usual care. Pediatrics 2011;128:e000\r\n\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>\r\n<div class=\"fullwidth color_bar row-full \">\r\n<div class=\"container\">\r\n<div class=\"row-fluid\">\r\n<div class=\"large_thumb\"></div>\r\n<div class=\"large_thumb\"><a href=\"/Articles/Prolotherapy-Research/Knee\">Knee</a></div>\r\n<div class=\"large_thumb\"></div>\r\n<div class=\"large_thumb\"></div>\r\n</div>\r\n</div>\r\n</div>','Osgood-Schlatter Disease','','inherit','closed','closed','','2020-revision-v1','','','2020-09-12 21:14:11','2020-09-12 21:14:11','',2020,'https://www.drfields.com/uncategorized/2020-revision-v1/',0,'revision','',0),(4134,9,'2020-09-12 21:15:36','2020-09-12 21:15:36','Is Prolotherapy Effective for Osgood-Schlatter Disease?','Knee Pain Medium','Is Prolotherapy Effective for Osgood-Schlatter Disease?','inherit','open','closed','','knee-pain-medium-2','','','2020-09-12 21:16:25','2020-09-12 21:16:25','',2020,'https://www.drfields.com/wp-content/uploads/2019/06/knee-pain-medium-1.png',0,'attachment','image/png',0),(4135,9,'2020-09-12 21:22:32','2020-09-12 21:22:32','[caption id=\"attachment_4134\" align=\"alignright\" width=\"547\"]<img class=\" wp-image-4134\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/knee-pain-medium-1.png\" alt=\"Osgood-Schlatter\" width=\"547\" height=\"547\" /> <strong>                 Is Prolotherapy Effective for Osgood-Schlatter Disease?</strong>[/caption]\r\n<h3>In this research article in the medical journal <em>\"Pediatrics\",</em> the authors look at whether Prolotherapy can achieve faster results than the usual care for Osgood-Schlatter Disease in the adolescent.</h3>\r\n<em>Osgood-Schlatter Disease is a childhood repetitive use injury that causes a painful lump below the kneecap. It commonly affects children experiencing growth spurts and those who play sports in which they regularly run and jump are most at risk. </em>\r\n\r\nWe are including the abstract here. <a href=\"http://Read the full article by clicking here.\">But you can read the full article by clicking here.</a>\r\n<div class=\"page\" title=\"Page 1\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n<h3>Hyperosmolar Dextrose Injection for Recalcitrant Osgood-Schlatter Disease</h3>\r\nGastón Andrés Topol, Leandro Ariel Podesta, Kenneth Dean Reeves, Marcelo Francisco Raya, Bradley Dean Fullerton and Hung-wen Yeh\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"page\" title=\"Page 2\">\r\n<div class=\"section\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n<h4>WHAT’S KNOWN ON THIS SUBJECT:</h4>\r\nOsgood-Schlatter disease symptoms may wax and wane until maturity and affect sport confidence and participation periodically. Chronic sequelae may include anterior knee pain, kneeling discomfort, or sports limitation. Symptom reduction parallels resolution of patellar tendinopathy by MRI/ultrasound, although ossicles may persist radiographically.\r\n<h4><strong>WHAT THIS STUDY ADDS:</strong></h4>\r\nSmall-needle injection of the patellar tendon enthesis/tibial apophysis with 12.5% dextrose was safe and well tolerated in adolescents with recalcitrant Osgood- Schlatter disease. Dextrose injection resulted in more rapid and frequent achievement of unaltered sport and asymptomatic sport than did usual care.\r\n<h2>Abstract</h2>\r\nOBJECTIVE: To examine the potential of dextrose injection versus lido- caine injection versus supervised usual care to reduce sport alteration and sport-related symptoms in adolescent athletes with Osgood- Schlatter disease.\r\n\r\nPATIENTS AND METHODS: Girls aged 9 to 15 and boys aged 10 to 17 were randomly assigned to either therapist-supervised usual care or double-blind injection of 1% lidocaine solution with or without 12.5% dextrose. Injections were administered monthly for 3 months. All sub- jects were then offered dextrose injections monthly as needed. Unal- tered sport (Nirschl Pain Phase Scale 􏰀 4) and asymptomatic sport (Nirschl Pain Phase Scale 􏰁 0) were the threshold goals.\r\n\r\nRESULTS: Sixty-five knees in 54 athletes were treated. Compared with usual care at 3 months, unaltered sport was more common in both dextrose-treated (21 of 21 vs 13 of 22; P 􏰁 .001) and lidocaine-treated (20 of 22 vs 13 of 22; P 􏰁 .034) knees, and asymptomatic sport was more frequent in dextrose-treated knees than either lidocaine-treated (14 of 21 vs 5 of 22; P 􏰁 .006) or usual-care–treated (14 of 21 vs 3 of 22; P 􏰀 .001) knees. At 1 year, asymptomatic sport was more common in dextrose-treated knees than knees treated with only lidocaine (32 of 38 vs6of13;P􏰁.024)oronlyusualcare(32of38vs2of14;P􏰀.0001).\r\n\r\nCONCLUSIONS: Our results suggest superior symptom-reduction effi- cacy of injection therapy over usual care in the treatment of Osgood- Schlatter disease in adolescents. A significant component of the effect seems to be associated with the dextrose component of a dextrose/ lidocaine solution. Dextrose injection over the apophysis and patellar tendon origin was safe and well tolerated and resulted in more rapid and frequent achievement of unaltered sport and asymptomatic sport than usual care. Pediatrics 2011;128:e000\r\n\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>\r\n<div class=\"fullwidth color_bar row-full \">\r\n<div class=\"container\">\r\n<div class=\"row-fluid\">\r\n<div class=\"large_thumb\">\r\n<p id=\"page-title\" class=\"highwire-cite-title\"><a href=\"https://pediatrics.aappublications.org/content/128/5/e1121\">Hyperosmolar Dextrose Injection for Recalcitrant Osgood-Schlatter Disease</a>. <span class=\"highwire-citation-authors\"><span class=\"highwire-citation-author first\" data-delta=\"0\">Gastón Andrés Topol</span>, <span class=\"highwire-citation-author has-tooltip hasTooltip author-popup-hover\" data-delta=\"1\" data-hasqtip=\"2\" aria-describedby=\"qtip-2\">Leandro Ariel Podesta</span>, <span class=\"highwire-citation-author has-tooltip hasTooltip\" data-delta=\"2\" data-hasqtip=\"1\" aria-describedby=\"qtip-1\">Kenneth Dean Reeves</span>, <span class=\"highwire-citation-author has-tooltip hasTooltip\" data-delta=\"3\" data-hasqtip=\"0\" aria-describedby=\"qtip-0\">Marcelo Francisco Raya</span>, <span class=\"highwire-citation-author\" data-delta=\"4\">Bradley Dean Fullerton</span> and <span class=\"highwire-citation-author\" data-delta=\"5\">Hung-wen Yeh. </span></span><em><span class=\"highwire-cite-metadata-journal highwire-cite-metadata\">Pediatrics. </span></em><span class=\"highwire-cite-metadata-date highwire-cite-metadata\">November 2011, </span><span class=\"highwire-cite-metadata-volume highwire-cite-metadata\">128 </span><span class=\"highwire-cite-metadata-issue highwire-cite-metadata\">(5) </span><span class=\"highwire-cite-metadata-pages highwire-cite-metadata\">e1121-e1128; </span><span class=\"highwire-cite-metadata-doi highwire-cite-metadata\">DOI: https://doi.org/10.1542/peds.2010-1931</span></p>\r\n\r\n</div>\r\n<div class=\"large_thumb\"><a href=\"/Articles/Prolotherapy-Research/Knee\">Knee</a></div>\r\n<div class=\"large_thumb\"></div>\r\n<div class=\"large_thumb\"></div>\r\n</div>\r\n</div>\r\n</div>','Osgood-Schlatter Disease','','inherit','closed','closed','','2020-revision-v1','','','2020-09-12 21:22:32','2020-09-12 21:22:32','',2020,'https://www.drfields.com/uncategorized/2020-revision-v1/',0,'revision','',0),(4136,9,'2020-09-12 22:05:23','2020-09-12 22:05:23','[caption id=\"attachment_4139\" align=\"alignleft\" width=\"737\"]<img class=\" wp-image-4139\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/arthritis-symptoms-500x500.jpg\" alt=\"Arthritis Pain\" width=\"737\" height=\"737\" /> <strong>                                 <em> Prolotherapy Is More Effective Than Other Treatments</em></strong>[/caption]\n<h1>How Effective Is Prolotherapy versus Exercise Or Cortisone for Arthritis Pain?</h1>\n<em>Researchers in the Journal of Pain Research compared dextrose Prolotherapy to different arthritis pain treatments such as exercise, local anesthesia injections, and even cortisone injections. </em>\n\n<em>What did they conclude? </em>\n\n<em>Dextrose prolotherapy provided a better effect than exercise, local anesthetics, and probably corticosteroids at their 6 months follow-up.</em>\n\n<a href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5079700/\">Read the full article by clicking here.</a>\n\nAnd take a look at the abstract below.\n<h3></h3>\n<h3></h3>\n<h2 class=\"content-title\">Comparative effectiveness of dextrose prolotherapy versus control injections and exercise in the management of osteoarthritis pain: a systematic review and meta-analysis</h2>\n<div class=\"half_rhythm\">\n<div class=\"contrib-group fm-author\"><a class=\"affpopup\" href=\"https://www.ncbi.nlm.nih.gov/pubmed/?term=Hung%20CY%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=27799816\">Chen-Yu Hung</a>,<sup>1</sup> <a class=\"affpopup\" href=\"https://www.ncbi.nlm.nih.gov/pubmed/?term=Hsiao%20MY%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=27799816\">Ming-Yen Hsiao</a>,<sup>2,</sup><sup>3</sup> <a class=\"affpopup\" href=\"https://www.ncbi.nlm.nih.gov/pubmed/?term=Chang%20KV%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=27799816\">Ke-Vin Chang</a>,<sup>1,</sup><sup>2</sup> <a class=\"affpopup\" href=\"https://www.ncbi.nlm.nih.gov/pubmed/?term=Han%20DS%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=27799816\">Der-Sheng Han</a>,<sup>1,</sup><sup>2</sup> and <a class=\"affpopup\" href=\"https://www.ncbi.nlm.nih.gov/pubmed/?term=Wang%20TG%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=27799816\">Tyng-Guey Wang</a><sup>2,</sup><sup>3</sup></div>\n<div class=\"fm-panel half_rhythm\">\n<div class=\"togglers\"><a class=\"pmctoggle\" href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5079700/#\">Author information</a> <a class=\"pmctoggle\" href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5079700/#\">Copyright and License information</a> <a href=\"https://www.ncbi.nlm.nih.gov/pmc/about/disclaimer/\">Disclaimer</a></div>\n<div id=\"pmclinksbox\" class=\"links-box whole_rhythm\">\n<div class=\"fm-panel\">\n<h2 id=\"idm140468391900000title\" class=\"head no_bottom_margin ui-helper-clearfix\">Abstract</h2>\n<div>\n<div id=\"__sec1\" class=\"sec sec-first\">\n<h3 id=\"__sec1title\">Background</h3>\n<p id=\"__p1\" class=\"p p-first-last\">Increasing evidence has supported the use of dextrose prolotherapy for patients with osteoarthritis. However, the real benefits may be affected by differences in injection protocols, comparative regimens, and evaluation scales.</p>\n\n</div>\n<div id=\"__sec2\" class=\"sec\">\n<h3 id=\"__sec2title\">Methods</h3>\n<p id=\"__p2\" class=\"p p-first-last\">PubMed and Scopus were searched from the earliest record until February 2016. One single-arm study and five randomized controlled trials were included, comprising 326 participants. We estimated the effect sizes of pain reduction before and after serial dextrose injections and compared the values between dextrose prolotherapy, comparative regimens, and exercise 6 months after the initial injection.</p>\n\n</div>\n<div id=\"__sec3\" class=\"sec\">\n<h3 id=\"__sec3title\">Results</h3>\n<p id=\"__p3\" class=\"p p-first-last\">Regarding the treatment arm using dextrose prolotherapy, the effect sizes compared with baseline were 0.65 (95% confidence interval [CI], 0.14–1.17), 0.84 (95% CI, 0.40–1.27), 0.85 (95% CI, 0.60–1.10), and 0.87 (95% CI, 0.53–1.21) after the first, second, third, and fourth or more injections, respectively. The overall effect of dextrose was better than control injections (effect size, 0.36; 95% CI, 0.10–0.63).</p>\n<p class=\"p p-first-last\">Dextrose prolotherapy had a superior effect compared with local anesthesia (effect size, 0.38; 95% CI, 0.07–0.70) and exercise (effect size, 0.71; 95% CI, 0.30–1.11). There was an insignificant advantage of dextrose over corticosteroids (effect size, 0.31; 95% CI, –0.18 to 0.80) which was only estimated from one study.</p>\n\n</div>\n<div id=\"__sec4\" class=\"sec sec-last\">\n<h3 id=\"__sec4title\">Conclusion</h3>\n<p id=\"__p4\" class=\"p p-first-last\">Dextrose injections decreased pain in osteoarthritis patients but did not exhibit a positive dose–response relationship following serial injections. Dextrose prolotherapy was found to provide a better therapeutic effect than exercise, local anesthetics, and probably corticosteroids when patients were retested 6 months following the initial injection.</p>\n\n</div>\n</div>\n</div>\n</div>\n</div>\n<h3 class=\"sec\">Reference:</h3>\n</div>\nHung, Chen-Yu, et al. \"Comparative effectiveness of dextrose prolotherapy versus control injections and exercise in the management of osteoarthritis pain: a systematic review and meta-analysis.\" <i>Journal of pain research</i> 9 (2016): 847.\n\n<a href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5079700/\">Read the full article by clicking here.</a>\n\nTake a look at more articles on Regenerative Orthopedic treatments for arthritis:\n<h3><a title=\"How Arthritis Affects Older Athletes\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/how-arthritis-affects-older-athletes/\">How Arthritis Affects Older Athletes</a></h3>\n&nbsp;\n\nhttps://www.drfields.com/articles/magazine-column/townsend-letter-arthritis/\n\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>\n<div class=\"fullwidth color_bar row-full \">\n<div class=\"container\">\n<div class=\"row-fluid\">\n<div class=\"large_thumb\"></div>\n<div class=\"large_thumb\"></div>\n<div class=\"large_thumb\"></div>\n</div>\n</div>\n</div>','Arthritis Pain: How Effective Is Prolotherapy vs Exercise Or Cortisone?','','inherit','closed','closed','','2014-autosave-v1','','','2020-09-12 22:05:23','2020-09-12 22:05:23','',2014,'https://www.drfields.com/uncategorized/2014-autosave-v1/',0,'revision','',0),(4137,9,'2020-09-12 21:42:49','2020-09-12 21:42:49','<h2>How Effective Is Prolotherapy vs Exercise Or Cortisone for Arthritis Pain?</h2>\r\n<em>Researchers in the Journal of Pain Research compare dextrose Prolotherapy to different arthritis treatments like exercise, local anesthesia injections, and even cortisone injections. What did they conclude? Dextrose prolotherapy provided a better effect than exercise, local anesthetics, and probably corticosteroids at their 6 months follow-up.</em>\r\n\r\n<a href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5079700/\">Read the full article by clicking here.</a> Or take a look at the abstract below.\r\n<h3 class=\"content-title\">Comparative effectiveness of dextrose prolotherapy versus control injections and exercise in the management of osteoarthritis pain: a systematic review and meta-analysis</h3>\r\n<div class=\"half_rhythm\">\r\n<div class=\"contrib-group fm-author\"><a class=\"affpopup\" href=\"https://www.ncbi.nlm.nih.gov/pubmed/?term=Hung%20CY%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=27799816\">Chen-Yu Hung</a>,<sup>1</sup> <a class=\"affpopup\" href=\"https://www.ncbi.nlm.nih.gov/pubmed/?term=Hsiao%20MY%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=27799816\">Ming-Yen Hsiao</a>,<sup>2,</sup><sup>3</sup> <a class=\"affpopup\" href=\"https://www.ncbi.nlm.nih.gov/pubmed/?term=Chang%20KV%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=27799816\">Ke-Vin Chang</a>,<sup>1,</sup><sup>2</sup> <a class=\"affpopup\" href=\"https://www.ncbi.nlm.nih.gov/pubmed/?term=Han%20DS%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=27799816\">Der-Sheng Han</a>,<sup>1,</sup><sup>2</sup> and <a class=\"affpopup\" href=\"https://www.ncbi.nlm.nih.gov/pubmed/?term=Wang%20TG%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=27799816\">Tyng-Guey Wang</a><sup>2,</sup><sup>3</sup></div>\r\n<div class=\"fm-panel half_rhythm\">\r\n<div class=\"togglers\"><a class=\"pmctoggle\" href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5079700/#\">Author information</a> <a class=\"pmctoggle\" href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5079700/#\">Copyright and License information</a> <a href=\"https://www.ncbi.nlm.nih.gov/pmc/about/disclaimer/\">Disclaimer</a></div>\r\n<div class=\"fm-article-notes fm-panel half_rhythm\"></div>\r\n<div id=\"pmclinksbox\" class=\"links-box whole_rhythm\">\r\n<div class=\"fm-panel\">\r\n<h2 id=\"idm140468391900000title\" class=\"head no_bottom_margin ui-helper-clearfix\">Abstract</h2>\r\n<div>\r\n<div id=\"__sec1\" class=\"sec sec-first\">\r\n<h3 id=\"__sec1title\">Background</h3>\r\n<p id=\"__p1\" class=\"p p-first-last\">Increasing evidence has supported the use of dextrose prolotherapy for patients with osteoarthritis. However, the real benefits may be affected by differences in injection protocols, comparative regimens, and evaluation scales.</p>\r\n\r\n</div>\r\n<div id=\"__sec2\" class=\"sec\">\r\n<h3 id=\"__sec2title\">Methods</h3>\r\n<p id=\"__p2\" class=\"p p-first-last\">PubMed and Scopus were searched from the earliest record until February 2016. One single-arm study and five randomized controlled trials were included, comprising 326 participants. We estimated the effect sizes of pain reduction before and after serial dextrose injections and compared the values between dextrose prolotherapy, comparative regimens, and exercise 6 months after the initial injection.</p>\r\n\r\n</div>\r\n<div id=\"__sec3\" class=\"sec\">\r\n<h3 id=\"__sec3title\">Results</h3>\r\n<p id=\"__p3\" class=\"p p-first-last\">Regarding the treatment arm using dextrose prolotherapy, the effect sizes compared with baseline were 0.65 (95% confidence interval [CI], 0.14–1.17), 0.84 (95% CI, 0.40–1.27), 0.85 (95% CI, 0.60–1.10), and 0.87 (95% CI, 0.53–1.21) after the first, second, third, and fourth or more injections, respectively. The overall effect of dextrose was better than control injections (effect size, 0.36; 95% CI, 0.10–0.63). Dextrose prolotherapy had a superior effect compared with local anesthesia (effect size, 0.38; 95% CI, 0.07–0.70) and exercise (effect size, 0.71; 95% CI, 0.30–1.11). There was an insignificant advantage of dextrose over corticosteroids (effect size, 0.31; 95% CI, –0.18 to 0.80) which was only estimated from one study.</p>\r\n\r\n</div>\r\n<div id=\"__sec4\" class=\"sec sec-last\">\r\n<h3 id=\"__sec4title\">Conclusion</h3>\r\n<p id=\"__p4\" class=\"p p-first-last\">Dextrose injections decreased pain in osteoarthritis patients but did not exhibit a positive dose–response relationship following serial injections. Dextrose prolotherapy was found to provide a better therapeutic effect than exercise, local anesthetics, and probably corticosteroids when patients were retested 6 months following the initial injection.</p>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"sec\"></div>\r\n</div>\r\n&nbsp;\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>\r\n<div class=\"fullwidth color_bar row-full \">\r\n<div class=\"container\">\r\n<div class=\"row-fluid\">\r\n<div class=\"large_thumb\"></div>\r\n<div class=\"large_thumb\"></div>\r\n<div class=\"large_thumb\"></div>\r\n</div>\r\n</div>\r\n</div>','Finger','','inherit','closed','closed','','2014-revision-v1','','','2020-09-12 21:42:49','2020-09-12 21:42:49','',2014,'https://www.drfields.com/uncategorized/2014-revision-v1/',0,'revision','',0),(4138,9,'2020-09-12 21:56:32','2020-09-12 21:56:32','<h2>How Effective Is Prolotherapy vs Exercise Or Cortisone for Arthritis Pain?</h2>\r\n<em>Researchers in the Journal of Pain Research compare dextrose Prolotherapy to different arthritis treatments like exercise, local anesthesia injections, and even cortisone injections. What did they conclude? Dextrose prolotherapy provided a better effect than exercise, local anesthetics, and probably corticosteroids at their 6 months follow-up.</em>\r\n\r\n<a href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5079700/\">Read the full article by clicking here.</a> Or take a look at the abstract below.\r\n<h3 class=\"content-title\">Comparative effectiveness of dextrose prolotherapy versus control injections and exercise in the management of osteoarthritis pain: a systematic review and meta-analysis</h3>\r\n<div class=\"half_rhythm\">\r\n<div class=\"contrib-group fm-author\"><a class=\"affpopup\" href=\"https://www.ncbi.nlm.nih.gov/pubmed/?term=Hung%20CY%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=27799816\">Chen-Yu Hung</a>,<sup>1</sup> <a class=\"affpopup\" href=\"https://www.ncbi.nlm.nih.gov/pubmed/?term=Hsiao%20MY%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=27799816\">Ming-Yen Hsiao</a>,<sup>2,</sup><sup>3</sup> <a class=\"affpopup\" href=\"https://www.ncbi.nlm.nih.gov/pubmed/?term=Chang%20KV%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=27799816\">Ke-Vin Chang</a>,<sup>1,</sup><sup>2</sup> <a class=\"affpopup\" href=\"https://www.ncbi.nlm.nih.gov/pubmed/?term=Han%20DS%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=27799816\">Der-Sheng Han</a>,<sup>1,</sup><sup>2</sup> and <a class=\"affpopup\" href=\"https://www.ncbi.nlm.nih.gov/pubmed/?term=Wang%20TG%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=27799816\">Tyng-Guey Wang</a><sup>2,</sup><sup>3</sup></div>\r\n<div class=\"fm-panel half_rhythm\">\r\n<div class=\"togglers\"><a class=\"pmctoggle\" href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5079700/#\">Author information</a> <a class=\"pmctoggle\" href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5079700/#\">Copyright and License information</a> <a href=\"https://www.ncbi.nlm.nih.gov/pmc/about/disclaimer/\">Disclaimer</a></div>\r\n<div class=\"fm-article-notes fm-panel half_rhythm\"></div>\r\n<div id=\"pmclinksbox\" class=\"links-box whole_rhythm\">\r\n<div class=\"fm-panel\">\r\n<h2 id=\"idm140468391900000title\" class=\"head no_bottom_margin ui-helper-clearfix\">Abstract</h2>\r\n<div>\r\n<div id=\"__sec1\" class=\"sec sec-first\">\r\n<h3 id=\"__sec1title\">Background</h3>\r\n<p id=\"__p1\" class=\"p p-first-last\">Increasing evidence has supported the use of dextrose prolotherapy for patients with osteoarthritis. However, the real benefits may be affected by differences in injection protocols, comparative regimens, and evaluation scales.</p>\r\n\r\n</div>\r\n<div id=\"__sec2\" class=\"sec\">\r\n<h3 id=\"__sec2title\">Methods</h3>\r\n<p id=\"__p2\" class=\"p p-first-last\">PubMed and Scopus were searched from the earliest record until February 2016. One single-arm study and five randomized controlled trials were included, comprising 326 participants. We estimated the effect sizes of pain reduction before and after serial dextrose injections and compared the values between dextrose prolotherapy, comparative regimens, and exercise 6 months after the initial injection.</p>\r\n\r\n</div>\r\n<div id=\"__sec3\" class=\"sec\">\r\n<h3 id=\"__sec3title\">Results</h3>\r\n<p id=\"__p3\" class=\"p p-first-last\">Regarding the treatment arm using dextrose prolotherapy, the effect sizes compared with baseline were 0.65 (95% confidence interval [CI], 0.14–1.17), 0.84 (95% CI, 0.40–1.27), 0.85 (95% CI, 0.60–1.10), and 0.87 (95% CI, 0.53–1.21) after the first, second, third, and fourth or more injections, respectively. The overall effect of dextrose was better than control injections (effect size, 0.36; 95% CI, 0.10–0.63). Dextrose prolotherapy had a superior effect compared with local anesthesia (effect size, 0.38; 95% CI, 0.07–0.70) and exercise (effect size, 0.71; 95% CI, 0.30–1.11). There was an insignificant advantage of dextrose over corticosteroids (effect size, 0.31; 95% CI, –0.18 to 0.80) which was only estimated from one study.</p>\r\n\r\n</div>\r\n<div id=\"__sec4\" class=\"sec sec-last\">\r\n<h3 id=\"__sec4title\">Conclusion</h3>\r\n<p id=\"__p4\" class=\"p p-first-last\">Dextrose injections decreased pain in osteoarthritis patients but did not exhibit a positive dose–response relationship following serial injections. Dextrose prolotherapy was found to provide a better therapeutic effect than exercise, local anesthetics, and probably corticosteroids when patients were retested 6 months following the initial injection.</p>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"sec\"></div>\r\n</div>\r\n&nbsp;\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>\r\n<div class=\"fullwidth color_bar row-full \">\r\n<div class=\"container\">\r\n<div class=\"row-fluid\">\r\n<div class=\"large_thumb\"></div>\r\n<div class=\"large_thumb\"></div>\r\n<div class=\"large_thumb\"></div>\r\n</div>\r\n</div>\r\n</div>','Arthritis Pain: How Effective Is Prolotherapy vs Exercise Or Cortisone?','','inherit','closed','closed','','2014-revision-v1','','','2020-09-12 21:56:32','2020-09-12 21:56:32','',2014,'https://www.drfields.com/uncategorized/2014-revision-v1/',0,'revision','',0),(4139,9,'2020-09-12 21:57:06','2020-09-12 21:57:06','Prolotherapy Is More Effective Than Other Treatments','Prolotherapy Is More Effective Than Other Treatments','Prolotherapy Is More Effective Than Other Treatments','inherit','open','closed','','arthritis-symptoms','','','2020-09-12 21:57:50','2020-09-12 21:57:50','',2014,'https://www.drfields.com/wp-content/uploads/2019/06/arthritis-symptoms.jpg',0,'attachment','image/jpeg',0),(4140,9,'2020-09-12 22:05:35','2020-09-12 22:05:35','[caption id=\"attachment_4139\" align=\"alignleft\" width=\"737\"]<img class=\" wp-image-4139\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/arthritis-symptoms-500x500.jpg\" alt=\"Arthritis Pain\" width=\"737\" height=\"737\" /> <strong>                                 <em> Prolotherapy Is More Effective Than Other Treatments</em></strong>[/caption]\r\n<h1>How Effective Is Prolotherapy versus Exercise Or Cortisone for Arthritis Pain?</h1>\r\n<em>Researchers in the Journal of Pain Research compared dextrose Prolotherapy to different arthritis pain treatments such as exercise, local anesthesia injections, and even cortisone injections. </em>\r\n\r\n<em>What did they conclude? </em>\r\n\r\n<em>Dextrose prolotherapy provided a better effect than exercise, local anesthetics, and probably corticosteroids at their 6 months follow-up.</em>\r\n\r\n<a href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5079700/\">Read the full article by clicking here.</a>\r\n\r\nAnd take a look at the abstract below.\r\n<h3></h3>\r\n<h3></h3>\r\n<h2 class=\"content-title\">Comparative effectiveness of dextrose prolotherapy versus control injections and exercise in the management of osteoarthritis pain: a systematic review and meta-analysis</h2>\r\n<div class=\"half_rhythm\">\r\n<div class=\"contrib-group fm-author\"><a class=\"affpopup\" href=\"https://www.ncbi.nlm.nih.gov/pubmed/?term=Hung%20CY%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=27799816\">Chen-Yu Hung</a>,<sup>1</sup> <a class=\"affpopup\" href=\"https://www.ncbi.nlm.nih.gov/pubmed/?term=Hsiao%20MY%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=27799816\">Ming-Yen Hsiao</a>,<sup>2,</sup><sup>3</sup> <a class=\"affpopup\" href=\"https://www.ncbi.nlm.nih.gov/pubmed/?term=Chang%20KV%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=27799816\">Ke-Vin Chang</a>,<sup>1,</sup><sup>2</sup> <a class=\"affpopup\" href=\"https://www.ncbi.nlm.nih.gov/pubmed/?term=Han%20DS%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=27799816\">Der-Sheng Han</a>,<sup>1,</sup><sup>2</sup> and <a class=\"affpopup\" href=\"https://www.ncbi.nlm.nih.gov/pubmed/?term=Wang%20TG%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=27799816\">Tyng-Guey Wang</a><sup>2,</sup><sup>3</sup></div>\r\n<div class=\"fm-panel half_rhythm\">\r\n<div class=\"togglers\"><a class=\"pmctoggle\" href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5079700/#\">Author information</a> <a class=\"pmctoggle\" href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5079700/#\">Copyright and License information</a> <a href=\"https://www.ncbi.nlm.nih.gov/pmc/about/disclaimer/\">Disclaimer</a></div>\r\n<div id=\"pmclinksbox\" class=\"links-box whole_rhythm\">\r\n<div class=\"fm-panel\">\r\n<h2 id=\"idm140468391900000title\" class=\"head no_bottom_margin ui-helper-clearfix\">Abstract</h2>\r\n<div>\r\n<div id=\"__sec1\" class=\"sec sec-first\">\r\n<h3 id=\"__sec1title\">Background</h3>\r\n<p id=\"__p1\" class=\"p p-first-last\">Increasing evidence has supported the use of dextrose prolotherapy for patients with osteoarthritis. However, the real benefits may be affected by differences in injection protocols, comparative regimens, and evaluation scales.</p>\r\n\r\n</div>\r\n<div id=\"__sec2\" class=\"sec\">\r\n<h3 id=\"__sec2title\">Methods</h3>\r\n<p id=\"__p2\" class=\"p p-first-last\">PubMed and Scopus were searched from the earliest record until February 2016. One single-arm study and five randomized controlled trials were included, comprising 326 participants. We estimated the effect sizes of pain reduction before and after serial dextrose injections and compared the values between dextrose prolotherapy, comparative regimens, and exercise 6 months after the initial injection.</p>\r\n\r\n</div>\r\n<div id=\"__sec3\" class=\"sec\">\r\n<h3 id=\"__sec3title\">Results</h3>\r\n<p id=\"__p3\" class=\"p p-first-last\">Regarding the treatment arm using dextrose prolotherapy, the effect sizes compared with baseline were 0.65 (95% confidence interval [CI], 0.14–1.17), 0.84 (95% CI, 0.40–1.27), 0.85 (95% CI, 0.60–1.10), and 0.87 (95% CI, 0.53–1.21) after the first, second, third, and fourth or more injections, respectively. The overall effect of dextrose was better than control injections (effect size, 0.36; 95% CI, 0.10–0.63).</p>\r\n<p class=\"p p-first-last\">Dextrose prolotherapy had a superior effect compared with local anesthesia (effect size, 0.38; 95% CI, 0.07–0.70) and exercise (effect size, 0.71; 95% CI, 0.30–1.11). There was an insignificant advantage of dextrose over corticosteroids (effect size, 0.31; 95% CI, –0.18 to 0.80) which was only estimated from one study.</p>\r\n\r\n</div>\r\n<div id=\"__sec4\" class=\"sec sec-last\">\r\n<h3 id=\"__sec4title\">Conclusion</h3>\r\n<p id=\"__p4\" class=\"p p-first-last\">Dextrose injections decreased pain in osteoarthritis patients but did not exhibit a positive dose–response relationship following serial injections. Dextrose prolotherapy was found to provide a better therapeutic effect than exercise, local anesthetics, and probably corticosteroids when patients were retested 6 months following the initial injection.</p>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\n<h3 class=\"sec\">Reference:</h3>\r\n</div>\r\nHung, Chen-Yu, et al. \"Comparative effectiveness of dextrose prolotherapy versus control injections and exercise in the management of osteoarthritis pain: a systematic review and meta-analysis.\" <i>Journal of pain research</i> 9 (2016): 847.\r\n\r\n<a href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5079700/\">Read the full article by clicking here.</a>\r\n\r\nTake a look at more articles on Regenerative Orthopedic treatments for arthritis:\r\n<h3><a title=\"How Arthritis Affects Older Athletes\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/how-arthritis-affects-older-athletes/\">How Arthritis Affects Older Athletes</a></h3>\r\n<h3><a title=\"Get Rid of Knee Arthritis Symptoms by Treating the Source of the Pain\" href=\"https://www.drfields.com/get-rid-of-knee-arthritis-symptoms-by-treating-the-source-of-the-pain/\">Get Rid of Knee Arthritis Symptoms by Treating the Source of the Pain</a></h3>\r\nhttps://www.drfields.com/articles/magazine-column/townsend-letter-arthritis/\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>\r\n<div class=\"fullwidth color_bar row-full \">\r\n<div class=\"container\">\r\n<div class=\"row-fluid\">\r\n<div class=\"large_thumb\"></div>\r\n<div class=\"large_thumb\"></div>\r\n<div class=\"large_thumb\"></div>\r\n</div>\r\n</div>\r\n</div>','Arthritis Pain: How Effective Is Prolotherapy vs Exercise Or Cortisone?','','inherit','closed','closed','','2014-revision-v1','','','2020-09-12 22:05:35','2020-09-12 22:05:35','',2014,'https://www.drfields.com/uncategorized/2014-revision-v1/',0,'revision','',0),(4141,9,'2020-09-12 22:06:14','2020-09-12 22:06:14','[caption id=\"attachment_4139\" align=\"alignleft\" width=\"737\"]<img class=\" wp-image-4139\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/arthritis-symptoms-500x500.jpg\" alt=\"Arthritis Pain\" width=\"737\" height=\"737\" /> <strong>                                 <em> Prolotherapy Is More Effective Than Other Treatments</em></strong>[/caption]\r\n<h1>How Effective Is Prolotherapy versus Exercise Or Cortisone for Arthritis Pain?</h1>\r\n<em>Researchers in the Journal of Pain Research compared dextrose Prolotherapy to different arthritis pain treatments such as exercise, local anesthesia injections, and even cortisone injections. </em>\r\n\r\n<em>What did they conclude? </em>\r\n\r\n<em>Dextrose prolotherapy provided a better effect than exercise, local anesthetics, and probably corticosteroids at their 6 months follow-up.</em>\r\n\r\n<a href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5079700/\">Read the full article by clicking here.</a>\r\n\r\nAnd take a look at the abstract below.\r\n<h3></h3>\r\n<h3></h3>\r\n<h2 class=\"content-title\">Comparative effectiveness of dextrose prolotherapy versus control injections and exercise in the management of osteoarthritis pain: a systematic review and meta-analysis</h2>\r\n<div class=\"half_rhythm\">\r\n<div class=\"contrib-group fm-author\"><a class=\"affpopup\" href=\"https://www.ncbi.nlm.nih.gov/pubmed/?term=Hung%20CY%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=27799816\">Chen-Yu Hung</a>,<sup>1</sup> <a class=\"affpopup\" href=\"https://www.ncbi.nlm.nih.gov/pubmed/?term=Hsiao%20MY%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=27799816\">Ming-Yen Hsiao</a>,<sup>2,</sup><sup>3</sup> <a class=\"affpopup\" href=\"https://www.ncbi.nlm.nih.gov/pubmed/?term=Chang%20KV%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=27799816\">Ke-Vin Chang</a>,<sup>1,</sup><sup>2</sup> <a class=\"affpopup\" href=\"https://www.ncbi.nlm.nih.gov/pubmed/?term=Han%20DS%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=27799816\">Der-Sheng Han</a>,<sup>1,</sup><sup>2</sup> and <a class=\"affpopup\" href=\"https://www.ncbi.nlm.nih.gov/pubmed/?term=Wang%20TG%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=27799816\">Tyng-Guey Wang</a><sup>2,</sup><sup>3</sup></div>\r\n<div class=\"fm-panel half_rhythm\">\r\n<div class=\"togglers\"><a class=\"pmctoggle\" href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5079700/#\">Author information</a> <a class=\"pmctoggle\" href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5079700/#\">Copyright and License information</a> <a href=\"https://www.ncbi.nlm.nih.gov/pmc/about/disclaimer/\">Disclaimer</a></div>\r\n<div id=\"pmclinksbox\" class=\"links-box whole_rhythm\">\r\n<div class=\"fm-panel\">\r\n<h2 id=\"idm140468391900000title\" class=\"head no_bottom_margin ui-helper-clearfix\">Abstract</h2>\r\n<div>\r\n<div id=\"__sec1\" class=\"sec sec-first\">\r\n<h3 id=\"__sec1title\">Background</h3>\r\n<p id=\"__p1\" class=\"p p-first-last\">Increasing evidence has supported the use of dextrose prolotherapy for patients with osteoarthritis. However, the real benefits may be affected by differences in injection protocols, comparative regimens, and evaluation scales.</p>\r\n\r\n</div>\r\n<div id=\"__sec2\" class=\"sec\">\r\n<h3 id=\"__sec2title\">Methods</h3>\r\n<p id=\"__p2\" class=\"p p-first-last\">PubMed and Scopus were searched from the earliest record until February 2016. One single-arm study and five randomized controlled trials were included, comprising 326 participants. We estimated the effect sizes of pain reduction before and after serial dextrose injections and compared the values between dextrose prolotherapy, comparative regimens, and exercise 6 months after the initial injection.</p>\r\n\r\n</div>\r\n<div id=\"__sec3\" class=\"sec\">\r\n<h3 id=\"__sec3title\">Results</h3>\r\n<p id=\"__p3\" class=\"p p-first-last\">Regarding the treatment arm using dextrose prolotherapy, the effect sizes compared with baseline were 0.65 (95% confidence interval [CI], 0.14–1.17), 0.84 (95% CI, 0.40–1.27), 0.85 (95% CI, 0.60–1.10), and 0.87 (95% CI, 0.53–1.21) after the first, second, third, and fourth or more injections, respectively. The overall effect of dextrose was better than control injections (effect size, 0.36; 95% CI, 0.10–0.63).</p>\r\n<p class=\"p p-first-last\">Dextrose prolotherapy had a superior effect compared with local anesthesia (effect size, 0.38; 95% CI, 0.07–0.70) and exercise (effect size, 0.71; 95% CI, 0.30–1.11). There was an insignificant advantage of dextrose over corticosteroids (effect size, 0.31; 95% CI, –0.18 to 0.80) which was only estimated from one study.</p>\r\n\r\n</div>\r\n<div id=\"__sec4\" class=\"sec sec-last\">\r\n<h3 id=\"__sec4title\">Conclusion</h3>\r\n<p id=\"__p4\" class=\"p p-first-last\">Dextrose injections decreased pain in osteoarthritis patients but did not exhibit a positive dose–response relationship following serial injections. Dextrose prolotherapy was found to provide a better therapeutic effect than exercise, local anesthetics, and probably corticosteroids when patients were retested 6 months following the initial injection.</p>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\n<h3 class=\"sec\">Reference:</h3>\r\n</div>\r\nHung, Chen-Yu, et al. \"Comparative effectiveness of dextrose prolotherapy versus control injections and exercise in the management of osteoarthritis pain: a systematic review and meta-analysis.\" <i>Journal of pain research</i> 9 (2016): 847.\r\n\r\n<a href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5079700/\">Read the full article by clicking here.</a>\r\n<h3>Take a look at more articles on Regenerative Orthopedic treatments for arthritis:</h3>\r\n<h4><a title=\"How Arthritis Affects Older Athletes\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/how-arthritis-affects-older-athletes/\">How Arthritis Affects Older Athletes</a></h4>\r\n<h4><a title=\"Get Rid of Knee Arthritis Symptoms by Treating the Source of the Pain\" href=\"https://www.drfields.com/get-rid-of-knee-arthritis-symptoms-by-treating-the-source-of-the-pain/\">Get Rid of Knee Arthritis Symptoms by Treating the Source of the Pain</a></h4>\r\nhttps://www.drfields.com/articles/magazine-column/townsend-letter-arthritis/\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>\r\n<div class=\"fullwidth color_bar row-full \">\r\n<div class=\"container\">\r\n<div class=\"row-fluid\">\r\n<div class=\"large_thumb\"></div>\r\n<div class=\"large_thumb\"></div>\r\n<div class=\"large_thumb\"></div>\r\n</div>\r\n</div>\r\n</div>','Arthritis Pain: How Effective Is Prolotherapy vs Exercise Or Cortisone?','','inherit','closed','closed','','2014-revision-v1','','','2020-09-12 22:06:14','2020-09-12 22:06:14','',2014,'https://www.drfields.com/uncategorized/2014-revision-v1/',0,'revision','',0),(4143,9,'2020-09-15 21:31:32','2020-09-15 21:31:32','<img class=\"wp-image-3766 size-full alignleft\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/photo-1559757175-5700dde675bc.jpg\" alt=\"Photo 1559757175 5700dde675bc\" width=\"400\" height=\"225\" />\r\n\r\n<strong>Exercise Strengthens the Brain</strong>\r\n\r\nWe all know that exercise is good for the body. But did you know that new scientific evidence also confirms that exercise strengthens the brain? It sure does! In fact, moderate exercise nourishes the brain, improves our ability to learn, boosts mental performance, remodels the brain, and helps prevent the brain from aging.\r\n\r\nScientists used to think the adult brain structure was fixed. They used to think that no new cells could be made or the brain altered in any way after adolescence. But exercise can change that! Physical activity can boost blood flow all through the body, even to the brain. And this boost of blood flow increases the ability of brain cells to connect with each other. Increased connectivity can occur by simply walking. And if you exercise more vigorously, like running, faster reaction times and improved learning will result. Physical activity has been linked to a lower risk of the development of cognitive decline, because it is, in essence, a fertilizer for the brain, nourishing it and improving attention, memory and information processing. Exercise can help reduce the risk of Parkinson\'s Disease.\r\n\r\n<strong>What Does the Literature Say About Exercise and Parkinson\'s Disease?</strong>\r\n\r\nA June 2020 article in <em>Frontiers in Aging Neuroscience</em> reports that \"Epidemiological studies of prospectively followed cohorts have shown a <strong>lower risk</strong> for later developing Parkinson\'s Disease in healthy people who report <strong>moderate to high levels of physical activity</strong>, and slower rates of motor and non-motor symptom progression in people with Parkinson\'s Disease who report higher baseline physical activity.\"1 As you can see, the literature shows a direct benefit of exercise on the brain. Dementia is the most feared aspect of Parkinson’s, but adults who engage in exercise during midlife, are able to significantly reduce the risks of dementia and cognitive impairment later in life.\r\n<div class=\"page\" title=\"Page 2\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\nThe <em>American College of Sports Medicine</em> recommends the following:<em> \"</em>Because Parkinson\'s Disease is a chronic and progressive disorder, an exercise program should be prescribed early when the individual is first diagnosed, should continue throughout life and should be reviewed and revised as the disease progresses. Exercise prescription should ultimately aim to slow the rate at which the signs of the disease progress, limit comorbidities, minimize complications associated with muscle disuse, and maintain the ability to live an independent life.\"<a href=\"https://www.revdesportiva.pt/files/para_publicar/Exercising_for_People_with_Parkinson_s_Disease_and.pdf\">2</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\nExercise reshapes the brain. When we don’t use our muscles, they atrophy. The brain is no different. Boost the health of brain cells, stimulate the growth of new blood vessels in the brain, and encourage new neuronal connections through exercise. Start your day with exercise! Exercise helps us to be fit in so many capacities. Exercising in the morning prepares you for the day by enhancing brain activity, improving information retention, and fine-tuning your ability to react to the situations and stressors that come your way. Exercise also helps our brains to be fit and reduces the risk of Parkinson\'s Disease.\r\n<ol>\r\n 	<li>Crotty, Grace F., and Michael A. Schwarzschild. \"Chasing Protection in Parkinson’s Disease: Does Exercise Reduce Risk and Progression?.\" <i>Frontiers in Aging Neuroscience</i> 12 (2020): 186.</li>\r\n 	<li>Corcos, Daniel M., and Elizabeth M. Skender. \"Exercising for People with Parkinson’s Disease and Their Support Group.\" <i>ACSM\'s Health &amp; Fitness Journal</i> 24.2 (2020): 5-7.</li>\r\n</ol>','Improve Brain Fitness and Parkinson\'s Risk with Exercise','','inherit','closed','closed','','1516-revision-v1','','','2020-09-15 21:31:32','2020-09-15 21:31:32','',1516,'https://www.drfields.com/uncategorized/1516-revision-v1/',0,'revision','',0),(4144,9,'2020-09-15 21:35:07','2020-09-15 21:35:07','<img class=\"wp-image-3766 size-full alignleft\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/photo-1559757175-5700dde675bc.jpg\" alt=\"Photo 1559757175 5700dde675bc\" width=\"400\" height=\"225\" />\r\n\r\n<strong>Exercise Strengthens the Brain</strong>\r\n\r\nWe all know that exercise is good for the body. But did you know that new scientific evidence also confirms that exercise strengthens the brain? It sure does! In fact, moderate exercise nourishes the brain, improves our ability to learn, boosts mental performance, remodels the brain, and helps prevent the brain from aging. Exercise helps us to enjoy both body and brain fitness\r\n\r\nScientists used to think the adult brain structure was fixed. They used to think that no new cells could be made or the brain altered in any way after adolescence. But exercise can change that! Physical activity can boost blood flow all through the body, even to the brain. And this boost of blood flow increases the ability of brain cells to connect with each other. Increased connectivity can occur by simply walking. And if you exercise more vigorously, like running, faster reaction times and improved learning will result. Physical activity has been linked to a lower risk of the development of cognitive decline, because it is, in essence, a fertilizer for the brain, nourishing it and improving attention, memory and information processing. Exercise can help reduce the risk of Parkinson\'s Disease.\r\n\r\n<strong>What Does the Literature Say About Exercise and Parkinson\'s Disease?</strong>\r\n\r\nA June 2020 article in <em>Frontiers in Aging Neuroscience</em> reports that \"Epidemiological studies of prospectively followed cohorts have shown a <strong>lower risk</strong> for later developing Parkinson\'s Disease in healthy people who report <strong>moderate to high levels of physical activity</strong>, and slower rates of motor and non-motor symptom progression in people with Parkinson\'s Disease who report higher baseline physical activity.\"1 As you can see, the literature shows a direct benefit of exercise on the brain. Dementia is the most feared aspect of Parkinson’s, but adults who engage in exercise during midlife, are able to significantly reduce the risks of dementia and cognitive impairment later in life.\r\n<div class=\"page\" title=\"Page 2\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\nThe <em>American College of Sports Medicine</em> recommends the following:<em> \"</em>Because Parkinson\'s Disease is a chronic and progressive disorder, an exercise program should be prescribed early when the individual is first diagnosed, should continue throughout life and should be reviewed and revised as the disease progresses. Exercise prescription should ultimately aim to slow the rate at which the signs of the disease progress, limit comorbidities, minimize complications associated with muscle disuse, and maintain the ability to live an independent life.\"<a href=\"https://www.revdesportiva.pt/files/para_publicar/Exercising_for_People_with_Parkinson_s_Disease_and.pdf\">2</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\nExercise reshapes the brain. When we don’t use our muscles, they atrophy. The brain is no different. Boost the health of brain cells, stimulate the growth of new blood vessels in the brain, and encourage new neuronal connections through exercise. Start your day with exercise! Exercise helps us to be fit in so many capacities. Exercising in the morning prepares you for the day by enhancing brain activity, improving information retention, and fine-tuning your ability to react to the situations and stressors that come your way. Exercise also helps our brains to be fit and reduces the risk of Parkinson\'s Disease.\r\n<ol>\r\n 	<li>Crotty, Grace F., and Michael A. Schwarzschild. \"Chasing Protection in Parkinson’s Disease: Does Exercise Reduce Risk and Progression?.\" <i>Frontiers in Aging Neuroscience</i> 12 (2020): 186.</li>\r\n 	<li>Corcos, Daniel M., and Elizabeth M. Skender. \"Exercising for People with Parkinson’s Disease and Their Support Group.\" <i>ACSM\'s Health &amp; Fitness Journal</i> 24.2 (2020): 5-7.</li>\r\n</ol>','Improve Brain Fitness and Parkinson\'s Risk with Exercise','','inherit','closed','closed','','1516-revision-v1','','','2020-09-15 21:35:07','2020-09-15 21:35:07','',1516,'https://www.drfields.com/uncategorized/1516-revision-v1/',0,'revision','',0),(4145,9,'2020-09-15 21:40:46','2020-09-15 21:40:46','[caption id=\"attachment_3766\" align=\"alignleft\" width=\"400\"]<img class=\"wp-image-3766 size-full\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/photo-1559757175-5700dde675bc.jpg\" alt=\"Brain Fitness\" width=\"400\" height=\"225\" /> <em>Maintain brain fitness with exercise</em>[/caption]\r\n<h3><strong>Exercise for Body and Brain Fitness</strong></h3>\r\nWe all know that exercise is good for the body. But did you know that new scientific evidence also confirms that exercise strengthens the brain? It sure does! In fact, moderate exercise nourishes the brain, improves our ability to learn, boosts mental performance, remodels the brain, and helps prevent the brain from aging. Exercise helps us to enjoy both body and brain fitness.\r\n\r\nScientists used to think the adult brain structure was fixed. And they thought that no new cells could be made or the brain altered in any way after adolescence.\r\n\r\n<strong>But exercise can change that!</strong> Physical activity can boost blood flow all through the body, even to the brain. And this boost of blood flow increases the ability of brain cells to connect with each other. Increased connectivity can occur by simply walking.\r\n\r\nAnd if you exercise more vigorously, like when running, faster reaction times and improved learning will result. Physical activity has been linked to a lower risk of the development of cognitive decline. That\'s because it is, in essence, a fertilizer for the brain. Exercise nourishes the brain, and improves attention, memory, and information processing. And exercise can even help reduce the risk of Parkinson\'s Disease.\r\n\r\n<strong>What Does the Literature Say About Exercise and Parkinson\'s Disease?</strong>\r\n\r\nA June 2020 article in <em>Frontiers in Aging Neuroscience</em> reports that \"Epidemiological studies of prospectively followed cohorts have shown a <strong>lower risk</strong> for later developing Parkinson\'s Disease in healthy people who report <strong>moderate to high levels of physical activity</strong>, and slower rates of motor and non-motor symptom progression in people with Parkinson\'s Disease who report higher baseline physical activity.\"1 As you can see, the literature shows a direct benefit of exercise on the brain. Dementia is the most feared aspect of Parkinson’s, but adults who engage in exercise during midlife, are able to significantly reduce the risks of dementia and cognitive impairment later in life.\r\n<div class=\"page\" title=\"Page 2\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\nThe <em>American College of Sports Medicine</em> recommends the following:<em> \"</em>Because Parkinson\'s Disease is a chronic and progressive disorder, an exercise program should be prescribed early when the individual is first diagnosed, should continue throughout life and should be reviewed and revised as the disease progresses. Exercise prescription should ultimately aim to slow the rate at which the signs of the disease progress, limit comorbidities, minimize complications associated with muscle disuse, and maintain the ability to live an independent life.\"<a href=\"https://www.revdesportiva.pt/files/para_publicar/Exercising_for_People_with_Parkinson_s_Disease_and.pdf\">2</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\nExercise reshapes the brain. When we don’t use our muscles, they atrophy. The brain is no different. Boost the health of brain cells, stimulate the growth of new blood vessels in the brain, and encourage new neuronal connections through exercise. Start your day with exercise! Exercise helps us to be fit in so many capacities. Exercising in the morning prepares you for the day by enhancing brain activity, improving information retention, and fine-tuning your ability to react to the situations and stressors that come your way. Exercise also helps our brains to be fit and reduces the risk of Parkinson\'s Disease.\r\n<ol>\r\n 	<li>Crotty, Grace F., and Michael A. Schwarzschild. \"Chasing Protection in Parkinson’s Disease: Does Exercise Reduce Risk and Progression?.\" <i>Frontiers in Aging Neuroscience</i> 12 (2020): 186.</li>\r\n 	<li>Corcos, Daniel M., and Elizabeth M. Skender. \"Exercising for People with Parkinson’s Disease and Their Support Group.\" <i>ACSM\'s Health &amp; Fitness Journal</i> 24.2 (2020): 5-7.</li>\r\n</ol>','Improve Brain Fitness and Reduce Parkinson\'s Risk with Exercise','','inherit','closed','closed','','1516-revision-v1','','','2020-09-15 21:40:46','2020-09-15 21:40:46','',1516,'https://www.drfields.com/uncategorized/1516-revision-v1/',0,'revision','',0),(4146,9,'2020-09-15 21:48:52','2020-09-15 21:48:52','<h3><strong>Exercise for Body and Brain Fitness</strong></h3>\r\nWe all know that exercise is good for the body. But did you know that new scientific evidence also confirms that exercise strengthens the brain? It sure does! In fact, moderate exercise nourishes the brain, improves our ability to learn, boosts mental performance, remodels the brain, and helps prevent the brain from aging. Exercise helps us to enjoy both body and brain fitness.\r\n\r\nScientists used to think the adult brain structure was fixed. And they thought that no new cells could be made or the brain altered in any way after adolescence.\r\n\r\n<strong>But exercise can change that!</strong> Physical activity can boost blood flow all through the body, even to the brain. And this boost of blood flow increases the ability of brain cells to connect with each other. Increased connectivity can occur by simply walking.\r\n\r\nAnd if you exercise more vigorously, like when running, faster reaction times and improved learning will result. Physical activity has been linked to a lower risk of the development of cognitive decline. That\'s because it is, in essence, a fertilizer for the brain. Exercise nourishes the brain, and improves attention, memory, and information processing. And exercise can even help reduce the risk of Parkinson\'s Disease.\r\n<h3><strong>What Does the Literature Say About Exercise and Parkinson\'s Disease?</strong></h3>\r\nA June 2020 article in <em>Frontiers in Aging Neuroscience</em> reports that \"Epidemiological studies of prospectively followed cohorts have shown a <strong>lower risk</strong> for later developing Parkinson\'s Disease in healthy people who report <strong>moderate to high levels of physical activity</strong>, and slower rates of motor and non-motor symptom progression in people with Parkinson\'s Disease who report higher baseline physical activity.\"1\r\n\r\n<strong>As you can see, the literature shows a direct benefit of exercise on the brain.</strong> Dementia is the most feared aspect of Parkinson’s Disease. But adults who engage in exercise during midlife, are able to significantly reduce the risks of dementia and cognitive impairment later in life.\r\n<div class=\"page\" title=\"Page 2\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\nThe <em>American College of Sports Medicine</em> recommends the following:<em> \"</em>Because Parkinson\'s Disease is a chronic and progressive disorder, an exercise program should be prescribed early when the individual is first diagnosed, should continue throughout life and should be reviewed and revised as the disease progresses. Exercise prescription should ultimately aim to slow the rate at which the signs of the disease progress, limit comorbidities, minimize complications associated with muscle disuse, and maintain the ability to live an independent life.\"<a href=\"https://www.revdesportiva.pt/files/para_publicar/Exercising_for_People_with_Parkinson_s_Disease_and.pdf\">2</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<h4><em>Exercise reshapes the brain. </em></h4>\r\nWhen we don’t use our muscles, they atrophy. And the brain is no different. Boost the health of brain cells, stimulate the growth of new blood vessels in the brain, and encourage new neuronal connections through exercise.\r\n\r\nStart your day with exercise! Because exercise helps us to be fit in so many capacities. Are you a morning exerciser? If so, that\'s really great. Because exercising in the morning prepares you for the day by enhancing brain activity. And it also improves information retention, and fine-tunes your ability to react to the situations and stressors that come your way through the day. Exercise is so beneficial. It helps our body to be fit. But it also boosts brain fitness and reduces the risk of Parkinson\'s Disease.\r\n<ol>\r\n 	<li>Crotty, Grace F., and Michael A. Schwarzschild. \"Chasing Protection in Parkinson’s Disease: Does Exercise Reduce Risk and Progression?.\" <i>Frontiers in Aging Neuroscience</i> 12 (2020): 186.</li>\r\n 	<li>Corcos, Daniel M., and Elizabeth M. Skender. \"Exercising for People with Parkinson’s Disease and Their Support Group.\" <i>ACSM\'s Health &amp; Fitness Journal</i> 24.2 (2020): 5-7.</li>\r\n</ol>','Improve Brain Fitness and Reduce Parkinson\'s Risk with Exercise','','inherit','closed','closed','','1516-revision-v1','','','2020-09-15 21:48:52','2020-09-15 21:48:52','',1516,'https://www.drfields.com/uncategorized/1516-revision-v1/',0,'revision','',0),(4147,9,'2020-09-15 21:54:20','2020-09-15 21:54:20','Exercise boosts brain fitness','Exercise boosts brain fitness','Exercise boosts brain fitness','inherit','open','closed','','screen-shot-2020-09-15-at-4-52-16-pm','','','2020-09-15 21:54:57','2020-09-15 21:54:57','',1516,'https://www.drfields.com/wp-content/uploads/2019/06/Screen-Shot-2020-09-15-at-4.52.16-PM.png',0,'attachment','image/png',0),(4148,9,'2020-09-15 21:58:29','2020-09-15 21:58:29','[caption id=\"attachment_4147\" align=\"alignleft\" width=\"500\"]<img class=\"size-medium wp-image-4147\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Screen-Shot-2020-09-15-at-4.52.16-PM-500x260.png\" alt=\"Brain fitness\" width=\"500\" height=\"260\" /> <em>                                      Exercise boosts brain fitness</em>[/caption]\r\n<h3><strong>Exercise for Body and Brain Fitness</strong></h3>\r\nWe all know that exercise is good for the body. But did you know that new scientific evidence also confirms that exercise strengthens the brain? It sure does! In fact, moderate exercise nourishes the brain, improves our ability to learn, boosts mental performance, remodels the brain, and helps prevent the brain from aging. Exercise helps us to enjoy both body and brain fitness.\r\n\r\nScientists used to think the adult brain structure was fixed. They thought that no new cells could be made. And they thought the brain could not be altered in any way after adolescence.\r\n\r\n<strong>But exercise can change that!</strong> Physical activity can boost blood flow all through the body, even to the brain. And this boost of blood flow increases the ability of brain cells to connect with each other. Increased connectivity can occur by simply walking.\r\n\r\nAnd if you exercise more vigorously, like when running, faster reaction times and improved learning will result. Physical activity has been linked to a lower risk of the development of cognitive decline. That\'s because it is, in essence, a fertilizer for the brain. Exercise nourishes the brain, and improves attention, memory, and information processing. And exercise can even help reduce the risk of Parkinson\'s Disease.\r\n<h3><strong>What Does the Literature Say About Exercise and Parkinson\'s Disease?</strong></h3>\r\nA June 2020 article in <em>Frontiers in Aging Neuroscience</em> reports that \"Epidemiological studies of prospectively followed cohorts have shown a <strong>lower risk</strong> for later developing Parkinson\'s Disease in healthy people who report <strong>moderate to high levels of physical activity</strong>, and slower rates of motor and non-motor symptom progression in people with Parkinson\'s Disease who report higher baseline physical activity.\"1\r\n\r\n<strong>As you can see, the literature shows a direct benefit of exercise on the brain.</strong> Dementia is the most feared aspect of Parkinson’s Disease. But adults who engage in exercise during midlife, are able to significantly reduce the risks of dementia and cognitive impairment later in life.\r\n<div class=\"page\" title=\"Page 2\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\nThe <em>American College of Sports Medicine</em> recommends the following:<em> \"</em>Because Parkinson\'s Disease is a chronic and progressive disorder, an exercise program should be prescribed early when the individual is first diagnosed, should continue throughout life and should be reviewed and revised as the disease progresses. Exercise prescription should ultimately aim to slow the rate at which the signs of the disease progress, limit comorbidities, minimize complications associated with muscle disuse, and maintain the ability to live an independent life.\"<a href=\"https://www.revdesportiva.pt/files/para_publicar/Exercising_for_People_with_Parkinson_s_Disease_and.pdf\">2</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<h4><em>Exercise reshapes the brain. </em></h4>\r\nWhen we don’t use our muscles, they atrophy. And the brain is no different. Boost the health of brain cells, stimulate the growth of new blood vessels in the brain, and encourage new neuronal connections through exercise.\r\n\r\nStart your day with exercise! Because exercise helps us to be fit in so many capacities. Are you a morning exerciser? If so, that\'s really great. Because exercising in the morning prepares you for the day by enhancing brain activity. And it also improves information retention, and fine-tunes your ability to react to the situations and stressors that come your way through the day. Exercise is so beneficial. True, it helps our body to be fit. But it also boosts brain fitness and reduces the risk of Parkinson\'s Disease.\r\n<ol>\r\n 	<li>Crotty, Grace F., and Michael A. Schwarzschild. \"Chasing Protection in Parkinson’s Disease: Does Exercise Reduce Risk and Progression?.\" <i>Frontiers in Aging Neuroscience</i> 12 (2020): 186.</li>\r\n 	<li>Corcos, Daniel M., and Elizabeth M. Skender. \"Exercising for People with Parkinson’s Disease and Their Support Group.\" <i>ACSM\'s Health &amp; Fitness Journal</i> 24.2 (2020): 5-7.</li>\r\n</ol>','Improve Brain Fitness and Reduce Parkinson\'s Risk with Exercise','','inherit','closed','closed','','1516-revision-v1','','','2020-09-15 21:58:29','2020-09-15 21:58:29','',1516,'https://www.drfields.com/uncategorized/1516-revision-v1/',0,'revision','',0),(4152,8,'2020-09-23 22:06:10','2020-09-23 22:06:10','','iwp_log_5f6bc6d2257c8','','publish','closed','closed','','iwp_log_5f6bc6d2257c8','','','2020-09-23 22:06:10','2020-09-23 22:06:10','',0,'https://www.drfields.com/uncategorized/iwp_log_5f6bc6d2257c8/',0,'iwp_log','',0),(4153,8,'2020-09-24 12:21:49','2020-09-24 12:21:49','<h4>The Athletic Doc<sup>®</sup></h4>\r\n[caption id=\"attachment_374\" align=\"alignleft\" width=\"250\"]<img class=\"size-full wp-image-374\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/dr-fields-pete-jacobs-small.jpg\" alt=\"Dr Fields Pete Jacobs Small\" width=\"250\" height=\"185\" /> <strong> Pete Jacobs 2012 Ironman<br />World Champion<br />&amp; Dr. Peter A Fields</strong>[/caption]\r\n\r\nDr. Peter A. Fields is also known as <strong> The Athletic Doc<sup>®</sup>.</strong>\r\nHe not only treats athletes in his practice but is an athlete himself.\r\n<h5>How Doctor Fields Became <strong class=\"subhead\">The Athletic Doc<sup>®</sup></strong></h5>\r\nFor over twenty years, Dr. Fields has been active in the sport of Triathlon which has lead to he became known as <strong>The Athletic Doc<sup>®</sup></strong>. In November 2019, he completed his ninth Ironman Triathlon. An Ironman Triathlon is a 2.4-mile swim, a 112-mile bike, and a 26.2-mile run. Dr. Fields has competed in over 60 other Triathlons in his career, including eight half (70.3) Ironman competitions as well as numerous Olympic distance ones. He says that even with all the years of training and racing, he still enjoys the challenges of it all.\r\n\r\nWith a busy practice, Dr. Fields still makes time to work out. During the triathlon season, he can be found swimming, biking or running six to seven days a week in addition to a regime of active stretching twice a day. On most weekends, Dr. Fields can be found on long training rides. Besides being outdoors and keeping himself very physically active, Dr. Fields also enjoys the camaraderie of his training partners. In addition to the sport of Triathlon, Dr. Fields is a competitive tennis player and participates in several other athletic activities including skiing, lifting weights, scuba diving, and hiking to name just a few.\r\n<h5><strong class=\"subhead\">The Athletic Doc<sup>®</sup></strong> Keeps Active and Fit to Maintain Optimal Health</h5>\r\nDr. Fields finds that keeping fit and active is not only important in keeping him in top physical shape but also in staying in touch with those patients that are, or want to be, active. To keep his body at maximum efficiency and maintain optimal health, Dr. Fields eats a very healthy diet which includes lots of organic fruits and vegetables and other whole food products. He avoids processed foods, fried foods, and white flour or white sugar products. <em>The Athletic Doc<sup>®</sup></em> also utilizes a daily vitamin and supplement regime as well as massage therapy, chiropractic and of course, <strong>Prolotherapy</strong> for those injuries that just won\'t heal. Plus he makes sure to get plenty of sleep, drink lots of water and have some quiet time in his life.\r\n\r\nDr. Fields is a nationally known <a href=\"#\">Prolotherapy</a> Doctor. For more severe injuries, Dr. Fields recommends <a href=\"#\">PRP Prolotherapy</a>, which uses a patient\'s own cells to stimulate healing. And for his patients who have arthritic joints, torn or missing cartilage, or bone-on-bone conditions, Dr. Fields is a nationally known <a href=\"#\">Stem Cell Prolotherapy</a> doctor who regularly helps his patients avoid joint replacement surgery.\r\n<h5>About <strong>The Athletic Doc<sup>®</sup></strong></h5>\r\nDr. Fields is the Director of OrthoRegen<sup>®</sup> in Santa Monica, Ca. one of the largest practices in the world dedicated to Regenerative Orthopedics. Dr. Fields treats patients from around the United States and the World: from professional athletes to weekend warriors and even non-athletes. He helps people avoid orthopedic surgeries whether full surgery or arthroscopic. Dr. Fields is a leading expert in Prolotherapy treatments to help people reduce pain and prevent joint replacement.\r\n\r\n<strong><em>The Athletic Doc<sup>®</sup> motto is \"not only train hard but smart – as if your body depended on it\"</em></strong>\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n<div class=\"fullwidth color_bar\">\r\n<div id=\"aboutdocgallery\" class=\"col-md-12\">\r\n<h4>Ironman Photos &amp; Stories</h4>\r\n<ul>\r\n 	<li><a href=\"https://www.drfields.com/about/the-athletic-doc/race-report-9th-ironman/\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Ironman-Santa-Rosa-Finishline-3.jpg\" />2017 Ironman Santa Rose</a></li>\r\n 	<li><a href=\"https://www.drfields.com/about/the-athletic-doc/race-report-8th-ironman/\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Cozumel-2016-Finish-160.jpg\" />2016 Ironman Cozumel</a></li>\r\n 	<li><a href=\"https://www.drfields.com/about/the-athletic-doc/race-report-7th-ironman/\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Switzerland-Finish-Line-2016-275.jpg\" />2016 Ironman Switzerland</a></li>\r\n 	<li><a href=\"https://www.drfields.com/about/the-athletic-doc/race-report-6th-ironman/\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Cozumel-Finish-2015-275.jpg\" />2015 Ironman Cozumel</a></li>\r\n 	<li><a href=\"https://www.drfields.com/about/the-athletic-doc/race-report-5th-ironman/\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman-brazil-finish.jpg\" />2015 Ironman Brazil</a></li>\r\n 	<li><a href=\"https://www.drfields.com/about/the-athletic-doc/race-report-4th-ironman/\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/ironman2014-large.jpg\" />2014 Ironman Austria</a></li>\r\n 	<li><a href=\"https://www.drfields.com/about/the-athletic-doc/race-report-3rd-ironman/\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2011-finish2.jpg\" />2013 Ironman Canada</a></li>\r\n 	<li><a href=\"https://www.drfields.com/about/the-athletic-doc/race-report-2nd-ironman/\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/cozumel-2012-finish2.jpg\" />2012 Ironman Cozumel</a></li>\r\n</ul>\r\n</div>\r\n</div>','About The Athletic Doc','','inherit','closed','closed','','373-revision-v1','','','2020-09-24 12:21:49','2020-09-24 12:21:49','',373,'https://www.drfields.com/uncategorized/373-revision-v1/',0,'revision','',0),(4154,8,'2020-09-24 12:22:42','2020-09-24 12:22:42','','iwp_log_5f6c8f92e6794','','publish','closed','closed','','iwp_log_5f6c8f92e6794','','','2020-09-24 12:22:42','2020-09-24 12:22:42','',0,'https://www.drfields.com/uncategorized/iwp_log_5f6c8f92e6794/',0,'iwp_log','',0),(4155,8,'2020-09-24 12:22:56','2020-09-24 12:22:56','','iwp_log_5f6c8fa03e93b','','publish','closed','closed','','iwp_log_5f6c8fa03e93b','','','2020-09-24 12:22:56','2020-09-24 12:22:56','',0,'https://www.drfields.com/uncategorized/iwp_log_5f6c8fa03e93b/',0,'iwp_log','',0),(4156,8,'2020-09-24 12:23:16','2020-09-24 12:23:16','','iwp_log_5f6c8fb448415','','publish','closed','closed','','iwp_log_5f6c8fb448415','','','2020-09-24 12:23:16','2020-09-24 12:23:16','',0,'https://www.drfields.com/uncategorized/iwp_log_5f6c8fb448415/',0,'iwp_log','',0),(4157,8,'2020-09-24 12:24:09','2020-09-24 12:24:09','','iwp_log_5f6c8fe969d4d','','publish','closed','closed','','iwp_log_5f6c8fe969d4d','','','2020-09-24 12:24:09','2020-09-24 12:24:09','',0,'https://www.drfields.com/iwp_log/iwp_log_5f6c8fe969d4d/',0,'iwp_log','',0),(4158,8,'2020-09-24 12:24:27','2020-09-24 12:24:27','','iwp_log_5f6c8ffb6da1c','','publish','closed','closed','','iwp_log_5f6c8ffb6da1c','','','2020-09-24 12:24:27','2020-09-24 12:24:27','',0,'https://www.drfields.com/iwp_log/iwp_log_5f6c8ffb6da1c/',0,'iwp_log','',0),(4159,8,'2020-09-24 12:25:02','2020-09-24 12:25:02','','iwp_log_5f6c901e30ed4','','publish','closed','closed','','iwp_log_5f6c901e30ed4','','','2020-09-24 12:25:02','2020-09-24 12:25:02','',0,'https://www.drfields.com/iwp_log/iwp_log_5f6c901e30ed4/',0,'iwp_log','',0),(4160,8,'2020-09-24 12:25:15','2020-09-24 12:25:15','','iwp_log_5f6c902b38056','','publish','closed','closed','','iwp_log_5f6c902b38056','','','2020-09-24 12:25:15','2020-09-24 12:25:15','',0,'https://www.drfields.com/iwp_log/iwp_log_5f6c902b38056/',0,'iwp_log','',0),(4162,9,'2020-09-24 21:04:39','2020-09-24 21:04:39','<div id=\"dnn_ctr610_ModuleContent\" class=\"DNNModuleContent ModDNNHTMLC\">\n<div id=\"dnn_ctr610_HtmlModule_lblContent\" class=\"Normal\">\n\nMany Americans, including some vegetarians, still consume substantial amounts of dairy products—and government policies still promote them—despite scientific evidence that questions their health benefits and indicates their potential health risks.\n\n<strong>Osteoporosis</strong>\nMilk’s main selling point is calcium. And milk-drinking is touted for building strong bones in children and preventing osteoporosis in older persons. However, clinical research shows that dairy products have little or no benefit for bones. A 2005 review published in Pediatrics showed that milk consumption does not improve bone integrity in children.<sup>1</sup> Similarly, the Harvard Nurses’ Health Study,<sup>2</sup> which followed more than 72,000 women for 18 years, showed no protective effect of increased milk consumption on fracture risk. While calcium is important for bone health, studies show that increasing consumption beyond approximately 600 mg per day—amounts that are easily achieved without dairy products or calcium supplements—does not improve bone integrity.<sup>2</sup>\n\nIn studies of children and adults, exercise has been found to have a major effect on bone density.<sup>3-5</sup> You can decrease your risk of osteoporosis by reducing sodium and animal protein intake in the diet,<sup>6-9</sup> increasing intake of fruits and vegetables,<sup>9,10</sup> exercising,<sup>4,11</sup> and ensuring adequate calcium intake from plant foods such as kale, broccoli, and other leafy green vegetables and beans. You can also use calcium-fortified products such as breakfast cereals and juices, although these products provide more concentrated calcium than is necessary.\n\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\n\n<strong>Fat Content and Cardiovascular Disease</strong>\nDairy products—including cheese, ice cream, milk, butter, and yogurt—contribute significant amounts of cholesterol and saturated fat to the diet.<sup>12</sup> Diets high in fat and saturated fat can increase the risk of heart disease, among other serious health problems. A low-fat vegetarian diet that eliminates dairy products, in combination with exercise, smoking cessation, and stress management, can not only prevent heart disease, but may also reverse it.<sup>13,14</sup> Non-fat dairy products are available; however, they pose other health risks as noted below.\n\n<strong>Cancer</strong>\nProstate and breast cancers have been linked to consumption of dairy products, presumably related to increases in a compound called insulin-like growth factor (IGF-I).<sup>15</sup> IGF-I is found in cow’s milk and has been shown to occur in increased levels in the blood of individuals consuming dairy products on a regular basis.<sup>16</sup> Other nutrients that increase IGF-I are also found in cow’s milk.\n\nCase-control studies in diverse populations have shown a strong and consistent association between serum IGF-I concentrations and prostate cancer risk.<sup>17</sup> One study showed that men who had the highest levels of IGF-I had more than four times the risk of prostate cancer compared with those who had the lowest levels.<sup>18</sup> Other findings show that prostate cancer risk was elevated with increased consumption of low-fat milk, suggesting that too much dairy calcium could be a potential threat to prostate health.<sup>19,20</sup>\n\nOvarian cancer may also be related to the consumption of dairy products. The milk sugar lactose is broken down in the body into another sugar, galactose. Research suggests that the dairy sugar galactose might be toxic to ovarian cells.<sup>21</sup> In a study conducted in Sweden, consumption of lactose and dairy products was positively linked to ovarian cancer.<sup>22</sup> A similar study, the Iowa Women’s Health Study, found that women who consumed more than one glass of milk per day had a 73 percent greater chance of ovarian cancer than women who drank less than one glass per day.<sup>23</sup>\n\n<strong>Lactose Intolerance</strong>\nLactose intolerance is common among many populations, affecting approximately 95 percent of Asian Americans, 74 percent of Native Americans, 70 percent of African Americans, 53 percent of Mexican Americans, and 15 percent of Caucasians.<sup>24</sup> Symptoms, which include gastrointestinal distress, diarrhea, and flatulence, occur because these individuals do not have the enzyme lactase that digests the milk sugar lactose. For those who can digest lactose, its breakdown products are two simple sugars: glucose and galactose. Nursing children have active enzymes that break down galactose. As we age, many of us lose much of this capacity.<sup>25</sup> Additionally, along with unwanted symptoms, milk-drinkers also put themselves at risk for development of other chronic diseases and ailments.\n\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\n\n<strong>Vitamin D</strong>\nIndividuals often drink milk in order to obtain vitamin D in their diet, unaware that they can receive vitamin D through other sources. The natural source of vitamin D is sunlight. Five to fifteen minutes of sun exposure to the arms and legs or the hands, face, and arms can be enough to meet the body’s requirements for vitamin D, depending on the individual’s skin tone.<sup>26</sup> Darker skin requires longer exposure to the sun in order to obtain adequate levels of vitamin D. In colder climates during the winter months the sun may not be able to provide adequate vitamin D. During this time the diet must be able to provide vitamin D. Fortified cereals, grains, bread, orange juice, and soy- or rice milk are healthful foods that provide vitamin D. All common multiple vitamins also provide vitamin D.\n\n<strong>Contaminants</strong>\nMilk contains contaminants that range from pesticides to drugs. Milk naturally contains hormones and growth factors produced within a cow’s body. In addition, synthetic hormones such as recombinant bovine growth hormone (rBGH) are commonly used in dairy cows to increase the production of milk.<sup>27</sup> Because treated cows are producing quantities of milk nature never intended, the end result can be mastitis, or inflammation of the mammary glands. Treatment of this condition requires the use of antibiotics, and antibiotic traces have occasionally been found in samples of milk and other dairy products. Pesticides, polychlorinated biphenyls (PCBs), and dioxins are other examples of contaminants found in milk. These toxins do not readily leave the body and can eventually build to harmful levels that may affect the immune and reproductive systems. The central nervous system can also be affected. Moreover, PCBs and dioxins have also been linked to cancer.<sup>28</sup>\n\n<strong>Milk Proteins and Diabetes</strong>\nInsulin-dependent (type 1 or childhood-onset) diabetes is linked to consumption of dairy products.<sup>29</sup> A 2001 Finnish study of 3,000 infants with genetically increased risk for developing diabetes showed that early introduction of cow’s milk increased susceptibility to type 1 diabetes.<sup>30</sup>\n\n<strong>Health Concerns of Infants and Children</strong>\nMilk proteins, milk sugar, fat, and saturated fat in dairy products pose health risks for children and encourage the development of obesity, diabetes, and heart disease.\n\nThe American Academy of Pediatrics recommends that infants below one year of age not be given whole cow’s milk,<sup>31</sup> as iron deficiency is more likely on a dairy-rich diet. Cow’s milk products are very low in iron.<sup>32</sup> If dairy products become a major part of one’s diet, iron deficiency is more likely. Colic is an additional concern with milk consumption. Up to 28 percent of infants suffer from colic during the first month of life.<sup>33</sup> Pediatricians learned long ago that cow’s milk was often the reason. We now know that breastfeeding mothers can have colicky babies if the mothers consume cow’s milk. The cow’s antibodies can pass through the mother’s bloodstream, into her breast milk, and to the baby.<sup>34,35</sup> Additionally, food allergies appear to be common results of cow’s milk consumption, particularly in children.<sup>36,37</sup> Cow’s milk consumption has also been linked to chronic constipation in children. Researchers suggested that milk consumption resulted in perianal sores and severe pain on defecation, leading to constipation.<sup>38</sup>\n\nMilk and dairy products are not necessary in the diet and can, in fact, be harmful to health. It is best to consume a healthful diet of grains, fruits, vegetables, legumes, and fortified foods including cereals and juices. These nutrient-dense foods can help you meet your calcium, potassium, riboflavin, and vitamin D requirements with ease—and without health risks.\n\n<strong>References on request</strong>\n\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\n\n</div>\n</div>','Health Concerns about Dairy Products','','inherit','closed','closed','','1482-autosave-v1','','','2020-09-24 21:04:39','2020-09-24 21:04:39','',1482,'https://www.drfields.com/uncategorized/1482-autosave-v1/',0,'revision','',0),(4163,9,'2020-09-26 03:09:59','2020-09-26 03:09:59','<h2><strong>.Dry Needling of Tendons Is NOT a Placebo</strong></h2>\n[caption id=\"attachment_4166\" align=\"alignright\" width=\"402\"]<img class=\"wp-image-4166\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Prolo-definition-500x376.png\" alt=\"Prolotherapy Definition\" width=\"402\" height=\"302\" /> <strong><i>Encourage even more tendon healing than dry needling with Prolotherapy!</i></strong>[/caption]\n\nDry needling of tendons is not a placebo, but is a treatment in and of itself.\n\nWe have a couple of takeaways in this article:\n<ol>\n 	<li>Since dry needling is not a placebo, then when researchers do studies that compare such treatments as PRP to dry needling. This needs to be understood and taken into consideration when comparing results. Dry needling is a treatment too. And dry needling has been shown to be effective at reducing painful tendon conditions.</li>\n 	<li>Dry needling encourages localized bleeding and fibroblastic proliferation. That means it boosts the body\'s natural healing cascade, which is also one of the healing mechanisms of Regenerative Orthopedics. But Regenerative Orthopedics also adds potent growth factors to begin tissue repair and regeneration at the injury site.</li>\n</ol>\n<h3>What Does the Research Say About Dry Needling as a Treatment?</h3>\n<a href=\"https://link.springer.com/journal/12178\" data-test=\"journal-link\"><i data-test=\"journal-title\">Current Reviews in Musculoskeletal Medicine</i></a> says, \"Dry needling involves inserting needles into the affected tendon, and it is thought to disrupt the chronic degenerative process and encourage localized bleeding and fibroblastic proliferation.\"1 Dextrose Prolotherapy works by similar means. But it also adds the benefit of dextrose. That means it will boost the body\'s natural healing cascade by introducing this natural substance.\n\nAnd dry needling has also been shown to have a positive effect by decreasing knee pain. A study in the <em>Journal of Clinical Medicine</em> demonstrates that \"low to moderate evidence suggests a positive effect of trigger point dry needling on pain and related disability in patellofemoral pain.\"2 Again, dry needling is a treatment in itself and not a placebo.\n\nAnd dry needling also decreases tennis elbow pain. A 2020 article in the journal <i>Clinical Rehabilitation </i>found that the the treatment reduced pain intensity. And it had a \"positive effect on pain-related disability, pressure pain sensitivity and strength at short-term in patients with lateral epicondylalgia (tennis elbow) of musculoskeletal origin.\"3\n<h3>Regenerative Orthopedics Boost the Healing Effect Even More</h3>\nThere is a benefit  to the healing process when a needle is inserted at the attachment of a tendon and of a ligament. And there is more of a benefit when the solutions used in Prolotherapy, PRP, and Stem Cell Therapy are part of the therapy. Regenerative Orthopedics are all injection techniques directed at tendons, ligaments, and other soft tissue structures. The treatments are very effective at reducing and eliminating the pain involved in a multitude of painful joint conditions.\n\nIt makes sense that if it is helpful to reduce pain by just inserting a needle into the tendon, then it is even more helpful to include solutions that boost the healing capacity. At OrthoRegen, we have many years of experience treating people with painful joint conditions, and getting them back to doing the activities and sports that they love. <a href=\"https://www.drfields.com/contact/\">Contact us today.</a>\n\n&nbsp;\n\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>\n<h3>References</h3>\n<ol>\n 	<li>Sychev, Vladimir, Aharon S. Finestone, and Leonid Kalichman. \"Dry Needling as a Treatment Modality for Tendinopathy: a Narrative Review.\" <i>Current Reviews in Musculoskeletal Medicine</i> (2020): 1-8.</li>\n 	<li>Rahou-El-Bachiri, Youssef, et al. \"Effects of Trigger Point Dry Needling for the Management of Knee Pain Syndromes: A Systematic Review and Meta-Analysis.\" <i>Journal of Clinical Medicine</i> 9.7 (2020): 2044.</li>\n 	<li>Navarro-Santana, Marcos J., et al. \"Effects of trigger point dry needling on lateral epicondylalgia of musculoskeletal origin: a systematic review and meta-analysis.\" <i>Clinical Rehabilitation</i>(2020): 0269215520937468.</li>\n</ol>\n&nbsp;','Dry Needling of Tendons is Not a Placebo','','inherit','closed','closed','','2012-autosave-v1','','','2020-09-26 03:09:59','2020-09-26 03:09:59','',2012,'https://www.drfields.com/uncategorized/2012-autosave-v1/',0,'revision','',0),(4164,9,'2020-09-24 22:41:17','2020-09-24 22:41:17','<h2><strong>Dry Needling of Tendons Is NOT a Placebo</strong></h2>\r\nDry needling of tendons is not a placebo, but is a treatment in and of itself.\r\n\r\nWe have a couple of takeaways in this article:\r\n<ol>\r\n 	<li>Since dry needling is not a placebo, then when researchers do studies that compare such treatments as PRP to dry needling, the results need to be understood. Dry needling is a treatment too. And dry needling has been shown to be effective at reducing painful tendon conditions.</li>\r\n 	<li>Dry needling encourages localized bleeding and fibroblastic proliferation. That means it boosts the body\'s natural healing cascade, which is also one of the healing mechanisms of Regenerative Orthopedics. But Regenerative Orthopedics also adds potent growth factors to begin tissue repair and regeneration at the injury site.</li>\r\n</ol>\r\n<h3>What Does the Research Say About Dry Needling as a Treatment?</h3>\r\n<a href=\"https://link.springer.com/journal/12178\" data-test=\"journal-link\"><i data-test=\"journal-title\">Current Reviews in Musculoskeletal Medicine</i></a> says, \"Dry needling involves inserting needles into the affected tendon, and it is thought to disrupt the chronic degenerative process and encourage localized bleeding and fibroblastic proliferation.\"1 Dextrose Prolotherapy works by similar means, but it also adds the benefit of dextrose which will boost the body\'s natural healing cascade by introducing this natural substance.\r\n\r\nAnd dry needling has also been shown to have a positive effect by decreasing knee pain. A study in the <em>Journal of Clinical Medicine</em> demonstrates that \"low to moderate evidence suggests a positive effect of trigger point dry needling on pain and related disability in patellofemoral pain.\"2 Again, dry needling is a treatment in itself and not a placebo.\r\n\r\nDry needling also has been shown to decrease tennis elbow pain. A 2020 article in the journal <i>Clinical Rehabilitation </i>found that the dry needling reduced pain intensity and had a \"positive effect on pain-related disability, pressure pain sensitivity and strength at short-term in patients with lateral epicondylalgia (tennis elbow) of musculoskeletal origin.\"3\r\n<h3>Regenerative Orthopedics Boost the Healing Effect Even More</h3>\r\nThere is a benefit  to the healing process when a needle is inserted at the attachment of a tendon and of a ligament. And there is more of a benefit when the solutions used in Prolotherapy, PRP, and Stem Cell Therapy are part of the therapy. Regenerative Orthopedics are all injection techniques directed at tendons, ligaments, and other soft tissue structures. The treatments are very effective at reducing and eliminating the pain involved in a multitude of painful joint conditions.\r\n\r\nIt makes sense that if it is helpful to reduce pain by just inserting a needle into the tendon, then it is even more helpful to include solutions that boost the healing capacity even more. At OrthoRegen, we have many years of experience treating people with painful joint conditions, and getting them back to doing the activities and sports that they love. <a href=\"https://www.drfields.com/contact/\">Contact us today.</a>\r\n\r\n&nbsp;\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>\r\n\r\n&nbsp;\r\n<ol>\r\n 	<li>Sychev, Vladimir, Aharon S. Finestone, and Leonid Kalichman. \"Dry Needling as a Treatment Modality for Tendinopathy: a Narrative Review.\" <i>Current Reviews in Musculoskeletal Medicine</i> (2020): 1-8.</li>\r\n 	<li>Rahou-El-Bachiri, Youssef, et al. \"Effects of Trigger Point Dry Needling for the Management of Knee Pain Syndromes: A Systematic Review and Meta-Analysis.\" <i>Journal of Clinical Medicine</i> 9.7 (2020): 2044.</li>\r\n 	<li>Navarro-Santana, Marcos J., et al. \"Effects of trigger point dry needling on lateral epicondylalgia of musculoskeletal origin: a systematic review and meta-analysis.\" <i>Clinical Rehabilitation</i>(2020): 0269215520937468.</li>\r\n</ol>\r\n&nbsp;','Dry Needling of Tendons is Not a Placebo','','inherit','closed','closed','','2012-revision-v1','','','2020-09-24 22:41:17','2020-09-24 22:41:17','',2012,'https://www.drfields.com/uncategorized/2012-revision-v1/',0,'revision','',0),(4165,9,'2020-09-24 22:43:03','2020-09-24 22:43:03','<h2><strong>Dry Needling of Tendons Is NOT a Placebo</strong></h2>\r\nDry needling of tendons is not a placebo, but is a treatment in and of itself.\r\n\r\nWe have a couple of takeaways in this article:\r\n<ol>\r\n 	<li>Since dry needling is not a placebo, then when researchers do studies that compare such treatments as PRP to dry needling, the results need to be understood. Dry needling is a treatment too. And dry needling has been shown to be effective at reducing painful tendon conditions.</li>\r\n 	<li>Dry needling encourages localized bleeding and fibroblastic proliferation. That means it boosts the body\'s natural healing cascade, which is also one of the healing mechanisms of Regenerative Orthopedics. But Regenerative Orthopedics also adds potent growth factors to begin tissue repair and regeneration at the injury site.</li>\r\n</ol>\r\n<h3>What Does the Research Say About Dry Needling as a Treatment?</h3>\r\n<a href=\"https://link.springer.com/journal/12178\" data-test=\"journal-link\"><i data-test=\"journal-title\">Current Reviews in Musculoskeletal Medicine</i></a> says, \"Dry needling involves inserting needles into the affected tendon, and it is thought to disrupt the chronic degenerative process and encourage localized bleeding and fibroblastic proliferation.\"1 Dextrose Prolotherapy works by similar means, but it also adds the benefit of dextrose which will boost the body\'s natural healing cascade by introducing this natural substance.\r\n\r\nAnd dry needling has also been shown to have a positive effect by decreasing knee pain. A study in the <em>Journal of Clinical Medicine</em> demonstrates that \"low to moderate evidence suggests a positive effect of trigger point dry needling on pain and related disability in patellofemoral pain.\"2 Again, dry needling is a treatment in itself and not a placebo.\r\n\r\nDry needling also has been shown to decrease tennis elbow pain. A 2020 article in the journal <i>Clinical Rehabilitation </i>found that the dry needling reduced pain intensity and had a \"positive effect on pain-related disability, pressure pain sensitivity and strength at short-term in patients with lateral epicondylalgia (tennis elbow) of musculoskeletal origin.\"3\r\n<h3>Regenerative Orthopedics Boost the Healing Effect Even More</h3>\r\nThere is a benefit  to the healing process when a needle is inserted at the attachment of a tendon and of a ligament. And there is more of a benefit when the solutions used in Prolotherapy, PRP, and Stem Cell Therapy are part of the therapy. Regenerative Orthopedics are all injection techniques directed at tendons, ligaments, and other soft tissue structures. The treatments are very effective at reducing and eliminating the pain involved in a multitude of painful joint conditions.\r\n\r\nIt makes sense that if it is helpful to reduce pain by just inserting a needle into the tendon, then it is even more helpful to include solutions that boost the healing capacity. At OrthoRegen, we have many years of experience treating people with painful joint conditions, and getting them back to doing the activities and sports that they love. <a href=\"https://www.drfields.com/contact/\">Contact us today.</a>\r\n\r\n&nbsp;\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>\r\n<h3>References</h3>\r\n<ol>\r\n 	<li>Sychev, Vladimir, Aharon S. Finestone, and Leonid Kalichman. \"Dry Needling as a Treatment Modality for Tendinopathy: a Narrative Review.\" <i>Current Reviews in Musculoskeletal Medicine</i> (2020): 1-8.</li>\r\n 	<li>Rahou-El-Bachiri, Youssef, et al. \"Effects of Trigger Point Dry Needling for the Management of Knee Pain Syndromes: A Systematic Review and Meta-Analysis.\" <i>Journal of Clinical Medicine</i> 9.7 (2020): 2044.</li>\r\n 	<li>Navarro-Santana, Marcos J., et al. \"Effects of trigger point dry needling on lateral epicondylalgia of musculoskeletal origin: a systematic review and meta-analysis.\" <i>Clinical Rehabilitation</i>(2020): 0269215520937468.</li>\r\n</ol>\r\n&nbsp;','Dry Needling of Tendons is Not a Placebo','','inherit','closed','closed','','2012-revision-v1','','','2020-09-24 22:43:03','2020-09-24 22:43:03','',2012,'https://www.drfields.com/uncategorized/2012-revision-v1/',0,'revision','',0),(4166,9,'2020-09-24 22:46:03','2020-09-24 22:46:03','Prolo Definition','Prolo Definition','Prolo Definition','inherit','open','closed','','prolo-definition','','','2020-09-24 22:46:03','2020-09-24 22:46:03','',2012,'https://www.drfields.com/wp-content/uploads/2019/06/Prolo-definition.png',0,'attachment','image/png',0),(4167,9,'2020-09-24 22:48:06','2020-09-24 22:48:06','<h2><strong>Dry Needling of Tendons Is NOT a Placebo</strong></h2>\r\n[caption id=\"attachment_4166\" align=\"alignright\" width=\"402\"]<img class=\" wp-image-4166\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Prolo-definition-500x376.png\" alt=\"Prolo Definition\" width=\"402\" height=\"302\" />                           <strong>Prolotherapy Definition</strong>[/caption]\r\n\r\nDry needling of tendons is not a placebo, but is a treatment in and of itself.\r\n\r\nWe have a couple of takeaways in this article:\r\n<ol>\r\n 	<li>Since dry needling is not a placebo, then when researchers do studies that compare such treatments as PRP to dry needling, the results need to be understood. Dry needling is a treatment too. And dry needling has been shown to be effective at reducing painful tendon conditions.</li>\r\n 	<li>Dry needling encourages localized bleeding and fibroblastic proliferation. That means it boosts the body\'s natural healing cascade, which is also one of the healing mechanisms of Regenerative Orthopedics. But Regenerative Orthopedics also adds potent growth factors to begin tissue repair and regeneration at the injury site.</li>\r\n</ol>\r\n<h3>What Does the Research Say About Dry Needling as a Treatment?</h3>\r\n<a href=\"https://link.springer.com/journal/12178\" data-test=\"journal-link\"><i data-test=\"journal-title\">Current Reviews in Musculoskeletal Medicine</i></a> says, \"Dry needling involves inserting needles into the affected tendon, and it is thought to disrupt the chronic degenerative process and encourage localized bleeding and fibroblastic proliferation.\"1 Dextrose Prolotherapy works by similar means, but it also adds the benefit of dextrose which will boost the body\'s natural healing cascade by introducing this natural substance.\r\n\r\nAnd dry needling has also been shown to have a positive effect by decreasing knee pain. A study in the <em>Journal of Clinical Medicine</em> demonstrates that \"low to moderate evidence suggests a positive effect of trigger point dry needling on pain and related disability in patellofemoral pain.\"2 Again, dry needling is a treatment in itself and not a placebo.\r\n\r\nDry needling also has been shown to decrease tennis elbow pain. A 2020 article in the journal <i>Clinical Rehabilitation </i>found that the dry needling reduced pain intensity and had a \"positive effect on pain-related disability, pressure pain sensitivity and strength at short-term in patients with lateral epicondylalgia (tennis elbow) of musculoskeletal origin.\"3\r\n<h3>Regenerative Orthopedics Boost the Healing Effect Even More</h3>\r\nThere is a benefit  to the healing process when a needle is inserted at the attachment of a tendon and of a ligament. And there is more of a benefit when the solutions used in Prolotherapy, PRP, and Stem Cell Therapy are part of the therapy. Regenerative Orthopedics are all injection techniques directed at tendons, ligaments, and other soft tissue structures. The treatments are very effective at reducing and eliminating the pain involved in a multitude of painful joint conditions.\r\n\r\nIt makes sense that if it is helpful to reduce pain by just inserting a needle into the tendon, then it is even more helpful to include solutions that boost the healing capacity. At OrthoRegen, we have many years of experience treating people with painful joint conditions, and getting them back to doing the activities and sports that they love. <a href=\"https://www.drfields.com/contact/\">Contact us today.</a>\r\n\r\n&nbsp;\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>\r\n<h3>References</h3>\r\n<ol>\r\n 	<li>Sychev, Vladimir, Aharon S. Finestone, and Leonid Kalichman. \"Dry Needling as a Treatment Modality for Tendinopathy: a Narrative Review.\" <i>Current Reviews in Musculoskeletal Medicine</i> (2020): 1-8.</li>\r\n 	<li>Rahou-El-Bachiri, Youssef, et al. \"Effects of Trigger Point Dry Needling for the Management of Knee Pain Syndromes: A Systematic Review and Meta-Analysis.\" <i>Journal of Clinical Medicine</i> 9.7 (2020): 2044.</li>\r\n 	<li>Navarro-Santana, Marcos J., et al. \"Effects of trigger point dry needling on lateral epicondylalgia of musculoskeletal origin: a systematic review and meta-analysis.\" <i>Clinical Rehabilitation</i>(2020): 0269215520937468.</li>\r\n</ol>\r\n&nbsp;','Dry Needling of Tendons is Not a Placebo','','inherit','closed','closed','','2012-revision-v1','','','2020-09-24 22:48:06','2020-09-24 22:48:06','',2012,'https://www.drfields.com/uncategorized/2012-revision-v1/',0,'revision','',0),(4168,9,'2020-09-24 22:51:12','2020-09-24 22:51:12','<h2><strong>Dry Needling of Tendons Is NOT a Placebo</strong></h2>\r\n[caption id=\"attachment_4166\" align=\"alignright\" width=\"402\"]<img class=\"wp-image-4166\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Prolo-definition-500x376.png\" alt=\"Prolo Definition\" width=\"402\" height=\"302\" /> <em>Prolotherapy assists the damaged structures to heal even further than dry needling</em>[/caption]\r\n\r\nDry needling of tendons is not a placebo, but is a treatment in and of itself.\r\n\r\nWe have a couple of takeaways in this article:\r\n<ol>\r\n 	<li>Since dry needling is not a placebo, then when researchers do studies that compare such treatments as PRP to dry needling, the results need to be understood. Dry needling is a treatment too. And dry needling has been shown to be effective at reducing painful tendon conditions.</li>\r\n 	<li>Dry needling encourages localized bleeding and fibroblastic proliferation. That means it boosts the body\'s natural healing cascade, which is also one of the healing mechanisms of Regenerative Orthopedics. But Regenerative Orthopedics also adds potent growth factors to begin tissue repair and regeneration at the injury site.</li>\r\n</ol>\r\n<h3>What Does the Research Say About Dry Needling as a Treatment?</h3>\r\n<a href=\"https://link.springer.com/journal/12178\" data-test=\"journal-link\"><i data-test=\"journal-title\">Current Reviews in Musculoskeletal Medicine</i></a> says, \"Dry needling involves inserting needles into the affected tendon, and it is thought to disrupt the chronic degenerative process and encourage localized bleeding and fibroblastic proliferation.\"1 Dextrose Prolotherapy works by similar means, but it also adds the benefit of dextrose which will boost the body\'s natural healing cascade by introducing this natural substance.\r\n\r\nAnd dry needling has also been shown to have a positive effect by decreasing knee pain. A study in the <em>Journal of Clinical Medicine</em> demonstrates that \"low to moderate evidence suggests a positive effect of trigger point dry needling on pain and related disability in patellofemoral pain.\"2 Again, dry needling is a treatment in itself and not a placebo.\r\n\r\nDry needling also has been shown to decrease tennis elbow pain. A 2020 article in the journal <i>Clinical Rehabilitation </i>found that the dry needling reduced pain intensity and had a \"positive effect on pain-related disability, pressure pain sensitivity and strength at short-term in patients with lateral epicondylalgia (tennis elbow) of musculoskeletal origin.\"3\r\n<h3>Regenerative Orthopedics Boost the Healing Effect Even More</h3>\r\nThere is a benefit  to the healing process when a needle is inserted at the attachment of a tendon and of a ligament. And there is more of a benefit when the solutions used in Prolotherapy, PRP, and Stem Cell Therapy are part of the therapy. Regenerative Orthopedics are all injection techniques directed at tendons, ligaments, and other soft tissue structures. The treatments are very effective at reducing and eliminating the pain involved in a multitude of painful joint conditions.\r\n\r\nIt makes sense that if it is helpful to reduce pain by just inserting a needle into the tendon, then it is even more helpful to include solutions that boost the healing capacity. At OrthoRegen, we have many years of experience treating people with painful joint conditions, and getting them back to doing the activities and sports that they love. <a href=\"https://www.drfields.com/contact/\">Contact us today.</a>\r\n\r\n&nbsp;\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>\r\n<h3>References</h3>\r\n<ol>\r\n 	<li>Sychev, Vladimir, Aharon S. Finestone, and Leonid Kalichman. \"Dry Needling as a Treatment Modality for Tendinopathy: a Narrative Review.\" <i>Current Reviews in Musculoskeletal Medicine</i> (2020): 1-8.</li>\r\n 	<li>Rahou-El-Bachiri, Youssef, et al. \"Effects of Trigger Point Dry Needling for the Management of Knee Pain Syndromes: A Systematic Review and Meta-Analysis.\" <i>Journal of Clinical Medicine</i> 9.7 (2020): 2044.</li>\r\n 	<li>Navarro-Santana, Marcos J., et al. \"Effects of trigger point dry needling on lateral epicondylalgia of musculoskeletal origin: a systematic review and meta-analysis.\" <i>Clinical Rehabilitation</i>(2020): 0269215520937468.</li>\r\n</ol>\r\n&nbsp;','Dry Needling of Tendons is Not a Placebo','','inherit','closed','closed','','2012-revision-v1','','','2020-09-24 22:51:12','2020-09-24 22:51:12','',2012,'https://www.drfields.com/uncategorized/2012-revision-v1/',0,'revision','',0),(4169,9,'2020-09-26 03:01:21','2020-09-26 03:01:21','<h2><strong>.Dry Needling of Tendons Is NOT a Placebo</strong></h2>\r\n[caption id=\"attachment_4166\" align=\"alignright\" width=\"402\"]<img class=\"wp-image-4166\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Prolo-definition-500x376.png\" alt=\"Prolotherapy Definition\" width=\"402\" height=\"302\" /> <em>Prolotherapy assists the damaged structures to heal even more than dry needling</em>[/caption]\r\n\r\nDry needling of tendons is not a placebo, but is a treatment in and of itself.\r\n\r\nWe have a couple of takeaways in this article:\r\n<ol>\r\n 	<li>Since dry needling is not a placebo, then when researchers do studies that compare such treatments as PRP to dry needling. This needs to be understood and taken into consideration when comparing results. Dry needling is a treatment too. And dry needling has been shown to be effective at reducing painful tendon conditions.</li>\r\n 	<li>Dry needling encourages localized bleeding and fibroblastic proliferation. That means it boosts the body\'s natural healing cascade, which is also one of the healing mechanisms of Regenerative Orthopedics. But Regenerative Orthopedics also adds potent growth factors to begin tissue repair and regeneration at the injury site.</li>\r\n</ol>\r\n<h3>What Does the Research Say About Dry Needling as a Treatment?</h3>\r\n<a href=\"https://link.springer.com/journal/12178\" data-test=\"journal-link\"><i data-test=\"journal-title\">Current Reviews in Musculoskeletal Medicine</i></a> says, \"Dry needling involves inserting needles into the affected tendon, and it is thought to disrupt the chronic degenerative process and encourage localized bleeding and fibroblastic proliferation.\"1 Dextrose Prolotherapy works by similar means. But it also adds the benefit of dextrose. That means it will boost the body\'s natural healing cascade by introducing this natural substance.\r\n\r\nAnd dry needling has also been shown to have a positive effect by decreasing knee pain. A study in the <em>Journal of Clinical Medicine</em> demonstrates that \"low to moderate evidence suggests a positive effect of trigger point dry needling on pain and related disability in patellofemoral pain.\"2 Again, dry needling is a treatment in itself and not a placebo.\r\n\r\nDry needling also has been shown to decrease tennis elbow pain. A 2020 article in the journal <i>Clinical Rehabilitation </i>found that the the treatment reduced pain intensity. And it had a \"positive effect on pain-related disability, pressure pain sensitivity and strength at short-term in patients with lateral epicondylalgia (tennis elbow) of musculoskeletal origin.\"3\r\n<h3>Regenerative Orthopedics Boost the Healing Effect Even More</h3>\r\nThere is a benefit  to the healing process when a needle is inserted at the attachment of a tendon and of a ligament. And there is more of a benefit when the solutions used in Prolotherapy, PRP, and Stem Cell Therapy are part of the therapy. Regenerative Orthopedics are all injection techniques directed at tendons, ligaments, and other soft tissue structures. The treatments are very effective at reducing and eliminating the pain involved in a multitude of painful joint conditions.\r\n\r\nIt makes sense that if it is helpful to reduce pain by just inserting a needle into the tendon, then it is even more helpful to include solutions that boost the healing capacity. At OrthoRegen, we have many years of experience treating people with painful joint conditions, and getting them back to doing the activities and sports that they love. <a href=\"https://www.drfields.com/contact/\">Contact us today.</a>\r\n\r\n&nbsp;\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>\r\n<h3>References</h3>\r\n<ol>\r\n 	<li>Sychev, Vladimir, Aharon S. Finestone, and Leonid Kalichman. \"Dry Needling as a Treatment Modality for Tendinopathy: a Narrative Review.\" <i>Current Reviews in Musculoskeletal Medicine</i> (2020): 1-8.</li>\r\n 	<li>Rahou-El-Bachiri, Youssef, et al. \"Effects of Trigger Point Dry Needling for the Management of Knee Pain Syndromes: A Systematic Review and Meta-Analysis.\" <i>Journal of Clinical Medicine</i> 9.7 (2020): 2044.</li>\r\n 	<li>Navarro-Santana, Marcos J., et al. \"Effects of trigger point dry needling on lateral epicondylalgia of musculoskeletal origin: a systematic review and meta-analysis.\" <i>Clinical Rehabilitation</i>(2020): 0269215520937468.</li>\r\n</ol>\r\n&nbsp;','Dry Needling of Tendons is Not a Placebo','','inherit','closed','closed','','2012-revision-v1','','','2020-09-26 03:01:21','2020-09-26 03:01:21','',2012,'https://www.drfields.com/uncategorized/2012-revision-v1/',0,'revision','',0),(4170,9,'2020-09-26 03:03:31','2020-09-26 03:03:31','<h2><strong>.Dry Needling of Tendons Is NOT a Placebo</strong></h2>\r\n[caption id=\"attachment_4166\" align=\"alignright\" width=\"402\"]<img class=\"wp-image-4166\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Prolo-definition-500x376.png\" alt=\"Prolotherapy Definition\" width=\"402\" height=\"302\" /> <em>Prolotherapy assists the damaged structures to heal even more than dry needling</em>[/caption]\r\n\r\nDry needling of tendons is not a placebo, but is a treatment in and of itself.\r\n\r\nWe have a couple of takeaways in this article:\r\n<ol>\r\n 	<li>Since dry needling is not a placebo, then when researchers do studies that compare such treatments as PRP to dry needling. This needs to be understood and taken into consideration when comparing results. Dry needling is a treatment too. And dry needling has been shown to be effective at reducing painful tendon conditions.</li>\r\n 	<li>Dry needling encourages localized bleeding and fibroblastic proliferation. That means it boosts the body\'s natural healing cascade, which is also one of the healing mechanisms of Regenerative Orthopedics. But Regenerative Orthopedics also adds potent growth factors to begin tissue repair and regeneration at the injury site.</li>\r\n</ol>\r\n<h3>What Does the Research Say About Dry Needling as a Treatment?</h3>\r\n<a href=\"https://link.springer.com/journal/12178\" data-test=\"journal-link\"><i data-test=\"journal-title\">Current Reviews in Musculoskeletal Medicine</i></a> says, \"Dry needling involves inserting needles into the affected tendon, and it is thought to disrupt the chronic degenerative process and encourage localized bleeding and fibroblastic proliferation.\"1 Dextrose Prolotherapy works by similar means. But it also adds the benefit of dextrose. That means it will boost the body\'s natural healing cascade by introducing this natural substance.\r\n\r\nAnd dry needling has also been shown to have a positive effect by decreasing knee pain. A study in the <em>Journal of Clinical Medicine</em> demonstrates that \"low to moderate evidence suggests a positive effect of trigger point dry needling on pain and related disability in patellofemoral pain.\"2 Again, dry needling is a treatment in itself and not a placebo.\r\n\r\nAnd dry needling also decreases tennis elbow pain. A 2020 article in the journal <i>Clinical Rehabilitation </i>found that the the treatment reduced pain intensity. And it had a \"positive effect on pain-related disability, pressure pain sensitivity and strength at short-term in patients with lateral epicondylalgia (tennis elbow) of musculoskeletal origin.\"3\r\n<h3>Regenerative Orthopedics Boost the Healing Effect Even More</h3>\r\nThere is a benefit  to the healing process when a needle is inserted at the attachment of a tendon and of a ligament. And there is more of a benefit when the solutions used in Prolotherapy, PRP, and Stem Cell Therapy are part of the therapy. Regenerative Orthopedics are all injection techniques directed at tendons, ligaments, and other soft tissue structures. The treatments are very effective at reducing and eliminating the pain involved in a multitude of painful joint conditions.\r\n\r\nIt makes sense that if it is helpful to reduce pain by just inserting a needle into the tendon, then it is even more helpful to include solutions that boost the healing capacity. At OrthoRegen, we have many years of experience treating people with painful joint conditions, and getting them back to doing the activities and sports that they love. <a href=\"https://www.drfields.com/contact/\">Contact us today.</a>\r\n\r\n&nbsp;\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>\r\n<h3>References</h3>\r\n<ol>\r\n 	<li>Sychev, Vladimir, Aharon S. Finestone, and Leonid Kalichman. \"Dry Needling as a Treatment Modality for Tendinopathy: a Narrative Review.\" <i>Current Reviews in Musculoskeletal Medicine</i> (2020): 1-8.</li>\r\n 	<li>Rahou-El-Bachiri, Youssef, et al. \"Effects of Trigger Point Dry Needling for the Management of Knee Pain Syndromes: A Systematic Review and Meta-Analysis.\" <i>Journal of Clinical Medicine</i> 9.7 (2020): 2044.</li>\r\n 	<li>Navarro-Santana, Marcos J., et al. \"Effects of trigger point dry needling on lateral epicondylalgia of musculoskeletal origin: a systematic review and meta-analysis.\" <i>Clinical Rehabilitation</i>(2020): 0269215520937468.</li>\r\n</ol>\r\n&nbsp;','Dry Needling of Tendons is Not a Placebo','','inherit','closed','closed','','2012-revision-v1','','','2020-09-26 03:03:31','2020-09-26 03:03:31','',2012,'https://www.drfields.com/uncategorized/2012-revision-v1/',0,'revision','',0),(4171,9,'2020-09-26 03:10:44','2020-09-26 03:10:44','<h2><strong>Dry Needling of Tendons Is NOT a Placebo</strong></h2>\r\n[caption id=\"attachment_4166\" align=\"alignright\" width=\"402\"]<img class=\"wp-image-4166\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Prolo-definition-500x376.png\" alt=\"Prolotherapy Definition\" width=\"402\" height=\"302\" /> <strong><i>Encourage even more tendon healing than dry needling with Prolotherapy!</i></strong>[/caption]\r\n\r\nDry needling of tendons is not a placebo, but is a treatment in and of itself.\r\n\r\nWe have a couple of takeaways in this article:\r\n<ol>\r\n 	<li>Since dry needling is not a placebo, then when researchers do studies that compare such treatments as PRP to dry needling. This needs to be understood and taken into consideration when comparing results. Dry needling is a treatment too. And dry needling has been shown to be effective at reducing painful tendon conditions.</li>\r\n 	<li>Dry needling encourages localized bleeding and fibroblastic proliferation. That means it boosts the body\'s natural healing cascade, which is also one of the healing mechanisms of Regenerative Orthopedics. But Regenerative Orthopedics also adds potent growth factors to begin tissue repair and regeneration at the injury site.</li>\r\n</ol>\r\n<h3>What Does the Research Say About Dry Needling as a Treatment?</h3>\r\n<a href=\"https://link.springer.com/journal/12178\" data-test=\"journal-link\"><i data-test=\"journal-title\">Current Reviews in Musculoskeletal Medicine</i></a> says, \"Dry needling involves inserting needles into the affected tendon, and it is thought to disrupt the chronic degenerative process and encourage localized bleeding and fibroblastic proliferation.\"1 Dextrose Prolotherapy works by similar means. But it also adds the benefit of dextrose. That means it will boost the body\'s natural healing cascade by introducing this natural substance.\r\n\r\nAnd dry needling has also been shown to have a positive effect by decreasing knee pain. A study in the <em>Journal of Clinical Medicine</em> demonstrates that \"low to moderate evidence suggests a positive effect of trigger point dry needling on pain and related disability in patellofemoral pain.\"2 Again, dry needling is a treatment in itself and not a placebo.\r\n\r\nAnd dry needling also decreases tennis elbow pain. A 2020 article in the journal <i>Clinical Rehabilitation </i>found that the the treatment reduced pain intensity. And it had a \"positive effect on pain-related disability, pressure pain sensitivity and strength at short-term in patients with lateral epicondylalgia (tennis elbow) of musculoskeletal origin.\"3\r\n<h3>Regenerative Orthopedics Boost the Healing Effect Even More</h3>\r\nThere is a benefit  to the healing process when a needle is inserted at the attachment of a tendon and of a ligament. And there is more of a benefit when the solutions used in Prolotherapy, PRP, and Stem Cell Therapy are part of the therapy. Regenerative Orthopedics are all injection techniques directed at tendons, ligaments, and other soft tissue structures. The treatments are very effective at reducing and eliminating the pain involved in a multitude of painful joint conditions.\r\n\r\nIt makes sense that if it is helpful to reduce pain by just inserting a needle into the tendon, then it is even more helpful to include solutions that boost the healing capacity. At OrthoRegen, we have many years of experience treating people with painful joint conditions, and getting them back to doing the activities and sports that they love. <a href=\"https://www.drfields.com/contact/\">Contact us today.</a>\r\n\r\n&nbsp;\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Schedule Your Appointment Today!</a>\r\n<h3>References</h3>\r\n<ol>\r\n 	<li>Sychev, Vladimir, Aharon S. Finestone, and Leonid Kalichman. \"Dry Needling as a Treatment Modality for Tendinopathy: a Narrative Review.\" <i>Current Reviews in Musculoskeletal Medicine</i> (2020): 1-8.</li>\r\n 	<li>Rahou-El-Bachiri, Youssef, et al. \"Effects of Trigger Point Dry Needling for the Management of Knee Pain Syndromes: A Systematic Review and Meta-Analysis.\" <i>Journal of Clinical Medicine</i> 9.7 (2020): 2044.</li>\r\n 	<li>Navarro-Santana, Marcos J., et al. \"Effects of trigger point dry needling on lateral epicondylalgia of musculoskeletal origin: a systematic review and meta-analysis.\" <i>Clinical Rehabilitation</i>(2020): 0269215520937468.</li>\r\n</ol>\r\n&nbsp;','Dry Needling of Tendons is Not a Placebo','','inherit','closed','closed','','2012-revision-v1','','','2020-09-26 03:10:44','2020-09-26 03:10:44','',2012,'https://www.drfields.com/uncategorized/2012-revision-v1/',0,'revision','',0),(4172,9,'2020-09-28 00:18:54','2020-09-28 00:18:54','<div class=\"page\" title=\"Page 1\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n\n[caption id=\"attachment_4174\" align=\"alignright\" width=\"500\"]<img class=\"size-medium wp-image-4174\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/foot-pain-500x281.jpg\" alt=\"Foot Pain\" width=\"500\" height=\"281\" /> <strong><em>                        Resolve Foot Pain with Prolotherapy</em></strong>[/caption]\n\nAnnoying foot pain affects about a quarter of the population. And let\'s face it, most of us spend a lot of time on our feet. Every time we take a step, we put half of our body weight on our feet. Add running and jumping place into the mix, and you have even more stress placed on them. So, it doesn\'t come as any surprise then, that a bunch of Americans would end up with foot pain.\n\nPoorly fitting shoes can add to the pain too. And some foot shapes and conditions like flat foot can add to the problem too. Also, forefoot or toe problems, like hammer toe and bunions are conditions that can cause foot pain.\n\n</div>\n</div>\n</div>\n<div class=\"page\" title=\"Page 2\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n\nOftentimes, an underlying problem of ligament or tendon injury or weakness is at the core and is the pain causing culprit.\n<h3>What Helps Foot Pain Besides Surgery?</h3>\n<h3><em>Regenerative Orthopedics like Prolotherapy, PRP, and Stem Cell Therapy Can!</em></h3>\n<div class=\"page\" title=\"Page 2\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n\nRegenerative therapies, like <a href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-treatment-overview/\">Prolotherapy,</a> are becoming more and more widespread as a form of non-surgical pain management. And they are very often used in relieving pain associated with tendon and ligament injuries in the joints. But how effective is it?\n<h3>How Effective Is Prolotherapy and What Does the Research Show?</h3>\n<div class=\"page\" title=\"Page 2\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n\nStudies have shown that Prolotherapy boosts the production of new collagen.1 And they have also shown that Prolotherapy improves ligament and tendon diameter and strength.2 Therefore, Prolotherapy doesn\'t just take some pain away. It can actually repair the tendon or ligament. And that is great news. Very often then, in tendon and ligament injury, the person can avoid surgery by choosing this therapy instead. And who doesn\'t want to avoid surgery?\n\n</div>\n<h3>What About Foot Pain from Plantar Fasciosis?</h3>\n</div>\n</div>\n</div>\n</div>\n</div>\n</div>\n</div>\n</div>\nYeah, plantar fasciosis is a pretty painful foot condition. Can Prolotherapy help? In an article in the <em>British Journal of Sports Medicine</em>, the researchers noted that 16 out of 20 patient with plantar fasciosis who received Dextrose Prolotherapy had good to excellent results.3 And these were cases of chronic, persistent pain lasting an average of 21 months.3 That sounds like a lot of relief!\n<h3>Regenerative Orthopedics, Like Prolotherapy, Are Effective Treatment Options for Persistent Foot Pain</h3>\n<div class=\"page\" title=\"Page 8\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n\nDextrose Prolotherapy can be used on patients who have months or even years of unresolved foot pain. And Regenerative Orthopedics  can improve the quality of life for those who suffer from annoying, persistent foot pain. Patients who have received this treatment have reported \"less pain, stiffness, depressed and anxious thoughts, medication usage, as well as improved walking ability, sleep and exercise ability.\"Why put up with pain, when you have an alternative.\n\nCall us today!\n\n</div>\n</div>\n</div>\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\n\n&nbsp;\n<h3>References</h3>\n<div class=\"page\" title=\"Page 9\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<ol>\n 	<li>Schmidt H. Effect of growth factors on proliferation of fibroblasts from the medial collateral and anterior cruciate ligaments. Journal of Orthopaedic Research. 1995;13:184-190.</li>\n 	<li>Hackett G. Joint stabilization: An experimental, histiologic study with comments on the clinical application in ligament proliferation. American Journal of Surgery. 1955;89:968-973</li>\n 	<li>Ryan MB, Wong AD, Gillies JH, Wong J, Traunton JE Sonographically guided intratendinous injections of hyperosmolar dextrose/lidocaine: a pilot study for the treatment of chronic plantar fasciitis. Br J Sports Med 2009;43 :303–306.</li>\n 	<li>Hauser, Ross A., Marion A. Hauser, and J. K. Cukla. \"A retrospective observational study on Hackett-Hemwall Dextrose Prolotherapy for unresolved foot and toe pain at an outpatient charity clinic in rural Illinois.\" <i>J Prolotherapy</i> 3 (2011): 543-551.</li>\n</ol>\n</div>\n</div>\n</div>\n<div class=\"fullwidth color_bar row-full \">\n<div class=\"container\">\n<div class=\"row-fluid\">\n<div class=\"large_thumb\"><a href=\"/Articles/Prolotherapy-Research/Ankle-Foot\"><img title=\"foot pain medium\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/foot-pain-medium.png\" alt=\"foot pain medium\" /></a><a href=\"/Articles/Prolotherapy-Research/Ankle-Foot\">Ankle/Foot</a></div>\n<div class=\"large_thumb\"></div>\n</div>\n</div>\n</div>','Foot Pain Resolution','','inherit','closed','closed','','2009-autosave-v1','','','2020-09-28 00:18:54','2020-09-28 00:18:54','',2009,'https://www.drfields.com/uncategorized/2009-autosave-v1/',0,'revision','',0),(4173,9,'2020-09-28 00:10:23','2020-09-28 00:10:23','<div class=\"page\" title=\"Page 1\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\nAnnoying foot pain affects about a quarter of the population. Let\'s face it. Most of us spend a lot of time on our feet. And every time we take a step, we put half of our body weight on our feet. Running and jumping place even more stress on them. So, it doesn\'t come as any surprise then, that a bunch of Americans would end up with foot pain.\r\n\r\nPoorly fitting shoes can add to the pain too. And some foot shapes and conditions like flat foot can add to the problem too. Forefoot or toe problems, like hammer toe and bunions are other conditions that can cause foot pain.\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"page\" title=\"Page 2\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\nOftentimes, an underlying problem of ligament or tendon injury or weakness is at the core and is the pain causing culprit.\r\n<h3>What helps foot pain besides surgery? Regenerative Orthopedics like Prolotherapy, PRP, and Stem Cell Therapy can!</h3>\r\n<div class=\"page\" title=\"Page 2\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\nRegenerative therapies, like <a href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-treatment-overview/\">Prolotherapy,</a> are becoming more and more widespread as a form of non-surgical pain management. And it is very often used in relieving pain associated with tendon and ligament injuries in the joints. But how effective is it?\r\n<h3>How Effective Is Prolotherapy and What Does the Research Show?</h3>\r\n<div class=\"page\" title=\"Page 2\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\nStudies have shown that Prolotherapy boosts the production of new collagen.1 They have also shown that Prolotherapy improves ligament and tendon diameter and strength.2 Therefore, it doesn\'t just take some pain away. It can actually repair the tendon or ligament. That is great news. Very often then, in tendon and ligament injury, the person can avoid surgery by choosing this therapy instead. And who doesn\'t want to avoid surgery.\r\n\r\n</div>\r\n<h3>What About Foot Pain from Plantar Fasciosis?</h3>\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\nYeah, that\'s a pretty painful foot condition. Can Prolotherapy help? In an article in the British Journal of Sports Medicine, the researchers noted that 16 out of 20 patient with plantar fasciosis who received Dextrose Prolotherapy had good to excellent results.3 And these were cases of chronic, persistent pain lasting an average of 21 months.3\r\n<h3>Regenerative Orthopedics, Like Prolotherapy, Are Effective Treatment Options for Persistent Foot Pain</h3>\r\n<div class=\"page\" title=\"Page 8\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\nDextrose Prolotherapy can be used on patients who have months or even years of unresolved foot pain. Regenerative Orthopedic treatment can improve the quality of life for those who suffer from annoying, persistent foot pain. Patients who have received this treatment have reported \"less pain, stiffness, depressed and anxious thoughts, medication usage, as well as improved walking ability, sleep and exercise ability.\"Why put up with pain, when you have an alternative.\r\n\r\nCall us today!\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n\r\n&nbsp;\r\n<h3>References</h3>\r\n<div class=\"page\" title=\"Page 9\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n<ol>\r\n 	<li>Schmidt H. Effect of growth factors on proliferation of fibroblasts from the medial collateral and anterior cruciate ligaments. Journal of Orthopaedic Research. 1995;13:184-190.</li>\r\n 	<li>Hackett G. Joint stabilization: An experimental, histiologic study with comments on the clinical application in ligament proliferation. American Journal of Surgery. 1955;89:968-973</li>\r\n 	<li>Ryan MB, Wong AD, Gillies JH, Wong J, Traunton JE Sonographically guided intratendinous injections of hyperosmolar dextrose/lidocaine: a pilot study for the treatment of chronic plantar fasciitis. Br J Sports Med 2009;43 :303–306.</li>\r\n 	<li>Hauser, Ross A., Marion A. Hauser, and J. K. Cukla. \"A retrospective observational study on Hackett-Hemwall Dextrose Prolotherapy for unresolved foot and toe pain at an outpatient charity clinic in rural Illinois.\" <i>J Prolotherapy</i> 3 (2011): 543-551.</li>\r\n</ol>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"fullwidth color_bar row-full \">\r\n<div class=\"container\">\r\n<div class=\"row-fluid\">\r\n<div class=\"large_thumb\"><a href=\"/Articles/Prolotherapy-Research/Ankle-Foot\"><img title=\"foot pain medium\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/foot-pain-medium.png\" alt=\"foot pain medium\" /></a><a href=\"/Articles/Prolotherapy-Research/Ankle-Foot\">Ankle/Foot</a></div>\r\n<div class=\"large_thumb\"></div>\r\n</div>\r\n</div>\r\n</div>','Foot Pain Resolution','','inherit','closed','closed','','2009-revision-v1','','','2020-09-28 00:10:23','2020-09-28 00:10:23','',2009,'https://www.drfields.com/uncategorized/2009-revision-v1/',0,'revision','',0),(4174,9,'2020-09-28 00:10:55','2020-09-28 00:10:55','Foot Pain','Foot Pain','Resolve Foot Pain with Prolotherapy','inherit','open','closed','','foot-pain-2','','','2020-09-28 00:11:18','2020-09-28 00:11:18','',2009,'https://www.drfields.com/wp-content/uploads/2019/06/foot-pain.jpg',0,'attachment','image/jpeg',0),(4175,9,'2020-09-28 00:19:20','2020-09-28 00:19:20','<div class=\"page\" title=\"Page 1\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\n[caption id=\"attachment_4174\" align=\"alignright\" width=\"500\"]<img class=\"size-medium wp-image-4174\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/foot-pain-500x281.jpg\" alt=\"Foot Pain\" width=\"500\" height=\"281\" /> <strong><em>                        Resolve Foot Pain with Prolotherapy</em></strong>[/caption]\r\n\r\nAnnoying foot pain affects about a quarter of the population. And let\'s face it, most of us spend a lot of time on our feet. Every time we take a step, we put half of our body weight on our feet. Add running and jumping place into the mix, and you have even more stress placed on them. So, it doesn\'t come as any surprise then, that a bunch of Americans would end up with foot pain.\r\n\r\nPoorly fitting shoes can add to the pain too. And some foot shapes and conditions like flat foot can add to the problem too. Also, forefoot or toe problems, like hammer toe and bunions are conditions that can cause foot pain.\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"page\" title=\"Page 2\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\nOftentimes, an underlying problem of ligament or tendon injury or weakness is at the core and is the pain causing culprit.\r\n<h3>What Helps Foot Pain Besides Surgery?</h3>\r\n<h3><em>Regenerative Orthopedics like Prolotherapy, PRP, and Stem Cell Therapy Can!</em></h3>\r\n<div class=\"page\" title=\"Page 2\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\nRegenerative therapies, like <a href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-treatment-overview/\">Prolotherapy,</a> are becoming more and more widespread as a form of non-surgical pain management. And they are very often used in relieving pain associated with tendon and ligament injuries in the joints. But how effective is it?\r\n<h3>How Effective Is Prolotherapy and What Does the Research Show?</h3>\r\n<div class=\"page\" title=\"Page 2\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\nStudies have shown that Prolotherapy boosts the production of new collagen.1 And they have also shown that Prolotherapy improves ligament and tendon diameter and strength.2 Therefore, Prolotherapy doesn\'t just take some pain away. It can actually repair the tendon or ligament. And that is great news. Very often then, in tendon and ligament injury, the person can avoid surgery by choosing this therapy instead. And who doesn\'t want to avoid surgery?\r\n\r\n</div>\r\n<h3>What About Foot Pain from Plantar Fasciosis?</h3>\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\nYeah, plantar fasciosis is a pretty painful foot condition. Can Prolotherapy help? In an article in the <em>British Journal of Sports Medicine</em>, the researchers noted that 16 out of 20 patient with plantar fasciosis who received Dextrose Prolotherapy had good to excellent results.3 And these were cases of chronic, persistent pain lasting an average of 21 months.3 That sounds like a lot of relief!\r\n<h3>Regenerative Orthopedics, Like Prolotherapy, Are Effective Treatment Options for Persistent Foot Pain</h3>\r\n<div class=\"page\" title=\"Page 8\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\nDextrose Prolotherapy can be used on patients who have months or even years of unresolved foot pain. And Regenerative Orthopedics  can improve the quality of life for those who suffer from annoying, persistent foot pain. Patients who have received this treatment have reported \"less pain, stiffness, depressed and anxious thoughts, medication usage, as well as improved walking ability, sleep and exercise ability.\"Why put up with pain, when you have an alternative.\r\n\r\nGet rid of your foot pain. Call us today!\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n\r\n&nbsp;\r\n<h3>References</h3>\r\n<div class=\"page\" title=\"Page 9\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n<ol>\r\n 	<li>Schmidt H. Effect of growth factors on proliferation of fibroblasts from the medial collateral and anterior cruciate ligaments. Journal of Orthopaedic Research. 1995;13:184-190.</li>\r\n 	<li>Hackett G. Joint stabilization: An experimental, histiologic study with comments on the clinical application in ligament proliferation. American Journal of Surgery. 1955;89:968-973</li>\r\n 	<li>Ryan MB, Wong AD, Gillies JH, Wong J, Traunton JE Sonographically guided intratendinous injections of hyperosmolar dextrose/lidocaine: a pilot study for the treatment of chronic plantar fasciitis. Br J Sports Med 2009;43 :303–306.</li>\r\n 	<li>Hauser, Ross A., Marion A. Hauser, and J. K. Cukla. \"A retrospective observational study on Hackett-Hemwall Dextrose Prolotherapy for unresolved foot and toe pain at an outpatient charity clinic in rural Illinois.\" <i>J Prolotherapy</i> 3 (2011): 543-551.</li>\r\n</ol>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"fullwidth color_bar row-full \">\r\n<div class=\"container\">\r\n<div class=\"row-fluid\">\r\n<div class=\"large_thumb\"><a href=\"/Articles/Prolotherapy-Research/Ankle-Foot\"><img title=\"foot pain medium\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/foot-pain-medium.png\" alt=\"foot pain medium\" /></a><a href=\"/Articles/Prolotherapy-Research/Ankle-Foot\">Ankle/Foot</a></div>\r\n<div class=\"large_thumb\"></div>\r\n</div>\r\n</div>\r\n</div>','Foot Pain Resolution','','inherit','closed','closed','','2009-revision-v1','','','2020-09-28 00:19:20','2020-09-28 00:19:20','',2009,'https://www.drfields.com/uncategorized/2009-revision-v1/',0,'revision','',0),