(5398,8,'2022-07-27 04:07:09','2022-07-27 04:07:09','<h1>Report of My Kilimanjaro Climb</h1>\r\n<em>By Peter A. Fields, MD, DC</em>\r\n\r\nAfter waiting ten years with this on my bucket list, I finally was going to climb Kilimanjaro.\r\n<h3>Getting to Mount Kilimanjaro</h3>\r\n<div class=\"reports-img-desc\">\r\n<div class=\"imgbox\"><img class=\"alignleft\" src=\"https://www.drfields.com/wp-content/uploads/2022/07/20190210_061752.jpg\" alt=\"\" /></div>\r\n<div class=\"reports-desc\">\r\n\r\nThe trip to Kilimanjaro began with an 11-hour flight to London where I had a 36-hour layover. Saw \"Tina, The Musical\" (life and times of Tina Turner). Great show.  Then 9 ½ hour flight to Nairobi, where I spent 24 hours so I was able to see the city. Then a one-hour flight to Kilimanjaro, Tanzania. My arrival at Kilimanjaro airport was on Sunday night. This was followed by a two-and-a-half-hour ride, with half of it on a very bumpy dirt road, before reaching the destination at the base camp. Since it was almost midnight, I went straight to my tent, which was quite luxurious for camping, and included a sink, a bathroom, and even a shower. I took advantage of a quick shower and went straight to bed.\r\n<div class=\"btn-wrap\"><a href=\"https://www.drfields.com/Day-1-Kiliminaro-and-base-camp-arrival\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n</div>\r\n</div>\r\n&nbsp;\r\n<h2>Kilimanjaro Pre-Hike</h2>\r\n<div class=\"reports-img-desc\">\r\n<div class=\"imgbox\"><img src=\"https://www.drfields.com/wp-content/uploads/2022/07/20190211_054908.jpg\" /></div>\r\n<div class=\"reports-desc\">\r\n\r\nAfter a nice breakfast, where I met the other climbers and our trek leaders, we went for a short two-hour hike just to see the local terrain. It was beautiful, with waterfalls and lots of lush plants and greenery. The guide leader went through our entire pack to make sure that we would be taking everything we needed and that everything was in good shape. The rest of the day was just spent relaxing, except for a short sunset hike of 10 minutes, where at the top of the small hill they had wine waiting for us. A pleasant surprise.\r\n<div class=\"btn-wrap\"><a href=\"/kilimanjaro-pre-hike/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n</div>\r\n</div>\r\n&nbsp;\r\n<h2>Getting to the Trailhead and First Day Hike Towards Kilimanjaro</h2>\r\n[gallery display=\"grid\" link=\"none\" columns=\"4\" size=\"wcsquare\" ids=\"5235,5231\"]\r\n<div class=\"reports-img-desc\">\r\n<div class=\"imgbox\"></div>\r\n<div class=\"reports-desc\">\r\n\r\nAfter a two-hour ride, we arrived at the check-in point. The weather was hot enough to wear shorts and t-shirts since we were only 3 degrees off the equator. There we saw the more than 45 plus Sherpa’s that would accompany us. There were six Sherpa’s( there were six hikers) to carry each person’s clothing (colder weather gear, nighttime clothes, toiletries, etc.). Then six to carry our bedding, and tents ( double roofed for better rain protection), six would carry our food for 7 days ( three full meals a day), eight of them made up the kitchen team, another team of two would carry the oxygen and medicine, four to carry the toilets and tents over them, plus about 10 other Sherpa’s would carry all the tents, tables and chairs. There were also 10 more to carry all of the sherpa’s food and equipment.\r\n\r\nWe had to register and show our passports, and after that, we took a short 20-minute drive to the trailhead. Arriving at noon, a very nice, well-prepared lunch was ready for us. We started the hike at 7700 feet and climbed to 9300 feet. The area was mostly jungle-like, with a lot of fantastic plants, birds, and other exotic wildlife, including Colobus monkeys and other animals. When we arrived at the camp at 9300 feet, the tents were already set up, and we unpacked our gear in each individual tent, had dinner and went to sleep.\r\n<div class=\"btn-wrap\"><a href=\"/Kili-Getting-to-the-trailhead/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n</div>\r\n</div>\r\n&nbsp;\r\n<h3>Hiking to 11,400 ft</h3>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5256,5261\"]\r\n<div class=\"reports-img-desc\">\r\n  <div class=\"imgbox\"></div>\r\n  <div class=\"reports-desc\">At 6:30 AM we were woken up with a hot bowl of water to wash up and get ready for the day. A very full breakfast was prepared for us and then we started off to hike again. For hiking, it’s important to eat three square meals a day as well as drink a minimum of three liters of water a day. Without this exhaustion, dehydration, and more can happen. The guides made sure that we would eat a lot and consume lots of water.\r\n\r\nWe headed off on our hike up to 11,400 feet, crossing from the Montane Forest into the Hagenia Zone, where we saw many different plants and beautiful trees throughout the canyon.\r\n\r\nI felt pretty good, as I had taken Diamox, a medicine to help prevent altitude sickness. I had a Camelback-style drinking system so I was drinking copious amounts of water. At night it was cold but with the proper gear (well worth the expense!), I felt warm.\r\n\r\n<div class=\"btn-wrap\">\r\n<a href=\"/kili-hiking-to-11400-ft/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div></div>\r\n</div>\r\n&nbsp;\r\n<h3>Hiking to 13,400 ft</h3>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5351,5352\"]\r\n<div class=\"reports-img-desc\">\r\n  <div class=\"imgbox\"></div>\r\n  <div class=\"reports-desc\">We had another early wake-up call today and another substantial breakfast (scrambled eggs, toast, pancakes, fruit, toast, jelly, peanut butter, tea/coffee, and more. We hiked across a large plateau and gained about 2,100 feet in altitude. It was very interesting as we passed into the upper heath zone, where there were no more trees here, just a lot of different plants. And lots of volcanic rock (the last active volcano here took place over 10,000 years ago).\r\n\r\nThe hiking was very slow and consistent, as they say in Swahili, “Poli, Poli.” Again I felt very good when arriving at Moir camp at 13,500 feet. We had beautiful views of the mountain as the clouds moved away. It was really spectacular!\r\n<div class=\"btn-wrap\">\r\n<a href=\"/kili-hiking-to-13400-feet/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div></div>\r\n</div>\r\n&nbsp;\r\n<h3>Kili Hiking to 15,500 feet</h3>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5271,5270\"]\r\n<div class=\"reports-img-desc\">\r\n  <div class=\"imgbox\"></div>\r\n  <div class=\"reports-desc\">We woke up again at 6:30 AM, had breakfast at 7, and were hiking by 7:30. Today was a shorter hike of only 3.1 miles, but we did climb 2000 feet. It was slow in some parts and the steep sections were even slower. Finally, we arrived at camp after hiking for only 2 hours and 20 minutes. We were now at 15,500 feet. The air is very thin, so with every step you take, you have to think about it. But when we arrived at camp, everything seemed to settle down. During the afternoon there was a hale storm that turned into snow, so everybody went into their tents. I probably took a 3-hour well-needed nap. After a good dinner, we all went to bed, but not until we viewed the beautiful skies at 15,500 feet in the southern hemisphere.\r\n<div class=\"btn-wrap\">\r\n<a href=\"/kili-hiking-to-15500-feet/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div></div>\r\n</div>\r\n&nbsp;\r\n<h3>Getting to camp at 16,500 ft</h3>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5291,5283\"]\r\n<div class=\"reports-img-desc\">\r\n  <div class=\"imgbox\"></div>\r\n  <div class=\"reports-desc\">We had the usual wake-up call at 6:30 AM and were on the trail by 7:30. It snowed during the night, but only half an inch or so, making everything white and beautiful. The good news is this meant it was right around 32 degrees. The sun came out, so it was warm when we hiked but a little bit cooler when clouds were overhead. Plus with the altitude (lots of breathing) and hiking effort, one was rarely cold. Today’s hike was only 1,000 feet of climbing and a short hike to the base camp. The big hike tomorrow will only be about an hour and 20 minutes, but it will be over a lot of rocks and boulders and will be steep in some places. We arrived at the base camp around 10:30 – 11 in the morning. We were supposed to go for a short hike from there without our packs but it started snowing for over an hour, so that was canceled. Tomorrow morning, we will have a 4 AM wake-up call in anticipation of a 2,300-foot elevation climb up to 18,650 feet.\r\n<div class=\"btn-wrap\">\r\n<a href=\"/16-500-feet-to-18-400/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div></div>\r\n</div>\r\n\r\n&nbsp;\r\n<h3>Kilimanjaro Final Camp At 18,500 Feet</h3>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5292,5293\"]\r\n<div class=\"reports-img-desc\">\r\n  <div class=\"imgbox\"></div>\r\n  <div class=\"reports-desc\">Wake-up call at 4 AM and breakfast at 4:30. The slow group left at 5. We (my hiking partner, myself, and our guide) left about 5:30. At this altitude of over 16,000 feet, everyone moves very slowly. The first little part was steep and slightly snow-covered, but then it got extremely steep and no longer covered in snow. \r\n\r\nWe climbed 2,400 feet over 2.6 miles. The first hour was in the dark, but we all had headlamps. It was very rocky and we had to use our hands sometimes to climb. We ran into a few other tours on the trail and all of us had to cut across a mountainside since the snow had obliterated the trail the night before.\r\n\r\nWe were now over 17, 000 feet. One of the guides from another tour (all the guides know each other) had a pickaxe and so he chopped thru the snow to make it easier on our footing. Even so, it was very slippery. There were times we had to use all four extremities to climb, even kneeling on the next step up because the step was too high to reach with our foot. Breathing was becoming more and more labored and it was difficult to catch our breath in the thinning air.\r\n\r\nWhen we stopped at 18,000 feet for a snack and water, we thought the worst was over, but that wasn’t the case. The next 500 feet were very rocky and slippery, and that along with the very thin air meant we had to take three or four steps before needing to stop for a break. Like having a bag over your head and pulling for each breath.\r\n\r\nFinally, we reached the craters ridge and were very happy. These are remnants of glaciers that once covered this entire valley. The whole valley was snow-covered and looked like we were walking in a desert. When we arrived, we were not allowed to lie down in our tents for about a good hour because we needed to let our bodies acclimate to the thin air at 18,600 feet.\r\n\r\nAfter that, we enjoyed a well-deserved nap before an early dinner because we would be getting up again at 4 AM to climb to the top of Kilimanjaro!\r\n\r\n<div class=\"btn-wrap\">\r\n<a href=\"/kilimanjaro-final-camp-at-18500-feet/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div></div>\r\n</div>\r\n&nbsp;\r\n<h2>Climbing to the top 19,341 ft/5895 meters and beginning the descent</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5331,5372\"]\r\n<div class=\"reports-img-desc\">\r\n  <div class=\"imgbox\"></div>\r\n  <div class=\"reports-desc\">The night was extremely cold, with ground temperatures probably down to zero degrees Fahrenheit. We did everything to keep ourselves warm! I laid my down jacket on top of my sleeping bag (which was rated to zero degrees), plus I had a liner inside the sleeping bag which gave me an additional 25 degrees of warmth. I am definitely not a cold weather person but with the right gear, it was not too bad.\r\n    \r\nWe were woken up at 4 AM. After eating and packing our stuff (only our personal things; the Sherpa took care of the sleeping bag and tent each morning and night), we were off for a 75-minute climb, basically straight up and extremely cold. Fortunately, I had bought the best mittens ever and my hands were not cold. Nonetheless, my legs and face took the brunt of it, and we moved very, very slowly. 10 feet could take several minutes. After a very hard, straight-up climbing, we had to cross a flat plane to the actual top of the mountain. The wind was blowing like crazy. The air temp was around minus 10 Fahrenheit with the wind chill probably down to negative 45 or 50 Fahrenheit. But all 6 of us had made it. It was a special feeling…an unbelievable feeling!\r\n\r\nI always carry some ashes of my parents no matter where I travel in this world. And since this was a very special place, I quietly said a prayer, took off my mittens (brrr), and sprinkled some of their ashes at the top. They had made it the whole way with me!\r\n\r\nWe took our pictures and then had to get going due to the intense winds and brutal cold. Fortunately, we summited very early and there were only one or two other groups at the top. Later on, there would be at least 50-100 people. We saw a gorgeous sunrise since it was shortly before 7 in the morning. We were almost on the equator, and sunrise and sunsets are always at around 6:30 to 7 am without much variation from season to season.\r\n\r\nImmediately, once we started to go down, we could feel the release of pressure in our lungs and chest. The descent and decreasing pressure made it a lot easier on our lungs, plus it was now all downhill. After an hour or two, our quads really felt it, and we would be walking downhill for the next 5 to 6 hours!\r\n\r\nWe did stop for a small break for some lunch, but our appetite was low due to the altitude. Several of the hikers experienced altitude sickness on the way up, with nausea, diarrhea, headaches loss of appetite, and weakness. I felt worse while descending, but fortunately, I had only lost my appetite with slight nausea and it lasted only for a short period of time. Anyway, we finally made it to camp at 10,500 feet. The weather was really nice and a bit warmer, between about 45 to 50 degrees or more. What a difference from the night before! We all had a good meal and rested, as we had been hiking downhill for over 8 hours, and all of our legs were extremely tired.\r\n\r\n<div class=\"btn-wrap\">\r\n<a href=\"/Hiking-to-the-summit-19-341-feet/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div></div>\r\n</div>\r\n&nbsp;\r\n<h3>The descent and saying goodbye</h3>\r\n<div class=\"reports-img-desc\">\r\n  <div class=\"imgbox\"></div>\r\n  <div class=\"reports-desc\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Sunriseuptop-3.jpg\" class=\"alignleft\" width=\"400\">We woke up at 6:30 AM, which was a big difference from 4 AM. Today would be our last night, and we would be saying goodbye to all the Sherpas as they would leave the trail. Only the guides would continue with us. I volunteered to be the spokesperson of the group, which meant I would be collecting the tip money and giving a short speech.\r\n\r\nAfter breakfast, the 40 or so sherpas gathered around singing and dancing. I actually joined them in the dancing, which I have a video of. I was very tired, but it was still worth it. I gave a 3-minute speech thanking every one of them for all of their hard work and dedication, and telling them that their help, whether by carrying a table, carrying sleeping bags, setting up tents, preparing food and everything else they did for us, was all very special and helped us so much.\r\n\r\nWe then set off for our last 6 to 7-hour hike downhill. Although it was not very steep, it was a dried-up river bed that was full of rocks and stones, making footing uneasy, and causing our quads to be even more on fire. I and several others had foldable walking sticks and this helped a lot. But we knew the end was coming, so we just kept going. We stopped for lunch and continued on. After about 7 hours, we saw the base camp. Nothing could be sweeter! I signed out at the Ranger station and basically collapsed into the waiting truck. There were a lot of campers and hikers ending in this same area, so they drove us about 20 minutes away.\r\n\r\nWe had some lunch and then drove the rest of the way back to the lodge, which was a beautiful hotel about half an hour outside of Arusha on an old coffee plantation. Everybody had their own cabin. For the first time in 9 days, I took a shower. It was wonderful! Then we all gathered with the two guides and I said a few more words to represent the group. We had a nice dinner, and then two people left for the airport by 7 PM. That night, was my first night of sleep in a bed, after 9 days. It was fantastic! The mission was accomplished!\r\n\r\n<div class=\"btn-wrap\">\r\n<a href=\"/Sunrise-up-top-and-heading-down\"><strong>See Photos</strong></a>\r\n</div></div>\r\n</div>\r\n&nbsp;\r\n<h2>Kilimanjaro Was Amazing! Final Goodbyes and certificate</h2>\r\n<div class=\"reports-img-desc\">\r\n  <div class=\"imgbox\"></div>\r\n  <div class=\"reports-desc\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/final-goodbyes-9.jpg\" class=\"alignleft\" width=\"400\"/>Even though the trip was not exactly as described in the pamphlet, it was something I had had on my bucket list for over 10 years. It was extremely difficult at times. Some of our hikers had difficulty even moving and needed assistance. But we all persevered. I’ve done 10 Ironman races so far (now 11!), which require monumental training. But the long hike up to the crater from 16,800 feet to 18,400, with the subsequent day of summiting, followed by the 9,000-foot descent, were some of the hardest things that I’ve ever done. And that includes all my Ironman competitions.\r\n\r\nYou just can’t imagine what it’s like trying to move at that altitude. As I said before, it is similar to having a paper bag over your head and trying to grasp for air. There were times I took two or three steps and then had to pause for 15 or 20 seconds just to get my heart rate and breathing back down, repeating that again and again and again. Never looking ahead, only down, because sometimes ten feet took 45-60 seconds to hike. All this while enduring the sub-freezing temperature, the blowing snow, and the wind chill factors. Nothing but grit and determination to keep you going. But the views were spectacular and the feeling of being literally on top of the world made it all worth it.\r\n\r\nI’ll continue to enjoy my Ironman triathlons and continue to do them as long as I can. But as far as hiking up a mountain to 19,341 feet, this will be my one and only time! It’s a tremendous accomplishment, but something I would not want to repeat.\r\n\r\n<div class=\"btn-wrap\">\r\n<a href=\"/Final-goodbyes-and-certificates\"><strong>See Photos</strong></a>\r\n</div></div>\r\n</div>\r\n&nbsp;\r\n<div class=\"video-flex-wrap\">\r\n<div class=\"video-box\">\r\n[video poster=\"https://www.drfields.com/wp-content/uploads/2021/08/Dancing.png\" width=\"352\" height=\"640\" mp4=\"https://www.drfields.com/wp-content/uploads/2021/08/DANCING-v3.mp4\"][/video]\r\n</div>\r\n<div class=\"video-box\">\r\n<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/final-goodbyes-1.jpg\">\r\n</div>\r\n</div>\r\n\r\n&nbsp;\r\n<h3 style=\"text-align: center;\">Thank You to Everyone Who Made Kilimanjaro A Possibility!</h3>\r\nThank you to everyone that sent me well wishes before, during, and after my climb. It meant so much!\r\n\r\nI also thank my parents who gave me the will and determination to achieve all the goals in my life, no matter how hard they are.\r\nThey always ingrained this determination in me and encouraged me to just put my head down and keep going to achieve my goals.\r\nAs I said above, they were with me the whole way and always will be.\r\n\r\nThank you for taking the time to read this. I hope this will inspire you that if a goal is desired, to just put your head down and keep going no matter how difficult it may seem.\r\n\r\n<strong>Peter A. Fields, MD, DC </strong>\r\n<strong>The Athletic Doc<sup>®</sup></strong>\r\n\r\n<a href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">Click here</a> to find out more about <strong>The Athletic Doc<sup>® </sup></strong>','Report of My Kilimanjaro Climb','','inherit','closed','closed','','2208-revision-v1','','','2022-07-27 04:07:09','2022-07-27 04:07:09','',2208,'https://www.drfields.com/?p=5398',0,'revision','',0);
INSERT INTO `wp_posts` VALUES (5399,8,'2022-07-27 04:09:02','2022-07-27 04:09:02','<h1>Report of My Kilimanjaro Climb</h1>\r\n<em>By Peter A. Fields, MD, DC</em>\r\n\r\nAfter waiting ten years with this on my bucket list, I finally was going to climb Kilimanjaro.\r\n<h3>Getting to Mount Kilimanjaro</h3>\r\n<div class=\"reports-img-desc\">\r\n<div class=\"imgbox\"><img class=\"alignleft\" src=\"https://www.drfields.com/wp-content/uploads/2022/07/20190210_061752.jpg\" alt=\"\" /></div>\r\n<div class=\"reports-desc\">\r\n\r\nThe trip to Kilimanjaro began with an 11-hour flight to London where I had a 36-hour layover. Saw \"Tina, The Musical\" (life and times of Tina Turner). Great show.  Then 9 ½ hour flight to Nairobi, where I spent 24 hours so I was able to see the city. Then a one-hour flight to Kilimanjaro, Tanzania. My arrival at Kilimanjaro airport was on Sunday night. This was followed by a two-and-a-half-hour ride, with half of it on a very bumpy dirt road, before reaching the destination at the base camp. Since it was almost midnight, I went straight to my tent, which was quite luxurious for camping, and included a sink, a bathroom, and even a shower. I took advantage of a quick shower and went straight to bed.\r\n<div class=\"btn-wrap\"><a href=\"https://www.drfields.com/Day-1-Kiliminaro-and-base-camp-arrival\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n</div>\r\n</div>\r\n&nbsp;\r\n<h2>Kilimanjaro Pre-Hike</h2>\r\n<div class=\"reports-img-desc\">\r\n<div class=\"imgbox\"><img src=\"https://www.drfields.com/wp-content/uploads/2022/07/20190211_054908.jpg\" /></div>\r\n<div class=\"reports-desc\">\r\n\r\nAfter a nice breakfast, where I met the other climbers and our trek leaders, we went for a short two-hour hike just to see the local terrain. It was beautiful, with waterfalls and lots of lush plants and greenery. The guide leader went through our entire pack to make sure that we would be taking everything we needed and that everything was in good shape. The rest of the day was just spent relaxing, except for a short sunset hike of 10 minutes, where at the top of the small hill they had wine waiting for us. A pleasant surprise.\r\n<div class=\"btn-wrap\"><a href=\"/kilimanjaro-pre-hike/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n</div>\r\n</div>\r\n&nbsp;\r\n<h2>Getting to the Trailhead and First Day Hike Towards Kilimanjaro</h2>\r\n[gallery display=\"grid\" link=\"none\" columns=\"4\" size=\"wcsquare\" ids=\"5235,5231\"]\r\n<div class=\"reports-img-desc\">\r\n<div class=\"imgbox\"></div>\r\n<div class=\"reports-desc\">\r\n\r\nAfter a two-hour ride, we arrived at the check-in point. The weather was hot enough to wear shorts and t-shirts since we were only 3 degrees off the equator. There we saw the more than 45 plus Sherpa’s that would accompany us. There were six Sherpa’s( there were six hikers) to carry each person’s clothing (colder weather gear, nighttime clothes, toiletries, etc.). Then six to carry our bedding, and tents ( double roofed for better rain protection), six would carry our food for 7 days ( three full meals a day), eight of them made up the kitchen team, another team of two would carry the oxygen and medicine, four to carry the toilets and tents over them, plus about 10 other Sherpa’s would carry all the tents, tables and chairs. There were also 10 more to carry all of the sherpa’s food and equipment.\r\n\r\nWe had to register and show our passports, and after that, we took a short 20-minute drive to the trailhead. Arriving at noon, a very nice, well-prepared lunch was ready for us. We started the hike at 7700 feet and climbed to 9300 feet. The area was mostly jungle-like, with a lot of fantastic plants, birds, and other exotic wildlife, including Colobus monkeys and other animals. When we arrived at the camp at 9300 feet, the tents were already set up, and we unpacked our gear in each individual tent, had dinner and went to sleep.\r\n<div class=\"btn-wrap\"><a href=\"/Kili-Getting-to-the-trailhead/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n</div>\r\n</div>\r\n&nbsp;\r\n<h3>Hiking to 11,400 ft</h3>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5256,5261\"]\r\n<div class=\"reports-img-desc\">\r\n  <div class=\"imgbox\"></div>\r\n  <div class=\"reports-desc\">At 6:30 AM we were woken up with a hot bowl of water to wash up and get ready for the day. A very full breakfast was prepared for us and then we started off to hike again. For hiking, it’s important to eat three square meals a day as well as drink a minimum of three liters of water a day. Without this exhaustion, dehydration, and more can happen. The guides made sure that we would eat a lot and consume lots of water.\r\n\r\nWe headed off on our hike up to 11,400 feet, crossing from the Montane Forest into the Hagenia Zone, where we saw many different plants and beautiful trees throughout the canyon.\r\n\r\nI felt pretty good, as I had taken Diamox, a medicine to help prevent altitude sickness. I had a Camelback-style drinking system so I was drinking copious amounts of water. At night it was cold but with the proper gear (well worth the expense!), I felt warm.\r\n\r\n<div class=\"btn-wrap\">\r\n<a href=\"/kili-hiking-to-11400-ft/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div></div>\r\n</div>\r\n&nbsp;\r\n<h3>Hiking to 13,400 ft</h3>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5351,5352\"]\r\n<div class=\"reports-img-desc\">\r\n  <div class=\"imgbox\"></div>\r\n  <div class=\"reports-desc\">We had another early wake-up call today and another substantial breakfast (scrambled eggs, toast, pancakes, fruit, toast, jelly, peanut butter, tea/coffee, and more. We hiked across a large plateau and gained about 2,100 feet in altitude. It was very interesting as we passed into the upper heath zone, where there were no more trees here, just a lot of different plants. And lots of volcanic rock (the last active volcano here took place over 10,000 years ago).\r\n\r\nThe hiking was very slow and consistent, as they say in Swahili, “Poli, Poli.” Again I felt very good when arriving at Moir camp at 13,500 feet. We had beautiful views of the mountain as the clouds moved away. It was really spectacular!\r\n<div class=\"btn-wrap\">\r\n<a href=\"/kili-hiking-to-13400-feet/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div></div>\r\n</div>\r\n&nbsp;\r\n<h3>Kili Hiking to 15,500 feet</h3>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5271,5270\"]\r\n<div class=\"reports-img-desc\">\r\n  <div class=\"imgbox\"></div>\r\n  <div class=\"reports-desc\">We woke up again at 6:30 AM, had breakfast at 7, and were hiking by 7:30. Today was a shorter hike of only 3.1 miles, but we did climb 2000 feet. It was slow in some parts and the steep sections were even slower. Finally, we arrived at camp after hiking for only 2 hours and 20 minutes. We were now at 15,500 feet. The air is very thin, so with every step you take, you have to think about it. But when we arrived at camp, everything seemed to settle down. During the afternoon there was a hale storm that turned into snow, so everybody went into their tents. I probably took a 3-hour well-needed nap. After a good dinner, we all went to bed, but not until we viewed the beautiful skies at 15,500 feet in the southern hemisphere.\r\n<div class=\"btn-wrap\">\r\n<a href=\"/kili-hiking-to-15500-feet/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div></div>\r\n</div>\r\n&nbsp;\r\n<h3>Getting to camp at 16,500 ft</h3>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5291,5283\"]\r\n<div class=\"reports-img-desc\">\r\n  <div class=\"imgbox\"></div>\r\n  <div class=\"reports-desc\">We had the usual wake-up call at 6:30 AM and were on the trail by 7:30. It snowed during the night, but only half an inch or so, making everything white and beautiful. The good news is this meant it was right around 32 degrees. The sun came out, so it was warm when we hiked but a little bit cooler when clouds were overhead. Plus with the altitude (lots of breathing) and hiking effort, one was rarely cold. Today’s hike was only 1,000 feet of climbing and a short hike to the base camp. The big hike tomorrow will only be about an hour and 20 minutes, but it will be over a lot of rocks and boulders and will be steep in some places. We arrived at the base camp around 10:30 – 11 in the morning. We were supposed to go for a short hike from there without our packs but it started snowing for over an hour, so that was canceled. Tomorrow morning, we will have a 4 AM wake-up call in anticipation of a 2,300-foot elevation climb up to 18,650 feet.\r\n<div class=\"btn-wrap\">\r\n<a href=\"/16-500-feet-to-18-400/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div></div>\r\n</div>\r\n\r\n&nbsp;\r\n<h3>Kilimanjaro Final Camp At 18,500 Feet</h3>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5292,5293\"]\r\n<div class=\"reports-img-desc\">\r\n  <div class=\"imgbox\"></div>\r\n  <div class=\"reports-desc\">Wake-up call at 4 AM and breakfast at 4:30. The slow group left at 5. We (my hiking partner, myself, and our guide) left about 5:30. At this altitude of over 16,000 feet, everyone moves very slowly. The first little part was steep and slightly snow-covered, but then it got extremely steep and no longer covered in snow. \r\n\r\nWe climbed 2,400 feet over 2.6 miles. The first hour was in the dark, but we all had headlamps. It was very rocky and we had to use our hands sometimes to climb. We ran into a few other tours on the trail and all of us had to cut across a mountainside since the snow had obliterated the trail the night before.\r\n\r\nWe were now over 17, 000 feet. One of the guides from another tour (all the guides know each other) had a pickaxe and so he chopped thru the snow to make it easier on our footing. Even so, it was very slippery. There were times we had to use all four extremities to climb, even kneeling on the next step up because the step was too high to reach with our foot. Breathing was becoming more and more labored and it was difficult to catch our breath in the thinning air.\r\n\r\nWhen we stopped at 18,000 feet for a snack and water, we thought the worst was over, but that wasn’t the case. The next 500 feet were very rocky and slippery, and that along with the very thin air meant we had to take three or four steps before needing to stop for a break. Like having a bag over your head and pulling for each breath.\r\n\r\nFinally, we reached the craters ridge and were very happy. These are remnants of glaciers that once covered this entire valley. The whole valley was snow-covered and looked like we were walking in a desert. When we arrived, we were not allowed to lie down in our tents for about a good hour because we needed to let our bodies acclimate to the thin air at 18,600 feet.\r\n\r\nAfter that, we enjoyed a well-deserved nap before an early dinner because we would be getting up again at 4 AM to climb to the top of Kilimanjaro!\r\n\r\n<div class=\"btn-wrap\">\r\n<a href=\"/kilimanjaro-final-camp-at-18500-feet/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div></div>\r\n</div>\r\n&nbsp;\r\n<h2>Climbing To The Top Of Kilimanjaro 19,341 Ft/5895 Meters And Beginning The Descent</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5331,5372\"]\r\n<div class=\"reports-img-desc\">\r\n  <div class=\"imgbox\"></div>\r\n  <div class=\"reports-desc\">The night was extremely cold, with ground temperatures probably down to zero degrees Fahrenheit. We did everything to keep ourselves warm! I laid my down jacket on top of my sleeping bag (which was rated to zero degrees), plus I had a liner inside the sleeping bag which gave me an additional 25 degrees of warmth. I am definitely not a cold weather person but with the right gear, it was not too bad.\r\n    \r\nWe were woken up at 4 AM. After eating and packing our stuff (only our personal things; the Sherpa took care of the sleeping bag and tent each morning and night), we were off for a 75-minute climb, basically straight up and extremely cold. Fortunately, I had bought the best mittens ever and my hands were not cold. Nonetheless, my legs and face took the brunt of it, and we moved very, very slowly. 10 feet could take several minutes. After a very hard, straight-up climbing, we had to cross a flat plane to the actual top of the mountain. The wind was blowing like crazy. The air temp was around minus 10 Fahrenheit with the wind chill probably down to negative 45 or 50 Fahrenheit. But all 6 of us had made it. It was a special feeling…an unbelievable feeling!\r\n\r\nI always carry some ashes of my parents no matter where I travel in this world. And since this was a very special place, I quietly said a prayer, took off my mittens (brrr), and sprinkled some of their ashes at the top. They had made it the whole way with me!\r\n\r\nWe took our pictures and then had to get going due to the intense winds and brutal cold. Fortunately, we summited very early and there were only one or two other groups at the top. Later on, there would be at least 50-100 people. We saw a gorgeous sunrise since it was shortly before 7 in the morning. We were almost on the equator, and sunrise and sunsets are always at around 6:30 to 7 am without much variation from season to season.\r\n\r\nImmediately, once we started to go down, we could feel the release of pressure in our lungs and chest. The descent and decreasing pressure made it a lot easier on our lungs, plus it was now all downhill. After an hour or two, our quads really felt it, and we would be walking downhill for the next 5 to 6 hours!\r\n\r\nWe did stop for a small break for some lunch, but our appetite was low due to the altitude. Several of the hikers experienced altitude sickness on the way up, with nausea, diarrhea, headaches loss of appetite, and weakness. I felt worse while descending, but fortunately, I had only lost my appetite with slight nausea and it lasted only for a short period of time. Anyway, we finally made it to camp at 10,500 feet. The weather was really nice and a bit warmer, between about 45 to 50 degrees or more. What a difference from the night before! We all had a good meal and rested, as we had been hiking downhill for over 8 hours, and all of our legs were extremely tired.\r\n\r\n<div class=\"btn-wrap\">\r\n<a href=\"/Hiking-to-the-summit-19-341-feet/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div></div>\r\n</div>\r\n&nbsp;\r\n<h3>The descent and saying goodbye</h3>\r\n<div class=\"reports-img-desc\">\r\n  <div class=\"imgbox\"></div>\r\n  <div class=\"reports-desc\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Sunriseuptop-3.jpg\" class=\"alignleft\" width=\"400\">We woke up at 6:30 AM, which was a big difference from 4 AM. Today would be our last night, and we would be saying goodbye to all the Sherpas as they would leave the trail. Only the guides would continue with us. I volunteered to be the spokesperson of the group, which meant I would be collecting the tip money and giving a short speech.\r\n\r\nAfter breakfast, the 40 or so sherpas gathered around singing and dancing. I actually joined them in the dancing, which I have a video of. I was very tired, but it was still worth it. I gave a 3-minute speech thanking every one of them for all of their hard work and dedication, and telling them that their help, whether by carrying a table, carrying sleeping bags, setting up tents, preparing food and everything else they did for us, was all very special and helped us so much.\r\n\r\nWe then set off for our last 6 to 7-hour hike downhill. Although it was not very steep, it was a dried-up river bed that was full of rocks and stones, making footing uneasy, and causing our quads to be even more on fire. I and several others had foldable walking sticks and this helped a lot. But we knew the end was coming, so we just kept going. We stopped for lunch and continued on. After about 7 hours, we saw the base camp. Nothing could be sweeter! I signed out at the Ranger station and basically collapsed into the waiting truck. There were a lot of campers and hikers ending in this same area, so they drove us about 20 minutes away.\r\n\r\nWe had some lunch and then drove the rest of the way back to the lodge, which was a beautiful hotel about half an hour outside of Arusha on an old coffee plantation. Everybody had their own cabin. For the first time in 9 days, I took a shower. It was wonderful! Then we all gathered with the two guides and I said a few more words to represent the group. We had a nice dinner, and then two people left for the airport by 7 PM. That night, was my first night of sleep in a bed, after 9 days. It was fantastic! The mission was accomplished!\r\n\r\n<div class=\"btn-wrap\">\r\n<a href=\"/Sunrise-up-top-and-heading-down\"><strong>See Photos</strong></a>\r\n</div></div>\r\n</div>\r\n&nbsp;\r\n<h2>Kilimanjaro Was Amazing! Final Goodbyes and certificate</h2>\r\n<div class=\"reports-img-desc\">\r\n  <div class=\"imgbox\"></div>\r\n  <div class=\"reports-desc\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/final-goodbyes-9.jpg\" class=\"alignleft\" width=\"400\"/>Even though the trip was not exactly as described in the pamphlet, it was something I had had on my bucket list for over 10 years. It was extremely difficult at times. Some of our hikers had difficulty even moving and needed assistance. But we all persevered. I’ve done 10 Ironman races so far (now 11!), which require monumental training. But the long hike up to the crater from 16,800 feet to 18,400, with the subsequent day of summiting, followed by the 9,000-foot descent, were some of the hardest things that I’ve ever done. And that includes all my Ironman competitions.\r\n\r\nYou just can’t imagine what it’s like trying to move at that altitude. As I said before, it is similar to having a paper bag over your head and trying to grasp for air. There were times I took two or three steps and then had to pause for 15 or 20 seconds just to get my heart rate and breathing back down, repeating that again and again and again. Never looking ahead, only down, because sometimes ten feet took 45-60 seconds to hike. All this while enduring the sub-freezing temperature, the blowing snow, and the wind chill factors. Nothing but grit and determination to keep you going. But the views were spectacular and the feeling of being literally on top of the world made it all worth it.\r\n\r\nI’ll continue to enjoy my Ironman triathlons and continue to do them as long as I can. But as far as hiking up a mountain to 19,341 feet, this will be my one and only time! It’s a tremendous accomplishment, but something I would not want to repeat.\r\n\r\n<div class=\"btn-wrap\">\r\n<a href=\"/Final-goodbyes-and-certificates\"><strong>See Photos</strong></a>\r\n</div></div>\r\n</div>\r\n&nbsp;\r\n<div class=\"video-flex-wrap\">\r\n<div class=\"video-box\">\r\n[video poster=\"https://www.drfields.com/wp-content/uploads/2021/08/Dancing.png\" width=\"352\" height=\"640\" mp4=\"https://www.drfields.com/wp-content/uploads/2021/08/DANCING-v3.mp4\"][/video]\r\n</div>\r\n<div class=\"video-box\">\r\n<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/final-goodbyes-1.jpg\">\r\n</div>\r\n</div>\r\n\r\n&nbsp;\r\n<h3 style=\"text-align: center;\">Thank You to Everyone Who Made Kilimanjaro A Possibility!</h3>\r\nThank you to everyone that sent me well wishes before, during, and after my climb. It meant so much!\r\n\r\nI also thank my parents who gave me the will and determination to achieve all the goals in my life, no matter how hard they are.\r\nThey always ingrained this determination in me and encouraged me to just put my head down and keep going to achieve my goals.\r\nAs I said above, they were with me the whole way and always will be.\r\n\r\nThank you for taking the time to read this. I hope this will inspire you that if a goal is desired, to just put your head down and keep going no matter how difficult it may seem.\r\n\r\n<strong>Peter A. Fields, MD, DC </strong>\r\n<strong>The Athletic Doc<sup>®</sup></strong>\r\n\r\n<a href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">Click here</a> to find out more about <strong>The Athletic Doc<sup>® </sup></strong>','Report of My Kilimanjaro Climb','','inherit','closed','closed','','2208-revision-v1','','','2022-07-27 04:09:02','2022-07-27 04:09:02','',2208,'https://www.drfields.com/?p=5399',0,'revision','',0),(5400,8,'2022-07-27 04:18:56','2022-07-27 04:18:56','[gallery columns=\"4\" size=\"wcsquare\" link=\"file\" ids=\"2293,2287,2286,2285,2292,2291,2290,2289\"]','Sunrise up top and heading down','','inherit','closed','closed','','2283-revision-v1','','','2022-07-27 04:18:56','2022-07-27 04:18:56','',2283,'https://www.drfields.com/?p=5400',0,'revision','',0),(5401,8,'2022-07-27 04:19:24','2022-07-27 04:19:24','[gallery columns=\"4\" size=\"wcstandard\" link=\"file\" ids=\"2293,2287,2286,2285,2292,2291,2290,2289\"]','Sunrise up top and heading down','','inherit','closed','closed','','2283-revision-v1','','','2022-07-27 04:19:24','2022-07-27 04:19:24','',2283,'https://www.drfields.com/?p=5401',0,'revision','',0),(5402,8,'2022-07-27 04:19:57','2022-07-27 04:19:57','[gallery columns=\"4\" size=\"wcstandard\" link=\"file\" captions=\"hide\" ids=\"2293,2287,2286,2285,2292,2291,2290,2289\"]','Sunrise up top and heading down','','inherit','closed','closed','','2283-revision-v1','','','2022-07-27 04:19:57','2022-07-27 04:19:57','',2283,'https://www.drfields.com/?p=5402',0,'revision','',0),(5403,8,'2022-07-27 04:21:15','2022-07-27 04:21:15','[gallery columns=\"4\" size=\"wcstandard\" link=\"file\" ids=\"2306,2304,2303,2302,2301,2300,2296,2297,2299\"]','Final goodbyes and certificates','','inherit','closed','closed','','2294-revision-v1','','','2022-07-27 04:21:15','2022-07-27 04:21:15','',2294,'https://www.drfields.com/?p=5403',0,'revision','',0),(5404,8,'2022-07-27 04:21:44','2022-07-27 04:21:44','[gallery columns=\"4\" size=\"wcstandard\" link=\"file\" display=\"grid\" ids=\"2306,2296,2304,2303,2302,2301,2300,2297,2299\"]','Final goodbyes and certificates','','inherit','closed','closed','','2294-revision-v1','','','2022-07-27 04:21:44','2022-07-27 04:21:44','',2294,'https://www.drfields.com/?p=5404',0,'revision','',0),(5405,8,'2022-07-27 04:22:15','2022-07-27 04:22:15','[gallery columns=\"4\" size=\"wcstandard\" link=\"file\" display=\"grid\" ids=\"2306,2297,2304,2303,2302,2301,2300,2296,2299\"]','Final goodbyes and certificates','','inherit','closed','closed','','2294-revision-v1','','','2022-07-27 04:22:15','2022-07-27 04:22:15','',2294,'https://www.drfields.com/?p=5405',0,'revision','',0),(5406,8,'2022-07-27 04:22:39','2022-07-27 04:22:39','[gallery columns=\"4\" size=\"wcstandard\" link=\"file\" display=\"grid\" captions=\"hide\" ids=\"2306,2297,2304,2303,2302,2301,2300,2296,2299\"]','Final goodbyes and certificates','','inherit','closed','closed','','2294-revision-v1','','','2022-07-27 04:22:39','2022-07-27 04:22:39','',2294,'https://www.drfields.com/?p=5406',0,'revision','',0),(5407,8,'2022-07-27 04:22:50','2022-07-27 04:22:50','[gallery columns=\"5\" size=\"wcstandard\" link=\"file\" display=\"grid\" captions=\"hide\" ids=\"2306,2297,2304,2303,2302,2301,2300,2296,2299\"]','Final goodbyes and certificates','','inherit','closed','closed','','2294-revision-v1','','','2022-07-27 04:22:50','2022-07-27 04:22:50','',2294,'https://www.drfields.com/?p=5407',0,'revision','',0),(5408,8,'2022-07-27 04:26:51','2022-07-27 04:26:51','<h1>Report of My Kilimanjaro Climb</h1>\r\n<em>By Peter A. Fields, MD, DC</em>\r\n\r\nAfter waiting ten years with this on my bucket list, I finally was going to climb Kilimanjaro.\r\n<h3>Getting to Mount Kilimanjaro</h3>\r\n<div class=\"reports-img-desc\">\r\n<div class=\"imgbox\"><img class=\"alignleft\" src=\"https://www.drfields.com/wp-content/uploads/2022/07/20190210_061752.jpg\" alt=\"\" /></div>\r\n<div class=\"reports-desc\">\r\n\r\nThe trip to Kilimanjaro began with an 11-hour flight to London where I had a 36-hour layover. Saw \"Tina, The Musical\" (life and times of Tina Turner). Great show.  Then 9 ½ hour flight to Nairobi, where I spent 24 hours so I was able to see the city. Then a one-hour flight to Kilimanjaro, Tanzania. My arrival at Kilimanjaro airport was on Sunday night. This was followed by a two-and-a-half-hour ride, with half of it on a very bumpy dirt road, before reaching the destination at the base camp. Since it was almost midnight, I went straight to my tent, which was quite luxurious for camping, and included a sink, a bathroom, and even a shower. I took advantage of a quick shower and went straight to bed.\r\n<div class=\"btn-wrap\"><a href=\"https://www.drfields.com/Day-1-Kiliminaro-and-base-camp-arrival\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n</div>\r\n</div>\r\n&nbsp;\r\n<h2>Kilimanjaro Pre-Hike</h2>\r\n<div class=\"reports-img-desc\">\r\n<div class=\"imgbox\"><img src=\"https://www.drfields.com/wp-content/uploads/2022/07/20190211_054908.jpg\" /></div>\r\n<div class=\"reports-desc\">\r\n\r\nAfter a nice breakfast, where I met the other climbers and our trek leaders, we went for a short two-hour hike just to see the local terrain. It was beautiful, with waterfalls and lots of lush plants and greenery. The guide leader went through our entire pack to make sure that we would be taking everything we needed and that everything was in good shape. The rest of the day was just spent relaxing, except for a short sunset hike of 10 minutes, where at the top of the small hill they had wine waiting for us. A pleasant surprise.\r\n<div class=\"btn-wrap\"><a href=\"/kilimanjaro-pre-hike/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n</div>\r\n</div>\r\n&nbsp;\r\n<h2>Getting to the Trailhead and First Day Hike Towards Kilimanjaro</h2>\r\n[gallery display=\"grid\" link=\"none\" columns=\"4\" size=\"wcsquare\" ids=\"5235,5231\"]\r\n<div class=\"reports-img-desc\">\r\n<div class=\"imgbox\"></div>\r\n<div class=\"reports-desc\">\r\n\r\nAfter a two-hour ride, we arrived at the check-in point. The weather was hot enough to wear shorts and t-shirts since we were only 3 degrees off the equator. There we saw the more than 45 plus Sherpa’s that would accompany us. There were six Sherpa’s( there were six hikers) to carry each person’s clothing (colder weather gear, nighttime clothes, toiletries, etc.). Then six to carry our bedding, and tents ( double roofed for better rain protection), six would carry our food for 7 days ( three full meals a day), eight of them made up the kitchen team, another team of two would carry the oxygen and medicine, four to carry the toilets and tents over them, plus about 10 other Sherpa’s would carry all the tents, tables and chairs. There were also 10 more to carry all of the sherpa’s food and equipment.\r\n\r\nWe had to register and show our passports, and after that, we took a short 20-minute drive to the trailhead. Arriving at noon, a very nice, well-prepared lunch was ready for us. We started the hike at 7700 feet and climbed to 9300 feet. The area was mostly jungle-like, with a lot of fantastic plants, birds, and other exotic wildlife, including Colobus monkeys and other animals. When we arrived at the camp at 9300 feet, the tents were already set up, and we unpacked our gear in each individual tent, had dinner and went to sleep.\r\n<div class=\"btn-wrap\"><a href=\"/Kili-Getting-to-the-trailhead/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n</div>\r\n</div>\r\n&nbsp;\r\n<h3>Hiking to 11,400 ft</h3>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5256,5261\"]\r\n<div class=\"reports-img-desc\">\r\n  <div class=\"imgbox\"></div>\r\n  <div class=\"reports-desc\">At 6:30 AM we were woken up with a hot bowl of water to wash up and get ready for the day. A very full breakfast was prepared for us and then we started off to hike again. For hiking, it’s important to eat three square meals a day as well as drink a minimum of three liters of water a day. Without this exhaustion, dehydration, and more can happen. The guides made sure that we would eat a lot and consume lots of water.\r\n\r\nWe headed off on our hike up to 11,400 feet, crossing from the Montane Forest into the Hagenia Zone, where we saw many different plants and beautiful trees throughout the canyon.\r\n\r\nI felt pretty good, as I had taken Diamox, a medicine to help prevent altitude sickness. I had a Camelback-style drinking system so I was drinking copious amounts of water. At night it was cold but with the proper gear (well worth the expense!), I felt warm.\r\n\r\n<div class=\"btn-wrap\">\r\n<a href=\"/kili-hiking-to-11400-ft/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div></div>\r\n</div>\r\n&nbsp;\r\n<h3>Hiking to 13,400 ft</h3>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5351,5352\"]\r\n<div class=\"reports-img-desc\">\r\n  <div class=\"imgbox\"></div>\r\n  <div class=\"reports-desc\">We had another early wake-up call today and another substantial breakfast (scrambled eggs, toast, pancakes, fruit, toast, jelly, peanut butter, tea/coffee, and more. We hiked across a large plateau and gained about 2,100 feet in altitude. It was very interesting as we passed into the upper heath zone, where there were no more trees here, just a lot of different plants. And lots of volcanic rock (the last active volcano here took place over 10,000 years ago).\r\n\r\nThe hiking was very slow and consistent, as they say in Swahili, “Poli, Poli.” Again I felt very good when arriving at Moir camp at 13,500 feet. We had beautiful views of the mountain as the clouds moved away. It was really spectacular!\r\n<div class=\"btn-wrap\">\r\n<a href=\"/kili-hiking-to-13400-feet/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div></div>\r\n</div>\r\n&nbsp;\r\n<h3>Kili Hiking to 15,500 feet</h3>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5271,5270\"]\r\n<div class=\"reports-img-desc\">\r\n  <div class=\"imgbox\"></div>\r\n  <div class=\"reports-desc\">We woke up again at 6:30 AM, had breakfast at 7, and were hiking by 7:30. Today was a shorter hike of only 3.1 miles, but we did climb 2000 feet. It was slow in some parts and the steep sections were even slower. Finally, we arrived at camp after hiking for only 2 hours and 20 minutes. We were now at 15,500 feet. The air is very thin, so with every step you take, you have to think about it. But when we arrived at camp, everything seemed to settle down. During the afternoon there was a hale storm that turned into snow, so everybody went into their tents. I probably took a 3-hour well-needed nap. After a good dinner, we all went to bed, but not until we viewed the beautiful skies at 15,500 feet in the southern hemisphere.\r\n<div class=\"btn-wrap\">\r\n<a href=\"/kili-hiking-to-15500-feet/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div></div>\r\n</div>\r\n&nbsp;\r\n<h3>Getting to camp at 16,500 ft</h3>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5291,5283\"]\r\n<div class=\"reports-img-desc\">\r\n  <div class=\"imgbox\"></div>\r\n  <div class=\"reports-desc\">We had the usual wake-up call at 6:30 AM and were on the trail by 7:30. It snowed during the night, but only half an inch or so, making everything white and beautiful. The good news is this meant it was right around 32 degrees. The sun came out, so it was warm when we hiked but a little bit cooler when clouds were overhead. Plus with the altitude (lots of breathing) and hiking effort, one was rarely cold. Today’s hike was only 1,000 feet of climbing and a short hike to the base camp. The big hike tomorrow will only be about an hour and 20 minutes, but it will be over a lot of rocks and boulders and will be steep in some places. We arrived at the base camp around 10:30 – 11 in the morning. We were supposed to go for a short hike from there without our packs but it started snowing for over an hour, so that was canceled. Tomorrow morning, we will have a 4 AM wake-up call in anticipation of a 2,300-foot elevation climb up to 18,650 feet.\r\n<div class=\"btn-wrap\">\r\n<a href=\"/16-500-feet-to-18-400/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div></div>\r\n</div>\r\n\r\n&nbsp;\r\n<h3>Kilimanjaro Final Camp At 18,500 Feet</h3>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5292,5293\"]\r\n<div class=\"reports-img-desc\">\r\n  <div class=\"imgbox\"></div>\r\n  <div class=\"reports-desc\">Wake-up call at 4 AM and breakfast at 4:30. The slow group left at 5. We (my hiking partner, myself, and our guide) left about 5:30. At this altitude of over 16,000 feet, everyone moves very slowly. The first little part was steep and slightly snow-covered, but then it got extremely steep and no longer covered in snow. \r\n\r\nWe climbed 2,400 feet over 2.6 miles. The first hour was in the dark, but we all had headlamps. It was very rocky and we had to use our hands sometimes to climb. We ran into a few other tours on the trail and all of us had to cut across a mountainside since the snow had obliterated the trail the night before.\r\n\r\nWe were now over 17, 000 feet. One of the guides from another tour (all the guides know each other) had a pickaxe and so he chopped thru the snow to make it easier on our footing. Even so, it was very slippery. There were times we had to use all four extremities to climb, even kneeling on the next step up because the step was too high to reach with our foot. Breathing was becoming more and more labored and it was difficult to catch our breath in the thinning air.\r\n\r\nWhen we stopped at 18,000 feet for a snack and water, we thought the worst was over, but that wasn’t the case. The next 500 feet were very rocky and slippery, and that along with the very thin air meant we had to take three or four steps before needing to stop for a break. Like having a bag over your head and pulling for each breath.\r\n\r\nFinally, we reached the craters ridge and were very happy. These are remnants of glaciers that once covered this entire valley. The whole valley was snow-covered and looked like we were walking in a desert. When we arrived, we were not allowed to lie down in our tents for about a good hour because we needed to let our bodies acclimate to the thin air at 18,600 feet.\r\n\r\nAfter that, we enjoyed a well-deserved nap before an early dinner because we would be getting up again at 4 AM to climb to the top of Kilimanjaro!\r\n\r\n<div class=\"btn-wrap\">\r\n<a href=\"/kilimanjaro-final-camp-at-18500-feet/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div></div>\r\n</div>\r\n&nbsp;\r\n<h2>Climbing To The Top Of Kilimanjaro 19,341 Ft/5895 Meters And Beginning The Descent</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5331,5372\"]\r\n<div class=\"reports-img-desc\">\r\n  <div class=\"imgbox\"></div>\r\n  <div class=\"reports-desc\">The night was extremely cold, with ground temperatures probably down to zero degrees Fahrenheit. We did everything to keep ourselves warm! I laid my down jacket on top of my sleeping bag (which was rated to zero degrees), plus I had a liner inside the sleeping bag which gave me an additional 25 degrees of warmth. I am definitely not a cold weather person but with the right gear, it was not too bad.\r\n    \r\nWe were woken up at 4 AM. After eating and packing our stuff (only our personal things; the Sherpa took care of the sleeping bag and tent each morning and night), we were off for a 75-minute climb, basically straight up and extremely cold. Fortunately, I had bought the best mittens ever and my hands were not cold. Nonetheless, my legs and face took the brunt of it, and we moved very, very slowly. 10 feet could take several minutes. After a very hard, straight-up climbing, we had to cross a flat plane to the actual top of the mountain. The wind was blowing like crazy. The air temp was around minus 10 Fahrenheit with the wind chill probably down to negative 45 or 50 Fahrenheit. But all 6 of us had made it. It was a special feeling…an unbelievable feeling!\r\n\r\nI always carry some ashes of my parents no matter where I travel in this world. And since this was a very special place, I quietly said a prayer, took off my mittens (brrr), and sprinkled some of their ashes at the top. They had made it the whole way with me!\r\n\r\nWe took our pictures and then had to get going due to the intense winds and brutal cold. Fortunately, we summited very early and there were only one or two other groups at the top. Later on, there would be at least 50-100 people. We saw a gorgeous sunrise since it was shortly before 7 in the morning. We were almost on the equator, and sunrise and sunsets are always at around 6:30 to 7 am without much variation from season to season.\r\n\r\nImmediately, once we started to go down, we could feel the release of pressure in our lungs and chest. The descent and decreasing pressure made it a lot easier on our lungs, plus it was now all downhill. After an hour or two, our quads really felt it, and we would be walking downhill for the next 5 to 6 hours!\r\n\r\nWe did stop for a small break for some lunch, but our appetite was low due to the altitude. Several of the hikers experienced altitude sickness on the way up, with nausea, diarrhea, headaches loss of appetite, and weakness. I felt worse while descending, but fortunately, I had only lost my appetite with slight nausea and it lasted only for a short period of time. Anyway, we finally made it to camp at 10,500 feet. The weather was really nice and a bit warmer, between about 45 to 50 degrees or more. What a difference from the night before! We all had a good meal and rested, as we had been hiking downhill for over 8 hours, and all of our legs were extremely tired.\r\n\r\n<div class=\"btn-wrap\">\r\n<a href=\"/Hiking-to-the-summit-19-341-feet/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div></div>\r\n</div>\r\n&nbsp;\r\n<h3>The descent and saying goodbye</h3>\r\n<div class=\"reports-img-desc\">\r\n  <div class=\"imgbox\"></div>\r\n  <div class=\"reports-desc\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/Sunriseuptop-3.jpg\" class=\"alignleft\" width=\"400\">We woke up at 6:30 AM, which was a big difference from 4 AM. Today would be our last night, and we would be saying goodbye to all the Sherpas as they would leave the trail. Only the guides would continue with us. I volunteered to be the spokesperson of the group, which meant I would be collecting the tip money and giving a short speech.\r\n\r\nAfter breakfast, the 40 or so sherpas gathered around singing and dancing. I actually joined them in the dancing, which I have a video of. I was very tired, but it was still worth it. I gave a 3-minute speech thanking every one of them for all of their hard work and dedication, and telling them that their help, whether by carrying a table, carrying sleeping bags, setting up tents, preparing food and everything else they did for us, was all very special and helped us so much.\r\n\r\nWe then set off for our last 6 to 7-hour hike downhill. Although it was not very steep, it was a dried-up river bed that was full of rocks and stones, making footing uneasy, and causing our quads to be even more on fire. I and several others had foldable walking sticks and this helped a lot. But we knew the end was coming, so we just kept going. We stopped for lunch and continued on. After about 7 hours, we saw the base camp. Nothing could be sweeter! I signed out at the Ranger station and basically collapsed into the waiting truck. There were a lot of campers and hikers ending in this same area, so they drove us about 20 minutes away.\r\n\r\nWe had some lunch and then drove the rest of the way back to the lodge, which was a beautiful hotel about half an hour outside of Arusha on an old coffee plantation. Everybody had their own cabin. For the first time in 9 days, I took a shower. It was wonderful! Then we all gathered with the two guides and I said a few more words to represent the group. We had a nice dinner, and then two people left for the airport by 7 PM. That night, was my first night of sleep in a bed, after 9 days. It was fantastic! The mission was accomplished!\r\n\r\n<div class=\"btn-wrap\">\r\n<a href=\"/Sunrise-up-top-and-heading-down\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a>\r\n</div></div>\r\n</div>\r\n&nbsp;\r\n<h2>Kilimanjaro Was Amazing! Final Goodbyes and certificate</h2>\r\n<div class=\"reports-img-desc\">\r\n  <div class=\"imgbox\"></div>\r\n  <div class=\"reports-desc\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/final-goodbyes-9.jpg\" class=\"alignleft\" width=\"400\"/>Even though the trip was not exactly as described in the pamphlet, it was something I had had on my bucket list for over 10 years. It was extremely difficult at times. Some of our hikers had difficulty even moving and needed assistance. But we all persevered. I’ve done 10 Ironman races so far (now 11!), which require monumental training. But the long hike up to the crater from 16,800 feet to 18,400, with the subsequent day of summiting, followed by the 9,000-foot descent, were some of the hardest things that I’ve ever done. And that includes all my Ironman competitions.\r\n\r\nYou just can’t imagine what it’s like trying to move at that altitude. As I said before, it is similar to having a paper bag over your head and trying to grasp for air. There were times I took two or three steps and then had to pause for 15 or 20 seconds just to get my heart rate and breathing back down, repeating that again and again and again. Never looking ahead, only down, because sometimes ten feet took 45-60 seconds to hike. All this while enduring the sub-freezing temperature, the blowing snow, and the wind chill factors. Nothing but grit and determination to keep you going. But the views were spectacular and the feeling of being literally on top of the world made it all worth it.\r\n\r\nI’ll continue to enjoy my Ironman triathlons and continue to do them as long as I can. But as far as hiking up a mountain to 19,341 feet, this will be my one and only time! It’s a tremendous accomplishment, but something I would not want to repeat.\r\n\r\n<div class=\"btn-wrap\">\r\n<a href=\"/Final-goodbyes-and-certificates\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a>\r\n</div></div>\r\n</div>\r\n&nbsp;\r\n<div class=\"video-flex-wrap\">\r\n<div class=\"video-box\">\r\n[video poster=\"https://www.drfields.com/wp-content/uploads/2021/08/Dancing.png\" width=\"352\" height=\"640\" mp4=\"https://www.drfields.com/wp-content/uploads/2021/08/DANCING-v3.mp4\"][/video]\r\n</div>\r\n<div class=\"video-box\">\r\n<img src=\"https://www.drfields.com/wp-content/uploads/2019/06/final-goodbyes-1.jpg\">\r\n</div>\r\n</div>\r\n\r\n&nbsp;\r\n<h3 style=\"text-align: center;\">Thank You to Everyone Who Made Kilimanjaro A Possibility!</h3>\r\nThank you to everyone that sent me well wishes before, during, and after my climb. It meant so much!\r\n\r\nI also thank my parents who gave me the will and determination to achieve all the goals in my life, no matter how hard they are.\r\nThey always ingrained this determination in me and encouraged me to just put my head down and keep going to achieve my goals.\r\nAs I said above, they were with me the whole way and always will be.\r\n\r\nThank you for taking the time to read this. I hope this will inspire you that if a goal is desired, to just put your head down and keep going no matter how difficult it may seem.\r\n<div class=\"btn-wrap\">\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a>\r\n</div>\r\n\r\n<strong>Peter A. Fields, MD, DC </strong>\r\n<strong>The Athletic Doc<sup>®</sup></strong>\r\n\r\n<a href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">Click here</a> to find out more about <strong>The Athletic Doc<sup>® </sup></strong>','Report of My Kilimanjaro Climb','','inherit','closed','closed','','2208-revision-v1','','','2022-07-27 04:26:51','2022-07-27 04:26:51','',2208,'https://www.drfields.com/?p=5408',0,'revision','',0),(5409,8,'2022-07-27 04:28:32','2022-07-27 04:28:32','<h1>Report of My Kilimanjaro Climb</h1>\r\n<em>By Peter A. Fields, MD, DC</em>\r\n\r\nAfter waiting ten years with this on my bucket list, I finally was going to climb Kilimanjaro.\r\n<h3>Getting to Mount Kilimanjaro</h3>\r\n<div class=\"reports-img-desc\">\r\n<div class=\"imgbox\"><img class=\"alignleft\" src=\"https://www.drfields.com/wp-content/uploads/2022/07/20190210_061752.jpg\" alt=\"\" /></div>\r\n<div class=\"reports-desc\">\r\n\r\nThe trip to Kilimanjaro began with an 11-hour flight to London where I had a 36-hour layover. Saw \"Tina, The Musical\" (life and times of Tina Turner). Great show.  Then 9 ½ hour flight to Nairobi, where I spent 24 hours so I was able to see the city. Then a one-hour flight to Kilimanjaro, Tanzania. My arrival at Kilimanjaro airport was on Sunday night. This was followed by a two-and-a-half-hour ride, with half of it on a very bumpy dirt road, before reaching the destination at the base camp. Since it was almost midnight, I went straight to my tent, which was quite luxurious for camping, and included a sink, a bathroom, and even a shower. I took advantage of a quick shower and went straight to bed.\r\n<div class=\"btn-wrap\"><a href=\"https://www.drfields.com/Day-1-Kiliminaro-and-base-camp-arrival\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n</div>\r\n</div>\r\n&nbsp;\r\n<h2>Kilimanjaro Pre-Hike</h2>\r\n<div class=\"reports-img-desc\">\r\n<div class=\"imgbox\"><img src=\"https://www.drfields.com/wp-content/uploads/2022/07/20190211_054908.jpg\" /></div>\r\n<div class=\"reports-desc\">\r\n\r\nAfter a nice breakfast, where I met the other climbers and our trek leaders, we went for a short two-hour hike just to see the local terrain. It was beautiful, with waterfalls and lots of lush plants and greenery. The guide leader went through our entire pack to make sure that we would be taking everything we needed and that everything was in good shape. The rest of the day was just spent relaxing, except for a short sunset hike of 10 minutes, where at the top of the small hill they had wine waiting for us. A pleasant surprise.\r\n<div class=\"btn-wrap\"><a href=\"/kilimanjaro-pre-hike/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n</div>\r\n</div>\r\n&nbsp;\r\n<h2>Getting to the Trailhead and First Day Hike Towards Kilimanjaro</h2>\r\n[gallery display=\"grid\" link=\"none\" columns=\"4\" size=\"wcsquare\" ids=\"5235,5231\"]\r\n<div class=\"reports-img-desc\">\r\n<div class=\"imgbox\"></div>\r\n<div class=\"reports-desc\">\r\n\r\nAfter a two-hour ride, we arrived at the check-in point. The weather was hot enough to wear shorts and t-shirts since we were only 3 degrees off the equator. There we saw the more than 45 plus Sherpa’s that would accompany us. There were six Sherpa’s( there were six hikers) to carry each person’s clothing (colder weather gear, nighttime clothes, toiletries, etc.). Then six to carry our bedding, and tents ( double roofed for better rain protection), six would carry our food for 7 days ( three full meals a day), eight of them made up the kitchen team, another team of two would carry the oxygen and medicine, four to carry the toilets and tents over them, plus about 10 other Sherpa’s would carry all the tents, tables and chairs. There were also 10 more to carry all of the sherpa’s food and equipment.\r\n\r\nWe had to register and show our passports, and after that, we took a short 20-minute drive to the trailhead. Arriving at noon, a very nice, well-prepared lunch was ready for us. We started the hike at 7700 feet and climbed to 9300 feet. The area was mostly jungle-like, with a lot of fantastic plants, birds, and other exotic wildlife, including Colobus monkeys and other animals. When we arrived at the camp at 9300 feet, the tents were already set up, and we unpacked our gear in each individual tent, had dinner and went to sleep.\r\n<div class=\"btn-wrap\"><a href=\"/Kili-Getting-to-the-trailhead/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n</div>\r\n</div>\r\n&nbsp;\r\n<h3>Hiking to 11,400 ft</h3>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5256,5261\"]\r\n<div class=\"reports-img-desc\">\r\n<div class=\"imgbox\"></div>\r\n<div class=\"reports-desc\">\r\n\r\nAt 6:30 AM we were woken up with a hot bowl of water to wash up and get ready for the day. A very full breakfast was prepared for us and then we started off to hike again. For hiking, it’s important to eat three square meals a day as well as drink a minimum of three liters of water a day. Without this exhaustion, dehydration, and more can happen. The guides made sure that we would eat a lot and consume lots of water.\r\n\r\nWe headed off on our hike up to 11,400 feet, crossing from the Montane Forest into the Hagenia Zone, where we saw many different plants and beautiful trees throughout the canyon.\r\n\r\nI felt pretty good, as I had taken Diamox, a medicine to help prevent altitude sickness. I had a Camelback-style drinking system so I was drinking copious amounts of water. At night it was cold but with the proper gear (well worth the expense!), I felt warm.\r\n<div class=\"btn-wrap\"><a href=\"/kili-hiking-to-11400-ft/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n</div>\r\n</div>\r\n&nbsp;\r\n<h3>Hiking to 13,400 ft</h3>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5351,5352\"]\r\n<div class=\"reports-img-desc\">\r\n<div class=\"imgbox\"></div>\r\n<div class=\"reports-desc\">\r\n\r\nWe had another early wake-up call today and another substantial breakfast (scrambled eggs, toast, pancakes, fruit, toast, jelly, peanut butter, tea/coffee, and more. We hiked across a large plateau and gained about 2,100 feet in altitude. It was very interesting as we passed into the upper heath zone, where there were no more trees here, just a lot of different plants. And lots of volcanic rock (the last active volcano here took place over 10,000 years ago).\r\n\r\nThe hiking was very slow and consistent, as they say in Swahili, “Poli, Poli.” Again I felt very good when arriving at Moir camp at 13,500 feet. We had beautiful views of the mountain as the clouds moved away. It was really spectacular!\r\n<div class=\"btn-wrap\"><a href=\"/kili-hiking-to-13400-feet/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n</div>\r\n</div>\r\n&nbsp;\r\n<h3>Kili Hiking to 15,500 feet</h3>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5271,5270\"]\r\n<div class=\"reports-img-desc\">\r\n<div class=\"imgbox\"></div>\r\n<div class=\"reports-desc\">\r\n\r\nWe woke up again at 6:30 AM, had breakfast at 7, and were hiking by 7:30. Today was a shorter hike of only 3.1 miles, but we did climb 2000 feet. It was slow in some parts and the steep sections were even slower. Finally, we arrived at camp after hiking for only 2 hours and 20 minutes. We were now at 15,500 feet. The air is very thin, so with every step you take, you have to think about it. But when we arrived at camp, everything seemed to settle down. During the afternoon there was a hale storm that turned into snow, so everybody went into their tents. I probably took a 3-hour well-needed nap. After a good dinner, we all went to bed, but not until we viewed the beautiful skies at 15,500 feet in the southern hemisphere.\r\n<div class=\"btn-wrap\"><a href=\"/kili-hiking-to-15500-feet/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n</div>\r\n</div>\r\n&nbsp;\r\n<h3>Getting to camp at 16,500 ft</h3>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5291,5283\"]\r\n<div class=\"reports-img-desc\">\r\n<div class=\"imgbox\"></div>\r\n<div class=\"reports-desc\">\r\n\r\nWe had the usual wake-up call at 6:30 AM and were on the trail by 7:30. It snowed during the night, but only half an inch or so, making everything white and beautiful. The good news is this meant it was right around 32 degrees. The sun came out, so it was warm when we hiked but a little bit cooler when clouds were overhead. Plus with the altitude (lots of breathing) and hiking effort, one was rarely cold. Today’s hike was only 1,000 feet of climbing and a short hike to the base camp. The big hike tomorrow will only be about an hour and 20 minutes, but it will be over a lot of rocks and boulders and will be steep in some places. We arrived at the base camp around 10:30 – 11 in the morning. We were supposed to go for a short hike from there without our packs but it started snowing for over an hour, so that was canceled. Tomorrow morning, we will have a 4 AM wake-up call in anticipation of a 2,300-foot elevation climb up to 18,650 feet.\r\n<div class=\"btn-wrap\"><a href=\"/16-500-feet-to-18-400/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n</div>\r\n</div>\r\n&nbsp;\r\n<h3>Kilimanjaro Final Camp At 18,500 Feet</h3>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5292,5293\"]\r\n<div class=\"reports-img-desc\">\r\n<div class=\"imgbox\"></div>\r\n<div class=\"reports-desc\">\r\n\r\nWake-up call at 4 AM and breakfast at 4:30. The slow group left at 5. We (my hiking partner, myself, and our guide) left about 5:30. At this altitude of over 16,000 feet, everyone moves very slowly. The first little part was steep and slightly snow-covered, but then it got extremely steep and no longer covered in snow.\r\n\r\nWe climbed 2,400 feet over 2.6 miles. The first hour was in the dark, but we all had headlamps. It was very rocky and we had to use our hands sometimes to climb. We ran into a few other tours on the trail and all of us had to cut across a mountainside since the snow had obliterated the trail the night before.\r\n\r\nWe were now over 17, 000 feet. One of the guides from another tour (all the guides know each other) had a pickaxe and so he chopped thru the snow to make it easier on our footing. Even so, it was very slippery. There were times we had to use all four extremities to climb, even kneeling on the next step up because the step was too high to reach with our foot. Breathing was becoming more and more labored and it was difficult to catch our breath in the thinning air.\r\n\r\nWhen we stopped at 18,000 feet for a snack and water, we thought the worst was over, but that wasn’t the case. The next 500 feet were very rocky and slippery, and that along with the very thin air meant we had to take three or four steps before needing to stop for a break. Like having a bag over your head and pulling for each breath.\r\n\r\nFinally, we reached the craters ridge and were very happy. These are remnants of glaciers that once covered this entire valley. The whole valley was snow-covered and looked like we were walking in a desert. When we arrived, we were not allowed to lie down in our tents for about a good hour because we needed to let our bodies acclimate to the thin air at 18,600 feet.\r\n\r\nAfter that, we enjoyed a well-deserved nap before an early dinner because we would be getting up again at 4 AM to climb to the top of Kilimanjaro!\r\n<div class=\"btn-wrap\"><a href=\"/kilimanjaro-final-camp-at-18500-feet/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n</div>\r\n</div>\r\n&nbsp;\r\n<h2>Climbing To The Top Of Kilimanjaro 19,341 Ft/5895 Meters And Beginning The Descent</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5331,5372\"]\r\n<div class=\"reports-img-desc\">\r\n<div class=\"imgbox\"></div>\r\n<div class=\"reports-desc\">\r\n\r\nThe night was extremely cold, with ground temperatures probably down to zero degrees Fahrenheit. We did everything to keep ourselves warm! I laid my down jacket on top of my sleeping bag (which was rated to zero degrees), plus I had a liner inside the sleeping bag which gave me an additional 25 degrees of warmth. I am definitely not a cold weather person but with the right gear, it was not too bad.\r\n\r\nWe were woken up at 4 AM. After eating and packing our stuff (only our personal things; the Sherpa took care of the sleeping bag and tent each morning and night), we were off for a 75-minute climb, basically straight up and extremely cold. Fortunately, I had bought the best mittens ever and my hands were not cold. Nonetheless, my legs and face took the brunt of it, and we moved very, very slowly. 10 feet could take several minutes. After a very hard, straight-up climbing, we had to cross a flat plane to the actual top of the mountain. The wind was blowing like crazy. The air temp was around minus 10 Fahrenheit with the wind chill probably down to negative 45 or 50 Fahrenheit. But all 6 of us had made it. It was a special feeling…an unbelievable feeling!\r\n\r\nI always carry some ashes of my parents no matter where I travel in this world. And since this was a very special place, I quietly said a prayer, took off my mittens (brrr), and sprinkled some of their ashes at the top. They had made it the whole way with me!\r\n\r\nWe took our pictures and then had to get going due to the intense winds and brutal cold. Fortunately, we summited very early and there were only one or two other groups at the top. Later on, there would be at least 50-100 people. We saw a gorgeous sunrise since it was shortly before 7 in the morning. We were almost on the equator, and sunrise and sunsets are always at around 6:30 to 7 am without much variation from season to season.\r\n\r\nImmediately, once we started to go down, we could feel the release of pressure in our lungs and chest. The descent and decreasing pressure made it a lot easier on our lungs, plus it was now all downhill. After an hour or two, our quads really felt it, and we would be walking downhill for the next 5 to 6 hours!\r\n\r\nWe did stop for a small break for some lunch, but our appetite was low due to the altitude. Several of the hikers experienced altitude sickness on the way up, with nausea, diarrhea, headaches loss of appetite, and weakness. I felt worse while descending, but fortunately, I had only lost my appetite with slight nausea and it lasted only for a short period of time. Anyway, we finally made it to camp at 10,500 feet. The weather was really nice and a bit warmer, between about 45 to 50 degrees or more. What a difference from the night before! We all had a good meal and rested, as we had been hiking downhill for over 8 hours, and all of our legs were extremely tired.\r\n<div class=\"btn-wrap\"><a href=\"/Hiking-to-the-summit-19-341-feet/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n</div>\r\n</div>\r\n&nbsp;\r\n<h3>The descent and saying goodbye</h3>\r\n<div class=\"reports-img-desc\">\r\n<div class=\"imgbox\"></div>\r\n<div class=\"reports-desc\">\r\n\r\n<img class=\"alignleft\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Sunriseuptop-3.jpg\" width=\"400\" />We woke up at 6:30 AM, which was a big difference from 4 AM. Today would be our last night, and we would be saying goodbye to all the Sherpas as they would leave the trail. Only the guides would continue with us. I volunteered to be the spokesperson of the group, which meant I would be collecting the tip money and giving a short speech.\r\n\r\nAfter breakfast, the 40 or so sherpas gathered around singing and dancing. I actually joined them in the dancing, which I have a video of. I was very tired, but it was still worth it. I gave a 3-minute speech thanking every one of them for all of their hard work and dedication, and telling them that their help, whether by carrying a table, carrying sleeping bags, setting up tents, preparing food and everything else they did for us, was all very special and helped us so much.\r\n\r\nWe then set off for our last 6 to 7-hour hike downhill. Although it was not very steep, it was a dried-up river bed that was full of rocks and stones, making footing uneasy, and causing our quads to be even more on fire. I and several others had foldable walking sticks and this helped a lot. But we knew the end was coming, so we just kept going. We stopped for lunch and continued on. After about 7 hours, we saw the base camp. Nothing could be sweeter! I signed out at the Ranger station and basically collapsed into the waiting truck. There were a lot of campers and hikers ending in this same area, so they drove us about 20 minutes away.\r\n\r\nWe had some lunch and then drove the rest of the way back to the lodge, which was a beautiful hotel about half an hour outside of Arusha on an old coffee plantation. Everybody had their own cabin. For the first time in 9 days, I took a shower. It was wonderful! Then we all gathered with the two guides and I said a few more words to represent the group. We had a nice dinner, and then two people left for the airport by 7 PM. That night, was my first night of sleep in a bed, after 9 days. It was fantastic! The mission was accomplished!\r\n<div class=\"btn-wrap\"><a href=\"/Sunrise-up-top-and-heading-down\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n</div>\r\n</div>\r\n&nbsp;\r\n<h2>Kilimanjaro Was Amazing! Final Goodbyes and certificate</h2>\r\n<div class=\"reports-img-desc\">\r\n<div class=\"imgbox\"></div>\r\n<div class=\"reports-desc\">\r\n\r\n<img class=\"alignleft\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/final-goodbyes-9.jpg\" width=\"400\" />Even though the trip was not exactly as described in the pamphlet, it was something I had had on my bucket list for over 10 years. It was extremely difficult at times. Some of our hikers had difficulty even moving and needed assistance. But we all persevered. I’ve done 10 Ironman races so far (now 11!), which require monumental training. But the long hike up to the crater from 16,800 feet to 18,400, with the subsequent day of summiting, followed by the 9,000-foot descent, were some of the hardest things that I’ve ever done. And that includes all my Ironman competitions.\r\n\r\nYou just can’t imagine what it’s like trying to move at that altitude. As I said before, it is similar to having a paper bag over your head and trying to grasp for air. There were times I took two or three steps and then had to pause for 15 or 20 seconds just to get my heart rate and breathing back down, repeating that again and again and again. Never looking ahead, only down, because sometimes ten feet took 45-60 seconds to hike. All this while enduring the sub-freezing temperature, the blowing snow, and the wind chill factors. Nothing but grit and determination to keep you going. But the views were spectacular and the feeling of being literally on top of the world made it all worth it.\r\n\r\nI’ll continue to enjoy my Ironman triathlons and continue to do them as long as I can. But as far as hiking up a mountain to 19,341 feet, this will be my one and only time! It’s a tremendous accomplishment, but something I would not want to repeat.\r\n<div class=\"btn-wrap\"><a href=\"/Final-goodbyes-and-certificates\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n</div>\r\n</div>\r\n&nbsp;\r\n<div class=\"video-flex-wrap\">\r\n<div class=\"video-box\">\r\n\r\n[video poster=\"https://www.drfields.com/wp-content/uploads/2021/08/Dancing.png\" width=\"352\" height=\"640\" mp4=\"https://www.drfields.com/wp-content/uploads/2021/08/DANCING-v3.mp4\"][/video]\r\n\r\n</div>\r\n<div class=\"video-box\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/final-goodbyes-1.jpg\" /></div>\r\n</div>\r\n&nbsp;\r\n<h3 style=\"text-align: center;\">Thank You to Everyone Who Made Kilimanjaro A Possibility!</h3>\r\nThank you to everyone that sent me well wishes before, during, and after my climb. It meant so much!\r\n\r\nI also thank my parents who gave me the will and determination to achieve all the goals in my life, no matter how hard they are.\r\nThey always ingrained this determination in me and encouraged me to just put my head down and keep going to achieve my goals.\r\nAs I said above, they were with me the whole way and always will be.\r\n\r\nThank you for taking the time to read this. I hope this will inspire you that if a goal is desired, to just put your head down and keep going no matter how difficult it may seem.\r\n<div class=\"btn-wrap\"><a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n&nbsp;\r\n<strong>Peter A. Fields, MD, DC </strong>\r\n<strong>The Athletic Doc<sup>®</sup></strong>\r\n\r\n<a href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">Click here</a> to find out more about <strong>The Athletic Doc<sup>® </sup></strong>','Report of My Kilimanjaro Climb','','inherit','closed','closed','','2208-revision-v1','','','2022-07-27 04:28:32','2022-07-27 04:28:32','',2208,'https://www.drfields.com/?p=5409',0,'revision','',0),(5410,8,'2022-07-27 04:42:06','2022-07-27 04:42:06','<h1 class=\"heading-style\">Report of My Kilimanjaro Climb</h1>\r\n<em>By Peter A. Fields, MD, DC</em>\r\n\r\nAfter waiting ten years with this on my bucket list, I finally was going to climb Kilimanjaro.\r\n<h3 class=\"heading-style\">Getting to Mount Kilimanjaro</h3>\r\n<div class=\"reports-img-desc\">\r\n<div class=\"imgbox\"><img class=\"alignleft\" src=\"https://www.drfields.com/wp-content/uploads/2022/07/20190210_061752.jpg\" alt=\"\" /></div>\r\n<div class=\"reports-desc\">\r\n\r\nThe trip to Kilimanjaro began with an 11-hour flight to London where I had a 36-hour layover. Saw \"Tina, The Musical\" (life and times of Tina Turner). Great show.  Then 9 ½ hour flight to Nairobi, where I spent 24 hours so I was able to see the city. Then a one-hour flight to Kilimanjaro, Tanzania. My arrival at Kilimanjaro airport was on Sunday night. This was followed by a two-and-a-half-hour ride, with half of it on a very bumpy dirt road, before reaching the destination at the base camp. Since it was almost midnight, I went straight to my tent, which was quite luxurious for camping, and included a sink, a bathroom, and even a shower. I took advantage of a quick shower and went straight to bed.\r\n<div class=\"btn-wrap\"><a href=\"https://www.drfields.com/Day-1-Kiliminaro-and-base-camp-arrival\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n</div>\r\n</div>\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro Pre-Hike</h2>\r\n<div class=\"reports-img-desc\">\r\n<div class=\"imgbox\"><img src=\"https://www.drfields.com/wp-content/uploads/2022/07/20190211_054908.jpg\" /></div>\r\n<div class=\"reports-desc\">\r\n\r\nAfter a nice breakfast, where I met the other climbers and our trek leaders, we went for a short two-hour hike just to see the local terrain. It was beautiful, with waterfalls and lots of lush plants and greenery. The guide leader went through our entire pack to make sure that we would be taking everything we needed and that everything was in good shape. The rest of the day was just spent relaxing, except for a short sunset hike of 10 minutes, where at the top of the small hill they had wine waiting for us. A pleasant surprise.\r\n<div class=\"btn-wrap\"><a href=\"/kilimanjaro-pre-hike/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n</div>\r\n</div>\r\n&nbsp;\r\n<h2 class=\"heading-style\">Getting to the Trailhead and First Day Hike Towards Kilimanjaro</h2>\r\n[gallery display=\"grid\" link=\"none\" columns=\"4\" size=\"wcsquare\" ids=\"5235,5231\"]\r\n<div class=\"reports-img-desc\">\r\n<div class=\"imgbox\"></div>\r\n<div class=\"reports-desc\">\r\n\r\nAfter a two-hour ride, we arrived at the check-in point. The weather was hot enough to wear shorts and t-shirts since we were only 3 degrees off the equator. There we saw the more than 45 plus Sherpa’s that would accompany us. There were six Sherpa’s( there were six hikers) to carry each person’s clothing (colder weather gear, nighttime clothes, toiletries, etc.). Then six to carry our bedding, and tents ( double roofed for better rain protection), six would carry our food for 7 days ( three full meals a day), eight of them made up the kitchen team, another team of two would carry the oxygen and medicine, four to carry the toilets and tents over them, plus about 10 other Sherpa’s would carry all the tents, tables and chairs. There were also 10 more to carry all of the sherpa’s food and equipment.\r\n\r\nWe had to register and show our passports, and after that, we took a short 20-minute drive to the trailhead. Arriving at noon, a very nice, well-prepared lunch was ready for us. We started the hike at 7700 feet and climbed to 9300 feet. The area was mostly jungle-like, with a lot of fantastic plants, birds, and other exotic wildlife, including Colobus monkeys and other animals. When we arrived at the camp at 9300 feet, the tents were already set up, and we unpacked our gear in each individual tent, had dinner and went to sleep.\r\n<div class=\"btn-wrap\"><a href=\"/Kili-Getting-to-the-trailhead/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n</div>\r\n</div>\r\n&nbsp;\r\n<h3 class=\"heading-style\">Hiking to 11,400 ft</h3>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5256,5261\"]\r\n<div class=\"reports-img-desc\">\r\n<div class=\"imgbox\"></div>\r\n<div class=\"reports-desc\">\r\n\r\nAt 6:30 AM we were woken up with a hot bowl of water to wash up and get ready for the day. A very full breakfast was prepared for us and then we started off to hike again. For hiking, it’s important to eat three square meals a day as well as drink a minimum of three liters of water a day. Without this exhaustion, dehydration, and more can happen. The guides made sure that we would eat a lot and consume lots of water.\r\n\r\nWe headed off on our hike up to 11,400 feet, crossing from the Montane Forest into the Hagenia Zone, where we saw many different plants and beautiful trees throughout the canyon.\r\n\r\nI felt pretty good, as I had taken Diamox, a medicine to help prevent altitude sickness. I had a Camelback-style drinking system so I was drinking copious amounts of water. At night it was cold but with the proper gear (well worth the expense!), I felt warm.\r\n<div class=\"btn-wrap\"><a href=\"/kili-hiking-to-11400-ft/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n</div>\r\n</div>\r\n&nbsp;\r\n<h3 class=\"heading-style\">Hiking to 13,400 ft</h3>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5351,5352\"]\r\n<div class=\"reports-img-desc\">\r\n<div class=\"imgbox\"></div>\r\n<div class=\"reports-desc\">\r\n\r\nWe had another early wake-up call today and another substantial breakfast (scrambled eggs, toast, pancakes, fruit, toast, jelly, peanut butter, tea/coffee, and more. We hiked across a large plateau and gained about 2,100 feet in altitude. It was very interesting as we passed into the upper heath zone, where there were no more trees here, just a lot of different plants. And lots of volcanic rock (the last active volcano here took place over 10,000 years ago).\r\n\r\nThe hiking was very slow and consistent, as they say in Swahili, “Poli, Poli.” Again I felt very good when arriving at Moir camp at 13,500 feet. We had beautiful views of the mountain as the clouds moved away. It was really spectacular!\r\n<div class=\"btn-wrap\"><a href=\"/kili-hiking-to-13400-feet/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n</div>\r\n</div>\r\n&nbsp;\r\n<h3 class=\"heading-style\">Kili Hiking to 15,500 feet</h3>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5271,5270\"]\r\n<div class=\"reports-img-desc\">\r\n<div class=\"imgbox\"></div>\r\n<div class=\"reports-desc\">\r\n\r\nWe woke up again at 6:30 AM, had breakfast at 7, and were hiking by 7:30. Today was a shorter hike of only 3.1 miles, but we did climb 2000 feet. It was slow in some parts and the steep sections were even slower. Finally, we arrived at camp after hiking for only 2 hours and 20 minutes. We were now at 15,500 feet. The air is very thin, so with every step you take, you have to think about it. But when we arrived at camp, everything seemed to settle down. During the afternoon there was a hale storm that turned into snow, so everybody went into their tents. I probably took a 3-hour well-needed nap. After a good dinner, we all went to bed, but not until we viewed the beautiful skies at 15,500 feet in the southern hemisphere.\r\n<div class=\"btn-wrap\"><a href=\"/kili-hiking-to-15500-feet/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n</div>\r\n</div>\r\n&nbsp;\r\n<h3 class=\"heading-style\">Getting to camp at 16,500 ft</h3>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5291,5283\"]\r\n<div class=\"reports-img-desc\">\r\n<div class=\"imgbox\"></div>\r\n<div class=\"reports-desc\">\r\n\r\nWe had the usual wake-up call at 6:30 AM and were on the trail by 7:30. It snowed during the night, but only half an inch or so, making everything white and beautiful. The good news is this meant it was right around 32 degrees. The sun came out, so it was warm when we hiked but a little bit cooler when clouds were overhead. Plus with the altitude (lots of breathing) and hiking effort, one was rarely cold. Today’s hike was only 1,000 feet of climbing and a short hike to the base camp. The big hike tomorrow will only be about an hour and 20 minutes, but it will be over a lot of rocks and boulders and will be steep in some places. We arrived at the base camp around 10:30 – 11 in the morning. We were supposed to go for a short hike from there without our packs but it started snowing for over an hour, so that was canceled. Tomorrow morning, we will have a 4 AM wake-up call in anticipation of a 2,300-foot elevation climb up to 18,650 feet.\r\n<div class=\"btn-wrap\"><a href=\"/16-500-feet-to-18-400/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n</div>\r\n</div>\r\n&nbsp;\r\n<h3 class=\"heading-style\">Kilimanjaro Final Camp At 18,500 Feet</h3>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5292,5293\"]\r\n<div class=\"reports-img-desc\">\r\n<div class=\"imgbox\"></div>\r\n<div class=\"reports-desc\">\r\n\r\nWake-up call at 4 AM and breakfast at 4:30. The slow group left at 5. We (my hiking partner, myself, and our guide) left about 5:30. At this altitude of over 16,000 feet, everyone moves very slowly. The first little part was steep and slightly snow-covered, but then it got extremely steep and no longer covered in snow.\r\n\r\nWe climbed 2,400 feet over 2.6 miles. The first hour was in the dark, but we all had headlamps. It was very rocky and we had to use our hands sometimes to climb. We ran into a few other tours on the trail and all of us had to cut across a mountainside since the snow had obliterated the trail the night before.\r\n\r\nWe were now over 17, 000 feet. One of the guides from another tour (all the guides know each other) had a pickaxe and so he chopped thru the snow to make it easier on our footing. Even so, it was very slippery. There were times we had to use all four extremities to climb, even kneeling on the next step up because the step was too high to reach with our foot. Breathing was becoming more and more labored and it was difficult to catch our breath in the thinning air.\r\n\r\nWhen we stopped at 18,000 feet for a snack and water, we thought the worst was over, but that wasn’t the case. The next 500 feet were very rocky and slippery, and that along with the very thin air meant we had to take three or four steps before needing to stop for a break. Like having a bag over your head and pulling for each breath.\r\n\r\nFinally, we reached the craters ridge and were very happy. These are remnants of glaciers that once covered this entire valley. The whole valley was snow-covered and looked like we were walking in a desert. When we arrived, we were not allowed to lie down in our tents for about a good hour because we needed to let our bodies acclimate to the thin air at 18,600 feet.\r\n\r\nAfter that, we enjoyed a well-deserved nap before an early dinner because we would be getting up again at 4 AM to climb to the top of Kilimanjaro!\r\n<div class=\"btn-wrap\"><a href=\"/kilimanjaro-final-camp-at-18500-feet/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n</div>\r\n</div>\r\n&nbsp;\r\n<h2 class=\"heading-style\">Climbing To The Top Of Kilimanjaro 19,341 Ft/5895 Meters And Beginning The Descent</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5331,5372\"]\r\n<div class=\"reports-img-desc\">\r\n<div class=\"imgbox\"></div>\r\n<div class=\"reports-desc\">\r\n\r\nThe night was extremely cold, with ground temperatures probably down to zero degrees Fahrenheit. We did everything to keep ourselves warm! I laid my down jacket on top of my sleeping bag (which was rated to zero degrees), plus I had a liner inside the sleeping bag which gave me an additional 25 degrees of warmth. I am definitely not a cold weather person but with the right gear, it was not too bad.\r\n\r\nWe were woken up at 4 AM. After eating and packing our stuff (only our personal things; the Sherpa took care of the sleeping bag and tent each morning and night), we were off for a 75-minute climb, basically straight up and extremely cold. Fortunately, I had bought the best mittens ever and my hands were not cold. Nonetheless, my legs and face took the brunt of it, and we moved very, very slowly. 10 feet could take several minutes. After a very hard, straight-up climbing, we had to cross a flat plane to the actual top of the mountain. The wind was blowing like crazy. The air temp was around minus 10 Fahrenheit with the wind chill probably down to negative 45 or 50 Fahrenheit. But all 6 of us had made it. It was a special feeling…an unbelievable feeling!\r\n\r\nI always carry some ashes of my parents no matter where I travel in this world. And since this was a very special place, I quietly said a prayer, took off my mittens (brrr), and sprinkled some of their ashes at the top. They had made it the whole way with me!\r\n\r\nWe took our pictures and then had to get going due to the intense winds and brutal cold. Fortunately, we summited very early and there were only one or two other groups at the top. Later on, there would be at least 50-100 people. We saw a gorgeous sunrise since it was shortly before 7 in the morning. We were almost on the equator, and sunrise and sunsets are always at around 6:30 to 7 am without much variation from season to season.\r\n\r\nImmediately, once we started to go down, we could feel the release of pressure in our lungs and chest. The descent and decreasing pressure made it a lot easier on our lungs, plus it was now all downhill. After an hour or two, our quads really felt it, and we would be walking downhill for the next 5 to 6 hours!\r\n\r\nWe did stop for a small break for some lunch, but our appetite was low due to the altitude. Several of the hikers experienced altitude sickness on the way up, with nausea, diarrhea, headaches loss of appetite, and weakness. I felt worse while descending, but fortunately, I had only lost my appetite with slight nausea and it lasted only for a short period of time. Anyway, we finally made it to camp at 10,500 feet. The weather was really nice and a bit warmer, between about 45 to 50 degrees or more. What a difference from the night before! We all had a good meal and rested, as we had been hiking downhill for over 8 hours, and all of our legs were extremely tired.\r\n<div class=\"btn-wrap\"><a href=\"/Hiking-to-the-summit-19-341-feet/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n</div>\r\n</div>\r\n&nbsp;\r\n<h3 class=\"heading-style\">The descent and saying goodbye</h3>\r\n<div class=\"reports-img-desc\">\r\n<div class=\"imgbox\"></div>\r\n<div class=\"reports-desc\">\r\n\r\n<img class=\"alignleft\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Sunriseuptop-3.jpg\" width=\"400\" />We woke up at 6:30 AM, which was a big difference from 4 AM. Today would be our last night, and we would be saying goodbye to all the Sherpas as they would leave the trail. Only the guides would continue with us. I volunteered to be the spokesperson of the group, which meant I would be collecting the tip money and giving a short speech.\r\n\r\nAfter breakfast, the 40 or so sherpas gathered around singing and dancing. I actually joined them in the dancing, which I have a video of. I was very tired, but it was still worth it. I gave a 3-minute speech thanking every one of them for all of their hard work and dedication, and telling them that their help, whether by carrying a table, carrying sleeping bags, setting up tents, preparing food and everything else they did for us, was all very special and helped us so much.\r\n\r\nWe then set off for our last 6 to 7-hour hike downhill. Although it was not very steep, it was a dried-up river bed that was full of rocks and stones, making footing uneasy, and causing our quads to be even more on fire. I and several others had foldable walking sticks and this helped a lot. But we knew the end was coming, so we just kept going. We stopped for lunch and continued on. After about 7 hours, we saw the base camp. Nothing could be sweeter! I signed out at the Ranger station and basically collapsed into the waiting truck. There were a lot of campers and hikers ending in this same area, so they drove us about 20 minutes away.\r\n\r\nWe had some lunch and then drove the rest of the way back to the lodge, which was a beautiful hotel about half an hour outside of Arusha on an old coffee plantation. Everybody had their own cabin. For the first time in 9 days, I took a shower. It was wonderful! Then we all gathered with the two guides and I said a few more words to represent the group. We had a nice dinner, and then two people left for the airport by 7 PM. That night, was my first night of sleep in a bed, after 9 days. It was fantastic! The mission was accomplished!\r\n<div class=\"btn-wrap\"><a href=\"/Sunrise-up-top-and-heading-down\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n</div>\r\n</div>\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro Was Amazing! Final Goodbyes and certificate</h2>\r\n<div class=\"reports-img-desc\">\r\n<div class=\"imgbox\"></div>\r\n<div class=\"reports-desc\">\r\n\r\n<img class=\"alignleft\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/final-goodbyes-9.jpg\" width=\"400\" />Even though the trip was not exactly as described in the pamphlet, it was something I had had on my bucket list for over 10 years. It was extremely difficult at times. Some of our hikers had difficulty even moving and needed assistance. But we all persevered. I’ve done 10 Ironman races so far (now 11!), which require monumental training. But the long hike up to the crater from 16,800 feet to 18,400, with the subsequent day of summiting, followed by the 9,000-foot descent, were some of the hardest things that I’ve ever done. And that includes all my Ironman competitions.\r\n\r\nYou just can’t imagine what it’s like trying to move at that altitude. As I said before, it is similar to having a paper bag over your head and trying to grasp for air. There were times I took two or three steps and then had to pause for 15 or 20 seconds just to get my heart rate and breathing back down, repeating that again and again and again. Never looking ahead, only down, because sometimes ten feet took 45-60 seconds to hike. All this while enduring the sub-freezing temperature, the blowing snow, and the wind chill factors. Nothing but grit and determination to keep you going. But the views were spectacular and the feeling of being literally on top of the world made it all worth it.\r\n\r\nI’ll continue to enjoy my Ironman triathlons and continue to do them as long as I can. But as far as hiking up a mountain to 19,341 feet, this will be my one and only time! It’s a tremendous accomplishment, but something I would not want to repeat.\r\n<div class=\"btn-wrap\"><a href=\"/Final-goodbyes-and-certificates\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n</div>\r\n</div>\r\n&nbsp;\r\n<div class=\"video-flex-wrap\">\r\n<div class=\"video-box\">\r\n\r\n[video poster=\"https://www.drfields.com/wp-content/uploads/2021/08/Dancing.png\" width=\"352\" height=\"640\" mp4=\"https://www.drfields.com/wp-content/uploads/2021/08/DANCING-v3.mp4\"][/video]\r\n\r\n</div>\r\n<div class=\"video-box\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/final-goodbyes-1.jpg\" /></div>\r\n</div>\r\n&nbsp;\r\n<h3 class=\"heading-style\" style=\"text-align: center;\">Thank You to Everyone Who Made Kilimanjaro A Possibility!</h3>\r\nThank you to everyone that sent me well wishes before, during, and after my climb. It meant so much!\r\n\r\nI also thank my parents who gave me the will and determination to achieve all the goals in my life, no matter how hard they are.\r\nThey always ingrained this determination in me and encouraged me to just put my head down and keep going to achieve my goals.\r\nAs I said above, they were with me the whole way and always will be.\r\n\r\nThank you for taking the time to read this. I hope this will inspire you that if a goal is desired, to just put your head down and keep going no matter how difficult it may seem.\r\n<div class=\"btn-wrap\"><a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n&nbsp;\r\n<strong>Peter A. Fields, MD, DC </strong>\r\n<strong>The Athletic Doc<sup>®</sup></strong>\r\n\r\n<a href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">Click here</a> to find out more about <strong>The Athletic Doc<sup>® </sup></strong>','Report of My Kilimanjaro Climb','','inherit','closed','closed','','2208-revision-v1','','','2022-07-27 04:42:06','2022-07-27 04:42:06','',2208,'https://www.drfields.com/?p=5410',0,'revision','',0),(5411,8,'2022-07-27 04:43:35','2022-07-27 04:43:35','<h2 class=\"heading-style\">Kilimanjaro Arrival- 1st day pre hike camp</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5200,5199,5201,5202,5203,5204,5205,5206\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro Pre-Hike</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5216,5217,5218,5219,5220\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro- Getting to the trailhead</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5230,5231,5233,5234\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro- First Day hike</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5235,5236,5237,5238,5239,5242,5243,5244,5245,5246\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro Hiking to 11,400 ft</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5253,5254,5255,5256,5257,5259,5260,5261\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro- Hiking to 13,400 feet</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5351,5352,5353,5354,5355,5356,5357,5358,5359,5360,5361,5362\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro Hiking to 15,500 feet</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5266,5267,5268,5269,5270,5271,5272,5273,5274,5275,5276,5277\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro Hiking 16500 feet to 18400</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"2261,2262,5281,5282,5283,5284,5285,5286,5287,5288,5289,5290,5291,5292,5293,5294,5295,5296,5297\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro Final Camp At 18,500 Feet</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5310,5311\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Climbing To The Top Of Kilimanjaro 19,341 Ft/5895 Meters And Beginning The Descent</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5324,5325,5326,5327,5328,5329,5330,5331,5332\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Sunrise Up Top And Heading Down</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"2285,2286,2287,2293,2292,2291,2289,2290\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Final Goodbyes And Certificates</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"2306,2302,2297,2303,2296,2304,2301,2300,2299\"]','Kilimanjaro Climb Gallery','','inherit','closed','closed','','5190-revision-v1','','','2022-07-27 04:43:35','2022-07-27 04:43:35','',5190,'https://www.drfields.com/?p=5411',0,'revision','',0),(5412,8,'2022-07-27 04:47:20','2022-07-27 04:47:20','<h2 class=\"heading-style\">Kilimanjaro Arrival- 1st day pre hike camp</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5200,5199,5201,5202,5203,5204,5205,5206\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro Pre-Hike</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5216,5217,5218,5219,5220\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro- Getting to the trailhead</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5230,5231,5233,5234\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro- First Day hike</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5235,5236,5237,5238,5239,5242,5243,5244,5245,5246\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro Hiking to 11,400 ft</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5253,5254,5255,5256,5257,5259,5260,5261\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro- Hiking to 13,400 feet</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5351,5352,5353,5354,5355,5356,5357,5358,5359,5360,5361,5362\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro Hiking to 15,500 feet</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5266,5267,5268,5269,5270,5271,5272,5273,5274,5275,5276,5277\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro Hiking 16500 feet to 18400</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"2261,2262,5281,5282,5283,5284,5285,5286,5287,5288,5289,5290,5291,5292,5293,5294,5295,5296,5297\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro Final Camp At 18,500 Feet</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5310,5311\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Climbing To The Top Of Kilimanjaro 19,341 Ft/5895 Meters And Beginning The Descent</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5324,5325,5326,5327,5328,5329,5330,5331,5332\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Sunrise Up Top And Heading Down</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"2285,2286,2287,2293,2292,2291,2289,2290\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Final Goodbyes And Certificates</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"2306,2302,2297,2303,2296,2304,2301,2300,2299\"]\r\n[video poster=\"https://www.drfields.com/wp-content/uploads/2021/08/Dancing.png\" width=\"352\" height=\"640\" mp4=\"https://www.drfields.com/wp-content/uploads/2021/08/DANCING-v3.mp4\"][/video]','Kilimanjaro Climb Gallery','','inherit','closed','closed','','5190-revision-v1','','','2022-07-27 04:47:20','2022-07-27 04:47:20','',5190,'https://www.drfields.com/?p=5412',0,'revision','',0),(5413,8,'2022-07-27 04:47:37','2022-07-27 04:47:37','<h1 class=\"heading-style\">Report of My Kilimanjaro Climb</h1>\r\n<em>By Peter A. Fields, MD, DC</em>\r\n\r\nAfter waiting ten years with this on my bucket list, I finally was going to climb Kilimanjaro.\r\n<h3 class=\"heading-style\">Getting to Mount Kilimanjaro</h3>\r\n<div class=\"reports-img-desc\">\r\n<div class=\"imgbox\"><img class=\"alignleft\" src=\"https://www.drfields.com/wp-content/uploads/2022/07/20190210_061752.jpg\" alt=\"\" /></div>\r\n<div class=\"reports-desc\">\r\n\r\nThe trip to Kilimanjaro began with an 11-hour flight to London where I had a 36-hour layover. Saw \"Tina, The Musical\" (life and times of Tina Turner). Great show.  Then 9 ½ hour flight to Nairobi, where I spent 24 hours so I was able to see the city. Then a one-hour flight to Kilimanjaro, Tanzania. My arrival at Kilimanjaro airport was on Sunday night. This was followed by a two-and-a-half-hour ride, with half of it on a very bumpy dirt road, before reaching the destination at the base camp. Since it was almost midnight, I went straight to my tent, which was quite luxurious for camping, and included a sink, a bathroom, and even a shower. I took advantage of a quick shower and went straight to bed.\r\n<div class=\"btn-wrap\"><a href=\"https://www.drfields.com/Day-1-Kiliminaro-and-base-camp-arrival\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n</div>\r\n</div>\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro Pre-Hike</h2>\r\n<div class=\"reports-img-desc\">\r\n<div class=\"imgbox\"><img src=\"https://www.drfields.com/wp-content/uploads/2022/07/20190211_054908.jpg\" /></div>\r\n<div class=\"reports-desc\">\r\n\r\nAfter a nice breakfast, where I met the other climbers and our trek leaders, we went for a short two-hour hike just to see the local terrain. It was beautiful, with waterfalls and lots of lush plants and greenery. The guide leader went through our entire pack to make sure that we would be taking everything we needed and that everything was in good shape. The rest of the day was just spent relaxing, except for a short sunset hike of 10 minutes, where at the top of the small hill they had wine waiting for us. A pleasant surprise.\r\n<div class=\"btn-wrap\"><a href=\"/kilimanjaro-pre-hike/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n</div>\r\n</div>\r\n&nbsp;\r\n<h2 class=\"heading-style\">Getting to the Trailhead and First Day Hike Towards Kilimanjaro</h2>\r\n[gallery display=\"grid\" link=\"none\" columns=\"4\" size=\"wcsquare\" ids=\"5235,5231\"]\r\n<div class=\"reports-img-desc\">\r\n<div class=\"imgbox\"></div>\r\n<div class=\"reports-desc\">\r\n\r\nAfter a two-hour ride, we arrived at the check-in point. The weather was hot enough to wear shorts and t-shirts since we were only 3 degrees off the equator. There we saw the more than 45 plus Sherpa’s that would accompany us. There were six Sherpa’s( there were six hikers) to carry each person’s clothing (colder weather gear, nighttime clothes, toiletries, etc.). Then six to carry our bedding, and tents ( double roofed for better rain protection), six would carry our food for 7 days ( three full meals a day), eight of them made up the kitchen team, another team of two would carry the oxygen and medicine, four to carry the toilets and tents over them, plus about 10 other Sherpa’s would carry all the tents, tables and chairs. There were also 10 more to carry all of the sherpa’s food and equipment.\r\n\r\nWe had to register and show our passports, and after that, we took a short 20-minute drive to the trailhead. Arriving at noon, a very nice, well-prepared lunch was ready for us. We started the hike at 7700 feet and climbed to 9300 feet. The area was mostly jungle-like, with a lot of fantastic plants, birds, and other exotic wildlife, including Colobus monkeys and other animals. When we arrived at the camp at 9300 feet, the tents were already set up, and we unpacked our gear in each individual tent, had dinner and went to sleep.\r\n<div class=\"btn-wrap\"><a href=\"/Kili-Getting-to-the-trailhead/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n</div>\r\n</div>\r\n&nbsp;\r\n<h3 class=\"heading-style\">Hiking to 11,400 ft</h3>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5256,5261\"]\r\n<div class=\"reports-img-desc\">\r\n<div class=\"imgbox\"></div>\r\n<div class=\"reports-desc\">\r\n\r\nAt 6:30 AM we were woken up with a hot bowl of water to wash up and get ready for the day. A very full breakfast was prepared for us and then we started off to hike again. For hiking, it’s important to eat three square meals a day as well as drink a minimum of three liters of water a day. Without this exhaustion, dehydration, and more can happen. The guides made sure that we would eat a lot and consume lots of water.\r\n\r\nWe headed off on our hike up to 11,400 feet, crossing from the Montane Forest into the Hagenia Zone, where we saw many different plants and beautiful trees throughout the canyon.\r\n\r\nI felt pretty good, as I had taken Diamox, a medicine to help prevent altitude sickness. I had a Camelback-style drinking system so I was drinking copious amounts of water. At night it was cold but with the proper gear (well worth the expense!), I felt warm.\r\n<div class=\"btn-wrap\"><a href=\"/kili-hiking-to-11400-ft/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n</div>\r\n</div>\r\n&nbsp;\r\n<h3 class=\"heading-style\">Hiking to 13,400 ft</h3>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5351,5352\"]\r\n<div class=\"reports-img-desc\">\r\n<div class=\"imgbox\"></div>\r\n<div class=\"reports-desc\">\r\n\r\nWe had another early wake-up call today and another substantial breakfast (scrambled eggs, toast, pancakes, fruit, toast, jelly, peanut butter, tea/coffee, and more. We hiked across a large plateau and gained about 2,100 feet in altitude. It was very interesting as we passed into the upper heath zone, where there were no more trees here, just a lot of different plants. And lots of volcanic rock (the last active volcano here took place over 10,000 years ago).\r\n\r\nThe hiking was very slow and consistent, as they say in Swahili, “Poli, Poli.” Again I felt very good when arriving at Moir camp at 13,500 feet. We had beautiful views of the mountain as the clouds moved away. It was really spectacular!\r\n<div class=\"btn-wrap\"><a href=\"/kili-hiking-to-13400-feet/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n</div>\r\n</div>\r\n&nbsp;\r\n<h3 class=\"heading-style\">Kili Hiking to 15,500 feet</h3>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5271,5270\"]\r\n<div class=\"reports-img-desc\">\r\n<div class=\"imgbox\"></div>\r\n<div class=\"reports-desc\">\r\n\r\nWe woke up again at 6:30 AM, had breakfast at 7, and were hiking by 7:30. Today was a shorter hike of only 3.1 miles, but we did climb 2000 feet. It was slow in some parts and the steep sections were even slower. Finally, we arrived at camp after hiking for only 2 hours and 20 minutes. We were now at 15,500 feet. The air is very thin, so with every step you take, you have to think about it. But when we arrived at camp, everything seemed to settle down. During the afternoon there was a hale storm that turned into snow, so everybody went into their tents. I probably took a 3-hour well-needed nap. After a good dinner, we all went to bed, but not until we viewed the beautiful skies at 15,500 feet in the southern hemisphere.\r\n<div class=\"btn-wrap\"><a href=\"/kili-hiking-to-15500-feet/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n</div>\r\n</div>\r\n&nbsp;\r\n<h3 class=\"heading-style\">Getting to camp at 16,500 ft</h3>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5291,5283\"]\r\n<div class=\"reports-img-desc\">\r\n<div class=\"imgbox\"></div>\r\n<div class=\"reports-desc\">\r\n\r\nWe had the usual wake-up call at 6:30 AM and were on the trail by 7:30. It snowed during the night, but only half an inch or so, making everything white and beautiful. The good news is this meant it was right around 32 degrees. The sun came out, so it was warm when we hiked but a little bit cooler when clouds were overhead. Plus with the altitude (lots of breathing) and hiking effort, one was rarely cold. Today’s hike was only 1,000 feet of climbing and a short hike to the base camp. The big hike tomorrow will only be about an hour and 20 minutes, but it will be over a lot of rocks and boulders and will be steep in some places. We arrived at the base camp around 10:30 – 11 in the morning. We were supposed to go for a short hike from there without our packs but it started snowing for over an hour, so that was canceled. Tomorrow morning, we will have a 4 AM wake-up call in anticipation of a 2,300-foot elevation climb up to 18,650 feet.\r\n<div class=\"btn-wrap\"><a href=\"/16-500-feet-to-18-400/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n</div>\r\n</div>\r\n&nbsp;\r\n<h3 class=\"heading-style\">Kilimanjaro Final Camp At 18,500 Feet</h3>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5292,5293\"]\r\n<div class=\"reports-img-desc\">\r\n<div class=\"imgbox\"></div>\r\n<div class=\"reports-desc\">\r\n\r\nWake-up call at 4 AM and breakfast at 4:30. The slow group left at 5. We (my hiking partner, myself, and our guide) left about 5:30. At this altitude of over 16,000 feet, everyone moves very slowly. The first little part was steep and slightly snow-covered, but then it got extremely steep and no longer covered in snow.\r\n\r\nWe climbed 2,400 feet over 2.6 miles. The first hour was in the dark, but we all had headlamps. It was very rocky and we had to use our hands sometimes to climb. We ran into a few other tours on the trail and all of us had to cut across a mountainside since the snow had obliterated the trail the night before.\r\n\r\nWe were now over 17, 000 feet. One of the guides from another tour (all the guides know each other) had a pickaxe and so he chopped thru the snow to make it easier on our footing. Even so, it was very slippery. There were times we had to use all four extremities to climb, even kneeling on the next step up because the step was too high to reach with our foot. Breathing was becoming more and more labored and it was difficult to catch our breath in the thinning air.\r\n\r\nWhen we stopped at 18,000 feet for a snack and water, we thought the worst was over, but that wasn’t the case. The next 500 feet were very rocky and slippery, and that along with the very thin air meant we had to take three or four steps before needing to stop for a break. Like having a bag over your head and pulling for each breath.\r\n\r\nFinally, we reached the craters ridge and were very happy. These are remnants of glaciers that once covered this entire valley. The whole valley was snow-covered and looked like we were walking in a desert. When we arrived, we were not allowed to lie down in our tents for about a good hour because we needed to let our bodies acclimate to the thin air at 18,600 feet.\r\n\r\nAfter that, we enjoyed a well-deserved nap before an early dinner because we would be getting up again at 4 AM to climb to the top of Kilimanjaro!\r\n<div class=\"btn-wrap\"><a href=\"/kilimanjaro-final-camp-at-18500-feet/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n</div>\r\n</div>\r\n&nbsp;\r\n<h2 class=\"heading-style\">Climbing To The Top Of Kilimanjaro 19,341 Ft/5895 Meters And Beginning The Descent</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5331,5372\"]\r\n<div class=\"reports-img-desc\">\r\n<div class=\"imgbox\"></div>\r\n<div class=\"reports-desc\">\r\n\r\nThe night was extremely cold, with ground temperatures probably down to zero degrees Fahrenheit. We did everything to keep ourselves warm! I laid my down jacket on top of my sleeping bag (which was rated to zero degrees), plus I had a liner inside the sleeping bag which gave me an additional 25 degrees of warmth. I am definitely not a cold weather person but with the right gear, it was not too bad.\r\n\r\nWe were woken up at 4 AM. After eating and packing our stuff (only our personal things; the Sherpa took care of the sleeping bag and tent each morning and night), we were off for a 75-minute climb, basically straight up and extremely cold. Fortunately, I had bought the best mittens ever and my hands were not cold. Nonetheless, my legs and face took the brunt of it, and we moved very, very slowly. 10 feet could take several minutes. After a very hard, straight-up climbing, we had to cross a flat plane to the actual top of the mountain. The wind was blowing like crazy. The air temp was around minus 10 Fahrenheit with the wind chill probably down to negative 45 or 50 Fahrenheit. But all 6 of us had made it. It was a special feeling…an unbelievable feeling!\r\n\r\nI always carry some ashes of my parents no matter where I travel in this world. And since this was a very special place, I quietly said a prayer, took off my mittens (brrr), and sprinkled some of their ashes at the top. They had made it the whole way with me!\r\n\r\nWe took our pictures and then had to get going due to the intense winds and brutal cold. Fortunately, we summited very early and there were only one or two other groups at the top. Later on, there would be at least 50-100 people. We saw a gorgeous sunrise since it was shortly before 7 in the morning. We were almost on the equator, and sunrise and sunsets are always at around 6:30 to 7 am without much variation from season to season.\r\n\r\nImmediately, once we started to go down, we could feel the release of pressure in our lungs and chest. The descent and decreasing pressure made it a lot easier on our lungs, plus it was now all downhill. After an hour or two, our quads really felt it, and we would be walking downhill for the next 5 to 6 hours!\r\n\r\nWe did stop for a small break for some lunch, but our appetite was low due to the altitude. Several of the hikers experienced altitude sickness on the way up, with nausea, diarrhea, headaches loss of appetite, and weakness. I felt worse while descending, but fortunately, I had only lost my appetite with slight nausea and it lasted only for a short period of time. Anyway, we finally made it to camp at 10,500 feet. The weather was really nice and a bit warmer, between about 45 to 50 degrees or more. What a difference from the night before! We all had a good meal and rested, as we had been hiking downhill for over 8 hours, and all of our legs were extremely tired.\r\n<div class=\"btn-wrap\"><a href=\"/Hiking-to-the-summit-19-341-feet/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n</div>\r\n</div>\r\n&nbsp;\r\n<h3 class=\"heading-style\">The descent and saying goodbye</h3>\r\n<div class=\"reports-img-desc\">\r\n<div class=\"imgbox\"></div>\r\n<div class=\"reports-desc\">\r\n\r\n<img class=\"alignleft\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Sunriseuptop-3.jpg\" width=\"400\" />We woke up at 6:30 AM, which was a big difference from 4 AM. Today would be our last night, and we would be saying goodbye to all the Sherpas as they would leave the trail. Only the guides would continue with us. I volunteered to be the spokesperson of the group, which meant I would be collecting the tip money and giving a short speech.\r\n\r\nAfter breakfast, the 40 or so sherpas gathered around singing and dancing. I actually joined them in the dancing, which I have a video of. I was very tired, but it was still worth it. I gave a 3-minute speech thanking every one of them for all of their hard work and dedication, and telling them that their help, whether by carrying a table, carrying sleeping bags, setting up tents, preparing food and everything else they did for us, was all very special and helped us so much.\r\n\r\nWe then set off for our last 6 to 7-hour hike downhill. Although it was not very steep, it was a dried-up river bed that was full of rocks and stones, making footing uneasy, and causing our quads to be even more on fire. I and several others had foldable walking sticks and this helped a lot. But we knew the end was coming, so we just kept going. We stopped for lunch and continued on. After about 7 hours, we saw the base camp. Nothing could be sweeter! I signed out at the Ranger station and basically collapsed into the waiting truck. There were a lot of campers and hikers ending in this same area, so they drove us about 20 minutes away.\r\n\r\nWe had some lunch and then drove the rest of the way back to the lodge, which was a beautiful hotel about half an hour outside of Arusha on an old coffee plantation. Everybody had their own cabin. For the first time in 9 days, I took a shower. It was wonderful! Then we all gathered with the two guides and I said a few more words to represent the group. We had a nice dinner, and then two people left for the airport by 7 PM. That night, was my first night of sleep in a bed, after 9 days. It was fantastic! The mission was accomplished!\r\n<div class=\"btn-wrap\"><a href=\"/Sunrise-up-top-and-heading-down\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n</div>\r\n</div>\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro Was Amazing! Final Goodbyes and certificate</h2>\r\n<div class=\"reports-img-desc\">\r\n<div class=\"imgbox\"></div>\r\n<div class=\"reports-desc\">\r\n\r\n<img class=\"alignleft\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/final-goodbyes-9.jpg\" width=\"400\" />Even though the trip was not exactly as described in the pamphlet, it was something I had had on my bucket list for over 10 years. It was extremely difficult at times. Some of our hikers had difficulty even moving and needed assistance. But we all persevered. I’ve done 10 Ironman races so far (now 11!), which require monumental training. But the long hike up to the crater from 16,800 feet to 18,400, with the subsequent day of summiting, followed by the 9,000-foot descent, were some of the hardest things that I’ve ever done. And that includes all my Ironman competitions.\r\n\r\nYou just can’t imagine what it’s like trying to move at that altitude. As I said before, it is similar to having a paper bag over your head and trying to grasp for air. There were times I took two or three steps and then had to pause for 15 or 20 seconds just to get my heart rate and breathing back down, repeating that again and again and again. Never looking ahead, only down, because sometimes ten feet took 45-60 seconds to hike. All this while enduring the sub-freezing temperature, the blowing snow, and the wind chill factors. Nothing but grit and determination to keep you going. But the views were spectacular and the feeling of being literally on top of the world made it all worth it.\r\n\r\nI’ll continue to enjoy my Ironman triathlons and continue to do them as long as I can. But as far as hiking up a mountain to 19,341 feet, this will be my one and only time! It’s a tremendous accomplishment, but something I would not want to repeat.\r\n<div class=\"btn-wrap\"><a href=\"/Final-goodbyes-and-certificates\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n</div>\r\n</div>\r\n&nbsp;\r\n<div class=\"video-flex-wrap\">\r\n<div class=\"video-box\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/final-goodbyes-1.jpg\" /></div>\r\n</div>\r\n&nbsp;\r\n<h3 class=\"heading-style\" style=\"text-align: center;\">Thank You to Everyone Who Made Kilimanjaro A Possibility!</h3>\r\nThank you to everyone that sent me well wishes before, during, and after my climb. It meant so much!\r\n\r\nI also thank my parents who gave me the will and determination to achieve all the goals in my life, no matter how hard they are.\r\nThey always ingrained this determination in me and encouraged me to just put my head down and keep going to achieve my goals.\r\nAs I said above, they were with me the whole way and always will be.\r\n\r\nThank you for taking the time to read this. I hope this will inspire you that if a goal is desired, to just put your head down and keep going no matter how difficult it may seem.\r\n<div class=\"btn-wrap\"><a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n&nbsp;\r\n<strong>Peter A. Fields, MD, DC </strong>\r\n<strong>The Athletic Doc<sup>®</sup></strong>\r\n\r\n<a href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">Click here</a> to find out more about <strong>The Athletic Doc<sup>® </sup></strong>','Report of My Kilimanjaro Climb','','inherit','closed','closed','','2208-revision-v1','','','2022-07-27 04:47:37','2022-07-27 04:47:37','',2208,'https://www.drfields.com/?p=5413',0,'revision','',0),(5414,8,'2022-07-27 21:42:12','2022-07-27 21:42:12','','iwp_log_62e1b1345588b','','publish','closed','closed','','iwp_log_62e1b1345588b','','','2022-07-27 21:42:12','2022-07-27 21:42:12','',0,'https://www.drfields.com/iwp_log/iwp_log_62e1b1345588b/',0,'iwp_log','',0),(5415,8,'2022-07-27 21:42:23','2022-07-27 21:42:23','','iwp_log_62e1b13fcd107','','publish','closed','closed','','iwp_log_62e1b13fcd107','','','2022-07-27 21:42:23','2022-07-27 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link=\"file\" captions=\"hide\" ids=\"2261,2262,5281,5282,5283,5284,5285,5286,5287,5288,5289,5290,5291,5292,5293,5294,5295,5296,5297\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro Final Camp At 18,500 Feet</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5310,5311\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Climbing To The Top Of Kilimanjaro 19,341 Ft/5895 Meters Beginning The Descent</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5331,5324,5326,5327,5328,5329,5330,5332\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Sunrise Up Top And Heading Down</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"2285,2286,2287,2293,2292,2291,2289,2290\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Final Goodbyes And Certificates</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" 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camp</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5200,5199,5201,5202,5203,5204,5205,5206\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro Pre-Hike</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5216,5217,5218,5219,5220\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro- Getting to the trailhead</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5230,5231,5233,5234\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro- First Day hike</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5235,5236,5237,5238,5239,5242,5243,5244,5245,5246\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro Hiking to 11,400 ft</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5253,5254,5255,5256,5257,5259,5260,5261\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro- Hiking to 13,400 feet</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5351,5352,5353,5354,5355,5356,5357,5358,5359,5360,5361,5362\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro Hiking to 15,500 feet</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5266,5267,5268,5269,5270,5271,5272,5273,5274,5275,5276,5277\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro Hiking 16500 feet to 18400</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"2261,2262,5281,5282,5283,5284,5285,5286,5287,5288,5289,5290,5291,5292,5293,5294,5295,5296,5297\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro Final Camp At 18,500 Feet</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5310,5311\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Climbing To The Top Of Kilimanjaro 19,341 Ft/5895 Meters Beginning The Descent</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5331,5324,5326,5327,5328,5329,5330,5332\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Sunrise Up Top And Heading Down</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"2285,2286,2287,2293,2292,2291,2289,2290\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Final Goodbyes And Certificates</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"2303,2302,2304,2301,2296,2299,2300,2297,2306\"]\r\n\r\n[video poster=\"https://www.drfields.com/wp-content/uploads/2021/08/Dancing.png\" width=\"352\" height=\"640\" mp4=\"https://www.drfields.com/wp-content/uploads/2021/08/DANCING-v3.mp4\"][/video]','Kilimanjaro Climb Gallery','','inherit','closed','closed','','5190-revision-v1','','','2022-07-27 22:16:20','2022-07-27 22:16:20','',5190,'https://www.drfields.com/?p=5428',0,'revision','',0),(5429,8,'2022-07-27 22:17:57','2022-07-27 22:17:57','<h2 class=\"heading-style\">Kilimanjaro Arrival - 1st day pre hike camp</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5200,5199,5201,5202,5203,5204,5205,5206\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro Pre-Hike</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5216,5217,5218,5219,5220\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro - Getting to the trailhead</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5230,5231,5233,5234\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro - First Day hike</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5235,5236,5237,5238,5239,5242,5243,5244,5245,5246\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro - Hiking to 11,400 ft</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5253,5254,5255,5256,5257,5259,5260,5261\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro - Hiking to 13,400 feet</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5351,5352,5353,5354,5355,5356,5357,5358,5359,5360,5361,5362\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro - Hiking to 15,500 feet</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5266,5267,5268,5269,5270,5271,5272,5273,5274,5275,5276,5277\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro - Hiking 16,500 feet to 18,400 feet</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"2261,2262,5281,5282,5283,5284,5285,5286,5287,5288,5289,5290,5291,5292,5293,5294,5295,5296,5297\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro- Final Camp At 18,500 Feet</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5310,5311\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Climbing To The Top Of Kilimanjaro 19,341 Ft/5895 Meters Beginning The Descent</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5331,5324,5326,5327,5328,5329,5330,5332\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Sunrise Up Top And Heading Down</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"2285,2286,2287,2293,2292,2291,2289,2290\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Final Goodbyes And Certificates</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"2303,2302,2304,2301,2296,2299,2300,2297,2306\"]\r\n\r\n[video poster=\"https://www.drfields.com/wp-content/uploads/2021/08/Dancing.png\" width=\"352\" height=\"640\" mp4=\"https://www.drfields.com/wp-content/uploads/2021/08/DANCING-v3.mp4\"][/video]','Kilimanjaro Climb Gallery','','inherit','closed','closed','','5190-revision-v1','','','2022-07-27 22:17:57','2022-07-27 22:17:57','',5190,'https://www.drfields.com/?p=5429',0,'revision','',0),(5430,8,'2022-07-27 22:20:32','2022-07-27 22:20:32','[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5266,5267,5268,5269,5270,5271,5272,5273,5274,5275,5276,5277\"]\r\n<div class=\"video-flex-wrap\">\r\n<div class=\"video-box\">\r\n\r\n[video width=\"640\" height=\"480\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190214_193726.mp4\"][/video]\r\n\r\n</div>\r\n<div class=\"video-box\">\r\n[video width=\"640\" height=\"480\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190215_194444.mp4\"][/video]\r\n\r\n\r\n</div>\r\n</div>','Kilimanjaro Hiking to 15,500 Feet','','inherit','closed','closed','','2239-revision-v1','','','2022-07-27 22:20:32','2022-07-27 22:20:32','',2239,'https://www.drfields.com/?p=5430',0,'revision','',0),(5431,8,'2022-07-27 22:21:17','2022-07-27 22:21:17','[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"2261,2262,5281,5282,5283,5284,5285,5286,5287,5288,5289,5290,5291,5292,5293,5294,5295,5296,5297\"]\r\n\r\n&nbsp;\r\n<div class=\"video-flex-wrap\">\r\n<div class=\"video-box\">[video width=\"640\" height=\"480\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190215_235706.mp4\"][/video]\r\n</div>\r\n<div class=\"video-box\">\r\n[video width=\"640\" height=\"480\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190216_195500.mp4\"][/video]\r\n\r\n\r\n</div>\r\n</div>\r\n<div class=\"video-flex-wrap\">\r\n<div class=\"video-box\">\r\n\r\n[video width=\"640\" height=\"480\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190216_195900.mp4\"][/video]\r\n\r\n</div>\r\n<div class=\"video-box\">\r\n[video width=\"640\" height=\"480\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190216_235405.mp4\"][/video]\r\n\r\n\r\n</div>\r\n</div>\r\n','Getting To Camp At 16,500 Feet','','inherit','closed','closed','','2257-revision-v1','','','2022-07-27 22:21:17','2022-07-27 22:21:17','',2257,'https://www.drfields.com/?p=5431',0,'revision','',0),(5432,8,'2022-07-27 22:25:26','2022-07-27 22:25:26','<h1 class=\"heading-style\">Report of My Kilimanjaro Climb</h1>\r\n<em>By Peter A. Fields, MD, DC</em>\r\n\r\nAfter waiting ten years with this on my bucket list, I finally was going to climb Kilimanjaro.\r\n<h3 class=\"heading-style\">Getting to Mount Kilimanjaro</h3>\r\n<div class=\"reports-img-desc\">\r\n<div class=\"imgbox\"><img class=\"alignleft\" src=\"https://www.drfields.com/wp-content/uploads/2022/07/20190210_061752.jpg\" alt=\"\" /></div>\r\n<div class=\"reports-desc\">\r\n\r\nThe trip to Kilimanjaro began with an 11-hour flight to London where I had a 36-hour layover. Saw \"Tina, The Musical\" (life and times of Tina Turner). Great show.  Then 9 ½ hour flight to Nairobi, where I spent 24 hours so I was able to see the city. Then a one-hour flight to Kilimanjaro, Tanzania. My arrival at Kilimanjaro airport was on Sunday night. This was followed by a two-and-a-half-hour ride, with half of it on a very bumpy dirt road, before reaching the destination at the base camp. Since it was almost midnight, I went straight to my tent, which was quite luxurious for camping, and included a sink, a bathroom, and even a shower. I took advantage of a quick shower and went straight to bed.\r\n<div class=\"btn-wrap\"><a href=\"https://www.drfields.com/Day-1-Kiliminaro-and-base-camp-arrival\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n</div>\r\n</div>\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro Pre-Hike</h2>\r\n<div class=\"reports-img-desc\">\r\n<div class=\"imgbox\"><img src=\"https://www.drfields.com/wp-content/uploads/2022/07/20190211_054908.jpg\" /></div>\r\n<div class=\"reports-desc\">\r\n\r\nAfter a nice breakfast, where I met the other climbers and our trek leaders, we went for a short two-hour hike just to see the local terrain. It was beautiful, with waterfalls and lots of lush plants and greenery. The guide leader went through our entire pack to make sure that we would be taking everything we needed and that everything was in good shape. The rest of the day was just spent relaxing, except for a short sunset hike of 10 minutes, where at the top of the small hill they had wine waiting for us. A pleasant surprise.\r\n<div class=\"btn-wrap\"><a href=\"/kilimanjaro-pre-hike/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n</div>\r\n</div>\r\n&nbsp;\r\n<h2 class=\"heading-style\">Getting to the Trailhead and First Day Hike Towards Kilimanjaro</h2>\r\n[gallery display=\"grid\" link=\"none\" columns=\"4\" size=\"wcsquare\" ids=\"5235,5231\"]\r\n<div class=\"reports-img-desc\">\r\n<div class=\"imgbox\"></div>\r\n<div class=\"reports-desc\">\r\n\r\nAfter a two-hour ride, we arrived at the check-in point. The weather was hot enough to wear shorts and t-shirts since we were only 3 degrees off the equator. There we saw the more than 45 plus Sherpa’s that would accompany us. There were six Sherpa’s( there were six hikers) to carry each person’s clothing (colder weather gear, nighttime clothes, toiletries, etc.). Then six to carry our bedding, and tents ( double roofed for better rain protection), six would carry our food for 7 days ( three full meals a day), eight of them made up the kitchen team, another team of two would carry the oxygen and medicine, four to carry the toilets and tents over them, plus about 10 other Sherpa’s would carry all the tents, tables and chairs. There were also 10 more to carry all of the sherpa’s food and equipment.\r\n\r\nWe had to register and show our passports, and after that, we took a short 20-minute drive to the trailhead. Arriving at noon, a very nice, well-prepared lunch was ready for us. We started the hike at 7700 feet and climbed to 9300 feet. The area was mostly jungle-like, with a lot of fantastic plants, birds, and other exotic wildlife, including Colobus monkeys and other animals. When we arrived at the camp at 9300 feet, the tents were already set up, and we unpacked our gear in each individual tent, had dinner and went to sleep.\r\n<div class=\"btn-wrap\"><a href=\"/Kili-Getting-to-the-trailhead/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n</div>\r\n</div>\r\n&nbsp;\r\n<h3 class=\"heading-style\">Hiking to 11,400 ft</h3>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5256,5261\"]\r\n<div class=\"reports-img-desc\">\r\n<div class=\"imgbox\"></div>\r\n<div class=\"reports-desc\">\r\n\r\nAt 6:30 AM we were woken up with a hot bowl of water to wash up and get ready for the day. A very full breakfast was prepared for us and then we started off to hike again. For hiking, it’s important to eat three square meals a day as well as drink a minimum of three liters of water a day. Without this exhaustion, dehydration, and more can happen. The guides made sure that we would eat a lot and consume lots of water.\r\n\r\nWe headed off on our hike up to 11,400 feet, crossing from the Montane Forest into the Hagenia Zone, where we saw many different plants and beautiful trees throughout the canyon.\r\n\r\nI felt pretty good, as I had taken Diamox, a medicine to help prevent altitude sickness. I had a Camelback-style drinking system so I was drinking copious amounts of water. At night it was cold but with the proper gear (well worth the expense!), I felt warm.\r\n<div class=\"btn-wrap\"><a href=\"/kili-hiking-to-11400-ft/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n</div>\r\n</div>\r\n&nbsp;\r\n<h3 class=\"heading-style\">Hiking to 13,400 ft</h3>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5351,5352\"]\r\n<div class=\"reports-img-desc\">\r\n<div class=\"imgbox\"></div>\r\n<div class=\"reports-desc\">\r\n\r\nWe had another early wake-up call today and another substantial breakfast (scrambled eggs, toast, pancakes, fruit, toast, jelly, peanut butter, tea/coffee, and more. We hiked across a large plateau and gained about 2,100 feet in altitude. It was very interesting as we passed into the upper heath zone, where there were no more trees here, just a lot of different plants. And lots of volcanic rock (the last active volcano here took place over 10,000 years ago).\r\n\r\nThe hiking was very slow and consistent, as they say in Swahili, “Poli, Poli.” Again I felt very good when arriving at Moir camp at 13,500 feet. We had beautiful views of the mountain as the clouds moved away. It was really spectacular!\r\n<div class=\"btn-wrap\"><a href=\"/kili-hiking-to-13400-feet/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n</div>\r\n</div>\r\n&nbsp;\r\n<h3 class=\"heading-style\">Kilimanjaro Hiking to 15,500 Feet</h3>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5271,5270\"]\r\n<div class=\"reports-img-desc\">\r\n<div class=\"imgbox\"></div>\r\n<div class=\"reports-desc\">\r\n\r\nWe woke up again at 6:30 AM, had breakfast at 7, and were hiking by 7:30. Today was a shorter hike of only 3.1 miles, but we did climb 2000 feet. It was slow in some parts and the steep sections were even slower. Finally, we arrived at camp after hiking for only 2 hours and 20 minutes. We were now at 15,500 feet. The air is very thin, so with every step you take, you have to think about it. But when we arrived at camp, everything seemed to settle down. During the afternoon there was a hale storm that turned into snow, so everybody went into their tents. I probably took a 3-hour well-needed nap. After a good dinner, we all went to bed, but not until we viewed the beautiful skies at 15,500 feet in the southern hemisphere.\r\n<div class=\"btn-wrap\"><a href=\"/kili-hiking-to-15500-feet/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n</div>\r\n</div>\r\n&nbsp;\r\n<h3 class=\"heading-style\">Getting To Camp At 16,500 Feet</h3>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5291,5283\"]\r\n<div class=\"reports-img-desc\">\r\n<div class=\"imgbox\"></div>\r\n<div class=\"reports-desc\">\r\n\r\nWe had the usual wake-up call at 6:30 AM and were on the trail by 7:30. It snowed during the night, but only half an inch or so, making everything white and beautiful. The good news is this meant it was right around 32 degrees. The sun came out, so it was warm when we hiked but a little bit cooler when clouds were overhead. Plus with the altitude (lots of breathing) and hiking effort, one was rarely cold. Today’s hike was only 1,000 feet of climbing and a short hike to the base camp. The big hike tomorrow will only be about an hour and 20 minutes, but it will be over a lot of rocks and boulders and will be steep in some places. We arrived at the base camp around 10:30 – 11 in the morning. We were supposed to go for a short hike from there without our packs but it started snowing for over an hour, so that was canceled. Tomorrow morning, we will have a 4 AM wake-up call in anticipation of a 2,300-foot elevation climb up to 18,650 feet.\r\n<div class=\"btn-wrap\"><a href=\"/16-500-feet-to-18-400/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n</div>\r\n</div>\r\n&nbsp;\r\n<h3 class=\"heading-style\">Kilimanjaro Final Camp At 18,500 Feet</h3>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5292,5293\"]\r\n<div class=\"reports-img-desc\">\r\n<div class=\"imgbox\"></div>\r\n<div class=\"reports-desc\">\r\n\r\nWake-up call at 4 AM and breakfast at 4:30. The slow group left at 5. We (my hiking partner, myself, and our guide) left about 5:30. At this altitude of over 16,000 feet, everyone moves very slowly. The first little part was steep and slightly snow-covered, but then it got extremely steep and no longer covered in snow.\r\n\r\nWe climbed 2,400 feet over 2.6 miles. The first hour was in the dark, but we all had headlamps. It was very rocky and we had to use our hands sometimes to climb. We ran into a few other tours on the trail and all of us had to cut across a mountainside since the snow had obliterated the trail the night before.\r\n\r\nWe were now over 17, 000 feet. One of the guides from another tour (all the guides know each other) had a pickaxe and so he chopped thru the snow to make it easier on our footing. Even so, it was very slippery. There were times we had to use all four extremities to climb, even kneeling on the next step up because the step was too high to reach with our foot. Breathing was becoming more and more labored and it was difficult to catch our breath in the thinning air.\r\n\r\nWhen we stopped at 18,000 feet for a snack and water, we thought the worst was over, but that wasn’t the case. The next 500 feet were very rocky and slippery, and that along with the very thin air meant we had to take three or four steps before needing to stop for a break. Like having a bag over your head and pulling for each breath.\r\n\r\nFinally, we reached the craters ridge and were very happy. These are remnants of glaciers that once covered this entire valley. The whole valley was snow-covered and looked like we were walking in a desert. When we arrived, we were not allowed to lie down in our tents for about a good hour because we needed to let our bodies acclimate to the thin air at 18,600 feet.\r\n\r\nAfter that, we enjoyed a well-deserved nap before an early dinner because we would be getting up again at 4 AM to climb to the top of Kilimanjaro!\r\n<div class=\"btn-wrap\"><a href=\"/kilimanjaro-final-camp-at-18500-feet/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n</div>\r\n</div>\r\n&nbsp;\r\n<h2 class=\"heading-style\">Climbing To The Top Of Kilimanjaro 19,341 Ft/5895 Meters Beginning The Descent</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5331,5372\"]\r\n<div class=\"reports-img-desc\">\r\n<div class=\"imgbox\"></div>\r\n<div class=\"reports-desc\">\r\n\r\nThe night was extremely cold, with ground temperatures probably down to zero degrees Fahrenheit. We did everything to keep ourselves warm! I laid my down jacket on top of my sleeping bag (which was rated to zero degrees), plus I had a liner inside the sleeping bag which gave me an additional 25 degrees of warmth. I am definitely not a cold weather person but with the right gear, it was not too bad.\r\n\r\nWe were woken up at 4 AM. After eating and packing our stuff (only our personal things; the Sherpa took care of the sleeping bag and tent each morning and night), we were off for a 75-minute climb, basically straight up and extremely cold. Fortunately, I had bought the best mittens ever and my hands were not cold. Nonetheless, my legs and face took the brunt of it, and we moved very, very slowly. 10 feet could take several minutes. After a very hard, straight-up climbing, we had to cross a flat plane to the actual top of the mountain. The wind was blowing like crazy. The air temp was around minus 10 Fahrenheit with the wind chill probably down to negative 45 or 50 Fahrenheit. But all 6 of us had made it. It was a special feeling…an unbelievable feeling!\r\n\r\nI always carry some ashes of my parents no matter where I travel in this world. And since this was a very special place, I quietly said a prayer, took off my mittens (brrr), and sprinkled some of their ashes at the top. They had made it the whole way with me!\r\n\r\nWe took our pictures and then had to get going due to the intense winds and brutal cold. Fortunately, we summited very early and there were only one or two other groups at the top. Later on, there would be at least 50-100 people. We saw a gorgeous sunrise since it was shortly before 7 in the morning. We were almost on the equator, and sunrise and sunsets are always at around 6:30 to 7 am without much variation from season to season.\r\n\r\nImmediately, once we started to go down, we could feel the release of pressure in our lungs and chest. The descent and decreasing pressure made it a lot easier on our lungs, plus it was now all downhill. After an hour or two, our quads really felt it, and we would be walking downhill for the next 5 to 6 hours!\r\n\r\nWe did stop for a small break for some lunch, but our appetite was low due to the altitude. Several of the hikers experienced altitude sickness on the way up, with nausea, diarrhea, headaches loss of appetite, and weakness. I felt worse while descending, but fortunately, I had only lost my appetite with slight nausea and it lasted only for a short period of time. Anyway, we finally made it to camp at 10,500 feet. The weather was really nice and a bit warmer, between about 45 to 50 degrees or more. What a difference from the night before! We all had a good meal and rested, as we had been hiking downhill for over 8 hours, and all of our legs were extremely tired.\r\n<div class=\"btn-wrap\"><a href=\"/Hiking-to-the-summit-19-341-feet/\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n</div>\r\n</div>\r\n&nbsp;\r\n<h3 class=\"heading-style\">The descent and saying goodbye</h3>\r\n<div class=\"reports-img-desc\">\r\n<div class=\"imgbox\"></div>\r\n<div class=\"reports-desc\">\r\n\r\n<img class=\"alignleft\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Sunriseuptop-3.jpg\" width=\"400\" />We woke up at 6:30 AM, which was a big difference from 4 AM. Today would be our last night, and we would be saying goodbye to all the Sherpas as they would leave the trail. Only the guides would continue with us. I volunteered to be the spokesperson of the group, which meant I would be collecting the tip money and giving a short speech.\r\n\r\nAfter breakfast, the 40 or so sherpas gathered around singing and dancing. I actually joined them in the dancing, which I have a video of. I was very tired, but it was still worth it. I gave a 3-minute speech thanking every one of them for all of their hard work and dedication, and telling them that their help, whether by carrying a table, carrying sleeping bags, setting up tents, preparing food and everything else they did for us, was all very special and helped us so much.\r\n\r\nWe then set off for our last 6 to 7-hour hike downhill. Although it was not very steep, it was a dried-up river bed that was full of rocks and stones, making footing uneasy, and causing our quads to be even more on fire. I and several others had foldable walking sticks and this helped a lot. But we knew the end was coming, so we just kept going. We stopped for lunch and continued on. After about 7 hours, we saw the base camp. Nothing could be sweeter! I signed out at the Ranger station and basically collapsed into the waiting truck. There were a lot of campers and hikers ending in this same area, so they drove us about 20 minutes away.\r\n\r\nWe had some lunch and then drove the rest of the way back to the lodge, which was a beautiful hotel about half an hour outside of Arusha on an old coffee plantation. Everybody had their own cabin. For the first time in 9 days, I took a shower. It was wonderful! Then we all gathered with the two guides and I said a few more words to represent the group. We had a nice dinner, and then two people left for the airport by 7 PM. That night, was my first night of sleep in a bed, after 9 days. It was fantastic! The mission was accomplished!\r\n<div class=\"btn-wrap\"><a href=\"/Sunrise-up-top-and-heading-down\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n</div>\r\n</div>\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro Was Amazing! Final Goodbyes and certificate</h2>\r\n<div class=\"reports-img-desc\">\r\n<div class=\"imgbox\"></div>\r\n<div class=\"reports-desc\">\r\n\r\n<img class=\"alignleft\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/final-goodbyes-9.jpg\" width=\"400\" />Even though the trip was not exactly as described in the pamphlet, it was something I had had on my bucket list for over 10 years. It was extremely difficult at times. Some of our hikers had difficulty even moving and needed assistance. But we all persevered. I’ve done 10 Ironman races so far (now 11!), which require monumental training. But the long hike up to the crater from 16,800 feet to 18,400, with the subsequent day of summiting, followed by the 9,000-foot descent, were some of the hardest things that I’ve ever done. And that includes all my Ironman competitions.\r\n\r\nYou just can’t imagine what it’s like trying to move at that altitude. As I said before, it is similar to having a paper bag over your head and trying to grasp for air. There were times I took two or three steps and then had to pause for 15 or 20 seconds just to get my heart rate and breathing back down, repeating that again and again and again. Never looking ahead, only down, because sometimes ten feet took 45-60 seconds to hike. All this while enduring the sub-freezing temperature, the blowing snow, and the wind chill factors. Nothing but grit and determination to keep you going. But the views were spectacular and the feeling of being literally on top of the world made it all worth it.\r\n\r\nI’ll continue to enjoy my Ironman triathlons and continue to do them as long as I can. But as far as hiking up a mountain to 19,341 feet, this will be my one and only time! It’s a tremendous accomplishment, but something I would not want to repeat.\r\n<div class=\"btn-wrap\"><a href=\"/Final-goodbyes-and-certificates\"><strong>See Photos</strong></a>\r\n<a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n</div>\r\n</div>\r\n&nbsp;\r\n<div class=\"video-flex-wrap\">\r\n<div class=\"video-box\"><img src=\"https://www.drfields.com/wp-content/uploads/2019/06/final-goodbyes-1.jpg\" /></div>\r\n</div>\r\n&nbsp;\r\n<h3 class=\"heading-style\" style=\"text-align: center;\">Thank You to Everyone Who Made Kilimanjaro A Possibility!</h3>\r\nThank you to everyone that sent me well wishes before, during, and after my climb. It meant so much!\r\n\r\nI also thank my parents who gave me the will and determination to achieve all the goals in my life, no matter how hard they are.\r\nThey always ingrained this determination in me and encouraged me to just put my head down and keep going to achieve my goals.\r\nAs I said above, they were with me the whole way and always will be.\r\n\r\nThank you for taking the time to read this. I hope this will inspire you that if a goal is desired, to just put your head down and keep going no matter how difficult it may seem.\r\n<div class=\"btn-wrap\"><a href=\"/kilimanjaro-climb-gallery/\"><strong>View Trip Gallery</strong></a></div>\r\n&nbsp;\r\n<strong>Peter A. Fields, MD, DC </strong>\r\n<strong>The Athletic Doc<sup>®</sup></strong>\r\n\r\n<a href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">Click here</a> to find out more about <strong>The Athletic Doc<sup>® </sup></strong>','Report of My Kilimanjaro Climb','','inherit','closed','closed','','2208-revision-v1','','','2022-07-27 22:25:26','2022-07-27 22:25:26','',2208,'https://www.drfields.com/?p=5432',0,'revision','',0),(5433,8,'2022-07-28 04:22:51','2022-07-28 04:22:51','<h2 class=\"heading-style\">Kilimanjaro Arrival - 1st day pre hike camp</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5200,5199,5201,5202,5203,5204,5205,5206\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro Pre-Hike</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5216,5217,5218,5219,5220\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro - Getting to the trailhead</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5230,5231,5233,5234\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro - First Day hike</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5235,5236,5237,5238,5239,5242,5243,5244,5245,5246\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro - Hiking to 11,400 ft</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5253,5254,5255,5256,5257,5259,5260,5261\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro - Hiking to 13,400 feet</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5351,5352,5353,5354,5355,5356,5357,5358,5359,5360,5361,5362\"]\r\n[video width=\"640\" height=\"480\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190214_193726.mp4\"][/video]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro - Hiking to 15,500 feet</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5266,5267,5268,5269,5270,5271,5272,5273,5274,5275,5276,5277\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro - Hiking 16,500 feet to 18,400 feet</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"2261,2262,5281,5282,5283,5284,5285,5286,5287,5288,5289,5290,5291,5292,5293,5294,5295,5296,5297\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro- Final Camp At 18,500 Feet</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5310,5311\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Climbing To The Top Of Kilimanjaro 19,341 Ft/5895 Meters Beginning The Descent</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5331,5324,5326,5327,5328,5329,5330,5332\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Sunrise Up Top And Heading Down</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"2285,2286,2287,2293,2292,2291,2289,2290\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Final Goodbyes And Certificates</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"2303,2302,2304,2301,2296,2299,2300,2297,2306\"]\r\n\r\n[video poster=\"https://www.drfields.com/wp-content/uploads/2021/08/Dancing.png\" width=\"352\" height=\"640\" mp4=\"https://www.drfields.com/wp-content/uploads/2021/08/DANCING-v3.mp4\"][/video]','Kilimanjaro Climb Gallery','','inherit','closed','closed','','5190-revision-v1','','','2022-07-28 04:22:51','2022-07-28 04:22:51','',5190,'https://www.drfields.com/?p=5433',0,'revision','',0),(5434,8,'2022-07-28 04:22:59','2022-07-28 04:22:59','[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5266,5267,5268,5269,5270,5271,5272,5273,5274,5275,5276,5277\"]\r\n<div class=\"video-flex-wrap\">\r\n<div class=\"video-box\">\r\n\r\n[video width=\"640\" height=\"480\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190215_194444.mp4\"][/video]\r\n\r\n</div>\r\n</div>','Kilimanjaro Hiking to 15,500 Feet','','inherit','closed','closed','','2239-revision-v1','','','2022-07-28 04:22:59','2022-07-28 04:22:59','',2239,'https://www.drfields.com/?p=5434',0,'revision','',0),(5435,8,'2022-07-28 04:26:30','2022-07-28 04:26:30','[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5331,5324,5326,5327,5328,5329,5330,5332\"]','Hiking to the Summit 19341 Feet','','inherit','closed','closed','','5322-revision-v1','','','2022-07-28 04:26:30','2022-07-28 04:26:30','',5322,'https://www.drfields.com/?p=5435',0,'revision','',0),(5436,8,'2022-07-28 04:29:38','2022-07-28 04:29:38','<h2 class=\"heading-style\">Kilimanjaro Arrival - 1st day pre hike camp</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5200,5199,5201,5202,5203,5204,5205,5206\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro Pre-Hike</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5216,5217,5218,5219,5220\"]\r\n<div class=\"video-flex-wrap\">\r\n<div class=\"video-box\">[video width=\"500\" height=\"640\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190211_014135.mp4\"][/video]</div>\r\n<div class=\"video-box\">[video width=\"500\" height=\"640\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190211_013855.mp4\"][/video]</div>\r\n</div>\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro - Getting to the trailhead</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5230,5231,5233,5234\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro - First Day hike</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5235,5236,5237,5238,5239,5242,5243,5244,5245,5246\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro - Hiking to 11,400 ft</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5253,5254,5255,5256,5257,5259,5260,5261\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro - Hiking to 13,400 feet</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5351,5352,5353,5354,5355,5356,5357,5358,5359,5360,5361,5362\"]\r\n[video width=\"640\" height=\"480\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190214_193726.mp4\"][/video]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro - Hiking to 15,500 feet</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5266,5267,5268,5269,5270,5271,5272,5273,5274,5275,5276,5277\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro - Hiking 16,500 feet to 18,400 feet</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"2261,2262,5281,5282,5283,5284,5285,5286,5287,5288,5289,5290,5291,5292,5293,5294,5295,5296,5297\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro- Final Camp At 18,500 Feet</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5310,5311\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Climbing To The Top Of Kilimanjaro 19,341 Ft/5895 Meters Beginning The Descent</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5331,5324,5326,5327,5328,5329,5330,5332\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Sunrise Up Top And Heading Down</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"2285,2286,2287,2293,2292,2291,2289,2290\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Final Goodbyes And Certificates</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"2303,2302,2304,2301,2296,2299,2300,2297,2306\"]\r\n\r\n[video poster=\"https://www.drfields.com/wp-content/uploads/2021/08/Dancing.png\" width=\"352\" height=\"640\" mp4=\"https://www.drfields.com/wp-content/uploads/2021/08/DANCING-v3.mp4\"][/video]','Kilimanjaro Climb Gallery','','inherit','closed','closed','','5190-revision-v1','','','2022-07-28 04:29:38','2022-07-28 04:29:38','',5190,'https://www.drfields.com/?p=5436',0,'revision','',0),(5437,8,'2022-07-28 04:30:59','2022-07-28 04:30:59','<h2 class=\"heading-style\">Kilimanjaro Arrival - 1st day pre hike camp</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5200,5199,5201,5202,5203,5204,5205,5206\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro Pre-Hike</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5216,5217,5218,5219,5220\"]\r\n<div class=\"video-flex-wrap\">\r\n<div class=\"video-box\">[video width=\"500\" height=\"640\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190211_014135.mp4\"][/video]</div>\r\n<div class=\"video-box\">[video width=\"500\" height=\"640\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190211_013855.mp4\"][/video]</div>\r\n</div>\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro - Getting to the trailhead</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5230,5231,5233,5234\"]\r\n<div class=\"video-flex-wrap\">\r\n<div class=\"video-box\">\r\n[video width=\"640\" height=\"480\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190211_235333.mp4\"][/video]\r\n</div>\r\n<div class=\"video-box\">\r\n[video width=\"480\" height=\"640\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190212_023336.mp4\"][/video]\r\n</div>\r\n</div>\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro - First Day hike</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5235,5236,5237,5238,5239,5242,5243,5244,5245,5246\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro - Hiking to 11,400 ft</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5253,5254,5255,5256,5257,5259,5260,5261\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro - Hiking to 13,400 feet</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5351,5352,5353,5354,5355,5356,5357,5358,5359,5360,5361,5362\"]\r\n[video width=\"640\" height=\"480\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190214_193726.mp4\"][/video]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro - Hiking to 15,500 feet</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5266,5267,5268,5269,5270,5271,5272,5273,5274,5275,5276,5277\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro - Hiking 16,500 feet to 18,400 feet</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"2261,2262,5281,5282,5283,5284,5285,5286,5287,5288,5289,5290,5291,5292,5293,5294,5295,5296,5297\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro- Final Camp At 18,500 Feet</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5310,5311\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Climbing To The Top Of Kilimanjaro 19,341 Ft/5895 Meters Beginning The Descent</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5331,5324,5326,5327,5328,5329,5330,5332\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Sunrise Up Top And Heading Down</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"2285,2286,2287,2293,2292,2291,2289,2290\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Final Goodbyes And Certificates</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"2303,2302,2304,2301,2296,2299,2300,2297,2306\"]\r\n\r\n[video poster=\"https://www.drfields.com/wp-content/uploads/2021/08/Dancing.png\" width=\"352\" height=\"640\" mp4=\"https://www.drfields.com/wp-content/uploads/2021/08/DANCING-v3.mp4\"][/video]','Kilimanjaro Climb Gallery','','inherit','closed','closed','','5190-revision-v1','','','2022-07-28 04:30:59','2022-07-28 04:30:59','',5190,'https://www.drfields.com/?p=5437',0,'revision','',0),(5438,8,'2022-07-28 04:31:46','2022-07-28 04:31:46','<h2 class=\"heading-style\">Kilimanjaro Arrival - 1st day pre hike camp</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5200,5199,5201,5202,5203,5204,5205,5206\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro Pre-Hike</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5216,5217,5218,5219,5220\"]\r\n<div class=\"video-flex-wrap\">\r\n<div class=\"video-box\">[video width=\"500\" height=\"640\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190211_014135.mp4\"][/video]</div>\r\n<div class=\"video-box\">[video width=\"500\" height=\"640\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190211_013855.mp4\"][/video]</div>\r\n</div>\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro - Getting to the trailhead</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5230,5231,5233,5234\"]\r\n<div class=\"video-flex-wrap\">\r\n<div class=\"video-box\">\r\n[video width=\"640\" height=\"480\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190211_235333.mp4\"][/video]\r\n</div>\r\n<div class=\"video-box\">\r\n[video width=\"480\" height=\"640\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190212_023336.mp4\"][/video]\r\n</div>\r\n</div>\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro - First Day hike</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5235,5236,5237,5238,5239,5242,5243,5244,5245,5246\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro - Hiking to 11,400 ft</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5253,5254,5255,5256,5257,5259,5260,5261\"]\r\n[video width=\"640\" height=\"480\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190213_015500.mp4\"][/video]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro - Hiking to 13,400 feet</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5351,5352,5353,5354,5355,5356,5357,5358,5359,5360,5361,5362\"]\r\n[video width=\"640\" height=\"480\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190214_193726.mp4\"][/video]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro - Hiking to 15,500 feet</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5266,5267,5268,5269,5270,5271,5272,5273,5274,5275,5276,5277\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro - Hiking 16,500 feet to 18,400 feet</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"2261,2262,5281,5282,5283,5284,5285,5286,5287,5288,5289,5290,5291,5292,5293,5294,5295,5296,5297\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro- Final Camp At 18,500 Feet</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5310,5311\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Climbing To The Top Of Kilimanjaro 19,341 Ft/5895 Meters Beginning The Descent</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5331,5324,5326,5327,5328,5329,5330,5332\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Sunrise Up Top And Heading Down</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"2285,2286,2287,2293,2292,2291,2289,2290\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Final Goodbyes And Certificates</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"2303,2302,2304,2301,2296,2299,2300,2297,2306\"]\r\n\r\n[video poster=\"https://www.drfields.com/wp-content/uploads/2021/08/Dancing.png\" width=\"352\" height=\"640\" mp4=\"https://www.drfields.com/wp-content/uploads/2021/08/DANCING-v3.mp4\"][/video]','Kilimanjaro Climb Gallery','','inherit','closed','closed','','5190-revision-v1','','','2022-07-28 04:31:46','2022-07-28 04:31:46','',5190,'https://www.drfields.com/?p=5438',0,'revision','',0),(5439,8,'2022-07-28 04:33:23','2022-07-28 04:33:23','<h2 class=\"heading-style\">Kilimanjaro Arrival - 1st day pre hike camp</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5200,5199,5201,5202,5203,5204,5205,5206\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro Pre-Hike</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5216,5217,5218,5219,5220\"]\r\n<div class=\"video-flex-wrap\">\r\n<div class=\"video-box\">[video width=\"500\" height=\"640\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190211_014135.mp4\"][/video]</div>\r\n<div class=\"video-box\">[video width=\"500\" height=\"640\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190211_013855.mp4\"][/video]</div>\r\n</div>\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro - Getting to the trailhead</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5230,5231,5233,5234\"]\r\n<div class=\"video-flex-wrap\">\r\n<div class=\"video-box\">\r\n[video width=\"640\" height=\"480\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190211_235333.mp4\"][/video]\r\n</div>\r\n<div class=\"video-box\">\r\n[video width=\"480\" height=\"640\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190212_023336.mp4\"][/video]\r\n</div>\r\n</div>\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro - First Day hike</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5235,5236,5237,5238,5239,5242,5243,5244,5245,5246\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro - Hiking to 11,400 ft</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5253,5254,5255,5256,5257,5259,5260,5261\"]\r\n[video width=\"640\" height=\"480\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190213_015500.mp4\"][/video]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro - Hiking to 13,400 feet</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5351,5352,5353,5354,5355,5356,5357,5358,5359,5360,5361,5362\"]\r\n<div class=\"video-flex-wrap\">\r\n<div class=\"video-box\">\r\n[video width=\"640\" height=\"480\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190216_235405-1.mp4\"][/video]\r\n</div>\r\n<div class=\"video-box\">\r\n[video width=\"640\" height=\"480\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190216_195900-1.mp4\"][/video]\r\n</div>\r\n</div>\r\n<div class=\"video-flex-wrap\">\r\n<div class=\"video-box\">\r\n[video width=\"640\" height=\"480\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190214_193726.mp4\"][/video]\r\n</div>\r\n</div>\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro - Hiking to 15,500 feet</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5266,5267,5268,5269,5270,5271,5272,5273,5274,5275,5276,5277\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro - Hiking 16,500 feet to 18,400 feet</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"2261,2262,5281,5282,5283,5284,5285,5286,5287,5288,5289,5290,5291,5292,5293,5294,5295,5296,5297\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro- Final Camp At 18,500 Feet</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5310,5311\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Climbing To The Top Of Kilimanjaro 19,341 Ft/5895 Meters Beginning The Descent</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5331,5324,5326,5327,5328,5329,5330,5332\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Sunrise Up Top And Heading Down</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"2285,2286,2287,2293,2292,2291,2289,2290\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Final Goodbyes And Certificates</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"2303,2302,2304,2301,2296,2299,2300,2297,2306\"]\r\n\r\n[video poster=\"https://www.drfields.com/wp-content/uploads/2021/08/Dancing.png\" width=\"352\" height=\"640\" mp4=\"https://www.drfields.com/wp-content/uploads/2021/08/DANCING-v3.mp4\"][/video]','Kilimanjaro Climb Gallery','','inherit','closed','closed','','5190-revision-v1','','','2022-07-28 04:33:23','2022-07-28 04:33:23','',5190,'https://www.drfields.com/?p=5439',0,'revision','',0),(5440,8,'2022-07-28 04:34:31','2022-07-28 04:34:31','<h2 class=\"heading-style\">Kilimanjaro Arrival - 1st day pre hike camp</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5200,5199,5201,5202,5203,5204,5205,5206\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro Pre-Hike</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5216,5217,5218,5219,5220\"]\r\n<div class=\"video-flex-wrap\">\r\n<div class=\"video-box\">[video width=\"500\" height=\"640\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190211_014135.mp4\"][/video]</div>\r\n<div class=\"video-box\">[video width=\"500\" height=\"640\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190211_013855.mp4\"][/video]</div>\r\n</div>\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro - Getting to the trailhead</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5230,5231,5233,5234\"]\r\n<div class=\"video-flex-wrap\">\r\n<div class=\"video-box\">\r\n[video width=\"640\" height=\"480\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190211_235333.mp4\"][/video]\r\n</div>\r\n<div class=\"video-box\">\r\n[video width=\"480\" height=\"640\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190212_023336.mp4\"][/video]\r\n</div>\r\n</div>\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro - First Day hike</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5235,5236,5237,5238,5239,5242,5243,5244,5245,5246\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro - Hiking to 11,400 ft</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5253,5254,5255,5256,5257,5259,5260,5261\"]\r\n[video width=\"640\" height=\"480\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190213_015500.mp4\"][/video]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro - Hiking to 13,400 feet</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5351,5352,5353,5354,5355,5356,5357,5358,5359,5360,5361,5362\"]\r\n<div class=\"video-flex-wrap\">\r\n<div class=\"video-box\">\r\n[video width=\"640\" height=\"480\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190216_235405-1.mp4\"][/video]\r\n</div>\r\n<div class=\"video-box\">\r\n[video width=\"640\" height=\"480\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190216_195900-1.mp4\"][/video]\r\n</div>\r\n</div>\r\n<div class=\"video-flex-wrap\">\r\n<div class=\"video-box\">\r\n[video width=\"640\" height=\"480\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190214_193726.mp4\"][/video]\r\n</div>\r\n</div>\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro - Hiking to 15,500 feet</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5266,5267,5268,5269,5270,5271,5272,5273,5274,5275,5276,5277\"]\r\n<div class=\"video-flex-wrap\">\r\n<div class=\"video-box\">\r\n[video width=\"640\" height=\"480\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190215_194444.mp4\"][/video]\r\n</div>\r\n</div>\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro - Hiking 16,500 feet to 18,400 feet</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"2261,2262,5281,5282,5283,5284,5285,5286,5287,5288,5289,5290,5291,5292,5293,5294,5295,5296,5297\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro- Final Camp At 18,500 Feet</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5310,5311\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Climbing To The Top Of Kilimanjaro 19,341 Ft/5895 Meters Beginning The Descent</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5331,5324,5326,5327,5328,5329,5330,5332\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Sunrise Up Top And Heading Down</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"2285,2286,2287,2293,2292,2291,2289,2290\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Final Goodbyes And Certificates</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"2303,2302,2304,2301,2296,2299,2300,2297,2306\"]\r\n\r\n[video poster=\"https://www.drfields.com/wp-content/uploads/2021/08/Dancing.png\" width=\"352\" height=\"640\" mp4=\"https://www.drfields.com/wp-content/uploads/2021/08/DANCING-v3.mp4\"][/video]','Kilimanjaro Climb Gallery','','inherit','closed','closed','','5190-revision-v1','','','2022-07-28 04:34:31','2022-07-28 04:34:31','',5190,'https://www.drfields.com/?p=5440',0,'revision','',0),(5441,8,'2022-07-28 04:36:21','2022-07-28 04:36:21','<h2 class=\"heading-style\">Kilimanjaro Arrival - 1st day pre hike camp</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5200,5199,5201,5202,5203,5204,5205,5206\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro Pre-Hike</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5216,5217,5218,5219,5220\"]\r\n<div class=\"video-flex-wrap\">\r\n<div class=\"video-box\">[video width=\"500\" height=\"640\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190211_014135.mp4\"][/video]</div>\r\n<div class=\"video-box\">[video width=\"500\" height=\"640\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190211_013855.mp4\"][/video]</div>\r\n</div>\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro - Getting to the trailhead</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5230,5231,5233,5234\"]\r\n<div class=\"video-flex-wrap\">\r\n<div class=\"video-box\">\r\n[video width=\"640\" height=\"480\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190211_235333.mp4\"][/video]\r\n</div>\r\n<div class=\"video-box\">\r\n[video width=\"480\" height=\"640\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190212_023336.mp4\"][/video]\r\n</div>\r\n</div>\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro - First Day hike</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5235,5236,5237,5238,5239,5242,5243,5244,5245,5246\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro - Hiking to 11,400 ft</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5253,5254,5255,5256,5257,5259,5260,5261\"]\r\n[video width=\"640\" height=\"480\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190213_015500.mp4\"][/video]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro - Hiking to 13,400 feet</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5351,5352,5353,5354,5355,5356,5357,5358,5359,5360,5361,5362\"]\r\n<div class=\"video-flex-wrap\">\r\n<div class=\"video-box\">\r\n[video width=\"640\" height=\"480\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190216_235405-1.mp4\"][/video]\r\n</div>\r\n<div class=\"video-box\">\r\n[video width=\"640\" height=\"480\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190216_195900-1.mp4\"][/video]\r\n</div>\r\n</div>\r\n<div class=\"video-flex-wrap\">\r\n<div class=\"video-box\">\r\n[video width=\"640\" height=\"480\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190214_193726.mp4\"][/video]\r\n</div>\r\n</div>\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro - Hiking to 15,500 feet</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5266,5267,5268,5269,5270,5271,5272,5273,5274,5275,5276,5277\"]\r\n<div class=\"video-flex-wrap\">\r\n<div class=\"video-box\">\r\n[video width=\"640\" height=\"480\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190215_194444.mp4\"][/video]\r\n</div>\r\n</div>\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Getting To Camp At 16,500 Feet</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"2261,2262,5281,5282,5283,5284,5285,5286,5287,5288,5289,5290,5291,5292,5293,5294,5295,5296,5297\"]\r\n<div class=\"video-flex-wrap\">\r\n<div class=\"video-box\">[video width=\"640\" height=\"480\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190215_235706.mp4\"][/video]\r\n</div>\r\n<div class=\"video-box\">\r\n[video width=\"640\" height=\"480\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190216_195500.mp4\"][/video]\r\n</div>\r\n</div>\r\n<div class=\"video-flex-wrap\">\r\n<div class=\"video-box\">\r\n[video width=\"640\" height=\"480\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190216_195900.mp4\"][/video]\r\n</div>\r\n<div class=\"video-box\">\r\n[video width=\"640\" height=\"480\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190216_235405.mp4\"][/video]\r\n</div>\r\n</div>\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro- Final Camp At 18,500 Feet</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5310,5311\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Climbing To The Top Of Kilimanjaro 19,341 Ft/5895 Meters Beginning The Descent</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5331,5324,5326,5327,5328,5329,5330,5332\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Sunrise Up Top And Heading Down</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"2285,2286,2287,2293,2292,2291,2289,2290\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Final Goodbyes And Certificates</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"2303,2302,2304,2301,2296,2299,2300,2297,2306\"]\r\n\r\n[video poster=\"https://www.drfields.com/wp-content/uploads/2021/08/Dancing.png\" width=\"352\" height=\"640\" mp4=\"https://www.drfields.com/wp-content/uploads/2021/08/DANCING-v3.mp4\"][/video]','Kilimanjaro Climb Gallery','','inherit','closed','closed','','5190-revision-v1','','','2022-07-28 04:36:21','2022-07-28 04:36:21','',5190,'https://www.drfields.com/?p=5441',0,'revision','',0),(5442,8,'2022-07-28 04:37:08','2022-07-28 04:37:08','<h2 class=\"heading-style\">Kilimanjaro Arrival - 1st day pre hike camp</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5200,5199,5201,5202,5203,5204,5205,5206\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro Pre-Hike</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5216,5217,5218,5219,5220\"]\r\n<div class=\"video-flex-wrap\">\r\n<div class=\"video-box\">[video width=\"500\" height=\"640\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190211_014135.mp4\"][/video]</div>\r\n<div class=\"video-box\">[video width=\"500\" height=\"640\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190211_013855.mp4\"][/video]</div>\r\n</div>\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro - Getting to the trailhead</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5230,5231,5233,5234\"]\r\n<div class=\"video-flex-wrap\">\r\n<div class=\"video-box\">\r\n[video width=\"640\" height=\"480\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190211_235333.mp4\"][/video]\r\n</div>\r\n<div class=\"video-box\">\r\n[video width=\"480\" height=\"640\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190212_023336.mp4\"][/video]\r\n</div>\r\n</div>\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro - First Day hike</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5235,5236,5237,5238,5239,5242,5243,5244,5245,5246\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro - Hiking to 11,400 ft</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5253,5254,5255,5256,5257,5259,5260,5261\"]\r\n[video width=\"640\" height=\"480\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190213_015500.mp4\"][/video]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro - Hiking to 13,400 feet</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5351,5352,5353,5354,5355,5356,5357,5358,5359,5360,5361,5362\"]\r\n<div class=\"video-flex-wrap\">\r\n<div class=\"video-box\">\r\n[video width=\"640\" height=\"480\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190216_235405-1.mp4\"][/video]\r\n</div>\r\n<div class=\"video-box\">\r\n[video width=\"640\" height=\"480\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190216_195900-1.mp4\"][/video]\r\n</div>\r\n</div>\r\n<div class=\"video-flex-wrap\">\r\n<div class=\"video-box\">\r\n[video width=\"640\" height=\"480\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190214_193726.mp4\"][/video]\r\n</div>\r\n</div>\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro - Hiking to 15,500 feet</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" ids=\"5266,5267,5268,5269,5270,5271,5272,5273,5274,5275,5276,5277\"]\r\n<div class=\"video-flex-wrap\">\r\n<div class=\"video-box\">\r\n[video width=\"640\" height=\"480\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190215_194444.mp4\"][/video]\r\n</div>\r\n</div>\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Getting To Camp At 16,500 Feet</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"2261,2262,5281,5282,5283,5284,5285,5286,5287,5288,5289,5290,5291,5292,5293,5294,5295,5296,5297\"]\r\n<div class=\"video-flex-wrap\">\r\n<div class=\"video-box\">[video width=\"640\" height=\"480\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190215_235706.mp4\"][/video]\r\n</div>\r\n<div class=\"video-box\">\r\n[video width=\"640\" height=\"480\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190216_195500.mp4\"][/video]\r\n</div>\r\n</div>\r\n<div class=\"video-flex-wrap\">\r\n<div class=\"video-box\">\r\n[video width=\"640\" height=\"480\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190216_195900.mp4\"][/video]\r\n</div>\r\n<div class=\"video-box\">\r\n[video width=\"640\" height=\"480\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190216_235405.mp4\"][/video]\r\n</div>\r\n</div>\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Kilimanjaro- Final Camp At 18,500 Feet</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5310,5311\"]\r\n<div class=\"video-flex-wrap\">\r\n<div class=\"video-box\">\r\n[video width=\"640\" height=\"480\" mp4=\"https://www.drfields.com/wp-content/uploads/2022/07/20190217_072234-1.mp4\"][/video]\r\n</div>\r\n<div class=\"video-box\">\r\n</div>\r\n</div>\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Climbing To The Top Of Kilimanjaro 19,341 Ft/5895 Meters Beginning The Descent</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"5331,5324,5326,5327,5328,5329,5330,5332\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Sunrise Up Top And Heading Down</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"2285,2286,2287,2293,2292,2291,2289,2290\"]\r\n\r\n&nbsp;\r\n<h2 class=\"heading-style\">Final Goodbyes And Certificates</h2>\r\n[gallery columns=\"4\" size=\"wcsquare\" display=\"grid\" link=\"file\" captions=\"hide\" ids=\"2303,2302,2304,2301,2296,2299,2300,2297,2306\"]\r\n\r\n[video poster=\"https://www.drfields.com/wp-content/uploads/2021/08/Dancing.png\" width=\"352\" height=\"640\" mp4=\"https://www.drfields.com/wp-content/uploads/2021/08/DANCING-v3.mp4\"][/video]','Kilimanjaro Climb Gallery','','inherit','closed','closed','','5190-revision-v1','','','2022-07-28 04:37:08','2022-07-28 04:37:08','',5190,'https://www.drfields.com/?p=5442',0,'revision','',0),(5444,9,'2022-07-29 17:09:04','2022-07-29 17:09:04','<h3><img class=\"alignright wp-image-5181\" title=\"Try Regenerative Treatments for Your Hip Pain or Injury\" src=\"https://www.drfields.com/wp-content/uploads/2022/07/regen.tissue-healing-500x375.jpeg\" alt=\"Regen.tissue HealingTry Regenerative Treatments for Your Hip Pain or Injury\" width=\"300\" height=\"225\" />Hip Pain or Injury?</h3>\nRegenerative treatments offer an effective non-surgical answer for those with hip pain or injury. If you are dealing with hip pain from arthritis, labral tears, bursitis, IT band syndrome, or another hip condition, Regenerative Orthopedics is a treatment alternative you should look into. Many common hip pain treatments provide only temporary relief because they do not treat the root cause. At OrthoRegen®, the non-surgical options we offer address the root cause.\n<h2>What Is the Root Cause of Many Cases of Hip Pain?</h2>\nOftentimes, the underlying cause of hip pain is instability due to ligament and/or tendon laxity. The instability occurs after some type of injury to these soft tissue structures of the joint. You may recall the actual injury, such as a sports injury, a fall, or an accident. It may also come from wear and tear over the years. And if the injury was strong enough to cause a tear to the hip labrum, then it is quite possible that there are also co-injuries to the ligaments and/or tendons of the hip.\n<h2>How Does Instability Affect the Hip Joint?</h2>\nMany painful hip conditions, including arthritis, begin with damage to the surrounding soft tissue, such as the ligaments. And until the instability is addressed, the joint degeneration will continue. That is because the instability generates abnormal joint motion.\n\nBut how do the instability and the “abnormal joint motion” affect the joint? You see, ligaments join bone to bone. They provide a good portion of the stability in the hip joint. Tendons also supply stability. When these soft tissue structures are injured, they become overstretched, and the joint moves around more. Stress is then placed on other structures of the joint, which causes damage to those other structures, and eventually wears them out.\n\nIf you try to picture a loose hinge in a cabinet door and consider how the loose door begins to move abnormally and then will hit at different spots on the door, you can get a better idea of what occurs during hip instability.\n<h2>Can the Instability Be Fixed?</h2>\nJoint instability due to ligament injury can be repaired with Regenerative Orthopedics, which includes Prolotherapy, PRP, and Stem Cells.\n\nSure, there are other treatments for hip pain, such as cortisone injections, but these injections only cover up the problem. They are not reparative. Not only that, but cortisone also boosts degeneration. That means the problem is only worsened with cortisone. Treatment is needed that will repair and regenerate the joint. That’s where Regenerative Orthopedics comes in.\n\nRegenerative Orthopedics target the weakened ligaments and tendons that cause instability in the hip joint. But will the pain be addressed? Weakened ligaments actually send referral pain down the legs and buttocks. Therefore, this referral pain can also be addressed once the ligaments are strengthened with regenerative treatment.\n<h2>Regenerative Orthopedics for Hip Pain and Injuries</h2>\nRegenerative Orthopedics can comprehensively target the treatment of weakened ligaments and other soft tissue and safely eliminate hip pain and offer a vital alternative to hip surgery. These regenerative treatments stimulate the natural repair of the supportive ligaments and tendons of the hip joint and promote labrum and cartilage regeneration.\n\nStudies show that Regenerative Orthopedics is an excellent option for pain relief and repair of many hip conditions. Plus, if you are looking to avoid hip surgery, these treatments are effective alternatives to surgery. In advanced cases of degeneration, PRP or Stem Cells may be recommended.\n\nIf you are experiencing hip pain, or if hip surgery has been recommended, seek a non-surgical alternative such as Regenerative Orthopedics. Our team at OrthoRegen® would be happy to serve you.','Try Regenerative Treatments for Your Hip Pain or Injury','','inherit','closed','closed','','5180-autosave-v1','','','2022-07-29 17:09:04','2022-07-29 17:09:04','',5180,'https://www.drfields.com/?p=5444',0,'revision','',0),(5445,9,'2022-07-29 17:10:48','2022-07-29 17:10:48','<h3><img class=\"alignright wp-image-5181\" title=\"Try Regenerative Treatments for Your Hip Pain or Injury\" src=\"https://www.drfields.com/wp-content/uploads/2022/07/regen.tissue-healing-500x375.jpeg\" alt=\"Regen.tissue HealingTry Regenerative Treatments for Your Hip Pain or Injury\" width=\"300\" height=\"225\" />Hip Pain or Injury?</h3>\r\nRegenerative treatments offer an effective non-surgical answer for those with hip pain or injury. If you are dealing with hip pain from arthritis, labral tears, bursitis, IT band syndrome, or another hip condition, Regenerative Orthopedics is a treatment alternative you should look into. Many common hip pain treatments provide only temporary relief because they do not treat the root cause. At OrthoRegen®, the non-surgical options we offer address the root cause.\r\n<h2>What Is the Root Cause of Many Cases of Hip Pain?</h2>\r\nOftentimes, the underlying cause of hip pain is instability due to ligament and/or tendon laxity. The instability occurs after some type of injury to these soft tissue structures of the joint. You may recall the actual injury, such as a sports injury, a fall, or an accident. It may also come from wear and tear over the years. And if the injury was strong enough to cause a tear to the hip labrum, then it is quite possible that there are also co-injuries to the ligaments and/or tendons of the hip.\r\n<h2>How Does Instability Affect the Hip Joint?</h2>\r\nMany painful hip conditions, including arthritis, begin with damage to the surrounding soft tissue, such as the ligaments. And until the instability is addressed, the joint degeneration will continue. That is because the instability generates abnormal joint motion.\r\n\r\nBut how do the instability and the “abnormal joint motion” affect the joint? You see, ligaments join bone to bone. They provide a good portion of the stability in the hip joint. Tendons also supply stability. When these soft tissue structures are injured, they become overstretched, and the joint moves around more. Stress is then placed on other structures of the joint, which causes damage to those other structures, and eventually wears them out.\r\n\r\nIf you try to picture a loose hinge in a cabinet door and consider how the loose door begins to move abnormally and then will hit at different spots on the door, you can get a better idea of what occurs during hip instability.\r\n<h2>Can the Instability Be Fixed?</h2>\r\nJoint instability due to ligament injury can be repaired with Regenerative Orthopedics, which includes Prolotherapy, PRP, and Stem Cells.\r\n\r\nSure, there are other treatments for hip pain, such as cortisone injections, but these injections only cover up the problem. They are not reparative. Not only that, but cortisone also boosts degeneration. That means the problem is only worsened with cortisone. Treatment is needed that will repair and regenerate the joint. That’s where Regenerative Orthopedics comes in.\r\n\r\nRegenerative Orthopedics target the weakened ligaments and tendons that cause instability in the hip joint. But will the pain be addressed? Weakened ligaments actually send referral pain down the legs and buttocks. Therefore, this referral pain can also be addressed once the ligaments are strengthened with regenerative treatment.\r\n<h2>Regenerative Orthopedics for Hip Pain and Injuries</h2>\r\nRegenerative Orthopedics can comprehensively target the treatment of weakened ligaments and other soft tissue and safely eliminate hip pain and offer a vital alternative to hip surgery. These regenerative treatments stimulate the natural repair of the supportive ligaments and tendons of the hip joint and promote labrum and cartilage regeneration.\r\n\r\nStudies show that Regenerative Orthopedics is an excellent option for pain relief and repair of many hip conditions. Plus, if you are looking to avoid hip surgery, these treatments are effective alternatives to surgery. In advanced cases of degeneration, PRP or Stem Cells may be recommended.\r\n\r\nIf you are experiencing hip pain, or if hip surgery has been recommended, seek a non-surgical alternative such as Regenerative Orthopedics. Our team at OrthoRegen® would be happy to serve you.','Try Regenerative Treatments for Your Hip Pain or Injury','','inherit','closed','closed','','5180-revision-v1','','','2022-07-29 17:10:48','2022-07-29 17:10:48','',5180,'https://www.drfields.com/?p=5445',0,'revision','',0),(5446,8,'2022-08-01 03:41:11','2022-08-01 03:41:11','<img class=\"wp-image-5455  alignright\" src=\"https://www.drfields.com/wp-content/uploads/2022/08/Cortisone.-Jama-1-500x419.png\" alt=\"Cortisone. Jama\" width=\"419\" height=\"351\" />\r\n<h2>Are Cortisone Shots a Good Option?</h2>\r\nCortisone shots are a common treatment option for joint pain relief. But are these injections a good course of action? Many times they are not! Even though cortisone injections are frequently recommended, they have an adverse effect on the bone and soft tissue healing.\r\n<h2>Cortisone Injections Are Harmful?</h2>\r\nCortisone shots, or corticosteroid injections, inactivate vitamin D. That means they limit calcium absorption by the gastrointestinal tract, which decreases calcium uptake for the bone. This process will ultimately lead to weakness in the bone.\r\n\r\nAdditionally, corticosteroids inhibit the release of growth hormones. What does that mean? The decrease in growth hormone will interfere with soft tissue and bone repair. The result is an overall decrease in the strength of the bones, ligaments, and tendons.\r\n\r\nFurthermore, corticosteroids inhibit chondrocyte production. Chondrocytes are the cells responsible for cartilage formation. Therefore, corticosteroids interfere with the formation of cartilage, collagen, and even blood vessel formation.\r\n<h2>Will Just One Shot of Cortisone Be a Problem?</h2>\r\nThe medical journal <em>Radiology </em>lists the side effects of cortisone injections in an article called “Intra-articular Corticosteroid Injections in the Hip and Knee: Perhaps Not as Safe as We Thought?”.1 The article states that the side effects of cortisone injections include:\r\n<ul>\r\n 	<li><strong>Accelerated osteoarthritis progression</strong></li>\r\n 	<li><strong>Subchondral insufficiency fracture</strong></li>\r\n 	<li><strong>Complications of osteonecrosis</strong></li>\r\n 	<li><strong>Rapid joint destruction with bone loss</strong></li>\r\n</ul>\r\nThe study\'s lead researcher found that “corticosteroid injections may be associated with complications that potentially accelerate the destruction of the joint and may hasten the need for total hip and knee replacements.” He also says, “We’ve been telling patients that even if these injections don’t relieve your pain, they’re not going to hurt you.” But that is not really true. He says, “But now we suspect this is not necessarily the case.”1\r\n\r\nThe researcher continues, “Physicians do not commonly tell patients about the possibility of joint collapse or subchondral insufficiency fractures that may lead to earlier total hip or knee replacement,” “This information should be part of the consent when you inject patients with intra-articular corticosteroids.”\r\n\r\nWith this information, it would seem then that even one injection should be avoided if possible.\r\n<h2>But Does Cortisone Help with Pain?</h2>\r\nSome people do get relief from cortisone. But not all people do! And corticosteroid injections have been used for a very long time. Their anti-inflammatory and pain relief properties made their use a common practice within the medical community.\r\n\r\nHowever, the same properties that make them effective in decreasing inflammation and pain are the same properties that lead to the destruction of cartilage.\r\n<h2>The Effects of Cortisone Injections on Cartilage</h2>\r\nIn 2017, an article in the Journal of the American Medical Association (JAMA) asks the question, “What are the effects of intra-articular injection of 40 mg of triamcinolone acetonide every three months on the progression of cartilage loss and knee pain in patients with osteoarthritis?”2\r\n\r\nThe answer: “Among patients with symptomatic knee osteoarthritis, two years of intra-articular triamcinolone, compared with intra-articular saline, resulted in significantly greater cartilage volume loss and no significant difference in knee pain. These findings do not support this treatment for patients with symptomatic knee osteoarthritis.”2\r\n<h2>Regenerative Orthopedics: An Alternative to Cortisone Injections</h2>\r\nSo what is the alternative to cortisone, considering pain relief is still necessary? That’s where Regenerative Orthopedics comes in!  Treatments like Stem Cell Therapy, PRP, and Prolotherapy work to actually repair the arthritic joint. They don’t just cover up the pain as many other treatments do. These treatments provide pain relief. They actually heal the joints, strengthen the structures of the joints, and even boost the growth of cartilage.\r\n\r\nRegenerative Orthopedics regenerates the joint rather than causing degeneration like what occurs with cortisone injections. There is also minimal downtime needed when receiving these regenerative treatments. That means you can continue to exercise and move the joint, which is essential for a healthy joint. Exercise helps ease pain, improve mobility, and strengthen muscles around the joints.\r\n\r\nRegenerative Orthopedics is the treatment of choice to achieve the pain relief you desire while returning function to your painful joint and helping you to once again participate in the activities you enjoy.\r\n\r\n1Kompel AJ, Roemer FW, Murakami AM, Diaz LE, Crema MD, Guermazi A. Intra-articular Corticosteroid Injections in the Hip and Knee: Perhaps Not as Safe as We Thought? <em>Radiology</em>, 2019; 190341\r\n\r\n2McAlindon TE, LaValley MP, Harvey WF, Price LL, Driban JB, Zhang M, Ward RJ. Effect of Intra-articular Triamcinolone vs Saline on Knee Cartilage Volume and Pain in Patients With Knee OsteoarthritisA Randomized Clinical Trial. <em>JAMA.</em> 2017;317(19):1967-1975.','Are Cortisone Shots a Good Option?','','publish','closed','open','','are-cortisone-shots-a-good-option','','','2022-08-03 21:26:01','2022-08-03 21:26:01','',0,'https://www.drfields.com/?p=5446',0,'post','',0),(5447,8,'2022-08-01 03:41:11','2022-08-01 03:41:11','Cortisone injections are a common treatment option for joint pain relief. But are these injections a good course of action? Many times they are not! Even though cortisone injections are frequently recommended, they unfortunately have an adverse effect on the bone and on soft tissue healing.\r\n<h2>Cortisone Injections Are Harmful?</h2>\r\nCortisone shots, or corticosteroid injections, inactivate vitamin D. That means they limit calcium absorption by the gastrointestinal tract, which results in a decrease in calcium uptake for the bone. This process will ultimately lead to weakness in the bone.\r\n\r\nAdditionally, corticosteroids inhibit the release of growth hormone. What does that mean? The decrease in growth hormone will interfere with the repair of soft tissue and bone. The result is an overall decrease in the strength of the bones, ligaments, and tendons.\r\n\r\nFurthermore, corticosteroids inhibit chondrocyte production. Chondrocytes are the cells responsible for cartilage formation. Therefore, corticosteroids interfere with the formation of cartilage, collagen, and even blood vessel formation.\r\n<h2>Will Just One Shot of Cortisone Be a Problem?</h2>\r\nThe medical journal <em>Radiology </em>lists side-effects of cortisone injections in an article called “Intra-articular Corticosteroid Injections in the Hip and Knee: Perhaps Not as Safe as We Thought?”.1 The article states that the side effects of cortisone injections include:\r\n<ul>\r\n 	<li><strong>Accelerated osteoarthritis progression</strong></li>\r\n 	<li><strong>Subchondral insufficiency fracture</strong></li>\r\n 	<li><strong>Complications of osteonecrosis</strong></li>\r\n 	<li><strong>Rapid joint destruction with bone loss</strong></li>\r\n</ul>\r\nThe lead researcher of the study, found that <strong>“corticosteroid injections may be associated with complications that potentially accelerate the destruction of the joint and may hasten the need for total hip and knee replacements.”</strong> He also says,<strong> “</strong><strong>We</strong><strong>’ve been telling patients that even if these injections don’t relieve your pain, they’re not going to hurt you.” But that is not really true. He goes on to say, “But now we suspect that this is not necessarily the case.”1</strong><strong> </strong>\r\n\r\nThe researcher continues,<strong> “Physicians do not commonly tell patients about the possibility of joint collapse or subchondral insufficiency fractures that may lead to earlier total hip or knee replacement,” “This information should be part of the consent when you inject patients with intra-articular corticosteroids.”</strong><strong> </strong>\r\n\r\nWith this information, it would seem then, that even one injections should be avoided if possible.\r\n<h2>But Does Cortisone Help with Pain?</h2>\r\nSome people do get relief from cortisone. But not all people do! And corticosteroid injections have been used for a very long time. Their anti-inflammatory and pain relief properties made its use a common practice within the medical community.\r\n\r\nHowever, the same properties that make them effective in decreasing the inflammation and pain, are the same properties lead to the destruction of cartilage.\r\n<h2>The Effects of Cortisone Injections on Cartilage</h2>\r\nIn 2017, an article in the Journal of the American Medical Association (JAMA) asks the question, “What are the effects of intra-articular injection of 40 mg of triamcinolone acetonide every 3 months on the progression of cartilage loss and knee pain in patients with osteoarthritis?”2\r\n\r\nThe answer: “Among patients with symptomatic knee osteoarthritis, 2 years of intra-articular triamcinolone, compared with intra-articular saline, resulted in <strong>significantly greater cartilage volume loss and no significant difference in knee pain</strong>. These findings do not support this treatment for patients with symptomatic knee osteoarthritis.”2\r\n<h2>Regenerative Orthopedics: An Alternative to Cortisone Injections</h2>\r\nSo what is the alternative to cortisone, considering pain relief is still necessary? That’s where Regenerative Orthopedics comes in!  Treatments like Stem Cell Therapy, PRP, and Prolotherapy work to<strong> actually repair the arthritic joint.</strong> They don’t just cover up the pain like many other treatments do. These treatments provide pain relief. <strong>They actually heal the joint, strengthen the structures of the joints, and even boost growth of cartilage</strong>.\r\n\r\nRegenerative Orthopedics regenerates the joint rather than causing degeneration like what occurs with cortisone injections. There is also minimal downtime needed when receiving these regenerative treatments. That means you can continue to exercise, and move the joint, which is essential for a healthy joint. Exercise helps ease pain, improve mobility, and strengthen muscles around the joints.\r\n\r\nRegenerative Orthopedics is the treatment of choice to achieve the pain relief you desire, while returning function to your painful joint, and helping you to once again participate in the activities you enjoy.\r\n\r\n1Kompel AJ, Roemer FW, Murakami AM, Diaz LE, Crema MD, Guermazi A. Intra-articular Corticosteroid Injections in the Hip and Knee: Perhaps Not as Safe as We Thought? <em>Radiology</em>, 2019; 190341\r\n\r\n2McAlindon TE, LaValley MP, Harvey WF, Price LL, Driban JB, Zhang M, Ward RJ. Effect of Intra-articular Triamcinolone vs Saline on Knee Cartilage Volume and Pain in Patients With Knee OsteoarthritisA Randomized Clinical Trial. <em>JAMA.</em> 2017;317(19):1967-1975.','Are Cortisone Shots a Good Option?','','inherit','closed','closed','','5446-revision-v1','','','2022-08-01 03:41:11','2022-08-01 03:41:11','',5446,'https://www.drfields.com/?p=5447',0,'revision','',0),(5448,8,'2022-08-01 03:41:29','2022-08-01 03:41:29','','Are Cortisone Shots a Good Option?','','inherit','closed','closed','','cortisone-jama','','','2022-08-01 03:41:45','2022-08-01 03:41:45','',5446,'https://www.drfields.com/wp-content/uploads/2022/08/Cortisone.-Jama.png',0,'attachment','image/png',0),(5449,8,'2022-08-01 03:42:12','2022-08-01 03:42:12','<img class=\"alignright wp-image-5448\" src=\"https://www.drfields.com/wp-content/uploads/2022/08/Cortisone.-Jama-500x419.png\" alt=\"Are Cortisone Shots a Good Option?\" width=\"300\" height=\"251\" />Cortisone injections are a common treatment option for joint pain relief. But are these injections a good course of action? Many times they are not! Even though cortisone injections are frequently recommended, they unfortunately have an adverse effect on the bone and on soft tissue healing.\r\n<h2>Cortisone Injections Are Harmful?</h2>\r\nCortisone shots, or corticosteroid injections, inactivate vitamin D. That means they limit calcium absorption by the gastrointestinal tract, which results in a decrease in calcium uptake for the bone. This process will ultimately lead to weakness in the bone.\r\n\r\nAdditionally, corticosteroids inhibit the release of growth hormone. What does that mean? The decrease in growth hormone will interfere with the repair of soft tissue and bone. The result is an overall decrease in the strength of the bones, ligaments, and tendons.\r\n\r\nFurthermore, corticosteroids inhibit chondrocyte production. Chondrocytes are the cells responsible for cartilage formation. Therefore, corticosteroids interfere with the formation of cartilage, collagen, and even blood vessel formation.\r\n<h2>Will Just One Shot of Cortisone Be a Problem?</h2>\r\nThe medical journal <em>Radiology </em>lists side-effects of cortisone injections in an article called “Intra-articular Corticosteroid Injections in the Hip and Knee: Perhaps Not as Safe as We Thought?”.1 The article states that the side effects of cortisone injections include:\r\n<ul>\r\n 	<li><strong>Accelerated osteoarthritis progression</strong></li>\r\n 	<li><strong>Subchondral insufficiency fracture</strong></li>\r\n 	<li><strong>Complications of osteonecrosis</strong></li>\r\n 	<li><strong>Rapid joint destruction with bone loss</strong></li>\r\n</ul>\r\nThe lead researcher of the study, found that <strong>“corticosteroid injections may be associated with complications that potentially accelerate the destruction of the joint and may hasten the need for total hip and knee replacements.”</strong> He also says,<strong> “</strong><strong>We</strong><strong>’ve been telling patients that even if these injections don’t relieve your pain, they’re not going to hurt you.” But that is not really true. He goes on to say, “But now we suspect that this is not necessarily the case.”1</strong><strong> </strong>\r\n\r\nThe researcher continues,<strong> “Physicians do not commonly tell patients about the possibility of joint collapse or subchondral insufficiency fractures that may lead to earlier total hip or knee replacement,” “This information should be part of the consent when you inject patients with intra-articular corticosteroids.”</strong><strong> </strong>\r\n\r\nWith this information, it would seem then, that even one injections should be avoided if possible.\r\n<h2>But Does Cortisone Help with Pain?</h2>\r\nSome people do get relief from cortisone. But not all people do! And corticosteroid injections have been used for a very long time. Their anti-inflammatory and pain relief properties made its use a common practice within the medical community.\r\n\r\nHowever, the same properties that make them effective in decreasing the inflammation and pain, are the same properties lead to the destruction of cartilage.\r\n<h2>The Effects of Cortisone Injections on Cartilage</h2>\r\nIn 2017, an article in the Journal of the American Medical Association (JAMA) asks the question, “What are the effects of intra-articular injection of 40 mg of triamcinolone acetonide every 3 months on the progression of cartilage loss and knee pain in patients with osteoarthritis?”2\r\n\r\nThe answer: “Among patients with symptomatic knee osteoarthritis, 2 years of intra-articular triamcinolone, compared with intra-articular saline, resulted in <strong>significantly greater cartilage volume loss and no significant difference in knee pain</strong>. These findings do not support this treatment for patients with symptomatic knee osteoarthritis.”2\r\n<h2>Regenerative Orthopedics: An Alternative to Cortisone Injections</h2>\r\nSo what is the alternative to cortisone, considering pain relief is still necessary? That’s where Regenerative Orthopedics comes in!  Treatments like Stem Cell Therapy, PRP, and Prolotherapy work to<strong> actually repair the arthritic joint.</strong> They don’t just cover up the pain like many other treatments do. These treatments provide pain relief. <strong>They actually heal the joint, strengthen the structures of the joints, and even boost growth of cartilage</strong>.\r\n\r\nRegenerative Orthopedics regenerates the joint rather than causing degeneration like what occurs with cortisone injections. There is also minimal downtime needed when receiving these regenerative treatments. That means you can continue to exercise, and move the joint, which is essential for a healthy joint. Exercise helps ease pain, improve mobility, and strengthen muscles around the joints.\r\n\r\nRegenerative Orthopedics is the treatment of choice to achieve the pain relief you desire, while returning function to your painful joint, and helping you to once again participate in the activities you enjoy.\r\n\r\n1Kompel AJ, Roemer FW, Murakami AM, Diaz LE, Crema MD, Guermazi A. Intra-articular Corticosteroid Injections in the Hip and Knee: Perhaps Not as Safe as We Thought? <em>Radiology</em>, 2019; 190341\r\n\r\n2McAlindon TE, LaValley MP, Harvey WF, Price LL, Driban JB, Zhang M, Ward RJ. Effect of Intra-articular Triamcinolone vs Saline on Knee Cartilage Volume and Pain in Patients With Knee OsteoarthritisA Randomized Clinical Trial. <em>JAMA.</em> 2017;317(19):1967-1975.','Are Cortisone Shots a Good Option?','','inherit','closed','closed','','5446-revision-v1','','','2022-08-01 03:42:12','2022-08-01 03:42:12','',5446,'https://www.drfields.com/?p=5449',0,'revision','',0),(5450,8,'2022-08-01 03:43:26','2022-08-01 03:43:26','<div class=\"clear\"></div>\r\n<div id=\"slider\">\r\n<div class=\"owl-carousel slider-carousel\">\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-4.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/07/Slider-2v05072022.png\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/05/header-orthoregen-santa-monica-pier.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">New Article:</span>\r\n<span class=\"header_text_second\">Keep Looking Forward Despite COVID-19</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dealing-with-covid-19/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-11.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-9.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Get Back In The Game!</span>\r\n<span class=\"header_text_second\">Avoid Joint and Spine Surgery </span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">Stem Cell/PRP/Prolotherapy</span>\r\n<a class=\"btn-more\" title=\"Get Help Now!\" href=\"Contact-Us\"> Get Help Now!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item slide-article\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/05/header-orthoregen-ocean-mountains.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_second\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/12/Kili-top-header-2.jpg\');\">\r\n<div class=\"carousel-caption\" style=\"text-align: left;\"><span class=\"header_text_first\">Congratulations\r\nPeter A. Fields, MD, DC</span>\r\n<span class=\"header_text_second\">The Athletic Doc<sup>®</sup>\r\nsuccessfully climbed</span>\r\n<span class=\"header_text_third white-text\">Mt. Kilimanjaro in\r\nTanzania, Africa.19,341 feet!!!</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/report-of-my-kilimanjaro-climb/\">Read More</a>\r\n</div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/12/Sider-01-V8.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Peter A. Fields, MD, DC\r\nThe Athletic Doc<sup>®</sup></span>\r\n<span class=\"header_text_second\">Completed His 11th Ironman</span>\r\n<span class=\"header_text_third\">Sunday, November 24th in Cozumel Mexico</span>\r\n<a class=\"btn-more\" title=\"Read More\" href=\"#\">Images &amp; Story Coming Soon</a></div>\r\n</div>\r\n\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"jumbotron-fluid\">\r\n<div class=\"row\">\r\n<div class=\"col-md-4 box1\">\r\n\r\nWhat\'s\r\n<h3>New</h3>\r\n<ul>\r\n        <li><a href=\"/articles/regenerative-orthopedics/are-cortisone-shots-a-good-option/\">Are Cortisone Shots a Good Option?</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/try-regenerative-treatments-for-your-hip-pain-or-injury/\">Try Regenerative Treatments for Your Hip Pain or Injury</a></li>\r\n 	<li class=\"last\"><a title=\"Nagging Back Pain\" href=\"/articles/regenerative-orthopedics/nagging-back-pain/\">Nagging Back Pain</a></li>\r\n 	<li class=\"last\"><a title=\"Treating Knee Pain and Injuries with Regenerative Orthopedics\" href=\"/articles/regenerative-orthopedics/treating-knee-pain-and-injuries-with-regenerative-orthopedics/\">Treating Knee Pain and Injuries with Regenerative Orthopedics</a></li>\r\n 	<li class=\"last\"><a title=\"Keep Looking Forward Despite COVID-19\" href=\"/articles/health-news/dealing-with-covid-19/\">Keep Looking Forward Despite COVID-19</a></li>\r\n 	<li class=\"last\"><a title=\"COVID-19 Advice: Don’t Fear the Fear Itself!\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</a></li>\r\n 	<li class=\"last\"><a title=\"Rotator Cuff Tendonitis\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/rotator-cuff-tendonitis/\">Rotator Cuff Tendonitis</a></li>\r\n 	<li><a title=\"Allergic Reactions and Problems of Corrosion with Joint Replacements\" href=\"https://www.drfields.com/articles/allergic-reactions-and-problems-of-corrosion-with-joint-replacements/\">Allergic Reactions and Problems of Corrosion with Joint Replacements\r\n</a></li>\r\n 	<li><a title=\"Treat Sciatica Pain Non-Surgically\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/treat-sciatica-pain-non-surgically/\">Treat Sciatica Pain Non-Surgically</a></li>\r\n 	<li class=\"last\"><a title=\"Stem Cell Therapy at OrthoRegen&lt;sup&gt;®&lt;/sup&gt; – Why We are Different\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/stem-cell-therapy-at-orthoregen-why-we-are-different/\">Stem Cell Therapy at OrthoRegen<sup>®</sup> – Why We are Different</a></li>\r\n 	<li class=\"last\"><a title=\"Is Your Hip Bursitis Treatment Working?\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/is-your-hip-bursitis-treatment-working/\">Is Your Hip Bursitis Treatment Working?</a></li>\r\n 	\r\n</ul>\r\n</div>\r\n<div id=\"testimonials\" class=\"col-md-4 box2\">\r\n\r\nPatient\r\n<h3>Testimonials</h3>\r\n<strong>Video:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I wished I had come earlier and listened to what my physical therapist had told me to do because Dr. Fields has been a real solution for me.\"\r\n\r\n<img class=\"testimonial-img\" title=\"Testimonial\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-larry.png\" alt=\"Testimonial\" />\r\n<h3>Larry</h3>\r\n<h4>Stem Cell Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I highly recommend it to anyone who needs to recover fast and get back out there.\"\r\n\r\n<img class=\"testimonial-img\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-christopher.png\" alt=\"\" />\r\n<h3>Chris, Pro Basketball Player</h3>\r\n<h4>PRP Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"Now I can go walking, I go to my ballet class and I’m a happy camper because of Dr. Fields.\"\r\n\r\n<img class=\"testimonial-img\" title=\"\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-mary.png\" alt=\"Testimonial\" />\r\n<h3>Mary</h3>\r\n<h4>Stem Cell Hip</h4>\r\n</div>\r\n</div>\r\n<strong>Written:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I need to say a big thank you to Dr Fields for getting me back on the tennis court. I am an avid tennis player who tried to ignore the terrible pain in my elbow.\"\r\n<h3 style=\"margin-left: 0;\">Mindy</h3>\r\n<h4 style=\"margin-left: 0;\">Elbow</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I chose Dr. Peter Fields because he is an athlete and would have more direct knowledge of my particular circumstances than anyone else.\"\r\n<h3 style=\"margin-left: 0;\">Robert</h3>\r\n<h4 style=\"margin-left: 0;\">Shoulder</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"After the final treatments ended I am still without all the pain and have more muscle strength in my legs.\"\r\n<h3 style=\"margin-left: 0;\">Lois</h3>\r\n<h4 style=\"margin-left: 0;\">Knee</h4>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"col-md-4 box3\">\r\n\r\nNews &amp;\r\n<h3>Events</h3>\r\n<ul>\r\n 	<li><a href=\"https://www.drfields.com/articles/health-news/dr-fields-to-lecture-in-mexico-city-on-july-9th/\">Peter A. Fields, MD, DC to lecture in Mexico City on July 9th</a></li>\r\n 	<li><a class=\"buttonlink\" style=\"width: 100%; font-size: 24px; text-align: center; padding: 25px 8%;\" href=\"https://www.drfields.com/contact/\"> Are you a Stem Cell Candidate?</a></li>\r\n</ul>\r\n</div>\r\n</div>\r\n</div>\r\n<div id=\"search-articles\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n<h2 class=\"text-center\">Search <b>Dr. Fields\'</b> Articles</h2>\r\n<form id=\"searchform\" action=\"/\" method=\"get\"><input class=\"search-field\" name=\"s\" type=\"text\" placeholder=\"What\'s Your Condition?\" />\r\n<input type=\"submit\" value=\"Search\" /></form></div>\r\n</div>\r\n</div>\r\n<div id=\"intro\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n<h1 class=\"text-center\">Welcome to OrthoRegen<sup>®</sup>!</h1>\r\n<p class=\"intro_text welcome\"><a href=\"http://orthoregen.com\"><span style=\"font-size: 26px;\">OrthoRegen<sup>®</sup></span></a> is dedicated to providing the best of <span class=\"nowrap\">Regenerative Orthopedics</span> by offering non-surgical alternatives for joint and spine repair</p>\r\n<a class=\"primaryButton\" title=\"Read More About U\" href=\"https://www.drfields.com/about/orthoregen-our-philosophy/\">Read More About Us</a>\r\n<a id=\"candidateButton\" title=\"Are you a good candidate?\" href=\"/contact/\">Are you a good candidate?</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"about\">\r\n<div class=\"col-md-5 drfields\"><img class=\"alignnone\" title=\"Regenerative Orthopedics Leader\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/dr-fields.png\" alt=\"Regenerative Orthopedics Leader\" width=\"460\" height=\"737\" /></div>\r\n<div class=\"col-md-7 about_holder\">\r\n<h1>Peter A. Fields, <span class=\"nowrap\">MD, DC</span></h1>\r\n<p class=\"intro_text\">Medical Physician and Chiropractor\r\nThe Athletic Doc<sup>®</sup> - 11x Ironman Triathlete</p>\r\n\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"icon info\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-info.png\" alt=\"icon info\" /></div>\r\n<div class=\"about_text\">\r\n<h3>About</h3>\r\nPeter A. Fields, MD, DC is one of a handful of physicians in the nation with both medical and chiropractic degrees...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/dr-fields-bio/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"Man Icon\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-ironman.png\" alt=\"Man Icon\" /></div>\r\n<div class=\"about_text\">\r\n<h3>11x Ironman</h3>\r\nDr. Peter A. Fields is also known as The Athletic Doc<sup>®</sup> He not only treats athletes in his practice but is an athlete himself. For over...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n&nbsp;\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Call Us Today! 310-453-1234</a>','Home','','inherit','closed','closed','','2109-revision-v1','','','2022-08-01 03:43:26','2022-08-01 03:43:26','',2109,'https://www.drfields.com/?p=5450',0,'revision','',0),(5451,8,'2022-08-01 04:20:07','2022-08-01 04:20:07','<img class=\"alignright wp-image-5448\" src=\"https://www.drfields.com/wp-content/uploads/2022/08/Cortisone.-Jama-500x419.png\" alt=\"Are Cortisone Shots a Good Option?\" width=\"300\" height=\"251\" />Cortisone injections are a common treatment option for joint pain relief. But are these injections a good course of action? Many times they are not! Even though cortisone injections are frequently recommended, they unfortunately have an adverse effect on the bone and on soft tissue healing.\r\n<h2>Cortisone Injections Are Harmful?</h2>\r\nCortisone shots, or corticosteroid injections, inactivate vitamin D. That means they limit calcium absorption by the gastrointestinal tract, which results in a decrease in calcium uptake for the bone. This process will ultimately lead to weakness in the bone.\r\n\r\nAdditionally, corticosteroids inhibit the release of growth hormone. What does that mean? The decrease in growth hormone will interfere with the repair of soft tissue and bone. The result is an overall decrease in the strength of the bones, ligaments, and tendons.\r\n\r\nFurthermore, corticosteroids inhibit chondrocyte production. Chondrocytes are the cells responsible for cartilage formation. Therefore, corticosteroids interfere with the formation of cartilage, collagen, and even blood vessel formation.\r\n<h2>Will Just One Shot of Cortisone Be a Problem?</h2>\r\nThe medical journal <em>Radiology </em>lists side-effects of cortisone injections in an article called “Intra-articular Corticosteroid Injections in the Hip and Knee: Perhaps Not as Safe as We Thought?”.1 The article states that the side effects of cortisone injections include:\r\n<ul>\r\n 	<li><strong>Accelerated osteoarthritis progression</strong></li>\r\n 	<li><strong>Subchondral insufficiency fracture</strong></li>\r\n 	<li><strong>Complications of osteonecrosis</strong></li>\r\n 	<li><strong>Rapid joint destruction with bone loss</strong></li>\r\n</ul>\r\nThe lead researcher of the study, found that “corticosteroid injections may be associated with complications that potentially accelerate the destruction of the joint and may hasten the need for total hip and knee replacements.” He also says, “We’ve been telling patients that even if these injections don’t relieve your pain, they’re not going to hurt you.” But that is not really true. He goes on to say, “But now we suspect that this is not necessarily the case.”1\r\n\r\nThe researcher continues, “Physicians do not commonly tell patients about the possibility of joint collapse or subchondral insufficiency fractures that may lead to earlier total hip or knee replacement,” “This information should be part of the consent when you inject patients with intra-articular corticosteroids.”\r\n\r\nWith this information, it would seem then, that even one injections should be avoided if possible.\r\n<h2>But Does Cortisone Help with Pain?</h2>\r\nSome people do get relief from cortisone. But not all people do! And corticosteroid injections have been used for a very long time. Their anti-inflammatory and pain relief properties made its use a common practice within the medical community.\r\n\r\nHowever, the same properties that make them effective in decreasing the inflammation and pain, are the same properties lead to the destruction of cartilage.\r\n<h2>The Effects of Cortisone Injections on Cartilage</h2>\r\nIn 2017, an article in the Journal of the American Medical Association (JAMA) asks the question, “What are the effects of intra-articular injection of 40 mg of triamcinolone acetonide every 3 months on the progression of cartilage loss and knee pain in patients with osteoarthritis?”2\r\n\r\nThe answer: “Among patients with symptomatic knee osteoarthritis, 2 years of intra-articular triamcinolone, compared with intra-articular saline, resulted in significantly greater cartilage volume loss and no significant difference in knee pain. These findings do not support this treatment for patients with symptomatic knee osteoarthritis.”2\r\n<h2>Regenerative Orthopedics: An Alternative to Cortisone Injections</h2>\r\nSo what is the alternative to cortisone, considering pain relief is still necessary? That’s where Regenerative Orthopedics comes in!  Treatments like Stem Cell Therapy, PRP, and Prolotherapy work to actually repair the arthritic joint. They don’t just cover up the pain like many other treatments do. These treatments provide pain relief. They actually heal the joint, strengthen the structures of the joints, and even boost growth of cartilage.\r\n\r\nRegenerative Orthopedics regenerates the joint rather than causing degeneration like what occurs with cortisone injections. There is also minimal downtime needed when receiving these regenerative treatments. That means you can continue to exercise, and move the joint, which is essential for a healthy joint. Exercise helps ease pain, improve mobility, and strengthen muscles around the joints.\r\n\r\nRegenerative Orthopedics is the treatment of choice to achieve the pain relief you desire, while returning function to your painful joint, and helping you to once again participate in the activities you enjoy.\r\n\r\n1Kompel AJ, Roemer FW, Murakami AM, Diaz LE, Crema MD, Guermazi A. Intra-articular Corticosteroid Injections in the Hip and Knee: Perhaps Not as Safe as We Thought? <em>Radiology</em>, 2019; 190341\r\n\r\n2McAlindon TE, LaValley MP, Harvey WF, Price LL, Driban JB, Zhang M, Ward RJ. Effect of Intra-articular Triamcinolone vs Saline on Knee Cartilage Volume and Pain in Patients With Knee OsteoarthritisA Randomized Clinical Trial. <em>JAMA.</em> 2017;317(19):1967-1975.','Are Cortisone Shots a Good Option?','','inherit','closed','closed','','5446-revision-v1','','','2022-08-01 04:20:07','2022-08-01 04:20:07','',5446,'https://www.drfields.com/?p=5451',0,'revision','',0),(5452,9,'2022-08-03 21:25:30','2022-08-03 21:25:30','[caption id=\"attachment_5455\" align=\"alignnone\" width=\"500\"]<img class=\"wp-image-5455 size-medium\" src=\"https://www.drfields.com/wp-content/uploads/2022/08/Cortisone.-Jama-1-500x419.png\" alt=\"Cortisone. Jama\" width=\"500\" height=\"419\" /> Cortisone. Jama[/caption]\n<h2>Are Cortisone Shots a Good Option?</h2>\nCortisone shots are a common treatment option for joint pain relief. But are these injections a good course of action? Many times they are not! Even though cortisone injections are frequently recommended, they have an adverse effect on the bone and soft tissue healing.\n<h2>Cortisone Injections Are Harmful?</h2>\nCortisone shots, or corticosteroid injections, inactivate vitamin D. That means they limit calcium absorption by the gastrointestinal tract, which decreases calcium uptake for the bone. This process will ultimately lead to weakness in the bone.\n\nAdditionally, corticosteroids inhibit the release of growth hormones. What does that mean? The decrease in growth hormone will interfere with soft tissue and bone repair. The result is an overall decrease in the strength of the bones, ligaments, and tendons.\n\nFurthermore, corticosteroids inhibit chondrocyte production. Chondrocytes are the cells responsible for cartilage formation. Therefore, corticosteroids interfere with the formation of cartilage, collagen, and even blood vessel formation.\n<h2>Will Just One Shot of Cortisone Be a Problem?</h2>\nThe medical journal <em>Radiology </em>lists the side effects of cortisone injections in an article called “Intra-articular Corticosteroid Injections in the Hip and Knee: Perhaps Not as Safe as We Thought?”.1 The article states that the side effects of cortisone injections include:\n<ul>\n 	<li><strong>Accelerated osteoarthritis progression</strong></li>\n 	<li><strong>Subchondral insufficiency fracture</strong></li>\n 	<li><strong>Complications of osteonecrosis</strong></li>\n 	<li><strong>Rapid joint destruction with bone loss</strong></li>\n</ul>\nThe study\'s lead researcher found that “corticosteroid injections may be associated with complications that potentially accelerate the destruction of the joint and may hasten the need for total hip and knee replacements.” He also says, “We’ve been telling patients that even if these injections don’t relieve your pain, they’re not going to hurt you.” But that is not really true. He says, “But now we suspect this is not necessarily the case.”1\n\nThe researcher continues, “Physicians do not commonly tell patients about the possibility of joint collapse or subchondral insufficiency fractures that may lead to earlier total hip or knee replacement,” “This information should be part of the consent when you inject patients with intra-articular corticosteroids.”\n\nWith this information, it would seem then that even one injection should be avoided if possible.\n<h2>But Does Cortisone Help with Pain?</h2>\nSome people do get relief from cortisone. But not all people do! And corticosteroid injections have been used for a very long time. Their anti-inflammatory and pain relief properties made their use a common practice within the medical community.\n\nHowever, the same properties that make them effective in decreasing inflammation and pain are the same properties that lead to the destruction of cartilage.\n<h2>The Effects of Cortisone Injections on Cartilage</h2>\nIn 2017, an article in the Journal of the American Medical Association (JAMA) asks the question, “What are the effects of intra-articular injection of 40 mg of triamcinolone acetonide every three months on the progression of cartilage loss and knee pain in patients with osteoarthritis?”2\n\nThe answer: “Among patients with symptomatic knee osteoarthritis, two years of intra-articular triamcinolone, compared with intra-articular saline, resulted in significantly greater cartilage volume loss and no significant difference in knee pain. These findings do not support this treatment for patients with symptomatic knee osteoarthritis.”2\n<h2>Regenerative Orthopedics: An Alternative to Cortisone Injections</h2>\nSo what is the alternative to cortisone, considering pain relief is still necessary? That’s where Regenerative Orthopedics comes in!  Treatments like Stem Cell Therapy, PRP, and Prolotherapy work to actually repair the arthritic joint. They don’t just cover up the pain as many other treatments do. These treatments provide pain relief. They actually heal the joints, strengthen the structures of the joints, and even boost the growth of cartilage.\n\nRegenerative Orthopedics regenerates the joint rather than causing degeneration like what occurs with cortisone injections. There is also minimal downtime needed when receiving these regenerative treatments. That means you can continue to exercise and move the joint, which is essential for a healthy joint. Exercise helps ease pain, improve mobility, and strengthen muscles around the joints.\n\nRegenerative Orthopedics is the treatment of choice to achieve the pain relief you desire while returning function to your painful joint and helping you to once again participate in the activities you enjoy.\n\n1Kompel AJ, Roemer FW, Murakami AM, Diaz LE, Crema MD, Guermazi A. Intra-articular Corticosteroid Injections in the Hip and Knee: Perhaps Not as Safe as We Thought? <em>Radiology</em>, 2019; 190341\n\n2McAlindon TE, LaValley MP, Harvey WF, Price LL, Driban JB, Zhang M, Ward RJ. Effect of Intra-articular Triamcinolone vs Saline on Knee Cartilage Volume and Pain in Patients With Knee OsteoarthritisA Randomized Clinical Trial. <em>JAMA.</em> 2017;317(19):1967-1975.','Are Cortisone Shots a Good Option?','','inherit','closed','closed','','5446-autosave-v1','','','2022-08-03 21:25:30','2022-08-03 21:25:30','',5446,'https://www.drfields.com/?p=5452',0,'revision','',0),(5453,9,'2022-08-03 20:29:50','2022-08-03 20:29:50','<h2><img class=\"alignright wp-image-5448\" src=\"https://www.drfields.com/wp-content/uploads/2022/08/Cortisone.-Jama-500x419.png\" alt=\"Are Cortisone Shots a Good Option?\" width=\"300\" height=\"251\" />Are Cortisone Shots a Good Option?</h2>\r\nCortisone injections are a common treatment option for joint pain relief. But are these injections a good course of action? Many times they are not! Even though cortisone injections are frequently recommended, they unfortunately have an adverse effect on the bone and on soft tissue healing.\r\n<h2>Cortisone Injections Are Harmful?</h2>\r\nCortisone shots, or corticosteroid injections, inactivate vitamin D. That means they limit calcium absorption by the gastrointestinal tract, which results in a decrease in calcium uptake for the bone. This process will ultimately lead to weakness in the bone.\r\n\r\nAdditionally, corticosteroids inhibit the release of growth hormone. What does that mean? The decrease in growth hormone will interfere with the repair of soft tissue and bone. The result is an overall decrease in the strength of the bones, ligaments, and tendons.\r\n\r\nFurthermore, corticosteroids inhibit chondrocyte production. Chondrocytes are the cells responsible for cartilage formation. Therefore, corticosteroids interfere with the formation of cartilage, collagen, and even blood vessel formation.\r\n<h2>Will Just One Shot of Cortisone Be a Problem?</h2>\r\nThe medical journal <em>Radiology </em>lists side-effects of cortisone injections in an article called “Intra-articular Corticosteroid Injections in the Hip and Knee: Perhaps Not as Safe as We Thought?”.1 The article states that the side effects of cortisone injections include:\r\n<ul>\r\n 	<li><strong>Accelerated osteoarthritis progression</strong></li>\r\n 	<li><strong>Subchondral insufficiency fracture</strong></li>\r\n 	<li><strong>Complications of osteonecrosis</strong></li>\r\n 	<li><strong>Rapid joint destruction with bone loss</strong></li>\r\n</ul>\r\nThe lead researcher of the study, found that “corticosteroid injections may be associated with complications that potentially accelerate the destruction of the joint and may hasten the need for total hip and knee replacements.” He also says, “We’ve been telling patients that even if these injections don’t relieve your pain, they’re not going to hurt you.” But that is not really true. He goes on to say, “But now we suspect that this is not necessarily the case.”1\r\n\r\nThe researcher continues, “Physicians do not commonly tell patients about the possibility of joint collapse or subchondral insufficiency fractures that may lead to earlier total hip or knee replacement,” “This information should be part of the consent when you inject patients with intra-articular corticosteroids.”\r\n\r\nWith this information, it would seem then, that even one injections should be avoided if possible.\r\n<h2>But Does Cortisone Help with Pain?</h2>\r\nSome people do get relief from cortisone. But not all people do! And corticosteroid injections have been used for a very long time. Their anti-inflammatory and pain relief properties made its use a common practice within the medical community.\r\n\r\nHowever, the same properties that make them effective in decreasing the inflammation and pain, are the same properties lead to the destruction of cartilage.\r\n<h2>The Effects of Cortisone Injections on Cartilage</h2>\r\nIn 2017, an article in the Journal of the American Medical Association (JAMA) asks the question, “What are the effects of intra-articular injection of 40 mg of triamcinolone acetonide every 3 months on the progression of cartilage loss and knee pain in patients with osteoarthritis?”2\r\n\r\nThe answer: “Among patients with symptomatic knee osteoarthritis, 2 years of intra-articular triamcinolone, compared with intra-articular saline, resulted in significantly greater cartilage volume loss and no significant difference in knee pain. These findings do not support this treatment for patients with symptomatic knee osteoarthritis.”2\r\n<h2>Regenerative Orthopedics: An Alternative to Cortisone Injections</h2>\r\nSo what is the alternative to cortisone, considering pain relief is still necessary? That’s where Regenerative Orthopedics comes in!  Treatments like Stem Cell Therapy, PRP, and Prolotherapy work to actually repair the arthritic joint. They don’t just cover up the pain like many other treatments do. These treatments provide pain relief. They actually heal the joint, strengthen the structures of the joints, and even boost growth of cartilage.\r\n\r\nRegenerative Orthopedics regenerates the joint rather than causing degeneration like what occurs with cortisone injections. There is also minimal downtime needed when receiving these regenerative treatments. That means you can continue to exercise, and move the joint, which is essential for a healthy joint. Exercise helps ease pain, improve mobility, and strengthen muscles around the joints.\r\n\r\nRegenerative Orthopedics is the treatment of choice to achieve the pain relief you desire, while returning function to your painful joint, and helping you to once again participate in the activities you enjoy.\r\n\r\n1Kompel AJ, Roemer FW, Murakami AM, Diaz LE, Crema MD, Guermazi A. Intra-articular Corticosteroid Injections in the Hip and Knee: Perhaps Not as Safe as We Thought? <em>Radiology</em>, 2019; 190341\r\n\r\n2McAlindon TE, LaValley MP, Harvey WF, Price LL, Driban JB, Zhang M, Ward RJ. Effect of Intra-articular Triamcinolone vs Saline on Knee Cartilage Volume and Pain in Patients With Knee OsteoarthritisA Randomized Clinical Trial. <em>JAMA.</em> 2017;317(19):1967-1975.','Are Cortisone Shots a Good Option?','','inherit','closed','closed','','5446-revision-v1','','','2022-08-03 20:29:50','2022-08-03 20:29:50','',5446,'https://www.drfields.com/?p=5453',0,'revision','',0),(5454,9,'2022-08-03 21:21:35','2022-08-03 21:21:35','<h2><img class=\"alignright wp-image-5448\" src=\"https://www.drfields.com/wp-content/uploads/2022/08/Cortisone.-Jama-500x419.png\" alt=\"Are Cortisone Shots a Good Option?\" width=\"300\" height=\"251\" />Are Cortisone Shots a Good Option?</h2>\r\nCortisone shots are a common treatment option for joint pain relief. But are these injections a good course of action? Many times they are not! Even though cortisone injections are frequently recommended, they, unfortunately, have an adverse effect on the bone and on soft tissue healing.\r\n<h2>Cortisone Injections Are Harmful?</h2>\r\nCortisone shots, or corticosteroid injections, inactivate vitamin D. That means they limit calcium absorption by the gastrointestinal tract, which results in a decrease in calcium uptake for the bone. This process will ultimately lead to weakness in the bone.\r\n\r\nAdditionally, corticosteroids inhibit the release of growth hormone. What does that mean? The decrease in growth hormone will interfere with the repair of soft tissue and bone. The result is an overall decrease in the strength of the bones, ligaments, and tendons.\r\n\r\nFurthermore, corticosteroids inhibit chondrocyte production. Chondrocytes are the cells responsible for cartilage formation. Therefore, corticosteroids interfere with the formation of cartilage, collagen, and even blood vessel formation.\r\n<h2>Will Just One Shot of Cortisone Be a Problem?</h2>\r\nThe medical journal <em>Radiology </em>lists side-effects of cortisone injections in an article called “Intra-articular Corticosteroid Injections in the Hip and Knee: Perhaps Not as Safe as We Thought?”.1 The article states that the side effects of cortisone injections include:\r\n<ul>\r\n 	<li><strong>Accelerated osteoarthritis progression</strong></li>\r\n 	<li><strong>Subchondral insufficiency fracture</strong></li>\r\n 	<li><strong>Complications of osteonecrosis</strong></li>\r\n 	<li><strong>Rapid joint destruction with bone loss</strong></li>\r\n</ul>\r\nThe lead researcher of the study, found that “corticosteroid injections may be associated with complications that potentially accelerate the destruction of the joint and may hasten the need for total hip and knee replacements.” He also says, “We’ve been telling patients that even if these injections don’t relieve your pain, they’re not going to hurt you.” But that is not really true. He goes on to say, “But now we suspect that this is not necessarily the case.”1\r\n\r\nThe researcher continues, “Physicians do not commonly tell patients about the possibility of joint collapse or subchondral insufficiency fractures that may lead to earlier total hip or knee replacement,” “This information should be part of the consent when you inject patients with intra-articular corticosteroids.”\r\n\r\nWith this information, it would seem then, that even one injections should be avoided if possible.\r\n<h2>But Does Cortisone Help with Pain?</h2>\r\nSome people do get relief from cortisone. But not all people do! And corticosteroid injections have been used for a very long time. Their anti-inflammatory and pain relief properties made its use a common practice within the medical community.\r\n\r\nHowever, the same properties that make them effective in decreasing the inflammation and pain, are the same properties lead to the destruction of cartilage.\r\n<h2>The Effects of Cortisone Injections on Cartilage</h2>\r\nIn 2017, an article in the Journal of the American Medical Association (JAMA) asks the question, “What are the effects of intra-articular injection of 40 mg of triamcinolone acetonide every 3 months on the progression of cartilage loss and knee pain in patients with osteoarthritis?”2\r\n\r\nThe answer: “Among patients with symptomatic knee osteoarthritis, 2 years of intra-articular triamcinolone, compared with intra-articular saline, resulted in significantly greater cartilage volume loss and no significant difference in knee pain. These findings do not support this treatment for patients with symptomatic knee osteoarthritis.”2\r\n<h2>Regenerative Orthopedics: An Alternative to Cortisone Injections</h2>\r\nSo what is the alternative to cortisone, considering pain relief is still necessary? That’s where Regenerative Orthopedics comes in!  Treatments like Stem Cell Therapy, PRP, and Prolotherapy work to actually repair the arthritic joint. They don’t just cover up the pain like many other treatments do. These treatments provide pain relief. They actually heal the joint, strengthen the structures of the joints, and even boost growth of cartilage.\r\n\r\nRegenerative Orthopedics regenerates the joint rather than causing degeneration like what occurs with cortisone injections. There is also minimal downtime needed when receiving these regenerative treatments. That means you can continue to exercise, and move the joint, which is essential for a healthy joint. Exercise helps ease pain, improve mobility, and strengthen muscles around the joints.\r\n\r\nRegenerative Orthopedics is the treatment of choice to achieve the pain relief you desire, while returning function to your painful joint, and helping you to once again participate in the activities you enjoy.\r\n\r\n1Kompel AJ, Roemer FW, Murakami AM, Diaz LE, Crema MD, Guermazi A. Intra-articular Corticosteroid Injections in the Hip and Knee: Perhaps Not as Safe as We Thought? <em>Radiology</em>, 2019; 190341\r\n\r\n2McAlindon TE, LaValley MP, Harvey WF, Price LL, Driban JB, Zhang M, Ward RJ. Effect of Intra-articular Triamcinolone vs Saline on Knee Cartilage Volume and Pain in Patients With Knee OsteoarthritisA Randomized Clinical Trial. <em>JAMA.</em> 2017;317(19):1967-1975.','Are Cortisone Shots a Good Option?','','inherit','closed','closed','','5446-revision-v1','','','2022-08-03 21:21:35','2022-08-03 21:21:35','',5446,'https://www.drfields.com/?p=5454',0,'revision','',0),(5455,9,'2022-08-03 21:24:39','2022-08-03 21:24:39','Cortisone. Jama','Cortisone. Jama','Cortisone. Jama','inherit','closed','closed','','cortisone-jama-2','','','2022-08-03 21:24:39','2022-08-03 21:24:39','',5446,'https://www.drfields.com/wp-content/uploads/2022/08/Cortisone.-Jama-1.png',0,'attachment','image/png',0),(5456,9,'2022-08-03 21:25:52','2022-08-03 21:25:52','<img class=\"wp-image-5455 \" src=\"https://www.drfields.com/wp-content/uploads/2022/08/Cortisone.-Jama-1-500x419.png\" alt=\"Cortisone. Jama\" width=\"419\" height=\"351\" />\r\n<h2>Are Cortisone Shots a Good Option?</h2>\r\nCortisone shots are a common treatment option for joint pain relief. But are these injections a good course of action? Many times they are not! Even though cortisone injections are frequently recommended, they have an adverse effect on the bone and soft tissue healing.\r\n<h2>Cortisone Injections Are Harmful?</h2>\r\nCortisone shots, or corticosteroid injections, inactivate vitamin D. That means they limit calcium absorption by the gastrointestinal tract, which decreases calcium uptake for the bone. This process will ultimately lead to weakness in the bone.\r\n\r\nAdditionally, corticosteroids inhibit the release of growth hormones. What does that mean? The decrease in growth hormone will interfere with soft tissue and bone repair. The result is an overall decrease in the strength of the bones, ligaments, and tendons.\r\n\r\nFurthermore, corticosteroids inhibit chondrocyte production. Chondrocytes are the cells responsible for cartilage formation. Therefore, corticosteroids interfere with the formation of cartilage, collagen, and even blood vessel formation.\r\n<h2>Will Just One Shot of Cortisone Be a Problem?</h2>\r\nThe medical journal <em>Radiology </em>lists the side effects of cortisone injections in an article called “Intra-articular Corticosteroid Injections in the Hip and Knee: Perhaps Not as Safe as We Thought?”.1 The article states that the side effects of cortisone injections include:\r\n<ul>\r\n 	<li><strong>Accelerated osteoarthritis progression</strong></li>\r\n 	<li><strong>Subchondral insufficiency fracture</strong></li>\r\n 	<li><strong>Complications of osteonecrosis</strong></li>\r\n 	<li><strong>Rapid joint destruction with bone loss</strong></li>\r\n</ul>\r\nThe study\'s lead researcher found that “corticosteroid injections may be associated with complications that potentially accelerate the destruction of the joint and may hasten the need for total hip and knee replacements.” He also says, “We’ve been telling patients that even if these injections don’t relieve your pain, they’re not going to hurt you.” But that is not really true. He says, “But now we suspect this is not necessarily the case.”1\r\n\r\nThe researcher continues, “Physicians do not commonly tell patients about the possibility of joint collapse or subchondral insufficiency fractures that may lead to earlier total hip or knee replacement,” “This information should be part of the consent when you inject patients with intra-articular corticosteroids.”\r\n\r\nWith this information, it would seem then that even one injection should be avoided if possible.\r\n<h2>But Does Cortisone Help with Pain?</h2>\r\nSome people do get relief from cortisone. But not all people do! And corticosteroid injections have been used for a very long time. Their anti-inflammatory and pain relief properties made their use a common practice within the medical community.\r\n\r\nHowever, the same properties that make them effective in decreasing inflammation and pain are the same properties that lead to the destruction of cartilage.\r\n<h2>The Effects of Cortisone Injections on Cartilage</h2>\r\nIn 2017, an article in the Journal of the American Medical Association (JAMA) asks the question, “What are the effects of intra-articular injection of 40 mg of triamcinolone acetonide every three months on the progression of cartilage loss and knee pain in patients with osteoarthritis?”2\r\n\r\nThe answer: “Among patients with symptomatic knee osteoarthritis, two years of intra-articular triamcinolone, compared with intra-articular saline, resulted in significantly greater cartilage volume loss and no significant difference in knee pain. These findings do not support this treatment for patients with symptomatic knee osteoarthritis.”2\r\n<h2>Regenerative Orthopedics: An Alternative to Cortisone Injections</h2>\r\nSo what is the alternative to cortisone, considering pain relief is still necessary? That’s where Regenerative Orthopedics comes in!  Treatments like Stem Cell Therapy, PRP, and Prolotherapy work to actually repair the arthritic joint. They don’t just cover up the pain as many other treatments do. These treatments provide pain relief. They actually heal the joints, strengthen the structures of the joints, and even boost the growth of cartilage.\r\n\r\nRegenerative Orthopedics regenerates the joint rather than causing degeneration like what occurs with cortisone injections. There is also minimal downtime needed when receiving these regenerative treatments. That means you can continue to exercise and move the joint, which is essential for a healthy joint. Exercise helps ease pain, improve mobility, and strengthen muscles around the joints.\r\n\r\nRegenerative Orthopedics is the treatment of choice to achieve the pain relief you desire while returning function to your painful joint and helping you to once again participate in the activities you enjoy.\r\n\r\n1Kompel AJ, Roemer FW, Murakami AM, Diaz LE, Crema MD, Guermazi A. Intra-articular Corticosteroid Injections in the Hip and Knee: Perhaps Not as Safe as We Thought? <em>Radiology</em>, 2019; 190341\r\n\r\n2McAlindon TE, LaValley MP, Harvey WF, Price LL, Driban JB, Zhang M, Ward RJ. Effect of Intra-articular Triamcinolone vs Saline on Knee Cartilage Volume and Pain in Patients With Knee OsteoarthritisA Randomized Clinical Trial. <em>JAMA.</em> 2017;317(19):1967-1975.','Are Cortisone Shots a Good Option?','','inherit','closed','closed','','5446-revision-v1','','','2022-08-03 21:25:52','2022-08-03 21:25:52','',5446,'https://www.drfields.com/?p=5456',0,'revision','',0),(5457,9,'2022-08-03 21:26:01','2022-08-03 21:26:01','<img class=\"wp-image-5455  alignright\" src=\"https://www.drfields.com/wp-content/uploads/2022/08/Cortisone.-Jama-1-500x419.png\" alt=\"Cortisone. Jama\" width=\"419\" height=\"351\" />\r\n<h2>Are Cortisone Shots a Good Option?</h2>\r\nCortisone shots are a common treatment option for joint pain relief. But are these injections a good course of action? Many times they are not! Even though cortisone injections are frequently recommended, they have an adverse effect on the bone and soft tissue healing.\r\n<h2>Cortisone Injections Are Harmful?</h2>\r\nCortisone shots, or corticosteroid injections, inactivate vitamin D. That means they limit calcium absorption by the gastrointestinal tract, which decreases calcium uptake for the bone. This process will ultimately lead to weakness in the bone.\r\n\r\nAdditionally, corticosteroids inhibit the release of growth hormones. What does that mean? The decrease in growth hormone will interfere with soft tissue and bone repair. The result is an overall decrease in the strength of the bones, ligaments, and tendons.\r\n\r\nFurthermore, corticosteroids inhibit chondrocyte production. Chondrocytes are the cells responsible for cartilage formation. Therefore, corticosteroids interfere with the formation of cartilage, collagen, and even blood vessel formation.\r\n<h2>Will Just One Shot of Cortisone Be a Problem?</h2>\r\nThe medical journal <em>Radiology </em>lists the side effects of cortisone injections in an article called “Intra-articular Corticosteroid Injections in the Hip and Knee: Perhaps Not as Safe as We Thought?”.1 The article states that the side effects of cortisone injections include:\r\n<ul>\r\n 	<li><strong>Accelerated osteoarthritis progression</strong></li>\r\n 	<li><strong>Subchondral insufficiency fracture</strong></li>\r\n 	<li><strong>Complications of osteonecrosis</strong></li>\r\n 	<li><strong>Rapid joint destruction with bone loss</strong></li>\r\n</ul>\r\nThe study\'s lead researcher found that “corticosteroid injections may be associated with complications that potentially accelerate the destruction of the joint and may hasten the need for total hip and knee replacements.” He also says, “We’ve been telling patients that even if these injections don’t relieve your pain, they’re not going to hurt you.” But that is not really true. He says, “But now we suspect this is not necessarily the case.”1\r\n\r\nThe researcher continues, “Physicians do not commonly tell patients about the possibility of joint collapse or subchondral insufficiency fractures that may lead to earlier total hip or knee replacement,” “This information should be part of the consent when you inject patients with intra-articular corticosteroids.”\r\n\r\nWith this information, it would seem then that even one injection should be avoided if possible.\r\n<h2>But Does Cortisone Help with Pain?</h2>\r\nSome people do get relief from cortisone. But not all people do! And corticosteroid injections have been used for a very long time. Their anti-inflammatory and pain relief properties made their use a common practice within the medical community.\r\n\r\nHowever, the same properties that make them effective in decreasing inflammation and pain are the same properties that lead to the destruction of cartilage.\r\n<h2>The Effects of Cortisone Injections on Cartilage</h2>\r\nIn 2017, an article in the Journal of the American Medical Association (JAMA) asks the question, “What are the effects of intra-articular injection of 40 mg of triamcinolone acetonide every three months on the progression of cartilage loss and knee pain in patients with osteoarthritis?”2\r\n\r\nThe answer: “Among patients with symptomatic knee osteoarthritis, two years of intra-articular triamcinolone, compared with intra-articular saline, resulted in significantly greater cartilage volume loss and no significant difference in knee pain. These findings do not support this treatment for patients with symptomatic knee osteoarthritis.”2\r\n<h2>Regenerative Orthopedics: An Alternative to Cortisone Injections</h2>\r\nSo what is the alternative to cortisone, considering pain relief is still necessary? That’s where Regenerative Orthopedics comes in!  Treatments like Stem Cell Therapy, PRP, and Prolotherapy work to actually repair the arthritic joint. They don’t just cover up the pain as many other treatments do. These treatments provide pain relief. They actually heal the joints, strengthen the structures of the joints, and even boost the growth of cartilage.\r\n\r\nRegenerative Orthopedics regenerates the joint rather than causing degeneration like what occurs with cortisone injections. There is also minimal downtime needed when receiving these regenerative treatments. That means you can continue to exercise and move the joint, which is essential for a healthy joint. Exercise helps ease pain, improve mobility, and strengthen muscles around the joints.\r\n\r\nRegenerative Orthopedics is the treatment of choice to achieve the pain relief you desire while returning function to your painful joint and helping you to once again participate in the activities you enjoy.\r\n\r\n1Kompel AJ, Roemer FW, Murakami AM, Diaz LE, Crema MD, Guermazi A. Intra-articular Corticosteroid Injections in the Hip and Knee: Perhaps Not as Safe as We Thought? <em>Radiology</em>, 2019; 190341\r\n\r\n2McAlindon TE, LaValley MP, Harvey WF, Price LL, Driban JB, Zhang M, Ward RJ. Effect of Intra-articular Triamcinolone vs Saline on Knee Cartilage Volume and Pain in Patients With Knee OsteoarthritisA Randomized Clinical Trial. <em>JAMA.</em> 2017;317(19):1967-1975.','Are Cortisone Shots a Good Option?','','inherit','closed','closed','','5446-revision-v1','','','2022-08-03 21:26:01','2022-08-03 21:26:01','',5446,'https://www.drfields.com/?p=5457',0,'revision','',0),(5459,8,'2022-08-10 06:00:58','2022-08-10 06:00:58','<img class=\"wp-image-5460 alignright\" title=\"Non-Surgical Partial Rotator Cuff Tear Repair\" src=\"https://www.drfields.com/wp-content/uploads/2022/08/Rotator-Cuff.-J-Ortho-Surg-Research-500x425.jpeg\" alt=\"Non-Surgical Partial Rotator Cuff Tear Repair\" width=\"300\" height=\"255\" />\r\n<h2>Partial Rotator Cuff Tear Repair</h2>\r\nHave you been told you have a partial rotator cuff tear? Surgery may have also been recommended, but you would like to avoid that. So what else can you do? At OrthoRegen®, you have a non-surgical option.\r\n\r\nWe often see patients in our office trying to avoid surgery after diagnosing a partial rotator cuff tear. And we would like to help them accomplish their pain relief and restoration of function goals! Once we do a physical examination and take a medical history, we can assess which regenerative treatment will most effectively repair your shoulder from the damage sustained to the rotator cuff.\r\n<h2>The Rotator Cuff</h2>\r\nThere are four muscles inside of the shoulder that allow us to rotate our arms. These four muscles form a cuff of tendons around the top of the arm or the humeral head. With a rotator cuff tear, one or more of the tendons of those four rotator cuff muscles of the shoulder are involved.\r\n\r\nThe rotator cuff is designed to move the shoulder joint. When there is a tear, the tendons are weakened and will degenerate, increasing their susceptibility to even more tears. Rotator cuff tears will create a cycle of instability in the shoulder and set it up for more damage if not treated.\r\n<h2>What Is Done for Shoulder Instability from Rotator Cuff Tears?</h2>\r\nTreatment for shoulder instability from tears often involves rotator cuff strengthening exercises of the four muscles of the shoulder, which include the supraspinatus, infraspinatus, subscapularis, and teres minor. They help stabilize the shoulder and assist with movement.\r\n\r\nUnfortunately, even though strengthening exercises help strengthen the shoulder muscles, they often do not resolve the underlying problem of shoulder instability. To fix shoulder joint instability, the shoulder tendons, ligaments, and shoulder capsular structures must all be strengthened. And that’s where Regenerative Orthopedics comes in!\r\n<h2>Regenerative Orthopedics Effectively Repairs Partial Rotator Cuff Tears</h2>\r\nRegenerative Orthopedics, like Prolotherapy, PRP, and Stem Cells, are excellent options for rotator cuff injuries because the treatments involve repairing and regenerating soft tissue. Plus, these non-surgical therapies offer repair with a short recovery time.\r\n\r\nRegenerative Orthopedics addresses the root cause of the problem by repairing the tear and the instability as a first-line alternative to costly and invasive surgery. And that leads to a better recovery.\r\n<h2>What If Surgery Has Been Recommended?</h2>\r\nA February 2022 paper in the journal Orthopedic Research and Reviews(1) discussed the challenges of treating a partial rotator cuff tear.\r\n\r\nThey said: “Partial thickness tears of the rotator cuff are a common cause of shoulder pain and disability. Surgery is confined to those experiencing severe symptoms despite non-operative measures and for tears involving greater than 50% thickness. A number of surgical strategies have been described, but there is insufficient evidence to advocate one repair technique over another. . . ”\r\n\r\nSure, it’s possible to have successful shoulder surgery. But why choose surgery when there is an alternative that has a much shorter recovery period? We see many patients who are exploring alternatives to rotator cuff surgery because they would like to get back to work or a sport more quickly and would prefer to avoid the long post-surgical recovery time.\r\n<h2>Is Partial Rotator Cuff Surgery Even Effective?</h2>\r\n<ul>\r\n 	<li><strong>The American Journal of Sports Medicine</strong> reports that rotator cuff repair often results in significant pain postoperatively. They studied patients who underwent arthroscopic rotator cuff repair. Even a smaller tear area was associated with more frequent and severe pain after repair. Plus, even younger patients who had partial-thickness tears and had occupational injuries experienced more pain postoperatively.(2)</li>\r\n 	<li><strong>The Orthopaedic Journal of Sports Medicine</strong> found that “After rotator cuff repair, some patients have ongoing problems significant enough to warrant presentation to a clinic for reassessment.” About 1 in 6 patients had problems after the surgical procedure. (3)</li>\r\n</ul>\r\n<h2>The Regenerative Orthopedics Alternative</h2>\r\nRegenerative Orthopedics is the non-surgical alternative that can offer repair without the prolonged recovery time of surgery.\r\n\r\nPRP or Stem Cells may be recommended depending on the injury or degeneration involved. PRP and Stem Cells accelerate healing by using your own blood platelets and/or stem cells. These are always used in conjunction with Dextrose Prolotherapy to provide the most comprehensive treatment and repair.\r\n<h2>Are Stem Cells and PRP Effective for Rotator Cuff Tears?</h2>\r\nThe Orthopedic Research and Reviews journal reports, “Stem cell treatment for rotator cuff tears is a promising development because they have been shown to result in an anti-inflammatory response, improved tendon regeneration, optimized collagen fiber arrangement, higher load-to-failure, and higher tensile strength. . . In a non-randomized controlled trial comparing the effects of an exercise regime to PRP combined with bone marrow aspirate (BMAC-PRP complex) on partial rotator cuff tears, the experimental group demonstrated a significantly greater improvement in (pain, function and disability) scores compared to controls at three months. Tear size decreased after BMAC-PRP injection although this did not significantly differ from controls.”(1)\r\n\r\nThe Journal of Orthopaedic Surgery and Research found a positive benefit of a combined bone marrow aspirate concentrate (stem cell) and platelet-rich plasma (PRP) BMAC-PRP injection in patients with a partial tear of the rotator cuff tendon. (4)\r\n\r\nThe combination of repair with these regenerative treatments promises an excellent chance for full recovery and full performance. In the event that surgery is truly necessary, Regenerative Orthopedics is also an excellent post-operative treatment to improve tissue strength, stability, and overall recovery. This may be a possibility when a rotator cuff tear has become large enough to produce profound weakness in the shoulder.\r\n\r\nPlease <a href=\"https://www.drfields.com/contact/\">contact us</a> at OrthoRegen®, and tell us more about your case to determine if you are a good candidate for Comprehensive Regenerative Orthopedics.\r\n<h3><strong>References</strong></h3>\r\n1Thangarajah T, Lo IK. Optimal Management of Partial Thickness Rotator Cuff Tears: Clinical Considerations and Practical Management. Orthopedic Research and Reviews. 2022;14:59.\r\n\r\n2Yeo, Daniel YT, et al. \"The relationship between intraoperative tear dimensions and postoperative pain in 1624 consecutive arthroscopic rotator cuff repairs.\" The American Journal of Sports Medicine 45.4 (2017): 788-793.\r\n\r\n3Rizvi SM, Lam P, Murrell GA. Repair Integrity in Patients Returning for an Unscheduled Visit After Arthroscopic Rotator Cuff Repair: Retorn or Not? Orthopaedic journal of sports medicine. 2018 May 29;6(6):2325967118775061.\r\n\r\n4Kim SJ, Kim EK, Kim SJ. Effects of bone marrow aspirate concentrate and platelet-rich plasma on patients with partial tear of the rotator cuff tendon. Journal of orthopaedic surgery and research. 2018 Dec;13(1):1.','Non-Surgical Partial Rotator Cuff Tear Repair','','publish','closed','open','','non-surgical-partial-rotator-cuff-tear-repair','','','2022-08-22 20:03:16','2022-08-22 20:03:16','',0,'https://www.drfields.com/?p=5459',0,'post','',0),(5460,8,'2022-08-10 03:56:52','2022-08-10 03:56:52','Rotator Cuff. J Ortho Surg Research','Rotator Cuff. J Ortho Surg Research','Rotator Cuff. J Ortho Surg Research','inherit','closed','closed','','rotator-cuff-j-ortho-surg-research','','','2022-08-10 03:56:52','2022-08-10 03:56:52','',5459,'https://www.drfields.com/wp-content/uploads/2022/08/Rotator-Cuff.-J-Ortho-Surg-Research.jpeg',0,'attachment','image/jpeg',0),(5461,8,'2022-08-10 03:57:32','2022-08-10 03:57:32','<img class=\"wp-image-5460\" title=\"Non-Surgical Partial Rotator Cuff Tear Repair\" src=\"https://www.drfields.com/wp-content/uploads/2022/08/Rotator-Cuff.-J-Ortho-Surg-Research-500x425.jpeg\" alt=\"Non-Surgical Partial Rotator Cuff Tear Repair\" width=\"300\" height=\"255\" />\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Have you been told you have a partial rotator cuff tear? Surgery may have also been recommended but you would like to avoid that. So what else can you do? At OrthoRegen</span>®<span lang=\"en-US\">, you have a non-surgical option.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">We often see patients in our office who are trying to avoid surgery after a diagnosis of a partial rotator cuff tear. And we would like to help them accomplish their pain relief and restoration of function goals! Once we do a physical examination and take a medical history, we can assess which regenerative treatment will be the most effective at repairing your shoulder from the damage sustained to the rotator cuff.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">The Rotator Cuff</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">There are four muscles inside of the shoulder that allow us to rotate our arm.</span> <span lang=\"en-US\">These four muscles form a cuff of tendons around the top of the arm or the humeral head. With a the rotator cuff tear, one or more of the tendons of those four rotator cuff muscles of the shoulder are involved</span>.</p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The rotator cuff is designed to move the shoulder joint. When there is a tear, the tendons are weakened and will degenerate, increasing their susceptibility to even more tearing. Rotator cuff tears will create a cycle of instability in the shoulder and set it up for more damage if not treated.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">What Is Done for Shoulder Instability from Rotator Cuff Tears? </span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Treatment for shoulder instability from tears often involves rotator cuff strengthening exercises, of the four muscles of the shoulder which include the supraspinatus, infraspinatus, subscapularis, and teres minor. They help stabilize the shoulder and assist with movement. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Unfortunately, even though strengthening exercises help strengthen the shoulder muscles,</span> <span lang=\"en-US\">they often do not resolve the underlying problem of shoulder instability. To fix shoulder joint instability, the shoulder tendons, ligaments and shoulder capsular structures must all be strengthened. And that’s where Regenerative Orthopedics comes in!</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative Orthopedics Effectively Repairs Partial Rotator Cuff Tears</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative Orthopedics, like Prolotherapy, PRP, and Stem Cells,</span> <span lang=\"en-US\">are excellent options for rotator cuff injuries because the treatments involve the repair and the regeneration of soft tissue. Plus, these non-surgical therapies offer repair with a short recovery time.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">As a first-line alternative to costly and invasive surgery, Regenerative Orthopedics addresses the root cause of the problem by repairing the tear and the instability. And that leads to a better recovery. </span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">What If Surgery Has Been Recommended?</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">A February 2022 paper in the journal </span><span lang=\"en-US\">Orthopedic Research and Reviews</span><span lang=\"en-US\"> discussed the challenges of treating a partial rotator cuff tear. They said: </span>“<span lang=\"en-US\">Partial thickness tears of the rotator cuff are a common cause of shoulder pain and disability. Surgery is confined to those experiencing severe symptoms despite non-operative measures, and for tears involving greater than 50% thickness. A number of surgical strategies have been described, but there is insufficient evidence to advocate one repair technique over another. . . </span>” <span lang=\"en-US\">1</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Sure, it’s possible to have a successful shoulder surgery</span>. <span lang=\"en-US\">But why choose surgery when there is an alternative that has a much shorter recovery period? We see many patients who are exploring alternatives to rotator cuff surgery because they would like to get back to work or a sport more quickly, and would prefer to avoid the long post-surgical recovery time. </span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Is Partial Rotator Cuff Surgery Even Effective?</span></h2>\r\n<ul>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><strong><span lang=\"en-US\">The </span><span lang=\"en-US\">American Journal of Sports Medicine </span></strong><span lang=\"en-US\">reports that rotator cuff repair often results in significant pain postoperatively. They studied patients who underwent arthroscopic rotator cuff repair. Even a smaller tear area was associated with more frequent and severe pain after repair. </span>P<span lang=\"en-US\">lus, even younger patients who had partial-thickness tears and had occupational injuries experienced more pain postoperatively.2</span></p>\r\n</li>\r\n</ul>\r\n<ul>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><strong><span lang=\"en-US\">The </span><span lang=\"en-US\">Orthopaedic Journal of Sports Medicine </span></strong><span lang=\"en-US\">found that </span>“<span lang=\"en-US\">After rotator cuff repair, some patients have ongoing problems significant enough to warrant presentation to a clinic for reassessment.</span>” <span lang=\"en-US\">About 1 in 6 patients had problems after the surgical procedure</span>.<span lang=\"en-US\">3</span></p>\r\n</li>\r\n</ul>\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">The Regenerative Orthopedics Alternative</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative Orthopedics is the non-surgical alternative that can offer repair without the prolonged recovery time of surgery.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Depending on the injury or degeneration involved, PRP or Stem Cells may be recommended. PRP and Stem Cells accelerate healing by using your own blood platelets and/or stem cells. These are always utilized in conjunction with Dextrose Prolotherapy in order to provide the most comprehensive treatment and repair.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Are Stem Cells and PRP Effective for Rotator Cuff Tears?</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The </span><span lang=\"en-US\">Orthopedic Research and Reviews</span> <span lang=\"en-US\">journal reports, </span>“<span lang=\"en-US\">Stem cell treatment for rotator cuff tears is a promising development because they have been shown to result in an anti-inflammatory response, improved tendon regeneration, optimized collagen fiber arrangement, higher load-to-failure, and higher tensile strength. . . In a non-randomized controlled trial comparing the effects of an exercise regime to PRP combined with bone marrow aspirate (BMAC-PRP complex) on partial rotator cuff tears, the experimental group demonstrated a significantly greater improvement in (pain, function and disability) scores compared to controls at three months. Tear size decreased after BMAC-PRP injection although this did not significantly differ from controls.</span>”<span lang=\"en-US\">1</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The </span><span lang=\"en-US\">Journal of Orthopaedic Surgery and Research</span><span lang=\"en-US\"> found a positive benefit of a combined </span><a href=\"https://www.caringmedical.com/prolotherapy-news/bone-marrow-aspirate-concentrate-prolotherapy/\"><span lang=\"en-US\">bone marrow aspirate concentrate</span></a><span lang=\"en-US\"> (stem cell) and </span><a href=\"https://www.caringmedical.com/what-is-prolotherapy-with-platelet-rich-plasma/\">platelet-rich plasma</a><span lang=\"en-US\"> (PRP)</span> <span lang=\"en-US\">BMAC-PRP injection in patients with a partial tear of the rotator cuff tendon.4</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The combination of repair with these regenerative treatments promises an excellent chance for a full recovery and full performance. In the event that surgery is truly necessary, Regenerative Orthopedics is also an excellent post-operative treatment to improve tissue strength, stability, and overall recovery. This may be a possibility when a rotator cuff tear has become large enough to produce profound weakness in the shoulder.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Please </span><a href=\"https://www.drfields.com/contact/\"><span lang=\"en-US\">contact us</span></a><span lang=\"en-US\"> at OrthoRegen</span>®<span lang=\"en-US\">, and tell us more about your case to determine if you are a good candidate for Comprehensive Regenerative Orthopedics.</span></p>\r\n<p align=\"JUSTIFY\"><strong><span lang=\"en-US\">References</span></strong></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">1Thangarajah T, Lo IK. Optimal Management of Partial Thickness Rotator Cuff Tears: Clinical Considerations and Practical Management. Orthopedic Research and Reviews. 2022;14:59.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">2Yeo, Daniel YT, et al. \"The relationship between intraoperative tear dimensions and postoperative pain in 1624 consecutive arthroscopic rotator cuff repairs.\" </span><span lang=\"en-US\">The American Journal of Sports Medicine</span> 45.4 (2017): 788-793.</p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">3Rizvi SM, Lam P, Murrell GA. Repair Integrity in Patients Returning for an Unscheduled Visit After Arthroscopic Rotator Cuff Repair: Retorn or Not?. Orthopaedic journal of sports medicine. 2018 May 29;6(6):2325967118775061.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">4Kim SJ, Kim EK, Kim SJ. Effects of bone marrow aspirate concentrate and platelet-rich plasma on patients with partial tear of the rotator cuff tendon. Journal of orthopaedic surgery and research. 2018 Dec;13(1):1.</span></p>','Non-Surgical Partial Rotator Cuff Tear Repair','','inherit','closed','closed','','5459-revision-v1','','','2022-08-10 03:57:32','2022-08-10 03:57:32','',5459,'https://www.drfields.com/?p=5461',0,'revision','',0),(5462,8,'2022-08-10 03:58:26','2022-08-10 03:58:26','<img class=\"wp-image-5460 alignright\" title=\"Non-Surgical Partial Rotator Cuff Tear Repair\" src=\"https://www.drfields.com/wp-content/uploads/2022/08/Rotator-Cuff.-J-Ortho-Surg-Research-500x425.jpeg\" alt=\"Non-Surgical Partial Rotator Cuff Tear Repair\" width=\"300\" height=\"255\" />\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Have you been told you have a partial rotator cuff tear? Surgery may have also been recommended but you would like to avoid that. So what else can you do? At OrthoRegen</span>®<span lang=\"en-US\">, you have a non-surgical option.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">We often see patients in our office who are trying to avoid surgery after a diagnosis of a partial rotator cuff tear. And we would like to help them accomplish their pain relief and restoration of function goals! Once we do a physical examination and take a medical history, we can assess which regenerative treatment will be the most effective at repairing your shoulder from the damage sustained to the rotator cuff.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">The Rotator Cuff</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">There are four muscles inside of the shoulder that allow us to rotate our arm.</span> <span lang=\"en-US\">These four muscles form a cuff of tendons around the top of the arm or the humeral head. With a the rotator cuff tear, one or more of the tendons of those four rotator cuff muscles of the shoulder are involved</span>.</p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The rotator cuff is designed to move the shoulder joint. When there is a tear, the tendons are weakened and will degenerate, increasing their susceptibility to even more tearing. Rotator cuff tears will create a cycle of instability in the shoulder and set it up for more damage if not treated.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">What Is Done for Shoulder Instability from Rotator Cuff Tears? </span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Treatment for shoulder instability from tears often involves rotator cuff strengthening exercises, of the four muscles of the shoulder which include the supraspinatus, infraspinatus, subscapularis, and teres minor. They help stabilize the shoulder and assist with movement. </span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Unfortunately, even though strengthening exercises help strengthen the shoulder muscles,</span> <span lang=\"en-US\">they often do not resolve the underlying problem of shoulder instability. To fix shoulder joint instability, the shoulder tendons, ligaments and shoulder capsular structures must all be strengthened. And that’s where Regenerative Orthopedics comes in!</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative Orthopedics Effectively Repairs Partial Rotator Cuff Tears</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative Orthopedics, like Prolotherapy, PRP, and Stem Cells,</span> <span lang=\"en-US\">are excellent options for rotator cuff injuries because the treatments involve the repair and the regeneration of soft tissue. Plus, these non-surgical therapies offer repair with a short recovery time.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">As a first-line alternative to costly and invasive surgery, Regenerative Orthopedics addresses the root cause of the problem by repairing the tear and the instability. And that leads to a better recovery. </span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">What If Surgery Has Been Recommended?</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">A February 2022 paper in the journal </span><span lang=\"en-US\">Orthopedic Research and Reviews</span><span lang=\"en-US\"> discussed the challenges of treating a partial rotator cuff tear. They said: </span>“<span lang=\"en-US\">Partial thickness tears of the rotator cuff are a common cause of shoulder pain and disability. Surgery is confined to those experiencing severe symptoms despite non-operative measures, and for tears involving greater than 50% thickness. A number of surgical strategies have been described, but there is insufficient evidence to advocate one repair technique over another. . . </span>” <span lang=\"en-US\">1</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Sure, it’s possible to have a successful shoulder surgery</span>. <span lang=\"en-US\">But why choose surgery when there is an alternative that has a much shorter recovery period? We see many patients who are exploring alternatives to rotator cuff surgery because they would like to get back to work or a sport more quickly, and would prefer to avoid the long post-surgical recovery time. </span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Is Partial Rotator Cuff Surgery Even Effective?</span></h2>\r\n<ul>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><strong><span lang=\"en-US\">The </span><span lang=\"en-US\">American Journal of Sports Medicine </span></strong><span lang=\"en-US\">reports that rotator cuff repair often results in significant pain postoperatively. They studied patients who underwent arthroscopic rotator cuff repair. Even a smaller tear area was associated with more frequent and severe pain after repair. </span>P<span lang=\"en-US\">lus, even younger patients who had partial-thickness tears and had occupational injuries experienced more pain postoperatively.2</span></p>\r\n</li>\r\n</ul>\r\n<ul>\r\n 	<li>\r\n<p align=\"JUSTIFY\"><strong><span lang=\"en-US\">The </span><span lang=\"en-US\">Orthopaedic Journal of Sports Medicine </span></strong><span lang=\"en-US\">found that </span>“<span lang=\"en-US\">After rotator cuff repair, some patients have ongoing problems significant enough to warrant presentation to a clinic for reassessment.</span>” <span lang=\"en-US\">About 1 in 6 patients had problems after the surgical procedure</span>.<span lang=\"en-US\">3</span></p>\r\n</li>\r\n</ul>\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">The Regenerative Orthopedics Alternative</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Regenerative Orthopedics is the non-surgical alternative that can offer repair without the prolonged recovery time of surgery.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Depending on the injury or degeneration involved, PRP or Stem Cells may be recommended. PRP and Stem Cells accelerate healing by using your own blood platelets and/or stem cells. These are always utilized in conjunction with Dextrose Prolotherapy in order to provide the most comprehensive treatment and repair.</span></p>\r\n\r\n<h2 align=\"JUSTIFY\"><span lang=\"en-US\">Are Stem Cells and PRP Effective for Rotator Cuff Tears?</span></h2>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The </span><span lang=\"en-US\">Orthopedic Research and Reviews</span> <span lang=\"en-US\">journal reports, </span>“<span lang=\"en-US\">Stem cell treatment for rotator cuff tears is a promising development because they have been shown to result in an anti-inflammatory response, improved tendon regeneration, optimized collagen fiber arrangement, higher load-to-failure, and higher tensile strength. . . In a non-randomized controlled trial comparing the effects of an exercise regime to PRP combined with bone marrow aspirate (BMAC-PRP complex) on partial rotator cuff tears, the experimental group demonstrated a significantly greater improvement in (pain, function and disability) scores compared to controls at three months. Tear size decreased after BMAC-PRP injection although this did not significantly differ from controls.</span>”<span lang=\"en-US\">1</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The </span><span lang=\"en-US\">Journal of Orthopaedic Surgery and Research</span><span lang=\"en-US\"> found a positive benefit of a combined </span><a href=\"https://www.caringmedical.com/prolotherapy-news/bone-marrow-aspirate-concentrate-prolotherapy/\"><span lang=\"en-US\">bone marrow aspirate concentrate</span></a><span lang=\"en-US\"> (stem cell) and </span><a href=\"https://www.caringmedical.com/what-is-prolotherapy-with-platelet-rich-plasma/\">platelet-rich plasma</a><span lang=\"en-US\"> (PRP)</span> <span lang=\"en-US\">BMAC-PRP injection in patients with a partial tear of the rotator cuff tendon.4</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">The combination of repair with these regenerative treatments promises an excellent chance for a full recovery and full performance. In the event that surgery is truly necessary, Regenerative Orthopedics is also an excellent post-operative treatment to improve tissue strength, stability, and overall recovery. This may be a possibility when a rotator cuff tear has become large enough to produce profound weakness in the shoulder.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">Please </span><a title=\"Contact us\" href=\"https://www.drfields.com/contact/\"><span lang=\"en-US\">contact us</span></a><span lang=\"en-US\"> at OrthoRegen</span>®<span lang=\"en-US\">, and tell us more about your case to determine if you are a good candidate for Comprehensive Regenerative Orthopedics.</span></p>\r\n<p align=\"JUSTIFY\"><strong><span lang=\"en-US\">References</span></strong></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">1Thangarajah T, Lo IK. Optimal Management of Partial Thickness Rotator Cuff Tears: Clinical Considerations and Practical Management. Orthopedic Research and Reviews. 2022;14:59.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">2Yeo, Daniel YT, et al. \"The relationship between intraoperative tear dimensions and postoperative pain in 1624 consecutive arthroscopic rotator cuff repairs.\" </span><span lang=\"en-US\">The American Journal of Sports Medicine</span> 45.4 (2017): 788-793.</p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">3Rizvi SM, Lam P, Murrell GA. Repair Integrity in Patients Returning for an Unscheduled Visit After Arthroscopic Rotator Cuff Repair: Retorn or Not?. Orthopaedic journal of sports medicine. 2018 May 29;6(6):2325967118775061.</span></p>\r\n<p align=\"JUSTIFY\"><span lang=\"en-US\">4Kim SJ, Kim EK, Kim SJ. Effects of bone marrow aspirate concentrate and platelet-rich plasma on patients with partial tear of the rotator cuff tendon. Journal of orthopaedic surgery and research. 2018 Dec;13(1):1.</span></p>','Non-Surgical Partial Rotator Cuff Tear Repair','','inherit','closed','closed','','5459-revision-v1','','','2022-08-10 03:58:26','2022-08-10 03:58:26','',5459,'https://www.drfields.com/?p=5462',0,'revision','',0),(5463,8,'2022-08-10 04:01:40','2022-08-10 04:01:40','<img class=\"wp-image-5460 alignright\" title=\"Non-Surgical Partial Rotator Cuff Tear Repair\" src=\"https://www.drfields.com/wp-content/uploads/2022/08/Rotator-Cuff.-J-Ortho-Surg-Research-500x425.jpeg\" alt=\"Non-Surgical Partial Rotator Cuff Tear Repair\" width=\"300\" height=\"255\" />\n\nHave you been told you have a partial rotator cuff tear? Surgery may have also been recommended but you would like to avoid that. So what else can you do? At OrthoRegen®, you have a non-surgical option.\n\nWe often see patients in our office who are trying to avoid surgery after a diagnosis of a partial rotator cuff tear. And we would like to help them accomplish their pain relief and restoration of function goals! Once we do a physical examination and take a medical history, we can assess which regenerative treatment will be the most effective at repairing your shoulder from the damage sustained to the rotator cuff.\n<h2>The Rotator Cuff</h2>\nThere are four muscles inside of the shoulder that allow us to rotate our arm. These four muscles form a cuff of tendons around the top of the arm or the humeral head. With a the rotator cuff tear, one or more of the tendons of those four rotator cuff muscles of the shoulder are involved.\n\nThe rotator cuff is designed to move the shoulder joint. When there is a tear, the tendons are weakened and will degenerate, increasing their susceptibility to even more tearing. Rotator cuff tears will create a cycle of instability in the shoulder and set it up for more damage if not treated.\n<h2>What Is Done for Shoulder Instability from Rotator Cuff Tears?</h2>\nTreatment for shoulder instability from tears often involves rotator cuff strengthening exercises, of the four muscles of the shoulder which include the supraspinatus, infraspinatus, subscapularis, and teres minor. They help stabilize the shoulder and assist with movement.\n\nUnfortunately, even though strengthening exercises help strengthen the shoulder muscles, they often do not resolve the underlying problem of shoulder instability. To fix shoulder joint instability, the shoulder tendons, ligaments and shoulder capsular structures must all be strengthened. And that’s where Regenerative Orthopedics comes in!\n<h2>Regenerative Orthopedics Effectively Repairs Partial Rotator Cuff Tears</h2>\nRegenerative Orthopedics, like Prolotherapy, PRP, and Stem Cells, are excellent options for rotator cuff injuries because the treatments involve the repair and the regeneration of soft tissue. Plus, these non-surgical therapies offer repair with a short recovery time.\n\nAs a first-line alternative to costly and invasive surgery, Regenerative Orthopedics addresses the root cause of the problem by repairing the tear and the instability. And that leads to a better recovery.\n<h2>What If Surgery Has Been Recommended?</h2>\nA February 2022 paper in the journal Orthopedic Research and Reviews discussed the challenges of treating a partial rotator cuff tear. They said: “Partial thickness tears of the rotator cuff are a common cause of shoulder pain and disability. Surgery is confined to those experiencing severe symptoms despite non-operative measures, and for tears involving greater than 50% thickness. A number of surgical strategies have been described, but there is insufficient evidence to advocate one repair technique over another. . . ”\n\nSure, it’s possible to have a successful shoulder surgery. But why choose surgery when there is an alternative that has a much shorter recovery period? We see many patients who are exploring alternatives to rotator cuff surgery because they would like to get back to work or a sport more quickly, and would prefer to avoid the long post-surgical recovery time.\n<h2>Is Partial Rotator Cuff Surgery Even Effective?</h2>\n<ul>\n 	<li><strong>The American Journal of Sports Medicine</strong> reports that rotator cuff repair often results in significant pain postoperatively. They studied patients who underwent arthroscopic rotator cuff repair. Even a smaller tear area was associated with more frequent and severe pain after repair. Plus, even younger patients who had partial-thickness tears and had occupational injuries experienced more pain postoperatively.2</li>\n 	<li><strong>The Orthopaedic Journal of Sports Medicine</strong> found that “After rotator cuff repair, some patients have ongoing problems significant enough to warrant presentation to a clinic for reassessment.” About 1 in 6 patients had problems after the surgical procedure.</li>\n</ul>\n<h2>The Regenerative Orthopedics Alternative</h2>\nRegenerative Orthopedics is the non-surgical alternative that can offer repair without the prolonged recovery time of surgery.\n\nDepending on the injury or degeneration involved, PRP or Stem Cells may be recommended. PRP and Stem Cells accelerate healing by using your own blood platelets and/or stem cells. These are always utilized in conjunction with Dextrose Prolotherapy in order to provide the most comprehensive treatment and repair.\n<h2>Are Stem Cells and PRP Effective for Rotator Cuff Tears?</h2>\nThe Orthopedic Research and Reviews journal reports, “Stem cell treatment for rotator cuff tears is a promising development because they have been shown to result in an anti-inflammatory response, improved tendon regeneration, optimized collagen fiber arrangement, higher load-to-failure, and higher tensile strength. . . In a non-randomized controlled trial comparing the effects of an exercise regime to PRP combined with bone marrow aspirate (BMAC-PRP complex) on partial rotator cuff tears, the experimental group demonstrated a significantly greater improvement in (pain, function and disability) scores compared to controls at three months. Tear size decreased after BMAC-PRP injection although this did not significantly differ from controls.”1\n\nThe Journal of Orthopaedic Surgery and Research found a positive benefit of a combined bone marrow aspirate concentrate (stem cell) and platelet-rich plasma (PRP) BMAC-PRP injection in patients with a partial tear of the rotator cuff tendon.4\n\nThe combination of repair with these regenerative treatments promises an excellent chance for a full recovery and full performance. In the event that surgery is truly necessary, Regenerative Orthopedics is also an excellent post-operative treatment to improve tissue strength, stability, and overall recovery. This may be a possibility when a rotator cuff tear has become large enough to produce profound weakness in the shoulder.\n\nPlease contact us at OrthoRegen®, and tell us more about your case to determine if you are a good candidate for Comprehensive Regenerative Orthopedics.\n\n<strong>References</strong>\n\n1Thangarajah T, Lo IK. Optimal Management of Partial Thickness Rotator Cuff Tears: Clinical Considerations and Practical Management. Orthopedic Research and Reviews. 2022;14:59.\n\n2Yeo, Daniel YT, et al. \"The relationship between intraoperative tear dimensions and postoperative pain in 1624 consecutive arthroscopic rotator cuff repairs.\" The American Journal of Sports Medicine 45.4 (2017): 788-793.\n\n3Rizvi SM, Lam P, Murrell GA. Repair Integrity in Patients Returning for an Unscheduled Visit After Arthroscopic Rotator Cuff Repair: Retorn or Not?. Orthopaedic journal of sports medicine. 2018 May 29;6(6):2325967118775061.\n\n4Kim SJ, Kim EK, Kim SJ. Effects of bone marrow aspirate concentrate and platelet-rich plasma on patients with partial tear of the rotator cuff tendon. Journal of orthopaedic surgery and research. 2018 Dec;13(1):1.','Non-Surgical Partial Rotator Cuff Tear Repair','','inherit','closed','closed','','5459-autosave-v1','','','2022-08-10 04:01:40','2022-08-10 04:01:40','',5459,'https://www.drfields.com/?p=5463',0,'revision','',0),(5464,8,'2022-08-10 04:02:35','2022-08-10 04:02:35','<img class=\"wp-image-5460 alignright\" title=\"Non-Surgical Partial Rotator Cuff Tear Repair\" src=\"https://www.drfields.com/wp-content/uploads/2022/08/Rotator-Cuff.-J-Ortho-Surg-Research-500x425.jpeg\" alt=\"Non-Surgical Partial Rotator Cuff Tear Repair\" width=\"300\" height=\"255\" />\r\n\r\nHave you been told you have a partial rotator cuff tear? Surgery may have also been recommended but you would like to avoid that. So what else can you do? At OrthoRegen®, you have a non-surgical option.\r\n\r\nWe often see patients in our office who are trying to avoid surgery after a diagnosis of a partial rotator cuff tear. And we would like to help them accomplish their pain relief and restoration of function goals! Once we do a physical examination and take a medical history, we can assess which regenerative treatment will be the most effective at repairing your shoulder from the damage sustained to the rotator cuff.\r\n<h2>The Rotator Cuff</h2>\r\nThere are four muscles inside of the shoulder that allow us to rotate our arm. These four muscles form a cuff of tendons around the top of the arm or the humeral head. With a the rotator cuff tear, one or more of the tendons of those four rotator cuff muscles of the shoulder are involved.\r\n\r\nThe rotator cuff is designed to move the shoulder joint. When there is a tear, the tendons are weakened and will degenerate, increasing their susceptibility to even more tearing. Rotator cuff tears will create a cycle of instability in the shoulder and set it up for more damage if not treated.\r\n<h2>What Is Done for Shoulder Instability from Rotator Cuff Tears?</h2>\r\nTreatment for shoulder instability from tears often involves rotator cuff strengthening exercises, of the four muscles of the shoulder which include the supraspinatus, infraspinatus, subscapularis, and teres minor. They help stabilize the shoulder and assist with movement.\r\n\r\nUnfortunately, even though strengthening exercises help strengthen the shoulder muscles, they often do not resolve the underlying problem of shoulder instability. To fix shoulder joint instability, the shoulder tendons, ligaments and shoulder capsular structures must all be strengthened. And that’s where Regenerative Orthopedics comes in!\r\n<h2>Regenerative Orthopedics Effectively Repairs Partial Rotator Cuff Tears</h2>\r\nRegenerative Orthopedics, like Prolotherapy, PRP, and Stem Cells, are excellent options for rotator cuff injuries because the treatments involve the repair and the regeneration of soft tissue. Plus, these non-surgical therapies offer repair with a short recovery time.\r\n\r\nAs a first-line alternative to costly and invasive surgery, Regenerative Orthopedics addresses the root cause of the problem by repairing the tear and the instability. And that leads to a better recovery.\r\n<h2>What If Surgery Has Been Recommended?</h2>\r\nA February 2022 paper in the journal Orthopedic Research and Reviews discussed the challenges of treating a partial rotator cuff tear. They said: “Partial thickness tears of the rotator cuff are a common cause of shoulder pain and disability. Surgery is confined to those experiencing severe symptoms despite non-operative measures, and for tears involving greater than 50% thickness. A number of surgical strategies have been described, but there is insufficient evidence to advocate one repair technique over another. . . ”\r\n\r\nSure, it’s possible to have a successful shoulder surgery. But why choose surgery when there is an alternative that has a much shorter recovery period? We see many patients who are exploring alternatives to rotator cuff surgery because they would like to get back to work or a sport more quickly, and would prefer to avoid the long post-surgical recovery time.\r\n<h2>Is Partial Rotator Cuff Surgery Even Effective?</h2>\r\n<ul>\r\n 	<li><strong>The American Journal of Sports Medicine</strong> reports that rotator cuff repair often results in significant pain postoperatively. They studied patients who underwent arthroscopic rotator cuff repair. Even a smaller tear area was associated with more frequent and severe pain after repair. Plus, even younger patients who had partial-thickness tears and had occupational injuries experienced more pain postoperatively.2</li>\r\n 	<li><strong>The Orthopaedic Journal of Sports Medicine</strong> found that “After rotator cuff repair, some patients have ongoing problems significant enough to warrant presentation to a clinic for reassessment.” About 1 in 6 patients had problems after the surgical procedure.</li>\r\n</ul>\r\n<h2>The Regenerative Orthopedics Alternative</h2>\r\nRegenerative Orthopedics is the non-surgical alternative that can offer repair without the prolonged recovery time of surgery.\r\n\r\nDepending on the injury or degeneration involved, PRP or Stem Cells may be recommended. PRP and Stem Cells accelerate healing by using your own blood platelets and/or stem cells. These are always utilized in conjunction with Dextrose Prolotherapy in order to provide the most comprehensive treatment and repair.\r\n<h2>Are Stem Cells and PRP Effective for Rotator Cuff Tears?</h2>\r\nThe Orthopedic Research and Reviews journal reports, “Stem cell treatment for rotator cuff tears is a promising development because they have been shown to result in an anti-inflammatory response, improved tendon regeneration, optimized collagen fiber arrangement, higher load-to-failure, and higher tensile strength. . . In a non-randomized controlled trial comparing the effects of an exercise regime to PRP combined with bone marrow aspirate (BMAC-PRP complex) on partial rotator cuff tears, the experimental group demonstrated a significantly greater improvement in (pain, function and disability) scores compared to controls at three months. Tear size decreased after BMAC-PRP injection although this did not significantly differ from controls.”1\r\n\r\nThe Journal of Orthopaedic Surgery and Research found a positive benefit of a combined <a title=\"Bone marrow aspirate concentrate\" href=\"https://www.caringmedical.com/prolotherapy-news/stem-cell-prolotherapy-cartilage-regeneration/\">bone marrow aspirate concentrate</a> (stem cell) and <a title=\"Platelet-rich plasma\" href=\"https://www.caringmedical.com/what-is-prolotherapy-with-platelet-rich-plasma/\">platelet-rich plasma</a> (PRP) BMAC-PRP injection in patients with a partial tear of the rotator cuff tendon.4\r\n\r\nThe combination of repair with these regenerative treatments promises an excellent chance for a full recovery and full performance. In the event that surgery is truly necessary, Regenerative Orthopedics is also an excellent post-operative treatment to improve tissue strength, stability, and overall recovery. This may be a possibility when a rotator cuff tear has become large enough to produce profound weakness in the shoulder.\r\n\r\nPlease <a href=\"https://www.drfields.com/contact/\">contact us</a> at OrthoRegen®, and tell us more about your case to determine if you are a good candidate for Comprehensive Regenerative Orthopedics.\r\n\r\n<strong>References</strong>\r\n\r\n1Thangarajah T, Lo IK. Optimal Management of Partial Thickness Rotator Cuff Tears: Clinical Considerations and Practical Management. Orthopedic Research and Reviews. 2022;14:59.\r\n\r\n2Yeo, Daniel YT, et al. \"The relationship between intraoperative tear dimensions and postoperative pain in 1624 consecutive arthroscopic rotator cuff repairs.\" The American Journal of Sports Medicine 45.4 (2017): 788-793.\r\n\r\n3Rizvi SM, Lam P, Murrell GA. Repair Integrity in Patients Returning for an Unscheduled Visit After Arthroscopic Rotator Cuff Repair: Retorn or Not?. Orthopaedic journal of sports medicine. 2018 May 29;6(6):2325967118775061.\r\n\r\n4Kim SJ, Kim EK, Kim SJ. Effects of bone marrow aspirate concentrate and platelet-rich plasma on patients with partial tear of the rotator cuff tendon. Journal of orthopaedic surgery and research. 2018 Dec;13(1):1.','Non-Surgical Partial Rotator Cuff Tear Repair','','inherit','closed','closed','','5459-revision-v1','','','2022-08-10 04:02:35','2022-08-10 04:02:35','',5459,'https://www.drfields.com/?p=5464',0,'revision','',0),(5465,8,'2022-08-10 04:03:18','2022-08-10 04:03:18','<img class=\"wp-image-5460 alignright\" title=\"Non-Surgical Partial Rotator Cuff Tear Repair\" src=\"https://www.drfields.com/wp-content/uploads/2022/08/Rotator-Cuff.-J-Ortho-Surg-Research-500x425.jpeg\" alt=\"Non-Surgical Partial Rotator Cuff Tear Repair\" width=\"300\" height=\"255\" />\r\n\r\nHave you been told you have a partial rotator cuff tear? Surgery may have also been recommended but you would like to avoid that. So what else can you do? At OrthoRegen®, you have a non-surgical option.\r\n\r\nWe often see patients in our office who are trying to avoid surgery after a diagnosis of a partial rotator cuff tear. And we would like to help them accomplish their pain relief and restoration of function goals! Once we do a physical examination and take a medical history, we can assess which regenerative treatment will be the most effective at repairing your shoulder from the damage sustained to the rotator cuff.\r\n<h2>The Rotator Cuff</h2>\r\nThere are four muscles inside of the shoulder that allow us to rotate our arm. These four muscles form a cuff of tendons around the top of the arm or the humeral head. With a the rotator cuff tear, one or more of the tendons of those four rotator cuff muscles of the shoulder are involved.\r\n\r\nThe rotator cuff is designed to move the shoulder joint. When there is a tear, the tendons are weakened and will degenerate, increasing their susceptibility to even more tearing. Rotator cuff tears will create a cycle of instability in the shoulder and set it up for more damage if not treated.\r\n<h2>What Is Done for Shoulder Instability from Rotator Cuff Tears?</h2>\r\nTreatment for shoulder instability from tears often involves rotator cuff strengthening exercises, of the four muscles of the shoulder which include the supraspinatus, infraspinatus, subscapularis, and teres minor. They help stabilize the shoulder and assist with movement.\r\n\r\nUnfortunately, even though strengthening exercises help strengthen the shoulder muscles, they often do not resolve the underlying problem of shoulder instability. To fix shoulder joint instability, the shoulder tendons, ligaments and shoulder capsular structures must all be strengthened. And that’s where Regenerative Orthopedics comes in!\r\n<h2>Regenerative Orthopedics Effectively Repairs Partial Rotator Cuff Tears</h2>\r\nRegenerative Orthopedics, like Prolotherapy, PRP, and Stem Cells, are excellent options for rotator cuff injuries because the treatments involve the repair and the regeneration of soft tissue. Plus, these non-surgical therapies offer repair with a short recovery time.\r\n\r\nAs a first-line alternative to costly and invasive surgery, Regenerative Orthopedics addresses the root cause of the problem by repairing the tear and the instability. And that leads to a better recovery.\r\n<h2>What If Surgery Has Been Recommended?</h2>\r\nA February 2022 paper in the journal Orthopedic Research and Reviews discussed the challenges of treating a partial rotator cuff tear. They said: “Partial thickness tears of the rotator cuff are a common cause of shoulder pain and disability. Surgery is confined to those experiencing severe symptoms despite non-operative measures, and for tears involving greater than 50% thickness. A number of surgical strategies have been described, but there is insufficient evidence to advocate one repair technique over another. . . ”\r\n\r\nSure, it’s possible to have a successful shoulder surgery. But why choose surgery when there is an alternative that has a much shorter recovery period? We see many patients who are exploring alternatives to rotator cuff surgery because they would like to get back to work or a sport more quickly, and would prefer to avoid the long post-surgical recovery time.\r\n<h2>Is Partial Rotator Cuff Surgery Even Effective?</h2>\r\n<ul>\r\n 	<li><strong>The American Journal of Sports Medicine</strong> reports that rotator cuff repair often results in significant pain postoperatively. They studied patients who underwent arthroscopic rotator cuff repair. Even a smaller tear area was associated with more frequent and severe pain after repair. Plus, even younger patients who had partial-thickness tears and had occupational injuries experienced more pain postoperatively.2</li>\r\n 	<li><strong>The Orthopaedic Journal of Sports Medicine</strong> found that “After rotator cuff repair, some patients have ongoing problems significant enough to warrant presentation to a clinic for reassessment.” About 1 in 6 patients had problems after the surgical procedure.</li>\r\n</ul>\r\n<h2>The Regenerative Orthopedics Alternative</h2>\r\nRegenerative Orthopedics is the non-surgical alternative that can offer repair without the prolonged recovery time of surgery.\r\n\r\nDepending on the injury or degeneration involved, PRP or Stem Cells may be recommended. PRP and Stem Cells accelerate healing by using your own blood platelets and/or stem cells. These are always utilized in conjunction with Dextrose Prolotherapy in order to provide the most comprehensive treatment and repair.\r\n<h2>Are Stem Cells and PRP Effective for Rotator Cuff Tears?</h2>\r\nThe Orthopedic Research and Reviews journal reports, “Stem cell treatment for rotator cuff tears is a promising development because they have been shown to result in an anti-inflammatory response, improved tendon regeneration, optimized collagen fiber arrangement, higher load-to-failure, and higher tensile strength. . . In a non-randomized controlled trial comparing the effects of an exercise regime to PRP combined with bone marrow aspirate (BMAC-PRP complex) on partial rotator cuff tears, the experimental group demonstrated a significantly greater improvement in (pain, function and disability) scores compared to controls at three months. Tear size decreased after BMAC-PRP injection although this did not significantly differ from controls.”1\r\n\r\nThe Journal of Orthopaedic Surgery and Research found a positive benefit of a combined <a title=\"Bone marrow aspirate concentrate\" href=\"https://www.caringmedical.com/prolotherapy-news/stem-cell-prolotherapy-cartilage-regeneration/\" target=\"_blank\" rel=\"noopener\">bone marrow aspirate concentrate</a> (stem cell) and <a title=\"Platelet-rich plasma\" href=\"https://www.caringmedical.com/what-is-prolotherapy-with-platelet-rich-plasma/\" target=\"_blank\" rel=\"noopener\">platelet-rich plasma</a> (PRP) BMAC-PRP injection in patients with a partial tear of the rotator cuff tendon.4\r\n\r\nThe combination of repair with these regenerative treatments promises an excellent chance for a full recovery and full performance. In the event that surgery is truly necessary, Regenerative Orthopedics is also an excellent post-operative treatment to improve tissue strength, stability, and overall recovery. This may be a possibility when a rotator cuff tear has become large enough to produce profound weakness in the shoulder.\r\n\r\nPlease <a href=\"https://www.drfields.com/contact/\">contact us</a> at OrthoRegen®, and tell us more about your case to determine if you are a good candidate for Comprehensive Regenerative Orthopedics.\r\n\r\n<strong>References</strong>\r\n\r\n1Thangarajah T, Lo IK. Optimal Management of Partial Thickness Rotator Cuff Tears: Clinical Considerations and Practical Management. Orthopedic Research and Reviews. 2022;14:59.\r\n\r\n2Yeo, Daniel YT, et al. \"The relationship between intraoperative tear dimensions and postoperative pain in 1624 consecutive arthroscopic rotator cuff repairs.\" The American Journal of Sports Medicine 45.4 (2017): 788-793.\r\n\r\n3Rizvi SM, Lam P, Murrell GA. Repair Integrity in Patients Returning for an Unscheduled Visit After Arthroscopic Rotator Cuff Repair: Retorn or Not?. Orthopaedic journal of sports medicine. 2018 May 29;6(6):2325967118775061.\r\n\r\n4Kim SJ, Kim EK, Kim SJ. Effects of bone marrow aspirate concentrate and platelet-rich plasma on patients with partial tear of the rotator cuff tendon. Journal of orthopaedic surgery and research. 2018 Dec;13(1):1.','Non-Surgical Partial Rotator Cuff Tear Repair','','inherit','closed','closed','','5459-revision-v1','','','2022-08-10 04:03:18','2022-08-10 04:03:18','',5459,'https://www.drfields.com/?p=5465',0,'revision','',0),(5467,9,'2022-08-22 20:03:01','2022-08-22 20:03:01','<img class=\"wp-image-5460 alignright\" title=\"Non-Surgical Partial Rotator Cuff Tear Repair\" src=\"https://www.drfields.com/wp-content/uploads/2022/08/Rotator-Cuff.-J-Ortho-Surg-Research-500x425.jpeg\" alt=\"Non-Surgical Partial Rotator Cuff Tear Repair\" width=\"300\" height=\"255\" />\n<h2>Partial Rotator Cuff Tear Repair</h2>\nHave you been told you have a partial rotator cuff tear? Surgery may have also been recommended, but you would like to avoid that. So what else can you do? At OrthoRegen®, you have a non-surgical option.\n\nWe often see patients in our office trying to avoid surgery after diagnosing a partial rotator cuff tear. And we would like to help them accomplish their pain relief and restoration of function goals! Once we do a physical examination and take a medical history, we can assess which regenerative treatment will most effectively repair your shoulder from the damage sustained to the rotator cuff.\n<h2>The Rotator Cuff</h2>\nThere are four muscles inside of the shoulder that allow us to rotate our arms. These four muscles form a cuff of tendons around the top of the arm or the humeral head. With a rotator cuff tear, one or more of the tendons of those four rotator cuff muscles of the shoulder are involved.\n\nThe rotator cuff is designed to move the shoulder joint. When there is a tear, the tendons are weakened and will degenerate, increasing their susceptibility to even more tears. Rotator cuff tears will create a cycle of instability in the shoulder and set it up for more damage if not treated.\n<h2>What Is Done for Shoulder Instability from Rotator Cuff Tears?</h2>\nTreatment for shoulder instability from tears often involves rotator cuff strengthening exercises of the four muscles of the shoulder, which include the supraspinatus, infraspinatus, subscapularis, and teres minor. They help stabilize the shoulder and assist with movement.\n\nUnfortunately, even though strengthening exercises help strengthen the shoulder muscles, they often do not resolve the underlying problem of shoulder instability. To fix shoulder joint instability, the shoulder tendons, ligaments, and shoulder capsular structures must all be strengthened. And that’s where Regenerative Orthopedics comes in!\n<h2>Regenerative Orthopedics Effectively Repairs Partial Rotator Cuff Tears</h2>\nRegenerative Orthopedics, like Prolotherapy, PRP, and Stem Cells, are excellent options for rotator cuff injuries because the treatments involve repairing and regenerating soft tissue. Plus, these non-surgical therapies offer repair with a short recovery time.\n\nRegenerative Orthopedics addresses the root cause of the problem by repairing the tear and the instability as a first-line alternative to costly and invasive surgery. And that leads to a better recovery.\n<h2>What If Surgery Has Been Recommended?</h2>\nA February 2022 paper in the journal Orthopedic Research and Reviews(1) discussed the challenges of treating a partial rotator cuff tear.\n\nThey said: “Partial thickness tears of the rotator cuff are a common cause of shoulder pain and disability. Surgery is confined to those experiencing severe symptoms despite non-operative measures and for tears involving greater than 50% thickness. A number of surgical strategies have been described, but there is insufficient evidence to advocate one repair technique over another. . . ”\n\nSure, it’s possible to have successful shoulder surgery. But why choose surgery when there is an alternative that has a much shorter recovery period? We see many patients who are exploring alternatives to rotator cuff surgery because they would like to get back to work or a sport more quickly and would prefer to avoid the long post-surgical recovery time.\n<h2>Is Partial Rotator Cuff Surgery Even Effective?</h2>\n<ul>\n 	<li><strong>The American Journal of Sports Medicine</strong> reports that rotator cuff repair often results in significant pain postoperatively. They studied patients who underwent arthroscopic rotator cuff repair. Even a smaller tear area was associated with more frequent and severe pain after repair. Plus, even younger patients who had partial-thickness tears and had occupational injuries experienced more pain postoperatively.(2)</li>\n 	<li><strong>The Orthopaedic Journal of Sports Medicine</strong> found that “After rotator cuff repair, some patients have ongoing problems significant enough to warrant presentation to a clinic for reassessment.” About 1 in 6 patients had problems after the surgical procedure. (3)</li>\n</ul>\n<h2>The Regenerative Orthopedics Alternative</h2>\nRegenerative Orthopedics is the non-surgical alternative that can offer repair without the prolonged recovery time of surgery.\n\nPRP or Stem Cells may be recommended depending on the injury or degeneration involved. PRP and Stem Cells accelerate healing by using your own blood platelets and/or stem cells. These are always used in conjunction with Dextrose Prolotherapy to provide the most comprehensive treatment and repair.\n<h2>Are Stem Cells and PRP Effective for Rotator Cuff Tears?</h2>\nThe Orthopedic Research and Reviews journal reports, “Stem cell treatment for rotator cuff tears is a promising development because they have been shown to result in an anti-inflammatory response, improved tendon regeneration, optimized collagen fiber arrangement, higher load-to-failure, and higher tensile strength. . . In a non-randomized controlled trial comparing the effects of an exercise regime to PRP combined with bone marrow aspirate (BMAC-PRP complex) on partial rotator cuff tears, the experimental group demonstrated a significantly greater improvement in (pain, function and disability) scores compared to controls at three months. Tear size decreased after BMAC-PRP injection although this did not significantly differ from controls.”(1)\n\nThe Journal of Orthopaedic Surgery and Research found a positive benefit of a combined bone marrow aspirate concentrate (stem cell) and platelet-rich plasma (PRP) BMAC-PRP injection in patients with a partial tear of the rotator cuff tendon. (4)\n\nThe combination of repair with these regenerative treatments promises an excellent chance for full recovery and full performance. In the event that surgery is truly necessary, Regenerative Orthopedics is also an excellent post-operative treatment to improve tissue strength, stability, and overall recovery. This may be a possibility when a rotator cuff tear has become large enough to produce profound weakness in the shoulder.\n\nPlease <a href=\"https://www.drfields.com/contact/\">contact us</a> at OrthoRegen®, and tell us more about your case to determine if you are a good candidate for Comprehensive Regenerative Orthopedics.\n<h3><strong>References</strong></h3>\n1Thangarajah T, Lo IK. Optimal Management of Partial Thickness Rotator Cuff Tears: Clinical Considerations and Practical Management. Orthopedic Research and Reviews. 2022;14:59.\n\n2Yeo, Daniel YT, et al. \"The relationship between intraoperative tear dimensions and postoperative pain in 1624 consecutive arthroscopic rotator cuff repairs.\" The American Journal of Sports Medicine 45.4 (2017): 788-793.\n\n3Rizvi SM, Lam P, Murrell GA. Repair Integrity in Patients Returning for an Unscheduled Visit After Arthroscopic Rotator Cuff Repair: Retorn or Not? Orthopaedic journal of sports medicine. 2018 May 29;6(6):2325967118775061.\n\n4Kim SJ, Kim EK, Kim SJ. Effects of bone marrow aspirate concentrate and platelet-rich plasma on patients with partial tear of the rotator cuff tendon. Journal of orthopaedic surgery and research. 2018 Dec;13(1):1.','Non-Surgical Partial Rotator Cuff Tear Repair','','inherit','closed','closed','','5459-autosave-v1','','','2022-08-22 20:03:01','2022-08-22 20:03:01','',5459,'https://www.drfields.com/?p=5467',0,'revision','',0),(5468,9,'2022-08-22 20:03:16','2022-08-22 20:03:16','<img class=\"wp-image-5460 alignright\" title=\"Non-Surgical Partial Rotator Cuff Tear Repair\" src=\"https://www.drfields.com/wp-content/uploads/2022/08/Rotator-Cuff.-J-Ortho-Surg-Research-500x425.jpeg\" alt=\"Non-Surgical Partial Rotator Cuff Tear Repair\" width=\"300\" height=\"255\" />\r\n<h2>Partial Rotator Cuff Tear Repair</h2>\r\nHave you been told you have a partial rotator cuff tear? Surgery may have also been recommended, but you would like to avoid that. So what else can you do? At OrthoRegen®, you have a non-surgical option.\r\n\r\nWe often see patients in our office trying to avoid surgery after diagnosing a partial rotator cuff tear. And we would like to help them accomplish their pain relief and restoration of function goals! Once we do a physical examination and take a medical history, we can assess which regenerative treatment will most effectively repair your shoulder from the damage sustained to the rotator cuff.\r\n<h2>The Rotator Cuff</h2>\r\nThere are four muscles inside of the shoulder that allow us to rotate our arms. These four muscles form a cuff of tendons around the top of the arm or the humeral head. With a rotator cuff tear, one or more of the tendons of those four rotator cuff muscles of the shoulder are involved.\r\n\r\nThe rotator cuff is designed to move the shoulder joint. When there is a tear, the tendons are weakened and will degenerate, increasing their susceptibility to even more tears. Rotator cuff tears will create a cycle of instability in the shoulder and set it up for more damage if not treated.\r\n<h2>What Is Done for Shoulder Instability from Rotator Cuff Tears?</h2>\r\nTreatment for shoulder instability from tears often involves rotator cuff strengthening exercises of the four muscles of the shoulder, which include the supraspinatus, infraspinatus, subscapularis, and teres minor. They help stabilize the shoulder and assist with movement.\r\n\r\nUnfortunately, even though strengthening exercises help strengthen the shoulder muscles, they often do not resolve the underlying problem of shoulder instability. To fix shoulder joint instability, the shoulder tendons, ligaments, and shoulder capsular structures must all be strengthened. And that’s where Regenerative Orthopedics comes in!\r\n<h2>Regenerative Orthopedics Effectively Repairs Partial Rotator Cuff Tears</h2>\r\nRegenerative Orthopedics, like Prolotherapy, PRP, and Stem Cells, are excellent options for rotator cuff injuries because the treatments involve repairing and regenerating soft tissue. Plus, these non-surgical therapies offer repair with a short recovery time.\r\n\r\nRegenerative Orthopedics addresses the root cause of the problem by repairing the tear and the instability as a first-line alternative to costly and invasive surgery. And that leads to a better recovery.\r\n<h2>What If Surgery Has Been Recommended?</h2>\r\nA February 2022 paper in the journal Orthopedic Research and Reviews(1) discussed the challenges of treating a partial rotator cuff tear.\r\n\r\nThey said: “Partial thickness tears of the rotator cuff are a common cause of shoulder pain and disability. Surgery is confined to those experiencing severe symptoms despite non-operative measures and for tears involving greater than 50% thickness. A number of surgical strategies have been described, but there is insufficient evidence to advocate one repair technique over another. . . ”\r\n\r\nSure, it’s possible to have successful shoulder surgery. But why choose surgery when there is an alternative that has a much shorter recovery period? We see many patients who are exploring alternatives to rotator cuff surgery because they would like to get back to work or a sport more quickly and would prefer to avoid the long post-surgical recovery time.\r\n<h2>Is Partial Rotator Cuff Surgery Even Effective?</h2>\r\n<ul>\r\n 	<li><strong>The American Journal of Sports Medicine</strong> reports that rotator cuff repair often results in significant pain postoperatively. They studied patients who underwent arthroscopic rotator cuff repair. Even a smaller tear area was associated with more frequent and severe pain after repair. Plus, even younger patients who had partial-thickness tears and had occupational injuries experienced more pain postoperatively.(2)</li>\r\n 	<li><strong>The Orthopaedic Journal of Sports Medicine</strong> found that “After rotator cuff repair, some patients have ongoing problems significant enough to warrant presentation to a clinic for reassessment.” About 1 in 6 patients had problems after the surgical procedure. (3)</li>\r\n</ul>\r\n<h2>The Regenerative Orthopedics Alternative</h2>\r\nRegenerative Orthopedics is the non-surgical alternative that can offer repair without the prolonged recovery time of surgery.\r\n\r\nPRP or Stem Cells may be recommended depending on the injury or degeneration involved. PRP and Stem Cells accelerate healing by using your own blood platelets and/or stem cells. These are always used in conjunction with Dextrose Prolotherapy to provide the most comprehensive treatment and repair.\r\n<h2>Are Stem Cells and PRP Effective for Rotator Cuff Tears?</h2>\r\nThe Orthopedic Research and Reviews journal reports, “Stem cell treatment for rotator cuff tears is a promising development because they have been shown to result in an anti-inflammatory response, improved tendon regeneration, optimized collagen fiber arrangement, higher load-to-failure, and higher tensile strength. . . In a non-randomized controlled trial comparing the effects of an exercise regime to PRP combined with bone marrow aspirate (BMAC-PRP complex) on partial rotator cuff tears, the experimental group demonstrated a significantly greater improvement in (pain, function and disability) scores compared to controls at three months. Tear size decreased after BMAC-PRP injection although this did not significantly differ from controls.”(1)\r\n\r\nThe Journal of Orthopaedic Surgery and Research found a positive benefit of a combined bone marrow aspirate concentrate (stem cell) and platelet-rich plasma (PRP) BMAC-PRP injection in patients with a partial tear of the rotator cuff tendon. (4)\r\n\r\nThe combination of repair with these regenerative treatments promises an excellent chance for full recovery and full performance. In the event that surgery is truly necessary, Regenerative Orthopedics is also an excellent post-operative treatment to improve tissue strength, stability, and overall recovery. This may be a possibility when a rotator cuff tear has become large enough to produce profound weakness in the shoulder.\r\n\r\nPlease <a href=\"https://www.drfields.com/contact/\">contact us</a> at OrthoRegen®, and tell us more about your case to determine if you are a good candidate for Comprehensive Regenerative Orthopedics.\r\n<h3><strong>References</strong></h3>\r\n1Thangarajah T, Lo IK. Optimal Management of Partial Thickness Rotator Cuff Tears: Clinical Considerations and Practical Management. Orthopedic Research and Reviews. 2022;14:59.\r\n\r\n2Yeo, Daniel YT, et al. \"The relationship between intraoperative tear dimensions and postoperative pain in 1624 consecutive arthroscopic rotator cuff repairs.\" The American Journal of Sports Medicine 45.4 (2017): 788-793.\r\n\r\n3Rizvi SM, Lam P, Murrell GA. Repair Integrity in Patients Returning for an Unscheduled Visit After Arthroscopic Rotator Cuff Repair: Retorn or Not? Orthopaedic journal of sports medicine. 2018 May 29;6(6):2325967118775061.\r\n\r\n4Kim SJ, Kim EK, Kim SJ. Effects of bone marrow aspirate concentrate and platelet-rich plasma on patients with partial tear of the rotator cuff tendon. Journal of orthopaedic surgery and research. 2018 Dec;13(1):1.','Non-Surgical Partial Rotator Cuff Tear Repair','','inherit','closed','closed','','5459-revision-v1','','','2022-08-22 20:03:16','2022-08-22 20:03:16','',5459,'https://www.drfields.com/?p=5468',0,'revision','',0),(5469,9,'2022-08-22 20:05:56','2022-08-22 20:05:56','&nbsp;\r\n<h4>Honduras 2007</h4>\r\n&nbsp;\r\n<div class=\"col-md-5\">\r\n\r\n[caption id=\"attachment_444\" align=\"aligncenter\" width=\"225\"]<img class=\"size-full wp-image-444\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Attending-a-noon-lecture.jpg\" alt=\"Attending A Noon Lecture\" width=\"225\" height=\"150\" /> Attending A Noon Lecture[/caption]\r\n\r\n</div>\r\n<div class=\"col-md-5\">\r\n\r\n[caption id=\"attachment_449\" align=\"aligncenter\" width=\"225\"]<img class=\"size-full wp-image-449\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Dr.-Timmerman-instructs-a-new-physician.jpg\" alt=\"Dr. Timmerman Instructs A New Physician\" width=\"225\" height=\"150\" /> Dr. Timmerman Instructs A New Physician[/caption]\r\n\r\n</div>\r\n<div class=\"col-md-5\">\r\n\r\n[caption id=\"attachment_446\" align=\"aligncenter\" width=\"225\"]<img class=\"size-full wp-image-446\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Dr.-Fields-a-colleague-and-two-translators1.jpg\" alt=\"Dr. Fields, A Colleague And Two Translators1\" width=\"225\" height=\"150\" /> Dr. Fields, A Colleague And Two Translators1[/caption]\r\n\r\n</div>\r\n<div class=\"col-md-5\">\r\n\r\n[caption id=\"attachment_447\" align=\"aligncenter\" width=\"225\"]<img class=\"size-full wp-image-447\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Dr.-Fields-two-young-translators-and-the-owner-of-the-local-bi-lingual-school.jpg\" alt=\"Dr. Fields, Two Young Translators And The Owner Of The Local Bi Lingual School\" width=\"225\" height=\"150\" /> Dr. Fields, Two Young Translators And The Owner Of The Local Bi Lingual School[/caption]\r\n\r\n</div>\r\n<div class=\"col-md-5\">\r\n\r\n[caption id=\"attachment_448\" align=\"aligncenter\" width=\"225\"]<img class=\"size-full wp-image-448\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Dr.-Patterson-giving-a-noon-time-lecture.jpg\" alt=\"Dr. Patterson Giving A Noon Time Lecture\" width=\"225\" height=\"150\" /> Dr. Patterson Giving A Noon Time Lecture[/caption]\r\n\r\n</div>\r\n<div class=\"col-md-5\">\r\n\r\n[caption id=\"attachment_445\" align=\"aligncenter\" width=\"225\"]<img class=\"size-full wp-image-445\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Dr..-Fields-and-the-owner-of-a-local-restaurant.jpg\" alt=\"Dr.. Fields And The Owner Of A Local Restaurant\" width=\"225\" height=\"150\" /> Dr.. Fields And The Owner Of A Local Restaurant[/caption]\r\n\r\n</div>\r\n<div class=\"col-md-5\">\r\n\r\n[caption id=\"attachment_450\" align=\"aligncenter\" width=\"225\"]<img class=\"size-full wp-image-450\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Local-transport.jpg\" alt=\"Local Transport!\" width=\"225\" height=\"150\" /> Local Transport![/caption]\r\n\r\n</div>\r\n<div class=\"col-md-5\">\r\n\r\n[caption id=\"attachment_451\" align=\"aligncenter\" width=\"225\"]<img class=\"size-full wp-image-451\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/One-of-the-treatment-rooms.jpg\" alt=\"One Of The Treatment Rooms\" width=\"225\" height=\"150\" /> One Of The Treatment Rooms[/caption]\r\n\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"col-md-5\">\r\n\r\n[caption id=\"attachment_452\" align=\"aligncenter\" width=\"225\"]<img class=\"size-full wp-image-452\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Our-make-shift-treatment-area.jpg\" alt=\"Our Make Shift Treatment Area\" width=\"225\" height=\"150\" /> Our Make Shift Treatment Area[/caption]\r\n\r\n</div>','Honduras 2007','','inherit','closed','closed','','453-revision-v1','','','2022-08-22 20:05:56','2022-08-22 20:05:56','',453,'https://www.drfields.com/?p=5469',0,'revision','',0),(5470,9,'2022-08-22 20:07:24','2022-08-22 20:07:24','&nbsp;\r\n<h4>Honduras 2009</h4>\r\n<table class=\"resptable\" border=\"0\" cellspacing=\"0\" cellpadding=\"0\" align=\"center\">\r\n<tbody>\r\n<tr>\r\n<td>\r\n\r\n[caption id=\"attachment_488\" align=\"aligncenter\" width=\"255\"]<img class=\"size-full wp-image-488\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Drs-Peter-and-Matt.jpg\" alt=\"Dr\'s Peter And Matt\" width=\"255\" height=\"191\" /> Dr. Fields instructs Dr. Matt[/caption]</td>\r\n<td>\r\n\r\n[caption id=\"attachment_489\" align=\"aligncenter\" width=\"255\"]<img class=\"size-full wp-image-489\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Dr-F.-Lecturing-1.jpg\" alt=\"Dr F. Lecturing 1\" width=\"255\" height=\"191\" /> Dr. Fields lecturing[/caption]</td>\r\n</tr>\r\n<tr>\r\n<td>\r\n\r\n[caption id=\"attachment_490\" align=\"aligncenter\" width=\"255\"]<img class=\"size-full wp-image-490\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/DSCN1562.jpg\" alt=\"Dscn1562\" width=\"255\" height=\"192\" /> Dr\'s Bill, Saul and Peter[/caption]</td>\r\n<td>\r\n\r\n[caption id=\"attachment_491\" align=\"aligncenter\" width=\"255\"]<img class=\"size-full wp-image-491\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/DSCN1727.jpg\" alt=\"Dscn1727\" width=\"255\" height=\"191\" /> Dr. Fields and student Dr. Laurent[/caption]</td>\r\n</tr>\r\n<tr>\r\n<td>\r\n\r\n[caption id=\"attachment_492\" align=\"aligncenter\" width=\"255\"]<img class=\"size-full wp-image-492\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/DSCN1739.jpg\" alt=\"Dscn1739\" width=\"255\" height=\"191\" /> Dr. Fields and the La Ceiba Red Cross Staff[/caption]</td>\r\n<td>\r\n\r\n[caption id=\"attachment_493\" align=\"aligncenter\" width=\"255\"]<img class=\"size-full wp-image-493\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/DSCN1760.jpg\" alt=\"Dscn1760\" width=\"255\" height=\"191\" /> Dr\'s Saul, Matt, Laurent and Dr. Pedro Campos![/caption]</td>\r\n</tr>\r\n<tr>\r\n<td>\r\n\r\n[caption id=\"attachment_494\" align=\"aligncenter\" width=\"255\"]<img class=\"size-full wp-image-494\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/DSCN1761.jpg\" alt=\"Dscn1761\" width=\"255\" height=\"191\" /> Dr\'s Sandra and Josette- our Honduran Docs[/caption]</td>\r\n<td>\r\n\r\n[caption id=\"attachment_495\" align=\"aligncenter\" width=\"255\"]<img class=\"size-full wp-image-495\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/DSCN1790.jpg\" alt=\"Dscn1790\" width=\"255\" height=\"191\" /> Dr\'s Peter, Deb, Saul, Red Cross aid with a pt and her child[/caption]</td>\r\n</tr>\r\n<tr>\r\n<td>\r\n\r\n[caption id=\"attachment_496\" align=\"aligncenter\" width=\"255\"]<img class=\"size-full wp-image-496\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/DSCN1796.jpg\" alt=\"Dscn1796\" width=\"255\" height=\"191\" /> The La Ceiba team[/caption]</td>\r\n<td>\r\n\r\n[caption id=\"attachment_497\" align=\"aligncenter\" width=\"255\"]<img class=\"size-full wp-image-497\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Dr-Fields-adjusts-a-patient.jpg\" alt=\"Dr Fields Adjusts A Patient\" width=\"255\" height=\"191\" /> Dr. Fields adjusts a patient while other<br />doctors obserserve[/caption]</td>\r\n</tr>\r\n<tr>\r\n<td>\r\n\r\n[caption id=\"attachment_498\" align=\"aligncenter\" width=\"255\"]<img class=\"size-full wp-image-498\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Dr-Fields-instructs.jpg\" alt=\"Dr Fields Instructs\" width=\"255\" height=\"191\" /> Dr. Fields Instructs[/caption]</td>\r\n<td>\r\n\r\n[caption id=\"attachment_499\" align=\"aligncenter\" width=\"255\"]<img class=\"size-full wp-image-499\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Drs-Peter-Bill-Joe-and-patient.jpg\" alt=\"Dr\'s Peter, Bill, Joe And Patient\" width=\"255\" height=\"191\" /> Dr\'s Peter, Bill, Joe and patient[/caption]</td>\r\n</tr>\r\n<tr>\r\n<td>\r\n\r\n[caption id=\"attachment_500\" align=\"aligncenter\" width=\"217\"]<img class=\"size-full wp-image-500\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Dr-Fields-giving-a-lecture.jpg\" alt=\"Dr Fields Giving A Lecture\" width=\"217\" height=\"255\" /> Dr. Fields giving a lecture[/caption]</td>\r\n<td>\r\n\r\n[caption id=\"attachment_501\" align=\"aligncenter\" width=\"200\"]<img class=\"size-full wp-image-501\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Dr-F-and-skeleton.jpg\" alt=\"Dr F And Skeleton\" width=\"200\" height=\"255\" /> Dr. Fields and Dr. Bones[/caption]</td>\r\n</tr>\r\n<tr>\r\n<td>\r\n\r\n[caption id=\"attachment_502\" align=\"aligncenter\" width=\"255\"]<img class=\"size-full wp-image-502\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Dinner-at-the-hotel.jpg\" alt=\"Dinner At The Hotel\" width=\"255\" height=\"191\" /> Dinner at the hotel[/caption]</td>\r\n<td>\r\n\r\n[caption id=\"attachment_503\" align=\"aligncenter\" width=\"255\"]<img class=\"size-full wp-image-503\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/horse.jpg\" alt=\"Horse\" width=\"255\" height=\"202\" /> Local transport[/caption]</td>\r\n</tr>\r\n</tbody>\r\n</table>','Honduras 2009','','inherit','closed','closed','','504-revision-v1','','','2022-08-22 20:07:24','2022-08-22 20:07:24','',504,'https://www.drfields.com/?p=5470',0,'revision','',0),(5471,9,'2022-08-22 20:09:45','2022-08-22 20:09:45','<h4>Lecture in Mexico City on July 9th about Stem Cells/PRP/Prolotherapy</h4>\r\n<img class=\"wp-image-5147 size-medium alignright\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Copy-of-Mexico-City-Lecture-2-500x419.png\" alt=\"Copy Of Mexico City Lecture 2\" width=\"500\" height=\"419\" />\r\n\r\nPeter A. Fields, MD, DC will lecture at the 14th World Congress on Anti-Aging and Longevity Medicine in Mexico City, Mexico on July 9th.\r\n\r\nLecture time: <strong>11:00 AM</strong>\r\n\r\nEmail pcc@drfields.com for more information.\r\n<h4>Regenerative Medicine Teaching in Mexico</h4>\r\nWe\'re excited to teach more professionals about this effective treatment to fix joints and the spine without surgery. <a href=\"https://www.drfields.com/regenerative-techniques/stem-cell-treatment/\">Stem Cells</a>, PRP, and Prolotherapy are all effective regenerative medicine treatments that help people with joint and spine pain to achieve both relief and repair.\r\n\r\nTo access the information for the conference you can <a href=\"http://www.medicina-antienvejecimiento.net/\">click</a> on the following link. <a href=\"https://urldefense.proofpoint.com/v2/url?u=http-3A__www.medicina-2Dantienvejecimiento.net_&amp;d=DwMCaQ&amp;c=WO-RGvefibhHBZq3fL85hQ&amp;r=1mlZdwzxLMndjoil0MO5evkLwBowWYcXVyCp4Vbxfds&amp;m=-Zcix8_Tm618JjCVm5ExeqsI0cYP75-OIrRKIfbDyJL_F3-gD7ZpIucCH6k9b3dQ&amp;s=HPDad0dRWasD0G4qNd1wGul0XoVhEbEukb3zY8ki5Go&amp;e=\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">www.medicina-antienvejecimiento.net/</a>\r\n\r\n[caption id=\"attachment_5146\" align=\"alignnone\" width=\"500\"]<img class=\"wp-image-5146 size-medium\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/14th-World-Congress-on-Anti-Aging-and-Longevity-Medicine-500x239.png\" alt=\"14th World Congress On Anti Aging And Longevity Medicine\" width=\"500\" height=\"239\" /> <strong>     14th World Congress On Anti-Aging And Longevity Medicine</strong>[/caption]\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>','Dr. Fields to Lecture in Mexico City on July 9th','','inherit','closed','closed','','1471-revision-v1','','','2022-08-22 20:09:45','2022-08-22 20:09:45','',1471,'https://www.drfields.com/?p=5471',0,'revision','',0),(5472,9,'2022-08-22 20:10:39','2022-08-22 20:10:39','<h4>Lecture in Mexico City on July 9th about Stem Cells/PRP/Prolotherapy</h4>\r\n<img class=\"wp-image-5147 size-medium alignright\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/Copy-of-Mexico-City-Lecture-2-500x419.png\" alt=\"Copy Of Mexico City Lecture 2\" width=\"500\" height=\"419\" />\r\n\r\nPeter A. Fields, MD, DC, will lecture in Mexico City at the 14th World Congress on Anti-Aging and Longevity Medicine on July 9th.\r\n\r\nLecture time: <strong>11:00 AM</strong>\r\n\r\nEmail pcc@drfields.com for more information.\r\n<h4>Regenerative Medicine Teaching in Mexico</h4>\r\nWe\'re excited to teach more professionals about this effective treatment to fix joints and the spine without surgery. <a href=\"https://www.drfields.com/regenerative-techniques/stem-cell-treatment/\">Stem Cells</a>, PRP, and Prolotherapy are all effective regenerative medicine treatments that help people with joint and spine pain to achieve both relief and repair.\r\n\r\nTo access the information for the conference you can <a href=\"http://www.medicina-antienvejecimiento.net/\">click</a> on the following link. <a href=\"https://urldefense.proofpoint.com/v2/url?u=http-3A__www.medicina-2Dantienvejecimiento.net_&amp;d=DwMCaQ&amp;c=WO-RGvefibhHBZq3fL85hQ&amp;r=1mlZdwzxLMndjoil0MO5evkLwBowWYcXVyCp4Vbxfds&amp;m=-Zcix8_Tm618JjCVm5ExeqsI0cYP75-OIrRKIfbDyJL_F3-gD7ZpIucCH6k9b3dQ&amp;s=HPDad0dRWasD0G4qNd1wGul0XoVhEbEukb3zY8ki5Go&amp;e=\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">www.medicina-antienvejecimiento.net/</a>\r\n\r\n[caption id=\"attachment_5146\" align=\"alignnone\" width=\"500\"]<img class=\"wp-image-5146 size-medium\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/14th-World-Congress-on-Anti-Aging-and-Longevity-Medicine-500x239.png\" alt=\"14th World Congress On Anti Aging And Longevity Medicine\" width=\"500\" height=\"239\" /> <strong>     14th World Congress On Anti-Aging And Longevity Medicine</strong>[/caption]\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>','Dr. Fields to Lecture in Mexico City on July 9th','','inherit','closed','closed','','1471-revision-v1','','','2022-08-22 20:10:39','2022-08-22 20:10:39','',1471,'https://www.drfields.com/?p=5472',0,'revision','',0),(5474,8,'2022-08-23 06:00:06','2022-08-23 06:00:06','<img class=\"wp-image-5475 alignright\" title=\"Sprained Ankle?\" src=\"https://www.drfields.com/wp-content/uploads/2022/08/Sprained-Ankle-500x419.png\" alt=\"Sprained Ankle?\" width=\"300\" height=\"251\" />\r\n<h2>Sprained Ankles?</h2>\r\nDo you experience recurrent sprained ankles? Is your ankle constantly giving out or overturning? These are common problems for those with instability in their ankle! Frequent swelling, pain, and a decrease in range of motion or possibly an excess of movement are also symptoms of those who experience recurring ankle sprains.\r\n<h2>What Causes Frequent Sprained Ankles?</h2>\r\nAnything that stretches the ankle further than it is used to can cause an injury to the ankle ligaments. For example, overturning the ankle inwards or outwards can injure the ligaments. Ankle sprains consist of some type of ligament injury. These injuries may be mild, moderate, or severe, but all involve ligament injury and/or tears of the ankle\'s ligaments.\r\n\r\nIf this ligament injury does not fully heal, a cycle of instability begins because the ligament(s) are weakened, allowing for abnormal ankle joint movement. As time progresses, other structures of the unstable ankle joint will also begin to degenerate, resulting in eventual arthritis.\r\n<h2>Why Haven’t Common Treatments Worked to Stabilize Weak or Sprained Ankles?</h2>\r\nIf you look up common treatments for ankle sprains, you will find rest, ice, compression, elevation, anti-inflammatory medications, and bracing or casting. Those with repeat ankle sprains have most likely tried all of these treatments.\r\n\r\nSure, they may provide some relief, but the ankle remains unstable. That is because none of these treatments repair the injured ligaments.\r\n<ul>\r\n 	<li>Ice does not repair ligaments.</li>\r\n 	<li>Braces, taping, and casts do not repair ligaments</li>\r\n 	<li>Elevation does not repair ligaments</li>\r\n 	<li>Anti-inflammatories do not repair ligaments</li>\r\n 	<li>Pain medications do not repair ligaments</li>\r\n</ul>\r\nAnd since 86% of ankle injuries are ligament sprains1, a treatment directed at ligament repair is what is necessary. Yes, treatments like physical therapy to strengthen musculature are helpful, but since muscles also depend on strong tendons and ligaments for proper function and stability, repair of these soft tissue structures will need to be addressed.\r\n<h2>Regenerative Treatment Is An Effective Way to Repair Weakened Ligaments</h2>\r\nAt OrthoRegen®, our treatment of choice is Regenerative Orthopedics. The great news is that these non-surgical treatments actually work to repair the ligaments. The treatment is not just a bandaid or a cover-up for the pain. Regenerative therapies, like Prolotherapy, PRP, and Stem Cells, have been shown to repair and regenerate the injured soft tissue structures.\r\n\r\nThe joint is strengthened by repairing the ligaments and other soft tissue structures, and the instability is resolved. Regenerative Orthopedics is a comprehensive treatment directed at all of the involved structures for the best possible outcome. The result is decreased pain and stiffness and increased function, improving quality of life.2\r\n\r\nIn cases with more deterioration, PRP or Stem Cells may be recommended in addition to Prolotherapy. Research has shown that these treatments also repair the ankle\'s soft tissue and boost function. Even in high ankle sprains, PRP has been shown to return athletes to full activity.\r\n\r\nAt OrthoRegen®, we have many years of experience in Regenerative therapies and would be happy to help you resolve your recurrent ankle sprains and improve your ankle function. Call us today at (310)453-1234.\r\n\r\n1Mulcahey MK, Bernhardson AS, Murphy CP, Chang A, Zajac T, Sanchez G, Sanchez A, Whalen JM, Price MD, Clanton TO, Provencher MT. The Epidemiology of Ankle Injuries Identified at the National Football League Combine, 2009-2015. Orthopaedic journal of sports medicine. 2018 Jul 17;6(7):2325967118786227.\r\n\r\n2Hauser RA, Hauser, MA, Cukla J. Dextrose Prolotherapy Injections for Chronic Ankle Pain Practical PAIN MANAGEMENT, January/February 2010 p 70-76.\r\n\r\n3Laver L, Carmont MR, McConkey MO, Palmanovich E, Yaacobi E, Mann G, Nyska M, Kots E, Mei-Dan O. Plasma rich in growth factors (PRGF) as a treatment for high ankle sprain in elite athletes: a randomized control trial. Knee Surg Sports Traumatol Arthrosc. 2015 Nov;23(11):3383-92.','Sprained or Overturned Ankle?','','publish','closed','open','','sprained-ankles','','','2022-08-26 22:03:16','2022-08-26 22:03:16','',0,'https://www.drfields.com/?p=5474',0,'post','',0),(5475,8,'2022-08-23 05:20:22','2022-08-23 05:20:22','Sprained Ankle','Sprained Ankle','Sprained Ankle','inherit','closed','closed','','sprained-ankle','','','2022-08-23 05:20:22','2022-08-23 05:20:22','',5474,'https://www.drfields.com/wp-content/uploads/2022/08/Sprained-Ankle.png',0,'attachment','image/png',0),(5476,8,'2022-08-23 05:23:20','2022-08-23 05:23:20','<img class=\"wp-image-5475 alignright\" title=\"Sprained Ankle?\" src=\"https://www.drfields.com/wp-content/uploads/2022/08/Sprained-Ankle-500x419.png\" alt=\"Sprained Ankle?\" width=\"300\" height=\"251\" />\r\n\r\nIs your ankle constantly giving out? That’s a common problem for those with instability in their ankle! Frequent swelling, pain, and a decrease in range of motion or possibly an excess of movement are also symptoms of those who experience recurring ankle sprains.\r\n<h2>What Causes Frequent Ankle Sprains?</h2>\r\nAnything that stretches the ankle further than it is used to can cause an injury to the ankle ligaments. For example, overturning the ankle inwards or outwards can injure the ligaments. Ankle sprains consist of some type of ligament injury. These injuries may be mild, moderate, or severe, but all involve ligament injury and/or tears of the ligaments of the ankle.\r\n\r\nIf this ligament injury does not fully heal, a cycle of instability begins because the ligament or ligaments are weakened, allowing for abnormal movement of the ankle joint. As time progresses, other structures of the unstable ankle joint will also begin to degenerate resulting in eventual arthritis.\r\n<h2>Why Haven’t Common Treatments Worked to Stabilize the Ankle?</h2>\r\nIf you look up common treatments for ankle sprains, you will find rest, ice, compression, elevation, anti-inflammatory medications, and bracing or casting. Those with repeat ankle sprains have most likely tried all of these treatments.\r\n\r\nSure, they may provide some relief, but the ankle remains unstable. That is because none of these treatments repair the injured ligaments.\r\n<ul>\r\n 	<li>Ice does not repair ligaments</li>\r\n 	<li>Braces, taping, and casts do not repair ligaments</li>\r\n 	<li>Elevation does not repair ligaments</li>\r\n 	<li>Anti-inflammatories do not repair ligaments</li>\r\n 	<li>Pain medications do not repair ligaments</li>\r\n</ul>\r\nAnd since 86% of ankle injuries are ligament sprains1, a treatment directed at ligament repair is what is necessary. Yes, treatments like physical therapy to strengthen musculature are helpful, but since muscles also depend on strong tendons and ligaments for proper function and stability, repair of these soft tissue structures will need to be addressed.\r\n<h2>Regenerative Treatment Is An Effective Way to Repair Ligaments</h2>\r\nAt OrthoRegen®, our treatment of choice is Regenerative Orthopedics. The great news is that these non-surgical treatment actually work to repair the ligaments. The treatment is not just a bandaid or a cover-up for the pain. Regenerative therapies, like Prolotherapy, PRP, and Stem Cells, have been shown to repair and regenerate the injured soft tissue structures.\r\n\r\nBy repairing the ligaments and any other involved soft tissue structures, the joint is strengthened and the instability is resolved. Regenerative Orthopedics is a comprehensive treatment directed at all of involved structures for the best possible outcome. The result is decreased pain and stiffness and an increase in function, which together improve quality of life.2\r\n\r\nIn cases that involve more deterioration, PRP or Stem Cells may be recommended in addition to Prolotherapy. Research has shown that these treatments are also effective at repairing the soft tissue of the ankle and boost function. Even in high ankle sprains, PRP has been shown to return athletes to full activity.\r\n\r\nAt OrthoRegen®, we have many years of experience in Regenerative therapies and would be happy to help you resolve your recurrent ankle sprains and improve your ankle function. Call us today at (310)453-1234.\r\n\r\n1Mulcahey MK, Bernhardson AS, Murphy CP, Chang A, Zajac T, Sanchez G, Sanchez A, Whalen JM, Price MD, Clanton TO, Provencher MT. The Epidemiology of Ankle Injuries Identified at the National Football League Combine, 2009-2015. Orthopaedic journal of sports medicine. 2018 Jul 17;6(7):2325967118786227.\r\n\r\n2Hauser RA, Hauser, MA, Cukla J. Dextrose Prolotherapy Injections for Chronic Ankle Pain Practical PAIN MANAGEMENT, January/February 2010 p 70-76.\r\n\r\n3Laver L, Carmont MR, McConkey MO, Palmanovich E, Yaacobi E, Mann G, Nyska M, Kots E, Mei-Dan O. Plasma rich in growth factors (PRGF) as a treatment for high ankle sprain in elite athletes: a randomized control trial. Knee Surg Sports Traumatol Arthrosc. 2015 Nov;23(11):3383-92.','Sprained Ankle?','','inherit','closed','closed','','5474-revision-v1','','','2022-08-23 05:23:20','2022-08-23 05:23:20','',5474,'https://www.drfields.com/?p=5476',0,'revision','',0),(5477,8,'2022-08-23 05:28:07','2022-08-23 05:28:07','<div class=\"clear\"></div>\r\n<div id=\"slider\">\r\n<div class=\"owl-carousel slider-carousel\">\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-4.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/07/Slider-2v05072022.png\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/05/header-orthoregen-santa-monica-pier.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">New Article:</span>\r\n<span class=\"header_text_second\">Keep Looking Forward Despite COVID-19</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dealing-with-covid-19/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-11.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-9.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Get Back In The Game!</span>\r\n<span class=\"header_text_second\">Avoid Joint and Spine Surgery </span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">Stem Cell/PRP/Prolotherapy</span>\r\n<a class=\"btn-more\" title=\"Get Help Now!\" href=\"Contact-Us\"> Get Help Now!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item slide-article\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/05/header-orthoregen-ocean-mountains.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_second\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/12/Kili-top-header-2.jpg\');\">\r\n<div class=\"carousel-caption\" style=\"text-align: left;\"><span class=\"header_text_first\">Congratulations\r\nPeter A. Fields, MD, DC</span>\r\n<span class=\"header_text_second\">The Athletic Doc<sup>®</sup>\r\nsuccessfully climbed</span>\r\n<span class=\"header_text_third white-text\">Mt. Kilimanjaro in\r\nTanzania, Africa.19,341 feet!!!</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/report-of-my-kilimanjaro-climb/\">Read More</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/12/Sider-01-V8.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Peter A. Fields, MD, DC\r\nThe Athletic Doc<sup>®</sup></span>\r\n<span class=\"header_text_second\">Completed His 11th Ironman</span>\r\n<span class=\"header_text_third\">Sunday, November 24th in Cozumel Mexico</span>\r\n<a class=\"btn-more\" title=\"Read More\" href=\"#\">Images &amp; Story Coming Soon</a></div>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"jumbotron-fluid\">\r\n<div class=\"row\">\r\n<div class=\"col-md-4 box1\">\r\n\r\nWhat\'s\r\n<h3>New</h3>\r\n<ul>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/sprained-ankle/\">Sprained Ankle?</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/are-cortisone-shots-a-good-option/\">Are Cortisone Shots a Good Option?</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/try-regenerative-treatments-for-your-hip-pain-or-injury/\">Try Regenerative Treatments for Your Hip Pain or Injury</a></li>\r\n 	<li class=\"last\"><a title=\"Nagging Back Pain\" href=\"/articles/regenerative-orthopedics/nagging-back-pain/\">Nagging Back Pain</a></li>\r\n 	<li class=\"last\"><a title=\"Treating Knee Pain and Injuries with Regenerative Orthopedics\" href=\"/articles/regenerative-orthopedics/treating-knee-pain-and-injuries-with-regenerative-orthopedics/\">Treating Knee Pain and Injuries with Regenerative Orthopedics</a></li>\r\n 	<li class=\"last\"><a title=\"Keep Looking Forward Despite COVID-19\" href=\"/articles/health-news/dealing-with-covid-19/\">Keep Looking Forward Despite COVID-19</a></li>\r\n 	<li class=\"last\"><a title=\"COVID-19 Advice: Don’t Fear the Fear Itself!\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</a></li>\r\n 	<li class=\"last\"><a title=\"Rotator Cuff Tendonitis\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/rotator-cuff-tendonitis/\">Rotator Cuff Tendonitis</a></li>\r\n 	<li><a title=\"Allergic Reactions and Problems of Corrosion with Joint Replacements\" href=\"https://www.drfields.com/articles/allergic-reactions-and-problems-of-corrosion-with-joint-replacements/\">Allergic Reactions and Problems of Corrosion with Joint Replacements\r\n</a></li>\r\n 	<li><a title=\"Treat Sciatica Pain Non-Surgically\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/treat-sciatica-pain-non-surgically/\">Treat Sciatica Pain Non-Surgically</a></li>\r\n 	<li class=\"last\"><a title=\"Stem Cell Therapy at OrthoRegen&lt;sup&gt;®&lt;/sup&gt; – Why We are Different\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/stem-cell-therapy-at-orthoregen-why-we-are-different/\">Stem Cell Therapy at OrthoRegen<sup>®</sup> – Why We are Different</a></li>\r\n 	<li class=\"last\"><a title=\"Is Your Hip Bursitis Treatment Working?\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/is-your-hip-bursitis-treatment-working/\">Is Your Hip Bursitis Treatment Working?</a></li>\r\n</ul>\r\n</div>\r\n<div id=\"testimonials\" class=\"col-md-4 box2\">\r\n\r\nPatient\r\n<h3>Testimonials</h3>\r\n<strong>Video:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I wished I had come earlier and listened to what my physical therapist had told me to do because Dr. Fields has been a real solution for me.\"\r\n\r\n<img class=\"testimonial-img\" title=\"Testimonial\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-larry.png\" alt=\"Testimonial\" />\r\n<h3>Larry</h3>\r\n<h4>Stem Cell Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I highly recommend it to anyone who needs to recover fast and get back out there.\"\r\n\r\n<img class=\"testimonial-img\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-christopher.png\" alt=\"\" />\r\n<h3>Chris, Pro Basketball Player</h3>\r\n<h4>PRP Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"Now I can go walking, I go to my ballet class and I’m a happy camper because of Dr. Fields.\"\r\n\r\n<img class=\"testimonial-img\" title=\"\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-mary.png\" alt=\"Testimonial\" />\r\n<h3>Mary</h3>\r\n<h4>Stem Cell Hip</h4>\r\n</div>\r\n</div>\r\n<strong>Written:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I need to say a big thank you to Dr Fields for getting me back on the tennis court. I am an avid tennis player who tried to ignore the terrible pain in my elbow.\"\r\n<h3 style=\"margin-left: 0;\">Mindy</h3>\r\n<h4 style=\"margin-left: 0;\">Elbow</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I chose Dr. Peter Fields because he is an athlete and would have more direct knowledge of my particular circumstances than anyone else.\"\r\n<h3 style=\"margin-left: 0;\">Robert</h3>\r\n<h4 style=\"margin-left: 0;\">Shoulder</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"After the final treatments ended I am still without all the pain and have more muscle strength in my legs.\"\r\n<h3 style=\"margin-left: 0;\">Lois</h3>\r\n<h4 style=\"margin-left: 0;\">Knee</h4>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"col-md-4 box3\">\r\n\r\nNews &amp;\r\n<h3>Events</h3>\r\n<ul>\r\n 	<li><a href=\"https://www.drfields.com/articles/health-news/dr-fields-to-lecture-in-mexico-city-on-july-9th/\">Peter A. Fields, MD, DC to lecture in Mexico City on July 9th</a></li>\r\n 	<li><a class=\"buttonlink\" style=\"width: 100%; font-size: 24px; text-align: center; padding: 25px 8%;\" href=\"https://www.drfields.com/contact/\"> Are you a Stem Cell Candidate?</a></li>\r\n</ul>\r\n</div>\r\n</div>\r\n</div>\r\n<div id=\"search-articles\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n<h2 class=\"text-center\">Search <b>Dr. Fields\'</b> Articles</h2>\r\n<form id=\"searchform\" action=\"/\" method=\"get\"><input class=\"search-field\" name=\"s\" type=\"text\" placeholder=\"What\'s Your Condition?\" />\r\n<input type=\"submit\" value=\"Search\" /></form></div>\r\n</div>\r\n</div>\r\n<div id=\"intro\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n<h1 class=\"text-center\">Welcome to OrthoRegen<sup>®</sup>!</h1>\r\n<p class=\"intro_text welcome\"><a href=\"http://orthoregen.com\"><span style=\"font-size: 26px;\">OrthoRegen<sup>®</sup></span></a> is dedicated to providing the best of <span class=\"nowrap\">Regenerative Orthopedics</span> by offering non-surgical alternatives for joint and spine repair</p>\r\n<a class=\"primaryButton\" title=\"Read More About U\" href=\"https://www.drfields.com/about/orthoregen-our-philosophy/\">Read More About Us</a>\r\n<a id=\"candidateButton\" title=\"Are you a good candidate?\" href=\"/contact/\">Are you a good candidate?</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"about\">\r\n<div class=\"col-md-5 drfields\"><img class=\"alignnone\" title=\"Regenerative Orthopedics Leader\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/dr-fields.png\" alt=\"Regenerative Orthopedics Leader\" width=\"460\" height=\"737\" /></div>\r\n<div class=\"col-md-7 about_holder\">\r\n<h1>Peter A. Fields, <span class=\"nowrap\">MD, DC</span></h1>\r\n<p class=\"intro_text\">Medical Physician and Chiropractor\r\nThe Athletic Doc<sup>®</sup> - 11x Ironman Triathlete</p>\r\n\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"icon info\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-info.png\" alt=\"icon info\" /></div>\r\n<div class=\"about_text\">\r\n<h3>About</h3>\r\nPeter A. Fields, MD, DC is one of a handful of physicians in the nation with both medical and chiropractic degrees...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/dr-fields-bio/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"Man Icon\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-ironman.png\" alt=\"Man Icon\" /></div>\r\n<div class=\"about_text\">\r\n<h3>11x Ironman</h3>\r\nDr. Peter A. Fields is also known as The Athletic Doc<sup>®</sup> He not only treats athletes in his practice but is an athlete himself. For over...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n&nbsp;\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Call Us Today! 310-453-1234</a>','Home','','inherit','closed','closed','','2109-revision-v1','','','2022-08-23 05:28:07','2022-08-23 05:28:07','',2109,'https://www.drfields.com/?p=5477',0,'revision','',0),(5478,9,'2022-08-25 01:26:59','2022-08-25 01:26:59','<div class=\"youtube-click-div video_left\">[video_lightbox_youtube video_id=\"bC6PwyGefiY\" width=\"640\" height=\"480\" anchor=\"https://www.drfields.com/wp-content/uploads/2019/06/Mark-neck-pain.jpg\" alt=\"Mark-Neck\"]\n<strong>Mark - Neck</strong></div>\n<h2>Regenerative Orthopedics for Chronic Neck Pain</h2>\nSince the neck is less protected than the rest of the spine, it is far more vulnerable to injuries and disorders that can cause pain and even restrict your motion. The neck enables the head to move and rotate, but if you are unable to move your neck normally, your life can be severely disrupted, and your activities can be limited. Depending on the cause and type of your neck injury or condition, your best choice may be Regenerative Orthopedics for chronic neck pain.\n<h3>What Causes Neck Pain?</h3>\nYour neck is composed of seven cervical vertebrae. These vertebrae support your head, serve as an attachment point for the muscles that move your head, and protect the spinal cord between the brain and thoracic vertebrae.\n\n<em>Symptoms involved with <a href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-faq/\">neck pain</a> can include:</em>\n<ul>\n 	<li>Headaches</li>\n 	<li>Pain in the shoulder, arm, or hand</li>\n 	<li>Reduced range of motion in the neck</li>\n 	<li>Numbness, weakness, and slower reflexes in the arms, legs, hands, and feet.</li>\n</ul>\nIf you are experiencing ongoing neck pain, you may be experiencing early symptoms of arthritis. Osteoarthritis can begin as young as thirty, and symptoms may begin to appear years after the disease begins.\n\n<em>Other Causes of Neck Pain?</em>\n\nA strain or spasm of the muscles in the neck or inflammation of the neck may be a cause of the neck pain you feel. Pain in the neck can also be caused by injuries such as whiplash or a blow to the head or neck while playing sports. Cervical disk degeneration, disc herniation, a pinched nerve, meningitis, influenza, a heart attack, or torticollis can also be causes of neck pain. Anything that causes stress on the muscles in the upper body and arms, including poor posture and sleeping on a pillow that is too high, can be causes of localized neck pain.\n\n<a style=\"display: block; margin: 0 auto; max-width: 275px;\" href=\"https://www.carecredit.com/go/762HNB/bb3poscustacqbtnclk08132020/?dtc=Ds5X&amp;promocode=CLT/\"><img style=\"max-width: 100%;\" src=\"https://www.carecredit.com/sites/pc/image/carecredit_button_applynow_280x100_a_v1.jpg\" width=\"275\" /></a>\n<h3>How Regenerative Orthopedics Are Used To Treat Chronic Neck Pain</h3>\nMany patients are tired of ‘managing’ their chronic pain with NSAID or narcotic medications, various therapies, and exercises. Unfortunately, in many cases, these methods do not take care of the cause of the pain.\n\nMusculoskeletal pain is primarily due to weakness in the ligaments, tendons, and possibly cartilage. The good news is that Regenerative Orthopedics, including Prolotherapy, PRP, and Stem Cell Therapy,  can regenerate these damaged tissues and ultimately alleviate the problem causing the pain.\n<h3><em>What Does Research Say?</em></h3>\n<div class=\"page\" title=\"Page 1\">\n<div class=\"section\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n\n<em><strong>The Journal of Spine Research conducted a clinical study to evaluate the safety and effectiveness of PRP for the treatment of neck and low back pain. The specific cause of the pain in the study participants was spinal disc herniation (HNP). The patients had already tried different conservative treatments that did not work. However, the PRP treatments resulted in over 80% improvement. Plus, the improvement lasted. These patients were followed for eight years.1</strong></em>\n\n</div>\n</div>\n</div>\n</div>\nRegenerative Orthopedics work because they stimulate the healing cascade in the body. Solutions are injected into the affected neck ligaments, tendons, or joints, leading to local inflammation in that area. The localized inflammation triggers the deposition of new collagen, the material in which ligaments and tendons are made. New collagen shrinks as it matures and tightens the injected ligament, making it stronger.\n<h3>Are you a Candidate For Regenerative Orthopedics for Chronic Neck Pain?</h3>\nOur goal at OrthoRegen<sup>®</sup> is for our patients to have an active, healthy, pain-free life. Regenerative Orthopedics is a safe, affordable option that allows you to keep working and remain active during recovery. These chronic neck pain treatments are among the few that encourage movement post-treatment. Movement is essential since it aids the healing process. By contrast, surgery requires you to reduce activity after treatment.\n\nWould you like a <strong>second opinion before you have neck surgery or begin other treatments</strong>? Would you like to know if you are a candidate for Prolotherapy for your chronic neck pain? The only way to know for sure is to get a consultation. <a href=\"https://www.drfields.com/contact/\">Contact Us Today</a> for a consultation or call Dr. Fields at <a href=\"tel:+[phone_raw]\">[phone]</a>.\n<h3><strong>Reference</strong></h3>\n<div class=\"page\" title=\"Page 1\">\n<div class=\"section\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n\n1Cameron JA, Thielen KM (2017) Autologous Platelet Rich Plasma for Neck and Lower Back Pain Secondary to Spinal Disc Herniation: Midterm Results. Spine Res. Vol. 3 No. 2:10.\n\n</div>\n</div>\n</div>\n</div>\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>','Stubborn, Persistent Neck Pain','','inherit','closed','closed','','509-autosave-v1','','','2022-08-25 01:26:59','2022-08-25 01:26:59','',509,'https://www.drfields.com/?p=5478',0,'revision','',0),(5479,9,'2022-08-25 00:51:43','2022-08-25 00:51:43','<div class=\"youtube-click-div video_left\">[video_lightbox_youtube video_id=\"bC6PwyGefiY\" width=\"640\" height=\"480\" anchor=\"https://www.drfields.com/wp-content/uploads/2019/06/Mark-neck-pain.jpg\" alt=\"Mark-Neck\"]\r\n<strong>Mark - Neck</strong></div>\r\n<h2>Prolotherapy for Chronic Neck Pain</h2>\r\nBecause the neck is less protected than the rest of the spine, it is far more vulnerable to injuries and disorders that can cause pain and even restrict your motion. The neck enables the head to move and to rotate, but if you can\'t move your neck normally, your life can be severely disrupted and your activities can be limited. Depending on the cause and type of your neck injury or condition, your best choice may be prolotherapy for chronic neck pain.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">  Schedule Your Appointment Today!</a>\r\n<h4>What Causes Neck Pain?</h4>\r\nYour neck is composed of seven cervical vertebrae. These vertebrae support your head, serve as an attachment point for the muscles that move your head, and protect the spinal cord between the brain and thoracic vertebrae.\r\n\r\nSymptoms of <a href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-faq/\">neck pain</a> can include:\r\n<ul>\r\n 	<li>Headaches</li>\r\n 	<li>Pain in the shoulder, arm, or hand</li>\r\n 	<li>Reduced range of motion in the neck</li>\r\n 	<li>Numbness, weakness, and slower reflexes in the arms, legs, hands, and feet.</li>\r\n</ul>\r\nIf you are experiencing minor neck pain, you may be experiencing early symptoms of arthritis. Osteoarthritis can begin as young as thirty, and symptoms may begin to appear years after the disease begins.\r\n\r\nA strain or spasm of the muscles in the neck or inflammation of the neck can be the causes of the neck pain you feel. Pain in the neck can also be caused by injuries such as whiplash or a blow to the head or neck while playing sports. Cervical disk degeneration, a pinched nerve, meningitis, influenza, a heart attack, or torticollis can also be causes of neck pain. Anything that causes stress on the muscles in the upper body and arms, including poor posture and sleeping on a pillow that is too high, can be causes of localized neck pain.\r\n\r\n<a style=\"display: block; margin: 0 auto; max-width: 275px;\" href=\"https://www.carecredit.com/go/762HNB/bb3poscustacqbtnclk08132020/?dtc=Ds5X&amp;promocode=CLT/\"><img style=\"max-width: 100%;\" src=\"https://www.carecredit.com/sites/pc/image/carecredit_button_applynow_280x100_a_v1.jpg\" width=\"275\" /></a>\r\n<h4>How Prolotherapy Is Used To Treat Chronic Neck Pain</h4>\r\nMany patients are tired of ‘managing’ their chronic pain with NSAID or narcotic medications, various therapies, and exercises. In many cases, these methods do not take care of the cause of the pain.\r\n\r\nPatients with pain in almost any joint in the body can now <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-pain-overview/\">treat their chronic pain with Prolotherapy</a>. It just depends on the cause of your particular pain.\r\n\r\nMusculoskeletal pain is mostly due to weakness in the ligaments, tendons, and possibly cartilage. The good news is that Prolotherapy can regenerate these damaged tissues and ultimately alleviate the problem causing the pain.\r\n\r\nProlotherapy works because it stimulates an inflammatory reaction in the body. Solutions are injected into the affected neck ligaments, tendons, or joints, leading to local inflammation in that area. The localized inflammation triggers the deposition of new collagen, the material in which ligaments and tendons are made. New collagen shrinks as it matures and tightens the injected ligament, making it stronger.\r\n<h4>Are you a Candidate For Prolotherapy for Chronic Neck Pain?</h4>\r\nOur goal at OrthoRegen<sup>®</sup> is for our patients to have an active, healthy, pain-free life. Prolotherapy is a safe, affordable option that allows you to keep working, training, and living a normal life during recovery. Prolotherapy for chronic neck pain is one of the few treatments that encourages movement post-treatment. Movement actually aids the healing process after <a title=\"Prolotherapy\" href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-treatment-overview/\">Prolotherapy</a>. By contrast, surgery requires you to reduce activity after treatment.\r\n\r\nWould you like a <strong>second opinion before you have neck surgery or begin other treatments</strong>? Would you like to know if you are a candidate for Prolotherapy for your chronic neck pain? The only way to know for sure is to get a consultation. <a href=\"https://www.drfields.com/contact/\">Contact Us Today</a> for a consultation or call Dr. Fields at <a href=\"tel:+[phone_raw]\">[phone]</a>.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>','Stubborn Neck Pain','','inherit','closed','closed','','509-revision-v1','','','2022-08-25 00:51:43','2022-08-25 00:51:43','',509,'https://www.drfields.com/?p=5479',0,'revision','',0),(5480,9,'2022-08-25 01:09:19','2022-08-25 01:09:19','<div class=\"youtube-click-div video_left\">[video_lightbox_youtube video_id=\"bC6PwyGefiY\" width=\"640\" height=\"480\" anchor=\"https://www.drfields.com/wp-content/uploads/2019/06/Mark-neck-pain.jpg\" alt=\"Mark-Neck\"]\r\n<strong>Mark - Neck</strong></div>\r\n<h2>Regenerative Orthopedics for Chronic Neck Pain</h2>\r\nSince the neck is less protected than the rest of the spine, it is far more vulnerable to injuries and disorders that can cause pain and even restrict your motion. The neck enables the head to move and rotate, but if you can\'t move your neck normally, your life can be severely disrupted, and your activities can be limited. Depending on the cause and type of your neck injury or condition, your best choice may be Regenerative Orthopedics for chronic neck pain.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">  Schedule Your Appointment Today!</a>\r\n<h4>What Causes Neck Pain?</h4>\r\nYour neck is composed of seven cervical vertebrae. These vertebrae support your head, serve as an attachment point for the muscles that move your head, and protect the spinal cord between the brain and thoracic vertebrae.\r\n\r\n<em>Symptoms involved with <a href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-faq/\">neck pain</a> can include:</em>\r\n<ul>\r\n 	<li>Headaches</li>\r\n 	<li>Pain in the shoulder, arm, or hand</li>\r\n 	<li>Reduced range of motion in the neck</li>\r\n 	<li>Numbness, weakness, and slower reflexes in the arms, legs, hands, and feet.</li>\r\n</ul>\r\nIf you are experiencing ongoing neck pain, you may be experiencing early symptoms of arthritis. Osteoarthritis can begin as young as thirty, and symptoms may begin to appear years after the disease begins.\r\n\r\n<em>Other Causes of Neck Pain?</em>\r\n\r\nA strain or spasm of the muscles in the neck or inflammation of the neck may be a cause of the neck pain you feel. Pain in the neck can also be caused by injuries such as whiplash or a blow to the head or neck while playing sports. Cervical disk degeneration, a pinched nerve, meningitis, influenza, a heart attack, or torticollis can also be causes of neck pain. Anything that causes stress on the muscles in the upper body and arms, including poor posture and sleeping on a pillow that is too high, can be causes of localized neck pain.\r\n\r\n<a style=\"display: block; margin: 0 auto; max-width: 275px;\" href=\"https://www.carecredit.com/go/762HNB/bb3poscustacqbtnclk08132020/?dtc=Ds5X&amp;promocode=CLT/\"><img style=\"max-width: 100%;\" src=\"https://www.carecredit.com/sites/pc/image/carecredit_button_applynow_280x100_a_v1.jpg\" width=\"275\" /></a>\r\n<h4>How Regenerative Orthopedics Are Used To Treat Chronic Neck Pain</h4>\r\nMany patients are tired of ‘managing’ their chronic pain with NSAID or narcotic medications, various therapies, and exercises. In many cases, these methods do not take care of the cause of the pain.\r\n\r\nPatients with pain in almost any joint in the body can now <a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-pain-overview/\">treat their chronic pain with Prolotherapy</a>. It just depends on the cause of your particular pain.\r\n\r\nMusculoskeletal pain is mostly due to weakness in the ligaments, tendons, and possibly cartilage. The good news is that Regenerative Orthopedics, including Prolotherapy, PRP, and Stem Cell Therapy,  can regenerate these damaged tissues and ultimately alleviate the problem causing the pain.\r\n\r\nRegenerative Orthopedics work because they stimulate the healing cascade in the body. Solutions are injected into the affected neck ligaments, tendons, or joints, leading to local inflammation in that area. The localized inflammation triggers the deposition of new collagen, the material in which ligaments and tendons are made. New collagen shrinks as it matures and tightens the injected ligament, making it stronger.\r\n<h4>Are you a Candidate For Regenerative Orthopedics for Chronic Neck Pain?</h4>\r\nOur goal at OrthoRegen<sup>®</sup> is for our patients to have an active, healthy, pain-free life. Regenerative Orthopedics is a safe, affordable option that allows you to keep working, training, and living a normal life during recovery. These chronic neck pain treatments are among the few that encourage movement post-treatment. Movement actually aids the healing process. By contrast, surgery requires you to reduce activity after treatment.\r\n\r\nWould you like a <strong>second opinion before you have neck surgery or begin other treatments</strong>? Would you like to know if you are a candidate for Prolotherapy for your chronic neck pain? The only way to know for sure is to get a consultation. <a href=\"https://www.drfields.com/contact/\">Contact Us Today</a> for a consultation or call Dr. Fields at <a href=\"tel:+[phone_raw]\">[phone]</a>.\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>','Stubborn, Persistent Neck Pain','','inherit','closed','closed','','509-revision-v1','','','2022-08-25 01:09:19','2022-08-25 01:09:19','',509,'https://www.drfields.com/?p=5480',0,'revision','',0),(5481,9,'2022-08-25 01:18:07','2022-08-25 01:18:07','<div class=\"youtube-click-div video_left\">[video_lightbox_youtube video_id=\"bC6PwyGefiY\" width=\"640\" height=\"480\" anchor=\"https://www.drfields.com/wp-content/uploads/2019/06/Mark-neck-pain.jpg\" alt=\"Mark-Neck\"]\r\n<strong>Mark - Neck</strong></div>\r\n<h2>Regenerative Orthopedics for Chronic Neck Pain</h2>\r\nSince the neck is less protected than the rest of the spine, it is far more vulnerable to injuries and disorders that can cause pain and even restrict your motion. The neck enables the head to move and rotate, but if you can\'t move your neck normally, your life can be severely disrupted, and your activities can be limited. Depending on the cause and type of your neck injury or condition, your best choice may be Regenerative Orthopedics for chronic neck pain.\r\n<h4>What Causes Neck Pain?</h4>\r\nYour neck is composed of seven cervical vertebrae. These vertebrae support your head, serve as an attachment point for the muscles that move your head, and protect the spinal cord between the brain and thoracic vertebrae.\r\n\r\n<em>Symptoms involved with <a href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-faq/\">neck pain</a> can include:</em>\r\n<ul>\r\n 	<li>Headaches</li>\r\n 	<li>Pain in the shoulder, arm, or hand</li>\r\n 	<li>Reduced range of motion in the neck</li>\r\n 	<li>Numbness, weakness, and slower reflexes in the arms, legs, hands, and feet.</li>\r\n</ul>\r\nIf you are experiencing ongoing neck pain, you may be experiencing early symptoms of arthritis. Osteoarthritis can begin as young as thirty, and symptoms may begin to appear years after the disease begins.\r\n\r\n<em>Other Causes of Neck Pain?</em>\r\n\r\nA strain or spasm of the muscles in the neck or inflammation of the neck may be a cause of the neck pain you feel. Pain in the neck can also be caused by injuries such as whiplash or a blow to the head or neck while playing sports. Cervical disk degeneration, disc herniation, a pinched nerve, meningitis, influenza, a heart attack, or torticollis can also be causes of neck pain. Anything that causes stress on the muscles in the upper body and arms, including poor posture and sleeping on a pillow that is too high, can be causes of localized neck pain.\r\n\r\n<a style=\"display: block; margin: 0 auto; max-width: 275px;\" href=\"https://www.carecredit.com/go/762HNB/bb3poscustacqbtnclk08132020/?dtc=Ds5X&amp;promocode=CLT/\"><img style=\"max-width: 100%;\" src=\"https://www.carecredit.com/sites/pc/image/carecredit_button_applynow_280x100_a_v1.jpg\" width=\"275\" /></a>\r\n<h4>How Regenerative Orthopedics Are Used To Treat Chronic Neck Pain</h4>\r\nMany patients are tired of ‘managing’ their chronic pain with NSAID or narcotic medications, various therapies, and exercises. In many cases, these methods do not take care of the cause of the pain.\r\n\r\nMusculoskeletal pain is mostly due to weakness in the ligaments, tendons, and possibly cartilage. The good news is that Regenerative Orthopedics, including Prolotherapy, PRP, and Stem Cell Therapy,  can regenerate these damaged tissues and ultimately alleviate the problem causing the pain.\r\n<div class=\"page\" title=\"Page 1\">\r\n<div class=\"section\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\nThe <em>Journal of Spine Research</em> conducted a clinical study to evaluate the safety and effectiveness of PRP for the treatment of neck as well as low back pain. The specific cause of the pain in the study participants was spinal disc herniation (HNP). The patients had already tried different conservative treatments that didn\'t work. The PRP treatments resulted in over 80% improvement, and these patients were followed for 8 years.1\r\n\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\nRegenerative Orthopedics work because they stimulate the healing cascade in the body. Solutions are injected into the affected neck ligaments, tendons, or joints, leading to local inflammation in that area. The localized inflammation triggers the deposition of new collagen, the material in which ligaments and tendons are made. New collagen shrinks as it matures and tightens the injected ligament, making it stronger.\r\n<h4>Are you a Candidate For Regenerative Orthopedics for Chronic Neck Pain?</h4>\r\nOur goal at OrthoRegen<sup>®</sup> is for our patients to have an active, healthy, pain-free life. Regenerative Orthopedics is a safe, affordable option that allows you to keep working, training, and living a normal life during recovery. These chronic neck pain treatments are among the few that encourage movement post-treatment. Movement actually aids the healing process. By contrast, surgery requires you to reduce activity after treatment.\r\n\r\nWould you like a <strong>second opinion before you have neck surgery or begin other treatments</strong>? Would you like to know if you are a candidate for Prolotherapy for your chronic neck pain? The only way to know for sure is to get a consultation. <a href=\"https://www.drfields.com/contact/\">Contact Us Today</a> for a consultation or call Dr. Fields at <a href=\"tel:+[phone_raw]\">[phone]</a>.\r\n\r\n<strong>Reference</strong>\r\n<div class=\"page\" title=\"Page 1\">\r\n<div class=\"section\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\n1Cameron JA, Thielen KM (2017) Autologous Platelet Rich Plasma for Neck and Lower Back Pain Secondary to Spinal Disc Herniation: Midterm Results. Spine Res. Vol. 3 No. 2:10.\r\n\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>','Stubborn, Persistent Neck Pain','','inherit','closed','closed','','509-revision-v1','','','2022-08-25 01:18:07','2022-08-25 01:18:07','',509,'https://www.drfields.com/?p=5481',0,'revision','',0),(5482,9,'2022-08-25 01:24:07','2022-08-25 01:24:07','<div class=\"youtube-click-div video_left\">[video_lightbox_youtube video_id=\"bC6PwyGefiY\" width=\"640\" height=\"480\" anchor=\"https://www.drfields.com/wp-content/uploads/2019/06/Mark-neck-pain.jpg\" alt=\"Mark-Neck\"]\r\n<strong>Mark - Neck</strong></div>\r\n<h2>Regenerative Orthopedics for Chronic Neck Pain</h2>\r\nSince the neck is less protected than the rest of the spine, it is far more vulnerable to injuries and disorders that can cause pain and even restrict your motion. The neck enables the head to move and rotate, but if you are unable to move your neck normally, your life can be severely disrupted, and your activities can be limited. Depending on the cause and type of your neck injury or condition, your best choice may be Regenerative Orthopedics for chronic neck pain.\r\n<h4>What Causes Neck Pain?</h4>\r\nYour neck is composed of seven cervical vertebrae. These vertebrae support your head, serve as an attachment point for the muscles that move your head, and protect the spinal cord between the brain and thoracic vertebrae.\r\n\r\n<em>Symptoms involved with <a href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-faq/\">neck pain</a> can include:</em>\r\n<ul>\r\n 	<li>Headaches</li>\r\n 	<li>Pain in the shoulder, arm, or hand</li>\r\n 	<li>Reduced range of motion in the neck</li>\r\n 	<li>Numbness, weakness, and slower reflexes in the arms, legs, hands, and feet.</li>\r\n</ul>\r\nIf you are experiencing ongoing neck pain, you may be experiencing early symptoms of arthritis. Osteoarthritis can begin as young as thirty, and symptoms may begin to appear years after the disease begins.\r\n\r\n<em>Other Causes of Neck Pain?</em>\r\n\r\nA strain or spasm of the muscles in the neck or inflammation of the neck may be a cause of the neck pain you feel. Pain in the neck can also be caused by injuries such as whiplash or a blow to the head or neck while playing sports. Cervical disk degeneration, disc herniation, a pinched nerve, meningitis, influenza, a heart attack, or torticollis can also be causes of neck pain. Anything that causes stress on the muscles in the upper body and arms, including poor posture and sleeping on a pillow that is too high, can be causes of localized neck pain.\r\n\r\n<a style=\"display: block; margin: 0 auto; max-width: 275px;\" href=\"https://www.carecredit.com/go/762HNB/bb3poscustacqbtnclk08132020/?dtc=Ds5X&amp;promocode=CLT/\"><img style=\"max-width: 100%;\" src=\"https://www.carecredit.com/sites/pc/image/carecredit_button_applynow_280x100_a_v1.jpg\" width=\"275\" /></a>\r\n<h4>How Regenerative Orthopedics Are Used To Treat Chronic Neck Pain</h4>\r\nMany patients are tired of ‘managing’ their chronic pain with NSAID or narcotic medications, various therapies, and exercises. Unfortunately, in many cases, these methods do not take care of the cause of the pain.\r\n\r\nMusculoskeletal pain is primarily due to weakness in the ligaments, tendons, and possibly cartilage. The good news is that Regenerative Orthopedics, including Prolotherapy, PRP, and Stem Cell Therapy,  can regenerate these damaged tissues and ultimately alleviate the problem causing the pain.\r\n<div class=\"page\" title=\"Page 1\">\r\n<div class=\"section\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\nThe <em>Journal of Spine Research</em> conducted a clinical study to evaluate the safety and effectiveness of PRP for the treatment of neck and low back pain. The specific cause of the pain in the study participants was spinal disc herniation (HNP). The patients had already tried different conservative treatments that did not work. However, the PRP treatments resulted in over 80% improvement. Plus, the improvement lasted. These patients were followed for eight years.1\r\n\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\nRegenerative Orthopedics work because they stimulate the healing cascade in the body. Solutions are injected into the affected neck ligaments, tendons, or joints, leading to local inflammation in that area. The localized inflammation triggers the deposition of new collagen, the material in which ligaments and tendons are made. New collagen shrinks as it matures and tightens the injected ligament, making it stronger.\r\n<h4>Are you a Candidate For Regenerative Orthopedics for Chronic Neck Pain?</h4>\r\nOur goal at OrthoRegen<sup>®</sup> is for our patients to have an active, healthy, pain-free life. Regenerative Orthopedics is a safe, affordable option that allows you to keep working and remain active during recovery. These chronic neck pain treatments are among the few that encourage movement post-treatment. Movement is essential since it aids the healing process. By contrast, surgery requires you to reduce activity after treatment.\r\n\r\nWould you like a <strong>second opinion before you have neck surgery or begin other treatments</strong>? Would you like to know if you are a candidate for Prolotherapy for your chronic neck pain? The only way to know for sure is to get a consultation. <a href=\"https://www.drfields.com/contact/\">Contact Us Today</a> for a consultation or call Dr. Fields at <a href=\"tel:+[phone_raw]\">[phone]</a>.\r\n\r\n<strong>Reference</strong>\r\n<div class=\"page\" title=\"Page 1\">\r\n<div class=\"section\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\n1Cameron JA, Thielen KM (2017) Autologous Platelet Rich Plasma for Neck and Lower Back Pain Secondary to Spinal Disc Herniation: Midterm Results. Spine Res. Vol. 3 No. 2:10.\r\n\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>','Stubborn, Persistent Neck Pain','','inherit','closed','closed','','509-revision-v1','','','2022-08-25 01:24:07','2022-08-25 01:24:07','',509,'https://www.drfields.com/?p=5482',0,'revision','',0),(5483,9,'2022-08-25 01:25:52','2022-08-25 01:25:52','<div class=\"youtube-click-div video_left\">[video_lightbox_youtube video_id=\"bC6PwyGefiY\" width=\"640\" height=\"480\" anchor=\"https://www.drfields.com/wp-content/uploads/2019/06/Mark-neck-pain.jpg\" alt=\"Mark-Neck\"]\r\n<strong>Mark - Neck</strong></div>\r\n<h2>Regenerative Orthopedics for Chronic Neck Pain</h2>\r\nSince the neck is less protected than the rest of the spine, it is far more vulnerable to injuries and disorders that can cause pain and even restrict your motion. The neck enables the head to move and rotate, but if you are unable to move your neck normally, your life can be severely disrupted, and your activities can be limited. Depending on the cause and type of your neck injury or condition, your best choice may be Regenerative Orthopedics for chronic neck pain.\r\n<h3>What Causes Neck Pain?</h3>\r\nYour neck is composed of seven cervical vertebrae. These vertebrae support your head, serve as an attachment point for the muscles that move your head, and protect the spinal cord between the brain and thoracic vertebrae.\r\n\r\n<em>Symptoms involved with <a href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-faq/\">neck pain</a> can include:</em>\r\n<ul>\r\n 	<li>Headaches</li>\r\n 	<li>Pain in the shoulder, arm, or hand</li>\r\n 	<li>Reduced range of motion in the neck</li>\r\n 	<li>Numbness, weakness, and slower reflexes in the arms, legs, hands, and feet.</li>\r\n</ul>\r\nIf you are experiencing ongoing neck pain, you may be experiencing early symptoms of arthritis. Osteoarthritis can begin as young as thirty, and symptoms may begin to appear years after the disease begins.\r\n\r\n<em>Other Causes of Neck Pain?</em>\r\n\r\nA strain or spasm of the muscles in the neck or inflammation of the neck may be a cause of the neck pain you feel. Pain in the neck can also be caused by injuries such as whiplash or a blow to the head or neck while playing sports. Cervical disk degeneration, disc herniation, a pinched nerve, meningitis, influenza, a heart attack, or torticollis can also be causes of neck pain. Anything that causes stress on the muscles in the upper body and arms, including poor posture and sleeping on a pillow that is too high, can be causes of localized neck pain.\r\n\r\n<a style=\"display: block; margin: 0 auto; max-width: 275px;\" href=\"https://www.carecredit.com/go/762HNB/bb3poscustacqbtnclk08132020/?dtc=Ds5X&amp;promocode=CLT/\"><img style=\"max-width: 100%;\" src=\"https://www.carecredit.com/sites/pc/image/carecredit_button_applynow_280x100_a_v1.jpg\" width=\"275\" /></a>\r\n<h3>How Regenerative Orthopedics Are Used To Treat Chronic Neck Pain</h3>\r\nMany patients are tired of ‘managing’ their chronic pain with NSAID or narcotic medications, various therapies, and exercises. Unfortunately, in many cases, these methods do not take care of the cause of the pain.\r\n\r\nMusculoskeletal pain is primarily due to weakness in the ligaments, tendons, and possibly cartilage. The good news is that Regenerative Orthopedics, including Prolotherapy, PRP, and Stem Cell Therapy,  can regenerate these damaged tissues and ultimately alleviate the problem causing the pain.\r\n<h3><em>What Does Research Say?</em></h3>\r\n<div class=\"page\" title=\"Page 1\">\r\n<div class=\"section\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\nThe <em>Journal of Spine Research</em> conducted a clinical study to evaluate the safety and effectiveness of PRP for the treatment of neck and low back pain. The specific cause of the pain in the study participants was spinal disc herniation (HNP). The patients had already tried different conservative treatments that did not work. However, the PRP treatments resulted in over 80% improvement. Plus, the improvement lasted. These patients were followed for eight years.1\r\n\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\nRegenerative Orthopedics work because they stimulate the healing cascade in the body. Solutions are injected into the affected neck ligaments, tendons, or joints, leading to local inflammation in that area. The localized inflammation triggers the deposition of new collagen, the material in which ligaments and tendons are made. New collagen shrinks as it matures and tightens the injected ligament, making it stronger.\r\n<h3>Are you a Candidate For Regenerative Orthopedics for Chronic Neck Pain?</h3>\r\nOur goal at OrthoRegen<sup>®</sup> is for our patients to have an active, healthy, pain-free life. Regenerative Orthopedics is a safe, affordable option that allows you to keep working and remain active during recovery. These chronic neck pain treatments are among the few that encourage movement post-treatment. Movement is essential since it aids the healing process. By contrast, surgery requires you to reduce activity after treatment.\r\n\r\nWould you like a <strong>second opinion before you have neck surgery or begin other treatments</strong>? Would you like to know if you are a candidate for Prolotherapy for your chronic neck pain? The only way to know for sure is to get a consultation. <a href=\"https://www.drfields.com/contact/\">Contact Us Today</a> for a consultation or call Dr. Fields at <a href=\"tel:+[phone_raw]\">[phone]</a>.\r\n<h3><strong>Reference</strong></h3>\r\n<div class=\"page\" title=\"Page 1\">\r\n<div class=\"section\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\n1Cameron JA, Thielen KM (2017) Autologous Platelet Rich Plasma for Neck and Lower Back Pain Secondary to Spinal Disc Herniation: Midterm Results. Spine Res. Vol. 3 No. 2:10.\r\n\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>','Stubborn, Persistent Neck Pain','','inherit','closed','closed','','509-revision-v1','','','2022-08-25 01:25:52','2022-08-25 01:25:52','',509,'https://www.drfields.com/?p=5483',0,'revision','',0),(5484,9,'2022-08-25 01:27:27','2022-08-25 01:27:27','<div class=\"youtube-click-div video_left\">[video_lightbox_youtube video_id=\"bC6PwyGefiY\" width=\"640\" height=\"480\" anchor=\"https://www.drfields.com/wp-content/uploads/2019/06/Mark-neck-pain.jpg\" alt=\"Mark-Neck\"]\r\n<strong>Mark - Neck</strong></div>\r\n<h2>Regenerative Orthopedics for Chronic Neck Pain</h2>\r\nSince the neck is less protected than the rest of the spine, it is far more vulnerable to injuries and disorders that can cause pain and even restrict your motion. The neck enables the head to move and rotate, but if you are unable to move your neck normally, your life can be severely disrupted, and your activities can be limited. Depending on the cause and type of your neck injury or condition, your best choice may be Regenerative Orthopedics for chronic neck pain.\r\n<h3>What Causes Neck Pain?</h3>\r\nYour neck is composed of seven cervical vertebrae. These vertebrae support your head, serve as an attachment point for the muscles that move your head, and protect the spinal cord between the brain and thoracic vertebrae.\r\n\r\n<em>Symptoms involved with <a href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-faq/\">neck pain</a> can include:</em>\r\n<ul>\r\n 	<li>Headaches</li>\r\n 	<li>Pain in the shoulder, arm, or hand</li>\r\n 	<li>Reduced range of motion in the neck</li>\r\n 	<li>Numbness, weakness, and slower reflexes in the arms, legs, hands, and feet.</li>\r\n</ul>\r\nIf you are experiencing ongoing neck pain, you may be experiencing early symptoms of arthritis. Osteoarthritis can begin as young as thirty, and symptoms may begin to appear years after the disease begins.\r\n\r\n<em>Other Causes of Neck Pain?</em>\r\n\r\nA strain or spasm of the muscles in the neck or inflammation of the neck may be a cause of the neck pain you feel. Pain in the neck can also be caused by injuries such as whiplash or a blow to the head or neck while playing sports. Cervical disk degeneration, disc herniation, a pinched nerve, meningitis, influenza, a heart attack, or torticollis can also be causes of neck pain. Anything that causes stress on the muscles in the upper body and arms, including poor posture and sleeping on a pillow that is too high, can be causes of localized neck pain.\r\n\r\n<a style=\"display: block; margin: 0 auto; max-width: 275px;\" href=\"https://www.carecredit.com/go/762HNB/bb3poscustacqbtnclk08132020/?dtc=Ds5X&amp;promocode=CLT/\"><img style=\"max-width: 100%;\" src=\"https://www.carecredit.com/sites/pc/image/carecredit_button_applynow_280x100_a_v1.jpg\" width=\"275\" /></a>\r\n<h3>How Regenerative Orthopedics Are Used To Treat Chronic Neck Pain</h3>\r\nMany patients are tired of ‘managing’ their chronic pain with NSAID or narcotic medications, various therapies, and exercises. Unfortunately, in many cases, these methods do not take care of the cause of the pain.\r\n\r\nMusculoskeletal pain is primarily due to weakness in the ligaments, tendons, and possibly cartilage. The good news is that Regenerative Orthopedics, including Prolotherapy, PRP, and Stem Cell Therapy,  can regenerate these damaged tissues and ultimately alleviate the problem causing the pain.\r\n<h3><em>What Does Research Say?</em></h3>\r\n<div class=\"page\" title=\"Page 1\">\r\n<div class=\"section\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\n<em>The Journal of Spine Research conducted a clinical study to evaluate the safety and effectiveness of PRP for the treatment of neck and low back pain. The specific cause of the pain in the study participants was spinal disc herniation (HNP). The patients had already tried different conservative treatments that did not work. <strong>However, the PRP treatments resulted in over 80% improvement.</strong> Plus, the improvement lasted. These patients were followed for eight years.1</em>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\nRegenerative Orthopedics work because they stimulate the healing cascade in the body. Solutions are injected into the affected neck ligaments, tendons, or joints, leading to local inflammation in that area. The localized inflammation triggers the deposition of new collagen, the material in which ligaments and tendons are made. New collagen shrinks as it matures and tightens the injected ligament, making it stronger.\r\n<h3>Are you a Candidate For Regenerative Orthopedics for Chronic Neck Pain?</h3>\r\nOur goal at OrthoRegen<sup>®</sup> is for our patients to have an active, healthy, pain-free life. Regenerative Orthopedics is a safe, affordable option that allows you to keep working and remain active during recovery. These chronic neck pain treatments are among the few that encourage movement post-treatment. Movement is essential since it aids the healing process. By contrast, surgery requires you to reduce activity after treatment.\r\n\r\nWould you like a <strong>second opinion before you have neck surgery or begin other treatments</strong>? Would you like to know if you are a candidate for Prolotherapy for your chronic neck pain? The only way to know for sure is to get a consultation. <a href=\"https://www.drfields.com/contact/\">Contact Us Today</a> for a consultation or call Dr. Fields at <a href=\"tel:+[phone_raw]\">[phone]</a>.\r\n<h3><strong>Reference</strong></h3>\r\n<div class=\"page\" title=\"Page 1\">\r\n<div class=\"section\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\n1Cameron JA, Thielen KM (2017) Autologous Platelet Rich Plasma for Neck and Lower Back Pain Secondary to Spinal Disc Herniation: Midterm Results. Spine Res. Vol. 3 No. 2:10.\r\n\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>','Stubborn, Persistent Neck Pain','','inherit','closed','closed','','509-revision-v1','','','2022-08-25 01:27:27','2022-08-25 01:27:27','',509,'https://www.drfields.com/?p=5484',0,'revision','',0),(5485,9,'2022-08-25 01:31:35','2022-08-25 01:31:35','<div class=\"youtube-click-div video_left\">[video_lightbox_youtube video_id=\"bC6PwyGefiY\" width=\"640\" height=\"480\" anchor=\"https://www.drfields.com/wp-content/uploads/2019/06/Mark-neck-pain.jpg\" alt=\"Mark-Neck\"]\r\n<strong>Mark - Neck</strong></div>\r\n<h2>Stubborn, Chronic Neck Pain</h2>\r\nSince the neck is less protected than the rest of the spine, it is far more vulnerable to injuries and disorders that can cause pain and even restrict your motion. The neck enables the head to move and rotate, but if you are unable to move your neck normally, your life can be severely disrupted, and your activities can be limited. Depending on the cause and type of your neck injury or condition, your best choice may be Regenerative Orthopedics for chronic neck pain.\r\n<h3>What Causes Neck Pain?</h3>\r\nYour neck is composed of seven cervical vertebrae. These vertebrae support your head, serve as an attachment point for the muscles that move your head, and protect the spinal cord between the brain and thoracic vertebrae.\r\n\r\n<em>Symptoms involved with <a href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-faq/\">neck pain</a> can include:</em>\r\n<ul>\r\n 	<li>Headaches</li>\r\n 	<li>Pain in the shoulder, arm, or hand</li>\r\n 	<li>Reduced range of motion in the neck</li>\r\n 	<li>Numbness, weakness, and slower reflexes in the arms, legs, hands, and feet.</li>\r\n</ul>\r\nIf you are experiencing ongoing neck pain, you may be experiencing early symptoms of arthritis. Osteoarthritis can begin as young as thirty, and symptoms may begin to appear years after the disease begins.\r\n\r\n<em>Other Causes of Neck Pain?</em>\r\n\r\nA strain or spasm of the muscles in the neck or inflammation of the neck may be a cause of the neck pain you feel. Pain in the neck can also be caused by injuries such as whiplash or a blow to the head or neck while playing sports. Cervical disk degeneration, disc herniation, a pinched nerve, meningitis, influenza, a heart attack, or torticollis can also be causes of neck pain. Anything that causes stress on the muscles in the upper body and arms, including poor posture and sleeping on a pillow that is too high, can be causes of localized neck pain.\r\n\r\n<a style=\"display: block; margin: 0 auto; max-width: 275px;\" href=\"https://www.carecredit.com/go/762HNB/bb3poscustacqbtnclk08132020/?dtc=Ds5X&amp;promocode=CLT/\"><img style=\"max-width: 100%;\" src=\"https://www.carecredit.com/sites/pc/image/carecredit_button_applynow_280x100_a_v1.jpg\" width=\"275\" /></a>\r\n<h3>Regenerative Orthopedics and Chronic Neck Pain</h3>\r\nMany patients are tired of ‘managing’ their chronic pain with NSAID or narcotic medications, various therapies, and exercises. Unfortunately, in many cases, these methods do not take care of the cause of the pain.\r\n\r\nMusculoskeletal pain is primarily due to weakness in the ligaments, tendons, and possibly cartilage. The good news is that Regenerative Orthopedics, including Prolotherapy, PRP, and Stem Cell Therapy,  can regenerate these damaged tissues and ultimately alleviate the problem causing the pain.\r\n<h3><em>What Does Research Say?</em></h3>\r\n<div class=\"page\" title=\"Page 1\">\r\n<div class=\"section\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\n<em>The Journal of Spine Research conducted a clinical study to evaluate the safety and effectiveness of PRP for the treatment of neck and low back pain. The specific cause of the pain in the study participants was spinal disc herniation (HNP). The patients had already tried different conservative treatments that did not work. <strong>However, the PRP treatments resulted in over 80% improvement.</strong> Plus, the improvement lasted. These patients were followed for eight years.1</em>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\nRegenerative Orthopedics work because they stimulate the healing cascade in the body. Solutions are injected into the affected neck ligaments, tendons, or joints, leading to local inflammation in that area. The localized inflammation triggers the deposition of new collagen, the material in which ligaments and tendons are made. New collagen shrinks as it matures and tightens the injected ligament, making it stronger.\r\n<h3>Are you a Candidate For Regenerative Orthopedics for Chronic Neck Pain?</h3>\r\nOur goal at OrthoRegen<sup>®</sup> is for our patients to have an active, healthy, pain-free life. Regenerative Orthopedics is a safe, affordable option that allows you to keep working and remain active during recovery. These chronic neck pain treatments are among the few that encourage movement post-treatment. Movement is essential since it aids the healing process. By contrast, surgery requires you to reduce activity after treatment.\r\n\r\nWould you like a <strong>second opinion before you have neck surgery or begin other treatments</strong>? Would you like to know if you are a candidate for Prolotherapy for your chronic neck pain? The only way to know for sure is to get a consultation. <a href=\"https://www.drfields.com/contact/\">Contact Us Today</a> for a consultation or call Dr. Fields at <a href=\"tel:+[phone_raw]\">[phone]</a>.\r\n<h3><strong>Reference</strong></h3>\r\n<div class=\"page\" title=\"Page 1\">\r\n<div class=\"section\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\n1Cameron JA, Thielen KM (2017) Autologous Platelet Rich Plasma for Neck and Lower Back Pain Secondary to Spinal Disc Herniation: Midterm Results. Spine Res. Vol. 3 No. 2:10.\r\n\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>','Stubborn, Persistent Neck Pain','','inherit','closed','closed','','509-revision-v1','','','2022-08-25 01:31:35','2022-08-25 01:31:35','',509,'https://www.drfields.com/?p=5485',0,'revision','',0),(5486,9,'2022-08-25 01:33:04','2022-08-25 01:33:04','<div class=\"youtube-click-div video_left\">[video_lightbox_youtube video_id=\"bC6PwyGefiY\" width=\"640\" height=\"480\" anchor=\"https://www.drfields.com/wp-content/uploads/2019/06/Mark-neck-pain.jpg\" alt=\"Mark-Neck\"]\r\n<strong>Mark - Neck</strong></div>\r\n<h2>Stubborn, Chronic Neck Pain</h2>\r\nSince the neck is less protected than the rest of the spine, it is far more vulnerable to injuries and disorders that can cause pain and even restrict your motion. The neck enables the head to move and rotate, but if you are unable to move your neck normally, your life can be severely disrupted, and your activities can be limited. Depending on the cause and type of your neck injury or condition, your best choice may be Regenerative Orthopedics for chronic neck pain.\r\n<h3>What Causes Neck Pain?</h3>\r\nYour neck is composed of seven cervical vertebrae. These vertebrae support your head, serve as an attachment point for the muscles that move your head, and protect the spinal cord between the brain and thoracic vertebrae.\r\n\r\n<em>Symptoms involved with <a href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-faq/\">neck pain</a> can include:</em>\r\n<ul>\r\n 	<li>Headaches</li>\r\n 	<li>Pain in the shoulder, arm, or hand</li>\r\n 	<li>Reduced range of motion in the neck</li>\r\n 	<li>Numbness, weakness, and slower reflexes in the arms, legs, hands, and feet.</li>\r\n</ul>\r\nIf you are experiencing ongoing neck pain, you may be experiencing early symptoms of arthritis. Osteoarthritis can begin as young as thirty, and symptoms may begin to appear years after the disease begins.\r\n\r\n<em>Other Causes of Neck Pain?</em>\r\n\r\nA strain or spasm of the muscles in the neck or inflammation of the neck may be a cause of the neck pain you feel. Pain in the neck can also be caused by injuries such as whiplash or a blow to the head or neck while playing sports. Cervical disk degeneration, disc herniation, a pinched nerve, meningitis, influenza, a heart attack, or torticollis can also be causes of neck pain. Anything that causes stress on the muscles in the upper body and arms, including poor posture and sleeping on a pillow that is too high, can be causes of localized neck pain.\r\n\r\n<a style=\"display: block; margin: 0 auto; max-width: 275px;\" href=\"https://www.carecredit.com/go/762HNB/bb3poscustacqbtnclk08132020/?dtc=Ds5X&amp;promocode=CLT/\"><img style=\"max-width: 100%;\" src=\"https://www.carecredit.com/sites/pc/image/carecredit_button_applynow_280x100_a_v1.jpg\" width=\"275\" /></a>\r\n<h3>Regenerative Orthopedics and Chronic Neck Pain</h3>\r\nMany patients are tired of ‘managing’ their chronic pain with NSAID or narcotic medications, various therapies, and exercises. Unfortunately, in many cases, these methods do not take care of the cause of the pain.\r\n\r\nMusculoskeletal pain is primarily due to weakness in the ligaments, tendons, and possibly cartilage. <strong>The good news is that Regenerative Orthopedics, including Prolotherapy, PRP, and Stem Cell Therapy,  can regenerate these damaged tissues and ultimately alleviate the problem causing the pain.</strong>\r\n<h3><em>What Does Research Say?</em></h3>\r\n<div class=\"page\" title=\"Page 1\">\r\n<div class=\"section\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\n<em>The Journal of Spine Research conducted a clinical study to evaluate the safety and effectiveness of PRP for the treatment of neck and low back pain. The specific cause of the pain in the study participants was spinal disc herniation (HNP). The patients had already tried different conservative treatments that did not work. <strong>However, the PRP treatments resulted in over 80% improvement.</strong> Plus, the improvement lasted. These patients were followed for eight years.1</em>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\nRegenerative Orthopedics work because they stimulate the healing cascade in the body. Solutions are injected into the affected neck ligaments, tendons, or joints, leading to local inflammation in that area. The localized inflammation triggers the deposition of new collagen, the material in which ligaments and tendons are made. New collagen shrinks as it matures and tightens the injected ligament, making it stronger.\r\n<h3>Are you a Candidate For Regenerative Orthopedics for Chronic Neck Pain?</h3>\r\nOur goal at OrthoRegen<sup>®</sup> is for our patients to have an active, healthy, pain-free life. Regenerative Orthopedics is a safe, affordable option that allows you to keep working and remain active during recovery. These chronic neck pain treatments are among the few that encourage movement post-treatment. Movement is essential since it aids the healing process. By contrast, surgery requires you to reduce activity after treatment.\r\n\r\nWould you like a <strong>second opinion before you have neck surgery or begin other treatments</strong>? Would you like to know if you are a candidate for Prolotherapy for your chronic neck pain? The only way to know for sure is to get a consultation. <a href=\"https://www.drfields.com/contact/\">Contact Us Today</a> for a consultation or call Dr. Fields at <a href=\"tel:+[phone_raw]\">[phone]</a>.\r\n<h3><strong>Reference</strong></h3>\r\n<div class=\"page\" title=\"Page 1\">\r\n<div class=\"section\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\n1Cameron JA, Thielen KM (2017) Autologous Platelet Rich Plasma for Neck and Lower Back Pain Secondary to Spinal Disc Herniation: Midterm Results. Spine Res. Vol. 3 No. 2:10.\r\n\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>','Stubborn, Persistent Neck Pain','','inherit','closed','closed','','509-revision-v1','','','2022-08-25 01:33:04','2022-08-25 01:33:04','',509,'https://www.drfields.com/?p=5486',0,'revision','',0),(5487,8,'2022-08-26 03:43:07','2022-08-26 03:43:07','<div class=\"clear\"></div>\r\n<div id=\"slider\">\r\n<div class=\"owl-carousel slider-carousel\">\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-4.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/07/Slider-2v05072022.png\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/05/header-orthoregen-santa-monica-pier.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">New Article:</span>\r\n<span class=\"header_text_second\">Keep Looking Forward Despite COVID-19</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dealing-with-covid-19/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-11.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-9.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Get Back In The Game!</span>\r\n<span class=\"header_text_second\">Avoid Joint and Spine Surgery </span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">Stem Cell/PRP/Prolotherapy</span>\r\n<a class=\"btn-more\" title=\"Get Help Now!\" href=\"Contact-Us\"> Get Help Now!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item slide-article\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/05/header-orthoregen-ocean-mountains.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_second\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/12/Kili-top-header-2.jpg\');\">\r\n<div class=\"carousel-caption\" style=\"text-align: left;\"><span class=\"header_text_first\">Congratulations\r\nPeter A. Fields, MD, DC</span>\r\n<span class=\"header_text_second\">The Athletic Doc<sup>®</sup>\r\nsuccessfully climbed</span>\r\n<span class=\"header_text_third white-text\">Mt. Kilimanjaro in\r\nTanzania, Africa.19,341 feet!!!</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/report-of-my-kilimanjaro-climb/\">Read More</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/12/Sider-01-V8.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Peter A. Fields, MD, DC\r\nThe Athletic Doc<sup>®</sup></span>\r\n<span class=\"header_text_second\">Completed His 11th Ironman</span>\r\n<span class=\"header_text_third\">Sunday, November 24th in Cozumel Mexico</span>\r\n<a class=\"btn-more\" title=\"Read More\" href=\"#\">Images &amp; Story Coming Soon</a></div>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"jumbotron-fluid\">\r\n<div class=\"row\">\r\n<div class=\"col-md-4 box1\">\r\n\r\nWhat\'s\r\n<h3>New</h3>\r\n<ul>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/sprained-ankle/\">Sprained Ankle?</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/non-surgical-partial-rotator-cuff-tear-repair/\">Non-surgical Partial Rotator Cuff Tear Repair</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/are-cortisone-shots-a-good-option/\">Are Cortisone Shots a Good Option?</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/try-regenerative-treatments-for-your-hip-pain-or-injury/\">Try Regenerative Treatments for Your Hip Pain or Injury</a></li>\r\n 	<li class=\"last\"><a title=\"Nagging Back Pain\" href=\"/articles/regenerative-orthopedics/nagging-back-pain/\">Nagging Back Pain</a></li>\r\n 	<li class=\"last\"><a title=\"Treating Knee Pain and Injuries with Regenerative Orthopedics\" href=\"/articles/regenerative-orthopedics/treating-knee-pain-and-injuries-with-regenerative-orthopedics/\">Treating Knee Pain and Injuries with Regenerative Orthopedics</a></li>\r\n 	<li class=\"last\"><a title=\"Keep Looking Forward Despite COVID-19\" href=\"/articles/health-news/dealing-with-covid-19/\">Keep Looking Forward Despite COVID-19</a></li>\r\n 	<li class=\"last\"><a title=\"COVID-19 Advice: Don’t Fear the Fear Itself!\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</a></li>\r\n 	<li class=\"last\"><a title=\"Rotator Cuff Tendonitis\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/rotator-cuff-tendonitis/\">Rotator Cuff Tendonitis</a></li>\r\n 	<li><a title=\"Allergic Reactions and Problems of Corrosion with Joint Replacements\" href=\"https://www.drfields.com/articles/allergic-reactions-and-problems-of-corrosion-with-joint-replacements/\">Allergic Reactions and Problems of Corrosion with Joint Replacements\r\n</a></li>\r\n 	<li><a title=\"Treat Sciatica Pain Non-Surgically\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/treat-sciatica-pain-non-surgically/\">Treat Sciatica Pain Non-Surgically</a></li>\r\n 	<li class=\"last\"><a title=\"Stem Cell Therapy at OrthoRegen&lt;sup&gt;®&lt;/sup&gt; – Why We are Different\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/stem-cell-therapy-at-orthoregen-why-we-are-different/\">Stem Cell Therapy at OrthoRegen<sup>®</sup> – Why We are Different</a></li>\r\n 	<li class=\"last\"><a title=\"Is Your Hip Bursitis Treatment Working?\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/is-your-hip-bursitis-treatment-working/\">Is Your Hip Bursitis Treatment Working?</a></li>\r\n</ul>\r\n</div>\r\n<div id=\"testimonials\" class=\"col-md-4 box2\">\r\n\r\nPatient\r\n<h3>Testimonials</h3>\r\n<strong>Video:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I wished I had come earlier and listened to what my physical therapist had told me to do because Dr. Fields has been a real solution for me.\"\r\n\r\n<img class=\"testimonial-img\" title=\"Testimonial\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-larry.png\" alt=\"Testimonial\" />\r\n<h3>Larry</h3>\r\n<h4>Stem Cell Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I highly recommend it to anyone who needs to recover fast and get back out there.\"\r\n\r\n<img class=\"testimonial-img\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-christopher.png\" alt=\"\" />\r\n<h3>Chris, Pro Basketball Player</h3>\r\n<h4>PRP Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"Now I can go walking, I go to my ballet class and I’m a happy camper because of Dr. Fields.\"\r\n\r\n<img class=\"testimonial-img\" title=\"\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-mary.png\" alt=\"Testimonial\" />\r\n<h3>Mary</h3>\r\n<h4>Stem Cell Hip</h4>\r\n</div>\r\n</div>\r\n<strong>Written:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I need to say a big thank you to Dr Fields for getting me back on the tennis court. I am an avid tennis player who tried to ignore the terrible pain in my elbow.\"\r\n<h3 style=\"margin-left: 0;\">Mindy</h3>\r\n<h4 style=\"margin-left: 0;\">Elbow</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I chose Dr. Peter Fields because he is an athlete and would have more direct knowledge of my particular circumstances than anyone else.\"\r\n<h3 style=\"margin-left: 0;\">Robert</h3>\r\n<h4 style=\"margin-left: 0;\">Shoulder</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"After the final treatments ended I am still without all the pain and have more muscle strength in my legs.\"\r\n<h3 style=\"margin-left: 0;\">Lois</h3>\r\n<h4 style=\"margin-left: 0;\">Knee</h4>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"col-md-4 box3\">\r\n\r\nNews &amp;\r\n<h3>Events</h3>\r\n<ul>\r\n 	<li><a href=\"https://www.drfields.com/articles/health-news/dr-fields-to-lecture-in-mexico-city-on-july-9th/\">Peter A. Fields, MD, DC to lecture in Mexico City on July 9th</a></li>\r\n 	<li><a class=\"buttonlink\" style=\"width: 100%; font-size: 24px; text-align: center; padding: 25px 8%;\" href=\"https://www.drfields.com/contact/\"> Are you a Stem Cell Candidate?</a></li>\r\n</ul>\r\n</div>\r\n</div>\r\n</div>\r\n<div id=\"search-articles\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n<h2 class=\"text-center\">Search <b>Dr. Fields\'</b> Articles</h2>\r\n<form id=\"searchform\" action=\"/\" method=\"get\"><input class=\"search-field\" name=\"s\" type=\"text\" placeholder=\"What\'s Your Condition?\" />\r\n<input type=\"submit\" value=\"Search\" /></form></div>\r\n</div>\r\n</div>\r\n<div id=\"intro\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n<h1 class=\"text-center\">Welcome to OrthoRegen<sup>®</sup>!</h1>\r\n<p class=\"intro_text welcome\"><a href=\"http://orthoregen.com\"><span style=\"font-size: 26px;\">OrthoRegen<sup>®</sup></span></a> is dedicated to providing the best of <span class=\"nowrap\">Regenerative Orthopedics</span> by offering non-surgical alternatives for joint and spine repair</p>\r\n<a class=\"primaryButton\" title=\"Read More About U\" href=\"https://www.drfields.com/about/orthoregen-our-philosophy/\">Read More About Us</a>\r\n<a id=\"candidateButton\" title=\"Are you a good candidate?\" href=\"/contact/\">Are you a good candidate?</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"about\">\r\n<div class=\"col-md-5 drfields\"><img class=\"alignnone\" title=\"Regenerative Orthopedics Leader\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/dr-fields.png\" alt=\"Regenerative Orthopedics Leader\" width=\"460\" height=\"737\" /></div>\r\n<div class=\"col-md-7 about_holder\">\r\n<h1>Peter A. Fields, <span class=\"nowrap\">MD, DC</span></h1>\r\n<p class=\"intro_text\">Medical Physician and Chiropractor\r\nThe Athletic Doc<sup>®</sup> - 11x Ironman Triathlete</p>\r\n\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"icon info\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-info.png\" alt=\"icon info\" /></div>\r\n<div class=\"about_text\">\r\n<h3>About</h3>\r\nPeter A. Fields, MD, DC is one of a handful of physicians in the nation with both medical and chiropractic degrees...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/dr-fields-bio/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"Man Icon\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-ironman.png\" alt=\"Man Icon\" /></div>\r\n<div class=\"about_text\">\r\n<h3>11x Ironman</h3>\r\nDr. Peter A. Fields is also known as The Athletic Doc<sup>®</sup> He not only treats athletes in his practice but is an athlete himself. For over...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n&nbsp;\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Call Us Today! 310-453-1234</a>','Home','','inherit','closed','closed','','2109-revision-v1','','','2022-08-26 03:43:07','2022-08-26 03:43:07','',2109,'https://www.drfields.com/?p=5487',0,'revision','',0),(5488,8,'2022-08-26 04:49:18','2022-08-26 04:49:18','Prp. Neck. Lower Back','Prp. Neck. Lower Back','Prp. Neck. Lower Back','inherit','closed','closed','','prp-neck-lower-back','','','2022-08-26 04:49:19','2022-08-26 04:49:19','',509,'https://www.drfields.com/wp-content/uploads/2019/06/PRP.-Neck.-Lower-back.jpeg',0,'attachment','image/jpeg',0),(5489,8,'2022-08-26 04:50:26','2022-08-26 04:50:26','<img class=\"wp-image-5488 size-wcsquare\" title=\"Stubborn, Persistent Neck Pain\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/PRP.-Neck.-Lower-back-300x300.jpeg\" alt=\"Stubborn, Persistent Neck Pain\" width=\"300\" height=\"300\" />\r\n<h2>Stubborn, Chronic Neck Pain</h2>\r\nSince the neck is less protected than the rest of the spine, it is far more vulnerable to injuries and disorders that can cause pain and even restrict your motion. The neck enables the head to move and rotate, but if you are unable to move your neck normally, your life can be severely disrupted, and your activities can be limited. Depending on the cause and type of your neck injury or condition, your best choice may be Regenerative Orthopedics for chronic neck pain.\r\n<h2>What Causes Neck Pain?</h2>\r\nYour neck is composed of seven cervical vertebrae. These vertebrae support your head, serve as an attachment point for the muscles that move your head, and protect the spinal cord between the brain and thoracic vertebrae.\r\n\r\n<em>Symptoms involved with <a href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-faq/\">neck pain</a> can include:</em>\r\n<ul>\r\n 	<li>Headaches</li>\r\n 	<li>Pain in the shoulder, arm, or hand</li>\r\n 	<li>Reduced range of motion in the neck</li>\r\n 	<li>Numbness, weakness, and slower reflexes in the arms, legs, hands, and feet.</li>\r\n</ul>\r\nIf you are experiencing ongoing neck pain, you may be experiencing early symptoms of arthritis. Osteoarthritis can begin as young as thirty, and symptoms may begin to appear years after the disease begins.\r\n\r\n[video_lightbox_youtube video_id=\"bC6PwyGefiY\" width=\"640\" height=\"480\" anchor=\"https://www.drfields.com/wp-content/uploads/2019/06/Mark-neck-pain.jpg\" alt=\"Mark-Neck\"]\r\n<strong>Mark - Neck</strong>\r\n\r\n<em>Other Causes of Neck Pain?</em>\r\n\r\nA strain or spasm of the muscles in the neck or inflammation of the neck may be a cause of the neck pain you feel. Pain in the neck can also be caused by injuries such as whiplash or a blow to the head or neck while playing sports. Cervical disk degeneration, disc herniation, a pinched nerve, meningitis, influenza, a heart attack, or torticollis can also be causes of neck pain. Anything that causes stress on the muscles in the upper body and arms, including poor posture and sleeping on a pillow that is too high, can be causes of localized neck pain.\r\n\r\n<a style=\"display: block; margin: 0 auto; max-width: 275px;\" href=\"https://www.carecredit.com/go/762HNB/bb3poscustacqbtnclk08132020/?dtc=Ds5X&amp;promocode=CLT/\"><img style=\"max-width: 100%;\" src=\"https://www.carecredit.com/sites/pc/image/carecredit_button_applynow_280x100_a_v1.jpg\" width=\"275\" /></a>\r\n<h3>Regenerative Orthopedics and Chronic Neck Pain</h3>\r\nMany patients are tired of ‘managing’ their chronic pain with NSAID or narcotic medications, various therapies, and exercises. Unfortunately, in many cases, these methods do not take care of the cause of the pain.\r\n\r\nMusculoskeletal pain is primarily due to weakness in the ligaments, tendons, and possibly cartilage. <strong>The good news is that Regenerative Orthopedics, including Prolotherapy, PRP, and Stem Cell Therapy,  can regenerate these damaged tissues and ultimately alleviate the problem causing the pain.</strong>\r\n<h3><em>What Does Research Say?</em></h3>\r\n<div class=\"page\" title=\"Page 1\">\r\n<div class=\"section\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\n<em>The Journal of Spine Research conducted a clinical study to evaluate the safety and effectiveness of PRP for the treatment of neck and low back pain. The specific cause of the pain in the study participants was spinal disc herniation (HNP). The patients had already tried different conservative treatments that did not work. <strong>However, the PRP treatments resulted in over 80% improvement.</strong> Plus, the improvement lasted. These patients were followed for eight years.1</em>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\nRegenerative Orthopedics work because they stimulate the healing cascade in the body. Solutions are injected into the affected neck ligaments, tendons, or joints, leading to local inflammation in that area. The localized inflammation triggers the deposition of new collagen, the material in which ligaments and tendons are made. New collagen shrinks as it matures and tightens the injected ligament, making it stronger.\r\n<h3>Are you a Candidate For Regenerative Orthopedics for Chronic Neck Pain?</h3>\r\nOur goal at OrthoRegen<sup>®</sup> is for our patients to have an active, healthy, pain-free life. Regenerative Orthopedics is a safe, affordable option that allows you to keep working and remain active during recovery. These chronic neck pain treatments are among the few that encourage movement post-treatment. Movement is essential since it aids the healing process. By contrast, surgery requires you to reduce activity after treatment.\r\n\r\nWould you like a <strong>second opinion before you have neck surgery or begin other treatments</strong>? Would you like to know if you are a candidate for Prolotherapy for your chronic neck pain? The only way to know for sure is to get a consultation. <a href=\"https://www.drfields.com/contact/\">Contact Us Today</a> for a consultation or call Dr. Fields at <a href=\"tel:+[phone_raw]\">[phone]</a>.\r\n<h3><strong>Reference</strong></h3>\r\n<div class=\"page\" title=\"Page 1\">\r\n<div class=\"section\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\n1Cameron JA, Thielen KM (2017) Autologous Platelet Rich Plasma for Neck and Lower Back Pain Secondary to Spinal Disc Herniation: Midterm Results. Spine Res. Vol. 3 No. 2:10.\r\n\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>','Stubborn, Persistent Neck Pain','','inherit','closed','closed','','509-revision-v1','','','2022-08-26 04:50:26','2022-08-26 04:50:26','',509,'https://www.drfields.com/?p=5489',0,'revision','',0),(5490,8,'2022-08-26 04:51:35','2022-08-26 04:51:35','<img class=\"wp-image-5488 size-wcsquare alignright\" title=\"Stubborn, Persistent Neck Pain\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/PRP.-Neck.-Lower-back-300x300.jpeg\" alt=\"Stubborn, Persistent Neck Pain\" width=\"300\" height=\"300\" />\r\n<h2>Stubborn, Chronic Neck Pain</h2>\r\nSince the neck is less protected than the rest of the spine, it is far more vulnerable to injuries and disorders that can cause pain and even restrict your motion. The neck enables the head to move and rotate, but if you are unable to move your neck normally, your life can be severely disrupted, and your activities can be limited. Depending on the cause and type of your neck injury or condition, your best choice may be Regenerative Orthopedics for chronic neck pain.\r\n<h2>What Causes Neck Pain?</h2>\r\nYour neck is composed of seven cervical vertebrae. These vertebrae support your head, serve as an attachment point for the muscles that move your head, and protect the spinal cord between the brain and thoracic vertebrae.\r\n\r\n<em>Symptoms involved with <a href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-faq/\">neck pain</a> can include:</em>\r\n<ul>\r\n 	<li>Headaches</li>\r\n 	<li>Pain in the shoulder, arm, or hand</li>\r\n 	<li>Reduced range of motion in the neck</li>\r\n 	<li>Numbness, weakness, and slower reflexes in the arms, legs, hands, and feet.</li>\r\n</ul>\r\nIf you are experiencing ongoing neck pain, you may be experiencing early symptoms of arthritis. Osteoarthritis can begin as young as thirty, and symptoms may begin to appear years after the disease begins.\r\n\r\n[video_lightbox_youtube video_id=\"bC6PwyGefiY\" width=\"640\" height=\"480\" anchor=\"https://www.drfields.com/wp-content/uploads/2019/06/Mark-neck-pain.jpg\" alt=\"Mark-Neck\"]\r\n<strong>Mark - Neck</strong>\r\n\r\n<em>Other Causes of Neck Pain?</em>\r\n\r\nA strain or spasm of the muscles in the neck or inflammation of the neck may be a cause of the neck pain you feel. Pain in the neck can also be caused by injuries such as whiplash or a blow to the head or neck while playing sports. Cervical disk degeneration, disc herniation, a pinched nerve, meningitis, influenza, a heart attack, or torticollis can also be causes of neck pain. Anything that causes stress on the muscles in the upper body and arms, including poor posture and sleeping on a pillow that is too high, can be causes of localized neck pain.\r\n\r\n<a style=\"display: block; margin: 0 auto; max-width: 275px;\" href=\"https://www.carecredit.com/go/762HNB/bb3poscustacqbtnclk08132020/?dtc=Ds5X&amp;promocode=CLT/\"><img style=\"max-width: 100%;\" src=\"https://www.carecredit.com/sites/pc/image/carecredit_button_applynow_280x100_a_v1.jpg\" width=\"275\" /></a>\r\n<h3>Regenerative Orthopedics and Chronic Neck Pain</h3>\r\nMany patients are tired of ‘managing’ their chronic pain with NSAID or narcotic medications, various therapies, and exercises. Unfortunately, in many cases, these methods do not take care of the cause of the pain.\r\n\r\nMusculoskeletal pain is primarily due to weakness in the ligaments, tendons, and possibly cartilage. <strong>The good news is that Regenerative Orthopedics, including Prolotherapy, PRP, and Stem Cell Therapy,  can regenerate these damaged tissues and ultimately alleviate the problem causing the pain.</strong>\r\n<h3><em>What Does Research Say?</em></h3>\r\n<div class=\"page\" title=\"Page 1\">\r\n<div class=\"section\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\n<em>The Journal of Spine Research conducted a clinical study to evaluate the safety and effectiveness of PRP for the treatment of neck and low back pain. The specific cause of the pain in the study participants was spinal disc herniation (HNP). The patients had already tried different conservative treatments that did not work. <strong>However, the PRP treatments resulted in over 80% improvement.</strong> Plus, the improvement lasted. These patients were followed for eight years.1</em>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\nRegenerative Orthopedics work because they stimulate the healing cascade in the body. Solutions are injected into the affected neck ligaments, tendons, or joints, leading to local inflammation in that area. The localized inflammation triggers the deposition of new collagen, the material in which ligaments and tendons are made. New collagen shrinks as it matures and tightens the injected ligament, making it stronger.\r\n<h3>Are you a Candidate For Regenerative Orthopedics for Chronic Neck Pain?</h3>\r\nOur goal at OrthoRegen<sup>®</sup> is for our patients to have an active, healthy, pain-free life. Regenerative Orthopedics is a safe, affordable option that allows you to keep working and remain active during recovery. These chronic neck pain treatments are among the few that encourage movement post-treatment. Movement is essential since it aids the healing process. By contrast, surgery requires you to reduce activity after treatment.\r\n\r\nWould you like a <strong>second opinion before you have neck surgery or begin other treatments</strong>? Would you like to know if you are a candidate for Prolotherapy for your chronic neck pain? The only way to know for sure is to get a consultation. <a href=\"https://www.drfields.com/contact/\">Contact Us Today</a> for a consultation or call Dr. Fields at <a href=\"tel:+[phone_raw]\">[phone]</a>.\r\n<h3><strong>Reference</strong></h3>\r\n<div class=\"page\" title=\"Page 1\">\r\n<div class=\"section\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\n1Cameron JA, Thielen KM (2017) Autologous Platelet Rich Plasma for Neck and Lower Back Pain Secondary to Spinal Disc Herniation: Midterm Results. Spine Res. Vol. 3 No. 2:10.\r\n\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>','Stubborn, Persistent Neck Pain','','inherit','closed','closed','','509-revision-v1','','','2022-08-26 04:51:35','2022-08-26 04:51:35','',509,'https://www.drfields.com/?p=5490',0,'revision','',0),(5491,8,'2022-08-26 04:56:22','2022-08-26 04:56:22','Prp. Neck. Lower Back','Prp. Neck. Lower Back','Prp. Neck. Lower Back','inherit','closed','closed','','prp-neck-lower-back-2','','','2022-08-26 04:56:22','2022-08-26 04:56:22','',509,'https://www.drfields.com/wp-content/uploads/2019/06/PRP.-Neck.-Lower-back-1.jpeg',0,'attachment','image/jpeg',0),(5492,8,'2022-08-26 04:56:45','2022-08-26 04:56:45','<img class=\"alignright wp-image-5491\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/PRP.-Neck.-Lower-back-1-500x375.jpeg\" alt=\"Prp. Neck. Lower Back\" width=\"300\" height=\"225\" />\r\n<h2>Stubborn, Chronic Neck Pain</h2>\r\nSince the neck is less protected than the rest of the spine, it is far more vulnerable to injuries and disorders that can cause pain and even restrict your motion. The neck enables the head to move and rotate, but if you are unable to move your neck normally, your life can be severely disrupted, and your activities can be limited. Depending on the cause and type of your neck injury or condition, your best choice may be Regenerative Orthopedics for chronic neck pain.\r\n<h2>What Causes Neck Pain?</h2>\r\nYour neck is composed of seven cervical vertebrae. These vertebrae support your head, serve as an attachment point for the muscles that move your head, and protect the spinal cord between the brain and thoracic vertebrae.\r\n\r\n<em>Symptoms involved with <a href=\"https://www.drfields.com/regenerative-techniques/dextrose-prolotherapy/prolotherapy-faq/\">neck pain</a> can include:</em>\r\n<ul>\r\n 	<li>Headaches</li>\r\n 	<li>Pain in the shoulder, arm, or hand</li>\r\n 	<li>Reduced range of motion in the neck</li>\r\n 	<li>Numbness, weakness, and slower reflexes in the arms, legs, hands, and feet.</li>\r\n</ul>\r\nIf you are experiencing ongoing neck pain, you may be experiencing early symptoms of arthritis. Osteoarthritis can begin as young as thirty, and symptoms may begin to appear years after the disease begins.\r\n\r\n[video_lightbox_youtube video_id=\"bC6PwyGefiY\" width=\"640\" height=\"480\" anchor=\"https://www.drfields.com/wp-content/uploads/2019/06/Mark-neck-pain.jpg\" alt=\"Mark-Neck\"]\r\n<strong>Mark - Neck</strong>\r\n\r\n<em>Other Causes of Neck Pain?</em>\r\n\r\nA strain or spasm of the muscles in the neck or inflammation of the neck may be a cause of the neck pain you feel. Pain in the neck can also be caused by injuries such as whiplash or a blow to the head or neck while playing sports. Cervical disk degeneration, disc herniation, a pinched nerve, meningitis, influenza, a heart attack, or torticollis can also be causes of neck pain. Anything that causes stress on the muscles in the upper body and arms, including poor posture and sleeping on a pillow that is too high, can be causes of localized neck pain.\r\n\r\n<a style=\"display: block; margin: 0 auto; max-width: 275px;\" href=\"https://www.carecredit.com/go/762HNB/bb3poscustacqbtnclk08132020/?dtc=Ds5X&amp;promocode=CLT/\"><img style=\"max-width: 100%;\" src=\"https://www.carecredit.com/sites/pc/image/carecredit_button_applynow_280x100_a_v1.jpg\" width=\"275\" /></a>\r\n<h3>Regenerative Orthopedics and Chronic Neck Pain</h3>\r\nMany patients are tired of ‘managing’ their chronic pain with NSAID or narcotic medications, various therapies, and exercises. Unfortunately, in many cases, these methods do not take care of the cause of the pain.\r\n\r\nMusculoskeletal pain is primarily due to weakness in the ligaments, tendons, and possibly cartilage. <strong>The good news is that Regenerative Orthopedics, including Prolotherapy, PRP, and Stem Cell Therapy,  can regenerate these damaged tissues and ultimately alleviate the problem causing the pain.</strong>\r\n<h3><em>What Does Research Say?</em></h3>\r\n<div class=\"page\" title=\"Page 1\">\r\n<div class=\"section\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\n<em>The Journal of Spine Research conducted a clinical study to evaluate the safety and effectiveness of PRP for the treatment of neck and low back pain. The specific cause of the pain in the study participants was spinal disc herniation (HNP). The patients had already tried different conservative treatments that did not work. <strong>However, the PRP treatments resulted in over 80% improvement.</strong> Plus, the improvement lasted. These patients were followed for eight years.1</em>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\nRegenerative Orthopedics work because they stimulate the healing cascade in the body. Solutions are injected into the affected neck ligaments, tendons, or joints, leading to local inflammation in that area. The localized inflammation triggers the deposition of new collagen, the material in which ligaments and tendons are made. New collagen shrinks as it matures and tightens the injected ligament, making it stronger.\r\n<h3>Are you a Candidate For Regenerative Orthopedics for Chronic Neck Pain?</h3>\r\nOur goal at OrthoRegen<sup>®</sup> is for our patients to have an active, healthy, pain-free life. Regenerative Orthopedics is a safe, affordable option that allows you to keep working and remain active during recovery. These chronic neck pain treatments are among the few that encourage movement post-treatment. Movement is essential since it aids the healing process. By contrast, surgery requires you to reduce activity after treatment.\r\n\r\nWould you like a <strong>second opinion before you have neck surgery or begin other treatments</strong>? Would you like to know if you are a candidate for Prolotherapy for your chronic neck pain? The only way to know for sure is to get a consultation. <a href=\"https://www.drfields.com/contact/\">Contact Us Today</a> for a consultation or call Dr. Fields at <a href=\"tel:+[phone_raw]\">[phone]</a>.\r\n<h3><strong>Reference</strong></h3>\r\n<div class=\"page\" title=\"Page 1\">\r\n<div class=\"section\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\n1Cameron JA, Thielen KM (2017) Autologous Platelet Rich Plasma for Neck and Lower Back Pain Secondary to Spinal Disc Herniation: Midterm Results. Spine Res. Vol. 3 No. 2:10.\r\n\r\n</div>\r\n</div>\r\n</div>\r\n</div>\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>','Stubborn, Persistent Neck Pain','','inherit','closed','closed','','509-revision-v1','','','2022-08-26 04:56:45','2022-08-26 04:56:45','',509,'https://www.drfields.com/?p=5492',0,'revision','',0),(5493,8,'2022-08-26 04:59:00','2022-08-26 04:59:00','<div class=\"clear\"></div>\r\n<div id=\"slider\">\r\n<div class=\"owl-carousel slider-carousel\">\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-4.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2022/07/Slider-2v05072022.png\');\"></div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/05/header-orthoregen-santa-monica-pier.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">New Article:</span>\r\n<span class=\"header_text_second\">Keep Looking Forward Despite COVID-19</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dealing-with-covid-19/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-11.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Stem Cell / PRP / Prolotherapy</span>\r\n<span class=\"header_text_second\">Regenerative Orthopedics</span>\r\n<span class=\"header_text_third\">Fix Your Joints &amp; Spine Without Surgery</span>\r\n<a class=\"btn-more\" title=\"Let\'s Get Started Today!\" href=\"Contact-Us\"> Let\'s Get Started Today!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/06/header-orthoregen-9.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Get Back In The Game!</span>\r\n<span class=\"header_text_second\">Avoid Joint and Spine Surgery </span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">Stem Cell/PRP/Prolotherapy</span>\r\n<a class=\"btn-more\" title=\"Get Help Now!\" href=\"Contact-Us\"> Get Help Now!</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item slide-article\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/05/header-orthoregen-ocean-mountains.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_second\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</span>\r\n<span class=\"header_text_third\" style=\"color: #ffffff;\">By Peter A. Fields, MD, DC</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">Read Article</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2020/12/Kili-top-header-2.jpg\');\">\r\n<div class=\"carousel-caption\" style=\"text-align: left;\"><span class=\"header_text_first\">Congratulations\r\nPeter A. Fields, MD, DC</span>\r\n<span class=\"header_text_second\">The Athletic Doc<sup>®</sup>\r\nsuccessfully climbed</span>\r\n<span class=\"header_text_third white-text\">Mt. Kilimanjaro in\r\nTanzania, Africa.19,341 feet!!!</span>\r\n<a class=\"btn-more\" title=\"Read Article\" href=\"/report-of-my-kilimanjaro-climb/\">Read More</a></div>\r\n</div>\r\n<div id=\"slide\" class=\"item\" style=\"background-image: url(\'https://www.drfields.com/wp-content/uploads/2019/12/Sider-01-V8.jpg\');\">\r\n<div class=\"carousel-caption\"><span class=\"header_text_first\">Peter A. Fields, MD, DC\r\nThe Athletic Doc<sup>®</sup></span>\r\n<span class=\"header_text_second\">Completed His 11th Ironman</span>\r\n<span class=\"header_text_third\">Sunday, November 24th in Cozumel Mexico</span>\r\n<a class=\"btn-more\" title=\"Read More\" href=\"#\">Images &amp; Story Coming Soon</a></div>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"jumbotron-fluid\">\r\n<div class=\"row\">\r\n<div class=\"col-md-4 box1\">\r\n\r\nWhat\'s\r\n<h3>New</h3>\r\n<ul>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/sprained-ankle/\">Sprained Ankle?</a></li>\r\n 	<li><a href=\"https://www.drfields.com/conditions/chronic-pain/chronic-neck-pain/\">Stubborn, Persistent Neck Pain</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/non-surgical-partial-rotator-cuff-tear-repair/\">Non-surgical Partial Rotator Cuff Tear Repair</a></li>\r\n 	<li><a href=\"/articles/regenerative-orthopedics/are-cortisone-shots-a-good-option/\">Are Cortisone Shots a Good Option?</a></li>\r\n 	<li><a href=\"https://www.drfields.com/articles/regenerative-orthopedics/try-regenerative-treatments-for-your-hip-pain-or-injury/\">Try Regenerative Treatments for Your Hip Pain or Injury</a></li>\r\n 	<li class=\"last\"><a title=\"Nagging Back Pain\" href=\"/articles/regenerative-orthopedics/nagging-back-pain/\">Nagging Back Pain</a></li>\r\n 	<li class=\"last\"><a title=\"Treating Knee Pain and Injuries with Regenerative Orthopedics\" href=\"/articles/regenerative-orthopedics/treating-knee-pain-and-injuries-with-regenerative-orthopedics/\">Treating Knee Pain and Injuries with Regenerative Orthopedics</a></li>\r\n 	<li class=\"last\"><a title=\"Keep Looking Forward Despite COVID-19\" href=\"/articles/health-news/dealing-with-covid-19/\">Keep Looking Forward Despite COVID-19</a></li>\r\n 	<li class=\"last\"><a title=\"COVID-19 Advice: Don’t Fear the Fear Itself!\" href=\"/articles/health-news/dont-fear-the-fear-itself/\">COVID-19 Advice: \"Don’t Fear the Fear Itself!\"</a></li>\r\n 	<li class=\"last\"><a title=\"Rotator Cuff Tendonitis\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/rotator-cuff-tendonitis/\">Rotator Cuff Tendonitis</a></li>\r\n 	<li><a title=\"Allergic Reactions and Problems of Corrosion with Joint Replacements\" href=\"https://www.drfields.com/articles/allergic-reactions-and-problems-of-corrosion-with-joint-replacements/\">Allergic Reactions and Problems of Corrosion with Joint Replacements\r\n</a></li>\r\n 	<li><a title=\"Treat Sciatica Pain Non-Surgically\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/treat-sciatica-pain-non-surgically/\">Treat Sciatica Pain Non-Surgically</a></li>\r\n 	<li class=\"last\"><a title=\"Stem Cell Therapy at OrthoRegen&lt;sup&gt;®&lt;/sup&gt; – Why We are Different\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/stem-cell-therapy-at-orthoregen-why-we-are-different/\">Stem Cell Therapy at OrthoRegen<sup>®</sup> – Why We are Different</a></li>\r\n 	<li class=\"last\"><a title=\"Is Your Hip Bursitis Treatment Working?\" href=\"https://www.drfields.com/articles/regenerative-orthopedics/is-your-hip-bursitis-treatment-working/\">Is Your Hip Bursitis Treatment Working?</a></li>\r\n</ul>\r\n</div>\r\n<div id=\"testimonials\" class=\"col-md-4 box2\">\r\n\r\nPatient\r\n<h3>Testimonials</h3>\r\n<strong>Video:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I wished I had come earlier and listened to what my physical therapist had told me to do because Dr. Fields has been a real solution for me.\"\r\n\r\n<img class=\"testimonial-img\" title=\"Testimonial\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-larry.png\" alt=\"Testimonial\" />\r\n<h3>Larry</h3>\r\n<h4>Stem Cell Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I highly recommend it to anyone who needs to recover fast and get back out there.\"\r\n\r\n<img class=\"testimonial-img\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-christopher.png\" alt=\"\" />\r\n<h3>Chris, Pro Basketball Player</h3>\r\n<h4>PRP Knee</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"Now I can go walking, I go to my ballet class and I’m a happy camper because of Dr. Fields.\"\r\n\r\n<img class=\"testimonial-img\" title=\"\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/testimonial-thumb-mary.png\" alt=\"Testimonial\" />\r\n<h3>Mary</h3>\r\n<h4>Stem Cell Hip</h4>\r\n</div>\r\n</div>\r\n<strong>Written:</strong>\r\n<div class=\"owl-carousel testimonials-carousel wow fadeInUp\">\r\n<div class=\"testimonial-item\">\r\n\r\n\"I need to say a big thank you to Dr Fields for getting me back on the tennis court. I am an avid tennis player who tried to ignore the terrible pain in my elbow.\"\r\n<h3 style=\"margin-left: 0;\">Mindy</h3>\r\n<h4 style=\"margin-left: 0;\">Elbow</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"I chose Dr. Peter Fields because he is an athlete and would have more direct knowledge of my particular circumstances than anyone else.\"\r\n<h3 style=\"margin-left: 0;\">Robert</h3>\r\n<h4 style=\"margin-left: 0;\">Shoulder</h4>\r\n</div>\r\n<div class=\"testimonial-item\">\r\n\r\n\"After the final treatments ended I am still without all the pain and have more muscle strength in my legs.\"\r\n<h3 style=\"margin-left: 0;\">Lois</h3>\r\n<h4 style=\"margin-left: 0;\">Knee</h4>\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"col-md-4 box3\">\r\n\r\nNews &amp;\r\n<h3>Events</h3>\r\n<ul>\r\n 	<li><a href=\"https://www.drfields.com/articles/health-news/dr-fields-to-lecture-in-mexico-city-on-july-9th/\">Peter A. Fields, MD, DC to lecture in Mexico City on July 9th</a></li>\r\n 	<li><a class=\"buttonlink\" style=\"width: 100%; font-size: 24px; text-align: center; padding: 25px 8%;\" href=\"https://www.drfields.com/contact/\"> Are you a Stem Cell Candidate?</a></li>\r\n</ul>\r\n</div>\r\n</div>\r\n</div>\r\n<div id=\"search-articles\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\"> Schedule Your Appointment Today!</a>\r\n<h2 class=\"text-center\">Search <b>Dr. Fields\'</b> Articles</h2>\r\n<form id=\"searchform\" action=\"/\" method=\"get\"><input class=\"search-field\" name=\"s\" type=\"text\" placeholder=\"What\'s Your Condition?\" />\r\n<input type=\"submit\" value=\"Search\" /></form></div>\r\n</div>\r\n</div>\r\n<div id=\"intro\">\r\n<div class=\"container\">\r\n<div class=\"col-md-12\">\r\n<h1 class=\"text-center\">Welcome to OrthoRegen<sup>®</sup>!</h1>\r\n<p class=\"intro_text welcome\"><a href=\"http://orthoregen.com\"><span style=\"font-size: 26px;\">OrthoRegen<sup>®</sup></span></a> is dedicated to providing the best of <span class=\"nowrap\">Regenerative Orthopedics</span> by offering non-surgical alternatives for joint and spine repair</p>\r\n<a class=\"primaryButton\" title=\"Read More About U\" href=\"https://www.drfields.com/about/orthoregen-our-philosophy/\">Read More About Us</a>\r\n<a id=\"candidateButton\" title=\"Are you a good candidate?\" href=\"/contact/\">Are you a good candidate?</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n<div class=\"about\">\r\n<div class=\"col-md-5 drfields\"><img class=\"alignnone\" title=\"Regenerative Orthopedics Leader\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/dr-fields.png\" alt=\"Regenerative Orthopedics Leader\" width=\"460\" height=\"737\" /></div>\r\n<div class=\"col-md-7 about_holder\">\r\n<h1>Peter A. Fields, <span class=\"nowrap\">MD, DC</span></h1>\r\n<p class=\"intro_text\">Medical Physician and Chiropractor\r\nThe Athletic Doc<sup>®</sup> - 11x Ironman Triathlete</p>\r\n\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"icon info\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-info.png\" alt=\"icon info\" /></div>\r\n<div class=\"about_text\">\r\n<h3>About</h3>\r\nPeter A. Fields, MD, DC is one of a handful of physicians in the nation with both medical and chiropractic degrees...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/dr-fields-bio/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n<div class=\"col-md-3\">\r\n<div class=\"about_icon\"><img title=\"Man Icon\" src=\"https://www.drfields.com/wp-content/uploads/2019/06/icon-ironman.png\" alt=\"Man Icon\" /></div>\r\n<div class=\"about_text\">\r\n<h3>11x Ironman</h3>\r\nDr. Peter A. Fields is also known as The Athletic Doc<sup>®</sup> He not only treats athletes in his practice but is an athlete himself. For over...\r\n\r\n<a class=\"secondaryButton\" title=\"Read More\" href=\"https://www.drfields.com/about/the-athletic-doc/about-the-athletic-doc/\">Read More</a>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n<div class=\"clear\"></div>\r\n&nbsp;\r\n\r\n<a class=\"buttonlink\" href=\"https://www.drfields.com/contact/\">Call Us Today! 310-453-1234</a>','Home','','inherit','closed','closed','','2109-revision-v1','','','2022-08-26 04:59:00','2022-08-26 04:59:00','',2109,'https://www.drfields.com/?p=5493',0,'revision','',0),(5494,9,'2022-08-26 22:00:50','2022-08-26 22:00:50','<img class=\"wp-image-5475 alignright\" title=\"Sprained Ankle?\" src=\"https://www.drfields.com/wp-content/uploads/2022/08/Sprained-Ankle-500x419.png\" alt=\"Sprained Ankle?\" width=\"300\" height=\"251\" />\n<h2>Sprained Ankles?</h2>\nDo you experience recurrent ankle sprains? Is your ankle constantly giving out or overturning? These are common problems for those with instability in their ankle! Frequent swelling, pain, and a decrease in range of motion or possibly an excess of movement are also symptoms of those who experience recurring ankle sprains.\n<h2>What Causes Frequent Sprained Ankles?</h2>\nAnything that stretches the ankle further than it is used to can cause an injury to the ankle ligaments. For example, overturning the ankle inwards or outwards can injure the ligaments. Ankle sprains consist of some type of ligament injury. These injuries may be mild, moderate, or severe, but all involve ligament injury and/or tears of the ankle\'s ligaments.\n\nIf this ligament injury does not fully heal, a cycle of instability begins because the ligament(s) are weakened, allowing for abnormal ankle joint movement. As time progresses, other structures of the unstable ankle joint will also begin to degenerate, resulting in eventual arthritis.\n<h2>Why Haven’t Common Treatments Worked to Stabilize Weak or Sprained Ankles?</h2>\nIf you look up common treatments for ankle sprains, you will find rest, ice, compression, elevation, anti-inflammatory medications, and bracing or casting. Those with repeat ankle sprains have most likely tried all of these treatments.\n\nSure, they may provide some relief, but the ankle remains unstable. That is because none of these treatments repair the injured ligaments.\n<ul>\n 	<li>Ice does not repair ligaments.</li>\n 	<li>Braces, taping, and casts do not repair ligaments</li>\n 	<li>Elevation does not repair ligaments</li>\n 	<li>Anti-inflammatories do not repair ligaments</li>\n 	<li>Pain medications do not repair ligaments</li>\n</ul>\nAnd since 86% of ankle injuries are ligament sprains1, a treatment directed at ligament repair is what is necessary. Yes, treatments like physical therapy to strengthen musculature are helpful, but since muscles also depend on strong tendons and ligaments for proper function and stability, repair of these soft tissue structures will need to be addressed.\n<h2>Regenerative Treatment Is An Effective Way to Repair Weakened Ligaments</h2>\nAt OrthoRegen®, our treatment of choice is Regenerative Orthopedics. The great news is that these non-surgical treatments actually work to repair the ligaments. The treatment is not just a bandaid or a cover-up for the pain. Regenerative therapies, like Prolotherapy, PRP, and Stem Cells, have been shown to repair and regenerate the injured soft tissue structures.\n\nThe joint is strengthened by repairing the ligaments and any other involved soft tissue structures, and the instability is resolved. Regenerative Orthopedics is a comprehensive treatment directed at all of the involved structures for the best possible outcome. The result is decreased pain and stiffness and increased function, improving quality of life.2\n\nIn cases with more deterioration, PRP or Stem Cells may be recommended in addition to Prolotherapy. Research has shown that these treatments also repair the ankle\'s soft tissue and boost function. Even in high ankle sprains, PRP has been shown to return athletes to full activity.\n\nAt OrthoRegen®, we have many years of experience in Regenerative therapies and would be happy to help you resolve your recurrent ankle sprains and improve your ankle function. Call us today at (310)453-1234.\n\n1Mulcahey MK, Bernhardson AS, Murphy CP, Chang A, Zajac T, Sanchez G, Sanchez A, Whalen JM, Price MD, Clanton TO, Provencher MT. The Epidemiology of Ankle Injuries Identified at the National Football League Combine, 2009-2015. Orthopaedic journal of sports medicine. 2018 Jul 17;6(7):2325967118786227.\n\n2Hauser RA, Hauser, MA, Cukla J. Dextrose Prolotherapy Injections for Chronic Ankle Pain Practical PAIN MANAGEMENT, January/February 2010 p 70-76.\n\n3Laver L, Carmont MR, McConkey MO, Palmanovich E, Yaacobi E, Mann G, Nyska M, Kots E, Mei-Dan O. Plasma rich in growth factors (PRGF) as a treatment for high ankle sprain in elite athletes: a randomized control trial. Knee Surg Sports Traumatol Arthrosc. 2015 Nov;23(11):3383-92.','Sprained or Overturned Ankle?','','inherit','closed','closed','','5474-autosave-v1','','','2022-08-26 22:00:50','2022-08-26 22:00:50','',5474,'https://www.drfields.com/?p=5494',0,'revision','',0),(5495,9,'2022-08-26 21:59:44','2022-08-26 21:59:44','<img class=\"wp-image-5475 alignright\" title=\"Sprained Ankle?\" src=\"https://www.drfields.com/wp-content/uploads/2022/08/Sprained-Ankle-500x419.png\" alt=\"Sprained Ankle?\" width=\"300\" height=\"251\" />\r\n<h2>Sprained Ankle?</h2>\r\nDo you experience recurrent ankle sprains? Is your ankle constantly giving out or overturning? These are common problems for those with instability in their ankle! Frequent swelling, pain, and a decrease in range of motion or possibly an excess of movement are also symptoms of those who experience recurring ankle sprains.\r\n<h2>What Causes Frequent Sprained Ankles?</h2>\r\nAnything that stretches the ankle further than it is used to can cause an injury to the ankle ligaments. For example, overturning the ankle inwards or outwards can injure the ligaments. Ankle sprains consist of some type of ligament injury. These injuries may be mild, moderate, or severe, but all involve ligament injury and/or tears of the ankle\'s ligaments.\r\n\r\nIf this ligament injury does not fully heal, a cycle of instability begins because the ligament(s) are weakened, allowing for abnormal ankle joint movement. As time progresses, other structures of the unstable ankle joint will also begin to degenerate, resulting in eventual arthritis.\r\n<h2>Why Haven’t Common Treatments Worked to Stabilize Weak or Sprained Ankles?</h2>\r\nIf you look up common treatments for ankle sprains, you will find rest, ice, compression, elevation, anti-inflammatory medications, and bracing or casting. Those with repeat ankle sprains have most likely tried all of these treatments.\r\n\r\nSure, they may provide some relief, but the ankle remains unstable. That is because none of these treatments repair the injured ligaments.\r\n<ul>\r\n 	<li>Ice does not repair ligaments.</li>\r\n 	<li>Braces, taping, and casts do not repair ligaments</li>\r\n 	<li>Elevation does not repair ligaments</li>\r\n 	<li>Anti-inflammatories do not repair ligaments</li>\r\n 	<li>Pain medications do not repair ligaments</li>\r\n</ul>\r\nAnd since 86% of ankle injuries are ligament sprains1, a treatment directed at ligament repair is what is necessary. Yes, treatments like physical therapy to strengthen musculature are helpful, but since muscles also depend on strong tendons and ligaments for proper function and stability, repair of these soft tissue structures will need to be addressed.\r\n<h2>Regenerative Treatment Is An Effective Way to Repair Weakened Ligaments</h2>\r\nAt OrthoRegen®, our treatment of choice is Regenerative Orthopedics. The great news is that these non-surgical treatments actually work to repair the ligaments. The treatment is not just a bandaid or a cover-up for the pain. Regenerative therapies, like Prolotherapy, PRP, and Stem Cells, have been shown to repair and regenerate the injured soft tissue structures.\r\n\r\nThe joint is strengthened by repairing the ligaments and any other involved soft tissue structures, and the instability is resolved. Regenerative Orthopedics is a comprehensive treatment directed at all of the involved structures for the best possible outcome. The result is decreased pain and stiffness and increased function, improving quality of life.2\r\n\r\nIn cases with more deterioration, PRP or Stem Cells may be recommended in addition to Prolotherapy. Research has shown that these treatments also repair the ankle\'s soft tissue and boost function. Even in high ankle sprains, PRP has been shown to return athletes to full activity.\r\n\r\nAt OrthoRegen®, we have many years of experience in Regenerative therapies and would be happy to help you resolve your recurrent ankle sprains and improve your ankle function. Call us today at (310)453-1234.\r\n\r\n1Mulcahey MK, Bernhardson AS, Murphy CP, Chang A, Zajac T, Sanchez G, Sanchez A, Whalen JM, Price MD, Clanton TO, Provencher MT. The Epidemiology of Ankle Injuries Identified at the National Football League Combine, 2009-2015. Orthopaedic journal of sports medicine. 2018 Jul 17;6(7):2325967118786227.\r\n\r\n2Hauser RA, Hauser, MA, Cukla J. Dextrose Prolotherapy Injections for Chronic Ankle Pain Practical PAIN MANAGEMENT, January/February 2010 p 70-76.\r\n\r\n3Laver L, Carmont MR, McConkey MO, Palmanovich E, Yaacobi E, Mann G, Nyska M, Kots E, Mei-Dan O. Plasma rich in growth factors (PRGF) as a treatment for high ankle sprain in elite athletes: a randomized control trial. Knee Surg Sports Traumatol Arthrosc. 2015 Nov;23(11):3383-92.','Sprained or Overturned Ankle?','','inherit','closed','closed','','5474-revision-v1','','','2022-08-26 21:59:44','2022-08-26 21:59:44','',5474,'https://www.drfields.com/?p=5495',0,'revision','',0),(5496,9,'2022-08-26 22:01:27','2022-08-26 22:01:27','<img class=\"wp-image-5475 alignright\" title=\"Sprained Ankle?\" src=\"https://www.drfields.com/wp-content/uploads/2022/08/Sprained-Ankle-500x419.png\" alt=\"Sprained Ankle?\" width=\"300\" height=\"251\" />\r\n<h2>Sprained Ankles?</h2>\r\nDo you experience recurrent sprained ankles? Is your ankle constantly giving out or overturning? These are common problems for those with instability in their ankle! Frequent swelling, pain, and a decrease in range of motion or possibly an excess of movement are also symptoms of those who experience recurring ankle sprains.\r\n<h2>What Causes Frequent Sprained Ankles?</h2>\r\nAnything that stretches the ankle further than it is used to can cause an injury to the ankle ligaments. For example, overturning the ankle inwards or outwards can injure the ligaments. Ankle sprains consist of some type of ligament injury. These injuries may be mild, moderate, or severe, but all involve ligament injury and/or tears of the ankle\'s ligaments.\r\n\r\nIf this ligament injury does not fully heal, a cycle of instability begins because the ligament(s) are weakened, allowing for abnormal ankle joint movement. As time progresses, other structures of the unstable ankle joint will also begin to degenerate, resulting in eventual arthritis.\r\n<h2>Why Haven’t Common Treatments Worked to Stabilize Weak or Sprained Ankles?</h2>\r\nIf you look up common treatments for ankle sprains, you will find rest, ice, compression, elevation, anti-inflammatory medications, and bracing or casting. Those with repeat ankle sprains have most likely tried all of these treatments.\r\n\r\nSure, they may provide some relief, but the ankle remains unstable. That is because none of these treatments repair the injured ligaments.\r\n<ul>\r\n 	<li>Ice does not repair ligaments.</li>\r\n 	<li>Braces, taping, and casts do not repair ligaments</li>\r\n 	<li>Elevation does not repair ligaments</li>\r\n 	<li>Anti-inflammatories do not repair ligaments</li>\r\n 	<li>Pain medications do not repair ligaments</li>\r\n</ul>\r\nAnd since 86% of ankle injuries are ligament sprains1, a treatment directed at ligament repair is what is necessary. Yes, treatments like physical therapy to strengthen musculature are helpful, but since muscles also depend on strong tendons and ligaments for proper function and stability, repair of these soft tissue structures will need to be addressed.\r\n<h2>Regenerative Treatment Is An Effective Way to Repair Weakened Ligaments</h2>\r\nAt OrthoRegen®, our treatment of choice is Regenerative Orthopedics. The great news is that these non-surgical treatments actually work to repair the ligaments. The treatment is not just a bandaid or a cover-up for the pain. Regenerative therapies, like Prolotherapy, PRP, and Stem Cells, have been shown to repair and regenerate the injured soft tissue structures.\r\n\r\nThe joint is strengthened by repairing the ligaments and any other involved soft tissue structures, and the instability is resolved. Regenerative Orthopedics is a comprehensive treatment directed at all of the involved structures for the best possible outcome. The result is decreased pain and stiffness and increased function, improving quality of life.2\r\n\r\nIn cases with more deterioration, PRP or Stem Cells may be recommended in addition to Prolotherapy. Research has shown that these treatments also repair the ankle\'s soft tissue and boost function. Even in high ankle sprains, PRP has been shown to return athletes to full activity.\r\n\r\nAt OrthoRegen®, we have many years of experience in Regenerative therapies and would be happy to help you resolve your recurrent ankle sprains and improve your ankle function. Call us today at (310)453-1234.\r\n\r\n1Mulcahey MK, Bernhardson AS, Murphy CP, Chang A, Zajac T, Sanchez G, Sanchez A, Whalen JM, Price MD, Clanton TO, Provencher MT. The Epidemiology of Ankle Injuries Identified at the National Football League Combine, 2009-2015. Orthopaedic journal of sports medicine. 2018 Jul 17;6(7):2325967118786227.\r\n\r\n2Hauser RA, Hauser, MA, Cukla J. Dextrose Prolotherapy Injections for Chronic Ankle Pain Practical PAIN MANAGEMENT, January/February 2010 p 70-76.\r\n\r\n3Laver L, Carmont MR, McConkey MO, Palmanovich E, Yaacobi E, Mann G, Nyska M, Kots E, Mei-Dan O. Plasma rich in growth factors (PRGF) as a treatment for high ankle sprain in elite athletes: a randomized control trial. Knee Surg Sports Traumatol Arthrosc. 2015 Nov;23(11):3383-92.','Sprained or Overturned Ankle?','','inherit','closed','closed','','5474-revision-v1','','','2022-08-26 22:01:27','2022-08-26 22:01:27','',5474,'https://www.drfields.com/?p=5496',0,'revision','',0),(5497,9,'2022-08-26 22:03:16','2022-08-26 22:03:16','<img class=\"wp-image-5475 alignright\" title=\"Sprained Ankle?\" src=\"https://www.drfields.com/wp-content/uploads/2022/08/Sprained-Ankle-500x419.png\" alt=\"Sprained Ankle?\" width=\"300\" height=\"251\" />\r\n<h2>Sprained Ankles?</h2>\r\nDo you experience recurrent sprained ankles? Is your ankle constantly giving out or overturning? These are common problems for those with instability in their ankle! Frequent swelling, pain, and a decrease in range of motion or possibly an excess of movement are also symptoms of those who experience recurring ankle sprains.\r\n<h2>What Causes Frequent Sprained Ankles?</h2>\r\nAnything that stretches the ankle further than it is used to can cause an injury to the ankle ligaments. For example, overturning the ankle inwards or outwards can injure the ligaments. Ankle sprains consist of some type of ligament injury. These injuries may be mild, moderate, or severe, but all involve ligament injury and/or tears of the ankle\'s ligaments.\r\n\r\nIf this ligament injury does not fully heal, a cycle of instability begins because the ligament(s) are weakened, allowing for abnormal ankle joint movement. As time progresses, other structures of the unstable ankle joint will also begin to degenerate, resulting in eventual arthritis.\r\n<h2>Why Haven’t Common Treatments Worked to Stabilize Weak or Sprained Ankles?</h2>\r\nIf you look up common treatments for ankle sprains, you will find rest, ice, compression, elevation, anti-inflammatory medications, and bracing or casting. Those with repeat ankle sprains have most likely tried all of these treatments.\r\n\r\nSure, they may provide some relief, but the ankle remains unstable. That is because none of these treatments repair the injured ligaments.\r\n<ul>\r\n 	<li>Ice does not repair ligaments.</li>\r\n 	<li>Braces, taping, and casts do not repair ligaments</li>\r\n 	<li>Elevation does not repair ligaments</li>\r\n 	<li>Anti-inflammatories do not repair ligaments</li>\r\n 	<li>Pain medications do not repair ligaments</li>\r\n</ul>\r\nAnd since 86% of ankle injuries are ligament sprains1, a treatment directed at ligament repair is what is necessary. Yes, treatments like physical therapy to strengthen musculature are helpful, but since muscles also depend on strong tendons and ligaments for proper function and stability, repair of these soft tissue structures will need to be addressed.\r\n<h2>Regenerative Treatment Is An Effective Way to Repair Weakened Ligaments</h2>\r\nAt OrthoRegen®, our treatment of choice is Regenerative Orthopedics. The great news is that these non-surgical treatments actually work to repair the ligaments. The treatment is not just a bandaid or a cover-up for the pain. Regenerative therapies, like Prolotherapy, PRP, and Stem Cells, have been shown to repair and regenerate the injured soft tissue structures.\r\n\r\nThe joint is strengthened by repairing the ligaments and other soft tissue structures, and the instability is resolved. Regenerative Orthopedics is a comprehensive treatment directed at all of the involved structures for the best possible outcome. The result is decreased pain and stiffness and increased function, improving quality of life.2\r\n\r\nIn cases with more deterioration, PRP or Stem Cells may be recommended in addition to Prolotherapy. Research has shown that these treatments also repair the ankle\'s soft tissue and boost function. Even in high ankle sprains, PRP has been shown to return athletes to full activity.\r\n\r\nAt OrthoRegen®, we have many years of experience in Regenerative therapies and would be happy to help you resolve your recurrent ankle sprains and improve your ankle function. Call us today at (310)453-1234.\r\n\r\n1Mulcahey MK, Bernhardson AS, Murphy CP, Chang A, Zajac T, Sanchez G, Sanchez A, Whalen JM, Price MD, Clanton TO, Provencher MT. The Epidemiology of Ankle Injuries Identified at the National Football League Combine, 2009-2015. Orthopaedic journal of sports medicine. 2018 Jul 17;6(7):2325967118786227.\r\n\r\n2Hauser RA, Hauser, MA, Cukla J. Dextrose Prolotherapy Injections for Chronic Ankle Pain Practical PAIN MANAGEMENT, January/February 2010 p 70-76.\r\n\r\n3Laver L, Carmont MR, McConkey MO, Palmanovich E, Yaacobi E, Mann G, Nyska M, Kots E, Mei-Dan O. Plasma rich in growth factors (PRGF) as a treatment for high ankle sprain in elite athletes: a randomized control trial. Knee Surg Sports Traumatol Arthrosc. 2015 Nov;23(11):3383-92.','Sprained or Overturned Ankle?','','inherit','closed','closed','','5474-revision-v1','','','2022-08-26 22:03:16','2022-08-26 22:03:16','',5474,'https://www.drfields.com/?p=5497',0,'revision','',0),(5500,8,'2022-09-06 06:00:27','2022-09-06 06:00:27','<h2><img class=\"alignright wp-image-5506 size-wcsquare\" src=\"https://www.drfields.com/wp-content/uploads/2022/09/Patellar-Tendinopathy.-PRP.-Amer-J-of-Sports-Med.2ndpng-300x300.png\" alt=\"Patellar Tendinopathy. Prp. Amer J Of Sports Med.2ndpng\" width=\"300\" height=\"300\" />Patellar Tendinopathy</h2>\r\nHave you been diagnosed with patellar tendinopathy? If so, your condition relates to the tendon that passes from the large muscle at the front of the thigh and over the kneecap (patella) to connect to the shinbone.\r\n\r\nWhen someone has knee pain from a tendon problem or other causes, conservative self-management is usually the next step, or a doctor may recommend a brace, wrap, and/or anti-inflammatory medication. These treatments may keep down swelling down and possibly relieve some pain. However, any actual injury is not repaired with these conventional measures.\r\n\r\nAfter a few weeks of rest, once you are active again, you may still experience problems with pain and instability. Repair is needed. Fortunately, Regenerative Orthopedics is an available solution that can repair the tendons and any involved ligaments. Plus, it is non-surgical.\r\n<h2>Tendinitis vs Tendinosis</h2>\r\nBefore we go on, let’s talk about the difference between tendinitis and tendinosis:\r\n<ul>\r\n 	<li>With tendinitis, there is inflammation, pain, and swelling. The body is still trying to heal the knee</li>\r\n 	<li>When tendinosis is diagnosed, there is pain and weakness without the inflammation. At this point, the soft tissue is degenerated and the body has pretty much stopped trying to heal the tendon. And even though inflammation can be painful, inflammation is the body’s way of healing.</li>\r\n</ul>\r\n<h2>Patellar Tendinopathy Explained</h2>\r\nThe Journal of the American Academy of Orthopaedic Surgeons explains patellar tendinopathy like this: “The main problem in patellar tendinopathy is tendinosis, which is a degenerative disorder rather than an inflammatory disorder; therefore, the other popular term for this disease, tendinitis, is not appropriate.”\r\n\r\nRegenerative treatments are needed to repair and regenerate the degenerated soft tissue.\r\n<h2>Do Cortisone Injections Help?</h2>\r\nCortisone injections may help to calm down the inflammation and pain, but cortisone can make the tendon weaker. A recent study on the effect of dexamethasone (a type of cortisone injection) on the patellar tendon showed that dexamethasone had a “paradoxical” effect or changed the tendon stem cells into non-tendon tissue which weakened the tendon. Keep in mind then, that if cortisone is recommended, that while it may calm down inflammation, the injection could weaken rather than strengthen the tendon. (2)\r\n\r\nUnfortunately, with a tendon injury, the structure is already weakened. Plus, once it is weakened or damaged through injury or degenerative wear and tear, the knee becomes unstable. Stability needs to be regained, and Regenerative Orthopedics can stabilize and repair the soft tissue structures.\r\n<h2>Can Taping Help?</h2>\r\nIn the Annals of Translational Medicine (3), taping for the purpose of stabilizing the patella was discussed. “Patellar taping is commonly used in conjunction with manual and exercise therapies in the management of patellofemoral pain syndrome. Taping is predominately used to help decrease pain. Other studies show it can also help with patellar alignment and muscle activation. As patellar hypermobility has been shown as a predisposing factor for developing patellofemoral pain syndrome, taping can be indicated to promote patellar positioning and decrease pain. . . Overall, the effects of taping, are conflicting,…short-term it can be helpful with acute management of symptoms with functional activity.”\r\n\r\nThe goal of taping is to get the patella back into place, and to stabilize it temporarily. It is not reparative. Regenerative Orthopedics can stabilize the patellar, get it back in alignment, and resolve the pain. Regenerative Orthopedics is reparative.\r\n<h2>What About Surgery?</h2>\r\nSurgery may help the condition, but the downtime is very long. Researchers in the medical journal Orthopedics found that open surgery and arthroscopic techniques achieved similar satisfactory results but the average time to return to play was 5.6 months and 5 months, respectively (4). But keep in mind, there is also the possibility that surgery may not work.\r\n\r\nWhy not choose a non-surgical option that results in repair? Plus, effective Regenerative Orthopedics does not require the downtime of surgery. Movement is encouraged!\r\n<h2>Research about Regenerative Therapies?</h2>\r\nThe Journal of Experimental Orthopaedics examined the use of Prolotherapy in ten different studies for tendinopathies and found: “Among all ten studies, no serious adverse events were reported. Based on this limited set of studies, there seems to be some evidence that…Prolotherapy may be an effective treatment option to treat pain and to improve function in patients with Chronic Patellar Tendinopathy.” (5)\r\n\r\nPRP, another form of Regenerative Orthopedics, may also be warranted depending on the severity of the knee condition and for patellar tendinopathy. Do researchers recommend it? Doctors looking for a non-surgical options to treat patellar tendinopathy concluded in the American Journal of Sports Medicine: “Eccentric exercises may seem the strategy of choice in the short-term, but multiple PRP injections may offer more satisfactory results at long-term follow-up and can be therefore considered a suitable option for the treatment of patellar tendinopathy.”(6)\r\n\r\nRegenerative Orthopedics is a successful non-surgical solution for many knee pain conditions, including patellar tendinopathy. If you are suffering from knee pain, call us today. We are more than happy to help you resolve your pain and get you back to what you love quickly and with improved knee function.\r\n<h3><strong>References</strong></h3>\r\n1 Figueroa D, Figueroa F, Calvo R. Patellar Tendinopathy: Diagnosis and Treatment. J Am Acad Orthop Surg. 2016 Dec;24(12):e184-e192.\r\n\r\n2 Zhang J, Keenan C, Wang JH. The Effects of Dexamethasone on Human Patellar Tendon Stem Cells: Implications for Dexamethasone Treatment of Tendon Injury. Journal of orthopaedic research: official publication of the Orthopaedic Research Society. 2013 Jan;31(1):105.\r\n\r\n3 Mellinger S, Neurohr GA. Evidence-based treatment options for common knee injuries in runners. Annals of translational medicine. 2019 Oct;7(Suppl 7).\r\n\r\n4 Stuhlman CR, Stowers K, Stowers L, Smith J. Current Concepts and the Role of Surgery in the Treatment of Jumper’s Knee. Orthopedics. Nov 1 2016;39(6):e1028-e1035. doi: 10.3928/01477447-20160714-06.\r\n\r\n5 Morath O, Beck M, Taeymans J, Hirschmüller A. Sclerotherapy and prolotherapy for chronic patellar tendinopathies – a promising therapy with limited available evidence, a systematic review. J Exp Orthop. 2020 Nov 9;7(1):89. doi: 10.1186/s40634-020-00303-0. PMID: 33165667.\r\n\r\n6 Andriolo L, Altamura SA, Reale D, Candrian C, Zaffagnini S, Filardo G. Nonsurgical Treatments of Patellar Tendinopathy: Multiple Injections of Platelet-Rich Plasma Are a Suitable Option: A Systematic Review and Meta-analysis. The American journal of sports medicine. 2018 Mar 1:0363546518759674.','Patellar Tendinopathy','','publish','closed','open','','patellar-tendinopathy','','','2023-03-10 17:38:54','2023-03-10 17:38:54','',0,'https://www.drfields.com/?p=5500',0,'post','',0),(5501,8,'2022-09-07 06:06:04','2022-09-07 06:06:04','Patellar Tendinopathy. Prp. Amer J Of Sports Med','Patellar Tendinopathy. Prp. Amer J Of Sports Med','Patellar Tendinopathy. Prp. Amer J Of Sports Med','inherit','closed','closed','','patellar-tendinopathy-prp-amer-j-of-sports-med','','','2022-09-07 06:06:04','2022-09-07 06:06:04','',5500,'https://www.drfields.com/wp-content/uploads/2022/09/Patellar-Tendinopathy.-PRP.-Amer-J-of-Sports-Med.png',0,'attachment','image/png',0),