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Ankylosing Spondylitis, Hip Pain, PRP treatment

hip pain
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A fairly common question I get asked by colleagues is how do I use regenerative medicine treatments in the setting of my autoimmune and inflammatory patients. It’s a great question and I have a case that I think helps to explain and give some details in that regard. Specifically a man with Ankylosing Spondylitis and treating his right hip pain with platelet rich plasma.

 


I have a patient who is in his early fifties, he is a gentleman that has Ankylosing Spondylitis. In patients that have systemic inflammatory issues, meaning inflammation throughout the body, that have joint issues, my first take is always if they have total body inflammation you really need a solution that’s total body. And that generally does not mean injectable option into a specific joint or tendon. So things you can consider, you can certainly consider things like over the counter supplements like omega-3 curcumin glucosamine. As well as dietary changes which can be helpful. For most of these people though, they end up requiring medication to control their overall symptoms. And rather than using just anti-inflammatory medications it’s more medications that work on the immune system to help calm things down and modulate it. So that’s always first line. For some of these people they do great. They don’t need anything else.

For a lot of these people, however they may still have some residual joint issues. If somebody has one or two joint issues you can still treat that with some of the regenerative treatments rather than relying on steroid injections or anti-inflammatory medications or chronic narcotics. In the case of my patient, he has Ankylosing Spondylitis. In general he is doing quite well with overall control of his condition with medication. He does, however, still have some residual hip issues. He has pain in the right hip along the side of the hip that also goes down the leg. On his imaging he has very mild arthritic changes in the right hip. The most important thing in his imaging is that he has fused SI Joints on both sides.

The sacroiliac joints sit in between and connect the pelvis to the lumbar spine, is a key support in the pelvis, offers significant stability, and offloads the stress that goes through the hip and the pelvis. So if somebody has a fused SI Joint they’re prone to not only lower back pain they can also be prone to hip pain as well. In this gentleman’s case, my sense has been that a lot of his pain is actually coming from his SI joint being fused and then secondarily developing stress in the hip. Not only the hip joint, but also the hip ligaments and the hip tendons as well. That is based on clinical examination, diagnostic ultrasound, and clinical feel and experience.

In this case what I recommended was platelet-rich plasma where we’re taking a sample of his blood, concentrating into a high concentration of his own platelets called platelet-rich plasma, and then injecting that into the hip joint. Specifically injecting 14 times concentration platelet-rich plasma into the hip joint then injecting platelet lysate into the hip joint as well and ligaments around the hip. He also has hip flexor symptoms as well and I injected platelet-rich plasma into the hip flexor tendons. And then lastly also injecting around the ligaments of the SI joints. You can not actually inject into his SI Joints in this case because the joint is fused. I can, however, inject into the SI ligaments improving support and stability, which will then also help his overall pain symptoms.

So that is how I would approach someone who has an autoimmune or inflammatory condition. Control the systemic issues and then start dealing with the residual remaining things as well to get somebody better. Hopefully he gets a good result and hopefully that’s gives you a better sense for how to treat these kinds of situations.

 


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***For evaluation and treatment at Chicago Arthritis and Regenerative Medicine:
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MEDICAL ADVICE DISCLAIMER: All content in this message/video/audio broadcast and description including: infor­ma­tion, opinions, con­tent, ref­er­ences and links is for infor­ma­tional pur­poses only. The Author does not pro­vide any med­ical advice on the Site. Access­ing, viewing, read­ing or oth­er­wise using this content does NOT cre­ate a physician-patient rela­tion­ship between you and it’s author. Pro­vid­ing per­sonal or med­ical infor­ma­tion to the Principal author does not cre­ate a physician-patient rela­tion­ship between you and the Principal author or authors. Noth­ing con­tained in this video or it’s description is intended to estab­lish a physician-patient rela­tion­ship, to replace the ser­vices of a trained physi­cian or health care pro­fes­sional, or oth­er­wise to be a sub­sti­tute for pro­fes­sional med­ical advice, diag­no­sis, or treatment. You should con­sult a licensed physi­cian or appropriately-credentialed health care worker in your com­munity in all mat­ters relat­ing to your health.
 

Chicago Arthritis and Regenerative Medicine- Weekly Live- 20200506

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Chicago Arthritis and Regenerative Medicine- Weekly Live- 20200506
Keeping our Autoimmune patients safe during Covid19.
Conversation with Ms Krista Bauman.
How autoimmune patients are dealing with the current Covid19 challenges.
What physicians should be doing to protect and help their patients.
Resources from the Arthritis Foundation that can be helpful at this time.

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Subscribe to our Newsletter

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Chicago Arthritis Blog

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https://www.chicagoarthritis.com/regenerative-medicine-report/

***For evaluation and treatment at Chicago Arthritis and Regenerative Medicine:
Determine if you are a Regenerative Medicine treatment candidate:

Candidate Form

Contact us for more information or to schedule an appointment:
https://www.chicagoarthritis.com/contact-us/

MEDICAL ADVICE DISCLAIMER: All content in this message/video/audio broadcast and description including: infor­ma­tion, opinions, con­tent, ref­er­ences and links is for infor­ma­tional pur­poses only. The Author does not pro­vide any med­ical advice on the Site. Access­ing, viewing, read­ing or oth­er­wise using this content does NOT cre­ate a physician-patient rela­tion­ship between you and it’s author. Pro­vid­ing per­sonal or med­ical infor­ma­tion to the Principal author does not cre­ate a physician-patient rela­tion­ship between you and the Principal author or authors. Noth­ing con­tained in this video or it’s description is intended to estab­lish a physician-patient rela­tion­ship, to replace the ser­vices of a trained physi­cian or health care pro­fes­sional, or oth­er­wise to be a sub­sti­tute for pro­fes­sional med­ical advice, diag­no­sis, or treatment. You should con­sult a licensed physi­cian or appropriately-credentialed health care worker in your com­munity in all mat­ters relat­ing to your health.

***About this video***
In this video Siddharth Tambar MD from Chicago Arthritis and Regenerative Medicine discusses how they are protecting their autoimmune patients during Covid19.

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#rheumatology
#lupus
#arthritisfoundation
@arthritisfoundation
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Corona Update- Interview with MyHealthTeams- 20200327

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Autoimmune patients have lots of questions regarding the Corona/Covid19 virus outbreak and medications. This is a interview with MyHealthTeams where Siddharth Tambar MD discusses the various issues involved.

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Listen to the Regenerative Medicine Report podcast:
https://www.chicagoarthritis.com/regenerative-medicine-report/

***For evaluation and treatment at Chicago Arthritis and Regenerative Medicine:
Determine if you are a Regenerative Medicine treatment candidate:
https://www.chicagoarthritis.com/regenexx-candidate-form/
Contact us for more information or to schedule an appointment:
https://www.chicagoarthritis.com/contact-us/

MEDICAL ADVICE DISCLAIMER: All content in this message/video/audio broadcast and description including: infor­ma­tion, opinions, con­tent, ref­er­ences and links is for infor­ma­tional pur­poses only. The Author does not pro­vide any med­ical advice on the Site. Access­ing, viewing, read­ing or oth­er­wise using this content does NOT cre­ate a physician-patient rela­tion­ship between you and it’s author. Pro­vid­ing per­sonal or med­ical infor­ma­tion to the Principal author does not cre­ate a physician-patient rela­tion­ship between you and the Principal author or authors. Noth­ing con­tained in this video or it’s description is intended to estab­lish a physician-patient rela­tion­ship, to replace the ser­vices of a trained physi­cian or health care pro­fes­sional, or oth­er­wise to be a sub­sti­tute for pro­fes­sional med­ical advice, diag­no­sis, or treatment. You should con­sult a licensed physi­cian or appropriately-credentialed health care worker in your com­munity in all mat­ters relat­ing to your health.
***About this video***
In this video Siddharth Tambar MD from Chicago Arthritis and Regenerative Medicine discusses Corona virus, Covid19, autoimmune conditions and medication issues currently.

Corona update- Msg to our AutoImmune patients- 20200323

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Message to our autoimmune patients on March 23, 2020, including to rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, lupus, Sjogren’s, inflammatory bowel disease, and other autoimmune condition patients. Message related to medication usage and the Corona/Covid19 virus.
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***For more educational content:
Sign up for our email newsletter:
https://www.chicagoarthritis.com/newsletter/
See our blog:
https://www.chicagoarthritis.com/blog/
Listen to the Regenerative Medicine Report podcast:
https://www.chicagoarthritis.com/regenerative-medicine-report/

***For evaluation and treatment at Chicago Arthritis and Regenerative Medicine:
Determine if you are a Regenerative Medicine treatment candidate:
https://www.chicagoarthritis.com/regenexx-candidate-form/
Contact us for more information or to schedule an appointment:
https://www.chicagoarthritis.com/contact-us/

MEDICAL ADVICE DISCLAIMER: All content in this message/video/audio broadcast and description including: infor­ma­tion, opinions, con­tent, ref­er­ences and links is for infor­ma­tional pur­poses only. The Author does not pro­vide any med­ical advice on the Site. Access­ing, viewing, read­ing or oth­er­wise using this content does NOT cre­ate a physician-patient rela­tion­ship between you and it’s author. Pro­vid­ing per­sonal or med­ical infor­ma­tion to the Principal author does not cre­ate a physician-patient rela­tion­ship between you and the Principal author or authors. Noth­ing con­tained in this video or it’s description is intended to estab­lish a physician-patient rela­tion­ship, to replace the ser­vices of a trained physi­cian or health care pro­fes­sional, or oth­er­wise to be a sub­sti­tute for pro­fes­sional med­ical advice, diag­no­sis, or treatment. You should con­sult a licensed physi­cian or appropriately-credentialed health care worker in your com­munity in all mat­ters relat­ing to your health.
***About this video***
In this video Siddharth Tambar MD from Chicago Arthritis and Regenerative Medicine discusses medication for autoimmune patients and the current Corrona/Covid19 virus outbreak, this is an update as of 2020-03-23.

Corona Virus, Inflammatory Arthritis, and Challenges

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Corona Virus and Inflammatory Arthritis Challenges
Inflammatory arthritis patients that have rheumatoid arthritis, psoriatic arthritis, or ankylosing spondylitis use medications that work on their immune system. With news of the Corona virus spread, there are challenges inflammatory arthritis patients are facing. This video discusses questions that I am hearing from patients and gives some perspective.
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***For more educational content:
Sign up for our email newsletter:
https://www.chicagoarthritis.com/newsletter/
See our blog:
https://www.chicagoarthritis.com/blog/
Listen to the Regenerative Medicine Report podcast:
https://www.chicagoarthritis.com/regenerative-medicine-report/
***For evaluation and treatment at Chicago Arthritis and Regenerative Medicine:
Determine if you are a Regenerative Medicine treatment candidate:
https://www.chicagoarthritis.com/regenexx-candidate-form/
Contact us for more information or to schedule an appointment:
https://www.chicagoarthritis.com/contact-us/
____________________________________________________________________________________________________
MEDICAL ADVICE DISCLAIMER: All content in this message/video/audio broadcast and description including: infor­ma­tion, opinions, con­tent, ref­er­ences and links is for infor­ma­tional pur­poses only. The Author does not pro­vide any med­ical advice on the Site. Access­ing, viewing, read­ing or oth­er­wise using this content does NOT cre­ate a physician-patient rela­tion­ship between you and it’s author. Pro­vid­ing per­sonal or med­ical infor­ma­tion to the Principal author does not cre­ate a physician-patient rela­tion­ship between you and the Principal author or authors. Noth­ing con­tained in this video or it’s description is intended to estab­lish a physician-patient rela­tion­ship, to replace the ser­vices of a trained physi­cian or health care pro­fes­sional, or oth­er­wise to be a sub­sti­tute for pro­fes­sional med­ical advice, diag­no­sis, or treatment. You should con­sult a licensed physi­cian or appropriately-credentialed health care worker in your com­munity in all mat­ters relat­ing to your health.
***About this video***
In this video Siddharth Tambar MD from Chicago Arthritis and Regenerative Medicine discusses challenges the inflammatory arthritis patients are facing with the Corona virus outbreak.