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Testimonial- PRP treatment for Knees and Lower back- 20200811

Testimonial- PRP treatment for Knees and Lower back

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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.

Hip Labral tears

Hip labral tears
img

Hip Labral tears
-What does the hip labrum do?
-What does it mean if it’s been torn?
-What are the symptoms to suggest a torn hip labrum?
-Why it matters whether you have a degenerative or acute traumatic Labral tear.
-When should you consider hip labrum surgery.
-When should you consider regenerative medicine treatment options.


Hip Labral tears

Hello, this is Siddharth Tambar, from Chicago arthritis and regenerative medicine. Welcome to our weekly live educational broadcast. It’s September 14th, 2020. Welcome everyone. I hope everyone is healthy and doing well. So on this weekly broadcast, I’d like to discuss common questions that either patients or my own staff has regarding things that we evaluate, treat and assist with here in the clinic. So in this office, we are focused on nonsurgical evaluation and management of arthritis, tendonitis, injuries, and back pain.

So a occasional question that I get is regarding hip labral tears. So I had a patient last week who specifically was asking regarding her hip pain, whether her MRI finding could account for her pain and whether she should consider surgery or not. So what is a hip labrum? So the hip labrum is a thickened connective tissue layer that extends from the cartilage of the hip joint. It surrounds a rim of the acetabulum. It extends a hip joint socket itself. It increases the surface area of the hip joint socket, which then in turn helps to strengthen the hip joint socket. So it’s a really important structure in the hip joint in that it offers stability and adds to the overall strength and function of the hip joint.

So in someone that has an injury to the labrum, what they will experience is pain in the front of the hip, classically in the groin area pain with range of motion and even a possible catching sensation. And certainly pain as a physician is moving your hip around sort of internally and externally rotating the hip.

So what do you do if you have a hip labral tear. There’s really two ways you want to think about this. Number one is, do you have a degenerative tear versus you have a traumatic acute tear? So MRI can tell the difference, certainly your history and description of your pain when it occurred, how it occurred, can help out as well. So if you have a degenerative tear, degenerative tear means an MRI, you can tell that there’s been some blunting or some degeneration of the labrum itself. It’s not an acute tear. It may not even be what’s causing your pain. It’s a finding that you can see in many people that have chronic degeneration of the labrum of the hip in particular hip arthritis, it’s part of the overall wear and tear and stress that you can see in hip arthritis. You don’t want to overreact to that finding on MRI, if it’s a degenerative tear. And the reason why is because as a part of the overall degenerative process, if you overreact to it and you think that’s what’s causing your pain, it may lead you down the wrong avenue in terms of treatment. There’s no evidence that surgically correcting or treating a degenerative hip labrum will help more than physical therapy alone. In addition, there’s no evidence that it will actually help prevent progression of hip arthritis.

So in a degenerative tear, the way you want to think about that, is it’s evidence that there’s chronic stress on the hip. So you want to ask yourself, why do you have stress on the hip? Is it because you have a prior injury, and there’s a little bit of instability from ligaments in the hip. Is it because you have some weakness around the muscles of the hip that’s causing more strain on the hip joint? Is it because you have some instability in the SI joint, which is in the back of the hip, in the buttock area. Or is it because you have a mild pinched nerve in the lower back that’s then causing some weakness in the muscles around the hip, which is then causing more stress in the hip joint and the hip labrum. All of those things can be treated. either through strengthening, such as physical therapy or regenerative medicine treatment, such as utilizing your own platelets or bone marrow stem cells to inject some of the ligaments to actually strengthen the ligaments. If there’s actually pain in the hip joint itself in the groin area, then actually injecting cells into the hip joint makes sense as well. If you have a mild pinched nerve in the lower back, then actually injecting platelets around that pinch nerve can make a difference as well. Those are all effective and appropriate ways to treat a degenerative labral injury.

Actually getting surgery to it does not make sense, and it’s not the right way to do it. The problem with surgery in this case, is if you cut out, soft tissue and tissue, that’s actually helping to protect the joint. You’ve now left that joint to be exposed to more or three changes longterm. So in a degenerative tear, absolutely avoid surgery, absolutely maximize physical therapy and absolutely consider a regenerative medicine treatment.

A traumatic tear is kind of an interesting and other kind of story. So let’s say you’re a 20 year old athletic individual. You injure your hip during a athletic activity, and now you have pain in the hip joint. And let’s say, you’re now told you have an acute traumatic tear of the labrum. Should you go for surgery? It’s kind of a controversial question. So the typical thing that’s done currently is hip labral surgery would be recommended. In some cases they can actually stitch that up back together, but frequently it’s actually shaving down where the tear is. Shaving down where the tear is then does put you at more risk for hip arthritis longterm. You need to be careful about that. It’s a risk and benefit kind of issue that you need to really think carefully about. If you’re a professional athlete that has a acute labral tear and your living at a very substantial level is based on being able to play for another few months to a year or a couple of years. You know, thinking about that kind of risk benefit in terms of dollars might make sense. If you’re a amateur athlete and your goal is to maintain a level of physical activity for more than a decade, I would say rethink whether surgery makes sense. Can you get by with not only physical therapy, but a regenerative medicine treatment to treat this in a nonsurgical fashion so that you don’t remove tissue, that’s really meant to help to protect that joint. If you can do that, you at least in theory, put yourself at a greater likelihood of protecting the hip joint from progressive arthritis by cutting out tissue. A lot of this is more theory and principle based because really we don’t have longterm results when it comes to what happens to a hip labral patient 10 years down the line, if they’ve had surgery versus if they’ve had a regenerative medicine treatment. But at least from a regenerative medicine principle standpoint, avoid surgery, if you can.
Another aspect to this is something that’s talked about a lot by hip surgeons nowadays is femoral acetabular impingement. It’s a concept that if you have a slight bony outgrowth on the femur part of the hip, that or bony outgrowth on the acetabular part of the hip, that can you be more prone to hip labral injuries because there’s a little anatomical defect. And so surgically they will come in the, like you shave down that bump. Does that make sense? In some cases it might, if you have catching. If you have the right kind of clinical scenario, a young person that’s presenting with this kind of issue. In a lot of people though, it gets diagnosed when they’re older and I’ve seen patients who are 35 plus 40 plus, who’ve been told that they may have femoroacetabular impingement. That doesn’t make quite as much sense. You need to be careful. That’s someone who’s likely had that anatomic defect on x-ray going on for decades. That’s not the cause of his hip pain. It’s more degenerative process in the hip. So in some people it may make sense to consider that surgery. Again, I would always caution if you’re thinking about surgery, ask if there’s nonsurgical methods, including regenerating medicine treatments that maybe significantly effective in keeping you active, that does not have the higher, longer term risk of surgically removing something. It’s important to understand that while surgery may be able to get you to x-ray picture that you’re looking for, it may not necessarily get you the pain relief and functional improvement that you desire longer-term. Those are different things. And the musculoskeletal system is not always just, how does it look on an X Ray? It really is very much how are you doing pain and function wise? So try to maintain your own anatomy if possible.

In my patient’s case, 35 year old woman, one pregnancy in the past, who’s had some SI joint instability symptoms, some pelvic pain in the past related to that as well while she does have some groin pain, on her MRI what’s being described is a degenerative tear of the meniscus, excuse me, of the labrum, which I believe is due to chronic stress on that part of her hip due to chronic instability in her SI joint. In addition, my recommendation for her was to avoid surgery. Note that she did not have significant pain while actually moving her hip on examination. And I think she’s someone who would do well with the regenerate medicine treatment. She does not have significant damage to her hip joint yet. And if we can avoid surgery in her case, she’ll be better off longterm.

Great. Well thank you for your time. I hope everyone stays well. As a reminder, we’re doing this live stream twice per week, Mondays and Wednesdays, open and interested in hearing your questions. In addition, I’m doing a webinar this Wednesday 5:00 PM central standard time. I’ll put a link down below on any social sites that this gets posted on, where I’ll be talking about the truth behind regenerate medicine. What are realistic expectations, what can be treated, what can not be treated? How do you know if you’re getting a good quality treatment and being treated by an appropriate physician and clinic and how to avoid people who don’t know what they’re doing. Until next time, have a good day and live well. Bye bye.


Content- Weekly Education
Live Weekly educational meeting for the team at Chicago Arthritis and Regenerative Medicine where we discuss the basics of what we do for arthritis, tendinitis, injuries, and back pain.
Watch live on FB/IG/Youtube every monday.
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Sign up for our email newsletter:
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***For evaluation and treatment at Chicago Arthritis and Regenerative Medicine:
Determine if you are a Regenerative Medicine treatment candidate:
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Contact us for more information or to schedule an appointment:
https://www.chicagoarthritis.com/cont…

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 treatment for hip labral tears.

 

Personalized Care in Regenerative Medicine

https://youtu.be/CVtTyvHtWYc

Personalized Care in Regenerative Medicine
A major strength of regenerative medicine care for musculoskeletal conditions is the ability to personalize treatment based on your condition, severity of pathology, and other medical comorbidities. In this video you’ll learn more about how we personalize care using regenerative medicine techniques.


Hello everyone, this is Siddharth Tambar from Chicago Arthritis and Regenerative Medicine. Welcome to our weekly live broadcast. It’s September 9th, 2020, I hope everyone had a great labor day weekend, and I hope everyone is healthy and doing well. So we’re back at it here in the office and today I want to talk about personalization in regenerative medicine care. So this comes up from time to time and I’ll give a couple of examples of where this is super relevant. But one of the main strengths and benefits of regenerative medicine is its ability to personalize and tailor treatment to the individual that you’re treating. As opposed to medication where you have relative limitation in terms of how personalized you can make treatment. Regenerative medicine really gives you a really wide latitude for personalization and individualization of treatment. So I’ll give you a couple different examples to that.

So number one, one size does not fit all is always a good strategy when it comes to musculoskeletal health. Namely, if you have a knee issue or shoulder issue, you may not be the same sort of problem or the same type of person who respond to treatment as let’s say your neighbor who may also have a knee and a shoulder issue. And as much as you can have a personalized approach to care, that will make a big difference in terms of the outcome, because number one, it requires your physician to really understand what your issues are.

Number two, it really requires a detailed understanding of how to treat a musculoskeletal pathology in a way that will get you a better result. In addition different tissues are not treated the same, they’re treated differently. The way you treat a joint or cartilage injury, the way you treat bone swelling or bone marrow edema, the way you treat tendon injury or tear, or the way you treat a chronically lax ligament, or chronically weak, or atrophic muscle or chronically irritated nerve these are all very different in nuance. And if you utilize the same platelet preparation for each one for example, for platelet rich plasma, then you’re not really treating the tissue appropriately, you’re really treating it too, in too much of a uniform manner. You really should be utilizing subtlety and difference with how you treat these different types of tissues. So as an example, different platelet preparations will give, will help different types of tissue. So when it comes to joints for example, arthritis, you want to use as high a concentration of platelet rich plasma as you want to. You want to use a 14 to 20 times, concentration of platelet rich plasma, that’s very hard to get. There’s no commercial over the counter system or kit based system that physicians use that’ll do that. You can do that in a lab based system by taking more blood and by concentrating it over serial centrifugations, but you re you really require that kind of flexibility and personalization. With tendons while there is some lab based evidence that higher concentrations of platelets get better results. Clinically, we know that a moderate level of platelet rich plasma will do better than a low dose platelet rich plasma. In joints clinically we know a higher dose platelet rich plasma will do better than a low dose platelet rich plasma. When it comes to ligaments, either utilizing a low concentration of platelet rich plasma, or platelet lysate, which are just a growth factors from the platelets is how as a physician, I want to treat that. You don’t need that to be super hyper inflammatory, you just want to have a mild amount of inflammation When it comes to nerves, utilizing platelet lysate, the growth factors from the platelets is healthier and less inflammatory and less irritating to the nerves than normal platelet rich plasma, which tends to be more inflammatory. And lastly, when it comes to using muscles or treating muscles you want to use, what’s called platelet poor plasma, where you don’t have a lot of platelets. That’s actually been shown to be better for muscles and platelet rich plasma. So having both a different set of concentrations, as well as different types of platelet preps is what’s going to make a difference when it comes to deciding what sort of preparation you want to use based on the tissue that you’re treating.

In addition, there are other factors that can make a difference; age can make a difference. If you’re older and you’re treating a joint injury, you want to utilize a higher dose of platelet rich plasma, rather than if you’re somebody very young. Person, who’s 80 plus years old may be very healthy, but you want to to use a higher dose of platelet rich plasma than let’s say someone who is 18 years old and has a milder injury and is just a healthier and has a more robust response to treatment. In addition, if you have other types of medical comorbidities, let’s say chronic diabetes, chronic metabolic syndrome, you likely are someone would require a stronger treatment rather than someone who’s otherwise healthier. So understanding not only musculoskeletal pathology, but understanding how these treatments work, as well as the different types of orthobiologic treatments or platelets or bone marrow stem cells, or other types of treatments that we utilize in this regenerative medicine field makes a big difference and realizing that the individual person’s own variables and factors makes a difference as well, makes a big difference.

So I’m going to give two examples. First is a 57 year old man who I treated recently, who has some mild arthritis in his shoulder AC joint, the joint on top of the shoulder. And he also has a mild to moderate degree of rotator cuff tendonitis, not a really bad tear, but it does have some irritation to the tendon. And the way that we treated his case was I utilized a 14 times concentration platelet rich plasma for the AC joint because it is a joint and will do better with a higher dose platelet rich plasma. And then I utilized seven times concentration, platelet rich plasma for the tendon. I did not want to go overly inflammatory. And I also used platelet lysate for the ligaments around the shoulder as well, understanding that that prolotherapy concept of strengthening ligaments and improving stability will go a long ways to improving both the AC joint arthritis, as well as the rotator cuff tendonitis. But really utilizing in that one patient three different platelet preps is really key.

One way that, you know if you’re dealing with a regenerative medicine expert is do they have that level of dexterity, subtlety and personalization. The way that you know you’re not dealing with an expert is if they are really utilizing a one size fits all platelet rich plasma for your entire condition. That’s not the right way to do it.

Second case would be a individual that has, a patient of mine that I’ve treated for knee and shoulder issues. He was treated by a colleague of mine Dr. Landrum for some arthritic issues in his neck and his thoracic spine. So he ended up having a high dose platelet rich plasma injection into his facet joints. That is 14 times normal concentration he also had platelet lysate, the growth factors from the platelets injected into the epidural space. So again, two different types of platelet preps based on what tissue is being treated. And in addition, in order to draw enough platelets, we had to do a very large volume blood draw, about 450 CCs. That’s a pretty large blood draw, that’s about how much you would actually give during if you’re actually donating blood. So pretty large blood draw we required a blood bag, extra ACD, which is the anticoagulant you put into the blood bag to make sure it doesn’t clot. And then it actually required some additional steps by my own staff to actually properly prep the blood so that you can get the proper product. So it really required multiple steps and really more than just a quick blood draw and five minute preparation, which you do hear some clinics doing, which is not the right way to do this. But in this gentleman’s case because we took the extra effort to properly do this, take the extra blood draw properly, prepare two different types of platelet preps he’ll likely get a much better result than if we’d done this in a you know, really not properly professional manner. So I’m very hopeful that he’ll have a great response like he has for his other areas because we’ve taken the time and the effort to do this properly.

So personalization in regenerative medicine, personalization in terms of tissue that we treat in a comprehensive manner, personalization in terms of choosing the right orthobiologics or cell based treatments based on your condition, and personalization utilizing the right sort of concentrations of your platelet, rich plasma products based on your actual conditions and your underlining medical issues as well. It makes a huge difference, we’ll get you a better result and it’s the right way to do this as opposed to maybe some other ways of doing this.

Thank you for your time. As a reminder we’re doing a live stream talking about topics related to musculoskeletal health and wellness twice per week Monday and Wednesday. This week didn’t do one on Monday just because it was labor day, so I’m glad to get back to this on Wednesday. But we’ll be back at this on Monday as well. In addition, doing a live webinar, which we’ll get more information within the body of this, wherever this is posted on social media, where discussing issues related to regenerative medicine, name of the webinar is the Truth about regenerative medicine. You’ll learn a lot more about details of what is, what is not regenerative medicine, realistic results, what can be treated, what can’t be treated, what are ways to know that you’re going to get a good treatment by a legitimate physician, legitimate clinic and ways to avoid poor quality treatments and clinics as well. Until next time, have a good day and live well. Thank you very much. Bye bye.


Chicago Arthritis and Regenerative Medicine Weekly Live broadcast.Check us out live on Instagram, Facebook, or Youtube every Wednesday at 12:15pm cst.Discussing relevant issues regarding state of the care for arthritis, tendinitis, injuries, and back pain.https://www.Instagram.com/ChicagoArthritishttps://www.Facebook.com/ChicagoArthritishttps://www.Youtube.com/c/chicagoarthritis
***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.

Testimonial- PRP treatment for Knees and Lower back- 20200901

Testimonial- PRP treatment for Knees and Lower back.

***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.

3 Supplement Alternatives to Chronic Anti Inflammatory Medications

supplement alternatives for pain
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3 Supplement Alternatives to Chronic Anti Inflammatory Medications

Our weekly Live broadcast 20200902.

Topic:
3 Supplement options instead of anti inflammatory medications for pain.
-Glucosamine chondroitin
-Omega3
-Curcumin/Turmeric

Hello, this is Siddharth Tambar from Chicago Arthritis and Regenerative Medicine. Welcome to our Weekly Live Broadcast. It is September 2nd, 2020, I hope everyone’s doing well and I hope everyone’s healthy. So I am talking about three different supplements that you can use in place of chronic anti-inflammatory medications for arthritis and tendonitis. Before I get to that as a reminder, here at Chicago Arthritis Regenerative Medicine, we’re focused on evaluation and treatment of arthritis, tendonitis injuries and back pain, utilizing the most cutting edge treatments and processes available that are non-surgical and orientation that are meant to maximize your functional level and minimize your pain.

It’s interesting, I started playing tennis again yesterday. It’s been about five months since I last played and I’ve stayed relatively in shape and exercising over the summer, despite COVID and getting back into sort of playing tennis competitive shape was a challenge. And part of that was trying to get the muscle memory back, felt like doing more work for the same kind of effect. But part of it also was actually wearing a mask while I was actually playing, which is a rule at the tennis club that I play at. And it’s an appropriate rule, cause there’s a good number of people there, but definitely adds a level of additional cardiovascular challenge that normally is not there, but that is the new normal. Can you do better under more difficult circumstances? And can you do better with less?

So in regards to the topic of today, so there’s an interesting study that came out of Canada recently. That essentially looked at, what happens with osteoarthritis patients when it comes to their cardiovascular risk. So they looked at roughly 7,000 plus osteoarthritis patients in Canada and 20 some thousand age and demographic match patients who did not have osteoarthritis and a few interesting things that they found. Number one, is they found that patients who have osteoarthritis are significantly higher risk for cardiovascular disease as compared to the general population, fascinating. Number one, certainly folks who’ve got osteoarthritis likely have some degree of functional limitations in some cases that could put them at higher risk for progressive cardiovascular issues, including risk factors, such as diabetes and high blood pressure, metabolic syndrome. Number two, there are certain arthritis patients that also have higher rates of inflammation and inflammation on its own can make you more prone to metabolic syndrome, which can then make issues like diabetes and blood pressure more likely, which can then make things like heart disease and cardiovascular disease more likely. So osteoarthritis connected with heart disease outcomes is interesting. On top of that, though, what they found was that, for folks who were taking chronic anti-inflammatory medications, we’re talking about Advil, Ibuprofen, Aleve, Diclofenac, Celebrex, non-steroidal anti-inflammatory medications, that they had a dramatically higher risk of cardiovascular disease compared to the general population. And that risk was up to 40% higher risk that is dramatic. And so while I will generally tell patients, look, we need to find other options for treating your musculoskeletal condition that go beyond just chronic pain medications and chronic anti-inflammatory medications. Here’s a study that really emphasizes that in a more dramatic fashion. And I think that has to be respected because there’s other ways to treat pain and there’s other ways to treat and maximize your musculoskeletal health and wellness. And we all know about the risk of chronic narcotics in terms of pain relief, but maybe we don’t pay quite enough attention to the cardiovascular risk that comes with more routine over the counter pain medications, like the antiinflammatory medications. A lot of people assume, that just because of medication is sold over the counter at their local pharmacy and that, people that they know are using these meds sort of. Almost like it’s candy, just for pain relief that they may feel like those are low risk options. And medically, a lot of physicians, do see it as a lower risk option than other treatment options. But the reality is there’s definitely risks and the cardiovascular disease risk is a realistic one.

So what are other supplements that you can use in place of anti-inflammatory medications that could be beneficial? Well, without a doubt, glucosamine chondroitin makes sense. So glucosamine chondroitin has been around for a long time studies that go back, I think over 15 years ago, that showed that, in the setting of knee osteoarthritis, 50% of people who take glucosamine chondroitin will get pain, relief and benefit. Now, most people when they hear that number 50% in their mind, they’re thinking, is that just a coin flip? What is the point of that? How is that going to make a big difference for me? The reality is when you look at treatments that are available for arthritis and tendonitis, that 50% number, not only is it statistically significant in those studies, that is a real life significant number. And I think if a significant number of people can get relief with something as benign as glucosamine chondroitin, that it’s a no brainer to consider that, especially if you can replace chronic anti-inflammatory meds and other pain medications. So without a doubt, a good first line option.

Number two is Omega-3. Omega-3 is interesting. So there are studies that show that if you’re taking a high dose of Omega-3, that can actually help with pain, swelling, stiffness, and overall quality of life in patients with rheumatoid arthritis. It can help with inflammation. We know that inflammation is important, not only in severe rheumatoid arthritis and Psoriatic arthritis and other autoimmune inflammatory conditions. But we also know, that there is a component of inflammation at a milder level in osteoarthritis as well. So again, Omega-3 no brainer to use that as well. So you can get Omega-3 in a few different products with generally you can get it in either flaxseed oil or fish oil or other versions of fish oil, krill oil, things like that. So the studies for Omega-3 in rheumatoid arthritis, we’re utilizing fish oil. So is it apples to apples with flaxseed oil not necessarily? I think flaxseed oil is sometimes easier to tolerate for some people. And so should definitely certainly consider that, on the other hand, Omega-3 from fish oil, some people don’t fully tolerate that very well. I think as a good general rule of thumb, if your fish oil product has a fishy odor to it, it’s not a good quality product, either that or it’s been tainted or spoiled old. And so you should probably get a newer version or a better version than the one that you’re using. The other thing about omega-3 is you have to take a relatively high dose. So in rheumatoid arthritis, the studies were done using 3000 milligrams of Omega-3 3000 milligrams is a pretty high dosage. It’s very unlikely. You would get that, with just eating a normal Western diet of fish. If you happen to live, like they knew it, up in the Arctic and you’re utilizing whale blubber for some of your condiments, you might be getting enough Omega-3 but otherwise it’s hard to get enough Omega-3 without getting mercury poisoning here in America, I would definitely recommend taking Omega-3 supplements.

The last is curcumin or turmeric. So curcumin is the active significant molecule that we’re talking about in turmeric. Turmeric you find that in a lot of South Asian cooking South East Asian cooking as well, and curcumin has been shown when you compare it to something like diclofenac, a fairly hardcore anti-inflammatory medication in knee arthritis to have equivalent results in terms of pain relief. The trick with curcumin is number one, the dosage in that study was up to 1500 milligrams per day, In addition. So you need to make sure you’re getting enough. It’s going to be hard for most Western diets to get enough curcumin. Frankly. I think even if you’re South Asian and you’re eating a heavy South Asian diet, I don’t know if a lot of people are going to get quite that much curcumin. Number two is, you have to also tie that in with black pepper as well. And so in turmeric or curcumin supplements, you want to make sure it also has a product called Bioperine. That’ll help with the absorption and bioavailability of curcumin in the body as well. So again, another really low risk option that I think is very helpful for pain and inflammation.

So those are the three ones, Glucosamine chondroitin, Omega-3, Curcumin. Those are the three, that if you’ve got musculoskeletal issues that you want to focus on, I certainly have patients that are taking other types of supplements as well, but those are really the three big ones that have fairly good evidence and data, and that are routinely available. And that I think are useful if you’re looking for pain relief from arthritis and tendonitis, injuries and back pain, and that in addition can help to replace some of the commonly used over the counter pain medications that people utilize.

Okay, well, thank you for your time. As a reminder, we do… I do a Weekly Live Stream Mondays and Wednesdays every single week and after the Live Stream, we’ll also rebroadcast it after it’s been post edited. Another announcement, I have a Live Webinar, 5:00 PM Central Standard Time today called The Truth about Regenerative Medicine. Really a lot of stuff that you may or may not know that I think is helpful. If you have a musculoskeletal condition that needs additional treatment besides just conservative care. And I will have a link to that in the show notes or underneath wherever this is actually published. Until next time, hope everyone stays healthy, have a good day and live well. Bye bye.


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About this video
In this video Siddharth Tambar MD from Chicago Arthritis and Regenerative Medicine discusses 3 Supplement options instead of anti inflammatory medications for pain.