The 411 on Orthobiologics

Understanding orthobiologics is an essential aspect of regenerative medicine. This video podcast goes over the basics of what you need to know and understand to make sense of the current available orthobiologic treatments available at this time.


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Small Daily Improvements

Small Daily Improvements


A key part of musculoskeletal wellness is trying to make time every single day to stay physically active. Helpful for not only your musculoskeletal health, but also for your general wellness. So today it was a beautiful day in Chicago and I had a chance to go out with the family to Maggie Daley Park and spent some time outside, which was a really great way to enjoy the weekend here in the city.

Living in Chicago, it’s an urban jungle. There are certain things that are hard to do outdoors, but the nature of the city is that there are so many parks, so many outdoor things to do, that it really avails itself to being able to live an active lifestyle, even when you are living in an urban environment. That’s really key. One interesting thing that I always notice every time I’m at the playground is my daughter, who’s five and a half years old, that she’s always trying to do a little bit more than what she’s been able to do in the past. So, she’ll look at seven to eight year olds and try to keep up with them. So, something that maybe she wasn’t able to do three months ago, now she’ll learn to master. That’s just kind of the nature of being a kid and the nature of playing on playgrounds. As an adult, it’s sometimes hard to do that, but that kind of mentality is still helpful.

The reality is that in the macro, father time will always win. It’s a hard game to really, you can’t win that game. But on the micro, you can make it a point of trying to grow every single day. So a mentality that I try to keep is how can I be 1% better than I was the day before? In the micro, that’s a game that I think I can win, whether that’s improving by 1% every single day in my physical health, my sort of mental game, my emotional wellbeing, general happiness. Can I be just a little bit better every single day as a father, as a husband, as a son, as a friend, as a physician. Can I be just a little bit better every single day.

In my own life, what I’ve realized is that growth equals happiness, end of message. That happiness does not occur from the end result, there’s really no end game or end goal here that really leads to happiness. It’s really just that 1% growth mindset every single day that I think, for me at least, leads to a better quality life and definitely better happiness as well. Hope everyone has a great day.

A Tale of 2 Different Patients

A Tale of 2 Different Patients


One of the joys of clinical practice is the diversity of patients that you see. Diversity in who they are, in their demographics, but also diversity of pathology and presentation as well. I have two cases today that really are a good example of that.

The first is a 84-year-old woman, high functioning, who recently became a great grandmother, seeing me for her knee osteoarthritis. And number two is a 41-year-old man, who is active military and in the last couple years transitioned to more of a training role, and he has a number of chronic injuries affecting his left shoulder, left elbow and right knee.

Very different, very different level of function, but goals are in some interesting ways similar. Namely, can you reduce pain, keep them at a very high baseline function level, and can you do this in a low-risk, high-reward sort of way?

In the case of the 84-year old who has chronic knee osteoarthritis, it’s been essentially treating her roughly every 18 months for the last seven to eight years, with a high concentration for her knee osteoarthritis joints, and also treating her ligaments around the knee with what’s called Platelet Lysate as well as Dextrose Prolotherapy to add more stability as well, and she’s done really well with that.

In the case of the younger man who’s still a very high level of physical activity, it’s a matter of treating some of his soft tissue injuries, but also some of the early arthritic component that he has as well. So a combination of different sorts of PRP, different concentrations, as well as Platelet Lysate to treat some of the ligamentous injuries as well. And again, in his case, treating him roughly every year or so for one or another sort of injury that he’s developed over time. In both cases, fortunately, these are folks that have done well for the last few years with treatment, they’ve been able to avoid surgery, they’ve been able to maintain their activity level, at a very high level. In the case of the man, being able to maintain a active military duty lifestyle. And in the case of the great-grandmother, being able to spend her time with her family, and doing all the activities that she wants to do. Those are great outcomes in both cases, and hopefully they both continue those kind of great outcomes.

Prolotherapy First Principles

Prolotherapy 1st Principles


Regenerative medicine has come along a tremendous ways the last 10 to 15 years. And yet one of the key principles involved is prolotherapy. Prolotherapy has been around for decades. Prolotherapy is not a product; it’s not a technique. It is a skill, but more importantly, it’s a philosophical approach to care that is incredibly essential when it comes to regenerative medicine.

Specifically it’s understanding that the soft tissue and supportive structures around a joint are as important in terms of providing long-term structure, stability, which then eventually gives better long-term relief of pain and improvement in function.

If you’re seeing a physician for regenerative medicine treatment, and the approach your treatment has been to strictly inject the joint, you’re likely not getting a prolotherapy approach.

A prolotherapy approach generally involves injecting multiple additional soft tissue structures in terms of ligaments, muscles, tendons, meniscus, other soft tissue structures. Prolotherapy, it’s key, as advanced as regenerative medicine is moving, without that initial key understanding, you’re not gonna get as good of a treatment response. Prolotherapy, keep it in mind

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