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How to treat Chronic Injuries- Regenerative Medicine approach

chronic injuries
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How to treat Chronic Injuries- Regenerative Medicine approach
We all have chronic injuries. Even after recovering from an acute injury the involved area is more prone to long term degeneration, instability, and pain. In this video I discuss a healthier approach to managing chronic injuries that includes a regenerative medicine perspective. Key concepts include treating stability and inflammation. I also discuss a patient with chronic knee issues who with regenerative medicine has been able to continue his career as a active duty military professional.


***For evaluation and treatment at Chicago Arthritis and Regenerative Medicine:
https://www.chicagoarthritis.com/schedule-a-telemedicine-appointment/


Hello this is Siddharth Tambar, from Chicago Arthritis and Regenerative Medicine. It’s October 14th, 2020. Welcome to our weekly live broadcast. So today I want to talk about how to address chronic injuries in a regenerative medicine style. So I’m a big football fan and it’s football season right now and there’s injuries happening left and right as the sport is expected to do. And when you see injuries you start to realize that there’s the acute nature of injuries in terms of what needs to be handled at that moment. But then, these people have chronic issues as well. And how should they be thinking about their issues and how can we better actually treat them. And reality is that for most of us, a lot of our musculoskeletal issues chronically will be from some mild chronic soft tissue injuries when we were younger at some stage of life. And so having an understanding of how to think about chronic injuries and chronic issues is key because it’ll make a big difference in terms of how you actually get a better outcome longterm. So number one, goals from treatment have to be pain relief, functional improvement, and keeping you active and exercising. And I think that’s across the board what goals should be for musculoskeletal issues but definitely for chronic injuries. And it’s important to understand that address this earlier rather than later, if you have chronic instability in an area that’s been previously injured, it’s going to make you more prone to osteoarthritis, tendonitis, longterm as well. And so you’re better off trying to address that at an earlier stage before it gets more advanced. You can still treat something when it’s become more chronic or more advanced but understand that it’s always better to treat it earlier. So if you, there’s a couple of key things that I would recommend. Number one, is stabilizing an area. So if you have an injury that is still relatively early acute or subacute, obviously the ways that you’re going to treat that are going to begin with bracing, physical therapy, if it’s severely traumatic or severely problematic or unstable then even surgery at that time. Obviously the classic example right now is Dak Prescott of the Dallas Cowboys who had a really severe ankle fracture injury or dislocation and obviously they’re going to treat that acutely in the proper way, surgically and bracing and resting and all that, longterm though because he’s got now chronic instability that will develop in that area because of injury to the soft tissue ligaments and all that, that he should be thinking about longterm, meaning five, 10 years down the line how does he prevent that from getting worse. That may not be on his mind right now, but it should be some point. I recommend that people should be thinking about regenerative medicine at an earlier stage of their recovery from a early injury, because there’s a lot of benefit to that. Whether that is taking injury that is not a surgical case and treating it at that stage or taking an injury that is actually a surgical case and when it’s actually been settled down to then actually apply either your own platelets or bone marrow drive stem cells makes a lot of sense at that stage as well. Chronically stability is really important because that what’s driving that chronic arthritic or chronic tendinopathy. And again, maybe some kind of bracing intermittently while you’re physically active can be helpful. I think it’s super important to do the corrective exercises either physical therapy or on your own longterm as well, because you need that kind of stability and strength around that area that’s been injured. In addition I think regenerative medicine utilizing your own platelets or bone marrow stem cells makes so much sense in a chronic injury because that’s what going to actually prevent that from getting worse. I think as much as possible if you have a chronic injury and instability, you want to try to avoid surgery. The issues with surgery are that most of the typical minimally invasive surgeries are about cutting out tissue that’ll actually leave that area more unstable longterm and actually potentially accelerate that degenerative process. And then the other component to that is, regenerative medicine is really made for those kind of cases in terms of helping to improve stability, helping to improve inflammation that’s where it really shines. So number two, kind of key concept is inflammation. So certainly if an area is inflamed, either acutely or chronically, rest, activity modification makes a lot of sense temporarily. I would strongly recommend avoiding using anti-inflammatory medications in large part because while they may be helpful short term, they just have too many side effects longterm. In addition, when you look at some of the supplements like curcumin, turmeric as well omega-3 we know that those kinds of issues can actually help in terms of inflammation and can actually help with wear and tear arthritis as well. And so strongly recommend that as well. You can use ice in a limited fashion. If you’re relying on it too often, I think you really need to make sure you’re seeing a physician expert in musculoskeletal medicine to make sure that you’re actually making that, you’re actually addressing the issue properly and that you’re not just masking the pain. A great example of this, is actually a patient of mine who had a PCL, posterior cruciate ligament injury in his knee several years ago. He’s active military still. He’s more on the training side now. But I essentially see him roughly every six months or so for PRP treatment. At which time we’re treating a number of different ligaments in the knee his PCL, his ACL as well as his medial collateral ligament and some of his patellofemoral ligaments and also treating the patellofemoral joint. What’s helpful in that case is we’ve been able to give him better stability, which has enabled him to continue to function and train at a very high level that he’s required to do as part of his work and in the military. In addition, it’s also helped in terms of just a day to day activities and pain relief as well. Taking a treatment that is relatively very limited in risk and invasiveness, right. And just injecting his own platelets to help keep him going at that kind of level, taking a chronic injury and helping him to stay that physically active is incredibly key. And again, it’s important to understand that most chronic degenerative issues, chronic arthritis or chronic tendinopathy patients are typically they’ve had a milder injury at some point and if you can treat some of those milder injuries at an earlier stage, you give yourself a better chance of preventing this from progressing. Wonderful, so that’s what I want to talk about with chronic injuries today. I see there’s a question that I have regarding chronic pain and also having MS. Is regenerative medicine a treatment option. Yeah, so from a chronic pain standpoint it depends on why you have it right. Is it chronic pain because, let’s say an area has been chronically weakened or unstable and has progressively become degenerative. If it’s at the level of the joint or tendon or ligaments, then that can be treated. If it’s higher up, let’s say at the level of spinal cord, I don’t think there’s enough evidence that’s really a proper treatment for multiple sclerosis at this time. There may be experts in neurology or neurosurgery that have a different opinion but at least from my perspective, I’m still possibly a candidate if the issue is at the level of the joint or the tendon, but probably not a candidate if it’s at the level of the spine. Great. Well, thank you very much for everyone’s time. As a reminder, we do this on Mondays and Wednesdays answering your questions, discussing concepts that are relevant to what we do here at Chicago Arthritis and Regenerative Medicine, focusing on nonsurgical, management and treatment of arthritis, tendonitis, injuries and back pain. In addition, I’m also doing a webinar today four o’clock central standard time. You’ll see a link for that below on whichever platform you’re watching where I’m discussing regenerative medicine treatments for lower back pain. Until next time, until we talk again, have a good day and live well. Bye bye


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.

PRP Treatment- Right versus Wrong

the right way to do prp treatment
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Weekly Live broadcast- Right vs Wrong ways to get PRP Treatment
How do you know whether your physician is an expert in regenerative medicine?
In this video we discuss right and wrong ways when it comes to PRP treatment.

Hello, this is Siddharth Tambar from Chicago Arthritis and Regenerative Medicine. Welcome to our weekly live broadcast. It’s September 16th, 2020. I hope everyone’s doing well. Hope everyone is healthy and staying happy and healthy. So on this weekly broadcast, I discuss topics relevant to what we do here in the clinic at Chicago Arthritis and Regenerative Medicine, where we focus on nonsurgical treatment and evaluation of arthritis, tendonitis injuries, and back pain. Key concepts, key understandings that explain what we’re doing, how we’re doing things, our approach to things, and even try to answer a lot of your questions that you may have as well.

So today I wanted to discuss something that came up because a patient of mine had some questions. So a patient of mine who had come to me asking about his right knee pain, right knee osteoarthritis. He’d been treated by a couple other physicians in the past, and he’d had umbilical cord fluid injected at one point, he’d had PRP treatments injected about a month ago, and he had questions about what to do next, because he wasn’t really responding. And it occurred to me that the manner that he had been treated from a regenerative medicine standpoint, they were missing certain key principles. And one of those key principles is understanding how to use platelets in a correct way.

So a key understanding when it comes to regenerative medicine is how to utilize the orthobiologics. How to utilize the cells and the products that you’re using to treat people for their musculoskeletal conditions. And in his case, the way that he was treated was not optimal. There was a lot of things that were missing. There were technique issues, target issues in terms of what tissues they were treating, imaging, no imaging and what kind of cells that they were using. From the platelets standpoint, there were some definite problems.

So the way that he got treated was, he got a succession of treatments split apart by two weeks. And immediately I could tell he didn’t get the right kind of treatment for his condition. And it’s because they didn’t have a really correct understanding for how platelet-rich plasma works and how to get the best e6ffects from platelet-rich plasma. The reality is that there are best practices in this sort of field, there are ways to do it right and optimal, and there are ways that you can do it that maybe are not optimal and that may belie a lack of experience or expertise in the field. And I think that’s unfortunately what this patient of mine had dealt with from another provider.

So key concepts behind platelet-rich plasma, number one, we know that concentration of platelets makes a difference. So platelet-rich plasma is essentially a process where we take a sample of your own blood, concentrate that over multiple centrifugations until you have a very high concentration of your own platelets, and then inject that under ultrasound guidance into tissue that’s been damaged. That’s the basics.
So there’s a couple of things that we know about platelet-rich plasma. Number one, we know that if you have osteoarthritis, that the correct way to treat your condition is by utilizing a high concentration of your own platelets. If you utilize a low concentration of platelets, the problem is that you’re not going to get the right kind of response. So utilizing a high concentration of platelets, 14 to 20 times a normal concentration of platelets, will give you a better response to osteoarthritis treatment.

So what does that mean, exactly? the way that platelets work is a couple of ways. Number one, the growth factor from the platelets help to stimulate your own local mesenchymal stem cells. Those stem cells are basically your body’s normal and natural way of trying to recover from injuries and keeping the joint healthy. An unhealthy joint, what you see are the wrong kind of proteins and enzymes, basically a chronically inflamed and unhealthy joint. So on a biochemical level, by stimulating those mesenchymal stem cells, you can get a better, healthier joint because those cells start pumping out the right kind of enzymes and proteins. A healthier biologic joint. So we know that a higher concentration of platelets will give you a better response to mesenchymal stem cells in terms of stimulating them, in terms of getting them to start functioning better as well.

I know that this patient didn’t get a high concentration injection because when you do that, you have more inflammation upfront and you have that inflammation for the first few weeks after, or for the first few days and stiffness for the first couple of weeks after treatment. So for a physician recommending to him that he should get repeat treatment automatically at every two weeks for the next two to three cycles, he was very likely utilizing a very low concentration of platelets because most people couldn’t tolerate that level of inflammation on a repetitive scale that frequently, if they’re doing it correctly.

The second thing is how much blood do they actually take from him? If you want to concentrate platelets to a very high concentration level for one joint, you’re going to have to take a couple hundred CCs of blood. That is at least six to nine ounces of blood. In his case, they took out 10 to 20 CC, one to two vials. I know they’re not doing it correctly because that’s not enough blood to get a high concentration. Unfortunately, when you ask that clinic that question, they didn’t understand what he was asking. And so it just belies their inexperience and lack of expertise in the field.

Second thing is there is, you can utilize platelets in different ways. So injecting a joint is one thing, but from a regenerate medicine standpoint, you need to be treating ligaments, tendons, other soft tissue structures, even nerves. You don’t use the same platelet concentration for each one of those areas. If I want to treat a tendon, I’ll use a slightly lower concentration of platelets. If I want to treat a nerve, I’ll end up treating that with platelet lysate, which is just the growth factor from the platelets. And if I want to treat the ligaments, I’m going to end up using either platelet lysate or platelet-poor plasma. And if I’m treating muscles, I’m using platelet-poor plasma. So there’s different types of platelets. There’s a higher concentration of platelets, a greater amount of blood.
There’s just much more subtlety to doing this the correct way. And unfortunately, this individual did not get this the correct way. Then the last thing is timing of prp treatment. So in this individual’s case, he’s being recommended getting multiple treatments in quick succession. If you’re doing this correctly, that elevated level of inflammation, you have to give it time for the body to properly heal and respond to that. So the optimal response, I tell patients, expect to be feeling better at the four to six week mark. Let’s reassess at the two month mark to see how much better you are. And if you’re still getting better, let’s give it more time just to let you continue to get better on your own. On the other end, if you start plateauing and you’re not at your goal, then let’s repeat treatment at that point.

So in this patient’s case, it was a wrong platelet preparation. It was a wrong frequency of treatment as well. The other thing is knowing when to treat more aggressively and when to treat a little bit more mildly. So in this individual’s case, he wanted to get back to some level of activity, exercise activity at a faster level than what I would normally recommend after PRP treatment. He wanted to get to more high-impact activity within the first month after treatment. I said, that might be possible. However, if you’re looking to get back into something much faster, you may want to give it a little bit more time from the platelet standpoint. If you want to get back into something faster, let’s say in season during a competitive sports season, you may be better off getting dextrose prolotherapy, which is less inflammatory, that can kind of help out short-term, and then when you have a little bit more time, maybe two months, then maybe let’s do platelet-rich plasma at that time.

The keys to platelet-rich plasma, getting the right concentration, the right lab prep to do it properly, the right platelet types to do it as well. Your physician, if they’re doing this correctly, should be able to answer those questions. Meaning what’s the concentration of platelet-rich plasma that’s been using, how much blood are they drawing. Are they using different types of platelet preparations for different tissues that are being treated at the same time. And what’s the progression of this. It shouldn’t be over two weeks. It really should be over that couple month period.

I hope that’s helpful. I hope that gives you some sense of how platelet-rich plasma should be utilized to give you some sense for how physicians should be utilizing this correctly. As a reminder, I’m doing a webinar later on today at 5:00 PM central standard time. You’ll see a link for that below, where I’ll be talking more about regenerative medicine in a more expansive way. The truth about regenerative medicine. Also, as a reminder, I do a live broadcast live stream twice per week, Mondays and Wednesdays. Any questions, concerns, or thoughts, email, leave them down below and until next time, have a good day and live well. 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/ChicagoArthritis
https://www.Facebook.com/ChicagoArthritis
https://www.Youtube.com/c/chicagoarthritis
***For more educational content:
Sign up for our email newsletter:
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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.

Weekly Educational Broadcast- 20200727- Can regenerative treatments help in bone on bone arthritis?

weekly education 20200727

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Weekly Educational- 20200727- Replay
Can regenerative treatments help in bone on bone arthritis?
Importance of variables such as age, range of motion, which joint is affected, and patient goals of treatment.
Importance of stability, alignment, inflammation, and optimizing cellular health of the affected joint.
Cases- Hip, Knee, Ankle examples.

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.
https://www.Instagram.com/ChicagoArth…
https://www.Facebook.com/ChicagoArthr…
https://www.youtube.com/c/chicagoarth…

***For more educational content:
Sign up for our email newsletter:
https://www.chicagoarthritis.com/news…

See our blog:

Chicago Arthritis Blog

Listen to the Regenerative Medicine Report podcast:
https://www.chicagoarthritis.com/rege…

***For evaluation and treatment at Chicago Arthritis and Regenerative Medicine:
Determine if you are a Regenerative Medicine treatment candidate:
https://www.chicagoarthritis.com/rege…

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


Hello, everyone. This is Siddharth Tambar from Chicago Arthritis and Regenerative Medicine, and welcome to our weekly educational broadcast that is live. It’s July 27th, 2020, and thank you for joining me today. So, on this weekly broadcast I focus on questions that my own team and patients are frequently asking, or from the past week, and applying that to cases that I’ve seen in the last week to give some perspective and go over kind of big picture principles in terms of what we’re doing here at Chicago Arthritis and Regenerative Medicine, where our focus is on evaluation and treatment of arthritis, tendonitis, injuries and back pain, with the most cutting edge treatment options available that are low-risk and high in terms of benefit. So, a question that Jackie from my office kind of transferred over to me from a patient, or a potential patient, was can regenerative treatments help in bone on bone arthritis? A really super common question, and the intention is that this is likely someone who is seeing their physician, either orthopedic surgeon or primary care doctor, and has been told that on their x-ray they have significant arthritic issues, and have been told that they have bone on bone arthritis, and that they may not be, that they may only be a candidate for a replacement surgery or some other kind of similar treatment protocol. And really common question that comes up, because the reality is that most people, when it comes to their musculoskeletal health generally are approaching it as something that they’re really only addressing when things have progressed to a severe stature, and obviously it’d always be helpful if you can catch this at an earlier stage. But the reality is there’s nuances to when we say someone has bone on bone arthritis. To begin with, it depends on what joint’s affected, it depends on the range of motion, and it depends on what the goals are of treatment. So, range of motion is a big one in the sense that if range of motion is still intact, or still fairly good, you have to ask, “What exactly do we mean by bone on bone?” If you’re really, truly bone on bone, you really shouldn’t have regular range of motion, and an example of that would be someone who has significant hip arthritis and can’t really move the hip, let’s say inward, or internal rotation. On the other hand, you can have someone that has really advanced or severe arthritis of the knee, and their range of motion is still close to intact or still very good. And so it’s important to understand that sometimes what we see in x-ray does not necessarily translate to what’s actually happening to that individual, and may not necessarily be fully representative of what the problem is. So, a classic example of that is someone who has, let’s say pain in one knee, let’s say their right knee, and their x-ray shows advanced arthritis, and they also happen to have an x-ray of the left knee, and it turns out the x-ray of the left knee actually looks worse than the right knee, and they don’t actually have any pain in the left knee. And it’s a great example of where imaging or x-rays don’t always call out the full, don’t always tell the full story. And it’s important to understand that x-rays and imaging can tell you one thing, but they don’t give you the full story. The other aspect to that is, let’s say somebody’s had an MRI and shows significant findings. Now their pain, someone that has a degenerative process, their pain does not only come from what you see in the cartilage wear, they have pain that’s coming from the bone, from the soft-tissue structures, they have pain that’s coming from various other areas as well, and so these are other areas that can still be treated. And range of motion is a big one because if your range of motion is still intact, it likely indicates that you can still benefit from treatment. The other part of that is also what joint is affected. So, it’s super common that I hear patients who’ve got knee arthritis say that, hey, they have bone on bone knee arthritis, or they’ve been told that, and can these treatments help? And the reality is that the evidence out there for platelet-rich plasma and bone marrow derived stem cells is that wear and tear arthritis in the knee, that even when it’s advanced that people can still get a good degree of pain relief and functional improvement. In fact, there is suggestion that degree of arthritis when it comes to the knee does not make a difference in terms of the ability to have improvement in symptoms. Now, the flip side is if somebody has more advanced hip arthritis where range of motion is gone, then that’s a more challenging category, and that’s someone who likely is a better candidate for let say, hip replacement surgery. So, it does matter which joint is affected, and it does matter, range of motion as well. So, those are really the two big things. Then I think the last thing is what are the goals of treatment that are being pursued. So, in someone that has bone on bone arthritis, we can still help in the following ways, we can help with stability, we can help with chronic inflammation, we can help with alignment, and we can help by improving and optimizing the cellular health of the joint. All of those things can be done non-surgically. They can be done either utilizing just good strengthening exercises, weight loss, over the counter supplements, bracing, and also regenerative medicine treatments, including platelet-rich plasma, bone marrow derived stem cells, adipose micro-fragmented cells, and even dextrose prolotherapy. All of those things can actually be helpful, when your goal is pain relief and functional improvement, and that’s because we can help in those other aspects, we can help with stability by strengthening the soft tissue structures, with strengthening exercises, not to mention with the regenerative medicine treatments, we can help with inflammation with over the counter supplements, dietary changes, and there’s also benefit from the regenerative medicine treatments when it comes to reducing inflammation longer term. Alignment can be improved with physical therapy and bracing, and optimizing the cellular health, meaning you take a joint where the cells are chronically damaged and no longer functioning well, you can get them to function better by injecting the right kind of cells in there. Bone marrow aspirate concentrate has mesenchymal stem cells, and the growth factors within that as well can help to stimulate the local cells in the joint that had been damaged. Optimizing the cellular health along with those other factors can help with pain relief and functional improvement. So, if the goal is improving pain and function, then even if you have bone on bone arthritis, in the right occurrences and in the right patients, you can still get those kind of outcomes. So, a couple of patient examples from this past week where I think that’s all very relevant. So, the first is a woman who is in her early 70s, she is still an active nurse, she actually works in a hospital where she’s actively kind of running things, and she’s very active, walking, almost running around just because it’s so busy, and she’s developed pain in her left hip. So, her range of motion is still intact, the issues in her case are, number one, what’s her degree of arthritis, because we know in someone, when it comes to hip arthritis in particular, as they get older they become a harder and harder candidate with these kind of treatments. And so it’s going to be important to get the right kind of imaging, meaning an MRI to figure out, along with her symptoms, which is pain in the groin in front of the hip, that is she a proper a candidate. And if her MRI shows that she’s got mild to moderate arthritis, and her range of motion is still intact, then despite her age, she’s someone who could still benefit from treatment. On the other hand, if her hip MRI shows more advanced arthritis and she’s really at the tip of really kind of progressively getting dramatically worse, then anything from the regenerative medicine treatment standpoint might be more short term oriented, might be able to help with some of the soft tissue kind of strains and pains that can occur in the degenerative arthritis, but she may be someone who’s headed towards hip replacement faster. So, in that case, telling whether somebody is quote-unquote, “bone on bone,” will make a big difference. Another example would be a woman who I’ve seen kind of for the last, I think seven years, and she intermittently, we’re treating, you know, maybe a hip, a knee, an ankle, a lower back over the last seven years, probably three or four times we’ve treated something or another. And in her case, she really does have pretty significant knee arthritis. What’s been described on x-rays as bone on bone. And she’s someone where her range of motion is still intact, she’s still very highly physically active, still in good general health, and she’s someone who with just platelet-rich plasma has done great. Even though her x-ray shows, you know, bone on bone, she’s someone who, because we’ve been able to help with stability, chronic inflammation, alignment, and optimizing the health of the joint, we’ve been able to give her, really, a great degree of pain relief and functional improvement over the last several years. And a contrast to, let’s say a hip patient, where someone who can still do really, really well. The last one is a patient of mine who I treated four years ago, he has a pretty bad ankle. And he’s someone who has a baseline pseudo-gout, and so he’s had chronic inflammation that caused bad damage in his ankle, and by the time he came to me, he had, you know, what’s been called bone on bone arthritis in the ankle, and that’s very legitimate. He had limited range of motion in the ankle, and he’s someone who I would say is a very challenging candidate for treatment. He had originally bone marrow aspirate concentrate, utilizing his own stem cells from the bone. As well as platelet rich plasma to treat the ankle joint, and he’s done quite well actually in terms of pain relief and functional improvement. He’s had a 70% improvement in terms of pain. He’s been able to reduce his chronic anti-inflammatory medications. And he’s generally done very well. He’s someone who I would say was a very hard candidate for treatment, very challenging candidate, but because we’ve been able to help with all those other variables, improving stability, inflammation, alignment, and really optimizing the health of the joint, he’s had a good result. Someone where traditional treatment or traditional approach would say this is a challenging candidate because it’s bone on bone, but someone who because we’ve taken a comprehensive approach to treating it, and that means treating not only the joint that is damaged, treating the bone that is chronically swollen, treating the ligaments that are chronically lax and unstable, and treating even some of the nerves around the leg, and the ankle, and the lower back has given him better pain relief than he had expected, or that his imaging would really predict. And that’s really the key. Make sure you’ve got the right diagnosis, make sure you’ve got the right understanding of the severity. Make sure you’ve got the right comprehensive treatment approach, and make sure your goals of treatment are aligned with what the patient’s goals are. And if so, you can take somebody who still has bone on bone arthritis, and still give them a good result in the right cases. Great! Well, thank you for your time. Until next week, I hope everyone does well. As a reminder, we do this live event on Mondays and Wednesdays. This Wednesday is my live-live event, I may have a guest on with me, and we’ll have some conversations about some exercise and physical therapy related issues when it comes to arthritis, and issues related to the aging athlete. And I look forward to that conversation. Until then, have a good day and live well. Bye-bye!


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 whether regenerative treatments can help in bone on bone arthritis.

Weekly Education Broadcast- Replay 20200720

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Weekly Education Broadcast- Replay 20200720
-Bone Spurs, when are they significant?
-Instability and Regenerative medicine.
-Cases where bone spurs are not significant and can just be followed.
-Cases where treating can be helpful- calcific tendinitis, tendon impingement.
Instability, Calcifications, and When are bone spurs significant.

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 Monday at 915a cst.
https://www.Instagram.com/ChicagoArthritis
https://www.Facebook.com/ChicagoArthritis
https://www.youtube.com/c/chicagoarthritis

***For more educational content:
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See our blog:

Chicago Arthritis 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:

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 bone spurs, when they are significant and when not, and when to treat.

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#chicagoarthritis
#chicagoarthritisregenerativemedicine
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#prp
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#arthritis
#osteoarthritis
#tendinitis
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#autoimmune
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#achillestendonitis
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#kneesprain
#telemedicine

Weekly Live Live broadcast replay 20200715

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Weekly Live Live broadcast replay- 2020/07/15
-Covid19
Rising numbers in the country, stabilized numbers here locally.
Staying focused on prevention.
Vaccine.
-Cases
Different sorts of patients, different expectations of regenerative treatments.
Case 1: Young man with shoulder instability.
Case 2: Advanced knee arthritis.
Case 3: Advanced hip arthritis.