TeleMedicine visits available now - Get remote care from the safety of your home. Click to schedule an appointment.
TeleMedicine visits available now - Get remote care from the safety of your home. Click to schedule an appointment.

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

weekly education 20200727
img

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

img

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:
Sign up for our email newsletter:

Subscribe to our Newsletter

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.

#chicago
#chicagoarthritis
#chicagoarthritisregenerativemedicine
#westloop
#westloopisthebestloop
#regenerativemedicine
#prp
#stemcells
#arthritis
#osteoarthritis
#tendinitis
#knee pain
#hip pain
#back pain
#ankle pain
#feet pain
#shoulder pain
#elbow pain
#wrist pain
#hand pain
#neck pain
#rheumatology
#rheumatologist
#rheumatoidarthritis
#psoriaticarthritis
#anklyosingspondylitis
#autoimmune
#covid19
#bonespur
#achillestendinitis
#achillestendonitis
#anklesprain
#kneesprain
#telemedicine

Weekly Education Broadcast live- 20200720

Weekly Education- 20200720
img

Weekly Education Broadcast live- 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.

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 9am cst.
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:

Subscribe to our Newsletter

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 and pain.

Weekly Educational Broadcast Replay- 20200713

img

Weekly Educational Broadcast Replay- 20200713
-How do we decide which Regenerative Medicine treatment to use. PRP vs BMAC.
-Why do we recommend PRP for back problems.
-Using treatments that get to the root of the problem, not just masking symptoms.

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:
Sign up for our email newsletter:

Subscribe to our Newsletter

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/


– Hello this is Dr. Siddharth Tambar, from Chicago Arthritis and Regenerative Medicine. Welcome to our, Monday live broadcast. This is July 13th 2020. I’m still calling this our educational meeting live broadcast, although I may change it to Monday live broadcast, because I’m trying do more and more of these. So, the other thing I’m considering is, do we actually start changing this to more like noon, or 12.15 and do this two, three times per week. We already do a Wednesday one at 12.15, we squeeze this one in the middle of the morning, workday but we may actually change that going forward. Great so, Jackie, you have a couple of questions. Please shoot. What do you have?
 
– [Jackie] So my first one would be, how do you determine your candidate sd the three step protocol to the PRP treatment.
 
– Okay so good question. So Jackie’s question is how far are regenerative medicine treatments. How do we tell if somebody is a proper candidate, for just Platelet Rich Plasma, versus someone say proper candidate, for bone marrow derived stem cells. And I think, the bigger question is like medically how do we evaluate somebody, for any kind of treatment. And the reality is, we look at a couple different things. We look at what is the person’s pathology, like what’s the problem. What’s the severity of their issue, and, what’s the evidence of efficacy of how well it’s going to work, based on their problem. So, this question comes up a lot because, number one people come in with maybe an expectation of one thing and maybe we recommending something else, or somebody thinks their pathology is very bad and why are we not recommending something more aggressive and so this varies because there isn’t a, one set answer for everything. So as in example, if you have, let’s say hip arthritis. We know that, hips tend to be much harder to treat than let’s say, knees or lower backs or shoulders. And so, somebody that has let’s say a moderate level of arthritis in the hip. I would recommend bone marrow derived stem cells as a first line treatment rather than Platelet Rich Plasma because I know that that’s something that can go faster and be more problematic. And the evidence that we have is that they’ll do better with bone marrow cells rather than just platelets. So, that’s a case where you looked at the pathology, you look at the severity, and you can say, listen, I think this makes more sense. Another example would be, let’s say something like knee arthritis. Where the evidence shows that even if you have a significant degree of knee arthritis that platelets can still work. Now the thing is that, my personal experience is that if you have more advanced arthritis, bone marrow derived stem cells will work better in that case. And there’re certain conditions, let’s say, if you have swelling in the bone, that’ll do better if you have injecting bone marrow derived stem cells. But that’s an example of where there’s a little bit more flexibility. And then I’d be looking at other things, meaning, hey, what other medical problems is this person have? Are they on other medications that might make them a challenging candidate? And are they someone who maybe their overall health might benefit better from let’s say, bone marrow versus platelets? Sometimes also you have to look at other factors as well. Namely, does somebody have, let’s say, a history of inflammation, metabolic syndrome and autoimmune condition, in which case bone marrow would likely do better because it has more of an anti-inflammatory effect than just platelets does. So it’s going to to be a few different things, but we definitely rely on what’s a person’s problem, what’s the severity of their problem. And also what is the evidence show will actually work. Make sense?
 
– [Jackie] All right so second question would be, how come for the lower back procedure that we do here, don’t convert to like the three step protocol.
 
– Right. So great questions. So question is, you know, when somebody has a lower back issue, spine issue in general, why is it that platelets are recommended first line rather than bone marrow derived stem cells. And that’s in large part because the evidence from within the Regenexx network shows that Platelet Rich Plasma as a first line option tends to work very well in most of those people. And that’s for a few reasons. Number one, is you have to use the right product for the right problems. So if somebody has, let’s say, an arthritic condition in their lower back, facet joints are arthric. Well we know that utilizing a very high concentration of platelets will for the most part do a very good job of treating that. You can inject bone marrow cells into that as well. But we know that platelets do a really good job of that. Number two, for most people, if they have some chronic instability in the back, meaning some ligaments that have been chronically damaged, which you see in degenerative issues, then platelets are a great first line option for that as well. Every once in a while, if someone’s had just really bad instability, let’s say surgery in the past as well, they may do better with bone marrow cells, but for the most part, most people for back issues seem to do fine, which is platelets, which is why we generally recommend that as a first line treatment.
 
– [Jackie] Thank you. Those were the only ones I had in the main ones.
 
– Only two.
 
– [Jackie] Yes.
 
– Okay. Well another thing that question that that. Well, you know, in that regard, Jackie, you asked about platelets versus bone marrow. So I mean, this comes up so often. So I had somebody asked me about that about her plantar fascia. And so soft tissue injuries are interesting because a lot of soft tissue injuries do fine, which is platelets. So there are certain types of soft tissue injuries, where someone’s, let’s say a tendon tear might respond better to actual bone marrow cells, which is just a stronger cell line. But a lot of times just the evidence shows that if you’re trying to treat pain and dysfunction, that platelets are more than adequate to get that kind of response. So I had somebody last week asking about our plantar fascia and asking why am I recommending platelets rather than bone marrow cells. And it’s because the evidence for platelets, in plantar fasciitis is actually quite good. And so that’s what I’d recommend first line rather than anything stronger than that.
 
– [Jackie] And how much is the evidence for the other is better.
 
– I mean when you look at the some of the initial indications for Platelet Rich Plasma, plantar fasciitis was one of the original indications. Which is why I would still recommend that first line for plantar fasciitis rather than let’s say using amniotic cells using somebody else’s cells or utilizing your own bone marrow cells, because the vast majority of these people will do fine with is platelets, it may take more than one treatment, it may take one or two treatments. But in general, I’d still recommend that first line in large part because that’s where that initial evidence of platelet rich plasma even comes from.
 
– [Jackie] Okay. Thank you.
 
– What else?
 
– [Jackie] Those were the main ones that I kept getting this week.
 
– This week. Okay, good. Another one that that I wanted to mention is, you know, on the inflammatory side where we’re trying to treat people that have chronic autoimmune issues, chronic inflammatory arthritis, inflammation in the joints. A question that comes up frequently if I’m recommending medication is, hey, is this is this just masking a problem, Or is it actually getting to the source or the root of something where you’re really trying to fix something. I went on a little bit of a not rant, but I kind of mentioned last during our last Wednesday broadcast about how I’m always so hesitant to use the word fix, because you know, we’re not changing like a tire here. But there are some things that you legitimately can fix medically. And when it comes to inflammatory arthritis, let’s say where you have somebody that has significant inflammation, there are ways that you can you know, downright try to fix that. Medication is one of them, meaning utilizing medication to actually sort of block the over, over effectiveness or over aggressiveness of the immune system. Something I’m progressively getting more and more into is, are there ways on a non medication basis, whether it’s nutritional supplements, stress reduction, that we can actually help to reduce inflammation as well. I think that’s certainly possible and helpful. Reality is that there’s some conditions that still require medication and when we utilize those medications, you can significantly actually block what’s driving those conditions and you can actually fix that. And I think that’s important because when we think of how you treat chronic musculoskeletal issues, whether that’s osteoarthritis, tendinitis, inflammatory arthritis, a lot of times what’s typically utilized are short term things. Medications, pain medications, chronic anti-inflammatory medications, that are really, that are really short term and are not really fixing the problem. They’re legitimately just masking the problem. And I know an emphasis for me professionally is let’s utilize the products, treatments and approach that are really meant to get to the root of the problem, whether that’s utilizing medication, that is meant to really kind of get to the root of what’s driving a problem, or lifestyle kind of approach that’s meant to kind of reduce inflammation, or exercises that are meant to really improve stability or even injectable options like platelets or your own bone marrow cells that are meant to reduce instability, optimize the joint and really get things to a better level. We’re really trying to get to the root or the essence of what’s driving problems. Trying to optimize, some might say fix the problem. I’m always very cautious about using that. But that’s the general kind of take to it.
 
– [Jackie] At least they repair.
 
– Judy says, I’m sorry, Jackie says, repair the problem. In some cases, yes. And yes. I still like to work to optimize because I think that’s realistically what it is. Which is some things cannot be fully reversed or repaired, but you can optimize it, get it to its best state possible.
 
– [Jackie] Thank you.
 
– What else Jackie?
 
– [Jackie] Those were the main things that I keep forgetting in regards to. Okay thank you so much first…
 
– Great. Great, great. Well, that’s it for today. And until our Wednesday broadcast. I hope everyone is well and stays healthy. And 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 how we choose between regenerative medicine treatments including PRP and Bone marrow aspirate concentrate stem cell options.

Weekly educational meeting Live! 20200706

img
Weekly educational meeting Live! 20200706
We are going live 2x per week. Live on Facebook, Instagram, and Youtube!
Topics discussed during this broadcast:
Heel pain:
Plantar fasciitis and Achilles tendinitis
Case 1
Case 2
Avoid steroids!
Nerve related pain.
PRP vs Amniotic fluid.
#heel #heelpain #heelpainrelief #heelpaintreatment #heelpainsucks #plantarfasciitis #plantarfasciitisrelief #plantarfasciitissucks #achilles #achillestendonitis #achillestendon #achillespain #prp #prptreatment #stemcells #stemcelltherapy #regenerativemedicine #regenexx #chicago #chicagomed