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Osteoarthritis. The most common effect is inflammation. Inflammation causes pain, tenderness, swelling, and redness.

PRP TherapyPRP Therapy

PRP Therapy. These platelet cells are packed with healing and growth factors designed to help repair your injured area.


Viscosupplementation is one of the most popular ways to lubricate and cushion worn out joints.

Stem Cell TherapyStem Cell Therapy

Stem Cell Therapy can treat a wide range of Joint and Osteoarthritis Disorders. Don’t live with pain anymore!

What Is Regenerative Therapy?

Debilitating stiffness, throbbing achiness, swelling and redness from inflammation are some of the symptoms acute and chronic musculoskeletal sufferers endure. This includes the joints, bones and muscular system. Recent advancements in alternative regenerative therapy treatments offer new hope for pain sufferers.

Left untreated, these conditions can manifest in the form of arthritis, including osteo and rheumatoid, carpal tunnel syndrome, or knee, back, neck and shoulder pain just to name a few. Aging, genetics, trauma, obesity, repetitive actions on the job or in sports are typically the causes.

According to the American Academy of Orthopedic Surgeons (AAOS), “One in two Americans has a musculoskeletal condition. This adds up to a staggering $213 billion dollars for treatment, rehab and unemployment cost, stated in a report by the United States Bone and Joint Initiative (USBJI).”


What You Should Know About Orthopedic Surgery


regenerative-therapyConditions involving the musculoskeletal system can lead to further degeneration and threaten your quality of life. Not being able to participate in the activities you once engaged in could be devastating and depressing. It is understandable that individuals experiencing excruciating pain and limited mobility would seek a physician and perhaps feel the need to schedule an appointment for invasive surgery.

But, not so fast, it would a good idea to determine if there are other options to regenerate your affected area.

In a 2017 online blog post for Reader’s Digest, 50 Secrets Surgeons Won’t Tell You, Dr. Kevin B. Jones shares one of the secrets by saying that some problems you just cannot fix well with surgery like many cases of back pain.

It is important to recognize that most doctors are encouraged to perform surgery; that is their training. Many will not even suggest alternative methods. You can find out more about the reasons here.

Fortunately for people with musculoskeletal disorders, there are Orthopedic Specialists who offer Regenerative Therapy, with proven results to provide relief for their patients.


What Is Regenerative Therapy?


In the 1990s, Regenerative Therapy gained popularity in medical circles and provided hope for those afflicted with conditions, like musculoskeletal difficulties.

You could characterize Regenerative Therapy as being able to restore damaged body parts, tissues or organs with harvested or engineered cultures from the patient’s own body.

Two groundbreaking treatments involving stem cells and platelet rich plasma have emerged that have changed the landscape of regenerative therapy.


Two Groundbreaking Treatments


These two procedures are quickly becoming sought-after treatments within the medical field. The idea that an Orthopedic Surgeon can retrieve, isolate and inject components from your own body to repair damaged areas in your system is exciting, even after being in use for a couple of decades.

Adult Stem Cells and Platelet-rich Plasma (PRP) have studies backing them, which shows the benefits of these two therapies for various orthopedic problems.

In fact, one clinical trial concluded PRP injections benefited patients with osteoarthritis. The treatment proved to be safe and effective with no known side effects.

More individuals in the world of sports are rejecting the traditional method of receiving invasive surgery when they have injuries. Instead, they are going to progressive physicians using these types of rejuvenating methods.

In fact, sports figures, including Tiger Woods, Garrett Richards, Kobe Bryant, Peyton Manning and Maria Sharapova, have used stem cells and/or platelet-rich plasma with wonderful results.


Adult Stem Cells in Regenerative Therapy


adult-stem-cells-regenerative-therapyThere is a debate about when stem cells were discovered, but most people in the scientific community agree that it was in the 1960s, when scientists Ernest McCulloch and James Till detected the hematopoietic stem cell in mice.

For an element to have the classification of a stem cell, it must be able to renew itself by dividing into more cells and change into other cell types, including into the structures forming the ligaments, bone, cartilage, muscle, etc.

Currently, some health care practitioners dealing in regenerative therapy use adult stem cells and the numbers are increasing.

The process of using adult stem cells for restoring or repairing injuries in Orthopedic Medicine consists of drawing stem cell containing tissues such as bone marrow or adipose tissue (fat) from the body, this tissue is processed to isolate and concentrate the stem cells.

The stem cells are then taken and injected into the injured area, such as a knee joint which immediately encourages the body to begin the rejuvenation process.


Restoration With PRP


Platelet-rich Plasma is full of elements like proteins and peptides that promote healing of the damaged tissues.

This process begins with blood being drawn from the patient and placed in a centrifuge to separate the platelets, plasma and red blood cells.

The outcome is a concentration of platelets, growth factors and plasma, which is introduced back into the patient’s problem area. This starts the repairing of the tissues.

A combination of both therapies can be even more potent in obtaining recovery.


Finding the Best Physician for Regenerative Therapy


It is essential to select the proper medical practitioner when you want PRP or stem cell therapy. Look for one who has experience doing these procedures and is willing to let you speak to past patients.

Don’t forget to ask them about their physical experience having the injections, recovery time and results.

Often these patients will tell you that they would opt to have a regenerative therapy over traditional surgery any time.




As with any form of medical treatment, you should consult with your physician before embarking on any treatment plan. The information contained in this article is for informational purposes only and should not be deemed accurate for the purposes of diagnosing your particular medical condition


Top Two Ankle Surgery Alternatives

Most people suffering from ankle problems are between the ages of 35 and 85 years. Most go opt for surgical treatments, more out of familiarity with surgery than knowledge of alternative options. But did you know that the chance that you’ll develop post-surgery problems when being treated for foot and ankle problems is 10%? Depending on how your problem affects your life at the moment, you may or may not consider surgery.Ankle Sprain

Some of the problems that could as a result of ankle surgery include:

  • Post-surgery pain which may last a long time, especially if the wound heals slowly
  • A long period in rehab. If you are the sole source of income for your family this could cause problems
  • Infection of the wound
  • The bone heals slowly
  • Depending on the foot being operated on your ability to drive could be affected
  • If you need screws or pins a second surgery may be needed to remove them
  • Infection of joint replacement parts
  • Possibility of another surgery if some problems are too major among others

Most of these issues will go away in the long term and do not affect whether the surgery helps you are not. The more serious issues like infections in the bone could result in a much longer recovery time. The “hassle” factor may be more of an issue for most people when considering ankle surgery than the potential for post-surgical problems.

Until fairly recently, alternatives for ankle surgery were virtually non-existent. Bone fractures and breaks were fairly easy to treat. Surgery or a cast was the normal course of action, but what about other types of ankle injuries?

Common Causes of Ankle Injuries

The most common injuries on the ankles are: Osteoarthritis, ligament tears, sprained ankle and instability of the joint.


This is usually an “aftermath” of trauma, infection or injury of the ankles. Between the ankle bones is the articular cartilage, a smooth and slippery fiber that acts as a connective tissue and a cushion protecting the bones. If the cartilage starts deteriorating or gets lost, the space between the bones at the joint narrows. This usually signifies osteoarthritis of the ankle. It can easily be seen in X-rays.

Ligament tears, sprained ankle and instability

Bones are connected to each other by tough bands of tissue known as ligaments. On the side of the ankle furthest from the other ankle are three ligaments: The ATFL, the CFL and the PTFL. These form the ligament complex on that side. The sprained ankle alternativesATFL and the CFL are usually the ligaments involved in an inversion injury because the CFL prevents inward roll of the ankle while the ATFL prevents a forward slide of the ankle. An ankle sprain, if not attended to, result in the ligaments tearing or stretching. Depending on the degree of the sprain, all or part of the ligaments may be torn.

Ankle sprains are classified as grade 1, 2, and 3. Depending on the amount of damage or the number of ligaments that are damaged, each sprain is classified from mild to severe.

  • A grade 1 sprain is defined as mild damage to a ligament or ligaments without instability of the affected joint
  • A grade 2 sprain is considered a partial tear to the ligament, in which it is stretched to the point that it becomes loose
  • A grade 3 sprain is a complete tear of a ligament, causing instability in the affected joint.Bruising may occur around the ankle

In the past the typical treatment options revolved around R.I.C.E. (Rest, Ice, Compression, Elevation), anti-inflammatory medication, ultrasound or physical therapy. Recent medical breakthroughs have now added two more treatment options for ankle injuries and postponed or alleviated the need for ankle surgery altogether.

These top two ankle surgery alternatives, Stem Cell and Platelet Rich Plasma (PRP) procedures, are usually simple office procedures and you don’t have the same risks associated with surgery. In fact, patients who undergo these procedures are normally encouraged to exercise (walk) that same day with little to zero downtime resulting from the procedure.

Stem Cell Therapy for Ankles

The entire procedure should involve the following steps:

Step 1. Prolotherapy Injection

In order to stimulate the healing response prior to injecting stem cells, a prolotherapy injection is performed two days prior to the stem cell procedure. A typical prolotherapy injection consists of a solution made of dextrose (sugar) and water—and sometimes other harmless substances such as vitamins—which can be used to temporarily increase inflammation and activates the natural healing mechanism in the body.

Step 2. Harvest the Stem Cells

Once you are found to be a good candidate, the first procedure is to draw the adipose fat tissue in order to prepare the stem cells. Typically, the fat will be taken directly from your stomach or hip area.

Step 3. Prepare the Stem Cells

The adipose fat that was taken is placed in a centrifuge and spun at high velocity to separate out the stem cells from the other elements in the fat. Once separated, they are placed back into a syringe and are now ready to be reintroduced into the affected joint.

It is important to note that once the stem cells are harvested, they should be reintroduced back into the body within a few hours. If a medical facility tells you to come back tomorrow to complete the procedure, the stem cells will have degraded to a point that will render them virtually useless. Ensure the medical facility performs the entire procedure during the same doctor’s visit.

Step 4. Inject the Stem Cells Back into the Body

This next step is very important and one that is often overlooked by patients. How the physician determines where to place the new stem cells is critical. In most joints, there are very small areas that will be targeted for reintroducing the stem cells into the affected joint. To ensure the accuracy of the injection, image guidance technology should be used by the doctor.

This technology will guide the doctor’s injection into the correct place. If the injection is just slightly off, the procedure will most likely fail and the patient will receive no benefit at all.

If your doctor tells you he manually injects the stem cells into the joint based on experience, it would be wise to seek a second opinion before starting any procedure.

Step 5. Aftercare

After 3 months and 6 months a PRP injection should be given to the patient to aid in the healing process.

Platelet Rick Plasma Therapy (PRP)

PRP therapy for ankles is a fairly similar process to stem cell therapy, except that the process uses your platelets rather than stem cells. The procedure starts out with the patient getting between 40 and 60cc of their blood drawn. That blood is then placed in a centrifuge, which spins it at a high speed for between 10 and 15 minutes. The result is that the different types of blood cells that make up the blood are separated; the portion with the platelets is then extracted.ankle treatment alternatives

The concentrated platelets are then injected back into the body at the site of the injury. Again image guidance is used to guide the needle to the precise point where the injection will be most helpful.

The PRP preparation may contain up to 10 times the amount of platelets found in blood.

PRP may be administered as one injection or in a series depending on the severity of the injury and how each person’s body responds to the therapy.

Types of Ankle Injuries That May Respond Well

If you have any of the following ankle injuries, you could be a very good candidate for Stem Cell Therapy of PRP Therapy:

  • Arthritis
  • Peroneal tendon split or tear
  • Instability of the ankle
  • Sprain or tear of the ligament
  • Tarsal tunnel syndrome
  • Sub-talar arthritis (instability)
  • Bunions
  • Plantar fasciitis.

Contact your physician to learn more about the alternative treatments for ankle problems. Advancements in the treatment of such disorders is always progressing and may suit your condition better than surgery ever could.


As with any form of medical treatment, you should consult with your physician before embarking on any treatment plan. The information contained in this article is for informational purposes only and should not be deemed accurate for the purposes of diagnosing your particular medical condition