Despite their terrible taste, disgusting odor and foul texture I followed by mother’s instructions: EAT your brussel sprouts.
Mom insisted that diet was essential for our growth.
Does diet have an impact on stem cell growth and differentiation? (what type of cells they will become when they grow up)
Vanella demonstrated that high blood sugar levels, those commonly seen in patients who eat sugar based diets, lead mesenchymal stem cells to turn into fat instead of bone.
There are many factors that can affect stem cell growth and differentiation. Regenerative Sciences understands the importance of these variables in their evaluation and treatment of orthopedic disorders with stem cell therapy. The Regenexx procedure provides patients a non-surgical option of the treatment of non-healing fractures, lumbar disc protrusions and degenerative conditions in knee and hips.
Bye, bye sugar and hello greens…..
Patient returned today after initial evaluation for lateral elbow pain. She has a 5 year history of elbow pain, localized along the lateral aspect, constant in duration, progressive in nature without any radiations. Pain was throbbing in character and aggravated by external rotation and her daily work responsibilities. Therapies to date had included physical therapy, massage, chiropractic care, x-rays of elbow, evaluation by sports medicine physician, trial of anti-inflammatory medications and muscle relaxants.
Physical examination demonstrated point tenderness along the lateral epicondyle and multiple trigger points in the extensor muscles. Neurologic exam was normal. Cervical spine had mild reduction in range of motion which was painful. Specifically she had pain with extension and lateral rotation.
Given her poor response to conservative therapy, persistence of symptoms and neck pain and restriction motion, I was concerned that her pain was arising from a degenerate disc in her cervical spine. That would make sense since the muscles in her arm which were painful receive their information from the C6 nerve. If there is compression of the nerve root, pain and muscle dysfunction can result.
Her cervical MRI demonstrated degeneration of the C5/6 disc and compression of the C6 nerve root.
A thorough examination is essential. This is the standard at the Centeno-Schultz Clinic. Regenerative options for this patient include prolotherapy, IMS, cervical injections with PRP and stem cell therapy.
Wanted to share the treatment of a local sports personality who responded well to PRP therapy.
Patient suffered an injury to the semimembranous which is one of the three muscles that comprise the hamstring. He had significant pain in the back of this thigh which limited his ability to run. he had point tenderness on examination with swelling and bruising.
The semimembranosus muscle allows us to flex the knee, extend the hip and rotate our hip inwardly when the knee is flexed.
MRI demonstrated a tear in the muscle which is identified by the white arrow.
Patient underwent a concentrated injection of his own platelets into the area of injury to stimulate repair. This concentrate is referred to as platelet rich plasma (PRP). Platelets are rich in growth factors which have been demonstrated to promote natural healing. After two injections the patient had 80% improvement and was able to return to playing. PRP therapy affords patients a natural healing treatment with minimal downtime and the potential for significant results.
PRP has been successfully used in professional athletes as witnessed by the treatments of Hines Ward prior to the Superbowl.
PRP is just one of the regenerative therapies utilized at he Centeno-Schultz Clinic.
Patient returned today who has graciously allowed me to share her history. The key is understanding what happens to cervical joints above and below the level of the fusion. The answer is OVERLOAD and acceleration of the degenerative cascade.
35 y/o female who underwent fusion of her cervical spine at multiple levels and unfortunately suffers from severe neck and headache pain.
The disc and cervical joints serve as shock absorbers. Take out the shock absorber surgically and the forces of daily living was transmitted above and below the level of the fusion. The abnormal force overload of the joint which accelerates the degenerative process. The end result all too often is pain.
At the Centeno-Schultz Clinic, we injected a small amount of contrast into the joints above her fusion. This is illustrated below. Thereafter we injected local anesthetic which significantly reduced her neck and headache pain. Patient subsequently underwent prolotherapy which has afforded her a signficant reduction in her pain and increase in her range of motion. Other regenerative therapy options include PRP and stem cell therapy.
Stability of a given joint is essential for the optimal function and maintenance of the joint.
Stability is determined by many factors which include the integrity of the ligaments.
Ligaments are thick connective tissue that connects bone to bone. An example is the deltoid ligments in the ankle.
Injury to ligaments due to either to acute or repeat trauma can compromise the integrity and support provided by the ligament. The consequences can include degenerative changes in the joint and pain. This was clearly illustrated in a previous blog.
In the treatment of degenerative changes in a joint, it is essential that stability of the joint is evaluated and optimized. It is not enough to use regenerative therapies on the joint such as PRP, prolotherapy or stem cell therapy. For maximal clinical results, the joint and its stability must be addressed and optimized. This is the standard of care at the Centeno-Schultz Clinic and Regenexx.