Stemcelldoc's Weblog

September 26, 2009

Elbow Pain: PRP and Prolotherpy

Pain localized on the outside of the elbow is referred to as tennis elbow or lateral epicondylitis.

elbow pain

A group of muscles called the extensors attach to the outside bony surface of the elbow.

extensors in forearm

Tendons attach  muscle to bone.  To better visualize this, image the rope that extends from your tent to the stake.  During a wind storm there is increased tension on the rope which starts to pull on the tent stake.  The greater the stress on the rope, the greater the force on the stake.  So to with increasing tightness in muscle:  there is more tension on the stake (tendon attachment to bone).  The result is PAIN.

Treatment at the Centeno-Schultz Clinic begins with a thorough evaluation and examination.  Prolotherapy and PRP are effective therapies to reduce the inflammation and irritation at the site where the extensor tendons attach to the bone.  Equally important is to treat the underlying cause:  the dysfunctional tight muscles, like the tent rope, which are straining its anchor.  This is treated with IMS. Treatment at the Centeno-Schultz Clinic includes treating the pain as well as addressing the underlying issue that gave rise to the pain.

August 12, 2009

Enthesopathy: Fire in the Joint

fireTendons are fibrous connective tissue that attach a muscle to bone.

Ligaments attach bone to bone.

Inflammation of tendons and ligaments at their point of attachment onto bone are referred to as enthesopathies.  These can be very painful and lead to changes in gait and posture.

Common examples include golfer’s elbow and jumper’s knee.Pat_Tendonitis

Therapy is directed at reducing the increased tension in the affected muscle and decreasing the inflammation at the site of attachment of the tendon.  Unfortunately, all too often steroids are injected which may provide temporary relief but can weaken the ligament.  Repeat injections can lead to rupture.

At the Centeno-Schultz Clinic, enthesopathies are treated prolotherapy to strengthen the ligament.  Many patients who undergo stem cell therapy have enthesopathies which have contributed to their orthopedic conditions.  A complete and thorough evaluation and examination is our standard.

regenexx.mesenchymalstemcell.stemcelltherapy.kneecartilagetherapy.Centeno-Schultz Clinic.

March 17, 2009

Tennis Elbow Pain

Filed under: Elbow — Tags: , — stemcelldoc @ 4:40 pm

Tennis elbow otherwise known as lateral epicondylitis, is commonly caused by inflammation of the extensor carpi radialis brevis tendon at the outer edge of the elbow. Tendons attach muscle to bone.  The extensor carpi radialis muscle attaches to the lateral epicondyle of the humerus bone.flex_carp_rad

lateral-epicondyle

Symptoms typcially include pain on the outside of the elbow and weakness in the wrist.

Correct diagnosis is essential.   At the Centeno-Schultz Clinic  a complete evaluation is the standard.  Entrapment of the radial nerve and cervical degenerative disc disease with nerve root irritation is always evaluated. 

Overuse or repetitive strains are the most common causes of tennis elbow pain.

Conservative treatment options include ice, resting the joint and using a support brace.  Treating the dysfunction muscle with myofascial release techniques (IMS) is critical to resolving the pain assoicated with tennis elbow.  In cases which are refractory to conservative care, a novel technique is now available in which a patient utilizes their own stem cells.  It is a needle-in, needle-out procedure which allows one’s own mesenchymal stem cells to repair the damaged tissue.

tenniselbowpainintheforearm.tenniselbowexercisetherapy.tenniselbowsurgerysuccess.stemcellstenniselbow.tenniselbowsurgeryblog

February 4, 2009

Lateral Epicondylitis

Lateral epicondylitis otherwise known as tennis elbow is a overuse injury involving the extensor muscles that originate on the bony prominence (epicondyle) on the outside (lateral) aspect of the elbow.  It is more properly termed a tendinosis that specifically involves the origin of the extensor carpi radialis brevis muscle.  Nirschl and Pettrone attributed the cause of lateral epicondylitis to be tearing in the origin of the extensor carpi radialis brevis (ECRB) muscle.

flexor-carpi-radicalis

The extensor carpi radialis brevis (ECRB) muscle originates from the lateral epicondyle. It functions to move the wrist so that the hand moves away from the palm and towards the thumb.

Many patients with tennis elbow are involved in work or recreational activities that require repetitive use of the forearm muscle. Pain can be  severe and burning  localized on the outside part of the elbow.   In most cases the pain starts slowly and escalates over weeks or months.

Conservative therapy includes limiting repetitive use of the forearm.  Orthotics can only help diminish symptoms of tennis elbow.lateral-epicondyle-brace1

These can reduce symptoms by resting the muscles and tendons.  The surgical procedure involves removing diseased tendon tissue and reattaching normal tendon tissue to bone.

lateral-epidcondyle-surgery

Alternative therapies include prolotherapy, platelet-rich plasma and stem cell therapy.  At Regenexx patients are able to use their own stem cells to regenerate torn ligaments and tendons.

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