Stemcelldoc's Weblog

November 29, 2010

Ankle Pain: An issue of stability

Ligaments connect bone to bone.  They provide essential support to a given joint.  Conceptually they are the duct tape which provide for a strong foundation.   If the ligament is torn, stretched or injured it can become loose thereby compromising the support of a joint.  An unstable joint can be painful. Treatment options at the Centeno-Schultz Clinic for instability include x-ray or ultrasound guided prolotherapy, PRP or one or more of the Regenexx family therapies.

CR is 21y/o patient with ankle pain following a high-speed rear-end motor vehicle injury.  At time of impact he has his right foot on the brake.  Conservative therapy in the form of NSAIDs, physical therapy and massage failed to improve the debilitating ankle pain.  On physical exam the ankle was noted to be loose.  After three prolotherapy injections into the  lateral ankle igaments as well as the intersosseus ligaments he reports 90% improvement.  If left untreated unstable joints often undergo an acceleration of the degenerative process due to uneven and tear.

October 20, 2009

Joint Stability: Essential for Success

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.

 

deltoid ligaments 2

dettoid ligaments

 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.

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