Stemcelldoc's Weblog

September 9, 2012

Peroneus Tendon Tear Successfully Treated with Prolotherapy

At the Centeno-Schultz Clinic we acknowledge that ankle pain can be disabling.  Ankle pain can arise from multiple sources which include ankle osteoarthritis, ligament laxity, tendon tears and  degenerative lumbar disorders.   Stem cell therapy is an alternative to ankle surgerySurgery is associated with risks and can often times accelerate the degeneration. 

JW is an active nurse who sustained an ankle injury while participating in Cross-Fit. Her pain was constant with weight-bearing, non progressive in nature, localized on the lateral aspect of the ankle with radiations into the little toe.  Physical examination was signficant for tenderness in the lateral ankle, laxity and multiple trigger points in calf and lumbar spine.

MRI was signficant for a partial tear in the peroneus brevus tendon and injury to the anterior talo-fibular ligament.

She declined surgical recommendations and opted to prolotherapy which is the injection of an irritant intended to initiate an inflammatory response and strengthen ligaments.

At the Centeno=Schultz Clinic prolotherapy is performed utilizing MSK ultrasound guidance which ensures accurate needle placement.  Treatment was targeted at both the peroneus tendon but also the other critical ankle ligaments.  Stability is a central element as discussed in Ortho 2.o.

Adjunct therapies included IMS, flexion/extension examination of the lumbar spine, deep water immersion exercises and low carbohydrate diet. Carbohydrate restriction and proper nutrition has been linked with improved stem cell numbers and function. 

After three prolotherapies, IMS treatment and 15 lb loss JW reports a 90% improvement and has resumed her running and cycling.

Great job Jennifer.

April 10, 2011

Centeno-Schultz Clinic: Non Surgical Regenerative Treatments

At the Centeno-Schultz Clinic a new picture is emerging.

As a pain and non surgical orthopedic clinical practice we have a large number of therapies which distinguish us from others.
Board certified physicians: Centeno, Schultz and Hanson.
Understanding the importance of function: Ortho 2.0
In office x-ray and ultrasound guided injections which ensures that the injected therapy gets to its intended target.
Acknowledging the risks and complications of traditional high does steroid injections.
A large number of regenerative therapies including prolotherapy, platelet rich plasma, platelet derived stem cell therapy(Regenexx SCP), bone marrow derived stem cell therapy(Regenexx SD) and fat derived stem cell therapy(Regenexx AD).
Treatment of chronic spinal conditions which include cervical, thoracic and lumbar facet dysfunction, foraminal and central canal narrowing due to disc protrusion or herniation and SI joint dysfunction
Non surgical treatment of common orthopedic conditions which include cartilage defects, meniscal injuries, ligamental injuries, tendonitis and tendonosis, bursitis, rotator cuff tendonopathies and muscle injuries.
Publications in peer-reviewed journals.
Strategies to maintain healthy cartilage through supplements which include Chondroitin, Glucosamine and Resveratrol.

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