Stemcelldoc's Weblog

June 29, 2011

Current Treatment of Chronic Pain is Lacking

Chronic pain is a significant problem which affects one in five patients according to the World Health Organization.

A recent article concludes that despite all the new treatments and improved understanding of the underlying pathology only 50% of the patients treated had a response to treatment and the reduction in pain was only about 30%.

Conclusions:

Narcotics were the most commonly prescribed medication yet were associated with only small improvements in pain and were often misused.  Studies indicated that nearly 50% of long-term users may be misusing their narcotics thereby putting them at risk for overdose and death.

Regarding fusions of the lumbar spine it was noted that “High complication rates and repeat procedures are realities of spinal surgery ”

The Centeno-Schultz Clinic acknowledges the many of the main stream treatment modalities  for chronic pain are ineffective.  The Centeno-Schultz Clinic distinguishes itself by:

Publications in peer-reviewed journals.

Identifies the source of a patient’s pain as opposed to making it with oral narcotics.

Avoids  the use of NSAID’s.

Limits it use of steroids to low dose given their signficant complications including apoptosis.

Utilizes guided injections of regenerative therapies which include prolotherapy, PRP, platelet lysate(Regenexx PL), bone marrow derived and adipose derived stem cell therapy.

January 10, 2011

Shoulder Pain and Ultrasound Guided Injections

Platelet rich plasma, prolotherapy and autologous stem cells are non-surgical treatments for shoulder pain.  Clinical success is dependent upon selecting the appropriate treatment option and placing the solution into the targeted site.

Ultrasound has become the standard of care at the Centeno-Schultz Clinic.  Ultrasound does not involve exposure to x-rays and provides a rich image of the bone, muscles, tendons and ligaments. It also allows for a dynamic evaluation whereby the patient is able to go through the activities that cause them pain.  This is not the case with MRI’s given that they require a patient to remain completely still.  MRI’s provide a static image of the shoulder which may not be helpful in some cases of impingement.

This last weekend Ron Hanson M.D. was an instructor at a highly respected shoulder ultrasound course.

We are very pleased to have Ron’s gifted clinical and ultrasound skills here in Denver/Boulder area at the Centeno-Schultz Clinic.

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