recent posts

Stem Cell Treatment for Musculoskeletal Injuries...

Many treatments in the world of orthopedics involve removing or replacing damaged or injured tissue. We might “trim out” cartilage tears or perhaps “reconstruct” ACL tears by using other tissue, or we may even “replace” joints with artificial parts. However, in the world of Regenerative Medicine we try to augment the body’s own natural healing abilities to truly repair and heal the damaged tissue itself. We aim to actually cure the problem instead of just trying to come up with a second best solution. Utilizing the patient’s own stem cells is one of the most powerful tools that we have to achieve this. Mesenchymal stem cells are produced in our bone marrow and they are responsible for healing connective tissues such as injured bone, ligaments, tendons and cartilage. As we get older or injured, we sometimes cannot get enough of these cells into the area in need of repair. This is especially true in and around joints and tendons where blood flow is poor or even non-existent. Since there is poor blood supply to these tissues, the stem cells have no way of reaching these tissues as they try to travel from the bone marrow to the site of injury. This is why injuries such as meniscal tears, labral tears, articular cartilage injuries, rotator cuff tears, ACL tears and many other orthopedic injuries fail to heal on their own. Stem cell procedures help solve this problem by precisely delivering a high concentration of stem cells into the injured area and aid your body’s ability to heal naturally. Patients experience very little down time and they typically avoid the long,...

Facial Rejuvenation with PRP Treatment...

What is PRP (Platelet Rich Plasma)? It’s a procedure in which platelet rich plasma is drawn from your own blood to be used for medical treatments such as nerve damage, bone repair and regeneration, dental and cosmetic procedures. Over the past years, PRP injection procedure had also been recognized as useful and effective in Dermatology. By injecting into the skin, PRP is useful in cell restoration and in speeding up the healing process. The result is youthful, rejuvenated skin. PRP skin rejuvenation is commonly applied to the face, neck, chest, and hands. Common skin problems in the face and neck area such as wrinkles, photodamage, and discoloration can be treated by PRP injections. Facial Rejuvenation PRP Injection Procedure 30-60cc of blood is collected from the patient to draw platelet rich plasma. The blood is then placed and carefully processed in a centrifuge to separate the platelet rich plasma from the red and white cells. It is then added with an activating agent and then injected in the face and neck area. The concept behind PRP injections is to apply a high concentration to an aging area to stimulate of cell reproduction and healing. Do’s and Don’ts BEFORE the PRP Treatment Do eat a light meal before the treatment, having a treatment on empty stomach may cause dizziness Do keep hydrated Don’t take any non-steroidal anti-inflammatory medicines like aspirin, ibuprofen, naproxen for this may cause an impairment in the platelet normal clotting function. Don’t wear makeup on the day of treatment Do’s and Don’ts AFTER the PRP Treatment Do resume normal daily activities after the treatment. Don’t expose yourself too...

O-Shot™ – What could be better than a natural way to improve female sexual function and to resolve urinary leakage....

Guest post written by Dr. Lisbeth Roy on September 15, 2014 The O-Shot™ is a non-invasive, non-surgical answer to better sexual function for women. The world is quickly realizing the regenerative power of Platelet Rich Plasma (PRP). As we age and are challenged by our changing bodies, we seek safe and effective treatments in an attempt to continue living our best life. Women of all ages experience sexual changes that inhibit satisfaction and full function. As well, just as many women experience urinary leakage that robs their self-confidence and eventually their independence. The O-Shot™ gives much needed hope and triumph for women who seek to improve sexual function and to resolve urinary incontinence. Women with vaginal pain, decreased sensitivity, dryness, lack of arousal, urinary leakage and low desire can benefit from this safe and simple procedure. An O-Shot™ trained physician will draw your blood, spin and concentrate the healing power called PRP and inject it strategically back into your body to stimulate rejuvenation of the vaginal tissue. The procedure from blood draw to exiting the office is usually no more than 30 minutes. The blood spins for 9-17 minutes and the injections are very quick with minimal to no discomfort. There is no downtime at all. You may return to normal and sexual activity immediately after the procedure. Platelet Rich Plasma (PRP) is a special part of your blood that contains platelets and growth factors. These platelets and growth factors when activated stimulate your stem cells and lead to new tissue regeneration. When we put PRP in the joints and tendons of athletes, there is rapid and enhanced repair....

Must we activate platelets for knee injection?...

The following questions came to us from a doctor in Iran. Must we activate platelets for knee injection? We active PRP with Ca gloconate in IRAN but I read in some books we can inject PRP without activator in joints. I want to know which is better or safer? How many kits do we use for every knee? Some doctors say we use 2 kits of PRP and the other says 1 kit of PRP. Because I do PRP for skin and the volume is not a problem for us, we can use 1 or 2 kits for skin and hair but in joints for a knee exam, how much volume we can inject? This response was given by Dr. Arockia Doss one of our physician specialty experts. I do not activate Platelets at all for any of my musculoskeletal injections as I wish to keep it as natural as possible. Personally I think this is a safer approach. It works anyway! As a standard I take 12 to 16 cc of blood and mix the PRP and PPP in 5 cc of 1% lignocaine for one knee joint. This comes to a total volume of around 15cc of total injectate. I warn of stiffness for a few days, pain crisis has not occurred in my experience in joints. For smaller joints I just half this. I am moving more and more towards 3 injections spaced 4 weeks apart with an annual...

Will Taking IBProfen Effect the Quality of my PRP Injection Treatment?...

The following is a Q/A answered by our specialty expert Dr. Blecher! Question: I had undergone a PRP injection about two days ago. Unfortunately I was not aware that i was not supposed to take anti inflammatory medication after the treatment. I had taken one ibuprofen the day of the injection and another the third day after the injection before finding out. I would like to know how badly this will effect the treatment and the result of the PRP injection. I have only taken two ibuprofens and it has been 4 days since the PRP injection. Answer: It depends on where the PRP was injected and what it was for. If it was injected inside of a joint (like for arthritis) it may matter less than if it was injected into a tendon or ligament. In either case I am confused as to why your doctor did not advise you to avoid...

Q&A Regarding PRP Injection for Knee Arthritis...

The following are questions we received from PRP patients and were answered by our specialty expert Dr. Blecher. Do you immobilize the knee following PRP injection for knee OA? If so for how long? How many ml’s of PRP do you typically use for knee OA? What gauge needle do you use for PRP injection? Answer: I do not immobilize for knee OA. I use a 22gauge needle and inject 5cc of a 10x baseline concentration...

Why Orthobiologics?

A practicing orthopaedic surgeon sees a variety of musculoskeletal conditions routinely in his clinic. There are some conditions that are straightforward to diagnose and treat. There are some conditions that are straightforward to diagnose but difficult to treat. There are some conditions where orthopaedic surgeon runs out of ideas as, the persistent symptoms bother the clinician as well as the patient.  This is when the clinician looks around for any other treatment modality that can be safe and help his patient. “Orthobiologics” is a new terminology being used in orthopaedics.  Essentially, it means the use of body`s own healing potential in treating some conditions. This could be patients own blood product or any other tissue. This concept is termed as “Biological augmentation”. Today, there is an increasing interest in the use of autologous blood products to facilitate healing in a variety of musculoskeletal ailments. With newer focus and discovery we have now learnt more about specific growth factors, present in blood, which play a crucial role in the healing process. Platelet –rich plasma is one such product, which is increasingly being used, in orthopaedic clinical practice. There are other forms of biological therapy being used in clinical practice as well. These include the use of stem cells and autologous chondrocytes for treating cartilage and bone defects.  There is a lot of research going on around the world and a number of scientific papers are being published on the use of these products. Like any other form of therapy, there is still a lot of debate among the clinicians today. There are some who argue that strong scientific evidence for...
recent from Guest Post Facial Rejuvenation with PRP Treatment
Facial Rejuvenation with PRP Treatment What is PRP (Platelet Rich Plasma)? It’s a procedure in which platelet rich plasma is drawn from your own blood to be used for medical treatments such as nerve damage, bone repair and regeneration, dental and cosmetic procedures. Over the past years, PRP injection procedure had also been recognized as useful and effective in Dermatology. By injecting into the skin, PRP is useful in cell restoration and in speeding up the healing process. The result is youthful, rejuvenated skin. PRP skin rejuvenation is commonly applied to the face, neck, chest, and hands. Common skin problems in the face and neck area such as wrinkles, photodamage, and discoloration can be treated by PRP injections. Facial Rejuvenation PRP Injection Procedure 30-60cc of blood is collected from the patient to draw platelet rich plasma. The blood is then placed and carefully processed in a centrifuge to separate the platelet rich plasma from the red and white cells. It is then added with an activating agent and then injected in the face and neck area. The concept behind PRP injections is to apply a high concentration to an aging area to stimulate of cell reproduction and healing. Do’s and Don’ts BEFORE the PRP Treatment Do eat a light meal before the treatment, having a treatment on empty stomach may cause dizziness Do keep hydrated Don’t take any non-steroidal anti-inflammatory medicines like aspirin, ibuprofen, naproxen for this may cause an impairment in the platelet normal clotting function. Don’t wear makeup on the day of treatment Do’s and Don’ts AFTER the PRP Treatment Do resume normal daily activities after the treatment. Don’t expose yourself too much under the sun for 2-3 days. Don’t expose yourself to hot or cold temperature for 2-3 days. This include sauna, hot shower, Jacuzzi. Don’t go swimming for 2-3 days. Don’t exercise or do any strenuous activities for the first...
recent from Patient Experience World class athlete heals plantar fasciitis with PRP
World class athlete heals plantar fasciitis with PRP The following is a patient experience from Charlene Thomas. I am an International 1500m runner and have represented GB at the World and European Championships so as you can imagine my feet take a battering! I had PRP back in 2009 when I managed to tear my Plantar Fascia in my left foot after struggling most of the athletics season with Plantar Fasciitis in both feet. I had the PRP because even after a couple of months rest the tear and plantar fasciitis had not improved at all. Within 4 weeks after my first injection the tear was pretty much healed and plantar fasciitis in both feet gone. I must stress though that I also followed a strict rehab program to ensure my plantar fascia healed strongly before i started back running. I had a second injection after 4 weeks to make sure the tear healed completely. The treatment worked really well for me and I would certainly recommend to anyone who has plantar fascia problems PRP. Charlene received treatment at Coach House Sports Physiotherapy Clinic (CSPC) to strengthen her Plantar Fascia after having the PRP treatment. Her physiotherapist was Alison Rose at CSPC, physiotherapist to Jessica Ennis-Hill and Kelly Holmes. The clinic has supported her over a number of...
recent from Questions & Answers Must we activate platelets for knee injection?
Must we activate platelets for knee injection? The following questions came to us from a doctor in Iran. Must we activate platelets for knee injection? We active PRP with Ca gloconate in IRAN but I read in some books we can inject PRP without activator in joints. I want to know which is better or safer? How many kits do we use for every knee? Some doctors say we use 2 kits of PRP and the other says 1 kit of PRP. Because I do PRP for skin and the volume is not a problem for us, we can use 1 or 2 kits for skin and hair but in joints for a knee exam, how much volume we can inject? This response was given by Dr. Arockia Doss one of our physician specialty experts. I do not activate Platelets at all for any of my musculoskeletal injections as I wish to keep it as natural as possible. Personally I think this is a safer approach. It works anyway! As a standard I take 12 to 16 cc of blood and mix the PRP and PPP in 5 cc of 1% lignocaine for one knee joint. This comes to a total volume of around 15cc of total injectate. I warn of stiffness for a few days, pain crisis has not occurred in my experience in joints. For smaller joints I just half this. I am moving more and more towards 3 injections spaced 4 weeks apart with an annual...
recent from Blog Stem Cell Treatment for Musculoskeletal Injuries
Stem Cell Treatment for Musculoskeletal Injuries Many treatments in the world of orthopedics involve removing or replacing damaged or injured tissue. We might “trim out” cartilage tears or perhaps “reconstruct” ACL tears by using other tissue, or we may even “replace” joints with artificial parts. However, in the world of Regenerative Medicine we try to augment the body’s own natural healing abilities to truly repair and heal the damaged tissue itself. We aim to actually cure the problem instead of just trying to come up with a second best solution. Utilizing the patient’s own stem cells is one of the most powerful tools that we have to achieve this. Mesenchymal stem cells are produced in our bone marrow and they are responsible for healing connective tissues such as injured bone, ligaments, tendons and cartilage. As we get older or injured, we sometimes cannot get enough of these cells into the area in need of repair. This is especially true in and around joints and tendons where blood flow is poor or even non-existent. Since there is poor blood supply to these tissues, the stem cells have no way of reaching these tissues as they try to travel from the bone marrow to the site of injury. This is why injuries such as meniscal tears, labral tears, articular cartilage injuries, rotator cuff tears, ACL tears and many other orthopedic injuries fail to heal on their own. Stem cell procedures help solve this problem by precisely delivering a high concentration of stem cells into the injured area and aid your body’s ability to heal naturally. Patients experience very little down time and they typically avoid the long, painful rehabilitation periods that often follow surgery. Let’s look at precisely how this is done. The first step is to harvest the bone marrow. This is usually performed through a needle aspiration from the pelvis. Typically anywhere from 1 to...

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