• A Regenerative and Restoration Milestone

    A Regenerative and Restoration Milestone

    It happens every year since the day I was born, there is a birthday celebration in my home and it happens again this week. Sure, I have a little more graying of my hair; but fortunately, I have my hair. I also have an activity level that would not have been possible, given the arthritis

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  • What is Platelet Rich Plasma?

    What is Platelet Rich Plasma?

    My team dedicates an inordinate amount of time answering questions and attempting to clarify the misunderstanding of patients when it comes to Platelet Rich Plasma; actually, the entire subspecialty of “Stem Cell Therapy” but let’s start with PRP. As an orthopedic surgeon who introduced Cellular...

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  • The Ultimate Performance Success Following a Cellular Orthopedic Procedure

    Every year at this time, we each recall and celebrate several significant events of historic, cultural and spiritual importance. No matter what your roots or upbringing or present belief, these past eight days usually involve a gathering of friends and family to jointly read and remember that which happened...

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  • Exciting Cellular Orthopedic Debates

    Exciting Cellular Orthopedic Debates

    Well, it is really an internal debate as to whether I should have a concentrated platelet rich plasma procedure or a bone marrow concentrate procedure as I get ready for the upcoming ski season. While it is true that I exercise five to six days a week rotating between outdoor cycling, strength training...

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  • The Subchondroplasty Procedure for Bone Marrow Lesions; what is it and when is it indicated?

    Assume that you schedule an office assessment for knee pain, altered function and a slight limp. I complete the examination and review the radiograph only to find it “normal”. The examination excludes referral from the low back and hip so the next step is an MRI. 48 hours later I am able to diagnose...

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  • Osteoarthritis, back to basics

    Osteoarthritis, back to basics

    Also known as degenerative joint disease, osteoarthritis is the most common joint disorder, and continues to be the leading cause of impaired quality of life in the United Sates. While OA is defined as the progressive loss of cartilage structure and function; that definition has most recently been expanded...

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  • On Cartilage Regeneration

    On Cartilage Regeneration

    Last week, my associate attended a continued medical education course held in a venue near the Wisconsin-Illinois border; a site frequently used by the Stem Cell Institute of America to host amniotic fluid marketing seminars. My colleague overheard a conversation between several physical therapists touting...

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  • The case for a repeat Bone Marrow Concentrate intervention

    The case for a repeat Bone Marrow Concentrate intervention

    This week, I am repeating stem cell/growth factor interventions in two patients; one with arthritis of the hip, and the other with osteoarthritis of both knees. Four years ago, at the initiation of my interventional orthopedic practice, I spoke of adult mesenchymal stem cells alone but now we know that...

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  • Exercise Prescription and Cellular Orthopedic Intervention

    Exercise Prescription and Cellular Orthopedic Intervention

    Aging is known to contribute to a multitude of systemic changes including those of the musculoskeletal system leading to decreased health, mobility and function. Most changes in well-being are exacerbated by inactivity. It has been scientifically documented that physical activity and exercise may slow...

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  • The Traumatic Initiation of Arthritis

    The Traumatic Initiation of Arthritis

    Background: It is increasingly recognized that biochemical abnormalities of the joint precede radiographic abnormalities of post traumatic osteoarthritis (PTOA) by as much as decades. A growing body of evidence strongly suggests that the progression from anterior cruciate ligament (ACL) injury to PTOA...

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