• 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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  • What does Bone Marrow Concentrate really do?

    What does Bone Marrow Concentrate really do?

    I challenge the reader with this question because it becomes apparent, even the majority of the medical community can’t provide an accurate answer.  There are all kinds of claims and statements running rampant; so today, I will try to make some order out of chaos.  Let me begin with the patient who...

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  • Surgery, Stem cells or Physical therapy for a Meniscal Tear and Osteoarthritis

    Surgery, Stem cells or Physical therapy for a Meniscal Tear and Osteoarthritis

    “Whether arthroscopic partial meniscectomy for symptomatic patients with a meniscal tear and osteoarthritis results in better functional outcomes than physical therapy alone is uncertain.” The above article appeared in the May, 2013 edition of the New England Journal of Medicine but is still a subject...

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  • The difference between an orthopedic surgeon and the camp followers

    The difference between an orthopedic surgeon and the camp followers

    From the AMA News, July 1   Good Morning Dr. Mitchell Sheinkop.  Here are today’s top stories. Leading the News: Unproven stem cell therapies available at hundreds of US clinics In “Science Now,” the Los Angeles Times (6/30, Kaplan) reports that research indicates across the US, “at...

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