• 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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  • Regenerative options for patients receiving chemotherapy, immunosuppression or radiation therapy

    Regenerative options for patients receiving chemotherapy, immunosuppression or radiation therapy

    There has always been a category of patients for whom Bone Marrow Concentrate derived stem cells and growth factors were not a viable option. Patients who have received or are receiving chemotherapy, radiation therapy or immunosuppression have diminished stem cell viability and actual numbers. Such...

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  • Discovering new pathways to healing with stem cells

    Discovering new pathways to healing with stem cells

    On October 28, 2013, I received IRB approval for a clinical trial with Regenexx Sciences, LLC as the sponsor and me as the Principal Investigator. The study, A Randomized Controlled Trial of Regenexx SD versus Exercise Therapy for Treatment of Knee Osteoarthritis with Historical Comparison to Total Knee...

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  • Evidence Based Medicine and Looking Back at 2016 Interventional Orthopedics

    Evidence Based Medicine and Looking Back at 2016 Interventional Orthopedics

    I use bone marrow derived stem cells because they have been proven to be most effective at treating orthopedic conditions when compared to adipose derived stem cells.  There have been 13 papers published showing bone marrow superiority to adipose tissue in regards to treating orthopedic conditions and...

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  • Optimizing Strategies for the Practice of Interventional Orthopedics

    Optimizing Strategies for the Practice of Interventional Orthopedics

    The FDA again held a meeting to address issues pertaining to Regenerative Medicine. At the conclusion of the meeting, an updated set of guidelines was developed for patient protection in the use of stem cells, growth factors, and platelet rich plasma. While still being interpreted by the Regenerative...

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  • Comparing Stem Cell Outcomes to those of Total Joint Replacements

    Comparing Stem Cell Outcomes to those of Total Joint Replacements

    I recently received the yearly publication from the Orthopedic and Rheumatology Institute of the Cleveland Clinic; the latter recognized as one of the 10 most prestigious orthopedic centers in the nation. Every year the publication, a marketing exercise by the Cleveland Clinic, focuses on certain subspecialty...

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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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  • Continued Growth and Development in the Stem Cell World

    Continued Growth and Development in the Stem Cell World

    There are now available six month follow up Outcomes Data regarding 20 patients who underwent a fat graft harvest, micro-fracture of the fat graft and intervention in an arthritic knee, the latter so severe that the original recommendation to the patient had been a Total Knee Replacement. 85% of this...

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  • “Whoever can supply them with illusions is easily their master”

    “Whoever can supply them with illusions is easily their master”

    This past Thursday, I was reading the Steve Chapman article in the Chicago Tribune and in the article, he quoted French Sociologist Gustav Le Bon who is best known for his 1895 work The Crowd: A Study of the Popular Mind. While Chapman was trying to explain the Trump phenomenon, I saw an explanation...

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