• Update on the Cellular Orthopedic intervention to my knees

    Update on the Cellular Orthopedic intervention to my knees

    If you read my blog posting last week, you would have learned that I personally underwent a cellular orthopedic intervention to both of my knees on Wednesday, 12/27. The symptoms attributable to my own osteoarthritis had progressed to a degree that I was becoming limited in my recreational profile. While...

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  • Cellular Orthopedics, looking back and looking forward

    Cellular Orthopedics, looking back and looking forward

    Or as Dan Brown’s Origin explores, “Where did we come from, where are we going?” It seems customary to make predictions at this time of year; but I want to begin by looking back four decades. It is more than reminiscence. Until managed health care was introduced into the marketplace...

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  • On Cartilage Regeneration

    Since we practice in an emerging discipline of Regenerative Medicine, how is regeneration determined? Cartilage repair should be evaluated with use of a scoring system that considers the volume of the defect that becomes filled with repair tissue, the integration of repair tissue with adjacent cartilage,...

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  • My Algorithm If Stem Cell Intervention Doesn’t Last or Doesn’t Work

    My Algorithm If Stem Cell Intervention Doesn’t Last or Doesn’t Work

    I am being forthright; based on my review of data, while 80% or more of my patients continue to enjoy satisfactory outcomes at four years or more following a stem cell intervention, there are those whose symptoms and functional limitations recur. Please be aware that when I undertake the care and treatment...

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  • Vanity, Anecdote and Evidence; how far I will go to present the facts

    As regular readers of this Blog are aware and as well, those patients who seek consultation in my office, my cellular orthopedics practice is based on clinical evidence. While the largest marketer of stem cells in the Midwest, bases a recommendation for a product without scientific evidence or even anecdote,...

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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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  • Hyaluronic Acid, Platelet Rich Plasma and Bone Marrow Concentrate

    Hyaluronic Acid, Platelet Rich Plasma and Bone Marrow Concentrate

    Patients receiving either Hyaluronic Acid (HA- Synvisc, Supartz, Euflexxa) or Platelet Rich Plasma (PRP) injections will experience modest-term pain relief according to an article appearing in Orthopedics Today, August, 2017. In the study reviewed, Ultrasound Guided injections were given weekly for three...

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  • Postpone, perhaps avoid joint replacements

    Postpone, perhaps avoid joint replacements

    Last week, we traveled to Israel to celebrate the wedding of our youngest son. Israel became the destination for the event as Eric and Judith had met there while his music business was subcontracting to Coke and Judith led the International Marketing initiatives for Coke. The event took place on July...

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  • Report from the OrthoBiologic Institute meeting, June 08-10, 2017

    Report from the OrthoBiologic Institute meeting, June 08-10, 2017

    It was difficult for me to sit and listen to so many “show and tell” presentations not supported by scientifically overseen outcomes data. Too much anecdote about unproven methodologies; many not compliant with FDA guidance. Basically, it was frequently repeated false news. I was taken aback by what...

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  • False Stem Cell Marketing

    False Stem Cell Marketing

    The lack of scientific foundation in stem cell marketing is all around us and negatively impacting those doing the right thing in the evolving discipline of Regenerative Medicine. Yesterday afternoon, a patient for whom I successfully completed a Bone Marrow Concentrate/Stem cell procedure presented...

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