• On Proteins, PRP, Bone Marrow Concentrate, Stem Cells and Orthokine

      The difference between platelet-rich plasma therapy, also known as PRP, and the Orthokine treatment that Alex Rodriguez, Kobe Bryant and other athletes have received in recent months in Germany is fairly straight forward. I personally treat athletic injuries and arthritis with PRP; but, do not use...

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  • From Anecdote to Clinical Trial

    If you watched the Los Angeles Lakers play the Chicago Bulls over the Christmas weekend, you would have heard the story repeated many times during the broadcast of how Kobe Bryant had traveled to Germany for a Platelet Rich Plasma treatment for his arthritic knee and how PRP is not available in the United...

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  • The Regenerative Pain Center

     The Regenerative Pain Center There is a very unique challenge concerning how to manage the effects of aging and the resulting impact on musculoskeletal well-being and continued participation in sports-from the weekend to the master athlete. Better understanding of the basic science of aging allows...

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  • PRP, Stem cells or Surgery

      To operate or not to operate?  Although Joint Replacement Surgery is a fairly predictable and cost-effective intervention for severe osteoarthritis of a major joint, it is not necessarily the treatment of choice for everybody. There are issues surrounding the decision-making process for surgeon and...

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  • Treating knee arthritis via joint preservation and regeneration

      Musculoskeletal Care of the Mature Patient There is a very unique challenge concerning how to manage the effects of aging and its impact on musculoskeletal well-being and continued participation in sports-from the weekend to the master athlete. As the majority of patients I see come for impairment...

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  • Rejuvenative Cellular Medicine Anecdotes

    Musculoskeletal Care of the Mature Patient I am off skiing this week in Colorado so I thought I would let my readers entertain themselves with some anecdotes from the web.  Regenexx Knee Patient Finishes the Ironman “This 68 year old went from being told he needed a knee replacement, to successfully...

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  • More about rejenerative cellular medicine

    Centrifugal force is used to create platelet-rich plasma. Solid blood elements (white blood cells, red blood cells, and platelets) are separated via centrifugation due to variations in size and density. Because of the FDA mandated prohibition on the maximal manipulation of stem cells and the rigorous...

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  • More on Rejuvenative Cellular Medicine

    Musculoskeletal Care of the Mature Patient   Might stem cell management offer breakthrough, non-surgical treatment options for people suffering from moderate to severe joint, tendon, ligament, or bone pain due to injury and other conditions? That’s the promise of those worldwide with experience. Is...

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  • Off-label use of orthopedic drugs and devices

      Musculoskeletal Care of the Mature Patient A patient came in to my office this past week and asked me about a series of visco-supplementation injections for her hip. She had responded reasonably well last year to a series of such injections in her arthritic knee and wanted to enjoy relief of arthritic...

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