new options for your arthritis
TRANSCRIPT
- 1. You HaveTwo Roads toTake Surgical Non-surgical
- 2. Which will you choose? Surgical Non Surgical
- 3. What is Arthritis ?
- 4. What are the signs of Arthritis?
- 5. What are the risk factors?
- 6. Interesting Facts on Age and Arthritis
- 7. ArthritisTrivia
- 8. Summary of Arthritis
- 9. BeingToo Active NOT
- 10. What happens with arthritis
- 11. Instability and Arthritis
- 12. Response of your Joint to Arthritis Damage = pain
- 13. Your Bodys Response to Damage REPAIR = RELIEF
- 14. Joint Homeostasis Damage Repair
- 15. Summary damage pain repair relief
- 16. Quiz time A meniscus tear
- 17. How do we reduce damage?
- 18. Items causing damage
- 19. Weight Control
- 20. Weight Control tips
- 21. Bad Exercise/ Activity
- 22. Good Exercises
- 23. Bow legged Correction
- 24. Correcting the bow
- 25. Shoes make a difference
- 26. What is proper shoe wear ? PushTest-
- 27. What is a proper shoe? TwistTest NOT
- 28. What is a proper shoe? SqueezeTest
- 29. Nutritional Deficiencies
- 30. Correct Nutritional Deficiencies
- 31. Glucosamine Yes or No?
- 32. Summary
- 33. QuizTime is a
- 34. Turning onThe Repair of your joint
- 35. Gel Injections
- 36. Gel Injections
- 37. Gel Injections
- 38. Gel Injections
- 39. GelInjections
- 40. Summary of Hyaluronic Acid Injections
- 41. Quiz time
- 42. Steroid Injections
- 43. Steroid Injection
- 44. Steroid Injections temporary
- 45. Steroid Injections
- 46. QuizTime average
- 47. Summary of Steroids
- 48. Platelet Rich Plasma (PRP)
- 49. Platelet Rich Plasma Growth Factors They act like fertilizer for your joints.
- 50. Platelet Rich Plasma (PRP) Safety Efficacy Efficacy *Teitze, DC et al. entitled The effects of platelet rich plasma in the treatment of large-joint osteoarthritis: a systemic review. (Physiology and Sports Medicine 2014, May;42(2) 27-37)
- 51. Platelet Rich Plasma Duration
- 52. Platelet Rich Plasma for soft tissue issues! tendonitis bursitis sprains or tears
- 53. Platelet Rich Plasma
- 54. Summary of PRP
- 55. QuizTime
- 56. Plasma Proteins Proteins
- 57. Plasma Proteins A2M IRAP *FrizzieroA, Autolgous conditioned serum for the treatment of osteoarthritis and other possible applications in musculoskeletal disorders. Br Med Bull. 2013: 105: 169-84.
- 58. Plasma Protein IRAP *Attur M, Plasma levels of interleukin-1 receptor antagonist (IL1Ra) predict radiographic progression of symptomatic knee osteoarthritis. Osteoarthritis Cartilage. 2015 Nov;23(11):1915-24 IRAP is used by many race horses to improve performances.
- 59. Benefits of Blocking Interluekin-1 ***Dinarello, CA et al, Treating inflammation by blocking interleukin-1 in humans; Semin Immunol. 2013 Dec 15 25(6) 469-84.
- 60. Plasma Protein a2M Weng S et al, Identification of a2-macroglobulin as a master inhibitor of cartilage- degrading factors that attenuates the progression of post traumatic osteoarthritis, Arthritis Rheumatol. 2014 Jul: 66(7) 1843-53
- 61. A2M
- 62. PRP Plus
- 63. PRP Plus
- 64. Bone Marrow Concentrate Stem Cells
- 65. Bone Marrow Concentrate Stem Cells 300% 90%
- 66. Bone Marrow Concentrate Stem Cell
- 67. Bone Marrow Concentrate Stem Cell platelet rich plasma.
- 68. Bone Marrow Concentrate Safety Safety- *World J Gastroenterol. 2014 Oct 14;20(38):14051-7 **Lalu MM et al, Safety of Cell Therapy with Mesenchymal Stromal Cells (SafeCell): A systemic Review and Metanalysis of Clinical Trials. PLoS One. 2012 Oct 25 7(10) e47559. ***Herniguo P et al, Cancer risk is not increased in patients treated for orthopedic disesases with autologous bone marrow concentrate. J Bone Joint Surg Am, 2013 Dec 18: 95(24) 2215-21
- 69. Bone Marrow Concentrate Stem Cell Convenience
- 70. Bone Marrow Concentrate Stem Cell
- 71. Bone Marrow Concentrate Stem Cell Efficacy (Does itWork?) one injection more two surgeries. *Ref- Autologous bone marrow-derived mesenchymal stem cells versus autologous chondrocyte implantation: an observational cohort study. Nejadnik H., American Journal of Sports Medicine 2010 Jun;38(6):1110
- 72. Stem Cells improve outcomes of common surgeries improve **Wong, KL. et al Injectable cultured bone marrow-derived mesenchymal stem cells in varus knees with cartilage defects undergoing high tibial osteotomy: a prospective, randomized controlled clinical trial with 2 years' follow-up. Arthroscopy 2013 Dec;29(12):2020-8 ***KohYG et al, Adipose Derived Mesenchymal StemCells with Microfracture vs. Microfracture Alone: 2-Year Follow up of a Prospective RandomizedTrial, Arthroscopy, 2016 Jan, 32(1) 97- 109
- 73. Bone Marrow Concentrate Stem Cell For Hips Hernigou, P, et al, Cell Therapy of hip necrosis with autologous marrow grafting , Indian J Orthop.2009 Jan-Mar; 43(1): 40-45
- 74. Bone Marrow Concentrate Stem Cells for Knee Arthritis Centeno C, et al, Efficacy of autologous bone marrow concentrate for knee osteoarthritis with and without adipose graft, Biomed Res Int. 2014;2014:370621
- 75. Bone Marrow Concentration Stem Cell therapy compared to Hyaluronic Injections Stem Cell group did better! Vega A, et al,Treatment of KneeOsteoarthritis with Allogeneic Bone Marrow Mesenchymal Stem Cells: A Randomized ControlledTrial,Transplantation, 2015Aug;99(8); 1681-90
- 76. Bone Marrow Concentrate Stem Cells for Arthritis Larger Groups Centeno, C et al, A dose response analysis of a specific bone marrow concentrate treatment protocol for knee osteoarthritis, BMC Musculoskelet Disord. 2015; 16:258
- 77. Long-Term Results Bone Marrow Concentrate StemCell Emadedin M., et al, Long-Term Follow up of Intra-articular Injection of Autologous Mesenchymal Stem Cells in Patients with Knee, Ankle or Hip Osteoarthritis, Arch Iran Med. 2015, Jun;18(6): 336-44
- 78. Stem CellTherapy and Meniscus Repair HanaYu, et al, Meniscus repair using mesenchymal stem cells- a comprehensive review, Stem Cell ResTher. 2015; 6(1): 86.
- 79. LongerTerm Results of Stem CellTherapy for arthritis of knee and hip 1128 54 months 91% had at least 50% improvement Michalek J, Autologous adipose tissue-derived stromal vascular fraction cells in patients with osteoarthritis, CellTransplant, 2015 Jan 20. doi: 10.3727
- 80. Arthroscopic Surgery
- 81. Safety Efficacy *Hagino, T et al Complications after arthroscopic knee surgery. Achieves of Orthopedic Trauma Surgery , 2014 November; 134(11):1561-4 **Herrlin, SV et al Is arthroscopic surgery beneficial in treating non-traumatic, degenerative medial meniscus tears? A five year follow-up . Journal of Knee Surgery, Sports, Traumatology and Arthroscopy 2013 Feb;21(2):358-64
- 82. Arthroscopic Surgery
- 83. Arthroscopic Surgery
- 84. Joint Replacement Surgery What is it?
- 85. Joint Replacement Safety : 16% 3.4 % 10.9%
- 86. Reliable Reproducible Durable-
- 87. Patient Satisfaction after Joint Replacement 27%- 30% *Lam, YF et al, A Review of the Clinical Approach to Persistent Pain Following Total Hip Replacement, HongKongMedJ , 2016 Dec: 22(6): 600-7 **Wylde, V et al, Total Knee Replacement: Is it Really and Effective Procedure for All?; Knee, 2007, Dec 14 (6): 417-23
- 88. Joint Replacement Costs Cost :
- 89. Joint Replacement
- 90. Convenience of Joint Replacement Require someone to help 24/7 for 3 weeks
- 91. Stem CellVs. Knee Replacement
- 92. Stem CellVs. Knee Replacement Stem Cell Group had Faster improvement
- 93. Stem CellVs. Knee Replacement Knee Replacement Group had Higher Longer Higher More Longer More medical complications
- 94. Stem CellVs. Knee Replacement higher patient satisfaction: 70% pointed to the stem cell knee
- 95. Success for Cell BasedTherapy Am I a candidate forCell BasedTherapy? OR If your joint is stable with no or very rare episodes of catching or giving away, you can consider cell based therapies.
- 96. Success for Cell BasedTreatments Am I a candidate for cell based therapy ? OR If your joint has only rare episodes of swelling and you do not require draining more than 4 times per year, you can consider cell based therapy
- 97. Am I a Candidate forCell Therapy ? OR If you have mild to moderate bowing of your joint and you do not notice the bow under your pants, you can consider cell based therapies
- 98. Success for Cell BasedTherapy Am I a candidate for Cell Based Treatments? OR If you have mild to moderate loss of motion of the joint and can dress yourself without any aids, you should consider cell based therapies.
- 99. Have more than two surgical risk factors If you have more than two of these risk factors, you should consider cell based therapies
- 100. Success for Cell BasedTherapy Am I a Candidate for Cell BasedTherapy? If you are not willing to undergo the risks, commitments and inconveniences of joint replacement surgery you can consider cell based therapy
- 101. Lower Risk Everyones welcome!
- 102. Must also figure in time lost from occupation may be Payment plans available
- 103. Knee Arthroscopy Bone Marrow Stem CellAnd
- 104. Benefits of Stem CellTherapy with Surgery Proven Benefits Less Expensive Less Painful- More Convenient-
- 105. Which did you choose? Surgical Non Surgical