Author Archives: siteadmin

What is PRP therapy for knee pain?

By  siteadmin  published  September 4, 2020

Patients are often looking for options to avoid a knee replacement surgery. While surgery is recommended only when other treatment options have failed, some patients can still benefit from knee injections.

One such knee injection treatment option is Platelet-Rich Plasma (PRP) injections.

Platelet-Rich Plasma Knee Injections

Platelets are one of the first natural repair agents to reach an injury. They begin by sealing the injury with a clot. During the clot formation, they release proteins, including growth factors for repair and “signaling” factors that bring in the patient’s own stem cells to aid in the repair process.

During the PRP therapy, the patient’s own blood is obtained from a peripheral arm vein. It is then centrifuged to separate the various blood components. Red blood cells are removed. That leaves a concentration of platelets in the remaining plasma. This is why the term platelet-rich plasma, or PRP is used for this treatment.

The PRP is then administered, in the same manner as other knee injections, after a local anesthetic has been injected.

While experienced surgeons can accurately administer PRP knee injections, you can ask for ultrasound guided injections. This non-invasive technique allows the surgeon to precisely visualize the injection needle within the knee joint. Sometimes, your surgeon may also recommend hyaluronic acid injections to aid lubrication in the knee joint and allow smoother movement.  Consult your orthopedic surgeon whether you are a good candidate for PRP injections for knee pain.

Continue Reading

Shoulder Arthritis Treatments

By  siteadmin  published  August 4, 2020

Experiencing shoulder pain when performing daily tasks, such as while brushing your hair or putting on your coat, can be a sign that you need to see an orthopedic specialist. Arthritis in the shoulder is a common cause if shoulder pain and it can lead to stiffness, pain, swelling, and poor quality of life.

Shoulder Arthritis

Arthritis refers to the degeneration of joint cartilage. As the cartilage wears out, it can cause pain, limit your range of motion, and prevent you from carrying out your daily activities, such as household chores. The damaged cartilage makes the bones grind against each other, leading to pain and other symptoms.

Treatment Options for Shoulder Arthritis

Should arthritis treatment include both conservative and invasive options.

Conservative treatments include –

  • activity modification to reduce stress on the shoulder by reducing movements that cause pain
  • heat and ice to relieve pain and inflammation

In severe cases, invasive or surgical treatment may be necessary to relieve pain and improve functional movement. These may include –

  • Arthroscopy – Arthroscopic surgery involves inserting a small camera inside the shoulder joint to look at and repair the shoulder tissue. Only two small incisions are needed. Removal of loose cartilage and bone can help in reducing shoulder pain and irritation.
  • Cartilage Transplant – The cartilage around the joint can be replaced with healthy cartilage from a healthy joint or a non-articulating joint, or a donor. This is done to stimulate growth of new cartilage.
  • Microfracture – Microfracture treatment involves removing the damaged cartilage and drilling holes into the bone marrow. This can activate stem cells to stimulate growth of new cartilage.
  • Joint Replacement – Joint replacement surgery is done to replace the head of the humerus and the shoulder socket with an implant to reduce pain and inflammation.
Continue Reading

Treating Shoulder Injuries with Arthroscopic Surgery

By  siteadmin  published  July 13, 2020

The shoulder is the most mobile joint in the body and that leaves it vulnerable to injuries. While conservative, non-surgical treatment options, such as rest, anti-inflammatory medications, and physical therapy are able to treat a number of shoulder injuries, serious shoulder injuries may require surgery, especially if they do not respond to nonsurgical treatment options.

Arthroscopic shoulder surgery is an advanced and effective surgical procedure that causes less post-operative pain and allows a quicker recovery. This is different from earlier surgeries that were performed using a large open incision.

Shoulder arthroscopic procedures can treat a large number of shoulder conditions and injuries. Here are 2 common injuries that can benefit from shoulder arthroscopic surgery.

Rotator Cuff Repair

The rotator cuff is a group of four muscles and tendons that attach to the top of the shoulder. The rotator cuff is an important structure because it allows you to raise, rotate and keep your shoulder stable.

A partial or complete rotator cuff tear is a severe injury that requires urgent medical attention. Your orthopedic surgeon can diagnose a rotator cuff tear and prescribe a treatment plan.

Most rotator cuff repairs can be performed arthroscopically. The procedure involves –

  • A few, tiny incisions are made
  • The damage is visualized with the help of a tiny, arthroscopic camera inserted through an incision
  • Tiny instruments and sutures anchors are used to repair the tear and attach the tendon to the bone
  • The incisions are closed and dressed
  • The shoulder is placed in a sling

Total procedure time usually takes an hour. Physical therapy after surgery is a critical part of recovery because it helps the patient regain shoulder strength and flexibility.

Labrum Repair

The labrum is a ring of soft tissue on the outer edge of the glenoid cavity. It holds the head of the humerus (upper arm bone) in the glenoid cavity and stabilizes the shoulder. A torn labrum is a serious injury because it may cause shoulder instability and even shoulder subluxations or dislocations.

A torn labrum may have to be arthroscopically surgically repaired, which involves –

  • 2-3 tiny shoulder incisions
  • An arthroscopic camera is inserted into the joint to visualizethe torn labrum
  • Through the other incisions, tiny instruments and sutures are inserted to repair the damage and attach the labrum to the glenoid cavity
  • Incisions are closed and dressed and the shoulder is placed in a sling

The total surgery time is aboutan hour, depending on the severity of the tear. Physical therapy after surgery is critical because it helps to stretch the shoulder muscles, ligaments and tendons.

The signs of rotator cuff tears and labrum tears include –

  • Difficulty lifting or raising the arm
  • Instability
  • Pain
  • Subluxation/Dislocation
  • Stiffness
  • Swelling
Continue Reading

Joint Health during the Pandemic

By  siteadmin  published  June 3, 2020

With age, bones are constantly undergoing change in their structure and composition.  Old bone is being resorbed and new bone formed. However, after about 30 years of age, new bone formation tends to slow down, causing reduced bone density and pain and stiffness in the joints.

While regular exercise can stimulate bone formation, it is important to eat right to provide the body with the necessary raw materials to build strong bones and joints.

Here is a list of foods that are good for your joints.

  • Fish: Some types of fatty fish, like salmon, herring, and mackerel are rich in omega-3 fatty acids. Those suffering from rheumatoid arthritis can benefit from the consumption of foods rich in omega-3 fatty acids.
  • Soy-Based Foods: Foods such as tofu high in protein but very low in fat. In addition, their anti-inflammatory benefits may relieve joint pain.
  • Extra Virgin Olive Oil:  Extra virgin olive oil has been associated with increased levels of osteocalcin, important for bone formation. Olive oil is also anti-inflammatory and antioxidant.
  • Cherries: Anthocyanins, found in cherries, may help to reduce gout attacks.
  • Dairy Products: Low-fat milk products, like yogurt, contain plenty of calcium and vitamin D, both of which increase bone strength and are extremely important for those with osteoporosis and osteoarthritis.
  • Dark Green Vegetables: Dark green, leafy vegetables contain large quantities of calcium, which is one of the most important minerals for strong bones. Include the following in your diet – kale, collard greens, spinach and Chinese cabbage.
  • In addition to the above, the following are also important for bone and joint health –
    • Sweet Potatoes: rich in potassium and magnesium to boost bone health.
    • Grapefruit: high in vitamin C, to prevent bone loss.
    • Broccoli: rich in vitamin C and K, contains sulforaphane, which may slow the progression of osteoarthritis.
Continue Reading

Advantages of PRP Therapy

By  siteadmin  published  May 5, 2020

PRP or Platelet Rich Plasma therapy is a ground breaking treatment for many ailments, considered untreatable so far. One popular application of PRP therapy has been minimizing downtime after injury and allowing quick return to active play in high-level athletes.

PRP treatment utilizes and boosts the body’s natural healing mechanism to quickly repair damage to tissues, such as ligaments, tendons, and cartilage. PRP has also shown great potential in treating degenerative joint conditions, such as osteoarthritis, neurological and other disorders.

PRP is obtained from a small amount of the patient’s own blood. Platelet rich plasma is extracted from this blood and injected into the site of injury. Platelets and growth factors in PRP stimulate natural tissue regeneration and healing at the injury or damage site. Usually 3 PRP injections are administered 1 week apart, but this may vary depending on the site and extent of injury. Patients start experiencing significant reduction in symptoms and improved function, second injection onwards.

Conditions that can benefit from PRP

  • Tendon injuries
  • Hip, knee, and other joint osteoarthritis
  • Hip and hamstring strains
  • Knee injuries
  • Rotator cuff injuries
  • Plantar fasciitis

Benefits of PRP

  • Lasting relief, compared to other treatments such as pain medications, or steroid injections
  • Minimal risk of infection since the PRP is derived from the patient’s own blood
  • Simple andfast outpatient procedure
  • Potential to delay or avoid the need for joint replacement surgery

If you are suffering from a ligament or tendon injury that does not appear to be healing despite rest and conservative treatments, consult your orthopedic doctor about PRP therapy.

Continue Reading

Difference between Sprains and Tears?

By  siteadmin  published  April 8, 2020

While sprains and tears are similar injuries, they are not exactly the same.

Sprains

When a ligament is overstretched or torn upon an injury, such as falling, twisting of a joint, or an impact to the body, it is referred to as a sprain.

Sprains oftenheal in a period ranging from a few days to several weeks, depending on the severity of the injury, and can be –

  • Mild sprain: The ligament is stretched but the joint is still stable
  • Moderate sprain: The ligament is partially torn but not completely separated from the bone; the joint becomes unstable
  • Severe sprain: The ligament has completely torn or separated from the bone

Sprain Symptoms

  • Hearing or feeling a ‘pop’ in your joint during injury
  • Localized pain
  • Inflammation and swelling
  • Bruising
  • Limited range of motion

Tears

Tears occur when a ligament, tendon, or muscle is torn. Tears may result from the same injuries that cause a sprain but tears are more serious injuries.

Minor tears may heal in a few weeks while severe tendon and muscle tears need several months. Severe tears may even require surgery to repair.

Tear Symptoms

  • Sudden, severe pain
  • ‘Popping’ sound at the time of the injury
  • Loose joint
  • The affected area is unable to bear weight
  • Instant bruising
  • Joint Immobility
  • Visual deformity
Continue Reading