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Natural Healing with Regenerative Medicine Treatments

Regenerative Medicine involves repairing and regenerating the damage in the body. These new treatments utilize the body’s natural healing powers to relieve a wide range of physical problems related to tendon, ligament, muscle, and bone damage.

Leading orthopedic and sports medicine practices, such as OSPI in Arizona, offer various regenerative medicine treatments –

  • Bone Marrow Derived Stem Cell Therapy (Your Own Bone Marrow)
  • Amniotic Fluid Stem Cell Therapy
  • Platelet Rich Plasma Therapy (PRP Therapy)

Stem cell and PRP therapy have been utilized in treating various areas of the body, including knees, hips, backs, and shoulders, that people have injured or that are affected by degenerative conditions such as rheumatoid arthritis.

OSPI has teamed up with R3 Stem Cell, the nation’s leading regenerative medicine company offering cutting edge technologies and research, to provide OSPI patients with state of the art options.

Stem Cell Therapy

Stem cell therapy involves harvesting stem cells from a human source, either the amniotic fluid or the person’s own bone marrow. Amniotic stem cells are either extracted from a willing donor’s amniotic fluid.

Once either of these fluids is harvested, the stem cells are isolated and injected into the affected area. This encourages the creation and strengthening of the affected tissue and also helps to reduce inflammation and pain.

PRP Therapy

PRP therapy involves deriving platelet rich plasma (PRP) from the person’s own blood. The PRP contains several growth and healing factors that aid healing in the damaged tissues.

Many orthopedic doctors are now utilizing stem cell and PRP therapy instead of highly invasive and risky joint replacement surgeries. Regenerative medicine treatments are relatively non-invasive, pose fewer risks and are less expensive, quick and efficient.

If you are looking for the best regenerative and sports medicine doctor in Gilbert, AZ, call OSPI (Orthopedic and Sports Performance Institute) at 480-899-4333.

Are you an Athlete and injured?

Sports or athletic injuries occur during play or practice for a sports event. Such injuries may vary in their extent and severity but require timely treatment if you want to recover fully.

If you are an athlete or if you maintain an active lifestyle, read on to learn the about the common sports injuries. It will help you recognize if you have been injured.

Sprains

Sprains are the result of a ligament being stretched beyond its capacity. Wrist and ankle sprains are more common than others.

Concussions

Concussions occur due to a violent blow to the head. These are common among athletes who participate in contact sports. AT the same time, concussions can also occur as a result of a fall. Some concussions may prove serious if they are left untreated and the player continues to play.

Shin Splints

Acute pain in the shin or lower leg after prolonged running can be the result of shin splints.

Runner’s Knee

Runner’s knee, as the name indicates, is caused due to years of running and the pain in the knee due to that. It is an overuse condition in which the tendons and the cartilage, around the knee cap, are worn out.

Achilles Tendinitis

Achilles Tendonitis shows up as heel pain. It occurs when overuse causes the tendon, just above the heel, to become swollen or irritated.

What should I do if I am injured?

Since most athletes try to ensure pain and push through injury, their injuries usually become worse.

The best course of action is to seek immediate treatment if you suspect injury and experience pain. This will reduce your healing time, chance of reoccurrence, pain, and will get you back in the game quickly. Modern regenerative medicine treatments, such as PRP therapy, help to avoid surgery and allow you to recover naturally.

To learn more about PRP therapy or to consult a sports medicine doctor in Gilbert, AZ, call OSPI (Orthopedic and Sports Performance Institute) at 480-899-4333.

Suffering from an ACL Tear?

The ACL or the Anterior Cruciate Ligament in the knee can be injured in several ways:

  • Sudden stopping or change of direction
  • Abruptly slowing down while running
  • Landing from a jump incorrectly
  • Direct collision

ACL tear

The ACL is one of the four important knee ligaments. These ligaments hold the knee together.  It connects the thigh bone to the shin bone.

The ACL is a tough band of tissue that runs diagonally through the inside of the knee and gives the knee joint stability. An ACL tear is often a result of excessive stress due to one of the reasons explained above.

ACL Injury Symptoms

ACL injuries are often accompanies by a “popping” noise and/or the knee may feel giving out from under you. Other symptoms include:

  • Swelling and pain
  • Limited range of motion
  • Tenderness along the joint
  • Discomfort while walking

You may observe swelling within a day of the injury. In some cases, the swelling and the pain may subside on its own but if you attempt to return to activity, the knee is likely to remain unstable. This can result in further damage to the meniscus or the cartilage that cushions your your knee.

To learn more about ACL tear and treatment options or to consult an experienced knee doctor in Gilbert, AZ, call OSPI (Orthopedic and Sports Performance Institute) at 480-899-4333. OSPI offers modern, cutting edge treatments including minimally invasive orthopedic surgery as well as regenerative medicine, such as PRP Therapy in Gilbert, AZ.

Ever too old for Knee Replacement?

If you are wondering whether you are too old for knee replacement surgery, you should know that more than 500,000 people undergo total knee replacement in the United States alone. Generally, people with chronic joint pain and debilitating arthritis are considered candidates for total knee replacement.

Total knee replacement can help these people regain lost confidence and independence. A knee replacement can go a long way in restoring your ability to lead a normal life.

Read on to know more about knee replacement surgery and get answers to the most commonly asked questions.

Arthritis and Knee Pain

The knee joint has a layer of smooth cartilage on the ends of thigh bone, shinbone and the kneecap. This cartilage cushions the gliding surface facilitating smooth knee motion. Arthritis involves wear and tear of this cartilage. This leads to bones rubbing against each other, causing pain, inflammation, swelling and stiffness.

Total Knee Replacement

Total knee replacement involves cartilage replacement with an artificial surface, using metal and plastic implants. This creates a new smooth cushion and a functioning joint that does not hurt.

Success Rates

More than 90% patients achieve good to excellent results with pain and symptom relief and improved activity and mobility.

Candidates for Total Knee Replacement

Based on your history, physical examination, X-rays and conservative treatment results, your orthopedic surgeon will discuss with you if you are a candidate for total knee replacement surgery.

In general, you may not be a good candidate if you –

 

  • have poorly-controlled diabetes
  • are an active smoker
  • are morbidly obese
  • have experienced infections in the affected arthritic joint in the past

Can a person be too old for knee replacement?

Age is not a big issue if you have good overall health and wish to continue living an active life. There are cases of patients in their 90’s who get knee replacements and do well. Your orthopedic may ask you to consult your personal physician about your readiness for surgery.

To learn more or to consult an the best knee replacement doctors in Gilbert, AZ, call OSPI (Orthopedic and Sports Performance Institute) at 480-899-4333.

4 Top Reasons you can’t straighten your Knee

Knee injuries are often a result of a twisting or a direct impact injury to your leg. The severity of the injury can vary but loss of bending in the knee is common after an injury. An inability to straighten and bend your knee is a sign you have been injured badly.

Here is a look at the top reasons why you are unable to straighten your knee after an injury.

Swelling

Swelling is common after injuries that cause bleeding, inflammation and pain, making it too painful to straighten the knee.

Tendon Injuries

Injuries to the quadriceps or patella tendon do not allow you to straighten the knee and also cause significant weakness. Such injuries are more common in professional sports.

Meniscus Tear

A tear in which the torn piece of meniscus flips into the center of the knee joint, can lock your knee and prevent it from straightening.

ACL Tear

ACL tear do not cause the knee to be locked but it hurts too much to straighten it. Within a few days, the swelling will reduce and you may be able to straighten your knee. But sometimes ACL tear is accompanied by a meniscus tear. In such cases, it will be hard to straighten the knee and you should see an orthopedic surgeon.

If you have suffered an injury to your knee and are not able to straighten or bend your knee, it could be due to a severe knee injury. Consult an orthopedic surgeon to find out the root cause and begin treatment.

To learn more or to consult the best orthopedic surgeons in Mesa, AZ, call OSPI (Orthopedic and Sports Performance Institute) at 480-899-4333.

Why do I have to Undergo Hip Arthroscopy?

Hip arthroscopy is the new minimally invasive treatment option for patients suffering from hip pain, hip injuries and degenerative hip conditions.

If you have been recommended hip arthroscopy, read on to know more about the procedure.

Hip Arthroscopy

Hip arthroscopy involves making a small incision to insert a tiny camera in the joint. The images from the small camera or arthroscope enable the surgeon see examine the joint. This is done by transmitting the images to a large television screen. The orthopedic surgeon can visualize the inside of your joint and identify problems. Surgical tools are then inserted through other small incisions to repair the damage or treat your condition.

The advantage of hip arthroscopy is that repairs can be made with minimal trauma to surrounding tissue, less pain and less risk of complications. The recovery time is also significantly shortened and the patient can get back to normal activities faster than in traditional surgery.

Hip Arthroscopy is recommended in the following conditions.

Hip Injuries

The hip is a ball and socket joint in which the head of your upper leg bone fits into a hollow in your pelvic bones. Both are covered with a slippery cartilage to allow them to slide across each other, and the entrance to the socket has a thick ring of cushioning cartilage.

Damage to any of these tissues caused by various hip injuries, can be treated with hip arthroscopy.

Hip Dysplasia

In hip dysplasia, the ball and socket of the joint don’t fit together properly. This results in excessive wear and tear on the bones, cartilage, and other connective tissue.

Snapping Hip Syndrome

In the snapping hip syndrome, you can feel a snapping or popping when you move it. This is often caused by a muscle or tendon sliding over one of the bony protrusions of your hip or due to an injury to the cartilage in your hip.

Synovitis

An inflammation of the synovium or the lining of the hip joint can also be a reason to perform hip arthroscopy.

Loose Bodies in the Joint

Loose bodies can be bits of cartilage, bone chips, or even foreign objects, floating in the joint. These can occur due to osteoarthritis, fractures or injuries.

Hip Joint Infection

In case of an infection in your hip joint, arthroscopy can remove the infected tissue.

Consult leading East Valley orthopedic surgeons if you or a loved one is suffering from chronic pain. To schedule an appointment at the top orthopedic clinic, call OSPI (Orthopedic and Sports Performance Institute) in East Valley at 480-899-4333.

FAQs on Outpatient Knee Replacement (Rapid Recovery)

Outpatient joint replacement surgery does not require an overnight stay at the hospital. This procedure is known as a rapid recovery surgery, which means the patient is back to usual activities soon after the surgery.

What is knee replacement surgery?

Outpatient knee replacement surgery is a surgical procedure in which the damaged, worn joint surfaces are removed and replaced with artificial components (prosthesis). This rapid recovery procedure is done on an outpatient basis, allowing the patient to go home soon after the surgery.

Who is a candidate for rapid recovery knee replacement surgery?

Your doctor may consider this knee replacement procedure if you:

  • Have severe pain that limits your daily activities
  • Suffer pain that is not relieved with physical therapy, medications, and knee injections
  • Have an active lifestyle that requires you to be on your feet
  • Are in relatively good health otherwise
  • Have a high level of motivation during the rehabilitation process
  • Good family support

What are the benefits of rapid recover knee replacement surgery?

The benefits of outpatient knee joint replacement surgery include:

  • No overnight hospital stay
  • Earlier mobilization
  • Rapid recovery
  • Fewer complications
  • Improved pain scores
  • Increased patient satisfaction

How do I prepare for the rapid recover knee replacement procedure?

Before surgery, the doctor will do some preliminary tests and have you hold certain blood-thinning agents for several days. You should arrange to have someone drive you home, and leave all valuables at home. When you arrive at the surgical center, a nurse explains the procedure, and you must sign a consent form. After changing into a procedure gown, the nurse places an IV catheter in your arm.

How is the rapid recovery joint procedure performed?

The rapid recovery knee replacement procedure is performed almost the same as traditional joint replacement surgery. Smaller incisions and less tissue manipulation allows the patient to recover at home instead of in the hospital. The procedure is done under general anesthesia. The surgeon makes 1-2 small incisions, removes damaged joint components, and inserts the prosthesis. After making necessary repairs, the incisions are closed with sutures.

What can I expect after the procedure?

You will be monitored in the recovery area for around 1 hour. After being discharged, a nurse comes to the patient’s home to monitor the condition, and a physical therapy visits several days a week to instruct the patient on flexibility and range of motion exercises. We emphasize ambulating and weight-bearing as tolerated with a cane or single crutch. Pain medications are only to be used as needed, and we stress the use of short-term anti-inflammatory drugs.

What do the research studies show?

A group of researchers studied the safety and feasibility of outpatient knee replacement surgery in a group of individuals with unicompartmental knee osteoarthritis. All 105 patients (100%) were discharged on the same day of surgery, and none of them required readmission to the hospital. The researchers concluded that rapid recovery knee replacement was a feasible, safe procedure for the majority of patients.

In a review of 4,500 total hip and knee replacements, researchers found that following a strict multimodal enhanced recovery protocol reduced the 30-day death rate, length of hospital stay, requirements for blood transfusion, and chance of heart attack, stroke, and pulmonary embolism. The protocol involved behavioral, procedural, and pharmacological modifications, such as use of certain medications before surgery and physical therapy after surgery.

Resources

Cross MB & Berger R (2013). Feasibility and safety of performing outpatient unicompartmental knee arthroplasty. Int Orthop, 38(2), 443-447.

Malviya A, Martin K, Harper, I, et al. (2011). Enhanced recovery program for hip and knee replacement reduces death rate: A study of 4,500 consecutive primary hip and knee replacements. Acta Orthop, 82(5), 577-581.

How is an Outpatient Joint Replacement Possible?

Outpatient total joint replacement, also called total joint arthroplasty (TJA), is now being performed in the U.S. at many medical facilities. These surgeries are only done on people who are healthy and have a high motivation during the recovery period. Orthopedic surgeons all agree that outpatient rapid recovery joint preplacement is the wave of the future.

Who is a candidate for outpatient joint replacement surgery?

Your primary care physician should agree that you are medically able to tolerate the outpatient procedure. In addition, the orthopedic surgeon must deem you a suitable candidate for the surgery. Optimal candidates include:

  • Those persons in fairly good health.
  • Anyone with mild-moderate joint damage.
  • People who are motivated during rehabilitation.
  • Persons with a supportive family.

What are the advantages of the outpatient total joint arthroplasty procedure?

The benefits and advantages of rapid recovery outpatient joint replacement include:

  • Reduced chance of hospital-acquired infections
  • Reduced hospital stay
  • Increased patient satisfaction
  • Reduced cost to the healthcare system

When did outpatient joint replacement become a possibility?

Over the last 20 years, new protocols regarding arthroplasty have allowed for a decreased length of stay in the hospital. These pre- and post-operative protocols, along with improved surgical techniques, make going home soon after the procedure a realist option.

What is involved in the outpatient joint replacement protocols?

A successful rapid recovery joint replacement procedure involves:

  • Orthopedic assessment – This consists of a medical history and comprehensive physical examination. It is important for the surgeon to motivate the patient and explain the home situation.
  • Preoperative medical clearance – This decreases risks and complications following the orthopedic surgery. The patient must undergo certain laboratory and diagnostic tests to assure he/she is able to undergo the procedure.
  • Preoperative physical therapy assessment – This allows the physical therapist to educate the patient regarding what to expect after the surgery. This involves how to use crutches or a cane, how to move the surgical extremity, and exercises to help with range of motion and flexibility.
  • Preoperative education – This is done to reduce fears and anxiety. The doctor informs the patient about the procedure, expected pain management protocols, and what to do at home. Reading material is given to help further educate the patient about the procedure and post-surgical recovery period.
  • Analgesia – The anesthesiologist makes the patient comfortable before and during the procedure. For a total joint replacement surgery, the patient will receive pain medications to control pain after the procedure.
  • Rapid rehabilitation pathway – This is started immediately after the procedure, and patients have the option to go home the same day. This involves following rehabilitation protocols set by the operating surgeon.

What is the success rate for outpatient total joint replacement surgery?

In a recent study, 181 patients reported decreased pain scores following surgery. The procedure improved range of motion in the patients’ knees and enhanced quality of life. Furthermore, the success rate of the procedure is around 97%, with the majority of patients reporting high satisfaction with their surgical experience.

Is the rapid recovery joint replacement surgery cost effective?

One of the main reasons for outpatient surgery is reducing costs after surgery. In a recent study, researchers examined costs with outpatient joint replacement compared to traditional surgery. They found a reduction in cost by around $8,000 based on non-itemized bills.

Resources

Aynardi M, Post Z, Ong A, Orozco F, Sukin DC. Outpatient surgery as a means of cost reduction in total hip arthroplasty: a case-control study. HSS J Musculoskelet J Hosp Spec Surg. 2014;10(3):252-255. doi:10.1007/s11420-014-9401-0.

Berger RA, Sanders SA, Thill S, et al. (2009). Newer Anesthesia and Rehabilitation Protocols Enable Outpatient Hip Replacement in Selected Patients. Clin Orthop Relat Res, 467(6), 1424-1430.

Lovald ST, Ong KL, Malkani AL, et al. Complications, mortality, and costs for outpatient and short-stay total knee arthroplasty patients in comparison to standard-stay patients. J Arthroplasty. 2014;29(3):510-515. doi:10.1016/j.arth.2013.07.020

Smith, A.J., Wood, D.J, & Li, M. G. (2008). Total knee replacement with and without patellar resurfacing: a prospective, randomized trial using the profix total knee system. Journal of Bone and Joint Surgery, 90(1), 43-49.

FAQs on Outpatient Hip Replacement (Rapid Recovery)

Rapid recovery outpatient hip replacement surgery is fast becoming a common orthopedic procedure. This surgery involves the replacement of damaged hip joints with metal or plastic parts (called prosthesis). With advanced, proven-safe techniques, it is now possible to perform this procedure on an outpatient basis.

Is this surgery common?

Total joint replacement surgery will increase during the next decade, with 80 million baby-boomers coming of age. This means around 1 million total joint replacements will be performed in the U.S. each year.

How is the outpatient procedure different than traditional surgery?

Outpatient rapid recovery hip replacement surgeries use the same implants as traditional surgery, but involve smaller incisions and new exposure techniques compared to traditional procedures. This type of procedure is less invasive to the bones and tissues involved, and allows the patient to go home the same day instead of staying overnight.

Who is a candidate for outpatient hip surgery?

The rapid recovery hip replacement procedure is less invasive to the bones and tissues, involving a much shorter hospital stay. It is indicated for:

  • Damage to the hip due to autoimmune disease or accidents
  • Erosion of the joint cartilage
  • Bone death that leads to destruction of cartilage
  • Persons who are motivated during the rehabilitation process
  • People who are in good health

How is the outpatient hip replacement surgery done?

The patient is put out with general anesthesia. The surgeon makes 1-2 small incisions to make necessary repairs. The tendons and muscles are separated to expose the femoral head (thigh bone top) and the hip socket. Lesser tissue movement is involved. The stem and ball prosthetics are fitted into the joint once the hip socket is cleaned. The hip then can be rejoined with the surrounding tissues brought back to normal position. Because the incisions are small, there is less tissue trauma, allowing for a faster recovery.

What are the benefits of the rapid recovery hip replacement procedure?

The benefits include:

  • Less scarring
  • Smaller incisions
  • Less blood loss
  • Shorter hospital stay
  • Shorter recovery period
  • Less tissue trauma
  • Earlier return to work

How is pain controlled during the procedure?

The first stage of pain control begins before the procedure. The patient receives medications that are already working when the patient awakens after surgery. The second stage of pain control occurs during the procedure. The patient is given an anti-inflammatory medicine into the hip tissues, as well as a long-acting local anesthetic. The final stage of pain control is following surgery where the patient receives medicines that target different pain pathways to minimize the use of narcotic agents.

What can I expect after the rapid recover hip replacement procedure?

Following the outpatient procedure, you will be monitored by a nurse for around 1 hour. Once you are stable, you are discharged home, where a nurse comes to visit you. A physical therapist will work with you on range of motion and flexibility activities soon after arriving home.

How effective is rapid recovery hip replacement?

The success rate of hip replacements for 10 years is around 95%, according to studies. For 20 years post-procedure, the success rate is around 85%. In a study involving 150 same-day hip surgery patients, all but 6 patients were highly satisfied with their experience (a success rate of around 97%). Overall, most same-day procedures offer a cost-effective, safe alternative to traditional hip replacement surgery.

Resources

Berger RA, Sanders SA, Thill ES, Sporer SM, Della Valle C. Newer anesthesia and rehabilitation protocols enable outpatient hip replacement in selected patients. Clin Orthop. 2009;467(6):1424-1430. doi:10.1007/s11999-009-0741-x.

3 Top Ways an Orthopedic Doctor Can Help You through the Pain

Orthopedic doctors treat injuries and diseases that affect the musculoskeletal system. After they diagnose your injury or disorder, they’ll create a treatment plan that could include medicine and/or surgery. They may also recommend physical therapy to restore movement, and function to your body and to prevent further issues.

Orthopedic doctors help you overcome pain, compromised functionality, fatigue and anxiety. Here are the top ways an orthopedic doctor helps you through the pain.

Treat Multiple Problems

Experienced orthopedic doctors offer a wide range of treatment and care related to all forms of orthopedic problems involving the shoulder, elbow, hand, wrist, hip, knee, ankle, leg, and foot.

Offer Several Solutions

The best orthopedic doctors provide a wide range of solution for all musculoskeletal problems. That includes –

  • Complete joint replacement of the ankle, knee, hip, or shoulder
  • Arthroscopic surgery for the knee, ankle, shoulder, or elbow
  • Surgical procedures related to fractures
  • Treatment of sports injuries resulting in damage to cartilage, ligaments, or bones
  • Carpal tunnel syndrome treatment through endoscopic carpel tunnel release surgery
  • Anterior approach hip replacement procedures
  • Joint restoration surgery

Patient Centric Approach

Orthopedic doctors know that for the patient and their family, procedures such as surgery, can produce anxiety, confusion, and insecurity. That is why they adopt a patient centric approach and customize the treatment plan keeping your specific condition, symptoms and state of health in mind.

To know more about how orthopedic doctors help you through the pain, call OSPI Arizona at 480-899-4333.

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