I presented a paper on our use of intra-articular laser treatment to augment PRP injection for arthritic joints at a major medical conference in San Francisco on Jan. 27th. The laser improved results in patients who had no response to an initial injection of PRP. While most patients we treat with PRP do respond, some do not and face joint replacement surgery as their only other option. There is evidence that low level laser (laser that does not produce perceptible heat and has no known side effects) can improve the results of PRP and stem cell treatments.
Health Care News
A new study has shown an astonishing twelve fold - 1200% - increase in cancer in women who are obese! They were five times – 500% - likelier to have a cardiovascular disease. Men were also at increased risk, although less than women.
I avoid nonsteroidal inflammatory drugs (NSAIDs) because they impair healing. Now a new study from a prestigious journal shows that two of the most common, ibuprofen (advil, motrin) and Celexobid (Celebrex)greatly increased the failure rate after surgical rotator cuff repair. Ibuprofen increased it 75% and Celebrex increased it nine-fold!, i.e. more than 900%!!
I JUST RETURNED FROM THE NETHERLANDS TO LEARN MORE ABOUT AN AMAZING ALTERNATIVE TO TOTAL KNEE REPLACEMENT CALLED “KNEE JOINT DISTRACTION ARTHROPLASTY”
Over the Thanksgiving weekend, I traveled for 6 days to one of the finest medical centers in the Netherlands: about half an hour outside of Amsterdam. My practice is devoted to joint preservation rather than replacement. Orthopaedic Surgeons in the Netherlands have recently published the results of a minimally invasive procedure that avoids joints replacement in most cases and also results in regrowth of cartilage. They have more than 10 years of follow up and experience. The procedure involves putting pins into the thigh and leg bones and distracting the joint to allow space for new cartilage to grow. Pins are removed at 6 weeks and walking is permitted all the while.
A recent meta-analysis (an aggregation of many studies on the subject) showed about a 14% reduction in heart attack and 10% reduction in stroke risk... in people who ate roughly 40 grams (about 1.5 ounces) of cheese daily, compared to people who ate none or significantly more. 40 grams is about two slices of pre-cut cheese. The study, entitled Cheese consumption and risk of cardiovascular disease: a meta-analysis of prospective studies is one of many that have shown mild health benefits of cheese. This study shows how dangerous it is to condemn entire food groups, such as dairy products, based on limited evidence.