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Statistics versus Success

Individual Person or Medical Statistic
Which are you: a statistic or a person with a problem? If you ask the government, or many of the “managed” health care plans, you are seen as a “life”—as in, how many “lives” will be treated and at what cost? If you ask a doctor who has your best interests at heart, you are a person. But if he or she says they must follow a guideline for your arthritis care, walk out. Here is why.

Birth Tissue Revolution

Birth Tissue Revolution The Stone Clinic
Birth tissues products such as membranes, cells, and fluids donated by the mothers when they give birth are the new fountain of youth used in many fields of medicine. Here is a brief, biased guide to what you may hear at your next orthopedic (and almost every other medical) office visit.

What’s Hot & What’s Not in Knee Surgery: A Few of the Highlights

What’s Hot & What’s Not in Knee Surgery: A Few of the Highlights The Stone Clinic
Stem cells are both in and out. It was once thought that if these cells were injected into joints, they would turn into cartilage. Two problems arose. First, patients (unless they are infants) have very few stem cells left. Second, the injected cells died after releasing their instructional growth factors, never turning into cartilage. But what we have learned is that an increasing number of concentrated growth factors, immune stimulants, and even some drugs can induce the migration of the body’s own progenitor cells—some of them stem cells—cells that direct healing—to the injured area. These cells then optimize the environment around the injury to effect healing.

Chicken Soup: What’s New in the Field of Cartilage Repair?

Chicken Soup: What’s New in the Field of Cartilage Repair? The Stone Clinic
The science of cartilage repair for joints is in full swing. There is a frenzy of activity around stem cells, growth factors, exosomes (small packets of growth factors), and all forms of stimulation therapies. And the matrices or patches that those factors are placed on vary widely. The bottom line is that no one factor does it all. Here is the latest update on what needs to go into the chicken soup of tissue repair to make you well.

PCL Injuries: Never simple, and not to be ignored

PCL Injuries: Never simple, and not to be ignored The Stone Clinic
The PCL (posterior cruciate ligament) can be ruptured in car accidents when the knee hits the dashboard and in ski accidents when knees get impacted in wild falls. If left alone, the injured knee degrades over time. Understanding the injury and novel ways to treat it has changed its natural history.

Goodbye Stem Cells?

Goodbye Stem Cells? The Stone Clinic
The stem cell tsunami overwhelming all of medicine is evolving. Where once it was thought that these cells could morph into anything and cure everything, our new understanding of their behavior will change how they are used. Here is where we are on the learning curve:

Hamstrings

Hamstrings The Stone Clinic
The dreaded “hammy” is the tearing of the muscle or tendon fibers of the powerful hamstring muscles at the back of the leg. It’s dreaded because the pain is sharp, and the recovery can be long. Here is what’s known and what’s new:

Building SuperHumans

Building SuperHumans The Stone Clinic
It is a heady time in the world of human empowerment. We are seeing technologies that can alter our genetic code, augment our brainpower, enhance our physique, and extend our lives.

What We Don’t Know

What We Don’t Know The Stone Clinic
What we think we know is probably not true. If we are practicing medicine the same way next year as we are practicing this year, we clearly haven’t learned anything.

The Great Stem Cell Divide

The Great Stem Cell Divide The Stone Clinic
Stem cell therapies are sprouting like weeds. This is a good thing. The medical community is rushing into the biologic sciences, opening up the field of stimulating tissues to heal—rather than suppressing them with steroids, anti-inflammatories, or joint replacement surgeries. Here is my take on where the field is now and where it is going.

Tennis Elbow

Tennis Elbow The Stone Clinic
Tennis elbow, or lateral epicondylitis, hurts. It takes a long time to resolve and interferes with daily activities. Here is what causes the problem and what you can do about it.

Why Joint Lubrication Works

Why Joint Lubrication Works The Stone Clinic
The natural lubricant of the human joint is called hyaluronic acid (HA). As part of a large, electrically-charged sugar molecule, HA permits water to be absorbed and released from the cartilage surface of the joints. This provides durability and compressibility. Without HA we would all grind to a halt.

A Little Prick

A Little Prick
Short-term solutions for managing joint pain used to be limited to anti-inflammatory drugs and shots of cortisone. Today’s new injections can provide more than relief of symptoms.

Stem Cells Don’t Make Cartilage

Mesenchymal stem cells labeled with fluorescence molecules
Stem cell-based therapies, in which the body’s own cells are stimulated to contribute to the repair process, are enormously promising in all areas of medicine, including articular cartilage regeneration. Yet our understanding of stem cells continues to evolve.

Avoid a chronically unstable ankle with a BioAnkle procedure

Avoid a chronically unstable ankle with a BioAnkle procedure
It’s possible to repair a chronically unstable ankle but it is best to help people avoid ever getting to that unstable stage by making sure that simple torn ligaments are stimulated to heal properly in the first place.
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