Skip to main content

Blood in the Joint

Hemarthrosis: Blood in the Knee
When a major injury occurs, the joint swells. Part of the swelling is good, and part is bad. Let’s look at what can be done to optimize the outcome.

Streaming Stem Cells

Stem Cell Streaming
Yes, you can stream Netflix—and your body can stream stem cells. In fact, this is the up-to-the-minute thinking about how stem cells work. Here is the latest from the recent International Cartilage Repair Society meeting on stem cells, growth factors, bone marrow, fat, and PRP.

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.

Legal Olympic Blood Doping

Legal Olympic Blood Doping The Stone Clinic
Classic blood doping—the injection of additional blood cells to increase oxygen in the muscle—is illegal in Olympic sports. Yet, legal blood doping is all the rage at the 2018 PyeongChang Olympics. Here is how it works.

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.

Stem Cells for Skiing

Tinman Lube Joints
Lube it up! We lube our bike chains. We lube our chainsaws. We lube our cars— more often as they get older. So why not lube our joints?
Subscribe to Injections