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By Phillip Steele, MD RMSK CAQ Sports Medicine Performance Injury Care & Sports Medicine Lubricin is a naturally occurring substance found in our joints as part of the synovial fluid. This viscous substance helps to cushion and lubricate our joints. Lubricin appears to be crucial in allowing the articular surfaces of the joint to glide over one and another with minimal friction. Think of it as the body’s Teflon coating allowing smooth gliding. Joint Lubricin declines with aging, increasing ... [Read More]
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Regenerative Medicine or is it Restorative Medicine?
By Phillip Steele, MD RMSK CAQ Sports Medicine Performance Injury Care & Sports Medicine Hello from Dallas, Texas--home of the barbecue. I was invited to a regenerative medicine conference to meet the developers of a unique product that has what appears to be an amazing restorative potential. Not only did we talk in terms of regeneration of damaged tissue but now are discussing restoration of function. In past conferences we mainly focused on regeneration of injured tissue but some ... [Read More]
Heavy Weight Hyaluronic Acid (HA) covalently linked Heavy Chain 1 inter-alpha-trypsin inhibitor (HC)
By Phillip Steele, MD RMSK CAQ Sports Medicine Performance Injury Care & Sports Medicine With onset of trauma or injury to the body, the immediate cellular response is inflammation. A multitude of cell types including macrophages (M1 type) migrate to the site of injury mounting an acute response to help remove the damaged tissue. While also setting in motion a cascade of cytokine release (cellular signaling) to activate and recruit additional immune responsive cells to the site of injury. ... [Read More]
Releasate Injections for Peripheral Neuropathies
By Phillip Steele, MD RMSK CAQ Sports Medicine Performance Injury Care & Sports Medicine The virtues of PRP for osteoarthritis have been well researched and have shown tremendous results in terms of decreasing pain, increasing function and regeneration of cartilage. The association of PRP and growth factors to stimulate a healing response has been shown in multiple applications and some previous studies have showed benefit for neural tissue (nerve) disorders. A 2014 article reviewed all ... [Read More]
Ultrasound Guided Hip Injections comparing PRP and Hyaluronic Acid
By Phillip Steele, MD RMSK CAQ Sports Medicine Performance Injury Care & Sports Medicine Hip Osteoarthritis (OA) is a common and disabling disease in the United States. With improving care and treatment of chronic diseases and over all lower mortality from infectious diseases, the US population is aging, and older Americans are living with disabling arthritic conditions, including hip OA. The projected number of older adults with OA and other chronic joint disease is expected to nearly ... [Read More]
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