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While many surgeons question the evidence of regenerative treatments for common orthopedic injuries, some well done studies raise considerable questions and concerns for many common shoulder arthroscopic surgical procedures. Shoulder Impingement A recent article (July 2018) in the British Medical Journal compared patients who had surgery against those who did not for impingement symptoms. 210 patients with shoulder pain/impingement symptoms were randomized into three groups. One group had ... [Read More]
Pain Management
Hyaluronic Acid Injection Therapy for Rotator Cuff Tears Has Better Outcome Results Than Corticosteroid Injection Therapy
Rotator Cuff Tendinopathy (RCT) is a progressive disorder of the shoulder which begins with acute tendonitis, and progresses to tendinosis (degenerative tearing). From here, RCT can progress into partial thickness tears, and eventually a full thickness rupture. Many factors contribute to the wear and tear of the Rotator Cuff. These include the natural aging process, poor blood flow, and altered biology. Also, both intrinsic and extrinsic factors combine to cause tissue break down. Some ... [Read More]
New Regenerative Treatments for Knee Osteoarthritis
By Phillip Steele, MD RMSK CAQ Sports Medicine Performance Injury Care & Sports Medicine Newer strategies in treating joint osteoarthritis (OA) are emerging. A group in Spain is taking regenerative medicine to a whole new level and are seeing great improvements. They are seeing increased pain reduction, improved function and higher activity level with their patients. Based on their pioneering work, we are proud to be the first regenerative medicine group in Montana to provide this ... [Read More]
Can IROM Help With Back Pain?
By Phillip Steele, MD RMSK CAQ Sports Medicine Performance Injury Care & Sports Medicine I am truly amazed that every day I learn something new! One aspect of my practice, Regenerative Medicine, is advancing at seemingly light speed. Thankfully, I have heard several fantastic lectures on Interventional Regenerative Orthopedic Medicine (IROM) for pain. In particular, one that significantly strikes me is focused on chronic back pain and what I call Posterior Column Disease. Most ... [Read More]
Interventional Regenerative Orthopedic Medicine (IROM)
By Phillip Steele, MD RMSK CAQ Sports Medicine Performance Injury Care & Sports Medicine A lot is changing in the area of Regenerative Medicine. More research is coming forward to show the amazing healing potential. We still have a lot to learn about the use of cytokines, growth factors and mesenchymal stem cells. However, there are many new products that show great potential to heal chronic injuries. I spent the last several months attending three different regenerative ... [Read More]
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