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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]
Sports Medicine
Does Platelet Rich Plasma injection for a HIGH ANKLE SPRAIN in elite athletes improve return to play?
By Phillip Steele, MD RMSK, CAQ Sports Medicine Performance Injury Care & Sports Medicine Helena Montana A recent study of elite athletes with the worst type of ankle sprain were divided into a traditional recovery program with a rehabilitation program versus a platelet rich plasma (PRP) injection plus an identical rehabilitation program found that there was a significant difference in return to play. The anteroinferior-tibiofibular ligament (AITFL) is the injured ligament with a ... [Read More]
Can BioIdentical Hormones Help Prevent Osteoarthritis?
By Phillip Steele, MD RMSK, CAQ Sports Medicine and Buzz Walton, MD, CAQ Sports Medicine Performance Injury Care & Sports Medicine One of the basic concepts of regenerative medicine and “Anti-Aging Medicine” is that hormonal decline as we age can lead to the onset of degenerative joint diseases. Osteoarthritis (OA), a form of progressive joint disease is secondary to both a hormonal decline as we age and from years of wear and tear. Recent medical research shows that menopausal est ... [Read More]
What is the difference between Adipose Derived Stem Cells (ADSC) and Bone Marrow Concentrate BMC for achieving cartilage regeneration?
By Phillip Steele, MD RMSK CAQ Sports Medicine Performance Injury Care & Sports Medicine Mesenchymal stem cells have the ability to differentiate into different cell types that can form new tissues. Both ADSC (Adipose Derived Stem Cells) and BMC (Bone Marrow Concentrate) have shown to help regenerate cartilage in many studies but unfortunately no head to head comparison studies have been done. ADSC is in reality a mixture of regenerative cells and growth factors that is derived from ... [Read More]
Intra-articular Bone Marrow Concentrate injection with 8 week PRP injection Protocol for Osteoarthritis: Results
By Phillip Steele, MD RMSK CAQ Sports Medicine Performance Injury Care & Sports Medicine A recent well done study on the efficacy of Bone Marrow Concentrate (BMC) was published in the Journal of Regenerative Medicine. This study provides an excellent example of the potential benefits of stem cell therapy. In this study, they injected BMC into 125 patients using a standard technique that included a single intra-articular joint injection (multiple joint types) of BMC and a follow-up ... [Read More]
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