Are You Trying To Avoid Knee Replacement Surgery?
Let's discuss NEW treatment that can help address knee pain, avoid knee replacement, and get you active again
The frustration of wanting to be active, lose weight, and exercise more yet not being able to due to knee pain cannot be overstated. It's a Catch-22 and a downward cycle that so many experience. We know we need to move to be healthy but our knees won't allow any meaningful activity. Patients start avoiding activities they love. That is called Fear Avoidance. We start avoiding things that we are afraid will cause us more pain. Even if the activity is something that feeds our soul. Pain is a heck of a motivator. For the good as well as for the bad.
Fear Avoidance leads to de-conditioning, atrophy, and weakness if prolonged. Which leads to being sedentary and research is clear; a sedentary lifestyle leads to depression, anxiety, and inactivity.
These lead to deepened and prolonged chronic pain and ultimately can lead to a shortened life span.
As you can see, knee pain can impact patients' lives profoundly for the negative.
Treating Knee Pain
When knee pain plagues us, we have a handful of choices:
- Exercise/Physical Therapy
- Low-Level Laser
- Cortisone Injections
- Hyaluronic Acid Injections
- Stem Cell Injections
- Platelet-Rich Plasma
Our first 'knee-jerk' reaction to knee pain is to do an orthopedic exam to try to determine what's going on. One of the most common reasons for knee pain is one few have even heard of. It's called Pes Anserine and can be treated fairly easily through exercise and low-level laser. So, some knee pain can be addressed fairly easily and quickly.
Many times, there is no easy fix so we keep going through the list.
When patients come in, we ask what treatment they have already had done prior to showing up in our clinic. For knee pain, the most common answers are, "PT and cortisone shots."
Although cortisone joint injections are the most common treatments, they present issues.
1. Cortisone injections can be detrimental to the integrity of the structures in the joint; the cartilage and bones. The cortisone can degrade the bone and cartilage and, while it is good for the inflammation, can cause more long-term issues. That is why they will only perform three injections of cortisone per joint.
2. Cortisone isn't typically helpful from our experience and if it is helpful, it's only a short-term effect that doesn't last. It treats the inflammation but does not treat the CAUSE of the inflammation. So the inflammation returns eventually which requires more cortisone which can further damage the joint. That is not a cycle I want to be in.
A Better Option For Knee Joint Pain
Platelet Rich Plasma (PRP) Therapy
According to the HSS education site, "Platelet-rich plasma (PRP) therapy uses injections of a concentration of a patient’s own platelets to accelerate the healing of injured tendons, ligaments, muscles, and joints. In this way, PRP injections use each individual patient's own healing system to improve musculoskeletal problems.
PRP injections are prepared by taking anywhere from one to a few tubes of your own blood and running it through a centrifuge to concentrate the platelets. These activated platelets are then injected directly into your injured or diseased body tissue. This releases growth factors that stimulate and increase the number of reparative cells your body produces."
WebMD says, "A healthcare professional will collect a small amount of your blood. They will place your blood into a centrifuge. This spins your blood at different speeds until it separates into different layers. One layer is the platelet-rich plasma. This layer of plasma may have as much as three times more platelets than regular blood. The platelet-rich plasma will then be injected into your affected area."
That's when the healing starts! "Once platelets are in the area that’s being treated, they break down and release growth factors, which are compounds that help cells repair and renew. This is thought to trigger your body’s healing process."
Some common treatments for PRP treatment include
- General overall osteoarthritis pain
- Hair regrowth
- Knee pain WebMD said, "Some studies have found that platelet-rich plasma injections significantly reduced pain compared to placebos. People’s physical function also improved significantly. These benefits continued at 3-, 6-, and 12-month follow-ups."
- Shoulder pain
- Hip pain
- Carpal Tunnel Syndrome
- Plantar Fasciitis
- TMJ pain
- Tennis or Golfer's Elbow
- Ankle pain
- Elbow pain
- ....and a whole lot more like back and neck pain!
WebMD said, "PRP injections are used to treat torn tendons, tendinitis, muscle injuries, arthritis-related pain, and joint injuries. They’re becoming more common for cosmetic procedures, too. For example, dermatologists and hair replacement experts use PRP injections to treat a type of hair loss called androgenic alopecia, also known as male or female pattern baldness, which affects men and women.
I am including links to randomized controlled trials demonstrating how PRP beats cortisone and hyaluronic acid AND is not detrimental to the joint structures. It's an easy answer to knee pain and to avoiding knee replacement surgery.
Using your own body to heal your own body? The best thing about it is that there is basically zero chance of an allergy or immune reaction to PRP treatment since the treatment is from your own blood. Not only that but any side effects or complications are exceedingly rare. It's important to note that I'm not claiming PRP is a silver bullet, but I am telling you that according to the research and the experts performing the research, it sure shows effectiveness. Not only a little bit of effectiveness but significantly effective in most papers.
We would love to help you with your issues. Pain is what we do here and we get great results through a multimodal approach which includes medical services like PRP, chiropractic, acupuncture, exercise, massage, and more.
Creek Stone Integrated Medical is truly Amarillo's ONLY one-stop healthcare choice for everything short of surgery. So call 806-355-3000 and let's get you set up on our schedule so we can get you back into your life, feeling better, and doing more.
PRP Randomized Controlled Trials
Low Back Pain
Dr. Jeff Williams, DC, FIANM, DABFP is double Board Certified as a Fellow in Neuromusculoskeletal Medicine and Orthopedics as well as a Diplomate of the American Board of Forensic Professionals, and chiropractor in Amarillo, TX. As an Amarillo chiropractor, Dr. Williams treats chronic pain, disc pain, low back pain, neck pain, whiplash injuries, and more. Dr. Williams is also the host of The Chiropractic Forward Podcast (https://www.chiropracticforward.com). Through the podcast, Dr. Williams teaches fellow chiropractors and advocates weekly for evidence-based, patient-centered practice through current and relevant research. If you have any questions for Dr. Williams, feel free to email at [email protected] Learn more about Dr. Williams and his practice at https://www.amarillochiropractor.com.
Dr. Williams was voted Best Chiropractor In Amarillo in the Best of Amarillo 2020 & 2021. Dr. Williams's full-time Amarillo chiropractic practice is Creek Stone Integrated Medical at 3501 SW 45th St., Ste. T, Amarillo, TX 79109. If you are searching for a chiropractor near me, Dr. Williams is your Amarillo Chiropractor.
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