5 Things Runners Ought to Know About Knees

stem cell

If everyone had a fast-twitch muscle fiber for every time we’ve heard “running will ruin your knees,” we would be able to outsprint Usain Bolt! Despite what your ill-informed neighbors, co-workers, and relatives may have told you, there’s no evidence proven that regular running damages knees.

That’s not to say that no runners’ knees ever bother them! Many knee problems in runners are the result of things going on elsewhere in the body, and most can be overcome with a few simple changes.

Here are five things all runners should know about knees.

  1. Runners don’t get arthritis in their knees more often than non-runners.

This is a fact, period. If anything, long-term studies have discovered that runners have less incidence of knee osteoarthritis. One study that followed runners and non-runners for 18 years found that, while 20 percent of the runners developed arthritis during that time, 32 percent of the non-runners did.

Not to mention, there was a large study that looked at runners and walkers and found that regular runners had roughly half the rate of arthritis as regular walkers. In that second study, the runners with the highest regular mileage recorded the lowest rate of arthritis.

  1. The statement above is true regardless of your age.

Loss of cartilage, including in the knees, is a natural part of the aging process. However, there’s no proven evidence that running accelerates that loss. In fact, at least one study discovered that when people who developed the risk of having arthritis began a moderate running program, the health of their cartilage improved. While the cartilage of a group of similar people who didn’t start running actually decreased.

  1. Supplements won’t re-grow knee cartilage.

Regardless of what advertisements or anecdotes you’ve encountered, no dietary supplements have been proven to increase knee cartilage. The most popular such supplement, glucosamine, may help with knee osteoarthritis by protecting the articular cartilage, which among other roles, helps to lubricate the knee joint. There was a study that observed vitamin D supplementation in people who had knee arthritis found that they possessed the same levels of pain and loss of cartilage after two years as did people with arthritis who didn’t take vitamin D.

Preventing the degradation of cartilage is very different from creating it where it has already been worn away. Nothing over-the-counter can provide that miraculous of improvement. In order to regenerate tissue where none currently is, treatments like stem cell injections would be necessary.

  1. Runner’s knee is usually caused by issues elsewhere.

It is without a doubt that the most common knee injury among runners is runner’s knee. The term runner’s knee is clinically known as chondromalacia patella or patellofemoral pain syndrome; it’s known for building inflammation of the cartilage under your kneecap.

There’s increasing consensus among sports medicine professionals that many people with runner’s knee have a few common biomechanical problems. These include weak hips and glutes, which introduce instability further down the legs; weak quadriceps, which can make it extremely difficult for the kneecap to track properly; and tight hamstrings, which shift some of running’s impact to the knees. A good strengthening program that you may come across can go a long way to preventing runner’s knee. Which can result in a better and promising future for your running days.

  1. There are some simple ways to keep your knees happy.

As mentioned before, weakness and/or tightness elsewhere in your legs can mean trouble for your knees. The best thing you could do is build your body with enough muscle and get stronger. Extra weight can not only be painful, but it places tremendous strain on your knees. The American College of Sports Medicine that have said that each additional pound of body mass puts four extra pounds of stress on the knee. The running’s long-term effect on keeping weight lower is thought to be a key reason why, as mentioned before, runners might have less of a chance to develop knee arthritis.

Another useful tip is to run on level ground to lessen the torque on your knees. If you have a history of knee pain, whether it be from accidents or other sports, consider switching to more of a forefoot strike. There was one recent study that found the more impact force affects the knees in rearfoot strikers, while forefoot strikers have more impact forces in their ankles.

Many if not all runners will ask when can they return to running? The answer is simple, patellofemoral pain is notorious for sticking around for weeks or even months, so do be cautious with this injury. In general, you don’t want to run through pain. Sometimes, as you are recovering, your knee may feel a bit stiff at the beginning of a run, but as long as it gets better, not worse, as you progress in your run, you are probably okay to keep going.

What’s the bottom line?

It’s difficult or impossible to predict how much time off you’ll need, especially considering the biomechanical roots of this injury.

If you have a hard time recovering from your exercises or feel that your current joint health prevents you from reaching your goals, consider using regenerative medicine to kick-start your body’s natural healing process. The Stem Cell Orthopedic Institute of Texas is available for consultations at (210) 293-3136.

This Article Originally Appeared on http://stemcellorthopedicinstituteoftexas.com/5-things-runners-ought-to-know-about-knees/


Knee Osteoarthritis and STEM Cell Therapy

What is Knee Osteoarthritis?

Arthritis is the inflammation of one or more joints. It causes stiffness and pain, both of which can result in mobility issues.

Osteoarthritis is also known as degenerative joint disease. It is the “wear and tear arthritis.” This is because it breaks down the cartilage of joints. Which can result in numerous issues, as cartilage is the sponge like “shock absorber” of the body. Without it, joints loser their elasticity and become more susceptible to damage. Over time, the damage to the cartilage can impact the surrounding tissue, bone, and synovial fluid.

Generally speaking, osteoarthritis does not occur unless a joint has a previous injury, underlying disorder or experiences excessive stress. As such, while it can occur in any joint in the body, osteoarthritis occurs most frequently in the weight-bearing joints. This includes the spine, knees, and hips. Additionally, it can impact the big toe, neck, fingers and thumb.

Knee osteoarthritis is the most common cause of muscular skeletal pain in the knee joint and can often lead to disability.

What are the SYMPTOMS of knee osteoarthritis?

  1. Joint pain during activity
    • Knee pain from osteoarthritis may be worse later in the day.
  2. Night pain
  3. Morning stiffness
  4. Inflammation
  5. Limited motion

As the cartilage of the knee deteriorates, it can lead to deformity. The outward curve of the knees is commonly referred to as being bow legged. This can also lead to a worsening limp.

Who is at RISK of developing knee osteoarthritis?

Around 350 million people worldwide suffer from arthritis. Osteoarthritis is the most common form of arthritis. It impacts approximately 27 million Americans.

Age is a huge factor in the development of osteoarthritis. As we age, our ability to heal and regenerate damaged tissue decreases. Most people over the age of 60 have osteoarthritis. If you live long enough, you will almost certainly develop osteoarthritis!

A history of injuries or knee surgeries increases your likelihood of developing knee osteoarthritis. This means that athletic individuals are at risk of developing osteoarthritis. Athletes are at risk of developing osteoarthritis, especially if they play soccer, tennis or long-distance running. If steps aren’t taken to avoid injury, that could lead to bigger, long-term issues. Despite this risk, osteoarthritis is often associated with obesity. Excessive weight puts extra stress on the joints, which causes more wear and tear over time.

There is a hereditary component to osteoarthritis. If a close relative has osteoarthritis, it means you yourself are at a higher than average risk. Women are more likely to develop osteoarthritis than men. Additionally, people with metabolic disorders, excess growth hormone, and/or rheumatoid arthritis are more likely to develop osteoarthritis.

What TREATMENTS are available for knee osteoarthritis?

There are both surgical and non-surgical options for treating your knee osteoarthritis. Before selecting which option you want to explore, you need to meet with your doctor to assess the severity of your osteoarthritis. Depending on how severe your case is, certain treatments may not be an option.

If your case is still relatively minor, then your best non-surgical option is exercise and weight loss. By losing weight, you relieve pressure on your joints. This helps to prevent wear and tear. Additionally, by exercising, you strengthen the muscles surrounding your knee, which also function as shock absorbers. Letting those muscles atrophy from disuse only worsens your pain so, while the stiffness and discomfort caused by knee osteoarthritis may make you want to rest, you need to remain active.

Anti-inflammatory medication can help decrease symptoms as, at its core, arthritis is inflammation of the joints. There are over-the-counter options like aspirin and ibuprofen, as well as prescription strength options like Indocin, daypro, Relafen, Celebrex, lodine, and Mobic. Dosages should be discussed with your doctor since overdoing it with anti-inflammatory medications can stomach irritation, ulceration, and renal damage.

Cortisone injections, which function as direct acting anti-inflammatory medication, can be useful in combatting arthritis flares.

Surgical options for treating knee osteoarthritis include arthroscopy, osteotomy, and joint replacement surgery. Unless you are over 50 years old, joint replacement is likely not an option, as it is reserved for the most severe cases of osteoarthritis. It may need to be repeated later as the artificial joint can wear out too.

San Antonio/New Braunfels is ranked as the 8th fattest city in America. That, unfortunately, means we are at high risk of developing osteoarthritis. If you need knee osteoarthritis treatment in San Antonio, look into getting regenerative medical treatment from the Stem Cell Orthopedic Institute of Texas. Their doctors can use FDA approved stem cell injections to help repair the damage to your knees. Regenerative medicine is a safe away to make the most out of your body’s natural healing processes and avoid major surgery.

Are Stem Cells And Regenerative Medicine A Fad?

Regenerative medicine is all the rage! It seems every big name celebrity and professional athlete is dipping into this new, almost magical sounding type of medical technology. Because of this, it’s easy to tune the news out. The stories all sound the same! Someone has a major injury or a chronic pain that they never expected to be free of but, though the power of regenerative medicine and stem cells, they’ve returned to health. With such miraculous results, there MUST be a catch! After all, if it sounds too good to be true, it probably is.

And yet this fad continues! Which begs the question… is regenerative medicine and stem cell therapy a fad? Or is it here to stay?

In order to answer that question, we first have to ask what is regenerative medicine?

Regenerative medicine refers to a branch of medicine focused on replacing, repairing or engineering human tissues and organs. The goal is to return a severely damaged body part to normal levels of functionality by regenerating tissues, starting on a cellular level.

Regenerative medicine is largely dependent on stem cells to do their work. Unlike other cells in your body, stem cells are the unspecialized, meaning they do not perform a specialized task. Red blood cells, for instance, are specialized cells whose job is carrying oxygen around your body. Stem cells’ lone purpose is making more cells. When you hurt yourself, the adult stem cells within your body produce more specialized cells to replace those that can no longer do their job.

Stem cells’ healing properties can be hampered or slowed by either serious trauma or slow wear down of tissue. Sometimes degeneration is simply faster than regeneration. That is where stem cell therapy comes into play. By removing adult stem cells from within a patient’s body and injecting it into a damaged area of their body, doctors can encourage rejuvenation by temporarily boosting your body’s natural healing process.

When you hear about stem cells in the news, it is likely for one of two reasons: a research team made an interesting discovery with fascinating implications or a celebrity had a joint repaired.

In the case of experimental treatments or attention-grabbing study results, readers need to be careful. It is easy to get caught up in headlines but, if you dig into the stories to find more information, often the headlines refer to a single passing comment made by a researcher about possible uses FAR down the road if their research comes to fruition. The potential is exciting but it is just that. Potential. One day, it MIGHT happen. These treatments currently exist only in medical researchers’ imagination. We can all dream but it’s important to have realistic expectations if you do need medical treatment. Remarkable results on a cellular level or in mice doesn’t necessarily translate into viable human treatments.

We have all heard stories about people travelling abroad to receive stem cell treatments. Often, these are presented as lifesaving miracles. Unfortunately, this has encouraged stem cell tourism, wherein people take their lives into their own hands by seeking out unapproved medical treatments in foreign countries. Despite what you may have heard, this is a terrible, dangerous idea.

Regenerative medicine is not magic. It is science and medicine. That means it needs to be properly tested and regulated to keep you safe. If someone is promising miracles at a discount price, you need to be very skeptical as you could be  putting yourself in terrible risk.

The approved stem cell treatments may be outside your budget, but they are commercially available! That makes these stories much more applicable to your own situation. As regenerative medicine and stem cell treatments become more common, you can expect to hear more anecdotes about people who have seen marked improvement in their own lives.

Are stem cells a celebrity craze? Will regenerative medicine go the way of Sketchers’ Shape-Ups and the baby food diet?

No. It won’t. Regenerative medicine has a long history and a bright future. While the media surrounding stem cell’s potential can be sensational, that doesn’t make their potential less exciting for medical researchers.

There are nearly boundless possibilities and plenty of legitimate options available today. You don’t need to be a celebrity to go to places like the Stem Cell Orthopedic Institute in San Antonio, Texas to receive stem cell injections. While you should take the stories you hear with a grain of salt, you shouldn’t overlook the possibility that regenerative medicine might hold the key to you improving your health in a very reasonable amount of time.

How to Build and Recover Muscle

senior regenerate muscle

About Muscle Recovery and Repair

No matter your age, if you push yourself too hard while exercising, you are likely to feel the consequences! Recovery can be simple if you are young or don’t push yourself too far outside your limits. However, time will wear down your joints and recovery time. Time in the gym and time in life.

Being an avid, active athlete is hard on your body! The wear and tear caused by hitting the gym regularly only gets worse with age. While the aches and pains don’t recover quite as quickly as they used to, it’s still vitally important to remain active as you get older. Loss of bone and muscle can lead to problems like osteoarthritis and osteoporosis. These can impact mobility and balance which, in turn, impact the risk of falling. By exercising regularly, older adults can stay healthy and independent longer.

Factors in Muscle Recovery

Depending on your health and goals, your concerns about muscle recovery will vary. Before you select which recovery options to pursue, you need to understand what factors impact your needs and their effectiveness.

The amount of recovery you need from exercise depends on a variety of factors including your fitness level, the volume & intensity of exercise, and familiarity of the exercise. The same variables apply to running where fitness level is particularly important. For example, some elite marathoners run 100 plus miles per week and need almost no rest between runs. On the other hand, a weekend warrior may attempt to run 20 miles in a week, or change up the stimulus with hill running, which could create intense soreness and require longer recovery times.

Three common factors which inhibit recovery are lack of sleep, lack of proper nutrition and over-training. Lack of sleep is usually found in individuals who are chronically sleep deprived, their muscle soreness will likely be more painful and may take more time for them to heal. When it comes to lack of proper nutrition, if the individual is not adequately hydrated, is deficient in potassium, or is not consuming enough protein, the pain from muscle soreness can be intense!

Many active individuals are guilty of overtraining their bodies at least once or twice in their lifetime. If you continue working out intensely without sufficient rest, muscle soreness can turn out worse than you anticipated. The best way to avoid very sore muscles and improve recovery is to use a progressive exercise program where workouts become more challenging at a measured pace over time.

Traditional Muscle Recovery Options

Ironically, while activity breaks down muscle, it also increases its recovery rate. In a recent study, after eight weeks of exercise, old mice regained more muscle mass and experienced faster muscle repair than mice of the same age who had not exercised. A body in motion does appear to stay in motion!

There are no clinically-proven ways to definitively speed up recovery of sore muscles. There are, however, a handful of treatments which may help alleviate the feeling of soreness like rest/active recovery, hydration, pre and post-workout nutrition, topical creams and nonsteroidal anti-inflammatory drugs (NSAIDS). If you hit the gym regularly, some of these options may sound familiar!

The rest/active recovery stage consists of getting plenty of sleep and resting your body. In simple cases without serious injury or preexisting conditions, this may be the most effective treatment. In addition, active recovery, which is light exercise during the recovery phase is able to stimulate blood flow to the muscles to help reduce muscle pain. Active recovery can include swimming or a light jog.

Hydration is key since it can help flush out toxins you consume out of your body. Dehydration can make muscle soreness even more painful. There is no universal amount of water that everyone should drink. Somewhere around 1/2 your body weight in ounces of water per day is a good starting point.

When it comes to pre and post-workout nutrition, consuming a 2:1 ratio of carbs to protein either before, or after a workout, or both, may help reduce the severity of muscle soreness.

Topical creams like Ben Gay and IcyHot provide the perception of pain relief, but do not have much of an impact on the underlying muscle.

Lastly, drugs like Advil and Aleve, known as NSAIDS, can help relieve the discomfort of muscle soreness. It’s not advisable to use NSAIDS on a consistent basis, but rather appropriate for acute bout of soreness.

Older Adults Who Exercise May Develop Muscle Repair

Getting older isn’t all fun and games! However, that doesn’t mean older adults should slow down. Regular exercise plays a critical role in helping muscles repair themselves as quickly as possible after injury. Remaining strong can help prevent your health from deteriorating to the point that your ability to do daily tasks is impeded. Additionally, exercise that involves pre-conditioning may improve the muscle repair response in older.

This does not mean that seniors should push through pain no matter what! Pain is your body’s way of speaking to you and the older you are, the more important it becomes to listen to those warnings. However, you shouldn’t be afraid to push yourself to develop healthier work out habits.

Exercise-conditioning can help improve the delayed skeletal muscle regeneration observed in advanced age. Medical researchers have found that the physiological and metabolic benefits of exercise radiate to skeletal muscle satellite cells, the adult stem cells responsible for repair after injury. Even as the contractile elements of muscle tissue wane with age, the capacity of the satellite cells to respond to exercise cues is maintained. That means, no matter your age, your body has the cells within it that it needs to repair.

Regenerative Medicine

The same stem cells your body uses to repair itself fuel a new field of study called regenerative medicine. Regenerative medicine focuses on repairing and regenerating damaged tissues.

Whether you are a young gym rat or a senior with arthritis, your joints can be worn down with time or in a sudden accident. To counteract this damage, stem cell therapy uses adult stem cells, the unspecialized cells within our bodies that create new cells for our tissues and organs. These cells can be removed from your body and injected in other damaged areas to encourage healing.

If you have a hard time recovering from your workout, consider using regenerative medicine to kick-start your body’s natural healing process. The Stem Cell Orthopedic Institute of Texas is available for consultations at (210) 293-3136.

This Article Originally Appeared on stemcellorthopedicinstituteoftexas.com

What are Stem Cells?

Our bodies are composed of billions of different, specialized cells. Each one has its own role to fill in our organs, tendons, joints, muscles, etc. Stem cells are unspecialized. They will divide to produce more stem cells but do not take on a specialized task. Under certain conditions, however, stem cells can be induced into becoming a tissue-specific, specialized cell.

Somatic stem cells, or adult stem cells, are unspecialized cells that are found throughout the body, inside tissue and organs. These cells exist to produce more cells. They aid your body by regenerating damaged tissue and replenishing dying cells.

What is Stem Cell Therapy?

Stem cell therapy is a non-surgical option for repairing internal damage by replenishing or replacing old tissue. A patient has a sample of their adult stem cells extracted, cleansed in a laboratory, and then injected back into the impacted area of their body. The injection process usually takes less than one hour.

As the stem cells come from your body, there is no risk of rejection. They have always belonged in your body so your immune system does not take issue with them, despite their new placement.

How do stem cells help with my arthritis pain?

When tissues are worn down over time or suddenly traumatized, your natural configuration of stem cells isn’t enough to match the breakdown of injured tissue. The regeneration process is slower than the degenerative process. An ineffectual recovery may result in weaker internal structures, decreased function or chronic pain.

Injecting stem cells into the impacted area advances your body’s natural healing process by greatly increasing the regenerative abilities that specific location. Depending on your condition, improvement appears between 2 to 4 weeks.

What conditions can Stem Cell Therapy treat?

Stem cell therapy can aid with:

  1. Osteoarthritis
  2. Hip Pain
  3. Knee Pain
  4. Degenerative Disc Disease
  5. Rotator Cuff Tear/Tendinosis

Is there a long recovery time?

Unlike surgical options, stem cell therapy has minimal recovery time. It is an outpatient procedure and most patients walk out of the clinic without assistance. Low impact activities are encouraged immediately after the treatment. In 4 to 6 weeks, full impact activities are allowed.

Still not sure about stem cell therapy? Listen to our Patient Stories and see how treatment improved the lives of our patients.

This Article Originally Appeared on stemcellorthopedicinstituteoftexas.com

The Future in Now in Stem Cell Therapy In San Antonio

THE STEM CELL ORTHOPEDIC INSTITUTE OF TEXAS at the medical center in San Antonio offers STEM CELL and PLATELET RICH PLASMA (PRP) Therapies to help individuals suffering from joint pain, joint and tendon degeneration, and soft tissue injuries.  STEM CELL injections are a great alternative to prevent or delay elective orthopedic surgery, which may involve joint replacement or fusion.

With Stem Cell therapy, patients may be able to avoid a lengthy post-operative period, an invasive procedure, and a lengthy rehabilitation as well as risks associated with surgery.

Our doctors, specifically Drs. Hirsch and Hall, have made tremendous advances to make tissue regeneration with Adult Stem Cells a reality. Through what we call, “Regenerative Medicine,” a patient can take advantage of their body’s ability to heal itself by using their own ADULT STEM CELLS that are found throughout the body. STEM CELLS can restore lost, damaged or aging cells and effectively regenerate tissue in the body. This treatment may provide the patient with an alternative to surgery for certain treatments.

Regenerative therapies involving autologous ADULT STEM CELLS are beginning to show promise in Orthopedic Medicine, Pain Medicine, Rheumatology and nerve regeneration.  Drs. Hirsch and Hall completed an in-house, 15-patient unpublished study with STEM CELLS and the results are very promising for patients who received pain relief and a return to the activities of daily living.

Is STEM CELL Therapy Right for You?

You may be a candidate for STEM CELL Therapy. Call (210) 293-3136 today to schedule your medical evaluation. Courteous Patient Advocates will answer your questions.
Autologous ADULT STEM CELLS are used to treat many types of chronic pain and orthopedic injuries to joints, bones, muscles, tendons and ligaments.

THE STEM CELL ORTHOPEDIC INSTITUTE OF TEXAS offers Regenerative Medicine treatments for specific degenerative and inflammatory conditions of the:

  1. Hip
  2. Knee
  3. Shoulder
  4. Low Back
  5. Hand/Wrist.
  6. Foot/Ankle.


PRP Therapy uses a portion of the patient’s own blood having a platelet concentration above baseline to promote healing of injured tendons, ligaments, muscles, and joints, can be applied to various musculoskeletal problems.

The platelets are best known for their importance in clotting blood. However, platelets also contain hundreds of proteins called growth factors which are very important in the healing of injuries. PRP is plasma with many more platelets than what is typically found in blood.

PRP injections are prepared from one to a few tubes of the patient’s own blood with strict aseptic technique. After being centrifuged, the activated platelets are injected into the abnormal tissue, releasing growth factors that recruit and increase the proliferation of reparative cells. Ultrasound imaging may or may not be used to guide the injection.


Several clinical studies have demonstrated that PRP injections have improved function and decreased pain to various maladies, including – but not limited to – elbow, wrist, shoulder, hip, knee, and ankle tendonosis. Early work is also showing promise for osteoarthritis.

Because the patient’s own blood is used, there are very few side effects. Drs. Hirsh and Hall have used PRP injections to successfully treat many patients.

Would you benefit from Stem Cell Therapy or PRP Injections ? Call (210) 293-3136 today to schedule your medical evaluation.

This Article Originally Appeared on stemcellorthopedicinstituteoftexas.com

Making your Stem Cells work for you

The Stem Cell Orthopedic Institute of Texas offers stem cell and platelet rich plasma (PRP) procedures as viable alternatives for individuals suffering from joint pain, joint and tendon degeneration, and soft tissue injury. Stem cell injections may prevent or delay elective orthopedic surgery (joint replacement or fusion). The patient may therefore avoid a lengthy post-operative period, an invasive procedure, and a lengthy rehabilitation.

Scientists and doctors have made tremendous advances to make tissue regeneration (with stem cells) a reality. Through Regenerative Medicine, a person can take advantage of their body’s ability to heal itself by using their own adult stem cells that can be found throughout the body. Stem cells can restore lost, damaged or aging cells and effectively regenerate tissue in the body. This may provide the patient an alternative to surgery for certain treatments. Regenerative therapies involving autologous adult stem cells are beginning to show promise in Orthopedic Medicine, Pain Medicine, Rheumatology and nerve regeneration, etc.

The Doctors at The Stem Cell Orthopedic Institute of Texas (Dr. David Hirsch, Dr. Ajeya Joshi and Dr. John Hall) provide regenerative medicine alternatives including stem cell and platelet rich plasma (PRP) procedures for individuals suffering from joint pain, joint and tendon degeneration, and soft tissue injury. Stem cell injections may prevent or delay elective orthopedic surgery (joint replacement or fusion). The patient may therefore avoid a lengthy post-operative period, an invasive procedure, and a prolonged rehabilitation.

For many years Dr. Hirsch has been utilizing ultrasound guided injections as the state of the art technique to inject patients’ joints, tendon sheaths and nerves. He has many hours of advanced training in musculoskeletal ultrasound in order to provide the most effective, precise and economical injection techniques. Dr. Hirsch has combined the utilization of stem cell injections for pain and regenerative capabilities with the specificity of utilizing ultrasound to deliver cells to the exact intended location. Dr. Hirsch and Dr. Hall just completed an in-house, fifteen patient unpublished study with stem cells with very promising results for pain relief and activities of daily living.

Dr. Hirsch is a specialist in Physical Medicine and Rehabilitation. He earned his specialty degree (D.O.) from the University of Pennsylvania in Philadelphia, PA. He earned his medical degree from the University of Medicine and Dentistry of New Jersey (School of Osteopathic Medicine) in 1987. He attained a full scholarship for medical school through the United States military (Army). He later served in his specialty at Brooke Army Medical Center in San Antonio, Texas. He completed his military obligation as a Major in rank in 1994. He is a Fellow in EMG’s and nerve conduction studies called Electrodiagnostic Medicine from the American Academy of Neuromuscular Medicine. His Electrodiagnostic lab at South Texas Spinal Clinic is one of only two Board Certified EMG Labs in San Antonio. He is a Diplomate from the American Academy of Pain Management. He has a special interest in ultrasound medicine for both diagnostics and pain procedures. He is a member of AIUM (American Institute of Ultrasound Medicine). Ultrasound guided injections are an effective way to deliver medicines (Stem Cell Therapy, Plasma Rich Plasma or cortisone) into the affected joint, bursa, tendon sheath, muscle or disc space.

John Hall, D.O. is excited to offer regenerative stem cell therapy to his patients in a safe and affordable environment along with other forms of spine and joint pain therapies. He is a Board Certified anesthesiologist with the American Board of Anesthesiology and has almost twenty years of experience in pain medicine in the San Antonio, Texas. In addition to being very involved in outdoor activities such as hunting and fishing, he continuously is expanding his fund of knowledge in cutting edge pain therapies through continuing medical education. He is very proud to offer his patients the leading edge in regenerative therapy utilizing platelet rich plasma and stem cells for degenerative diseases of the spine and joints. All of our therapies utilize either fluoroscopic or ultrasound guidance to ensure accurate and safe placement of both stem cells and platelet rich plasma. He is one of but a handful of physicians that have been utilizing ultrasound guidance for several years to accurately guide his injections as well as limit the patient’s exposure to x-rays from other imaging modalities. He is a member of the American Academy of Pain Medicine, the American Association of Pain Management in Ultrasound, World Institute of Pain, The North American Neuromodulation Society, the American Board of Anesthesiology and the Mind Science Foundation. He attended medical school at the University of North Texas Health Science Center and completed his residency in Anesthesiology at the Western Reserve Care System in Ohio. He is a native of San Antonio and has been providing cutting edge therapy in San Antonio, Texas since 1996.

Originally from Lexington, Massachusetts, Dr. Joshi specializes in spinal disorders. He graduated Dartmouth College summa cum laude with a Bachelor of Arts degree in Mathematics and Biochemistry. Dr. Joshi graduated from Harvard Medical School and completed his orthopaedic training in the Harvard Combined Orthopaedic Residency Program. He then completed a comprehensive fellowship in spinal surgery disorders at Baylor College of Medicine. Dr. Joshi’s special clinical interests include cervical spine care, pediatric and adult spinal deformity, and minimally invasive strategies, as well as the use of regenerative medicine strategies in healing orthopaedic and spinal injuries. Dr. Joshi is board certified by the American Board of Orthopaedic Surgery.

Is Stem Cell Therapy Right for You? You may be a candidate for Stem Cell Therapy.
Call (210) 293-3136 today to schedule your medical evaluation. Courteous Patient Advocates are standing by to answer your questions. Also visit online at: www.stemcellortho.com
This Article Originally Appeared on stemcellorthopedicinstituteoftexas.com

What Is Platelet Rich Plasma Treatment?

Regenerative medicine is becoming increasingly a more popular for patients looking for pain reduction, tissue healing, tissue repair, or bone regeneration. Theoretically, there is no limit to the types of diseases that could be treated with options like stem cell treatment and platelet rich plasma. So far, scientists have discovered stem cell treatments for the following conditions:
  • Osteoarthritis
  • Hip Pain
  • Knee Pain
  • Degenerative Disc Disease
  • Rotator Cuff Tear

Along with the use of stem cells in regenerative medicine, platelet rich plasma is becoming a viable and more affordable treatment. 

What Is Platelet Rich Plasma?

Platelet rich plasma (PRP) is a treatment that involves concentrating a small volume of blood plasma through a centrifuge to produce high potency platelets. These platelets are rich in growth factors that help in pain reduction, tissue healing, tissue repair, and bone regeneration.

red blood cells

Commonly treated areas using platelet rich plasma include:
  • Shoulder (Rotator Cuff Tendinitis)
  • Wrist/Hand (Arthritis, Cartilage damage)
  • Elbow (Tennis Elbow)
  • Hip (Arthritis)
  • Knee (Jumper’s Knee)
  • Ankle/Foot (Arthritis)
  • Neck (Whiplash injuries)
  • Back (Lower back pain)
  • Other tears (rib problems, osteoarthritis, etc.)


Is PRP The Same Thing As Stem Cell Treatment?

Although both treatments are used to repair injured tissue, the procedures are executed in a different manner. In a PRP treatment, healing properties are targeted at recruiting adult stem cells to an injury site that is responsible for healing. In a stem cell treatment, the patient receives the factors found in platelet rich plasma and the stem cells that are responsible for tissue repair.


Should I Be Treatment With PRP Or Stem Cells?

The answer is “it depends.” More severe problems usually need more assistance in delivering stem cells into the affected area. PRP cannot recruit enough stem cells to adequately repair an extreme level of injury. Consult with a physician for recommendations to determine if you are a stem cell therapy candidate.

For an evaluation for treatment, a record review from a physician, and recommendations to see if you are a candidate for Stem Cell or PRP therapy, book an appointment at The Stem Cell Orthopedic Institute of Texas.

This Article originally appeared on stemcellorthopedicinstituteoftexas.com

Damaged Brains Regenerated Thanks To Stem Cells

Regenerative medicine, especially stem cell treatments, give patients an opportunity to recover from injuries that were previously considered permanent. There are common stem cell procedures that can repair knee, hip, spine, and shoulder pains. These are well-researched and readily available for anyone who qualifies for the treatments.

Stem Cell

However, researchers are still investigating the question of whether or not stem cells can improve a patient’s health after suffering from Alzheimer’s disease or from a stroke. These are serious, potentially life-changing questions that patients need answered so they can make informed decisions about the stem cell procedures available to them.

Stem cell therapy may very well become a valuable treatment option for patients who have brain damage. Researchers at Stanford wanted to see what effects stem cells would have when injected into a stroke patient’s brain. This study consisted of 18 patients and was designed primarily to look at the safety of such procedure, not its effectiveness. However, they were more than just surprised by what they saw. The researchers were absolutely stunned by the amount of motor functions the patient’s gained after the stem cell procedure was performed. This study has created a significant amount of attention in the neuroscience community due to the fact that the results contradict a core belief about brain damage. The consensus, up until now, has been that brain damage is permanent and irreversible. Scientists will need to reassess prior assumptions about the human brain in light of these results.

There have to be more studies conducted in order for multiple researchers and doctors to confirm that stem cell procedures can perform such miracle. The potential is exciting! If researchers find that stem cells can consistently create these kind of results, then it gives medical science a strong push to explore regenerative medicine’s capacity to repair a patient’s brain after it has suffered from other brain diseases. Stem cell treatment options will dramatically increase their potential if a medical breakthrough allowed them to treat or cure a patient who suffered from Alzheimer’s or other similar diseases.

The study from Stanford included patients who suffered from brain damage for more than six months and others who had strokes and were significantly impaired in moving their arms or legs. There were a few patients that had suffered from a stroke three to five years before the experimental treatment. The majority of these patients were left in terrible conditions, which led the researchers to believe that it might be possible for the stem cells to produce some kind of improvement.

The procedure itself was fairly straightforward. The surgeon’s strategy was to drill holes into the study’s participants’ skull and injecting stem cells around the areas damaged by the stroke. The stem cells were harvested from the bone marrow of adult donors. The surgeries were performed well, the patients were conscious throughout the procedure, and they were able to go home the same day. A few patients experienced minor adverse effects such as temporary headaches, nausea and vomiting. The volunteers were tested one month, six and 12 months after they had surgery. The doctors used brain imaging and several standard scales that look at vision, motor ability, and other aspects of daily functioning.

Gary Steinberg, the study’s lead author and chair of neurosurgery at Stanford didn’t want to oversell the results from the study. Although he couldn’t ignore the fact that seven out of 18 patients experienced significant improvement in their abilities following treatment. Steinberg went on to mention that the patient’s recoveries weren’t just minimal. They were life changing. One 71-year-old patient no longer needed his wheelchair and was able to walk again. Another patient, age 39, who was two years post-stroke had difficulties walking and talking. She was embarrassed of marrying her boyfriend because she wouldn’t be able to walk down the aisle like other people can. After treatment, she is walking and talking better than before and is married and pregnant.

Others, such as Sean Savitz, a professor of neurosurgery at the University of Texas, have been encouraged by this study. He said there are more studies that need to be done in order to confirm the results and figure out the mechanism for the reaction. Nicholas Boulis, a neurosurgeon and researcher at Emory University, commented that the study appears to support the idea that there may be latent pathways in the brain that can be reactivated. This sort of theory has been working its way to the surface over the past few years.

Stanford’s study about stem cell treatment has proven a long belief about brain damage wrong, while also significantly changing the lives of others. Just when some of these patients thought there was no chance of curing their brain damages, the stem cell treatment gave them a reason to think otherwise.

The medical community still has many steps it needs to take before any commercially available treatments can be made based on this research. However, there are other types of stem cell treatments available today. Click this linkfor information on what conditions can be treated with stem cells today.

This Article originally appeared on stemcellorthopedicinstituteoftexas.com

Could Stem Cell Therapy Be The Next Best Thing?

Not many people want to think about what will they have to endure in order to save themselves from knee osteoarthritis. The question asked by many who suffer from osteoarthritis is will their body be able to function properly. What could possibly be the best treatment for someone to stabilize this form of arthritis? Performing stem cell therapy offers individuals who suffer from knee osteoarthritis a greater chance to possibly cure and control the disease.

For those who may not know what stem cell therapy is, it is a treatment where the patient is given months of rehabilitation after their surgery on the affected knee is completed. As a matter of fact the Stem Cell Orthopedic Institute of Texas in San Antonio, TX, offers multiple treatments such as stem cell therapy, physical therapy, steroid injections to the knee, surgery, and more. Not to mention, the therapy is supposed to alleviate knee pain, improve the patient’s’ quality of life, and increased knee cartilage growth. The degenerative arthritis commonly affects people at the age of 55 years and older. However, the stem cell therapy treatment could possibly reduce the pain of osteoarthritis, ACL, and PCL tears that one has experienced in their lifetime.

Typically, what doctors or physicians hope for is the treatments to work effectively to where the patients can prevent themselves from going through chronic pain and other serious injuries. What more would someone want than to see their struggle of dealing with chronic knee pains reduced? The stem cell injection is a one day injection treatment encouraged by doctors and physicians for patients to use after surgery. Stem cell therapy could very well be the most recommended treatment for people to benefit from. Imagine how many financial issues, time, and health insurance struggles you may face from traditional knee surgery procedures. Doctors and physicians are creating innovative treatments such as stem cell therapy in order to continue enhancing the health of patients.