Unlocking Joint Pain | Optimum Joint - Integrated Joint and Spine

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REVEAL: Osteoarthritis and other joint damage is not just a “cartilage disease”. Many structures in and around the joint such as the joint capsule, ligaments, tendons, fibrocartilage and articular cartilage are involved. Using ultrasound imaging at the time of the visit enables the gathering of “real time” images in and around painful joints. This specialized imaging REVEALS the causes of joint pain and the degree of damage. With that information in hand, the physician can specifically treat multiple targets using the ultrasound imaging to guide the needle taking a pin point and more precise approach to the treatment. Better precision and thorough treatment leads to better results.

Can an OptimumJoint traditional or regenerative medical procedure help me? To find out if you might be a candidate for an OptimumJoint medical treatment procedure, complete our Optimum Joint Procedure Candidate Form online.

RELIABLE: Traditional and advanced regenerative medical treatment are injected using continuous ultrasound guidance to ensure pin point accuracy in treating the joint and surrounding damaged tendons to repair and restructure damaged tissue with pin-point accuracy. Every nook and cranny where repair or support is needed is completely addressed. Research has shown non-guided “blind” injections are accurate 36% – 60% of the time while ultrasound guided injections are 100% accurate. Accuracy in delivering regenerative treatments is essential.

RELIEVE: As revealed by ultrasound image scanning thousands of joints over the years many times inflammatory fluids build up, causing swelling. These fluid accumulations are called effusions. These effusions are like a stagnant pond, filled with toxic and inflammatory substances that further damage joints and cause pain. An important first step in many cases is to aspirate the toxic fluid using ultrasound imaging then inject the joint with a low dose of cortisone to “turn off” the inflammatory residual elements in the joint before moving on to the next step in the treating cycle.

REPLENISH: SUPARTZ: Joints are filled with an oily fluid called Synovial fluid that diminishes with osteoarthritis. Supartz is an FDA approved cushioning gel that is injected using ultrasound imaging to guide the needle to ensure treatment is placed where it’s needed most. The joints are lubricated, reducing friction and reducing pain. Most patients feel improvement within 3 days.

REPAIR: PLATELET RICH PLASMA: There are now treatments that use your own biology to repair and help painful joints called platelet rich plasma. Platelets help heal tissue damage and are carried in the bloodstream. Because joints, tendons and cartilage have a port blood supply there is no pathway to deliver the platelets needed from the blood to the damage. By drawing a small amount of blood the platelets are separated and concentrated. Using ultrasound imaging to guide the needle the platelets are injected into each area of the joint or damaged cartilage. Platelets release a huge store of growth factors that jump start the healing process. Improvement can be rapid or take up to 14 days.

PRP + A2M: Alpha-2-Macroglobulin?

Alpha-2-Macroglobulin, A2M is a large protein found in blood plasma. Now there is a new technique where we can isolate and concentrate the A2M molecule from the plasma when doing PRP. A2M inhibits all classes of molecules that result in the damaging break down of cartilage in osteoarthritis pain.

REGENERATE: LIPOGEMS:

We are proud to be amongst the first USA providers of a new technique called Lipogems using adipose tissue (fat). The Lipogems provides volume, support, lipofilling of defects in soft tissue, repair and replacement of damages joint tissue.

Adipose (fat) contains over 100 proteins associated with tissue repair and increase blood flow as well as regenerative cellular elements. Our clinical studies using Lipogems have shown the vast majority of patients treated have gained significant improvement with pain, joint function and quality of life. These results have been seen in “bone-on-bone” joints as well. It’s also exciting to see that patients who don’t want, are not candidates for or are too young to have joint replacements have viable treatment options to function more freely and with less pain.

NEW STUDY: Adipose tissue contains Adipose Derived Stem Cells “ADSC’s” more than 600 secreted proteins and included key molecules involved in tissue regeneration. Stem Cell Res Ther. 2015; 6: 221.

NEW STUDY: Lipogems Product Treatment Increases the Proliferation Rate of Human Tendon Stem Cells without Affecting Their Stemness and Differentiation Capability. Results showed that the Lipogems product significantly increases the proliferation rate of hTSCs (human tendon stem cells). Moreover, treated cells increase the expression of VEGF, which is crucial for tissue healing. Stem Cells International Volume 2016 (2016), Article ID 4373410, 11 pages

During the treatment visit pre-treatment ultrasound scans are taken to develop targets for treatment and pre-treatment measurements of joint function are also taken to monitor patient progress after the treatment.

Using a local anesthetic with no sedation required, a small amount of fat is taken from the belly area. No cosmetic changes occur and most patients are happy to lose a little fat. The fat is then processed into Lipogems and using ultrasound imaging to guide the needle, every nook and cranny needing treatment is given Lipogems. Patients leave after the visit without the need for assistance and there is no down time.

REHABILITATE: After the joints begin to function better it’s important to begin a course of therapy starting with “hands on” massage and mobilization to assist in the joint moving better and improve overall flexibility not just attending a therapy center and having the therapist watch you do exercises. After the flexibility is improved then very gradually strengthening to help stabilize the improvements can begin. It’s a process and to get the correct results you need to use the correct steps.

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