Marc Darrow, MD Joint Rehab & Sports Medical Center 800 300 9300 www.JointRehab.com 8-31-24 Part 2

whether you have pain in your back or joints surgery may not be the answer instead of the dangers involved in cutting out tissue consider healing and rejuvenating the area with stem cells platelet rich plasma or Prolotherapy the treatments that are available to professional athletes are now available for you watch the videos at joint rehab.com or call the Daryl Wellness Institute at 800 300 9300 8003 9300 that's 8003 9300 hello everybody happy Labor Day weekend this is living painfree I am Dr Thomas Grove Dr Mark Do's W from this week Emma I see you as a caller give us one second here let me give you give out the phone number our number to call us live here in the studio talk to us about your muscle skeletal Orthopedic needs we're at 866 87575 2 that's 866 870 5752 we'll give you a copy of Dr darl's book stem cell PL therapy regenerate don't operate fantastic book lots of great studies lots of great stories lots of great education about what regenerative medicine is Right using the power of the healing cells of the body platelets and stem cells to get some healing going rather regenerate that tissue rather than operate on it uh it's a different world now in muscular skeletal medicine uh regener medicine's making a huge wave in the world of not only sports medicine but any sort of Orthopedic or muscular skeletal issues that people might have we see a lot of these now elective surgeries we we don't think that they're necessary you know 100% of the time certainly sometimes you need surgery love our surgeons love how talented they are love their ability to do amazing things in the operating room uh we're a little biased here rather go conservative rather than going with invasive procedures so surgery should be the last line of defense for these issues uh and again regenerative medicine is an amazing tool that we can now have at our disposal to help heal that tissue up check out our website tons of great videos lots of great studies great place to educate yourself on this regenerative medicine treatment we're at www.join rehab.com that's www.join rehab.com if you somebody known knows that they want to take a peek at with this stuff they want to get a free consultation with our staff over the phone give us a call our number is 8003 9300 that's 800 300 9300 Emma thank you for your patience uh this is Dr Thomas gr love to chat with you coming to us from lacrent I see how are you fine how are you I'm doing great what can I help you with good well I have bilateral arthritis in my knees and I read your book A friend of mine gave me your book it was very informative and I don't know if I missed it or um it's not in there but how do you decide when somebody comes to see you if they need the PRP or they need the stem shell how's that determined certainly really good question uh it really comes down to you know what is your timeline so uh platelets are really really good platelet rich plasma very good at healing tissues uh we do see that stem cells typically results in less treatment and a little faster recovery time only downside it just cost a little bit more but typically that's what's going to get you to your goal a little bit faster so that's a very personal decision again these are elective procedures uh you said you know which one do you need right so no one needs regenerative medicine we would just invite you to say hey this can be something that can potentially heal you a little faster keep you out of the operating room uh and hopefully speed up your recovery time uh but yeah really comes down to you know what are your goals what's your time frame and uh you know what sort of budget do you have to work with and some people need to be back in a couple weeks and they're like hey man I'll do anything I just I got to get back my job depends on it other people can be a little bit more patient maybe they've got a big vacation coming up uh things like that so that's a just a personal decision for you how do you know you have arthritis in your knees if I might ask you have some Imaging done um x-rays but the other the other day um I was complaining to my doctor about a a place in my calf that is incredibly tender and so they had an MRI but they wouldn't they said they wouldn't take an MRI of the knee because she's not an orthopedic doctor just my primary doctor so they did the the um MRI and found out that thaty has a Baker cyst and a menis complex meniscus te and arthritis certainly so again these are really really easy to see structures on the ultrasound oh sorry go ahead the complex meniscus I read on the internet that that can't be surgically fixed yeah yeah so we can talk briefly about you know meniscus tears so uh what Emma's referring to is the meniscus of the nce we've got a couple different meniscus meniscuses minisi over our body there's H some in the knee there's one on the the inner half and the outer half called the medial and the lateral meniscus uh a as a couple different things first it's a cushion between the thigh bone and the shin bone right so helps kind of cushion the knee we know that if you trim out uh that meniscus and you remove it uh you very quickly Advance somebody's arthritis we know it plays a role in uh providing some uh some cushion to the knee in addition to that it's an attachment point of some ligaments to the knee now ligaments to the knee provide stability so it's going to prevent you from having that sort of buckling feeling of the knee and the way that they're characterized typically is by location and then what the shape of the tear is so Emy said that you had a complex tear is what they told you yes yep so again sounds really big and scary but complex just means that you've got to tear in multiple directions right it could be front to back or side to side and it's some combination of that right and in terms of miniscus injuries in the surgical world really what you can uh do is either do no surgery obviously that's where they just explore it they go in and uh just take a peak with a with a scope right they make small incisions uh they go in with a little camera uh and actually take a look at that meniscus and sometimes they say yeah it looks normal and then they come out again that's exposing yourself to uh the anesthesia a lot of times when you're actually putting those Scopes into the knee a lot of times you're doing damage to that cartilage not on purpose it's just you have to put that scope in and sometimes that can rough up that cartilage which gives you instant arthritis right uh the other options are doing what we call a menisectomy that's where they actually trim out healthy meniscus okay again to me makes uh no sense because we know that that meniscus provides structural support provides a cushion in the knee and when we take that out right we're just we're given somebody worse arthritis walking out of the uh the operating room I limping out of the operating room uh compared to when they came in another option is doing what we call a meniscus repair uh that's going to be more in the athletic population so you know if you've got your favorite fall player who goes down with a meniscus injury and they do a meniscus repair that means it's typically a really big tear and they can suture or sew down that meniscus onto the bone and hope that it heals U but again these are things that a lot of times can be treated with regenerative medicine okay so especially if you're walking around in these injuries you know there's a very high likelihood that we can get you some relief with that you mentioned also a Baker cyst is that correct yes yeah yeah yeah so Baker cyst I see these all the time in the clinic uh this is the person who comes in they've got maybe some knee pain and they feel maybe some fullness sometimes they're small sometimes they're big I had a gentleman who had is like a grapefruit sized one a couple of weeks ago uh that was like a little over 100 cc as I drained out of his name um but this is a potential space meaning that when the the knee joint fills up so you ever get water on the knee there's kind of a spillover a little Reservoir called a Baker cyst that can fill up um it's right between one of the calf muscles and one of the the hamstring muscles and when that fills up we think there's kind of a valve system there meaning that fluid can get into it but it can't get out so a lot of times these Baker cysts will just uh linger around for long periods of time and sometimes when they get really big uh that can cause things like calf pain which is sounds like what you have going on so again the way to tease that out is again doing a proper Hands-on Physical exam uh and using an ultrasound get in the event that you had a Baker cyst uh these are very very easy to access um but it can be a very dangerous area if you're not using ultrasound when you're draining these pockets of fluid um because you've got some major vessels going on in the back of the knee right you've got some major nerves going on in the back of the knee that every time I I do a Baker cyst aspiration meaning I'm pulling fluid off uh of that pocket of fluid I'm making sure I'm identifying those those targets I got some mentors they always said you know identify your landmines making sure that you're not hitting any structures that you don't intend to so uh with a baker sis very close to the skin I can find my easiest access point use a really small needle actually numb it up even before that so A lot of times you don't even know that I'm doing it um that's a really really quick procedure that can give you pretty instant relief uh you know the downside of only draining a Baker cyst though is a lot of times you're not treating the underlying issue so a lot of times you'll have um you know an internal derangement something going on inside of the knee that causes that fluid to build up in the first place so most people you know it's arthritis other times you can have you know strain of a meniscus or a ligament that uh causes a lot of fluid to build up in the knee but yeah this is uh by far the most common thing that I treat in the clinic is uh knee pain right so sounds you got a couple of is going on Emma would love to see you in the clinic and and get some hands on you and see what exactly what's going on and uh see if Regina medicine is a good fit for you thank you so much I am gonna come see you awesome excited to see you Emma thank you so much for your call thank you very much have a great Labor Day weekend but yeah brings up a really important point with uh with knee pain there are so many pain generators for the knee we can't just assume it's arthritis uh every single week I've got a patient that comes in and they say hey I get some Imaging and I say that I have arthritis and you know based on someone's age I can just look at you and say yeah you probably have arthritis statistically I mean as we get older uh things just kind of start to wear themselves out but the big question is what is actually causing your pain I had a very interesting case this week uh with somebody who uh was being told they needed a hip replacement surgery and they were really young I can't remember their age like 30 or 40 years old very young individual to even be thinking about um you know things like joint Replacements uh um and this is somebody who thought that they needed a joint replacement they said man I just something's off here I just I want to get a second opinion and brought them in you know they did have a little arthritis again I slapped the ultrasound on them we can see that they have some arthritis uh meaning that the the joint space gets pretty narrowed down that cartilage gets worn out um but the issue was when I actually stress the the hip that wasn't a cause of his pain and then when you're actually palpating around the hip now we found that he had an old quadricep tear uh that didn't quite heal properly so this is somebody who you know thank God they didn't have the surgery but was you know told Hey listen you need to have a joint replacement that's a pretty young age as well U but really their issue was a muscle attachment outside of the joint and again how do we find that out listening to the patient right putting your hands on the patient scanning him with the ultrasound you can see it clear as day where that small little tear was and this is somebody who fortunately got better after one treatment I just to follow up with him uh this week uh this is a very common occurrence that we see so we always encourage patients hey making sure you're taking some pause before you go ahead with a surgery and think about is this something I can heal naturally right if maybe I take a little time off and rest it if that still doesn't work uh maybe regenerative medicine is a real option for you right we're just going to jump start that healing process using platelets and stem cells we deliver these cells On Target under ultrasound guidance using very small needles uh to create a little inflammation to jump start that healing process the body lays down some immature tissue lots of great growth factors lots of great cellto cell communication happening uh we know that it actually wakes up our nent our sleeping stem cells and u based on that injury signal which is a lot of cellto cell talking right will deliver these healing factors directly to these areas it's how we think this stuff works uh so pretty amazing right at the expense of being sore for a couple of days is the most common side effect that we see again the complication rates are really cut down once you start using ultrasound like I said when you're avoiding the uh the structures that you don't want to hit and you can find a path to the Target you know of least resistance we're not worried about you know dinging up nerves or dinging up other healthy structures that's going to be not only painful but just unnecessary uh making sure we're being very specific where we deliver those cells it can be amazing amazing tool for people again I've injected myself all over my body I know Dr darl Who started the clinic he's one of the the original pioneers of regenerative medicine he might be the most injected man on on planet Earth uh we got to do some studies in this guy I'm telling you uh he's still running around uh had some really interesting uh stories with his chronic pain that uh that's how he discovered it right so lots of amazing ways that we can heal the body just using injections uh it's a it's a huge passion of mine obviously I've dedicated my life to it after you see the side effects of using some of these Orthopedic surgeries and you see the benefit of regenitive medicine uh you really become a True Believer so would love to help you're a loved one you can give us call live here in the studio you can chat more about any sort of injuries that uh you're someone you know is going through the number to call us live 866 870 5752 that number to call us live here in the studio 866 870 5752 you can talk to me live right here we'll give you a copy of Dr darl's book stem cell and platelet therapy regenerate don't operate we'll even pay the postage for you on that one uh you can give us a call uh for a free consultation over the phone with our staff if you'd like that's at 800 300 9300 again it's a free consultation over the phone with our staff not with Dr Dar and I but with our staff that's 8003 9300 making sure to check out our website www.join rehab.com that's www.join rehab.com great way to educate yourself check out some videos of us doing these procedures check out the the research we're always updating this website too what the latest and greatest of what's coming out I was actually looking at a study here uh this morning uh I'm very interested in this in terms of what Imaging says for people and how often does it really line up with people's symptoms this was a study that was out of the American Journal of sports medicine title of this study was prevalence of abnormal hip findings in asymptomatic participants this is a perspective blinded study so basically what this says is hey you know we've got somebody with hip pain let's image them uh and let's compare it to people who don't have hip pain and let's image those individuals so we looked at the people who had no pain and we image their hips and this is a pretty young uh patient demographic average age here was 30 7.8 years healthy volunteers no history HP pain whatsoever uh they under underwent MRI uh pretty amazing so they found abnormalities in 73% of these hips so people with no pain coming in did an MR 73% pretty interesting uh by far the most common thing was going to be laboral tears uh that was identified in 69% of hips so again it's a very common occurrence when someone comes into the clinic and they say hey Doc I was told I have a Abal Terror I need to have surgery on this thing and I point him towards you know studies like this saying Hey listen just because you have the terror doesn't necessarily mean you know this is the cause of your pain we certainly see people who have no pain we image them and we see something wrong with them right that's why we always talk about you know what is the uh pathology versus the reality what's the pathology of what's actually going on uh with the image compared to the actual source of somebody's pain so very frequent uh cause for people to get rushed into surgery it's like oh man I have a laboral tear I have to go in and get this surgically fixed uh again looking at the outcomes of these laboral surgeries compared to really doing nothing are very comparable so we want to make sure that we're doing the safest thing for our patients as we can uh if you're going to have surgery just make sure it's something that you really need to have done right um talk about things like complication rates and what is your realistic healing time uh we talked to Mark earlier uh who described his experience with a rotator cuff surgery uh that took him a very long time to heal right so when you're looking at things like surgery you you do the surgery right that's the the fast part right uh from there you probably have to mobilize that area for for a bit and then after that right lengthy Rehabilitation because a lot of times those muscles around that area that was operated on kind of shut down whether you're not using them or they actually shut down from the surgery and you have to wake those things back up you've got to get some some strength going back and those areas that's a very lengthy process so uh it's very common that people you know will compare regenerative medicine to Sur surgery and let's just say all things are equal all right again complication rates are definitely not equal a lot more complications rate with surgery compared TOA medicine let's just see all things are equal you know which one's going to get you there faster right I mean regena medicine is a much much faster way to get you healed um when you're looking at things like you know what's your opportunity cost here what's the the time money and effort I have to put into you know where I'm at now versus where I want to be and with surgery you know you might be kind of uh tricked into thinking this is going to be something that heals very quickly uh but again the issue is it's a lot of downtime get physical therapy so it might you know realistically be a year or more before you're you're back to you know where you think you should be and again regen medicine is just a much faster way to to get you back with without that complication risk um so it's a big reason why we're very passionate about this uh we want to make sure we're getting you back living the life that you want to live um I had a an individual who had something called a frozen shoulder I don't know if you guys have ever heard of that before um the medical term for that's called adhesive of capsulitis um this is where the capsule which is that piece of tissue that lines the joint this is particularly in a shoulder end up getting very inflamed and you know as you can imagine with the name frozen shoulder the shoulder doesn't want to move it is frozen man it doesn't want to have a whole lot of range of motion and this is somebody who developed that after a roitter cuff surgery so uh you know reason why we think this might be is because if you immobilize right or you don't allow that shoulder joint to move after a surgery uh you can certainly get things like this right and adhesive capsulitis can be a really challenging thing to treat uh most importantly it's a very long healing process anytime that someone comes in with frozen shoulder and they say Hey listen I don't want to have surgery and you know I don't think regena medicine is for me you know what's the timeline on this thing and again optimistically I mean it's about a year or more that you're looking at in terms of really aggressive Physical Therapy uh to maybe you know get that that shoulder back to where it was before so it's a pretty uh common side effect that we see again it's not like everyone having these surger gets frozen shoulder again we're just getting a lot of the cases who obviously had those and it's a you know we're busy man we see a lot of these things so it's a very real complication risk for people um but we get a lot of fro and shoulders that we actually can speed up that recovery process that we found using regenerative medicine to help uh again you initially inflame the area but longterm you actually decrease the inflammation heal that tissue up uh so we give them a stretching protocol uh we come back for a couple of treatments and this is something we can speed you up so even if you're in that boat uh it's something we can U you know give you a good chance to to heal with but again surgery is just one of those things that you know comes with a lot of uh a lot of extra baggage right the time frame the money time away from work uh so it's it's a very uh you know time intensive commitment to to Healing compared to what we do with regenerative medicine using platelets and stem cells right we take those healing cells of the body inject them into these areas that we want to get some healing going decrease inflammation longterm uh provide more structural stability to a joint uh and give you a you know put you in a position that you can heal without surgery so let me give that phone number out one more time guys we love to get you an opportunity to talk with us live in the studio about any sort of muscle Scout Orthopedic issues that you're having here our number to talk to us live 866 87 5752 that's 866 870 5752 we'll give you a copy of Dr dr's book stem cell and platelet therapy regenerate don't operate you can give us a call for a free consultation over the phone with our staff not with Dr Dar and I but with our staff that number to call is 800 300 9300 that's 800 300 9300 check out our website educate yourself get a good opportunity to take a look at what these procedures look like uh take a peek at all the the research that we have take a peek at what the research is that's coming out about regenerative medicine great place to start and get some good information about uh what regena medicine is and everything that it entails we're at www.join rehab.com that's www.join rehab.com uh another thing we wanted to talk about here this week bone on bone arthritis oh man I had a a lot of patients yesterday and that was their Chief compliant they came in and said hey I've got bone on bone arthritis I need to have surgery uh what you know what am I supposed to do here and I said all right well if you got bone on arthritis right let me see you walk around right someone said they had it on their knee another person on their hip another person on their ankle and they're taking laps around the clinic so I am scratching my head thinking yeah I don't think you have bone on bone arthritis right true bone on bone arthritis what is that that's where you the articular cartilage is totally worn out right that would mean that that joint can't move at all you think about two bricks you know rubbing together um arthritis is something that is a spectrum so you can have a little bit or you can have a lot of it and Bone and bone is like the end stage right so if you're you know walking into our Clinic chances are you don't have bone arone arthritis and uh they're like well you know how do you know that how can you prove it it's like okay well you know we can lay you down put the ultrasound on you and actually show you you know that you have cartilage in these areas so uh again ultrasound is an amazing tool I'm so fortunate and blessed that I was taught by some amazing Minds amazing hands uh to get this skill set that we can actually diagnose with ultrasound right we're taking a look to see what that tissue looks like in real time uh you know in addition to that there's other injuries that you got to make sure you're looking out for thank you guys so much for tuning in have a wonderful label day again love you get an opportunity to get a consultation with our staff over the phone that's 8003 9300 8003 9300 check out our website www.join rehab.com that's www.join rehab.com have a safe and healthy Labor Day weekend thanks for tuning in guys we'll see you next week you've been listening to living painf free with Dr Mark Darrow and Dr Thomas Grove now that you've heard Dr Darrow and Dr Grove call their office at 800 300 9300 and speak to one of their staff for free and ask for a copy of Dr Darrow's book stem cell and platelet therapy regenerate don't operate schedule an appointment by calling 8003 9300 that's 800 300 9300 or go online to join joint rehab.com again the website is joint rehab.com living painfree with Dr Mark Darrow and Dr Thomas Grove is heard Saturdays at 10:00 a.m. 1 p.m. and 5:00 p.m. here on am870 the answer take the first step toward a pain-free life call to schedule an appointment at 800 300 9300 that's 8003 9300 live long and painfree and thanks for joining us today