Skin Care Institute, Oklahoma’s Top-Rated Medical Spa, Now Offering Advanced Injectables Treatments with Microtox and BeautiPHIcation. – Yahoo Finance

Skin Care Institute in Tulsa, OK, is thrilled to expand its acclaimed, master-level injectable service offerings with Microtox and BeautiPHIcation, two state-of-the-art methods for administering injectables.

TULSA, Okla., Nov. 3, 2019 /PRNewswire-PRWeb/ -- Renowned for their injectables treatments and one of the top 250 Allergan accounts in the country, Skin Care Institute is thrilled to expand its injectable service offerings with MicroTox and BeautiPHIcation, two advanced, state-of-the-art methods for administering age-defying injectables treatments. Skin Care Institute's master-level injectors have undergone advanced training to administer these state-of-the-art injectables services.

MicroTox involves administering "micro" injections of a diluted form of Botox into the shallow layers of the skin, as opposed to traditional Botox injections, which target deeper muscles. When Botox is injected into the shallow areas of the face and neck, it provides a "shrink wrap" effect to the skin, causing lines and wrinkles to tighten and smooth out for a younger-looking appearance within minutes. Botox typically takes four to 14 days to take full effect, but MicroTox affords immediate benefits, improving skin texture and radiance, smoothing horizontal creases, reducing vertical neck banding, shrinking pore size and more.

Pioneered by Dr. Arthur Swift, BeautiPHIcation is a precise method of injecting based on "phi," a mathematical concept based on symmetry that was developed by Leonardo Da Vinci and is known as "the golden ratio." Applying phi measurements to the face, Skin Care Institute's master injectors can administer the most balanced and natural-looking dermal fillers to restore each patient's unique ideal of beauty.

In addition to MicroTox and BeautiPHIcation, Skin Care Institute offers award-winning injectables treatments with Botox and the complete suite of Juvderm dermal fillers, including Volbella, Voluma and Vollure XC. For non-invasive body contouring, Skin Care Institute offers CoolSculpting, the world's most popular non-invasive fat reduction treatment, and Emsculpt non-invasive muscle-toning. Other acclaimed treatments include Kybella, platelet-rich plasma (PRP) with SkinPen micro-needling, PRP hair restoration, Ultherapy skin tightening, Emsella for urinary incontinence, Clear + Brilliant skin rejuvenation, Fraxel Dual laser skin resurfacing, HydraFacial MD Elite, clinical-grade chemical peels, laser hair removal, photofacials, and Botox and dermal fillers.

Skin Care Institute also offers a leading selection of spa treatments, including facials, body waxing, lash and brow services, physician-grade and organic skin care products and much more. For additional information about MicroTox, BeautiPHIcation or other treatments at Skin Care Institute Medical and Wellness Spa, please call 918.494.8300.

About Skin Care Institute Medical and Wellness Spa The Skin Care Institute, under the direction of board-certified dermatologist Jeff Alexander, M.D., and his wife, Executive Director Judy Dworin Alexander, is dedicated to providing clients with the newest, safest and most effective technologies for skin rejuvenation, anti-aging, body contouring, hair reduction, hair restoration and wellness. Since opening in November 1999, Skin Care Institute remains at the forefront of the industry, earning distinction as the first provider in Oklahoma to offer CoolSculpting in 2011, and going on to become the #1 CoolSculpting provider in Oklahoma and Arkansas. A pioneer in the industry, Skin Care Institute was also one of the first in Oklahoma to provide Emsella, a ground-breaking non-invasive treatment for urinary incontinence, as well as Emsculpt, the world's first non-invasive treatment for muscle toning.

Skin Care Institute Medical and Wellness Spa is located in the Kelly Medical Building at 6565 South Yale Avenue, Suite 110 in Tulsa, Oklahoma.

About Dr. Jeff Alexander, Medical Director of Skin Care Institute Jeff Alexander, M.D., is the owner and medical director of Skin Care Institute Medical and Wellness Spa in Tulsa, Oklahoma. He is certified by the American Board of Dermatology and has over 30 years of experience in skin care.

Dr. Alexander is a graduate of the University of Nebraska Medical School and the University of Oklahoma Dermatology Program. He has served as president of the Oklahoma Dermatological Society and the Tulsa Dermatological Society. A former chairman of the Department of Dermatology at St. Francis Hospital in Tulsa, Dr. Alexander has served on the speaker's bureau for GlaxoSmithKline, SkinCeuticals, Novartis Pharmaceuticals and SkinMedica. He has also served as assistant clinical professor and dermatology instructor for medical students and residents at the University of Oklahoma.

Story continues

In 1999, Dr. Alexander opened Skin Care Institute, the first medical spa in Oklahoma. By combining cutting-edge laser technology with aesthetic and medical procedures, he paved the way for others in the industry.

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Skin Care Institute, Oklahoma's Top-Rated Medical Spa, Now Offering Advanced Injectables Treatments with Microtox and BeautiPHIcation. - Yahoo Finance

How Cell Phone Addiction Is Making You a Victim of Major Disabilities – Entrepreneur

To all the cellphones lovers out there, yes there are now cellphone related syndromes and they ain't good

October29, 20197 min read

You're reading Entrepreneur India, an international franchise of Entrepreneur Media.

Cellphones and handheld gadgets have become an inseparable part of our busy lives. In addition to being the handiest and effective way of communication, they have become our quintessential partner. They frequently double up as a utility gadget an alarm clock, a calculator, a handy internet browser, etc. The numerous applications offer virtually unlimited uses. You can use your cellphone to control the lights in your home, play your favorite music or even monitor and track your physiology when you sleep. Your phone is now responsible for your smart living. All these features may seem overwhelming and extremely useful, but they come at a hidden cost. It is not the obvious cost you pay for your device and data connection but the hidden cost which you must pay as the cellphone invades your life.

What if we tell you there is something called as cellphone pain syndrome and you are suffering from it? Dont believe us?

Entrepreneur India got in a conversation with Dr. Sidharth Verma, Consultant Interventional Spine & Pain Physician, Masina Hospital who gave us an insight on the common cellphone syndromes that we suffer from and what it leads to.

Giving an introduction about it he said, While the symptoms of cellphone pain syndromes might seem different, they are a connected group that consistently occurs together as soon as the relationship with the cellphone is consummated. It is estimated that the average person spends almost three hours a day on the mobile or hand-held devices.

Repetitive use of handheld devices especially in awkward positions like sitting on a bus or standing in a train, puts undue pressure on the bones and muscles of the neck. Many studies have estimated that stress levels increase five to ten times while looking down at a smartphone or tablet.

Multiply the effect with long duration, add some bumps along the car/bus ride and you have a recipe for this lifestyle illness. Symptoms are neck pain, early morning stiffness and inability to look down on the screen for too long. Severe cases may have headache, dizziness, arm pain as well as upper back pain. The muscle imbalances can result in low back pain as well, said Dr. Sidharth Verma.

A recent study has linked the posture changes caused by the text neck syndrome to heart disease! Mild symptoms can be managed by rest (and avoiding forward bending of the neck), anti-inflammatory medicines and cold compressions. Exercises can help, he added.

However, unresolved symptoms should be quickly treated by a pain physician. The use of advanced image-guided procedures has made minimally invasive treatment possible for these pain syndromes.

Another simple way is to either look down with only your eyes (keeping your head at the same level) or simply lift the phone to the eye level, instead of looking down by tilting your head.

This one is quite popular with various names like the BlackBerry thumb, SMS thumb, Gamer's thumb, Washerwoman's sprain, radial styloid tenosynovitis, de Quervain disease/ tenosynovitis, designer's thumb, mother's wrist or mommy's thumb. It is caused by inflammation in the tendons which control the movements of the thumb.

Overuse of the same actions over some time can worsen the symptoms. Mild symptoms can be managed with rest (most important), anti-inflammatory medicines (oral or around the affected region) and cold compression. Severe symptoms not responding to these measures may need advance treatment modalities like Pulsed radiofrequency current or ultrasound-guided platelet-rich plasma (PRP) injections, said Dr. Verma.

After the neck, wrist, and thumb, elbows are the most commonly affected areas. Also known as the cubital tunnel syndrome, the symptoms include burning, tingling, numbness or weird sensations on the inner side of the arm and elbow.

Verma highlighted other symptoms like weakness in the affected arm and inability to perform simple tasks like opening bottle lids. Treatment is essential, if left untreated, it may result in permanent weakness and clawing of fingers. Treatment ranges from lifestyle modification to interventional pain procedures however early treatment always leads to better results.

This is the second most common syndrome after neck pain occurs when the median nerve gets compressed at the wrist. This results in tingling, numbness, weakness, and pain in the thumb, middle and index fingers.

If you are a user of computer keyboards, you are more prone to this than anyone else. These symptoms may become permanent and must be treated by the earliest.

There are some things one needs to keep in mind when it comes to treating it. Treatment ranges from physical measures like exercises, habit modification and heat/cold application to interventional ultrasound-guided median nerve release. Your pain Physician can treat the condition and formulate a recovery plan, said Dr. Verma.

In addition to the above, cellphones are known to cause repetitive strain injuries in susceptible individuals.

Cellphone usage results in interference with sleep patterns and causes cognitive dysfunction. Emotional symptoms like lack of self-esteem, need for constant motivation and even depression can be attributed to these devices. Mobile gaming can result in dangerous consequences. World Health Organization has recognized gaming addiction as a mental disorder.

Giving a perfect example Dr. Verma said, Youngsters are very sensitive to the number of likes, shares and retweets on their posts and this social media takes a toll on their ability to forge long-lasting and meaningful relations. These effects can be minimized only by limiting cellphone usage and engaging in real-world physical activities.

Constantly staring at the cellphone screen can result in dry eyes and lessen tearing. While viewing content on your cellphone, one often forgets to blink. This can cause strain on the eyes and result in an increased incidence of infections. The blue-toned light of these handheld devices can result in early macular degeneration and blindness. Staring at the narrow screen (even widescreens are narrow compared to the normal field of vision) leads to eye fatigue and blurry vision.

All these symptoms are preventable but difficult to treat once they become chronic. Some tips are to increase text size, reduce screen brightness, use artificial tears (to help with dryness), blink frequently and take frequent breaks. If symptoms persist, you might need to visit an ophthalmologist, said Dr. Verma

If you are putting your phone in tight trousers, you greatly increase your chances of having what is known as the Tight-thigh syndrome. Also known as meralgia paraesthetica, this is a condition seen mostly in obese people with tight clothing. However, putting objects in your front pocket increases the risk manifold.

Symptoms include tingling, numbness and burning sensation in the outer thigh. Treatment revolves around lifestyle modification, radio frequency modulation, and ultrasound-guided cryotherapy.

Dr. Verma points out that, Surgery is overkill for these conditions and your pain physician can help with the non-surgical treatment options available. Many of these treatment options are minimally invasive but highly effective with excellent results. In case the usage pattern and posture is not modified, the symptoms can occur again.

Also Read:#9 Tips & Tricks to Not Let the Phone Addiction Destruct Your Body

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How Cell Phone Addiction Is Making You a Victim of Major Disabilities - Entrepreneur

Ducks GM Bob Murray has good medical news and a good feeling about his young team – The Athletic

ANAHEIM, Calif. Pleasantly surprised.

That was Bob Murray and the feeling about his Ducks one month into the season. And that is also the general manager and his mood on the state of two important pieces who were lost to injury last week.

First, about the injured.

Murray confirmed a knee injury that Josh Manson suffered in the first period of a road loss to Dallas. It is an MCL sprain and not a tear, shortening a recovery period that was feared to be months into one that will be weeks. The timeline he gave Wednesday was as little as five weeks or as many as 10. The defenseman is receiving platelet-rich plasma injections and Murray hopes to have a more definitive timeline within another week and a half.

We were concerned for a few days, Murray said. We were concerned. Orr (Limpisvasti, the Ducks team physician) was very happy last night. Thats good. You dont replace Josh either, by the way.

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Ducks GM Bob Murray has good medical news and a good feeling about his young team - The Athletic

Skill Checkup: Knee Injection – Medscape

Knee pain and stiffness can be debilitating and difficult to treat. Lifestyle-limiting knee conditions may negatively affect body image and emotional well-being. Weight management, exercise/strengthening programs, physical therapy, physical modalities, orthotics, medications, intra-articular knee injections, and surgery are some of the approaches used to treat knee pain.

The most common type of intra-articular knee injection is with corticosteroids, but other agents used include infliximab, hyaluronic acid, botulinum neurotoxin, and platelet-rich plasma (PRP).

Steroid injections have been shown to relieve pain and inflammation in individuals with osteoarthritis (including osteoarthritis complicated by Baker cysts), juvenile idiopathic arthritis, psoriatic arthritis, acute monoarticular gout, pseudogout, and rheumatoid arthritic knees.

Intra-articular infliximab can be used to treat refractory knee monoarthritis/synovitis in patients with rheumatoid arthritis, Behet disease, and spondyloarthropathy (eg, ankylosing spondylitis) that is resistant to systemic treatment.

Intra-articular knee injections of hyaluronic acid have been shown to provide functional and perceived benefits in knee osteoarthritis. Such injections have also been shown to be helpful in patients with knees that are both rheumatoid arthritic and osteoarthritic.

Intra-articular injection of botulinum neurotoxin A into the knee joint may provide therapeutic pain relief in patients with advanced knee osteoarthritis.

Intra-articular knee injections of homologous PRP have been shown to improve function and quality of life in patients with degenerative lesions of the knee cartilage and osteoarthritis at 6 months post-injection.

Careful initial palpation and marking of the injection site may reduce the need to repalpate an already prepared site. During the initial marking of the intra-articular injection target site, the knee should be flexed 90 to expose the joint space for the anteromedial or anterolateral approach and almost fully or fully extended for the superolateral or superomedial approach. The selected skin site for injection can be marked. Sterile gloves may be used.

Using sterile techniques, skin over the target area may be prepared with iodine disinfectant x 3, allowed to air-dry, and then wiped with alcohol prior to needle placement; alternatively, chlorhexidine may be used for skin preparation in place of iodine plus alcohol.

Any number of the relatively insoluble injectable corticosteroids, including triamcinolone acetonide 10-40 mg, triamcinolone hexacetonide 10-40 mg, or prednisolone acetate 10-25 mg; or slightly soluble corticosteroids, such as methylprednisolone acetate 40-80 mg or triamcinolone diacetate 20-40 mg, may be used.

A 10- to 15-s stream of ethyl chloride topical anesthetic spray can be steadily directed at the skin area over the target injection site prior to needle advancement. Lidocaine 1%-2% can be injected over the target site via a 25-gauge 1.5-in needle after negative aspiration for further numbing effect prior to the steroid injection, or it can be injected directly into the knee joint as a mixture with corticosteroid.

For the anterolateral or anteromedial approach, the patient can be in the sitting or supine position, with the knee flexed to 90 to allow easy access to the joint capsule. Knee radiography would show whether medial or lateral joint-space narrowing predominates.

For the superolateral or superomedial approach, the knee is almost fully or is fully extended to allow gentle rocking of the patella. The needle is directed under the proximal patella near and parallel to the undersurface of the quadriceps tendon insertion on the patella.

The best approach to a knee injection is the path of least obstruction and maximal access to the synovial cavity, which could be superolateral, superomedial, or anteromedial/anterolateral.

Superolateral approach

For the superolateral approach, the patient lies supine with the knee almost fully or fully extended, with a thin pad support underneath the knee to facilitate relaxation. The clinician's thumb is used to gently rock and then stabilize the patella while the needle is inserted underneath the superolateral surface of the patella, aimed toward the center of the patella, and then directed slightly posteriorly and inferomedially into the knee joint.

Superomedial approach

For the superomedial approach, the patient lies supine with the knee almost fully or fully extended, with a thin pad support underneath the knee to facilitate relaxation. The clinician's thumb is used to gently rock and then stabilize the patella while the needle is inserted underneath the superomedial surface of patella, aimed toward the center of the patella, and then directed slightly posteriorly and inferolaterally into the knee joint.

Anterolateral and anteromedial approaches

For the anterolateral and anteromedial approaches, the patient can sit or lie supine with the knee flexed 90 to afford better exposure of the intra-articular surface and thus facilitate ease of needle entry into the joint space.

The sterile needle is inserted either lateral to the patellar tendon (for the anterolateral approach) or medial to the tendon (for the anteromedial approach), approximately 1 cm above the tibial plateau, and directed 15-45 from the anterior knee surface vertical midline toward the intra-articular joint space.

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Skill Checkup: Knee Injection - Medscape

Dr. Raj & Stem Cell Therapy Innovation – LATF USA

For anyone who has had hip replacement surgery, Im sure they will agree that it is better to get hit by a bus than to undergo another one. Last year after several years of suffering, I decided to take the leap and go for the hip replacement that my specialist recommended. I was told that it was a common surgery and that it was the best solution for me. Between us; it was probably the most painful thing I have ever gone through. So much so, that at the time, I just wanted to die. Not only did the pain persist for several weeks after the operation, but I was on painkillers for days, which eventually added to my suffering. I had to use a walker for the first 2 weeks and then depended on a cane for over 2 months before I could walk on my own.

My entire demeanor changed, as well as the way I dealt with what once were minor things in life. I feared slipping in the shower, going down the stairs or walking my dogs. No one had prepared me for this. Ive had my share of surgeries including a double mastectomy when I was diagnosed with breast cancer but pain wise; this one was by far the worse. I was hoping after a very long recovery that I would never have to face this situation again. Unfortunately, a year later, I am starting to feel pain on the other side and dread the re-experience of my nightmare.

Although, I heard about Stem Cell, I did not know much about it. So I started to investigate for myself, speak to people, enquire about the procedure and look for a doctor in my area who specialized in Stem Cell. I was willing to do just about anything before considering another hip replacement. After extensive research, I came across Dr. Raj, a Double-Board Certified Orthopedic doctor in Beverly Hills, CA. Going to his website; I learned that he has been in private practice for 10 years. He has been named as one of Americas Top Orthopedists, been featured on the Best of LA and has received numerous other accolades and awards as one of the Top Orthopedic doctors. Providing the ultimate in state-of-the-art orthopedic care, Dr. Rajs practice is always on the cutting-edge of surgical and nonsurgical technologies, such as PRP (Platelet Rich Plasma) injections, stem cell injections for tendinitis and arthritis, minimally invasive surgery and more.

He is Board Certified as a Medical Legal Specialist in America, as well as, Canada and Dubai (Trial, Testimony, Deposition, IME) with a Subspecialty in Hip and Knee Surgery in Los Angeles, including Sports Surgeries.

He is also an Undergraduate from Dalhousie University in Halifax and Canada. He pursued his medical education at Memorial University PGME, before doing his internship and residency in the Department of Orthopedic Surgery. Now that I had found Dr. Raj, all I needed was to get myself educated. So lets start by what are stem cells? This is what I read: Mesenchymal stem cells (MSCs), commonly called stem cells, are precursor cells that havent decided yet what they are going to be in the body. They can differentiate into multiple forms including bone, cartilage, fat and other connective tissues. They play a significant role in the reparative processes throughout the human body.

Where do we find stem cells?

They may be harnessed from fat tissue, bone marrow, synovial tissue or umbilical cord tissue. While stem cell therapy is a promising technology, there is much we are still learning about the causes and pathways that lead to symptomatic osteoarthritis. We have not optimized the factors found in stem cell therapies. To be sure, only the good cells and growth factors are injected into a specific joint. And that is why further research is necessary before being approved by the FDA.

My next move would be to consult with Dr. Raj who would tell me the medical truth, beginning with this question:

What is the current state of Stem Cells and its success rate?

It's relatively new. It's been popular for about 20 years, internationally. In areas like Germany and Korea, it was utilized a lot more. It became popular here when athletes like Kobe Bryant started going to Germany for modified versions of PRP, which led on to regenerative technologies. We have a stigma correlating stem cells with abortions and issues like that. This in itself is completely different. We are not utilizing amniotic stem cells or placenta stem cells. We're utilizing your own stem cells. For issues such as a hip replacement, the most powerful stem cells are the ones in your body. Bone marrow stem cells work well on joints. Joints have zero blood supply. So, if God or the higher power created us where we had blood supply going through our joints, like a cut in our skin - we would constantly replenish or repair. A break in our bone would repair. If you get stem cells and you're in decent enough shape, you will heal no matter what because these stem cells will deposit. Will you heal straight? Probably not - that's where we come into play.

The reason why joints; hips, knees and shoulders degenerate is because there is no blood supply. So, if you have a cut or a loss of cartilage, it stays like that and accumulates overtime. The only way you can control it is externally. You get stronger, you lose weight and you increase your range of motion. But you can't control anything internally.

So regenerative technology is basically utilizing these cells to regenerate cartilage and repair. These are the same cells that flow through our body - and upon signal of an injury will heal skin to skin, bone to bone, tendon to tendon, muscle to muscle. Our joints are just an alcove of joint fluid and no blood supply. The whole concept is - throughout the years, we did steroid injections - they're like band aids. Basically they mask pain. What does masking pain do? It propagates injury. Because we put the band aid on, we don't feel it and we do more. We take this little cut or loss of cartilage and we make it even more over time.

Why is it that specialists do not recommend seeing a surgeon at a certain stage?

There are a lot of people who think one way and everyone is entitled to their own opinions. You can't change opinions.

Are people afraid of stem cells?

Some people are afraid because of stem cells causing cancer. But that's embryonic stem cells.

What is the process?

Bone marrow stem cells are the best because there is a higher chance of live stem cells. Less manipulation, meaning that - in a Mayo Clinic study 4 or 5 years ago, which has a two year follow through on people who are ready to get replacements for joint or knee - they had an 80% success rate where they didn't need it. I do replacements and I do stem cells.

How do you determine what's better for the patient?

My knowledge and years of experience. Also, my knowledge with fitness and being athletic myself. Understanding at a certain point, someone is mechanically compromised. Bone on bone is a term that's been used for years. There are a lot of people who think they are 'bone on bone." Coming from Canada, the US is notorious for doing unnecessary surgeries and replacements. It's the highest rate of replacements in the world. I do not like the term 'bone on bone' because a surgeon will look at an x-ray and say you're bone on bone because that's all they do: replacements. They become a 7-11 or 99 Cents store, lining up 21 people a day. That's not the right way to do things. You don't want to be one of those 21 people getting a replacement because you're not getting that surgeon's full attention. The reality is - you have a PA or an old plastic surgeon who's doing most of your surgery and there is more likelihood of issues. Amongst every specialty there is a lot of ignorance. The whole concept is - you preserve what you have for as long as you can. You have beauty on the outside; you need beauty on the inside too. What's beauty on the inside? Feeling good, you're less inflamed and your joints are healthy.

How does it work with a stem cell procedure?

I extract bone marrow from your pelvis. Take approximately 6 ccs. Under slight sedation, it takes about 5 minutes to take it. Then we separate it via an FDA approved technique. Per FDA, we cannot add anything to it, nor would I want to. We cannot harvest it because the longer it's outside of the body, the better it is. Basically, we then inject those pure cells right away into the joint. It's a four month process for an 80% of regeneration. So, it's not just reduction of inflammation, it's regeneration. It will be a year for a 100% effect. I've had probably about 20% of patients who have taken 6 months+. I've had over a 95% success rate with this technology.

Are you one of the only doctors doing this in LA?

I'm one of them. There are some family and pain management doctors who are doing it. I'm the only Orthopedic surgeon doing it. I'm sure different practitioners are starting to.

Dr. Raj and patient Paula Abdul

How often do you do the stem cell procedure?

You do it one time. It's a powerful injection and there are people Ihave 6 years out who are doing well.

Does it hurt after the fact?

No, not at all. You can walk and move. For example, with your hip - I would combine it with physical therapy to increase your range of motion. Once you have the anti-inflammatory effect, you have to take advantage of it. If you don't increase your range of motion - what happens is - you're walking on one nail vs. 100 nails. You want to dissipate the force over a greater area so that there's a higher chance of external success. Then you strengthen the muscles.

Are there people who are not good candidates for it?

Yes, when it's too far gone. Like I said, people are told they're bone on bone when they're not. They show you different views. It's a marketing gimmick. That person is lined up and ready to sell. Age is relative. There's physiologic age. It really depends on the person. Hypothetically, if you're an inflamed mess, a drinker and abusive to your body, then nothing is going to work. If you take care of yourself and you're motivated with the right protoplasm, then it's going to work.

What about the skeptics or the ones who think it's bad for you?

Don't get me wrong; amniotic stem cells are good for certain situations. Embryonic is bad. It means that it's too far gone. You want live stem cells in an area that does not have blood supply. The data is out there. How can you argue against a Mayo Clinic study with an 80% success rate? How can you argue against the hospitals for special surgery in New York that's doing it, or the Steadman Hawkins Clinic, I'm doing it. Top facilities in the world are doing it and a number of top athletes who are getting it done with success rates. Who's ignorant? Is it that one surgeon or everyone else?

Does insurance cover it?

No, not yet. Insurances are very backwards in terms of their understanding. They would rather cover a replacement.

Is it expensive?

If you break it down par and par and avoid a replacement, not really. On average, you're talking about $7,000, versus hospital, surgeon, facility fees+++,which can be about $25,000.

You're very progressive.

There are a lot of things that I do to try and reduce pain significantly.When I use screws, I use screws that are made out of calcium so they dissolve in your body. Some of my colleagues use tourniquet, I don't use one. I control bleeding and do it in less than an hour. The whole concept is, you don't have atourniquetsqueezing your leg and toxins causing significant pain.

And there you have it. Everything is a risk in life, we do not know if we will wake up tomorrow or if you will get hit by a car and so on so why not try this procedure. I believe that I am lucky enough to have met Dr. Raj. I have taken the decision to undergo the stem cells therapy FDA approved or not, anything before going under the knife one more time. Stay tuned, I will give you a report on the progress.

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Dr. Raj & Stem Cell Therapy Innovation - LATF USA

Joint Pain Injections Market By New Business Developments, And Top Companies | Allergan Plc, Pfizer, Sanofi – Healthcare News

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Major Players of the Global Joint Pain Injections Market 2019

Chugai Pharmaceutical Co Ltd, Sanofi, Zimmer Biomet Holdings Inc, Flexion Therapeutics Inc, Seikagaku Corporation, Anika Therapeutics Inc, Bioventus LLC, Ferring B.V., Allergan Plc. and Pfizer Inc

Market Segmentation:

Segmentation by Injection type: Corticosteroid Injections, Hyaluronic Acid Injections, Others (include, Platelet-rich plasma (PRP), Placental tissue matrix (PTM), etc.). Segmentation by joint type: Knee & Ankle, Hip Joint, Shoulder & Elbow, Facet Joints of the Spine, Others (include, Ball and socket, etc.). Segmentation by end-user: Hospital Pharmacies, Retail Pharmacies, Online Pharmacies

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Scope and product outlook of Joint Pain Injections Market 2019-2028.

Developing regions with potential growth in the future.

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Joint Pain Injections Market Dynamics 2019-2028.

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Joint Pain Injections Market By New Business Developments, And Top Companies | Allergan Plc, Pfizer, Sanofi - Healthcare News

PRP and IRAP: Where nature meets science in horse injury treatment – Horsetalk.co.nz – Horsetalk

Platelet Rich Plasma is injected into an injured area to encourage a morerobust healing response.Palm Beach Equine Clinic

As sport horses become faster and stronger, veterinary medicine is often challenged to break barriers to provide the best in diagnostic and maintenance care.

Two resources that have become increasingly popular to treat equine injuries are Platelet Rich Plasma (PRP) and Interleukin-1 Receptor Antagonist Protein (IRAP), which encourage regeneration of injured or degenerative tissue.

Managing joint diseases and injuries using these methods is ground-breaking, but logical at its core. They essentially use naturally occurring proteins, cells, and other natural processes originated from within the body of the horse to put the horses own biological mechanisms to work stimulating healing without the use of steroids or other drugs.

Platelets are among the very first cells to accumulate at an injured site, making them very important when simulating the repair process. Platelets contain granules filled with growth factors (the elements that aid in healing) and stimulate specified tissue to heal at an increased rate. To treat a horse with PRP, the veterinarians at PBEC are able to take a sample of the horses blood and concentrate the platelets in a high-speed centrifuge on-site. The harvest and processing procedures take approximately 30 minutes before the concentrated platelet-rich sample is injected back into the horse at the specific area of injury using sterile techniques and guided by ultrasound.

Explaining the process, Dr Weston Davis, Board-Certified Staff Surgeon at Floridas Palm Beach Equine Clinic, said that first, a large quantity of blood is harvested, anywhere from 60 to180ml.

We process that to concentrate the segment that is very rich in platelets. We get a high concentration of platelets we are hoping for five to eight times the concentration that you would get from normal blood. Then we take that platelet-rich extract and inject it back into an injured area to encourage a more robust healing response.

Whenever you have an injury, platelets are one of the first cells that get there. They will aggregate, clump, and de-granulate. They release granules that are very rich in growth factors and signal the body to start the healing process.

IRAP is used to treat equine athletes that are susceptible to musculoskeletal injuries and osteoarthritis or degenerative joint disease. Joint trauma results in the release of inflammatory mediators such as Interleukin-1 (IL-1). IRAP uses a horses own anti-inflammatory protein found within the blood to counteract the destructive effects of IL-1 to slow the process of osteoarthritis. The process works by binding to the IL-1 receptors in the joint and blocking the continuation of damage and inflammation.

Palm Beach Equine Clinic veterinarian Dr Bryan Dubynsky said veterinarians often see joint damage in sport horses because of the nature of their work. But we try to avoid over-use of steroids in joints because steroids can have long-term effects on cartilage.

This is a way we can manage joint disease and stop inflammation without having to consistently use steroids. Some of our clients will maintain their horses on IRAP alone for joint injections.

The goal to better serve sport horses that continue to improve athletically is the driving force behind the search for even more developed and precise techniques used in regenerative medicine.

I believe we are learning more about these technologies with more advanced science behind what they do and how they do it, Dubynsky said. These treatments are natural, drug-free, and competition-safe, and necessity drives the need for regenerative therapies in the sport horse world.

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PRP and IRAP: Where nature meets science in horse injury treatment - Horsetalk.co.nz - Horsetalk

Protective mediators help heal tendon cells by attacking inflammation – Health Europa

Tendon tears, both to the rotator cuff and Achilles heel, are common injuries, especially in aged individuals. Painful and disabling, they can adversely impact quality of life.

New approaches are required to help patients suffering from chronic tendon injuries. A novelstudyinThe American Journal of Pathology, identified mediators that promote resolution of inflammation as potential new therapeutics to push chronically injured tendons down an inflammation-resolving pathway.

Stephanie Dakin of Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, Botnar Research Centre and University of Oxford, said: Our study informs new therapeutic approaches that target diseased cells and promote resolution of tendon inflammation, harnessing the bodys own natural responses for therapeutic gain.

The study demonstrates the anti-inflammatory effects of two specialised pro-resolving mediators (SPMs), lipoxin B4 (LXB4) and Resolvin E1 (RvE1), on cultured tendon cells in which induced shoulder tendon disease was present.

According to Dr Dakin and colleagues, resident (meaning part of the normal tissue) stromal cells, especially fibroblasts, play a pivotal role in inflammatory diseases of joints. After injury, fibroblasts become activated and show inflammation memory, an important event underlying the switch from acute to chronic inflammation.

These cells become unable to return to their normal state. The SPMs identified by the researchers interfere with this chronic inflammatory process and help fibroblasts resolve tendon inflammation; hence the name pro-resolving mediators.

Commenting on the study, Undurti N Das of UND Life Sciences, Battle Ground and BioScience Research Centre and Department of Medicine, GVP Medical College and Hospital, Visakhapatnam, India, emphasised that understanding the crosstalk among resident stromal cells including fibroblasts that not only participate in inflammatory diseases of the joint, but also in the switch from acute to chronic inflammation, tissue resident and infiltrating macrophages, infiltrating immune cells, and endothelial cells is important to the disease process and for the development of newer therapeutic interventions.

Dr Das said: In this context, the report by Dakin et al is of substantial interest to the field. It establishes that tendon stromal cells isolated from patients with tendon tears show pro-inflammatory phenotype and secrete significantly higher amounts of interleukin (IL)-6 with dysregulated production and action of lipoxin A4, resolvins, protectins, and maresins compared to normal cells.

Dr Dakin said: There is a clear unmet clinical need to develop effective new therapeutic approaches to treat tendon disease.

SPMs, including LXB4 and RvE1, may target diseased cells and potentiate resolution of chronic tendon inflammation.

Shoulder pain is the third most common cause of musculoskeletal pain, and tears affecting shoulder rotator cuff tendons comprise a large proportion of this disease burden. Current treatments for tendon injuries include physical therapy, non-steroidal anti-inflammatory drugs, platelet rich plasma, steroid injections, and surgery to repair torn tendons.

These therapies are frequently ineffective, steroids are potentially harmful, and tendon tear surgery is associated with high postoperative failure rates. Therefore, alternative therapies targeting the cells driving chronic inflammation are required to help patients, and ideally avoid some of the problems associated with surgery, steroids, NSAIDS, or other interventions.

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Protective mediators help heal tendon cells by attacking inflammation - Health Europa

Injection therapy has many faces | News, Sports, Jobs – Marquette Mining Journal

You wake up one morning to find that slight twinge in your hip has become significantly painful. Youve tried icing and ibuprofen but the pain is now severe and demands medical attention. What are you expecting the doctor to do?

As a weekend warrior, you expect some aches and pains following your regular game but that twisted ankle you experienced last weekend continues to hurt with every step. Once again, the typical home treatments, the familiar rest-ice-compression-elevation, have helped, but not enough. Greater expertise is needed.

The arthritic knee, damaged playing college sports, has been bearable for years, but that joint has become progressively more symptomatic over recent months. What are the options? Some pain relief is desired.

These are all common scenarios. A frequent answer to these question is an injection. Many physicians first recommendation for various problems will be an injection. But what exactly is being administered? Most people are aware of a few of the options, yet a plethora of substances can be administered via injection. Injection therapy is a technique practiced for many years and continues to be utilized as a safe, easily performed procedure in an office or out-patient setting.

Specifically, an injection is the act of putting a liquid, especially a drug, into a persons body using a needle and syringe. This is a technique for delivering drugs without significant quantities of the drug spreading throughout the body. Intra-articular injections, those performed into a joint, have a number of physiologic and practical advantages over systemic medications (such as those taken by mouth), including safety.

Many fear injections. Certainly, the pain produced can occasionally be considerable but, more often, is minimal to mild. Others have allowed hearsay and rumor to rule their decision making, claiming they shouldnt have any injections because theyre going to do more harm than good. It is true sometimes the relief is temporary, but if you dont want to have surgery, an injection is an approach for musculoskeletal conditions that should be attempted. It may only give you a few months of pain relief, but it is usually worth trying.

As anyone who has had more than one injection can attest, the symptoms produced by the procedure itself can vary greatly. When larger structures are injected, the procedure tends to be more painful. Yet, there are a variety of methods to reduce the discomfort. As you would expect, technique is a critical factor. Pushing the liquid in faster, although shortening the duration of the process, is more uncomfortable. Thus, patience on the part of the health care provider is beneficial.

Buffering the solution is helpful when the solution is acidic, as is often the case when local anesthetics are used. Understandably, a smaller needle will produce less discomfort, although some medications will not get through certain sized needles. Additionally, the use of an ethyl chloride or cold spray numbs the skin for an instant but greatly reduces the initial pain of penetration.

Injection therapy can be used to achieve many different goals, other than just pain relief. The administration of a local anesthetic, a medication which temporarily produces a sensory blockade, can be used for diagnostic purposes. If some particular body part is injected with an anesthetic, and the pain previously experienced is gone while the numbing agent is active, then we can surmise that structure is causing the pain.

Clearly, the benefits of an injection will depend largely on what is injected. Without question, the most commonly utilized medication is some type of corticosteroid, commonly referred to as cortisone, although that particular medicine is no longer in common use. Corticosteroids are not harmful when used appropriately, and have many different uses. Corticosteroid injections can be therapeutic and diagnostic. They reduce inflammation by inhibiting the production of a number of inflammatory substances. But because they can cause some thinning of tissue, they can be put into a cyst or scar tissue to reduce its mass.

Injections directly into an arthritic joint avoid conventional barriers to joint entry. Intra-articular injections are a minimally invasive procedure and can be performed easily in an outpatient setting, with a short recovery time. Again, there is a drastically lower risk of side effects or systemic toxicity due to this delivery method. Intra-articular corticosteroids are approved by the FDA, although concerns remain regarding the duration of its effects, and their safety profile. And if the situation leading to inflammation is not addressed, predictably, the relief of the steroid injection will be transient.

All medicines have some side effects, including steroids. When used unwisely, what was once a benefit can be a complication. Common side effects are a loss of skin fat, discoloration of the skin, and increased blood sugars. This latter effect is of particular concern in the diabetic population. Uncommon side effects, more likely when used inappropriately, are tendon ruptures or ligament tears.

Patients may be disappointed when they are told the injection recommended may be helpful for only a short time. For each pathology injected, the duration of relief can vary greatly. There are no guarantees with any medical procedure, and this includes injection therapies. The possibility it can provide relief and make some condition better seems a realistic goal, as opposed to trying to give a patient a specific timeline.

Over the last few decades there has been tremendous research into new therapies, with great interest in regenerative medicine. The basic concept is to find healthy ways to improve the bodys healing processes. Some of these newer techniques involve an injection. Some examples include PRP injections (platelet-rich plasma), stem cell therapies, and amniotic membrane injection. Benefits of regenerative medicine techniques include an improved safety profile and, maybe most important, the direct targeting of the biochemistry of osteoarthritis. An increase in movement may be seen, as well as improved muscle strength. They seem to be useful in treating repetitive stress injuries that havent healed properly or completely. Maybe most consequential is the reduction of pain levels. The hope is these novel methods may allow some to avoid surgery and can even lead to healing.

One concern with these new technologies is the lack of large scale clinical trials to back up these claims. Long-term clinical studies are needed to increase the evidence available about them, and so earn consideration in treatment frameworks. Until these are performed, there remains an element of uncertainty with these methods.

The regenerative medicine technique in longest use is prolotherapy, in which a highly concentrated glucose solution is injected into a tendon or ligament. This seems to jump-start the healing process, with the resulting inflammation being a natural and integral component of healing, as with platelet rich plasma injection. When performed into a damaged part, these injections can stimulate repair.

Botox injections are a completely different type of injectable therapy. This substance blocks certain chemical signals from nerves, especially those causing muscles to contract. Some common uses are to relax facial muscles (those causing wrinkles) or muscle spasms. Botox injections may also help prevent chronic migraines.

Getting a therapeutic injection can be a scary process and, occasionally, a painful one. Still, there are ways to reduce this. As with any treatment, these methods can be misused. And, once again, there are no guarantees in health care. But the benefits can be significant. Dont make assumptions: steroids can lead to healing, depending on the situation, and can significantly reduce pain. Dont let fear rule your decision-making process. Consider carefully all the options your health care team recommends. An injection may be your most effective path to relief.

Editors note: Dr. Conway McLean is a physician practicing foot and ankle medicine in the Upper Peninsula, with a move of his Marquette office to the downtown area. McLean has lectured internationally on wound care and surgery, being double board certified in surgery, and also in wound care. He has a sub-specialty in foot-ankle orthotics. Dr. McLean welcomes questions or comments atdrcmclean@outlook.com.

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Injection therapy has many faces | News, Sports, Jobs - Marquette Mining Journal

Michelle Wie exclusive interview: How golf’s great prodigy grew up – The Telegraph

But a long list of injuries: to neck, back, knee, hip and ankle, has curtailed that prodigious talent, so much so that she is able to bond with Tiger Woods over the travails of the treatment table.

Ive seen Tiger a couple of times [since her time out], Wie says. Its pretty funny that every time we lift off with, Hows your neck, hows your back? and hes like, Hows your this, hows your that? It takes about 10 minutes of checking off the injuries before we talk normally.

Its comforting talking to other athletes going through the same things. Sport can be harsh, but other stories can hit home and normalise it. It can give you a boost of energy to go again.

That does involve waiting until her wrist has healed. It is an injury which was plagued her since she fractured her right hand in a car accident two years ago. Wie is arthritic in both wrists and has just finished the latest round of platelet-rich plasma (PRP) injections to accelerate the healing of her injured ligaments. Her daily routine has become one of treatment, icing, recovery, therapy and repeat.

The break has provided a time for reflection, especially as she nears a milestone birthday. The twenties are hard, Wie says. They are too hyped. I think the twenties are the years you figure things out and Im excited about being in my thirties. Theres still so much more I want to accomplish.

With a degree in communications obtained from Stanford University, a career in TV when she hangs up the clubs looks the most likely option. Her commentary debut for the Golf Channel at the Solheim Cup was unsurprisingly assured.

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Michelle Wie exclusive interview: How golf's great prodigy grew up - The Telegraph