"Are you being injected with toxins when you go to the doctor? A recent new study looked at the toxicity of injections given into joints by orthopedic surgeons and related specialities (such as rheumatology, sports medicine, pain management, and physical medicine & rehabilitation). Specifically, researchers looked at the potential toxicity of corticosteroid injections (aka, "cortisone" injections), local anesthetics such as lidocaine and bupivicaine, contrast agents (dyes used for MRI and x-ray guided injections), and hyaluronic acid (aka "gel" or "viscosupplementation" injections).
Human cartilage and tendon cells were grown in the lab and exposed to three different concentrations of the various agents.
The findings showed that the level of toxicity to the cells varied according to both the injected agent and the strength of the agent. At the highest concentrations anesthetic agents, contrast agents, and the steroids were the most toxic, resulting in marked reduction in cell growth. There was less toxicity at the lowest concentrations. Hyaluronic acid, however, showed NO toxic effects on cells at any concentration.
Bottom Line: A sure-fire way to speed up the degeneration of an arthritic joint is to get repeat cortisone injections, particularly because cortisone is almost universally mixed with lidocaine when injected, and both are toxic. So there is an additive effect. We're not saying that you should never get a cortisone injection; they can be very helpful in select cases. But in our office we use the lowest doses possible to achieve a therapeutic benefit while reducing any risk to the cells. On the other hand, "gel injections," such as Synvisc®, Monovisc®, Euflexxa® and Hyalgan®, to name just a few, are very safe to the cells.
PRP is Effective for Hip Arthritis
PRP (platelet-rich plasma) can provide pain relief and functional improvement in patients with mild to moderate hip osteoarthritis (OA), according to a study published in the April 8, 2019 issue of the journal Pain Medicine. The study followed 36 patients between 49-85 years old with chronic hip pain due to OA. Patients received a single ultrasound- or x-ray-guided injection of PRP into the affected joint. Changes in symptoms were measured at 2 weeks, 3 months, and 6 months following injection. A favorable response was considered a 50% or better improvement in measurement scores of pain and the Hip Disability and Osteoarthritis Outcome Score (HOOS).
At two weeks after injection, there was a significant improvement of function in two HOOS subscales: Symptoms and Activities of Daily Living. There was a significant improvement in all HOOS categories at six months. A significant improvement in pain scores was also seen at six months. Sixty-seven percent (24/36) of the patients reported a ≥50% improvement in pain at three months; 58% (21/36) reported a ≥50% improvement in pain at six months. Overall, an average of 84% of patients treated had at least 50% improvement at 6 months. Testing was not continued beyond 6 months.
Note that this study looked at people with early (mild) or moderate arthritis. Those with more advanced or severe arthritis most often need more aggressive treatment, such as stem cell injections [https://www.newenglandstemcells.com/stem-cell-treatments.html].
PRP is a treatment that harvests the natural healing potential of growth factors and healing proteins found in your own blood. It can be an effective treatment for arthritis, tendinitis, sprains & strains, rotator cuff injury, tennis & golfer's elbow, Achilles tendinitis and plantar fasciitis, and neck and back pain, to name just a few conditions. Dr. Tortland was the first physician in New England, and among the first in the entire country, to begin performing PRP injections for orthopedic and musculoskeletal conditions. He and Dr. LaVallee are among the most experienced providers in the country. To learn more about PRP and whether it might be a treatment option for you, visit our web site: https://www.newenglandstemcells.com/prp---platelet-rich-plasma-treatments.html.
"Are Planks Really the Best for a Strong Core?"
We're constantly told about the importance of developing and maintaining a strong core to help with posture and back pain. And many fitness advisors and trainers advocate performing planks to help. But are planks really all they're cracked to be? Pro athlete trainer, Jeff Cavaliere, thinks differently, and backs it up with anatomy and science. Jeff, founder of AthleanX.com, is a physical therapist and certified strength and conditioning coach. He was also the trainer for the New York Mets baseball team and now trains many professional athletes. Click the following link to watch his video on "The Truth About Planks:" https://www.youtube.com/watch?v=ZyWEXjdAGCQ&t=7s
Featured Service - Vampire Facial®
Tired of those fine wrinkles around your face? Would you like to reduce the effect of sun damage on your skin, or maybe just look years younger? Consider the revolutionary Vampire Facial®! Created by Dr. Charles Runnels, the Vampire Facial uses your body's own natural growth factors and healing proteins, extracted from your own blood (using PRP, or platelet-rich plasma), to rejuvenate your skin and help you look years younger. The process is simple and virtually pain-free. Dr. Tortland is the most experience PRP provider in New England, and is now offering the Vampire Facial®. Visit our web site to learn more: https://www.newenglandstemcells.com/vampire-facialreg.html
Going to the doctor’s office can be a nerve-racking experiences for many people. As such, patients have the option of seeking care from another clinician if they feel their current physician isn't meeting their needs. While each doctor may be unique, there are common traits that most patients look for in their physician. Here are the most important characteristics, according to MedPage Today:
Does your physician measure up?
To read the full article click the following link: https://www.healthecareers.com/medpage/article/career/8-vital-traits-of-the-ideal-physician?utm_source=medpagetoday&utm_medium=email&utm_campaign=mpt-career-news-physicians-8-vital-traits
At the New England Stem Cell Institute our entire staff strives to meet and exceed these traits. Call us today to see if we can help you!
A new study published in a recent issue of the American Journal of Sports Medicine showed that a single injection of PRP (platelet-rich plasma) was both more effective and longer lasting than a cortisone injection for the treatment of symptomatic gluteus medius tendinitis.
80 patients were randomized to receive either a PRP injection or a cortisone under, both under ultrasound guidance. The PRP injection resulted in greater improvement in pain and function than a single cortisone injection. The improvement after the PRP injection was sustained at 2 years, whereas the improvement from the steroid injection was maximal at 6 weeks and not maintained beyond 24 weeks.
The gluteus medius is a muscle deep to the gluteus maximus. The gluteus medius tendon attaches to the side of the hip bone, known as the greater trochanter. The main function of the gluteus medius to help rotate or turn the hip outwards and to help stabilize the hip and leg.
Pain over the greater trochanter is most often misdiagnosed as "trochanteric bursitis," and patients routinely receive cortisone injections to treat it. But studies increasingly show that the underlying problem far more commonly is glute med tendinitis. Cortisone is a powerful anti-inflammatory. But the underlying problem is wear and tear of the tendon, much more than inflammation. And cortisone not only does little to help repair the damage, it can actually cause more harm to the tissue! PRP, on the other hand, actually stimulates a natural repair of the damaged tendon.
Are Amniotic Fluid products "stem cell" products?
In short, NO!
A new study, published in the March 9, 2019 issue of the American Journal of Sports Medicine, seven commercial companies that provide amniotic fluid products (AFPs) were invited to participate in the study. Only 3 companies (the manufacturers of PalinGen®, FloGraft®, and Genesis® AFPs) agreed to participate and donated AFPs for analysis. The AFPs were evaluated for the presence of mesenchymal stem cells (MSCs) and for various growth factors relevant to orthopedics.
The results showed that MSCs could not be identified in the commercial AFPs or the unprocessed amniotic fluid. MSCs WERE cultured from bone marrow aspirates (control group). Nucleated cells were found in 2 products (PalinGen and FloGraft), but most of these cells were dead. The few living cells that were found did not exhibit established characteristics of MSCs. However, growth factors were present in all products at varying levels.
BOTTOM LINE: Amniotic Fluid Products should NOT be considered "stem cell" therapies. This is important because an increasing number of "stem cell" clinics are popping up, offering "stem cell" treatments using AFPs. This is both deceitful and fraudulent. While these products DO contain some useful growth factors and they can play a role in regenerative medicine treatment, they are NOT "stem cell" treatments, and patients should use caution when considering receiving "stem cell" treatments from such clinics.
At the New England Stem Cell Institute our stem cells come ONLY from YOUR BODY! We adhere to the highest ethical standards as set forth by the Orthobiologic Ethics Consortium, to which were an original signatory.
Do you know EXACTLY what's being injected when you get a treatment?
Over the past year, at least 17 people have been hospitalized after being injected with products made from umbilical cord blood, according to state and federal health officials and patient reports. Sold as a miracle cure for a variety of intractable conditions, the injections have sickened people in five states. One product in particular was the main culprit. Read the linked story: https://www.washingtonpost.com/national/health-science/miraculous-stem-cell-therapy-has-sickened-people-in-five-states/2019/02/26/c04b23a4-3539-11e9-854a-7a14d7fec96a_story.html?noredirect=on&utm_term=.563891637e2c
Looking to profit from the rapidly growing stem cell market, an alarming number of clinics are popping up, many owned and operated by chiropractors who hire poorly trained providers to administer treatments. These clinics advertise "stem cell" treatments. But the products being injected contain NO stem cells. And as the story highlights, they may even be dangerous.
Here at the New England Stem Cell Institute we only use stem cells from YOUR OWN BODY. We abide by a strict code of ethics. And we never misrepresent what your treatment consists of.
Trust your PRP, stem cell, or other regenerative medicine treatment to New England's leading Regenerative Medicine provider - New England Stem Cell Institute. Call us today!
Are you considering "decompression shoulder surgery" (also known as subacromial decompression) for rotator cuff impingement?
A new study published in the Jan. 15, 2019 issue of the British Journal of Sports Medicine showed that "subacromial decompression surgery provided no important benefit compared with placebo surgery or exercise therapy, and probably carries a small risk of serious harms."
Surgeons have hypothesized that shoulder impingement arises due the rotator cuff tendons getting pinched between the ball of the shoulder and the overhanging portion the shoulder blade (the acromion).
This mechanistic hypothesis has driven the use of subacromial decompression surgery—removal of the subacromial bursa and some bone from the acromion to prevent impingement on the rotator cuff tendons.
But the new British study calls into question the wisdom and benefits of surgery.
If you're looking for non-surgical alternatives to your orthopedic or musculoskeletal condition look no further than the New England Stem Cell Institute. We're nationally recognized leaders and pioneers in non-surgical orthopedics and Regenerative Medicine, including stem cell, PRP, amnion, placenta, umbilical cord blood, and Prolotherapy treatments. Contact us today!
Jan. 19, 2019 | Jupiter, FL
Dr. Tortland was the Moderator and a featured instructor at a stem cell and regenerative medicine course hosted by the Regenerative Medicine Training Institute. The hands-on course, titled "Hands-On Orthobiologics Clinical Applications, Techniques and Procedures for Orthopedics, Sports Medicine, Pain Management and Spine," saw 20 physicians from around the country (and one from the Philippines!) learn the knowledge and essential skills needed to begin to introduce regenerative medicine into their practices. Dr. Tortland moderated the morning's didactic lecture session, and he was an instructor in the afternoon's hands-on cadaver lab workshops. He also performed a live patient treatment in front of the group. (He holds a valid Florida medical license.). Dr. Tortland is an internationally recognized teacher in the field of Regenerative Medicine and musculoskeletal ultrasound.
The U.S. Food and Drug Administration (FDA) has warned Genetech, Inc. of San Diego, CA for marketing stem cell products without FDA approval and for significant deviations from current good tissue practice (CGTP) and current good manufacturing practice (CGMP) requirements, including some violations that may have led to microbial contamination, potentially causing serious blood infections in patients. Genetech processed umbilical cord blood from into unapproved human cellular products, which was distributed by Liveyon, LLC.
Genetech, and other similar companies, take donated human umbilical cord blood from woman giving birth and they process the blood, allegedly to extract the stem cells and growth factors. The final product is then packaged and marketed to physicians and clinics. In the case of Genetech, the product sold by Liveyon is marketed as containing viable stem cells. However, independent testing has verified that Liveyon contains NO live viable stem cells. In fact, there is NO commercially available product that contains ANY live viable stem cells. Period. The FDA is also sending letters to other firms and providers offering stem cell treatments notifying them of agency’s regenerative medicine policy framework.
Patients need to be educated on this last point because an increasing number of questionable "stem cell" clinics are marketing "stem cell" treatments involving the use of amnion, placenta, or cord blood-derived products. Such claims are not only completely fraudulent but also a violation of FDA regulations.
While orthobiologic products derived from human placenta, amniotic fluid/membrane, or cord blood CAN have therapeutic benefit (and here at the New England Stem Cell Institute we use some of these products very judiciously), they are NOT "stem cell" treatments. Currently the only FDA cleared stem cell treatments are those that use the patient's OWN stem cells, and only when processed according to approved FDA guidelines.
You can be fully assured that EVERYTHING we do here at the New England Stem Cell Institute complies fully with FDA guidelines, and we will NEVER do anything that puts our patients' health, and our reputation, at risk.
Full story: https://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm628918.htm
A new study published in the journal Cartilage showed that PRP (platelet-rich plasma) injections are significantly more effective than cortisone injections for treating symptomatic arthritis of the thumb.
33 patients were randomized to receive either 2 cortisone injections or 2 PRP injections, spaced 2 weeks apart. They were evaluated at 3 and 12 months after the 2nd injection. After 12 months' follow-up, the PRP treatment group showed significantly better results in comparison with the corticosteroids.
This study is important because 1) Many people suffer from arthritis of the thumbs; 2) It confirms via research what we've been seeing clinically-- that PRP does work, and 3) it provides a viable alternative to steroids, which have been shown to cause further joint deterioration when given repeatedly. Until the advent of PRP there had been very few good options for treating arthritis.
However not all PRP is the same! Rather than relying on one-size-fits all commercial PRP kits, we make our own PRP to insure the highest quality and most effective PRP, and we tailor it for the individual patient. Also, not all injections are given the same way, even when done under ultrasound. We've been doing PRP longer than anyone in New England, and longer than most in the country. Few have our level of skill and experience. And, we're nationally recognized experts in musculoskeletal ultrasound. Let us help you with your arthritis or chronic pain condition. Call today!
CLICK HERE for more information about PRP.
Nov. 25, 2018
"Intra-articular injections of platelet-rich plasma [PRP] are associated with better outcomes than hyaluronic acid in knee osteoarthritis." So conclude the authors of a new study published in the Scandinavian Journal of Surgery.
The study looked at 190 patients with knee osteoarthritis (OA). (OA is the common "wear and tear" type.) 94 patients received PRP injections while 84 received hyaluronic acid injections. Each patient received 3 injections and were evaluated before injection, at 15 days, 6 months, 12 months, and at last follow-up. Hyaluronic acid-treated patients experienced a higher arthroscopic surgery rate (36.0% vs 5.3%), lower range of motion, and worse scores on standardized tests than the PRP-treated patients.
Hyaluronic acid injections are also common referred to as "HA" injections, "gel" injections, and "viscosupplementation" injections. Common commercial products include Synvisc®, Hyalgan®, Monovisc®, Gel-One®, and Euflexxa®, to name just a few. These products are commonly used to treat knee OA.
To learn more about PRP and how we can help you with your arthritis pain, click here!
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Glastonbury CT 06033