December 20, 2019
If you’ve watched the news or been on the internet in the past 10 years, then you’ve likely heard the term “stem cells.” Scientists and doctors around the world are claiming they can be used to heal all sorts of chronic and acute conditions ranging from carpal tunnel syndrome to back pain to tendon/ligament injuries, but this begs a basic question: What are stem cells? What makes them so special? In today’s blog, we get down to basics and discuss why stem cell therapy is creating so much excitement in the realm of regenerative medicine.
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April 22, 2019
Meet Dr. LaVallee
While Dr. LaVallee joined us with a solid foundation in
sports medicine and non-surgical orthopedics, Dr. Tortland has spent the last
18 months personally training him in the art of Regenerative Medicine,
including PRP and stem cell treatments. Dr. LaVallee has also had extensive
training in both diagnostic and interventional ultrasound. Dr. LaVallee’s
skills are now so good that he has been invited to help teach musculoskeletal
ultrasound! We encourage patients not to hesitate to see Dr. LaVallee for
their painful orthopedic and musculoskeletal needs.
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April 3, 2019
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:
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March 26, 2019
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
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.
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March 12, 2019
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.
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March 1, 2019
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
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February 6, 2019
Are you considering “decompression shoulder
surgery” (also known as subacromial decompression) for rotator cuff
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).
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January 19, 2019
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.
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December 20, 2018
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.
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December 16, 2018
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.
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