Arthritis pain

Osteoarthritis remains the most common joint disease in the world. It is characterized by chronic pain, joint stiffness, structural damage and bone remodeling through the progressive loss of cartilage. What most people do not know is that cartilage loss is the long-term result of joint instability from unresolved ligament trauma. This leads to destructive joint motions every time the joint moves which, over time, causes the wearing down of cartilage and the development of osteoarthritis. Since 1993, Caring Medical has been a leader in regenerative treatments for arthritic pain relief that helps patients avoid joint replacement surgery, as well as helps patients who already underwent a surgery that did not result in pain relief. Degenerative conditions need Regenerative medicine! Our specialists treat osteoarthritis of all joints, including knees, shoulders, hips, fingers, toes, ankles, and wrists, as well as the spine.

Symptoms caused by arthritis

  • Crepitation with movement
  • Deep, aching joint pain
  • Grinding sensation
  • Joint swelling
  • Loss of muscle strength
  • Muscle tenderness
  • Reduced movement
  • Stiffness
  • Tenderness

How soft tissue injury leads to degenerative arthritis

Following a trauma, ligaments become sprained and relaxed. If left untreated, chronic joint instability and destructive joint motion occur with continued use of the joint, ultimately leading to extensive degenerative changes and osteoarthritis. Destructive joint motion and the degenerative process can be prevented with appropriate intervention through Prolotherapy, including traditional dextrose Prolotherapy, Platelet Rich Plasma, and Stem Cell Therapy. These regenerative treatments can be used for arthritic joints as well, but utilizing these options earlier can potentially save a lot of lost time and lifestyle adjustments due to pain.

New view of Pathophysiology of Osteoarthritis

Osteoarthritis, or degeneration of a joint or spine, starts with ligament injury; thus, treatment should start with Prolotherapy. Plain and simple. This view of osteoarthritis is the correct view and someday hopefully will be accepted by modern medicine and then the treatment of choice for chronic pain from degeneration would be regenerative injection therapy (Prolotherapy).

Ligament injury (laxity)

Decreased tension on the bone at ligament-bone insertion site

Altered joint mechanics (instability) – increased force on subchondral bone

Subchondral bone sclerosis (thickening)

Shock-absorbing capacity of bone is drastically reduced

Shear stresses increased between bone-cartilage interface

Cartilage fibrillation and subsequent joint degeneration worsens

Cartilage breaks off (loose bodies) and bone spurs form to try to stabilize joint

Newer treatments for osteoarthritis focus on regenerative injection technique (Prolotherapy) to stimulate repair and healh of ligaments, ligament-bone interface which is where the primary source of pain is located. Cartilage repair is also initiated. Emphasis is on increasing anabolic processes by stimulating repair.

Prolotherapy for arthritis pain

Degenerative vs. Regenerative cascade. Traditional treatments intensify the degenerative cascade wheras Prolotherapy restores joint physiology and biomechanics.

Treatments that complement the inflammatory process will enhance the healing process

Treatment that increases blood flow causes an increase in the flow of immune cells to the injured tissue, which triggers the repair process. Movement, exercise, heat, massage, ultrasound, acupuncture, and physical therapy all improve blood flow and have a positive effect on healing. However, when these more conservative treatments do not resolve the issue within a few weeks, it is time to consider Prolotherapy to stimulate direct repair of the ligaments. This is why Comprehensive Prolotherapy is so effective for injuries that lead to osteoarthritis. For patients who have already been diagnosed with osteoarthritis, understand that this is a progressive degenerative disorder. It only gets worse over time and will get worse faster by utilizing treatments such as NSAIDs and cortisone injections. Prolotherapy is the opposite. The sooner that Prolotherapy is sought, the better the chance of repairing the integrity of the joint, relieving pain, and avoiding future joint replacement.

Cortisone Versus Prolotherapy Cortisone

CortisoneProlotherapy
Capillary dilationDecreasedIncreased
Blood flowDecreasedIncreased
Migration of immune cells to areaDecreasedIncreased
Phagocytic activity (clean up)DecreasedIncreased
Leukocyte numbers in areaDecreasedIncreased
Capillary proliferation (new blood vessels)DecreasedIncreased
Fibroblast proliferationDecreasedIncreased
Deposition of collagenDecreasedIncreased
Collagen strengthDecreasedIncreased
Protein synthesisDecreasedIncreased
Tissue strengthDecreasedIncreased

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You deserve the best possible results from your treatment. Let’s make this happen! Talk to our team about your case to find out if you are a good candidate.