Stem Cell Therapy, Is it right for me?
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Who is a Candidate for Cell Based Therapy?
Cell based therapies correct biochemical imbalances and not biomechanical problems with joints. Thus, if your joint is bowed or bent more than 10 degrees or has serious ligament and/or meniscus problems, these need to be evaluated and treated first before cell based therapies can be effective. Symptoms such as giving away of the joint and difficulty in dressing may indicate underlying biomechanical problems of a joint. Dr. Loniewski wants to ensure that the right treatment is matched to the right patient to ensure an optimal outcome and therefore it is very important to have a thorough physical exam by a board certified orthopedic surgeon with the appropriate studies such as a standing x-ray and in most cases an MRI to evaluate the joint for underlying biomechanical problems such as meniscus tears or stress fractures of the bone. We want to ensure we only recommend treatments that have the best chance of providing you with the best outcome and this survey is a step in the right direction. You can take the simple survey by visiting our web site at : advancedortho.net and clicking on “Am I a candidate for stem cell therapy” under the Stem Cell/PRP tab.
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The Benefits of Exercise and Strengthening
Exercise after stem cell therapy improves results
Simple cyclic low stress exercise for only 20 minutes per day helped improve the results of stem cell therapy. Researchers at the Sapporo University School of Medicine in Japan and Yale University have found that adding in simple walking exercises to rats who received mesenchymal stem cells not only significantly reduced the size of the stroke lesion in the brain but also stimulated more brain activity and improved their ability to recover from the stroke compared to rats who received stem cell therapy alone.[1] Another study conducted at the Yamaguchi School of Medicine found that simple eccentric muscle exercises of your thigh muscles such as performing wall squats activated stem cell proliferation for up to 5 days after the exercise.[2] So, it does appear that we may be able to improve the number of stem cells activated and the overall results of stem cell therapy with simple, motion and stretching exercises. We encourage our patients to participate in a 20 minute per day exercise program such as 15 minutes of stationary bike riding and 5 minutes of thigh muscle exercises. Advanced Orthopedic Specialists offers one on one therapy with a registered and certified physical therapist if they prefer a more personalized instruction.
[1] Synergic Effects of Rehabilitation and Intravenous Infusion of Mesenchymal Stem Cells After Stroke in Rats. Sasaki Y, Sasaki M, Kataoka-Sasaki Y, Nakazaki M, Nagahama H, Suzuki J, Tateyama D, Oka S, Namioka T, Namioka A, Onodera R, Mikami T, Wanibuchi M, Kakizawa M, Ishiai S, Kocsis JD, Honmou O. Phys Ther. 2016 Nov;96(11):1791-1798. Epub 2016 May 12.
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CUISINE CORNER
Cell Friendly Recipe From Chef Steve of The Wooden Spoon
Steve graduated from the Schoolcraft Community College culinary program in 1992. He has been the winner of the Gleaners Iron Chef fund-raising competition three times. When he is not working, Pilon enjoys spending time with his family, his wife Kate and three children; Lauren, Hanna and Reid.
A little about The Wooden Spoon: Our passion is creating great tasting, chef-crafted food from within our neighborhood. We strive to anticipate the tastes of tomorrow and provide the convenience necessary for today's active lifestyle. Our purpose is to create an atmosphere that is intimate but casual, where you can enjoy food you have eaten your whole life, or food you have never tried before.
The following recipe was developed by Chef Pilon to help with the cellular repair of your joint. Broth's made from bone marrow stock such as Pho and Tom Yum can provide an optimal diet for your growing cells. This broth is normally served in Asian countries such as Cambodia and Thailand as a staple of their diet. The word "Tom" is not someone's name and refers to the boiling process. The second word "Yam or Yum" refers to the full spice flavor of this broth. If you want to take a shortcut in this recipe, you can purchase Tom Yum paste on-line through Amazon or Walmart. If you want even an easier way to experience this dish, you can visit the Wooden Spoon at 675 Grand River, Brighton, MI
Tom Yum Goong Recipe
Serves 2 | Prep Time: 15 Minutes | Cook Time: 10 Minutes
Ingredients:
2 1/2 cups shrimp stock (best), canned chicken stock, or water
10-12 shrimp or 8 oz (head-on and shell-on but chop the eyes part off, devein if you like)
3 1/2 tablespoons lime juice
6 bird’s eyes chilies (pounded)
3 (big) slices galangal
6 kaffir lime leaves (bruised)
2 tablespoons nam prik pao (Thai roasted chili paste)
2 tablespoons oil of nam prik pao OR melted coconut oil
3 teaspoons fish sauce
1 stalk lemongrass (cut into 3-inch strips, pounded with a cleaver)
6-12 canned straw mushrooms / fresh oyster mushrooms / fresh or canned button mushrooms
4 ounces of pea tendrils
8 ounces rice noodle (medium size and Hydrate in hot water for 30 minutes)
Method:
In a pot, bring 3 cups of water to boil. Then add a big handful of shrimp/prawn heads. Boil the shrimp head until the water turns slightly orange in color. Press the shrimp heads with spatula to extract the “goodies” from their heads. Let the stock reduce to slightly more than 2 1/2 cups. Drain the shrimp stock and discard the shrimp heads.
Add lemongrass, galangal, kaffir lime leaves, bird’s eye chilies, mushrooms, nam prik bao to the shrimp stock and bring it to boil. Add in the shrimp, rice noodles, pea tendrils and fish sauce. Lastly, add the lime juice (if you add lime juice too early, the soup might turn bitter). Boil until the shrimps are cooked, dish out and serve hot.
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Doctor's Forum - FAQ
"How long will it take to have pain relief after my procedure?"
This is a common question and rightfully so because many of our patients with arthritic conditions of their joints want to know when to expect to return to the activities they enjoy with less pain. The answer is sometimes related to the extent of the disease in the joint. Many patients start to notice some gradual improvement at 3 months. Patients with more advanced disease may take 4 months or more to improve. The improvement is not based on the appearance of your x-rays, but rather how you feel and how active you can be. Some patients can have improvements seen on an x-ray, but have little to no pain relief while others can have little improvements on the x-ray and have significant improvement of their functions of normal daily activity. Thus, we judge how your are feeling rather than your x-ray findings. We are working on methods to accelerate this healing process and provide you with more rapid pain relief. Stay tuned for some breaking news in the near future.
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If you have questions regarding cell based therapies and would like to learn more, call for an appointment at 810-299-8550. Click on the link below to see if you are a candidate for stem cell therapy.
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