What is a stem cell treatment and when is it indicated?

Currently there are different types of new and alternative treatments, among them you have probably heard of stem cell therapy. Stem cells are cells with the ability to become specialized cells (muscle, brain, bone, blood cells, etc.) as well as being able to regenerate and repair tissues.

Thanks to their potential to transform into specific cells, stem cells have been used for different types of therapies. Among them for the treatment of neurodegenerative, blood and heart diseases, and within regenerative medicine to treat osteoarticular afflictions.

Stem cells are injected into different sites around the injury and damaged tissue to produce an inflammatory reaction that stimulates local healing, increases tissue vascularity, and signals cell recruitment, helping ligaments, tendons, and joint cartilage to heal.

This treatment is used to treat chronic pain, joint diseases, and is most recommended for serious injuries such as severe tears, advanced osteoarthritis, and damage to the menisci in the knee. It is also indicated for the following benefits: joint stability, to slow down or reverse the progress of the damage, improvement in movement, and in some cases try to avoid surgery.

Before starting treatment, a complete clinical history and examination will be carried out, as well as complementary studies to find out if you are a candidate for treatment. It is essential to go to a specialist doctor with experience in these treatments, who will indicate if it is possible to perform it and how many therapy sessions are necessary. It is a safe and fast treatment that can be performed in the office and is an outpatient procedure, the patient does not need to be admitted. In addition, an improvement in pain of more than 85% has been reported, obviously the results depend on the age of the patient, their general state of health, type and degree of injury.

If you think you are a candidate for this therapy, do not hesitate to seek medical advice.

Why is it important to have a trustworthy physiotherapist?

Physiotherapy is a very essential discipline in the health field aimed at the prevention and treatment of injuries and dysfunctions of the movement of our body to maintain or restore a patient’s physical condition.

So, what is the role of a physical therapist?

The physiotherapist is a professional in charge of carrying out a therapy plan and carrying out the treatment through exercise and physical therapy methods such as electrotherapy, cryotherapy, hydrotherapy, among others. In the same way, they should promote and educate healthy habits about our posture and activities.

It is also important to know that not all physical therapists are the same, just like other health professionals, physical therapists also have different areas of specialization. Among them are the sports, neurological, respiratory, geriatric, and pediatric physiotherapists.

The type of physiotherapist who will oversee our care will depend on our needs and diagnosis. Physiotherapy is currently necessary not only to treat any discomfort or injury, but as mentioned above for the prevention and maintenance of our musculoskeletal system.

An example of this is lumbago (low back pain) which is one of the main reasons for consultation worldwide, usually caused by long working hours where the person is sitting most of the time; a physical therapist can help decrease pain and prevent future injuries.

In the case of athletes, going to therapy even without presenting any pain is recommended to improve their joint strength and flexibility.

If you need to go to physical therapy, you now understand the importance of it and the duties of a physical therapist. The next thing you need to know is why it is important to have a trustworthy one.

What are the benefits of having a trusted physiotherapist?

The first reason is to establish a good professional relationship for better communication so that the patient can express their concerns and expectations, the physiotherapist will know your medical history in detail and will know all your needs, they will only provide the essential therapies for your recovery, and you will have a safe space for your treatment.

Before going to physiotherapy, it is necessary to go to a medical consultation to rule out any complications or serious injury. Depending on the diagnosis, on some occasions, a comprehensive treatment will be provided together with the doctor and the physiotherapist. If you present any injury, chronic pain, difficulty in your mobility or any other muscular problem, go for a check-up.

Orthopedics and Traumatology VS a Sports Medicine Physician. What medical branches do each of them cover?

Medical school lasts approximately 4 to 7 years (depending on the country), after which doctors have the option of continuing their studies by studying a medical specialty, which consists of different branches and completion time. However, many people may still have doubts about the work of each specialist and their differences. An example of this is the confusion between an orthopedic traumatologist and a sports medicine doctor.

Let’s start by explaining each one separately. Traumatology and orthopedics fall within the surgical specialties and focuse on the study, diagnosis, and treatment of diseases of the musculoskeletal system such as congenital diseases, fractures, dislocations, degenerative injuries, among others. Their treatments can be pharmacological, with orthopedic devices, or surgical (arthroscopy, reconstruction, amputations, fixations, etc.).

Sports medicine, as its name suggests, specializes in the prevention, diagnosis and treatment of injuries caused during physical activity and sports practice. They also have extensive knowledge of the metabolism of athletes and the effects of exercise on the body. One of its main functions is to provide athletes with comprehensive and continuous care to increase their performance and efficiency within their sport, and as mentioned above, to prevent any type of injury. The most common causes of consults are tendinopathies, tears, sprains, and joint injuries; however, the sports doctor also sees athlete pathologies such as heart disorders, altitude sickness, jetlag, over training, muscle imbalances, ergogenic foot changes among so many other things.

These differences in many cases complement each other, for example, an athlete with a fracture that requires surgery or a patient seeking alternative and less invasive therapies.

If you are an athlete and have suffered an injury, it is best to go to a sports medicine doctor for a personalized examination based on the sport you practice for a prompt and effective recovery, maintaining your sports performance.

The process of prolotherapy from the diagnosis to treatment

The process of prolotherapy from the diagnosis to treatment

Prolotherapy is a minimally invasive treatment that consists of injections of an irritating solution in an area of injury or with pain. The solution generates a local inflammatory response, which favors the repair and regeneration of the tissue in that area.

In which patients can prolotherapy be performed?

Prolotherapy can be used in different cases and in different types of patients, from children to adults. The most frequent causes are joint pain, low back pain (lumbago), neck pain, chronic pain, among others.

Before treatment, it is necessary to go to a consultation for an examination and diagnosis. A clinical history is important to know the history of the pain, from its onset, type, location, and cause. It is also important to know previous treatments for current pain and existing illnesses.

This is accompanied by a physical examination where the doctor will perform maneuvers to assess mobility and pain, this in some cases is complemented by an imaging study, commonly ultrasound to accurately detect the injured area such as the muscle or tendon, which will also help guide the treatment.

Once it is decided to carry out prolotherapy, the patient is scheduled at the doctor’s office. It is important to remember that it is an outpatient treatment, so the person can return home after the therapy is completed. It is recommended to wear comfortable clothes that give easy access to the area where the injections will take place.

As we mentioned before, prolotherapy consists of several injections around the affected area, the irritating solution is usually dextrose, but PRP, P2G and stem cells, among others are also used. Before infiltrating with said solution, local anesthesia is placed through small injections in the previously marked sites, which makes it a less painful therapy.

After its application, the patient should expect slight discomfort and inflammation at the site during the first hours that can last from 48 to 72 hours, which is why rest is solicited during this period.

The necessary sessions vary depending on the diagnosis and severity of the pain, but they are usually 3 to 6 sessions with a month of rest between them. An improvement of more than an 80% has been reported after treatment.

It is essential to go to a specialist doctor with experience in prolotherapy for an effective and safe treatment.

Muscle pain types, causes, and treatment alternatives

Muscle pain types, causes, and treatment alternatives

Muscle pain, also known as myalgia, is the affection of one or several of our muscles. The discomfort is usually not serious and is self-limited. However, it is still a common cause of medical consultation.

Chronic muscle pain affects a large percentage of the population, occurring mostly in people who play sports or who make constant movements at work. In the case of sports, the sports with the highest risk are football, basketball, martial arts, and athletics.

Myalgias have various causes, the most common are injuries due to trauma, tension, or overload. There are also “non-muscular” causes, which means that muscle pain is not related to exercise or activities and is secondary to a disease or infection such as: hypothyroidism, osteomalacia, magnesium deficiency, pyomyositis, lupus, fibromyalgia, among other myopathies (muscle diseases).

The most common traumatic injuries are contusions, wounds, muscle tears, sprains, cramps, and stiffness (Delayed onset muscle soreness).

For prevention, it is recommended to improve our posture, avoid carrying a lot of weight, stretch before any physical activity, and stay hydrated.

It is important to go to the doctor after any injury, especially if the pain is intense, if there is redness in the area, if there is difficulty in movement, presence of inflammation or a hematoma.

Diagnosis is made in consultation with both a history and physical examination. It is important to identify the cause, as well as the type and location of the pain. It can be a clinical diagnosis, but sometimes imaging studies such as an ultrasound or a magnetic resonance imaging can be used to complement it. If a non-musculoskeletal cause is suspected, other more invasive studies can be performed.

The treatment will depend on the patient and the type of injury, in minor injuries we could add a pharmacological treatment with an analgesic and rest, as well as bandaging and the application of cold/heat. Muscle massages can also be included for muscle relaxation and to help relieve pain.

In case of persistent or serious injuries, more invasive therapies can be carried out, such as prolotherapy, which by several injections of an irritating solution creates an inflammatory reaction that regenerates the damaged tissue, favoring the reduction of pain.

In the presence of any injury or muscle pain, you should go to the doctor for a complete evaluation, in this way any complication can be ruled out and timely treatment can be provided.