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Shoulder periarthritis, Gonarthrosis, Coxarthrosis, Chondropathy. Difficult, complicated names, just like medicine in general. What are we talking about? A set of degenerative diseases that affect our bones as we age. How to improve the standard of living of patients? The answer is regenerative medicine.

The degenerative pathology in general, articular and / or tendinous muscle, a consequence of a normal process of more or less premature aging, or post-traumatic events, represents a not easy challenge for orthopedists and physiatrists.

The scale of therapy, contains different steps, depending on the severity and complexity of the picture, and can range from simple therapy by mouth, through intramuscular therapy, to the conservative infiltrative semi invasive and invasive, ending up in prosthetic interventions.

The team of No more pain offers a path of care in regenerative medicine shared and agreed with the orthopedic colleague and fellow physiatrist; a path based on an equation: cost-risk-benefit-lasting.

Here are 4 possible treatments of Regenerative Medicine:

  • Semi-invasive, infiltrating, intra-articular treatment, guided eco / tac, with cross-linked hyaluronic acid (hymovis-fidia), and supporting medical therapy (supplements); currently it is the best choice.
  • Semi-invasive, infiltrating, intra-articular treatment with prp (platelet-rich plasma). currently it is outdated, in abandonment, due to the presence of contamination of pro-inflammatory cells such as neutrophils, basophils, eosinophils ……
  • Invasive, infiltrative treatment with tncs (mononuclear cells from peripheral blood), monocytes and lymphocytes. Innovative procedure, simple and effective and does not present contamination of pro-inflammatory cells such as neutrophils, basophils, eosinyphiles, etc .; greater indications in bone cysts, tendon injuries, muscle injuries and pseudoarthrosis.
  • Invasive, infiltrative treatment with mesenchymal cells from adipose tissue (lipocell); they are cells capable of promoting spontaneous healing of degenerated tissues. Greater indications in the cartilaginous lesions, joint endo bone.

In some special cases, arthroscopy and endo-articular cleansing could be performed at the same time and the mesenchymal cells subsequently inserted. Subsequently the patient needs a physiotherapy cycle.

Which route to choose? Well, given that the population ages, widespread arthrosis and serious diseases such as diabetes, bronchitis, heart disease increase as well as high-risk prosthetic surgery (and high social cost), we can say that infiltration as regenerative medicine cost much less than prosthetics and they can be done several times … without forgetting that each case must be carefully evaluated.

Ali Younes

Ali Younes

Former medical director, head of simple structure in anesthesia and pain therapy ASL Pescara - P.O. Popoli, was Head of the operating theaters and Pain Therapy Department at the Villa Letizia Hospital in L'Aquila. Qualified expert in: invasive and semi-invasive pain therapy / fibromyalgia / cannabis therapy / regenerative medicine with mesenchymal and stem cells / personalized medicine.

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