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Arthritis

ArthritisOsteoarthritis is by far the most common form of degenerative joint disease and the most common source of disability among adults in the US, affecting approximately 23% of the adult population. The condition can occur in any joint, but most often affects the hands and weight-bearing joints, such as the knee, hip, and facet of the spine.

As we age, chronic injuries and normal wear and tear on our joints cause the articular cartilage that cushions and protects the joint to wear down. Friction from bones rubbing against each other leads to pain and inflammation, in turn leading to further degeneration of tissue. Articular cartilage covering the bones in the knee has a limited capacity to repair. Without treatment, deterioration will progress.

Traditional Treatment vs Orthobiologic Procedures

Traditional treatment for arthritis has focused on treating the inflammation and pain associated with this condition. Although pain relievers can make you feel better, they do not change the course of the disease. Some treatments can actually make your condition worse. Cortisone will reduce inflammation, but in turn inhibits healing and further damages tissue. Surgery, on the other hand, ignores the body's ability to heal from within and removes the tissue itself, causing lengthy rehabilitation and often poor results.

Autologous cell therapies treat the root cause of your pain using cells from your own body, providing long lasting results. The focus is healing from within. Research showing on a molecular level how the body actually heals has allowed physicians to develop more effective ways to treat arthritis. Regenerative Orthopedics is radically changing the way musculoskeletal conditions are treated, providing cures for people who have been living — until now — with few treatment options.

 

Medical research focusing on how our body actually heals on a cellular level is

providing new options for treatment of osteoarthritis.

Dr. Minotti is excited to offer Patients age 65 and over a new treatment protocol for knee osteoarthritis.

The Minotti protocol for knee osteoarthritis combines two procedures: viscosupplementation and PRP. The solutions for each of these is combined and presented to the patient in a sequence. The series allows for continued improvement for long term arthritic conditions at a reduction in price. The combination itself is not new with significant research supporting its effectiveness. Dr. Minotti has used this research to develop a protocol that combines the benefits of each procedure to enhance the other. By combining the procedures, he is able to offer PRP, normally a cash-based procedure, at no cost for the first two injections and at a 50% discount for follow-up procedures. Viscosupplementation is generally covered by insurance plans, leaving minimal cost to patient.

Knee Osteoarthritis Chart

 

 

PRP video

Platelet Rich Plasma Therapy successfully treats injured joints and osteoarthritis. Blood drawn from the patient is condensed and re-injected to enhance the natural healing process.

Knee Osteoarthritis Protocol
Protocol Information

Protocol Information

Articular cartilage covering the bones in the knee has a limited capacity to repair. Without early intervention, trauma to this tissue generally advances to cartilage degeneration and osteoarthritis. Osteoarthritis is by far the most common form of degenerative joint disease and is the most common source of disability among adults in the US, affecting more than 30 million adults or approximately 23% of the adult population.

Minotti Protocol for Knee Osteoarthritis

Combining viscosupplementation and PRP is not new with significant research supporting its effectiveness. Dr. Minotti has used this research to develop a protocol that combines the benefits of each procedure to enhance the other. By combining the procedures, he is able to offer PRP, normally a cash-based procedure, at no cost for the first two injections and at a 50% discount for follow-up procedures. Viscosupplementation is generally covered by insurance, leaving minimal cost to patient.

Viscosupplementation

Viscosupplementation with hyaluronic acid involves the injection of a thick, gel-like substance that relieves pain by lubricating and cushioning your knee joint. Hyaluronic acid (HA) naturally occurs throughout the bodyand is a significant component of synovial fluid found in joints. Hyaluronic acid also has anti-inflammatory effects that further reduce pain and temporarily limit deterioration. When injected into the knee, HAallows bones to move smoothly over one another and acts as a shock absorber for joint loads. There is no evidence, however, showing thatHA reverses the arthritic process or re-grows cartilage.

Platelet Rich Plasma (PRP)

Treatment of knee osteoarthritis is difficult due to the lack of blood vessels in cartilage which results in low regenerative capacity. PRP condenses cells necessary for tissue repair to enhance the natural repair process. Regenerative cells contained in blood are injected into areas where blood has difficulty reaching.Blood contains amazing healing power with many types of cells transporting blood cells, nutrients, and metabolic waste products. Platelet cells contain growth factors, such as alpha-granules, and tissue building proteins central to tissue repair. They also stimulate release of localized stem cells through a process called "signaling." By condensing platelet cells, their healing capacity is magnified and then targeted to damaged tissue, accelerating and enhancing the healing process.

Inclusion Criteria

  • Age 65 and older
  • No intra-articular corticosteroid injections in the past month
  • X-ray confirmed diagnosis of osteoarthritis of the knee
  • At least 6 months since last hyaluronic acid injection
  • Tried and failed conservative care for at least 90 days. Conservative care examples: non-steroidal anti-inflammatory medications (e.g. ibuprofen), non-narcotic analgesics (e.g. acetaminophen), intra-articular corticosteroids, non-pharmacologic (eg. exercise, physical therapy, weight loss if overweight),non-pharmacologic (eg. exercise, physical therapy, weight loss if overweight)
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Protocol criteria

To qualify for this study, patients must be age 65 or older, carry a form of Medicare or Medicare Advantage as primary insurance, no intra-articular corticosteroid injections in the past month, and have X-ray confirming diagnosis of osteoarthritis of the knee.

Participants must have tried and failed some form of conservative care for at least 90 days. Conservative care examples: Non-steroidal anti-inflammatory medications (eg. ibuprofen), Non-narcotic analgesics (eg. acetaminophen), Non-pharmacologic (eg. exercise, physical therapy, weight loss if overweight) Non-pharmacologic (eg. exercise, physical therapy, weight loss if overweight).

 

Leader in orthobiologic treatment for musculoskeletal conditions

Dr. Dennis E. Minotti II, DO

Dr. Minotti is specialty trained in Neuromusculoskeletal Medicine by the American Board of Neuromusculoskeletal Medicine with advanced training in Regenerative Medicine. His primary focus is Regenerative Orthopedics, nonsurgical procedures designed to accelerate regeneration of cells in healing of acute and chronic musculoskeletal injuries. Founder of North Texas Musculoskeletal Medicine in Southlake TX, Dr. Minotti is a pioneer in the field of regenerative medicine.

He believes that orthobiologic procedures such as Platelet Rich Plasma (PRP) and Stem Cell Therapy are a new frontier in medicine, offering treatments that effectively bridge the gap between medications that mask pain and invasive surgery. As scientists learn more about the physiology of how our bodies heal, healthcare is able to use this research to find new and better treatments.

Many scientists believe the concept of intrinsic healing is a new frontier. Medicine is changing. The wonders of the human body and its ability to balance and heal itself are at the center of this medical renaissance.

 

How to manage arthritis naturally without medication or surgery

Platelet Rich Plasma Therapy condenses the many types of cells contained in the patient's blood to inject directly into damaged tissue. Platelet cells contain growth factors, such as alpha-granules, and tissue building proteins central to tissue repair. They also stimulate release of localized stem cells. By condensing platelet cells, their healing capacity is magnified to greatly enhance the cellular environment to accelerate and enhance the healing process.

Stem Cell Therapy uses mesenchymal stem cells derived from the patient’s own tissue, generally from bone marrow or adipose (fat) tissue. These cells have the capacity to differentiate into various cell types that compose the joint- cartilage, tendon, muscle, and bones. Through a process called "signaling," their key role is to direct other cells through the healing process. Arthritis can overwhelm the body's ability to regenerate tissue by depleting localized stem cells. Harvested cellsare injected directly into damaged tissue to supply what the body needs for more effective healing.

ViscosupplementationViscosupplementation with hyaluronic acid, involves the injection of a thick, gel-like substance that relieves pain by lubricating and cushioning your knee joint. Hyaluronic acid (HA) naturally occurs throughout the body and is a significant component of synovial fluid found in joints. Hyaluronic acid also has anti-inflammatory effects that further reduce pain and temporarily limit deterioration. When injected into the knee, HA allows bones to move smoothly over one another and acts as a shock absorber for joint loads.

Osteopathic Manipulative Medicine focuses on improving joint restriction and misalignment. When bones in the joint do not fit together as designed, several things happen. Bones can rub together causing irritation and subsequent inflammation. The structural dysfunction can also cause strain on surrounding ligaments and tendons, creating further damage, pain, and inflammation. Osteopathic manipulation helps to restore the structural integrity of the joint, allowing it to function naturally and effectively. Osteopathic Manipulation will release muscle tension around the affected joint and improve range of motion. OMT will also help to ensure function of related areas to more evenly distribute movement and loading on the joints.

 

We Can Help

To learn more about what we can do to help you, please call our office at 817-416-0970. We will thoroughly diagnose your condition and present you with treatment options. From there we will guide you along your road to recovery.

 

 

Renaissance means rebirth or regeneration. Every few generations medicine takes a major turn. We’re at one of those junctures now with regenerative medicine — where healing is triggered from within the human body. It’s bringing a whole new universe to how physicians provide care. It’s a whole new realm of healing. --Mayo Clinic Center for Regenerative Medicine



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