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Dr. Minotti discusses two issues: 1) Credentialing process and Databiologics Registry to standardize Regenerative Orthopedics 2) Low back pain: Spinal structure and why PRP helps long term pain relief.

Back pain is something most of us have experienced in our lives. What most of us do not think about is how our spine is designed. Our spine is a series of small bones (vertebra) that are joined together by connective tissue called ligaments. Muscles also play a key role in keeping your vertebrae aligned. When these tissues are strained or become overly lax, they are unable to maintain proper alignment, resulting in back pain.

Dr. Minotti discusses why conditions such as osteoarthritis, ligament sprains, and tendon injuries are so difficult to heal and treatment options beyond surgery or cortisone.

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.

Stem Cell Therapy and PRP are the most effective methods as they do not rely on localized cells for repair. Over a period of time, stem cells, growth factors and nutritional cells become depleted in the surrounding tissue as your body tries to repair the deterioration of cells. A healthy cellular environment and its role in healing is a concept I like to emphasize with my patients. Generally, this healthy environment no longer exists with arthritis.

Dr. Minotti gives an overview of Regenerative Medicine and its applications for Musculoskeletal Medicine, including success rates for these procedures and common applications.He also develops the negative effects cortisone can have on joint injuries.

The body's cells are constantly dying and being replaced by new ones. Some parts of the body replace cells at a high rate, while others have very little turnover.Regenerative Medicine helps your body accelerate productionof repair cells in areas where it is needed.

The concept behind this field of medicine is called orthobiologics. Biological substances that are naturally found in the body are collected and used to promote quicker healing of orthopedic conditions such as injured tendons, muscles, ligaments, cartilage and bones.

Dr. Minotti discusses application of PRP and Stem Cell Therapy to tendon injuries. He presents the physiology of joint injury and how these injuries heal.

Inflammation is your body's method of rushing healing cells to the site of injury. Damaged tendons transmit pain impulses to the brain. Through a subconscious reflex, the surrounding muscles go into a painful spasm in an attempt to stabilize the joint. Muscles become tight and painful as they try to compensate for the weak and damaged underlying structures. Spasm in the muscles further decreases the blood flow and nutrient supply to the tissue, contributing to increase in the breakdown.

This chronic tension leads to deterioration of the tendon attachments and tendinosis, often resulting in chronic tendon degeneration. Small micro tears develop that often lead to further rupture of the tendon.