Common sources of shoulder pain and how to treat it – Summit Daily News

Editors Note: Sponsored content brought to you by Panorama Summit Orthopedics

Shoulder pain can range from temporary to long-lasting, from motion-related to constant, but one of the most disruptive symptoms of any shoulder injury is its effect on sleep.

When you dont sleep, everything in life becomes harder, said Dr. Aaron Black, a shoulder, knee and trauma specialist at Panorama Summit Orthopedics.

Some of the most common sources of shoulder pain include rotator cuff injuries and arthritis. In Summit County, its common to see patients who develop shoulder arthritis as a result of previous injuries to the shoulder, such as a shoulder dislocation earlier in life, Dr. Black said.

A specific diagnosis and treatment plan can result in years or perhaps a lifetime of pain relief and increased mobility in this important joint. Its Dr. Blacks mission to make sure hes helping patients not only eliminate shoulder pain and weakness, but also get back to consistently healthy and restful sleep.

Primary arthritis vs. rotator cuff arthropathy

The two broad categories of arthritis most commonly seen in Summit County are primary arthritis and rotator cuff arthropathy, or secondary arthritis. Primary arthritis has no specifically known cause and is usually related to age, sex and genes, according to the Arthritis Foundation. Rotator cuff arthropathy happens after a large, long-standing rotator cuff tendon tear that no longer holds the head of the humerus in the socket, causing it to move upward and damage the surface of the bones, according to the American Academy of Orthopaedic Surgeons.

Shoulder arthritis is experienced as achy pain and stiffness around the shoulder that often feels worse in the morning, Dr. Black said. Rotator cuff arthropathy is usually associated with stiffness and weakness.

Nonoperative arthritis treatment

Nonoperative shoulder arthritis treatment includes physical therapy and injection therapies.

As with any arthritic joint, the more you use it, the less stiff it is and the less pain you have, Dr. Black said.

PT can help improve range of motion in the shoulder, while icing the shoulder two or three times a day can reduce inflammation and ease pain.

Dr. Blacks injection therapy options include cortisone and biologic agents, such as platelet-rich plasma (PRP), all of which act primarily as anti-inflammatories.

No biologic injection therapies contain stem cells for tendons or cartilage, despite advertisements to the contrary, and thus do not regrow cartilage or tendons, he said.

Cortisone injections can offer pain relief for three to six months, while PRP tends to last a bit longer, Dr. Black said. The procedures are performed in the office under ultrasound guidance.

Shoulder joint replacement (arthroplasty)

If shoulder arthritis is severe, its less likely that the nonoperative options will get the job done. The next option for these patients would be shoulder joint replacement surgery.

Dr. Black said there are two types of shoulder replacements: anatomic total shoulder replacement and reverse total shoulder replacement. There are roughly 53,000 of these surgeries performed each year in the United States, according to the American Academy of Orthopaedic Surgeons.

Both procedures have differing benefits. Dr. Black said that anatomic replacements can be done on patients of any age, but those who have it at a younger age might require another surgery later in life. The procedure works well for getting patients back to their normal activities.

Reverse replacements are extremely reliable for reducing or eliminating pain, but less reliable for getting full range of motion back, he said.

I do all of my shoulder replacements with custom 3D modeling and patient-specific guides made to ensure the components are in exact right position, Dr. Black said.

Dr. Black stresses that all joint replacements are elective surgeries.

I will never tell a patient they have to have a joint replacement, he said. This is symptom-based when you say its time, its something Ill say you should have. I want all of my patients to be informed about the options.

Shoulder joint replacement recovery includes about six weeks in a sling, and in three to four months most patients are back to regular activity with continued improvement from there.

Rotator cuff injuries

Another common local shoulder affliction is to the rotator cuff, which is the combination of muscles and tendons that keep your arm bone centered in your shoulder socket to provide shoulder motion and stability. Dr. Black said these injuries can happen during a fall when the arm is thrown away from the body, but sometimes rotator cuff injuries are chronic and happen over time.

Some people even have large tears to the rotator cuff without ever feeling any symptoms.

The good news is that there are a lot of treatment options, from physical therapy and injections to repair or reconstruction surgery.

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Common sources of shoulder pain and how to treat it - Summit Daily News

HEALTHBEAT 4: Alternatives to surgery – KTIV

SIOUX CITY (KTIV) -- Incisions. It's something you commonly think of when it comes to doctors.

But, many look to put down the scalpel and take an alternative approach.

"Most of the patients that come to my clinic, don't end up getting a surgery," CNOS Orthopedic Sports Surgeon Dr. Ben Bissell said.

Dr. Ben Bissell is an Orthopedic Sports Surgeon with CNOS. He said while there are many cases where surgery is the best option for patients.

"Acute ACL tear with meniscus tears and a locked knee in a young athlete, that particular issue just need surgery," Dr. Bissell said.

He said they always try to look for alternatives. To them, the most important thing is getting the correct diagnosis.

"The most important thing is to do a careful history and physical exam and X-rays and/or MRI if needed because every diagnosis has different treatment options," Dr. Bissell said. "It's important that we don't use a one size fits all approach."

Options like bracing, medications, physical therapy, platelet-rich plasma injections, or dry needling.

"I find kind of the area of dysfunction or sometimes people call it a knot," CNOS Physical Therapist Alex Tritz said. "I put the needle right into that area and then I piston it around to try and find a twitch. Then I use electric stimulation a lot with my needling. So I usually hook up to electric stimulation and I make the muscle twitch."

Tritz said many of the people she sees have chronic or acute pain. Many coming to her with sports-related injuries.

"Usually it's kind of to prevent surgery or a lot of times it's a last-ditch effort," Tritz said. "People that have had a lot of or have even had previous surgeries and they didn't get relief, this is kind of their last-ditch effort and I usually get pretty good results."

"I think in general the less invasive, more conservative approach is always best to try first," Bissell said. "Because it's less disruptive to their lives. It's less expensive and it's less risky."

Dr. Bissell said he always tells patients that "Plan A" is to try and avoid surgery and while 70 to 90 percent of patients he initially sees, don't need surgery, that can change.

He said some may need it after a year or two if the other options haven't worked.

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HEALTHBEAT 4: Alternatives to surgery - KTIV

Doctors harness the body’s healing powers to fight pain – KETV Omaha

Some local athletes are finding pain relief with a medical treatment that uses the bodys natural healing powers. Orthopedic surgeons and pain medicine doctors are using it in some cases where surgery isnt an option.Its called Platelet Rich Plasma, or PRP. And while it isnt new, it's relatively new in the Midwest, compared to coastal areas. Typically, we found it very effective for our athletes at the University of Toledo and we used it for their acute tendon injuries and ligament injuries there werent surgical, said Dr. Jeffery Ebel, sports medicine specialist with Ortho Nebraska. Ebel did his fellowship training in regenerative medicine in Ohio where he treated college football players with PRP.To do the procedure, a nurse does a simple blood draw from a vein in the patients arm. Then the blood is spun in a centrifuge and it separates into different layers. Doctors use a syringe to pull out just the platelet rich plasma layer. Then its injected into the patients joint or inflamed area. So the magic behind it, the thought process behind it is if we put these cells into an area that doesnt heal well on its own, will it bring that healing cascade to try to help a person heal an injury, said Ebel.Last fall, Ebel treated Bellevue University softball pitcher Cory Carillo with PRP.Her team trainer sent her to Ebel after she joined the team and brought along a nagging knee injury. Carillo has been a pitcher since age 6. My knee started hurting about two years ago. I kind of thought, Im going to get over it, said Carillo. But the inflammation was getting in the way of playing her best. She said her pitching style is a little awkward and her left knee locks when she releases the ball, causing the pain. Four months after the injection, Carillo is back to pitching and feeling great.Its actually really good. No pain. Im squatting. I couldnt squat before. Now Im full pitching which is awesome, said the 19-year-old. Ebel said the PRP treatments are most effective in treating young athletes and people with osteoarthritis. He notes the success rate is about 65-percent. He said the challenging part is that its a newer science and, We still dont understand quite how it works or who its going to work in, Ebel said. Ebel said golfer Tiger Woods credits PRP for relieving his pain and getting him back in the game again. He was one of the success stories, said Ebel. Several orthopedic specialists and pain medicine specialists offer the treatment in the Omaha and Lincoln area, including Ebel with Ortho Nebraska, Dr Thomas Brooks, with Innovative Pain and Spine Specialists in Omaha and Dr Kelly Zach at the Lincoln location. Some providers at Nebraska Medicine also offer PRP. Treatments start at $675 and up. And its a cash-only treatment. Insurance does not cover PRP. Some patients require two injections, months apart, to find relief.

Some local athletes are finding pain relief with a medical treatment that uses the bodys natural healing powers. Orthopedic surgeons and pain medicine doctors are using it in some cases where surgery isnt an option.

Its called Platelet Rich Plasma, or PRP. And while it isnt new, it's relatively new in the Midwest, compared to coastal areas.

Typically, we found it very effective for our athletes at the University of Toledo and we used it for their acute tendon injuries and ligament injuries there werent surgical, said Dr. Jeffery Ebel, sports medicine specialist with Ortho Nebraska.

Dr Jeffrey Ebel uses PRP for certain patients to help with pain relief.

Ebel did his fellowship training in regenerative medicine in Ohio where he treated college football players with PRP.

To do the procedure, a nurse does a simple blood draw from a vein in the patients arm. Then the blood is spun in a centrifuge and it separates into different layers. Doctors use a syringe to pull out just the platelet rich plasma layer. Then its injected into the patients joint or inflamed area.

So the magic behind it, the thought process behind it is if we put these cells into an area that doesnt heal well on its own, will it bring that healing cascade to try to help a person heal an injury, said Ebel.

Last fall, Ebel treated Bellevue University softball pitcher Cory Carillo with PRP.

Her team trainer sent her to Ebel after she joined the team and brought along a nagging knee injury. Carillo has been a pitcher since age 6.

My knee started hurting about two years ago. I kind of thought, Im going to get over it, said Carillo.

Cory is back to pitching full time and she says she is pain-free.

But the inflammation was getting in the way of playing her best. She said her pitching style is a little awkward and her left knee locks when she releases the ball, causing the pain. Four months after the injection, Carillo is back to pitching and feeling great.

Its actually really good. No pain. Im squatting. I couldnt squat before. Now Im full pitching which is awesome, said the 19-year-old.

Ebel said the PRP treatments are most effective in treating young athletes and people with osteoarthritis. He notes the success rate is about 65-percent. He said the challenging part is that its a newer science and, We still dont understand quite how it works or who its going to work in, Ebel said.

Ebel said golfer Tiger Woods credits PRP for relieving his pain and getting him back in the game again.

He was one of the success stories, said Ebel.

Several orthopedic specialists and pain medicine specialists offer the treatment in the Omaha and Lincoln area, including Ebel with Ortho Nebraska, Dr Thomas Brooks, with Innovative Pain and Spine Specialists in Omaha and Dr Kelly Zach at the Lincoln location.

Some providers at Nebraska Medicine also offer PRP. Treatments start at $675 and up. And its a cash-only treatment. Insurance does not cover PRP. Some patients require two injections, months apart, to find relief.

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Doctors harness the body's healing powers to fight pain - KETV Omaha

Canadians More Than Ever are Seeking Cosmetic Procedures of All Types to Look and Feel Best – Press Release – Digital Journal

In Canada in the past few years, there is a widespread interest in cosmetic procedures, especially the less invasive ones. The less invasive procedures can make phenomenal differences in how a person looks and feels. Because technology is now advanced and the procedures more available and therefore more affordable, more Canadians, are taking the leap towards cosmetic enhancements. Some of the most popular treatments include Botox injections for wrinkle reductions especially around the eye area and forehead. Botox is otherwise known as botulinum toxin and can freeze the facial muscles causing patients to refrain from overuse of some facial muscles.

Dermal and lip fillers are also at the top of the list, and collagen is primarily used for these procedures

Other popular procedures with minimal downtime for recovery are CoolSculpting also known as cryolipolysis, hair loss and hair growth treatments, hair removal treatments, and acne, scar and skin discoloration treatments. CoolSculpting freezes fat cells before removal and is especially popular for those individuals that are seeking to reduce a double chin. Its sometimes referred to as a cool mini as it is also used on other smaller body areas.

No matter what the bodily concern, the new techniques can assist almost anyone

Canada MedLaser Mississauga provides almost all the newest in cosmetic minor enhancements. Hair removal is extremely popular as unwanted hair is killed painlessly at the root using lasers. Those that are suffering from hair loss and thinning hair can benefit from a new technique called Platelet Rich Plasma or PRP, which is also offered at the Mississauga location of CML. Platelet Rich Plasma is taken from ones own body and then injected into the scalp, increasing the chances of new hair growth. It is revolutionary and incredibly non-invasive and has helped individuals with thinning or lost hair who have tried other procedures unsuccessfully. This type of plasma is also called autologous conditioned plasma and is now being used for a wide variety of cosmetic and other medical procedures. It is a new method but seems successful for a variety of conditions both cosmetic and otherwise.

Other cutting-edge plastic surgery techniques can now offer relief from acne scarring and Rosacea

Canada MedLaser Mississauga is versed ina large variety of techniques even Microdermabrasion. In addition, spider vein removal is offered and although an older procedure, this procedure remains very popular. Mississauga CML embraces the new technologies and cosmetic procedures and Canadians can benefit now from the advancement in procedures. From Botox injections to dermal and lip fillers, anti-wrinkle injections, all types of hair removal procedures, and hair thinning and loss as well as hair regrowth treatments, these procedures remain the most popular treatments in Canada today.

About Canada MedLaser Mississauga

This cosmetic clinic is in the Mississauga, Ontario region and specializes in cutting-edge technologies for cosmetic procedures. Botox injections for wrinkle reduction, dermal fillers and lip fillers, hair loss treatments, and hair regrowth treatments are offered alongside such procedures as CoolSculpting. Acne and scar removal as well as other skin conditions can be treated also. There is an online form, email and phone, with free consultations offered. Hours are geared towards the hectic schedule of consumers also and the staff is friendly and well-trained. There is a blog that focuses on explaining the new types of treatments.

Media ContactCompany Name: Canada MedLaser MississaugaContact Person: Media RelationsEmail: Send EmailPhone: 647-494-7764Address:1705 Lakeshore Road City: West MississaugaState: Ontario, L5J 1J4Country: CanadaWebsite: https://canadamedlaser.ca/location/

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Canadians More Than Ever are Seeking Cosmetic Procedures of All Types to Look and Feel Best - Press Release - Digital Journal

Platelet-rich plasma therapy (PRP): Costs, side effects …

Platelet-rich plasma therapy has made headlines, often because it is favored by elite athletes to help them recover from injury.

Some doctors are now using platelet-rich plasma therapy or PRP injections for several reasons, from encouraging hair growth to promoting soft tissue-healing.

However, research studies have not definitively proved that PRP works for the conditions it is reported to benefit. In this article, we have a look at the case for PRP, and the costs involved.

Platelets are blood cells with several roles to play in the body.

One is to promote blood clotting so that a person does not excessively bleed when they are cut.

Another is to contain proteins in the blood that help wounds to heal.

Researchers theorize that by injecting areas of inflammation or tissue damage with high concentrations of platelets, it can encourage wounds to heal.

A small blood sample is taken from the person being treated and put into a centrifuge or other specialized device that spins at high speed. This process separates platelets from other blood components. The concentration of platelets is then injected into the area of the persons body that needs to be treated.

Because the injection contains a high concentration of platelets, which can be from 5 to 10 times more than the untreated blood, doctors theorize that the platelets will speed up healing.

Some examples of treatment areas where PRP has been used include:

Doctors have injected PRP into the scalp, as a way of reducing the inflammation that can lead to hair loss.

Doctors first used PRP to help people heal after jaw and plastic surgeries. Examples of tissues that PRP has been used on include:

Ligaments can take time and be difficult to heal, which can make PRP an attractive option for some of those who have experienced injuries to this tissue group.

Doctors have used PRP to reduce inflammation caused by osteoarthritis. This inflammation can lead to joints becoming painful and stiff.

Research studies about PRP include:

Doctors are also trying to use PRP to heal broken bones, but no research has yet proven its effectiveness in this area.

Costs for PRP treatment are reported to be between $500 and $2,000.

It is not typically covered by insurance because of the lack of evidence, so far, to conclusively prove that it works.

Also, costs can vary depending on location, facilities, and the expertise of the doctor performing the treatment. Often, a person will have multiple injections given 2 to 3 months apart.

Some of the worlds most elite athletes have used PRP for wound healing. They include golfs Tiger Woods, baseballs Takashi Saito, and footballs Hines Ward and Troy Polamalu.

As injecting PRP involves using a persons own platelets, they do not usually experience any adverse reactions to the injections. However, it is possible that a person may have irritation, pain, or bleeding related to the injection site.

Most people can resume their normal activities almost immediately after having a PRP injection. The average time from blood-drawing to the injection itself is about half-an-hour.

While PRP is a promising therapy for those who experience tissue damage or hair loss, large-scale research studies are needed to establish the effectiveness of treatments.

With larger studies than those to date, doctors could identify a dose or injection routine that works best for treating injuries or other conditions. Also, further studies could help doctors determine what symptoms to exclude from PRP injections.

Until that time, PRP injections are likely to remain a controversial therapy not covered by medical insurance, the costs of which, people are required to pay for themselves.

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Platelet-rich plasma therapy (PRP): Costs, side effects ...

New informative research on Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Market 2020 | Major Players: Orange County Hair Restoration…

This industry research presents the Global Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Market size, historical breakdown data (2014 2019) and forecast (2020 2025). This report provides the estimation of market size and volume. Both top-down and bottom-up approaches have been used to estimate and validate the market size of Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies market. For the data information by region, company, type and application, 2019 is considered as the base year. Whenever data information was unavailable for the base year, the prior year has been considered.

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On the basis of products, the report split into: Platelet Rich Plasma Injections, Stem Cell Therapy

On the basis of the end users/applications:Dermatology Clinics, Hospitals

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New informative research on Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Market 2020 | Major Players: Orange County Hair Restoration...

Konica Minolta Healthcare Expands Ultrasound Guided Solutions Through Partnership with RegenLab USA – Yahoo Finance

WAYNE, N.J., Feb. 19, 2020 (GLOBE NEWSWIRE) -- Konica Minolta Healthcare Americas, Inc. announces a newly formed partnership with RegenLab USA LLC to distribute its regenerative medicine portfolio of bio-injectable products to the musculoskeletal (MSK), pain management, radiology and veterinary markets in the United States and Canada. The bio-injectable line includes preparation devices for Platelet Rich Plasma (PRP) and other blood cell therapies, delivered using ultrasound guidance. This partnership further broadens Konica Minoltas UGPro Solution, a comprehensive program that unites ultrasound imaging with targeted therapies and hands-on education to help improve patient outcomes.

The regenerative medicine market for sports medicine, orthopedics and pain management is experiencing rapid growth and projected to exceed $300 million in North America by 20251. This growing demand for PRP and other cell therapies aligns with our UGPro strategy of bringing the highest quality, clinically validated solutions to our customers, says Kirsten Doerfert, Sr. Vice President of Marketing, Konica Minolta Healthcare. Our alliance with RegenLab is founded on our mutual belief in the importance of clinical evidence and the desire to help our customers better serve their patients.

PRP is a concentration of platelets in plasma from a patients own blood (autologous). The preparation kits from RegenLab allow for the easy, rapid and consistent preparation from a small volume of blood with an optimal platelet concentration and viability. Procedures are performed under ultrasound guidance to allow the practitioner to visualize the needle in real time and precisely place the injectate in the desired location. With ultrasound guidance, the accuracy of nearly every joint injection exceeds 90%.

Patients are seeking less invasive, results-oriented therapies for MSK and orthopedic injuries, says Eric Sumner, Executive Vice President Ultrasound Sales at Konica Minolta. Our partnership with RegenLab gives our customers a complete solution, from the highest quality ultrasound systems to excellent PRP and cell therapy products, so they can maximize the quality of care for their patients and get them back to being active again. We are excited to add RegenLabs biologic therapies to our comprehensive UGPro Solution.

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The single use PRP kits are designed to consistently prepare high-quality PRP and other cellular therapies that clinicians can safely and easily deliver in their practice. As a leading innovator for the preparation of PRP, safety and efficacy of our products is paramount, says Antoine Turzi, Founder and CEO of RegenLab. Our alliance with Konica Minolta Healthcare further advances this area of medicine by giving physicians the ability to guide the accurate delivery of cell therapy prepared with RegenLab products.

Ultrasound injections also have the advantage of giving real-time feedback, where the physician is not only able to observe the treatment being delivered, but also visualize surrounding structures. Konica Minoltas SONIMAGE HS1 Compact Ultrasound System delivers superior image quality along with Simple Needle Visualization (SNV) technology that improves needle visibility so that clinicians can confirm proper placement of biologics. To help address the growing need for ultrasound-guided procedures and education, Konica Minolta Healthcare launched the UGPro Solution in 2018.

Konica Minolta Healthcare and RegenLab USA are committed to innovation that truly makes a clinical difference.

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About Konica Minolta Healthcare Americas, Inc.

Konica Minolta Healthcare is a world-class provider and market leader in medical diagnostic imaging and healthcare information technology. With over 75 years of endless innovation, Konica Minolta is globally recognized as a leader providing cutting-edge technologies and comprehensive support aimed at providing real solutions to meet customer's needs and helping make better decisions sooner. Konica Minolta Healthcare Americas, Inc., headquartered in Wayne, NJ, is a unit of Konica Minolta, Inc. (TSE:4902). For more information on Konica Minolta Healthcare Americas, Inc., please visit http://www.konicaminolta.com/medicalusa.

Contact:Mary Beth MassatMassat Media224.578.2388www.konicaminolta.com/medicalusa

A photo accompanying this announcement is available at https://www.globenewswire.com/NewsRoom/AttachmentNg/be3abedc-dd46-42f5-87a4-39e1555f3384.

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Konica Minolta Healthcare Expands Ultrasound Guided Solutions Through Partnership with RegenLab USA - Yahoo Finance

Joint Pain Injection Market Current Industry Status, Growth Opportunities, Top Key Players, Target Audience and Forecast 2020 to 2027 – Jewish Life…

Global Joint Pain Injection Market Analysis to 2027 is a specialized and in-depth study of the pharmaceutical with a special focus on the global market trend analysis. The report aims to provide an overview of joint pain injection market with detailed market segmentation by injection, joint type, distribution channel and geography. The global joint pain injection market is expected to witness high growth during the forecast period. The report provides key statistics on the market status of the leading Joint pain injection market players and offers key trends and opportunities in the market.

Joint pain injections are medicinal fluids inserted in the body of patients to get faster relief from severe pain. The joint pain injections are used to reduce inflammation in the joints. There are several types of injections available in the market which are corticosteroids injections, hyaluronic acid (HA) injections, platelet-rich plasma (PRP) injections and placental tissue matrix (PTM) injections.

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MARKET DYNAMICS:

The joint pain injection market is anticipated to grow in the forecast, owing to increasing prevalence of the osteoporosis, rise in the elderly population, increasing prevalence of the rheumatoid arthritis and others. The advancement in the field of pharmaceutical and orthobiologics are likely to create growth opportunities for the joint pain injection market.

MARKET PLAYERS

In addition, the report focuses on leading industry players with information such as company profiles, components and services offered, financial information of last 3 years, key development in past five years.

The report also includes the profiles of key joint pain injection market companies along with their SWOT analysis and market strategies.The Insight Partners dedicated research and analysis team consist of experienced professionals with advanced statistical expertise and offer various customization options in the existing study.

MARKET SEGMENTATIONThe global joint pain injection market is segmented on the basis of injection, joint type and distribution channel. Based on the injection segment the market is classified as hyaluronic acid injections, corticosteroid injections and others. On the basis of joint type the market is segmented as knee, foot and ankle, shoulder and elbow, hip and others. Based on distribution channel the market is classified as retail pharmacies, hospitals pharmacies and others.

REGIONAL FRAMEWORK

The report provides a detailed overview of the industry including both qualitative and quantitative information. It provides overview and forecast of the global Joint pain injection market based on various segments. It also provides market size and forecast estimates from year 2017 to 2027 with respect to five major regions, namely; North America, Europe, Asia-Pacific (APAC), Middle East and Africa (MEA) and South & Central America. The joint pain injection market by each region is later sub-segmented by respective countries and segments. The report covers analysis and forecast of 18 countries globally along with current trend and opportunities prevailing in the region.

The report analyzes factors affecting joint pain injection market from both demand and supply side and further evaluates market dynamics effecting the market during the forecast period i.e., drivers, restraints, opportunities, and future trend. The report also provides exhaustive PEST analysis for all five regions namely; North America, Europe, APAC, MEA and South & Central America after evaluating political, economic, social and technological factors effecting the joint pain injection market in these regions.

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Arthritis treatment: A controversial treatment promoted by a certain royal could help – Express

Arthritis is an umbrella term for a number of conditions that cause swelling and tenderness of one or more of the joints. Osteoarthritis and rheumatoid arthritis are the two most common types of arthritis. There's no cure for arthritis, but there are many treatments that can help slow it down and maintain quality of life, including this unusual one.

Osteoarthritis mainly affects the hands, spine, knees and hips, whereas rheumatoid arthritis usually affects the hands, feet and wrists.

Experts are researching ways to use stem cells therapy to help treat arthritis in the knee and other joints.

Many doctors already use stem cell therapy to treat arthritis, but it is not considered standard practice, with some even calling the treatment controversial.

READ MORE: Joe Swash health: I had to learn everything again Actors scary virus

There is a lot of debate around stem cell treatment and it is helpful for potential patients to understand what stem cells are and the issues surrounding their use in arthritis therapy.

How the treatment could help is by reducing inflammation in the body.

In arthritis, the immune system mistakenly attacks the tissue that lines the joints, which causes pain, inflammation, swelling and stiffness.

By reducing inflammation, stem cell therapy increases the presence of healthy cells in the body.

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And it would seem that stem cell therapy has sparked some interest from the royal family.

Princess Michael of Kent, the wife of the Queens cousin Prince Michael, recently appeared in a slick promotional video for a clinic in the Bahamas that offers similar joint therapy.

Look at that, the Princess declares proudly in the five-minute film, holding her right arm high above her head after stem-cell injections for a painful shoulder.

"Its amazing I think stem cells are the future, theres no doubt in my mind."

A stem cell is a type of cell not specialised to perform a specific role.

Instead, it has the unique ability to develop into one of many different types of cell. Stem cell therapy uses stem cells to replace dead and diseased cells within the body.

The human body contains over 200 different types of cell. Usually, each type has certain characteristics that allow it to preform a specific role.

Cells with similar roles group together to form tissues, which then organise to form the bodys organs.

Scientists source the stem cells from body tissue, either from an embryo or an adult human and isolate them in the laboratory.

After manipulating the cells to develop into specific types, they then inject the cells into the recipients blood or tissue.

Researchers are still investigating ways of using stem cells to control inflammation and regenerate damaged tissues.

Mesenchymal stem cells (MSCs) are types of stem cell that can develop into cartilage and bone. Synovial MSC therapy involves injecting these cells directly int the tissues surrounding the affected joints.

Some research shows that MSCs are also able to suppress the immune system and reduce the bodys inflammatory response.

This makes MSC therapy a promising treatment option for autoimmune conditions such as arthritis.

But for all the positive evidence supporting the treatment, it remains hugely controversial.

Most specialists say there is little robust evidence to show it works and it has not been approved by the UK medicines regulator, the National Institute for Health and Care Excellence. Leading health experts most standard approaches to treating arthritis is advising patients to lose weight and get more exercise.

In the US, Google has banned all advertising for products that contain stem cells or another regenerative therapy which uses blood cells, known as platelet-rich plasma, or PRP, because regulators describe the treatments as "new and exploratory".

And in the UK, experts have rubbished claims that Lipogems can treat arthritis.

Professor Chinmay Gupte, consultant orthopaedic surgeon and senior lecturer in knee surgery at Imperial College London, warns: These are extremely expensive treatments, and largely unproven. The problem is when youre desperate, youll try anything.

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Arthritis treatment: A controversial treatment promoted by a certain royal could help - Express

Dr. Shereene Idriss Shares 2020 Filler Innovations and Trends – coveteur.com

Dr. Shereene Idriss explains one of the biggest factors thats aging you that you may never have heard of before.

As the saying goes, new year, new you, right? It depends on who youre speaking with, but if youre asking your dermatologist, they might explain that its not that simple. Theres no magical serum or cream that can completely turn back the hands of time, but with the recent innovations in cosmetic procedures, it is easier than ever to help your skin age gracefully. Fillers especially are one of the most popular options for people who are looking to lift, firm, or otherwise minimize obvious signs of aging, like fine lines and wrinkles.

There are always new research and innovations within the world of dermatology, so we sat down with top NYC dermatologist Dr. Shereene Idriss to get the 411 on the most exciting breakthroughs for 2020. From the two new filler formulations to the most requested cosmetic proceduresplus one of the biggest factors thats aging you that you might never have heard of beforethis is what we can look forward to in the skin-care market in the year ahead.

What has been the most requested procedure in the past few months, and what do you expect to continue throughout 2020?

A lot of jawline addressment, wherein people want a more rigid, firmer, or more defined jawline. Not a different-looking jaw, which I have to re-educate some people aboutyou have to work in sync with the face. A strong jawline definitely saves the face as we age, since our chins and our jawlines sag. But your jawline has to align with your mid-face. It has to co-exist in a way that makes sense.

Why do you think that is becoming such a popular request?

I think its Instagram. Its both a blessing and a curse. People are oftentimes seeing versions of themselves that are maybe not real. But even if you think of the big-name celebrities, like Kim Kardashian or Jennifer Lopez, they have very strong jawlines. They are associating it with being beautiful. Some patients are coming in with that mind-set, versus being an actual candidate for that procedure. Its really up to the physician to be true to themselves so that people dont start morphing into these caricatures were seeing. [Some of] these crazy jawline fillers almost look like theyve gotten an implant. It really doesnt match the face.

What about in terms of filler innovations?

There was a rumor about Volite [coming] out in 2020. Itll be interesting to see how a lightweight hyaluronic filler can replenish moisture in the dermis. [Its] a lighter effect that helps with the texture of the skin. I also heard that Revance, the approved form of Teoxanewhich is a resilient form of hyaluronic acid, meaning its longer-lastingitll be interesting to see how well incorporate it when using various fillers in the face. Theyve been using it outside of the United States for a while now. With regards to Teoxane, they have four different ones, three of which have been FDA-approved in the US, and theyre all indicated for different areas of the face. The fourth one is still going through approval. Its like having different paintbrushes in your toolbox.

Is there anything that doesnt yet exist that youre hoping to see developed within the world of fillers?

I think that facial anatomy is so complicated when it comes to structure. There is no miracle product, like in skin care. I dont think it would be good to have a filler that could address all of your problems, because when you think of the face, you want everything to work a little differently. You want it to be sturdier around the jawline to hold the face up, or along your cheekbones. You want it to be malleable along the cheeks or where you smile, so your face can move. It doesnt make sense to have a miracle filler, in my mind.

What about longer-lasting filler?

It makes sense to me to have a long-lasting filler; however, it comes with a caveat. I dont think that having super long-lasting filler is really beneficial because our bone structure changes so much as we age, especially in our 40s. So if you have a long-lasting filler over an ever-changing face, things can start to look wonky over time.

If you look at [cheek] implants, you would have these patients come in, and there are a few who are a bit older because its not as trendy now or en vogue, but their cheeks are sitting [higher] and everything is aging around it, [so] they have a Cruella de Vil look because its not moving. With an aging face, you have to be malleable; you have to work with an aging face. You cant be rigid.

Illustration: Meghann Stephenson... Read More

How much bone density are you losing when you start to age? What is the average percentage per decade?

It starts in your 20s. There is a study from 2012 [stating that] bone structure reduces about 90 percent after menopause. Aging is associated with the decrease in the growth hormone secreted in the pituitary gland. Its decreasing at 14 percent per decade. I dont know if this is associated with bone resorption, but its significant. It cant be overlooked. [Which is why] I feel strongly about not using semi-permanent fillers in the face. I think you can use them in different areas of the face to your benefit, but in the midface, area thats actively changing, you have to grow with the face.

Along with jaw filler, what is another type of treatment that youre seeing more often with your patients?

Younger and younger women are asking for under-eye [filler]. I think it has to do with the filter effect [thats] going on, where people think they shouldnt have a little line under their eyes when they smile. Id say thats normal. Sometimes you definitely should [explore under-eye filler] if the wrinkle is a little deeper, but Id say those two [are the most popular].

What is the process for using the filler under the eye?

Its a tricky area. I think more people think they need it, that theyve lost volume in the eye area, when really their face is dropping. Its better to lift the face laterally with filler around the eye, in my opinion, without really going for the under-eye filler. There are two ways you can do filler: with a blunt-edge needlea cannulaor a sharp-edge needle. But it really depends on what the physician is comfortable using.

Always [use] a lightweight filler for under the eye. I personally dont do the eye without addressing the rest of the face. If youre scared of fillers, you can always do the PRP [platelet-rich plasma] injections, which take your own blood and separate the growth factors. Its still an invasive procedure, but its coming from yourself.

As fillers have become more socially acceptable, do you think people are shying away from more invasive procedures, or are they fatigued by fillers and are searching for something else long-term?

Im very biased because I only see my patient population. The first question I always ask an older patient is Are you someone who wants to get a face-lift in this lifetime, or are you completely against it? The person who is OK with it, Im looking at their skin quality and anatomy and seeing if theyre a candidate for a face-lift. I would push them to get one, and then we can maintain it when they come back to me. A lot of people ask me to reverse or fix work. I think, unfortunately, there are a lot of people out there who just listen to exactly what their patient wants, and that can result in unnecessary amounts of filler to the face, without thinking about the surgical procedure as a choice.

I always think about whether or not this age [at which to recommend a face-lift] will be pushed back because of all of the advances weve made to tighten and resurface the skin. I think that the age of having to get a face-lift is going to be pushed back over time. [Right now] people start to take it seriously at 55-plus.

What is the average age of the first-time filler user in your practice?

Ive noticed three main peaks. The first one is 30 to 33, where they feel like over the past six months their face has shifted. The second one is 39 to 42, where the change happens more dramatically, maybe over a month or so. And then again, in your late 40s, where I get told over and over again, I woke up one morning and I dont recognize myself. Help. Volume loss starts to happen in your late 20s, early 30s, which makes sense if youre thinking about bone density and all of that. Youve probably lost weight, gained weight, et cetera.

For a client whos coming in and saying I dont understand why I look older, but I do. Please help. What is your strategy?

I really look at the face. When youre looking at aging, its a number of things. Its volume loss; its if you have any built-in wrinkles in your face; its the color of your skin; its how elastic your skin is, and your bone structure. I will start with one and see if it works. Some people want Botox but have no lines. I try to tell them, You dont need it yet. There are women out there that listened to their moms [to take care of their skin] and look like little fairies and look impeccable. But theres always the one beginning sign of [aging].

Photo: Shot on site at 6 Columbus, a Sixty Hotel. On Jonelle: Necklace, Baker & Black,Catbird; Hair, Angela Soto; Makeup, Andriani.

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Dr. Shereene Idriss Shares 2020 Filler Innovations and Trends - coveteur.com