As far as cartilage is concerned, its certainly a good thing to have more. . But getting really freaked out about not having an ideal amount of cartilage, or having surgery solely due to a tear in the meniscus thats visible on an mri is not a good idea. Stem Cell Cartilage regeneration on mri cartilage regeneration on mri based on more than a decade of experience in using stem cells to treat knee arthritis, the patients who normally get the best before and after mri results with regard to cartilage healing are those. For examples of mris that show improvement in cartilage following stem cell treatment, see these posts: Trochlear groove cartilage defect treated with stem cells A cartilage lesion under the knee cap treated with cultured cells Improvement in medical compartment cartilage thickness in a patient with. Stem Cells Dont Regenerate large Stretches of New Cartilage in Patients with severe Arthritis, so what do they do? Youll notice that in all of the cases above, the patient had only a small problem in the cartilage. For example, none of these patients were bone on bone.
These same irritated nerves can cause bad chemicals to be dumped into the joint. The bone in the joint can accumulate many tiny microscopic fractures and this leads to bone swelling, which can also lead to pain. Whats really interesting is that of the mri findings listed above ( cartilage loss, meniscus tears and bone swelling only bone swelling, or whats called a bone marrow lesion (BML) is linked to knee pain! So if Cartilage loss Has been over Hyped, What Should i care About the most? You should care about how your knee functions. This means that all of the ligaments that hold it together are doing their job. If it does, this is a sign of the toxic witches brew mentioned above. Does it have bmls on mri? This means the bone is failing and may help explain your pain more than cartilage loss or a meniscus tear. The nerves are also an important factor and consideration.
Torn Meniscus, symptoms, surgery, treatment recovery time
Firstly strengthening the muscles around the outside of the ankle. Secondly, by improving your balance. This may require the use of specialised equipment such as a "wobble-board or a "trampette." However, similar exercises can be practised at home by using medication a cushion, or a piece of sponge. Your physiotherapist will help you with this. If your ankle or Achilles tendon are stiff, you will also be shown exercises to stretch these. If your foot shape makes you prone to extra stress on the ankle ligaments, a moulded insole may be advised for your shoe to reduce these stresses. Most people will find their ankle much more stable and comfortable after physiotherapy. However, in some people problems continue. At this point the opinion of an orthopaedic foot and ankle surgeon may be helpful, and your general practitioner may refer you for further treatment.
For example, the orthopedic surgical community has drilled into the heads of herstel patients now for a generation that a torn meniscus on the mri of a middle-aged person is a big deal. However, based on multiple research studies this seems to be more of a marketing message created to sell unnecessary surgeries than anything thats based in scientific reality. In essence, a meniscus tear seen on an mri of a middle aged person who has knee pain is about as important and clinically meaningful as the wrinkles on their forehead. So if cartilage loss and meniscus tears usually dont have much to do with why a knee hurts, what does cause this issue? Frankly, were just beginning to unravel this medical mystery. Luckily, we do know a few things: There is a toxic witches brew of chemicals that live inside the joint that cause swelling and continue to break down the structure. There are nerves inside and around the joint that along with the nerves in the spinal cord become sensitized to pain signals.
They will stretch your ankle to see if the ligaments are abnormally weak. An X-ray will usually be taken to see if there is any damage to the bones of your ankle. Ligaments do not show on X-rays. Ligament damage can be shown by taking X-rays with your ankle stretched in various directions stress views or with a magnetic (MRI) scan. However, these special tests are usually not needed at first. What can be done about ankle instability? Most people with ankle ligament instability have damage to the ligaments, which can be overcome with appropriate physiotherapy rehabilitation. The rehabilitation concentrates on two main areas.
Cartilage damage : Symptoms, causes, diagnosis, and treatment
If you have a severe ankle injury it is best to get professional advice immediately. Things that suggest a severe injury include: your ankle is so painful that you cannot walk on it all the ankle looks deformed the skin over the ankle is broken the injury was caused by a severe force such as a fall from a height. Should I have physiotherapy? Most simple sprains get better without any special treatment. However, if you have a severe injury or the initial injury does not recover normally, it is usually best to see a physiotherapist. The hospital casualty or orthopaedic department, your own gp or your sports club can arrange this. Physiotherapists also advertise in Yellow Pages and local papers.
Will i keep having trouble with my ankle? The majority of ankle injuries get better completely and cause no long-term problems. Unfortunately occasionally there is permanent damage to the ankle. The ligaments may fail to heal properly and become weak - leading to ankle instability, or there may be damage to the joint itself or some other structure nearby - leading to ankle pain and swelling. How would ankle instability be diagnosed? Your doctor or physiotherapist will listen to your complaints about your ankle and examine you. They will look for any sign that you have some other problem around your ankle, such as damage to the joint surface.
Occasionally small pieces of bone may be torn off with the ligaments. In a few cases, a twisting force on the ankle may cause other damage. The bones around the ankle may be broken, a piece of the cartilage lining the ankle may be chipped off, ligaments connecting other bones in the foot may be sprained or torn, or the tendons around the ankle may be damaged. What should I do if I sprain my ankle? Most ankle sprains are fairly minor injuries, which will get better with simple self-care treatment.
The word rice reminds us of the basic treatment of a sprained joint: r est - take the weight off the injured joint as much as possible for a day or two. I ce - an ice pack (a small bag of frozen peas is ideal) can be applied for 10-15 minutes, 3-4 times a day to reduce swelling. C ompression - a support bandage or strapping will help to reduce the swelling. E levation - resting with the ankle above the height of the body will allow swelling to drain away into the bloodstream. Although a couple of days rest is useful, it is best to start taking some weight on the injured ankle reasonably soon after injury, usually within 2-3 days. Also start to exercise and stretch the injured ankle as soon as possible after the injury. Normally a sprained ankle will recover within 6-8 weeks, although it may tend to swell for a few months longer. When should I go to casualty?
Torn meniscus - symptoms and causes - mayo clinic
The front and middle bands are the ligaments injured in a sprain. The tibia and fibula form a joint between themselves just above the ankle. This also has strong ligaments, one at the front and one at the back (tibio-fibular ligaments). The ligament at the front is involved in 10-20 of ankle sprains; this injury is important, as it takes a long time to heal, although it usually heals without the need for surgical treatment. How do the ankle ligaments get injured? Most knorpelschaden ankle ligament injuries are caused when the foot twists inwards. All of the body's weight is then placed on the lateral ankle ligaments. The anterior and middle fibres of the ankle stretch or tear a in sprain or strain of the ankle.
What are the ligaments of the ankle? The ankle is a hinge joint between the leg and the foot, and allows up and down movement. The bones of the leg ( tibia and fibula ) form a slot, and the talus bone of the foot fits between them. The talus is held to the tibia and fibula by strong bands of tissue called ligaments. Each ligament is made of many strands or fibres of a material called collagen, which is extremely strong. The ligament on the inside of the ankle (the deltoid ligament) has two layers; the deepest one is most important. This ligament is mainly torn in association with severe fractures of the ankle bones. Sporting injuries of this ligament are rare. The ligament on the outside of the ankle ( lateral ligament ) is made up of three separate bands: one at the front (anterior talo-fibular ligament one in the middle (calcaneo-fibular ligament) and one at the back (posterior talo-fibular ligament).
cartilage. . given the orthopedic communitys obsession with cartilage loss, you would think we had solid evidence showing that loss of cartilage in a knee is directly associated with increased pain and disability. In reality, there is little evidence thats actually true. The largest government funded research studies to date do not relate more cartilage loss to pain. In other words, there are lots of people walking around out there with bone on bone knees who dont have much pain and seem to get along just fine. There are also people with normal cartilage on their mris who are in tremendous pain. Knee pain is a very complex thing that goes beyond the structure seen on an mri.
There are hundreds of studies of animal models where these cells have been shown to help repair cartilage. In fact, as of this morning there heup are 1,782 such studies listed in the. National Library of Medicine. So from a conceptual standpoint, we have good prima facie evidence that this can work. When looking at different stem cell sources, the two most commonly used today are bone marrow and fat. Of the two, theres much better evidence that bone marrow mscs can help regenerate cartilage than fat mscs. So if you had to choose a stem cell source for the purpose of regenerating cartilage, bone marrow would be your best choice. This is why regenexx uses bone marrow derived stem cells for all of our stem cell procedures.
Meniscus tears - orthoInfo - aaos
By, chris Centeno, i love talking to patients in the clinic, as it gives me a never ending stream of ideas for stem cell related blog posts. Social media also provides a way to understand what patients are thinking and we recently received this question about stem cell cartilage regeneration, which Ill attempt to answer below: I recently had an appointment with a dr X last week, regarding my knee and cartilage degeneration. I asked about stem cell regeneration and was met by if it could be done he would be doing. He said it is very difficult to sustain the cells in that area. That it still was not accepted as working. He advised that in medical journals and conferences it is no further on and i basically got from him that is a waste of money. Is there concrete evidence galstenen it works? Are there mris out there showing severe loss of meniscus and one showing post treatment with a huge increase that i can see? Mesenchymal stem cells (MSCs) can naturally transform into many tissues including bone, cartilage, and fibrous tissue.