Are There Any Safe Alternatives to Knee Replacement Surgery

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  • Опубликовано: 28 сен 2024

Комментарии • 103

  • @dhansubba4876
    @dhansubba4876 7 месяцев назад +5

    Very nice. Honest. Straight forward. Educative. Thanks.
    ⭐⭐⭐⭐⭐

    • @VictorySportsMed
      @VictorySportsMed  7 месяцев назад

      Much appreciated. Thank YOU for commenting. Please feel free to forward to friends and family. The more we can educate people about these things, the more they can be empowered to take control of their own health!

  • @boardhead911
    @boardhead911 9 месяцев назад +7

    Thank you for your very thorough explanation of the different types of methods that may improve one's knee osteoarthritis condition . One should only have a knee replacement as a last resort.

  • @nicholevillarcolon6227
    @nicholevillarcolon6227 17 дней назад

    Thank you

  • @lydiawalker8387
    @lydiawalker8387 3 месяца назад +5

    This is the best review I have ever seen! Thank you. I have tried several of these remedies but so far nothing works for long. My insurance will not cover the stem cell injections. I had a total knee replacement 6 years ago on my right knee and I have never know. A day without pain in it. I’ve seen 5 doctors and four of them just said they didn’t see anything wrong from the X-rays. The fifth one said he didn’t like going behind another doctors work and recommended I return yo the original surgeon. That was no help as I had done that three times. I’ve needed my other knee replaced for many years now, but I’m still too afraid to have it done after the last one. It very depressing. I may have to try again since I’m now out of options.

    • @VictorySportsMed
      @VictorySportsMed  3 месяца назад

      Thank you so much for your compliment and comments. Sorry to hear about your knee replacement:( Unfortunately we hear that more than we’d like. If you e-mail info@victorysportsmedicine.com we would love to help you. Thank you!

    • @nhanmyrick3821
      @nhanmyrick3821 16 дней назад

      @@VictorySportsMed

  • @vickinosella4855
    @vickinosella4855 8 дней назад

    Great talk

  • @BethPickett-n5e
    @BethPickett-n5e 2 месяца назад

    The most informative video I have watched thank you
    I had one bad knee replacement and the other knee has been bone on bone for 5 yrs now can hardly walk some days but terrified to have another op.
    I am going to find someone here in SA who can help me with the PRP or bone marrow inj

    • @VictorySportsMed
      @VictorySportsMed  2 месяца назад

      @@BethPickett-n5e thank you for your comment. If SA stands for San Antonio, Texas, go see www.pinnaclesportsmedicine.com/ Dr. Joshua Schacter in Witchita Falls, Texas. Not all PRP and BMAC are created equal. Dr. Schacter knows what he is doing. We can help put you in contact with him if you’d like.

  • @sjc4836
    @sjc4836 7 месяцев назад +1

    Today I too PRP injection in my knee
    After 1 hr it started painting.. still painting.. 5 hrs passed..knee healing going on well😊

    • @VictorySportsMed
      @VictorySportsMed  7 месяцев назад

      Glad you are doing well already 👍

    • @amishmuscle2536
      @amishmuscle2536 3 месяца назад +1

      That’s awesome! I do it every 6 months mixed with MonoVisc and it’s been a miracle. Going 7 years strong at every 6 months.

  • @dalenemajiedt7969
    @dalenemajiedt7969 2 месяца назад

    Thanks very informative

    • @VictorySportsMed
      @VictorySportsMed  2 месяца назад

      @@dalenemajiedt7969 you are welcome and thank you for your comment!

  • @MsTamikaMichelle
    @MsTamikaMichelle 6 месяцев назад +1

    Would the bone marrow injections be helpful for someone who’s lost all or almost all cartilage in their knee?

    • @VictorySportsMed
      @VictorySportsMed  6 месяцев назад

      As you know, we cannot give medical advice in this type of format. However, we do always encourage people, if they do want that, to call our office and/or set up a telemedicine appointment. Otherwise, Iin general, we do find that the vast majority of patients who undergo bone marrow aspirate/bone marrow concentrate into their knees, experience a significant amount of relief. There is certainly no guarantee, just like there is no guarantee with surgery. However, in our practice, we don’t usually do “just” an injection, we usually do a full, multifaceted, individualized, personalized program after we determine what the patient’s goals are, and then we try to meet and exceed those goals with a personalized program and not just “an injection“. I hope that helps! Thank you for your question!

    • @margaretakinyi5288
      @margaretakinyi5288 3 месяца назад

      Very educative Dr. P.
      Do you have any clinics in Kenya? I need your help.

  • @ImThePronounPolice
    @ImThePronounPolice 4 дня назад

    What’s a rooster comb?

    • @VictorySportsMed
      @VictorySportsMed  4 дня назад +1

      @@ImThePronounPolice Rooster comb is the red funny looking thing on the top of the rooster’s head. It has a lot of hyaluronic acid in it which is also highly present in our synovial fluid. Synovial fluid is the highly lubricating fluid in all of our joints. Kind of analogous to “motor oil”. Some of the commercial hyaluronic acid injections are actually made by extracting hyaluronic acid from rooster combs, some are made artificially/synthetically. If a person has an allergy to chicken, eggs or feathers, they technically should not get the brands that are made from rooster combs. Hope that helps.

    • @ImThePronounPolice
      @ImThePronounPolice 3 дня назад

      @@VictorySportsMed you covered that good! They would have to kill a rooster to get the comb, right?

    • @VictorySportsMed
      @VictorySportsMed  3 дня назад

      @@ImThePronounPolice yes

  • @vikkicolbert6612
    @vikkicolbert6612 6 месяцев назад

    I have been getting cortisone injections roughly twice a year for the last 3 years. I'd like to try the gel injections, however if they do not work for me how long would I need to wait before getting the cortisone injections again?

    • @VictorySportsMed
      @VictorySportsMed  6 месяцев назад

      While we cannot give specific advice to people in this format, I have other posts that give our thoughts and philosophies about Cortisone and hyaluronic acid injections. There have been several studies that show the many negative effects of multiple cortisone injections, especially on the articular cartilage, in particular the knee. There were two studies relatively recently that showed that patients who underwent Cortisone injections in their knee, developed arthritis faster than patients who did not undergo Cortisone injections. PRP injections have been shown in several studies to outlast Cortisone and hyaluronic acid injections as well as equivalent to or better than standard physical therapy, and even arthroscopy in certain circumstances. They are also safer than Cortisone injections. Technically the use of PRP for knee arthritis is an “off label“ use, but there are currently approximately 37 studies that show positive affects of PRP when utilized in patients who have knee arthritis.

    • @vikkicolbert6612
      @vikkicolbert6612 6 месяцев назад

      Thank you so much for the guidance 🙂

    • @barblue3
      @barblue3 4 месяца назад

      At some point the cortisone shots won’t work. That’s what happened to me. Then I started having a combination of cortisone and hyaluronic acid. They don’t work anymore. My knee is bone on bone and the doctor told me that I need to get a knee replacement which I’m terrified to do. I’m in pain everyday as soon as I start walking or cleaning my house. My knee is constantly swollen. Injections stopped working. I’m trying to lose weight.

    • @cmb52
      @cmb52 2 месяца назад +1

      ​@@barblue3I had cortisone for 2 years, then the gelsen shots. They were a month apart, a series of 3.
      They worked once, but 6 months later, they did nothing.
      😢

    • @barblue3
      @barblue3 2 месяца назад

      @@cmb52 I’m so sorry.
      I’m currently taking, Celecoxib it’s a nonsteroidal anti-inflammatory drug (NSAID) used to treat mild to moderate pain and help relieve symptoms of arthritis (eg, osteoarthritis, rheumatoid arthritis, or juvenile rheumatoid arthritis), such as inflammation, swelling, stiffness, and joint pain. It has helped me a lot. Ask your doctor about it.

  • @AMYBIERHAUS
    @AMYBIERHAUS 7 месяцев назад

    What are your thoughts on Turmeric and Curcumin as a supplement for knee pain?

    • @VictorySportsMed
      @VictorySportsMed  7 месяцев назад +3

      They are known as anti inflammatory supplements and some people love them. They are usually not earth shattering. Always ask your primary care provider prior to going on any type of supplement or medication. Thank you!

    • @pitchkapizda8355
      @pitchkapizda8355 7 месяцев назад +2

      Doesn’t work

    • @VictorySportsMed
      @VictorySportsMed  7 месяцев назад

      @@pitchkapizda8355 thank you for your input

  • @lauranglover521
    @lauranglover521 7 месяцев назад +4

    This was an excellent review, thank you! I'm hoping insurance will cover the biologic (stem cell injection), as all the other methods have failed, and I'm not wanting a TKR.

    • @VictorySportsMed
      @VictorySportsMed  7 месяцев назад +7

      Thank you very much for your comment! It is highly unlikely that insurance will cover this anytime soon, not because there aren’t a lot of excellent level one and level two studies, but more because it is you, healing yourself. All we are doing is concentrating something that comes from you and injecting it back into the place that needs help. so, you are the “factory“ or “manufacturing plant“, and drug manufactures and insurance companies don’t stand to make anything off of you healing yourself. Just my theory and two cents. Thank you!

    • @lauranglover521
      @lauranglover521 7 месяцев назад +4

      @@VictorySportsMed You're spot on! Our industry has been so captured, it's ridiculous!

  • @bhagyalakshmips2330
    @bhagyalakshmips2330 8 месяцев назад +3

    How much cost of injection and where is available please

    • @VictorySportsMed
      @VictorySportsMed  8 месяцев назад +1

      Costs vary patient to patient and diagnosis to diagnosis and especially based on what the patient’s goals are. Please call 315-707-8891 or e-mail info@victorysportsmedicine.com for further details. Thx!

  • @vickysmith7644
    @vickysmith7644 7 месяцев назад +16

    The bad thing about physical therapy that I went to after knee replacement was they had to many people at one time and don’t have time for you and don’t watch you and they only have me minimal exercise and now I am suffering because they didn’t get me ready for my very physical job. I suffer every day with swelling fluid collect and I can’t do my job .

    • @VictorySportsMed
      @VictorySportsMed  7 месяцев назад +5

      Vicky, thank you for your comment. SORRY to hear that your knee is still in pain and swelling. make sure you let your surgeon know that if they already do not. Yes, unfortunately, with “traditional” physical therapy, it is more of an “Assembly line” type of operation, however, this is not the fault of the physical therapist, it is the fault of the insurance companies. Having said that, at our office, we either utilize a 1/2 hour or a one hour one on one session. where are you located?

  • @lauranglover521
    @lauranglover521 7 месяцев назад +2

    PRP does not work as well in knees as in other joints, and the pain is off-the-charts...(ie. up there with birthing a child...I know, as I've done both).

    • @VictorySportsMed
      @VictorySportsMed  7 месяцев назад +5

      Thank you for your comment. There are at least 37 studies in the literature that show that PRP can be extremely effective in patients who have arthritis. remember, not all PRP is equal. Not all practitioners understand dose, concentration, single or double spin, leukocyte rich, or leukocyte poor, how many cc of blood to draw, etc., etc. Make sure that you choose a provider who can answer all of those questions, and many more like we can. Also, it is exceedingly rare to have severe pain from a PRP injection in the knee for osteoarthritis, so that is a bit odd as well. We have done thousands of knee injections over the years and it is very rare for any type of knee injection to cause “severe pain“. Having said that, anything is certainly possible. Thank you again for your comments.

    • @lauranglover521
      @lauranglover521 7 месяцев назад +1

      @@VictorySportsMed just had a cuople who said it didn't work well in knees, but I could try it. I was desperate, so I did. Didn't work. PRP is successful in other joints, just not as successful in knees, likely secondary to the vascularization. (When he injected, he stated, "I'm sorry, this is gonna hurt like hell!"...and it certainly did! I generally have a very high pain tolerance.

    • @VictorySportsMed
      @VictorySportsMed  7 месяцев назад +1

      @@lauranglover521 that has not been our experience. IN GENERAL PRP works well in knees, and the pain is usually not “off the charts”. We feel bone marrow cells combined with PRP tends to work better anyway. However, again, everyone is different. Also we rarely do an isolated PRP injection anyway. We use an individualized, personalized multi-pronged program which works better than “Ala carte” Thank you for your response!

    • @cmb52
      @cmb52 2 месяца назад

      Do you know of anyone around Detroit Michigan that does the prp or stem cell injections?

  • @Dallas1722
    @Dallas1722 3 месяца назад +1

    Prolotherapy helps me and I have bone on bone but it's expensive - about $150 per injection. The doctor gives me a shot full of peptides then puts nitrous oxide in. It lasts a couple weeks but a couple weeks without the pain is worth it. I know I need a partial shortly

    • @VictorySportsMed
      @VictorySportsMed  3 месяца назад +1

      Thank you for your comment and for sharing your experiences. We stopped doing à la carte injection only treatments during COVID when hospitals shut down and we were unable to perform knee replacements anymore. We had been performing à la carte single PRP injections since 2008, Bone Marrow Cell injections since 2017, MLS laser since 2017 and V-Fit total body metabolic fitness (the most important piece of the puzzle for long term joint pain management and relief in our experience) since 2009. Each one of those absolutely works to help patients like you we found over the years, HOWEVER, when COVID hit and we could no longer perform knee replacements, we had a group of patients who were desperate for pain relief, and increased function. they asked if there was anything we could do, and we decided to put all of those components together into one program (there are also several other components that we utilize at times, but those four are the heart and backbone of most of our programs for patients suffering from what you suffer from) and, as we suspected, “The Whole Was Greater Than The Sum Of Its Parts”! In other words, those individual “à la carte” components worked SYNERGISTICALLY , much more effectively than utilizing them as individual parts. Hence was born our trademarked “Knee Repair, NOT Knee Replacement TM” brand/systems/programs. Yes, these individual parts were not covered by insurance still, even though, during the unique situation of the COVID pandemic, we tried to get the insurance companies to make exceptions since we could not perform knee replacements on these unfortunate patients. Unfortunately, none of the insurance companies made exceptions, and these were not covered. We found that during the first year of us utilizing these Knee Repair, NOT Knee Replacement TM programs, 91% of patients reached their goals. We like to treat patient’s goals, and not necessarily their “diagnosis“. Every patient has unique goals as you know. We have, and continue to be amazed by the power of our own body, “with a little assistance from us”, to calm, soothe, and heal itself. It shouldn’t really be a surprise, however, because if our body did not heal ourselves, we would fall apart in no time. So, why not utilize the power of the own body to help restart the healing process and heal itself? This is a very exciting time and we are just on the tip of the spear so to speak with regenerative medicine. We found that even using the à la carte individual treatments described above, by themselves, they lasted a lot longer than just two weeks. So, if you add up what you were spending in time and money just to get a couple of weeks relief, it starts to become abundantly clear that yes, patients have to pay thousands of dollars sometimes, but there are much better programs out there for longer lasting relief. Many people spend thousands of dollars on their pets, but refused to invest any of their money in their own health. It is not just money either, there is no magic or magic shot, there has to be an investment of time and mental fortitude. We like to say we only choose patients who are “ALL IN”. In other words, not every person qualifies for our Knee Repair, NOT Knee Replacement TM programs. There are many other possible components to our Knee Repair, NOT Knee Replacement TM programs as they have evolved since 2020. We also now track our results in a national databank registry called Databiologics and have found that tracking our results scientifically and comparing to the rest of the country, these treatments definitely work in general, and, we feel, because we utilize programs and not an à la carte philosophy, that it is not surprising that our results have consistently been better than the national average utilizing orthobiologics. We will do a post on that soon. Thank you, again, for your comment and we wish you luck in the future!
      PS: on a separate note, it is our understanding that injections of peptides are not FDA approved, and since there is no FDA indication for these, technically, those cannot be performed in United States. That does not mean that we feel that peptides can and do have potential positive implications, it is just that we are not allowed to perform them as injections in the United States at this time. oral peptides are considered “supplements“, but that is also something that needs more clarification.

  • @amishmuscle2536
    @amishmuscle2536 3 месяца назад +1

    Misha shock absorber is what I’m looking into in 2 days with Dr Frush in Novi Michigan. I do PRP/Hyrolonic Acid hybrid injections every 6 months and it’s saved my life. But I’m looking into the MISHA system as well

    • @VictorySportsMed
      @VictorySportsMed  3 месяца назад +1

      That is a surgical option out there.

    • @amishmuscle2536
      @amishmuscle2536 3 месяца назад

      @@VictorySportsMedyes. It’s amazing. Also I’m on a clinical trial list for another product in 2025 …

    • @VictorySportsMed
      @VictorySportsMed  3 месяца назад

      @@amishmuscle2536 it still is mechanical and an implant, so those are things to consider and be wary about. Thx!

    • @ruslankoptsov205
      @ruslankoptsov205 Месяц назад

      Hello
      What is Misha about?
      Never heard anything about thnx

    • @VictorySportsMed
      @VictorySportsMed  Месяц назад +1

      @@ruslankoptsov205 please see above

  • @MuthiyaP-n9f
    @MuthiyaP-n9f 2 месяца назад +8

    I had synovisc gel injection for my knee pain. The total cost of the injection was approximately 35000, in Amirthanjan pain clinic at Chennai. I got immediate relief. The effect of the synovisic gel lasts upto five years for me.

    • @VictorySportsMed
      @VictorySportsMed  2 месяца назад

      @@MuthiyaP-n9f $35,000???

    • @dalenemajiedt7969
      @dalenemajiedt7969 2 месяца назад

      35 000 usd??

    • @VictorySportsMed
      @VictorySportsMed  2 месяца назад

      @@dalenemajiedt7969 I know, that sounds crazy 🤪

    • @noorfarhana1712
      @noorfarhana1712 Месяц назад

      ​@@VictorySportsMedif it's in Chennai it is obviously Indian Rupees which is about 75/-Indian Rupees is equivalent to 1/- US dollar.

    • @noorfarhana1712
      @noorfarhana1712 Месяц назад

      ​@@dalenemajiedt7969 if it's in Chennai it's obviously Indian Rupees.

  • @reggievillarama6367
    @reggievillarama6367 4 месяца назад +1

    If you’re anemic, can PRP be use in your knee?

    • @VictorySportsMed
      @VictorySportsMed  4 месяца назад

      It depends on why and how bad, etc. the patient is anemic (low red blood cells/low hemoglobin/low hematocrit), but in general, low or dysfunctional platelets would be worse. So if not “too” anemic (and if not anemic due to blood cancer, etc…), with normal numbers of functional platelets PRP could still be done. As always, consult your own health care providers as every patient is unique. Thank you for your question!

  • @cezdizon1229
    @cezdizon1229 7 месяцев назад +1

    Nicr explanation thanks for sharing

    • @VictorySportsMed
      @VictorySportsMed  7 месяцев назад

      Thank YOU for your comment and following us!

  • @rehanatharani229
    @rehanatharani229 5 месяцев назад +1

    Very nicely and clearly explained

  • @eddydizon7174
    @eddydizon7174 8 месяцев назад +1

    very informative i hope i can avail it here in philippines

    • @VictorySportsMed
      @VictorySportsMed  7 месяцев назад

      Thank you very much for your comment!

    • @simon15708
      @simon15708 7 месяцев назад

      Mancao pain management

  • @profnarsee8063
    @profnarsee8063 24 дня назад

    excellent knowledge

  • @wacki_cjk
    @wacki_cjk 10 месяцев назад +1

    YOU ARE THE MAN DR. P MUCH LOVE 🥷🖤

    • @VictorySportsMed
      @VictorySportsMed  9 месяцев назад +1

      And to you my friend, when is your next fight?

    • @wacki_cjk
      @wacki_cjk 9 месяцев назад

      @@VictorySportsMed I compete in NAGA in January!! Jiu jitsu tournament. I will aim to fight in the summer !

  • @manjula9851
    @manjula9851 4 месяца назад +1

    What about ozone therapy??

    • @VictorySportsMed
      @VictorySportsMed  4 месяца назад

      We have not utilized it as of yet and do not have any experience with using it at this time.
      www.medicalnewstoday.com/articles/320759

    • @amishmuscle2536
      @amishmuscle2536 3 месяца назад

      I have done Ozone therapy with stem cell and PRP on one of my hips and the Ozone works more as a pain relief for a couple days to a week or so than tends to wear off. But it’s pretty cool.

    • @VictorySportsMed
      @VictorySportsMed  3 месяца назад

      @@amishmuscle2536 interesting, thank you for your comments and input!

  • @gurmeethkaur
    @gurmeethkaur Месяц назад

    Dear Dr. P. I m 64 yrs old. My tkr knee is 5 mths old. My knee is still in pain. What is the best medicine to consume. Pls advise

    • @VictorySportsMed
      @VictorySportsMed  Месяц назад

      @@gurmeethkaur thank you for your request/response. We cannot give medical advice over RUclips, but if you do want to set something up for an educational consult, please feel free to email info@victorysportsmedicine.com. Thank you!

  • @peggysoumakis1758
    @peggysoumakis1758 3 месяца назад +4

    Physical therapy only helps so much. It's a matter of looking into other medical options and lobby our congress members to push to have a variety of procedures paid by insurance even if you are not over 65!

    • @cmb52
      @cmb52 2 месяца назад +1

      Or if you're on Medicare too.
      I've tried nearly everything for my knee. I just can't afford to spend much more money on trials that don't work.

  • @PinkieMasinga
    @PinkieMasinga 2 месяца назад

    Thank you for such a well informed talk. It has opened my horizon to have a good choice before going for knee replacement surgery.

  • @gurmeethkaur
    @gurmeethkaur Месяц назад

    I m 64 yrs old . 1 leg done tkr. Can a cancer survivor take Prp?. Pls advise

    • @VictorySportsMed
      @VictorySportsMed  Месяц назад

      @@gurmeethkaur we have had plenty of cancer, survivors, undergo PRP and bone marrow, but we always get approval from their oncologist/cancer doctor first. I hope that helps. You would want to get permission from your oncologist.

  • @rehanatharani229
    @rehanatharani229 5 месяцев назад

  • @HajiraEbrahim
    @HajiraEbrahim 2 месяца назад

    What can u say about robotics knee surgery

    • @VictorySportsMed
      @VictorySportsMed  2 месяца назад

      @@HajiraEbrahim robotics are great and are the wave 🌊 of the future.

  • @yelnats85
    @yelnats85 2 месяца назад

    Any thoughts on Arthrosamid?

    • @VictorySportsMed
      @VictorySportsMed  2 месяца назад

      @@yelnats85 it is an artificial substance vs using your own body to heal itself which is our philosophy.

  • @umagupta63
    @umagupta63 5 месяцев назад

    Thank you
    Very informative

  • @kamallyons2035
    @kamallyons2035 4 месяца назад +4

    Excellent info Doctor I am seeing a doctor tomorrow and you have helped me to make a decision. I don’t agree with surgery unless it is life threatening❤

  • @Akin1974
    @Akin1974 5 месяцев назад

    Thanks