How To Grow Your Cartilage. Can We Actually Do It?
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- Опубликовано: 4 янв 2024
- In this episode of Talking with Docs, brace yourselves for an exploration into the cutting-edge realm of cartilage regeneration as Dr. Zalzal and Dr. Weening share their insights. Can we truly revitalize joints? Join us to uncover the latest breakthroughs, innovative techniques, and potential treatments that might hold the key to addressing joint-related issues. Stay tuned to see if the dream of cartilage regeneration is within reach. Whether you're a healthcare enthusiast or someone eager to learn about the possibilities of regenerative medicine, this episode promises to unravel the exciting developments shaping the future of orthopedic care. Don't miss out - subscribe and stay informed on the forefront of medical exploration!
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I had 3 tears and 2 surgeries in my left knee, when the weather would start to change it would ache like a bad toothe ache, I started fasting, lost 46 lbs. pounds, cut sugar and ate clean foods. I am 56 and my knee feels better now than ever! When you fast 21-24 hours you are at max stem cell production, then I sat on a bench with an ankle weight 5lbs. and got the stem cell rich blood into the knee by gently extending the leg away from bench and back to rest. I am currently pain free 7 years this October.
Were the cracks glued or sewn with fibrin glue? Suturing does not help much or can tear again if the tear is in the white = not perfused zone of the meniscus
Traction, decompression, got me over 10 years sciatica, might work other areas,
Totally agree. I have had exactly the same experience.
👏👏👏 I also changed my diet, I am 57 and doing very
Woww... I am thinking about bariatric suregery.. my osteoarthritis is bad and Im heavy makes it worst... ❤❤❤u did the right thing
I find that moving every day, jogging or walking keeps my knees moving with less aches and pains. But what has helped the most is strength training all the muscles in my legs to keep them strong and capable. Great video 😊
motion is the lotion :)
I ran 36,000 miles, six nine-minute hilly miles along with 16 miles biking and 1½ hours of yoga daily at age 61. I now have bilateral osteoarthritis and have used a rollator for the past eight years.
@@gordon-1 So, is your condition the result of all that running and biking?
@@gordon-1 Doing exercise is good... but you have to allow your body to repair itself as well.
Same for me. 2 times per week strength training and I won't have knee pain for at least 2 weeks. Jogging is also good, but a bit less powerful. I walk a lot, and it seems walking is not enough. I am 52
I started swimming because I couldn’t tolerate walking or even laying or sitting too long. I joined a gym on a huge leap of faith, being as I could barely even walk, to use the pool facilities. Being in the water took all the weight off my hip joints. Holding on to a float and just moving my feet back and forth to do a couple laps was uncomfortable. But the more I went the more I loosened up. My range of motion has increased and I can sleep through the night without readjusting. This inspired me to eat better. 2 meals a day. Meat and veggies- no junk. After 3 months I’ve tapered off pain pills and I feel 20 years younger. Don’t give up! My theory is your body waste away if you don’t use it. I don’t know the science of it but I know there is hope. Keep moving!! Water helps!
We agree. Congrats!
Try to do a serious parasite cleansing then go for 3 to 7 days fasting. No sugar,carbs, starch.Eat porc/beef and vegetables. It worked for my hip arthritis ...
I am an avid tennis player (club champion, play in national tournaments) in my late 60’s and developed significant knee pain - it even hurt while sitting for prolonged periods. I had to use knee braces to be able to play. I started taking a glucosamine/chondroiton supplement and collagen peptides EVERY day for a year and my knee pain is 95% resolved. I can now play tennis 10-15 hours per week without a brace. I realize that this is anecdotal and I have not had any imaging to evaluate my cartilage. That all said, I believe this regiment of exercise and supplements is very low risk with modest cost and worth considering if you have mild to moderate arthritis causing knee pain.
Yes thanks for sharing your anecdote and so glad it's working for you
@Mariehart4294 "glucosamine/chondroiton supplement and collagen peptides EVERY day"
Marie, can you tell me what brands you bought? I'm trying to help my husband out with his knee pain.
@@LisaMurphyGreat Lakes, Vital Proteins gelatine powders are really effective at significantly reducing joint pain. Also, we recently started our dog on a cheap glucosamine/chondroitin supplement from the supermarket and it’s stopped his post walk stiffness
I am in a very similar situation to you. I am early 70's, former amateur USTA player back in the 80's, now basically pretty healthy but with knee pain from damaged cartilage. I am not severe, but my meniscus on both knees has spot tears. Unfortunately in 2020 i had a bad slip on ice and tore my quad tendon off my left knee cap which required surgical repair, so that knee has permanent soreness. But, as you say, mobility is key to reducing stiffness. I too have been on a daily regimen of a product from Solgar supplying glucosamine chondroitin and MSM in clinically-specified ratios, as well as a daily dose of Collagen Peptide in water. I have been doing this for about a year, and i have to say, i have experienced significant improvement in mobility and reduced pain. For me, the number one yard stick for measuring pain is going down stairs. To the degree i can traverse flights of stairs with less pain means i can go on a run successfully. I am preparing to return to the tennis court after decades away from the sport .... wish me luck! It'll be hard not to push myself too far, as i was fast and agile back in the day and hopefully i can resist trying to replicate my youthful performance which definitely will not be available to that degree. Thanks for your post !
I worked for a supplement company and most of our clients were old people with arthritis who could not stop but sing the praises of the product they bought from us : a powder of hydrolysed collagen. These people told me first-hand that they couldn’t climb up stairs before taking that powder and now were moving freely and painlessly.
I’m not a doctor but there are definitely supplements which work, sorry !
When I first developed a little osteoarthritis in my knees and hips I was told that the important things to do was keep the joints moving - this would slow progression. So I try to walk several miles per week. Decades later, so far so good. Have a little more pain, but nowhere near to needing replacements. The theory I heard was that using the joint compresses and releases the cartilage, pumping nutrients into it. No idea if there's anything to the theory, but mild exercise seems to have worked well for me.
I think you are right, I have less trouble because I became more active.
Yes. Check out knees over toes guy.
I had a severe cartilage injury to my knee, x-rays showed some osteoarthritis also. Doc recommended Glucosamine with Chondroitin. Within 2-3 weeks pain was gone (after 4 years of limping)! Changed my diet, dropped sugar, carbs and processed foods completely. I feel better than when I was in my twenties, and I’m in my sixties!
@@butreally289Congratulations on your progress. I just had an initial arthritis diagnosis and wondered how much condroiten/msm worked for you. It sounds like reducing inflammation with supplements and changes in diet has helped w pain symptoms. In the video they mention supplements and diet may reduce pain symptoms. I am going to give this a try along w strengthening muscles and tendons around the joint once the pain reduces. I am almost 60
congrats, it does work for some people, it worked for me. It depends on how much damage. If it doesn't work in a week or two, it probably is not going to help.@@butreally289
80’s kid here, roller skating, aerobics, weights, Tae Bo, light running, yo yo dieting. Years and years of grinding and cracking when bending the knee. Finally an official meniscus tear. Had surgery to smooth it out and was doing good, near the end of recovery that foot slipped forward while walking and something hurt. Dr wouldn’t hear of it and said it’s just still healing. That was 2019 I still have swelling at the surgery entry points and random swelling of the whole knee. Basic Dr. mentioned compression socks might help out since they help push more circulation up to that area. WELL, that was the best advice I had ever gotten. In the meantime, I guess I’m “still healing” sometime the “best” ortho doc in the area can still be jerks
When this popped up in my feed, I got all excited thinking there was something new that I had missed. Reality check. Good lever on the hucksters. Happy New Year to all!
Sensible, verifiable advice. Way better than nonsensical claims playing to our hopes. I had a bad fall trail running 19 months ago, destroying the bursa in my hip. My doctor recommended PT, which I did. I also joined the YMCA (great song) and hired a trainer. My hip is slowly improving, but it is improving. And the rest of my non-injured body feels better than it has in 30 years! So the silver lining to my fall… re-learning the beauty and power of consistent, appropriate exercise! Move to the best of your ability, as much as you can. And watch ‘Talking With Docs’!
Just for clarification to others, a bursa is external to the joint and is not a cartilage tissue. For the most part, a burse is a tissue that cushions one tissue from another, such as a tendon from a bone (for example, the patellar bursa under the tendon that attaches your kneecap to your lower leg bone). Once damaged, they can swell significantly. If the swelling puts pressure on pain sensitive tissue, you will experience pain. If the swelling does not put pressure on anything, they may be uncomfortable, but not necessarily painful in the traditional sense of pain.
Great comment! Yes watch Talking With Docs - “How To Grow Cartilage. Can We Actually Do It?” (Spoiler - nope, not really - but there is some hope)
Brad & Paul, thank you for spending your time to help everyone understand how to take charge of there own health. The service you provide to the public is truly a selfless act.
Doing our best. Thanks for noticing. 😀
Hello doctors. Could you tell does colligen supplements work..thanks ❤❤😊
Its not true, if our cartilage didn't grow back, it would wear out over time and everyone would have arthritis.
I had arthritis in my hands about 10 years back, I started eating more meat and animal fat and low carb/sugar and now its gone.
@@PF-gi9vvI, agree..I, also add Castro oil as needed..Coconut oil, filtered water & Beef Tallow ❤
@@user-qi9vi5ox4o I am not a doctor but I can reply to the question, NO, it doesn't help in anyway
Great discussion. I have osteoarthritis and have had both knees replaced. My ortho surgeon has advised that at least one shoulder, if not both, will need replacing. I just can’t face that yet and have adapted to the ROM limitations so far.
Before I had knee replacement, I tried PRP. At the time, my surgeon suggested it and there were flyers and posters in his exam room. It was being performed in our community at a physician-owned clinic, not affiliated with my ortho surgeon. It was somewhat expensive, and I was very hopeful. It did not improve my pain or situation and I ended up having TKR. Later that year, I noticed all posters and flyers for the procedure and that facility had been removed from my ortho surgeon’s clinic. I told him I felt it had not improved my situation and he said the group felt it was not something they wanted to recommend to patients any longer. I appreciated him saying that. And I appreciate hearing from you two that it is not effective either. Thanks!
We do our best to share the best available evidence.
Another great video. Thanks 😃
I wish I had read your post back in January. I got all 3 PRP injections in my right knee. Not only has nothing changed with my right knee….the PRP caused a myriad of issues. Bring peri menapause, the PRP caused an entire inflammatory response. I have had bursitis in both hips since the first injection. I could barely move one weekend. But I wanted to give it a chance. Never again. It was so painful. I turned ghost white immediately after my 3rd and final injection from the pain. I could barely walk. My ortho told me to “walk it off”. Nope. My husband and I do CrossFit and I have never experienced that much pain like I did from the PRP injections. Never again.
I saw brochures for QC Kinetix (with endorsement by a famous former football player) at my physical therapy center. I checked into it and there were A LOT of patients who were unhappy with it. Some said the personnel there didn't ask for or look at x-rays that the patients brought with them. Others were put off by the persuasion to sign up for treatments that were expensive and not covered by insurance. Never mind that the treatments didn't help some patients. That was enough to discourage me from trying that approach to my hip pain.
I had knee pain and low back pain when I started hormone replacement therapy aches stopped . Well my quality of life is much better now and not having any pain that’s amazing!!
Was the knee and backpain the reason you started hormone replacement therapy?
@@Rub3nAlexander no actually for many other symptoms. I noticed the pain went away after 1 month on Hrt that was 2.5 years ago. In my case HRT helped a lot but not all cases are related to hormones imbalance.
Estrogens keep our bodies young, after menopause they go into the basement
The last time I saw the orthopaedic surgeon (sadly he's since died from an early heart attack) his advice was avoid further surgery. Lose weight, exercise (not running). Done that and the knee problems that plagued me before an arthroscopy 30+ years and then returned 10 years ago have reduced to insignificant.
I have had one hip done. Second waiting… both knees are waiting to be replaced. I was scheduled for Feb 9 this year but chickened out. Love all your I formation. Thanks Docs!
You will know when you're ready
ruclips.net/video/XpZHKGGCK-o/видео.htmlsi=M8KjCY-fzHBl0SLm
Google this article (va Google Scholar) titled "Low-grade inflammation as a key mediator of the pathogenesis of osteoarthritis" There is a reason you are having so much trouble. "OA is a disorder of the joint as a whole, with inflammation driving many pathologic changes. The inflammation in OA is distinct from that in rheumatoid arthritis and other autoimmune diseases: it is chronic, comparatively low-grade, and mediated primarily by the innate immune system. " I'd guess you are suffering from a low-grade chronic inflammation. I discovered I had a low grade response to what I think was the A1 protein in milk. Think hard about what is causing all this. GL.
Your video was quite informative and clears up some misinformation that I have seen and heard. I have a frayed meniscus in my left knee and was given many options that others have noted. Thankfully, through strengthening and stretching, I have been able to manage pain and remain quite active while holding off surgery option. I will be watching for the medical advancements you noted. Thank you!
Thanks for this video. It has very appropriate timing for me as I'm going in for the first of 2 knee replacement surgeries in 3 days and I was wondering about Stem cell and PRP treatments, and your video answered all my questions. Thanks again.
Wishing you all the best!
How are you doing?
Hi, there! My experience with PRP for osteoarthritis in my knees, somehow contradicts your statement that only treats the symptoms. In 2 years of twice a year PRP, the disease has not evolved! It was proven by IRM before and after. The PRP procedure also had an effect not only in stopping the degeneration of my knees cartilage (missing most of it)- but also there were no symptoms for more than 3 years after. Thank you for sharing your insights with us!
You two deserve a million subscribers - keep it up.😊
Thanks Robert. Doing our best to
In the winter, my arthritis is very intense. I take Meloxicam and Tylenol as needed but what really works is CBD salve. It is instant relief, especially at night if it’s particularly painful. I got my 80 year old mom some too and she is over the moon for it.
Pls share the brand you take
Agreed. CBD works really well for me. I’ve tried many but CBD Clinic Maximum Strength is the best. Www.massagewarehouse.com is the one place to buy it online.
One Jan a couple of years ago I woke up with an intense pain in my right knee. It got worse over the following week to the point where I found it difficult to sleep and even walking up stairs. Went to the doctor and said it was arthritis. Had an x-ray done was confirmed as arthritis. I knew this already because ten years earlier i had arthroscopic surgery for tidying up my cartilage. I was was told that there was the beginning of arthritis. Some discomfort but manageable. This time it was uncomfortable. Doctor prescribed Celebrex. Kinda worked but it's not recommended to take it for long time. Besides some of the disclosed side effects were relevant to my age -75. Two years earlier i made a tincture of frankincense because it was effective for minor aches. It was widely known as an anti- inflammatory. I upped the dosage and within a week noticed a noticeable improvement. In the first month i would take it three times a day especially before bed. A typical dose was 4-5 ml in a glass of water 3 or 4 times a day. I take it once a day now. Sometimes not at all. I have absolutely no discomfort now. I did Amazon flex for 10 months with no pain. For me it was like a miracle. To make the tincture of frankincense i use a 5 to 1 ratio. One Cup frankincense five cups over proof vodka. Freeze the frankincense first and then grind it an coffee grinder then add to 1.9 li mason jar with top on. Stir daily. I put the jar on top of the hot water tank. Ready to use 1-3 months. The longer the better. There are different types of frankincense you can use. I buy it on Amazon. Pretty cheap. Besides anti-inflammatory it's useful for your gut and seems to regulate your blood sugar levels.
CBD helps me too!
@@amorpugh4959 PBI-- The Shikai brand, sold online and at Whole Foods, works for me.
I was feeling so excited at the beginning of this video since I'm trying to avoid a hip replacement at 60 years old. One day at a time for me!
I feel bad for you. Misleading title. Same old story
Thanks doctors! When people make these claims of regrowing cartilage, I have been skeptical. You have confirmed it.
Doing our best
Some local scammer doctors here are charging thousands of dollars for entirely unproven stem cell 'treatment' of arthritis.
yep, the surgeons need money,what do you think? There are other doctors who tell you is possible.
I love these guys plus they address a lot of medical problems. Sometimes they’ll have a specialist of other parts of your body.
We do our best. Have some great guests coming this month
Thank you for looking out for us!!
Always!
Everyone should try this at least once...its easy and there's no downside. In the shower, blast hot water at your knee for one minute, then instantly blast it with cold water for a minute. I usually get several hours of pain relief when I do this. I've been playing tennis (singles) for 50 years and have no cartilage left, but this still helps alot.
Yes
Interesting. Wonder why this helps.
I have just intuitively been trying this a few times the last month as well as having the opportunity to cold plunge skiing up in Breckenridge and it feels like once again it is helping the flow of fluid and nutrients in the area so reducing swelling and increasing range of motion so helping with healing. Also the numbing effect of the cold takes away any burning, itching, stiff feelings that even if minor linger.
@@arizonanative7409Read about HORMESIS and hormetic stressors.
I believe it. I did a year of cryotherapy and it really helped.
I also have been taking glucosamine and chondroitin with MSM since 1998 ! At that time I was 46 and suffering with pain and stiffness in my right hip, my family doctor ordered a X-ray and found that I had moderate to severe joint degeneration in my hip. He suggested that I could try glucosamine and chondroitin with MSM. I also would see Chiropractors for neck & hip adjustments. After about 3 weeks I could feel my mobility had improved as well much less pain . Not only did I get improvement in my hip but also my neck issues disappeared.
I think that the benefit is from the synovial fluid being supported in some way to provide lubrication in the joint ..
Just to mention that Veterinarians also prescribe glucosamine and chondroitin to horses & dogs that have mobility problems where noticeable improvement is seen !
One more thing that I think needs to be said is that glucosamine and chondroitin won't work if your joint is bone to bone!
Thanks for sharing your thoughts. Appreciate it
Keep up the good work ! Your my goto Doc’s for reliable advice!
Did u gain weight after taking glucosamine supplements?
Same with me. I take the glucosamine and I also take Piascladine. The two helped with my severe pain and I can go another year before my knee replacement!
I'm allergic to chondroitin from shellfish...but I take MSM and glucosamine
This is good to know. I’ve got a good orthopedic surgeon onboard to replace my hip, but I have been “benevolently” gaslit by people at physical therapy organizations who told me I could re-build my body to whatever state I was in, prior to the damage to my hip-joint.
Yes it complicated out there
Any legit PT will know you can’t regrow articular cartilage.
The first time my right knee dislocated was when I was 12 years old. It has continued to dislocate sporadically throughout the years with me having to relax, take Motrin, and gradually pop it back in. The last time was almost a year ago and the first time I had to call for help because the muscles were spasming so much the pain became too much for me to push in by myself. I had one paramedic yank my leg and the other pushed it back in. I'm 63 and of thin build, and very flexible. Watching your video it never occurred to me that I may have a cartilage issue. Thank you!
Sounds like Ehlers Danlos syndrome. I have it and have dislocated my right knee a few times. It’s awful!
@@ascolari How interesting. I bought a brace and I'm very careful about not bending my right knee for fear of it happening. Maybe I should look into this. Thank you!
sounds like you have ligament laxity in that knee since it was dislocated (that stretched it out) Prolotherapy can tighten up your ligament. Fixed my ankles in 2 shots.
THANKS FOR ALL YOUR HELP 😊❤
Thank you for your great candor and honesty!!!
Happy New Year 🎊. I have been waiting for this video. Dec 2021, I had an MRI that “ Focal 10mm high grade chondral defect. I had surgery to “clean up” the defect. My surgeon recommended Lipogem stem cell procedure at the same time as my surgery. My surgeon said, “he had patients that it had helped and I want to delay you from having Shoulder Replacement surgery”. He never claimed that it regenerated cartilage. Post-Op 2 years, my symptoms and pain are gone.
That's cool
Thank you for doing this one! Very important information to help people from getting ripped off.
supplements do work, but dont grow cartilage!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!1 dohhhhhhhhh
I’ve had arthritis for at least 50 years (psoriatic) but now also have osteoarthritis. Ten years ago I had my left basal thumb joint replaced but I don’t want any additional surgery. The key for me is managing symptoms and managing expectations. I’m not going to get younger and there will always be a bit of pain somewhere. That’s life.
Agree
Try a carnivore diet. I’m off methotrexate and ran 10 miles several times this year with joint damage in my toes and feet. Almost no pain. It works. Just try it. Best of luck.
My husband is 72 and has had psoriatic arthritis for his whole life. He's been on all the heavy immune suppressant drugs but stopped them and has been on a carnivore diet for 2 months with great improvement.
Vitamin D3 plus k2, Organic algae oil for omega 3, 20 min exposure to sunlight in summer, going out at lunchtime in winter builds bones and joints. Entzündungen gehen langsam weg. So wurde ich meine jahrelange schuppenflechte an den knien los.
That was really helpful. An in-depth explanation is always so much better than, no that won’t work.
This was good. I had a torn meniscus in my right knee and arthritis in my right shoulder. My orthopedic surgeon (sports medicine specialist) said that I have 3 options. PT, steroid injections (only temporary relief), and then surgery. I opted for #1. My knee is back to 95%, my shoulder is about 50%. I exercise both regularly - like daily - and this provides me with pretty good relief for now. In a way, I've learned to live with it.
Love it
I think I'm going through this now, been 5 weeks , still limping a little bit, scared to go to Dr to see what I have done to my knee. Any advice on PT ?
You didn't ask me but for what it's worth, don't be afraid to go to the doctor. If you have done something to your knee your body is trying to fix it itself, with or without a doc. It is remodeling the area. You will want to influence the remodeling rather than trying to fix a bigger mess.Go to the doctor to find out the problem. If you get PT, work it as much as you can without it being too much. That is a learning process. Remember docs don't always have terrible news and that might be your situation. And get another opinion if the first one doesn't seem right. Last part of unsolicited and unproven thoughts are to incorporate, if you get pt exercises do some light and careful stretching of the area to increase flexibility to the area as you are regaining strength, that one was critical to my recovery of a grade 3 meniscus tear. Best of luck on your recovery and repair ❤
Good for you! I need to start moving even more.
@@christinehill8326 I did go to the doc first. I would always recommend this. Docs are like lawyers. You can listen to what they have to say, it is up to you whether you accept it and take action or not.
Thanks for a very informative talk which clears up much misinformation
Glad it was helpful!
I have been making gelatin broth for over ten years. I have a horrible knee problem thanks to a needless surgery I had which I found out later is a horrible surgery that many orthos would never do and is simply a moneymaker. Medical doctors are beyond greeedy and distrusted by a growing number of population. They no longer get that respect and admiration they once did when I was growing up. With that surgery, that doctor took my knee pain from a 3 or 4 to a 7 or 8. I'm 51 and had a recent mri so check up on that area where they butchered my knee by taking out too much cartilage and the radiologist said my knee looks like a teenager's and actually pulled up a teenage girl's mri to show me. I told him I took the gelatin broth and he said he was very interested in learning more. I also give it to my 15 year old cat. She was sick one week with constipation/kidney stuff as is common in her breed and I took her to two different vets. Both vets reacted strongly to her body by saying she looked incredible for her age. I told one vet about the broth and he wanted to pay me to make it for him and I have that email as proof.. So that is two separately verified analysis by medical professionals that are impressed by gelatin. It must have replenished my cartilage on some level because I started the broth at around 40. I didn't maintain my teenage cartilage. The reality is big pharma won't fund a million dollar double blind study on gelatin broth, which is the only thing that puts it on the radar of doctors such as these..
Im really interested, could you post a link to the recipe or maybe mention it here? Ive never heard of Gelatin Broth. I used to make chicken bone broth, is that what you're talking about? Thanks!
Receipe
Excellent video. Thank you.
When you said we’re not gonna slam any particular product I thought you were going to continue with we’re just gonna slam them all. Keep up the good work. Stay safe.
We thought about that!
Exactly, Lol.
❤An amazing video! You both are so correct ❤My boyfriend paid &2500.00 to get stem cells put into his knee. Not only was it very painful but it didn’t work. He felt it made his knee worse. Eventually he went for a knee replacement. Thank You both for your videos and honesty ❤ Much appreciated and blessings to You Both ❤
I know of two cases where stem cells inserted into the knees worked perfectly: two men, nearly 70 yrs old, 4 knees, not a painful process at all, excellent results - men back to sports activities, MR proved (before and 1 year after insertion) new cartillage. So, what say you? A “miracle”?🤷♂️
Can you remember where he got it done and how old was he? Also, if you know, where did they get the stem cells from? Bone marrow, adipose, umbilical...
Got knee problems and contemplating my options. Every piece of info helps
Thank you. Given your experience, and medical history/progress, where do you see this issue in 50 years? What sort of medical break through do you see as most likely in your field in the coming years?
Exciting! Looking forward to learning more about the latest advancements in cartilage regeneration. 👍
Such good info on this channel, many thanks 😊
Why thank you!
I heard that the reason doctors believe that cartilage can not grow back is because it doesn't have a blood supply. The repair has to be done through the bursa. Movement of the joint causes the movement of the fluid through the bursa, and through that process is how cartilage gets nutrients to be repaired. Could this be the reason that doctors believe cartilage can not be repaired? Is it likely that the healing of cartilage is a slow process requiring the special case of movement, which is interpreted as the cartilage does not grow back? It seems unlikely that it is impossible for cartilage not to grow back since it is constantly being destroyed and needs to be replaced. Maybe solutions are not being found because the medical system is looking in the wrong places and only trying to solve it with drugs and surgery and not something more simple such as movement, providing space in the joint, and aligning the structure of the body. If no studies have been done or there are no resources for a study that would not result in a way for the support of a studies outcome leading to compensation of the sponsor of the study, then it is likely that simple solutions for health will not be studied or proven at least not in the US medical system, and therefore, many simple inexpensive solutions may be overlooked. Cartilage can be proven to grow back if it found that it is possible, but it can not be proven that it can not grow back. I agree you that supplements are not necessarily going to help or be the cure for arthritis, especially if you body does not lack the ingredient in the supplement in the first place.
The secondary problem which is sometimes primary is... loss of muscle and structure around the knee. Especially as one ages. Important to hike up elevation vs just walking
Great presentation, thank you!
Thank you I have no cartilage in my knee after 2 ACL proceedures. I do huge amounts of squats and streches. It works better than anything
I have had osteoarthritis for ~ 20 years in one hip,but the other hip is normal. I am grateful I can still walk without significant pain,and am hoping to live long enough to see a cure for my problem. I am taking 750 mg of glucosamine sulfate twice daily,for whatever good it does. I am no worse,so at least my condition is stable. Used to run 15 miles a week,but those days are long gone.
Sorry to hear that
With Chondroitin? That’s essential in my opinion. Also would recommend cutting out sugar, carbs and processed foods.
No,just glucosamine. Chondroitin is commonly derived from cow cartilage,which could come from a sick cow,and give you vCJD. I don't trust those who say they only get it from carefully monitored animals. I@@butreally289
I've been taking chondroitin, glucosamin sulphates since 2008 in hope to support the damaged articular cartilage of the right knee, I'm not experiencing pain. The supplement alleviates pain and slows down the destruction process.
@@eugenezl5723
I absolutely found that it took my pain away too, in fact I couldn’t believe it. It took 2-3 weeks to start to work for me, and as long as I took it consistently I had no pain. If I didn’t take it for a day or two, the pain would return. After a year I also cut out sugar, carbs, processed foods etc., and now don’t need to take the supplements. If I have a carbohydrate binge (Christmas time) I will take Glucosamine & Chondroitin again for a few days.
New Cartilage, YES! I had my cartilage town off in my ankle. I was told I could have an operation, take cartilage from another area of my body, and graft it on, my right ankle. I chose the 2nd choice, wearing boots for the rest of my life. I was interested in supplements but this was 1981 and I just turned 30. I've studied the natural way of healing since around that time. During those years I had to wear boots or I could sprain my right ankle very easily or even worse so I had to be careful. In 1985 I read about 'shark cartilage'. I read that sharks don't get cancer and they don't have a bone structure skeleton but that organ is actually made of cartilage. I decided to give the fine powdered shark cartilage in a capsule a try because of the no-cancer topic about sharks. After about 6 or 8 months of taking the shark cartilage daily, I realized my right ankle which had lost the outer cartilage seemed about the same strength and stability as my left ankle. I decided to start just wearing loafers around the house to see how that would go. I found that my right ankle was fine. Fast forward to 2024; I haven't worn boots at all in at least 8 years and even when I did wear boots I only wore boots because I needed them for what I was doing. By the 1990s my right ankle was completely healed, it had new cartilage grown in. I can't explain it but I tell everyone when it comes up of this miracle. Yes, I have been taking a lot of vitamins and supplements so something like D3 or Magnesium or many other supplements may have helped this process. And, yes, 99.9% of the time I just wear shoes like everyone, no shoes in the house, and no high-tops, and I don't even think about it, my ankle hasn't been reinjured like twisting it, it's normal.
I almost forgot I stopped taking the shark cartilage mainly because I didn't think I needed it after my right ankle cartilage grew back from consuming the shark cartilage capsules. I take other supplements for anti-cancer. One is Curcumin/Turmeric with Ginger. India has a low occurrence of cancer in its citizens and yes, there are many positive medical studies on Curcumin's anti-cancer effects. M.D. Anderson Cancer Center (#2 for cancer in the USA) has done many of the studies but they can't make any money from prescribing supplements and herbs. They know of it's working, maybe to try to synthesize its natural chemical makeup?
One more thing. I also had my medial meniscus torn out on the interior of my right knee in the mid-70s. The surgeon talked me into cutting the mushroomed meniscus out since it was torn badly. My right knee would pop out of place when walking and it could happen easily. I found just doing an air kick with my right leg usually popped it back. Doing that was an everyday thing. I think the right knee is about 90% now and hardly ever pops out but it did a while back one time only. Hang in there. God is good, He's always good and nothing else. Really! Thank you, Jesus!
Thanks for sharing your experience
Awesome testimonial. We do need more research to this so we don't have to wait 100 years from now. Bone broth - I like the Korea version of it, it's yummy - would be full of dissolved cartilage in it. It's a good place to start for anyone willing to do research. Perhapls kelp and seaweedas well.
So are u suggesting taking shark cartilage powder for arthritis?
Lol yeah right!
Please dont eat animals
Thanks for all the awesome info!
I love your RUclips channel ..I’ve learned so much ..so thank you ! Think you guys are pretty great !
Torn meniscus and my doctor said wait and see what happens. I did and it has gotten so much better. The bodys ability to heal itself is amazing.
Well unless you are a teenager the meniscus didn't heal itself but often the pain does improve. We tell our patients the same thing. Congrats
Wish mine worked that way
@@TalkingWithDocs I am perplexed by this. You are the doctors. I have another 'anecdotal' story. I had annoying, but not terrible pain in the side of my knee. Sometimes it felt like it was going to give out underneath me. Stared when I was about 50yo. I was doing a lot of trail running. I had an MRI and they told me it was a torn meniscus. (Cartilage, right?) I figured I would just have to live with it. About 3 years ago I started taking collagen. Several weeks after that was the last time I felt it. I'm 65, still take collagen almost daily, still run trails and now also do weight lifting and cross fit. I have not felt the "torn" meniscus at all since.
If it wasn't the collagen, . . . what was it that seemed to "heal" it? Was it maybe something other than the meniscus?
Torn meniscus. Specialist said there was a little blood flow in the area that would help healing but slow.
I also learned that
Vitamin C contributes to collagen formation. I took huge amounts of vitamin C and it helped.
Two MRI in 2013. Torn.
An MRI 8 years later showed it had healed a lot.
Not sure why these docs say it's impossible to heal.
@@jimnicholson8969 I also had a torn hip labrum - same fibrocartilage. Dr said there was not enough blood flow for it to heal. (worst pain ever!!) I just kept running. Must have been the increased blood flow from running - many years later and I can hardly remember which hip it was.
I’ve had some success with PRP. I’ve gotten +/- 1 yr’s worth of relief twice now. This kept me riding my bike ..the combo, I think has delayed my replacement. It’s still coming, but we’re in delay mode.
Thank you, this was very valuable information!
Glad it was helpful!
I love it! We need a good dose of Dr. Obvious when it comes to supplements and their advertising schemes, so that is excellent! I also learned quite a bit about focal procedures that regenerate a different form of cartilage. I also heard plain truth on T cells and cartilage transplants. All very well explained by you Doctors :) I am looking at my shoulder which has been affected by osteoarthritis with my Orthopedist and our conversation has progressed to resurfacing (assuming there is anything "round" left on the condyle). This remains as the best option at this point now that I have an understanding of cartilage from you gentlemen. Thank you very much and keep up the great videos!
When I was first given my diagnosis of severe arthritis in my hip - based on an xray and my symptoms I was in shock. I did not want surgery. I asked why can't they just shoot some cartilage in there. Thankfully no one tried to sell me any gimmicks - supplements or blood mixtures. Surgery is the only thing that works. It has its risks - but is better than the alternative of being unable to walk. Thanks for this video - it confirms what I learned this last year and a half.
Very welcome
What they didn't say is a good many people who have hip surgery wind up permanently in a wheelchair.
@@jackiemack8653 woow, who told you this stupid shit?
Yet again…thank you. Thanks for the info and thanks for your humour.
Our pleasure!
Thank you so much for making this topic so clear!!! 👍👍👍🙏
Thanks for this. Appreciate these videos.
Thank you so much for being honest about the reality of arthritis. It's very discouraging to be in constant pain and having people always telling me that I could be cured if I would just.........do this..........😢😢
I'm coping as best I can with the help of my encouraging doctors.
My n=1 experiment stage 3/4 chondromalation in both knees diagnosed 20 years ago. Recent ultra sound showed no chondromolation. What I did in the meantime: strength training (full range of motion barbell squats) and frequent intermittent fasting ranging from 16 yo 72 hours. Plus periodically Keto diet.
Thanks for sharing. Ultrasound would not be considered a reliable way to diagnose this. But who cares if you feel good. Keep it going
very good point. Performance is the key factor. But I will consider MRI just to have a clear view. Initially it was diagnosed with MRI so I agree to compare, we should use the same diagnostic tool.@@TalkingWithDocs
Thanks for this. I have early osteoarthritis and damaged knee meniscus from a snow shovelling spill 🇨🇦 in the driveway. The physiotherapist helped me adapt and now that I learned to run correctly, I can resume an active lifestyle. I still take collagen in hopes that I can slow it down. Placebo? Possibly… Is it working, maybe, and I’ll take it!
I had a reconstructed ligaments on knee, torn acl and partially torn pcl. My doc said you will have arthritis, I stopped sports and just avoid heavy impact on my knee. My pain has reduced over the years, only thing I can do to improve it is weight loss.
I have been told by two orthopedic doctors that i needed a knee replace. Both times exercise and physical therapy got rid of most of the pain. The therapies told sometime she can help and sometime its too far gone.
Nice
Thanks for this because I have had friends who have spent serious money on expensive treatments that have done nothing for them. I was wondering if you could talk about all the different injections that are available. I was shocked at all the different injections that you can pay for from doctors recently. Example: Synsvisc, Durolane Cingal , Sportvis, Neovisc, Platelet rich Plasma
I have knee arthritis with a third torn meniscus to the outer side and hanging 😮 in December 2019. I had pain going downhill and doing stairs that my right knee could support my weight. I did a steroid shot in 2020 which helped a bit but was temporary maybe 2 months. I then did a Hyaluronic Acid (gel shot) and that was more successful and lasted about 4 months. So my orthopedic doctor from UCSF recommended for me to try a PRP (at my cost).
I had this done in April of 2023. While the process of letting the platelets do their full potential took about three months. After that time period I noticed a steady improvement. I then started to exercise more and only limited to a pain threshold of tolerance. This is now January 2024 and my knee is feeling 95% better!
I helped my progress by having a healthy BMI, eat healthy and the most important is to strengthen the leg, quads, glutes and calf muscles to support the knee. I bike, walk extensively, and I do squats to maintain strength. Don’t rely only on the PRP injection and then do nothing else but wait because this shot is only part of the solution, you have to be the other part. So for now at age 68, it is working and doing its job. If and when the pain comes back, I’ll do it again. There probably will be a time when this treatment won’t work and then it will probably be a knee replacement 😢!
Thank you. Great information.
Great Video. Being in my 70's and lifting at the local gym 4 days a week plus 2 days of cardio biking I have had very good success with PT on my arthritic right knee. (had a torn meniscus of the inner r. knee about a year ago). The simple act of making sure that my structure is aligned correctly when working out on leg day, and lifting moderate weights like 180 lbs on the squat machine, (which helps me keep everything aligned) and doing high reps (5 sets of 35 reps) along with biking on off days keeps pain away and makes my knees more flexible, (along with stretching) . Of course like a doctor friend once said to me, "It all works until it doesn't. I think that sometimes we under estimate PT along with the body's ability to adapt.
Nice work
So true
This was great. I suffer from knee issues. And I now know that three is no silver bullet either. Awesome presentation
Glad you liked it
Excellent video by these two doctors.
wow..this is so interesting,! THANK YOU!
I tore the cartilage in my knee in the not-too-distant past, and the doctor suggested it might be worth trying Platelet-Rich Plasma. Insurance wouldn't cover it because it was "experimental", but because the cost wasn't outrageous (~$300) I opted to have it done and pay for it myself. In my case I did see apparent mending of the tear and was satisfied that it was worth it. I will note that the doctor told me it wouldn't work on joints with arthritis occurring in them.
It seems like the too often the greater problem is the damage done by our own bodies to ourselves, and this is one more example of autoimmune responses that we would do well too see medicine cure. If we could control that, a whole host of problems such as diabetes, rheumatoid arthritis, and even transplant rejection might be controlled.
Love your videos and love the fact that y'all wont critique some of the commercials for cartilage repair, but it sure would be funny. Would appreciate source evidence links though. I might take your word that what you say is evidence based, but you know... I participated in a PRP knee injection study years ago; it definitely helped reduce pain, and extend my ability to play volleyball by a couple of years, but never really found out what the study results found out. Did finally get a full knee replacement end of last year, and wish I had done it years ago. Thank you for doing what you do!
Very welcome. Like we said some studies have shown pain reduction. ZERO have shown regrowth of cartilage. Maybe some day
Really interesting and well explained, especially the part on stem cells. Thanks (and Happy New Year).
Great information thanks for sharing
The crickets cracked me up, said it all. Thanks.
Number of years ago, infant/very young child lost a portion of a finger. Doctors did not seal the finger, but maintained and active bandage - keeping clean, but not closing. After a period of time, the finger portion did grow back. The write-ups I recall from the time, they felt this was a process that we humans lose at a very young age. This may have been very very early stem cell work.
Tore a medial meniscus about six months ago. PT determined that I had a pronounced difference in strength between the back and front of both parts of my legs. The exercises they gave me have made all the difference. No problem getting me to do them so i can avoid TKR.
Same problem is feeling same for both of my legs
Will get mri tomorrow for both
Thanks for this!
My protocol, vitamin K2 regularly +D3, combined with regular collagen peptides, combined with DIY traction brace when sleeping, combined with red light panel therapy. In six months, amazing results.
What is a DIY traction brace? and where do you put it?
@@Shapeshifter7777search words Knee decompression brace. or you could make one yourself.
@@Shapeshifter7777DIY is do it yourself, but there are a few traction/decompression knee braces on the market. they are knee braces that stretches or pulls your lower leg from your upper leg. basically stretching your knee. I did this and still occassionally do while sleeping so cartilage can regrow and fill out a "stretched" knee if there is an abundance of collagen type amino acids in your system. the red light exposure in the meantime increases the Power of your cells mitochondria making cells grow faster.
What kind of brace??
Hi what is DIY traction please let me know I my one knee is v bad thank you
Thanks for the info! Do you have any thoughts about partial knee replacements? Seems much less invasive.
Good video guys, y’all two work off each other very well 😊
Very interesting, thank you.
I find the notion of regrowing/losing cartilage to be misleading. Osteoarthritis is the result of an imbalance in the rate of cartilage loss and cartilage creation. The disease involves accelerated metabolic processes that cause increased turnover and destruction exceeding replacement. It normally takes about 800 days to completely turn over the cartilage in the femoral head. So it is slow growing. But It is not the case that you carry the same cartilage you developed growing up throughout your life. It is conceivable that diet and lifestyle might have considerable influence on the homeostasis of joint cartilage. But more investigation is needed to fully understand what can be done to prevent cartilage loss. It's not like fingers and livers and spinal cord. Cartilage is composed of substances secreted by cells in the ends of bones, not of cells per-se.
I just had three procedures done on my knee recently and one of them was the abrasion arthroplasty. I had never heard of it before but apparently this was needed behind the patella as there was no more cartilage there at all - at least that is what the post-operation notes stated. Thank you two for explaining and for the analogies. I am sitting and waiting to recuperate from the operation. Watching this video was helpful and reminds about why this operation was worth it.
Could I ask how you are doing. My dr has told me I needed this done and I'm so shared.
@@user-wq7yc2om3d Sure. Because I had three procedures done, the healing will take longer so I may be back to normal activity in 4 weeks. 🙏 S is my second week and I am making progress in my healing. The knee is still swollen and it is difficult to bend more than 90 degrees. But, I am working on bending and straightening it out every day and I see results. I am also able to put my full weight on that leg without pain but it feels wobbly and not secure. My physical therapy will start on Saturday. I wish I could have started physical therapy last week but there was no availability. It does get better. You just need to have patience with your body and give it time to heal. What exactly are you getting operated for?
@@Lorax4good I'm so glad you're feeling better and it gives me some hope! I have a torn meniscus and chondromalacia. Apparently I have damaged cartilage from my patella not "tracking" correctly. I keep listening to RUclips videos about people who feel worse after surgery and I'm scaring myself. I really need to hear a success story.
@@user-wq7yc2om3d I agree. There are many angles and perspectives on this subject that it can be quite offsetting. Especially around whether surgery is need for torn meniscus. But, with Chodromalacia, surgery is necessary. The sooner the better because as long as you are moving your legs, the bone to bone contact wears away in that area. Although the surgery was by endoscopic surgery, the work done inside is a major cleaning out of the broken pieces of cartilage and the fix needed on the patella. So you should expect some time for healing. I had water on the knee twice within two weeks a month before my surgery which is a reason why my knee looked like a softbal for almost two weeks. The knee already got used to that swelling but now it is going down. The crutches allowed me to get around as I did not need to put my full weight on it. I started working out again, upper body mostly. This evening I dared to exercise my hips and calves without jeapordizing my knee. Getting better overall.
Thanks guys!
fantastic understanding of a problem
Very well done Docs! You make me laugh, being in your company always cheers me up, AND this is such precious teaching. If you had only made this one video, you would have lived a life well-spent (IMO).
Wow thank you.
The glucosamine + chondroitin works for my knees. It doesn't repair or grow cartilage, but the stuff was like a miracle to me. I couldn't hardly walk, like Fred Sanford at best. After about a week, I was walking without pain at all. When I recommend it to someone, I tell them if it doesn't work in a couple of weeks, it probably is not going to help you. It is worth a try.
Thanks for sharing !
Doctors can't make their mortgage payments when you take supplements
That stuff didn’t work for me at all, tried it and took it for years, different brands, didn’t matter because it didn’t work. I had both hips replaced with my last one just 2 years ago because I no longer could sit in a chair and then get up from a sitting position and put any weight on that leg for at least 5 minutes when I had to lean on the table standing on one leg, not being able to straighten the leg with the bum hip because the pain was so excruciating that I can’t even describe it! I sometimes had my husband get the walker when I limped into the bedroom to lay down on the bed in order to straighten my leg which hurt so bad trying to do that that it made me cry because of the pain. I also could no longer drive, nor could I get out of the car without hanging on the car door for about 5 minutes after I stood up out of the car seat, standing only on my good leg, unable to put any weight on the bad one or straightening it. I carried crutches and my walker with me so I could use either one and slowly start walking with one of them until I was able to walk on my own again, limping into our apartment. Both of my hips were bone on bone and looked like the rats had chewed on them, at least that’s what my doc said, I also had very large bone spurs on each joint and cysts as well which caused the worst pain I had ever experienced in my life and I wouldn’t wish it on my worst enemy. I was really stupid with my second hip replacement for waited as long as did having it fixed. My ortho surgeon had warned against waiting when I asked him if I could perhaps wait another year pushing the surgery back because I knew what I was in for from my first replacement and tried to avoid my second surgery as long as I possibly could to which he replied saying that I didn’t have another year because of the way my hip looked and that the quality of life would greatly diminish if I didn’t move ahead with the surgery right now, but I got I was blindsided by his news of setting me up for surgery which I had not expected, so I didn’t listen to him and didn’t do what he wanted me not to do, BIG MISTAKE on my part and boy was he ever right!!! So if you need a joint replaced, don’t do like I did and wait until you can’t walk anymore and have to use a walker or crutches because you will be in excruciating pain, believe me I have very high pain tolerance and don’t cry easy, but that pain crushed me, it’s not a joke, get it done and over with!!! I now walk completely normal, I am perfectly even and the best past is that I am pain free! 👍😊
Not a supplement in the world was going to help you, God Bless. You had way too bad of damage. Thank your lucky stars the hip replacements worked out for you. My MIL, God rest her soul, she had hip replacements that didn't work out so well for her. I know quite a few people that have nightmare stories about shoulder and knee replacements. Everyone is different, what works for one may not work for another, and I think you are correct about waiting too long. Now that stuff that helped me, in my case was just my knees. I'm sure it's not a cure, but if it keeps me going for now, I'm grateful. That is why if I recommend it to anyone, I tell them it's worth a try, give it a couple of weeks. If it doesn't give them any relief, then it's not worth it, they have too much damage.@@gj9736
@@jthonn You are right saying that Glucosamine/Chondroitin works for some but not for others, my ortho even had me on it but like I said it did not do a thing for me, I tried the different kinds they have but it didn’t matter. I waited to long with my second hip replacement because I thought I could possibly avoid surgery which was being delusional on my part. I had my hips done anterior which is easier with less restrictions and faster ability to walk again. You actually have to relearn walking, using the walker first, then the cane and then on your own, physical therapy is also one thing you have to do, I had my surgery done in the am and was discharged by 5 pm going home with having to see my surgeon the very next day in the morning after my first session of PT, it was rough because I was extremely tired and still sort of groggy from the surgery the day before. They now throw you out of the hospital the same day after your surgery which wasn’t the case with my first hip when my ortho kept me 3 days in it but that was like 8 years before my second surgery. I am glad Glucosamine works for you and I hope it will continue to do so, I thought I could escape surgery but that didn’t happen unfortunately.
You guys are awesome !! Thank you for sharing
Our pleasure!
Thanks for sharing this video ❤❤❤❤
Thanks for watching
First I’d like to say how enjoyable and informative you two doctors make the information. Thank you. Both my knees have been in bad shape for a long time. Tylenol helps. I really don’t want replacement though. Am I causing more problems by not having the joint replacement?
Welcome. And no not necessarily. If you can live with it we will always say delay
Thanks for the advice about delay. My siblings are always urging me to get total knee replacements. I think my knees bother them more than they bother me. Sometimes I walk like a drunk cowboy, but I can also hike 7 miles, swim 4 miles, and bicycle 50 miles.
Who is laughing now? Well I am because you guys use humor in your videos and I like it !!!!!!!!!
Love that! 😂
So glad to hear these Drs tell the truth about supplements!
excellent episode boys !!!
Loved how you went through the list of supplements that could grow new cartilage😊
On a more serious note however, my belief is that vibration, healthy diet and believing in ones ability to self heal can make miracles
Thanks for doing this video. Unfortunately there are way too many snake oil salesmen out in the internet world today selling absolute garbage and nonsense. We need more people like you to set the record straight.
It is rampant. Supplements. Real estate. Crypto. You name it. Its scary
True! I totally agree. I bought lots of "supplements to grow" my cartilage, but they never worked. I am glad I ran into this video.
Sending this to our son(7th year medicine here in France; speciality urologist intern first year.) He's been telling me for years to go get knee replacement surgery....rr Normandy, Fra.
Thanks enjoy your talks a lot. Right Acl, medial lateral sprain, tear patellar reticulum, left meniscus
A new medical technology is a collagen matrix made from fish skin (North Atlantic Cod) that is decellularized with a mild detergent and re-cellularized using autologous fluids, then implanted in the joint. Not re-growing the cartilage back, but providing a possible solution that is the next best thing to re-growing cartilage.
Very interesting. I’m not sure if my hip joint is becoming arthritic or not but, I am getting a lot of pain in the front of my thigh just below long groin incision into the thigh. Im very curious as to whether the scar tissue can pull on muscle. Hip joint is definitely hurting and I’ve begun taking 2 to 4 Tylenol extra strength when pain gets bad enough. That says a lot of me as I really don’t like taking meds for pain, but makes it easier to get around and sleep. Thanks in advance. 😊🇨🇦
Try Advil works better for inflammation. Tylenol is not good for your liver.
You two are hilarious together and yes, I love the content but how you explain this stuff makes me grin. Thank you.
Well that's the goal Sarah!
Thank-you so much for taking your time to make these videos. Analogies are awesome for understanding! May I ask, is cartilage impaired or impacted by Desmoid Tumours? Thank-you.
Welcome. Not usually with Desmoid tumors