Posted on

Prolotherapy in Primary Care Practice

” Prolotherapy is an injection-based complementary and alternative medical (CAM) therapy for chronic musculoskeletal pain. It has been used for for approximately 100 years, however, its modern applications can be traced to the 1950s when the prolotherapy injection protocols were formalized by George Hackett, a general surgeon in the U.S., based on his clinical experience of over 30 years. While prolotherapy techniques and injected solutions vary by condition, clinical severity, and practitioner preferences, a core principle is that a relatively small volume of an irritant or sclerosing solution is injected at sites on painful ligament and tendon insertions, and in adjacent joint space over the course of several treatment sessions. Interest in prolotherapy among physicians and patients is high. It is becoming increasingly popular in the U.S. and internationally, and is actively used in clinical practice. A 1993 survey sent to osteopathic physicians estimated that 95 practitioners in the US were estimated to have performed prolotherapy on approximately 450,000 patients. However, only 27% of surveys were returned, likely dramatically underestimated true number of practitioners. No formal survey has been done since 1993. The current number of practitioners actively practicing prolotherapy is not known but is likely several thousand in the US based on attendance at CME conferences and physician listings on relevant websites. Prolotherapy has been assessed as a treatment for a wide variety of painful chronic musculoskelatal conditions which are refractory to “standard of care” therapies. While anecdotal clinical success guides the use of prolotherapy for many conditions, clinical trial literature supporting evidence-based decision-making for the use of prolotherapy exists for low back pain, several tendinopathies and osteoarthritis. ” – (Rabago)

To read further,

lick the attached link. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2831229/

Posted on

Important Medical Tests

Doctors seem to be ordering more test than ever especially imaging studies, such as CT scans, MRIs, and PET scans. Why? Well, there are two reasons.

First, these type of studies gives accurate images of internal parts of our body for suspected diagnosis. Blood tests give a great deal of information about body functions, the liver, kidneys, hormones, anemia, infections, etc, but which one of these many should they order?

This brings us to the second problem which is time because, since a good history and a thorough exam can take an hour or more, having doctors see 20 to 25 patients takes up a lot of time. Average office visits really last 20 minutes and then it’s time to order those tests, which is doctor’s hopes might give them some answers.

Take a common complaint such as chest pain. When does it happen, resting or exercising, with or without food, sitting or lying down, with or without breathing problems? Already, we have 10 different areas of the problem which could be the heart or lungs or esophagus or spine or anxiety or any combination. Which tests to order?

The answer is time. There is no substitute for experienced listening. It points the trained ear to the most likely cause of the symptoms and then the proper test can be ordered.

At Integrated Quality Medical Care, we take the time to listen not only to the patient’s personal symptoms but question their environment, lifestyle, family history, all of which are important to get the correct diagnosis.

Posted on

Do you need Ozone or Oxygen?

The air we breathe has 18% oxygen that is two atoms of atomic oxygen stuck together, which is written as O2. The amount of oxygen getting into our bodies is carefully regulated by our lungs. Too little oxygen slows our metabolism down, but too much such as in hyperventilating can cause dizziness, numbness, and you may pass out.

Ozone is different because it has three atomic atoms of oxygen stuck together O3, which is an unstable and highly reactive molecule. Breathing in ozone is very dangerous to the lungs and cause almost immediate damage. But ozone has been used medically for about hundred years, especially in Europe. Given directly into the vein medically, it stimulates the immune system and helps to kill microorganisms in the body, such as bacteria and mold but especially viruses which are not affected by antibiotics. Please check our website for more beneficial uses of ozone, especially about viral infections such as herpes.

This office has over 20 years of experience in the proper use of ozone in fighting infections and supporting cancer patients undergoing immune suppression therapy.

Posted on

Are my stem cells too old to work?

Dear Dr. Raff,

My doctor told me that my stem cells are too old to be productive in cell regenerative therapy. I am 76 years old. Is this true?

No, it is not true. Bone marrow is the place where stem cells reproduce the exact duplicates of themselves. One of our past stem cell’s patient is now 87, who had been treated last year for knee pain and limited movement. He stated that his knee has exceedingly enhanced, least pain and better fluidity. Everything is much better, even his golf game.

Sincerely, Dr. Raff

Posted on

Regenerative Cellular Therapy ( stem cells ) and Knee Pain

Many joints in your body such as hips, ankles, shoulders, and wrists can move in many directions, but not the knees. The knee is a hinge-like joint that moves in only one direction and is kept in alignment by many ligaments and tendons. Twisting the knee and athletic side blows cause devastating injuries by tearing and loosening support structures that keep the hinge aligned. When this happens the knee joint rapidly starts to deteriorate resulting in pain on movement and swelling of the knee area.

Regenerative cellular therapy (stem cells) is an in-office one-day procedure that has been extremely helpful in stimulating the body’s natural healing and repair, resulting in a return to almost, if not complete function, and avoiding major surgery. This is great for younger athletes but, even greater for the senior citizens for surgery and anesthesia represents an increased risk.

Posted on

Alternatives to Joint Surgery

Dear Dr. Raff,
I am 70 years old and have tremendous pain in my knee and hip. My orthopedist says I need a joint replacement, but I dislike surgery. Are there any other alternatives?

This is an important question especially for those over 60 years – old who suffer from severe ankle, knee, hip, lower back, neck, shoulder, elbows or any other joint pain and limited motion. Joint replacement surgery is an option for improving mobility and reducing pain. However, in spite of technical improvements, it still remains major surgery with a potential for complications and serious risks. The recovery time can often be several months or longer.

Yes, there is an alternative treatment. Due to the fact, that joints and ligaments have the least blood supply of any body tissue, the healing process from the injury or wear and tear is minimal. Doctors develop a treatment called prolotherapy for proliferation, which helps improve the blood flow to injured areas. The two forms of treatment are platelet-rich plasma (PRP) and whole blood. PRP is a treatment where we take some of the patient’s own blood and separate out some of its components. The components are injected back into the damaged areas, which help stimulate more effective blood flow. An even more effective treatment is extracting stem cells from the patient’s bone marrow and fatty tissues, and then reinjecting them into damaged joints or ligaments.

Stem cells provide a much more powerful healing force especially for older patients or more severe situations, and it usually takes one treatment to alleviate the pain and improve mobility. Whole blood or PRP can be used for less severe cases but may require several treatments depending upon the patient’s response.

Both treatments are outpatient or office procedures which are extremely safe and are increasingly used to help avoid the major surgery of joint replacement.

Sincerely, Dr.Raff