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Rapid Ischial Bursitis Treatment

Under normal circumstances and with normal techniques, it can take several months to treat ischial bursitis.

However, with the regenerative techniques our clinic uses, it may be possible to eliminate inflammation and regenerate the tissues of your body much more quickly — and even to help in cases where ordinary treatments have already failed.

How Regenerative Medicine Addresses The Root Cause, Not The Symptoms

Normal medical treatments often focus on alleviating the symptoms, rather than addressing the root causes. NSAIDs, for example, seek to reduce inflammation.

Yet it is that inflammation which the body uses as part of its healing process. While these drugs can therefore provide short-term pain relief, rather than promoting healing, they reduce the small degree of healing which naturally takes place.

The goal of regenerative medicine is to actually heal the patient’s ischial bursitis.

It does this by amplifying and enhancing the body’s own healing mechanisms.

Cells and healing factors are taken from elsewhere in the body, concentrated, and injected into the injured area where they go to work repairing the bursitis. (Depending on the type of therapy, these cells might be stem cells, platelet rich plasma — PRP — or others.)

The reason that ischial bursitis treatment is so difficult for conventional medicine has to do with the nature of the injury.

An ischial bursitis happens when inflammation develops between the bony projection known as the ischial tuberosity, and the hamstring tendon which passes over it.

This condition might be triggered by any number of causes, but sports injuries and prolonged sitting on hard surfaces are the most common.

In fact, sports are so well known for producing an ischial bursitis that some practitioners have taken to calling it “runner’s butt” or even just “sports butt.”

When an ischial bursitis develops and the bursa (the fluid filled sac which cushions the hamstring from the bone) becomes inflamed, it can be quite painful. It’s common for patients to experience a pain in the lower buttocks which appears when they sit down.

The patient’s lower leg may also be numb or start tingling, and flexing the knee may aggravate these conditions.

Why Regenerative Treatments Work

ischial bursitis treatment

ischial bursitis treatment

At Regenerative Medicine Specialists, we focus on providing treatments that can be accomplished on an in-office same-day basis.

Unlike surgical therapies, with our methods there is no hospital stay needed.

In general, we usually work with either stem cell or platelet rich plasma (PRP) therapies.

Both of them work on the regenerative principle, which is as simple as it is elegant. Just as how some animals are able to regrow tails if they are cut off, so too can the human body regenerate (smaller) parts of itself with stem cells.

Applying stem cells taken from other parts of the patient’s body — or PRP, which has a similar effect — it is possible to heal the degeneration and injuries producing disability or pain.

Stem cells and PRP alike are currently in your body, but dormant. For treatment, a small volume of them are taken from where they currently are, concentrated, and injected into the injured area.

There, they both help heal and help bring in more healing cells to heal the underlying problem which is causing the inflammation and pain.

The Key Differences Between Embryonic & Adult Stem Cell Therapy

Mention stem cells, and the controversial topic of embryonic stem cell research comes to mind.

It’s therefore crucial to underline that the stem cell therapy used for regenerative medicine is adult stem cell therapy.

It is not the subject of any ethical controversy, since in this kind of therapy the stem cells are taken directly from the patient themselves. Adult stem cell therapy is in fact a separate area of research from embryonic stem cells.

What Are Stem Cells?

As one might guess form the name, all of the 300+ types of human cells “stem” from special, more primitive and undifferentiated cells. These cells are the precursors of the specialized cells making up our blood, bones, brain cells, muscles, heart cells, organs, skin, and the like.

Stem cells come in two types: adult, and embryonic.

adult stem cell therapy

stem cell therapy

Adult stem cells, as used in regenerative therapies, are present in a number of types of tissue long after birth — for example, the bones, brain, intestine, kidneys, liver, skin, muscle, nervous system, and pancreas. These cells are designed to help repair and replace injured tissue.

Embryonic stem cells, on the other hand, are present in the newly fertilized egg inside 5 days after fertilization. They’re present before the egg has been implanted into the uterus wall. The stem cells are about the size of a grain of sugar, and the “ball” of stem cells is known as the blastocyte.

Why Is There A Controversy?

For a long time, scientists believed adult stem cells were less capable than they actually are, and as a result focused on researching embryonic stem cells.

In order to get embryonic stem cells, they’re usually taken from the left-over fertilized eggs which result from the in vitro fertilization process. (Couples using in-vitro fertilization, where the fertilization is done outside the body, will have multiple eggs and sperm fertilized.

This is to ensure implanting them back into the woman will ‘take.’) Around 50-60% of the resulting embryos are not considered viable.

Since the Catholic Church believes life starts at conception, the Church strongly disagrees with making any use of the resulting ball of cells. The fact that the cells could become human if they were implanted means that, in Church doctrine, they have the same status as a fetus.

No use of the fertilized eggs for any reason except re-implanting them is permitted. Other Christian sects and religions have adopted this position also.

Why Not Use Adult Stem Cells in Research?

Since adult stem cells — the types used by Regenerative Medicine Specialists in stem cell therapy — do not have any ethical or religious concerns associated with them, it would seem logical to avoid the controversial embryonic type entirely. However, for a long time adult stem cells were thought to be less capable than they are. Only recently has it been shown that adult stem cells are able to change into other types of cells than the tissue from which they were taken, for example.

While embryonic stem cells still have some benefits for scientists working in the lab, much research is now shifting to adult stem cells.

How Does This Impact Stem Cell Treatment?

Now that scientists have been able to reverse adult stem cells from particular tissues into many different cell types, the door has been opened to making adult stem cell therapy even more powerful and versatile than before.

At no point is there any involvement of the controversial embryonic stem cells. Instead, research is underway to use the non-controversial adult stem cell therapy for Alzheimer’s disease, deafness, and even baldness.

Alternatives to Surgery for Knee Joint Pain Relief

knee joint pain relief

knee joint pain

Knee injuries are quite common.

Estimates are that they are responsible for more than 1 million surgeries every year.

About 650,000 of those are arthroscopic meniscal procedures.

Considering that in particular these meniscal procedures can leave the knee in an unstable condition (the re-operation rate for post-meniscectomy procedures may be up to 29%) this is a very high number.

Fortunately, for some patients, regenerative medicine may help provide knee joint pain relief without painful and invasive surgery.

What Causes Knee Pain?

In order to understand why it’s so important to find alternatives to surgery for knee joint pain relief, it’s worth first understanding where the pain comes from in the first place, and the knee’s anatomy.

One of the most frequently injured components is the meniscus, a fibrocartilagionous, crescent-shaped structure which is actually divided into two specific parts: the medial and lateral menisci.

These menisci give the knee its structural integrity, while delivering lubrication and nutrition to the articular cartilage and shock absorption to the structure as a whole when moving around. A number of ligaments also work with the mensci in tandem, in order to prevent overextension.

The menisci can get damaged in two ways: gradual overuse and acute injury. Tears tend to be the most common form of injury. The trouble with the meniscus is it’s poorly vascularized — it has limited blood flow. (Just 10-25% of the meniscus has a direct supply of blood.) If the area is injured, the chances of an internal, natural repair are limited. The other areas cannot heal from injuries at all.

Identifying A Meniscal Tear

Patients who suffer a meniscus tear as a result of trauma or sudden injury experience immediate, sudden pain, often accompanied by a kind of pop. If the tear is the result of overuse and ongoing stress, the pain will tend to be less obtrusive. It simply increases in time.

For both cases, the injury is usually accompanied by some swelling and an overall reduction in mechanical function and mobility. Meniscal tears are often also accompanied by popping, clicking, or locking in the knee joint.

Though many patients decide to seek help as a result of overt symptoms like these, a surprising number of patients have torn menisci yet don’t realize it. One study found that 60% of patients whose knees got an MRI scan showed a meniscal tear, though they didn’t have the symptoms.

As a result, patients who have an MRI for knee pain come back with a mensical tear may have had the tear silently for 20 years or more — yet their doctors may recommend surgery.

Healing The Knee Without Surgery

Ultimately, the problem with surgery is that it cannot change the lack of a blood supply to the meniscus. The surgery does not allow the body to heal itself, so surgeries often result in more pain, instability, and degeneration.

Instead, PRP or stem cell therapy may be able to help with knee pain, and do it without surgery. PRP therapy in particular delivers to the damaged or torn meniscus an ‘extra dose’ of the things it needs: healing factors like platelets, which allow the meniscus to heal itself.

Best of all, this procedure does not require a hospital visit or any physical therapy for recovery. Regenerative techniques can often be done on a same-day, in-office basis.

Treatment for shoulder pain With PRP Therapy

treatment for shoulder pain

shoulder pain treatment

For more than a decade now, platelet rich plasma (PRP) therapy has been used for treating the many problems which can afflict the shoulder — torn and injured ligaments and tendons, tendonitis at the rotator cuff, impingements, and more.

Among the conditions which it may help is shoulder impingement — a painful condition which produces shoulder pain as a result of bursitis or tendonitis in the acromiclavicular joint, or due to rotator cuff tendonitis.

This condition is frequently over-diagnosed, and many doctors are very fast to recommend surgery, yet surgery often leaves patients with residual pain even after the procedure.

PRP therapy therefore represents a welcome alternative for many patients.

What Is A Shoulder Impingement?

Shoulder impingements begin with bursitis or tendonitis in the acromioclavicular joint, or with a tendonitis in the rotator cuff.

The acromioclavicular joint is the joint which allows the clavicle to articulate with the frontal part of the scapula.

In theory, excessive impingement which is associated with the rotator cuff tendons rubbing over the scapula and under the clavicle results in shoulder pain. Nevertheless, many doctors are too quick to diagnose this as the cause of a particular patient’s pain — and too quick to offer surgery as the best method of treatment for shoulder pain in these patients.

As with back pain, most of these cases can be treated successfully with conservative therapy. On the other hand, an MRI scan can help assess the amount of rotator cuff or shoulder joint tissue injury.

A careful approach to recommending surgery is worthwhile as many patients who have arthroscopic surgery for this condition end up still suffering from pain even after the procedure. They also must undergo weeks or months worth of rehabilitative therapy.

How Platelet Rich Plasma Therapy May Be An Effective Treatment For Shoulder Pain

Platelet rich plasma, or PRP, may offer patients a non-surgical treatment for rotator cuff injuries and shoulder pain. PRP therapy works by enhancing the body’s natural process of healing, rather than cutting away tissue or injecting steroids.

The therapy begins when the patient’s blood is drawn and then processed using a sterile technique. The PRP is isolated and then drawn off, producing a platelet concentration which may be as much as 700% of the baseline.

These platelets contain growth factors, cytokines, and proteins which, once injected, will trigger a cascade of tissue regeneration and healing.

Then, the PRP is injected into the region of “impingement” or damaged tissue. White blood cells (macrophages) come into the region where the PRP was injected to clean away the damaged tissue.

A protein matrix forms to which the new tissue attaches. Fibroblasts come in to form new and strong collagen fibers, rebuilding the damaged tendons, ligaments, or cartilage. Stem cells are also recruited into the region — they differentiate into whichever tissue cells are needed to produce healing.

This whole process happens over 6-8 weeks.

PRP Advantages

Compared with surgery, PRP therapy takes just an hour or so and can be done in the office, without a hospital stay. Patients do not need rehab and don’t have any “down time.”

For many patients with shoulder pain, PRP may be able to help them avoid the many disadvantages of invasive therapies.

How We Treat Iliolumbar Ligament Pain

Normally, iliolumbar ligament pain is the result of sports injuries that involved repeated bending or twisting the back. For example, golf and volleyball injuries are frequent causes of iliolumbar ligament problems; car accidents are another common one as well.

Iliolumbar ligament pain may sometimes be called iliac crest pain syndrome, iliolumbar syndrome for short. No matter what the cause, it’s always produced by tearing and/or inflammation in the iliolumbar ligament.

The iliolumbar ligament stretches from the back of the pelvis — the iliac crest — up towards the spine. Inflammation here can produce referred pain that seems to be coming from a variety of places: the back, the hip, the groin, the pelvis, or sometimes even the testicular, vaginal, or rectal areas. This referred pain can make it difficult to diagnose.

Signs of Iliolumbar Ligament Pain

Recurring, frequent lower back pain attacks are common symptoms of iliolumbar ligament pain. These attacks will tend to show up in a triangularly shaped region which is located between the so-called erector spinae muscles, the facet joints, the quadratus lumborum muscle, the lumbar fascia, and the iliolumbar ligaments. Painful attacks may be produced by almost any kind of physical exercise involving a bending or twisting of the lumbar spine.

In some cases, however, the pain only shows itself once the patient has been sitting down for some time — or even just during a brief period of time in the early morning, such as immediately after waking up and getting out of bed.

Lastly, patients with iliolumbar syndrome sometimes experience hip or groin pains next to the standard pains, possibly including some tenderness of the iliolumbar area as well.

Treating Iliolumbar Syndrome

Iliolumbar ligament pain may be difficult to diagnose, since it often involves pain in a variety of areas. Usually doctors assume it is a muscular strain, leading them to prescribe rest and ice.

Sadly, this approach does not actually help heal the damaged ligament, nor can it repair weak ligaments which produce the referred pain. This means that the chronic pain of iliolumbar ligament problems goes unresolved.

Iliolumbar Ligament Pain

iliolumbar ligament pain

After the more conservative program of treatment has failed, usually doctors prescribe anti-inflammatory drugs or steroids — yet these often produce more harm than they do good. Though they provide short term pain relief, in the long term these may be harmful, accelerating cartilage degeneration and inhibiting soft tissue healing.

Patients who don’t respond to even these treatments are usually referred to a surgeon. Yet since surgeons tend to rely on the X-ray as a diagnostic tool and X-rays usually fail to identify iliolumbar issues correctly, the surgeon may not recognize before the surgery that they are dealing with iliolumbar syndrome — and as a result they do not recognize the surgery will be unable to alleviate the iliolumbar ligament pain.

How We Treat Iliolumbar Ligament Pain

Instead of using harmful steroids or resorting to surgery, it is our experience that regenerative treatments like stem cells and PRP therapies may relieve ilolumbar syndrome in as little as a single visit to our office, without a hospital stay.

How is this possible? Regenerative therapies allow the body to repair itself quickly and effectively. They involve taking cells which are designed to promote rapid healing from places in the body where these cells are stored and then injecting them into the damaged area.

There, they promote healing and rapid tissue regeneration.

How Stem Cell Therapy Eases Pain & Helps Avoid Surgery

stem cell injections

stem cell therapy

Arlene Abrams of Cleveland, Ohio is a patient who has dealt with shoulder pain for over a decade. Despite undergoing surgery for a torn rotator cuff in her right shoulder, after a few years she started experiencing significant pain as well as a limited range of motion again. MRI scans of her shoulders showed major tearing, damage, and retraction — the only surgical option from there was total shoulder replacement.

However, Arlene preferred to avoid undergoing another round of surgery to her shoulder if at all possible. Thanks to stem cell therapy, she has so far been able to stay off the operating table.

Instead of going through surgery, Arlene decided to try regenerative medicine, as practiced by Regenerative Medicine Specialists. This cutting-edge type of treatment allows the body to regenerate injured tissues by regenerating them from the patient’s own stem cells. The therapy stimulates previously damaged tissues to the point that they regain their structure and begin to recover. With stem cell therapy, Arlene’s pain went down while her range of motion went up.

Within a few weeks after the procedure — which was performed at the Cleveland Shoulder Institute — Arlene noticed that it no longer stressed her shoulders to hold her “wiggly” 4-month-old granddaughter. “I no longer have pain” when she picks up laundry soap or a gallon of milk, she said. “I couldn’t be more pleased.”

Regenerative techniques use adult stem cells taken from the patient, sometimes combined with blood platelets, in order to speed up healing and repair in bone, joint, muscle, soft tissue, as well as nerve injuries.

All of us carry around stem cells which act as the body’s “repairmen.” Healthy regenerative stem cells exist in fat, the bone marrow, as well as some forms of connective tissue. Regenerative treatments take these healthy cells from parts of the body that are rich in them, then inject the cells into injured parts of the body which need them.

Because the cells have been taken from the patient’s own tissue, there’s no risk of rejection when they’re injected into the injured area. Often using ultrasonic guidance to ensure precise placement, the doctor injects the extracted cells directly into the injured ligament, tendon, muscle, nerve, joint, or bone. There is no hospital stay required.

Arelene had her stem cell treatments “right there in the doctor’s office,” she said. She first started noticing improvements in both her limited range of motion and chronic pain “about two weeks” following the procedure, and her condition has “continued to significantly improve” since then.

Regenerative medicine may represent a viable alternative for many patients who are looking to avoid surgery or ongoing steroid treatments in ever larger numbers. It can help with many conditions ranging from osteoarthritis to rotator cuff injuries, meniscus tears, tennis elbow, muscle strains, tendonitis and tendinosis, plantar fasciitis, nonunion fractures, compression nerve injuries, and many more.

Regenerative Medicine Specialists are skilled in using stem cell therapy not just on its own but also in combination with other regenerative techniques for maximum effectiveness. Depending on the condition our doctors may recommend a particular type of therapy such as lipoaspirate or stromal vascular fraction, or with the use of platelet rich plasma, cytokine, or growth factor therapy.

Stem Cell Injections May Soon Save Seniors From Losing Their Eyesight

stem cell treatment

stem cell injections

The treatment is still in the research phase, but a recent study indicates that stem cell injections might soon be able to slow or even reverse the effects of age-related eye degeneration in the early stages of the condition.

At the moment the disease is considered untreatable — and it’s one of the major causes of vision loss in people over the age of 65.

More than 15 million US adults are afflicted by age-related macular degeneration right now. The disease starts when the macula, the small central area of the retina, begins to deteriorate. Next to age, both environmental factors and genetic predispositions contribute to this macular degeneration.

The lead author of the research, Shaomei Wang of the Cedars-Sinai Board of Governors Regenerative Medicine Institute’s Eye Program, has noted that this is the first work to show it’s possible to preserve vision by injecting only a single dose of the cells suffering from age-related macular degeneration.

After the researchers gave the rats a single shot of human adult-derived stem cells, their vision stayed preserved for some 130 days — the equivalent of around 16 human years.

Following the injection, the researchers noted that healthy cells began migrating towards the retina, where they formed a protective layer which held off ongoing degeneration. In order to produce the induced neural progenitor cells, the scientists started by converting adult human cells to induced pluripotent stem cells. From there, they made them into the needed human cell.

According to study contributing author Clive Svendsen, the induced progenitor cells represent a “unique source” of cells which are capable of slowing macular degeneration and associated vision loss.

Of course, researchers still need to gather additional data before clinical studies can begin. Nevertheless research is coming close to allowing doctors to begin offering adult stem cell injections as a customized treatment method for patients with macular degeneration and similar studies.

After this study’s promising results, researchers are starting to test the efficacy and safety of stem cell injections in animal models prior to moving to clinical trials in human patients.

Assuming the pre-clinical trials are successful, clinical trials will be designed later to test the potential benefit of stem cell injections for human age-related macular degeneration.

While stem cell therapy for age related macular degeneration is still a ways off where human patients are concerned, Regenerative Medicine Specialists currently offers the treatment for a variety of other conditions which interfere with valued activities and quality of life.

In our doctors’ experience, the treatments — which need minimal downtime and allow a fast return to work and play — can provide complete relief in just a single injection. Musculoskeletal, shoulder, elbow, wrist and hand, spine, hip, knee, and foot and ankle conditions are the main areas of focus for Regenerative Medicine Specialists.

Depending on the condition, our doctors may recommend one or more or a combination of stem cell injections, platelet rich plasma therapy, cytokine therapy, or growth factor therapy. All of these therapies focus on using the body’s own cells to produce rapid healing and regeneration — essentially allowing the body to repair itself.

Tampa Bay Rays’ Alex Cobb Undergoes PRP Therapy For Torn Elbow Ligament

The Tampa Bay Rays’ ace pitcher Alex Cobb has a partially torn elbow ligament that threatens to keep him off the field not just for this season but maybe even all of 2016. The team’s first choice? PRP therapy.

Cobb is currently undergoing two weeks of treatment with platelet rich plasma, as well as resting up. After this period, he’s expected to try and resume pitching to see if the PRP therapy has been enough to heal the injury.

If not, he would likely to have to undergo Tommy John surgery, which would sideline him for most of if not the entire 2016 season.

Reports only recently started coming out that Cobb’s rehab was halted by a diagnosis of a partially torn ligament based on an arthrogram, which is a detailed type of MRI exam, when he visited the doctor where he also had the PRP injection, Dr. James Andrews.

President of operations for the Rays, Matt Silverman, has commented only that the team is currently in “wait and see mode” as a result of the tests and would have a formal announcement soon. Silverman said that discussing the possibility of surgery at this point was “premature.”

The team is continuing to evaluate what their next steps might be, according to Silverman. Currently Cobb’s main focus is getting back to the pitching mound, and hopes are he can do it this season, but they do not currently have a timetable.

PRP treatment

PRP Therapy

Cobb has not yet commented to the media about his injury. The player has been on the sidelines since March 17, where he left a Clearwater game with an injury that was then called a strain or forearm tendinitis.

After several weeks of rest and doing no more strenuous activity for a few weeks than playing catch, by April 24 Cobb started throwing balls off a mound and was hoping to return to his team’s rotation by late May.

Operations president Silverman told the press that Cobb was progressing and feeling comfortable — he had even started “adding intensity” to his pitching — yet “something didn’t feel right.”

The team does not believe that Cobb experienced further injury during his rehab. The more detailed MRI arthrogram requires injecting dyes which can produce complications, which may be one reason the team waited.

Instead, the team has said they are continuing to follow the normal protocols for this type of injury, which started as a forearm strain. Since the forearm is so closely linked to the elbow, there are always concerns with forearm strains.

Pitchers who have remained active in spite of partial tears do have some history of success — the Yankees’ Masahiro Tanaka as well as Hall of Fame member Nolan Ryan, for example. To be sure there isn’t much risk for the Rays and Cobb to waiting a few weeks to see if the PRP therapy and rest helps heal the injury to the point where he can return at some point in June.

If he has to undergo Tommy John surgery, it’s not likely he’d return until past the 2016 season in any case.

Stem Cell Treatment For Knee Osteoarthritis Might Help Rebuild Cartilage

stem cell treatment

stem cell treatment

Recent scientific studies have looked at the use of adult stem cells taken from fat and bone marrow for treating patients who suffer from knee osteoarthritis, with promising results.

Researchers have concluded that not only does the therapy produce an improvement in symptoms, but healing and regeneration of cartilage might be taking place.

Director of the Arthritis Treatment Center in Maryland, Dr. Nathan Wei, has noted that the options for helping patients with osteoarthritis used to be limited to simply helping relieving symptoms. Now, however — thanks to stem cell therapy — he says medicine is entering an era where therapies are available that “may also rebuild lost cartilage.”

Knee osteoarthritis (commonly called OA or “wear and tear” arthritis) is a very common condition, affecting over 20 million Americans. For patients who have osteoarthritis, the cartilage in the joint has been damaged or is starting to get lost — and bone has started grinding against bone.

As a result, a reactive bony overgrowth is produced that in turn creates significant pain and limited mobility. Being active makes the pain even worse, though it is still usually present when patents are resting as well.

Osteoarthritis is particularly common in patients who are overweight or over age 45. Trauma can accelerate it, so younger patients may also develop osteoarthritis.

Traditionally, knee osteoarthritis has been treated with steroids or hyaluronic acid injections. Unfortunately this usually only gives temporary relief. Many patients eventually face going through total knee replacement surgery. This procedure results in a great deal of post-operative pain and requires a prolonged recovery.

However, stem cell treatment means it is frequently possible to avoid going through a major procedure. This treatment uses cells taken from the body in order to regenerate the joint tissues, thus alleviating pain and dysfunction. Since it’s done on an in-office outpatient basis, there’s not even any hospital say required.

According to Dr. Wei, administering adult stem cells carefully may be able to restore the lost cartilage which is causing the osteoarthritis, thus treating the underlying problem rather than the symptoms. He observes that this phenomenon has already been shown in “multiple animal models,” but until recently it was only described in humans in “anecdotal reports.” Now, however, he states that researchers are performing clinical studies which are “much better controlled” as well as “more scientifically valid.”

Wei added that stem cell treatment did not just positively affect arthritis through the transformation of stem cells into cartilage — it’s also a consequence of the way stem cells release proteins which attract other healing cells into the affected area. It’s a phenomenon known as the “paracrine” effect.

“We are excited,” he said, “about the early results” from their investigation and hope further research will be as promising. If so, according to Wei, knee replacement surgery could end up being a “thing of the past.”

Regenerative Medicine Specialists uses both stem cell and PRP treatments to help treat knee osteoarthritis. In our experience, these related therapies help relieve joint pain, restore normal functioning, and often manage to produce results without the sometimes serious problems which may result from other therapies. In most cases, it’s possible to produce results in a single office visit.

By | 2015-05-26T02:21:18-07:00 May 7th, 2015|Uncategorized|0 Comments

No More Pain When You Sit Down: Ischial Tuberosity Pain Treatment

For patients who have been diagnosed with “weaver’s bottom,” “tailor’s bottom,” “runner’s butt,” or one of the many other names for ischial tuberosity bursitis pain, the condition is an awkward and uncomfortable one.

For some patients the pain only appears when they sit down, for others it is present all the time. Fortunately, it’s a treatable condition.

Ischial tuberosity bursitis is a common condition which happens when the fluid-filled sac between the hamstring and the ischial tuberosity bone becomes inflamed.

The ischial tuberosities are two bony projections — one on either side of the pelvis — which bear the weight when we sit down. Under normal conditions these tuberosities are padded by fat and muscle as well as special fluid-filled sacs known as the bursae. However, under certain conditions this padding fails or is not sufficient, at which point the bursae become inflamed and painful.

Ischial Tuberosity Pain Treatment

Ischial Tuberosity Pain Treatment

Originally, this condition developed as an occupational disorder among weavers and tailors, who had to sit for hours at a time on hard stools or benches as they worked. Moving back and forth in a constant rocking motion irritated the bursae, producing a disorder which came to be called “weaver’s bottom.” Nowadays it’s sometimes associated with being slim while spending too much time in front of a computer while sitting on a hard chair. It’s also commonly caused by sports injuries — especially those which also result in hamstring strain or tendonitis.

Any injury which produces strain in the hamstrings can also produce an ischial bursitis. Hamstring strains are sometimes called “pulled hamstrings,” and this happens when overstretching tears the hamstring tendons or fibers. How severe the injury may be varies: doctors rate hamstring strains from 1 to 3, with a “3” being the worst (the strain is so severe the hamstring has been completely torn, the patient is no longer mobile). If a patient has experienced a hamstring strain the injury is clear and nearly impossible to miss — it generally comes on as a very severe, sudden pain which is accompanied by a “popping” sound from the hamstring region. Quickly thereafter the rear area of the thigh becomes bruised, tender, and swollen.

However, it is also possible for an ischial bursitis to appear without any injury to the hamstring. Regardless of whether the hamstring is involved, signs of an ischial tuberosity burisits tend to be lower buttock pain while sitting down or running. Symptoms may also include numbness or tingling when flexing the knee or in the lower leg.

Ischial Tuberosity Pain Treatment

Ischial tuberosity pain treatment comes in many forms. When conventional, conservative therapies fail, the doctors at Regenerative Medicine Specialists focus on techniques which still allow in-office treatment on a same day basis — avoiding the need for a hospital stay. In most cases this means platelet rich plasma or stem cell-based treatment.

Stem cell treatment, for example, uses cells which already exist in your body. They are normally dormant, but when called into action they can form almost any type of cell needed to produce healing. These cells also trigger the release of many other healing-promoting factors. When isolated from your body and injected into an injured area, they can produce dramatic recoveries.

Platelet rich plasma, or PRP injections perform a similar function — they create an environment which tends to favor healthy tissue regeneration at a rapid pace, encouraging healing in a rapid and healthy manner.

By | 2015-04-30T04:47:27-07:00 May 4th, 2015|Uncategorized|0 Comments