The Regenerative Spine and Joint Institute Approach

With the advent of new bio-cellular regenerative interventions (BRI), we are able to successfully treat patients with mild to advance elbow conditions without the need for surgical interventions. Our interventions are designed to repair, regenerate, restore tissue to its normal health and function. Potentially avoiding recurrent episodes of pain, disability and further surgical interventions.

Osteoarthritis (OA)

What is Elbow OA?

Osteoarthritis or OA is the most common form of arthritis and is related excessive wear and tear of the joints, ultimately damaging the joint the cartilage (which is the smooth, firm material which covers the ends of the bones in the elbow).

It can be associated with aging, overuse or trauma. With time, the cartilage become stiff, less effective in absorbing loads and damage ensures, causing inflammation. The tendons and ligaments around the joints begin to stretch and the pain worsens. Ultimately the cartilage wears out and the bones start to rub against each other, creating spurs and deformity in the joints.

Elbow OA, frequently affects patients over 50 years of age, female, commonly associated with smoking, obesity, poor nutrition, multiple sprains, previous surgery or trauma, occupational factors, repetitive motions (sports) and genetic predisposition. Other causes of elbow arthritis is rheumatoid arthritis, septic arthritis and gout.

What are the symptoms of Elbow OA?

Pain and stiffness in the elbow are some of the most common symptoms. Swollen hot joints are frequently found in more advanced cases. Painful extension of the elbow and decrease range of motion are also common symptoms.

 

How is Elbow OA diagnosed?

A comprehensive history and physical examination is essential is evaluating patients with elbow pain. Additionally other test such as: X Rays, MRI, CT-Scan and Sonography are commonly utilized obtain an accurate diagnosis.

 

How is Elbow OA treated?

Response of treatment varies according to the stage of injury and degeneration.

  • Conservative
  • Nutritional supplements
  • Medications: NSAIDS (non-steroidal anti inflammatory drugs)
  • Correction of muscle imbalance, stretching, Laser therapy
  • Isometrics and eccentric exercises
  • Splints (counter force brace or elbow strap)

The Regenerative Spine and Joint Institute Approach

In patients with elbow joint arthritis we use a personalized, precise, regenerative medicine approach based on the proportionality of the conditions. We created an advanced proprietary tissue engineering system for joints repair and regeneration called,B.E.T.R Bio-Stem Joint.

What are the different types of Bio-Cellular Regenerative Interventions (BRI) used to treat Elbow OA?

B.E.T.R Bio Joint

Is the preferred intervention in patients with painful and arthritic elbow joints who are having mild to moderate symptoms and have minimal degenerative changes. It consists of injecting a combination of substances called Biologic Stimulants. Although it contains powerful growth factors and anti-inflammatories, this system does not contain mesenchymal stem cells. However it can be highly successful in early symptomatic joint arthritis.

B.E.T.R Stem Joint

This system was designed for patients who have failed the above interventions or have moderate to advanced joint arthritis. It consists of using a proprietary method for injecting the arthritic or damaged joints with a combination of Bio-Cellular Grafts (growth factors, biologic scaffolds and mesenchymal stem cells obtained from your own bone marrow or adipose tissue). It is considered the most advanced regenerative treatment available for patients with painful arthritic joints.

See Bio-Cellular Regenerative Therapies

Tennis Elbow

What is Tennis Elbow?

Also known as lateral epicondylitis, is a tendinosis of the common flexor tendon in the inner side of the elbow. The tendons join the muscles that are responsible for extending the digits of your hand and the wrist. Due to minor injury, overuse or trauma the tendon insertion can become painful. Frequently the condition progresses to tendinosis or tendinopathy, which occurs when a tendon attempts to heal and develops swelling and accumulation of abnormal tissues. It can frequently be associated with tears. Mostly seen with chronic injury and degeneration.

Although this condition can happen in golfers, racquet sports, pitchers and other throwing sports, the majority of cases have no specific associated activities.

What are the symptoms of Tennis Elbow?

The main symptom of tennis elbow is pain in the outer side of the elbow. Tennis elbow is usually exacerbated by repetitive motions such as twisting of your wrist, gripping objects, throwing, golf and tennis motions and extending your wrist against resistance. On advanced cases the pain can occur at rest.

How is Tennis Elbow diagnosed?

After a comprehensive history and physical examination, usually X rays are obtained to exclude other conditions that can be present with the same symptoms. Frequently sonography is the most accurate way to confirm the diagnosis. Occasionally an MRI is needed to exclude other conditions.

  • Conservative
  • Rest in the acute stages
  • Activity modification with avoidance of triggering factors
  • Physical Therapy
  • Nutritional supplements
  • Medications: NSAIDS (non-steroidal anti inflammatory drugs)
  • Correction of muscle imbalance, stretching, Laser therapy
  • Lifestyle changes (exercise, proper sleep, others)
  • Splints
  • Steroid Injections (short term relief)

The Regenerative Spine and Joint Institute Approach

In patients with symptomatic tennis elbow we use a personalized, precise, regenerative medicine approach based on the proportionality of the conditions. We created an advanced proprietary tissue engineering system for tendon repair named B.E.T.R Bio-Stem Tendon.
B.E.T.R. stands for biologic enhancement of tissue repair.

What are the different types of Bio-Cellular Regenerative Interventions (BRI) used to treat Tennis Elbow?

B.E.T.R Bio Tendon

Used initially to treat patients with tennis elbow who are having mild to moderate symptoms and have minimal degenerative changes. It consists of injecting a combination of substances called Biologic Stimulants. Even though it is devoid of stem cells, it contains powerful growth factors and anti-inflammatories, which are capable of achieving great success.

B.E.T.R Stem Tendon

This system was designed for patients who have failed the above interventions or have moderate to advanced tendon damage. It consists of using a proprietary method for injecting the damaged tendon with a combination of Bio-Cellular Grafts (growth factors, biologic scaffolds and mesenchymal stem cells obtained from your own bone marrow or adipose tissue). It is considered the most advanced regenerative treatment available for patients with painful damaged tendons.

TENEX TENOTOMY

Is a new device designed to remove the damaged tissue in the tendons that are swollen and have a significant amount of abnormal tissues. The device is based on ultrasonic technology and is inserted into the tendon through a very small incision. The Tenex Device, cleans and removes damage or injured tissue and creates a healing response. Bio-Cellular Therapies are frequently performed in the tendon, following the Tenex procedure. In our experience, this combination therapy provides the best results.

We use the Tenex Tenotomy, only in patients with Tendinopathy that have not responded to conservative therapy or Bio-Cellular Therapies.

See Bio-Cellular Regenerative Therapies

Golfers Elbow

What is Golfer’s Elbow?

Also known as medial epicondylitis, is a tendinosis of the common flexor tendon in the inner side of the elbow. The tendon join the muscles that are responsible for flexing the digits of your hand and the wrist. Due to minor injury, overuse or trauma the tendon insertion can become painful.

Although this condition can happen in golfers, pitchers and other throwing sports, the majority of cases have no specific associated activities.

What are the symptoms of Golfers Elbow?

The main symptom of golfers elbow is pain in the inner side of the elbow. It is usually exacerbated by repetitive motions such as golf, throwing and bending your wrist against resistance. On advanced cases the pain can occur at rest.

How is Golfer Elbow diagnosed?

After a comprehensive history and physical examination, usually X rays are obtained to exclude other conditions that can be present with the same symptoms. Frequently sonography is the most accurate way to confirm the diagnosis. Occasionally an MRI is needed to exclude other conditions.

How is Golfer Elbow treated?

Conservative

  • Rest in the acute stages (Immobilization )
  • Ice, compression, others
  • Activity modification with avoidance of triggering factors
  • Physical Therapy
  • Nutritional supplements
  • Medications: NSAIDS (non-steroidal anti inflammatory drugs)
  • Correction of muscle imbalance, stretching, Laser therapy
  • Lifestyle changes (exercise, proper sleep, others)
  • Isometrics and eccentric exercises
  • Splints (counter force brace or elbow strap)
  • Steroid Injections (short term relief)
  • While you recover from your injury, you will need to change your sport or activity to one that does not make your condition worse.

The Regenerative Spine and Joint Institute Approach

In patients with symptomatic golfers elbow we use a personalized, precise, regenerative medicine approach based on the proportionality of the conditions.  We created an advanced proprietary tissue engineering system for tendon repair named  B.E.T.R Bio-Stem Tendon.

B.E.T.R. stands for biologic enhancement of tissue repair.

What are the different types of Bio-Cellular Regenerative Interventions (BRI) used to treat Golfers Elbow?

B.E.T.R Bio Tendon

Used initially to treat patients with golfers elbow who are having mild to moderate symptoms and have minimal degenerative changes. It consists of injecting a combination of substances called Biologic Stimulants. Even though it is devoid of stem cells, it contains powerful growth factors and anti-inflammatories, which are capable of achieving great success.

 

B.E.T.R Stem Tendon

This system was designed for patients who have failed the above interventions or have moderate to advanced tendon damage. It consists of using a proprietary method for injecting the damaged tendon with a combination of Bio-Cellular Grafts (growth factors, biologic scaffolds and mesenchymal stem cells obtained from your own bone marrow or adipose tissue).  It is considered the most advanced regenerative treatment available for patients with painful damaged tendons.

TENEX TENOTOMY

Is a new device designed to remove the damaged tissue in the tendons that are swollen and have a significant amount of abnormal tissues. The device is based on ultrasonic technology and is inserted into the tendon through a very small incision. The Tenex Device, cleans and removes damage or injured tissue and creates a healing response. Bio-Cellular Therapies are frequently performed in the tendon, following the Tenex procedure. In our experience, this combination therapy provides the best results.

We use the Tenex Tenotomy only in patients with tendinopathy that have not responded to conservative therapy or Bio-Cellular Therapies.

SeeBio-Cellular Regenerative Therapies

Collateral Ligaments Sprains/Tears (Ulnar and Radial)

What are the elbow collateral ligaments?

Ligaments are fibrous structures that connect bone to bone and are essential in maintaining the integrity of the elbow joint. A sprain is the term use to describe an injured ligament injury. There are two main collateral ligaments in the elbow. The ulnar collateral ligament (inner elbow) and the radial collateral ligament (outer elbow). When a ligament becomes injured, according to the degree and severity (small tear or complete rupture), pain along with biomechanical dysfunction ensues.

Although this condition is common in throwing sports, pitchers are usually afflicted with this condition. However, there is a significant number of injuries and job related activities associated with collateral ligament problems.

What are the symptoms?

The main symptom of golfers elbow is pain in the inner side of the elbow. The symptoms are usually exacerbated by throwing and repetitive motions such as, pitching or other job related activities. On advanced cases the pain can occur at rest.

How is it diagnosed?

After a comprehensive history and physical examination, usually X rays are obtained to exclude other conditions that can be present with the same symptoms. Frequently sonography, is the most accurate way to confirm the diagnosis. Occasionally an MRI is needed to exclude other conditions.

How is it treated?

  • Rest in the acute stages (Immobilization )
  • Ice, compression, others
  • Activity modification with avoidance of triggering factors
  • Physical Therapy
  • Nutritional supplements
  • Medications: NSAIDS (non-steroidal anti inflammatory drugs)
  • Correction of muscle imbalance, stretching, Laser therapy
  • Lifestyle changes (exercise, proper sleep, others)
  • Isometrics and eccentric exercises
  • Splints (counter force brace or elbow strap)
  • While you recover from your injury, you will need to change your sport or activity to one that does not make your condition worse.

B.E.T.R. stands for biologic enhancement of tissue repair.

The Regenerative Spine and Joint Institute Approach

In patients with symptomatic tennis elbow we use a personalized, precise, regenerative medicine approach based on the proportionality of the conditions. We created an advanced proprietary tissue engineering system for tendon repair named B.E.T.R Bio-Stem Tendon.
B.E.T.R. stands for biologic enhancement of tissue repair.

What are the different types of Bio-Cellular Regenerative Interventions (BRI) used to treat Tennis Elbow?

B.E.T.R Bio Ligament

Used initially to treat patients with collateral ligament problems who are having mild to moderate symptoms and have minimal degenerative changes. It consists of injecting a combination of substances called Biologic Stimulants. Even though it is devoid of stem cells, it contains powerful growth factors and anti-inflammatories, which are capable of achieving great success.

 

B.E.T.R Stem Ligament

This system was designed for patients who have failed the above interventions or have moderate to advanced ligament partial tears. It consists of using a proprietary method for injecting the damaged tendon with a combination of Bio-Cellular Grafts (growth factors, biologic scaffolds and mesenchymal stem cells obtained from your own bone marrow or adipose tissue). It is considered the most advanced regenerative treatment available for patients with moderate partial tears or injuries.

Surgical Options

Patients not responding to above interventions or patients with complete ligament tears, a more comprehensive open surgical procedure is necessary.

SeeBio-Cellular Regenerative Therapies

Ulnar Neuropathy

What is Ulnar Neuropathy (UN)?

Neuropathy is a term used to describe a painful condition due to damage peripheral nerves (nerves outside the spinal cord and the brain).
Damage to these nerves, interrupts communication between the brain and other parts of the body and can impair muscle movement, prevent normal sensation in the arms and legs, and can cause intractable pain. Ulnar Neuropathy is when the ulnar nerve at the elbow level is compressed or damaged. The ulnar nerve is the nerve that sends shooting pains down the little finger when you hit your (funny bone).

What are the symptoms of Ulnar Neuropathy (UN)?

Initially the symptoms of UN may be localized to the posterior and inner elbow area. Mainly exacerbated by contact between the elbow and a desk or other objects. Eventually , numbness and pain radiates into the 4th and 5th digits. During advanced stages, pain will happen at rest and it can be associated with sign weakness .

 

How is Ulnar Neuropathy diagnosed?

After a comprehensive history and physical examination, usually X rays are obtained to exclude other conditions that can be present with the same symptoms. Frequently sonography, is the most accurate way to confirm the diagnosis. Occasionally an MRI is needed to exclude other associated conditions.

How is Ulnar Neuropathy treated?

Conservative

  • Activity modification with avoidance of triggering factors
  • Physical Therapy
  • Nutritional supplements
  • Medications: NSAIDS (non-steroidal anti inflammatory drugs)
  • Correction of muscle imbalance, stretching, Laser therapy
  • Lifestyle changes (exercise, proper sleep, others)
  • Splints
  • Steroid Injections (short term relief)

The Regenerative Spine and Joint Institute Approach

In patients with symptomatic tennis elbow we use a personalized, precise, regenerative medicine approach based on the proportionality of the conditions. We created an advanced proprietary tissue engineering system for tendon repair named B.E.T.R Bio-Stem Tendon.

B.E.T.R. stands for biologic enhancement of tissue repair.

What are the different types of Bio-Cellular Regenerative Interventions (BRI) used to treat Golfers Elbow?

B.E.T.R Bio Nerve

Used initially to treat patients with Ulnar Neuropathy who are having mild to moderate symptoms and have minimal nerve damge. It consists of injecting a combination of substances called Biologic Stimulants. Even though it is devoid of stem cells,  it contains powerful growth factors and anti-inflammatories, which are capable of achieving great success.

 

B.E.T.R Stem Nerve

This system was designed for patients who have failed the above interventions or have moderate to advanced nerve damage. It consists of using a proprietary method for injecting the damaged nerve with a combination of Bio-Cellular Grafts (growth factors, biologic scaffolds and mesenchymal stem cells obtained from your own bone marrow or adipose tissue).  It is considered the most advanced regenerative treatment available for patients with painful damaged peripheral nerves.

See Bio-Cellular Regenerative Therapies

Surgical Option

There is group of patients that do not respond to the above interventions and the degree of nerve compression or damage is significant. In these patients, an ulnar nerve release and transposition is the surgical procedure of choice.