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Tag Archive for: osteoarthritis

Posts

Dr. Gary Kaplan on Stem Cell Therapy

Dr. Gary Kaplan on Advances in Stem Cell Therapy and Being a Patient

December 7, 2023/in Treatments/by Kaplan Center

Major advancements in regenerative medicine and stem cell therapies have revolutionized the way orthopedic injuries, spinal disks, nerves, and joints are treated.They are also starting to revolutionize the treatment of autoimmune disease, heart and brain disorders including nerve damage and spinal cord injuries.

Dr. Gary Kaplan recently traveled to Argentina to visit Dr. Gustavo Moviglia, Associate Professor, Wake Forest School of Medicine, and his daughter, Dr. María Teresita Moviglia Brandolino, of ACIDTA, Buenos Aires, to learn more about these advances… he was also a patient.

Why Stem Cell Therapy?

Stem cells are essentially “immature” cells that become different types of mature cells. As infants, we have stem cells present in very large numbers. However, as we age the number of stem cells decline, which in turn limits our regenerative capabilities.

Stem cells have the remarkable ability to communicate, coordinate and replicate. When an injury occurs, stem cells localize to the site, initiate the healing response, and regenerate healthy tissue. The goal of stem cell therapy is to enhance the body’s innate repair system by calling even more stem cells to an injured area.

Dr. Moviglia and Dr. Teresita’s work in this field has shown promising results, and in a number of different areas: regenerating discs, remodeling bone, healing damaged nerves, and spinal cord repair.

As a patient, Dr. Kaplan will be receiving treatments for Osteoarthritis. Currently there is no effective treatment for the progression of osteoarthritis and patients are most often focused on pain management. Stem cell therapy has shown it can improve both pain and mobility of the affected area. Dr. Gary will be chronicling his experience and we wish him the best outcome!

We are here for you, and we want to help.

Our goal is to return you to optimal health as soon as possible. To schedule an appointment please call: 703-532-4892 x2

turmeric-health-benefits

3 Reasons to Include Turmeric In Your Diet

January 13, 2023/in Inflammation, Nutrition/by Gary Kaplan, DO

Native to southwest India, and known for its radiant golden color and unique taste, turmeric has been used as a culinary herb for thousands of years, and is found in abundance in many Indian dishes, especially curries. But it is its role as a healing herb that has caused scientists to take a closer look at this “miracle spice.”

The magic of turmeric resides in the roots, specifically in the chemical compound called curcumin. Curcumin is a polyphenol – a chemical compound found in plants with antioxidant properties, and myriad therapeutic attributes. A study in Advances in Experimental Medicines and Biology, went so far as to state that “Curcumin has been shown to exhibit antioxidant, anti-inflammatory, antiviral, antibacterial, antifungal, and anticancer activities and thus has a potential against various malignant diseases, diabetes, allergies, arthritis, Alzheimer’s disease, and other chronic illnesses.”

#1 – Defense against cognitive decline

A 2018 article in the Journal of Alzheimer’s Disease highlighted the protective effects of curcumin in the treatment for Alzheimer’s disease (AD). The review particularly looked at curcumin’s effect against amyloid beta (Aß), a peptide that plays a central role in the pathology of AD.

  • Curcumin may help the macrophages – critical cells of the immune system – clear plaque deposits of Aß. Unlike a healthy brain, patients with Alzheimer’s Disease show an accumulation of amyloid plaques between nerve cells (neurons).
  • Curcumin has demonstrated that it has neuro-protective effect against Aß induced cell death of cortical neurons.
  • Curcumin has shown to inhibit the accumulation of Aß and promote its reduction.

Furthermore, curcumin has anti-proliferative actions on microglia. Microglia are immune cells of the central nervous system that become active in response to any number of stressors on the body. However, if the microglia have been stimulated to react too often, they become hyper-reactive, which can trigger system-wide inflammation that can be difficult to stop.

#2 – Defense against cancer

A 2019 review of research on the role of curcumin in cancer therapy, confirmed that “curcumin exhibits anticancer ability by targeting different cell signaling pathways including growth factors, cytokines, transcription factors, and genes modulating cellular proliferation and apoptosis,” all of which are associated with the progression of cancer.

  • Curcumin’s antioxidant properties help prevent the increase of free radicals. Antioxidants scavenge free radical. When free radicals are left unchecked, it results in oxidative stress which damages cells and plays a big role in the early stages of cancer.
  • Curcumin has shown an ability to inhibit nuclear factor kß (NF-kß). NF-kß is a proinflammatory molecule associated with cancer progression and inflammation.

According to another systematic review in 2020, curcumin shows both preventative and therapeutic effects on various types of cancers when used as an adjunct therapy in cancer treatment.

  • Curcumin’s low toxicity allows for widespread use, with no harmful side effects.
  • Curcumin can help improve quality of life by its ability to reduce side effects of chemotherapy or radiotherapy.

#3 – Treatment of Osteoarthritis

Curcumin’s anti-inflammatory properties also make it a strong candidate for treating inflammatory diseases such as osteoarthritis. A 2017 study in the Journal of Exercise Rehabilitation found that supplementation with a bioavailable form of curcumin “appeared to be effective in reducing the pain and enhancing muscular and balancing function” in patients with knee osteoarthritis.

How should you add curcumin to your diet?

  • Supplementation: Curcumin is not a major component of American diets, so supplementation could be considered. Unfortunately, because curcumin is not easily absorbed in the bloodstream, its bioavailability is diminished. Bioavailability can be increased, however, by partnering the extract with another compound to enhance its absorption. Piperine, a compound found in black pepper, is one such example. At the Kaplan Center, the curcumin supplement* we prescribe is micronized in colloidal particles and as a result, has significantly higher plasma concentration over other leading brands. Remember, supplements are not regulated by the FDA, so make sure to purchase your supplement from a trusted source. You should also speak to your physician before you begin taking any supplement to rule out any possible interactions with other medications.
  • Eat more curry! Eating more curried dishes that are rich in turmeric spice as well as black pepper regularly can be a good source of curcumin.
  • Enjoy a cup of turmeric milk: End your day with a cup of delicious Golden Turmeric Milk (see video below!). Curcumin is fat-soluble, therefore combining it with milk will help to make the curcumin more readily absorbed into the body.

Studies on curcumin and its efficacy in humans is ongoing, but the research looks quite promising. With very few side effects, powerful anti-inflammatory, anti-cancer, and antioxidant properties, and a long history of medicinal use, curcumin can play an important role in maintaining the body’s normal inflammatory response, while also supporting healing and relieving pain.

*Theracurmin® HP is available to purchase from the Kaplan Medical Center Store.

 

 

 

Dr. Kaplan’s article first appeared on U.S. News and World Reports on July 24, 2015. Updated in Jan 2023.

Arthritis and holistic treatments

Arthritis and Holistic Treatments

September 12, 2022/in Conditions/by Kaplan Center

When we think about our overall health, we very rarely consider our joints. Yet the human body has over 200 joints that work in tandem to give us the ability to walk, run, jump, and move around with ease. But when arthritis strikes, some of these simple movements become difficult to carry out.

Arthritis is an inflammation of the joints that can lead to pain, stiffness, and tenderness. It is a condition experienced by millions of Americans and is the number one cause of disability nationwide. There are two main types of arthritis: osteoarthritis, when the joints experience natural wear and tear as we get older, and rheumatoid arthritis, an autoimmune condition in which the body attacks its own joints. With any type of arthritis, the wear and tear become excessive and the cartilage that supports our bones and joints starts to weaken and disintegrate. This results in joint pain that causes tenderness, stiffness, and difficulty moving.

Management options for arthritis

When treating arthritis or any other inflammatory condition, the first step is figuring out what is causing the inflammation. Without looking for the underlying cause, efforts to heal or ease symptoms may be unnecessarily prolonged or ineffective. To do this, we look at all the major areas of health for imbalances and/or deficiencies that need to be corrected. This is called a Functional Medicine Assessment. Once the assessment is complete, a treatment plan that includes traditional and alternative therapies is usually recommended.

Alternative therapies are any non-traditional treatments. They benefit from having fewer side effects and tend to be good for other aspects of your health as well. Depending on the severity of your symptoms, alternative therapies can be used in conjunction with or as an alternative to many traditional medical treatments. The following treatments might be used as part of your management regime.

Anti-inflammatory diet

Making dietary changes to improve the digestive tract is one of the first and most important steps in managing symptoms. An unhealthy digestive tract can result in nutritional deficiencies and allows foreign “invaders” like toxins and bacteria to enter the circulatory system and cause inflammation. Our nutritionist can create an anti-inflammatory diet specific to your health profile for improved gut and immune health.

Osteopathic Manual Therapy (OMT)

OMT can ease arthritis symptoms by using gentle pressure and movement to stretch muscle, soft tissue, and joints for proper alignment, increased blood flow, and improved mobility.

Acupuncture

Research shows that acupuncture can help control inflammation and swelling. Acupuncture also releases pain-relieving chemicals in the body called endorphins which not only help with pain but promote relaxation and overall wellbeing.

Joint-specific supplements

Supplements, such as Glucosamine, Chondroitin, Fish oil, Turmeric, and Ginger, are known to help ease arthritic pain. As with any medication or supplement, speak to your doctor first before starting them.

Perineural Injection Therapy (PIT)

PIT is an advanced injection therapy that heals inflamed or painful nerves resulting from chronic, non-malignant issues. It involves injecting a low concentration dextrose solution (a naturally occurring sugar in the body) with a pH similar to the body’s natural level next to the injured subcutaneous (below the skin) nerves with the goal of neutralizing the existing inflammation. The dextrose solution helps reduce inflammation and in turn, restores the cells’ ability to signal and function properly. Patients see an almost immediate improvement in pain symptoms.

Minerals and vitamins

Boost your bone health by giving them all the nutrients and minerals they need. Consider Calcium, Vitamin D, and Magnesium. A diet that is rich in these minerals will help keep your bones strong, healthy, and mobile. Additionally, it can also lower your risk of osteoporosis.

Exercise and physical therapy

The body was made to move. Keep active as much as possible even if it’s just walking once or twice a week. Focus on exercises that increase joint strength. This includes:

  • Weight-training to build up joint strength.
  • Low-impact cardio exercises like stationary biking, yoga, or tai chi.
  • Take steps to maintain a healthy body weight. Every extra pound of weight you carry puts additional stress on your joints.

Hydrotherapy

Hydrotherapy or aquatic therapy is just movement of the body in a pool of water. This form of activity can be a really important tool in managing arthritis. Moving around in water gently strengthens your muscles while the buoyancy of the water also takes weight off painful joints. It is a great way to strengthen the muscles while also minimizing the resistance against them. Most aquatic centers offer classes on a 1-1 basis or as group sessions. Additionally, hydrotherapy is a fun and social activity.

Over the counter (OTC) medications

Acetaminophen (Tylenol), Ibuprofen and other NSAIDs are often used to help with the management of arthritis. However, it’s important to remember that while these medications may help alleviate pain in the short term, they do nothing to address the underlying condition. Additionally, when taken over an extended period, NSAIDs can increase your risk of other serious health conditions such as GI bleeds, renal disease, heart attack and stroke and may have serious interactions with other medications. Too much acetaminophen can lead to liver disease. Talk to your physician about proper dosage before using any OTC medications to manage your symptoms.

Additional References

https://www.cdc.gov/chronicdisease/resources/publications/factsheets/arthritis.htm#
https://www.arthritis.org/health-wellness/treatment/complementary-therapies/natural-therapies/acupuncture-for-arthritis
https://arthritis.ca/living-well/2018/water-therapy-and-arthritis
https://www.arthritis.org/health-wellness/treatment/complementary-therapies/supplements-and-vitamins/vitamins-supplements-arthritis
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3665023/

arthritis treatment

Treating Arthritis with Functional Medicine

May 2, 2021/in Bone Health, Inflammation/by Lisa Lilienfield, MD

Conventional treatments for arthritis rely on medications to decrease inflammation and improve symptoms. Functional Medicine, in comparison, looks at the underlying cause of inflammation and aims to reverse the process at the source. Functional medicine doctors will look at gut health, toxicity, hormonal imbalances, and other possible conditions that may be contributing factors.

Dr. Lisa Lilienfield explains how The Kaplan Center treats arthritis with a Functional Medicine approach.

We are here for you, and we want to help.

Our goal is to return you to optimal health as soon as possible. To schedule an appointment please call: 703-532-4892 x2

Non-Surgical Joint and Arthritis Pain Options: Harness Your Body’s Natural Healing Power

June 13, 2012/in Treatments/by Kaplan Center

Suffer from sprains, strains or arthritis pain? Here’s why you should consider prolotherapy.

What is Prolotherapy?

Prolotherapy, which is short for “proliferative therapy,” is a sophisticated, but minimally invasive, method of Regenerative Injection Therapy where natural solutions, such as high concentration dextrose, are delivered to areas of injury to restart and maximize the body’s own injury-healing processes. This healing technique is most often applied to painful and injured joints, ligaments, and tendons to encourage the restoration of normal, healthy tissue. Prolotherapy can help people to postpone and even eliminate the need for surgery in some cases such as rotator cuff surgery or joint replacements, including hip and knee replacement.

How does it work?

Prolotherapy stimulates your body’s own internal healing response in any joint, ligament, or tendon. The healing response itself is triggered when the prolotherapy solution – a plant-based sugar that is not a synthetic chemical foreign to the body – causes the injured tissue to release specific growth factors that attract tissue-healing cells to the injury site.

Health Benefits

Prolotherapy has been in use since the 1930’s, and has proven to be a safe and time-tested treatment for virtually every joint area of the body from head to toe. The amount of clinical research on prolotherapy has increased substantially over the last several years, and dozens of studies have demonstrated its effectiveness in treating a myriad of painful problems. Prolotherapy can be successful in healing the following conditions:

• TMJ (jaw) pain
• neck pain and whiplash injuries
• rotator cuff injuries
• shoulder instability and labral tears
• tennis elbow (lateral epidondylosis)
• golfer’s elbow (medial epicondylosis)
• wrist sprains and tendinitis
• hand and finger arthritis
• mid-back and rib pain
• low back pain
• sacroiliac dysfunction (which often causes sciatica and pain radiating down the leg)
• groin strains
• hip arthritis and bursitis
• hamstring injuries
• arthritis of the knee
• knee tendon, ligament and meniscus injuries
• ankle sprains
• Achilles tendon injuries
• plantar fasciitis
• toe sprains and arthritis

Following prolotherapy, many patients are able to return to their everyday activities with less pain, more mobility, and greater endurance.

Recuperation from a prolotherapy session is generally quick. In most cases, the patient is advised to take it easy for about two to three days following treatment before returning to normal activity levels.

Choosing your prolotherapy provider

The Kaplan Center is truly an integrative medical clinic in that we can provide a service like prolotherapy in the context of getting the person back to peak overall health. Many other practitioners of prolotherapy are focused on treating only the musculoskeletal structure, without addressing other important issues such as diet, sleep, hormone balance, and mental/emotional well-being. We want the whole person to be optimally healthy, so we offer additional therapies such as acupuncture, herbal remedies, in-house physical and massage therapy, and nutritional and/or psychological counseling. Prolotherapy can also be offered in a tailored combination with other therapies such as osteopathic manual treatment.

The beauty of prolotherapy is that it heals injury, and potentially provides a long-term benefit as compared to other treatments which only cover up the pain temporarily.

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