Regenexx procedures can help improve knee function and decrease pain without the need for surgery. During this outpatient procedure, Dr. Derrington uses precise image guidance to inject custom concentrations of your body’s natural healing agents into the exact areas of damage to tighten and stabilize your knee joint. This precise approach to orthopedic care can’t be replicated by a surgeon or nurse in a chiropractor’s office. Regenexx specialists require thousands of hours of training and follow a standardized protocol process to become a licensed Regenexx physician.
An injury to the anterior cruciate ligament (ACL) can cause substantial difficulty with basic mobility and function and is especially common among athletes, including professional ones. From NBA point guard Derrick Rose to U.S. soccer player Alex Morgan, ACL injuries and ACL surgeries occur in just about every sport. Strains or sprains to the ACL typically heal with rest, but at the point of ACL tear, the main treatment option is ACL surgery involving applying a tissue graft taken from elsewhere in the body or a cadaver. This graft attaches at a steeper angle than the original tendon which causes more compression on the cartilage in the knee and greatly increased chance of osteoarthritis while the position sense and strength in the repaired knee are never the same. In addition, as is typical with orthopedic surgeries, patients who get this surgery are significantly more likely to experience additional knee injuries. The Regenexx perc-ACLR procedure is an injection-based procedure that can replace 70% of ACL-repair surgeries. During this outpatient procedure, our expert physicians use precise image guidance to inject custom concentrations of your body’s natural healing agents into the precise areas of damage to tighten and stabilize your knee joint for better function and mobility. Call our patient care coordinators today to get started on your path to ACL recovery.
Knee osteoarthritis is one of the most prevalent chronic disabilities in the United States that causes pain and a reduction in range of motion and possible activity until even walking becomes difficult. Common treatment options include harmful steroid injections and risky surgeries that don’t restore patients to full function, while the joint continues to deteriorate over time. As knee osteoarthritis progresses, total knee replacement is the most common treatment.
Alternative to Meniscus Surgery
A knee meniscus tear is one of the most common causes of knee pain. The meniscus is basically the shock absorber within the knee. You can tear either the medial (inside) or lateral (outside) meniscus. The inside meniscus is the more commonly injured side. When someone says they have torn cartilage in the knee, they’re typically referring to a torn meniscus.
The two treatments for a meniscus tear that are most commonly prescribed are surgery or physical therapy. Most noteworthy, if you opt for surgery, you likely will require physical therapy afterward. There is no guarantee that either option alone will eliminate your pain or regain the function in your knee.
However, there is a third choice, Regenexx, which can be used alone or in conjunction with surgery and/or physical therapy to help with the healing process of a torn meniscus.
Recent studies have shown that some of the most popular arthroscopic surgeries, including meniscus surgery, have no benefit at all. Most noteworthy regarding meniscus surgery is that it involves the removal of a portion, if not all of the valuable meniscus tissue. This can accelerate the cascade of degeneration that leads to osteoarthritis. In addition, all surgeries require months of recovery and frequently painful rehabilitation to regain strength and function.
Regenexx regenerative orthobiologic treatments are intended to help you avoid the side effects of surgery and prolong the healthy cushioning environment that the meniscus provides for your knees.
Your spine plays many important roles such as supporting your head, shoulders, and upper body and giving you the ability to bend, twist, and stand upright. However, a key role of your spine is to protect your spinal cord which is a set of nerves that connect your brain to the rest of your body, known as the central nervous system.
If you are experiencing pain along your spine, it can be caused by several factors such as pulled muscle, bulging disc, or arthritis. Depending on the cause of pain and severity, you may have been told that epidural steroid injections or surgery are your only options to treat your pain. These treatment options have many potential adverse side effects and may lead to lengthy recoveries.
At Derrington Orthopedics – Interventional Sports and Spine, we offer non-surgical alternative treatment options that can use your own body’s cells to repair soft tissue damage, allowing for shorter recovery periods and no need for long term pain medication.
Between each vertebra of your spine are discs, which act as cushions or shock absorbers for your spine. Each disc is composed of a sturdy outer wall of cartilage with a soft, gel-like inner core. When we are born, these discs are primarily composed of water, but as age advances, the discs dehydrate becoming thinner and causing the cartilage to stiffen. As you might imagine, this means each disc doesn’t absorb the shocks of everyday life as well.
These changes in your disc can cause the disc to bulge out or protrude and press against nearby nerves which can cause a variety of symptoms ranging from numbness and tingling, sharp, shooting, or achy pain, or muscle cramps. These can lead to difficulty with normal activities.
Treatment for bulging discs can range from lifestyle adjustments such as improving diet and exercise routines or adjusting sleeping and sitting positions. Pain management will depend on the severity of your condition. Treatments often begin with anti-inflammatory medications, physical therapy, chiropractic treatments, massage therapy, acupuncture, and injection. In more severe cases, surgical options may be explored.
At our office, we offer minimally invasive treatments utilizing our body’s natural ability to heal, resulting in pain relief and improved function. In combination with the treatment, we recommend specific rehabilitation exercises and often formal therapy to improve strength, mobility, and endurance, allowing for maximal benefit from the procedure.
Pain After Lower Back Surgery
Surgery as a treatment option for back or neck pain often has a bad reputation with many people knowing at least one person who still struggles with pain or is left with limited mobility and function after surgery.
Unfortunately, in many cases, spinal surgeries carry very risky side effects. With fusion surgery, complications occur 25% of the time with a majority relying heavily on medication for pain afterward.
However, at Derrington Orthopedics – Interventional Sports and Spine, we offer a wide variety of alternative treatment options for those who struggle with back or neck pain, even after surgical intervention. Our team focuses on using non-invasive treatment options that utilize your body’s healing system to naturally repair soft tissue damage and alleviate pain. These procedures allow us to inject customized healing agents into the injured areas to improve their overall health and function. These procedures require less downtime compared to traditional surgical options and eliminate the need for pain medication post-surgery.
A herniated disc refers to a problem with one of the discs that sit between your vertebrae in your spine. These discs are made of cartilage and act as shock absorbers preventing damage to your spine. Composed of a soft jelly-like center (nucleus pulposus) and tougher exterior (annulus fibrosus), a herniated disk occurs when some of the soft parts of the disc push through to the outside from a tear in the outside of a disc. A herniated disc can occur anywhere and place pressure on nearby nerves resulting in pain, numbness, or muscle weakness in other areas of the body.
Conservative treatments such as over-the-counter medication, physical therapy, and modifying activities can often relieve symptoms after several days or a few weeks. In cases that don’t improve, the traditional treatment involves masking pain with steroid shots or prescription pain medication and muscle relaxers. Neither treatment addresses why the symptoms are occurring in the first place and don’t help your body to heal. If you are unresponsive to these options, surgery may be recommended.
At Derrington Orthopedics, we approach these types of injuries from a very different direction, working with your body to reduce pain from the herniated disc and nerve irritation by helping the nerve and disc function better and potentially reducing the size of the herniation. These procedures work to heal your body with a fraction of the downtime and without irreversible changes after surgery.
The most common causes of neck pain are due to muscle strain or a soft tissue sprain along the area. Neck pain can also be caused by a sudden force or trauma, pinched nerves, arthritis, muscle weakness, damaged joints, and more. Though in minor cases, rest and over-the-counter medication can alleviate pain and symptoms. In moderate to complex cases, your pain can persist leading you to seek medical attention.
Our doctors will work tirelessly to identify and treat the sources of your pain rather than treating just the symptoms. Using precise image guidance, through a minimally invasive procedure we can inject concentrations of your body’s natural healing agents into the areas of damage along your neck to treat your source of pain. This treatment option reduces your downtime and allows you to restore your quality of life without surgery or the need for pain medication.
The sacroiliac joint, often referred to as the SI joint, connects your pelvis to the lowest part of your spine and transfers forces between the upper and lower body. This joint is surrounded by a network of strong ligaments and soft tissues that can become irritated due to too much or even too little movement due to trauma and other accidents or even pregnancy. This irritation can cause pain leading to pelvic pain or stiffness that may spread to the buttocks, lower back, or even extend down the legs.
The source of the pain can be difficult to diagnose as it is often mistaken for other causes of lower back pain. Sacroiliac joint pain can be diagnosed through a combination of discussing medical history and symptoms, completing a thorough physical examination including specific movement tests, reviewing imaging, and performing diagnostic injections.
Initial treatment for sacroiliac joint pain often includes rest, ice/heat, medications, physical therapy, support braces, manual manipulation such as osteopathic or chiropractic care, and/or joint injections.
Previously, traditional orthopedic care didn’t appreciate that the SI joint has movement, so surgery wasn’t an option. A fusion procedure was developed, and now that is a common recommendation for SI joint pain that does not improve with conservative treatments. This procedure eliminates movement at the joint with implanted screws and bone grafts. Unfortunately, surgery doesn’t always alleviate pain. The resulting restricted movement at the SI joint puts extra stress at the joints above and below the fusion (hips and lumbar spine), which often leads to additional problems at these areas, which could result in further surgery recommendations.
For patients with sacroiliac joint pain, we offer regenerative treatments including PRP and bone marrow stem cells, which can help heal the injured ligaments and soft tissues and reduce pain coming from this joint. We customize concentrations of healing growth factors, proteins, and cells found naturally within your body and inject them into the damaged tissue under image guidance. This stimulates your body’s natural healing response, allowing you to recover naturally without the need for surgery, with minimal downtime, and no concern for future damage to adjacent areas.
Spinal stenosis is a condition where the bony openings within the spine become narrowed, decreasing space for nerves, which can lead to pain, numbness, tingling, and muscle weakness. The symptoms can vary depending on the location of the stenosis and which nerves are affected. These symptoms often occur gradually and if left untreated they tend to worsen over time.
This condition can be caused by many different factors, including disc herniations, disc degeneration, facet joint arthritis and overgrowth, ligament instability and thickening, and spinal deformity.
There are many different ways to treat these symptoms and will depend on the location and severity of your spinal stenosis. Treatment often begins with physical therapy, manual manipulation such as osteopathic or chiropractic treatments, and over the counter pain medications. If these aren’t helpful, cortisone (steroid) injections can give short term relief. As the stenosis progresses, patients are often recommended surgery, which removes part of the bone, disc, and/or ligament that is putting pressure on the nerves. As a consequence of removing these structures, the spine can become unstable. If it becomes too unstable, a fusion may be performed, which involves putting rods and screws in your back to restrict movement of the loose areas. The restricted movement puts extra stress at the joints above and below the fusion, which often leads to additional problems at these areas, which could result in further surgery recommendations.
At Derrington Orthopedics – Interventional Sports and Spine, we offer Regenexx procedures as an alternative treatment for spinal stenosis, which can eliminate the need for cortisone injections and surgery. Our patients are able to get back to their normal activities with longer lasting benefits and without the harmful side effects of steroid injections. In more advanced cases, these procedures can also be a viable surgical alternative. By treating the entire functional spinal unit, we are able to improve nerve function and spinal stability, resulting in decreased pain and improved function, with minimal downtime and without the risks of invasive surgery.
Spondylolysis is a break in the bone connecting the facet joints and is especially common for people engaged in athletics that involve considerable strain on the back. Spinal fusion involving fusing together the vertebrae around where the break has occurred is the common treatment option. There is no way to install the hardware to fuse the spine without cutting through the critical muscles and fascia that stabilize the spine. As a result, spinal fusions create spinal instability around the site of the fusion. Spinal fusions have additionally been shown over time to be no more effective than sham or placebo surgeries while complications occur in 36% of fusion patients.
In many cases, torn discs will heal on their own with rest and time, though the area will be more prone to repeat injury and degenerative disc disease. In the event that symptoms don’t lessen over time, however, the common orthopedic option is spinal fusion, a procedure in which two vertebrae are screwed or fused together. Spinal fusions have been shown over time to be no more effective than sham or placebo surgeries while complications occur in 25% of fusion patients.
At Derrington Orthopedics – Interventional Sports and Spine, we believe in approaching injuries and conditions non-surgically. We are proud to offer Regenexx patented treatments for patients with shoulder pain. This non-surgical and minimally invasive treatment option uses your body’s natural healing ability to alleviate pain and heal soft tissue and joint damage.
Shoulder pain can arise from many different structures. If shoulder pain prevents you from completing daily activities, you may be considering surgical intervention. Shoulder surgery can be challenging due to the complexity of the joint and can involve a lengthy recovery with significant risks for complications. Other treatment options may only mask the pain temporarily or require long term pain management treatments that can be harmful to your body or restrict your mobility.
At Derrington Orthopedics – Interventional Sports and Spine, we encourage our patients to consider Regenexx procedures as an alternative to shoulder surgery to alleviate pain and improve function with minimally invasive injections, shorter recovery periods, and no need for long term pain medication.
Rotator Cuff Tear
At Derrington Orthopedics – Interventional Sports and Spine, we believe surgery should only be considered as the last treatment option once all other options have been exhausted. We are proud to offer a variety of non-surgical and minimally invasive treatment options to patients who experience rotator cuff tears.
A rotator cuff tear is a rip in one or more of the tendons that stabilize your shoulder and help you move your arm. Tears can range in size from small areas of fraying of the tendon to a complete tear with retraction of the tendon.
These injuries are common with overuse of the shoulder joint, but can also occur from an trauma such as a fall or lifting a heavy object incorrectly. Though this is a common injury and the tear may be significant, it does not mean surgery is the only option.
Patients who suffer from a rotator cuff tear may consider surgery for pain relief, but surgery is shown to be ineffective for many patients, with 1 in 3 patients not completely healing and up to 60% of patients experiencing retears! Surgery should only be considered after all other treatment options have proven ineffective.
Our non-surgical treatment options have proven effective in using the body’s natural healing ability to reduce pain and restore proper function of your shoulder. We recommend patients undergo a consultation at Derrington Orthopedics to obtain an accurate and complete diagnosis of their rotator cuff injury and determine the best treatment options for their condition.
Shoulder Labrum Tear
The labrum is a thick piece of cartilage attached to the rim of the shoulder socket helping to keep the joint in place, like a rubber gasket. A labrum tear can occur anywhere around the rim, including where the bicep tendon attaches to the tissue.
The labrum is located deep within the shoulder and can make it difficult to diagnose in a single examination. Often multiple tests and scans are performed to determine the kind of tear and the best treatment options. Treatments will vary depending on the type of tear and how large of a tear it is.
Due to the depth of the labrum within your shoulder, surgery is often discouraged due to the lengthy recovery and the common side effect of limited function and mobility afterward. For patients who experience pain from a shoulder labral tear, we recommend a Percutaneous Labralplasty procedure, which uses precise imaging guidance to inject your own healing cells into the damaged area to help stabilize the ligaments as they heal.
It is estimated that 25% of Americans experience shoulder osteoarthritis, a form of degenerative joint disease, where cartilage breaks down. This causes friction to develop in the joint, often resulting in pain and reducing your mobility and function in the shoulder.
The shoulder is a very complex joint and shoulder replacement surgery is not often a good option due to the lengthy recovery and risk of complications. Instead, many offices focus on treating pain through the use of steroid injections that can kill whatever cartilage is left.
For our patients who experience shoulder osteoarthritis, we offer Percutaneous Shoulder Arthroplasty. During this procedure, our physicians use precise imaging guidance to inject custom healing agents into the damaged area to stimulate the soft tissues to heal while stabilizing your shoulder for better function and mobility. Often performed as an outpatient procedure, this alternative treatment option requires less downtime, reduces your need for reliance on pain medication, and helps you remain active in life.
Hip pain can be very difficult to deal with on a day-to-day basis and traditionally requires long-term pain management if the underlying causes of the pain are not corrected. Hip replacement surgery and hip resurfacing are often the only surgical options presented to a patient to deal with their debilitating pain, though hip surgeries are typically traumatic and are often followed by months of pain and discomfort while the joint redevelops strength and mobility.
Have you been told that a labral tear is causing your hip pain? As many as half of older people who experience no hip pain also have labrum tears. Interventional Orthopedics provides a comprehensive option for healing your hip pain without surgery.
The latest research indicates that labral tears are actually not the cause of hip pain. In fact, one recent study showed no association between hip labral tears seen on an MRI and hip pain. Hip surgery outcomes support this data with one recent study finding that 45% of patients that underwent hip arthroscopic surgery had poor results at an average of five years post-surgery. The results from surgery are even worse when a patient has even minimal hip arthritis. In spite of the surgery to repair the labrum, arthritis worsened in six of 10 patients when even a minimal amount of arthritis was present. During this outpatient procedure, our expert physicians use precise image guidance to inject custom concentrations of your body’s natural healing agents into the exact areas of damage to tighten and stabilize your hip for better function and mobility. Call our patient care coordinators today to get started on your path to recovery.
Osteoarthritis of the hip is characterized by fast-progressing degeneration of hip tissue that causes impairment of function. Pain management strategies involving non-steroidal anti-inflammatory drugs (NSAIDs) raise the risk of stroke and heart attack while opioid pain medications have high risk for abuse. Steroid injections also have significant downsides.
Hip surgeries are especially traumatic and require months of painful recovery while patients redevelop strength and mobility and won’t increase your activity level. Common arthroscopic hip surgeries produce results no better than taking no action, and hip replacements wear out over time and require revision, especially for younger patients. During this outpatient procedure, our expert physicians use precise image guidance to inject custom concentrations of your body’s natural healing mechanisms into the exact areas of damage to tighten and stabilize your hip for better function and mobility. Call our patient care coordinators today to get started on your path to recovery.
Hip Tendon Tears
This commonly recommended intervention for chronic tendon pain and tightness can involve sewing together tears, cutting the tendon to try to get it to heal, or lengthening a tight tendon. While this approach may lead to relief of the tightness and surrounding symptoms, the body is precisely balanced, and the shortening or lengthening of the tendon often leads to other problems. Moreover, whatever biomechanical problem led to the initial tendon injury has not been resolved. In evaluating these problems, our expert physicians are trained to look for the root cause of any injury and will spend a full hour with each patient diagnosing the problem and laying out an appropriate treatment plan that addresses not only the symptom but the root cause of the injury.
If you elect to move forward with treatment, you can expect the following.
During this outpatient procedure, our expert physicians use precise image guidance to inject custom concentrations of your body’s natural healing agents into the precise areas of damage to tighten and stabilize your hip for better function and mobility. Call our patient care coordinators today to get started on your path to recovery.
The elbow can be the site of pain generation for a number of reasons. The most common is tennis or golfer’s elbow, but other issues such as UCL injury or arthritis also occur. Common surgical interventions lead to considerable downtime. Treating elbow injuries with steroid injections reduces inflammation in the site of an injury and causes the degeneration of cells at the site of the injection and over time actually leads to significant worsening of the condition. In addition, we have little solid scientific evidence that elbow surgery helps, but we do know it’s invasive and has the potential of infection, tissue damage, pain and nerve injury.
Tennis & Golf Elbow
People suffering from tennis or golfer’s elbow often have a difficult time opening a door or shaking someone’s hand. Common approaches to treating tennis elbow include destructive steroid injections or invasive elbow surgery that has been shown to be no better than sham surgery for treating symptoms.
During this outpatient procedure, our expert physicians use precise image guidance to inject custom concentrations of your body’s natural healing cells into the exact areas of damage in your elbow to repair damaged tissues and to improve function and mobility. Best of all, your downtime will be a fraction of surgery, with little to no need for opioid pain medications or time off of work. Call our patient care coordinators today to get started on your path to recovery.
Tommy John Surgery (UCL Ligament)
Tommy John Surgery (TJS) is a colloquial name for a surgery to reconstruct the ulnar collateral ligament (UCL), the ligament that holds the elbow together and stabilizes it. Injuries to the UCL are especially common in baseball among pitchers due to the incredible physical strain caused to the arm by pitching. The common treatment for pitchers suffering from tears in their UCL has been the Tommy John Surgery, a procedure that involves drilling holes in the ulna and the humerus and attaching a graft tendon taken from elsewhere in the body. Pitchers can typically begin throwing again after 18 weeks and will miss a full professional season in recovery. A percentage never return to play while some careers are cut short. Regenexx has helped a number of high-level athletes with UCL tears avoid surgery and get back on the field faster.
During this outpatient procedure, our expert physicians use precise image guidance to inject custom concentrations of your body’s natural healing mechanisms into the exact areas of damage in your elbow to repair damaged tissues and to improve function and mobility. Best of all, your downtime will be a fraction of surgery, with little to no need for opioid pain medications or time off of work. Call our patient care coordinators today to get started on your path to recovery.
Foot & Ankle
Have you been told that steroid injections or invasive surgery are your only options to treat your foot or ankle pain? Interventional orthopedics provides a non-surgical alternative that uses your own cells to repair the damage.
Surgical treatment options for common foot and ankle injuries and arthritis include interventions such as ankle arthroscopy to clean up damaged cartilage, fusion of ankle bones where cartilage has been lost, and tendon grafts screwed in place to strengthen loose connections between bones. These surgeries also typically involve a painful post surgical recovery with a lengthy rehab period to restore strength and mobility.
Ankle Ligament Tears
Ankle sprains often cause stretched or torn ligaments that change how you walk, putting painful stress on other joints of the foot as well as making it more likely that you will sprain the ankle again. This incomplete healing leads to a cycle of chronic pain and instability. Research shows invasive ankle ligament surgeriesare no more effective than physical therapy or no surgery at all while adding risk and significant recovery time. Without proper restoration of normal mechanics, other parts of the ankle also wear out faster due to abnormal biomechanics. These surgical intervention typically only add to instability, pain, and increased risk of problems that permanently affect the body’s ability to move properly.
Osteoarthritis of the ankle leads to tenderness, pain, swelling, stiffness, and even an inability to bear weight that in turn change how you walk leading to additional stress on other parts of the foot and increased likelihood of additional injury. When arthritis reaches a point where quality of life is significantly compromised, one of several invasive surgical interventions may be recommended including ankle fusion, a procedure that uses screws to severely limit ankle mobility, or ankle joint replacement, a complex procedure that involves replacing a part of the extremely complex ankle joint. Both of these surgical options come with significant downtime and need for pain management.
Ankle Tendon Tears
Damage to the Achilles tendon is the most common form of tendon damage and typically results from acute injury or overuse often as a result of athletics. When the Achilles Tendon tears, the recommended course of treatment is a risky surgery with a > 10% complication rate. Because of the invasive nature of this procedure, recovery is lengthy, and a recent study suggests that it is no more effective than immobilizing and bracing the ankle for a few weeks.
Toe arthritis is a big issue as when it advances, it can cause the toes to bend sideways and create painful bone spurs. If left untreated, the big toe in particular can become rigid, putting more stress on the rest of the foot and ankle. Surgery to cut out the bone spurs is common, but this just leads to a floppy and unstable toe as important ligaments are cut. Fusing the toe just adds more pressure elsewhere.
Our approach is to use advanced interventional orthopedics instead of surgery.
Hand & Wrist
Wear and tear on the wrists and hands is increasingly common in a world filled with hand-held devices and keyboards. As we place more and more strain on our hands and wrists, they can wear down over time beyond our body’s natural ability to repair damage. While total joint reconstruction surgery may improve the condition for some, new problems can easily develop over time when we fail to address the biomechanical causes of our injury. As a result, many surgical patients go on to experience continued symptoms such as numbness, tenderness, or reduced range of motion or function.
Carpal Tunnel Syndrome
Roughly 5% of people in the workplace are affected by Carpal Tunnel Syndrome, a condition that causes pain, numbness, or tingling in the thumb, index finger, middle finger, and inside of the ring finger. Treatment for Carpal Tunnel Syndrome involves destructive steroid injections and ultimately an invasive surgery to reduce nerve pinching by cutting ligaments in the wrist. This surgery directly impacts the stability of the wrist and can lead to the formation of scar tissue that compresses the nerve again.
The triangular fibrocartilage complex (TFCC) is responsible for the use of our opposable thumbs and wear or injury can lead to wrist pain and swelling. In many cases, the recommended treatment for chronic TFCC problems is a surgery that involves shortening the ulna, the arm bone leading to the wrist, in order to reduce pressure. Research shows that this surgery, far from being a helpful long-term solution, actually leads to an increase in negative forces in the wrist that lead to future injuries. Beyond that, significant complications have been found in nearly 50% of patients following surgery.
Hand and thumb osteoarthritis is the second most common type of arthritis. The constant swiveling and pivoting motions from writing, using a phone, and other daily activities cause the cartilage to wear out easily. While there are a number of surgical options, none have been shown in research to be effective and all come with significant risk of complications. The innovative Regenexx procedures preserve function and mobility and decrease pain without the need for surgery.
Current surgical treatment options for common orthopedic injuries and arthritis include pain-management strategies, steroid injections, and ultimately surgical interventions. While all of these approaches may offer temporary relief of symptoms, they are ultimately destructive and over time often do as much harm as good.
Your body is typically able to repair fractures over time after the bone has been set and secured in place. A non-union fracture occurs when the bone is not healing on its own because your body’s natural healing agents are not strong enough to affect healing of the bone. In such cases, an invasive surgical intervention is often recommended to remove damaged tissue and immobilize the site with screws or plates.
Osteonecrosis / Avascular Necrosis
Avascular necrosis (AVN) or Osteonecrosis is death of bone tissue that occurs when healthy stem cells in a bone die off, become sick, or are too few in number to keep up with normal wear and tear. The single most common cause of osteonecrosis is use of oral steroids like Prednisone that in high doses stunt your body’s natural healing ability. While oral steroids can reduce swelling, they are frequently given in such high doses that they can cause cells that help to maintain your bone to actually die off or become stunned.
Disorders of the TMJ caused by car accidents, muscular imbalance, braces, or other dental work are particularly challenging and often treatment options are no better than at-home remedies. Common treatment ranges from electric nerve stimulation to trigger point injections and acupuncture, but these methods treat the symptoms and not the underlying problem. Jaw surgery and jaw replacement can result in lengthy rehab, immobility, and further jaw or nerve damage. Regenexx invented a non-surgical procedure that uses your body’s natural healing agents to treat TMJ pain and dysfunction.