Knee Pain

 

 Looking Down The Barrel Of An Unwanted  Knee  Replacement? 

Have You Been Told That Surgery Is your ONLY Option? 

Haven’t Responded To Medications, Physical Therapy Or Steroid Injection? Don’t Know What To Do Or Who To Trust? 

How does a pain management specialist diagnose knee pain?

Your NYC Pain MD provider reviews your medical records and asks about your symptoms, including where the pain occurs, what it feels like, and if it’s worse during certain activities, like standing or walking. 

Next, they examine your knee and kneecap, checking for redness, bruising, and swelling. Your provider assesses your knee’s range of motion and gently presses on your kneecap and the surrounding skin to identify sensitive areas. They also have you walk around the exam room to observe your gait (the way you walk) and posture. 

Most minor knee problems are easy to diagnose, but if your provider suspects an underlying problem, like a dislocated kneecap or a ligament injury, they order diagnostic imaging, like X-rays or an MRI. These procedures capture detailed photos of your hard and soft tissues and help guide treatment.

 

How is knee pain treated?

Here’s some really good news!  

THERE ARE SEVERAL OPTIONS… A TOP-NOTCH GROUP OF NEW YORK CITY DOCTORS ARE  FINALLY  OUTSMARTING KNEE ARTHRITIS PAIN AND HELPING MANY FEEL BETTER, MOVE BETTER, AND LIVE BETTER …. WITHOUT SURGERY. 

If you suffer from painful knee arthritis or other joint pain, science may have finally found the answer you’ve been looking for! 

Here's why:  

OPTION I

Researchers have discovered an all-natural gel that is like “joint oil.” This all-natural “gel” medicine can replace the naturally occurring lubricating substances in your knee joint which diminish with age leading to arthritis. 

When doctors precisely put this lubricating gel into your knee joint using critically necessary Precision Arthritis Targeting Technology or P.A.T, it's like putting oil on a rusty door hinge or adding oil to a car’s engine. It lubricates the joint, absorbs weight-bearing pressures, and can decrease pain and stiffness. For some, results can be dramatic and last for months. Often times knee replacement surgery can be avoided! 

 

IMPORTANT: This is not a supplement you can buy over the counter or on the internet. This is an FDA-cleared REAL medical treatment that must be given by a highly skilled doctor armed with advanced medical technology. It even has enough research to be covered by most insurance, even Medicare! 

 The great news is that NYC Pain MD, a center for Arthritis and Joint{pain -  right here in NYC -  offers these advanced procedures.  

More great news:  Often covered by insurance, union plans and even Medicare 

Here’s the science and data; What should be looked at as a landmark and startling study by the medical world, research published by a noted Orthopedic Surgeon in the Journal Of Knee Surgery revealed that 75% of those with Grade IV (often called “bone on bone”) knee arthritis were able to avoid the surgery more than 7 years and beyond. When doctors accurately placed FDA-approved lubricating medicines using advanced imaging into almost 2000 arthritic knees (like putting oil on a rusty door hinge or automobile engine) the majority of patients responded well enough to avoid major and complex knee replacement surgery. However, the procedure needs to be done by EXPERIENCED doctors using the BEST technology for optimum technique and results. 

 ** Know this: This is an FDA-cleared REAL medical treatment that must be given by a highly skilled medical professional as are ALL the procedures offered at NYC Pain MD.  

 More Good News: NYC Pain MD - the NYC area’s “go to" medical group for non-surgical arthritis pain management - is now offering these simple, in-office treatment programs, and offers a No-Cost, No-Obligation screening appointment to find out if you qualify. 

 Call Us Today!  

OPTION II  

Are you not enthused about undergoing surgery or using medication long-term for your knee pain? Consider these science-backed regenerative medicine options aimed at repairing damaged joint tissue naturally. 

Millions of adults in the United States experience chronic knee pain that affects their quality of life. Traditional treatments often involve surgical interventions or long-term use of pain medications. 

However, our pain management specialists at NYC Pain MD in Queens and Manhattan offer alternative treatments for chronic pain conditions, including knee pain. Our comprehensive treatment approach includes advanced surgery-free, drug-free, regenerative medicine treatments that harness the body's innate ability to heal and regenerate. 

How Your Stem Cells Can Help 

Stem cells are where specialized functions are generated. Stem cells reproduce to form new cells. The new cells can either self-renew into stem cells or become specialized cells with a specific function, such as blood cells, brain cells, heart muscle cells, or bone cells. No other cell in the body has the natural ability to generate new cell types. 

In the case of damaging arthritis, we theorize that the new stem cells we implant in the area will kick start new cell growth and help repair other damaged cells in the area. 

Stem cells also have the unique ability to adjust the immune system by shutting down pathological responses while maintaining the cells’ ability to fight off disease. 

Additionally, stem cells play a key role in preserving and replenishing cells throughout your lifetime. Symptoms of inflammation are diminished, injured cells are protected, and other cells are stimulated to regenerate. NYC Pain MD doctors believe this should help not only with pain and immobility but to slow down further damage. 

The implanted new stem cells may also support and stimulate the repair/regrowth of the lubricant-producing cells thus further assisting with damage protection and overall function. 

Stem cells have the potential to develop into many different types of cells in the body. They serve as a repair system for the body. MSC’s or Mesenchymal Stem Cells have the ability to sense areas of damage and then, in effect, rebuild the area by copying or replicating the damaged cells and thus repair the damage. 

What is the success rate of stem cell therapy? 

The popularity of stem cell treatments has significantly increased, thanks to its high effectiveness and recorded success rates of up to 80%. It is a modern type of regenerative medical treatment that uses unique biological components. 

**IMPORTANT** Every case is unique and individual. Results can vary case to case.

Does stem cell therapy work for joint pain? 

The stem cells seek out damaged cells and initiate or stimulate the area to regrow healthy tissue (or bone) kick starting your joints to heal. Patients have reported that osteoarthritis, tendonitis, and muscle and soft tissue pain has eased or disappeared after stem cell therapy. 

How Long Does Stem Cell Therapy Last? 

After a stem cell therapy procedure, the stem cells injected into the patient will continue to repair in the target area for up to one year with improvement in pain, function, and mobility possibly lasting years. 

How long does it take for stem cell therapy to start working? 

Stem Cell Therapy can work in as little as 2 to 12 weeks but, again, every case will differ in the rate of response. However, under optimal conditions, stem cell therapy for one of these types of disorders can work in as little as 5 days but usually takes 2 to 12 weeks to take effect. 

Platelet-Rich Plasma:  Before you can understand how these two treatments can be used in tandem, it's important to understand what they are and how they're different. 

Platelet-rich plasma is a technique where the blood is drawn and then ‘spun down at very specific speeds to make a liquid concentrate called the ‘Buffy Coat” which should be 8 to 10 times more concentrated (with just platelets) than the blood itself. Now this is really important; Used therapeutically and injected accurately, PRP or Platelet Rich Plasma acts like espresso shots for your body providing a jolt of growth factors. In essence, they act as fertilizer for a nice, green lawn, prepping the soil and improving it so the grass seeds would “take” better and improve or enhance growth. 

Stem cells, on the other hand, derived from your bone marrow, fat, or possibly “placental” stem cells, act as the “seeds". Stem cells recognize areas of damage and act as “repair persons” to attempt re-growth of the damaged cell. They are not "fertilizers" like PRP.   

Option III 

Nerve Block:

Knee Nerve Blocks or “Radiofrequency Neurotomy.” RF for short, is a procedure that is based on the theory that blocking the nerve supply to the painful area may alleviate pain and restore function. Several branches of nerves that surround the knee are known as “Genicular nerves.” Radiofrequency waves are then delivered to the Genicular nerves under advanced imaging to “block” the transmission of pain. 

Two steps steps are performed. First, a test, diagnostic “G Block” procedure is done to determine if the procedure is going to decrease pain and improve function. If this first “test” procedure is successful, Genicular Neurotomy Radio Frequency is performed for long term relief. 

Is nerve block safe? 

Research has shown this procedure to be safe and effective. One study published November 4, 2010 in the journal Pain found that RF treated subjects on average “achieved at least 50% knee pain relief at 1, 4 and 12 weeks, respectively. No patient reported a post-procedure adverse event during the follow-up period. RF neurotomy to the Genicular nerves leads to significant pain reduction and functional improvement in a subset of elderly chronic knee OA pain, and thus may be an effective treatment in such cases.” 

Who Should Try This Treatment? 

1. RF should be considered after other treatments, such as anti-inflammatory pain medication, physical rehab. or viscosupplementation do not offer good enough results. RF may be utilized before resorting to total knee replacement. RF may allow many patients to avoid knee replacement surgery.
   
2. Failed Knee Replacement or Post Replacement Pain:   For those who have not responded well to joint replacement and have few if any option, Radiofrequency Pain Blocks can be very effective to control pain for long periods of time. 

 

Option IV   

Softwave Tissue Regeneration Therapy 

As featured on The Doctors  TV Show, the newest in the arsenal of Uber-Advanced Pain Treatment techniques is now available at NYC Pain MD 

Medical science and engineers have developed the use of concentrated ACOUSTIC WAVE TECHNOLOGIES called “Soft Wave Tissue Regenerative Therapy”.  

Often called “Shockwave” due to the clicking sounds it makes during treatment, this therapy allows for  the deepest form of therapy available and has 3 MAJOR  

effects only available with Softwave TRT Therapy: 

1. Reduce Pain Rapidly
2. Push Out Inflammation in the deep damaged tissue
3. Stimulate  your own or “RESIDENT’ stem cells for longer-term tissue healing 

Most patients feel 20 to 50% better after just the first treatment,  Best result occurs with a number of treatments to maximize relief and stem cell proliferation over just a few weeks. 

As expected, treatment programs differ from patient to patient. Call the nearest NYC Pain MD office today to schedule treatment for knee pain, or book your appointment online.