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JOINT PAIN

Among the chronic Joint pains, hip and knee osteoarthritis (OA) is the most prevalent and is a leading cause of pain and disability in most countries worldwide. • The prevalence of arthritis increases with age and is associated with heavy occupational activities. • 242 million people worldwide have symptomatic and activity-limiting arthritis of the knee. • Knee Osteoarthritis affects sleep, mood, and quality of life. Chronic and episodic pain can result in depression and other mood disturbances, functional disabilities, and work limitations. • OA significantly limits a person’s ability to self-manage other chronic diseases like diabetes and hypertension. • Osteoarthritis knee also, increases the risk of developing heart disease by 50%. Traditional nonsurgical Osteoarthritis therapies have limited utility and the treatment effect on disease is very low. Most of the therapies are aimed at controlling the symptoms but have minimal or no effect on disease progression or repair. On the other hand, surgeries such as Total knee replacement and partial knee replacement are unwarranted until the disease progresses to moderate or end-stage. Do you suffer from joint pain? You're not alone. Millions of people experience joint pain every day. But there is hope. Our practice offers a variety of joint pain relief options, including cooled radiofrequency ablation, PRP, and viscosupplementation. These minimally invasive procedures can help you get back to your life without pain. Platelet-rich plasma (PRP) is a natural treatment option that can help relieve joint pain and improve joint function. PRP is made from your own blood and contains platelets, which are cells that play a role in healing. PRP injections can be used to treat a variety of joint conditions, including arthritis, tendonitis, and bursitis.
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Painless Knee Replacement

Joint Replacement

Afraid of Joint Replacement, you don’t need to be. IPSC is Pioneer in Painless Knee Replacements.

Nowadays Joint Replacement Surgery is done very frequently. The procedure has become very predictable with very impressive results. There are some myths around joint replacement which I would like to break.
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Patients who have end stage arthritis in which the cartilage layer of the joint is completely worn out causing bone on bone contact. This leads to severe pain on walking and other activities, such patients are good candidates for Joint Replacement.

A. Joint Replacement is a procedure in which a thin layer of damaged cartilage is removed from the ends of the thigh bone (femur) and shin bone (tibia) and replaced with metallic implants. Since the damaged bone ends are now covered with metallic surfaces, there is no pain and the patient can walk pain-free and is able to resume normal activities. We don’t cut and remove bone, we just reshape and put a new metallic surface over the bone ends.

Joint replacements usually last for an average of 20 years.

There are no activity restrictions after Total Knee Replacement.

Routinely patients are made to walk the next day after joint replacement, with the newer techniques nowadays even walking on the same day after surgery is possible.

With the newer techniques and medication protocols, the pain after the joint replacement surgery is controlled very well

Regenerative Therapy

Regenerative Interventions for Joint Pain and Arthritis

Regenerative medicine may be defined as the process of replacing or "regenerating" human cells, tissues or organs to restore or establish normal function. This exciting field holds the promise of regenerating damaged tissues in the body by replacing it or by stimulating the body's own repair mechanisms to heal tissues or organs. Regenerative medicine therapies contain growth factors that can trigger cell reproduction and stimulate tissue regeneration or healing in the treated area. The PRP solution or stem cells or prolotherapy is injected into the target area, such as an injured knee or a tendon, these stimulate or speed up the healing process, shortening healing time for injuries, and thus decreasing pain. All procedures at IPSC are performed by expert interventional physicians using ultrasound guidance, fluoroscopy (real-time X-rays), or both to guarantee that we’re delivering cells into the precise location of your injury. Image guidance means that the doctor can see where the needle is going. Using these image guided techniques not only improves the procedural results and patient comfort, but also prevents potential complications.
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Regenerative PRP therapy for arthritis

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Know all about Joint Pain Interventions with Regenerative PRP Therapy

Regenerative medicine may be defined as the process of replacing or "regenerating" human cells, tissues or organs to restore or establish normal function. This exciting field holds the promise of regenerating damaged tissues in the body by replacing it or by stimulating the body's own repair mechanisms to heal tissues or organs.

There are various types of Regenerative therapy: 1) Stem cell therapy 2) Platelet rich plasma (PRP) therapy or Growth factor concentrate therapy. 3) Prolotherapy. Although these are different cell-based therapies, basic concept remains same – Regenerating or repair of damaged tissue.

Not all regenerative treatments may be effective in relieving pain and/or dysfunction, and the decision is influenced by several factors, including the nature of patient’s condition, the location of pain, the degree of injury/tear and other underlying medical conditions. The Interventional Pain and Regenerative medicine specialist at IPSC India evaluate patient’s acute or chronic pain condition, and prior medical history to determine which regenerative treatment option is best for them.

Anyone who suffers from Chronic pains and dysfunction due to age or injury can be a candidate for regenerative therapy. Patients with:  Ligament or tendon injury (rotator cuff partial tears; ligament sprain and partial tear; plantar fasciitis; tendinopathies like Tennis elbow, Achilles tendinopathy)  Osteoarthritis or other joint problems  Suffer from torn or worn cartilage  Resistant to other non-invasive treatments, like physical therapy or medication  Want to explore options that might help avoid or delay joint surgery  Want to potentially improve healing following a surgical repair or procedure.

In earlier days for chronic musculoskeletal pain the traditional treatment included NSAIDs - Pain killer medications, Steroids - which would primarily focus on symptom management and thus masking the pain, waiting for an eventual surgery. Whereas regenerative medicine works on treating the source of pain. Regenerative medicine therapies contain growth factors that can trigger cell reproduction and stimulate tissue regeneration or healing in the treated area. The PRP solution or stem cells or prolotherapy is injected into the target area, such as an injured knee or a tendon, these stimulate or speed up the healing process, shortening healing time for injuries, and thus decreasing pain.

Most people start to experience initial improvements within a few weeks after their treatment. The complete repair process inside the joint takes a bit longer — typically a couple of months.

The number of Regenerative sessions vary and is influenced by several factors, including, the degree of injury/tear and region of the body. Although usually, 1 session of Stem cell therapy or 3 sessions of PRP/Prolotherapy are required for wear and tear conditions like Arthritis. Whereas, ligament or tendon issues single session may suffice.

Side effects are very rare with these interventions if administered by a trained specialist with help of image guidance. The most common side effects are the same effects anyone might have with any type of injection — swelling, bruising and tenderness around the injection site. All of these possible side effects resolve within a few days to a week or so.

That depends in part on the treatment site, the extent of the underlying injury, patient’s health and activity level, and other factors. Generally, the benefits of regenerative medicine for joint repair can last for a year or longer. If regenerative medicine therapies are complemented with physical therapy/exercises and rehabilitation the patients might benefit for years. In some cases, patients may have additional injections to extend those effects.

All procedures at IPSC are performed by expert interventional physicians using ultrasound guidance, fluoroscopy (real-time X-rays), or both to guarantee that we’re delivering cells into the precise location of your injury. Image guidance means that the doctor can see where the needle is going. Using these image guided techniques not only improves the procedural results and patient comfort, but also prevents potential complications.

No. Usually, it is a day care procedure and done under local anesthesia. At IPSC: Pain and Spine hospital, we use ultrasound to localize the damaged tissue. This adds to the accuracy of the procedure and higher success rate.

The government of India has heavily promoted research and development in regenerative medicine. In September 2022, StemOne – a cell therapy product for Knee Osteoarthritis was also launched after receiving a regulatory approval from the Drugs Controller General of India (DCGI) for the product. Platelet rich plasma (PRP) therapy or Growth factor concentrate therapy are derived from patients own blood and hence these are not considered as drugs. The DCGI and FDA agencies have not initiated any rules or regulations for PRP preparation or providing therapy. Research for the different applications of PRP is promising and rapidly growing. Although the equipment used to produce PRP and the injections themselves has to be cleared by the FDA.

Sports injuries may entail the repairing or replacement of damaged tendon, cartilage, and ligament tissues. Regenerative medicine is of particular interest in the treatment of sports injuries, as historical and recent evidence increasingly refute the commonly used treatments of anti-inflammatory medications and corticosteroid injections. The use of regenerative treatments using a patient’s own stem cells and growth factors to heal damaged tissues, in conjunction with aggressive/ comprehensive rehabilitation, may maximize the nonsurgical treatment of these various sports injuries. Another advantage of these techniques is that they don’t require a prolonged post-procedural recovery period. A patient can return to their daily activities in a short time. That is why regenerative medicine is ideal for athletes who cannot afford to stay out of sports for longer than several weeks.

Drug Controller General of India (DGCI) had seven products of stem cell medications. Recently, September 2022, DGCI approved StemOne for Knee Osteoarthrtis. It is the first allogeneic cell therapy product to be approved for commercial use in India for Knee OA. The treatment comprises of a single intra-articular injection of StemOne in an outpatient procedure with no anaesthesia requirement.

Certain companies do cover PRP, though, the coverage depends on the condition or injury being treated. Most insurance providers do not cover it. Clinics/Hospitals that offer PRP consider it a “fee for service” type of treatment.

Osteoarthritis of Joints Lateral epicondylitis ligament and muscle strains Tears of the rotator cuff, Tears of anterior cruciate ligament-ACL Achilles tendon injuries

Used properly and administered by qualified professionals, regenerative interventions are proving safe and effective after treatment of many patients. Selection of the cases is the key for the success of these regenerative therapies. Our physicians are trained and qualified enough to select cases and offer this modality of treatment.

We, at IPSC India, perform all the procedures under ultrasound guidance or fluoroscopic guidance. Our physicians are Musculoskeletal ultrasound specialists and they also, are the trainers. This helps us in visualising the damaged tissues and we deposit the cells, right at the site of injury.

Tissue repair takes 4-6 weeks’ time. Usually the resting pain and the pain on movements goes down first. This also is an indication of tissue repair. The strengthening of the repaired tissue takes another 4-8 weeks’ time depending on the site of injury and level of injury.

Regenerative interventions helps in the repair of the damaged cartilage by covering the damaged area with fibrous tissue. Normal cartilage formation is far from realty as of now. Our scientists are working on it and these therapies are still experimental. We at IPSC India, use only those cells which have proven efficacy.

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Coolief RF Ablation of Genicular Nerves for Knee Arthritis.

Cooled RFA for Hip Joint Arthritis

Knee Joint Pain

Cooled Radiofrequency Ablation for Knee Arthritis

A minimally invasive treatment for chronic knee pain

Cooled radiofrequency ablation (CRFA) is a minimally invasive procedure that uses radiofrequency energy to heat and deactivate pain-transmitting nerves. It is a safe and effective treatment for chronic knee pain caused by osteoarthritis. During the procedure, a thin needle is inserted into the knee joint and guided to the target nerve using imaging technology. A small amount of radiofrequency energy is then delivered through the needle, which heats and deactivates the nerve. This prevents the nerve from sending pain signals to the brain. CRFA is a relatively quick and easy procedure that can be performed under local anesthesia. Most patients are able to go home the same day as the procedure. Additional information: CRFA is typically covered by most insurance plans. The procedure is associated with very few complications. Most patients experience significant pain relief after CRFA, which can last for up to two years. CRFA can be repeated if needed. If you are suffering from chronic knee pain, talk to your doctor about whether CRFA may be a good option for you.
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Not willing for Knee Replacement Surgery? Know more about the options at IPSC.

CRFA is a minimally invasive procedure that uses radiofrequency energy to heat and deactivate pain-transmitting nerves in the knee. It is a safe and effective treatment for chronic knee pain caused by osteoarthritis.

During the procedure, a thin needle is inserted into the knee joint and guided to the target nerve using imaging technology. A small amount of radiofrequency energy is then delivered through the needle, which heats and deactivates the nerve. This prevents the nerve from sending pain signals to the brain.

CRFA is a good option for adults with chronic knee pain caused by osteoarthritis who have not had success with other treatments, such as physical therapy, medication, or injections. CRFA is also a good option for people who are not ready or able to have knee replacement surgery.

CRFA is a relatively safe procedure with very few risks. The most common side effects are mild and temporary, such as pain, swelling, and bruising at the injection site. Other rare side effects include bleeding, infection, and nerve damage.

The CRFA procedure typically takes about 30 minutes to perform.

Most patients are able to go home the same day as the procedure. You may need to take a few days off from work or activities that put stress on your knee. However, most people are able to return to their normal activities within a week or two.

Most patients experience significant pain relief after CRFA, which can last for up to two years. The effects of CRFA may vary from person to person.

CRFA is typically covered by most insurance plans. However, it is essential to check with your insurance company to see if you have coverage and what your out-of-pocket costs may be.

Arthroscopy for Sports Injuries and ACL Tears | Joint Specialist in Delhi

Arthroscopy for Sports Injuries and ACL Tears

Arthroscopy is a minimally invasive surgical procedure that can be used to diagnose and treat a variety of sports injuries and ACL tears. During arthroscopy, a small camera is inserted into the joint through a small incision. This allows the surgeon to view the inside of the joint and identify any damage. The surgeon can then use small instruments to repair or remove any damaged tissue. Arthroscopy is a common treatment for ACL tears. The ACL is a ligament that helps to stabilize the knee joint. When the ACL is torn, it can cause the knee to feel unstable and lead to pain and swelling. Arthroscopic ACL reconstruction is a surgery to replace the torn ACL ligament with a graft from another part of the body. Arthroscopy can also be used to treat other sports injuries, such as: Meniscus tears Cartilage damage Rotator cuff tears Shoulder impingement Bursitis Loose bodies in the joint Arthroscopy is a safe and effective procedure that is minimally invasive. Most patients are able to go home the same day as surgery and recover quickly. Joint Specialist in Delhi: Our joint specialist in Delhi is highly experienced in performing arthroscopic procedures. He is also a member of the Indian Orthopaedic Association and the Indian Arthroscopy Society. He is committed to providing his patients with the highest quality of care and helping them get back to their active lifestyles as quickly as possible. If you are suffering from a sports injury or ACL tear, arthroscopy may be an option for you. Please contact our joint specialist in Delhi to schedule a consultation.
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Arthroscopy for sports injuries

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Know more about Arthroscopy for Knee and joint injuries.

Arthroscopy is a minimally invasive procedure done through 2-3 very small incisions around the affected joint that allows your specialist to look inside the joint through a small instrument called an arthroscope. Most of the tissues like ligaments, cartilage and joint surfaces can be seen on monitor and we can detect and repair such tissues under vision.

MRI is very good modality to detect abnormality around your joint, it is highly suggestive but arthroscopy is confirmatory because you can directly see inside the joint and can treat it simultaneously like Rotator Cuff injury Meniscal tear ACL Tears

Yes! Arthroscopy also helps us in depositing pain-biologics ( drugs used to repair tissue) at the exact location of injury. We can also remove Loose bodies of torn cartilage and bones from within the joint space.

The Arthroscopy specialist at IPSC India uses regional anesthesia or general anesthesia, depending on which joint and the extent of the problem. A small, buttonhole sized incision is made on the skin to insert the arthroscope along with other small incisions to insert instruments used for the repair. After the procedure, the small incisions are closed with sutures or Steri-strips and covered with a dressing. You will be moved from the operating room to the recovery room. Most arthroscopic procedures are done on an outpatient basis but admission for one to two days is required in complex cases. Before you are discharged to home, you will be given instructions about how to care for your wounds, what activities to avoid, and which exercises to perform to aid your recovery. The sutures will be removed during your follow-up visit.

When performed by well trained arthroscopy surgeon, complications are very rare.

Recovery with arthroscopy is really rapid when compared to open procedure because entire procedure is done through 2-3 small 1-2 cm incisions. For most procedures patients are allowed to walk and physiotherapy exercises are started very next day. What are benefits of arthroscopy over open surgery? Less pain, less tissue damage, minimal blood loss, early physiotherapy and rapid recovery.

Sports person are prone for injuries and they need to get back to their training and practices as soon as possible. Arthroscopy has really revolutined sports injury treatment. With arthroscopic repair of the ligament tear and other torn tissues of the joint, we can make them mobile fast. We can also use arthroscopy for regenerative interventions of the damaged tissues.

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The IPSC Protocol is a three-step procedure performed at two-week intervals

IPSC Protocol: Minimally Invasive Treatment option for advanced Arthritis

IPSC Protocol for Knee Joint Pain

IPSC Protocol for Knee Arthritis

IPSC Protocol Non-Surgical Knee Joint Pain Relief

IPSC Protocol for Joint Pains

Non-Surgical option for advanced Arthritis: IPSC Protocol

PSC Protocol: Non-Surgical Option for Advanced Arthritis with Radiofrequency and PRP

The IPSC Protocol is a three-step procedure performed at two-week intervals: 1. Radiofrequency ablation: Radiofrequency energy is used to heat and destroy the pain-carrying nerves in the affected joint. 2. Platelet-rich plasma (PRP) injection: PRP is a concentrated platelet solution that is injected into the joint to promote healing and reduce inflammation. 3. Intra-articular Viscosupplement: injected into the joint to help lubrication of the joint and helps in recovery. The IPSC Protocol is a minimally invasive procedure that is performed under local anesthesia. It is typically well-tolerated by patients, and there is little to no downtime required. Benefits of the IPSC Protocol: Non-surgical Minimally invasive Little to no downtime Effective relief of joint pain Reduced inflammation Improved joint function The IPSC Protocol is a promising new treatment option for advanced arthritis patients who are looking for a non-surgical solution to their joint pain.
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All you need to know about IPSC Protocol for Advanced arthritis Treatment safely.

The IPSC Protocol is a good option for patients with advanced arthritis who have not found relief from other treatments, such as physical therapy, medication, and corticosteroid injections. The IPSC Protocol is also a good option for patients who are not candidates for surgery.

Non-surgical Minimally invasive Little to no downtime Effective relief of joint pain Reduced inflammation Improved joint function The IPSC Protocol is a promising new treatment option for advanced arthritis patients who are looking for a non-surgical solution to their joint pain.

The IPSC Protocol is a three-step procedure performed at two-week intervals: 1. Radiofrequency ablation: Radiofrequency energy is used to heat and destroy the pain-carrying nerves in the affected joint. 2. Platelet-rich plasma (PRP) injection: PRP is a concentrated platelet solution that is injected into the joint to promote healing and reduce inflammation. 3. Intra-articular Viscosupplement: injected into the joint to help lubrication of the joint and helps in recovery.

Joint Stiffness and Mobility will start improving with the first procedure. walking distance improvement may take 6-8 weeks. Pain relief is usually in the range of 40-60?pending on the condition of the knee joints and surrounding muscles and weight of the patient.

Yes! Joint replacement is the option. We at IPSC, are the pioneers in Painless Knee Replacement surgeries.