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21/Nov/2019
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“I was scheduled for a bilateral partial knee replacement when I came across Dr. Coleman’s Stem Cell Therapy Program,” said Jorge Gutman, an active, athletic 54-year old suffering from debilitating arthritis pain in both knees.  Tired of being held back from his very active business and lifestyle, he was searching for a better solution to his chronic knee pain.

Key Takeaways

  • Virtually no pain 90 days after treatment
  • Regained nearly all knee mobility
  • Enjoying full range of activities: Walking, Gym, Biking 

Surgical Alternatives

After running through the gamut of medical options, including hyaluronic acid injections (artificial joint fluid), Mr. Gutman decided to try one last thing; prior to the final decision of partial joint replacement. “Although I do not recommend waiting until there is this little cartilage and with much other disease present, Jorge was quite lucky to get such an excellent result,” said Dr. Coleman.

His decision to cancel surgery was a very personal decision that he and his wife made based on their desires and needs.  In Jorge’s case, it turned out to be one of the best decisions of his life, and something that truly pleased his wife.

Dr. Steve Coleman

Doctor of Osteopathic Medicine

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“I never try to influence patients one way or the other regarding elective surgeries, but if they ask me about other options, I give them the best informed consent that I am able to. That’s my duty as a physician.”

Cytokines in Knee Joint Repair With Dr Steve Coleman


Click Bone-on-Bone: The Knee Pain That Will Not Wait to read about the consequences of waiting too long to treat to knee pain and osteoarthritis.

“Certainly, there are many times when the Surgeon is your best, and most important friend,” said Dr. Coleman.

“Three months after Dr. Coleman extracted my bone marrow and fat cells and re-injected them back into my knees, I now have a 90% reduction in pain.  The mobility is unbelievably improved,” Jorge said of his experience with the MedicalMasters.org Stem Cell Therapy Program.

Feedback From Jorge

Stem Cell Therapy Healing Process

Mr. Gutman reports that he is now able touch both knees with virtually zero tenderness, while also being able to perform basic activities of daily living, including bending and crossing his knees, and getting up from the toilet without pain. That really is a big deal.

For the last two years these simple movements had triggered horrific pain and disability for Jorge. For the first time in years, things are getting better, not worse.

90-Day Follow Up

At his 90-day follow up visit with Dr. Coleman, Jorge’s wife Mahaela confirmed the steady progress in his knee mobility and pain reduction since the initial injections.

Mihaela - Wife of Stem Cell Therapy Patient

 Mihaela 

 Wife of Jorge 

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“His pain gradually disappeared each day.  I would ask him daily: ‘is it better or worse today?’  Each time he would answer: ‘BETTER!’”

The procedures, which took just a few hours to administer at Dr. Coleman’s clinic in Bonita Springs, Florida USA were almost painless according to Jorge. “The worst part was the knee injections, not the bone marrow procedure,” according to Jorge.

Following his successful treatment, Mr. Gutman has been able to return to activities he and his wife were previously denied, such as walking on the beach together, riding their bikes, and getting back to the gym.  These simple life pleasures were unthinkable until now for Jorge, who described the debilitating and constant effects of knee pain due to osteoarthritis:

Jorge Stem Cell Therapy - MedicalMastersOrg

Jorge

Stem Cell Patient

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“I was laying in bed, sleeping with pain.  And, it was 24-hours per day. I could not do basic things properly, like walk or bend my knees. I was on my way to the surgeon’s table before my visit to Dr. Coleman,”

“When Jorge walked into my office for a Comprehensive Medical Assessment (CMA) just before Christmas, he was hobbling badly, with an obvious gait disorder caused by arthritic knees and more than 18 years of punishing work in the construction industry,” said Dr. Coleman.

“He described needle and knife like pains jabbing the knees, near the ligament attachment areas of the bone. It was causing him so much discomfort that he could not touch the knee without wincing in pain.”

During the initial osteopathic physical examination, Dr. Coleman also noted the extreme crepitance and crackling in the knee joints while palpating the knee, and during positive orthopedic motion tests.

“Jorge indicated to me a pain level of 8 out 10 prior to the stem cell procedures.  At his 90-day follow up visit, he now reports that the pain has dropped to 2 out of 10,  which is remarkable indeed.”

90% Decrease in Pain

“His gait (walking) now appears largely normal, suggesting a strong recovery. The video of him post-procedure speaks for itself.  This is the truth, and the proof, as we now know it.

This is real progress,” said Dr. Coleman.

Advanced Cellular Therapies

The advanced procedures used in Jorge’s case involved extracting a combination of hematopoietic stem cells (bone marrow) and mesenchymal stem cells found in fat tissue (adipose), along with PRP (Platelet Rich Plasma) from his own blood. There are no infectious diseases possible when using this strategy.  This synergistic combination is used to help promote tissue and possibly help cartilage regeneration. The minimally invasive procedure also stimulates cytokine proteins, which help to promote the healing processes and modulate inflammation.

“I also followed Dr. Coleman’s advice and made sure that I moved my knees as much as possible and drank plenty of water in the days following the procedure.”

This “active recovery process” is recommended in order to help accelerate the healing cascade while minimizing the chances of a blood clot forming. It also maximizes gains in the range of motion for the treated joints.

“There was definitely some discomfort in the first 1 to 2 days following the knee injections, and I struggled with walking, but within the next two weeks I noticed a rapid improvement and now there is barely any pain at all,” said Mr. Gutman of his recovery journey following the procedure.

Dr. Coleman will be continuing to monitor Jorge’s progress over the next year or two to optimize the recovery process using his background in osteopathic regenerative medicine.  

“Whenever possible, my goal is to give patients an alternative to riskier surgery. I previously described the negative consequences of allowing joint pain to escalate to full bone-on-bone osteoarthritis which at that point becomes difficult to treat,” said Dr. Coleman.  “I try to stress the importance of taking action against joint degeneration before this stage of chronic inflammation and deterioration is reached.” 

“Unfortunately, some people choose not to do anything before the end stage for a few reasons.  Since insurance does not cover regenerative medicine procedures like stem cells, some patients hesitate to spend their money on their health. If you wait until there is no other option besides major joint surgery, your insurance will cover it, but beware the hidden costs involved,” Dr. Coleman said.

“Fortunately, Jorge decided to seek alternatives, and took action to avoid a surgery that he did not want. In this limited situation, stem cell therapy has kept him off of the operating table and has allowed us to positively influence the negative effects of ligamentous laxity and osteoarthritis.”

Meanwhile, Jorge and his wife Mihaela are looking forward to the healing process and are hopeful about the long-term benefits of regenerative medicine.

“I am definitely getting better.  I went from being barely able to walk right after the procedure, to walking very slowly, to walking almost normally now.  Little by little my knees are improving. Stem Cell Therapy has fixed it.  I’m anxiously waiting to see what the next four or five months brings!”

Dr Coleman was delighted to help Jorge and Mihaela, but cautioned that:

“Doctors don’t heal patients.  Cells do.

But it sure is fun to be the quarterback for the team.”

INTERESTED IN A FREE CONSULTATION?


More about Dr. Coleman, D.O, and our clinic. 

1979

MEDICAL DEGREE

Michigan State University

Dr. Coleman received his undergraduate education at Michigan State University, laying a strong foundation in Internal Medicine.

1984

OSTEOPATHIC DEGREE​​​

Kirksville College of

Osteopathic Medicine.

He attended the Kirksville College of Osteopathic Medicine in Missouri, which was the very first school of osteopathic medicine in the world. 

2007

REGENERATIVE DIPLOMA

American Academy and Board of Regenerative Medicine, or AABRM

With certificate number 42, he was one the first physicians to become board certified by the American Academy and Board of Regenerative Medicine, or AABRM

Dr. Steve Coleman, D.O

If you are currently experiencing knee pain from a previous injury or sports-related trauma we may be able to help.
Please schedule a Comprehensive Medical Assessment (CMA) to determine if you qualify for promising new treatments
in Stem Cell Therapy, Prolotherapy and PRP.


21/Nov/2019
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One of the biggest challenges we see as regenerative medicine doctors, is the patient who has been suffering from joint paint for quite some time. Often these patients have had other more conservative therapy such as cortisone injections, anti-inflammatory medications, braces, therapy, and cortisone shots.

All, with no long term relief. I have heard many, many, patients say something very similar to the following:

“I got a cortisone shot and it was great for 3 days”

“The next time, It lasted for a couple of days”

The time after that , It did nothing”

If the patient waits even longer, and then sees a surgeon, they are frequently told “your only option is a total joint replacement

Don’t wait until it’s too late

This is unfortunate for the patient on many levels.

  • Total joint replacement is often curative for the Pain part of a serious joint degeneration. However, it carries other quite significant risks such as failed surgery, peri-operative infection, or blood clot risk. Not to mention cost to the patient and society.
  • The most serious risk to this surgery is of course :General anesthesia. Sometimes patients just don’t wake up from the procedure. A total disaster and a total loss.
  • The total dollars consumed is much, much higher for total joint replacement versus stem cell injection therapy ( total joints cost on average, 10 to 20 x as much as stem cell therapy)
  • A total joint replacement cannot by its nature, be a staged or stepped procedure. You either go all the way with a total joint replacement or you suffer on in silence.
  • With staged regenerative medicine procedures you can choose to treat more aggressively or less so, based on the patients needs and budget.
  • Pain medication therapy does nothing to change the course of the medical problem. It only treats the symptoms.
    This approach is fine in a morbid condition such as cancer or other fatal conditions. Is it appropriate for people who want or need to continue living? Only you and your family can answer that question.
  • Narcotics as an alternative to active treatment is quite a poor choice over time. You can only take narcotics for so long, before they stop working (Tachy-Phylaxis) or serious side effects rear their ugly head (overdose, loss of vitality and addiction)
  • Remember, there is virtually no risk to the surgeon who performs unnecessary surgery: the same cannot be said for the patient.
  • As an “Old School” Osteopathic Physician, I take my oath of Hippocrates, very seriously. See Plaque as given to me by Dr. James Clary, D.O. (circa 1960’s) upon his retirement.
  • It is much more logical to stop a damn when it begins to leak, than it is to wait until it completely washes out, and there is little foundation to build on.
  • I am not anti-surgery on any level. But I am totally for complete and informed choice for the patient. Who waits till the fire is through the roof before calling the fire department? Not I.
  • You as the patient, have the absolute right to demand what is best for your specific condition. One size does not fit all.

Don’t wait until it’s too late

  • Before you get to Bone on Bone, see a Regenerative Medicine Doctor.
  • Treat all medical problems before they become critical. It will save you time, money, grief and pain if you do.
  • I always put myself in the imagined position of the patient and ask, What is the best thing to do? Expect your doctor to do the same.  Would she or he, just let things go until a major surgery is the only option?

Always give your doctor the Mother Test:

Doctor, What would you do if I were your own mother?

That will give you the real answer to a true dilemma.


21/Nov/2019
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In the Mid-1950s something odd happened in the United States, that may force us to re-examine the links between aging, obesity and knee osteoarthritis - a condition that influences the quality of millions of Americans.

What is this peculiar event, you may ask?

Seven medical researchers have uncovered supporting evidence to show that prior to 1955, arthritic knees were rare - very rare. Suddenly, around this point in history, the disease began to double in prevalence.

Before going further consider for a moment that osteoarthritis will probably affect half our country during our lifetime, which is why we are approaching (and will soon exceed) 1 million knee replacement surgeries in the next 12 months. The research team’s findings  is thus critically important because presently the conventional wisdom suggests that living longer and higher obesity levels stimulate (and aggravate) the onset of osteoarthritis. They instead suggest there are several unconsidered variables that's leading to the growth of degenerative joint disease in the knee.


Even more fascinating is the conclusion that knee osteoarthritis may be more preventable than is commonly assumed.  They surmise that prevention will require research on additional independent risk factors that either arose or have become amplified in the postindustrial era. The researchers based their findings on autopsies of cadaver-derived skeletons of people aged aged below and above 50 whose BMI at death was documented .  These persons lived in the period spanning from the early industrial era (1800s to early 1900s) and the modern post industrial era (late 1900s to early 2000s).

National Academy of Sciences - Knee Osteoarthritis

 National Academy of Sciences 

Ian J. WallaceSteven WorthingtonDavid T. FelsonRobert D. JurmainKimberly T. WrenHeli MaijanenRobert J. Woods and Daniel E. Lieberman

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Whether increases in longevity and BMI (weight) are responsible for current knee OA levels has never been tested, but this assumption has led many to view the disease’s high prevalence as effectively unpreventable, since aging is untreatable, and the high BMI epidemic is intractable,” said the researchers in a paper delivered to the National Academy of Sciences.

They conclude that recent environmental changes have played a principal role in the deterioration of our knees, not just the extra baggage you carry around your waist.   

Specifically, they point to human beings loading more external weight on their bodies during daily activities; NOT weight gain (or high BMI) over time as a main contributor to knee arthritis.

There is an important inflection point, however, in their findings above.   


It’s not just that we are loading more weight (than our ancestors) on our poor bodies, but that we are also doing this while being generally more physically inactive during the course of any calendar year.

“Less physically active individuals who load their joints less develop thinner cartilage with lower proteoglycan content as well as weaker muscles responsible for protecting joints by stabilizing them and limiting joint reaction forces,” said the researchers.

Growth of Knee Osteoarthritis Since 1950 in America

This is an extremely intriguing conclusion because it again points to how vital it has become for your Doctor to examine your body and lifestyle in totality, not just symptomatically.

Dr. Steve Coleman, D.O

If you are currently experiencing knee pain from a previous injury or sports-related trauma we may be able to help.
Please schedule a Comprehensive Medical Assessment (CMA) to determine if you qualify for promising new treatments
in Stem Cell Therapy, Prolotherapy and PRP.

We can infer from their research that chronic low-grade inflammation, exacerbated by physical inactivity, is further stimulated by modern diets rich in highly refined carbohydrates. It does not end there: Excessive adiposity (i.e. being severely overweight) can further magnify and accelerate loading-induced damage to joint tissues and may also directly affect knee OA pathogenesis.


It’s important to emphasize that this research is ongoing but the results thus far MUST be taken into account when a patient comes in for a Comprehensive Medical Assessment or 100 Point Health Score at our Bonita Springs Regenerative clinic which offers stem cell therapy as a possible treatment modality.  

Your entire personal history and lifestyle are key indicators of your present condition and what treatment options should be made available to you.  An effective prevention strategy will involve adjusting  your physical activity patterns and diets to approximate more closely the lifestyle conditions under which our species has evolved.

What we also take away from this study is that fairly recent increases in knee osteoarthritis during the last several decades cannot simply be considered an inevitable consequence of people living longer or having higher BMI.

The Wonders of the Knee Joint


“Susceptibility to knee OA and other mismatch diseases is undoubtedly influenced by intrinsic factors, including age, sex, and genes, but the historical and evolutionary perspective afforded by our data underscores that many modern cases of knee OA may be preventable,” said the researchers.


Your present job or occupation may also be playing a role in the degeneration of your knee joints.  Sitting in front of computers for long periods with no intermittent physical activity seems to suggest another contributing piece to the arthritic puzzle.

High Heels and Knee Osteoarthritis in Women

Things get even stranger when one considers gender-based causes for knee joint degradation.   One particular study suggests that osteoarthritis in women may be due to long (could we say, agonizing) periods wearing, walking and standing in high-heel shoes.

The study focused on 20 healthy women wearing high heel shoes and walking barefoot. The results showed a 23% increase in compressive force on the medial compartment of the knee and more pronounced pressure on the patellofemoral joint as a whole.  Thus, these “altered forces” may likely be having a degenerative effect on female (or whomever enjoys wearing high-heels generally) joints over time.


This new vein of research has been shared with you to illustrate just how subtle and intricate the human body behaves in the modern world.   Our present health system, and indeed our well being, can no longer be targeted with treatment plans that simply focus on limiting symptoms with the use of pharmacological agents.  
We also do not wish to suggest, based on the discussion above, that is now OK for you to keep or put on weight: This harmful condition will lead to a variety of other negative outcomes which may in turn influence the long-term health of the knee in unexpected ways.  Not to mention the havoc it plays on hormonal levels and the possible threat of diabetes!

It’s also worth considering the role walking on hard pavements plays in affecting the knee joint.   If you combine this activity with inactivity, we have further metrics to consider in the overall degeneration of the knee.

Further, simply pushing a patient to undergo knee or hip replacement surgery is also an unwise decision.  Evidence is mounting that we must find alternatives, especially if you consider recent recommendations from major bodies such as the Australian Rheumatology Association which said that arthroscopic knee surgery to treat osteoarthritis is of low value and doctors are being told to consider alternatives such as exercise therapy to avoid unnecessary harm to the patient.

These recommendations were supported by the country’s Consumer Health Forum.

This is a major reason why we continue to study new trends in joint stem cell therapy research and its application for qualified patients experiencing knee pain from osteoarthritis.  While stem cell therapy will not work for everyone, it shows remarkable promise for patients whose osteoarthritis is not yet bone on bone.   For those interested in FTC/FDA-compliant stem cell therapy, please read this recent patient success story for Marie Claire, who experienced a positive outcome after undergoing the short, same-day procedure which utilized her body’s own cells, including fat and bone marrow, to stimulate healing in the knee joint.

Our medical clinic continues to use the best tenets of osteopathic medicine to situate the patient within his present lifestyle, medical history and physiological condition.  As the earlier study pointed out, environmental factors play a key role in your present condition.   It also means that doctors, surgeons and specialists - including us - need to constantly re-examine our belief systems and the incoming science with regards why a patient is experiencing osteoarthritis AND how we should treat it.

Tackling Knee Osteoarthritis in  Bonita Springs

We hope found the article above informative, helping you to make more informed decisions regarding your health, especially if you are experiencing knee pain in Bonita Springs.  Feel free to reach out to us and ask any health questions on your mind.  We also offer treatment options for #osteoarthritis in the knee and hip joints. 



21/Nov/2019
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As the United States approaches 1 million new knee replacement surgeries per year, we have to ask if this is always necessary?

Some studies suggest that less than one-third of all surgeries are effective and would perhaps have been better handled using alternatives, including Stem Cell Therapy.

The root cause for knee joint pain is usually rooted in a previous sports injury (or something similar) and/or the increasing onset of osteoarthritis.

However, as long as the knee damage is not yet bone-on-bone, Stem Cell Therapy offers some life-changing alternatives to knee replacement surgery.

Once a patient undergoes our 100-Point Health Score we can determine if Stem Cells along with additional Prolotherapy and PRP treatment could offer you some relief. These are all Level 3, FDA-compliant, same-day procedures that we believe offer long-term options for new patients.
More Info on Stem Cell Therapy

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21/Nov/2019
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Knee injuries and ailments are often painful, debilitating issues. Unfortunately, the procedures that can fix them are often just as painful and inconvenient. Prolotherapy, however, is different, and is changing the way knee injuries are treated. Below are the top five reasons why prolotherapy is gaining favor for treating knee injuries:

1. Prolotherapy is Simple and Effective 

Prolotherapy is a single injection procedure of a mild irritant into the weakened or injured area. It works by creating a small, controlled injury that stimulates the body’s natural healing processes. This causes new tissue to be created in the injured area, strengthening and healing weakened, torn, or stretched tendons and ligaments. Prolotherapy is both simple and effective, and relies on the body’s own healing abilities, making it a preferred solution over other, more drastic alternatives.

2. Prolotherapy Improves Mobility More Than Other Treatments

According to clinical studies, prolotherapy has been shown to be more effective at decreasing the pain and stiffness of a patient’s knee, while increasing the knee’s physical function than other treatments, such as physical therapy.

3. Prolotherapy Has No Adverse Side Effects

Countless prolotherapy  treatments have not been shown to have any adverse side effects. This is great news for those who know how painful, and often harmful, some procedures to treat knee injuries can be. Since prolotherapy is simply a dextrose injection, there is no real cause for any adverse effects.

4. Prolotherapy is Being Practiced by a Growing Number of Physicians

The increased use of prolotherapy by experts in the field of treating knee pain is a big reason why the treatment is gaining favor. Prolotheraphy is performed by a wide number of physicians, and has even gained recognition from reputable institutions such as the Mayo Clinic and Harvard Medical School.

5.  Prolotherapy Improves Tendon Strength

Clinical studies have shown prolotherapy increases the strength of the tendons in the injection area. In one study, the tendons of those who underwent prolotherapy were 31% stronger, 47% larger, and 28% thicker than those in the control group. This means those suffering from a knee injury can expect to see a large improvement in their knee’s functionality after undergoing prolotherapy.


21/Nov/2019
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Dr. Steve Coleman, Founder, MedicalMasters.Org, recently completed a successful medical mission trip to Honduras where he treated an 88-year old male suffering from chronic knee pain (and complications stemming from previous hip surgery) with Prolotherapy.

“The patient could not , or would not bend the knee on his own accord due to pain and loss of range of motion. There was no joint effusion or swelling. The anterior drawer test was negative, but the posterior drawer test was slightly positive, indicating posterior cruciate ligament damage,” said Dr. Coleman.

The first dextrose injections gave the patient almost immediate benefit and pain relief, allowing him to walk out the building, something the patient would have considered impossible prior to Dr. Coleman’s intervention. Read the full case study here: