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Patellofemoral Osteoarthritis

buck

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Just got the X-rays back and it reads as patellofemoral predominant left knee osteoarthritis. Just wondering how many have or are having issues with it and their experiences. The hip is modrately/severely arthritic on that side as well. I have arthrtis in other areas have dealt with those or are dealing with them. Just planning a course of action for the future.
 

IronLion2

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I'm a pretty big advocate for PRP or prolotherapy for situations like this.
 

maldorf

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Wonder if this would help. ive seen it advertised on tv. I have no experience in this other than my father probably needs a knee replacement. He hasnt had his treated yet. He did have hip replacement about 2 years ago and it went well.
 

buck

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I'm a pretty big advocate for PRP or prolotherapy for situations like this.
Yes I know of them. What have been your experience with them when the cartliage itself is gone as opposed to just a damaged tendon or ligament in the knee.
 

buck

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Wonder if this would help. ive seen it advertised on tv. I have no experience in this other than my father probably needs a knee replacement. He hasnt had his treated yet. He did have hip replacement about 2 years ago and it went well.
Yes they are FDA approved for knees as I remeber but no other joints last I checked but that was several years ago. I have a few aquaintences that get them ever few months as the don't want to get their knee replaced even though they know that is the only real cure once the cartliage is all gone. They are all over weight and don't work out, but say it reduces the pain.And they are happy enough with it. I don't have much pain but if it gets to bone on bone that will probably change. I was going to ask about it when I saw the specialis in a few weeks.
 

muscle96ss

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Yes I know of them. What have been your experience with them when the cartliage itself is gone as opposed to just a damaged tendon or ligament in the knee.
If the cartilage is too far gone then it will not do any good; but if there are still some living cells it can definitely work.
 

maldorf

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Yes they are FDA approved for knees as I remeber but no other joints last I checked but that was several years ago. I have a few aquaintences that get them ever few months as the don't want to get their knee replaced even though they know that is the only real cure once the cartliage is all gone. They are all over weight and don't work out, but say it reduces the pain.And they are happy enough with it. I don't have much pain but if it gets to bone on bone that will probably change. I was going to ask about it when I saw the specialis in a few weeks.
What is your age now? Being active in the gym like you are it would probably be best to consider surgery. Now my father is 82 years old and we are thinking that surgery at his age may not be a good idea if he can just get by. Id like him to think about it but he wont. He has a lot of pain too. A knee surgery involved a much harder rehab than hip. He had hip and did awesome with that. it was a great thing for him. He wishes he had done it earlier. I wish he would just have the knee done now too.
 

buck

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What is your age now? Being active in the gym like you are it would probably be best to consider surgery. Now my father is 82 years old and we are thinking that surgery at his age may not be a good idea if he can just get by. Id like him to think about it but he wont. He has a lot of pain too. A knee surgery involved a much harder rehab than hip. He had hip and did awesome with that. it was a great thing for him. He wishes he had done it earlier. I wish he would just have the knee done now too.
Oh if the time comes that it negatively impacts my life I will get a knee replacement. I am 60. I still have a lot of work outs and mountains I plan to climb. I got my shoulder replaced 7 years ago. And have a hip replacement penciled in for a couple years down the road. My mother had her knee replaced when I think she was 83. They do them a lot for older people. If his health is good he would fair well most likely. Older people can do better often as they expectations are lower and can be satisfied easier. That is how a Dr. Explained it to me once.
 

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If the cartilage is too far gone then it will not do any good; but if there are still some living cells it can definitely work.
Most practitioners will tell you otherwise but I don't disagree with the second statement.

Yes I know of them. What have been your experience with them when the cartliage itself is gone as opposed to just a damaged tendon or ligament in the knee.
Treatment seems to be equally effective in all demographics. I worked at a homeopathic pain clinic, we saw improvements in old women with extreme forms of arthritis as well as high level athletes with wear and tear. Benefit for all of them was pain relief to the point of being able to function for two to six months. I Ielieve simple PRL or the more expensive PRP may have the ability to stimulate blood flow and lymphatic stimulation to the area.
IIRC the treatment rate is like 40-60% as some individuals are none responders. Not a whole lot of risk with treatment, inflammation worsens for a few days post injection than rapidly improves.
 

muscle96ss

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Most practitioners will tell you otherwise but I don't disagree with the second statement.



Treatment seems to be equally effective in all demographics. I worked at a homeopathic pain clinic, we saw improvements in old women with extreme forms of arthritis as well as high level athletes with wear and tear. Benefit for all of them was pain relief to the point of being able to function for two to six months. I Ielieve simple PRL or the more expensive PRP may have the ability to stimulate blood flow and lymphatic stimulation to the area.
IIRC the treatment rate is like 40-60% as some individuals are none responders. Not a whole lot of risk with treatment, inflammation worsens for a few days post injection than rapidly improves.
I'm not sure I understand what you mean. One of the experts in this area explained it to me once as its like taking the chondrocytes to a buffet; but if you don't have any healthy chondrocytes then all the food in the world isn't going to change anything. That was years ago and not sure if the science has changed, so I am curious what you have heard.
 

IronLion2

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I'm not sure I understand what you mean. One of the experts in this area explained it to me once as its like taking the chondrocytes to a buffet; but if you don't have any healthy chondrocytes then all the food in the world isn't going to change anything. That was years ago and not sure if the science has changed, so I am curious what you have heard.
Despite clinical studies showing it as an effective treatment, there isn't a ton of definitive information. Hence me saying that the practitioners make some wild claims about all the benefits PRP/PRL might have, there's not enough data for anyone to tell them otherwise.

We have research as well as anecdote that shows it works for both mild and major tissue damage. It is however theorized that the benefit of both PRP/PRL is just the injection itself and there is no real regenerative element to it.

I know there are clinics that give PRL, PRP, and stem cell injections in a series. I can't imagine anything's going to have a better chance to reverse chondrocytes cell death than that cocktail.
 

muscle96ss

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Despite clinical studies showing it as an effective treatment, there isn't a ton of definitive information. Hence me saying that the practitioners make some wild claims about all the benefits PRP/PRL might have, there's not enough data for anyone to tell them otherwise.

We have research as well as anecdote that shows it works for both mild and major tissue damage. It is however theorized that the benefit of both PRP/PRL is just the injection itself and there is no real regenerative element to it.

I know there are clinics that give PRL, PRP, and stem cell injections in a series. I can't imagine anything's going to have a better chance to reverse chondrocytes cell death than that cocktail.
I just realized that bucks question was in reply to your recommendation of PRP/PRL; whereas I thought that he was asking about the viscosupplementation he was referring to in the first post(thats what happens when you do things too quickly). So ignore everything I said; I agree with what you were saying about PRP/PRL.
 
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