Advancements in Technology to Restore Knee Cartilage

Osteochondral allograft transplantation effective for certain knee cartilage repairs

Dr. Robert Spiro, Senior Vice President, Biologics, Development, Scientific and Clinical Affairs at Aesculap Biologics, LLC joins Dr. Brian Cole and Steve Kashul to discuss biologic challenges faced in treating damaged cartilage and the importance of restoring damaged cartilage in preserving joint integrity. They also discuss technology currently in development for cartilage injury treatment and eligibility in a current Aesculap clinical trial.

About Knee Cartilage

Your knee is under a lot of pressure, so it’s no wonder that just one false move can result in injury to the ligaments and cartilage in the joint. Cartilage is the surface on the ends of the bones in your knee that allow the joint’s surfaces to glide friction-free. Symptoms of knee cartilage injuries include pain, swelling, popping in the joint and locking of the joint. Daily activities such as sitting down, standing up, or walking up stairs may become difficult. Fortunately, there are a variety of treatment options available to help alleviate your symptoms.

Causes of Cartilage Injuries

Knee cartilage may be injured through activity, trauma, or a disease such as osteochondritis dessicans that affects the bone beneath the cartilage and causes the overlaying cartilage to “blister.” These types of injuries are called focal defects because they usually affect a portion of the cartilage in that joint.

Dr. Spiro received his BSc from McGill University, Montreal, Canada and a Ph.D. in Immunology from the University of Massachusetts Medical School, Worcester, MA. His academic career included a Post-Doctoral fellowship and Assistant Professorship in the Department of Immunology at the Research Institute of Scripps Clinic, La Jolla, CA with research focused on cancer immunology and the extracellular matrix.

His industry career spans several start-up companies including Telios Pharmaceuticals, Orquest Inc., Fibrogen Inc., ISTO Technologies and Carbylan Therapeutics.  He has been involved in the design and development of wound healing, orthopedic and spine drug, device and biologic-device combination products including the Healos® bone graft substitute, the DeNovo NT® Graft for cartilage repair, and the InQu® bone graft substitute.

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The Importance of Patient Compliance in Rehab

Dr. Alex Bendersky, Director of Rehabilitation at Ivy Rehab Physical Therapy joins Dr. Brian Cole and Steve Kashul to discuss high versus low value physical therapy and the importance of patient compliance with the physician and physical therapist in post-operative recovery.

The orthopedic specialists at Ivy Rehab Physical Therapy are ready to help you get back into the action. Whether you’re overcoming a sports-related injury or recovering from a recent surgery, let our knowledgeable team develop a personalized therapy plan just for you.

What Is Orthopedic Therapy?

Orthopedic Therapy is a form of physical therapy that aims to improve weakened or injured components within the musculoskeletal system through non-invasive treatments such as exercise and stretching. This type of therapy works with all of the bones, joints, tendons, ligaments, and muscles throughout the body. Commonly used in sports medicine to improve recovery, orthopedic therapy is an important part of post-surgery rehabilitation. Orthopedic therapy also helps ease symptoms of chronic joint or bone ailments such as arthritis.Ivy Rehab Network

Ivy Rehab’s physical therapists have expertise in post-surgical rehabilitation, overuse injuries, and inflammation from chronic conditions such as arthritis. Your visit begins with a complete assessment of your current condition so that our skilled clinicians can develop an individualized therapy plan to make the most of your rehabilitation.

Speaking the Language of Recovery

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Selecting the Right Nutrition Bar

Karen Malkin, AADP from Karen Malkin Health Counseling discusses the difference the KMHC Transformation Bar and other nutrition bars on the market.

Karen’s Transformation Superfood bars contain 270 calories for a 60 gram, super heavy bar.  Most other bars are smaller at 45 grams in weight. Transformation bars contain 11 grams of organic rice protein, 12 grams of fiber, and only 5 grams of sugar from the dried cherries. YUM! Transformation bars are non-GMO, made with cashew butter, almonds, cherries, rice protein, 100% unsweetened raw cacao chunks (that taste like chocolate chips), plus superfoods such as flaxseed, spiralina, maca, and greens.

They are vegan, soy-free, gluten-free, and dairy-free. They make a great pre or post workout energizer. They get me through my 3-hour bike rides, and they have enough protein and healthy carbs to be a recovery snack after a great workout! I take them with me when I travel and make a great mini-meal on an airplane or anytime I need some fuel. They are best kept refrigerated but are packaged and can stay out of the fridge at above 72 degrees until the expiration date set on each bar. If you refrigerate or freeze them, they will last even longer! Related-What to Look for in your Protein Bar.

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How Artificial Intelligence is Revolutionizing Health Care

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Dr. Chris Stout, Vice President of Research and Data Analytics with ATI Physical Therapy discusses how Artificial Intelligence (AI) is revolutionizing health care.

Dr. Stout, is also on the faculty at the University of Illinois, Chicago – College of Medicine. He founded a 501(c)(3) to work on international humanitarian projects, and subsequently has won five international humanitarian awards and four additional honorary doctorates. 

Stout joined ATI in 2008 with a diverse background in research, psychology and education. Stout’s impressive academic resume includes degrees from Purdue, The University of Chicago’s Graduate School of Business and the Forest Institute. He also obtained a post-doctoral experience at Harvard Medical School as a Fellow in neuro-developmental behavioral pediatrics.

Highly respected in his field, Stout has published over 300 papers and 35 books, is a coveted LinkedIn influencer with over 50,000+ followers, has lectured around the world, and been a featured guest on CNN, NBC and PBS.

Overseeing one of the industry’s first Research and Data Analytics departments, Stout and his team have had an enormous impact on ATI’s approach to clinical care. His research and data strategy has helped ATI become an innovative leader in physical therapy and patient outcomes.

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About Minimally Invasive Hip and Knee Replacement

Dr. Richard Berger of Midwest Orthopaedics at Rush discusses minimally invasive hip and knee replacement, allowing patients to recover faster with less pain.

Dr. Berger has pioneered minimally invasive hip and knee replacement, allowing patients to recover faster with less pain than with traditional hip and knee replacement surgery. His degree in mechanical engineering from MIT has helped him design specialized instruments which allow the surgery to be done without cutting any muscle, tendons, or ligaments. These advances allow most of Dr. Berger’s patients to walk independently and leave the hospital the day of surgery. His mechanical engineering background has also helped him to design gender-specific implants that fit and perform better for active patients. dr richard berger

Dr. Berger was fellowship trained in adult reconstruction at Rush University Medical Center. Dr. Berger also conducts research on hip and knee replacements.

Dr. Berger, as part of his pioneering role in minimally invasive surgery, has developed specialized instruments, techniques for surgery, as well as knee and hip implants. As the developer, Dr. Berger receives royalties and payments from the manufacturers of these devices.

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How Sleep can affect Athletic Performance

Tara Hackney PT, DPT, OCS, KTTP from Athletico Physical Therapy discusses how athletes quality of sleep can affect their performance -plus- the best sleep positions for proper spine alignment. Tara earned her Orthopedic Clinical Specialty (OCS) certification in 2016 due to an interest in orthopedic rehabilitation. She holds certifications in Graston Technique, Kinesiotape, and FMS testing.

Sleep Improves Speed

recent Stanford study compared sprint performances in athletes when they followed their normal sleep routine and again after an extended sleep program. They found that average sprint times improved by about 4.5%. The same study found that these athletes had faster reaction times when well rested. I can’t think of a single sport that doesn’t benefit from faster movement and reaction times.

Sleep Improves Athletic Skills

The same Stanford study that showed improved speed with better sleep, also showed improved athletic skill with increased sleep. Basketball players that improved their sleep patterns shot, on average, 9% better with both free throws and 3 pointers.

Sleep Improves Mood

Ok. The fact that better sleep improves mood shouldn’t come as a surprise to anybody, but there is objective data showing that people feel happier when they are well rested. This can carry over onto the athletic field with improved morale. Professional teams aren’t afraid to let go of all-star talent if their locker room presence is toxic because they know what kind of effect that can have on a team’s success. Avoiding that negative environment can make the difference in a team’s season.

Sleep Improves Strength

Your body’s natural chemicals that improve strength, like human growth hormone and testosterone, are both affected by sleep. This can affect strength levels over the long run. In the short term, some case studies seem to indicate that improved sleep leads to better strength performance. This doesn’t come as any surprise given sleep’s effect on speed and athleticism mentioned earlier.

Sleep Decreases Injury Rates

This study from the Journal of Pediatric Orthopaedics shows how adolescent athletes that got less than 8 hours of sleep each night were 1.7 times more likely to have an injury than those that got more sleep. Seeing how sleep improves both your physical and mental performance, it’s easy to see how a lack of sleep can have the opposite effects.

It may be time to look at the priorities of our young athletes and figure out how to prioritize sleep in the mix of school, school sports, club sports, homework, and a budding social life. It may be the missing factor that is holding you or your child back from your athletic goals. Figuring out a way to get in at least 8 hours of sleep a day and possibly a nap or two will benefit you in multiple ways.

If you would like to learn more from an Athletico physical therapist, please use the button below to schedule a free injury screen at a clinic near you.


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