Tag Archives: Surgery

Stem Cell Treatment For Knee Joints

Stem Cell Treatment as an Alternative to Your Knee Surgery

Knee JointDiseases of the joint are not very popular, they are characterized by pain that patients can never do away with without pain drugs. as much as these diseases are common, there is still no conventional cure that helps repair the worn joints and restore proper functioning of the joint but rather the treatment that do not involve surgery only aim at dealing with the symptoms of the disease, in fact most people suffering from knee joint disease are only given pain medication to quell the pain. Till now knee surgery is the most commonly used treatment but it too has its share of risks and pitfalls. The major pitfall is that it never focuses on regeneration of worn cartilage and offer long-term solution.

However this should not be the case as the knee joint is a crucial joint that joins the upper leg to the bones of the lower leg. The joint bone should allow hinge-like movement while providing stability and strength to support the weight of the body. Flexibility, strength, and stability are needed for standing and for motions like walking, running, crouching, jumping, and turning but when the knee is affected the patient will be debilitated. The knee joint is made up of bone, cartilage, ligaments and fluid. Muscles and tendons help the knee joint move. When either of these components of the knee joint is affected then a person will suffer knee problems which eventually make walking painful and difficult.

To those who are suffering from or have suffered from chronic knee pain due to osteoarthritis or due to other medical conditions you should not despair as there is hope with a stem cell treatment that is seen as a possible alternative to knee surgery. As mentioned earlier the knee joint is made up of cartilage, ligaments and fluid. These should support free movement and reduce the grinding on the upper bone to the lower bone but when exposed to tear and wear or as a result of other diseases the cartilage may get eroded and this is the genesis of a nightmare of the chronic knee joint pain.

The stem cell treatment is a simple, out-patient, natural alternative for many patients who would wish to avoid the costly and risky orthopedic surgeries that also require long recovery periods. There are also patients who have gone through the knee surgery before but the knee joint pain since reoccurred, they are naturally inclined to source for a different alternative that may work even better for them, and they should consider the stem cell treatment as it offers better results convenience as opposed to surgical treatment of the knee joint.

Osteoarthritis is known as the common disease of the knee. In case of osteoarthritis the cartilage in the knee that helps in smooth joint movements will gradually wear away thus leading to pain and inflammation of the knee joint. Osteoarthritis of the knees is a problem that has disabled many people barring them from participating in sporting activities and making their own lives a nightmare as they struggle to even walk or even stand up from a sitting position. A part from osteoarthritis of the knees, other injuries to the tendons and ligaments can cause knee joint problems with the most common injury being the anterior cruciate ligament (ACL). The ACL is majorly injured by a sudden twisting motion. This type of injury is common in sports. The traditional treatments for these knee injuries include arthroscopic joint surgery and total knee or hip joint replacement. These knee treatments are not only excessively expensive but host risks associated with orthopedic surgeries, a patient is always put through several months of rehabilitation after surgery.

Stem Cell Therapy for Articular Cartilage Regeneration

As mentioned earlier most knee joint problems are caused as a result of cartilage erosion, with stem cell therapy the cartilage on the knee joint can be regenerated. Owing to its regenerative properties, this stem cell treatment has been targeted by prolotherapy doctors. The doctors use the stem cell to repair the ligaments and the tendons and help restore stability and prevent excessive movement on the knee joint. With stem cell therapy the cartilage erosion can be corrected by cartilage regeneration without any need for surgery.

Knee JointThe stem cell therapy is a better alternative to joint replacement, since it is equally successful but even simpler and cheaper. Most patients are now considering the stem cell therapy because it has lower risks too when compared to other surgical procedures on the knee joint. As compared to joint replacement, stem cell therapy involves just harvesting the stem cell from the patient’s body and injecting them into the affected knee, this is more attractive for many patients than to go through orthopedic surgery and replacement of the whole joint with artificial materials.

In this stem cell therapy, the mesenchymal stem cells have been noted for their efficacy in treatment of not only bone diseases but also other diseases, together with the hematopoietic stem cells they have been found to be effective in regeneration of tissues, cartilage, muscles, tendons and ligaments. With autologous stem cell therapy the risk of tissue rejection is done away with as the cells are from the patient’s own body.

The joint diseases are common today and you need help of an integrative doctor to sail through this nightmare. Dr. Dalal Akoury (MD) is an expert in integrative medicine and a founder of AWAREmed Health and Wellness Center located at Myrtle Beach South Caroline. Visit her for more information on most lifestyle diseases.

Stem Cell Treatment an Alternative to Your Knee Surgery



Current Stem Cell Treatments for Orthopedic Conditions

Current Stem Cell Treatments for Orthopedic Conditions

The stem cells have a unique ability to divide and become more specialized cells forming cells like bone, blood, or muscle. It is this ability that makes them attractive agents in many areas of medicine.  They can therefore be used to fight very many diseases in the regenerative medicine. Another advantage of stem cell therapy treatments is that autologous stem cell transport is made possible. This means that a person may be treated by doctors harvesting the stem cells from the patient and having the stem cells reimplanted into the same patient after finding out what was lacking in the patient. This reduces risks of infection as well as rejection which are helpful to the patient.

Today the stem cell therapy has become the game changing approach to treatment of orthopedic conditions. The ability of these stem cells to differentiate into more specialized cells has made them a valuable target in treatment of musculoskeletal conditions. Particularly the use of bone marrow stromal cells has attracted the attention of researchers who are in pursuit of finding out how these stem cells can be applied to end human misery caused by some diseases.

Stem cells are a unique type of cells, unlike the other cells in the body the stem cell have the ability to self-renew, they have the ability to divide several times giving rise to differentiated cells which are suited for specific functions hence can be used to replace or regenerate worn out cells in the body causing pain and discomfort. They can form cardiac, liver, fat, bone, cartilage, nerve, and connective tissue cells among other more specialized cells. Autologous stem cell therapy harnesses the regenerative power of your body’s own stem cells as a treatment option for degenerative orthopedic conditions.


Today there are hospitals that have embraced the use of stem cells therapy in treating orthopedic conditions that were rather not easily treated in the past.  They offer this autologous stem cell therapy, which embraces the regenerative power of mesenchymal stem cells to give patients another treatment option for dealing with orthopedic conditions such as osteoarthritis and other degenerative joint conditions.  Patients who have the following diseases can benefit from stem cell therapy;

  • Degenerative Joint Changes, Including Osteoarthritis
  • Disc-related Back Pain
  • Meniscus Tears
  • Non-Union Fractures
  • Avascular Necrosis
  • Bone Loss
  • Cartilage Defects
  • Osteonecrosis
  • Tendonopathies

Orthopedic Areas in which Stem Cell Therapy is applicable

Spine – the stem cell therapy is applicable in treatment of the degenerated intervertebral disk which is known to cause pain and morbidity to many patients. The stem cell therapy brings into the field of regenerative medicine some bits of effectiveness.  In treatment of spine, patients who fail to respond to conservative medicine are left with one option-surgery that may have limited success and is also very invasive. Cell-based tissue treatments, including mesenchymal stem cell injections for degenerative disc subjects have been shown to diminish the incidence of low back pain, with clinical results noting improvement in back pain and regeneration of the disc tissue. In cases where spinal fusions are necessary, the use of stem cells through bone marrow aspirate has shown greater success in obtaining fusion through bone formation as compared to standard fusion techniques. Daily the number of institutions using the stem cell therapy to treat orthopedic conditions is increasing.

Articular Cartilage – when the articular cartilage is damaged, the potential to repair it are limited and this can often lead to arthritic diseases many years later. This damage may be caused by injury. The vulnerability of the articular cartilage makes it important for it to be well handled in cases of injury. studies that have been done on the applicability of the stem cell therapy to repair damaged articular cartilage have shown that stem cell therapy have favorable outcomes in this area than current techniques of micro fracture and autologous chondrocyte implantation. Most studies use mesenchymal stem cells derived from the bone marrow.

orthopedic therapyOsteonecrosis – Osteonecrosis or avascular ischemia of the hip can be associated with progression to an advanced arthritic joint. Standard treatment for osteonecrosis has included cord decompression with limited results. Stem cell therapy holds key to success in this area of orthopedic treatment. Studies on this area have shown that patients treated with mesenchymal stem cells improved than those treated with cord decompression.

 Bone – some damages on the bone may require transplantation of the bone plus other bone components. This is the effective way of restoring the bone structure. Being that the mesenchymal stem cells can be differentiated into bone cells and be used to replace the damaged bone components, stem cell therapy becomes the most appropriate treatment for bone damage.

Tendons and Ligaments –  Autografts, allografts, and resorbable materials have been used to repair defects in tendons and ligaments however these methods puts the life of the patient at risk which may include formation of scars, donor morbidity and even tissue rejection. With autologous stem cell transplant all these risks are alleviated plus the mesenchymal stem cells may also be used alongside tissue allografts as this gives better results by improving the biochemical properties of the tissue allografts.

Stem cell therapy is a promising treatment for orthopedic diseases; you may tap into the unique medicinal properties of the stem cells to help you beat orthopedic conditions. Visit us at AWAREmed Health and Wellness Resource Centre at Myrtle Beach, South Carolina. Dr. Dalal Akoury (MD) an expert in integrative and regenerative medicine will be able to help.

Current Stem Cell Treatments for Orthopedic Conditions


Stem Cell Therapy Used By Pro Athletes to Heal Injuries

Stem Cell Therapy Used By Pro Athletes to Heal Injuries

The intriguing medicinal abilities of the stem cell therapy seem to have got embraced by athletes.  today there are athletes who are using the stem cell therapy to help heal joint related injuries that they get in the course of playing their games and ultimately reduce their ability to play as well as they ought to. Stem cell therapy seems to be a game changing strategy in treating injuries that would rather be complicated treating with surgery alone. however despite the known benefits of the stem cell therapy and its exceptional relief it offers to patients given that it is the most versatile approach to treatment of diseases, It has not got into mainstream medical treatments for sports medicine and most of the time the teams do not pay for the costs incurred by athletes who opt to get treated through the stem cell therapy needless to mention it is still not recognized in the US. Despite these some athletes have chosen to tap into the immense potential of stem cell therapy to heal their respective injuries.

Chris Johnson, 28 is one of the many of NFL players who have opted to have their injuries a stem cell therapy treatment having heard of the amazing potential of the stem cell therapy when he visited orthopedic surgeon James Andrews in January, 2014 to fix his ailing left knee. Johnson had suffered a torn meniscus while in action for the Titans. When Dr. James Andrews presented him with the idea of stem cell therapy he decided to give it a try.

Knee injuries

“When I tore my meniscus and played the season out, through the wear and tear, I lost a lot of cartilage,” says Johnson, who was signed by the Jets to bring explosiveness to their offense. “When you put the stem cells in, it might be able to help rebuild that cartilage in your knee. Hopefully, it makes your knee better for even more years.” he adds.

Having agreed to have the therapy done, Johnson had stem cells siphoned from bone marrow with along needle from the iliac crest of his pelvis and had these stem cells injected directly on his injured knee. This was done with hopes that the stem cells will not only work as anti-inflammatory agents but also hasten the healing of the knee by repairing the torn meniscus.

Stem cell therapy is popular among NFL Players

Evidently, Johnson is not the only athletes who have used the stem cell therapy to heal his injury. Another Pro athlete, Peyton Manning is reported to have tried a stem-cell treatment in Europe in 2011, which was his final year with the Colts with an aim of fast-tracking his recovery from neck surgery.  another athlete, Prince Amukamara, Giants cornerback had a slow-healing broken metatarsal treated with stem cells by a foot specialist in North Carolina after his team’s Super Bowl XLVI run. One NFL linebacker paid $6,000 a pop for a 1-milliliter vial of donated placenta tissue containing stem cells to be injected into each of his beat-up knees this offseason but asked for his name not to be used in this story because he didn’t tell his team’s medical staff. This shows how amazing the stem cell therapy is in view of these pro-athletes.

It is reported that stem cell therapy has become more popular with NFL athletes, as it now stands, of the 32 teams, hundreds of the players have got stem cell treatment for their various injuries. This averages to six players per team which is impressive, however the stem cell therapy is still not a mainstream treatment and it still is somehow a shadow that is not understood by many. however, evidence of the stem cell therapy’s usefulness in treating athletes’ injuries is so far largely anecdotal, NFL teams often will not pick up the bill for players, and the overseas market for treatments not approved in the U.S. makes the whole field seem somewhat taboo but this has not discouraged the athletes which may mean that they have seen some benefits with the therapy.

Knee injuriesThe sports doctors have been recently pushing for the NFL teams to pick the bills that athletes incur while getting the stem cell therapy and to shun this view of stem cell therapy as farfetched. Dr. Andrews who is an expert in biologics – term refers to substances that are produced in living systems such as humans, animals and microorganisms, rather than manufactured like drugs is an important in this push. it is expected that when the US embraces the stem cell treatment for the athletes then the sport doctors like Dr. Andrews will be able to offer their star-studded clientele more of these treatments more effectively in the U.S. in this agenda the retired NFL players will be studied to prove how well the stem cell therapy works in treating arthritis of the knee, this is a more regenerating approach to treatment of injuries.

“We have had one big revelation in sports medicine over the last 50 years, and that was the arthroscope,” Andrews says. “I’ve been looking for the next wave, and I think the biologics, particularly stem-cell therapy and enhancement of the healing properties, will be it.”

“We’ve been saying that since the new decade of this new millennium, so we’re already behind.” he concludes.

Finally, Stem cell therapy is a promising treatment for orthopedic diseases; you may tap into the unique medicinal properties of the stem cells to help you beat orthopedic conditions. Visit us at AWAREmed Health and Wellness Resource Centre at Myrtle Beach, South Carolina. Dr. Dalal Akoury (MD) an expert in integrative and regenerative medicine will be able to help.

Stem Cell Therapy Used By Pro Athletes to Heal Injuries


Supplements That Replenish Dopamine and Serotonin Levels

Supplements That Can Rebuild and Replenish Depleted Dopamine and Serotonin Levels after Opioid Addiction

SupplementsThe benefits of the brain chemicals such as serotonin and dopamine can never be underestimated. In the previous articles we explored their specific functions and therefore repeating them here will be scratching your ears. However I would like to remind you that the use of opiates has a negative effect on these neurotransmitters and after a person has been using opiates it is important that he find ways to restore the levels of these neurotransmitters failure to which he will suffer undesired consequences related to opiate withdrawal.

Here are some supplements that can be used to restore dopamine and serotonin levels after opiate use

L-Tyrosine– The conditionally essential amino acid tyrosine is a precursor of catecholamine neurotransmitter, dopamine included. L-Tyrosine is available in the foods we eat such as egg, meat and fish. It can also be synthesized in the body. Tyrosine forms DOPA, which is then converted to dopamine, and this, in turn, forms norepinephrine, another neurotransmitter related to mood. By supporting production of neurotransmitters like dopamine, L-tyrosine supplements can enhance mood, sleep, emotional well-being, and mental function, especially under situations involving environmental and emotional stress or when dopamine levels require additional support in most cases after long periods of opiate use resulting in depleted dopamine. As for some people they are born with low levels of dopamine and hence a genetically inherited problem but just like people with depleted dopamine and serotonin from opiates use, they can also eat foods rich L-tyrosine.

Mucuna pruriens– commonly known as velvet bean, murina naturally contains up to 5% L-Dopa often referred to as levodopa. Lovedopa is the same biochemical that is made in humans from the amino acid L-tyrosine and is then synthesized into dopamine. When it is taken as a supplement, the L-DOPA from Mucuna can cross the blood-brain barrier to elevate brain dopamine levels. The Indian traditional medicine champions the use of powdered mucuna seeds in treatment of myriad illnesses including the Parkinson’s disease. Recently, studies utilizing Mucuna supplements have shown promising results not just for Parkinson’s but for other conditions related to dopamine deficiency, including depression and psychological stress. Mucuna extract has been shown to increase not only dopamine concentrations, but also other neurotransmitters that affect mood, such as serotonin and norepinephrine too. Look for an extract of Mucuna pruriens standardized to contain 15% L-DOPA. Take 300 mg twice a day and you will be amazed at how effective this extract can be.

L-theanine- L-theanine is an amino acid uniquely found in green tea that creates an alert state of relaxation without drowsiness. L-theanine is known to be able to cross the blood-brain barrier and increase dopamine levels in the brain. In animal studies it has been shown that L-theanine also increases brain serotonin and GABA. L-theanine has anti-depressant and anti-anxiety effects. It reduces mental and physical stress, and leads to improvements in learning and memory in humans and animals. Even just a single, small dose of L-theanine (100 mg) significantly improves the ability to pay attention and maintain focus compared to placebo. Take 200 mg of L-theanine 2-3 times daily.

RhodiolaRhodiola rosea, also known as golden root is a popular plant in traditional medicine in Eastern Europe and Asia, with good reviews for improving depression, enhancing work performance, eliminating fatigue and treating symptoms resulting from intense physical and psychological stress. It exerts its benefits via multiple effects on the central nervous system, including enhancing the stability of dopamine and supporting its reuptake. This leads to notable decreases in depression, anxiety, and fatigue, as well as an increased ability to handle stress. In human studies, rhodiola has been shown to significantly reduce depression, anxiety, and stress-related fatigue compared to placebo. Basing hope in past research findings you are encouraged to find its extract and use it daily to end your troubles with opiate withdrawal effects. For the standardized supplement just use 170mg per day.

Multivitamin- some minerals and B-vitamins are known for their effects on the neurotransmitters. These includes; Zink, folate, Vitamin B6. These are very necessary for dopamine synthesis and neurotransmission. These nutrients are often depleted in individuals due to medications, inadequate diets, excessive stress, and toxic environmental exposures, compromising the ability to properly synthesize neurotransmitters like dopamine. Therefore there is need to supplement these nutrients especially with high-potency, high-quality multivitamin and mineral supplements. This will help in enhancing neurotransmitter function and playing a complementary role in supporting emotional wellness that is required for a recovering addict.

SupplementDespite the benefits of having a high level of dopamine, too much of it is dangerous and needs to be avoided. You therefore need to work with the supplements strictly as instructed to avoid any problem that may arise in case of overdose. It is also advisable that you desist from getting and using these supplements without the help of a doctor specialized in the area. For better outcome you should seek the services of an experienced integrative doctor as they are more versed in this kind of treatment. You should not use different supplements at a time without consulting your integrative doctor as some supplements may react and therefore bear even more grave consequences.

Drug addiction is a vice that should be fought by all means that is why we at AWAREmed Health and Wellness Resource Center are committed to availing help to addicts and offering them a place to call home. We offer NER Treatment and Amino acid therapy that are the most effective approaches to addiction treatment and recovery. You call on Dr. Dalal Akoury (MD) today and begin your journey to victory against addiction.

Supplements That Can Rebuild and Replenish Depleted Dopamine and Serotonin Levels after Opioid Addiction




Pain Management with Injections

Injections for Pain Management

Injections for Pain ManagementPain management is crucial especially in treatment of such diseases that are characterized by chronic pain such as cancer and arthritis. Pain management is also important part of treatment especially in situations where the patient is to go through intense like during chemotherapy for cancer patients or after going through surgery.  Nobody will like to have intense pain maim him for even the least amount of time. People like to be happy and avoid anything that may bring them pain. However in some instances there has to be pain for a much serious health problem to be solved. To manage pain certain drugs are used that helps you to endure the pain, unfortunately most of these are addictive and so as you are using them to manage pain you are at risk of addiction. Opiates are the mostly used drugs in pain management and they work well in ensuring that your pain is moderated if not done away with completely. The nature of these drugs however requires that they be administered by a professional since they are very rewarding and before long the patient may become addicted to them or even dependent on them. There is however one disadvantage of using opiates in pain management; Due to their rewarding nature they can be easily abused and a treatment that once began on the right foot may end up being another nightmare in a person’s life hence there is need for actions to be taken to help patients not to be addicted to this pain drugs.

The medical researchers however did not stop at opiates but went step further to come up with other treatment methods that can be employed to help in treating pain  patients and these involves the use of injections .  In most cases whenever a person has pain in any part of the body, he may be encouraged to try physical therapy or to go for a cortisone injection which normally helps but if all these failed then you need a different approach to tackling the pain. Proliferative therapies like the prolotherapy, Prolozone and the platelet rich plasma therapy (PRP) are a good way to deal with pain but are little known.


Prolozone is a form of proliferative therapy. Proliferative therapy generally involves the injection of natural substances into the affected area. When done properly, these injections stimulate the release of growth factors and formation of new collagen in the affected area. The prefix “prolo” refers to this stage of new tissue growth or “proliferation.” As the body forms new collagen, the treated ligaments and tendons become thicker and stronger and more capable of doing their work. Proper alignment, stability, and function are restored, and typically the pain subsides.

Prolozone therapy uses ozone which is a form of oxygen but with three oxygen atoms. The ozone has a very powerful regenerative ability that helps in treating the damaged connective tissues. When the ozone is injected, it improves the oxygen circulation and delivery to the damaged cells. Prolozone therapy also helps not only by strengthening the tendons and the ligaments but also by rebuilding cartilage in the treated joints. Prolozone therapy was by pioneered Dr. Frank Shallenberger.

Patients enjoy Prolozone therapy as compared to other proliferative therapies like prolotherapy since with Prolozone the number of individual injections is less based on the area treated as compared to the number of injections in prolotherapy. The solution is dispersed over a larger area compared to prolotherapy, due to the injection of ozone gas. This has made Prolozone more preferred by people who do not want many injections

Platelet rich plasma therapy (PRP)

This is a safe non-surgical procedure that helps those with injuries in the tendons or suffering from osteoporosis. This treatment utilizes platelets from the patient’s own blood to rebuild a damaged tendon or cartilage. It has been successful in not only relieving the pain, but also in jumpstarting the healing process.

Platelet rich plasma therapy (PRP)

During this therapy the patients’ blood is drawn and placed in a centrifuge for 15 minutes to separate out the platelets. The platelet-rich plasma is then injected into the damaged portion of the tendon or cartilage with the guidance of an ultrasound machine. This treatment is one of the best non-surgical procedures that can be used against pain plus it takes short time for the patient to heal completely. Averagely patients take three months to be able to return to the activities they were performing before the injury that resulted in the pain.

IV therapy for chronic pain

IV nutritional therapies might have been used in chronic pain management for quite a time and have showed impressive results.  Dr. Dalal Akoury (MD) treats patients with chronic pain on a daily basis and has found that some people who suffer from extensive inflammation or degeneration from rheumatoid arthritis, osteoarthritis, fibromyalgia or other auto-immune problems may just be lacking some of the vital minerals and vitamins in the body and therefore an IV vitamin and mineral therapy might just work well for them.

IV therapy involves administering the minerals, vitamins that the body lacks through and IV drip. The same might be used to administer some medicine that may help to heal the injured tissues and facilitate formation of new tissues.


With the injections for pan management you will not only experience liberating relief for weeks with but also are helpful in finding the long-term pain solution. Injections are so simple and low risk they should be in the pain-management discussion for everyone. To discuss how therapeutic injections can free you of pain and improve your long-term outlook, please call (843) 213-1480 or contact Dr. Akoury Dalal

Injections for Pain Management