If you are watching the World Cup Games in Brazil, and how could you not (even I have become a soccer fan), you are very much aware of Critiano Ronaldo and his sudden exit from Brazil because of “tendinitis´”of the knees.  I have never examined him and whether it is tendinitis or something else that has caused the Portuguese star to leave the team is uncertain. What is certain is his impact on the game of Portugal against the US last Sunday. Now the question is whether his career is over or whether his knee tendinitis will respond to treatment and rehabilitation? At Wimbledon, Rafael Nadal is having a difficult time as well on a grass surface.

So what is the answer? Assume if you will that the X-ray and MRI of Ronaldo’s knees with the physical examination confirm tendinitis. Is it a matter of physical therapy and anti-inflammatories? Whether I am describing the plight of world class athlete or involved in the musculoskeletal care of an aging athlete, Cellular Orthopedics has a role. When the usual and customary regimen of rest, physical therapy, anti-inflammatory medication, and cortisone injections don’t do the trick, Regenerative Medicine modalities have a role. There are two basic approaches in Cellular Orthopedics. One is blood based Platelet Rich Plasma (PRP); the other, bone marrow aspirate concentrate derived Mesenchymal Stem Cells (MSC)

PRP contains cytokines and growth factors that both recruit your own stem cells circulating in your blood as well as influence the healing process. MSCs from your bone marrow initiate a robust regenerative process as well as provide the most effective anti-inflammatory physiologic influence known to medicine. It is all done with a needle as an outpatient and both significantly reduce the healing time for an injury and cause healing of soft tissue, cartilage and bone when it might not otherwise happen. Ronaldo and Rafa, the Regenerative Pain Center is waiting for your call; more important, we are there to help with the Musculoskeletal Care of any aging athlete.

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