From time to time, I feel it my responsibility to call the readers’ attention to the writings of others because of the constantly changing knowledge concerning Musculoskeletal Care of the Aging Athlete.  The September issue of the Journal of the American Academy of Orthopedic Surgeons, featured a Review Article from the Department of Orthopaedics, Warren Alpert Medical School of Brown University: The Effects of Fitness on the Aging Process. The last sentence in the abstract states “A large segment of older sedentary adults will benefit from counseling that encourages the pursuit of more active and healthier lifestyles”; and that’s why I am writing this Blog

Decades of research support the fact that much age-related deterioration is the result of the effects of sedentary lifestyles and the resultant medical conditions rather than aging itself. A continually growing body of scientific and clinical evidence demonstrates how active persons modulate physical decline through training. There is a well recognized age related decline in the musculoskeletal system as bone looses density, the strength and flexibility of muscle decreases, ligaments and tendons stiffen up, and the structure of cartilage degenerates. At the same time, the aging process is accompanied by obesity, cardiovascular disease, type 2 diabetes and other leading causes of infirmity and death.

Earlier this week, I spoke with a patient whose family I have taken care or for over 35 years including having performed hip replacement surgery on her husband some years ago. Her chief complaint had to do with her knee discomfort that was increasingly limiting her fitness and recreational profile as well as her activities of daily living. I had requested that she complete imaging and I was following up with my recommendation. Her principle concern had to do with accelerated aging if she did not maintain her fitness regime.

In summary, a growing body of scientific evidence supports how active adults modulate age-related decline in various areas of the musculoskeletal system. Bone Marrow Aspirate Concentrate derived Mesenchymal Stem Cells may help intervene in a chronic and progressively limiting arthritic process or hasten the healing in an acute injury. For those who have tried MSCs once and not enjoyed the sought after outcome, come on back and let’s do it again. This time though with a full commitment to modifying the aging process though stem cell intervention and the pursuit of fitness.

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