Meniscus and Cartilage Tear Protocol

Size: px

Start display at page:

Download "Meniscus and Cartilage Tear Protocol"

Lucas Harrington
5 years ago
Views:

Meniscus and Cartilage Tear Prtcl 0218-04 Cartilage is the cnnective tissue that prevents the ends f bnes frm rubbing against each ther.

These cmpnents f the ECM are critical fr its mechanical prperties. The high cncentratin f charged sulfate grups in the prteglycans allws fr resistance t pressure frm skeletal mvement.

The type II cllagen fibrils f the ECM create a mesh framewrk and allws fr resistance t tensile stress.

1 Meniscus and Cartilage Tear Prtcl Cartilage is the cnnective tissue that prevents the ends f bnes frm rubbing against each ther. Cartilage is cmpsed f chndrcytes and extracellular matrix (ECM) cmpnents that cnsist f the cartilagespecific prteglycan aggregate, called aggrecan, and type II cllagen fibrils. These cmpnents f the ECM are critical fr its mechanical prperties. The high cncentratin f charged sulfate grups in the prteglycans allws fr resistance t pressure frm skeletal mvement. The glycsaminglycan chains within the cre prtein f aggrecan are respnsible fr the high structural integrity that allws cartilage t resist cmpressin. The type II cllagen fibrils f the ECM create a mesh framewrk and allws fr resistance t tensile stress. Metablism f cartilage: Since articular cartilage des nt cntain bld vessels it btains nutrients frm the synvial fluid via diffusin acrss the synvial membrane, thus the permeability f the synvial membrane is imprtant. Synvial fluid is derived frm bld plasma. It cntains prteins frm the bld plasma and prteins prduced by B cells within the jint tissues. B cells within the synvial lining prduce hyalurnic acid. Hyalurnic acid is imprtant fr the viscsity f the synvial fluid and als acts as a barrier that prevents infectius agents frm passing thrugh int the cartilage while allwing metablites t diffuse in. Therefre, the permeability f the synvial membrane and the hyalurnic acid cncentratin are imprtant fr healthy cartilage. The ther cmpnent f cartilage, prteglycans, are secreted int the ECM by chndrcytes. Chndrcytes are highly specialized cells that are vital fr the develpment, maintenance, and repair f the ECM. The chndrcytes bth synthesize and catablize the macrmlecules f the ECM. Since chndrcytes have limited ptential fr replicatin, when they becme damaged due t an injury, ver time fewer chndrcytes will be available t prduce the needed macrmlecules that make up the ECM leading t a vicius cycle f deteriratin. Causes f cartilage degradatin: The cmpnents f cartilage maintain a balance due t bth the degradatin and the synthesis f cllagen fibers and prteglycans. This balance, r equilibrium, is affected by multiple factrs. One factr includes an injury that leads t damaged and inflamed cartilage tissue which releases prinflammatry cytkines int the synvial fluid. These cytkines stimulate chndrcytes t prduce matrix-degrading enzymes such as metal-dependent matrix metallprteinase

2 (MMP) and aggrecanases, a type f prtelytic enzyme that breaks dwn aggrecan and affects the structure f the ECM. Inflammatin als affects the permeability f the synvial membrane which disrupts the diffusin f nutrients int cartilage. Chndrcytes are rganized in a very specific way within healthy articular cartilage. Lng-term physical and mechanical stressrs (besity, jint malalignment, muscle atrphy, etc) can lead t changes in the arrangement f the ECM and the rganizatin f the chndrcytes. Aggrecan, the cre prtein f cartilage prteglycan, cntains a number f glycsaminglycan chains. Lng-term physical and mechanical stressrs alter the glycsylatin f aggrecan, making it easier fr aggrecanases t cleave the cre prtein, cause chndrcytes near the synvial fluid t dissipate and lead t further degradatin f the ECM. Als, since the ECM is cmpsed mainly f water the hydrstatic envirnment is crucial when it cmes t mechanical stressrs and lad frm the bdy. With lng-term physical and mechanical stressrs, the ECM begins t lse its hydratin which affects the integrity f the cartilage and leads t tears and deteriratin. Cntinuing and extensive cartilage degradatin can lead t stearthritis. Cmmn cartilage tears: Meniscal Tear: The meniscus is a small crescent-shaped piece f cartilage within the knee. It lies between the thigh (femur) and the shin (tibia). The main rle f the meniscus is t act as a shck absrber and a cushin between the bnes. Withut the meniscus, the knee is subject t premature jint degeneratin. A tear in the meniscus can ccur due t multiple reasns, ne being an injury. The twisting mtin f the knee, while the ft is still planted n the grund, can lead t a tear. Degeneratin f the cartilage tissue due t lng-term physical and mechanical stressrs can even cause tears under simple lad cnditins. Hip Labral Tear: The hip jint is a ball and scket jint that cntains a fibrcartilaginus structure that utlines the scket, called the acetabular labrum. The labrums main functin is t act as a shck absrber, pressure distributr, and prvide lubricatin fr the jint. Tears in the labrum can be caused by trauma, dysplasia, and degeneratin. Mst tears ccur in the anterir prtin f the labrum due t a lw vascular supply cmpared t the psterir regin. This makes the anterir prtin mre susceptible t wear and tear withut the ability fr repair. Shulder Labral Tear: The labrum is a ring f fibrus cartilage attached t the edge f the glenid, cmmnly called the glenid labrum. The functin f the glenid labrum is t enhance shulder stability. A tear, ften called a SLAP (Superir Labrum Anterir and Psterir) tear, can be caused by trauma, repetitive verhead activity, and cartilage degeneratin. The bld supply t the labrum decreases with lng-term physical and mechanical stressrs. Chndrmalacia Patella: The cartilage behind the kneecap (patella) deterirates and sftens. This degeneratin can ccur frm wear and tear, traumatic injuries, and aging. Due t this sftening, it then results in the tearing and ersin f the hyaline cartilage. Anterir knee pain frequently ccurs in patients with chndrmalacia patella and is ften made wrse by activities that increase stress n the patellfemral jint. The hyaline cartilage is an avascular structure, meaning it needs a bld supply in rder t heal. As stated earlier, this type f cartilage des nt cntain bld vessels and relies slely n the diffusin f nutrients hence repair is difficult.

3 Wellness Recmmendatins: The WHITEE Patch and LC Balancer are recmmended t help increase vascularity and bring in the necessary building blcks fr cartilage fr repair. The WHITEE Patch increases lcal temperature and metablic reactins fr effective damage repair. This lcal temperature increase allws fr the bisynthesis f prteglycans in cartilage tissue. The WHITEE Patch als cntains herbs that perate synergistically t increase bld flw in rder t enhance nutrient supply fr cartilage regeneratin. In additin, the WHITEE Patch helps imprve lymphatic circulatin which reduces inflammatin leading t decreased MMP activity and nrmalizes permeability f the synvial membrane. Increasing the bisynthesis f prteglycans and increasing lcalized bld flw will help t accelerate the healing mechanism essential fr recvery. The LC Balancers rle is t pen the smallest bld vessels t imprve whlebdy micrcirculatin and accelerate healing time. Mild t Mderate Cnditins 1 Mnth Prgram The wellness recmmendatin includes 6 Large WHITEE Patches and 4 LC Balancers. Mild t mderate cnditins are cnsidered t be recent injuries/tears. Patients shuld ntice symptm imprvement within 2 weeks f starting the prtcl. Severe Cnditins 1 Mnth t 3 Mnths Prgram The wellness recmmendatin includes 6 Large WHITEE Patches and 4 LC Balancers. A cntinuus 3-mnth prgram may be needed due t the severity f the cnditin and t achieve sustained results. Sft Tissue Injury 4 t 6 Week Prgram Fr cnditins invlving a sft tissue (muscle, tendn, ligament) injury, the wellness recmmendatin includes the WHITEE Patch, FASTT Patch, and LC Balancer. It is recmmended t alternate the use f the FASTT and WHITEE Patch. Usage Infrmatin: WHITEE Patch FASTT Patch Keep the patch n fr 48 hurs (2 days) and take a 24-hur break befre applying the next ne Avid using ice, ice will slw and interrupt the healing prcess. A heating pad is helpful t dilate the bld vessels f the muscles. Use vegetable il t remve pssible herbal residue n the skin. Use Ale Vera Gel if there s skin irritatin r use Bitter Frmula. Use Oxi-Clean r Biz t remve stains frm clthes LC Balancer 1 tsp, 3 times a day // 3 capsules, 3 times a day Patients with pre-existing gastrintestinal sensitivity may experience healing pain such as a stmach ache r lse stl. Symptms generally subside within 1 week. Patients wh take high dsages f vitamins and minerals shuld reduce them t a minimum dse as the LC Balancer imprves the absrptin and can cause an verdse. Symptms f vitamins r minerals ver dse include agitatin, restlessness, metallic taste, flu-like symptms, feeling f depressin, r high bld pressure.

4 Selected Case Studies: Case 1: Successful Pain Reductin f Trn Meniscus in Left Knee Sctt Rthman, DC, Wayne, Pennsylvania A 46-year ld male patient was diagnsed with a trn meniscus in his left knee in The patient went thrugh varius surces f treatment including ultrasund, electric muscle stimulatin, acupuncture, flexibility and strength, and exercise. The patient fund his functinal imprvement amunted t abut 50% after a fur-week treatment. All treatments thus far had failed t deliver cmplete relief. In hpes f achieving cmplete pain reductin, the patient started t use WHITEE Patches frm Wei Labs. Within minutes f using the first patch, the patient felt the pain level was reduced by at least 50%. After tw weeks f using the WHITEE patches (6 patches, 2 days n, 1 day ff) the patient had regained 90% functinality (90% f the time the patient felt 100% pain free and 100% functinal). The patient was then put n a maintenance care prgram which included 1 WHITEE patch a mnth right ver the meniscus whenever he felt sme irritatin. The results have sustained ever since (fr 7 years nw). Case 2: Successful Pain Eliminatin fr 4 Years with a Medial Meniscus Tear Steve Gershman, DPM, Auburn, Maine Dr. Gershman, a 58-year ld male, was diagnsed with a left knee medial meniscus tear in He suffered substantial pain and swelling. Tw independent rthpedics suggested knee surgery (arthrscpy) t remve the remaining cartilage. Dr. Gershman decided nt t prceed with the surgery because he felt it did nt address the rt cause f the injury. As an alternative, Dr. Gershman went n a 6-week treatment prtcl using a cmbinatin f WHITEE patches and LC Balancer. The result had been phenmenal. With just 6 weeks f treatment, symptms didn t reappear until 4 years later. Dr. Gershman had been wrking ut this entire time fr 2 t 3 hurs a day (7 days a week) withut any pain r swelling. He s able t brisk walk with an elevated treadmill as well as cntinue t weight train. He s currently applying a secnd rund f prtcl. Case 3: Successful Pain Relief f a Trn Meniscus in 2 Weeks Walter Ostrwski, DC, Ynkers, New Yrk A male patient, 42-years ld, has a histry f knee pain and knee lcking. He was diagnsed with a trn medial meniscus as cnfirmed by an MRI. The patient used 6 WHITEE Patches ver the curse f 2 weeks and was able t resume running and playing sccer pain free. Case 4: Successful Pain Reductin f Chndrmalacia Patella in 2 Weeks Elizabeth Galaif, MD, Larkspur, Califrnia Dr. Galiaf had a patient suffering frm severe inflammatin and chrnic pain due t Chndrmalacia Patella. The patient was recmmended a tw-week prgram f 6 Medium WHITEE patches t increase bld flw, enhance nutritinal supply, and decrease inflammatin thrugh imprving the lymphatic circulatin. The patient experienced a dramatic decrease in pain and inflammatin with just 6 patches. The patient was recmmended anther tw-week therapy in rder t see sustained results.

5 Case 5: Successful Resumptin f Activities frm Bne-n-Bne Ostearthritis and Trn Meniscus Susan Russell, PH.D., LAc, Marietta, Gergia A female patient f Dr. Russell was diagnsed with Bne-n-Bne Ostearthritis and a Trn Meniscus. Dr. Russell suggested the patient start with a tw-week prgram f 6 Medium WHITEE patches t enhance nutritinal supply fr cartilage regeneratin and LC Balancer t imprve micrcirculatin in cmbinatin with her chirpractic mdalities. Within tw weeks f the prgram, the patient reprted that she was experiencing less pain and was able t walk dwn the stairs withut discmfrt. Dr. Russell recmmended anther rund using the Large WHITEE patches, in hpes f cvering the entirety f the meniscus and cartilage tissues. After the secnd rund f the prgram, the patient reprted that she was able t resume nrmal physical activities and mentined that she culd walk nrmally. Case 6: Successful Pain Reductin f a Labral Tear Dinne McClain, DC, Ls Angeles, Califrnia A 42-year ld female patient had been diagnsed with a labral tear in her shulder. She suffered frm severe pain (8 ut f 10) as well as limited range f mtin. She had stpped exercising due t her injury. Prir t the injury, the patient had been very active (exercising 3-4 times a week). She had been advised t cnsider surgery frm her rthpedic surgen and came in fr an alternative reslutin in Nvember f Dr. McClain recmmended a hlistic slutin cnsisting f chirpractic adjustments, herbal remedies (alternating FASTT and WHITEE patches), ultrasund and myfascial release fr a length f fur weeks (2 sessins per week). After fur weeks, the patient reprted that her range f mtin was extended t its nrmal extensity. The patient s pain level was almst eliminated. She experienced a pain level f a 2 ut f 10 nly in certain directin-specific arm mvements. The patient is able t resume exercising. Dr. McClain recmmended her t cntinue the prgram in rder t see sustained results and cmplete pain eliminatin.

Bulging and Herniated Disc Protocol

Bulging and Herniated Disc Protocol Bulging and Herniated Disc Prtcl 1217-02 An intervertebral disc serves as a cushin between each f the vertebrae in the spinal clumn. The discs have a strng uter layer f cllagen fiber that prvides supprt