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Regenerative Medicine

WORK HARD, PLAY HARD, AND LIVE YOUR BEST LIFE - WITHOUT SURGERY!

Regenerative medicine is the process of creating living, functional tissues to repair or replace tissue or organ function lost due to age, disease, damage, or congenital defects. This field holds the promise of regenerating damaged structures in the body by stimulating previously irreparable cells to heal themselves. Orthopedic Associates of Dutchess County is proud to have two of the finest board-certified, fellowship-trained physiatrists in the area to be able to offer you and the Hudson Valley this innovative treatment for managing your pain! 

What Is A Physiatrist?

Physiatrists, also known as Physical Medicine and Rehabilitation (PM&R) physicians, treat a wide variety of medical conditions affecting the brain, spinal cord, nerves, bones, joints, ligaments, muscles, and tendons.

They are medical doctors who have completed training in the specialty of Physical Medicine and Rehabilitation, and may be subspecialty-certified in Brain Injury Medicine, Hospice and Palliative Medicine, Neuromuscular Medicine, Pain Medicine, Pediatric Rehabilitation Medicine, Spinal Cord Injury Medicine, and/or Sports Medicine.

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Meet Our

Regenerative Medicine Team
Richard Dentico, M.D.
PAIN MANAGEMENT / REGENERATIVE MEDICINE / HAIR RESTORATION / VEIN DISEASE
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Vishal P. Rekhala, D.O.
SPECIALIZING IN PAIN MANAGEMENT / VEIN DISEASE / REGENERATIVE MEDICINE
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Our Client

See What Patients Are Saying About Regenerative Medicine!

I partially tore my rotator cuff on December 21st after slipping on ice. For the next 2.5 months my arm had minimal movement and I was constantly in pain. I wasn't able to lift my arm above my chest and or lift or hold more than 5 lbs. Sleeping was horrible due to the location of the injury and the sharp pain that occurred throughout the night. Dr. Vishal Rekhala from Orthopedic Associates of Dutchess County and Dan Goldstein owner/operator of Bioquest, formed a plan to use injectable exosomes in the rotator cuff instead of surgery. The procedure occurred on March 19th. 3 days after the injection I felt pulsating waves up and down my arm into the shoulder. I felt like blood flow and the electric was turned back on. 5 days after the injection I was able to lift my arm over my head and felt the strength returning. Sleeping was getting better because the pain was slowly leaving the area. It is now April 3rd and I have played two rounds of golf and am in the middle of a masonry construction project. I just can't tell Dr. Rekhala or Dan Goldstein about all my activity because it goes against his requests for rest and rehabilitation. Dr. R and Dan..THANK YOU so much for the injection. I am on the road to recovery and can't be more appreciative or excited!
Matt

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HEAL YOURSELF WITH REGENERATIVE MEDICINE

Types of Regenerative Medicine

Platelet Rich Plasma (PRP) is a non-operative solution in treating musculoskeletal, sports, and orthopedics injuries. PRP is concentrated from your own blood to trigger healing/repair process in the area of injury.

In PRP, the platelet is used as the initiator of repair. Platelets can release a multitude of signaling proteins, growth factors, chemotactic factors which stimulate tissue repair and vascular remodeling. This cascade of events allows the tissue to return to normal structure improving function and pain.

What are the benefits of PRP Treatment?
PRP therapy shows great promise in restoration of normal soft tissue architecture and regeneration of tissue such as tendons and ligaments. Patients can expect to see significant improvement in symptoms and eliminate the need for other treatments such as cortisone injections, medications or surgery.

Little to no Risk Factors
PRP is from your own blood, so there little to no risk factors with this treatment. Side effects or complications with PRP are very rare.

PRP may be effectively used in the treatment of:
  • Sports Injuries
  • Arthritic Joints
  • Lower Back Pain
  • Degenerative Disc Disease
  • Tennis Elbow
  • Golfer’s Elbow
  • Carpal Tunnel Syndrome
  • ACL Injuries
  • Shin Splints
  • Rotator Cuff Injuries
  • Plantar Fasciitis
  • Iliotibial Band (ITB) Syndrome
  • Achilles Tendinopathy
Prolotherapy treatment commonly consists of several injection sessions delivered every two to six weeks over the course of several months. During an individual prolotherapy session, therapeutic solutions are injected at sites of painful and tender ligament and tendon insertions, and in adjacent joint spaces. Injected solutions (“proliferants”) have historically been hypothesized to cause local irritation with subsequent inflammation and tissue healing, resulting in enlargement and strengthening of damaged ligamentous, tendon and intra-articular structures. These processes were thought to improve joint stability, biomechanics, function and ultimately, to decrease pain.

Prolotherapy may be effectively used in the treatment of:
  • Painful Degenerative Tendon Conditions
  • (i.e. Tendinopathies of the Hips, Rotator Cuff Tendons & Elbow)
  • Osteoarthritis
  • Plantar Fasciitis
  • Elbow Pain
  • Medial/Lateral Epicondylitis
  • Ulnar Ligament Strains
  • Chronic Neck and Low Back Pain
  • Sacroiliac Pain
  • Chronic Lateral Hip Pain
  • Coccydynia or Tailbone Pain
  • Osteitis Pubis
  • Ankle Pain and Instability
  • TMJ Dysfunction

Regenerative Cellular Therapies, or Concentrated Bone Marrow Aspirate, contains all of the healing and growth factors contained in PRP, with additional healing cells called pluripotent cells.

Bone marrow is the tissue that is found in the hollow spaces in the interior of our bones. It is known that significant sources of our body’s adult stem cells are contained within our bone marrow. It is also known that these have the potential of positively contributing to healing. Blood and tissue can be harvested from the several bones in the body, the most popular being the hip, tibia and calcaneus, in an outpatient setting via an aspiration device.

Similar to PRP, a centrifugation device is used to concentrate the platelets and growth factors, as well as the pluripotent (or stem) cells, creating an injectable product that is delivered directly to the site of injury, jump-starting the healing cascade.

Regenerative Cellular Therapies may be effectively used in the treatment of:

  • Muscle Injuries
  • Bicipital Tendonitis
  • Ankle Sprain/Ligament Pain
  • Painful Degenerative Tendon Conditions
  • (i.e. Tendinopathies of the Hips, Rotator Cuff Tendons & Elbow)
  • Osteoarthritis
  • Plantar Fasciitis
  • Elbow Pain
  • Medial/Lateral Epicondylitis
  • Ulnar Ligament Strains
  • Chronic Neck and Low Back Pain
  • Sacroiliac Pain
  • Chronic Lateral Hip Pain
  • Coccydynia or Tailbone Pain
  • Osteitis Pubis
  • Ankle Pain and Instability
  • TMJ Dysfunction

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Posted in on January, 2022