Wednesday, 31 March 2021

Meniscal Injuries

The piece of cartilage that provides a cushion effect in the knee joint, between your thigh bone and shinbone is called the meniscus. This small cartilage is prone to injury during activities that put pressure on or rotate the knee joint. A hard tackle on the football field, sudden pivot during basketball or even getting up too quickly from a squatting position can result in meniscal injuries. The meniscus also weakens due to degenerative changes with age and conditions like osteoarthritis which causes stiffness in your joints. Weaker and thinner meniscus is more prone to tear/injury. Some of signs that may suggest a meniscal injury are:

  •     A popping sound around your knee joint
  •     Pain and swelling
  •     Difficulty to move the knee or achieve a full range of motion
  •     Knee appears locked
  •     A feeling that the knee is unable to support you

If any of these symptoms persist for more than a few days or occur after a knee injury, seek medical help from an orthopedician.

Regenerative Medicine for Meniscal Injuries

At Regencare, we have seen excellent results with regenerative medicine using Orthogen-P  to help heal these injuries without the need of long term medications or surgery. This treatment helps to stimulate natural healing and repairs the meniscus to provide stability to the knee. Most of our patients have returned to their daily activities almost immediately. By strictly adhering to our treatment protocols, your knee can have the mobility and function it had before the injury.

Blog reviewed by: Dr Vineeth MB
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Monday, 22 March 2021

Rotator Cuff Injuries

The group of muscles and tendons that keep the head of your arm attached firmly within the socket of the shoulder joint is the rotator cuff. Progressive wear and tear of the tendon tissue due to repetitive overhead activity or heavy lifting for a long period of time may result in injury to the rotator cuff.  Rotator cuff tears may also occur due to a single injury like in case of traumas. The symptoms that can be suggestive of rotator cuff injury include:

  •     Dull aching pain in the shoulders
  •     Disturbed sleep due to pain
  •     Inability to reach behind your back even to comb your hair
  •     Weakness of the arms

Progressing age, occupation that require repetitive arm motions and a history of rotator cuff injuries in the family increases your chance to acquire this disease. Medical attention is of utmost importance in rotator cuff injuries as any delay in treatment can result in permanent loss of motion or weakness of the shoulder joint. Progressive degeneration of the joint can worsen your pain and other symptoms. Keeping your shoulder immobilized for a long time due to pain may also result in a condition called “frozen shoulder.”

Regencare provides treatment for rotator cuff injuries using regenerative therapy by inducing the ability of cells to regenerate, decreasing inflammation and increasing blood flow to the damaged area. This helps to speed up the healing process without the need of any complex surgeries. Regenerative therapy using Orthogen P has shown promise in tendon repair, especially when it comes to the shoulder joint injuries.

Blog reviewed by: Dr Vineeth MB
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Saturday, 9 January 2021

Osteoarthritis Hip

What happens in Osteoarthritis of the Hip?

The hip is the second largest weight-bearing joint of the body after the knee. Osteoarthritis of the hip is the condition which causes pain, swelling, and deformity to the hip joints due to the breaking down of cartilage tissues that protects the joints. Cartilage acts as a "shock absorber" to reduce friction in the joints and inflammation or injury to this joint causes the cartilage to break down. Some key factors which causes osteoarthritis hip are:

  •     Being overweight
  •     Advancing age
  •     Injury to the hip
  •     History of the disease in the family
  •     Genetic defects or improper growth of the joint

Signs and symptoms

Take an appointment with an orthopedician if you notice the following symptoms of hip osteoarthritis:

  •     Pain in the groin, thigh, buttocks or down your leg to the knee
  •     Joint stiffness
  •     Swelling and tenderness
  •     Grinding noise and locking when you move your hip
  •     Decreased range of motion in the hip
  •     Inability to perform routine activities which requires bending

Treatment of Osteoarthritis Hip

Treatment aims at improving the person's mobility and lifestyle by  improving the function of the hip and controlling pain. It involves the following options:

  •     Prescription of medication to relieve pain and inflammation
  •     Put patient on weight loss regime
  •     Surgery like Hip Replacement Surgery, Hip Resurfacing etc.
  •     Alternative rehabilitation therapies
  •     Regenerative medicine using Orthogen P

At Regencare, we specialize in treatment with platelet-rich plasma (Orthogen P), which uses the natural substances in your own body to help tissues heal by releasing substances called growth factors that stimulate healing. When injected into the affected area, Orthogen P encourages the damaged cartilage to regrow and heal without the need of surgery. It is important to maintain a healthy weight and do strengthening exercises to make your path to recovery quicker.

Blog reviewed by: Dr Vineeth MB
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Friday, 27 November 2020

Tennis Elbow

Tennis elbow, medically termed as lateral epicondylitis, is a condition which causes painful inflammation of the elbow joint. Due to this condition, straightening or fully extending your arm is likely to be painful. Tennis elbow is a common injury, especially among sports people, that weakens the tendons that join your forearm muscles to your bones due to repetitive motion.

What causes Tennis Elbow?

Tennis elbow occurs when repetitive stress weakens a specific muscle in the forearm, i.e. the extensor carpi radialis brevis (ECRB) muscle. As the elbow bends and straightens, there occurs microscopic tears in the muscle’s tendon at the point where it attaches to the bone of the elbow. The inflammation and pain are caused due to these minute tears. Playing racquet sports like tennis can often cause this condition. Other activities which may put you at risk for tennis elbow are swimming, golfing or frequently using a screwdriver, hammer, or even computer.

Know the Symptoms

  •     Elbow pain
  •     Radiating pain from the elbow to the forearm and wrist
  •     Weakened grip
  •     Pain while lifting objects or using force


Tennis elbow requires a considerable healing time and rest for good recovery. It can be treated with physical therapy, anti inflammatory medications, steroidal injections and various other therapies. At Regencare, we specialize in non surgical, regenerative medicine using PRP  (Platelet-rich plasma) injections. High concentration of platelets and growth factors in PRP treatment (Orthogen P) enhances the healing process and can save you from being surgically treated.

Blog reviewed by: Dr Vineeth MB
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Sunday, 25 October 2020

Disc Prolapse

A prolapsed disc, often known as slipped disc, brings with it chronic pain in the lower back. The disc doesn’t slip in any way but the inner part of the disc bulges out through a weakness in the disc’s outer part. This causes inflammation and also irritates nerve/nerves. The size of the prolapse varies, and the bigger the prolapse the more painful it may be.

Who can get a Disc Prolapse?

Slight back pain is common and experienced by many people, however, the percentage of people who may suffer from a prolapsed disc is one in twenty. Generally, it happens to people who are aged between 30 to 50 years of age. This problem is found more commonly in men than in women.

What can cause a Disc Prolapse?

There are no certain causes of a disc prolapse, and it is not really known why it happens to some people and not to some. It has been observed that the tender and soft inner portion of the disc protrudes over the outer ring due to activities like:

  • Lifting objects
  • Sitting for long periods of time
  • Weight-bearing sports

Factors like:

  • Smoking
  • Obesity
  • Increase in age, can also lead to disc prolapse.

What symptoms should I look out for?

Most people who suffer a disc prolapse, experience neck pain and back pain, as the outer ring of the backbone becomes weak and starts to tear down. Another common symptom is numbness and pain in one side of the body and extends to the arms or legs. Sometimes the pain can get worse at night. In some cases, the symptoms ease in a few weeks, but for some people, it continues.

What are the effects of Disc Prolapse?

A disc prolapse may have the following effects:

  • A delay in the treatment can cause damage to the nerves
  • If the prolapsed disc cuts off nerve impulses, it can lead to loss of bladder or bowel control
  • The compression of nerves can cause loss of sensation in the inner thighs and back of the legs

How to Deal with a Disc Prolapse?

If you have had persistent back pain consulting a doctor would be the right thing to do. As discussed, delayed treatment of prolapsed disc can cause more harm. Your doctor would be able to diagnose if you are suffering from a disc prolapse or not.

In consultation with your doctor, you can do light exercises as being fit and active will strengthen your muscles and offer support to your spine.

Blog reviewed by: Dr Vineeth MB
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Monday, 14 September 2020

Shoulder injuries in sports and their treatment

The human shoulder joint is a Ball and Socket Joint. The upper arm has a ball-like structure fitting into a depression in the shoulder blade. Unfortunately, in every sport, the shoulder is asked to perform tasks involving repetitive activities that put great stress on the structure leading to injuries.

Sports medicine has come up with treatment involving very little hospital stay or invasive methods of treatment. Of these, Orthogen P is one of the most successful. This is a Platelet Rich Plasma (PRP) treatment, patented and popularised by Regencare, a Kochi, Kerala, India based health centre for sports medicine, regenerative therapy and rehabilitation. Platelets are blood cells that cause blood clots and provide healing functions; and plasma is the liquid portion of the blood. PRP involves taking the patient’s own blood, concentrating the platelets and reinjecting it back into the body releasing grown factors stimulating growth.

Some common sports injuries and their treatment:

Sprains and Strains are most common. A sprain occurs when the tissue connecting two bones is stretched and injured, and a strain involves injury to a muscle or tissue attached to a bone. These respond well to R.I.C.E., and Rehabilitation. R.I.C.E. -- REST from activities; ICE application to reduce pain; COMPRESSION to decrease swelling; ELEVATION to keep the injured area higher than or level  with the heart. Rehabilitation involves specialised exercises.

Rotator Cuff Injury - another common sport injury caused by repetitive movement of the upper body. Common in swimming and tennis. Rotator Cuffs are the muscles and tendons that keep the ball/head of the upper shoulder bone firmly in the shoulder socket. The main cause is wear and tear to the tissue and is treated with rest, pain control and rehabilitation. Extreme cases may need surgery and/or PRP treatment.

SLAP (Superior Labrum Anterior Posterior) Injury - Labrum is the ring of cartilage surrounding the shoulder socket and the injury is usually in the form of a tear. Repetitive overhead motion is the main cause of this injury. Treatment involves anti-inflammatory medication;physical therapy to strengthen the shoulder, restore movement and function. Serious cases may involve surgery to remove or repair the torn area.

Shoulder Instability is common in contact sports like football. When this occurs the shoulder joint is not securely held and the upper arm bone may partly or fully pop out of its socket. Immediate treatment is to put it back quickly, followed by pain and anti-inflammatory medication and a sling. Long term treatment involves identifying the cause of the instability and treating it.

Impingement is when the bones of the shoulder rub excessively against the shoulder muscles. Again excessive overhead motion is the cause. Here also, rest, anti-inflammatory medication and therapy are the most common treatments; with extreme cases needing surgery to widen the space around the rotator cuff, allowing free movement.
Blog reviewed by: Dr Vineeth MB
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Friday, 7 August 2020

Sports Injuries

Whenever an injury occurs during a sporting/athletic activity or even exercising, it can be classified or called a sporting injury. Almost all involved in such activities have suffered such injuries at  one time or the other.

These can occur because:
  1.     They participate in what are called ‘contact sports’ like football or similar.
  2.     Did not do a proper warm up before the activity.
  3.     Have not been regularly active.
They are classified as:
  1. Sprains & Strains: overstretching/tearing of ligaments/muscles or tendons.
  2. Knee injuries.
  3. Swollen muscles caused as a reaction to other injuries.
  4. Achilles Rupture: achilles is the thin and powerful muscle at the back of the ankle which can break or rupture.
  5. Fractures - breaking of bones and, Dislocations - forcible pulling of bones out of their joint sockets.
  6. Rotator Cuff injuries. These are the four pieces of muscles that keep a human shoulder moving.
R.I.C.E. is the most common treatment procedure for such injuries. It stands for: REST - to prevent further movement/injury; ICE -  to reduce swelling and pain; COMPRESSION - to prevent swelling, but not too tightly; ELEVATION - to raise the injured part above the level of the heart, to reduce pain and swelling.

Common Injuries:
  1. ACL (Anterior Cruciate Ligament) injury - this is one of the major ligaments in the human knee and can tear/sprain. This occurs when fast movement is suddenly stopped or reversed putting enormous strain on the joint and ligaments. This causes the knee to swell, become unstable and very painful. 
  2. Meniscus injury - another very common injury caused very much like ACL. The meniscus is a tough ‘C’ shaped piece of cartilage that acts as a shock absorber between the thigh and shin bones.
  3. Ligament injury / tear - ligaments are the tough, rope-like tissue that connect the bones to the body and also to limit the movement between the bones. During vigorous activities like sports they are under enormous stress. Injuries are very common, but the knee and ankle are the most vulnerable.
  4. Rotator Cuff Injury - these are the muscles that surround the shoulder keeping the arm firmly in the shoulder socket. Injury occurs when one or more of  the four muscles here is damaged or torn. In sports this is due to repetitive overhead use of the arms or a sudden trauma like a fall or impact into something hard.

Blog reviewed by: Dr Vineeth MB
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