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Pain Relief Redefined: Discover Prolotherapy, PRP, and More with MaxWell Clinic with Dr Scott Stoll and Dr Ashley Woods

Pain Relief Redefined: Discover Prolotherapy, PRP, and More with MaxWell Clinic

Are you ready to take charge of your health and potentially improve your memory? Schedule your free 20-minute discovery call with our New Patient Coordinator to see how you can become a patient at MaxWell Clinic and start your healing journey today.

Can you imagine turning back the clock on your chronic pain?

What if there was a way to actually begin to heal your damaged tendons, ligaments, and joints — rather than just temporarily suppressing the pain?

Watch the video and learn how RIT has the potential to heal damaged tissue, reduce inflammation, and improve function using:

  • Prolotherapy
  • PRP (Platelet-Rich Plasma), and
  • Structural Tissue Products

But how does it work? By injecting natural healing agents near the injured site, we can stimulate your body’s own innate healing mechanisms.

This promotes the growth of new, resilient tendon or ligament fibers. Through a series of treatments, your body has the potential to gradually rebuild healthy tissue, restoring its original strength. Over time, pain is reduced or even eliminated, and mobility is improved.

Dr. Scott Stoll is a trailblazer in the field of Regenerative Injection Therapy. He is celebrated for his exceptional proficiency in sports medicine and regenerative musculoskeletal treatment. He was even a member of the 1994 Olympic Bobsled team and served as a team physician for the U.S. Bobsled and Skeleton Team.

Watch Dr. Stoll and Dr. Woods in this webinar as they share how to empower your body’s innate healing capabilities with RIT:

  • Find out what conditions RIT can be beneficial for and how exactly it can help — hint: it’s not just for musculoskeletal conditions
  • Uncover what the latest scientific data says about the effectiveness of RIT
  • Hear real-life examples of how RIT has positively impacted patients’ lives
  • Discover how RIT compares with conventional treatments, such as steroid injections, medications, and surgery
  • Chronic pain doesn’t have to be a downward spiral. Learn how RIT can help you heal damaged tissue so you can get back to living an active life.

Gain access to Dr. Stoll’s expertise in Regenerative Injection Therapy without being a MaxWell Care patient. Learn more about Regenerative Injection Therapy here.


Regenerative Injection Therapy (RIT) is revolutionizing the field of orthopedics by offering a holistic approach to healing various musculoskeletal conditions. In a recent conversation with Dr. Scott Stoll, an expert in RIT at Maxwell Clinic, we delved into the intricacies of this innovative treatment modality and its profound impact on patients’ lives.

Understanding Regenerative Injection Therapy

RIT encompasses various treatment modalities, including Prolotherapy and Platelet-Rich Plasma (PRP) therapy, aimed at stimulating the body’s natural healing processes. Unlike conventional treatments that focus solely on symptom management, RIT targets the underlying cause of pain and dysfunction, promoting tissue repair and regeneration.

During our discussion, Dr. Stoll highlighted the importance of personalized care in RIT. Each patient undergoes a comprehensive evaluation to identify the root cause of their condition, considering factors such as posture, alignment, lifestyle, and medical history. This individualized approach allows for precise treatment targeting and ensures optimal outcomes.

The Role of Nutrition and Lifestyle

One aspect that sets RIT apart is its emphasis on addressing lifestyle factors that contribute to musculoskeletal issues. Dr. Stoll emphasizes the significance of nutrition and lifestyle modifications in supporting the body’s healing process. Research suggests that a plant-based diet rich in fruits and vegetables can provide essential nutrients and antioxidants necessary for tissue repair and inflammation reduction.

Dr. Stoll emphasizes the importance of incorporating exercise and proper ergonomics into daily routines to prevent musculoskeletal issues. By addressing underlying biomechanical imbalances and promoting healthy habits, patients can optimize their outcomes and reduce the risk of recurrence.

Efficacy and Safety of Regenerative Therapies

Over the years, extensive research has demonstrated the efficacy and safety of regenerative therapies like Prolotherapy and PRP. These treatments have been shown to promote tissue healing, alleviate pain, and improve function in various musculoskeletal conditions. Dr. Stoll emphasizes the importance of evidence-based practice, ensuring that patients receive the most effective and appropriate treatment for their condition.

Despite the growing body of evidence supporting regenerative therapies, Dr. Stoll acknowledges the need for careful patient selection and comprehensive treatment planning. While RIT can offer significant benefits for many individuals, it may not be suitable for everyone. Factors such as the severity of the condition, medical history, and treatment goals are carefully considered to ensure optimal outcomes.

The Future of Orthopedic Care

As the field of orthopedics continues to evolve, regenerative injection therapy emerges as a promising approach to musculoskeletal care. By harnessing the body’s innate healing abilities, RIT offers a natural and sustainable solution for pain and dysfunction. Dr. Stoll’s commitment to personalized care and evidence-based practice reflects the ongoing advancements in orthopedic medicine, providing hope for patients seeking alternatives to conventional treatments.

In conclusion, regenerative injection therapy represents a paradigm shift in orthopedic care, offering a comprehensive and holistic approach to healing. By addressing the root cause of musculoskeletal issues and promoting tissue regeneration, RIT empowers patients to reclaim their health and vitality. With continued research and innovation, the future of orthopedic medicine looks brighter than ever.


Are you ready to learn more about Regenerative Injection Therapy? Schedule your free 20-minute discovery call with our New Patient Coordinator to see how you can become a patient at MaxWell Clinic and start your healing journey today.

hi I’m going to wait for a minute to  let folks log in but if you are live you
have logged into to the Maxwell  Clinic webinar um today we’re   talking about pain relief redefined discovering Prolotherapy PRP and more with Maxwell Clinic
is the title of our um talk today and I’m going to wait to start um   I’m here with Dr Scott stole I’ll do  introductions in a minute um just some
housekeeping issues your mic is uh muted  so throughout the presentation but if
you have questions go to the Q&A at the  bottom of your Zoom screen screen and   list uh type your questions in there and at the end uh of the educational time I
will try to get to as many questions as we have time for so okay you ready I’m
ready all right let’s do it well first of all I’m really excited to be doing   this with you because um I am wanting to  learn more about all the services that
you provide I I know what they are um  I haven’t experienced them personally   but I have had family members that have experienced them so I am excited to talk
about it um because a lot of people have  pain in their daily life um and you know
your your frame is what you write  around in all day every day and it   can limit you so um okay first of all introductions my name is Dr Ashley
Woods and I’m honored to be one of the the  Maxwell uh Clinic clinicians here um and
I’m joined here by my colleague and  friend because we do plant potlucks   together that’s we’ll talk about that later when Dr Scott stole and um he we
were like I said today be discussing regenerative injection therapies as   treatment for pain and injuries um and we will discuss how harnessing the power
of all natural substances as opposed to surgeries and meds um Can empower the
body’s and healing capacities uh regenerative injection therapies   have the potential to heal reduce  inflammation and improve functions right
and give you your life back give you  your life back so exciting right and   so Dr St has a very um impressive uh introduction so I’m going to read some
of this because I didn’t think I  could remember it all but he is an  international leader in lifestyle  medicine and board certified physician
specializing in sports and Orin itive musk skeletal medicine he has provided   care to Olympic and professional Collegiate athletes as well as
royal families in Europe and Middle East  the Middle East he is the co-founder of
plant trition project and international  plant-based nutrition healthc care
conference the international Journal of  disease reversal and prevention and the
regenerate regenerative Health Institute  a unique collaborative project with the
Rodell Institute that in integrates  regenerative vision of human health
Agriculture and the environment that’s you  got it that’s very cool that’s very cool and
here’s a fun fact he was a member of the 1994 Olympic
bob sled team and ser so he’s an athlete and served as a   team physician for the United States bob sled and skeleton team and Lee University he’s
also served as a member of the whole food scien ific and medical   Advisory Board and consults uh with  Healthcare organizations globally to
integrate lifestyle medicine  Solutions and every year you go to
Florida and do these immersive one week  um are they Retreats or they what they a
retreat healthy retreat or a conf is it  a conf retreat it’s where sick people   come to get well okay that’s awesome um and it is what what is that called uh Total
Health Emery Total Health emotions that’s very cool um and that’s in
Florida once once a year um and you have also authored numerous books scientific articles
speak has speaking engagements  internationally and appeared on a wide
variety of national shows including  Dr o hosted a 2018 PBS special food as
medicine and numerous documentaries  including the game changers eating
eating you alive disease reversal hope  plantwise and upcoming revive TV series
I want to hear more about that one  um so that’s a long and impressive   introduction so we we are speaking with an expert here folks and I am very very
privileged to to get to work with this guy um he is right down the hall here at
Maxwell clinic and um what we do here at Maxwell Clinic is we’re not an ordinary
Clinic we’re a functional medicine  clinic and we were in fact named the  best holistic clinic in Nashville in  2023 um CU We Believe here at the clinic
that your body is designed to heal uh  naturally uh we do use medications and
regular therapies um but we we really  try to focus on what the person needs
what their symptoms are and what  the whole person needs and their   environment because the environment when you  agree plays a big role in all of the things
with injuries with food with how you  sleep um that’s a big Focus for us and
so what you do pairs really well with  what we do because we’re always talking   about diet and exercise but if somebody’s injured and in pain
they can’t move it limits what they can do I can’t tell you how many patients tell me oh
yeah I used to run but I hurt my knee and I just haven’t done anything since   because it hurt right and when you don’t  feel well and you don’t feel good so I
get that I mean and then you eat the  junk food because you don’t feel well   right I get that so it’s all it’s all  it’s all related it can snowball and it
can snowball backwards as well can  snowball backwards yeah and I think   that’s what you’ve created your whole  life around so I’m excited to hear about
all the things that you did um but the  bottom line is we’re we are both here to
help patients have better and more good  days that’s on a regular basis so let’s
get to it um regenerative injection  therapies um now you you do lots of
these here at the clinic um some are  ultrasound ultrasound guided but but
what are they we’re talking about  Prolotherapy PRP PRP and injections with
biological substances biological substances  growth factors yeah so let’s kind of   break that down um you can start wherever you want yeah I’ll give
you just a little history of how I even  got started in this yeah when I was uh  practicing that was in a large um  Orthopedic Group and so you know the
patients would either go to surgery or  if they failed everything they would go   to Dr sto’s office so I started getting all of these athletes and patients that
failed traditional Orthopedic care they  were limited by pain taking medications
like nids that you know create ulcers  disrupt the microbiome and lots of other   problems absorption issues and they were depressed and frustrated they didn’t know
what else to do and so I started to  look for Solutions and I found first
this was back in probably 2003  I found um that Prolotherapy   which is been around a long time since the 1950s uh and Prolotherapy is an injection
of a little bit of sugar I always  joke with people this is the only  time that Sugar Sugar that’s right the  only sugar so it’s a little bit of sugar
and nummy medicine and the process is you inject down onto the ligaments   around any joint or into the tendon and it creates a little bit of inflammation
and often times you know we hear  the word inflammation and we think  inflammation is bad and we don’t want  inflammation but as you said earlier
the body was created to heal itself that’s the natural design you get inflamed so the body   takes the healing properties to the injury to the injury right if you twist your ankle it swells
up because your body’s trying to fix  the damage to the ligament yeah so  with Prolotherapy that’s what we’re doing  we’re just trying to inject something
that creates inflammation so the body will come in and pay   attention into an area that that has been  chronically injured or damaged yeah and
so through the course of like four to  six injections you can strengthen the   ligaments and research shows that the ligaments actually get stronger and
Tighter and so even in a degenerative  joint you know if it’s been loose and  and sloppy and shaky the ligaments  tighten up and holds it so you don’t get
that slippage and pain and it’s a very  effective treatment for things like   Whiplash um low back chronic low back pain it tighten things up S eye joints
it’s a beautiful injection and it’s elegant and when people are are finished   with their treatments it’s long lasting  how many um I’m going to ask questions
as we go these may be some questions that  that come up in y’all’s Minds as you’re   listening how many injections if you’re doing uh the Prolotherapy
would you say I have a a SI joint issue um how many injections is there a standard or is it a
one andone yeah typically because we’re trying to help the body heal itself it takes about four
to six injections yeah and so we’re injecting a region you know all the   ligaments that support like an SI joint  or the lumbar spine we’re injecting
those ligaments and each time they  heal and get a little bit stronger   and Tighter so over the course of four to six injections things heal up occasionally
in really severe conditions it can  take a few more but generally by  four to six people are doing well and  then we transition right into kind of
some functional fitness to come back and strengthen the muscles bring some postural   balance and realignment to the body  like Physical Therapy type yeah but
more like um looking at the body as  a whole sometimes physical therapists   say oh you have back pain right let’s fix your back pain right but they don’t step
back and say let’s look at the body  from the feet up and see what like a  functional assessment correct like a  fual functional assessment the body
is a whole gotcha that’s fascinating and then um so that’s that’s the therapy with the sugar
water as exactly and then um then there’s the platelet rich plasma
or otherwise known as PRP Therapy and people may have heard of athlet you know
professional athletes getting that done  when they’re you know they’re injured to  get back on the field but can you talk  about what that is sort of describe it
what the process is give us a little  bit information on that yeah we have you   know PRP has a very interesting history too the dentist using this back in the
1980s for gum surgery to help gums heal in the 1990s the cardiothoracic surgeons
the heart surgeons started putting PRP  on the incision along the sternum to  help the sternum heal after they do  work do bypass surgery the early 2000s
orthopedist said well if it’s working  to heal those why can’t we inject it   into tendons ligaments and muscles so in the early 2000s U PRP was started started to be
used to help heal the body and what PRP is platelet rich plasma so the
platelets are a part of the blood  and um it’s a way to use your own
body’s healing growth factors to heal  damaged tissue so the process is we just
draw some blood we centrifuge down the  growth factors and then we can put those
in a syringe and so sometimes we can do  it without an ultrasound and sometimes
like the rotator cuff we would use the  ultrasound to see the tear in the a   rotator cuff and direct a needle right into the tear and you can inject the
tear with the plate rich plasma and then that has it’s loaded with growth factors
and it attracts your body stem cells to  the area to begin repairing that damaged  tissue and you can follow this over  the course of time you know one or
two injections you can actually watch the ligament attend heal on the ultra that’s
so cool that is really cool um and on average how many injections
would this be typically one to three I mean there are some cases where one injection   takes care of it I know your husband and  son have this we were we were talking
before we went live about my husband and  son I both have had uh PRP in the past
and they both just had a single  injection and it worked great knees   we were talking about knees um but this could be any joint this can be any joint
it can be Whiplash in the neck uh just  treated a patient that had you know 40e  history of neck pain um and after this was the  second PRP is doing much much better first 75%
reduction in medications wow that’s  amazing because Downstream that has so   many other effects if you are taking ANS heads meaning Advil Tylenol you know
ibuprofen chronically because you’re trying to get through your day that’s   doing bad things to your gut microbiome  to your gut lining can even cause ulcers
um can be a real Tipping Point for people with  chronic injury it really can and that sleep
diet microbiome yeah it’s a slippery slope it’s a   slippery slope yeah um and so um and then you also uh do some other
injections of more natural well not more  natural because PRP is natural but um
other natural products can you talk  a little bit about about those yeah   sure so you know there was the process of Prolotherapy PRP and then stem cells you
know we started to do autus stem cells  which is pulling stem cells out of your  body from the iliac press the bone in  your back which is painful by the way
I’ve never had it done have to drill through theone I’ve heard it’s not   it’s not them out yes it’s painful and then inject those in and one of the challenges
with using your own stem cells  is as you get older your stem  cells become uh less effective old as as I’m getting old I can
say just like the gray in my yeah they’re not  as youthful as they used to be they’re not  like baby stim cells so so they’re not  as effective uh and so kind of a step up
from that is these growth factors that come from  Don donated placentas and um they are able to take
the growth factors these tissue products  and inject those and they’re multitude
uh facto factorial stronger than than  stem cells wow so we can inject those
for like larger cartilage issues in the  knee for shoulder issues I I can tell   you a good story on that one um and they’re very effective at reducing
inflammation and attracting uh your own  stem cells and growth factors to really  heal that that part of the body so  that’s really using your own body to it
almost like wakes up your natural  healing process is that that’s   really good way to describe it yeah pokes your own um immune and healing proc say wake up come
pay attention don’t forget yeah no that’s awesome um and so
that seems like it is a little bit of a more powerful therapy because you’re
using younger tissue if you correct yeah it’s it’s a big step up yeah so that would
be like top shelf of what you need  and so how do you differentiate if  somebody comes in say I come in with a  bad shoulder and I have a several micro
tears in my rotator Co which happens in  case you don’t know over time as you age   you don’t have to have a big injury um how do you decide which therapy
is the best therapy is that patient  dependent age dependent how do you how  do you make that yeah all of those um  it’s some of it is age dependent you
know even PRP can be less effective as we get older so if somebody’s a little   bit older probably my age yeah then um you know PRP may not be effective for
a more significant injury and we would  need to give it a bigger push with the  growth factors for most people if you  have Micro tears and the meniscus in
your knee and your rotator cff um tennis elbow golfers elbow
typically one or two prps will resolve that condition if there’s a bigger cartilage issue
where you’ve lost cartilage or had  a bigger cartilage tear or a bigger  rotator cuff tear the tendon in the  shoulder um typically I will do the
growth factors because I know that it  will need the bigger push for that to   heal right and what about um smaller joints like in the wrist or TMJ are
those things that would be appropriate for this type of we can certainly use   those in smaller joints um I’ve used them yeah the big toe in the thumb uh
TMJ with some people with chronic TMJ you can do either PRP or the growth   factors depending on the severity of  the the joint damage yeah but it’s very
effective well I wanted to mention  uh the TMJ because a lot of people   have that and we had had a meeting and you had mentioned that as something that you
do like oh I didn’t think about that for  for TM J um because when these are these
are sort of advanced therapies I mean  they’re they’re sort of out of the box   therapies they’re not done in standard Orthopedic offices as you described
because it was surgery or drct stole and so um they they’re different and they’re
different in a beautiful way because  they use the natural healing properties  of the body um some concerns that people  may have is like oh placentas is that
you know do that how is that that  screened how do you know that placenta   doesn’t have a disease I mean it’s you know there would be concerns about that
I would think might come up in people’s  minds so how is that it’s a very good  question how is that the company that  we use um is one of only 129 registered
tissue banks in the United States so  they’ve gone to the highest levels of   managing screening screening um all the tissue is screened multiple times for
everything and so it’s verified by the  process and by their tissue make status  as being free from any foreign substances  that would be harmful to the body and
important and very important  absolutely yeah that’s very important  um do um are these procedures painful  I know the answer but I don’t know that
our audience does so I’m gonna I’m gonna  let them I don’t know from first yeah so   that you know that that I always tell people a couple of things one I’m going
to be honest with you and not tell you  it’s not going to hurt sure we you know  doctors are sometimes bad about that this is not  going to hurt it’s only going to hurt a little and
it actually hurts a lot so I tell people yes it’s going to hurt um this is pain with a purpose
because we’re actually helping the  body pay attention to something that  that’s uh needs attention for healing um  I will use a lot of numbing medicine so
I’ll numb up the area very well so there  may be some initial pain with the numbing   medicine but after that it’s not painful and then what about after
yeah post procedure you know if um we’re doing Prolotherapy or even PRP there can
be a little bit of inflammation and for  2 to 3 days it may be sore like a a mild
flare up um but then after two to three  days it really starts to get better okay
so yeah and that was that was the  experience of my family members that   have had this done um I say this had PRP done is that the day of they’re like no
it’s fine and they say they’re s um but continue to improve over time it wasn’t
it wasn’t a quick fix but with time and and letting the body heal I mean just   like if you scab your knee or you know  skin your knee it’s going to take a
while to the body to do its thing right  if you break your arm you put it in a   cast and in three months the bones heal together and the same thing with these
these injections that you know it’s  three months to get any kind of tissue  to really start healing but it gets better over  time and I always like to draw a graph because I
think it’s it’s valid for all healing that  it’s it’s we will wish healing was like   straight line up yeah but it’s more of a it’s like this undulating wave
where you have good days and bad days but over time the bad days are even   much better than the good days used to be and when you have a bad day I always try to help
people understand it’s actually when  the body is paying attention to the   area and chewing up damaged tissue and laying down new tissue so the soreness
is actually a good thing it’s kind of  resetting the mindset around pain right  and you have to reset people’s mindset  around pain as well because I know
because exercise is really important to  me it’s just something that I talk to   my patients about um talk to my family about and it’s something that I do and
if I am sore or I’ve injured something  because I do that frequently you know
not on purpose you know I just have  overdone it I’m mad because I can’t   go to the gym and sometimes like I’ll just I’ll push through it and that’s you just
need to listen to those pain signals and  pay attention uh and let the body let  the heal because they are sending you  signals that’s that’s the that’s the
point of the pain a really important point that in our society we’ve just   kind of conceptualize that all pain is  bad right and we either you know ignore
it or we try to cover it up it’s like  putting duct tape on your your dashboard   when the check engine light comes on you just I’m not gonna you hear noise you
turn the radio off that’s Advil that’s  Tylenol but what we need to like you’re  saying what we need to do is say why  is the pain there yeah what’s the root
cause what I need to do to actually help heal the situation not just cover up the
pain or not work through it exactly because it may be like a small tear   in the beginning and we take Advil every  day and we keep working and it becomes a
bigger and bigger tear right so if you  catch things in the beginning and you’re   attentive to those areas that your body  is saying hey it hurts in the knee come
down here and see what’s going on right  we can catch it early and you may like   your your husband and your son one injection takes care of it because
they paid attention mention early but  had they gone years on that painful knee  sometimes it ends up bone on bone and the  only solution is a total knee right so and
let’s talk about bone on bone a little bit because I have a lot   of patients with arthritis um just a  generation uh I have family members with
degeneration arthritis um where do  these therapies play a role there   because we’ve talked about injuries and pain but what about just wear and tear because you’ve had
a lot of birthdays that’s right yeah wear and tear and um you know it’s wear and tear it’s
misalignment it’s not being attentive  to the pain signals because we  don’t necessarily develop arthritis just  because we’re old right that’s always an
important thing to realize I have a in my presentations I have a picture of two   knees right and a left knee and they’re  both 86 years old one is bone on bone
and the other one is good so it’s not  age dependent it was misalignment and
and injury I’m glad you I’m glad you  brought that up the misalignment piece   because a lot of people say oh yeah my knees are starting to hurts because
I’ve turned 50 or whatever the age is and  I’m like no think that’s what it is there
there’s something else going on there if  your knee is hurting and I think that’s I   think that’s really important and because Dr Stole is very into
plants and plant-based eating and have done a lot of work on   healing disease States as we have with with foods and lifestyle um paying attention to
your diet paying attention not only to the paint signals but to the   inflammatory foods uh and I think that’s  one thing because of the work that you
do that led you is my understanding you  want to talk about that just a little   bit of how that kind of LED you into the love of a vegetarian diet being di sure
and I’ll go back and I want to answer the the last part of the question   because you asked about bone on bone  that um even when something’s bone on
bone um there are some people that can’t  have surgery and so these procedures can
can help to Alli uh the pain and uh  alleviate some of the discomfort quick
story I took care of a friend of our  family um and he had bone on bone in   the shoulder and he couldn’t sleep at night was sleeping in a in a lounge chair in his
in his living room wasn’t able to use his arm work uh went to see   the surgeon the surgeon said we can do a  reverse full shoulder however you’re not
going to gain any more range of motion  and it may not take care of all of your   pain and he said well why in the world would I do that right so um we treated
him I I treated the ligaments to hold the shoulder stable with some PRP and   I injected the growth factors in there  two times and now we’re what four years
later and he still has no pain in his  shoulder wow went back to sleeping in   bed doing his work like he loved to do carpentry work and um and so yes he
doesn’t have full range of motion but he also has no pain and didn’t have to have   surgery so are things that can be done  for even bone un bone situations that
that can recover function that’s what  it’s all about getting getting his life   back that’s right getting his life back that’s right that’s amazing and these
and and I wanted to differentiate sorry  I went on the plant thing because that’s  something we do but the the the  differentiation between standard
orthopedic and I’m not I’m not poo  pooing these because they they serve   their purpose but like the hyaluronic acid the other the other the gels are
injected the steroid injections can you  kind of compare and contrast sure your
injections versus those injections right  yeah and you make a good point like you
know we um even at Maxell Clinic you  know there’s a um medicine is valuable
you know we need good medical care  and good Orthopedic care is incredibly   valuable broken bones surgeries I mean we need really good orthopedist yes but
there’s a there’s a place in Orthopedics  where people start to fall out of the  traditional treatment algorithm and that is  after they’ve had you know Physical Therapy
a couple of cortisone injections Trials of nids and they’re not a   surgical candidate but they still have  pain what do you do or they don’t want
surgery or they don’t want surgery and  like you mentioned we can’t continue   to do cortisone injections right the cortisone actually if it’s repeatedly
injected into a joint it injures the  little cells that produce cartilage the  condra sites so it accelerates degeneration over  time uh there’s research that shows if you have
arthroscopic surgery and they shave too  much of that cartilage it accelerates
degeneration because the knee gets  a little looser and you you end up   with a total knee more quickly after arthoscopic surgery yeah wow so we
have to be careful you sometimes cortisone injection makes a difference um but most   of the time you should be asking like  why is it swollen and inflamed and what
can I do to not only reduce the  inflammation but help create an   environment that produces healing inside of that joint and PR is often a better
choice than just a cortisone injection yeah I would say so because it’s more   natural it’s not going to do the damage you were talking about with the
cortisone it’s the exact opposite it’s  boosting healing rather than injuring  yeah that’s amazing um anything that would be
a contraindication for these therapies  that you you do and I’ve kind of lumped  them in so if you want to separate those out  into PRP Prolotherapy and the other are there any
contraindications um I mean generally  for Prolotherapy that really are not   contraindications unless somebody has you know bleeding disorder um is on
um anti-coagulant that we cannot stop or work   around or if it’s an area where you’re worried  about bleeding um PRP same thing I mean really
it’s it’s your own body so there’s  you know you’re not going to have any   negative reaction to that the growth both factors because they do promote
such um amazing growth there’s a  contraindication not to um treat  somebody that has active cancer makes  sense I don’t actually you know it’s
it’s more theoretical than it actually is um a reality of the the evidence
but there’s never been a case where it’s  accelerated growth but just because it’s  a situation with cancer we don’t  treat out of an abundance of
caution out of abundance of caution that’s right understand that um and what about autoimmune type
joint conditions like creatur arthritis  is there a place for these Therapies in
that type of a degenerative process yeah that  that’ll bring in kind of our nutrition and  lifestyle good Jump Ahead oh you’re  combining it’s great excited so the um
uh yeah when you look at like an  autoimmune condition you know and we   all approach disease this way we’re asking the question like what’s the root why why
rator did not just fall from the sky like triggered this yeah we’re not just   treating the inflamed joints and hoping  the joints feel better we’re trying to
treat the underlying cause so that  that’s resolved and then the joints   will naturally feel better right so for as you know for a lot of autoimmune conditions
it’s the microbiome it’s a leaky  gut which goes back to stress diet
uh environment and so we do on our  side Clinic does such an amazing job of
tackling the environment healing the  microbiome and helping people with   lifestyle transformation nice and um so over the last 20 years you know working
in this field I’ve come to see that like  the more plants that you eat the more uh
the greater the opportunity for your  body to heal because they’re packed   with minerals vitamins fiber antioxidants polyols phytonutrients all of those things
that buttress your body’s attempts  to heal and reduce inflammation  systemically yeah and that’s that’s kind  of the main thing that we do I mean it’s
not all about diet but it is a lot  about diet always the foundation yeah   and Alison our nutritionist here is that’s what she talks to almost everybody that
walks through the door about is just  trying to clean up what you can and  what’s sustainable um and that’s super  important whether you’re a vegetarian or
not just eating more plants in in  general all the there’s a lot of   metanalyses that come out these large studies that look at all the randomized
control trials um and multiple of these large studies are are all coming to the
same conclusion that to maximize your  health you should be eating 10 servings  of fruits or vegetables per day or 800  grams of fruits and vegetables per day
um all the slid all the scale so that  the more fiber you eat the healthier you   become even out like 70 to 100 grams of fiber a day it’s a lot of fiber but you
are you’re absolutely right about  that and the number one nutritional  deficiency in America today is fiber  fiber fiber yeah only 4% of any age
group in America meets the the basic  requirement for fiber which is 25 to 35
grams only 4% so people are not eating  fiber and it’s just plants and it’s the
fiber plus all the beautiful things that are in  Plants colorful beautiful heals the body yeah um
so if someone that is listening is in  pain or has pain or knows somebody who
has pain or is interested in in getting  an evaluation can you kind of walk me
through what that would look like  cuz you’re here at Maxwell clinic   this is your office um tell me how that would work well like you know they come and see you
and they would get an injection  that day or you would have an  evaluation maybe Imaging like you’re  exactly some answer but I wanted to um
yeah if you come to see me I like to do  a full evaluation again looking for the   root cause not just treating The Joint saying this joint is the problem or the
muscle the problem but looking at  you holistically evaluating posture
alignment leg length um talking about  lifestyle because that’s an important   part of healing as well we’re injecting we want the the body system which is
the immune system to be as healthy as  possible so that it can do its job which  is repairing the tissue that we’re  calling attention to through the
injection so we’ll talk about life cell and if needed there if you haven’t had
Imaging of that area x-rays CAT scans  MRIs sometimes it’s necessary to get an  updated scan so we know exactly what  we’re dealing with and um we can see the
the um the injury more clearly and  identify that and inject exactly where
it needs to go right so it’s very  precise yeah this is really like   Maxwell Clinic is so involved in Precision medicine individualized Precision medicine
and that’s what this is this is not  algorithmic treatment this is you’re  sitting there in front of me we’re  going to talk about your life how
you got injured how well you sleep because that’s a part of healing as well what you
eat get the Imaging to a really good  physical examination uh from top to
bottom and then talk about the best  treatment options which even goes   beyond the injection because it’s a lot of times looking at the body and talking about
what types of exercise you can begin  doing to help restore the function  and you’re doing what you’re doing is  beautiful and it’s also what we’re doing
you’re not treating the injury you’re treating the person right because the   person is the person that has the injury  and you can’t just treat the injury
which I think unfortunately standard medicine  and I’m not poo pooing it because I was trained
there and I there’s a lot of good there  um treats the injury but if and I’m glad
you mentioned the alignment because this  is something that I’ve experienced that   if if my running alignment is off then I hurt in a certain area or my hip flexor
gets tied and then my knee over  here gets you know hurting and it  it’s not that I’ve injured my knee it’s  that my I wasn’t lined up right and it’s
it’s we do we are humans are very um  creatures of habit so we do we sit the
same way we sit in the car the same  way driving we you know we sit at our   computers the same way hunched over and all those things over time if you’re not
lined up correctly caused wear and tear and that’s where a lot of the aches and   pains come from as we age because it’s  been many years of the same behavior
that’s right am I am I right you are  absolutely right and you know most   people today their shoulders forward my shoulders where here on the computer and
what that does in the shoulder it rolls  the humeral head forward and then when  you lift your shoulder it pinches the  rotator cuff so even if we inject the
rotator cuff but we don’t correct this it’ll continue pinching so if we inject   it we have to strengthen the muscles  that are weak in the back stretch the
muscles that tight in the front and then  your posture is correct then the joint can   move normally without impingement the way you grew that’s right way
that’s the holistic treatment that’s right  well I think we’ve covered a lot of things  today is there anything that you feel  like that listeners would want or need
to know about the therapies that you do  um that we haven’t discussed in a I mean
we just skipped across the surface here  but um any other details that we didn’t
mention yeah I think one that’s  important is that um to know there’s   a lot of research supporting what we’re doing yes you know PRP has been around
since I’m sorry Prolotherapy has  been around since 1950s and PRP and  Orthopedics since early 2000s and there’s  a lot of studies now to show that it’s
beneficial that it’s safe and effective but that it has to   be the right selection of um the the right uh condition right that if you just injected and
you don’t do the right rehab or address some of  those underlying issues about it may not be as  effective so it has to be a part of a  comprehensive treatment plan right but
they’re they’re recognized in the literature to be effective and   safe including some of the growth factors  that we’re using too yeah and everything
we do here at Maxwell Clinic has been very well  researched we’re we’re as evidence-based and we
are even doing other types of research  here which is exciting um I’m going to
check and see if we have any questions  um because we have a few few minutes   here give me a second everybody to look in the Q&A here and see what we’ve got
um okay I think some of these we’ve  already answered about how uh things tra
traditional Orthopedic treatment varies  we did discuss that um and how long it
takes to see results from regenerative  injection uh and that multiple sessions   may be required but not right we make individual decisions right we talked
about cortisone different from what you  do um yeah and so I just wanted to say
that if anyone else would like to learn  more about regenerative injection therapy
and what Dr uh Scott sto uses here at the Maxwell clinic or   would like to schedule an appointment with  him um you can text the letters r i t to
615 37091 and a new patient coordinator will be available to assist you so I also
wrote a nice article that’s on my web page um on all of these injections so
they can learn more there on the Maxwell  can you can you share your web page it’s  Maxwell health and then it’s my  web web page on regenerative injection
therapy and there’s a little window there you can click it and you can   download the article I should visit our we’re both so busy I haven’t looked at
our website um so that’s fantastic so um yeah can you say the the the link again
one more time so everybody has it’s Maxwell it’s the website it’s our   website okay yeah Maxwell Health Website  under regenerative injection therapy and
then there’s a window that is right  there download download the um the   chapter awesome that’s perfect thank you so much it’s been wonderful being here
thank it’s been wonderful I’ve enjoyed  this me discussion um and just getting  to know more detail about what  you do and um I look forward to
more discussions yeah me too thank you I’m delighted to be a part of the the family   here at Maxville Heth he is definitely  part of the family here he’s he’s our
structure guy we we we need a structure guy um all right well thank you guys for
joining uh and taking time out of your busy day to uh listen to this I hope   you learned something and if we can be a  further assistance we’ve given you some
resources on how to reach out thanks bye

This blog provides general information and discussions about health and related subjects. The information and other content provided in this blog, website or in any linked materials are not intended and should not be considered, or used as a substitute for, medical advice, diagnosis or treatment. This blog does not constitute the practice of any medical, nursing or other professional health care advice, diagnosis or treatment. We cannot diagnose conditions, provide second opinions or make specific treatment recommendations through this blog or website.

If you or any other person has a medical concern, you should consult with your health care provider or seek other professional medical treatment immediately. Never disregard professional medical advice or delay in seeking it because of something that you have read on this blog, website or in any linked materials. If you are experiencing a medical emergency, please call 911 or call for emergency medical help on the nearest telephone immediately.

Scott Stoll, MD, FABPMR

Dr. Stoll is a board certified physician specializing in sports and regenerative musculoskeletal medicine and is a recognized as an international leader in lifestyle medicine and whole food plant-based nutrition.