Dr. Reeves, Pain Management Clinic: Real Hope with Dextrose and Platelet Prolotherapy
  • Dr. Reeves, Prolotherapy, Kansas City
    • Prolo/PIT: Brief Summary of Both
    • Comparing Prolotherapy and PIT
    • FAQ: About Prolotherapy
  • RESEARCH
    • Basic Science Dextrose >
      • Analgesia
      • Chondrogenesis
      • Tendon injection safe
      • Thickens lIgament
    • Dextrose RCTs >
      • Achilles Tendinopathy
      • Ankle Osteoarthritis
      • Chondromalacia patella
      • Fibromyalgia
      • Hand Osteoarthritis
      • Hip Osteoarthritis
      • Knee Osteoarthritis
      • Lateral Epicondylosis
      • Low Back/Sacroiliac Pain
      • Osgood-Schlatter Disease
      • Plantar Fasciosis
      • Rotator Cuff Tendinopathy
      • Temporomandibular Dysfunction
    • Dextrose Non RCTs >
      • ACL Laxity
      • Groin Pain
      • Patellar Tendinosis
      • Shin Splints
    • PIT Basic Science & Mechanism
    • PIT RCTS >
      • CARPAL TUNNEL SYNDROME
      • CUBITAL TUNNEL SYNDROME
    • FINDING RESEARCH
  • TRAINING IN PROLO/PIT
  • PATIENTS
    • PRP Use
    • Stem Cell Use
    • New Patient Intake Forms
    • What to expect in more detail
    • Directions to Office
    • Fiinding a Doctor
    • When Will I Feel Better With Prolotherapy?
  • HOPE

STEM Cell USe

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At this time I do not personally find sufficient evidence in the literature that stem cell use in musculoskeletal medicine and chronic pain is cost-effective, and thus I have not begun their use. Those for whom finances are not an issue, please do not let me discourage you from the use of stem cells, because stem cells are powerful, and have little downside other than expense. However, if you become frustrated with results, the most important thing to keep in mind is that a complete diagnosis of pain sources and treating them thoroughly, including both connective tissue (ligament/tendon/cartilage [joint]) and nerve sources, is crucial and is rarely done. By way of illustration think of being attacked by 4 people at once.  If you address just one of them with a powerful method but miss the others, you MAY scare the other 3 off for a while, but they will be back, and you have not truly solved the problem. These brief comments are written for the majority of people for whom comprehensive treatment, not power, is the key, and for whom the cost of stem cell use is prohibitive. At the point, I am not convinced that stem cells are needed often enough to merit use in my clinic. In the meantim,e I do have several colleagues currently using them and am certainly happy to refer patients to them if I believe that would be the most effective treatment.

In April of 2018, I presented the table you see here in a talk at the American Association of Orthopedic Medicine. In summary, on the left are the primary areas that have been researched using stem cell injection. Across the top are the names of authors who wrote summary articles called meta-analyses that reviewed the overall evidence.  Level A indicates strong evidence for benefit;  level B, a moderate level of evidence; and level C suggests it may be helpful but is uncertain. At this point then, the evidence for use in knee osteoarthritis and after ACL reconstruction is moderate. For those conditions, stem cell use is certainly reasonable, if it is affordable. However, even in those areas in which research is accumulating for stem cell use, my impression is that other methods (with comprehensive treatment using dextrose prolotherapy +/- platelet rich plasma) can achieve similar benefit. For examples of this, see the research tab for clinical trials of dextrose prolotherapy for knee osteoarthritis and ACL laxity.   



"Real Hope for Chronic Pain"
We use dextrose and platelet prolotherapy to eliminate the causes of chronic pain.
           The treatment is like acupuncture but with injection of a solution that heals irritable nerves, stabilizes and calms arthritic joints  and repairs/regenerates sprains and strains in your body.
Contact us today for more information.

Location

Dr. K. Dean Reeves, MD P.A.
913-362-1600
4740 El Monte Street, Roeland Park, Kansas  66205


ReevesOffice@gmail.com

Contact Dr. Reeves, MD

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  • Dr. Reeves, Prolotherapy, Kansas City
    • Prolo/PIT: Brief Summary of Both
    • Comparing Prolotherapy and PIT
    • FAQ: About Prolotherapy
  • RESEARCH
    • Basic Science Dextrose >
      • Analgesia
      • Chondrogenesis
      • Tendon injection safe
      • Thickens lIgament
    • Dextrose RCTs >
      • Achilles Tendinopathy
      • Ankle Osteoarthritis
      • Chondromalacia patella
      • Fibromyalgia
      • Hand Osteoarthritis
      • Hip Osteoarthritis
      • Knee Osteoarthritis
      • Lateral Epicondylosis
      • Low Back/Sacroiliac Pain
      • Osgood-Schlatter Disease
      • Plantar Fasciosis
      • Rotator Cuff Tendinopathy
      • Temporomandibular Dysfunction
    • Dextrose Non RCTs >
      • ACL Laxity
      • Groin Pain
      • Patellar Tendinosis
      • Shin Splints
    • PIT Basic Science & Mechanism
    • PIT RCTS >
      • CARPAL TUNNEL SYNDROME
      • CUBITAL TUNNEL SYNDROME
    • FINDING RESEARCH
  • TRAINING IN PROLO/PIT
  • PATIENTS
    • PRP Use
    • Stem Cell Use
    • New Patient Intake Forms
    • What to expect in more detail
    • Directions to Office
    • Fiinding a Doctor
    • When Will I Feel Better With Prolotherapy?
  • HOPE