Pre-arthritis- A new entity in joint damage.

Every body has heard about osteo-arthritis and early osteo-arthritis. I intend to present a newly coined term known as ” Pre-arthritis”.
Let us first understand the existing terms.
1) Osteo-arthritis- This is the end stage of the disease and represents a joint failure. In symptomatic patients, this requires joint replacement. It is visible on plain x ray itself and doesn’t need further investigations.
2) Early Osteo-arthritis- In this condition structural damage has set in but is not yet visible on plain x rays. It may be seen on MRI scans or arthroscopy. Its course is yet unclear. Cartilage lesions may be asymptomatic. Left to its own course, it may lead to osteo-arthritis after a decade or two. This stage can be suspected in young people. Interventions like cartilage repair are available which can halt the progression of the condition to full fledged osteo-arthritis.
3) Pre- arthritis- Finally we come to this new condition and we can only understand in the context of the above two conditions. A bunch of cartilage specialists got together last year and coined this term. There is no structural damage to be seen yet. However at a micro level, molecular changes have set in and will lead to early arthritis. It is suspected after a joint injury or a menisectomy. Joint aspiration and micro environment studies can pick up elevated levels of harmful chemicals called ‘cytokines”.
It can also be diagnosed by probing cartilage during an arthroscopy or an MRI showing bone marrow edema.
The benefit is that sports persons with the above two conditions can come under the supervision of a cartilage specialist and get an early intervention as and when structural damage sets  in.
The good news is that a PRP or stem cell injection can avert further progression. Visit best stemcell treatment india and joint preservation surgery to remain abreast of stories and latest developments in the field of cartilage injury and joint preservation.

New year resolution for joint pain

New Year resolutions. With every passing year we are getting older. Although we all wish to remain active and productive, sometimes we are beset with niggling injuries to our joints. Earlier this meant undergoing surgery followed by rehab. This sets us back financially and monetarily. Thankfully from now, various cell treatment options are available at MJRC clinic. Visit

Routine Knee arthroscopy has no evidence of benefit

Routine knee arthroscopy has no benefit
Biological injections work better
Has your orthopedic surgeon offered you knee arthroscopy for a meniscal tear? Don’t waste your money on it. Even if it is not your money and insurance is paying for it, still you should not waste your time and effort on it.  A recent editorial from a leading Orthopedic journal opines that routine knee arthroscopy is a waste of time. This finding only re echoes a leading paper published in 2002 in the New England journal of medicine. Read the news here.

Instead biological injections will work better. To know more about biologicals for your case, get an appointment with