See how a PRP injection was given into the ankle joint with ultrasound guidance. The patient was suffering from secondary osteoarthritis of the ankle joint due to malalignment at the knee. She felt pain relief immediately after the procedure. She had undergone SVF injections to both knees six months before. Although she had no pain in her knees, the ankle pain was bothering her more. She got joint preservation in both knees through the SVF injections
At MJRC clinic
See how a Maldivian patient got relief with PRP injections in Chennai to both knees. He was instantly relieved of his pain and could walk without any pain. He had been suffering from pain for the last 12 years. He didn’t want to undergo a knee replacement as he wanted to kneel and pray five times a day. He was influenced by the recommendation of a former patient who had undergone autologous chondrocyte implantation previously. PRP is a biologic injection that alleviates pain and restores mobility.
Knee arthritis treatment with PRP in Chennai India. He was suffering from osteoarthritis in his knee. Dr.A.K.Venkatachalam injected a PRP preparation into the knee painlessly. This PRP preparation was leucocyte poor and was made using a double spin technique.
This 61-year-old lady has found great relief after SVF treatment to both knees six months ago. She can walk comfortably. Dr.A.K.Venkatachalam performs joint biologic injections in Chennai India.
Dr.A.K.Venktatachalam offers knee replacement and joint biologic injections in Chennai India. Joint biologic injections include stromal vascular fraction (SVF), Platelet-rich plasma, and growth factors. These biologic substances reduce knee, shoulder, hip, and ankle pain and swelling.
There has been an increase in avascular necrosis of hip (AVN) cases in India following COVID-19.AVN hip is a condition of the hip when the blood supply to the ball of the hip joint is cut off. This results in bone collapse and finally hip arthritis. The early stages of this condition can be treated by stem cells and bone grafting. Advanced stages of the disease may require a hip replacement but since many people are young, hip replacement is not advisable for all of them. If one this lucky enough to catch the disease in the early stages, it can be treated with stem cell treatment in Chennai India. Stem cells with core decompression and bone grafting can be done to cure the early stages of the disease. If it works out a total hip replacement can be avoided. Avascular necrosis of the knee is less common than in the hip and can also be treated with SVF in Chennai. Advanced cases of Avascular necrosis hip will require a ceramic hip replacement.
Stem cell treatment knee arthritis Chennai
To know what is stem cell treatment for knee arthritis in Chennai, see this video presentation that was delivered at a medical college in Chennai, India three years ago.
Cells that are capable of regenerating and replicating and repairing tissues are known as stem cells. They are present in every organ and tissue in the human body like skin, fat, bone marrow, muscle, and heart, everywhere, but they are dormant and can be kicked into action by external methods either by the response to a trauma or by seeding the damaged area with stem cells by injection or open procedure.
This is the classification of stem cells. At the top, you have the totipotent embryonic stem cell which is formed by the fusion of the sperm to the ova. This results in a zygote and the formation of a blastocyst which further differentiates into two cells four-cell then the embryo and the fetus and so on. The totipotent embryonic stem cell gives rise to pluripotent embryonic stem cells which form various tissues. These pluripotent stem cells then give rise to multipotent stem cells which are present in every tissue like the lung, pancreas, heart muscle, red blood cells skin muscle bone marrow, and every other tissue. These are not confined to the mesenchymal space.
We aspirate them from fat by liposuction. Then we manipulate them by centrifuging. Then they are ready for injection.
Stem cell treatment for knee arthritis in India by Dr.A.K.Venkatachalam is done as an outpatient procedure. The patient can return home within a few hours. If spinal anesthesia is given, then discharge takes longer.
The cells can also be isolated like before and sent off to a tissue bank where they are cultured and stored. By this, their number is expanded to several million and they can be kept in cold storage for longer periods. Certain tissues have got a half-life but some tissues can be stored for a long time. Their potency decreases after one year. So, when these cells are expanded, they can be returned to the doctor to be re-injected into the patient.
See this procedure here
One can apply it to the cartilage lesion by arthroscopic or open surgery. Here the joint is inspected through an arthroscope, and the area of damage is prepared by shaving and microfracture. Then the cells are made into a paste with fibrin glue and applied to the cartilage lesion. It is shaped with a spatula. Then the joint is put through a range of movements for the glue to set in five minutes. Then the patient is returned to the ward for observation. He/She will remain non-weight bearing and can resume activities full weight-bearing activities after six weeks. This procedure is usually done for single or one or two cartridge lesions. It does not apply to osteoarthritis wherein I use fluoroscopy or ultrasound guidance for injections.
This is a picture of a slide with seeded chondrocytes
They have a trophic effect which means they stimulate growth via the secretion of cytokines and growth factors that is when the cells are injected into a joint these growth factors are released and they have the potency or capability of stimulating adjacent cells in the joint to differentiate and form cartilage. These differentiating cells, when stimulated by growth factors, will go ahead and repair areas of damaged cartilage, and limited cartilage repair are possible; not a complete repair in the case of bone on bone.
The cells possess an immune modulatory effect even when injected even from an allergenic source. They erect a barrier between themselves and the native person’s immune system and perform their function without any interference from the destructive and deleterious effects of the immune system like T cells. They have an anti-inflammatory effect. When injected into swollen inflamed joints, they put a brake on inflammation.
After that, there will be continuous improvement.
Antibiotic effect – There is no need for a person to worry when stem cells are injected. They are not at risk of developing a joint infection like septic arthritis of the knee. This is because of the antibiotic effect present in the stem cells themselves.
Self-replication effect- they can replicate as themselves or replication differentiate into further cell types.
They have an anti-aging effect.
The commonest indication is nonunion. In small non-unions stem cells can be injected which can promote union.
Articular cartilage damage in the knee, shoulder, hip, and ankle joints can be treated with stem cells. When stem cells are injected into areas of cartilage damage, they can repair cartilage. They can also repair osteochondral defects when inserted in the form of a bone plug.
Osteoarthritis -When there is widespread cartilage of ICRS grade 3 grade or 2, stem cells can help to halt the ongoing osteoarthritis process and lead to limited repair. Patients can get sustained pain relief for a few years.
Avascular necrosis is commonly seen in the hip joint, and it is bilateral. It can result from steroid intake, alcohol, Gaucher’s disease, and deep-sea diving. Blood disorders like sickle cell anemia can result in avascular necrosis. Avascular necrosis in the early stages can be treated with stem cells.
Stem cells can also promote wound dealing like in diabetic ulcers or chronic ulcers
I injected Stromal vascular fraction (SVF) derived from fat. Earlier I used bone marrow. Fat has several advantages over bone marrow enumerated here.
Bone marrow has fewer stem cells than fat, Fat contains 500 to 2000 times more MSCs than the same volume of bone marrow. Fat cells have the highest proliferation potential, and the cells are younger than bone marrow. in old older people, it may be difficult to obtain cells from the bone marrow because there is osteoporosis. In addition, fat also contains numerous other regenerative cells that are important to the healing process.
A further advantage of fat is that it is less painful. I can aspirate it from the thigh and the patient can go home within a few hours,
Anticoagulants are not required. If you take bone marrow, then you have to treat it immediately with heparin and inject heparin into the bone to prevent it from clotting while being aspirated. This can result in an overdose or leakage of the anticoagulant solution into the adjacent tissue. Bone marrow aspiration from the posterior part of the iliac crest can result in penetration and spread of the heparin in retroperitoneal space, leading to retroperitoneal hematoma.
Cells derived from fat are a better source for articular cartilage repair.
Some patients have been able to get prolonged pain relief and have postponed knee replacement. The longest follow-up stem cell treatment for the knee is seven years.
See a patient’s testimonial here-
In the short term, they can avoid taking NSAIDs, painkillers, and opioids. They will lead a better quality of life.
So, if you want Stem Cell Treatment for Knee arthritis in Chennai India Dr.A.K.Venkatachalam, click the form, fill it out, and post. You can locate my practice by clicking on this link
Call – 7824003400 or the hospital – 044 42938938
Email -drvenkat@kneeindia.com
Are you suffering from Knee osteoarthritis in Chennai India? If so, you may be wondering if there is an available alternative treatment to knee replacement that can help you. In this video, we will hear from this patient about the reason why she chose SVF treatment. She had seen the failure of knee replacements done elsewhere in other patients This treatment is available in Chennai India and can help you become pain-free!
Stromal vascular fraction treatment or SVF treatment knee arthritis Chennai India is a new treatment for knee arthritis. It avoids the risks associated with a knee replacement. It is done as a daycare procedure.
In this procedure, the surgeon removes fat from your body by liposuction and processes it in a centrifuge in the operating room. The processed fat contains a mixture of cells, vascular stroma, growth factors, and others. It is then mixed with PRP and then injected into the knee. The procedure takes about an hour for one knee. Patients are able to return home within a few hours. They may feel some discomfort on the first day but the pain will improve.
SVF is derived from fat. It is superior to bone marrow. See this post to know more about the advantages of fat over bone marrow.
According to this lady, she had seen many failures of knee replacement done elsewhere. Other patients have also stated that a knee replacement procedure with its necessary physiotherapy is an ordeal.
SVF treatment is a safe procedure with proven results. A double-blind study has confirmed the effectiveness of SVF therapy. There are other studies that vouch for fat stem cell treatment in knee osteoarthritis. My longest follow-up for stem cell treatment for knee arthritis is seven years. See this video
In this video, this lady states that she had seen many successes of SVF treatment in India by Dr.A.K.Venkatachalam
Learn about Stem cell treatment Knee osteoarthritis Chenna
I use fat for stem cell treatment of knee osteoarthritis in Chennai, India.
Cellular therapy with stem cells acts by stopping the relentless progress of knee osteoarthritis. It can regenerate and repair cartilage in the early stages of osteoarthritis. Thus, it can postpone the requirement for a knee replacement by several years. I use cells derived from adipose tissue or fat. I harvest fat from your body and prepare it in the operating theatre. Stromal vascular fraction is derived from this which is injected into the knee joint with ultrasound guidance. Pain relief lasts for one to three years and this can be repeated if any. Alternatively, one can culture these cells in a tissue bank and reuse them later. This will avoid further surgery. One can postpone a knee replacement by several years with this treatment. I use fat for my treatments as it is much superior to bone marrow. When both knees are involved, I operate on both knees in the same session. No anesthesia is required. The patient can go home the same day after the treatment. Pain relief starts immediately and can last for a few years. Many patients are scared of getting a knee replacement and prefer a cellular therapy procedure after full information has been conveyed to them. If you want an appointment, fill out the contact form at https://orthobiologicsurgeryindia.com/contact-us/
PRP therapy knee arthritis Chennai. See how PRP therapy for knee arthritis is administered in Chennai.
Platelets are a type of cell in the blood primarily responsible for clotting. In addition to their paramount clotting function, they can also perform tissue repair as they also contain chemicals known as growth factors inside one of the three types of granules inside them which support healing and recovery processes. Platelets have three types of granules inside them known as α–granules, dense granules, and lysosomes. These granules are released when platelets encounter external tissues. Platelets swell and burst and release their granules.
Platelet-rich Plasma (PRP) is a filtrate of plasma rich in platelets. It contains plasma which is the liquid portion of blood and one of the three types of blood cells called platelets. In PRP, plasma contains significantly more platelets than their baseline value in blood, so the concentration of growth factors can be five to 10 times higher.
To create platelet-rich plasma, doctors take a blood sample from the patient and place it into a device called a centrifuge that rapidly spins the sample, separating out the other components of the blood from the platelets and concentrating them within the plasma. See how PRP is prepared in this video.
Platelets are known to provide a diverse array of growth factors that can work independently or with other proteins and cells to improve the healing process. Although the use of PRP in the dermatology and maxillofacial fields dates to more than 50 years, the study and application of this treatment in joint conditions is recent and growing. As mentioned before, the biological rationale for the clinical use of PRP includes the local action of growth factors, the modification of the inflammatory response, and the effects on cell proliferation and differentiation.
PRP is prepared from venous blood by centrifuging venous blood. It is injected into the knee painlessly under local anesthesia. PRP contains growth factors that can repair damaged cartilage.
Dr.A.K.Venkatachalam is an orthopedic surgeon performing joint biological injections in Chennai. His practice is known as the Madras joint replacement center. He performs Joint biologics injections for shoulder, elbow, wrist, hip, knee, ankle, and foot conditions. Knee osteoarthritis is the commonest indication for PRP injection in young patients. Older patients with advanced disease may require an SVF treatment
PRP injection is done in the office of the doctor. Patients can return home soon after. They may experience some pain on the evening of the procedure but will feel fine the next morning.